Video & Transcript Research : 'Medicaid payments'
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KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (7-30-25) - Reupload
Transcript Highlights:
- The state can direct payments through the Medicaid managed care organizations to a particular class of
- Um, what makes state directed payments unique is that that Medicaid benefits and pay providers.
- </c> Medicaid state directed payment program. Medicaid state directed payment program.
- </c><01:05:32.880><c> payments</c> crucial because base Medicaid payments crucial because base Medicaid
- In fact, Medicaid-based payments cover about 82% of the actual cost.
Keywords:
00:00:22 - Call to Order and Roll Call
00:03:00 – Approval of June 25, 2025 Minutes
00:03:22 - Update on Federal Changes to the Medicaid Program
01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky
Hospitals
01:29:42 – Public Comments
01:45:25 – Announcements
01:46:19 - Adjournment, 958, all
Summary:
The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants.
A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028.
Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.
AL
Alabama 2026 Regular Session
Alabama House Ways and Means General Fund Committee Feb 11th, 2026
Ways and Means General Fund
Transcript Highlights:
- : Contrary beginning January 1, 2027, and ending December 31, 2030, the revenues derived from the payment
- shall so notify the proper authority no later than 60 days after he or she becomes eligible for any payments
- shall so notify the proper authority no later than 60 days after he or she becomes eligible for any payments
Keywords:
impoundment, driver licenses, vehicle redemption, local identification cards, law enforcement, HB285, TJ's Law, traffic infraction, traffic ticket, uniform traffic ticket and complaint, minor driver, juvenile driver, parent notification, guardian notification, emergency contact, citing agency, traffic citation, driver safety, youth safety, Alabama traffic law
TX
Texas 89th Regular
S/C on County & Regional Government Mar 31st, 2025
S/C on County & Regional Government
Keywords:
rural prosecution, salary assistance, staffing grant, legal support, criminal justice, fireworks, permit requirements, sale, county regulations, public safety, hospital district, administration, elections, director qualifications, public contracts, salary supplement, county judges, judicial functions, state law, government compensation
LA
Transcript Highlights:
- And as we talk about the amendments in House Bill 1, the UAL payment...
- Instead of splitting the payment four ways, the proposed supplemental amendments set appropriates the
- for Hurricane Katrina debt payments; $11.2 million to the LSU system; $5.2 million to the Department
- Within this budget, we have also increased the per-pupil payment within the MFP from $100 to $147 per
- Members, HCR 3 is the annual resolution to help fund the hospital reimbursements in Medicaid.
Keywords:
state budget, appropriations, education funding, public health, social services, government operations, state institutions, budget, funding, state general fund, local government, fiscal year, economic development, state treasury, emergency response, education, voting technology, sustainability, revenue sharing, fund distribution
TX
Transcript Highlights:
- then, of course, this specifically addresses the situation where they're wanting to make a split payment
- and they don't get notification of the amount of the payment in time to even make that first half.
- And this is about split payments catching up on the right month.
Keywords:
HB 198, Wade Cannon Act, firefighter cancer screening, occupational cancer screening, fire protection personnel, local government, political subdivision, Texas Commission on Fire Protection, National Fire Protection Association, NFPA standards, occupational medical examination, public safety, firefighter health, cancer prevention, annual health screening, confidential medical exam, pulmonary function test, electrocardiogram, chest x-ray, blood test
Summary:
The Committee on Local Government heard and discussed a series of House bills dealing with municipal structure, tax payment timing, local provider participation funds, firefighter cancer screenings, sunset review of the Trinity River Authority, replacement certificates of occupancy, and open meetings enforcement. HB 303 would remove the 501-resident floor so very small type A and B municipalities can convert to type C cities; HB 2742 would give property owners a later first split-payment deadline when tax bills are mailed after November 30; HB 3305 and HB 3348 were local provider participation fund measures with committee substitutes; HB 198 would require political subdivisions to offer occupational cancer screenings for firefighters; HB 1535 was a sunset bill for the Trinity River Authority; HB 4753 would allow a municipality-issued proof of a certificate of occupancy to substitute for a lost original; and HB 3711 would treat certain Open Meetings Act violations as offenses against public administration and require public explanation when prosecutors decline to act.
Testimony was generally supportive or limited, with several witnesses and senators emphasizing practical fixes, firefighter health and cost savings, local government transparency, and administrative cleanup. For HB 198, firefighter representatives gave emotional testimony about cancer deaths and the value of early screening. On HB 3711, a witness supported the bill but urged stronger enforcement and broader application. Several senators raised policy concerns on HB 2715 about routing removal proceedings through a regional presiding judge rather than the local county, arguing it could politicize the process.
