Video & Transcript Research : 'efficiency reporting'

Page 131 of 500
NM

New Mexico 2025 Regular Session

IC - Mortgage Finance Authority Act Oversight Sep 2nd, 2025

Mortgage Finance Authority Act Oversight Committee

Transcript Highlights:
  • Garcia, for your report.
  • I'm A Behind, I see the 2021 was recently completed as per your report.
  • I will say that obviously report that I've seen.
  • And municipalities that need to be notified of these annual reports.
  • Energy efficiency and waste reduction.
MN

Minnesota 2025-2026 Regular Session

Committee on Capital Investment - 04/23/26

Capital Investment

Transcript Highlights:
  • already owns, uh, this is an efficient already owns, uh, this is an efficient project<00:21:41.520
  • <00:27:10.640> to delivering services efficiently to delivering services efficiently to Minnesotans
  • And so, we're maximize that efficiency.
  • The A3 amendment would simply add a reporting requirement.
  • <01:28:40.640> and project costs, and efficient and project costs, and efficient and accountable
Keywords: 1187, senate, all
WA

Washington 2025-2026 Regular Session

Joint Oregon-Washington Legislative Action Committee Sep 15th, 2025

Joint Oregon-Washington Legislative Action Committee

Transcript Highlights:
  • We hope to have submitted to the Coast Guard a navigational impact report that talks about the impacted
  • So to start that process, we're looking to submit an updated navigational impact report to the Coast
  • Are waiting for their final sign-off for the submittal of this Navigational Impact Report.
  • Our region depends heavily upon this corridor for operating efficiently.
  • Efficient movement of freight is fundamental to our society and our economy.
Summary: The committee met jointly with the Washington-Oregon Legislative Action Committee for an update on the Interstate 5 Bridge Replacement (IBR) program. Members first adopted the proposed committee rules, then received program updates from staff on environmental review, permitting, design, tribal consultation, and public engagement. Staff said the project remains in the supplemental EIS process, with a final supplemental EIS and amended record of decision expected in early 2026, which would allow construction to begin. They also described ongoing work on Coast Guard navigation clearance, Section 106 historic-property coordination, and architectural guidelines for the bridge and five-mile corridor, emphasizing that the visualizations shown were conceptual and that public and partner feedback has already influenced design considerations such as accessibility and shared-use path connections. Members raised concerns about schedule delays, rising costs, and whether the project is being designed to be functional, safe, and economical. Staff acknowledged that the timeline has slipped from earlier expectations and said the delay reflects the complexity of the environmental and federal review process, as well as the need to avoid redoing steps. They said the updated cost estimate is being prepared now that design has advanced to roughly 30 percent, and that it will account for inflation, risk factors, and both fixed-span and movable-span options. Staff estimated a movable span would add more than $400 million and said the first construction work after environmental approval would likely be preliminary freeway and retaining-wall work in late 2026, followed by the bridge procurement. The committee also received funding and tolling updates. Staff reported that major federal grants have been executed, including Mega and Bridge Investment Grant agreements, and that state STIP amendments are advancing to allow access to federal funds. The tolling team described Level 3 traffic-and-revenue work, a bi-state tolling subcommittee process, and possible toll scenarios aimed at supporting either about $1.24 billion or $1.6 billion in toll revenue. Members questioned low-income toll relief timing, truck toll rates, and the effect of tolls on freight users. Staff said low-income discounts are being analyzed for both revenue and operational feasibility, that tribal exemptions and other policy exemptions are under review, and that the commissions expect to move into public outreach on toll rates and policies in 2026, with tolling on the existing bridges currently projected to begin in spring 2027.
MN

Minnesota 2025 1st Special Session

Committee on Taxes - 03/27/25

Taxes

Transcript Highlights:
  • you know, the historic tax credit is one of the few tax credits that is reviewed every year for efficiency
  • members of the Senate and House tax committees and prescribe the contents of the report.
  • <00:19:51.679> to to of deed to issue an annual report to to of deed to issue an annual report
  • prescribe the contents of the report. prescribe the contents of the report.
  • :52:37.920> could efficiency and electrification could efficiency and electrification could represent
Keywords: 1187, senate, all
FL

