Video & Transcript Research : 'explicit conduct'

Page 111 of 453
TX

Texas 89th Regular

Homeland Security, Public Safety & Veterans' Affairs Aug 22nd, 2025

Homeland Security, Public Safety & Veterans' Affairs

Transcript Highlights:
  • Would this bill, in your opinion, shield those officers from a review of their conduct on that day and
  • There's even a code of conduct that's being released at this time, which, to me...
  • I would ask that you consider conducting an interim study that actually examines the information, now
  • force or conduct by sector.
  • For example, we have Officer Taylor in the city of Austin who was just convicted of deadly conduct for
Bills: SB 15
CA

California 2025-2026 Regular Session

Assembly Education Committee Jul 16th, 2025

Education

Transcript Highlights:
  • comments through our committee website, and let me read a quick standard statement regarding how we conduct
  • the goal of the hearing as much from the public within the limits of our time, we will not permit conduct
  • that disrupts, disturbs, or otherwise impedes the orderly conduct of legislative proceedings, and in
  • Public comment must relate to the subject being discussed today and no engaging in conduct that disrupts
  • , disturbs, or otherwise impedes the orderly conduct of this hearing.
Keywords: 988, house, all
FL

Florida 2025 Regular Session

March 27, 2025 - 09:00 AM

Transcript Highlights:
  • Representative, what's the definition of adversarial conduct? You are recognized, Representative?
  • And so to try and address that, we wanted to make sure that there were definitions of good conduct as
  • to how if you were to show up, ...there were definitions of good conduct as to how if you were to show
  • Your bill specifically as it pertains to adversarial conduct only discusses adversarial conduct on behalf
  • Does your bill contemplate adversarial conduct on behalf of an insurance company and preventing conduct
Summary: The committee met with a quorum and heard several insurance- and trust-related bills. CS/HB 265, relating to post-judgment execution proceedings involving terrorism, was presented as a measure to help victims enforce long-standing judgments against terrorist assets; it received no opposition in testimony and was reported favorably. CS/HB 1173, concerning the Florida Trust Code, clarified that the Florida Attorney General is the only public official with standing to enforce charitable trusts administered in Florida; members discussed that it was intended to resolve ambiguity identified by a court decision, and it also passed favorably. The committee then took up PCS/HB 643 on residual market insurers. The bill would remove the “diligent effort” requirement for surplus lines placements, revise surplus lines eligibility, and let Citizens policyholders elect arbitration through DOAH or the courts at renewal or issuance. The sponsor argued the changes would reduce red tape and give consumers more options, while an opponent from the Florida Justice Association warned that removing diligent-search protections could push more policyholders into higher-cost, less-regulated surplus lines coverage and that arbitration could favor insurers. Committee members raised concerns about the lack of premium credits for arbitration, the effect on Citizens, and the loss of consumer protections, but the bill was reported favorably. Finally, PCS/HB 1047 on insurance regulation generated extensive debate. The bill would reduce pre-licensure hours for general lines agents from 200 to 60, clarify restrictions on public adjuster conduct, require claims-handling manuals only for active residential property insurers, and define “sufficient evidence” for bad-faith claims with examples and a 10-day objection/response process. Supporters said it would streamline claims handling and clarify timelines; opponents and several members argued it could burden policyholders, especially after disasters, and might make it easier for insurers to delay or deny claims. There was also concern about the reduced training hours for new agents and the lack of detail on what constitutes sufficient evidence or a specific objection. After a divided debate, the bill was reported favorably by a 12-6 vote. The meeting then adjourned.
MN

Minnesota 2025-2026 Regular Session

House Public Safety Finance and Policy Committee 3/24/26 - Part 1

Public Safety Finance and Policy

Transcript Highlights:
  • <00:20:36.840> that<00:20:36.960> has this bill criminalizes conduct that has this
  • bill criminalizes conduct that has historically<00:20:37.680> been<00:20:37.920> lawful.
  • , expectations that we have for conduct, expectations that we have for conduct, and<00:39:57.240>
  • right, we will not solve all bad conduct right, we will not solve all bad conduct of<00:42:54.800
  • Thank you, Madam Chair. expectations for conduct for people who expectations for conduct for people who
NH

New Hampshire 2025 Regular Session

Fiscal Committee (04/18/2025)

