Transcript Highlights:

• So leveraging technology that we already have today through things like our ProviderOne, our payment
• So leveraging technology that we already have today through things like our provider one, our payment
• We are working with, And state-directed payment provisions that are in H.R. 1.
• And again, just acknowledging that we do have some kind of payment-related provisions in statute.
• As it sees reductions in payment from reductions in enrollment in the Medicaid space.

Summary: The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed. A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss. The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change. The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.

Transcript Highlights:

• PILOT stands for payment in lieu of taxes.
• And then the property lessee makes their PILOT payment on an annual basis in lieu of paying property
• That is a way to schedule payments, but you ultimately...
• So by having stable payments and stable housing, households are stabilized.
• Payments and stable housing households are stabilized.

Summary: The Senate Housing Committee heard presentations on a range of housing finance, permitting, and affordability tools. Chattanooga described its affordable housing PILOT program, which uses a per-unit property tax abatement tied to the rent loss from providing affordable units, with a 15-year term and annual compliance monitoring. Committee members asked about the program’s structure, whether it had been used elsewhere, and who was participating; the presenter said the first mixed-income project would bring 278 units with 42 affordable units and that the model was attracting private market-rate developers. Shoreline then described its MFTE and inclusionary zoning approach, emphasizing that longer tax exemption periods and station-area zoning changes had helped spur development, with most current pipeline projects concentrated near light rail stations. The committee also heard from the Municipal Research Services Center and the Department of Commerce on tax increment financing, proportional impact fees, and permit timelines. Commerce explained that TIF can fund public improvements such as roads, utilities, broadband, and some affordable housing or child care facilities, while proportional impact fee guidance is intended to help jurisdictions charge fees more closely aligned with actual project impacts. On permit timelines, Commerce presented its first annual report under recent law changes, using 2024 as a baseline year and noting that reported timelines were generally longer than statutory goals; members asked about outliers, paper versus electronic processing, and whether back-and-forth between applicants and staff was driving delays. Commerce said it would follow up with more data, including on CHIP funding and permit reform practices. Several local governments then shared permitting process improvements. Auburn reported relatively short review cycles and described its move to fully electronic permitting, internal performance standards, and a stock plan program that speeds review for repeated home designs. Bellevue described an AI permitting pilot with a local startup to help with pre-application questions, document triage, and plan review, aiming to reduce incomplete applications and revision cycles. Seattle presented a pilot for accessory dwelling unit co-development in which a mission-driven partner would help homeowners split lots, finance, build, and manage ADUs, with the homeowner eventually buying out the partner and retaining ownership; committee members asked about rent setting, management fees, and default risk, and staff said they would follow up. The committee also heard brief overviews of community land trusts and limited equity cooperatives as permanent affordability models, with presenters urging continued state and local funding support and policy recognition for these approaches.

Transcript Highlights:

• Care reimbursed at a slightly higher rate or have an additional payment that would go along with it.
• That fund is then calculated for $60,000. 50% by volume per capita, you know, capitated payments, and
• Direct payments are supposed to reach about $1.1 billion in FY 26, which would then be reduced by 10%
• Directed payments actually start the ramp down in the second quarter of FY 28 and the third quarter of
• So on page 14, H.R. 1 CAHPS Medicaid Directed Payment. H.R. 1 CAHPS Medicaid Directed Payment.

Transcript Highlights:

• And in both cases, there was an agreed abatement and a payment of attorney's fees.
• But if you put in Senate Bill 291 and it doesn't specify legally what happens other than the payment
• So if you were to double, on the front end, double the payment to landowners or property owners as a
• It's an extra $100 that someone's paying at the current mortgage rates on their monthly payment.
• They can't afford to pay the extra $10,000 right off the top and also make their down payment.

Bills: HB5489, HB5695, HB5699, SB291, SB292

Keywords: impact fee, moratorium, local government, Texas legislation, infrastructure funding, municipal utility district, eminent domain, bonds, assessments, infrastructure, Texas Commission on Environmental Quality, Harris County, Municipal Utility District, territory exclusion, debt service taxes, property taxation, condemnation, property acquisition, real property, appraisal reports

Transcript Highlights:

• HB Number 1392 by Busey relating to the postponement of the delinquency date for a payment of adviarum
• In the state for the Committee on Natural Resources, 4486 by Bonnie Eling to the directing payment of
• HB 4549 by Paul relating to the prompt payment of health insurance claims for the Committee on Insurance
• HB 4585 by Spiller relating to the submission, payment, and audit of certain claims for and utilization
• HB 4601 by Cortez relating to the establishment of a down payment assistance grant program for veterans

