Video & Transcript Research : 'payroll deduction'

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WV
Transcript Highlights:
  • If I'm going to put them on a payroll, examples: valid Social Security card, valid immigration visa,
  • If I'm going to do an I-9 and put somebody on payroll, don't they already have to be a legal citizen?
Keywords: 994, senate, all
Summary: The committee first took up House Bill 4198, which would require employers to use E-Verify to confirm new hires’ work authorization and impose escalating penalties for violations, including warnings, debarment from state contracts, loss of business licenses, and other sanctions. Counsel and senators raised extensive drafting concerns, including circular language, conflicts with existing record-retention provisions, unclear references to “seeks to employ,” possible application to babysitters, lawn care, and other casual or household arrangements, and uncertainty about how the bill would work for employers who never actually complete a hire. The bill sponsor defended the measure as a way to strengthen compliance with existing law, protect employers who use E-Verify in good faith, and deter illegal hiring. After debate, a motion to table the bill failed on a roll call vote, 6 in favor and 10 opposed, and the chair then announced the bill would be sent to a subcommittee to be cleaned up, with instructions to resolve the drafting conflicts and other ambiguities. The committee then turned to House Bill 4710, with an amendment, which would require a person to be registered with a political party or as an independent 210 days before filing a certificate of candidacy. Counsel explained that the change would lengthen the current 60-day requirement and would affect both party-switching and independent candidacies, making it harder for candidates to change affiliation shortly before an election. Senators asked about how the 210-day period would work relative to the primary and general election filing deadlines, and counsel clarified that it would be measured backward from the relevant filing dates. The discussion focused on the practical effect of the bill as a “sore loser” measure and on the timing rules for candidacy filings.
AZ

Arizona 2026 Regular Session

03/04/2026 - House Government

Government

Transcript Highlights:
  • Protective Services Section are the only assistant attorneys general in the state who are under the direct payroll
  • Services Section are the only Assistant Attorney General's in the state who are under the direct payroll
Keywords: 1182, all
Summary: The committee met for a presentation-only hearing on the Arizona Department of Child Safety, with no bills on the agenda. Chair Blackman opened by emphasizing that the hearing was intended to be data-focused and respectful, and that personal attacks or false accusations would not be tolerated. Director Catherine Patak then presented DCS data on hotline volume, investigations, reunifications, adoptions, guardianships, foster care entries and exits, kinship placement, congregate care, missing youth, and extended foster care. She said the department investigated more than 43,000 cases in 2025, kept the out-of-home care population relatively steady, and had reunified about 3,000 children with parents, while also noting that older youth and behavioral-health-driven removals are creating a mismatch with available foster homes. She also described kinship supports, foster parent recruitment, and the impact of Family First on funding, saying DCS lost federal drawdown for congregate care while waiting on approval for prevention programs. Members questioned the director about kinship caregivers, behavioral health access, reunification services, parental rights terminations, notice and documentation practices, and the effect of increased reimbursement rates. Patak said unlicensed kin can receive support through the kinship supports contract, that behavioral health assessments are done quickly at the welcome center or within 24 hours for kin placements, and that provider capacity remains a major constraint outside DCS control. She explained reunification conditions and services, said the department is working on documentation and notice issues flagged by the Auditor General, and noted that kinship reimbursement increases have helped some families step forward. She also said DCS procurement for group homes is handled internally through an RFP process and that about 10% of kinship caregivers become licensed. Representative Gillette then delivered a lengthy presentation arguing that the child welfare, Medicaid, and disability systems are structurally intertwined and that procurement and funding rules create incentives for volume and congregate care use. He criticized DCS, DES, and AHCCCS/Access oversight structures, argued that the system diffuses accountability, and said the committee’s work and related materials would be referred to special counsel. He also raised concerns about documentation, placement decisions, and the cost of congregate care, while asserting that the system over-relies on large providers and that reforms should focus on structural and financial incentives. Vice Chair Fink followed with a brief slide noting that congregate care costs far more per child than foster or kinship care, reinforcing the committee’s concern about placement costs and the need to shift children toward family-based care when possible.
NH
Transcript Highlights:
  • It's payroll. It's a pretty significant spot.
  • It's payroll. It's a pretty significant spot.
Keywords: 1189, house, all
Summary: The meeting opened without a quorum, so approval of the prior draft minutes was deferred until later. The committee then heard a DHS update from Commissioner Lori Weaver and COO David Weers, who described the recent flood at the Brown building and the relocation of nearly 400 DHS staff while operations are restored. They also outlined New Hampshire Care Connections, a privacy- and consent-focused closed-loop referral platform intended to improve referrals among providers, reduce duplication, and support continuity of care, with an Upper Valley implementation partnered with Dartmouth Health and an Epic integration already underway. Members asked whether the system would merge medical records or simply track referrals. DHS said it is not intended to store or transmit full medical records, but to integrate with providers’ electronic health record systems so referrals can be sent, received, and tracked, with consent controls limiting what information can be shared. Officials said the project will be tested over the coming months, with metrics, governance, and advisory committee oversight, and that it is tied to broader rural health transformation efforts and statewide implementation after the regional pilot. The committee also received the annual report from the Child Care Advisory Council. Maryanne Barter and Jessica Carver said the council worked with licensing to streamline the child care licensing rules, reducing the handbook by about 30%, and is now helping develop an informal dispute resolution process, revising the Granite Steps for Quality system, and creating a clearer handbook for providers handling state scholarship audits. They reported ongoing concern about child care closures and workforce shortages, said there is currently no wait list for child care assistance, and discussed questions about federal CCDF immunization requirements, which DHS said it would follow up on with federal technical assistance partners. After quorum was established, the committee moved to approve the minutes from the prior meeting.
NM

