Video & Transcript : 'training reimbursement' :

Page 100 of 500
WA
Transcript Highlights:
  • They are the people teaching undergraduates, running labs, doing research, and completing clinical training
  • They are the people teaching undergraduates, running labs, doing research, and completing clinical training
  • Examples of these community-based placements include group homes and group training homes, companion
  • While this state has made efforts to increase reimbursement rates for supported living providers over
  • Providers are required to account for every dollar they receive for reimbursement for the instructional
Summary: The House Early Learning and Human Services Committee held public hearings on two bills. HB 1873 would expand Working Connections Child Care eligibility to full-time graduate and professional students with household income at or below 85% of state median income, with copays waived to the extent allowed by federal law. The prime sponsor and student testifiers argued that child care costs and limited stipends force student parents to choose between education and family responsibilities, while some members raised questions about program cost, uptake, and return on investment. The committee also heard HB 2600, which would require DSHS to update the Supported Living Cost Report template and convene a work group to develop Medicaid rate recommendations aimed at improving compensation for direct support professionals. Supporters, including SEIU-affiliated workers, said the bill would increase transparency and help ensure state funding reaches frontline caregivers, citing low wages and high turnover. Opponents from provider organizations argued the current cost report is already detailed, that the bill would add administrative burden, and that recent rate increases have already been passed through to wages and benefits. In executive session, the committee considered three Senate bills. It adopted a striking technical amendment and voted 9-1 to report out SSB 5911, which protects funds for youth in extended foster care and raises the threshold for protected accounts. It then voted 10-0 to report out SSB 5957, expanding the Homeless Youth Advisory Committee to include more people with lived experience and representatives of disproportionately homeless populations. Finally, it voted 7-3 to report out SSB 6184, which updates Office of Homeless Youth programs and language, including expanding eligibility for emerging adults up to age 21. The meeting ended with an interim planning discussion focused on future work on critical incidents, juvenile justice, developmental disabilities data, homelessness, child care, and facility tours.
CA
Transcript Highlights:
  • that they get that reimbursement back.
  • that they get that reimbursement back.
  • that they get that reimbursement back.
  • California's child care system is unstable because reimbursement rates are based on data...
  • I'm here today because our programs need reimbursement based on the true cost of care.
Keywords: 988, house, all
CA
Transcript Highlights:
  • And I believe this is on a reimbursement basis, is that correct?
  • So the fund reimburses a portion of their payroll costs.
  • the highest percentage of reimbursement.
  • It's found to be reimbursable by the commission on state mandates.
  • mandate with the state needing to provide. reimbursement.
Keywords: 988, house, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Mar 20th, 2026

