Video & Transcript Research : 'survivorship'

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MN

Minnesota 2025-2026 Regular Session

Tax Expenditure Review Commission annual report 2/26/26

Minnesota House Floor Meeting

Transcript Highlights:
  • three tax credits share the same objective statement, which is to promote the development and survivorship
  • promote the development and survivorship promote the development and survivorship of<00:09:02.080
  • <00:10:15.440> of<00:10:15.760> small development and survivorship of small development
  • and survivorship of small alcohol<00:10:16.560> producers<00:10:17.040> in<00:10:17.360
  • that's maybe something that survivorship that's maybe something that is<00:20:29.840> easier<
Keywords: 1183, house
KY

Kentucky 2026 Regular Session

Senate Standing Committee on Judiciary (1-22-26)

Judiciary

Transcript Highlights:
  • In all seriousness, would this operate similar to a survivorship deed?
  • I could see, you know, if you depending on how you put that survivorship deed, if the other kids find
  • ><00:14:28.000> similar<00:14:28.399> to<00:14:28.560> a<00:14:28.720> survivorship
  • this operate similar to a survivorship this operate similar to a survivorship deed?
  • deed, if the other kids survivorship deed, if the other kids find<00:15:15.199> out,<00:15:15.440
Keywords: 958, all
Summary: The committee first considered Senate Bill 17, a cleanup bill updating Kentucky CASA statutes. The sponsor and witnesses said the bill would reduce the required board size from 15 to 12 to better fit rural and regional programs, remove the ban on certain CHFS employees serving as CASA volunteers while preserving DCBS independence, and update statutory references from the National CASA Association to the Kentucky CASA Network and current national standards language. Members expressed support for the program’s child advocacy role. A committee substitute and title amendment were adopted, and SB 17 passed 8-0 and was reported favorably. The committee then heard Senate Bill 34, which would authorize transfer-on-death deeds for a primary residence or primary vehicle. The sponsor and Uniform Law Commission witnesses said the measure is intended to let owners name a beneficiary to receive property at death without probate, while retaining full ownership and revocation rights during life. They said the bill is designed to be simple, affordable, and protective of creditors, Medicaid recovery, and surviving spouse rights, and that it has been adopted in 30 states. Questions focused on how the deed would interact with wills, revocation, and possible fraud or family disputes; witnesses said a will would not revoke a TOD deed, only a recorded revocation or later deed would, and that challenges to capacity could be brought within two years. The county clerk association requested a future floor amendment on details, and title companies and bankers were described as neutral. SB 34 passed 8-0 and was reported favorably, with some members noting they would want to review the forthcoming amendment before final floor consideration.
FL

Florida 2025 Regular Session

February 12, 2025 - 01:00 PM

Transcript Highlights:
  • handling all aspects of cancer from prevention to early detection, to treatment, to outcomes, to survivorship
  • Actually, I was waiting for this question, and I guess I'll use it as my closing remarks, but survivorship
  • But as we talk about what the next steps are and where do we go from here, survivorship is a big part
  • And so these conversations about transitioning them to survivorship clinics and to training physicians
  • And so these conversations about transitioning them to survivorship clinics and training physicians continue
Summary: The Health Care Budget Subcommittee held a panel discussion on Florida’s cancer research and funding programs, including the Casey DeSantis Cancer Research Program, the Florida Cancer Innovation Fund, the James and Esther King Biomedical Research Program, the Bankhead-Coley Research Program, and Live Like Bella. Dr. Ladapo and leaders from Moffitt, Sylvester/University of Miami, UF Health, and Mayo Clinic described how state funding has helped Florida’s four NCI-designated cancer centers expand research, recruit faculty, increase clinical trials, and build collaborations. They emphasized that the programs are intended to improve cancer care statewide, support innovation, and encourage more institutions to pursue NCI designation. The Governor’s budget recommendation was noted as including additional funding, and members asked about the cost and requirements of becoming NCI-designated and eventually comprehensive. Panelists said NCI designation requires major infrastructure, compliance, research, and training investments, with de novo development estimated at about $1 billion. They described Florida’s collaborative model as unusual nationally, with annual symposia, shared pilot funding, and joint projects across the four centers. Members also asked about rural access, home-based care, and recruitment/retention. Mayo described its “Cancer Care Beyond Walls” home-treatment model and said it could expand to rural counties within months; Moffitt and UF discussed mobile screening, satellite sites, and affiliations with local hospitals and practices. Several members raised concerns about workforce shortages, licensure delays, and the need to reach underserved areas. The discussion also covered outcomes, data reporting, and the broader economic impact of the cancer centers. Panelists cited growth in jobs, federal research funding, and clinical trial enrollment, and highlighted advances in immunotherapy, CAR-T, TIL therapy, carbon ion therapy, AI-driven screening, and the firefighter cancer initiative. They said the Florida Cancer Data System is being expanded to track recurrence and quality-of-life measures. Members also asked about philanthropy, medical tourism, and federal funding risks, including possible indirect cost reductions that could affect research budgets. The meeting ended with general support for continued investment, while some members noted an ongoing policy debate over whether future cancer research dollars should be concentrated in the four NCI centers or spread more broadly across the state.
MN

