Video & Transcript Research : 'fiscal analysis'
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OK
Transcript Highlights:
- If they put in there under the fiscal analysis "unknown," that is unacceptable as an answer.
- Administrative Procedures Act, as amended last year by the Raines Act, it requires a comprehensive analysis
Keywords:
cosmetology, barbering, massage therapy, State Board of Cosmetology and Barbering, Service Oklahoma, license renewal, license reinstatement, licensing fees, sunset extension, board membership, human trafficking, victim services, beauty school, barber school, esthetics, manicurist, eyelash extension, blow-dry styling, makeup artist, occupational licensing
VT
Transcript Highlights:
- the Joint Fiscal Office. the Joint Fiscal Office.
- > the<01:14:38.200>
fiscal <01:14:38.600>note The fiscal impact from the fiscal note - responsible analysis. responsible analysis.
- account for four fiscal years. account for four fiscal years.
- We heard from a senior fiscal analyst from the Joint Fiscal Office.
Summary:
The House first suspended the rules briefly to make announcements, including welcoming former representative Doug Gage to the gallery. It then returned to House Bill 211 on data brokers and personal information, where the Appropriations Committee explained a $50,000 appropriation to the Secretary of State for a consultant-led study on an accessible deletion mechanism for consumers to delete personal data held by data brokers, with interim and final reports due in 2027 and 2028. The committee reported a 9-0-2 vote in favor, and the House agreed to the Commerce and Economic Development Committee’s amendment and ordered third reading.
Floor debate on H. 211 focused heavily on the bill’s deletion and exemption framework. Supporters argued the bill is needed to give Vermonters meaningful control over their data and to prevent data brokers from commingling information for unrelated uses. Opponents warned the bill could conflict with existing federal frameworks such as the Fair Credit Reporting Act, Gramm-Leach-Bliley, and the Driver’s Privacy Protection Act, and could make credit, banking, insurance, fraud prevention, and identity verification harder. In response, the sponsor said the bill uses use-case-based exemptions rather than broad entity-level exemptions, noted testimony from banks, insurers, a data broker, a former data broker employee, and the Attorney General, and said no constitutional concerns were raised. The House ultimately adopted the amendment and advanced the bill.
After H. 211, the House moved to House Bill 577, establishing the Vermont Prescription Drug Discount Card Program. Committee reports from Health Care, Ways and Means, and Appropriations were read into the record, and the Colchester member described the bill as a way to lower prescription drug costs by joining the multi-state Array Rx program. The bill would let any Vermont resident obtain a free discount card for FDA-approved prescription drugs, with claimed savings up to 80% on generics and 20% on brand-name drugs. The House then proceeded to second reading on H. 577.
NH
New Hampshire 2025 Regular Session
House Ways and Means (03/18/2025)
Transcript Highlights:
- because the fiscal because the fiscal note<00:10:31.680>
says <00:10:32.279>that <00 - note um many of the state of the fiscal note um many of our<00:20:58.600>
fiscal <00:20:58.840 - Chairman, I'll limit my remarks to fiscal matters and fiscal considerations, and I want to point out
- Keep it to the fiscal part of this.
- year State fiscal projected in fiscal year State fiscal year<03:05:26.120>
26 <03:05:27.080>
Summary:
The committee heard testimony on House Bill 224, which would redirect most money from New Hampshire’s renewable energy fund back to electric ratepayers. The bill sponsor argued the measure would lower energy costs, noting recent utility rate increases and estimating annual savings of roughly $2.5 million to $7.3 million for ratepayers. Supporters said the fund has accumulated money that should be returned to customers rather than used for subsidies, and they emphasized that the state has already rebated similar funds from RGGI for years.
Opponents, including Rep. Kat McGee, argued the renewable energy fund is a successful, nonlapsing dedicated fund that supports local clean-energy projects, energy resilience, emissions reductions, and private investment. McGee said the fiscal note overstated the benefit of rebates and understated the loss of investment, claiming the average annual rebate would amount to less than $10 per customer while the program has helped leverage significant private dollars and nearly 10,000 projects. She urged the committee to reject the bill as a poor deal for the state and ratepayers.
Committee members questioned the fiscal note, the size of the rebate, whether the bill would set a precedent for other dedicated funds, and whether the program’s incentives amount to picking winners and losers. The Department of Energy testified neutrally, explaining how the renewable energy fund works, including renewable energy credits, alternative compliance payments, and the fund’s use for renewable energy initiatives. No vote was taken in the portion of the hearing provided.