Joint Committee on Ways and Means

Transcript Highlights:
  • During a CATS-led communication training session at a regional police academy, recruits were trained
  • We did this really intense training—one-week training—and we're doing ongoing training, but then we put
  • That's not training days; that's active duty service, unless it's a period of That's not training days
  • In addition to that, I think that we have a training team, and so we have a training unit out in South
  • our basic training and our annual trainings for our state and contracted provider staff.
Summary: The Joint Committee on Ways and Means held an FY27 Health and Human Services budget hearing in Mattapan, hosted at the Boston Public Library branch. Chairs Lydia Edwards and Russell Holmes, along with Rep. Brandy Fluker-Reid, emphasized the significance of holding the first Ways and Means hearing ever in Mattapan and highlighted the importance of bringing state budget deliberations into a majority-Black neighborhood. Several legislators introduced themselves as they joined, and the committee noted that public testimony was not part of the format, though agencies were invited to discuss priorities and challenges. MassAbility opened the agency testimony. Leadership described the agency’s mission to support people with disabilities through employment, training, home and community life services, and disability determination. They said Governor Healey’s FY27 budget funds MassAbility at $93.3 million, a 1% reduction from FY26, and explained that the agency is responding to federal funding uncertainty and shifting program needs by redesigning services internally. Members questioned a proposed $1.3 million reduction to the Home Care Program, staffing changes, and whether services could be maintained with fewer resources. MassAbility said it was reviewing data on who uses the program, that it does not provide nursing or personal care, and that it is working with a transition plan and a working group. The agency also discussed federal uncertainty around vocational rehabilitation funding and said it had received delayed federal awards but remained in contact with national associations and federal partners. The testimony included a personal story from a participant, Joshua Corcoran, to illustrate the impact of services. The Massachusetts Commission for the Deaf and Hard of Hearing testified next, requesting $11.27 million, about a 6% increase over FY26. The commission said it serves about 1.4 million residents and focuses on communication access in health care, courts, public safety, and other public systems. It highlighted interpreter and captioner workforce shortages, a mentorship program to expand the provider pool, and a modernized referral platform funded through capital contingency money. Members asked about interpreter availability, after-hours emergency coverage, ASL access for students and families, and training for police and emergency responders. The commission said staffing remains limited, especially for after-hours services, but that it is expanding training, school outreach, and partnerships with DCF and other agencies. The Massachusetts Commission for the Blind then presented its FY27 budget request of $30.8 million. The commissioner said the agency serves nearly 9,000 legally blind residents, provides training and peer support, and placed 190 consumers in competitive integrated employment this year. It also described services for older adults, vocational rehabilitation, and the Turning 22 program for young adults with additional disabilities. Members raised concerns about a 7% cut from the prior year and asked how the agency could maintain services; the commissioner said the agency had no waiting list, had trimmed overhead, and could manage the budget through internal efficiencies and strong partnerships. The Office for Refugees and Immigrants closed the session, describing expanded legal and support services for immigrants and refugees, including Know Your Rights trainings, the Massachusetts Access to Counsel Initiative, citizenship and financial literacy programs, and the Family Welcome Center in Mattapan. Members asked about federal funding losses and the structure of the new legal services program; ORI said FY26 funding is stable but FY27 federal cuts remain uncertain, and that the legal program uses a centralized intake system with priority for emergencies and first-come, first-served access.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Labor and Workforce Development Jun 21st, 2026 at 01:00 pm

Joint Committee on Labor and Workforce Development

Transcript Highlights:
  • Supervisors and managers should also be trained to recognize the signs of temperature-related injuries
  • This important legislation mandates free and effective training during work hours for employees.
  • The training should help workers identify the risk factors, signs and symptoms of temperature-related
  • This new law will require additional record keeping, more stringent training, and expensive equipment
  • I was locked out of meetings, denied training, denied promotions, and robbed of my paid time off.
Keywords: 995, all
Summary: The Joint Committee on Labor and Workforce Development held a lengthy hearing on June 18 focused on workers’ compensation, independent contractor and classification issues, workplace safety, warehouse worker protections, extreme temperature protections, retaliation against injured workers, and workplace bullying. Committee chairs outlined procedures for the hybrid hearing and noted that members would be leaving intermittently for floor votes. Testimony also touched on a bill to expand workers’ compensation disfigurement benefits by removing the current $15,000 cap and extending coverage beyond scars on the hands, neck, and face. A major theme was workplace safety in warehouses and in extreme heat or cold. Teamsters, warehouse workers, and labor advocates described high injury rates, strict quotas, lack of water, inadequate ventilation, frozen or missing safety equipment, and pressure to work through heat waves and snowstorms. Supporters urged favorable reports on bills protecting warehouse workers and requiring employers to adopt heat- and cold-safety plans, while the NFIB opposed the temperature bill as overly prescriptive and burdensome for small businesses. Sen. Edwards, Sen. Roche, Rep. O’Day, and others argued that the measures are needed to prevent heat illness, provide shade, water, rest breaks, training, and emergency plans, and to cover all workers regardless of immigration status. Another major subject was the “Act to Protect Injured Workers,” backed by labor groups, immigrant worker centers, legal services organizations, and individual workers. Witnesses said employers often retaliate after injuries by threatening deportation, lying about how injuries occurred, delaying care, or firing workers, and they supported stronger anti-retaliation enforcement, multilingual notices, and a rebuttable presumption of retaliation within 90 days of protected activity. The Mass AFL-CIO and immigrant advocacy groups supported the bill and opposed measures they said would weaken employee classification standards. Testimony also supported a funeral-benefits bill to raise workers’ compensation death-benefit reimbursement for burial and funeral costs, based on a family’s experience after a workplace fatality. The committee heard additional testimony on workplace bullying bills, with some witnesses urging a new legal duty for employers to prevent and respond to bullying, while others described the harms of toxic workplaces and the lack of effective remedies.
MA