Florida 2025 Regular Session

Transportation Mar 4th, 2025

Transcript Highlights:
  • And by your vote SB 654, is reported reported 654, is reported reported 654, is reported reported favorably.
  • reports.
  • Efficiency and accountability. with efficiency
Keywords: 999, senate, all
MN

Minnesota 2025-2026 Regular Session

Committee on Judiciary and Public Safety - 02/07/25

Judiciary and Public Safety

Transcript Highlights:
  • <00:14:50.560> effectively<00:14:51.040> and<00:14:51.199> proactively efficiently
  • effectively and proactively efficiently effectively and proactively as<00:14:52.199> possible
  • those um move those cases as efficiently those um move those cases as efficiently and<00:26:41.880
  • This last reporting period, we expect that to increase even further, and we're already seeing signs of
  • This last reporting period, we expect that to increase even further, and we're already seeing signs of
Keywords: 1187, senate, all
ND

North Dakota 2025-2026 Regular Session

Special Education Funding Committee May 6th, 2026

Transcript Highlights:
  • We combine those data sets when we do this kind of reporting.
  • state reports, have increased $10 million.
  • And so if we could work more efficiently, we're already spending the money.
  • It's on a report. They do reports all the time. And then this is what you get.
  • It's on a report. They do reports all the time. And then this is what you get. That's your cost.
Summary: The committee first approved the minutes and then received a lengthy DPI presentation from Stanley Schauer on statewide reading and math assessment data for students with and without disabilities. He explained the assessment systems used over time, the absence of 2019-20 data, and how North Dakota’s standards are set by educators. Members asked about alternate assessments, cohort trends, the apparent drop in proficiency in higher grades, and the new NDA+ assessment. Schauer emphasized that the biggest pattern in the data was the relative stability of students with disabilities, the post-pandemic drop and partial recovery, and the need to focus on reducing the novice category. He also said the state plans to revisit high school standard setting and that future data could be broken out by program, disability category, and schools using science-of-math or other initiatives. Public testimony from special education staff suggested that the flat performance of students with disabilities during COVID likely reflected continued services and intensive supports, and committee members discussed whether the current disparity goal is realistic and whether growth measures would be more useful than simple proficiency buckets. After the presentation, the committee took a short break and then moved into discussion of special education funding models. Chair Richter said members should contact Schauer directly with ideas for additional data views and noted that the committee would continue its work on funding and possible model changes. Brandon Bomback of Grand Forks Public Schools began a presentation arguing that the special education funding formula, especially the weighting factor, should be reconsidered if the committee wants a system that better reflects accountability and student needs. He said his comments were based on the perspective of a larger district and focused on the special education weighting factor rather than other parts of the formula. The remainder of his presentation was not included in the excerpt.
CA
Transcript Highlights:
  • Electronic health records, of course, bring operational efficiency.
  • According to the California Healthcare Foundation report in 2021, the number of licensed independently
  • We will come out with our first baseline report in June of this year.
  • To date, HCAI has published four such reports available online.
  • Hospitals to report balance sheet data, expanding the quarterly hospital financial and utilization reporting
Keywords: 988, house, all
FL

Florida 2026 Regular Session

Appropriations Committee on Transportation, Tourism, and Economic Development Apr 10th, 2025

