Video & Transcript Research : 'reporting structure'
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MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am
Joint Committee on Financial Services
Transcript Highlights:
- I urge you to give it a favorable report. Thank you for your time.
- We really appreciate that this committee has reported the bill out favorably in the past.
- The CHIA report shows that it would be a very small impact on overall premiums.
- The implementation of some of those reporting requirements.
- Thanks so much for your time, and we urge you to report this bill favorably.
Summary:
The Joint Committee on Financial Services held a lengthy public hearing with more than 70 people signed up to testify, focusing mainly on health insurance and health care access bills. Early testimony centered on H.1257/S.712, which would require insurance coverage for medically necessary treatment of genetic craniofacial conditions. Supporters included legislators, dentists, and medical experts who said these conditions are not cosmetic, can severely affect eating, speech, pain, and social functioning, and often create major financial hardship because insurers deny coverage. A related dental bill, H.1262/S.676, drew technical testimony from the Life Insurance Association of Massachusetts about implementation issues with the 2022 dental loss-ratio law, while the Massachusetts Dental Society supported H.1306/S.696 on transparency in dental network leasing and opposed H.1262. Representative Gentile also testified for H.4013, which would ban for-profit acute care hospitals and for-profit health insurers in Massachusetts, arguing that profit incentives undermine patient care.
A major portion of the hearing was devoted to H.1261/S.799, a bill to protect patients from surprise ambulance bills. Municipal fire chiefs, Boston EMS, nonprofit ambulance providers, and the bill’s Senate sponsor said the measure would require insurers to pay ambulance providers directly and promptly, cap patient out-of-pocket costs, and reduce confusion caused by out-of-network billing. Witnesses described ambulance services as essential public health infrastructure and said current billing practices can discourage people from calling 911 or leave municipalities and nonprofits unable to recover costs. Committee members asked about unpaid debt, municipal billing burdens, and how the bill would affect rates and reimbursement. No votes were taken during the hearing.
The committee also heard extensive testimony on H.1249/S.805, which would require screening for PANS/PANDAS in medical and clinical settings. Legislators, clinicians, parents, a teen with the condition, and educators described PANS/PANDAS as an infection-triggered inflammatory illness that can present as sudden psychiatric symptoms and is often misdiagnosed as a mental health disorder. Supporters said routine screening at well visits, emergency rooms, and other clinical settings would help identify children earlier, reduce unnecessary psychiatric treatment and hospitalizations, and improve outcomes. Testifiers repeatedly urged favorable action, emphasizing the personal and financial toll on families and the potential for early treatment to prevent long-term harm. The hearing concluded with continued testimony on these bills; no committee action or votes were announced.
NM
New Mexico 2025 Regular Session
IC - Science, Technology and Telecommunications Nov 12th, 2025
Science, Technology & Telecommunications Committee
Transcript Highlights:
- Madam Chair, Senator, the $95 million is reported by the New Mexico ATD, which is the Higher Education
- So we are not even reporting on that data.
- There have been a few changes since that report that you saw, but I'm glad that the HED speaks to that
- I really encourage you to read that report.
- That would be really great as long as we structure it in a way that benefits New Mexicans as well.
WA
Washington 2025-2026 Regular Session
Joint Committee on Veterans’ & Military Affairs Oct 30th, 2025
Transcript Highlights:
- This creates some structure for state agencies to cooperate and coordinate with Sentinel Landscapes.
- Once we move out, I’d like to continue using the existing structure that we have that’s in downtown.
- Once we move out, I’d like to continue using the existing structure that we have that’s in downtown.