Massachusetts 2025-2026 Regular Session

Formal House Session 33 Jun 21st, 2026 at 11:00 am

Massachusetts House Floor Meeting

Transcript Highlights:
  • And another $13 million will go toward reimbursing the T for the Sumner-Tunnel closure costs of FY23
  • the explosion of cost growth, the explosive cost growth in special education circuit breaker reimbursements
  • for our school districts. costs have grown over the and special education circuit breaker reimbursements
  • to clarify, the T gets 92%, while the 277 other municipalities that do not have direct access to a train
  • station, whether it's commuter or subway,... ...do not have direct access to a train station, whether
Keywords: 995, all
Summary: The House opened with the Pledge of Allegiance and adopted two ceremonial resolutions: one commemorating the dedication of the Woburn Battle Road Memorial as part of the Massachusetts 250th celebration, and another recognizing May 1-7 as Elks National Youth Week. The chamber then took up House Bill 4005, a fiscal year 2025 supplemental appropriations bill using FY24 Fair Share surtax surplus funds, and ordered it to a third reading before later considering it for passage to be engrossed. During debate on the bill, the House heard a lengthy presentation in support of the proposal, which would direct about $828 million to transportation and $353 million to education. The transportation spending was described as primarily supporting the MBTA, including workforce and safety funding, reserve replenishment, station and infrastructure improvements, reduced fares, and reimbursement for tunnel closure costs, along with smaller amounts for regional transit authorities and unpaved roads. The education side included additional special education circuit breaker funding, vocational school capital, early education workforce supports, early literacy, universal school meals, higher education endowment matches, Green School Works, and ESOL waitlist reduction, with the Inspector General directed to review circuit breaker cost controls. Members then debated several amendments. One amendment related to a school athletics policy was modified by a further amendment calling for DESE analysis before implementation; both the further amendment and the underlying amendment as amended were adopted. A transportation amendment to shift $50 million from MBTA funding to Chapter 90 municipal roads was supported by members emphasizing rural road needs but was rejected on a roll call, 25-120. Another transportation amendment adding at least $300,000 for Route 93 mitigation costs in Medford was adopted, 133-20. The bill itself then passed to be engrossed on a roll call, 140-14. The House also observed moments of silence for former First Lady Kitty Dukakis and for victims of the Santo Domingo nightclub collapse, and later adopted an order to meet the next day at 11 a.m. before adjourning in memory of former Representative Philip W. Johnston.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 4/7/26

Human Services Finance and Policy

Transcript Highlights:
  • 50:52.560><c> term</c> Value-based reimbursement, the the term Value-based reimbursement, the the term
  • </c><00:53:35.920><c> and</c> adaptations, family training and adaptations, family training and counseling
  • </c> The next one is eliminating the day training and habilitation grant.
  • </c><01:13:36.120><c> to</c> waiver providers will get reimbursed to waiver providers will get reimbursed
  • </c> people have access to trained people have access to trained professionals<01:37:39.200><c> with<
Keywords: 1183, house
MN

Minnesota 2025-2026 Regular Session

House Higher Education Finance and Policy Committee 3/4/25

Higher Education Finance and Policy

Transcript Highlights:
  • </c> education we have 305 different training education we have 305 different training programs<00:02
  • </c> carve out three weeks of that training carve out three weeks of that training and<00:10:40.959><
  • Colleges that offer this training would be reimbursed at a rate of $450 for each officer.
  • </c><00:54:24.160><c> and</c><00:54:24.280><c> then</c> training that type of training and then training
  • provide the training.
Keywords: 1183, house
TX