Transcript Highlights:
  • That is really their position. been conducted. Uh candidly we uh have been conducted.
  • <00:12:25.360> a equipment allows us to conduct a equipment allows us to conduct a significant
  • I move to to have the LBA conduct agree.
  • So that audit is conducted in accordance with the federal uniform grant guidance standards.
  • > accordance<00:57:29.200> with audit is conducted in accordance with audit is conducted
Keywords: 928, house, all
Summary: The committee first approved the March 21 minutes and then took up a consent calendar, withdrawing several items before adopting the remainder. It also moved item FIS 25103 to the table by a 6-4 vote after Senator Gray argued the Executive Council had not yet acted on a prior $5 million approval and that the committee should avoid adding to the rainy day fund draw. The committee then approved item 25106 for the Department of Natural and Cultural Resources/State Library after hearing that the department expected about a $400,000 lapse to return to the state. A major discussion centered on New Hampshire Police Standards and Training (item 2577). Senator Gray questioned whether a proposed equipment purchase could be delayed to the next biennium in light of the state’s deficit and rainy day fund use. The agency said the equipment was needed now for scenario training, vendors had already been identified, and delaying would likely increase costs and force continued reliance on unpaid volunteer help. The committee ultimately approved the item. The committee also approved Department of Energy item 2587 after hearing that federal weatherization funds are drawn down on a reimbursement basis, and item 2588 after similar testimony that weatherization work must be completed and inspected before reimbursement, limiting how quickly funds can be expended. Item 250094 had been withdrawn. Later, the committee discussed Senator Carson’s request for an LBA review of the YDC claims settlement fund, with members expressing concern about administrative costs, attorney fees, settlement-loan payoffs, and the need for more detailed reporting. The committee voted to direct LBA to conduct the audit described in Senator Carson’s memo, with the additional request that the review include the term over which attorney fees are paid. The meeting then moved on to an HHS staff item, where members began questioning the timing of dashboard data and reporting delays.
AL

Alabama 2026 1st Special Session

Alabama House State Government Committee Jan 14th, 2026

State Government

Transcript Highlights:
  • But before I illustrate those, I do want to make sure that you'll know that API conducted a statewide
  • <00:12:38.480> a you'll know that API conducted a you'll know that API conducted a statewide
  • He said the organization is a nonpartisan nonprofit that conducts research and disseminates research
  • research director at the Taxpayers Protection Alliance, a nonpartisan nonprofit institution that conducts
  • research and disseminates uh conducts research and disseminates research<00:19:01.840> on<00:
Bills: HB69, HB114, HB161
FL
Transcript Highlights:
  • We also conduct forensic interviews, and these are very structured, videotaped interviews with a trained
  • The child did participate in a forensic interview conducted by one of our trained interviewers in a safe
  • CPTs specifically provide medical expertise and conduct forensic interviews, fulfilling two critical
  • But I wanted to know how many CPIs do we have available statewide to conduct those investigations?
  • Are there exit interviews that are being conducted to gain this information?
Summary: The Children, Families, and Elder Affairs Committee held a panel discussion on Florida’s child protection teams (CPTs), child advocacy centers (CACs), and related state systems. Testimony came from the Department of Children and Families, the Department of Health, a local CAC director, the Florida Network of Children’s Advocacy Centers, a CPT medical lead, and a Jacksonville sheriff’s sergeant. Witnesses described how DCF investigations, CPT medical and forensic services, CAC multidisciplinary coordination, and law enforcement work together to assess abuse allegations, provide interviews and exams, and connect children and families to services. Several speakers highlighted telemedicine, co-location, and Jacksonville’s specialized investigative model as examples of stronger coordination. Committee members focused heavily on communication gaps, staffing shortages, and delays in forensic interviews and medical evaluations. Senators asked about implementation of Jordan’s Law, the timing of DCF and law enforcement notifications, whether law enforcement is always included in decisions about forensic interviews, and how quickly children are seen after a report. DCF and DOH representatives said referrals are generally made within 24 hours and that multidisciplinary staffings are used to share information, but law enforcement described cases where interviews were scheduled weeks out or reports arrived late, creating problems for probable cause and safety decisions. Members also raised concerns about turnover among CPIs and CPT staff, caseloads, and the need for more specialty providers. CAC representatives said the model reduces trauma by bringing services together in one place, but noted uneven access across the state, especially in rural areas and in counties without CACs. They said sustainable funding and workforce development are needed to maintain and expand services, and one speaker noted that some CACs have closed due to funding challenges. DCF said there are about 1,500 CPIs statewide and an average active caseload of about 12 per investigator, while CPTs serve roughly 22,000 to 23,000 children annually. The committee did not take any formal vote or action, but members requested follow-up information on staffing numbers, communication practices, CAC locations, and recommendations for statutory or budget changes. The meeting ended with adjournment.
FL

