Video & Transcript Research : 'application rejection'
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MN
Minnesota 2025 1st Special Session
House Higher Education Finance and Policy Committee 4/1/25
Higher Education Finance and Policy
Transcript Highlights:
- That is why I strongly urge you to reject HF 2634 and HF 2241.
- And I urge you to reject these bills and keep the Northstar Promise accessible for all Minnesotans.
- I<01:07:50.480>
urge <01:07:50.559>you <01:07:50.720>to <01:07:50.880>reject - <01:07:51.200>
these <01:07:51.520>bills <01:07:51.839>and and I urge you to reject - these bills and and I urge you to reject these bills and keep<01:07:52.240>
the <01:07:52.400>
Keywords:
North Star Promise, scholarship, higher education, Minnesota Office of Higher Education, in-demand jobs, workforce development, career training, job market, high-demand occupations, high-demand industries, college aid, state financial aid, FAFSA, student eligibility, program of study, degree program, certificate program, community college, university, labor market data
MN
Minnesota 2025 1st Special Session
House Veterans and Military Affairs Division 3/19/25
Veterans and Military Affairs Division
Transcript Highlights:
- And I urge the committee to reject 1855 and protect the right of Minnesota veterans to get the help that
- And I urge the committee to reject 1855 and protect the right of Minnesota veterans to get the help that
- And I urge the committee to reject 1855 and protect the right of Minnesota veterans to get the help that
- And I urge the committee to reject 1855 and protect the right of Minnesota veterans to get the help that
- And I urge the committee to reject long.
MN
Minnesota 2025-2026 Regular Session
House State Government Finance and Policy Committee 2/13/25 - Part 1
State Government Finance and Policy
Transcript Highlights:
- Representative Freiberg, I'm going to respectfully reject that.
- So I would reject that. Representative Freiberg moves the A2. I'd like to request a roll call.
- >
respectfully freeberg um I'm going to respectfully freeberg um I'm going to respectfully reject - that uh a as we've seen the CDC reject that uh a as we've seen the CDC has<01:25:12.920>
made - so I would reject so I would reject that<01:25:28.040>
represent <01:25:28.440>fryberg
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Thursday, September 11, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- A Pew poll showed 60% of Americans disapprove of President Trump's suspension of most asylum applications
- , which was ruled unlawful applications, which was ruled unlawful in<00:36:00.240>
federal <00: - the border so they can't get back in, which is precisely the purpose of the legislation that was rejected
- 46:16.800>
legislation <00:46:17.680>that <00:46:18.000>was <00:46:18.240>rejected - <00:46:18.640>
at of the legislation that was rejected at of the legislation that was rejected
MA
Massachusetts 2025-2026 Regular Session
Combatting Antisemitism Jun 21st, 2026 at 11:00 am
Transcript Highlights:
- “It’s not applicable to paragraph four. It’s in paragraphs seven and eight.”
- Excuse me—nothing in the recommendations that was applicable...” “Convenience, excuse me.
- Nothing in the recommendations that was applicable.
- vote on a whole amendment if it is... ...will still get to vote on the whole amendment if it is rejected
Summary:
The commission held its 16th and final meeting to review and vote on revisions to its draft report on combating antisemitism. After roll call, members approved the prior meeting minutes, adopted a procedure for handling substantive and technical edits, and authorized limited technical corrections after the meeting. Senator John Velis’s letter was read into the record noting his military deployment and support for the final report, and the commission discussed the scope of the report, including its 118 findings and recommendations and the large volume of testimony received over the year.
Members then worked through a series of amendments to the report. The chair’s prefatory statement was revised to restore language and data about Massachusetts Jews’ relationship to Israel and the impact on the commission’s work. Commissioner Liken’s proposal called for DESE guidance and teacher training to support intellectually diverse K-12 classrooms; members debated how to ensure it could not be used to justify biased or false material, and the amendment passed with discussion about existing guardrails. Commissioner Hay’s technical edits were adopted, and commissioners also discussed whether DESE’s new reporting system should anonymize data; the language was revised to specify anonymized data and approved.
