Video & Transcript Research : 'rate deviations'
Page 113 of 500
AZ
Transcript Highlights:
- , but H.R. 1, for the specific emergency-only program, reduces the match rate to the regular rate, which
- Chandler, a 14% capitation rate increase — is that normal?
- You heard if the payment error rate is above 6%. You're at 9.
- Medicaid, it's a lower threshold, 3% for the Medicaid error rate.
- Of the value, the dollar value of our error rate?
Keywords:
physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC
Summary:
The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the scope of Alzheimer’s disease, the shortage of specialists, low rates of timely diagnosis, and the need for caregiver support and early intervention. Speakers emphasized that Arizona is a leader in Alzheimer’s research and that lifestyle changes, new therapies, and research funding offer hope, but only if patients are diagnosed earlier and providers are better trained.
The committee then heard House Bill 2202, which would appropriate $300,000 over three years for a dementia care telemonitoring/telementoring grant program through the Department of Health Services to help providers statewide learn best practices in dementia care. Supporters, including the Alzheimer’s Association, Dr. Danny Cabral, and a patient advocate, said the bill would address major gaps in provider training and improve early diagnosis and treatment. There was no opposition, and the committee voted 11-0 to give HB 2202 a do pass recommendation.
The committee next took up House Bill 2251, the “Jordan and MacTerry Act,” which would expand licensed midwives’ authority to administer certain medications, require liability insurance disclosure and reporting, and create an Arizona Midwifery Advisory Committee. Supporters said the bill would improve safety, oversight, and access to emergency medications in home births, while opponents from ACOG and the Arizona Osteopathic Medical Association raised concerns about the adequacy of oversight, the medication list, and whether eight hours of pharmacology training is sufficient. After testimony from midwives, physicians, and stakeholders, the bill was held for further stakeholder work and anticipated floor amendments. House Bill 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during transport if approved by medical direction, also drew support and opposition. Supporters argued it would preserve continuity of care in emergencies, while firefighters and EMS representatives objected to ambiguity and scene control concerns. That bill was likewise held for further stakeholder meetings. The committee then recessed and reconvened for later presentations on federal budget and health-related topics.
NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs (04/23/2025)
Transcript Highlights:
- not have to charge that negotiated rate not have to charge that negotiated rate and<01:50:09.600
- Um, well, the rate, I believe it was Senator Great said, the rate that we're doing it.
- pay uh yes we pay rates to be a member. pay uh yes we pay rates to be a member.
- rate of 8.5%. 8.5%. 8.5%.
- doing dealing with a 39% rate increase. doing dealing with a 39% rate increase.
Summary:
The committee first heard Senate Bill 47, sponsored by Sen. Regina Birdsell at the request of the Insurance Department. The bill would codify the department’s interpretation that a birth mother’s health insurance is the primary coverage for a newborn, unless the mother has no insurance or coverage under an employer-sponsored plan. Birdsell and Insurance Commissioner DJ Benton Court said the measure is a clarification of existing practice and intended to protect vulnerable newborns; a question from Rep. Miles clarified that if a young woman is on her parents’ policy, the newborn would generally be covered under that family coverage. The hearing on SB 47 was then closed.
The committee then took up Senate Bill 121, introduced by Grant Bosi for Sen. Kevin Avard, which would require insurers to notify the Insurance Department when they stop writing an entire line of business or, in some cases, Medicare Advantage plans. Commissioner Benton Court said the bill arose from disruption in the Medicare Advantage market, where consumers, brokers, and the department were confused by carriers changing or ending offerings; he said the department wanted a simple notification requirement so it could better advise consumers. Members discussed network adequacy, county-based service areas, and the fact that the bill would make notice a condition of licensure, with possible fines or license action for noncompliance. Witness Paula Rogers of AHIP said her group supported the bill if amended, and the department indicated it would support a change from a 120-day notice period to 90 days to align with state rules; the committee planned to work on an amendment in subcommittee.