New Mexico 2026 Regular Session

House - Chamber Meeting Feb 13th, 2026 at 11:03 am

New Mexico House Floor Meeting

Transcript Highlights:
  • lady, just a few months ago I sat with a small business owner who was struggling, trying to make payroll
  • She was trying to make payroll, trying to make sure that her employees were taken care of. trying to
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Thursday, February 27, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • on their medical payments, and of course the government program has, in most cases, no deductible.
  • on their medical payments, and of course the government program has, in most cases, no deductible.
  • ><04:11:51.960> 15<04:11:52.560> or<04:11:53.199> $20,000<04:11:54.359> deductible
  • <04:11:55.359> on have a 10 or 15 or $20,000 deductible on have a 10 or 15 or $20,000 deductible
  • we have um the food share and deductible we have um the food share and all<04:12:08.640> you<
NH
Transcript Highlights:
  • a person who has experienced an accident and is out of work for a year or more, that time is not deducted
  • a person who has experienced an accident and is out of work for a year or more, that time is not deducted
  • workforce until for 10 years, but then, not realizing that their workers' compensation time was deducted
  • their workman's compensation<00:26:10.520> time<00:26:10.760> was<00:26:10.960> deducted
  • <00:26:11.559> from compensation time was deducted from compensation time was deducted from
Keywords: 928, house, all
Summary: The committee first took up House Bill 216, which Representative Carol Maguire described as a fix to a workers’ compensation/retirement “glitch.” The bill would remove the current limit that only one year of workers’ compensation time can be credited as retirement service time. Maguire argued the limit is arbitrary and affects only a very small number of grievously injured workers, while committee members asked about the fiscal impact, available data, and whether the change could affect workers’ compensation rates or incentives. Mark Kavar of the New Hampshire Retirement System said Labor could not provide data on how many people exceed a year on weekly indemnity benefits, so the fiscal note used a conservative estimate that could be scaled down; he also explained that workers’ comp is not earnable compensation, which is why service credit stops after a year, and noted that many long-term cases move into disability retirement or lump-sum settlements. The committee closed the hearing, entered executive session, and voted ought to pass on HB 216 by a 13-0 roll call, sending it to consent and noting it would also go to Finance. The committee then acted on House Bill 85, adopting Amendment 0037 and then voting ought to pass as amended by another 13-0 roll call. The bill was described as allowing second-year respiratory therapy students to work under supervision using the skills they have already learned, with support from the Hospital Association and no opposition noted. Finally, the committee took up House Bill 267, the animal chiropractors bill. Members said the bill had been approved previously but was vetoed because of a defect; the problem has now been corrected, and the bill is intended to reduce delays caused by requiring veterinary referrals before chiropractors can treat animals. The committee voted ought to pass 13-0 and placed the bill on consent.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Jun 21st, 2026 at 10:30 am