- And I hope that we can get a formal report on that to us if good, because I know that the cuts on the
- So I'm hoping that maybe they can provide us a report on that in some ways so that we can figure out
Summary:
The Joint Committee on Military and Veterans Affairs heard presentations on several military and veterans-related topics. Dr. Dan Calvert briefed the committee on the JBLM Sentinel Landscape Partnership, explaining its voluntary conservation work to reduce encroachment around the base by protecting prairie habitat, supporting agriculture, and managing sensitive species. He described REPI funding, recent and proposed projects, and possible policy support such as state designation, dedicated funding, management endowments, prescribed fire flexibility, and water-right transfer tools. Members asked about seed sourcing, the distinction between natural-resource encroachment and development-related encroachment, and the impact of federal REPI staffing cuts.
David Puente of the Washington State Department of Veterans Affairs updated the committee on plans for a new state veterans cemetery in the Tri-Cities area and a replacement Spokane Veterans Home. He said the cemetery project has two candidate sites near Richland/West Richland, with pre-design funded by the legislature and a future request expected for land purchase and construction; he also noted the current cemetery funding source is limited and would not support a second cemetery without additional state operating funds. On the Spokane home, he described the current facility’s limitations and said the replacement would be a 120-bed, small-house model on a larger site, with the VA expected to cover 65% of construction costs if the state provides the match. He also reviewed agency budget reductions, including vacant positions, reduced outreach, cuts to counseling and wellness funding, and reduced support for veterans service organizations.
Blue Star Families’ Puget Sound chapter also presented on its programs for military-connected families, including Coffee Connects, a children’s book club, outdoor programming, career support, and Blue Star Welcome Week. The group said it is expanding beyond the South Sound and is using local outposts and online networks to reach more families, while also helping with food insecurity through grocery gift cards and partnerships with local nonprofits. Committee members discussed the need to expand the organization statewide and the ongoing food-security challenges facing military families.
During the final discussion on potential legislation, members raised ideas including restoring Washington National Guard retention efforts, expanding E-CAP eligibility to military families, revisiting the composition of the Veterans Affairs Advisory Committee, and addressing veterans’ preference issues for service members who have not yet received a DD-214. The committee did not take any formal votes or actions, but members and presenters discussed future policy and budget requests, and the chairs thanked the presenters and staff before adjourning.
FL
Florida 2025 Regular Session
April 15, 2025 - 10:30 AM
Transcript Highlights:
- difference is that will need to be hashed out so the Legislature can produce its final conference report
- Sorting out all the issues involved with the state's fleet and the auditor general report members.
- And I have reported that Chair Maney U.S. a judiciary budget.
- We look at the structure.
- But candidly for geologists, we're already pretty bare in our licensing structures.
FL
Florida 2026 Regular Session
FL House Floor Session - 2025-04-15 (4:30PM Session)
Florida House Floor Meeting
Transcript Highlights:
- News & World Report has ranked USF as a top 50 public institution.
- Are there reports of committees? None on the desk, Mr. President.
- And I'm just trying to figure out the structure. If you will, Mr.
- And I'm just trying to figure out the structure. If you will, Mr.
- Senate Bill 726, a bill to be entitled an act relating to false reporting.
Summary:
The Senate opened with a prayer, the Pledge of Allegiance, doctor and gallery introductions, and several recognitions, including USF Day at the Capitol and visitors from Miami Gardens, Teach For America Florida, and Pathways to Prosperity. The chamber then moved to the special order calendar and considered a series of bills, with several measures temporarily postponed and others passed after debate and roll call votes.
The Senate unanimously passed several Open Government Sunset Review bills, including SB 7010 and SB 7008, which preserve public records exemptions related to insolvent insurance company receiverships and financial technology sandbox applications. It also passed SB 1430 on post-judgment execution proceedings for terrorism victims, SB 910 on veterans benefits assistance, SB 796 on general permits for distributed wastewater treatment systems, SB 28 and SB 22 as claims bills involving South Broward Hospital District, SB 8 for relief related to a Pasco County School Board accident, SB 1718 preserving a public records exemption for minors seeking abortions without parental consent, and SB 994 on driver’s license education requirements. SB 832 on former phosphate mining lands also passed, but with two amendments and some opposition.