WA
Washington 2025-2026 Regular Session
House Agriculture & Natural Resources Sep 30th, 2025
Transcript Highlights:
- And so then we developed what's called shift-share analysis.
- Here's what the shift-share analysis shows.
- We still were able to do the shift-share analysis.
- The result of that is our shift analysis looks a bit better.
- Our peer state is Idaho in this analysis.
Summary:
The House Agriculture and Natural Resources Committee held an interim work session focused on Washington agriculture’s viability, workforce, and competitiveness. Director Derek Sanderson of the Washington State Department of Agriculture and WSU Dean Raj Kosla described the size and diversity of the state’s farm sector, declining farm numbers, major export markets, and pressures from labor costs, low commodity prices, trade barriers, drought, regulatory burdens, and pests and disease. Kosla emphasized WSU’s land-grant role in education, research, and extension, including precision agriculture, broadband needs in rural areas, and the need for state support to help producers adopt new technologies and train the next generation of agricultural workers.
Members asked about retaining farmland, increasing workforce capacity, and the role of precision agriculture. Kosla said precision agriculture can help address labor shortages and water scarcity, but adoption is limited by cost and rural broadband gaps. He explained precision agriculture as tailoring inputs to the right place, time, amount, and manner, and said WSU is working on low-cost sensor technologies and other innovations. Members also asked about how widely precision agriculture is used and whether it improves farm bottom lines; Kosla said adoption varies by tool and that he would follow up with more data.
The committee then heard from Dr. Randy Fortenberry of WSU’s Impact Center on an agricultural competitiveness study and the effects of tariffs and trade. He reported that Washington’s competitiveness has generally declined relative to peer states in dairy, grapes, hops, apples, and wheat, with potatoes as the main bright spot. Surveyed producers said a substantial share of revenue is tied to regulatory compliance, with labor-related costs a major driver, and small diversified farms reported land access, capital, and profitability as bigger barriers than regulation. On trade, Fortenberry said Washington agriculture is highly export-dependent and vulnerable to retaliation, citing past losses in wheat, apples, pulses, and cherries when tariffs disrupted markets, while noting current uncertainty around China and India. The committee asked follow-up questions about compliance time, peer-state comparisons, and regulatory burdens; no votes were taken, and the department said it plans an interim report by the end of the year and a final report by June 2026.
AZ
Arizona 2026 Regular Session
01/20/2026 - Senate Appropriations, Transportation & Technology and House Appropriations Joint Meeting
Transcript Highlights:
- In the orange bars, you'll see the fiscal 26 enacted budget.
- You'll see the orange bars reflecting the fiscal 26...
- 20 federal funding lost to Arizona hospitals by the time we get to fiscal 20 fiscal 33 mr. chair hand
- We do expect it to be implemented in the current fiscal year.
- We do expect it to be implemented in the current fiscal year.
Summary:
The committee met to review the governor’s fiscal 2027 budget presentation, with the chair repeatedly asking members to keep questions brief and avoid speeches. The discussion focused first on the overall revenue and spending outlook, including concerns from members that the executive forecast was more optimistic than the JLBC baseline and that the budget appeared to front-load revenue and expenditure growth. The governor’s budget team said the forecast was close to JLBC’s, that the budget was structurally balanced, and that differences were roughly $100 million per year on ongoing revenue. Members asked for follow-up calculations in writing, including the total multi-year gap and the amount of revenue enhancements above base revenues.
A major portion of the meeting centered on tax and fee proposals tied to data centers, water use, and sports betting. The governor’s team defended eliminating the existing data center tax incentive as the removal of a loophole rather than a new tax, arguing the incentive had already succeeded in attracting major investment. They also described a proposed Department of Water Resources fee-setting authority for data centers to support a new Colorado River Protection Fund, and said the proposal would apply to existing and future facilities without a grandfather clause. Members raised concerns about fairness, competitiveness, and whether the changes would require a supermajority vote. The team also discussed increased sports betting fees, saying the revenue forecast did not include dynamic behavioral effects.
