Video & Transcript Research : 'rate deviations'
Page 107 of 500
MN
Transcript Highlights:
- increase High School graduation rates increase High School graduation rates and<00:07:24.960>
- :07:26.160>
of and then ultimately increase rates of and then ultimately increase rates of college - <00:08:08.639>
go attainment rates go attainment rates go increase<00:08:10.639>um - look at sort of college going rates look at sort of college going rates generally<00:26:14.720><
- and increasing the college application rates.
Summary:
The committee received an informational presentation from the Office of Higher Education on college access efforts, with a focus on FAFSA outreach, the Get Ready program, and Direct Admissions Minnesota. Wendy Robinson said OHE’s role is to provide nonpartisan information, partner with K-12, colleges, and community groups, and use statewide programs to expand awareness of higher education options and financial aid. She highlighted outreach through brochures, virtual sessions, conferences, the State Fair, and events serving specific populations, as well as the Lumina-funded Connect College grant and the federally funded Get Ready program, which serves about 7,500 low-income students across 14 capacity-building schools and 28 additional schools with tutoring, college visits, application help, and financial aid support. A member asked for demographic data on Get Ready students, and staff said they would provide it later.
Robinson also reviewed FAFSA outreach, noting that last year was especially difficult for students because of federal FAFSA problems. OHE’s Ready Set FAFSA sessions drew 1,300 unique registrations in October and 939 in January, and the agency continued training K-12 and college staff on state aid programs, FAFSA simplification, and implementation of North Star Promise. OHE said it also held FAFSA completion events with partners, including at the State Fair, and planned another financial aid event in Duluth.
The bulk of the presentation covered Direct Admissions Minnesota. Robinson said the program is now in its fourth year, with 55 participating colleges and universities and 182 participating high schools in the third cohort, serving just over 32,000 students. She described the program as a broad, collaborative model that sends students letters listing colleges that would admit them based on junior-year performance, while preserving student choice and waiving application fees for participating schools. She said the program is intended to reduce anxiety about admissions, encourage FAFSA completion, and keep more Minnesota students in-state.
Robinson previewed second-year data showing continued positive outcomes, including higher FAFSA completion, increased college enrollment, and more students staying in Minnesota. Participation increased among students eligible for free and reduced lunch, rising from 21% in the first year to 40% in the second year. She noted a continuing concern about American Indian and Alaska Native students, whose FAFSA completion declined and whose participation numbers were lower in the newest cohort, and said the agency would continue to study that data. She also said some of the increase in free-and-reduced-lunch participation may reflect the impact of North Star Promise and related financial aid messaging. No votes or formal actions were taken.
HI
Hawaii 2025 Regular Session
EEP Public Hearing - Tue Jan 28, 2025 @ 9:00 AM HST
Energy & Environmental Protection
Transcript Highlights:
- Hawaii Gas tries to keep rates as stable as possible, and so they don't file rate cases frequently.
- If there's no increase in customer rates and the rate is voluntary, people can ascribe to it.
- If there's no increase in customer rates and the rate is voluntary, people can ascribe to it.
- If there's no increase in customer rates and the rate is voluntary, people can ascribe to it.
- If there's no increase in customer rates and the rate is voluntary, people can ascribe to it.
Summary:
The House Committee on Energy and Environmental Protection opened its first hearing of the session and heard testimony on several energy and environmental bills. On HB 470, relating to noise and leaf blowers, the Department of Health supported the bill’s intent to reduce noise pollution but raised concerns about using decibel limits alone and suggested using dBA measurements; testimony also noted the bill would regulate future sales rather than current use, and there were three additional testimonies, two in support and one in opposition. No questions were raised before the committee moved on.
The committee then heard HB 742 on transit-oriented development, which would require HCDA to prepare a programmatic EIS for Ewa, Kapalama, and West Oahu improvements. UH supported the bill, HHFDC said it was already preparing a master plan and programmatic EIS for the Ewa area, and HCDA explained that the projects are already underway or completed, including infrastructure work funded by prior appropriations. Supporters said the bill would streamline environmental review and potentially reduce costs for future housing, while HCDA emphasized the work is already in progress.