Finally, the committee heard Senate Bill 247, introduced by Rep. Brian Cole, which would prohibit network exclusion of pharmacies that refuse to dispense prescriptions when PBM reimbursement is below acquisition cost. Cole argued the bill is meant to stop pharmacies from being forced to sell drugs at a loss, describing PBMs as middlemen and saying the measure is a compromise that protects local pharmacies. Members questioned whether consumers would pay more and whether pharmacies voluntarily enter PBM contracts; Cole responded that the bill would let pharmacies refuse unprofitable fills while consumers could still obtain the drug through mail order or other channels. He also said the issue has changed over time because the practice now affects a much larger share of generics and is concentrated among a few PBMs. The hearing remained open as questions continued, with no vote taken in the excerpt.
ND
North Dakota 2025-2026 Regular Session
Energy Development and Transmission Committee Jul 22nd, 2026
Transcript Highlights:
- At the rate that we mine between 25 million tons...
- It was around a 3% forced outage rate for both those years.
- And a big part of that is our rate case.
- I saw a rate increase relative... Base rates for all the consumers in the end-use system.
- That's going to impact rates, I believe, 14 or 15% now on the base rate to your consumers versus just
Summary:
The committee met at the Coteau Freedom Mine in Mercer County, approved the June 2 minutes, and heard an overview of the mine from Coteau Properties president Andrew Hawbaker. He described the Freedom Mine as the largest lignite mine in the United States, supplying coal to Dakota Gasification, Antelope Valley Station, and Leland Olds Station. He emphasized the mine’s scale, safety record, reclamation work, workforce needs, community involvement, and economic impact, including payroll, taxes, royalties, scholarships, and local hiring. Members asked about how long land stays in production, how quickly it returns to agriculture after reclamation, labor shortages, and how mining affects groundwater and water wells. Hawbaker said most tracts are mined for about three to five years, reclamation is coordinated with landowners, and the company continues to struggle to find electricians, welders, mechanics, operators, and engineers.
The committee then heard from Public Service Commission Chairman Randy Christman on coal mining reclamation and permitting. He reviewed North Dakota’s coal mining history, the state’s reclamation laws, federal Surface Mining Control and Reclamation Act primacy, bonding, permit renewals and revisions, prohibited mining areas, inspection and enforcement, and contemporaneous reclamation requirements. Christman stressed that North Dakota’s program is professional and thorough, with frequent inspections, financial assurance, and a 10-year revegetation monitoring period before bond release. He also discussed federal coal ownership issues that can delay mine plans, the treatment of prime farmland, and how reclamation differs for wind and pipelines. In response to questions, he said one challenge is sometimes releasing land too soon before long-term compaction issues are fully understood, and he noted that data centers do not currently have a comparable reclamation model because they typically own the land.
In the afternoon, the committee received an update from Lignite Energy Council president Jonathan Fortner on the lignite industry. He said North Dakota’s lignite sector supports five commercial power plants, four mines, about 12,000 direct and indirect jobs, and more than $5.5 billion in economic activity, while helping keep the state’s electricity rates among the lowest in the nation. Fortner reviewed coal severance and conversion tax revenues, the lignite research fund, federal regulatory rollbacks, carbon capture policy, and the industry’s legal costs fighting federal rules. He also highlighted a study on large-load development, saying new data centers and critical mineral processing facilities could create major local tax revenue and help justify new baseload generation. Members asked whether new gas pipelines would crowd out coal plant development and whether the economic study included jobs and broader local impacts; Fortner said the industry sees room for both and that the study did include construction, operations, jobs, and tax effects.
HI
Transcript Highlights:
- That was really where the peak of the market was, as far as rates.
- Prior to August 8th, Hawaiian Electric's credit rating was as high as A minus.
- So, you know, that's why it's so urgent that we get some support to improve the credit rating.
- So, you know, that's why it's so urgent that we get some support to improve the credit rating.
- improve the credit rating. Yeah. improve the credit rating. Yeah.
AZ
Transcript Highlights:
- Our error rate is an unacceptable 8.something percent. That's disgraceful.