A major portion of the meeting focused on SB 700, the Department of Agriculture and Consumer Services bill, which included technical updates, restrictions on certain additives in public water systems, limits on ESG practices in farm lending, drone-related penalties, truth-in-labeling provisions for meat, milk, poultry, and eggs, charity registration requirements, agricultural worker housing, and support for FFA and 4-H. The most contentious debate centered on fluoride provisions in the bill: multiple amendments by Senators Berman and Polsky to remove the fluoride language, require targeted fluoride assistance, or order an OPAGA study were all defeated, while a technical amendment by Senator Truenow was adopted. The bill remained on the calendar for third reading after extensive debate and questioning. At the end of the session, the Senate adopted motions to certify passed bills to the House, retain postponed bills on the special order calendar, and return CS for SB 7016 to second reading, then adjourned until April 16.
LA
Transcript Highlights:
- A toll should not be on this type of structure in a community.
- A toll should not be on this type of structure in a community.
- The state has already put in $100 million on its structure.
- It's the exact same type of structure.
- I see no questions; it'll be reported favorable.
Summary:
The Finance Committee met on May 27, 2026, with six members present and took up a series of House bills, most of them dealing with education funding, criminal justice staffing, transportation, health care access, and economic development. HB 325 was reported favorably after testimony that it would expand TOPS eligibility by allowing dual-enrollment credits to satisfy eligibility criteria and by making part-time students eligible for TOPS Tech, with supporters saying the program has been underused and the change would help working students. HB 719 was amended and reported favorably to increase assistant district attorney positions in various judicial districts; the Louisiana District Attorneys Association said the changes were based on workload data and local input, and members discussed the need to coordinate any expansion with public defender funding. The committee also reported HB 749 favorably, which would move Louisiana’s 529 savings accounts to a more secure online platform after a cyber incident, and HB 1028 favorably, which concerns transportation reimbursement for providers and was described as already subject to appropriation.
Several bills focused on food access and local economic development. HB 1222, the Grocery Initiative Act, was reported favorably to let LED use existing grant resources to map food deserts and develop a program, with members noting it could return for funding later if needed. HB 1194 was amended and reported favorably to define food deserts and direct the LSU AgCenter and the Department of Agriculture and Forestry to identify and map them, with authors emphasizing it was a study and not a government-run grocery program. HB 755, which would create IDIQ contracting for architects and engineers on smaller state projects, was reported favorably with no fiscal impact. HB 823, a local diversion pilot for Orleans Parish, was also reported favorably after the fiscal note was revised to remove state impact and reflect only local costs.
The committee spent substantial time on HB 488, a proposal from Plaquemines Parish to use severance-tax revenue to help buy out a private toll concession on the parish’s bridge. The author and local officials described severe toll burdens, economic harm to local businesses, and what they called an unfair contract, but members noted the bill was not funded and ultimately deferred it without a motion. HB 797, the Bayou Gold/Louisiana Sound Money Act, was amended to make implementation subject to appropriation and then reported favorably. The committee also took up HB 198, which would raise Medicaid reimbursement for ambulatory surgery centers for certain outpatient procedures; after extensive discussion about fiscal notes, access to care, and potential long-term savings, the bill was amended to narrow its scope and make implementation subject to appropriation, then reported favorably as amended. The meeting ended with the chair noting it would be the committee’s last meeting and asking members to spread the word.
TX
Texas 89th Regular
S/C on Academic & Career-Oriented Education Apr 3rd, 2025
S/C on Academic & Career-Oriented Education
Transcript Highlights:
- other reporting that we have in our systems.
- But this bill would trigger the reporting.
- that we would then be able to use to report.
- Collecting, does that mean you can make them report it?
- A reporting requirement means they automatically send it?
Keywords:
bullying, antisemitism, school policies, school discipline, education, education policy, Texas Education Code, hate speech, student rights, civics education, high school curriculum, government, voting process, elected officials, Texas Seal of Biliteracy, biliteracy, bilingual education, multilingual, language proficiency, high school diploma
CO
Colorado 2026 Regular Session
Colorado House 2026 Legislative Day 093 Apr 17th, 2026
Colorado House Floor Meeting
Transcript Highlights:
- on the committee report as amended. on the committee report as amended.