Florida 2026 Regular Session

Children, Families, and Elder Affairs Nov 4th, 2025

Children, Families, and Elder Affairs

Transcript Highlights:
  • CPTs specifically provide medical expertise and conduct forensic interviews, fulfilling two critical
  • Conduct forensic interviews, fulfilling two critical standards of the CAC model.
  • Was 134,184 cases statewide that you conducted investigations on? 131,484. Perfect. I got dyslexia.
  • But I wanted to know how many CPIs do we have available statewide to conduct those investigations?
  • Are there exit interviews that are being conducted to garner this information?
Summary: The Senate Committee on Children, Families, and Elder Affairs held a panel discussion on Florida’s child protection teams (CPTs), child advocacy centers (CACs), and the related roles of DCF, DOH, and law enforcement. Testimony from DCF, the Department of Health, a local CAC director, the Florida Network of Children’s Advocacy Centers, a Pinellas County CPT nurse practitioner, and a Jacksonville sheriff’s sergeant described how the system is intended to work: hotline reports are screened by DCF, mandatory referrals are sent to CPT, forensic interviews and medical exams are coordinated through CPT/CACs, and multidisciplinary teams share findings with law enforcement and prosecutors. Speakers emphasized the value of co-location, telemedicine, multidisciplinary staffings, and trauma-informed practices to reduce repeated interviews and improve child safety and case outcomes. Committee members focused heavily on communication breakdowns, staffing shortages, and delays in response times. Senators raised Jordan’s Law and asked what had been done to improve coordination among DCF, CPT, and law enforcement. Several members questioned whether the promised 24-hour response standard is being met in practice, citing reports of delayed referrals, delayed forensic interviews, and bottlenecks that can affect medical evaluations and criminal investigations. Law enforcement testimony from Jacksonville described cases where CPT interviews were scheduled one to two weeks out and reports were not received for weeks, while DCF acknowledged average CPI caseloads of about 12 investigations and turnover commonly occurring within 12 to 18 months. The panel also discussed access gaps and funding concerns. The Florida Network of CACs said Florida has 26 member centers, with some counties lacking CAC coverage and some centers having closed due to funding challenges. Speakers said CACs are voluntary but critical for integrated services, and that workforce shortages in medical and mental health providers limit expansion. DCF and DOH representatives said they would provide follow-up information on the number of CPT medical staff and other requested data. No bills were voted on; the meeting ended with committee members requesting additional information and recommendations for statutory and budgetary changes, and the committee adjourned.
HI
Transcript Highlights:
  • Um, is there currently a code of conduct that governs spectator attendance at these events?
  • Um, is there currently a code of conduct that governs spectator attendance at these events?
  • Um, is there currently a code of conduct that governs spectator attendance at these events?
  • Currently, a code of conduct that governs spectator attendance at these events?
  • <01:05:19.680> is the visitor visitors code of conduct is the visitor visitors code of conduct
Keywords: 910, house, all
Summary: The committee on Education heard testimony on HB 1895, which would add education-worker protections by expanding harassment-related offenses. The Department of Education, HSTA, HGA, and several school employees and principals testified in support, describing increased harassment and threats toward teachers and staff, especially since COVID, and saying the bill would help deter bad actors. The Office of the Public Defender opposed the measure, saying the language was vague and overbroad, could criminalize ordinary parental advocacy or speech, and might not survive constitutional scrutiny. In response to questions, the public defender said existing statutes already cover threatening or assaultive conduct against educational workers, while DOE representatives said the bill was aimed at excessive and repetitive disruptive behavior. No vote or final action was taken in the excerpt. The committee then took up HB 1592, concerning protections for educational workers and sports officials. DOE, the Charter School Commission, HGA, HSTA, school principals, athletic programs, and many individual testifiers supported the bill, with several describing threats, harassment, and aggressive behavior at schools and athletic events. One principal said he had repeatedly involved law enforcement after threats and incidents on campus, and a teacher testified about the need to keep school environments safe and orderly. The Office of the Public Defender again opposed the bill, arguing that current law already enhances penalties for assaults and terroristic threatening against educational workers and sports officials, and that new offenses would have little deterrent effect. Committee members questioned whether the bill should be a separate statute and how to distinguish passionate advocacy from harassment; DOE said the line was crossed when conduct became excessive and repetitive, while the public defender urged clearer drafting and more emphasis on prevention, education, security, and de-escalation. No vote or final action was announced in the excerpt.
WA
Transcript Highlights:
  • This performance audit was conducted solely and independently by the State Auditor's Office under the
  • Today, in conducting the meeting, what I'd love is...
  • Today, in conducting the meeting, what I'd like to do is, if members have a clarifying question during
  • We also conduct audits at OSPI each year because of them as a state agency.
  • I am the supervisor and program manager over the system auditors who conducted this audit.
Keywords: 904, all
Summary: The committee heard a State Auditor’s Office performance audit on OSPI’s school apportionment system, which distributes K-12 funding to districts. Auditors said the system and its underlying 2008-era infrastructure are outdated, unstable, inefficient, and at high risk of errors or failure. They also found weak controls over data input, documentation, oversight, and monitoring, with heavy reliance on a small number of staff and vendor knowledge. In limited testing of three districts, the system calculated 2023–24 funding correctly, but auditors identified small discrepancies between state budget inputs and underlying statutory language and said broader system risks remain unresolved. JLARC members asked about the scope of the district testing, whether smaller districts face greater risk, the meaning of the funding discrepancies, and whether the system could support a future change to a simpler per-student funding formula. Auditors said the discrepancies were small but could compound into millions statewide, and that the audit did not evaluate broader policy questions or alternative system owners. They recommended OSPI modernize or replace the system and address current control weaknesses while the new platform is developed. OSPI officials largely agreed that the current platform needs replacement and said a feasibility study completed in 2024 found the system at catastrophic risk of failure. They clarified that the Legislature had approved up to $16 million in the state IT pool for the project, but that funding is released through gated oversight and not all of it had yet been appropriated for the current biennium. OSPI disputed the auditor’s characterization of some rounding and budget-law issues, saying the calculations were consistent with agency rules and legislative inputs, and explained that some manual workarounds are used to handle newer statutory requirements. One member of the public testified in support of modernizing the system and strengthening controls. The committee then adjourned.
MN