Additional amendments were adopted on public safety and higher education, including clarifying support for nonprofit security grants and personnel grants, refining language on academic boycotts, and adding references to Zionist identity and presumed Zionist identity as possible bases for antisemitic treatment. Commissioner Kipnis’s revisions to the prefatory statement were also considered, with some members objecting to the removal of language about minimization and traumatic invalidation and others supporting a more concise, fact-driven tone. The commission also approved language strengthening recommendations by changing several “should” statements to “must.”
Treasurer Deborah Goldberg then delivered closing remarks praising the commission’s work and sharing personal family history to illustrate the persistence of antisemitism in Massachusetts. She said the report offers a practical roadmap, including bias reporting in schools, security coordination, and broader anti-discrimination training, and emphasized that the recommendations will help all communities. Commissioners thanked her for her leadership and testimony. The meeting continued with further amendments, including one on law enforcement security grants and another on higher education findings and recommendations, and the commission repeatedly voted by roll call, generally approving the revisions unanimously.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Health Jun 21st, 2026 at 10:00 am
Joint Committee on Public Health
Transcript Highlights:
- Each permit application takes 15 to 30 minutes to fill out.
- And the kicker: these inspections and applications aren't standardized.
- We ask that members of the committee reject S-1558 and S-1609 as written, and instead embrace solutions
- Therefore, the bill should establish a clear and immediate prohibition on the land application or distribution
Summary:
The Joint Committee on Public Health held a lengthy hearing to take testimony on a wide range of bills related to environmental health, PFAS, medical device chemicals, food access, lead poisoning, air quality, oral health, and school food additives. Chair Driscoll and Chair Decker emphasized that the hearing was for testimony only, no decisions would be made that day, and that written testimony could still be submitted. They also noted the high volume of speakers and asked witnesses to keep remarks brief.
A major portion of the hearing focused on PFAS-related legislation, including bills to restrict PFAS in products and food packaging and to create a PFAS remediation trust fund. Municipal officials and advocates described the high costs of PFAS cleanup, especially for drinking water systems, citing Easton’s multimillion-dollar treatment investments and rate increases. Testimony from legislators and advocates argued that Massachusetts should act despite federal uncertainty, and that the state should stop PFAS at the source rather than leaving municipalities and residents to pay for remediation. The committee also heard strong support for a bill banning DEHP in medical devices, with physicians, nurses, and a bill sponsor saying the chemical can leach from IV bags and tubing and that safer alternatives already exist.
The committee also heard testimony on bills to establish statewide food truck permitting, with food truck owners and a senator describing the current system as costly, duplicative, and inconsistent across municipalities. Another set of witnesses supported the “Bean New Deal,” which would expand plant-based food options in public institutions, senior nutrition programs, and WIC, citing health, equity, and cost savings. On lead poisoning, housing advocates and a representative backed bills to expand lead-safe housing requirements to all rental units, arguing the current law contributes to discrimination against families with children and leaves too much pre-1978 housing uncertified. The committee also heard support for an outdoor air pollution bill that would create an advisory committee, identify pollution hotspots, expand monitoring, and set reduction targets, with testimony from environmental justice groups, pediatricians, and legislators describing disproportionate asthma and other health harms in overburdened communities.
Later testimony addressed oral health bills to create dental therapists and allow dental hygienists to administer nitrous oxide, with supporters saying the measures would expand access, reduce costs, and help underserved patients. The committee also heard testimony on a bill to prohibit harmful food dyes in competitive school foods, with parents describing behavioral and health concerns tied to synthetic dyes. No votes or formal actions were taken during the hearing.
AZ
Transcript Highlights:
- The bill also updates various statutory terms and regulations to include air ambulances where applicable
- Were applicable. And with that, I'm available for any questions. Members, any questions for Ajanay?