- and then penalizes the department for a failure to lower this error rate.
- The department publishes an error rate that is called an error rate, but it is essentially an accounting
- That is called an error rate, but it is essentially an accounting discrepancy.
- , an error rate at which no state in the country has been able to meet.
Summary:
The Senate opened with prayers, the Pledge of Allegiance, a journal approval, and a series of guest introductions recognizing groups at the Capitol for Environmental Day, Women’s and Reproductive Health Day, Arizona Nurses Day, Aerospace Day, and International Mother Language Day, along with a Doctor of the Day and a judicial proclamation honoring Justice Daphne Barak-Erez. The chamber also made temporary committee appointments and referred several bills between committees before moving into Committee of the Whole and later third reading votes.
The main floor action centered on several SNAP-related bills. SB 1002, dealing with public assistance verification, passed the Committee of the Whole after a Kavanagh floor amendment and then passed third reading 17-9-13, with supporters saying it targets fraud and lowers error rates and opponents arguing it duplicates existing checks, adds bureaucracy, and could harm eligible families. SB 1331, on SNAP military employment and training, SB 1333, on SNAP error-rate audit and penalties, SB 1334, on SNAP work requirement waivers and exemptions, and SB 1368, on SNAP purchase restrictions, all advanced from Committee of the Whole and then passed third reading by the same 17-13 margin, with Democrats and some others warning they would increase hunger, burden rural and tribal communities, and restrict access, while supporters said they promote work, accountability, and healthier choices.
The Senate also considered SB 1638, a tax conformity bill. A Sundareshan floor amendment to narrow the bill to standard deduction conformity was debated at length, with supporters saying it would protect most taxpayers from filing confusion and limit revenue loss, and opponents arguing it removed other agreed-upon tax provisions and still left uncertainty. The amendment failed 17-13, the Finance Committee amendment was adopted, and SB 1638 then passed as amended. Finally, SCR 1011, a concurrent resolution calling for a federal constitutional convention on congressional term limits, received a do pass recommendation and passed the Committee of the Whole.
MN
Transcript Highlights:
- <00:43:31.760>
framework the same full rate framework the same full rate framework additionally - In 2021, the ratio of the old rates versus the new rates were altered, resulting in increased rates.
- In 2021, the ratio of the old rates versus the new rates were altered, resulting in increased rates.
- In 2021, the ratio of the old rates versus the new rates were altered, resulting in increased rates.
- In 2021, the ratio of the old rates versus the new rates were altered, resulting in increased rates.
MO
Transcript Highlights:
- Curious about some of the things you said around the fraud rate.
- So if the BBB is asking us to reduce the fraud rate by 6%, what is our current fraud rate in Missouri
- Curious about some of the things you said around the fraud rate.
- So if the BBB is asking us to reduce the fraud rate by 6%, what is our current fraud rate in Missouri
- It's not the fraud rate. It is the error rate.
MN
Minnesota 2025 1st Special Session
Task Force on Homeowners and Commercial Property Insurance 10/1/25
Minnesota House Floor Meeting
Transcript Highlights:
- We don't negotiate rates, but we do review rates in a different way. >> Yeah.
- We don't negotiate rates, but we do review rates in a different way. >> Yeah.
- We don't negotiate rates, but we do review rates in a different way. >> Yeah.
- review rates negotiate rates, but we do review rates in<01:09:13.040>
a <01:09:13.199>different - negotiate rates we are reviewing rates negotiate rates we are reviewing rates for for for >>
MA
Massachusetts 2025-2026 Regular Session
Future of Payments and Sales Transactions by Credit Card and the Impacts for Small Businesses Jun 21st, 2026 at 12:00 pm
Transcript Highlights:
- The banks can just set their own fee rates.
- Merchants actually pay higher rates between ...of small businesses.
- You have sales tax on X and meals at a different rate than you do on a hammer.
- But you're tracking billions of customers with billions of different interest rates.
- Now, of course, that is different than interest rates.