On HB 340, concerning a streamlined grid-ready home interconnection process and related cost recovery, DCCA provided comments, the Attorney General suggested changing a deadline to a specific date, and the PUC said it wanted to study the matter further while still meeting the 180-day reporting requirement. Solar and clean energy groups strongly supported the bill as a way to speed interconnection and advance grid-interactive technologies, while Hawaiian Electric supported the goal of more DERs but opposed the process, saying its interconnection performance has improved and that collaboration would be preferable to legislation. Members asked about newer technologies, UL 1741, and ratepayer impacts, and the Consumer Advocate said removing the cost-recovery section would alleviate its concerns.
The committee also heard HB 243, requiring PV- and EV-ready new residential construction, which the Hawaii State Energy Office described as a cost-saving no-brainer because installing these features during construction is much cheaper than retrofitting later. The hearing then shifted to HB 350, expanding the water-heater systems that can satisfy building-permit requirements to include heat pump water heaters alongside solar hot water systems. The Energy Office supported the bill, Solar Ray supported the concept but asked for amendments to align efficiency standards and noted the bill’s removal of a 15-year lifespan limit for solar thermal systems, and Hawaii Solar Energy Association raised questions about how heat pump performance should be measured and whether PV-plus-heat-pump combinations should qualify. Committee members asked about impacts on smaller homes and ADUs, and the discussion remained focused on technical standards and possible amendments; no votes or final actions were taken in the portion provided.
AR
Transcript Highlights:
- Right now, our current seatbelt use rate is 79%.
- The highest use rate that we've ever had in the state is 84%.
- This is to revise the rate sheet for Medicaid asset verification system.
- This is a system that encourages discussions throughout the rating period.
- And as Representative Wardlaw said, do you consider the turnover rate?
OK
Oklahoma 2026 Regular Session
Retirement and Government Resources REVISED Feb 17th, 2026 at 10:30 am
Retirement and Government Resources
Transcript Highlights:
- Public employees. 283 million is the cost of that turnover rate.
- Has it helped to take and reduce the turnover rate?
- The law allows for them to buy back those years At a certain rate.
- They're going to pay back when they're at the rate that they're at Today or the rate that five years
- not what the rate of pay was when they were in service.
Bills:
SB134, SB1356, SB1407, SB1611, SB1639, SB169, SB1722, SB182, SB1870, SB2039, SB432, SB609, SB715, SB716
Keywords:
retirement, public employees, reemployment, benefit adjustment, Oklahoma Public Employees Retirement System, state government, OMES, Office of Management and Enterprise Services, Department of Labor, Department of Veterans Affairs, Department of Rehabilitation Services, civil service, human capital management, state employee disputes, whistleblower, veterans employment, veterans placement, fleet management, state fleet, motor vehicles
AR
Arkansas 2026 Regular Session
EDUCATION- HOUSE EARLY CHILDHOOD SUBCOMMITTEE Feb 17th, 2026
Transcript Highlights:
- Should we look at poverty rate requirements and expanding it and open up... ...reimbursement rates.
- So we actually have more providers now with the new rates than we did under the old rates.
- That has impacted our reimbursement rates in this grant and will also reimpact reimbursement rates in
- The rate change was their reason for closing.
- The rate change was their reason for closing.
Summary:
The committee met to review early childhood education funding, access, and program sustainability, with Secretary Aleva and Director Ashland Abney providing updates on Arkansas’s ABC state-funded preschool program and the federal CCDF/SRA program. Members discussed the long-standing flat funding for ABC, which rose from $11 million to $14 million in 2018, compared with roughly $137 million in federal CCDF/SRA funding. Officials said ABC serves about 23,000 children, while SRA serves about 14,871 children and has a wait list of about 2,971 children. Members also asked for more data on rural versus urban access, provider types, and the number of slots and providers by region.
A major topic was how to improve quality and access while aligning early childhood with K-12. Officials said the department is moving from the Better Beginnings environmental rating system toward CLASS observations, using local leads and a kindergarten-readiness strategy tied to quality improvement. Members raised concerns about deserts and islands in service availability, the cost of school-based versus community-based providers, and the need to support infant-toddler care as well as preschool. The commissioner said early learning should be part of long-term state education investment, but that simply adding money would not solve access gaps without broader structural changes.