- The bill also sets application, qualification, rulemaking, fee, and disciplinary requirements for regulating
- I was prescribed a full course of childhood sex-rejecting procedures, including drugs and surgeries to
Keywords:
radiation therapy, particle accelerator, critical access hospitals, patient care, rural healthcare, AHCCCS, lactation care, breastfeeding, health services, healthcare access, Cesar Chavez, public holiday, state law, holiday repeal, Arizona Revised Statutes, childhood cancer, rare diseases, research funding, healthcare, clinical trials
Summary:
The committee opened with attendance and member introductions, then heard a series of health-related bills, many focused on access to care in rural and underserved communities. HB 2049 would allow particle accelerators for radiation therapy in critical access hospitals and counties under 400,000 population under general supervision; sponsors and rural oncology witnesses said it would reduce travel burdens for cancer patients while maintaining safety protocols. HB 2050 updated radiologic technologist statutes to align with current national standards, adjust accreditation and clinical-hour requirements, and allow radiologist assistants to work under supervision rather than direct supervision; an amendment also added registered nurses to the list of professionals not needing a separate license to use diagnostic X-ray machines. Both bills were supported by testimony about workforce shortages and access, though one member voted no on HB 2050 over concerns about oversight and board authority. Both measures received do-pass recommendations, with HB 2050 amended.
The committee then unanimously advanced HB 2082, which creates a Childhood Cancer and Rare Childhood Disease Research Commission to award grants for phase-one pediatric cancer and rare disease trials. Testimony came from families affected by pediatric brain cancer, including a parent who described traveling internationally for treatment and a college student currently undergoing treatment who urged the state to invest in research. Members expressed strong sympathy and support, and the bill passed 12-0. Next, HB 2015 would require Access to cover breastfeeding and lactation services in multiple settings; the sponsor and medical witnesses described breastfeeding as preventive care with benefits for infants and mothers, while Access testified neutral and noted a fiscal estimate was being developed and that the amendment would protect the state if CMS does not approve the services. The bill, as amended, also received a unanimous do-pass recommendation.
The committee also approved HB 2177, which directs Access to seek CMS waivers so tribal and Indian Health Service facilities can be reimbursed for certain covered services, including dental care, for American Indian and Alaska Native members. The sponsor and a Sage Memorial Hospital representative said the bill would help rural tribal facilities keep services local and maximize federal matching funds; it passed unanimously as amended. HB 2178, requiring a state agency medical chief officer to hold an active medical or osteopathic license, was described as a cleanup measure after a lapse in licensure exposed a statutory gap, and it also passed unanimously. HB 2179, which clarifies definitions separating air ambulance from ground ambulance regulation, was supported as a technical clarification to avoid unintended consequences and likewise received unanimous approval.
Finally, the committee advanced HB 2183, which creates an emergency medicine study committee to examine Arizona’s EMS system, including rural and urban capacity, workforce burnout, uncompensated care, and emergency department utilization. The sponsor said the study would help the state understand system pressures and identify policy solutions; firefighters, health care advocates, and an emergency medicine nurse practitioner testified in support, emphasizing the ER’s role as the safety net and the strain from staffing shortages, rural closures, and high volumes. The bill was still under discussion at the end of the transcript, with testimony continuing after the initial supporters spoke.
OK
Transcript Highlights:
- subjective, um, to what is culture-specific, and it makes it difficult to have kind of a universal application
- um. um, to what is culture is specific and it makes it difficult to, to have kind of a universal application
- send out solicitations to pay interns $20 an hour, and every one of our... ...requests are being rejected
- by the applicants, and he started asking around.
Summary:
The committee held a study on the potential effects of living wage or minimum wage laws in Oklahoma, with the chair emphasizing that the discussion was not intended to advocate for or against State Question 832. The first panel focused on economic and workforce impacts. An Oklahoma Department of Commerce representative argued that living wage calculations vary by region and household type, that Oklahoma’s average wages are already near or above many living-wage estimates, and that higher mandated wages could lead employers to cut hours, reduce hiring, automate, or avoid expansion, especially in rural areas where childcare, healthcare, broadband, and infrastructure constraints also affect labor participation. Committee members asked about wage distributions, rural cost differences, training pathways, and whether higher wages might draw workers or businesses out of state; the witness said many low-wage workers move up over time and that Oklahoma has seen net in-migration. A State Chamber Research Foundation witness then testified that a $15 statewide wage floor would raise payroll costs substantially, especially for small rural employers, and cited examples from California and Seattle to argue that higher wages can reduce hours, jobs, and benefits while increasing consumer prices. She suggested alternatives such as expanding the state earned income tax credit and promoting upskilling through existing education and training programs.