Minnesota 2025 1st Special Session

House Human Services Finance and Policy Committee 1/16/25

Human Services Finance and Policy

Transcript Highlights:
  • payment again providing uh conducting payment again providing uh conducting provider<01:11:35.040
  • postp payment audits uh um conduct postp payment audits uh provider<01:11:53.639> audits DHS<
  • private Pro uh public um they conduct private Pro uh public program<01:12:12.760> recipient<01
  • <01:13:36.040> background programs DHS also conducts background programs DHS also conducts
  • <01:14:58.520> are disqualifying crimes and conduct are disqualifying crimes and conduct are
Keywords: 1183, house
Summary: The committee met for an introductory overview of its jurisdiction and staff roles. Nonpartisan House Research and House Fiscal staff explained that they draft bills and amendments, prepare bill summaries and background research, answer legal and fiscal questions, and help track revenue and budget effects. They also distributed a Budget Overview Brief intended to condense the larger budget materials into a more usable format for members. Staff then walked through the Human Services budget and the committee’s areas of responsibility. They described the department structure, noting that DHS oversees administration, compliance, rulemaking, and county support, and that the overall Human Services budget is large, with medical assistance as the dominant program. They also explained recent and upcoming reorganizations: many children and family-related functions are moving to the new Department of Children, Youth, and Families, Direct Care and Treatment is becoming its own agency, and some homelessness-related functions remain at DHS. Staff reviewed how the budget is organized by program and budget activity, the difference between direct appropriations and standing appropriations, and how forecasted programs and “tails” work in the budget process. The presentation also covered Medicaid financing and long-term care. Staff explained the federal-state FMAP match, including Minnesota’s current 51.16% federal match for most Medicaid spending, the CHIP match, and the 90% federal share for the expansion population. For long-term care, they outlined Medical Assistance services for elderly and disabled people, state-funded long-term care supports, and Board on Aging programs. They highlighted the personal care assistance program’s phaseout and replacement by Community First Services and Supports, and reviewed the five home- and community-based waivers. Members asked one question about refugee resettlement funding, specifically whether it covers flights; staff said they would need to follow up on the exact use of the federal funds. No bills were heard, and no formal votes or other committee actions were taken during this meeting.
MA
Transcript Highlights:
  • And we conduct research.
  • And again, in this center, we also conduct research, we provide training, we provide like TA, we In this
  • center, we also conduct research, we provide training, we provide TA.
  • We really wanted to conduct a study that centers the voices of Black, brown, and Indigenous women that
  • We're also conducting focus groups right now with self-direction professionals, so folks who provide
Keywords: 995, all
Summary: The Massachusetts Commission on the Status of Persons with Disabilities’ Long-Term Services and Supports and Health Equity Subcommittee met to hear a presentation from the Lurie Institute for Disability Policy at Brandeis University. Monica Mitra introduced the institute’s work on disability health equity and long-term services and supports, and staff described several research centers focused on community living policy, disability and pregnancy, and parents with disabilities. The presentation emphasized participatory research, accessible dissemination, and the connection between health equity and access to home- and community-based services. Joe Caldwell discussed the Community Living Policy Center’s work on Medicaid HCBS, the direct care workforce crisis, housing, and policy advocacy, including efforts related to the Money Follows