- I move House Bill 1321 in the Education Committee report. >> To the education report.
- pay structure. pay structure.
- . structure. structure.
- <01:57:21.120>
It's structures. They chose this one. It's structures.
Summary:
The House convened with 58 members present and seven excused, establishing a quorum, and approved the April 15, 2026 journal as corrected. The chamber then moved through announcements recognizing visiting railroad workers, LIUNA Local 720, Colorado West Christian Schools, Religious Freedom Day, and several school and community groups, along with birthday acknowledgments and committee schedule notices. The House also adopted a motion to remove House Bill 1245 from special orders and returned it to the general orders second reading calendar, and set House Bills 1290, 1312, and 1321 as special orders.
The House adopted Senate Joint Resolution 18, recognizing Nowruz and expressing support for the human rights and fundamental freedoms of the Iranian people, including the Women, Life, Freedom movement. Supporters described Nowruz as a holiday of renewal and resilience and tied the resolution to solidarity with Iranian communities. Representative Zokaie also spoke at length about the personal impact of war on Iranian families and urged a vote. The resolution passed 59-2 with four excused.
The chamber then considered several bills in committee report. House Bill 1290, concerning assault and clarifying sentencing, was amended in Judiciary to remove the medical professional provision and passed after testimony emphasizing strangulation as a serious warning sign in domestic violence cases; it then passed the House. House Bill 1312, dealing with peace officer participation, POST Board composition, academy training, and related grants, was amended for clarity and passed the Judiciary report and then the bill. House Bill 1321, modifying the School Security Disbursement Program, had the Education Committee report defeated, but amendments were adopted to broaden eligible service providers and adjust funding language; the bill then passed as amended.
NH
New Hampshire 2026 Regular Session
House Education Policy and Administration (02/11/2026)
Education Policy and Administration
Transcript Highlights:
- Um, we've worked monthly board report.
- report errant um, content or behavior. report errant um, content or behavior. and<03:18:58.880><
- danger of failing report also weekly. danger of failing report also weekly.
- I think in terms of structures, MTSS is a great example of those systems and structures.
- are structured team-based processes. are structured team-based processes.
TX
Texas 89th Regular
Senate Committee on Water, Agriculture, and Rural Affairs Mar 24th, 2025
Water, Agriculture and Rural Affairs
Transcript Highlights:
- From the Rural Water Association, it was reported that they would be out of water in 20 years or less
- In December of 2019, our 319-page interim report unanimously recommended that the Senate constitutionally
- It establishes legislative reporting requirements for the Texas Water Development Board to protect local
- fixing our water infrastructure. structure challenges.
- In particular, the bill requires that the agency report on progress towards closing our water supply
Bills:
SB7
MN
Minnesota 2025-2026 Regular Session
House Agriculture Finance and Policy Committee 3/4/26
Agriculture Finance and Policy
Transcript Highlights:
- So you know like structural stories.
- structural stories. structural stories.
- World War II Congress commission report World War II Congress commission report how<00:23:49.280
- Second, I'm a big fan of structural Second, I'm a big fan of structural rules.<00:25:04.320>
- ><00:27:48.080>
the <00:27:48.240>Walmart the land reported that the Walmart the land reported
Bills:
HF3718
Keywords:
veterinary medicine, veterinary technology, animal care, licensing, client consent, continuing education, emergency services, teletriage, 1183, house
Summary:
The Agriculture Finance and Policy Committee met with quorum present, approved the March 2 minutes, and then heard a presentation on economic consolidation in agriculture from Austin Ferk, who said he was not taking additional public testimony. Ferk argued that consolidation in meat, dairy, and grain markets has squeezed farmers on both input and output prices, raised consumer prices, and reduced product quality. He used charts and examples to claim that concentrated markets lead to price gouging, that farmers now receive a historically low share of each food dollar, and that industrial production has contributed to environmental problems, especially in Iowa.