A Missouri Chamber of Commerce and Industry representative described Missouri’s recent voter-approved minimum wage increase to $13.75, rising to $15, along with paid sick leave provisions. She said the chamber opposed the measure because it would raise business costs, hurt rural communities and youth employment, and force some employers to cut hours, reduce hiring, or close. She cited examples from Missouri businesses facing significant added costs and warned that a future ballot initiative could create a patchwork of local minimum wages. In response to questions, she said Missouri’s law did not distinguish by age or industry, that businesses had raised concerns about union contracts and compliance, and that the chamber viewed the measure as harmful to competitiveness.
Peter Hansen of NFIB presented the final major testimony, summarizing an NFIB study projecting that a higher Oklahoma minimum wage would produce some short-term GDP gains but longer-term losses, with GDP turning negative by the early 2030s and job losses growing over time. He said businesses respond to higher wage mandates by raising prices, trimming jobs, converting full-time positions to part-time, reducing benefits, and shifting investment toward automation or other capital. He argued that the burden falls most heavily on vulnerable workers such as young or marginal employees, who are less likely to be hired when labor costs rise. In questioning, he acknowledged that higher wages can improve pay for some workers and may have some short-term positive effects, but maintained that the long-term employment and investment effects are negative. No votes or formal actions were taken in the meeting.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 4 on Climate Crisis, Resources, Energy, and Transportation Apr 30th, 2025
Transcript Highlights:
- Look no further than last November's election, when the public soundly rejected a ballot measure to repeal
- So applicants have to apply and make the case that their project is better in the round that they're
- So applicants have to apply and make the case that their project is better in the round that they're
- If they do apply for the funds and their application or their request is not consistent with statute,
Summary:
The Budget Subcommittee No. 4 hearing focused on the Greenhouse Gas Reduction Fund (GGRF) and cap-and-trade reauthorization, with members and panelists discussing how to balance climate goals, affordability, and legislative oversight. The chair emphasized the hearing as a broad review of past GGRF spending and future options, while the LAO outlined how GGRF revenues are generated, how variable they have been, and the tradeoffs between continuous appropriations and annual budget control. Two academic panelists, Dr. Kyle Meng and Danny Cullen Ward, argued that cap-and-trade remains an effective climate policy, but stressed that future revenue will depend heavily on market design, allowance allocation, and price levels. They also raised the idea that GGRF could be used more directly for affordability, especially by lowering electricity costs, and for targeted investments in technologies that the market would not otherwise support.
Committee members pressed the panelists on where revenues come from, how much has actually been spent, and whether continuous appropriations reduce oversight. CARB staff said more than $33 billion has been generated to date and a little over $11–12 billion has been spent, with the rest committed or in process, and noted that project timelines can be lengthy. Members also asked about ways to lower electricity rates, reduce wildfire-related utility liabilities, and support electrification. The panelists said transportation fuels are the largest source of GGRF revenue, that industrial emitters receive a smaller share of free allowances, and that reducing wildfire liability and investing in grid-scale batteries could help lower costs and speed decarbonization.
Public commenters largely urged the Legislature to preserve or expand continuous appropriations for specific climate programs. Speakers supported funding for nature-based solutions, natural and working lands, urban greening, agricultural climate solutions, waste and composting programs, clean transportation, AB 617 community air protection, clean cars, transit, affordable housing near transit, and dairy digesters. Several groups argued these programs are cost-effective, provide public health and affordability benefits, and should receive dedicated shares of GGRF. Others urged reducing free allowances and using more GGRF revenue to directly lower energy costs for households. No votes were taken during the hearing.