Summary:
The Special Legislative Commission on the Future of Payments and Sales Transactions by Credit Card and the Impacts for Small Businesses held a public hearing focused on interchange fees, sales tax and tip processing, chargebacks, fraud, surcharging, and the broader future of payment systems. Chair Paul Feeney and co-chair Rep. Jamie Murphy opened by explaining the commission’s charge and inviting testimony from small businesses, industry groups, banks, and policy experts. Representative Sean Garballey testified first, arguing that Massachusetts tourism depends on universal card acceptance and stable interchange, and urging the commission not to disrupt the current system ahead of major events expected to bring millions of visitors to the Commonwealth.
A large portion of the hearing featured independent restaurant owners and advocates describing thin margins and the burden of paying percentage-based processing fees on sales tax and tips that are not business revenue. Jen Ziskin, Kristen Canty, Nancy Cushman, Kerry Colzer, and others said restaurants often operate on very small profits and that processing fees on taxes and gratuities can amount to tens or hundreds of thousands of dollars annually. Ryan Lotz also urged reforms to chargebacks, including refunding chargeback fees when merchants prevail, requiring consumers to contact businesses before disputing charges, and limiting repeat abuse. Commission members pressed witnesses on whether tax and tip amounts could be separated at the point of sale, and several witnesses said current consumer card systems do not transmit that level of detail.
Testimony from credit union, banking, and payments representatives largely opposed state-level changes that would carve out taxes or tips from interchange, warning of compliance burdens, higher costs, reduced rewards, and possible effects on fraud protection and access to credit. Alex Verine of America’s Credit Unions and Deb Peters and Keely McEwen of the Electronic Payments Coalition said the payment system is complex, that interchange funds fraud prevention and network infrastructure, and that new state mandates could create operational and legal uncertainty. Dan Swanson argued states have authority to act and pointed to Illinois litigation and federal court rulings, while Julian Morris and Brad Popolado emphasized the benefits of card acceptance, the decline of cash, and the need to consider other payment methods and check fraud as well. Several witnesses discussed international payment systems, instant payments, and QR standards as possible future directions.
The chairs and members engaged in extended back-and-forth with witnesses about whether Massachusetts could exempt sales tax from swipe fees, whether surcharging should be revisited, and whether vendor compensation or other targeted relief might be more workable than broad changes to interchange. No votes were taken. At the close of the hearing, the chairs said the commission would hold one additional public hearing date to be determined, after which members would begin developing next steps and a report.
WA
Washington 2025-2026 Regular Session
Joint Select Committee on Health Care and Behavioral Health Oversight Dec 3rd, 2025
Joint Select Committee on Health Care and Behavioral Health Oversight
Transcript Highlights:
- their rate because of concerns about market instability.
- And so, in all honesty, I'm almost more nervous about '27 rates than about '26 rates.
- their rate because of concerns about market instability.
- And so in all honesty, I'm almost more nervous about 27 rates than about 26 rates. and 27 rates, than
- about 26 rates.
Summary:
The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners.
The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings.
The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps.
In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.
MS
Mississippi 2026 Regular Session
MS Senate Floor - 24 March, 2026; 10:00 AM
Mississippi Senate Floor Meeting
Transcript Highlights:
- . agreed upon 1% monthly interest rate.
- Notably, without striking the word "monthly," the language would have resulted in a 12% interest rate
- And further that that bill contain a 1% per year interest rate.
- per year interest rate. per year interest rate.
- until such time as they interest rate until such time as they get<00:19:43.240>
reimbursed <00
Summary:
The Senate convened with a quorum present, opened with an invocation and the Pledge of Allegiance, and then dispensed with the reading of the journal and committee report titles. The main business was a lengthy exchange over Senate Bill 2632, the local governments disaster recovery emergency loan program bill. The governor’s veto message argued that the enrolled bill had been materially altered after conference adoption, specifically over the interest-rate language, and called for an investigation. Senate leaders responded that the veto message was inaccurate, saying the word “monthly” had been removed earlier by unanimous consent to avoid an unintended 12% rate and that the bill was intended to provide disaster relief financing for local governments affected by Winter Storm Erin. Senators McCaughn and others defended the process, criticized the governor’s accusations as false and offensive, and emphasized that the legislation was meant to help struggling cities and counties with no interest until FEMA reimbursement, followed by a 1% rate.