Minnesota 2025-2026 Regular Session

Tax Expenditure Review Commission 6/17/26

Minnesota House Floor Meeting

Transcript Highlights:
  • The objective of the credit for small brewers is to promote development and survivorship among small
  • The objective of the credit for small brewers is to promote development and survivorship among small
  • The objective of the credit for small brewers is to promote development and survivorship among small
  • The objective of the credit for small brewers is to promote development and survivorship among small
  • The objective of the credit for small brewers is to promote development and survivorship among small
Keywords: 919, house, all
Summary: The Tax Expenditure Review Commission met on June 17, 2026, approved the January 20, 2026 minutes, and then adopted updated commission procedures. The procedural changes, presented by Legislative Budget Office Director Christian Larson, required a quorum of voting members to complete evaluations before a formal recommendation vote, and allowed members to bundle or unbundle tax expenditures for voting. The commission approved the revised procedures by roll call vote, with five ayes and four excused. The commission then reviewed member evaluation summaries for tax expenditures presented in December 2025 and January 2026. It first considered the alcoholic beverage tax credits for small brewers and microdistilleries, and after discussion voted to recommend repeal of those two expenditures, while leaving the small winery credit for a later meeting because it lacked enough member responses under the new procedures. The vote on the repeal recommendation passed 4-1, with Commissioner Marquart voting no. The commission next approved the lawful gambling bundle, which included bingo, raffle, and related exemptions. Larson reported that most members recommended continuation for each item, and the commission voted to recommend continuing all six lawful gambling expenditures. It then reviewed the residential utility services bundle—residential heating fuels, residential water services, and sewer services—where members generally favored continuation but several noted possible modifications or caps for higher-income users; the commission voted to recommend continuation of the bundle. Finally, the commission reviewed the data center equipment sales tax exemption, which Larson said had an estimated annual revenue loss of $95 million and was intended to create jobs in construction and data center industries. Members raised questions about its effectiveness and whether the exemption should be modified or capped, but the commission ultimately voted to recommend continuation. The meeting concluded with these recommendations set to be included in the commission’s 2026 annual report.
MN