Joint Committee on Ways and Means

Transcript Highlights:
  • classified as maintenance costs, with any increases over our FY26 appropriation attributed primarily to payroll
  • And your tax at an 80 to 90 percent tax rate because there's an IRS code called 280E, and you can't deduct
Keywords: 995, all
Summary: The Joint Committee on Ways and Means held a public FY27 budget hearing at Barnstable Town Hall, with opening remarks emphasizing the Cape and Islands’ seasonal infrastructure, housing, transportation, workforce, and digital needs. The hearing began with testimony from the Executive Office of Labor and Workforce Development, which outlined the Healey-Driscoll administration’s budget priorities for job training, apprenticeship, youth employment, reentry programs, and unemployment insurance modernization. The secretary highlighted proposed funding for the Workforce Competitiveness Trust Fund, Career Technical Initiative, YouthWorks, reentry workforce development, and services for young adults with disabilities, along with a proposal to streamline youth work permits. Members also discussed the unemployment trust fund, the COVID assessment on employers, rising unemployment, and the need to improve DUA customer service and claims processing. Committee members asked about job seeker barriers such as child care, housing, transportation, and out-migration of young workers, as well as how to keep Cape Cod graduates and seasonal workers in the region. The administration said its strategy is to pair training with broader affordability investments and to expose students to career pathways earlier, including through middle school, early childhood STEM, YouthWorks, pre-apprenticeships, and Building Pathways. Senators and representatives also raised concerns about regional funding disparities, especially for Hampshire Franklin MassHire, and the administration said it is reviewing MassHire funding and service equity through a policy committee and statewide workforce board. On unemployment assistance, officials reported major improvements in wait times and claims processing, but said they are still working through backlogs and staffing challenges while maintaining program integrity. The committee then heard testimony from the Executive Office of Economic Development. The secretary described House 2 as a fiscally restrained budget with no new taxes or fees, while preserving core programs and using the Mass Leads Act tools to support competitiveness. EOED’s proposal included funding for the Community One Stop for Growth, rural economic development, social enterprise operating grants, regional economic development organizations, the Workforce Investment Trust Fund, Community Workforce Partnerships, Pathmaker, advanced manufacturing training, life sciences, innovation vouchers, AI initiatives, small business assistance, and tourism and live theater support. The Office of Consumer Affairs and Business Regulation also testified on its FY27 request, focusing on consumer protection, licensing, banking, insurance, and public safety regulation. No votes were taken during the hearing.
MN

Minnesota 2025-2026 Regular Session

November 2025 State Budget and Economic Forecast Presentation - 12/04/25

Minnesota Senate Floor Meeting

Transcript Highlights:
  • After a robust expansion in payroll employment following the COVID pandemic, recent job growth has slowed
  • Consequences that every Minnesotan can relate to, as you see our own premiums go up and deductibles go
Keywords: 1187, senate, all
VA
Transcript Highlights:
  • Generally, employers are liable for Virginia unemployment tax if they had quarterly payroll of $1,500
Summary: The Commission on Unemployment Compensation met, established a quorum, and elected Delegate Destiny LeVere Bolling as chair and Senator Mike Jones as vice chair. The commission also adopted its electronic meeting policy and heard introductions from new members, staff, and officials from the Secretary of Labor’s office and the Virginia Employment Commission (VEC). Secretary Jessica Lumen outlined the administration’s workforce and labor priorities, including supporting workers, employers, and program transparency, while members raised concerns about business climate, job losses, labor participation, and the implementation of paid family and medical leave. Staff provided legislative updates on recent unemployment-related bills. These included increases to the weekly unemployment benefit amount enacted in 2025 and 2026, a bill on labor dispute disqualification that changed how lockouts are treated for benefit eligibility, and a budget item providing $75,000 for actuarial support to the commission. The commission also discussed the 2025 work group on annual adjustments to weekly benefit amounts; staff reported that the work group did not complete its charge, and members agreed to revisit whether to reconstitute it at a future meeting. Delegate Martinez expressed support for continuing the work, and the chair said the issue would be taken up at the next meeting. Deputy Commissioner Joanna Darkus gave a detailed presentation on Virginia’s unemployment insurance system, including current claims data, eligibility rules, employer tax structure, benefit levels, trust fund solvency, fraud prevention, and customer service operations. She reported that Virginia’s unemployment rate remains low, weekly claims are modest, the current weekly benefit range is $160 to $478, and the trust fund balance factor is projected at 50.9 percent, near the threshold for additional employer charges. Members asked about the taxable wage base, trust fund solvency, the effect of benefit increases, fraud controls, and the planned paid family and medical leave program. VEC said it is implementing that program through regulations, staffing, IT procurement, public listening sessions, and consultation with other states. A public commenter from the Virginia Poverty Law Center urged the commission to strengthen state investment in unemployment insurance and warned that federal support is uncertain. The commission then adjourned without taking further action.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Transportation Jun 21st, 2026 at 01:00 pm

