Video & Transcript Research : 'rate deviations'
Page 115 of 500
MN
Transcript Highlights:
- and the adjusted rate?
- The rate is $45, but the adjusted rate is 67.50? What, over overtime? I didn't mean to answer it.
- and the adjusted rate?
- The rate is $45, but the adjusted rate is 67.50? What, over overtime? I didn't mean to answer it.
- <00:10:43.000>
so rate is actually the overhead rate so rate is actually the overhead rate
MN
Minnesota 2025-2026 Regular Session
How will federal law affect Medicaid in Minnesota? 2/24/26
Minnesota House Floor Meeting
Transcript Highlights:
- corresponding rate increase if approved. corresponding rate increase if approved.
- providers are taxed at a higher rate providers are taxed at a higher rate than<00:28:19.279>
- Um this healthcare rate increases.
- <00:29:32.399>
in up to the average commercial rate. in up to the average commercial rate. - match rate, which is just over 50%. match rate, which is just over 50%.
Summary:
The Department of Human Services briefed the committee on how the federal HR1 law will affect Minnesota Medicaid and related programs. Budget Director Elise Bailey said the 900-page bill makes sweeping changes that will reduce coverage, increase administrative complexity for counties and tribal governments, raise uncompensated care for providers, and reduce federal funding. She reviewed current Medicaid spending and enrollment, emphasizing that the largest impacts will fall on the adult expansion group (adults ages 21-64 without children), which currently receives a 90% federal match.
Bailey walked through several major provisions: work and community engagement requirements for the adult expansion group beginning January 1, 2027; six-month renewals for that same group; shorter retroactive coverage periods; new cost-sharing requirements for expansion enrollees above 100% of poverty; narrower Medicaid eligibility for certain lawful noncitizens; limits on provider taxes and state-directed payments; a reduced federal match for emergency medical assistance; and tighter federal rules on payment error penalties. She said many provisions require state law changes and additional federal guidance, and she cited research from Georgia suggesting work requirements increased administrative burden and caused coverage losses without increasing employment.
The department estimated fiscal effects including reduced Medicaid spending in some areas but higher state costs in others, such as MinnesotaCare, emergency medical assistance, administrative systems, and provider uncompensated care. Bailey said the immigration-status changes would shift some people from Medical Assistance to MinnesotaCare, and that provider-tax and state-directed-payment changes could reduce future funding to hospitals and other providers. No votes or formal committee actions were taken in the portion provided; the presentation was informational and the department indicated it would return with proposed state-law language as needed.
NH
New Hampshire 2025 Regular Session
House Finance Division III (03/05/2025)
Transcript Highlights:
- <00:27:54.399>
and Met um partially into rates and Met um partially into rates and partially - directed payments and uh payment rates directed payments and uh payment rates is<00:37:12.839>
- under um the the enhanced payment rates under um the the enhanced payment rates and<00:37:32.359
- voluntary because our capitation rates voluntary because our capitation rates already<01:38:35.920
- years in terms of their uninsurance rate years in terms of their uninsurance rate um<02:07:24.239
Summary:
The House Finance Division 3 work session continued its review of the Department of Health and Human Services’ Medicaid budget and related policy issues, with CFO Nathan White and Medicaid Director Henry Litman presenting updated materials. The discussion focused on a crosswalk between the adjusted FY 2025 Medicaid budget and the governor’s FY 2026 recommendation, plus handouts showing service additions, eligibility changes, dental rates, and other Medicaid changes since 2019. The department also said it would provide a clearer breakdown of the pharmacy cost-sharing item by general, federal, and other funds.
Members asked detailed questions about the Medicaid enhancement tax, the 80% plan, and how funds are allocated between hospital payments, directed payments, and DSH uncompensated care. The department explained that the MET is being used more toward rates and directed payments to better align with federal matching rules, while DSH remains important for uncompensated care. They also noted that a pending Senate Bill 249 would keep the 80% structure and move to Senate Finance. On the trigger law, the department identified the governing provision as Chapter 342:12, Laws of 2018, and explained that if the federal match for Medicaid expansion falls below 90%, the state must notify legislative leaders and participants and the program would sunset after 180 days unless the legislature acts.