Texas 89th Regular

Finance (Part II) Jan 28th, 2025

Finance

Transcript Highlights:
  • Our in-service training, our specialized training, all this training that we're able to do.
  • So this opens up North Lamar and Florence for us to do additional training and leadership training with
  • It would allow us to move from a six-week training academy to an eight-week academy with 50 new training
  • It would allow us to move from a six-week training academy to an eight-week academy with 50 new training
  • But we're not trained for the... Chair: ...but we're not trained for the...
Bills: SB 1
Committee: Senate Finance
Summary: The committee heard a Legislative Budget Board presentation and then testimony from the Department of Public Safety on the Article 5 public safety budget. LBB said DPS’s 2026-27 recommendation totals $3.7 billion, down from the prior base, while FTEs rise by 856.7. Major items included increased funding for driver license services and customer support, new trooper funding and recruit schools, crime lab operations, border security, and reductions tied to one-time facility, vehicle, and aircraft spending. The committee also discussed new riders, including one to lapse unused trooper funds and require reporting after recruit schools. Members focused heavily on driver license operations, questioning why prior staffing increases and a prior efficiency study had not solved long wait times, high call abandonment, and appointment delays. DPS and LBB said the agency receives about 22,000 calls per day, answers only about 9 percent, and is seeking more staff plus technology upgrades such as automation, kiosks, and better online processing. Senators also raised concerns about rural access, REAL ID document requirements, and whether the department should rethink its processes rather than simply add employees. DPS leadership then described needs for the Williamson County training academy, additional troopers, Capitol and Alamo security, border operations, aircraft and vehicle replacement, and regional headquarters in El Paso and San Antonio. Members asked about Operation Lone Star costs, overtime, pursuit safety, border crime, oilfield theft, and sexual assault kit and toxicology backlogs. DPS said border deployments remain focused on criminal threats, that overtime is partly driven by deployments and staffing shortages, and that the sexual assault kit backlog is down to 118 cases with a goal of zero by April. The committee later recessed and began the Texas Alcoholic Beverage Commission budget presentation, where LBB outlined a $115.1 million recommendation and noted ongoing costs for the AIMS technology project.
KY
Transcript Highlights:
  • And so we are seeing that the reimbursements that we give employees for these health exams, they send
  • us a receipt and we reimburse them for their cost.
  • us a receipt and we reimburse them for their cost.
  • um reimbursements that we give employees um reimbursements that we give employees for<00:29:08.559><c
  • uh and we reimburse them for their<00:29:15.200><c> cost.
Summary: The House Budget Review Subcommittee on Transportation met without a quorum at first, then later approved the minutes once quorum was established. The committee heard presentations from Transportation Cabinet officials Mike Hancock, Jeremy Slinker, and Sean McCarnieran on maintenance, vehicle regulation, general administration, highways, and related capital projects. Hancock emphasized that maintenance is the cabinet’s most visible public service, especially for snow and ice removal and routine roadway upkeep, and said rising costs have outpaced funding. He cited a 61% increase in highway construction costs since 2020 and said maintenance spending was $488 million in FY 2024 and $511 million in FY 2025, while the FY 2026 baseline request was $483.3 million. The cabinet’s additional maintenance request would add $23.6 million in FY 2027 and $38.6 million in FY 2028, with expected impacts on litter pickup, mowing, vegetation management, and pothole repair if not funded. The cabinet also outlined five maintenance-related capital projects: additional funding for Ballard County maintenance/salt storage, Hopkins County maintenance/salt storage, Whitley County maintenance/salt structure, and the District 2 office and materials lab, plus reauthorization of the Breckinridge County maintenance and salt facility. Hancock also asked for budget language allowing the cabinet to use unexpected restricted and federal funds more quickly, similar to existing authority for federal earmarks. McCarnieran described the governor’s inclusion of funding for the ASHTOWare system, employee health exams, priority IT projects, and a District 7 office renovation request, noting that some items were not funded because they ranked low among competing projects. He also said the governor’s budget included a $7.5 million annual maintenance pool for the cabinet’s 1,200 facilities and requested additional restricted fund authority for Trimark and the Cumberland Gap Tunnel. Slinker focused on the Department of Vehicle Regulation, saying recent investments in staffing and equipment had reduced wait times and improved customer service in driver licensing offices. He requested $535,600 to keep temporary contract workers in place for the rest of the year, warning that without it regional office operations would have to be reduced. He said the surge in demand was driven by new 15-year-old licensing requirements, vision testing, and Real ID implementation, but believed the volume was beginning to level out. He also outlined FY 2027 and FY 2028 plans totaling $20.38 million and $19.85 million, including six new regional offices and a shift away from temporary workers toward state positions. Additional requests included $106,000 for debt service on the new driver’s license modernization system and operating costs of $5 million in FY 2027 and $2.5 million in FY 2028 to support the transition from the old system. Members asked about the cabinet’s funding sources, and officials said the road fund is the primary source, supported by motor fuels tax, usage tax, driver-related receipts, and some restricted funds; they stressed that the requests were not for additional general fund dollars. Questions also covered employee health exam reimbursements, the annual Trimark/Cumberland Gap contract, and the District 7 renovation request. No votes were taken on the budget items during the meeting, beyond approval of the minutes.
AR
Transcript Highlights:
  • The true cost of care is not the same as the reimbursement.
  • So for our preschool age group, it's probably $32 is what our reimbursement rate is.
  • Do you provide any training from your office for the providers? Yes, sir.
  • We have staff that are employed by the Office of Early Childhood that will provide training.
  • Do a 10-minute training video.
Summary: The Early Childhood Committee met for an update from the Office of Early Childhood within the Department of Education. Members heard that the office’s goals under the LEARNS Act are to improve kindergarten readiness, support families, ensure quality providers, and expand affordable, accessible child care. Staff reviewed the local lead system, licensing, quality efforts such as CLASS and QRIS, and the two main funding streams: School Readiness Assistance (SRA), a federal CCDF-funded voucher program serving about 14,600 children with a wait list of a little over 3,000, and Arkansas Better Chance (ABC), a state-funded program serving about 21,000 children with authority recently increased to 24,000 slots. A major topic was the difference between market rate surveys and cost analysis studies. Officials said the department is procuring both through an RFP, hoping to begin by August and have results by late in the year. Members pressed for current reimbursement levels, the gap between ABC and SRA funding, and whether ABC funding should be increased to better match costs. Staff explained that SRA rates are set at 75% of the market rate, while ABC per-child funding is much lower, and that ABC slots are limited by the overall allocation. They also explained that some ABC slots were increased by moving children from a discontinued federal pre-K arrangement into ABC to preserve continuity of care. Committee members raised concerns about rural access, infant and toddler shortages, provider stability, workforce pay, and communication with families and providers. Officials said local leads are now helping identify underserved areas, that no county with absolutely no care is known, and that the department is trying to get a truer statewide count of children and providers. They also described efforts to improve communication through monthly provider calls, website postings, and direct case contacts with families. Members discussed possible funding increases, including ideas to reduce the SRA wait list and raise ABC funding, but no formal vote or action was taken beyond approving prior meeting minutes and receiving the update.
AR