Appropriations Committee on Transportation, Tourism, and Economic Development

Transcript Highlights:
  • By your vote, C.S. for Senate Bill 824 is reported favorably. Thank you.
  • By your vote, CS for Senate Bill 1246 is reported favorably.
  • By your vote, Senate Bill 1152 is reported favorably. Thank you.
  • By your vote, CS for Senate Bill 532 is reported favorably.
  • By your vote, CS for Senate Bill 532 is reported favorably. Thank you.
Summary: The Appropriations Committee on Transportation, Tourism, and Economic Development met to consider a full agenda of bills, beginning with CS/CS/SB 1662, the Department of Transportation agency bill. Senator Collins presented a strike-all amendment that retained creation of the Florida Transportation Academy, clarified the Florida Transportation Research Institute, restored legislative budget commission review for certain work program amendments, adjusted small-business and supply-chain grant provisions, added airport and seaport accountability measures, and allowed special blanket permits for oversized cranes to travel at night under FDOT safety protocols. The committee adopted the amendment and then reported the bill favorably. The committee also favorably reported SB 574, allowing Florida Purple Heart license plate holders to pass tolls free, and CS/SB 824, creating a specialty plate supporting Florida Highway Patrol troopers and scholarships. The committee then took up CS/SB 324, which creates a revolving low-interest loan program at the Department of Commerce for small businesses harmed by significant public works construction. Senator Smith described a local example involving prolonged sewer work in Orlando that hurt businesses in the Lake Ivanhoe district. Members raised concerns about fiscal impact, eligibility standards, proof of loss, business age, and whether financial records should be protected from public disclosure. The bill was amended to remove a hotline, add a webpage, and refine liability language, and the committee reported it favorably. The committee also favorably reported CS/SB 1714, requiring local housing assistance plans to include support for mobile home owners, including lot-rent assistance; CS/SB 766, revising registration requirements for agents and organizations tied to foreign countries of concern; and CS/SB 1024, creating specialty plates for the U.S. Military Academy and U.S. Naval Academy. Additional measures approved included CS/SB 1246, authorizing a Save Coastal Wildlife specialty plate with proceeds going to the Zoo Miami Foundation; CS/SB 1644, expanding warning light use for volunteer firefighters, medical staff, and organ transport vehicles, with discussion focused on Hatzalah emergency services; SB 1152, increasing the Florida Wildflower specialty plate fee to support conservation, research, and native seed industry development; and CS/SB 532, exempting 100% disabled veterans from tolls. An amendment to SB 532 also added Purple Heart recipients to the toll exemption. Several members requested to be recorded voting in the affirmative on selected tabs, and the committee adjourned after all bills were reported favorably.
TX

Texas 89th 2nd C.S.

89th Legislative Session Mar 17th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • Report regarding public education mandates or for the Committee on Public Education AB 2444 by Heglin
  • HB 2478 by Telerico relates to the reporting of certain information regarding medically necessary debt
  • for the consumer report for the Committee on Train Workforce and Economic Development.
  • HB 2578 by WAA relating to the landlord and tenant dispute information reported by courts and published
  • HB 2587 by Olcott relating to the annual report on certain uncompensated hospital care costs refer to
TX

Texas 89th Regular

89th Legislative Session Mar 17th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • HB 2478 by Tallarico, relating to the reporting of information regarding medically necessary debt for
  • the consumer report for the committee on trained workforce and economic development.
  • To a taxable entity that fails to file a franchise tax report when due, refer to the Committee on Ways
  • and Means, HB 2578. by Wally relating to a landlord intended dispute information reported by courts
  • HB 2587 by Olcott relating to the Annual Report on uncompensated hospital care costs was heard of the
Keywords: 1184, house, all
WA

Washington 2025-2026 Regular Session

Joint Transportation Committee Jun 23rd, 2026

Joint Transportation Committee

Transcript Highlights:
  • So we'll begin with a report on the draft final report on alternative sidewalk funding study, and Rachel
  • like ways to maybe streamline some of the report.
  • So I'm really interested in your report. What is the status of the report? Are we just starting it?
  • The report can include...
  • So we look forward to seeing your report in the fall.
Summary: The committee began with member introductions, then heard a presentation on a draft final report studying alternative funding mechanisms for sidewalks and related pedestrian infrastructure. Consultants said current local funding sources are insufficient, with most jurisdictions unable to complete planned sidewalk networks within 50 years. They evaluated four options: a sidewalk utility fee, a modified transportation benefit district sales tax, a new real estate excise tax option, and expanded stormwater fee use for ADA sidewalk ramps. The consultants recommended authorizing the modified TBD sales tax and new REET option, considering a sidewalk utility despite legal uncertainty, broadening any authorization to all pedestrian improvements, and not pursuing the stormwater fee option. Members asked about legal authority, fairness, revenue adequacy, and whether jurisdictions had been consulted; the presenters said state enabling legislation would likely be needed for a sidewalk utility and that fairness could be defined either by direct benefit or by need. The committee then received an update on the 2025 assessment of city transportation funding needs. The consultants reported that city transportation revenues have grown in some local and federal categories since 2019, but state revenues have remained relatively flat and smaller cities are especially affected by declining fuel tax revenues and limited tax bases. They estimated annual city transportation needs at $4.25 billion, average annual spending at $1.89 billion, and a funding gap of $2.37 billion, larger than in the prior study because of updated data, inclusion of system improvements, and higher preservation costs. Draft recommendations focused on reducing costs and improving efficiency, preserving and increasing state support, and expanding local funding options, including preservation-first spending, a permanent federal fund exchange program, streamlined review processes, better coordination with WSDOT, possible property tax flexibility, and exploration of new local tools. Members raised questions about design standards, the role of density and transit, federal compliance, and whether the report would identify specific consolidation or process changes. The committee also heard a project update on evaluating zero-emission vehicle and electrification programs funded by the Climate Commitment Act. Consultants said they had reviewed roughly 23 programs and projects across seven agencies and were now evaluating options to improve delivery, including process improvements, reorganizing programs, or consolidating governance and administrative functions. Early findings highlighted staffing shortages, duplication and variation across agencies, differing levels of risk, and the challenge of coordinating climate priorities across agencies with other core missions. Members asked about program outcomes, administrative costs, whether some programs should have exit strategies, and how to strengthen the EV Coordinating Council. Finally, WSDOT provided an implementation update on its new public-private partnership authority under SB 5801, saying work is underway to prepare governance, legal, policy, and organizational structures ahead of the January 1, 2027 effective date.
NV