The committee also reviewed current Medicaid expansion enrollment and program trends. Officials said enrollment was just under 59,000 as of March 3, with about 87,000 people enrolled over the past year and more than a quarter-million residents having used the program over its lifetime. They said enrollment has fallen from a post-pandemic high of nearly 97,000 and may eventually settle in the low 50,000s. Finally, the department discussed federal DSH funding risk, saying New Hampshire could face a significant reduction if Congress does not extend current protections, which is part of why the state has shifted more funding toward payment rates and directed payments.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 02/20/25
Health and Human Services
Transcript Highlights:
- <00:25:01.120>
of while Minnesota has lower rates of while Minnesota has lower rates of pregnancy - <00:27:17.279>
of <00:27:17.440>pre-term highest rates of pre-term highest rates of - <00:47:56.040>
of <00:47:56.359>disparity <00:47:56.839>I rates of disparity I rates - <00:54:23.559>
and because of poor reimbursement rates and because of poor reimbursement rates - "I believe it's an incidence rate, but I will let Dr. Chef answer it." "Dr.
NH
New Hampshire 2025 Regular Session
House Criminal Justice and Public Safety (01/15/2025)
Criminal Justice and Public Safety
Transcript Highlights:
- We're back to that normative departure rate at retirement and the same separation rate when people self-select
- Illustrated us having a really high rate Illustrated us having a really high rate of<00:44:26.520
- back to that normative uh departure rate back to that normative uh departure rate at<00:47:03.240
- <00:50:47.720>
of have a high prevalence rate of have a high prevalence rate of individuals - <01:31:27.679>
are even those rates are even those rates are low<01:31:30.040>top <
NH
Transcript Highlights:
- If this rate is above 6%, rate below 6%.
- aspect of this that mostly the rate aspect of this that mostly the error<00:46:25.119>
rate <00 - So, error rate, excuse me.
- significant reduction in the error rate, significant reduction in the error rate, which<00:47:38.079
- threshold monitored by rating agencies. threshold monitored by rating agencies.
KY
Kentucky 2025 Regular Session
Budget Review Subcommittee on General Government, Finance, Personnel and Public Retirement (8-20-25)
Transcript Highlights:
- That rate, as the auditor has mentioned, has not changed in any number of years.
- <00:37:37.920>
for establishing a single blended rate for establishing a single blended rate - >
charge <00:37:49.280>to in that the rates that we charge to in that the rates that we - That rate, as the auditor $84 per hour.
- for a partner versus one rate for an associate versus one rate, let's say, for a summer law clerk.
Keywords:
Meeting Start 00:00:00
Attendance Roll Call 00:00:30
Personnel Cabinet 00:03:25
Department of Veterans Affairs 00:12:40
Auditor of Public Accounts 00:22:39
State Treasurer 00:42:24, 958, all
Summary:
The committee first heard from Personnel Cabinet officials on House Bill 6, which required the Kentucky Employees Health Plan to offer a qualified high-deductible health plan by the 2026 plan year. Officials said the plan was already added for 2025, described it as the lowest-premium option with higher deductibles, and explained that federal rules prevent first-dollar coverage except for limited preventive services. They said 264 members had selected the plan out of about 142,000, and noted it also allows health savings accounts. Members asked about the plan’s benefits, what “catastrophic” meant, the deductible amounts, and whether employees were aware of the option; the cabinet said it would continue to highlight the plan in communications and that the deductible is above $8,000 for individuals and above $16,000 for families.
The committee then received an update from the Kentucky Department of Veterans Affairs on the Bowling Green veterans center. Officials said the current target is to move into the building on October 28, with first admissions about two months later, pending final fixes and certification steps for Medicare, Medicaid, and the VA. They explained that about $7 million in FY25 appropriations lapsed because of construction delays, staffing ramp-up was postponed to avoid unnecessary spending, and the unspent funds should be considered in the next budget request. Members praised the project and asked about annual operating costs; officials said the current operating budget is about $15 million, though they do not expect to spend all of it this year. The commissioner also announced the fifth annual state commanders conference in Lexington, focused on veterans issues and featuring state, federal, and advocacy leaders.