Transcript Highlights:

• Payments of refunds often result in local governments negotiate negotiating.
• the financial sector, sorry, in the financial sector, exchanges often provide transaction rebate payments
• , specifically transaction rebate payments from the total revenue of taxable entities that are either
• on a house because I found that I could pay the payment for as much as the rent would cost.
• Under current policy and sustained in this bill, Texas assistance payments are windfalls for the cities

Transcript Highlights:

• Additionally, on the alternative payment model side, it's crucial that we have structured ways of paying
• We have also adopted a model for those alternative payment models (APMs).
• As a public entity, most UC medical revenues are reimbursed through self-financed payments.
• The only portion that we withheld was the Insulin Project milestone payment schedule.
• Seeing no other public comment, we'll move on to issue 5: the Health Care Payments Data Program.

Keywords: 988, house, all

Transcript Highlights:

• and other supplemental kinds of payments?
• 13.120> payments?
• What that's going kinds of payments?
• still allowed to have separate payment still allowed to have separate payment terms.<00:20:06.000
• can still keep it at separate payment can still keep it at separate payment term.<00:20:55.360><

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• It provides a fair payment structure to our pharmacies.
• Subdivision 11 is pharmacy payment reductions prohibitions.
• It provides a fair payment structure to our pharmacies.
• Did you want to go over the bridge payment or the rest?
• I'm seeing the bridge payment part and I'm seeing the bridge payment part and or<01:20:50.320> or<

Keywords: 1187, senate, all

Transcript Highlights:

• want to make sure that, number one, they're answering the phone; number two, you have methods of payment
• You got to accept methods of payment.
• You got to accept methods of payment.
• You got to accept methods of payment.
• payment for land surveying work<00:55:35.079> uh<00:55:35.440> we'll<00:55:35.599>

Keywords: 912, senate, all

Summary: The committee first took up SB 1 and SB 1561 on vegetation management near utility lines and wildfire prevention. Testimony focused on requiring DLNR to create and update wildfire hazard maps, setting vegetation-trimming responsibilities for property owners near rights-of-way and utility lines, and authorizing utilities to enter property to remove hazardous vegetation. DLNR, the PUC, and Hawaiian Electric all testified, with Hawaiian Electric asking for clearer access language, after-the-fact notification in imminent-risk situations, and liability limits. Committee members discussed balancing wildfire response with property rights and the need for clearer responsibility and enforcement, including on easements and utility poles. The committees ultimately recommended SB 1 pass with amendments, incorporating comments from testimony, and SB 1561 was deferred. The next major item was SB 640 on artificial intelligence disclosures. The bill would require businesses and individuals in commercial transactions to clearly disclose when consumers are interacting with an AI chatbot or similar technology, and it would create private rights of action and penalties. TechNet, the Office of Consumer Protection, and the Chamber of Commerce raised concerns about vague definitions, overbroad application, enforcement, and the private cause of action; the Chamber also argued the bill could burden small businesses that use AI tools for routine functions. In response to questions, OCP said the measure was ambiguous as to who it applies to and that the remedies and treble-damages provisions were unclear. The committee recommended SB 640 be deferred. The committee also heard SB 454 on prorating the rental motor vehicle surcharge tax when a vehicle is rented for only part of a day. The Tax Foundation of Hawaii said the proposal would make the tax system fairer but more complex and would require better recordkeeping by rental companies; the Department of Taxation and Enterprise Mobility also submitted comments. Senator Melby noted possible effects on the special highway fund and said that could affect his vote. The measure was referred onward, with the discussion indicating it would proceed to Ways and Means. Finally, the committee heard SB 1272 on towing, which would create a licensing framework for tow companies. Testimony from tow-industry representatives strongly supported the measure, describing unlicensed or noncompliant operators, poor insurance practices, and the need for accountability and consumer protection. They said a licensing board would give regulators a clearer enforcement avenue and help ensure fair treatment of vehicle owners. The hearing ended before a final action was taken on SB 1272 in the portion provided.

Transcript Highlights:

• This is a tax on innovation to fund a government payment program.
• And... fund a government payment program. And Coloradans deserve to know the difference.
• That is a direct payment program routed through the tax code. And Colorado...
• And when you create a government payment program funded by a new tax on a growing industry, you are..
• The department is not required to offer advanced payment at all.