After the veto discussion, Senator McCaughn moved to refer the bill back to the committee from which it began, and the motion carried. The Senate then moved through routine business, including introductions and recognition of guests. Visitors included the Mississippi Farm Bureau Federation Peanut Committee, the Mississippi School for the Deaf and Blind, the doctor of the day, and an NCSL representative, along with a National Ag Day milking champions presentation and a large group of junior pages.
The chamber also honored the Starkville Oktibbeha County School District’s varsity boys and girls basketball teams. Senate Resolutions 64 and 65 were called up to commend the Starkville High School girls and boys teams for winning the 2026 Class 7A state championships, and both coaches addressed the Senate briefly to thank members for the recognition.
HI
Hawaii 2025 Regular Session
HHS-HRE, HHS-EDT, HHS Public Hearings 03-19-2025
Health and Human Services
Transcript Highlights:
- and 75% employment rate.
- and 75% employment rate.
- and 75% employment rate.
- and 75% employment rate.
- a 98% completion rate and 75% employment<01:00:41.200>
rate.
Summary:
The joint Health, Human Services, and Higher Education hearing took up HB 441 HD2, a measure to increase cigarette taxes and dedicate the revenue to the University of Hawaii Cancer Center. The Department of Taxation said it had no substantive objection but requested an effective date of January 1, 2026 if tax rates change so it can order new stamps. The Department of Health, the Deputy Attorney General/tobacco enforcement, the University of Hawaii Cancer Center, the Hawaii Public Health Institute, the American Cancer Society, the Hawaii Medical Association, and several other health organizations and youth advocates supported the bill, arguing that higher cigarette prices reduce youth initiation, encourage cessation, and help fund cancer research and care. Several supporters asked for a larger increase, including at least $1 per pack, while opponents from retail, wholesale, and tobacco-related groups argued the tax would be regressive, burden low-income smokers, and drive sales to the illicit market. The Tax Foundation and other opponents also criticized reliance on sin taxes and said smoking rates are already at historic lows.
After testimony and questions, members discussed how the revenue should be used and whether higher taxes change smoker behavior or push people toward vaping or other alternatives. The chairs announced they would pass HB 441 HD2 with amendments, replacing the contents with SB 528 SD1 except for changes reflecting the Department of Taxation’s request and a provision directing all proceeds from the tax increase to the Hawaii Cancer Center’s debt reduction, with an effective date of December 31, 2025. The House Health, Human Services, and Higher Education committees then voted to adopt the recommendation; the Health, Human Services committee vote was adopted with Chair and several members voting aye and one member voting no in the Higher Education committee vote.
The hearing also briefly covered HB 1334 on meat donation, which drew support from the Department of Agriculture, Hawaii Farm Bureau, food industry, and community groups, though no action was taken in the excerpt. The committee then heard HB 1098 on crimes against protective services workers. The Honolulu Prosecutor’s Office and Honolulu Police Department supported the bill, saying assaults on protective services workers can have chilling effects and deserve stronger deterrence; a committee question raised whether the bill should instead be part of a broader, more proactive approach to assault statutes. The Department of Human Services also described safety steps such as panic buttons and phone apps for social workers. The excerpt ends before any final vote on HB 1098.
NH
New Hampshire 2025 Regular Session
House Science, Technology and Energy (04/21/2025)
Science, Technology and Energy
Transcript Highlights:
- rate setting, the rate is set in no rate setting, the rate is set in statute<00:13:36.240>
and - energy service rate was uh 22.6 6 cents. energy service rate was uh 22.6 6 cents.