Arkansas 2026 Regular Session

EDUCATION- HOUSE EARLY CHILDHOOD SUBCOMMITTEE Mar 19th, 2026

EDUCATION- HOUSE EARLY CHILDHOOD SUBCOMMITTEE

Transcript Highlights:
  • The true cost of care is not the same as the reimbursement.
  • So when you look at what we reimburse right now for care with the school readiness assistance, it's at
  • So for our preschool age group, it's probably $32 is what our reimbursement rate is.
  • And then the money, we have a portal built where the centers get reimbursement for a child attending
  • Do you provide any training from your office for the providers? Yes, sir.
Summary: The Early Childhood Committee met to receive an update from the Office of Early Childhood on Arkansas child care and early learning programs. Committee members discussed the state’s child care crisis, including reported economic losses from lack of access, the need to track access, affordability, workforce shortages, rural and infant/toddler care gaps, and the role of local leads in identifying needs across the state. The committee also approved the February 17 minutes. Office of Early Childhood staff explained their responsibilities under the LEARNS Act, including kindergarten readiness, provider quality, and access to affordable seats. They reviewed licensing, quality efforts, and the two main funding streams: School Readiness Assistance (SRA), a federally funded voucher program serving about 14,600 children with a wait list of more than 3,000, and Arkansas Better Chance (ABC), a state-funded program serving about 23,000 children, with approval to increase to 24,000 slots. Members asked about the difference between market rate surveys and cost analyses, and staff said the office is procuring both, with results expected by the end of the year. Several members raised concerns about funding levels, especially that ABC reimbursement has not kept pace with K-12 funding increases and that child care reimbursement remains below the true cost of care. Staff said ABC requires certified teachers and lower ratios than SRA, but pays less, and that some federal pre-K slots were moved into ABC to preserve continuity of care. They also explained that SRA eligibility changes, including a higher work requirement and ending a child care worker eligibility category, were made to reduce spending and serve families on the wait list. The committee discussed communication with providers and parents, technical assistance for centers, and possible future legislative action to stabilize providers and expand access, but no votes or formal actions were taken beyond approving the minutes and adjournment.
NM