The committee then moved through major spending areas, including corrections, public safety, border security, cybersecurity, K-12 education, Medicaid, and developmental disabilities. The governor’s budget includes ongoing funding to prevent correctional officer pay cuts, money to comply with prison health care court orders, probation funding, body-worn cameras, law enforcement staffing, fentanyl task forces, and cyber readiness grants. Members questioned the lack of funding for a prison oversight committee and asked for corrections spending totals over the administration. On border security, the executive said it was seeking about $759.7 million in federal reimbursement for border-related costs and that the governor had met with federal officials, including Secretary Noem and Tom Homan, about the request. In education, the budget proposes renewing Prop. 123, adding K-12 base funding, and issuing $1.5 billion in school facilities bonds over three years; members debated whether the proposal was appropriate and whether Prop. 123 revenues could support the debt service. The meeting also covered AHCCCS cost growth and federal HR1 impacts, with the executive warning of major coverage losses and hospital funding reductions, and DDD funding, where the governor’s team said the budget fully funds services and includes about $120 million in supplemental needs. No votes were taken; the meeting was a presentation and question-and-answer session only.
FL
Florida 2026 5th Special Session
Appropriations Committee on Higher Education Feb 12th, 2026
Transcript Highlights:
- Because of my love of data and data analysis, when I was asked by faculty members to review different
- campuses, protect religious liberty and free speech in schools, and author the definitive scholarly analysis
- And authored the definitive scholarly analysis on the Common Core State Standards, which was initiated
- campus, protect religious liberty and free speech in schools, and author the definitive scholarly analysis
- on the Common Core State Standards, and authored the definitive scholarly analysis on the Common Core
Summary:
The Senate Appropriations Committee on Higher Education met to continue confirmation hearings, but the chair announced the committee would not present its budget that day and would instead roll it out the following week in coordination with House partners and Senate notice requirements. After a quorum was confirmed, the committee discussed how it would handle a large number of university board appointments, noting that some reappointments would be grouped for a block vote while others could be heard individually if members requested it.
The committee then heard testimony from a series of appointees and reappointees to university boards. Florida A&M University nominees Roderick Harris, Victor Young, and Rafael Vasquez emphasized service to FAMU, student success, and support for the university’s national standing; Harris highlighted his FAMU background and faculty experience, Young cited his business and health care leadership, and Vasquez described scholarship support through his company. Florida Atlantic University appointees Linda Stock and Thomas Mersh focused on servant leadership, research growth, entrepreneurship, and FAU’s recent R1 designation and quantum computing initiatives. University of Central Florida reappointee Alex Martins discussed UCF’s preeminence goal, workforce needs, and strong nursing outcomes.
The committee also heard from Florida Gulf Coast University appointees James Gris-Mall, Douglas Van Orte, Robert Rommel, Sarah Partial Perry, and reappointment Joseph Fogg, who spoke about workforce development, affordability, student success, water and nursing programs, and FGCU’s role in regional economic growth. University of South Florida reappointee Rogan Donnelly highlighted USF’s AAU status, research growth, and workforce-focused programs. Members and the chair responded positively throughout, praising the universities’ achievements and the nominees’ qualifications.
At the end of the hearing, the committee voted by block on all nominees in tabs 2 through 13 and recommended them for confirmation without objection. The meeting then adjourned.
FL
Florida 2026 5th Special Session
Regulated Industries Dec 9th, 2025
Transcript Highlights:
- Obviously, to do a cost-benefit analysis of infrastructure improvements that we fund.
- They bare their reasoning and their analysis for the customers and the ratepayers and everyone in the
- I will see this bill again in Fiscal Policy, and I look forward to working with you to try to solve some
- by the bill, if you could just add to the staff of the commission people who could do financial analysis
- by the bill, if you could just add to the staff of the commission, people who could do financial analysis
Summary:
The Committee on Regulated Industries met with a quorum and took up four bills. SB 288 on rural electric cooperatives was presented as a negotiated glitch bill to narrow statutory language so co-ops can choose generation and power purchases based on cost and reliability without exposure to special-interest litigation, while preserving consumer protections. A representative from the Florida Electric Cooperatives Association waived in support, and the bill was reported favorably.
The committee then considered SB 364 on public accountancy, which was described as a modernization and efficiency measure to expand CPA licensure pathways without lowering standards. An amendment correcting a drafting error and restoring automatic mobility language was adopted without objection. Jason Harrell of FICPA waived in support, while one speaker appeared to discuss a utility issue unrelated to the bill. CS for SB 364 was reported favorably.