- other rate payers, we'd look pretty bad. other rate payers, we'd look pretty bad.
- There's no rates in here. All right. There's no rates in this<02:14:47.040>
bill. - generators and not by the rate payers. generators and not by the rate payers.
NH
New Hampshire 2025 Regular Session
House Education Funding (01/30/2025)
Transcript Highlights:
- rate was closer to 66 or 67%.
- goes on to the tax rate goes on to the tax rate simply<04:28:43.760>
no <04:28:43.960> - local education portion of the tax rate local education portion of the tax rate so<04:29:58.960>
- valuations also because swept tax rates valuations also because swept tax rates are<04:39:30.240
- <04:39:40.798>
is <04:39:41.040>not rate is not rate is not uniformed<04:39:43.240>
Summary:
The hearing focused on HB 563, which would revise the education funding formula for pupils receiving special education services by replacing the current single special education amount with three differentiated categories. Representative Rick Ladd, the prime sponsor, said the bill largely tracks a House-passed version from the prior session with minor figure adjustments, and explained that the proposal uses projected FY26 amounts for three categories based on time in general education versus more intensive placements. He also noted that the bill does not address catastrophic aid directly, but that special education aid, CAT aid, and proration all remain issues for later work sessions.
Ladd and supporters argued that weighted categories better reflect actual costs and are more sustainable than treating all IEPs the same. Representative Margaret Drye said the approach was one of the best ideas from the education funding subcommittee and urged the committee to support differentiated aid. Representative Ames asked how the category amounts were derived, and Ladd said Category A follows the FY26 base, Category B is a higher weight, and Category C is a still higher weight for more intensive services, though he acknowledged the exact multipliers were developed earlier and could be revisited. He also said the committee would continue discussing whether the weights are appropriate and how they interact with CAT aid.
Testimony from Bonnie Dunham strongly opposed the bill. She argued that funding based on placement rather than actual service need would create incentives to move students into more restrictive settings, could stigmatize children with labels such as "Category C," and would undermine the least restrictive environment requirements under federal special education law. She described her son’s experience in inclusive settings as beneficial and said the bill would have penalized the district for serving him there. In response to questions, she said schools and parents should base funding on the child’s actual needs and costs, not on placement, and urged the committee to recommend the bill inexpedient to legislate.
MA
Massachusetts 2025-2026 Regular Session
Senate Session (Full Formal with Calendar) Jun 21st, 2026 at 11:00 am
Massachusetts Senate Floor Meeting
Transcript Highlights:
- Graduation rates, incarceration rates, employment opportunities, Incarceration rates, employment opportunities
- the rate should be set.
- how, where the rate should be set.
- And so we, we're, we're, where the rate should be set.
- It sets the rate of commercial pay for primary care at that PPS rate. That's what it does.
Summary:
The Senate considered a series of amendments to a primary care health care bill and also took up a separate literacy bill. Several amendments were withdrawn, including one on artificial intelligence in health care and others related to cost controls, direct primary care, and provider studies. The Senate adopted amendments on preserving access to treatment for serious mental illness, modernizing the definition of primary care, clarifying payment rates for community health centers, excluding pharmaceutical spending from primary care expenditure calculations, and strengthening health equity reporting. Other amendments on rate bands, alternative payment systems, private equity reporting, scope of practice, and ownership disclosure were rejected. The Senate then approved the Ways and Means amendment and ordered the primary care bill to a third reading.
The chamber also took up final passage of An Act Relative to Teachers Preparation and Student Literacy, with senators describing it as a long-awaited compromise focused on improving early reading outcomes. Supporters said the bill requires evidence-based K-3 literacy curricula, regular student screening and family notification, dyslexia screening protocols, professional development for teachers, and a free state-developed curriculum option. Senators emphasized the need to address declining third-grade reading proficiency and equity gaps. The bill passed to be enacted by a unanimous roll call and was sent to the Governor.