Keywords: 981, all

Transcript Highlights:

• In both cases, there was an agreed abatement and a payment of attorney's fees.
• Dismiss the whole case because it doesn't say what happens other than the payment of attorney's fees.
• Senate Bill 291, and it doesn't specify legally what happens other than the payment of fees, turn ease
• It's a successful and quite amazing initiative that helps with down payment assistance for those who
• As prices come down, the threshold to meet the criteria for down payment assistance lowers, allowing

Transcript Highlights:

• You have omitted one word, landfill, on your payments where it says this payment, however, omits the
• word landfill, which stipulates what types of payments may be excluded from gross income, while including
• the landfill will define a qualifying payment.
• ...in where you put Chiquita Canyon elevated temperature landfill event payment so that you could specify
• So your bill will establish a minimum $300 payment tax credit. for anyone making Minimum $300 payment

Summary: The Assembly Committee on Revenue and Taxation held its first regular hearing of the 2025-26 session, adopted its proposed committee rules on a 5-0 vote, and reinstated a suspense file for bills with fiscal impacts over the committee threshold. The chair explained that only AB 418 would be eligible for an immediate vote, while several other measures would be held for suspense consideration because of budget constraints. AB 330 was pulled by the author. AB 418 by Wilson, which would create a clearer process and administrative remedy for county Chapter 8 tax sales, received support from county tax collectors and housing and taxpayer groups. Supporters said the bill would add transparency, due process, and a noticed public hearing for negotiated sales of tax-defaulted properties, while helping counties dispose of low-value or problematic properties more efficiently. The committee voted 6-0 to send AB 418 to Appropriations. Several other bills were heard and then referred to suspense: AB 27 by Chau, which would exclude Chiquita Canyon landfill relief payments from gross income and protect recipients’ eligibility for public benefits, drew strong support from affected residents and environmental advocates; AB 258 by Conley would increase funding for California fairs, with supporters emphasizing fairs’ emergency-response role; AB 397 by Gonzalez would expand the California Young Child Tax Credit into a broader child tax credit for older children; and AB 398 by Aaron would set a $300 minimum refundable Cal EITC benefit. The committee also heard AB 231 by Tye, which would offer a tax credit to microbusinesses that hire formerly incarcerated people, and it too was referred to suspense after supportive testimony from reentry and small-business advocates.

Transcript Highlights:

• that starts with the field group gets pushed into our finance area for them to be um dispersing payments
• Without them, the state will only be able to give one-time payments.
• Without them, the state will only be able to give one-time payments.
• This would include $1 million of that $20 million to be earmarked for down payment assistance for UNM
• A response noted that this is part of the program that MFA has for down payments and related assistance

Keywords: 996, all

Transcript Highlights:

• vehicle so that we can make the appropriate emergency appropriations for, uh, temporary hazard pay payments
• for additional time between the review period and when employers would have to provide additional payments
• Next, to address concerns regarding first payment for benefits within two weeks, we will amend page 99
• first payment for benefits within<00:50:13.319> two<00:50:13.520> weeks<00:50:13.760><
• of benefits shall be made first payment of benefits shall be made to<00:50:20.280> covered<00

Keywords: 910, house, all

Transcript Highlights:

• The last JAC change occurs on page 14, section 3, for major maintenance payment payments.
• section 3 for major maintenance payment section 3 for major maintenance payment payments.<00:10:
• And this is not the component payments.
• level major maintenance payments. level major maintenance payments.
• Page four establishes payment dates.

Bills: HB0105, HB0107, SF0002

Keywords: K-12 education, school facilities, security improvements, public funding, state appropriations, school construction, local government funding, sales tax distribution, municipal funding, economic equity, state revenue, Wyoming Legislature, legislative appropriations, Legislative Service Office, LSO budget, general fund, biennial budget, legislative branch, legislator travel, per diem

Transcript Highlights:

• But the interpreter payments are still per hour, three dollars.
• And H2 provides $56.3 million to support these payments.
• Payment errors are not the same as fraud.
• What we are changing some policy on is to lower that payment error rate.
• But it's not our only effort to try and reduce that payment error rate.

