Video & Transcript Research : 'R.E.A.D. program'

Page 168 of 500
NH

New Hampshire 2025 Regular Session

Senate Ways and Means (01/29/2025)

Ways and Means

Transcript Highlights:
  • behind the tax credit program.
  • behind the tax credit program.
  • If we have programs to support them, and this program does that, we use it regularly.
  • If we have programs to support them, and this program does that, we use it regularly.
  • If we have programs to support them, and this program does that, we use it regularly.
Keywords: 1191, senate, all
MN

Minnesota 2025-2026 Regular Session

Committee on Finance - 03/18/26

Finance

Transcript Highlights:
  • If you're asking about the eligibility for recipients of the program?
  • program? program?
  • housing, and some other programs.
  • , and some other programs.
  • We would love to put ongoing funds into this program.
Keywords: 1187, senate, all
KY

Kentucky 2026 Regular Session

House Standing Committee on Veterans, Military Affairs, and Public Protection (2-3-26)

Veterans, Military Affairs, & Public Protection

Transcript Highlights:
  • Our main program is our Military Assistance Response Program, or MARP.
  • <00:26:00.000> is straightforward. our our main program is straightforward. our our main program
  • our military assistance response program our military assistance response program or<00:26:02.480
  • tremendously successful program. tremendously successful program.
  • Um and then we we have uh other programs Um and then we we have uh other programs such<00:26:47.440
Keywords: 958, all
Summary: The committee heard House Bill 369, which would add post-traumatic stress disorder to an existing 2018 hyperbaric oxygen therapy-related law for veterans. Representative Scott Sharp and HBOT for KY Vets representatives testified that PTSD and traumatic brain injury often overlap, that veterans are frequently misdiagnosed, and that hyperbaric oxygen therapy has shown benefits in clinical trials and in Kentucky’s own funded program. Members asked whether the bill would require insurance coverage; the sponsors said it would not, and noted they are seeking broader approval through medical and congressional channels. The committee voted favorably on HB 369, with members expressing support based on personal experience and the needs of veterans and their families. The committee then considered House Bill 419, for which a committee substitute was adopted before testimony. Representative Suzanne Miles and Kentucky Fire Commission/KCTCS representatives explained that the bill would expand the fire commission board from 14 to 18 members, clarify that KCTCS’s 5% administrative fee applies collectively to all funds rather than separately to each fund, and allow excess funds to help cover out-of-pocket cancer screening costs for volunteer and paid firefighters. A question about board staggering was answered by explaining that staggered terms were originally used to avoid all terms ending at once and were expected to continue. The committee passed HB 419 with favorable expression. Later, USA Cares presented an update on how it has used prior state funding. The organization described its grant-based assistance for veterans and military families facing housing, vehicle, and utility crises, as well as career transition and housing-related support programs. Testimony emphasized that the aid helps prevent homelessness and reduce suicide risk, and the group reported it had used nearly all of the $2 million awarded in the last budget cycle to assist 364 families and more than 500 dependents. No vote was taken on the USA Cares presentation.
MN

Minnesota 2025-2026 Regular Session

Committee on Agriculture, Veterans, Broadband and Rural Development - 03/10/25

Agriculture, Veterans, Broadband, and Rural Development

Transcript Highlights:
  • agriculture's Bio incentive program agriculture's Bio incentive program thank<00:03:06.920> you
  • <00:03:55.720> was fuel um when this program was fuel um when this program was established
  • applied to participate in the program applied to participate in the program but<00:04:17.320>
  • program with fuel retailers.
  • biof Fu infrastructure grant program biof Fu infrastructure grant program alleviates<00:20:30.799
Keywords: 1187, senate, all
NH

New Hampshire 2025 Regular Session

House Finance Division II (03/19/2025)

Transcript Highlights:
  • <00:15:49.040> virtually cutting every other program virtually cutting every other program
  • states and and applies to this program states and and applies to this program too<00:18:25.360><
  • being drawn um into the the EFA program being drawn um into the the EFA program it's<00:24:26.440
  • <00:29:01.240> thank programs thank programs thank you<00:29:03.279> yeah<00:29:03.440>
  • And this program does not do that.
Keywords: 928, house, all
Summary: The Division 2 Finance Committee work session focused primarily on House Bill 115 and a proposed amendment, 114H, which would carry over language from HB 2 into HB 115 and place limits on Education Freedom Accounts (EFAs). Representative Murray described the amendment as a way to keep the 350% federal poverty eligibility cap, require students to have attended a charter public school in grades K-12 for the preceding year before entering the voucher system, and add guardrails against universal eligibility. She argued the state was facing a severe budget crisis, that expanding EFAs would divert money from other programs, and that public testimony and local votes showed widespread opposition to expansion. She also cited a letter from former Finance chair Neil Kirk opposing expansion. Other members responded that the committee should not revisit policy already decided by the House, though some said the amendment was fair to discuss because of its fiscal implications and supported it on that basis. The discussion then broadened into a debate over the fiscal impact of universal vouchers and the reliability of enrollment and cost estimates. Representative Luno argued that prior EFA projections had relied on assumptions that could badly underestimate state exposure, pointing to Arizona as a cautionary example and saying New Hampshire should not expand the program without better analysis. Representative Papovich similarly warned that universal eligibility could create a large, unexpected cost, estimating a potential exposure of about $285 million based on school-age children not currently in public, charter, or EFA programs. In contrast, