Video & Transcript Research : 'rate decoupling'
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KY
Kentucky 2026 Regular Session
Senate Standing Committee on State and Local Government. (2-11-26)
State & Local Government
Transcript Highlights:
- Section four ensures public agencies are charged fair and reasonable rates for legally required notices
- Section four ensures public agencies are charged fair and reasonable rates for legally required notices
- Section four ensures public agencies are charged fair and reasonable rates for legally required notices
- Section four ensures public agencies are charged fair and reasonable rates for legally required notices
- Kentucky is short 206,000 housing units, and if we continue the current developing rate in the next 5
Keywords:
Meeting Start: 00:04
Attendance Roll Call: 00:08
SB 141 Discussion 00:58
SB 141 Vote 07:03
SB 9 Discussion 09:10
SB 9 Vote 19:47
Adjournment: 21:20, 958, all
Summary:
The Senate State and Local Government Committee first took up Senate Bill 141, sponsored by Senator Given, which revises Kentucky’s public notice laws. Senator Given said the bill was the product of negotiations among the Kentucky Press Association, the Kentucky League of Cities, and the Kentucky Association of Counties, aiming to balance transparency with the cost of publication. Testimony described changes to clarify which newspapers may publish legal notices, address publication errors, ensure fair and reasonable rates, update ad size requirements, and provide more practical hearing timelines. Committee members praised the compromise and the bill’s modernization, including expanded online access to public notices. SB 141 passed 10-0 with favorable expression.
The committee then considered Senate Bill 9, sponsored by Senator Mills, and first adopted a substitute that addressed concerns from Farm Bureau and the Kentucky Bankers Association. Senator Mills said Kentucky faces a significant housing shortage and that the bill would give local governments two tools to encourage development without direct state cost: a residential infrastructure development district and a housing development district. He explained that the first tool would help finance infrastructure within a district through bonds repaid by special assessments, while the second would allow local governments to negotiate incentives and streamlined review for larger housing projects. Members asked about public participation, local control, infrastructure financing, and whether the bill required affordable housing set-asides; Mills said the bill leaves those decisions to local governments. SB 9 passed 9-0 with one pass and favorable expression.
FL
Florida 2026 4th Special Session
January 28, 2026 - 01:00 PM
Transcript Highlights:
- customers; and second, that the requesting municipality or property owner agrees to pay all applicable rates
- All applicable rates and charges authorized by law, including connection fees and impact fees.
- payer and taxpayer protections I clean energy, clean water, and rate payer and taxpayer protections.
- Miller has to do with protecting the rate payer, and so I was really curious...
- Miller has to do with protecting the rate payer.
Summary:
The Economic Infrastructure Subcommittee considered a full agenda of transportation, utility, aviation, and energy bills. HB 4045, amending the Jacksonville Aviation Authority charter, passed without questions or debate. HB 1075, which would require municipal utilities to allow outside property owners to connect when capacity exists and fees are paid, drew testimony from local government and municipal advocates who warned about conflicts with existing agreements, long infrastructure payback periods, and the risk of subsidizing nonresidents; despite concerns from Rep. Smith and others about municipal boundaries and cost, the bill passed, with Smith voting no. HB 519, as amended, authorizes golf cart crossings at signalized intersections on designated golf cart roads; it passed unanimously after lighthearted debate about golf carts and pedestrian crossings.
The committee then took up HB 919, which creates a state definition for major commercial service airports and preempts airport naming authority, including renaming Palm Beach International Airport to Donald J. Trump International Airport subject to FAA, county, and trademark-related conditions. Palm Beach County supported the bill and an amendment clarifying implementation and trademark language, while Rep. Eskamani and others raised concerns about preemption and the timing of honoring a sitting president; the bill passed with several no votes, including Eskamani, Skidmore, and the ranking member. HB 1093, the Advanced Air Mobility and Infrastructure Act, would support eVTOL/vertiport development through tax exemptions, infrastructure funding flexibility, and statewide siting standards while preserving local zoning; supporters framed it as an economic-development and workforce bill, while Rep. Cheney raised taxpayer concerns. An amendment narrowing liability protections for vertiports co-located with public airports was adopted, and the bill passed with Cheney voting no.
Finally, HB 1461 established a regulatory framework for advanced nuclear reactors, assigning oversight roles to the PSC, DOH, and DEP. Supporters argued the bill would improve energy reliability, affordability, and Florida’s leadership in clean, advanced energy, while an opponent from Deploy US urged strong consumer protections and cautioned against overbroad deregulation. Rep. Eskamani emphasized preserving PSC prudency review for ratepayer protection, and the sponsor said the bill was refined through committee discussion. After an amendment fixing technical issues and clarifying that one section applied to all nuclear, the bill passed favorably. The meeting then adjourned.
TX
Transcript Highlights:
- That has to do with their carrier and what their insurance rates are and what their plans state.
- We have a contracted rate. We get to say how much it is or whatnot.
- on there as well, our insurance contracted rates.
- rate for this with the insurance company is this.
- Indeed, the empirical evidence shows that there is a 6.1% reduction. and suicide rates for middle-aged
Keywords:
e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid
FL
Florida 2025 Regular Session
Banking and Insurance Mar 25th, 2025
Transcript Highlights:
- Consumer services contact information rate changes and ensured value.
- Comprehensive Reese, a comprehensive resource center and access to rate filing information.
- capital gains tax rate.
- So if you're wealthy, you can borrow money at very low interest rates.
- The initial purchase would be at at basically the wholesale rate of gold.
AL
Transcript Highlights:
- And number four, all new rate increases cannot exceed the core health care inflation rate as determined
- What we need to have is a rate case hearing.
- to be looked at and I think the rate to be looked at and I think the rate case<01:46:04.639>
- case hearings which are formal rate case hearings which are formal rate cases<01:46:08.560>
that - removes lobbying cost from rate removes lobbying cost from rate determination<01:50:14.080>
hearings
MN
Minnesota 2025-2026 Regular Session
Conference Committee on H.F. 4188 - Omnibus Commerce and Consumer Protection - Part 3 - 05/13/26
Transcript Highlights:
- This is the reimbursement rate for trainees of mental health practitioners.
- It reimburses clinical trainees for mental health services at full rates.
- This is the reimbursement<00:09:17.520>
rate <00:09:17.800>for reimbursement rate for reimbursement - rate for trainees<00:09:20.280>
of <00:09:21.080>for <00:09:21.240>mental <00:09 - <00:09:41.600>
Uh health services at full rates. Uh health services at full rates.
Summary:
The committee took up a series of amendments to the bill. Representative Keagle’s A21 amendment, which would have prohibited online sweepstakes games, raised the paddle wheel prize value, and added Hessian pepper as a social skill game, was discussed with support cited from a broad coalition of organizations, but it failed on a roll call vote. The A27 amendment, directing the Department of Commerce to perform a 62J evaluation of home care nursing services, was then adopted after members described it as a temporary step toward a longer-term solution for disability home care issues.
Senator French’s A11 amendment, which raises the cap on deposits into the consumer protection restitution account and changes how those funds are distributed to eligible consumers, was also adopted. Representative O’Driscoll then offered the H.F. 4188 A22 amendment, described by counsel as incorporating language from House File 4333 on short-term and long-term home care insurance; members supported it as a way to expand private insurance options, and it was adopted.
Finally, Representative Keagle moved Article 3, Section 11, a provision to reimburse clinical trainees providing mental health services at full rates, and that motion was adopted as well. Afterward, the committee authorized nonpartisan staff to make technical or necessary corrections to the bill, noted that the bill would not be wrapped up that day, and then adjourned.
AZ
Arizona 2026 Regular Session
03/19/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- recommended reimbursement providers $295 for critical intensive outpatient service; Access set the rate
- In fact, we don't have an incentive to deny claims; it will impact our federal error rate.
- received when it put the state plan amendment to change the intensive outpatient program reimbursement rate
- codes were a really important tool to combat the fraud that we were seeing because prior to those rates
- codes were a really important tool to combat the fraud that we were seeing because prior to those rates
OK
Transcript Highlights:
- Per your advice, Madam Chair, I looked up some statistics here on pass rates of the NCLEX, so a diploma
- Diploma versus ADN, talking about the NCLEX, the pass rate on that.
- The diploma programs had a 78.31% pass rate. The ADN programs had a 77.91% pass rate.
- know, honestly, I think, I mean, with the statistics I gave you guys earlier about the NCLEX pass rate
- It shows by having a higher pass rate on the NCLEX exam. You're recognized for follow-up?
Bills:
HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912
Keywords:
interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure
FL
Florida 2026 5th Special Session
Appropriations Committee on Health and Human Services Mar 26th, 2025
Transcript Highlights:
- It provides $93.6 million in Medicaid provider rate increases, $13.3 million in additional resources
- We spoke briefly about the methodology for the room rate.
- You talked about setting the room and board rates to include input from the children and care of former
- foster youth to ensure those rates support the quality of life.
- applied throughout the state. ...there is a more consistent rate applied throughout the state.
Summary:
The Appropriations Committee on Health and Human Services first heard and adopted the proposed fiscal year 2025-26 budget for the committee, which was presented as a $1.8 billion increase over the current base budget. The budget emphasized Medicaid and KidCare funding, IT modernization, workforce reductions tied to unfilled or augmented positions, provider rate increases, mental health and substance use funding, opioid treatment, elder care, veterans’ services, cancer research, and school nurse staffing. The committee approved technical adjustments and then adopted the budget proposal for submission to the full Senate Appropriations Committee.
The committee then considered several bills, most of which were reported favorably. SB 152 on surgical smoke required hospitals and ambulatory surgical centers to adopt smoke evacuation policies; it drew strong support from nurses and other health care workers describing workplace and patient safety risks. CS/SB 958 on early detection of type 1 diabetes required the Department of Health to develop informational materials for schools and, by amendment, early learning coalitions. CS/CS/SB 170 on nursing homes required consumer satisfaction surveys, patient safety culture surveys, reporting to the health information exchange, financial reporting penalties, and Medicaid quality incentive reporting; an amendment exempted state-operated homes, including veterans’ facilities, and directed a study of quality incentive systems. CS/SB 738 updated and streamlined child care regulation, and CS/SB 1356 created the Florida Institute for Pediatric Rare Diseases at Florida State University and a related pediatric rare disease screening pilot.
The committee also passed SB 1370, which reorganized ambulatory surgical centers into their own statutory framework, with testimony emphasizing their lower costs compared with hospitals. Finally, the committee considered CS/CS/SB 1626 on child welfare and related issues. After adopting multiple amendments that removed references to unaccompanied alien children and special immigrant visas, changed language on child abuse definitions, and required DCF to set room-and-board rates by methodology rather than fee schedule, the bill was explained as strengthening child welfare protections, codifying military-family coordination, improving domestic violence shelter certification, adjusting children’s services council appointments, clarifying missing-child procedures, and updating licensing and compliance provisions. The bill drew both support and opposition, particularly over missing-child jurisdiction and immigration-related concerns, and was ultimately reported favorably. A final motion to record a vote on SB 958 was also adopted.
FL
Florida 2025 Regular Session
February 19, 2025 - 01:00 PM
Transcript Highlights:
- We do not believe so because we’re actually exceeding the Medicare reimbursement rate.
- We do not believe so because we're actually exceeding the Medicare reimbursement rate.
- And, you know, again, some of the The Medicare reimbursement rate.
- The reimbursement rate for any of the specific services and putting that cap at 110%.
- So we're actually, we are going above and beyond the Medicare reimbursement rate.
Summary:
The Intergovernmental Affairs Subcommittee heard and passed two measures before receiving a staff presentation on the local bill process and local delegation meetings. HB 4007, by Rep. Snyder, would cap reimbursement for certain inmate emergency medical services in Martin County at 110% of the Medicare rate, with a higher cap if a provider shows it is operating at a loss. Snyder said the bill is intended to create predictability and save taxpayer dollars; members asked about fiscal effects and whether other counties could adopt similar language. Public testimony came in support from Martin County and related local officials, and the bill was reported favorably by a 17-0 vote.
The committee also passed HM 4005, by Rep. Daly, which urges Congress to increase Florida National Guard force structure. Daly argued Florida’s troop allocation is outdated and inadequate for the state’s population and disaster demands, contributing to burnout and recruiting problems. Members asked about the basis for the current allocation, possible budget and infrastructure impacts, and the National Guard’s needs; there was no opposition or public testimony, and the memorial was reported favorably by a 17-0 vote.
After the votes, Reps. Holcomb and Kendall gave a detailed presentation explaining how local bills differ from general laws, constitutional limits on local legislation, required local delegation meetings and notice, certification and economic impact forms, and amendment procedures. Members asked several process questions, including about multi-county delegations and Miami-Dade’s special status. The meeting ended with a few recognitions and adjournment before session.
NH
Transcript Highlights:
- of the per pupil rate of the per pupil rate how<01:05:26.960>
did <01:05:27.160>the <05:03:17.920>- She asked about regret rates, saying the regret rate for hip replacements is 4.8 percent and the regret
in historically High vaccination rates in historically High vaccination rates - of regret but also one of the a low rate of regret but also one of the lowest<05:31:13.200>
rates - months to find one with a good rating months to find one with a good rating tried<05:34:31.520><
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Revenue Jun 21st, 2026 at 10:30 am
Joint Committee on Revenue
Transcript Highlights:
- municipalities to grant a full property tax exemption for veterans or their surviving spouses who are rated
- municipalities to grant a full property tax exemption for veterans or their surviving spouses who are rated
- full property tax exemption for veterans with a service-connected permanent and total disability rating
- full property tax exemption for veterans with a service-connected permanent and total disability rating
- their loans new interest... ...which gave veterans who were behind on their loans new low-interest-rate
Summary:
The Joint Committee on Revenue held a hybrid hearing on 32 bills related to veterans and service members, with opening remarks from Chair Madaro and Senator Eldridge emphasizing the committee’s work on tax credits and property tax relief, including follow-up to the HERO Act of 2024. The chairs outlined hearing procedures, noted the August 23 reporting deadline for House-filed matters, and explained that testimony would focus on issues including voluntary contributions, sales tax, property tax, and economic development. No votes were taken during the hearing.
Several bills drew testimony in support of expanding or simplifying veterans’ property tax benefits. Rep. Sylvia supported H. 3255 to raise the veterans’ property tax workoff cap from $1,500 to $2,000, matching the senior workoff program. Rep. Soder and Sen. Moore advocated for stronger property tax relief for disabled veterans, including H. 3245 and S. 2046, with Moore proposing a disability-based exemption and state reimbursement to municipalities. Rep. McGregor supported H. 3175, which would eliminate the need for veterans to refile annually for exemptions unless their status changes, arguing it would reduce burdens on veterans and assessors.
Testimony also addressed line-of-duty death benefits and local implementation concerns. Mary Ann Cardi supported H. 3188 to clarify that surviving spouses of police and fire personnel who died in the line of duty qualify for a full real estate exemption. Chris Clark, Senator Sear, and Counselor Ludke all backed the veterans’ workoff bill, describing it as an equity fix that would align the veterans’ program with the senior program and help municipalities like Barnstable use the benefit more effectively. After hearing from all scheduled speakers and confirming no additional in-person testimony, the chairs adjourned the hearing.
LA
Louisiana 2026 Regular Session
State Bond Commission May 21st, 2026
Transcript Highlights:
- the city must pay the remaining balance of the capital improvements, plus interest at the default rate
- There is a double-A-rated transaction pro forma that reflects bond insurance and a triple-A-B-rated transaction
- less than 90%; discount not exceeding 3%; final maturity no later than December 1, 2066; interest rate
- than 90%, at a discount not exceeding 3%, final maturity no later than December 1 of 266, an interest rate
- These bonds are anticipated to be rated and will be marketed by either a preliminary limited offering
Summary:
The State Bond Commission met on May 21, established a quorum, approved the April 16 minutes, and then considered a long agenda of bond, refunding, and election-related requests. Items 3 through 10 were election propositions for the November 3 ballot involving ad valorem taxes, parcel fees, and charter amendments for purposes such as fire protection, agricultural centers, neighborhood security, recreation, aging services, drainage, and roads and bridges; staff said they met technical and legal requirements, and the commission approved them. The commission also approved several local financings, including water and sewer projects, fire district equipment and facility improvements, school board and parish bonds, and refunding transactions for the East Baton Rouge City-Parish and St. James Parish School Board. A retroactive approval request from the City of Kenner related to a CEA with GMB Basketball LLC was discussed; staff made no recommendation because it was retroactive, but noted it appeared to be an oversight, and item 22, the related airport district agreement, was approved.
The commission approved additional financing for the Louisiana Housing Corporation’s Federal City Building 10 affordable housing project, a preliminary approval for the Northwest Louisiana Finance Authority’s Petro Tower redevelopment in Shreveport, and two Louisiana Public Facilities Authority projects: Southern University’s Scott’s Bluff student housing project and the Crescent City Schools project for Harriet Tubman Charter School. During discussion of the Crescent City Schools financing, a commissioner asked about the use of MFP funds; staff explained that lease payments would be the repayment source and that MFP dollars are generally split between educational expenses and facilities costs, with the school’s typical split around 72% instructional and 28% administrative/facilities-related. Both items were approved.
The commission then received six cost-of-issuance reports for previously approved bond issues, with various fee adjustments but no motions required. It also reviewed a debt schedule update and adopted Resolution No. 2 authorizing up to $425 million in general obligation refunding bonds to refund Series 2016 bonds and tender other outstanding bonds for savings, with pricing tentatively set for June 16 and closing for June 30. In other business, the commission heard a brief public comment from New Orleans City Council President J.P. Morrell thanking the commission for helping place a charter amendment on the ballot to improve New Orleans budgeting transparency and oversight. The meeting ended after monthly reports were noted and no further business was raised.
VA
Transcript Highlights:
- bill, there's something we haven't talked about that I'm very concerned about, and it is our bond rating
- Speaker, ratings agencies love Virginia for its sound fiscal management and all the things that we do
- And when the rating companies look at what it's going to do to our budget and how it's going to hamstring
- We've had a AAA bond rating in this state since the 1930s.
- You no longer decide your tax rates. It's going to be decided for you.
MN
Transcript Highlights:
- Madam Chair, can I just add one thing related to the issue of reimbursement rates?
- as well as continuing to improve rates as well as continuing to improve rates um<00:37:44.320>
- related issue of reimbursement rates? related issue of reimbursement rates?
- Um I don't think that the funding rates.
- Uh, we had a lot of conversations in the legislature about reimbursement rates for Medicaid, and, um,
TX
Texas 89th Regular
Appropriations- S/C on Article II Feb 26th, 2025
Transcript Highlights:
- However, thanks to the efforts of the legislature, Truman has received two rate increases during the
- Our rates to validate that our costs were covered.
- Today, I'm here to request your support for the proposed education reimbursement rate review.
- in a proposed rider, will ensure the sustainability of our facility by requiring HHSC to review our rate
- First, let me thank you on behalf of my employees for the investment you made to the base rate last session
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 04/08/26
Health and Human Services
Transcript Highlights:
- and manipulate the reimbursement rates and manipulate the reimbursement rates um<01:26:37.360>
- It also had the added effect of reimbursing West Virginia pharmacies at an appropriate rate.
- an appropriate rate. an appropriate rate.
- spread pricing effective rate spread pricing effective rate contracting<01:41:54.800>
and - insurers negotiate at lower rates. insurers negotiate at lower rates.
DE
Delaware 2025-2026 Regular Session
House Economic Development/Banking/Insurance & Commerce Committee Meeting Jun 23rd, 2026
Economic Development/Banking/Insurance & Commerce
Transcript Highlights:
- Black and Hispanic women experience menopause symptoms at higher rates and often with greater severity
- But you come in here at the beginning of the new session, 'God, insurance rates are so hot.'
- Well, you're pretty much the cause of most of that insurance rate being so high.
- are so hot well you're pretty much the cause of most of that insurance rates is so hot.
- Well, you're pretty much the cause of most of that insurance rate is so high.
Summary:
The committee met with roll call attendance and took up two bills. First was Senate Bill 315 with Senate Amendment 1, which would allow the Division of Small Business to add state funding to existing federal small business programs, including the Small Business Innovation Research and Small Business Technology Transfer programs. There was brief public support from one in-person commenter, no virtual comment, and the committee voted to release the bill, though it did not yet have enough signatures for immediate release and was left open for absent members to sign.
The second item was Senate Substitute 1 for Senate Bill 319, a women’s health insurance mandate requiring coverage for medically necessary menopause and perimenopause diagnostic and treatment services, including FDA-approved hormone replacement therapy, pelvic floor therapy, and related care. Representative Smith presented the bill as a response to gaps in menopause care and insurance coverage, and Department of Insurance witness Kennedy Cook explained the religious exemption as applying to certain religious employers and blanket health policies. Committee members asked about the scope of that exemption, and some expressed concern about religious carveouts, while others praised the bill as important women’s health legislation.
During public comment, one speaker supported the bill but warned that expanding mandatory health benefits can raise insurance costs. The Department of Insurance then testified in support, saying the bill would align Delaware with other states, many insurers already comply, and the department did not expect a meaningful premium impact. The committee voted to release Senate Substitute 1 for Senate Bill 319 from committee.
KY
Transcript Highlights:
- I don't know what that number is. rates were astronomical. uh we we we had rates were astronomical. uh
- cost, and interest rates rising? cost, and interest rates rising?
- rate is a margin squeeze. rate is a margin squeeze.
- <01:29:18.639>
our a banking standpoint we risk rate our a banking standpoint we risk rate - <01:29:53.440>
on we're we're putting a risk rating on we're we're putting a risk rating on
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Education (7-14-25)
Transcript Highlights:
- The graduation rate of 61.1.
- The graduation rate of 61.1.
- <00:22:56.559>
is So the falltofall retention rate is So the falltofall retention rate is - You said that you wanted rate of 61.1.
- school rate is because getting graduate school rate is because getting a<00:26:01.760>
degree
Summary:
The committee met with a full quorum and approved the prior minutes. Members offered introductions of guests and family members, then heard a presentation from University of Louisville President Thomas Jared Bradley, who was sworn in before testifying. He described his background and outlined U of L’s strategic priorities: student success, access and affordability, workforce development, community engagement, and research. Bradley highlighted enrollment growth, increases in first-generation and Pell-eligible students, strong transfer pathways with KCTCS, and support programs such as the Cardinal Commitment Grant, 15-to-Finish, Comeback Cards, tutoring, mentoring, and mental health services.
Bradley also emphasized U of L’s statewide and regional impact through UofL Health, rural outreach, the Bullitt County rural cancer education and research center, nursing expansion, and the Kentucky Manufacturing Extension Partnership program. He noted major institutional distinctions, including R1 status, a new Carnegie Opportunity College and University designation, and community-engaged classification. He said the university is one of only 10 public universities nationwide with all three designations and reported record enrollment, improved retention, and strong research expenditures. He also thanked lawmakers for significant capital and operating support, including funding for the simulation center, health science center, asset preservation, and the MEP program.
During questions, members praised the university’s public service role and asked about first-generation enrollment, retention, graduation rates, and post-graduation outcomes. Bradley said the university is working to improve completion by expanding academic support, early alerts, incentives for tutoring, and faculty/advisor mentoring, especially for first-generation and high-need students. He acknowledged that post-graduation employment data is difficult to collect but said the new Carnegie classification reflects positive outcomes. No votes were taken beyond approving the minutes, and no formal actions were taken on legislation in this portion of the meeting.