The committee also discussed recent funding changes and their effects on providers and families. Officials said a $14.741 million PDG-BFV competitive grant will support systems-building work, including local leads, workforce, data systems, and third-party CLASS observations, but it is a one-year grant and not direct service funding. Members questioned the impact of new co-pays, provider closures, and slot reallocations; officials said eight closures were tied specifically to funding changes, and that paying only for enrolled children rather than allocated slots saved about $576,000. They also discussed dual enrollment in home visiting and ABC, with officials estimating that limiting double enrollment could save about $2.4 million and potentially serve about 470 more children. The meeting ended with agreement to continue regular updates and further discussion, and the committee adjourned without a vote on legislation.
MA
Massachusetts 2025-2026 Regular Session
Senate Committee on Climate Change and Global Warming Jun 21st, 2026 at 10:30 am
Senate Committee on Climate Change and Global Warming
Transcript Highlights:
- We built a team of a dozen people and grew a network of rating companies from just a handful to more
- qualify for the electric discount rate, but only less than 150,000 were enrolled.
- Fuel assistance and low-income discount rate enrollments.
- And they, you know, there's a rate case that is ongoing currently at the DPU.
- So what I'm saying is about a $198 million of a $342 million rate increase ask is in... ...million rate
Summary:
The committee held a hearing on the value of Mass Save, with opening remarks emphasizing that despite past criticisms the program has delivered major energy, cost, climate, and equity benefits. The chair cited large avoided system costs, strong benefit-cost ratios, and recent legislative changes that set emissions goals, restricted fossil-fuel equipment incentives, and increased focus on low- and moderate-income households. Department of Energy Resources Commissioner Elizabeth Mahoney testified that Mass Save has weatherized hundreds of thousands of homes, reduced bills, avoided emissions, and that the current plan includes budget controls after the DPU ordered $500 million removed from the approved budget. She said the governor’s proposal to have only electric utilities administer the program was intended to reduce administrative costs and align with current implementation trends.
Members questioned Mahoney about what counts as marketing and administration, and she said the category includes traditional advertising as well as community-based outreach, customer resource centers, and other customer engagement work, much of it in low- and moderate-income communities. She said administrative and marketing costs are under 5% of the budget, while more than 80% goes to incentives and direct program delivery. Several witnesses then focused on workforce and contractor impacts. Dave Betcher of Abode Energy Management and Rick Taglienti of Rogers Insulation said Mass Save sustains small businesses, creates careers, and supports thousands of jobs; both warned that budget cuts would reduce hiring, training, and work in homes and businesses. They also described a broad ecosystem of suppliers, trainers, and service providers that depends on stable program funding.
Other witnesses addressed cost-effectiveness, affordability, and emissions. Anna Johnson of ACEEE said Massachusetts remains a national leader, with Mass Save returning about $2.80 per dollar invested, reducing peak demand, and lowering bills for participants, especially through weatherization and heat pumps. Kyle Murray of Acadia Center said the program is statutorily required to be cost-effective and has avoided billions in supply and infrastructure costs for all ratepayers, including nonparticipants, by lowering overall demand and peak prices. Amy Boyd-Rabin of the Environmental League of Massachusetts argued that efficiency is the cheapest way to meet climate targets and that cutting the budget would force more expensive power generation. The hearing also featured testimony on equity and housing: Mary Wampo described historic under-service to renter-heavy and lower-income communities and said recent reforms, including designated equity communities and performance incentives tied to equity, are helping correct that imbalance; Brian Biot and James Collins of LEAN/ABCD described low-income delivery systems and wraparound services; Barney Heath and John Nannari said Mass Save incentives are essential to affordable housing, passive house construction, and keeping projects on time and on budget. The final witnesses highlighted Connected Solutions and electrification: Sunrun’s Bronte Payne said the virtual power plant program saved more than it cost and helps avoid peaker plants and grid upgrades, and Highland Electric Fleets’ Ben Sondaga said electric school buses can provide similar grid benefits while lowering transportation costs for districts.
NM
Transcript Highlights:
- Neither institution meets that graduation rate, and that graduation rate, by the way, is... ...neither
- institution meets that graduation rate.
- rate also in 2023.
- Neither institution meets that graduation rate, and that graduation rate, by the way, is neither institution
- meets that graduation rate.