Chair Bradley’s SB 200 on utilities addressed utility-scale solar decommissioning and storm protection plans. The bill would authorize counties to adopt solar decommissioning ordinances, direct DEP to develop best practices, and require the PSC to consider whether storm protection plan benefits exceed costs. County and AARP representatives waived in support, and the Small County Coalition spoke favorably, saying the bill was a needed step that did not restrict solar development. SB 200 was considered favorably.
The committee also heard SB 126 on the Florida Public Service Commission, a strike-all bill focused on PSC reform and utility affordability. The amendment would add CPA and financial analyst expertise, require stronger PSC order support, tighten intervention standards, set return-on-equity and review criteria, require consideration of executive compensation and affordability, and direct the PSC to weigh risk from storm and cost-recovery mechanisms. PSC staff answered extensive questions about utility hardening, storm recovery, and rate-setting. Supporters said the bill would improve accountability and affordability, while others urged stronger enforceable affordability standards and restoration of the return-on-equity cap. Despite concerns, the bill was reported favorably as CS for SB 126.
FL
Florida 2026 4th Special Session
January 29, 2026 - 12:30 PM
Transcript Highlights:
- we do need That to happen as soon as possible because the federal penalty period will begin in the fiscal
- So, again, I'm looking directly from the bill analysis and the text of H.R. 1.
- So again, just reading straight from the staff analysis, the H.R. 1 specifically narrows Medicaid and
- Next, Karen Woodall, Florida Center for Fiscal and Economic Policy. You're recognized.
- Fiscal responsibility and common sense. Thank you.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Tuesday, January 20, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- In fiscal year 2025, the program supported $7.8 billion in loans To small businesses nationwide.
- This would include an analysis of any risk to the program, broken down by Multiple data points, including
- H.R. 5788 WILL FIX THAT BY Adding a requirement that the SBA conduct an annual risk analysis of the 504
- Currently, SBA is not required to conduct an annual risk analysis of the 504 loan program and provide
- >> H.R. 6938, AN ACT MAKING CONSOLIDATED APPROPRIATIONS FOR THE FISCAL YEAR ENDING SEPTEMBER 30TH
NH
Transcript Highlights:
- It’s a fiscal note. It might not be able to. I have to check.
- It's<01:04:31.280>
a <01:04:31.440>fiscal <01:04:31.760>note. - It might not be able It's a fiscal note.
- I have to verify because it is an early bill with a fiscal note, so I have to call Paul, as they say.
- note because imagine every of fiscal note because imagine every court<03:37:00.560>
would <03:
MN
Transcript Highlights:
- Again, this is data and a way of analysis that the PUC could be using to say, are we doing, you know,
- that the PUC could be using to analysis that the PUC could be using to say,<00:58:18.880>
are - <01:04:37.360>
benefits <01:04:37.840>to mind um, result in fiscal benefits to mind - The university's role, as you asked us to do in this case, can be to provide research, analysis, and
- After a historic analysis of Minnesota climate and a set of scenarios about what the future may hold
Keywords:
HF4470, Melissa Hortman, memorial, statue, memorial garden, State Office Building, Capitol Mall Design Framework, capital investment, appropriation, Capitol Area Architectural and Planning Board, Department of Administration, public art, commemorative monument, landscaping, artist selection, family consultation, Minnesota legislature, state building site, capital appropriation, political subdivisions
FL
Transcript Highlights:
- FOR THE 2025-2026 FISCAL YEAR.
- It’s fiscally responsible and reduces spending compared to last year.
- And maybe it's the staff analysis and conforming bill that talks about that money.
- On cybersecurity incidents for fiscal year 2526.
- FOR THE FOLKS WHO HEARD THIS IN FISCAL POLICY, I WANT TO MAKE SURE FOLKS UNDERSTAND WHO I AM.