Nevada 2025 Regular Session

Assembly Committee on Legislative Operations and Elections May 29th, 2025 at 01:00 pm

Legislative Operations and Elections

Transcript Highlights:
  • Senate Bill 226 instead requires this report be submitted to the Joint Interim Standing Committee on
  • SB 422 creates further delays in reporting final, accurate election results by encouraging additional
  • We appreciate the Secretary of State's Office for their continued efforts in improving efficiency.
  • As some of you know, because you get my report, since 2017 I do a monthly report, very detailed down
  • Our goal is to build efficiencies into the process.
TX

Texas 89th Regular

Appropriations - S/C on Articles I, IV, & V Feb 26th, 2025

Appropriations - S/C on Articles I, IV, & V

Transcript Highlights:
  • DPS was directed by the 88th legislature. to conduct a study to improve the effectiveness and efficiency
  • know, auto shops, radio shops, drugs, blood, alcohol, all of that stuff. comes to Austin, it's not efficient
  • There's so many efficiencies, and there's a lot packed in this that Colonel. goods you can talk about
  • and a lot of times the juveniles are migrants they're not people that that run to law enforcement report
  • Don't show up on a uniformed crime report if somebody's being trafficked.
Keywords: 1184, house, all
ND

North Dakota 2026 1st Special Session

Energy Development and Transmission Committee Jun 2nd, 2026

Energy Development and Transmission Committee

Transcript Highlights:
  • Every now and then you need a little bit of makeup water, but for the most part, it's very efficient.
  • Every now and then you need a little bit of makeup water, but for the most part, it's very efficient.
  • We aim to be a leader in developing cleaner, efficient technologies for energy and environment.
  • We aim to be a leader in developing cleaner, efficient technologies for energy and environment, so we
  • Scott Ayash, Director of Research Management from the EERC, regarding a report from CERC.
Summary: The committee met in Grand Forks, approved the February 26 minutes by voice vote, and recessed for a tour of the Mincota Power Cooperative headquarters before returning for presentations on large energy consumers, especially data centers. The first presentations focused on how North Dakota should respond to rapid growth in energy-intensive projects, with speakers emphasizing the need for reliable transmission, local decision-making tools, and factual information for county and township officials who are being asked to weigh major projects with limited staff and technical support. The North Dakota Transmission Authority director said local governments are being asked to make high-impact decisions on pipelines, transmission lines, large agriculture, wind, solar, carbon dioxide pipelines, direct-air capture, and data centers, and urged development of simple statewide decision tools and support from the League of Cities and Association of Counties. The Department of Environmental Quality’s air division director said North Dakota’s air remains among the cleanest in the nation, but large data centers can create air-quality concerns because of diesel backup generation; he said the department is requiring air monitors at some facilities and expects grid power and, potentially, cleaner natural gas backup to reduce emissions. Members asked about emissions standards, misinformation, monitoring costs, and staffing succession at DEQ. The Department of Water Resources director said North Dakota’s water law is based on common ownership and prior appropriation, and that data centers generally use relatively small amounts of water, often in closed-loop systems. He said the Missouri River and groundwater supplies are ample for projected needs, that the department’s permitting process protects senior water rights, and that even a worst-case data center scenario would use a very small share of Missouri River flow. Members asked about downstream impacts and compared data center water use with fracking. Later, McLean County State’s Attorney Ladd Erickson urged the committee to study how other states regulate data centers, warned against litigation-driven delays and overly broad local ordinances, argued reclamation bonding should be handled at the state level if at all, and said data centers can bring jobs and tax base but should remain subject to local zoning. The committee ended the morning session for lunch and later heard an EERC update from CEO Charles Gorecki on the center’s 75 years of work in energy and environmental technologies, especially oil and gas development and related research.