The committee took no public testimony on most bills and repeatedly left them pending subject to call of the chair before later voting them out. HB 21, HB 30, HB 1535, HB 1520, HB 198, HB 303, HB 2742, and HB 4753 were reported to the full Senate, generally by unanimous or near-unanimous votes, and several were also recommended for the local and uncontested calendar. HB 30 passed on a 5-1 vote, while the other reported bills were approved unanimously or with no recorded opposition. The committee then recessed subject to the call of the chair.
LA
Transcript Highlights:
- State general fund savings in the Medicaid program.
- It caps survivor payments at $5 million annually.
- It creates the mechanism... ...cap survivor payments at $5 million annually.
- This is an annual resolution that is used to help fund the hospital reimbursements in Medicaid.
- It gives L.D.H. more flexibility as to the timing of making the directed payments.
Keywords:
state budget, appropriations, education funding, public health, social services, government operations, state institutions, capital outlay, budget, infrastructure, appropriation, general obligation bonds, bond authorization, capital improvement, financial management, state treasury, funding, state general fund, local government, fiscal year
MN
Minnesota 2025-2026 Regular Session
House Judiciary Finance and Civil Law Committee 3/10/26
Judiciary Finance and Civil Law
Transcript Highlights:
- </c> Minnesota's name for Medicaid. Minnesota's name for Medicaid.
- a Medicaid provider for fraud.
- ><c> fraud</c> to Medicaid provider fraud to Medicaid provider fraud investigations<00:10:20.440><c>
- </c> Medicaid provider for fraud. Medicaid provider for fraud.
- Medicaid budget.
Keywords:
medical assistance, fraud prevention, subpoena authority, criminal penalties, consumer protection, fraud, payment withholding, withheld payments, program integrity, public funds, state agency, program participant, credible allegation of fraud, administrative reconsideration, contested case, chapter 14, data practices, confidential data, protected nonpublic data, anti-fraud
ND
North Dakota 2025-2026 Regular Session
Senate Appropriations - Human Resources Division Apr 15th, 2025 at 09:00 am
Appropriations - Human Resources Division
Bills:
HB1012
Keywords:
health and human services, DHHS, appropriations, biennial budget, behavioral health, substance use disorder, opioid settlement, medical assistance expansion, Medicaid, basic care, long-term care, child care assistance, early childhood care, child care provider payments, guardianship, conservatorship, housing loan fund, disability services, extraordinary medical needs, community health trust fund
Summary:
The Senate Appropriations Human Services Division met to consider House Bill 1012, the Department of Human Services budget, and reviewed three previously made amendments: correcting a reference to $30 million underfunding, changing “human service centers” to “behavioral health clinics,” and revising section 31 language so the department would review medical assistance services and report findings and recommendations rather than directly implement adjustments. The committee also discussed whether to include funding related to two other bills with fiscal impacts, House Bill 1485 (personal needs allowance) and House Bill 2399 (PRTF reimbursement), noting those measures may go to conference committee and that appropriations could be added there instead of in HB 1012. The committee agreed to proceed with HB 1012 and members noted provider inflation questions would be raised later in full committee.
The division then approved a due pass recommendation on the amendments to HB 1012 and, after a roll call vote, approved HB 1012 as amended on a 4-1 vote, with Senator Mathern voting no. Senator Davison was named as carrier. Members also discussed House Bill 1577, involving wastewater project financing and possible amendments related to a line of credit from the Bank of North Dakota for specific projects, and House Bill 1619, for which additional amendments were expected before full committee action. The meeting ended with general thanks and adjournment.
TX
Texas 89th 2nd C.S.
S/C on County and Regional Government Apr 14th, 2025
S/C on County & Regional Government
Keywords:
transportation, infrastructure, funding, state budget, public safety, child welfare, county boards, membership, local governance, public welfare, government service, social services, Texas Family Code, regulation, vendors, solicitors, roadside sales, county authority, Sweeny Hospital District, board of directors
AL
Alabama 2025 Regular Session
Alabama Senate Finance and Taxation General Fund Committee Apr 2nd, 2025
Finance and Taxation General Fund
Transcript Highlights:
- because of whatever… Medicaid because of whatever shows up on the database.
- I can tell you that 50% of Alabama's children are on Medicaid, and pediatricians therefore… Medicaid,
- Because of that, I sit around the table with the Medicaid commissioner, the Medicaid high-level… Commissioner
- That's the estimate at this point for the Medicaid agency, and then another... the Medicaid agency and
- and... meeting with both Medicaid and DHR.