the Person program and the Medicaid access rule’s interested parties advisory group. Sid Pickern highlighted a workforce study interviewing direct care workers, a forthcoming policy brief on the access rule, and housing research including Massachusetts’ Alternative Housing Voucher Program. Teresa Nguyen described the Community Living Equity Center’s focus on disparities in community living for people of color, especially a study on self-direction and community living outcomes, and asked for help recruiting participants. Lauren Bixby demonstrated the community living data dashboard, which compares adults who need LTSS with those receiving Medicaid LTSS using ACS and TMSIS data. She explained that the dashboard can be filtered by state and demographics, but noted major race and ethnicity data gaps for Massachusetts and other states. Commissioners praised the dashboard and the institute’s work, asked questions about data sources and the 1115 waiver, and discussed possible connections to the Health Equity Compact. No votes were taken; the meeting ended with an invitation for follow-up, including a forthcoming direct care workforce brief and the institute’s October 28 lecture.
FL

Florida 2026 Regular Session

Environment and Natural Resources Dec 2nd, 2025

Environment and Natural Resources

Transcript Highlights:
  • Park staff conduct burns on a regular basis, and it's important for our land management activities.
  • By maintaining these lines, they are able to safely conduct prescribed burns on over 1,100 acres.
  • This funding was used for fire line preparation and conducting prescribed fires across our state.
  • This funding was used for fire line preparation and conducting prescribed fires across our state.
  • Regional review teams conduct the reviews.
Summary: The Senate Committee on Environment and Natural Resources convened with a quorum present and took up SB 302 by Senator Garcia, which would promote nature-based solutions for coastal resilience. Garcia said the bill would direct DEP to adopt statewide guidelines, encourage local restoration projects through existing grant programs, streamline permitting for green and hybrid infrastructure, support workforce training, and require a study on flood-risk and insurance benefits. Senator Harrell asked about implementation, existing statutory authority, and possible fiscal impacts. The committee adopted an amendment clarifying that hybrid infrastructure need only combine green and gray elements, not prove superiority over either alone. The committee heard supportive testimony on SB 302 from Katie Bauman of Surfrider Foundation, who said nature-based approaches such as dunes, wetlands, and mangroves are cost-effective and protective, and several organizations waived in support, including the Environmental Defense Fund of Florida, the Florida Shore and Beach Preservation Association, and 1,000 Friends of Florida. Senator Harrell said she supported the concept but remained concerned about the breadth of rulemaking and the fiscal implications of workforce funding. After closing remarks from Garcia, the committee voted to report CS for SB 302 favorably. The remainder of the meeting consisted of informational presentations on land management. Brian Bradner of DEP reviewed Florida State Parks management, including prescribed fire, invasive species removal, hydrologic restoration, cultural resource preservation, visitor use, and budgeted land-management activities. Melissa Tucker of the Fish and Wildlife Conservation Commission described wildlife management areas, emphasizing habitat restoration, wildlife monitoring, ranch infrastructure, public access, and the economic value of the system. Rick Dolan of the Florida Forest Service outlined state forest management funded through a $20 million appropriation, including road and facility work, recreation upgrades, invasive species control, reforestation, habitat restoration, prescribed burning, and boundary marking. Senators praised the agencies’ work and noted the ongoing cost of managing state lands. The committee then adjourned without further action.
TX

Texas 89th 2nd C.S.