Ferk focused on several large agribusiness firms, especially JBS and Cargill. He described JBS as a dominant meatpacker with a history of bribery allegations and market power across beef, pork, poultry, and leather, and said its ownership of brands can obscure who is actually selling the product. He also criticized Cargill as an opaque, privately held company with enormous influence over grain and food markets, and said the farm bill and crop insurance system have been shaped to favor overproduction of corn and soy rather than diversified farming. He argued that these policies, along with ethanol demand and export-oriented livestock production, have harmed rural communities, increased manure and nitrate pollution, and contributed to health problems.
In the latter part of the presentation, Ferk discussed antitrust and policy responses, including concentration studies, a proposed packer ban that would prevent meatpackers from owning the animals they slaughter, and restrictions on slotting fees and other pay-to-play practices in grocery retail. He also referenced the failed Kroger-Albertsons merger as an example of consolidation harming local communities. No committee vote or formal action was taken on the presentation beyond approving the minutes.
VT
Transcript Highlights:
- <00:34:01.840>
which <00:34:02.080>is the House adopt its report which is the House - adopt its report which is printed<00:34:02.799>
in <00:34:03.120>today's <00:34:03.600> - [Clears throat] Madam Speaker, I'll be re, um, presenting the report from the committee of conference
- Now for the section summary of the strike-all report. First, section 2031 defines two terms.
- And you have adopted the report of the committee of conference.
Summary:
The House opened with a devotional performance, then introduced several bills. H.896 would create a New England Oregon bank specialty license plate and was referred to Transportation. H.897 would prohibit social media use by children and was referred to Commerce and Economic Development. H.898, a committee bill on transitions from copper-based to fiber-based telecommunications networks and consumer protections, was read and placed on the notice calendar. H.899 would finance multi-unit housing through the Vermont Economic Development Authority and was referred to Commerce and Economic Development. The chamber also referred H.635, eliminating Department of Corrections supervisory fees, to Ways and Means because it affects state revenue.
The House adopted JRS 40, a joint resolution setting weekend adjournment for February 13, 2026, to reconvene no later than February 17, 2026. It also concurred in HCR 181 congratulating the 2025 Spirit of the ADA award winners and HCR 189 designating February 11, 2026, as Disability Advocacy Day at the State House. HCR 181 recognized a long list of employers for inclusive hiring and accommodations, while HCR 189 highlighted disability rights history, the Vermont Coalition for Disability Rights, and ongoing barriers faced by Vermonters with disabilities.
The House then took up HCR 192, recognizing February 11, 2026, as National 211 Day in Vermont and celebrating Vermont 211’s statewide referral and crisis-support role. The resolution noted more than 61,000 contacts and over 22,000 referrals in 2025, along with its emergency and after-hours support functions. Members also made announcements recognizing Recovery Day, the Spirit of the ADA award recipients, Disability Advocacy Day, National 211 Day, and other guests and events in the chamber.
On the action calendar, the House considered the conference committee report on S.23, concerning the use of synthetic media in elections. The committee reported a strike-all compromise on definitions, disclosure requirements, exemptions, and penalties. The report defined deceptive synthetic media, required a disclosure for certain synthetic media distributed within 90 days of an election, provided exemptions for some broadcasters and parody, and set civil penalties for violations. The House was asked to adopt the conference report.
CA
California 2025-2026 Regular Session
Joint Hearing Assembly Labor and Employment and Senate Labor, Public Employment and Retirement Mar 12th, 2025
Transcript Highlights:
- In addition, we continue to respond and investigate reports of complaints.
- Reports been filed, and if so, how many and how are they being responded to?
- Adon give you the report on the... Thank you. I'm going to let Mr.
- Adon give you the report on the complaints, accidents, or referrals that we receive.