State Auditor Allison Ball then outlined her office’s budget priorities. She said the office is primarily a billing agency that charges audited entities for its work, and warned that some agencies are now signaling they may refuse to pay for audits related to kinship care and the medical cannabis application process. She said the office plans to continue requesting outlier credits for unusually burdensome county audit fees, funding for the ombudsman office’s transition and expanded in-office operations, and revenue replacement for local government audits and possibly state audits and special examinations. Ball also said the office conducts about 500 audits, reviews, and examinations a year and wants to restore performance audits with seed funding, as well as add investigators to the ombudsman office to focus more on child abuse and neglect cases. Members discussed the value of performance audits, the possibility of raising certain board thresholds to account for inflation, and the need for additional capacity to handle more audits.
NH
New Hampshire 2026 Regular Session
Governor's Capital Budget Hearing (06/16/2026)
Transcript Highlights:
- The first is the tax rate setting process.
- That's a total of over 1,000 rates that we set on a yearly basis.
- So when you have county tax rates, you have Have county tax rates, you have cooperative school districts
- So we currently So we currently have a tax rate setting portal for setting tax rates and an equalization
- The tax rate is set once a year. Thank you. Good morning.
TX
Texas 89th Regular
Senate Committee on Health and Human Services Apr 30th, 2025
Health & Human Services
Transcript Highlights:
- The breastfeeding rates, I'm sorry.
- So I just... you know, your in-network rates come down. Fair statement. Fair statement.
- Or reducing Medicaid reimbursements well below the state-determined rate for eye care services.
- that is no lower than 95% of the state-determined rate.
- do it through the budget process, not by setting rates in statute.
Bills:
HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001, HB136
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
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Revenue Jun 21st, 2026 at 10:00 am
Joint Committee on Revenue
Transcript Highlights:
- rate for the past 36 years.
- rate for the past 36 years.
- Right now, we have an elevated rate because of these access issues.
- For 20 years before the pandemic, our rate was 3% to 5%.
- When staffing meets the needs of families, error rates are low.
Summary:
The Joint Committee on Revenue, chaired by Senator James Eldridge and Representative Adrian Madaro, opened its hearing with a moment of silence for the late Lowell State Senator Ed Kennedy and reviewed hearing procedures and deadlines. The committee then took testimony on several corporate tax bills, including S. 2033/H. 3110 on offshore tax avoidance, H. 3248 on a manufacturing tax exemption, H. 3057 on a tiered corporate minimum tax, and S. 2041 on a corporate tax haven blacklist, along with a separate business interest deduction bill. No votes were taken during the hearing.
Supporters of S. 2033/H. 3110, including labor unions, health care workers, educators, public health advocates, seniors, and several legislators, argued that Massachusetts needs new revenue to offset federal cuts to Medicaid, SNAP, health care, education, and other services. They said the bill would raise roughly $400 million annually by increasing the share of offshore profits included in the state tax base from 5% to 50%, and they framed it as a fairness measure that would require large multinational corporations to pay more while leaving most local businesses and workers unaffected. Testimony emphasized risks to MassHealth, PCA services, adult dental care, hospitals, schools, and public health programs if new revenue is not raised.
Opponents, including the Mass Taxpayers Foundation and the Council on State Taxation, argued the proposal is poor tax policy and likely unconstitutional because it would tax foreign-source income without allowing foreign tax credits or a comparable apportionment method. They said Massachusetts should take a broader, coordinated approach to federal tax changes rather than a standalone bill, and warned of litigation risk and possible double taxation. Supporters such as MassBudget and former tax counsel Don Griswold countered that the bill is a reasonable rough-justice approach, consistent with federal and neighboring-state treatment, and that it would primarily affect a small number of very large multinationals. On S. 2041, the Global Business Alliance opposed the proposed tax haven blacklist, while supporting a separate bill allowing business interest deductibility.