NH
New Hampshire 2026 Regular Session
House Children and Family Law (02/10/2026)
Children and Family Law
Transcript Highlights:
- As I read that, a child placing agency like DCF cannot reject a potential foster home or adoptive home
- I was taught to reject parts of myself as obstacles to overcome that fractured my sense of wholeness
- I was taught to reject parts of myself as obstacles to overcome that fractured my sense of wholeness
- I was taught to reject parts of myself as obstacles to overcome that fractured my sense of wholeness
- Representative Raymond. taught to reject parts of myself as taught to reject parts of myself as obstacles
LA
Louisiana 2026 Regular Session
House of Representatives Apr 13th, 2026
Louisiana House Floor Meeting
Bills:
HR119, HR120, HR121, HR122, HR123, HR124, HR125, HR126, HR127, HR128, HR129, HR130, HR131, HR132, HCR53, HCR54, HCR55, HCR56, HR115, HR116, HR117, HR118, SCR19, SCR26, SB102, SB222, SB255, SB270, SB273, SB314, SB418, SB420, HB21, HB24, HB29, HB31, HB39, HB45, HB49, HB77, HB136, HB150, HB211, HB263, HB273, HB299, HB315, HB324, HB376, HB377, HB422, HB431, HB444, HB450, HB519, HB533, HB538, HB549, HB559, HB562, HB663, HB664, HB715, HB717, HB805, HB822, HB823, HB834, HB864, HB867, HB1011, HB1017, HB1018, HB1068, HB1134, HB1137, HB1234, HB1235, HB1236, HB310, HCR6, HCR19, HCR10, HR74, HCR26, HCR35, HCR7, HB51, HB82, HB143, HB145, HB160, HB180, HB192, HB393, HB430, HB445, HB506, HB515, HB521, HB565, HB590, HB614, HB638, HB670, HB672, HB685, HB692, HB752, HB773, HB781, HB799, HB860, HB874, HB887, HB917, HB937, HB956, HB965, HB972, HB977, HB982, HB1006, HB1010, HB1044, HB1072, HB1088, HB1179, HB1200, HB76, HB132, HB181, HB210, HB250, HB265, HB275, HB291, HB322, HB342, HB475, HB486, HB616, HB635, HB639, HB690, HB740, HB757, HB761, HB774, HB808, HB855, HB872, HB883, HB886, HB903, HB949, HB962, HB996, HB1003, HB1036, HB1054, HB1071, HB1076, HB1078, HB1113, HB1132, HB1146, HB1232, HB1233, HB140, HB750, HB911, HB52, HB154, HB400, HB463, HB570, HB631, HB637, HB870, HB952, HB961, HB399, HB868, HB905, HB401, HB901, HR20, HB9, HB58, HB151, HB193, HB284, HB459, HB476, HB577, HB582, HB605, HB615, HB682, HB733, HB915
Keywords:
condolences, public service, environmental justice, sustainability, local government, military service, World War II, veteran, community, Italian Festival, cultural celebration, Tickfaw, Italian-American, community pride, heritage, Miss Louisiana Teen USA, Heaven Riley Breaux, recognition, youth empowerment, community service
LA
Transcript Highlights:
- State Radiological Technology Board of Examiners, duties and powers of the board, qualifications of applicants
- , annual basis for applications and submissions.
- Code of Criminal Procedure, post-conviction relief, repetitive applications, custody bill pending retrial
- Code of Criminal Procedure, Post-Conviction Relief, repetitive applications, custody bill pending retrial
- The applicant will go in, and he will verify under oath: I've had these hours.