Bills:
SJR4, SJR40, SJR81, SCR37, SCR39, SB22, SB32, SB33, SB36, SB38, SB95, SB209, SB249, SB311, SB326, SB365, SB458, SB609, SB660, SB664, SB693, SB732, SB745, SB760, SB762, SB779, SB783, SB785, SB868, SB871, SB883, SB921, SB955, SB993, SB996, SB1008, SB1057, SB1067, SB1151, SB1171, SB1210, SB1255, SB1265, SB1267, SB1271, SB1307, SB1313, SB1316, SB1318, SB1321, SB1332, SB1365, SB1426, SB1470, SB1484, SB1494, SB1559, SB1592, SB1596, SB1598, SB1637, SB1677, SB1706, SB1758, SB1762, SB1786, SB1809, SB1818, SB1822, SB1841, SB1871, SB1967, SB2064, SB2077, SB2112, SB2148, SB2320, SB2406, SB2407, SJR36, SJR81, SJR50, SJR4, SJR40, SJR27, SCR22, SCR12, SCR39, SCR38, SCR37, SB921, SB609, SB660, SB765, SB62, SB666, SB888, SB687, SB847, SB1248, SB504, SB305, SB296, SB284, SB304, SB1023, SB204, SB670, SB850, SB854, SB413, SB1346, SB1033, SB1220, SB1073, SB810, SB1539, SB447, SB1119, SB1505, SB1215, SB1302, SB583, SB673, SB681, SB1172, SB955, SB957, SB541, SB266, SB1415, SB53, SB1352, SB785, SB1450, SB1502, SB1566, SB1062, SB711, SB746, SB1404, SB1448, SB507, SB1026, SB1349, SB1355, SB1433, SB1434, SB1596, SB1403, SB667, SB1059, SB1567, SB310, SB311, SB505, SB1210, SB1470, SB264, SB1358, SB1364, SB1569, SB1376, SB1228, SB519, SB1350, SB462, SB827, SB1585, SB1484, SB1273, SB927, SB1227, SB1229, SB1353, SB1464, SB1709, SB1729, SB1733, SB1744, SB1772, SB1841, SB1008, SB2016, SB1173, SB1163, SB996, SB1370, SB1321, SB1101, SB860, SB993, SB693, SB1537, SB1332, SB1307, SB963, SB493, SB984, SB619, SB1122, SB455, SB522, SB1057, SB1239, SB1254, SB1255, SB1259, SB1341, SB1877, SB1277, SB32, SB732, SB731, SB268, SB1822, SB1589, SB397, SB1058, SB1267, SB2112, SB1930, SB532, SB508, SB292, SB291, SB901, SB1333, SB1436, SB1494, SB964, SB779, SB1378, SB2312, SB1719, SB287, SB2143, SB1245, SB261, SB1247, SB2406, SB2407, SB1882, SB618, SB38, SB393, SB1371, SB1365, SB2243, SB2226, SB2039, SB1919, SB1895, SB1598, SB1493, SB1810, SB1791, SB1706, SB1644, SB1238, SB783, SB458, SB22, SB651, SB897, SB1809, SB1080, SB745, SB826, SB989, SB1320, SB1437, SB2320, SB2289, SB1171, SB664, SB1637, SB2064, SB868, SB1079, SB1243, SB1504, SB1851, SB1879, SB2237, SB1257, SB2034, SB1522, SB883, SB249, SB1318, SB1151, SB596, SB1191, SB226, SB570, SB870, SB991, SB60, SB365, SB1067, SB1786, SB326, SB1401, SB1592, SB1728, SB1265, SB586, SB529, SB217, SB209, SB1923, SB1559, SB1839, SB387, SB1874, SB1872, SB1873, SB1921, SB1883, SB1677, SB95, SB1620, SB1838, SB2024, SB2429, SB1999, SB511, SB2309, SB2166, SB871, SB510, SB33, SB2420, SB1860, SB1541, SB1316, SB1314, SB1313, SB1426, SB1398, SB1869, SB1750, SB1871, SB36, SB855, SB1233, SB760, SB2425, SB2037, SB1758, SB1759, SB2365, SB1924, SB762, SB1271, SB1818, SB605, SB1405, SB1762, SB1968, SB1977, SB2077, SB2148, SB2321, SB1967, SB1662, SB1663, SB2124, SB2204, SB1855, SB863, SB37, SJR39, SCR1, SCR27, SCR32, SCR42, SCR6, SB2232, SB819, SB2078, SB2252, SB1962, SB2253, SB825, SB1577, SB1184, SB2018, SB2206, SB1901, SB1030, SB2368, SB1963, SB1960, SB1643, SB1625, SB1299, SB841, SB668, SB584, SB231, SB2411, SB1085, SB2431, SB2231, SB1490, SB530, SB34, SB1261, SJR81, SB32, SB458, SB664, SB693, SB868, SB1008, SB1267, SB1307, SB1321, SB1484, SB1637, SB1809, SB1822, SB2064, SB2112, SB2320, SB2406, SB2407, SB609, SB660, SB921, SB779, SB1470, SR388, SB3042, SB440, SB2876, SB3042, SB440, SB2876
Keywords:
economic stabilization fund, state finance, constitutional amendment, budget management, financial security, emergency powers, legislative authority, governor powers, disaster management, tax exemption, ad valorem, tangible personal property, income production, SCR 37, Senate Concurrent Resolution, Panama Canal, Texas ports, port infrastructure, maritime trade, shipping lanes
HI
Transcript Highlights:
- That is, one meta-analysis found 73%...