VT
Vermont 2025-2026 Regular Session
Senate Session - 2026-01-06 - 10:00AM
Vermont Senate Floor Meeting
Transcript Highlights:
- fund to artificially lower the rate.
- A note about the phrase buying the rate down.
- we're still going to be buying the rate we're still going to be buying the rate down<00:22:12.960
- When we say we're buying the rate down.
- And I don't have to tell any of you the rate at which education spending is going, like the rate of other
TX
Transcript Highlights:
- Yeah, when you look at the accountability ratings, like in your district, y'all did very well.
- As long as an assessment is the dominant factor in school rates...
- About the fact that we don't factor in these other components that impact that rating, and that rating
- F-rated. I can tell you.
- There's a campus not too far from here that has just been rated an F after...
Bills:
HB8
Keywords:
HB 8, Texas public school accountability, school accountability, public school transparency, STAAR, state assessments, instructionally supportive assessment program, Student Success Tool, Texas Education Agency, TEA, accountability ratings, A-F ratings, through-year assessment, benchmark testing, norm-referenced assessment, college career military readiness, CCMR, local accountability plan, school district performance, campus turnaround
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Mar 3rd, 2025
Transcript Highlights:
- We offer competitive interest rates, ranging from two to four percent.
- Also, attrition rates in early retirement play a factor.
- As pointed out on the panel, California has the highest rate of retention.
- It would have set rates on providers—specifically, it would have established the rates that providers
- Being targeted with a growth rate lower than other hospitals and lower than the inflation rate will seriously
FL
Transcript Highlights:
- African-American graduation rate of about 40%.
- Our overall graduation rate was 82%.
- African-American graduation rate of about 40%.
- Our overall graduation rate was 82%.
- My rates went up. I have about 200-something people on insurance. You know why my rates went up?
Summary:
The Senate Education Pre-K-12 Committee met to discuss the needs of rural school districts and the role of Florida’s three regional education consortia: the Panhandle Area Education Consortium, Northeast Florida Educational Consortium, and Heartland Educational Consortium. Executive directors and several rural superintendents described the consortia as member-led organizations that provide shared services, professional learning, leadership development, grant support, cooperative purchasing, risk management, IT/cybersecurity help, and back-office assistance that small districts could not afford to provide on their own. They emphasized that rural districts are often very small, have limited staff, and must still meet the same state reporting and compliance requirements as large urban systems.
Testimony focused heavily on teacher recruitment and retention, alternative certification, and the difficulty of staffing specialized roles such as CFOs, MIS directors, IT staff, and content-area teachers. Superintendents said many new hires are career changers or alternatively certified teachers who need consortium-supported training, and several argued for more flexibility in funding so districts can raise salaries and compete with neighboring districts and nearby states. Members also asked about the impact of declining enrollment, homeschooling, and voucher-related school choice; superintendents said those trends are reducing FTE and creating budget instability, while also requiring districts to right-size staff and programs.
Several speakers described the financial strain on rural districts, including rising insurance costs, transportation costs, and the challenge of forecasting budgets when enrollment changes after the school year begins. One superintendent recounted major hurricane damage and said consortium risk-management support was essential to recovery. Others said the consortia help districts pool resources for property and health insurance, payroll, student data systems, and procurement, and that this shared approach saves money and improves services. No votes or formal committee actions were taken during the meeting.
FL
Florida 2026 Regular Session
Appropriations Committee on Health and Human Services Jan 14th, 2026
Appropriations Committee on Health and Human Services
Transcript Highlights:
- Being lower reimbursement rates.
- by almost 60%, with significant rate differences noted for registered nurses.
- Currently, ...with significant rate differences noted for registered nurses.
- The new rate structure takes into consideration geography, as well as acuity, and the new rate would
- Again, different rates by region and based on acuity.
Summary:
The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed fiscal year 2026-2027 budget for the health and human services agencies. Kendall Kelly outlined the overall HHS budget at $48.5 billion, with AHCA accounting for the largest share, and agency heads then highlighted major proposals for Medicaid behavioral health redesign, APD waiver enrollment and facility needs, DCF child welfare, opioid, and mental health investments, DOEA funding for Alzheimer’s, home care, and community services, DOH funding for cancer research, public health initiatives, and lab capacity, and VA funding for facility improvements, cybersecurity, and medication management.