Keywords:
foster children, school transportation, education funding, public education, child welfare, New Mexico Highlands University, soccer field, women's sports, infrastructure improvement, funding allocation, student athletes, appropriation, New Mexico State University, nutrition, travel support, funding, education, university support, financial assistance, parenting students
ND
Transcript Highlights:
- So a positive there, 9.17 is the effective tax rate there. So Mr.
- about half of the mill rate in Fargo or Grand Forks County.
- They don't necessarily have to go up if the mill rate is lowered.
- It's the second stretch of highway that we also rate as a poor condition.
- to projected 2729 rates.
Summary:
The Budget Section met to approve prior minutes and receive a series of budget, revenue, and program updates from OMB, the Tax Department, DOT, DMR, and DPI. OMB reported that general fund revenues through May were about $76 million below the legislative forecast, driven mainly by individual income tax and sales tax shortfalls, though the biennium is still projected to end with a positive balance. OMB also reviewed oil price and production assumptions, the budget stabilization fund transfer above its cap, Legacy Fund performance, federal grant applications, fiscal irregularities, tobacco settlement proceeds, budget guidelines for agencies, vacancy savings, and the DAPL settlement, noting that most of the settlement funds had been deposited but a small amount of accrued interest would require a future deficiency request.
The committee then considered Emergency Commission requests. It approved requests for Public Service Commission abandoned mine lands federal authority, an Attorney General FTE and related funding for criminal investigator work tied to the Office of Guardianship and Conservatorship, and a DPI transfer for bridge software costs. After discussion, the committee also approved DPI’s request for a $500,000 transfer for the food vendor program, despite questions about the program’s savings and cash-flow structure. Later, the Tax Commissioner presented the primary residence credit program, reporting that current biennium costs are expected to exceed the appropriation by about $22 million and explaining how the credit interacts with homestead and disabled veteran credits and the 3% property tax levy cap.
The Legacy and Budget Stabilization Fund Advisory Board reported strong returns for both funds, and DOT sought and received approval for two flexible fund highway projects on ND 49 and ND 31. DOT also updated members on Highway 85 construction and said remaining flex fund dollars were essentially fully allocated. DMR reported on the abandoned well plugging and site reclamation fund, noting North Dakota’s relatively small orphan well inventory, current and projected fund balances, rising remediation costs, and a possible need to adjust the fund cap in future sessions. Finally, DPI outlined the new integrated formula gap funding program, explaining that it compensates school districts that cannot reach the assumed 60-mill local contribution because of the 3% levy cap; the first year’s gap funding totaled about $1.8 million, with future costs expected to grow.
ND
North Dakota 2025-2026 Regular Session
Budget Section Jun 24th, 2026
Transcript Highlights:
- So a positive there, 9.17 is the effective tax rate there. So Mr.
- about half of the mill rate in Fargo or Grand Forks County.
- They don't necessarily have to go up if the mill rate is lowered.
- They've used these rates to try and help them do their budgeting.
- rates, and that helps them do their budgeting.
Summary:
The Budget Section approved the March 18 minutes and received an OMB update showing the general fund is still ahead of the budgeted starting point, but revenues through May are now about $76 million below the legislative forecast, driven mainly by individual income tax and sales tax shortfalls. OMB also reported the budget stabilization fund is above its cap, meaning a transfer to the general fund is expected, and reviewed oil price/production assumptions, noting continued volatility. Members asked about the income tax netting process, the sales tax decline, oil price discounts/premiums, natural gas taxation, and when the executive branch would present its revenue forecast.
The committee then acted on several Emergency Commission requests. It approved, as a group, requests for federal mine reclamation funds for the Public Service Commission, an additional criminal investigator FTE and funding for the Attorney General’s office, and a DPI transfer for bridge software costs. It separately approved DPI request 2164 for $500,000 to support the food vendor program after debate over whether the program’s savings were known and whether the money was simply a pass-through. OMB also reported on federal grants, fiscal irregularities, tobacco settlement proceeds, budget guidelines for agencies, FTE pool usage, vacancy savings, and the DAPL settlement, noting the settlement funds had been deposited and that a deficiency appropriation may be needed later to cover remaining accrued interest.