Joint Committee on Transportation

Transcript Highlights:
  • The payroll and business tax is paid, and the sales tax is paid by our consumers.
Keywords: 995, all
Summary: The Joint Committee on Transportation held a hybrid hearing on a large slate of bills covering motor vehicle sales, registration, title processing, dealer regulation, and several local matters. Chair Cyrro noted that Senate Bill 2414 had been postponed at the sponsor’s request, though public testimony would still be accepted. The hearing then heard testimony on measures including S. 2367, which would make an insurer primary for losses caused by an insured driver in a rental car; H. 3698 and related bills on codifying registration of 25-year-old imported Japanese kei vehicles; H. 3701 on requiring lienholders to release titles within seven days; H. 3690 on capping dealer documentation fees; and H. 3641 on requiring education for class two motor vehicle dealers. Testimony also addressed e-titling and e-signatures, peer-to-peer car sharing, temporary license plates, duplicate plates, general registration plates for motor vehicle distributors, and a bill to ban tinted license plate covers. Supporters of the rental-car insurance bill argued Massachusetts is an outlier compared with 47 other states and said the change would improve fairness, competition, and consumer understanding without raising premiums. Dealers and industry groups generally supported e-titling/e-signature modernization and the inspection-related bill, but urged safeguards to preserve title, registration, and insurance verification. The Massachusetts State Auto Dealers Association opposed the doc-fee cap, saying documentation fees are a disclosed cost-recovery tool that varies by dealership. Representatives and advocates for kei vehicles said the RMV’s 2024 reversal showed the need to codify the rules in law, while opponents of the RMV’s approach described it as arbitrary and harmful to owners and importers. Supporters of the dealer-education bill said it would curb unregulated “curbstoning” and help ensure proper title handling and consumer protection. Several local and specialty bills also drew testimony. Hatfield officials supported a local bill allowing golf carts on certain town roads under strict safety rules, and Representative Ayers testified for a bill banning tinted license plate covers to aid toll collection, law enforcement, and vehicle identification. Senator Lovely and other advocates supported the “Easy ID” license plate proposal, saying it would improve vehicle recognition in crime and child-abduction investigations. The committee took no votes during the hearing and adjourned after public testimony concluded.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Economic Development and Emerging Technologies Jun 21st, 2026 at 11:00 am