CA
Transcript Highlights:
  • Do you anticipate the report coming out of SB 380?
  • Are there other avenues that are more cost-efficient to providing housing?
  • They do provide monthly reports on incoming calls as well as answered calls.
  • Reporting timelines.
  • So it's efficient and appropriate to retire this licensure type. Thank you.
Keywords: 987, senate, all
Summary: The subcommittee heard updates from the Department of State Hospitals on its proposed 2026-27 budget, including a $3.2 billion total budget, patient-driven operating cost increases, savings in the IST solutions program, and progress in meeting the Stiavedi court-ordered 28-day treatment standard. DSH reported it has met court benchmarks, reduced the IST pending placement list from a pandemic high of 1,953 to about 250, and is now averaging about five days to initiate treatment. Members asked about the effects of Proposition 36 and SB 1323 on referrals, outside hospitalization costs, Medicare coverage, and whether IST solution funds were being overbudgeted; DSH said referrals are slightly down overall, outside medical costs are rising due to inflation and an aging population, and the IST savings reflect slower-than-expected activation of community programs rather than a service gap. The department also outlined proposed funding for electrical infrastructure upgrades at Napa and Patton, a feasibility study under SB 380 for transitional housing for the CONREP SVP program, and a dental services expansion at Metropolitan and Patton. The committee held those DSH items open after discussion. The Commission for Behavioral Health presented its role in overseeing the transition from MHSA to BHSA, including data, evaluation, transparency, grantmaking, and technical assistance. It described the new Innovation Partnership Fund, a statewide innovation grant program funded at up to $20 million annually for five years, with small and large grants, and said it had received strong interest ahead of the May 8 application deadline. Members asked about what qualifies as innovation, whether grants could be renewed, and how the state would ensure the program supports service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for up to $4.062 million in remaining Alcove Youth Drop-in Center funds so sites can finish implementation and Stanford can complete the final evaluation; that item was also held open. DHCS provided an overview of behavioral health policy changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, the access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation, transitional rent, and upcoming youth-focused guidance such as high-fidelity wraparound and activity funds. On BHSA implementation, DHCS said it is not tracking specific local program cuts, but is monitoring county plans and outcomes while noting that counties must still preserve Medi-Cal specialty mental health and DMC-ODS services. The department also discussed its H.R. 1 implementation strategy, including outreach, streamlined renewals, ex parte exemptions, and proposed clinic navigator and outreach funding to reduce Medi-Cal coverage loss, especially for people with behavioral health needs. In response to questions, DHCS said it has not produced a specific H.R. 1 impact estimate for county behavioral health populations, and later explained that counties can still use BHSA and other funding streams for prevention and early intervention while the state tracks impacts through integrated plans and new performance measures. The department also reported on BH-CHIP bond spending, saying it has awarded $5.8 billion for 437 infrastructure projects creating 546 new or expanded facilities and more than 9,553 residential beds, with tribal set-asides exceeding the original allotment.
MN

Minnesota 2025-2026 Regular Session

Committee on Finance - Part 1 - 04/20/26

Finance

Transcript Highlights:
  • sure our systems actually work efficiently.
  • systems actually work efficiently. systems actually work efficiently.
  • it relates to the payroll reporting it relates to the payroll reporting portal<00:23:27.720>
  • However, reporting.
  • and and the reporting? and and the reporting?
Keywords: 1187, senate, all
CO