Several members praised specific proposals, including increased reimbursement for private duty nursing, Alzheimer’s supports, and the Florida FIRST blood-in-ambulance initiative. Senators also questioned the proposed changes to the AIDS Drug Assistance Program (ADAP), with the Surgeon General explaining that the department expects a reduction in covered patients from about 30,000 to about 20,000 because of funding pressures tied to rebates, federal changes, and premium tax credit issues. Public testimony strongly criticized the ADAP changes, citing lack of transparency and warning that many patients could lose access to medications.
Other questions focused on the Office of Minority Health and Health Equity, DCF’s substance abuse and mental health data dashboard, Kids Care/CHIP expansion implementation, APD bed and facility planning, and the FX Medicaid technology project. DCF said about $7 million is set aside for the dashboard system, and AHCA said the governor’s budget includes $124.4 million for FX maintenance and continued module development, with $13.5 million to begin claims processing work. The committee did not take a substantive vote on the budget presentations and adjourned after questions and public testimony.
FL
Florida 2025 Regular Session
December 10, 2025 - 03:30 PM
Transcript Highlights:
- We're still seeing a very high turnover rate in there.
- I think I would have a bigger flow rate, but I think I would love to have it.
- Our vacancy rate is come down by 3.6% down to 9.7%.
- in our vacancy rate going forward.
- Our turnover rate is high.
MN
Minnesota 2025-2026 Regular Session
Fraud Committee Meeting - 2025-07-08
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- The second part of your question was about improper payment rates.
- I've seen that figure estimating nationwide; it's about a 5% improper payment rate.
- I've seen a 2.2 percent rate of improper payments in Minnesota.
- So that 2.2 percent improper payment rate, the fraud rate would be less than that.
- pay rates.
MN
Minnesota 2025-2026 Regular Session
FULL INTERVIEW: Saving Our Safety Net by Stabilizing HCMC | Senator Rich Draheim Apr 24th, 2026
Minnesota Senate Floor Meeting
Transcript Highlights:
- Um and that has some federal ties on reimbursement rates, some state ties, and then of course local ties
- So, if you're only going to get it reimbursed at a real low rate on a large population, that messes up
- <00:05:19.880>
on get it reimbursed at a real low rate on get it reimbursed at a real low - And that population is part of that reimbursement rate that's smaller than larger.
- rate that's smaller than<00:14:56.320>
larger.
FL
Florida 2025 Regular Session
December 9, 2025 - 08:30 AM
Transcript Highlights:
- OF A CUSTOMERS THERE ARE VARIOUS FACTORS CONTRIBUTING THE SHIFT IN INCREASES IN ELECTRICITY COST RATES
- FACTORS CONTRIBUTING THE SHIFT IN INCREASES IN ELECTRICITY COST RATES ACROSS THE U.S.
- INTERACTION BETWEEN LOAD GROWTH IMPROVEMENTS AND ELECTRICITY RATES WAS RECENTLY ANALYZED IN THE U.S.
- AND SPECIFICALLY AROUND RATE.
- DO YOU HAVE ANY FEEDBACK ON OUR UTILITIES AND YOUR ANTICIPATION OF RATE REDUCTION ONCE AI CENTERS ARE
FL
Florida 2025 Regular Session
Regulated Industries Feb 11th, 2025
Transcript Highlights:
- THEN THE MAJOR CHANGE IN MORTGAGE RATES PROCEED THAT.
- THE INTEREST RATES WERE INCREDIBLY LOW.
- MORTGAGE RATES STARTED TO RISE. THAT ROSE THE SALES DOWN A BIT.
- THE NATION HAS GONE UP AT A SLIGHTLY HIGHER RATE. SLIGHTLY FASTER RATE.
- EVEN IF THE RATE IS NOT MOVING, YOU ARE STILL LOOKING AT A 30% INCREASE.