Joint Committee on Economic Development and Emerging Technologies

Transcript Highlights:
  • all state and local tax revenues collected from these businesses and continues to circulate their payrolls
Keywords: 995, all
Summary: The Joint Committee on Economic Development and Emerging Technologies held its first public hearing of the session, chaired by Rep. Carole Fiola with Sen. Barry Finegold. After housekeeping on livestreaming, virtual testimony, and written testimony deadlines, the committee heard testimony on several bills, with the main focus on S. 303/H. 503/S. 305 and H. 491, all related to worker ownership and business succession. Testimony generally supported expanding employee ownership, right of first refusal for workers, and incentives for owners to sell to employee groups. Speakers from worker co-ops, technical assistance organizations, lenders, and business owners said these measures could preserve local businesses, protect jobs, build worker wealth, and help communities retain valued services and storefronts. On S. 303, Vincent Lawrence Dixon described a proposal to create tools such as a special community trustee, right of first refusal, and community institution landmarks to help communities preserve important local properties and uses when owners cease operations. On H. 491 and the employee-ownership bills, witnesses including Matthew Page Lieberman, Caleb from Circus Cooperative Cafe, Sarah Acefa of Dorchester Food Co-op, Halsey Platt, Kevin O'Brien, John Abrams, Virginia Berman, Stacey Cordero, Adrian Roman, Alex Popali, Adam Trott, and Ethan Tupelo emphasized that worker-owned businesses can be more resilient, support democratic participation, and help with business transitions as owners retire or close. Committee members asked questions about the tax incentive threshold, the timing and mechanics of the right of first refusal, and whether the bills would affect sale prices or business succession. Rep. Kristen Kassner also testified on H. 490, which would create a special commission to inventory the Commonwealth’s built environment, infrastructure, permitting, and land-use barriers to help Massachusetts adapt vacant or underused spaces for the next economy. She said the commission would help identify opportunities for housing, climate and energy tech, advanced manufacturing, and other uses, and members discussed commission composition and data sources. At the end of the hearing, the chair read a series of additional bills into the record, noted an upcoming Economic Development Expo, and the committee adjourned after a motion and second.
MA
Transcript Highlights:
  • complaints, requirements and processes for reporting consumer complaints, and the maintenance of payroll
Keywords: 995, all
Summary: The Joint Committee on Aging and Independence held a hearing on several bills, led by Chair Tom Stanley and Senate Chair Patricia Jehlen. The committee first heard testimony on H. 765/S. 487, an act relative to councils on aging, which would update outdated statutory language and allow directors of councils on aging to make staffing decisions when a council is structured as an advisory body. Representative Donahue and Betsy Connell of the Massachusetts Association of Councils on Aging said the change reflects how most councils now operate and would resolve conflicts like the one that arose in Sherborn. Members asked about whether the bill would affect town managers, volunteer roles, and whether the language should more clearly exempt informal volunteer help; supporters said the bill is aimed at municipal staffing structures, not unpaid volunteer assistance. The committee then took extensive testimony on H. 789/S. 470, an act to improve Massachusetts home care, which would create a statewide licensure system for non-medical home care agencies and entities. Julie Watt, Jay Krillovich, Betsy Krimmins, Lisa Gargoni, Tim Foley, and several providers and advocates supported the bill, arguing that licensure would establish baseline standards for background checks, training, service plans, insurance, complaint procedures, and labor-law compliance, while helping consumers identify legitimate providers and reducing fraud and abuse. Several witnesses described problems with unlicensed or poorly supervised providers, and family members and dementia advocates emphasized the need for dementia-specific training and better oversight for vulnerable clients. Tim Foley also raised concerns about private equity’s growing role in home care and said stronger regulation is needed to protect consumers and workers. Committee members focused on practical questions about the bill’s scope, including whether it would reach informal paid helpers, volunteers, or people doing occasional household tasks, and what agency would enforce the rules. Supporters said the bill is intended to cover entities advertising home care services, not unpaid volunteer help, though they acknowledged regulators would need to work out details. John Sneeth of Tribute Home Care offered a more cautious view, saying licensure should not unduly burden smaller providers or reduce competition, and that enforcement would be key. The hearing also included testimony from the Alzheimer’s Association and family caregivers, who strongly supported the bill’s dementia-training provisions and described how trained caregivers improved safety and quality of life for people living with Alzheimer’s and dementia. At the end of the hearing, the committee also heard support for H. 778/S. 473, regarding the Commission on LGBTQ Aging, with Lisa Krinsky urging funding for a full-time director and continued support for the commission’s strategic plan. After public testimony concluded, the committee adjourned the hearing by motion and voice vote.
CA

California 2025-2026 Regular Session

Senate Budget and Fiscal Review Committee May 5th, 2026

Budget and Fiscal Review

Transcript Highlights:
  • So payroll can still be met, bills can still be paid. And that's April 15th data.
Keywords: 987, senate, all
Summary: The subcommittee heard Assembly Bill 108, a budget bill junior that would amend the 2025 Budget Act to provide a one-time $25 million General Fund grant program through HCAI for hospitals in immediate and significant financial distress. Finance explained that eligible hospitals would need to show less than 10 days cash on hand, best efforts to exhaust other financing, a payer mix of more than 50% government payers and uninsured patients, and nonprofit status. The bill also included a technical change related to property tax deferments for eligible low-income seniors, plus expedited contracting and rulemaking authority so HCAI could move funds quickly. Most of the discussion focused on whether the amount and eligibility standard were sufficient, how many hospitals might qualify, and whether the state was addressing the underlying causes of hospital distress. Members raised concerns about limited and lagging data, the 10-day threshold, fairness compared with the earlier Distressed Hospital Loan Program, and whether hospitals receiving grants should be required to maintain services. Several members cited broader pressures such as Medi-Cal reimbursement rates, seismic retrofit costs, federal policy changes, and the need for loan forgiveness or a more comprehensive hospital support plan in the next budget cycle. The LAO noted that the bill was intentionally narrow and short-term, while the administration said the grant was meant as a bridge until July 1 and that more extensive discussions would continue with the May Revision and the 2026 budget. Public commenters from the California Hospital Association, district hospital leaders, Children’s Hospital Los Angeles, and county representatives supported the measure and urged additional longer-term funding for distressed hospitals. After discussion, Senator Richardson moved the bill, the committee voted unanimously in favor, and AB 108 passed 18-0, with the roll held open briefly to secure remaining votes.
NY