S/C on Juvenile Justice Apr 14th, 2025

S/C on Juvenile Justice

Transcript Highlights:
  • under current law, there's one very big connection between them, which is that juvenile delinquent conduct
  • Running away is a status offense, which, as you all know, is conduct that wouldn't be a crime for an
  • interact with folks in our criminal justice system, obviously ratchets up depending on the type of conduct
  • youth here, when we talk about right sizing, the way that they interact with our system, this is conduct
  • for that conduct, not transferred to an appropriate district court and must have been discharged from
LA

Louisiana 2026 Regular Session

Health and Welfare May 19th, 2026

Health and Welfare

Transcript Highlights:
  • that we will conduct. I mean, do you think it's substantial, a little bit?
  • The response continued that none of the cases rose to the level of criminal conduct.
  • The point was that it uses shorthand by referring to conduct already defined elsewhere in the law.
  • The point was that it is distinct from criminal conduct.
  • It was explained that the conduct may be the same conduct that would otherwise be criminal if the mens
KY

Kentucky 2026 Regular Session

Senate Legislative Session Day 60 (4-15-26) - Part 2

Kentucky Senate Floor Meeting

Transcript Highlights:
  • > to engage in protected speech and to engage in protected speech and expressive<01:15:10.040> conduct
  • Justice Thompson's intemperate remarks should be evaluated by the Judicial Conduct Commission and, upon
  • <02:18:55.360> to<02:18:55.519> conduct<02:18:55.920> the<02:18:56.000> rest
  • <02:18:56.280> of<02:18:56.320> the 7:45 p.m. to conduct the rest of the 7:45 p.m.
  • to conduct the rest of the business<02:18:56.800> for<02:18:56.960> the<02:18:57.080>
CA

California 2025-2026 Regular Session

Assembly Elections Committee Mar 26th, 2025

Elections

Transcript Highlights:
  • facilitate the committee's business and public participation in today's hearing, we will not permit conduct
  • that disrupts, disturbs, or otherwise impedes the orderly conduct of legislative proceedings.
  • centers and polling places provide election officials with adequate space and parking necessary to conduct
  • This bill would establish consequences to deter this type of conduct.
  • state method results, there is a strong implication that the Secretary of State could be required to conduct
Keywords: 988, house, all
KY

Kentucky 2026 Regular Session

Senate Legislative Session Day 53 (3-25-26)

Kentucky Senate Floor Meeting

Transcript Highlights:
  • defined as sexual misconduct and conduct subject to mandatory reporting.
  • if hired, or, if a current employee of the school district, requires any allegation of abusive conduct
  • defined as sexual misconduct and conduct defined as sexual misconduct and conduct<01:51:16.040> subject
  • conduct subject to mandatory reporting. conduct subject to mandatory reporting.
  • better to address this type of conduct. better to address this type of conduct.
Keywords: 958, all
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Monday, March 10, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • In fact, the United States conducts research, development, and test activities with Israel, who must
  • This bill requires the Administrator to conduct a feasibility study to address this issue.
  • This bill requires the Administrator to conduct a feasibility study to address this issue.
  • The first electronic vote will be conducted as a 15-minute vote.
  • BE CONDUCTED AS A 15-MINUTE VOTE.
KY
Transcript Highlights:
  • The Cabinet reviews all broker-required monthly reporting, conducts broker assessments, maintains and
  • They conduct random rider surveys and phone surveys and conduct coordinated transportation advisory committee
  • random rider surveys and met. conduct random rider surveys and phone<00:09:53.360> surveys<00
  • phone surveys and conduct a coordinated phone surveys and conduct a coordinated transportation<00
  • is conducted across the United States. is conducted across the United States.
Keywords: 958, all
Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys. The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis. Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.