Tax Commissioner Brian Kroshus presented on the primary residence credit program, saying participation has grown sharply and that the current biennium will likely need about $431 million, roughly $22 million above the appropriation. He explained how the credit interacts with homestead and disabled veteran benefits, how the 3% property tax cap works, and why county valuations and mill rates vary. The committee also received a Legacy Fund/Budget Stabilization Fund report showing strong returns, and DOT Director Ron Henke received approval for two Flex Fund highway projects on ND 49 and ND 31. Henke also explained remaining Highway 85 funding and said the department is exploring uses for leftover state dollars. Finally, the Department of Mineral Resources reported on abandoned well plugging and site restoration, noting North Dakota remains in relatively strong shape compared with other states, and DPI began a presentation on gap funding tied to the 3% levy cap, reporting 24 districts received $1.8 million in the first year and projecting higher future needs.
NM
Transcript Highlights:
- They looked at high school graduation rates and college remediation rates as indicators of whether there
- On the right side, you'll see math proficiency rates.
- It has closed a bit in graduation rates.
- Rating mechanisms, methodologies, and matrices that rate disciplines and levels of study by their cost
- What's our graduation rate at that level, at your level? Mr.
CA
California 2025-2026 Regular Session
Senate Energy, Utilities and Communications Committee Jun 24th, 2026
Energy, Utilities and Communications
Transcript Highlights:
- Currently in Imperial County, there's a 20% unemployment rate.
- Energy-intensive data centers are being built at an unprecedented rate.
- So the general rate case process, which is the process... True cost of service.
- So there is a supply chain crisis for the basic physical... ...driving up rates.
- Californians pay the highest electricity rates in the continental United States.
NY
New York 2025-2026 Regular Session
New York State Senate Session - 04/20/2026
New York Senate Floor Meeting
Transcript Highlights:
- The rate case implementation plans would trigger the actual PSC implementation of this.
- In the 1990s, we had some of the highest rates in the nation.
- This bill will force utilities to raise rates.
- If you support bills like this, rates will continue to go up.
- IF YOU SUPPORT BILLS LIKE THIS, RATES WILL CONTINUE TO GO UP. I'LL BE VOTING NO.
Summary:
The Senate opened with routine formalities, approved the journal, welcomed a SkillsUSA student delegation, and then moved into budget and policy business. The chamber accepted a Rules Committee report and took up a supplemental budget extender, Senate Print 9963, which would extend state operations through April 22 and authorize $12.7 billion, including about $5.1 billion in new funding for Medicaid, payroll, and school aid. Senator O’Mara questioned the delay in the budget, the lack of public detail, and unresolved issues such as CLCPA changes, auto insurance, and SEQR reforms; the sponsor said negotiations were ongoing and that school aid would likely build on the executive budget. The extender passed 57-1, with Senator Weik voting no.
The Senate then adopted Senate Resolution 1887, sponsored by Senator Brisport, memorializing the Governor to proclaim April 2026 as Arab American Heritage Month. Senators Brisport, Fahy, Salazar, and Gounardes spoke in support, emphasizing Arab Americans’ cultural, civic, and economic contributions in New York and condemning anti-Arab and anti-Muslim bias. The resolution was adopted by voice vote and opened for co-sponsorship.
The chamber next considered several bills on the calendar, including a bill by Senator Cleare to prohibit state-chartered financial institutions from investing in private correctional facilities. Supporters framed it as a moral response to private prisons and rising federal use of detention facilities, while opponents argued it would overregulate state-chartered banks and affect private investment decisions. The bill passed 36-22. The Senate also passed a bill by Senator Krueger raising the nonprofit lobbying disclosure threshold from $5,000 to $10,000, after debate over transparency and whether the change would reduce oversight; it passed 35-23. Finally, the Senate passed Senator May’s bill on advanced transmission technologies and utility planning, after extensive debate over ratepayer costs, battery storage, and data center growth; supporters said it could lower energy costs through more efficient grid use, while opponents said it would raise rates and duplicate existing studies. The bill passed after being restored to the non-controversial calendar.
MN
Minnesota 2025 1st Special Session
House Press Conference 3/19/25
Transcript Highlights:
- <00:06:45.440>
or information, promises of high ratings or information, promises of high ratings - And so there's if my rating was too low.
- <00:11:48.320>
No rating. That is unequivocally false. No rating. - And I think that's the end of rating.
- Could have got that same rating, same timeline through a free service and not having to pay.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Monday, February 10, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- Chinese manage their exchange rate Chinese manage their exchange rate through<04:33:29.561>
a - <04:35:40.359>
practices <04:35:41.240>in exchange rate practices in exchange rate - rate.