Minnesota 2025-2026 Regular Session

House Taxes Committee 2/26/26

Taxes

Transcript Highlights:
  • three tax credits share the same objective statement, which is to promote the development and survivorship
  • <00:13:21.839> of the development and survivorship of the development and survivorship of
  • <00:14:35.760> of<00:14:36.000> small development and survivorship of small development
  • and survivorship of small alcohol<00:14:36.800> producers<00:14:37.279> in<00:14:37.600
  • that's maybe something that survivorship that's maybe something that is<00:24:50.080> easier<
Keywords: 1183, house
ND
Transcript Highlights:
  • We also have a limited survivorship benefit for surviving spouses and dependent children for members
  • Once 40 months of benefits have been paid on the member's account, no further survivorship benefit is
  • So this goes into the survivorship benefits to surviving spouse and dependent children.
  • Survivorship benefits can be paid... To surviving spouse and dependent children.
  • And so that allows benefits for the survivorship. Then, um... The survivorship.
Keywords: 908, all
Summary: The committee was called to order, a quorum was established, and the minutes from the prior meeting were approved. The first major presentation came from Montana Public Employees Retirement System executive director William Hollahan, who gave an overview of Montana’s Volunteer Firefighters’ Compensation Act plan. He explained that the plan covers volunteer firefighters in unincorporated areas, is funded by 5% of state fire insurance premium taxes, and currently serves 228 departments with about 2,936 active members and 1,242 retirees. He described eligibility rules, annual training and reporting requirements, benefit levels for partial and full pensions, disability, death, medical, and funeral benefits, and said the plan is actuarially sound with roughly $60 million in assets and a funded ratio slightly above 100%. Committee members asked about prior-service credit, whether EMS personnel are included, the effect on recruitment and retention, and whether expanding coverage would require a funding analysis; Hollahan said prior service is not credited, EMS is not currently included, and any expansion would need financial review. Tim Walleen of Workforce Safety and Insurance then presented a draft North Dakota workers’ compensation solution for volunteer firefighters and volunteer EMS personnel. He explained that volunteer responders are already covered by workers’ comp for medical and wage-loss benefits, but the proposal would set a minimum annual wage of $30,000 for calculating wage-loss benefits for qualifying volunteers, with the benefit paid at two-thirds of that amount. Representative Porter suggested tying the volunteer definition to existing code rather than a fixed dollar amount, and Walleen agreed. Questions focused on whether search and rescue or other volunteer emergency services could be included, whether departments would face new paperwork, and whether volunteer organizations can already elect coverage; Walleen said there would be no additional paperwork and that volunteer coverage is already available. The committee also heard from volunteer fire service representatives and the state fire marshal. An Oakes-area firefighter, Mr. Olson, testified that small departments are struggling with retention, communication, and administrative burdens, especially around separate bookkeeping and funding rules for donated or fundraising money, and he said departments need clearer guidance from the state. State Fire Marshal Dr. Matthew Clark introduced himself and outlined a broader effort to improve education, support, and coordination for fire departments, including a planned 10% audit of certificates of existence beginning in 2027, more outreach through his office, and better assistance with training, reporting, and grant access. He said his office is authorized under current law to provide these services, but the role has been vague and underused. Finally, Arnagard Rural Fire District Chief Rick Schreiber testified in favor of new recruitment and retention ideas, including retirement-style benefits, health insurance, tax incentives, scholarships, grants, and more remote or regional training. He said volunteer departments are losing members, that local tax and donation funds are already stretched, and that any new retirement or incentive program should be sustainable and likely involve a mix of state and local support.
AL