Keywords:
SB245, public assistance, Medicaid, SNAP, food assistance, Alabama Medicaid Agency, Department of Human Resources, eligibility verification, self-attestation, data matching, fraud prevention, improper payments, program integrity, benefit eligibility, income verification, residency verification, asset verification, electronic benefit transfer, EBT, cross-checks
TX
Transcript Highlights:
- Chairman and members, many counties across the state of Texas allow property owners to split payments
- we heard this bill last week and there was some issue with people having difficulty making their payments
- situation where they're wanting to make a split pay and they don't get notification of the amount of the payment
- Without objection, so ordered. 3742, which is the payment. Right, okay.
- Payments catching up on the right month.
Bills:
HB198, HB303, HB1535, HB2742, HB3305, HB3348, HB3505, HB3711, HB4753, HB2715, HB21, HB30, HB21, HB198, HB303
Keywords:
HB 198, Wade Cannon Act, firefighter cancer screening, occupational cancer screening, fire protection personnel, local government, political subdivision, Texas Commission on Fire Protection, National Fire Protection Association, NFPA standards, occupational medical examination, public safety, firefighter health, cancer prevention, annual health screening, confidential medical exam, pulmonary function test, electrocardiogram, chest x-ray, blood test
AL
Alabama 2026 Regular Session
Alabama Senate Banking and Insurance Committee Apr 1st, 2026
Banking and Insurance
Bills:
HB545
Keywords:
HB545, legal tender, cash rounding, nearest five cents, nickel rounding, in-person cash transaction, cash transactions, change making, sales tax, Department of Revenue, merchant payments, consumer payments, currency rounding, cash payment, retail transactions, payment methods, 923, senate, all
AL
Alabama 2026 Regular Session
Alabama Senate Finance and Taxation General Fund Mar 18th, 2026
Finance and Taxation General Fund
Bills:
SB176, HB155, HB247, HB311, HB312, HB317, HB466, SB176, HB155, HB247, HB311, HB312, HB317, HB466
Keywords:
controlled substances, unlawful distribution, marijuana, violent offense, sentencing guidelines, criminal justice, state holidays, federal holidays, public holidays, legal holidays, office closures, state employees, personal leave, compensatory leave, bank closures, school closures, Mardi Gras, Mobile County, Baldwin County, Rosa Parks Day
FL
Transcript Highlights:
- of care, and what happens when there's a payment dispute?
- It fixes glitches in the payment dispute...
- or Medicaid insurers.
- , more efficient, and create additional payment options.
- I was given a couple different options for making payments.
Keywords:
pet insurance, consumer protection, insurance regulation, policy disclosure, agent training, payment stablecoin, financial regulation, anti-money laundering, state oversight, digital currency, financial services, workers compensation, Florida statute, commercial insurance, insurance board, electronic signatures, vehicle titles, insurance regulations, auditing, total loss vehicles
Summary:
The Banking and Insurance Committee heard and advanced a wide range of insurance, financial services, and probate bills. Early in the meeting, SB 1000 on trust fund interest for attorney trust accounts was explained as setting a floor and ceiling tied to the Wall Street Journal prime rate and was reported favorably. The committee then took up CS/SB 1082 on a statewide provider and health plan claim dispute resolution program for emergency out-of-network claims. After extensive discussion about the relationship between the state and federal No Surprises Act processes, an amendment was withdrawn due to concerns about clarity and scope, but the bill itself was supported by providers and insurers and was reported favorably.
The committee also approved SB 684 on electronic signatures for total loss vehicles and vessels, CS/SB 158 on pet insurance consumer disclosures and agent education, SB 1494 expanding breast cancer screening coverage, CS/SB 314 on digital assets and stablecoin issuers, and CS/SB 1500 on uncontested probate procedures and small-estate administration. SB 618 on workers’ compensation insurance was amended to raise the consent-to-rate cap for workers’ compensation policies from 10% to 20% and then reported favorably, with supporters saying it would help keep higher-risk employers in the voluntary market. CS/SB 1568 creating a Florida Stablecoin Pilot Program was amended to remove authority for a Florida coin and limit the program to existing stablecoins, then passed.
Later, the committee approved CS/SB 838 on electronic payment convenience fees for retail installment contracts, with the sponsor emphasizing that a fee-free payment option must still be offered. SB 1452, the Department of Financial Services agency bill, was amended and reported favorably; it covered My Safe Florida Home administration, insurance and licensing changes, unclaimed property updates, and other DFS-related provisions. The committee also passed SB 1706 on the My Safe Florida Condominium Pilot Program, targeting owner-occupied condominiums at or below 80% of area median income, and SB 990 on protected cell captive insurance companies, which supporters said would modernize Florida’s captive insurance laws and encourage more competition. The meeting ended with all listed bills reported favorably and the committee adjourned.