- We can break that down by, of course, it's self-reporting..." "...so it is whatever someone reports,
Summary:
The joint Senate and Assembly labor committees held a hearing on the Los Angeles wildfires and their impact on workers, employers, and recovery efforts. Chairs and members emphasized that rebuilding should prioritize worker safety, equity, local hiring, and strong labor standards rather than simply moving quickly or relying on the lowest bidder. They also stressed the need to learn from past disasters and to create a more coordinated state response for future emergencies.
Worker advocates described how domestic workers, day laborers, firefighters, and other frontline workers were affected by the fires. Testimony focused on workers being trapped in evacuation zones, lacking timely information in Spanish, losing jobs and income, and facing exposure to toxic debris without adequate PPE. Speakers called for expanded outreach and education, stronger Cal/OSHA enforcement, broader occupational safety coverage for domestic workers and day laborers, recall and transfer rights, childcare and transportation support, and a centralized disaster relief system that can quickly deliver cash aid and equipment regardless of immigration status.
Firefighter Derek Irwin said California firefighters face serious carcinogenic exposure and urged continued funding for the firefighter cancer prevention and research program, along with a long-term state health monitoring and research effort similar to the World Trade Center Health Program. Building trades and labor representatives argued that cleanup and rebuilding should be done through community workforce agreements, prevailing wage, apprenticeship requirements, and local hire provisions, and said the state already has trained workers available. They also said federal debris-removal work through the Army Corps has limited the state’s ability to impose some standards, but that state and local funding or subsidies should trigger labor requirements.
Employer and business representatives described major losses to property, inventory, revenue, and jobs, especially in Altadena and nearby areas. The Altadena Chamber said it is coordinating recovery resources, while a construction business owner said small local firms are being shut out of disaster contracts and proposed a more accessible procurement process for local and minority businesses. LAEDC presented preliminary estimates of billions in property damage and business disruption, tens of thousands of potential job losses, and a recovery timeline of five to ten years, warning that low-income communities will be disproportionately affected and that workforce retraining and upskilling will be needed alongside the broader economic recovery.
NJ
Transcript Highlights:
- Lastly, adjacent to that failure to hold the line on spending is our structural deficit.
- Yes, Senator O'Scanlon, we did cut the structural budget deficit in half.
- with free credit reports.
- Consumer reporting agencies to provide consumers with free credit reports three times during any 12-month
- All votes reported. A.B. 1516 has received 30 votes in the affirmative, 0 in the negative.
CA
California 2025-2026 Regular Session
Assembly Higher Education Committee Jun 23rd, 2026
Higher Education
Transcript Highlights:
- I will now go over some key elements of the structure of today's hearing.
- I've advocated for the rights of transgender employees and helped file bias reports for students who
- after report, PPC, California Competes, and others have identified just how many Californians we need
- after report, report PPC, California competes and others have identified just how many Californians
- There are other funding issues which relate to structural components, things like buildings and labs
CA
California 2025-2026 Regular Session
Assembly Higher Education Committee Jun 23rd, 2026
Transcript Highlights:
- I will now go over some key elements of the structure of today's hearing.
- I've advocated for the rights of transgender employees and helped file bias reports for students who
- after report, PPC, California Competes, and others have identified just how many Californians we need
- after report, report PPC, California competes and others have identified just how many Californians
- There are other funding issues which relate to structural components, things like buildings and labs
Summary:
The Assembly Higher Education Committee heard several Senate measures focused on community college procurement, higher education access, and student support. SB 1154 by Senator Reyes would allow community college districts to use best-value procurement for public works projects over $1 million. Supporters, including San Bernardino Valley College, the San Bernardino Community College District, labor groups, and several districts, said it would improve delivery of complex facilities and align community colleges with other education systems. Opponents, including the Associated General Contractors, argued the bill’s skilled-and-trained workforce requirements and labor-compliance scoring would narrow the bidder pool and raise costs. The committee passed the bill to the Assembly Floor on a due-pass vote, with some members voting no or not recorded.