- That is, one meta-analysis found 73% of gamblers having an alcohol use disorder and another 38% with
- The sensitivity analysis is going to be around uh what is the actual level of incremental demand that's
- You want to see, from the point of view of the taxpayer, how much the fiscal view is, how much taxes
- This also needs to include an analysis of what community benefit to beneficiaries looks like if gaming
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Fifty Nine - Tuesday, April 28
Missouri House Floor Meeting
Transcript Highlights:
- And one other thing that I don't think you touched on: the fiscal note in here.
- There was no change, right, in the fiscal note.
- There was a fiscal note of zero, right? Right.
- There is no change in a fiscal note, and again, we're not eliminating SALT.
- I didn't personally call any school districts. ...financial note or in the fiscal note.
Summary:
The House opened with prayer and the Pledge of Allegiance, then approved the House Journal for the 58th day by roll call vote, 123-1. Members also introduced a number of special guests, including physicians, sheriffs, students, interns, and a police chief, before moving to third reading and perfection of bills.
House Bill 1758, dealing with permanent daylight saving time in Missouri, was debated at length. Supporters said it would end the twice-yearly clock changes and argued it could benefit children, productivity, and quality of life. Opponents warned it would create darker morning commutes, safety concerns, and health issues tied to circadian rhythms. The bill passed third reading by a vote of 107-31 with two present.
The chamber then perfected and printed House Bill 3329, which repeals expired or unused tax credits, and House Bill 3405, which clarifies that SALT/pass-through entity provisions are deductions rather than tax credits for Department of Revenue processing. Both bills were described as cleanup and efficiency measures, with supporters emphasizing accountability and reduced manual work at DOR; both moved forward without opposition in committee and were approved on the floor.
Finally, House Bill 2426, a parental rights bill, drew extensive debate and an amendment. The bill would elevate parents’ rights in education, medical, privacy, and related decisions to a fundamental-rights standard and add provisions on school records, recordings, evaluations, and certain health-care decisions. Critics argued it was overly broad, could interfere with school operations and existing protections, and might create problems in areas such as IEPs, truancy, and medical consent; supporters said it simply codified and strengthened parental authority. House Amendment 1, focused on IEP procedures and requiring parental consent for major changes, was adopted 98-25 with six present, and debate on the underlying bill continued.
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (9-9-25)
Transcript Highlights:
- And while we prepare<00:19:21.440>
for <00:19:21.679>the <00:19:21.840>fiscal <00 - :19:22.160>
re <00:19:22.559>realities <00:19:23.120>that prepare for the fiscal - We currently have, with state fiscal year 26, 17,800 slots.
- The state fiscal year would have rolled out in July.
- It is a very in-depth analysis of the timeline of the rate study and the issues identified.
Summary:
The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings.
A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting.
Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.
TX
Transcript Highlights:
- I don't have an exact date of when our teams ...started to do the analysis.
- Beyond the individual impact, there is a significant fiscal argument for this bill.
- I want to thank the Texas Association for Behavior Analysis for bringing this issue to my attention.
- We show you a tech association for behavior and analysis, public policy group, and so we show you for
- I'm here representing the Texas Association for Behavior Analysis Public Policy Group.
Keywords:
autism, health insurance, coverage, medical treatment, health benefit plan, HIV prevention, prescription drug, prior authorization, health benefits, insurance coverage, insurance, contract termination, property and casualty, insurance agents, discrimination, appraiser, umpire, licensing requirements, continuing education, admin penalties
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 3/2/26
Health Finance and Policy
Transcript Highlights:
- <00:53:40.800>
Uh <00:53:41.200>next fiscal note has been requested. - Uh next fiscal note has been requested.
- This was evident in the 2025 analysis of the Genesis Healthcare collapse.