Alabama 2025 Regular Session

Alabama Senate May 14th, 2025

Alabama Senate Floor Meeting

Bills: HJR 1, HB 9, HB 21, HB 26, HB 30, HB 37, HB 116, HB 630, HB 879, HB 913, HB 1151, HB 1318, HB 1593, HB 1899, HB 2703, HB 2809, HB 2890, HB 2970, HB 3307, HB 3526, HB 5092, SB 128, SB 203, SB 317, SB 393, SB 397, SB 644, SB 731, SB 801, SB 913, SB 1071, SB 1073, SB 1086, SB 1087, SB 1232, SB 1250, SB 1262, SB 1285, SB 1310, SB 1359, SB 1444, SB 1483, SB 1705, SB 1782, SB 1861, SB 1897, SB 1944, SB 2023, SB 2043, SB 2082, SB 2133, SB 2215, SB 2297, SB 2298, SB 2309, SB 2532, SB 2549, SB 2566, SB 2617, SB 2619, SB 2639, SB 2688, SB 2696, SB 2717, SB 2790, SB 2841, SB 2847, SB 2850, SB 2857, SB 2891, SB 2919, SB 2928, SB 2972, SB 3052, SB 3053, SB 1, SB 260, SB 1506, SB 1637, HB 37, HB 109, HB 334, HB 1130, HB 1238, HB 1327, HB 1610, HB 1615, HB 1620, HB 1689, HB 2081, HB 2809, HB 2884, HB 2890, HB 4215, HB 5092, HCR 7, HCR 75, HCR 86, HCR 92, HCR 93, HCR 126, SB 644, SB 1086, SB 1230, SB 1310, SB 1361, SB 1553, SB 1778, SB 1790, SB 2344, SB 2460, SB 2515, SB 2600, SB 2747, SB 2751, SB 2785, SB 2790, SB 3047, SB 3048, SB 3050, SB 3051, SB 3052, SB 3053, SB 3056, SB 3058, SB 3061, HJR 1, HB 1130, HB 1689, HB 2884, HB 1393, HB 2559, HB 26, HB 3012, HB 1327, HB 109, HB 1238, HB 2890, HB 9, HB 4215, HB 2970, HB 37, HB 1899, HB 1593, HB 2607, HB 3526, HB 3810, HB 5092, HB 388, HB 2809, HB 1151, HB 913, HB 3307, HB 879, HB 116, HB 12, HB 2703, HB 1610, HB 1615, HB 1620, HB 30, HB 21, HB 2712, HB 2692, HB 1633, HB 1318, HB 685, HB 630, HB 4753, HB 2742, HB 303, HB 198, HB 1535, HB 762, HB 148, HB 1520, HB 5061, HB 2286, HB 1606, HB 1041, HB 132, HB 11, HCR 7, HCR 75, HCR 86, HCR 92, HCR 93, HCR 126, SJR 36, SJR 50, SJR 63, SCR 12, SCR 39, SB 2023, SB 1310, SB 2972, SB 1073, SB 2847, SB 2532, SB 2619, SB 62, SB 666, SB 847, SB 284, SB 854, SB 810, SB 1505, SB 583, SB 507, SB 1434, SB 1772, SB 2016, SB 1122, SB 731, SB 397, SB 508, SB 1436, SB 287, SB 1882, SB 393, SB 1791, SB 209, SB 2429, SB 511, SB 2309, SB 1085, SB 1975, SB 2717, SB 1262, SB 636, SB 2056, SB 884, SB 1200, SB 1845, SB 2458, SB 801, SB 3014, SB 3013, SB 758, SB 2797, SB 2076, SB 2876, SB 1640, SB 1449, SB 1181, SB 1359, SB 1234, SB 2926, SB 2841, SB 1528, SB 2891, SB 1854, SB 317, SB 1250, SB 2082, SB 1285, SB 1237, SB 2819, SB 629, SB 2608, SB 1602, SB 2009, SB 2460, SB 867, SB 640, SB 1698, SB 2680, SB 2994, SB 2747, SB 913, SB 1071, SB 1086, SB 1087, SB 1483, SB 1444, SB 1553, SB 1556, SB 1703, SB 2133, SB 2297, SB 2298, SB 2622, SB 2955, SB 2334, SB 1861, SB 2043, SB 1367, SB 2857, SB 128, SB 3058, SB 2044, SB 2363, SB 2565, SB 1888, SB 3048, SB 3052, SB 3053, SB 3036, SB 3057, SB 3056, SB 3043, SB 3050, SB 3063, SB 3035, SB 1790, SB 1778, SB 203, SB 3061, SB 2799, SB 2790, SB 2688, SB 2515, SB 1230, SB 2522, SB 2639, SB 2459, SB 3051, SB 2655, SB 2251, SB 1884, SB 2617, SB 2751, SB 2928, SB 2566, SB 1897, SB 1749, SB 1361, SB 2549, SB 2553, SB 2919, SB 1782, SB 1705, SB 2696, SB 1944, SB 2215, SB 644, SB 1232, SB 2850, HB 45, HB 48, HB 1261, HB 1465, HB 1778, HB 2596, HB 5238, HB 33, HB 1188, HB 210, HB 1022, HB 1458, HB 5560, HB 1240, HB 1950, HB 2027, HB 2768, HB 2788, HB 2791, HB 3146, HB 3698, HB 3699, HB 1893, HB 3700, HB 4850, HB 4187, HB 1397, HB 4885, HB 4804, HB 3751, HB 3611, HB 2775, HB 2061, HB 2003, HB 1729, HB 1242, HB 791, HB 2029, HB 647, HB 2522, HB 4738, HB 3033, HB 3594, HB 3474, HB 2563, HB 2802, HCR 90, SJR 87, SB 2969, SB 3073, SB 2497, SB 1798, SB 2603, SB 2607, SB 781, SJR 34, SB 17, SB 314, SB 455, SB 509, SB 529, SB 541, SB 693, SB 761, SB 963, SB 1023, SB 1968, SB 2122, SB 2308, SB 2371, SB 2420, SB 2544, SJR 87, SB 1285, SB 1359, SB 2857, SB 3073, HJR 1, HB 9, HB 21, HB 116, HB 913, HB 1151, HB 1899, HB 2970, HB 3307, SB 1073, SB 1310, SB 2532, SB 2619, SB 2847, SB 2972, SB 128, SB 2043, SR 393, SR 511, SR 518, SR 520, SB 314, SB 455, SB 761, SB 1023, SB 2122, SB 2371, SB 2420, SB 17, SB 509, SB 644, SB 1230, SB 1361, SB 1778, SB 1790, SB 2460, SB 2515, SB 2747, SB 2751, SB 2790, SB 3048, SB 3050, SB 3051, SB 3052, SB 3053, SB 3056, SB 3058, SB 3061, HB 37, HB 109, HB 1130, HB 1238, HB 1327, HB 1610, HB 1615, HB 1620, HB 1689, HB 2809, HB 2884, HB 2890, HB 4215, HB 5092, HCR 7, HCR 75, HCR 86, HCR 92, HCR 93, HCR 126, SB 1086, SB 1553, HJR 182, HB 4, HB 24, HB 46, HB 101, HB 146, HB 170, HB 214, HB 305, HB 426, HB 549, HB 551, HB 594, HB 722, HB 824, HB 1119, HB 1579, HB 2215, HB 2458, HB 2530, HB 2674, HB 2713, HB 2974, HB 3015, HB 3151, HB 3180, HB 3221, HB 3359, HB 3556, HB 4088, HB 4211, HB 4396, HB 4413, HB 4580, HB 4609, HB 4864, HB 5088, HB 5154, HB 5263, HB 2294, HJR 182, HB 4, HB 24, HB 46, HB 101, HB 146, HB 170, HB 214, HB 305, HB 426, HB 549, HB 551, HB 594, HB 722, HB 824, HB 1119, HB 1579, HB 2215, HB 2458, HB 2530, HB 2674, HB 2713, HB 2974, HB 3015, HB 3151, HB 3180, HB 3221, HB 3359, HB 3556, HB 4088, HB 4211, HB 4396, HB 4413, HB 4580, HB 4609, HB 4864, HB 5088, HB 5154, HB 5263, HB 2294
NH