New Mexico 2026 Regular Session

Senate - Finance Feb 6th, 2026 at 09:18 am

Senate Finance

Transcript Highlights:
  • So it's not just training and stuff. You're also looking at housing as a way to house.
  • It's to the federal reimbursement revolving fund.
  • It's to the federal reimbursement revolving fund, Mr. Chairman.
  • that they reimburse us.
  • by FEMA, the reimbursements from FEMA are supposed to go into this revolving fund.
Bills: SB193 , SB132 , SB35 , SB145
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Feb 3rd, 2026

Transcript Highlights:
  • For the purposes of Medicaid reimbursement, there are a variety of types of hospitals.
  • Sandy Stiff continued: “In the services of Medicaid reimbursement, there are a variety of types of hospitals
  • Eric Jensen continued: “Washington Medicaid reimburses critical access hospitals for allowable costs
  • We will follow up with a resource that lists training and technical assistance organizations and addresses
  • We will follow up with a resource that lists training and technical assistance organizations and addresses
Summary: The Ways and Means Committee held public hearings on several bills before moving into executive session. Substitute Senate Bill 6037 would change how single-city fire protection districts are funded by ending the requirement that a city reduce its levy dollar-for-dollar and instead reducing the city’s statutory maximum rate; testimony was generally supportive from cities and firefighters, while public hospital districts opposed it over prorationing concerns and some witnesses sought amendments on governance and accountability. Senate Bill 6194 would allow cost-based Medicaid reimbursement for rural hospitals on federally recognized Indian reservations, with strong support from Toppenish/Astria representatives and the Yakama Nation, who said the bill is needed to address severe funding inequities and preserve services. Senate Bill 5963 would make Passport to Careers students automatically income-eligible for the Washington College Grant; it drew support from student advocates and foster-youth advocates, with staff noting modest estimated costs. Senate Bill 5909 would require public universities to review and report low-enrollment undergraduate programs and potentially discontinue them after repeated low enrollment; Eastern Washington University supported it as an accountability measure, while faculty and student representatives opposed it as unnecessary, costly, and potentially politicized. Senate Bill 5826 would require public postsecondary student health centers to provide access to medication abortion or referrals and related web information; testimony was sharply divided between supporters who framed it as needed student health access and opponents who raised moral, safety, and budget objections. In executive session, staff briefed a series of bills, including measures on opioid treatment accreditation fees, a pre-K donation account, JLARC report elimination, retirement trust fund expense authority, pension lump-sum thresholds, port employee retirement exemptions, lemon law arbitration fees, LEAP website disclosures, limits on corporate ownership of single-family homes, a permanent senior center property tax exemption, timber tax distributions for school districts, capital project administration rules, and a real estate excise tax exemption for affordable housing. The committee then took action on the listed bills. The committee voted to give due pass recommendations to the Rules Committee for Senate Bills 5872, 5879, 5834, 5835, 5905, 5832, 6177, 5496, 5970, 5994, 6047, and 5647. Amendments were adopted on SB 5834, SB 5905, SB 6047, and SB 5647 before those bills were advanced as substitutes. SB 5988 was noted as taking action later, but no vote on it was recorded in the transcript excerpt.
FL
Transcript Highlights:
  • And so the training is key because some of this work is very serious.
  • There are some other peer support trainings out there that are not first responder peer support, trainings
  • to train our first responders in peer support, Senator, full.
  • some of the trainings are expensive.
  • Yes, that are already trained.
Keywords: 999, senate, all
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Nov 7th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • ECECD provides a variety of home visiting programs that connect trained professionals, such as nurses
  • Training, travel, and supplies.
  • Reimbursement timelines can be streamlined so that local partners can launch their projects earlier.
  • Clearer guidance on procurement requirements has now been incorporated into LFC and DFA training for
  • City building for their local grantees through training and technical assistance.
LA