Colorado 2026 Regular Session

Colorado Senate 2026 Legislative Day 029 Feb 12th, 2026

Colorado Senate Floor Meeting

Transcript Highlights:
  • Um, I move Senate Bill 19 and the associated committee report to the committee report.
  • I move the committee rise and report. The motion before the committee is to rise and report.
  • The motion committee rise and report.
  • <00:45:04.480> All report. All those in favor say I. All report.
  • <00:46:27.599> Oh, report is adopted. Signing of bills. Oh, report is adopted.
Keywords: 981, all
Summary: The Senate convened with a quorum, approved the February 10, 2026 journal, and received committee reports on several appointments and bills. The Finance Committee recommended confirmation of four appointments to the Advisory Committee on Governmental Accounting. It also reported Senate Bill 42 with amendments and favorable recommendation to Appropriations, while the State, Veterans, and Military Affairs Committee recommended postponing Senate Bill 30 indefinitely. The chamber then took up a personal-privilege segment recognizing physician associates and honoring Susan G. Komen and breast cancer awareness. Senators Michaelson Jenet and Frizell spoke about the importance of breast cancer research and treatment, and Frizell shared a personal reflection on her own cancer journey. The Senate also adopted Senate Joint Resolution 10, celebrating Lunar New Year 2026 and Colorado’s Asian-American communities, by a vote of 32-0. On third reading, the Senate passed Senate Bill 64, concerning the Colorado Agricultural Future Loan Program, by a vote of 30-2, and Senate Bill 52, concerning coal transition communities and hiring preferences, by a vote of 29-3. Senate Bill 13, concerning cohabitation as a means to commit bigamy, also passed on third reading by a vote of 27-5. In Committee of the Whole, Senate Bill 19, which would combine early childhood councils and local coordinating organizations and add accountability requirements, was amended and advanced on second reading; the committee report was then adopted 33-0, and the bill was ordered engrossed for third reading. The Senate later recessed until 11:30 a.m.
NH

New Hampshire 2025 Regular Session

House Public Works and Highways (01/14/2025)

Transcript Highlights:
  • We also have two offices that report directly to the commissioners.
  • to the that report directly to the Commissioners<00:29:05.399> the<00:29:05.559> first
  • to each of those divisions as report to each of those divisions as well<00:29:58.519> our<00:
  • We have already shed the positions that those efficiencies brought to us.
  • brought to us we also efficiencies brought to us we also include<00:45:28.480> a<00:45:28.640
Keywords: 928, house, all
Summary: The Public Works and Highways Committee held an orientation meeting focused on introducing members, outlining committee norms, and hearing an overview from the Department of Transportation. Chair David Mills emphasized the committee’s long-standing bipartisan working style, asked members to share contact information for short-notice scheduling, and noted that the committee would need to complete as much work as possible before the building is vacated later in the year. Members introduced themselves and described backgrounds in engineering, construction, planning, local government, military service, education, and business. Several members highlighted prior service on planning boards, school boards, zoning boards, or in transportation-related fields as relevant to the committee’s work. Members repeatedly described the committee as collegial and nonpartisan, with most bills going to the consent calendar. The chair also noted that the committee’s work centers on state infrastructure, including roads, bridges, highways, and buildings. Representative Cluder, the ranking member, and others echoed that the committee is effective because it talks issues through and resolves disagreements collaboratively. One member mentioned a recent trip that reinforced the importance of infrastructure resilience after storms and rebuilding efforts in other states. Department of Transportation officials, led by Assistant Commissioner and Chief Engineer David Rodrig, gave a detailed organizational and operational overview. They described DOT’s structure, mission of “transportation excellence,” and major responsibilities across highways, bridges, rail, transit, aeronautics, maintenance, and administration. Rodrig reported 1,651 permanent positions and 404 vacancies, 2,160 state bridges with 115 on the Red List, 4,600 centerline miles of roadway, 25 public airports, 11 transit systems, and 194 active state-owned rail lines. He also outlined FY 2024 spending, project development activity, highway maintenance operations, fleet and fuel systems, and the distinction between the highway fund and DOT’s budget, including the role of federal funds and the turnpike enterprise fund. No votes were taken and no bills were acted on during this orientation meeting.
KY
Transcript Highlights:
  • And you're right, it will increase efficiencies.
  • It'll it'll have increase efficiencies.
  • and then um we have to get a a report and then um we have to get a a report from<01:08:50.719>
  • This isn't<01:21:28.960> efficiency.
  • It's a self-induced isn't efficiency.
Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.