New Hampshire 2026 Regular Session

House Finance Division III (02/13/2026)

Transcript Highlights:
  • Um, so I do want to clarify that that's survivorship benefits.
  • <01:13:34.080> benefits survivorship benefits survivorship benefits and<01:13:35.840> that's
  • to clarify that that that's survivorship to clarify that that that's survivorship benefits.<01:13
  • Again, that's survivorship only. Again, that's survivorship only.
  • when it comes to survivorship benefits. when it comes to survivorship benefits.
Keywords: 1189, house, all
Summary: The House Finance Division 3 work session opened on February 13, 2026, with the chair outlining the committee’s advisory role and the possible motions available under House Rule 45. The committee then took up House Bill 1569, concerning the Philbrook Center/state hospital campus property, and heard extensive testimony from Commissioner Charlie Arlinghouse. He explained that the property is currently one parcel and state law prevents subdivision unless a separate Senate bill, identified as SB 572, is enacted to fix the legal issue. He said HB 2 directed the sale of the property but did not address subdivision or marketing details, and he characterized the $5 million revenue estimate as speculative. He also said the state would first offer the property to the city or county, which he viewed as the most practical buyer and potential partner for any subdivision work. Members asked whether the building should be retained for transitional housing or sold, what would happen after July 1, 2026, and whether other vacant state buildings could absorb the current occupants. Arlinghouse said there are no firm plans for the building if it is not sold, and that HHS would remain until a sale occurs. He described the building as not especially historic or attractive and noted plumbing issues, while also acknowledging HHS’s view that it could serve as transitional housing. He said there is no reserve stock of office space, that the state already rents substantial office space in Concord, and that some nearby state buildings are either under renovation or only partially usable. He also said the Executive Council would have to approve any sale and that moving costs are usually not budgeted in advance, leaving the using agency to absorb them. Several members raised concerns about relying on asset sales to balance the budget, citing past examples where projected real estate revenue did not materialize on schedule. Arlinghouse agreed that one-time revenue should generally be used for one-time expenses, but said the state sometimes has legitimate reasons to sell assets and that such decisions depend on the state’s needs. He estimated the state rents roughly 100,000 square feet of office space in Concord at about $25 per square foot, and said he would provide a more exact figure later. In response to a question about whether the state should include a right of first refusal if the property is later resold, he said that idea had not been considered but could make sense, especially if the buyer is the city or county. No votes were taken during this portion of the work session.
TX