- It's called the CAMELS rating.
- scale it's called the supervisory rating scale it's called the camels<05:15:55.638>
rating <05
MN
Transcript Highlights:
- want to rate that in there or something. want to rate that in there or something.
- and rate study. and rate study.
- Counties support a rate study.
- So since 2015, there's a rate that is the same rate, and so, um, based on the billable activity— oh,
- 150% of the regular rate.
NH
New Hampshire 2025 Regular Session
House Ways and Means (05/20/2025)
Transcript Highlights:
- rates for 26 and 27. rates for 26 and 27.
- much is going to go, what the tax rate much is going to go, what the tax rate would<04:02:30.560
- Uh rates are interest rates are down.
- And with mortgage rates and other loan rates based on those kinds of decisions, that means mortgage rates
- means mortgage rates are going to go up. means mortgage rates are going to go up.
Summary:
The committee heard testimony on Senate Bill 110, as amended by the Senate, which would establish fees for alteration-of-terrain applications and direct the Department of Environmental Services to adopt rules for a permit-by-notification process for certain projects. Trisha Milo introduced the bill for Senator Lang and noted that the department had worked on the amended language. Matt Mayberry of the New Hampshire Homebuilders Association said the industry strongly supported the bill, describing it as a public-private partnership that would speed review for developers without affecting local control, with builders paying the costs rather than taxpayers.
Members focused heavily on how the bill’s fee structure and permit thresholds would work, especially for projects near shoreland, wetlands, and protected water bodies. Representative Opel raised concerns about whether the bill reduced review of habitat and shoreland impacts or shifted costs unfairly; Philip Trobridge of DES explained that the bill does not eliminate those reviews and that shoreland projects still receive greater scrutiny. He said the bill creates different tiers, with the permit-by-notification process applying to certain projects between 100,000 and 150,000 square feet that are not in protected shoreland, while larger or shoreland-affected projects remain under the standard review process. He also said the proposed fees were based on sustaining the program, covering added habitat and species review responsibilities, and keeping reviews efficient.
Trobridge said the new fee structure would generate about $1.2 million in additional revenue and help fund additional staff and related program costs. He stated that the department had worked with the regulated community and believed the fees were fair and reasonable, though he acknowledged the bill’s wording was confusing and that the threshold could be revisited later if the new process works well. Members also discussed how the state process interacts with local approvals, and Trobridge said both state and local approvals are required before a project can begin. No vote or final action was taken in the portion of the meeting provided.
MN
Minnesota 2025-2026 Regular Session
Minnesota House passes the human services finance bill, HF2434 5/5/25
Minnesota House Floor Meeting
Transcript Highlights:
- The rate exception process for the disability waiver rate system was one of those pieces.
- Uh we create a individual rates.
- it comes to getting the rates increased. it comes to getting the rates increased.
- When we talk about rate about.
- But then when it comes to<00:59:58.079>
the <00:59:58.319>rate to the rate to the rate
MA
Massachusetts 2025-2026 Regular Session
Status of Persons with Disabilities Jun 21st, 2026 at 11:00 am
Transcript Highlights:
- Yeah, the skilled nursing facilities between 2014 and 2026, their rate increased...
- There is a 24% increase in the rate and a 36% decrease in utilization.
- And then in home health, you see for nurses, the rate increase has been, you know, 24%, 26%.
- held flat, or they potentially could see a rate decrease.
- That does not happen... ...flat, or they potentially could see a rate decrease.
Summary:
The subcommittee met with MassHealth LTSS Chief Leslie Darcy to review the Personal Care Attendant (PCA) program and the legislative work group focused on its long-term sustainability and cost containment. Darcy and Charlie described the work group’s five meetings and three consensus recommendations: enforce the 66-hour overtime cap, address fraudulent activity in the PCA program, and eliminate MassHealth handling of PCA paperwork/administrative work for members without a live-in exemption because those members are subject to EVV. They explained EVV as an electronic visit verification system replacing paper timesheets, and noted the rollout is expected to be completed this fall. The group estimated about $7 million in savings from the consensus recommendations and agreed to continue meeting through June to consider additional ideas.