Bills:
HR115, HR116, HR117, HR118, HR112, HR113, HR114, HCR51, HCR52, SCR18, SCR20, SB14, SB76, SB118, SB142, SB156, SB170, SB197, SB234, SB258, SB287, SB288, SB313, SB315, SB393, SB396, SB426, SB427, HCR7, HB76, HB84, HB132, HB181, HB210, HB250, HB265, HB275, HB291, HB322, HB342, HB457, HB475, HB477, HB486, HB616, HB635, HB639, HB690, HB740, HB757, HB761, HB766, HB774, HB808, HB855, HB866, HB872, HB883, HB886, HB903, HB949, HB962, HB996, HB1003, HB1036, HB1054, HB1071, HB1076, HB1078, HB1113, HB1132, HB1146, HB1232, HB1233, HR15, HR20, HCR14, HCR6, HCR19, HCR10, HR74, HCR26, HCR35, HB98, HB108, HB131, HB151, HB161, HB288, HB294, HB305, HB310, HB320, HB336, HB380, HB392, HB403, HB420, HB459, HB476, HB540, HB615, HB631, HB637, HB648, HB665, HB682, HB789, HB813, HB815, HB835, HB870, HB905, HB915, HB933, HB938, HB987, HB1040, HB51, HB82, HB143, HB145, HB160, HB180, HB192, HB393, HB430, HB445, HB506, HB515, HB521, HB565, HB590, HB614, HB638, HB670, HB672, HB685, HB692, HB752, HB773, HB781, HB799, HB860, HB874, HB887, HB917, HB937, HB956, HB965, HB972, HB977, HB982, HB1006, HB1010, HB1044, HB1072, HB1088, HB1179, HB1200, HB81, HB400, HB154, HB410, HB463, HB827, HB868, HB952, HB953, HB140, HB750, HB911, HB52, HB961, HB399, HB401, HB901, HB9, HB58, HB193, HB284, HB570, HB577, HB582, HB605, HB733
Keywords:
Kappa Alpha Psi, fraternity, Louisiana, commemoration, community engagement, recognition, state championship, basketball, sports achievement, school commendation, commendation, athletics, team sports, youth, community recognition, water utility, tax credit, excessive rates, residential service, subcommittee
NH
Transcript Highlights:
- for or renewal of a time of application for or renewal of a driver's<01:17:51.600>
license <01 - .<01:44:19.280>
And <01:44:19.440>I <01:44:19.600>recognize applications. - And I recognize applications.
- non-driver application or their non-driver ID<01:45:55.840>
as <01:45:56.080>provided < - , I apologize, instead of applications, I apologize, instead of having<01:56:08.080>
to <01:56:
NH
Transcript Highlights:
- The student is still here driving, maybe waiting for another visa, has submitted another visa application
- <00:18:09.679>
that <00:18:09.960>hasn't another visa application that hasn't another - visa application that hasn't been<00:18:10.840>
acted <00:18:11.559>on <00:18:12.559> That as a society that we reject stereotypes and the stereotype that undocumented immigrants are- First is I think it's important that as a society that we reject stereotypes and the stereotype that
NH
New Hampshire 2026 Regular Session
House Environment and Agriculture (02/10/2026)
Environment and Agriculture
Transcript Highlights:
- before they would put in an application before they would put in an application in<01:21:52.880>
- <01:26:19.520>
will <01:26:19.840>have applicants will have applicants will have more<01 - significant leadup to when an applicant significant leadup to when an applicant or<01:26:42.400>
- The amendment simply adds land application to agricultural land application.
- <05:38:54.000>
of resulted from the land application of resulted from the land application
Summary:
The Environmental Policy Subcommittee took up HB 1621, which would require a baseline environmental impact study before development of certain manufacturing and storage facilities. Members said the concept had merit, but they could not resolve major drafting and implementation issues, including how to define covered facilities, what the study would require, and how enforcement would work at the municipal or county level. Several members expressed concern about unintended consequences and said the proposal was not ready; the subcommittee voted unanimously to recommend inexpedient to legislate (ITL), and the full committee later adopted that recommendation on a 16-0 roll call vote, placing the bill on consent.
The committee then discussed HB 1053, involving electronically submitted pesticide use reports. Representative Comtois presented an amendment creating a department database and protecting confidential information, but said she still needed to check whether it was germane and to review administrative issues with the Department of Agriculture. After hearing from David Russo of the Division of Pesticide Control, the committee agreed to continue work on the amendment and took no action that day.