SB 1255, also by Senator Reyes, would create a California Hispanic-serving institution designation. Supporters from HACU, the CSU Chancellor’s Office, UC, community colleges, and other education organizations said the designation would recognize campuses that serve large numbers of Latino and low-income students and strengthen accountability and student success. The committee approved the bill as amended and re-referred it to Appropriations, with one no vote. SB 1328, presented on behalf of Senator Cervantes, would require LGBTQ+ points of contact at satellite or branch campuses of CSU and community colleges, either through designated staff or regular office hours. Testimony emphasized gaps in access at remote centers and the need for confidential support; one member raised concerns about staffing, costs, and whether existing systems could meet the need remotely. The bill was passed as amended and sent to Appropriations.
The committee also considered SB 960 by Senator Cabaldon, which would expand the circumstances under which community colleges could offer bachelor’s degrees in response to unmet workforce needs, especially where CSU programs are impacted or not realistically accessible locally. Supporters said the bill would help meet workforce demand and expand access for place-bound and adult learners. CSU and faculty representatives opposed unless amended, urging stronger partnership requirements, clearer workforce-need standards, and safeguards around duplication and Prop 98 funding. Members discussed impaction, regional access, and the role of partnerships; the bill was passed as amended and re-referred to Appropriations. Finally, SB 632 by Senator Otagan would extend the California College Promise fee waiver to part-time community college students enrolled in nine units. Supporters said many students cannot attend full time because of work, caregiving, and living costs, and the bill would better reflect student realities; the transcript ends during testimony on this measure, before any vote is shown.
MN
Minnesota 2025-2026 Regular Session
Supporting teacher retention, HF3930 3/26/26
Minnesota House Floor Meeting
Transcript Highlights:
- Seven in 10 districts report vacancies.
- Seven in 10 districts report vacancies.
- Seven in 10 districts report vacancies.
- Seven in 10 districts report vacancies.
- that you have to deal with, the reports that you have to deal with, the reports you<00:20:11.760
FL
Florida 2025 Regular Session
February 11, 2025 - 03:30 PM
Transcript Highlights:
- These are numbers that were reported to us by APD in periodic update calls.
- These are numbers that were reported to us by APD in periodic update calls.
- I think we have to report on our network weekly to the agency, and we have to report on our network weekly
- And so it's a different payment structure, is what I would say to that.
- It's a different payment structure, is what I would say to that.
Summary:
The Health and Human Services Committee received an overview of Florida’s intellectual and developmental disabilities (IDD) managed care pilot, created by legislation in 2023 to test whether a managed care model could integrate Medicaid medical services with iBudget waiver home- and community-based services for adults in pre-enrollment categories. AHCA explained the existing system, the pilot’s scope in Regions D and I, and the rollout timeline, including federal approval, contract execution with Florida Community Care, and the October 2024 go-live. Officials reported that, as of early February, 370 individuals had been sent for onboarding and 168 more were in queue, with about $35.8 million of the appropriation remaining. APD also clarified the difference between the pre-enrollment categories and the waiver waitlist, and noted that crisis cases can be enrolled more quickly depending on eligibility and funding.
Florida Community Care described the pilot as a comprehensive managed care model offering medical, long-term care, and iBudget services, plus enhanced benefits such as bed-hold days, caregiver transportation, and help with legal guardianship costs. The plan said it uses one care coordinator, a 1:18 coordinator ratio, a face-to-face assessment within five days of enrollment, and 180 days of continuity of care for existing providers. The company emphasized that it is recruiting providers by offering higher rates than some iBudget rates, lower administrative burden, and network adequacy incentives, while APD said it continues to monitor provider supply and demand and recruit across service types and regions. Members repeatedly questioned whether the pilot’s costs, provider rates, and service levels were truly comparable to the iBudget system, and AHCA and APD said it was too early to draw firm conclusions because claims data are still lagging.