Darcy presented data showing the PCA program served about 56,000 members in state fiscal year 2024 and has grown from $1.2 billion in FY20 to $1.6 billion in FY24, with projections near $2 billion by 2027. She said much of the growth is driven by wage increases and older adults using more services, and compared PCA costs with other LTSS programs. The discussion also covered overtime spending, the role of federal financial participation, and how Massachusetts’ PCA program differs from other states because it has no hard caps on hours or activities. Several members emphasized the program’s value for independent living and community participation, while also acknowledging the need to control growth without undermining services.
Members asked about undocumented immigrants and MassHealth funding, and Darcy explained that some eligibility categories are state-funded only and do not receive federal matching funds. Another member asked about workforce recruitment and wage pressures; Darcy said recent collective bargaining agreements raised PCA wages, with some workers eventually reaching $25 per hour and the entry wage reaching $20. The group also discussed whether IADL hours are disproportionately high compared with ADL needs, and reviewed data suggesting potential savings if IADL hours were limited relative to ADL hours, though no consensus recommendation was made on that point. The meeting ended with approval of the prior minutes by roll call vote, an update that the next health equity informational hearing is scheduled for May 19, and a motion to adjourn carried unanimously.
MN
Transcript Highlights:
- It doesn't deal with classification rates or anything else.
- So it would lower the rate from, in effect, 6.875 to 6.425.
- Classification rates or anything else.
- You will see the benefit entirely of the rate cut.
- <01:01:25.319>
and which will reduce the payment rates and which will reduce the payment rates
KY
Kentucky 2025 Regular Session
House Standing Committee on Health Services (3-6-25)
Transcript Highlights:
- Each time a rate reduction...
- <00:20:55.120>
uh clawbacks y'all deal with a rates uh clawbacks y'all deal with a rates uh - <00:42:57.440>
by death rate by death rate by 50%<00:42:59.280>and <00:42:59.400> <01:33:35.880>- How are the rates set currently for the drug pricing?
and buy a drug at a at a lower rate and buy a drug at a at a lower rate and
Keywords:
00:00:00 Call to Order/Roll Call
00:01:19 Discussion of 25RS HB 785
00:30:25 Roll Call Vote on 25RS HB 785
00:32:15 Discussion of 25RS HB 61
00:36:42 Roll Call Vote on 25RS HB 61
00:38:07 Discussion of 25RS HB 788
00:51:01 Discussion of 25RS SB 14
01:11:09 Discussion of 25RS HB 685
01:44:57 Adjournment, 958, all
Summary:
The House Standing Committee on Health Services met with a quorum and took up House Bill 785, as amended by a committee substitute that combined language from HB 785 and HB 787. The bill was described as addressing Medicaid managed care organization (MCO) audits, provider contract notice and amendment procedures, mental health parity compliance, and related transparency requirements. Supporters said the measure would tighten notice to providers, limit repeated contract amendments and rate reductions, require more standardized audit procedures, and add reporting on Medicaid claims, appeals, and grievances. It also includes a provision requiring coverage of at least two evaluation-and-management billable services per physician per recipient per date of service, and a section addressing narcotic/opioid treatment program licensing and reimbursement language.
Testimony in support came from Representative Kim Moore, John Inman of BrightView Health, Michelle Sandborne of the Children’s Alliance, and Kelly Cormic of RYSE. They argued that MCOs often use audits and recoupments in ways that are burdensome, opaque, and financially damaging to providers, especially smaller and rural ones. They cited examples of multiple audit requests in short timeframes, large record requests with short deadlines, delayed or absent feedback, and recoupments taken before appeals are resolved. They also said parity laws are not being consistently enforced and that the bill would give the Department of Insurance authority to suspend or revoke an MCO certificate of authority for willful or repeated parity violations. Committee members generally expressed support for provider protections and transparency, while asking for clarification on the narcotic treatment and E/M billing provisions.
Tom Stevens of the Kentucky Association of Health Plans testified in opposition, saying the bill is complex to implement and should be handled through the broader Medicaid oversight work of House Bill 9, the MOAB. He said the issues raised were better suited for that bipartisan stakeholder process and noted the committee substitute had not yet been fully reviewed by his group. After discussion, the committee adopted the committee substitute and then moved to a vote on the bill; the roll call began, with several members recorded as voting yes, but the transcript cuts off before the final vote result is shown.