- This was evident in the 2025 analysis of the Genesis Healthcare collapse.
- This was evident in the 2025 analysis of the Genesis Healthcare collapse.
Keywords:
gun violence, public health, Department of Health, prevention, criminal justice, health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration
Summary:
The House Finance and Policy Committee met on March 2 with a quorum present and heard House File 3668, which would create a state Office of Gun Violence Prevention. The bill author argued the office would treat gun violence as a public health crisis, improve research and coordination, and help reduce deaths and trauma, especially among children. Several supporters testified, including representatives from the Minnesota Medical Association, Protect Minnesota, family medicine, public health, and obstetrics/gynecology, all emphasizing firearm injury and suicide as major public health problems and urging a coordinated, data-driven response. Multiple testifiers shared personal accounts of shootings and their effects on children and families, including the Annunciation shooting, and said the office could help align prevention efforts across health care, law enforcement, and community organizations.
Opposition came from the Minnesota Gun Owners Caucus, which argued the bill would create a permanent taxpayer-funded bureaucracy that could be used to shape firearm policy and restrict a constitutional right. The group said Minnesota should focus instead on enforcing existing laws, prosecuting violent offenders, and providing direct victim services. During committee discussion, Vice Chair Nadeau offered an A2 amendment to move the proposed office from the Department of Health to the Department of Public Safety, citing data-sharing, accountability, and examples from other cities and states; after discussion with the bill author, he withdrew the amendment. Chair Becker then noted existing state and local spending on violence prevention and public safety programs and raised concerns about duplication of effort.
NM
Transcript Highlights:
- Senator Solis, I was looking at some information I have received on analysis, and it's stating which
- Chairman and Senator Pope, I'm also seeing that the fiscal implications on this bill are that it's a
- And I would also invite all of you to refer to the excellent Analysis and fiscal report from LFC and
- Therefore, those 50 sites can be sustained in addition to some of the school districts, as listed in your fiscal
FL
Florida 2025 Regular Session
Judiciary Jan 14th, 2025
Transcript Highlights:
- In a specific time period, you'll see in the graph for fiscal year 2023 the impact on the Fourth Circuit's
- But in the 2023-2024 fiscal year, we had cleared a significant number of that backlog, and we're actually
- The staff analysis at the time noted that the existing universe of available sanctions, such as awarded
- However, the court, in its opinion, recognized that it is fiscally challenging for the legislature, and
- Market analysis shows that this is not a reasonable rate in a number of jurisdictions.
NH
New Hampshire 2025 Regular Session
House Executive Departments and Administration Work Session on HB 637 (02/06/2025)
Transcript Highlights:
- As it stands, I have the bill as introduced that has a fiscal note for the entire kit and caboodle, including
- Additionally, looking at the fiscal note that is in here from the bill that started this whole thing,
- The fiscal note didn't match the language of the bill. That is the history that I'm familiar with.
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stuff let let us hash through the fiscal stuff let let us hash through the - fiscal stuff with<00:31:25.440>
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Summary:
The subcommittee met on House Bill 637, which was described as a measure to make whole certain New Hampshire Retirement System retirees who were not included when Senate Bill 57 was incorporated into the 2023 budget. The chair and several members reviewed the bill’s legislative history and fiscal impact, citing estimates that the broader change would cost about $1.4 million to the state and $5.74 million to municipalities, with an actuarial liability increase of about $45 million. The chair argued that the omission of already-retired members was not an oversight but a policy choice made in the Senate, based on the bill’s prospective language and the budget process used in 2023.
Testimony and discussion focused on whether the bill should be treated as a fairness correction or as an expensive policy expansion. Supporters, including retirees and representatives of employee groups, said the language was unclear, the fiscal note did not match the bill’s effect, and the change would unfairly leave out actual retirees who had expected the same treatment as active members. They also argued that the retirement system historically linked benefits to Social Security and that the bill would restore equity for those affected. Opponents emphasized the cost, the prospective nature of the original language, and the view that the Senate knowingly chose not to extend the change retroactively.
After discussion, the chair moved to recommend the bill inexpedient to legislate, and the motion was seconded. Members then heard brief public comments after the motion was withdrawn and reintroduced because of the weather and the public’s travel. At the final vote, the subcommittee recommended inexpedient to legislate on a 3-2 vote, with the chair noting that the full committee would take up other bills at a later subcommittee hearing.