Louisiana 2026 Regular Session

Health and Welfare Apr 1st, 2026

Health and Welfare

Transcript Highlights:
  • So ultimately, what I've tried to do, our Medicaid reimbursement is $105.51.
  • Their reimbursement rate ranges from a low of $174.20 to a high of $586.92.
  • Their reimbursement rate ranges from a low of $174.20 to a high of $586.92.
  • Forty miles down the road in Bernice, their reimbursement rate is $194.68.
  • And so the reimbursement has been different.
Summary: The committee met on April 1 and considered several health-related bills and one resolution. HB 933, by Rep. Charles Owen, would create commemorative birth certificates and adjust vital records fees; after adopting a technical amendment, the committee reported the bill favorably. HB 288, by Rep. Boyer, would require the term “miscarriage” to appear alongside “spontaneous abortion” in medical documentation and billing; after an amendment changed the bill from mandatory “shall” language to permissive “may,” the committee heard emotional testimony both in support and opposition and then reported the bill favorably as amended. HB 420, by Rep. Berault, would require criminal background checks and registry review for all DCFS employees, not just those with direct contact with children; it was reported favorably. The committee also voluntarily deferred HB 927 and HB 962. The committee then heard HB 971, by Rep. Stagney, which seeks to equalize Medicaid reimbursement rates for independent rural health clinics and hospital-owned provider-based clinics. Supporters, including clinic owners and practitioners, testified that independent clinics provide the same services under the same rules but receive far lower reimbursement, making it difficult to retain staff and avoid sale to hospital systems. The author said the bill is intended to prompt discussion and eventual parity without harming hospitals, and the committee reported the bill favorably. HB 815, by Rep. Carver, would allow federally insured financial institutions to receive death certificate information from vital records to reduce losses and help reconcile account issues after a death; credit union representatives supported the measure, and it was reported favorably. The committee also adopted HR 74, by Rep. Sterling, which urges the Department of Education and local school authorities to report on how schools accommodate students with seizure disorders. Sterling described personal experience with epilepsy and said the resolution is meant to gather data on implementation of existing seizure action plan law and identify gaps in access to rescue medication and training. Finally, the committee took up HB 915, by Rep. Dickerson, which would place Medicaid prior authorization and utilization management timelines into statute. After technical and substantive amendments, including changing some deadlines from five business days to seven calendar days, the bill drew support from providers and health groups concerned about delays in care, and the committee reported it favorably as amended. The committee also began consideration of HB 944, by Rep. Hilferty, creating a women’s consortium within LDH focused on menopause and related women’s health issues; technical amendments were adopted and testimony emphasized coordination of existing research and resources, but the transcript cuts off before final action on that bill.
NH

New Hampshire 2025 Regular Session

House Finance Division I (02/26/2025)

Transcript Highlights:
  • make sure that everything's been reimbursed.
  • </c><00:37:15.319><c> the</c> costs are incurred um we reimburse the costs are incurred um we reimburse
  • </c> uh you know everything's been reimbursed uh you know everything's been reimbursed and<00:37:24.160
  • </c> spent on gas we also decreased training spent on gas we also decreased training and<03:25:22.239
  • </c> per DM rates and travel reimbursement per DM rates and travel reimbursement the<03:56:06.920><c>
Keywords: 928, house, all
Summary: The meeting began with testimony from Charlotte Harding of the Conservation Land Stewardship Program, who explained that the office protects the state’s interests in conservation lands by monitoring conservation easements and related stewardship obligations. She described the program’s funding sources: a land conservation endowment held at the State Treasury and administered by the Council on Resources and Development, plus transfers from Fish and Game for easements not covered by the endowment. Members discussed how the endowment is funded when new easements are created, the program’s staffing, the loss of a state vehicle, and the need to increase in-state travel so staff can use personal vehicles for field monitoring. Harding said the office has two full-time positions and a seasonal employee, that the work is mostly monitoring rather than hands-on land management, and that enforcement issues are referred to the grantee agencies or, if needed, to the Council on Resources and Development. She also noted that the office works directly with landowners to resolve smaller issues and that stewardship has become a greater focus in the conservation community because ongoing oversight requires funding. Members asked about examples of properties under the program, including LCIP lands such as Musquash Headwaters, Hidden Valley Boy Scout Camp, and Nash Stream, and the committee did not take a motion before moving on. The committee then heard from Paul Breen and Susie Anzelone of the Pease Development Authority regarding the Division of Ports and Harbors operating budget. They explained that the authority provides finance, legal, environmental, and engineering support to the division, which operates New Hampshire’s only deep-water berth at Market Street, as well as facilities in Hampton, Rye, the Portsmouth Fish Pier, and navigational waters in the Piscataqua and Great Bay. They described the authority’s history after the closure of Pease Air Force Base, the transfer of roughly 2,400 acres, and the creation of a self-sustaining enterprise fund tied to airport and port operations. They emphasized that the division does not draw on the general fund because revenues from wharfage, dockage, parking, registration, and mooring fees cover operating costs, with any surplus retained for capital improvements and replacement. Members questioned several budget lines, including a sharp increase in overtime and workers’ compensation. Breen said overtime is driven largely by security needs at the deep-water port and fluctuates with vessel traffic, such as salt shipments, while workers’ comp is a DAS-set cost and not something the division controls. He said the budget is conservative and that if revenues fall short, capital projects would be the first items scaled back. The discussion also covered fee-setting, with Breen saying rates are reviewed against the local market and infrastructure constraints, and that some smaller facility fees had recently been increased after being stagnant for years.
NM