The committee also reviewed HB 1186 on egg labeling and producer exemptions. Representative Comtois offered an amendment exempting small producers from most requirements except labeling, but Commissioner Sean Jasper asked for more time to review the impact and suggested the state might not need the existing egg law at all if federal USDA rules already cover the field. Members agreed to hold action until the following week. Finally, the committee began discussion of HB 1780 on penalties for violations involving seeds, plants, and nursery stock, focusing on labeling rules and germination-date requirements; testimony from industry and department representatives indicated they were working toward a compromise that would allow multiple relabelings, add production dates, and set a 36-month sale limit, but no final action was taken in the portion provided.
MN
OR
Oregon 2026 Regular Session
House Interim Committee On Health Care 06/16/2026 2:30 PM
Transcript Highlights:
- We are empowered and, in fact, required by statute to reject rate increases that are unreasonable or
- was to direct some portion of funding towards milestones and metrics that were included in our application
- disease management, and again, are really targeted toward those metrics that were included in our application
Summary:
The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits.
CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs.
The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.
WA
Washington 2025-2026 Regular Session
House Community Safety Oct 29th, 2025
Transcript Highlights:
- I think the recommendations that came out of the startup of what they call the Link are really applicable
- as a crisis stabilization center or any other crisis... ...are really applicable to a crisis stabilization
- I want to take a step back and just reject the notion that high-acuity 911 calls that are not medical
Summary:
The Community Safety Committee held an interim work session on crisis response, with members and witnesses discussing how Washington can better integrate 911, 988, mobile crisis, co-response, and alternative response models for behavioral health crises in public spaces. Travis Parker opened with an overview of the Sequential Intercept Model and the crisis care continuum, emphasizing early intervention, 988 access, regional coordination, navigators and peer support, and the need for sustainable braided funding. Several Washington witnesses then described current programs and system gaps, including the growth of co-response teams, the importance of integrating 911 and 988 rather than treating them as competing systems, and the need to reduce unnecessary emergency room use and improve first responder wellness and training.
City, fire, and crisis-system representatives described local challenges and reforms. Kim Hendrickson of Poulsbo said most crisis calls still come through 911 and urged better coordination among field-based teams, more behavioral health training for fire/EMS, and more alternatives to ER transport. Laura Pippen, a designated crisis responder, described a strained involuntary treatment system, fewer DCRs statewide, difficulty getting law enforcement support for transports, and limited facility capacity, especially for substance use disorder. Jennifer Stuber and South County Fire’s Keith Sharp highlighted workforce training, a crisis responder certificate program, and first responder wellness efforts. Research witnesses Evan Lauder and James Pine said the evidence is still developing but generally supports on-scene resolution, reduced ED transport and detention in some models, and the importance of clear dispatch protocols, coordination, and ongoing evaluation.
Dispatch and program operators then gave examples of how systems are working in practice. Katie Myers of Washington APCO/NENA said 911 remains essential, but needs evidence-based triage protocols, liability protections, and additional funding if it is expected to take on more crisis-response responsibilities. Whatcom County described embedding a “community connector” in the 911 center to coordinate alternative response, while ValleyCom reported that its 988 diversion pilot transferred 2,165 calls with 98% resolved through 988/211 without returning to 911. National examples included Denver’s STAR program, Albuquerque’s Community Safety Department, and Atlanta’s PAD initiative, each showing different ways to route low-acuity or behavioral-health-related calls away from police and toward clinicians, peers, or civilian responders. The session ended with Washington examples continuing, including Whatcom County’s alternative response team, underscoring the committee’s interest in refining and expanding integrated crisis response systems in the next session.
CA
Transcript Highlights:
- What's the application in an English language arts class when generally we read and analyze fiction?
- With that we urge the committee to reject SB 48 and pursue solutions that protect every student. equally
- I assume, I will stipulate that those have been. heard and have applicability to this piece of legislation
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 4 on Climate Crisis, Resources, Energy, and Transportation Apr 30th, 2025
Transcript Highlights:
- Look no further than last November's election when the public soundly rejected a ballot measure to repeal
- So applicants have to apply and make the case that their project is better in the round that they're
- If they do apply for the funds and their application or their request is not consistent. those funds