Committee members also raised concerns about communication, enrollment delays, provider shortages, and whether the pilot could scale statewide. APD said it has used letters, phone calls, texts, emails, and community meetings to reach eligible individuals, and that some delays stem from required assessments, Medicaid eligibility checks, and level-of-care determinations. Several members asked for more detailed comparisons of costs and provider reimbursement between the pilot and iBudget, and APD said it would provide additional data. Public testimony at the end was strongly critical of managed care, with a participant and his mother describing poor service, transportation failures, and loss of control under prior managed care arrangements, and urging the committee not to expand such a model without safeguards. No votes or formal committee action were taken before adjournment.
ND
North Dakota 2026 1st Special Session
Higher Education Institutions Committee Apr 9th, 2026 at 08:30 am
Higher Education Institutions Committee
Transcript Highlights:
- No findings at all in 24 or the 23 financial report.
- So that concludes my report.
- And they cited that in their report.
- The fact, just structurally, that the Dakota College at Bottineau dean reports to the Minot president
- Reporting that is required. So pause there.
MN
Minnesota 2025 1st Special Session
Committee on Health and Human Services - 01/28/25
Health and Human Services
Transcript Highlights:
- As things stand now, we have a structural deficit of about $40,000 per year.
- As things stand now, we have a structural deficit of about $40,000 per year.
- As things stand now, we have a structural deficit of about $40,000 per year.
- Senator Report, thank you, Madam Chair. Thank you, Commissioner.
- Senator Report, thank you, Madam Chair. Thank you, Commissioner.
Summary:
The Senate Health and Human Services Committee met on January 28, 2025, to review Governor’s budget proposals for several health-related licensing boards. The chair said no formal action would be taken and noted that final budget language was not yet available. The committee began with an overview from Bridget Anderson of the health-related licensing boards, who explained that the boards are fee-funded, operate as independent executive agencies, and handle licensing, complaints, rulemaking, and disciplinary matters. She also noted that the Board of Dentistry’s budget includes the Administrative Services Unit and criminal background check program, which can make the budget graphs appear larger than the dentistry board’s own operations.
The Board of Dentistry requested funding for a new administrative staff position, estimating about $100,000 in salary, insurance, and fringe costs, to replace support lost when an administrative position was reclassified. Anderson said the board handled more than 300 complaints last year, with cases becoming more complex, especially involving surgical and implant procedures and imaging. Members asked about dental Medicaid access, but Anderson said that issue would be better directed to DHS’s Medicaid oral health division. The Board of Behavioral Health and Therapy requested a full-time position due to rapid growth in the number of regulated professionals, from about 4,000 in 2014 to nearly 10,000 now, and also sought authority to set a fee for out-of-state applicants under the Counseling Compact, with a cap of up to $100 though the board expects to charge much less.
The Board of Podiatric Medicine asked to raise its fee ceiling, saying fees had not been increased since 1999 and that the board now faces a structural deficit of about $40,000 per year and declining reserves. Several senators expressed concern about “not-to-exceed” fee authority, calling it too open-ended and suggesting the legislature should scrutinize specific fee needs rather than approve broad ceilings. Similar concerns were raised during the Board of Chiropractic Examiners presentation, where the board sought $100,000 in additional spending authority and a fee increase after 32 years without an adjustment; members questioned the proposed ceiling approach and asked for more historical information before deciding. The Board of Dietetics and Nutrition Practice also discussed fee-setting authority, with the executive director explaining that the board had previously lowered fees without clear authority and later faced audit questions; she requested funding for a vacant administrative position, saying applications and revenues have increased sharply and no fee increase would be needed.
The final presentation began with the Board of Pharmacy, which said it serves more than 26,000 licensees and oversees the Prescription Monitoring Program and opioid product registration. The board requested an extension of previously appropriated general fund dollars through fiscal year 2027 to continue paying legal costs tied to the insulin safety net lawsuit, emphasizing that this was not a new funding request but an extension of existing authority. No votes or formal actions were taken during the meeting.