After the literacy bill, the Senate returned to the primary care bill, where senators again debated cost containment, innovation, and access. The final version included the adopted amendments and was passed to be engrossed by a roll call vote of 35-4. The Senate then adopted an adjournment order and recessed, adjourning in memory of Henry Thomas III, former Representative Ben Swan, and Mr. Dennis Frane.
MN
Transcript Highlights:
- And overall, the real estate taxes generated, even at the lower tax rate, the housing tax rate, will
- ,<00:32:49.200>
will <00:32:49.440>be tax rate, the housing tax rate, will be tax rate - Sherman, about taking a property that is taxed at the commercial rate down to a lower rate because it's
- So yes, the tax rate is previously.
- <01:33:43.679>
through operating referendum tax rates through operating referendum tax rates
FL
Florida 2026 Regular Session
FL House Floor Session - 2026-05-29 (9:00AM Session)
Florida House Floor Meeting
FL
Florida 2026 5th Special Session
FL House Floor Session - 2026-05-29 (10:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- At last check, we had a 15% error rate.
- At last check, we had a 15% error rate.
- And we are an embarrassing outlier with an error rate at 15%.
- Because previously we did not have this very high error rate.
- Do we know why our error rate spiked over the last four years?
Summary:
The House convened with prayer, a moment of silence for former Senator Donnell C. Childers, the Pledge of Allegiance, and recognition of Officer Antonio Richardson as law enforcement officer of the day. A quorum was announced, the journal was approved, and the Speaker said the chamber would take up 11 budget conference reports, with debate and final votes on each report. The first report considered was HB 7031E, the tax package, followed by HB 501E, the state budget appropriations bill.
On HB 7031E, Chair Duggan explained that the conference report included a range of tax reductions and tax-related changes, including sales tax holidays, property tax and homestead-related provisions, reductions in certain taxes and fees, and new exemptions or administrative clarifications. He said the package also added items such as sales tax relief for certain university construction projects, a tennis admissions exemption, and changes to agricultural property tax treatment, and that the amendment reduced state and local tax revenues by $272.2 million. Members questioned the bill about the child care tax credit reduction from three years to one, the homestead exemption provision for certain diplomats and foreign service personnel, the absence of gas tax relief and combined reporting, and the inclusion of firearm accessories and tennis tickets in sales tax holidays. After structured debate, the House adopted the conference report and passed HB 7031E by a vote of 88-11.
The House then began the conference report on HB 501E, the $114.5 billion budget for fiscal year 2026-2027, which was described as below the prior year’s spending level and leaving more than $14 billion in reserves. Subcommittee chairs outlined major allocations across education, higher education, IT, health care, transportation and economic development, justice, state administration, and agriculture/natural resources. Highlights included increased FEFP funding and veteran teacher raises, full funding for Bright Futures, major IT modernization projects, Medicaid and behavioral health funding, transportation and local infrastructure spending, correctional and law enforcement investments, fire station and emergency response funding, and large environmental and water-quality appropriations. Members asked detailed questions about school voucher fraud oversight, scholarship funding, teacher raises, preeminence funding, ADAP changes, SNAP data tools and error rates, Medicaid rate changes, prison wastewater monitoring, and other budget items, but the transcript ends during the budget questions before final action on HB 501E is shown.
MN
Minnesota 2025-2026 Regular Session
House Floor Session - part 2 May 12th, 2025
Minnesota House Floor Meeting
Transcript Highlights:
- , and how to get payment rates really fair.
- So my amendment takes care of that by channeling all these extra costs back into the rates to raise rates
- because the underlying law does bring the rates back to the fee-for-service rates, and that is a concern
- But if the rates don't get established in law in two more years, then the rates are at the fee-for-service
- rates.
TX
Transcript Highlights:
- Lactation consultant services do not just increase breastfeeding rates.
- As mentioned before, the rates of breastfeeding...
- The ability to get a reasonable in-network contracted rate.
- that is no lower than 95% of the state-determined rate.
- Generally, we are always opposed. for service rates.
Keywords:
Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening
Summary:
The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending.
The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending.
The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending.
Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.