New Mexico 2025 Regular Session

Senate - Finance Mar 1st, 2025

Senate Finance

Transcript Highlights:
  • This bill solves this problem by simply directing the MCOs to reimburse.
  • Reimburse the providers for the applicable GRT and to provide documentation that differentiates the reimbursement
  • What was the tax and that they can be fully reimbursed for that.
  • And in support of our providers, of course, and their reimbursement.
  • What is now mandated to fully reimburse.
AZ
Transcript Highlights:
  • You're not going to train somebody and put them in position and they're not paying them ongoing.
  • We give folks who are incarcerated the kind of employment training, résumé development, and interview
  • We don't know what kinds of things they consider in approving or denying those reimbursements.
  • Yeah, it wasn't reimbursement number that you would ask. Thank you.
  • This $759 million is what the state of Arizona is asking to be reimbursed.
Summary: The joint House-Senate appropriations committee met to review the governor’s fiscal 2027 budget presentation from Ben Henderson, director of the Office of Strategic Planning and Budgeting. Early discussion focused on the state economy and revenue outlook, with Henderson describing strong GDP growth and low unemployment but also fragility for working families. Members questioned the executive’s revenue assumptions, which were said to be about $100 million per year higher than the JLBC baseline, and the committee chair asked for a written comparison of the revenue differences. Henderson also said the governor’s budget is structurally balanced and includes both ongoing spending and proposed revenue changes. A major portion of the hearing centered on data centers, AI investment, and water policy. Henderson argued Arizona’s data center tax incentive should be eliminated because it had already succeeded in attracting investment, while lawmakers questioned whether repealing the incentive and imposing a new water-related fee would discourage future growth. The executive said the water proposal would create a Colorado River Protection Fund and give the Department of Water Resources fee-setting authority, with the aim of encouraging more modern air-cooled facilities. Members also raised concerns about whether the data center changes would require a supermajority vote and whether the fee was effectively a new tax. The committee then reviewed major “critical spending” items, including correctional officer pay, prison health care compliance, probation funding, body-worn cameras, law enforcement staffing, fentanyl enforcement, cyber readiness, and border-related costs. Henderson said the budget includes $24.4 million ongoing for correctional officer pay and $118.3 million one-time for prison health care staffing, plus other public safety and homeland security items. He also defended the governor’s assumption of $759.7 million in federal reimbursement for border expenses, saying the governor had met with federal officials and that the state would seek the full amount. Members expressed skepticism about relying on that reimbursement and asked what would be cut if it does not materialize. Education and health and human services were also discussed. The governor’s budget includes K-12 funding, Prop. 123-related school facility bonding, and a proposal to shift some school facilities funding to bond financing, which several members criticized as inappropriate for short-term maintenance needs. The committee also reviewed AHCCCS/Medicaid costs, Division of Developmental Disabilities funding, and the expected impacts of federal HR1 changes on eligibility, provider funding, and rural hospitals. No votes were taken during the hearing, and the chair repeatedly limited debate and directed members to keep questions brief while the presentation continued.