Keywords: 995, all

Summary: The hearing was a FY27 budget session on Health and Human Services held in Mattapan, hosted by the Joint Committee on Ways and Means. Opening remarks from Senator Lydia Edwards, Representative Brandy Fluker-Reed, Representative Russell Holmes, and Boston Public Library President David Leonard emphasized the significance of holding the first Ways and Means hearing in Mattapan, the importance of community access, and the role of libraries as human services institutions. Committee members and attendees introduced themselves before agency testimony began. MassAbility testified first, describing its mission to support people with disabilities through employment, independent living, and disability determination services. The agency highlighted federal funding uncertainty, a modest FY27 budget reduction, and a proposed reworking of its home care program, which it said is outdated and should better target those most in need. Members questioned the home care cut, staffing reductions, and federal coordination. MassAbility also shared a participant story about recovery and community support to illustrate the impact of its services. The Massachusetts Commission for the Deaf and Hard of Hearing then presented its FY27 request, focusing on interpreter and captioning access, workforce development, emergency communication, aging-related hearing loss, and transition services for deaf and hard-of-hearing youth. Members asked about interpreter shortages, after-hours emergency coverage, ASL education, and community training; the commission said it is expanding mentorship and referral systems but still faces staffing and vendor challenges. The Massachusetts Commission for the Blind followed with a $30.8 million request, describing services for nearly 9,000 consumers, peer support groups, vocational rehabilitation, and Turning 22 services, while noting federal funding uncertainty and a 7% budget cut. Members raised concerns about maintaining services with fewer resources, and the commissioner said the agency had trimmed overhead and could manage the proposal. The Office for Refugees and Immigrants closed the segment, outlining expanded legal, housing, workforce, citizenship, and financial literacy supports for immigrants and refugees, including Know Your Rights trainings, legal defense initiatives, and the Massachusetts Access to Counsel Initiative. Members discussed the effects of federal policy changes, the loss of refugee resettlement funding, and the need for state support to fill gaps. No votes were taken in the portion provided; the hearing consisted of agency presentations and committee questioning.

Transcript Highlights:

• <00:09:12.160> Um cash payments like the MFIP program.
• Um cash payments like the MFIP program.
• There were the economic impact payments There were the economic impact payments that<00:40:32.360
• > also<00:40:42.320> were Um unemployment uh payments also were Um unemployment uh payments
• 42:47.600> which those economic impact payments which those economic impact payments which were

Keywords: 1187, senate, all

Transcript Highlights:

• The fiscal note associated with this bill reflects a reduction in co-payments for families receiving
• This bill creates a separate co-payment for half-day care, aligning family co-payments with the state's
• This bill creates a separate co-payment for half-day care, aligning family co-payments with the state
• We expect that the hospital payment reforms in this bill will save the state employee group health insurance

Bills: SB219, SB9

Keywords: military pension, military retirement pay, veterans, retiree tax relief, income tax exemption, pension exclusion, Delaware income tax, retirement income, state tax subtraction, armed forces retirement, National Guard, Space Force, Coast Guard, NOAA, Public Health Service, taxable income, Title 30, Section 1106, wetlands protection, nontidal wetlands

Summary: The House Appropriations Committee met to hear several bills, with members repeatedly reminded to focus on fiscal impacts rather than policy merits. The committee first considered SB 9 on freshwater wetlands, which would combine tidal and non-tidal wetlands programs into one permitting framework; supporters said the bill resulted from a two-year consensus process and that the governor’s office and DENREC would absorb a significant share of the cost. Public testimony was largely supportive, emphasizing flood control and ecosystem services, though one speaker opposed the spending. The committee voted to release SB 9. The committee then heard SB 278 on child care assistance, which would preauthorize summer camp for eligible school-age children and create a separate lower co-payment for half-day care. The sponsor and the YMCA of Delaware said the change would better align family co-pays with provider reimbursement and make before- and after-school care more affordable for working families. The committee also released SB 278, SB 168 on alcohol delivery for package stores, SB 120 on health insurance coverage for certain testing and treatment, and HB 4, a pilot program for artificial intelligence and extended reality in schools; HB 4 was described as having a near-$3 million fiscal note and a one-year implementation delay because it was not funded in the budget. Later, the committee approved SB 219, which gradually increases the military pension income tax exclusion from $12,500 to $25,000 over three years and includes related joint-filing and residency changes. Supporters argued it would help attract and retain military retirees and bring federal dollars into the state. The committee also released SB 1, a major primary care reform bill that would increase primary care spending and implement hospital payment reforms, with projected long-term savings to the state employee health plan, and SB 325, which expands background checks and wrap-back monitoring for fire service personnel and adds an investigator position for the Fire Prevention Commission. In each case, public commenters and committee members generally supported the bills, and all were released from committee by recorded vote.

Transcript Highlights:

• As an aside, this is my bit of payments.
• and not allowing pro rata payments.
• and making and not allowing pro payments and making and not allowing pro prata<01:30:45.199> payments
• Um as you can see from prata payments.
• a a lesser payment than something full. a a lesser payment than something full. >> Okay.

Keywords: 1183, house