AL
Alabama 2026 Regular Session
Alabama House Financial Services Committee Mar 10th, 2026
Financial Services
Transcript Highlights:
- The rounding adjustment again does not affect the tax calculation, and any electronic payment from credit
- affect the tax calculation and any affect the tax calculation and any electronic<00:07:50.000><c> payment
- </c><00:07:50.400><c> from</c><00:07:50.639><c> credit,</c><00:07:51.039><c> debit</c> electronic payment
- </c><00:08:46.240><c> is</c><00:08:46.399><c> made</c> to any transaction where payment is made to any
- transaction where payment is made to<00:08:46.800><c> a</c><00:08:46.959><c> governmental</c><00:08:
Keywords:
Escambia County, probate court, court fees, legal services, judicial legislation, HB545, legal tender, cash rounding, nearest five cents, nickel rounding, in-person cash transaction, cash transactions, change making, sales tax, Department of Revenue, merchant payments, consumer payments, currency rounding, cash payment, retail transactions
WA
Transcript Highlights:
- SB 6103 relates to payments for rural emergency hospitals.
- SB 6103 relates to payments for rural emergency hospitals.
- By way of background, in 2020, the Centers for Medicare and Medicaid Services, or CMS, established rural
- patients, but payments for Medicaid clients are up to the state.
- Washington state law currently lacks the framework to handle REH Medicaid claims.
Bills:
SB6103
WY
Wyoming 2026 Regular Session
House Travel, Recreation, Wildlife & Cultural Resources Committee, February 19, 2026
Travel, Recreation, Wildlife & Cultural Resources
Transcript Highlights:
- Uh, you run into all sorts of payment issues sometimes that people don't pay their credit card bills.
- </c> uh you run into all sorts of payment uh you run into all sorts of payment issues<00:09:06.399><c
- This just gives us another payment method to help our retailers and service our customers.
- This just gives us another payment method to help our retailers and service our customers.
- This just gives us another payment method to help our retailers and service our customers.
Bills:
SF0024
Keywords:
lottery, debit card payments, gambling regulations, state revenue, financial transactions, 916, all
WY
Wyoming 2026 Regular Session
Senate Travel, Recreation, Wildlife & Cultural Resources Committee, February 19, 2026
Travel, Recreation, Wildlife & Cultural Resources
Bills:
SF0024
Keywords:
lottery, debit card payments, gambling regulations, state revenue, financial transactions, 916, all
MN
Minnesota 2025-2026 Regular Session
House State Government Finance and Policy Committee 3/5/26
State Government Finance and Policy
Transcript Highlights:
- This bill would strengthen the ability of agencies to stop payments to program participants when fraud
- Cleborn continued: “Agencies to notify each other and follow suit if a potential fraudster collects payments
Keywords:
civil rights, law enforcement, federal collaboration, accountability, state law, immigration enforcement, economic impact, Operation Metro Surge, study, appropriation, local government, Legislative Commission on Legislative Security, legislator security, elected official security, staff security, statehouse security, capitol security, legislative district safety, political violence prevention, threat assessment
US
US Federal 2025-2026 Regular Session
Hearings to examine reducing waste, fraud and abuse through innovation, focusing on how AI and data can improve government efficiency. Apr 9th, 2025 at 01:30 pm
Joint Economic Committee
Transcript Highlights:
- The federal government reported an estimated $162 billion in payment errors or improper payments during
- The first is Medicaid improper payments.
- If you're not entitled to Medicaid benefits, you should not be on Medicaid.
- You get risk-adjusted capitated payment or a population-based payment with the risk adjustment from diagnosis
- While all fraud is an improper payment, not all improper payments are fraudulent.
Keywords:
artificial intelligence, waste reduction, fraud prevention, government efficiency, improper payments, data reliability, oversight
Summary:
The meeting was chaired by Chairman Schweikert and involved a comprehensive discussion on how to utilize artificial intelligence (AI) for reducing waste, fraud, and improper payments within federal programs. Key witnesses, including Mr. Andrew Canarsa from the Council of the Inspectors General, provided insights on the potential of AI in enhancing government efficiency. The committee emphasized the importance of reliable data and thorough examination of AI application to avoid unintended consequences while addressing the estimated $162 billion in improper payments reported by the federal government. Concerns were raised regarding the recent firing of inspectors general and the impacts that could have on oversight and accountability processes.