New York 2025-2026 Regular Session

New York State Senate Session - 04/29/2026

New York Senate Floor Meeting

Transcript Highlights:
  • And some of the items that are covered in this budget include payroll costs, judiciary cost, General
Keywords: 993, senate, all
Summary: The Senate convened, approved the prior journal, and discharged several identical Assembly/Senate bills from committee so they could be substituted on the calendar. The chamber then took up and previously adopted two commemorative resolutions: one designating April 2026 as Sikh Heritage Month and another honoring Korean War veterans. Senators from both parties spoke in support of the Sikh resolution, emphasizing the community’s contributions, service, and the need for recognition and inclusion; the resolution was opened for co-sponsorship and the Sikh guests in the gallery were recognized. The Korean War resolution drew remarks from members recalling family service and the sacrifices of veterans, with repeated calls to preserve their stories and honor their legacy. The Senate then moved through the calendar, passing a series of bills. Among them were measures related to charter bus safety and seat belt awareness, coverage for doula services under insurance, social services/EBT-related changes, education, navigation, highway, public service, and hospital-closure reporting. Several bills passed unanimously or with only one dissenting vote; the social services bill drew the most opposition, with Senator Murray objecting that New York should first address EBT chip technology and skimming before adding new vendor requirements. One bill on the calendar was laid aside for the day. The chamber also adopted a supplemental bill authorizing the South Country Central School District to finance certain deficits, described by Senator Murray as a necessary rescue to keep the district operating and pay staff. Senators discussed the state budget impasse during debate on an extender bill, with the sponsor explaining it was a “clean extender” to keep government running through May 4 and cover payroll, health, education, and other essential payments. Senator Helming raised concerns about the lack of rural health transformation funding and the consequences of the delayed budget for schools, local governments, and hospitals. The extender passed, and the Senate adjourned until Monday, May 4, 2026.
AR

Arkansas 2026 1st Special Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 16th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • and talked to me specifically about the hospitals you represent, some of whom have trouble making payroll
Summary: The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures. Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete. A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation. At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.
AR

Arkansas 2026 Regular Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 16th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • and talked to me specifically about the hospitals you represent, some of whom have trouble making payroll
Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.
NM
Transcript Highlights:
  • Chair, Mallory Monsanitis, ASD, Representative, our payroll services are $253 million. $253 million.
Keywords: 996, all
Summary: The committee first heard TRIP’s annual New Mexico transportation report from Carolyn Boniface Kelly, which described deteriorating roads and bridges, congestion, safety concerns, and a large transportation funding gap. The report said more than half of major roads statewide are in poor or mediocre condition, over 170 bridges are rated poor, congestion costs drivers significant time and money, and traffic crashes and road conditions impose billions in annual costs. Members broadly agreed the report underscored the need for more stable transportation funding, with several noting the state’s recurring underinvestment and the safety risks to motorists, pedestrians, and bicyclists. The committee then took up Senate Bill 2, a transportation bonding and revenue package. Senator Gonzales and Governor’s office and NMDOT representatives said the bill would authorize about $1.5 billion in additional bond debt for ready-to-go highway projects, while also increasing certain motor vehicle excise, registration, weight-distance, and EV-related fees to help support debt service and transportation funding. Supporters, including contractors, the Greater Albuquerque Chamber, the Department of Finance and Administration, and transportation officials, argued the bill would improve safety, economic development, project delivery, and funding stability, and help preserve federal dollars. Opponents, including the Rio Grande Foundation and some committee members, objected to the tax and fee increases, argued the state should use existing surpluses or other funds instead, and raised concerns about impacts on families, businesses, and local governments. Committee members questioned how projects would be selected, how the new fees were calculated, how EV surcharges would work, and whether local government distributions would be affected. NMDOT said the projects would be reported to the legislature annually, selected using crash data, asset management, and project readiness, but bond approval would remain with the State Transportation Commission. After debate, Representative Romero moved do pass on SB 2 as amended, Representative Hochman-Vigil seconded, and the committee approved the bill 7-2, with Representatives Brown and Dow voting no and several members expressing reservations despite supporting the need for transportation investment.
FL

Florida 2026 4th Special Session

January 14, 2026 - 08:00 AM

Transcript Highlights:
  • So we have payroll parallel testing. That also expands some of that here.
FL

Florida 2025 Regular Session

December 10, 2025 - 03:30 PM

Transcript Highlights:
  • They're there for academic credit and literally the next day I've got them on the payroll.