Texas 89th Regular

Senate Session Feb 4th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • They take care of their community, a community of persistence and survivorship in the oil and gas industry
  • They take care of their community, community of persistence and survivorship in the oil and gas industry
Summary: The Texas Senate convened with a quorum, heard the governor’s emergency message outlining priority issues for the session, including property tax relief, water supply and infrastructure funding, universal education savings accounts, teacher pay, career and technical education, creation of a Texas Cyber Command, and bail reform. The governor also submitted a State of the State message and several appointment nominations for Senate confirmation. The chamber then took up a series of ceremonial resolutions and recognitions for McAllen Day, UTSA and UT Health San Antonio Day, Wise County Day, and Houston East End Chamber of Commerce East End Day, along with visits from the Houston Realty Business Coalition, Cedar Creek Chamber of Commerce, Webb County/Laredo delegates, UT Dallas McDermott Scholars, Andrews County officials, and occupational therapy professionals and students. Several senators spoke in support of the recognitions, highlighting local economic development, higher education, public health, and regional history. McAllen was praised for its growth, business climate, and cultural significance; Laredo and Webb County were recognized for trade, the Washington’s Birthday Celebration, and cross-border ties; UTSA and UT Health were commended for research, cybersecurity, and health science work; and UT Dallas scholars were recognized for academic achievement and public service. Wise County, the East End of Houston, and Andrews County were also described in terms of their economic contributions and community heritage. The Senate adopted Senate Resolution 27 for McAllen Day and Senate Resolution 32 for UTSA and UT Health San Antonio Day without objection. It also adopted Senate Concurrent Resolution 11, which granted permission for either house to adjourn for more than three days between February 5 and February 11, by a recorded vote of 30 ayes and 0 nays. Additional resolutions listed on the calendar were adopted without objection, and the Senate recessed until noon on Wednesday, February 5.
TX

Texas 89th 2nd C.S.

Finance Apr 2nd, 2025

Finance

Summary: The Senate Finance Committee heard several bills focused on tax administration, transportation, emergency services, historic preservation, forensic training, pension funding, and the state’s rainy day fund. Senate Bill 1337, by Senator Creighton, would require the comptroller to assess penalty and interest only on the net tax due and allow sales and use tax overpayments to offset underpayments more automatically; it was left pending while the author, comptroller staff, and a private witness continued working on the language and fiscal note. Senate Bill 1371, by Senator Hinojosa, would address Corpus Christi transit authority operations, including emergency refueling coordination, fare-setting procedures, and board term limits; it received supportive testimony and was left pending. Senate Bill 1377, by Senator Perry, would create a grant program for rural counties to buy ambulances, with a committee substitute expanding eligible uses in some cases to equipment and setting a sunset date; numerous EMS officials, county representatives, and association witnesses testified in support, emphasizing rising ambulance costs, staffing shortages, and the need for rural emergency coverage, and the bill was left pending after testimony. Senate Bill 868, by Senator Sparks, would direct at least 10% of volunteer fire department assistance funding to high wildfire-risk areas; Texas A&M Forest Service explained the map and methodology, and the committee substitute was adopted. The committee also heard Senate Bill 1426, which would place the First Capitol State Historic Site in West Columbia under Texas Historical Commission stewardship, and Senate Bill 1620, which would create a Texas Forensic Analyst Apprenticeship Pilot Program through the Office of Court Administration to address forensic scientist shortages; both had no opposition in testimony and their committee substitutes were adopted. Senate Bill 2065 would change the Texas Emergency Services Retirement System funding structure to require an actuarially determined state contribution and address the system’s unfunded liability over 30 years; Pasadena fire department representatives testified that the pension is an important volunteer retention tool, and the bill was left pending after testimony. Senate Joint Resolution 4 would raise the Economic Stabilization Fund cap from 10% to 15% of biennial revenue deposits, with a committee substitute correcting the effective date to September 1, 2027; the committee discussed the fund’s current balance and purpose before adopting the substitute. After quorum was established, the committee voted out the measures. Senate Bill 1868, Senate Bill 1371, Senate Bill 264, Senate Joint Resolution 4, Senate Bill 1426, Senate Bill 1620, and Senate Bill 2065 were all reported favorably to the full Senate, with some bills also certified for the local and uncontested calendar. The committee substitute for Senate Bill 868 was adopted and the bill was reported favorably as well. The committee then recessed subject to the call of the chair.
KY
Transcript Highlights:
  • So it's often overlooked, but can have some grave consequences into survivorship.
  • So it's often overlooked, but can have some grave consequences into survivorship.
  • can have some grave<01:03:56.799> consequences<01:03:57.599> into<01:03:58.000> survivorship
  • <01:03:59.359> So grave consequences into survivorship.
  • So grave consequences into survivorship.
Keywords: 958, all
Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys. The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis. Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.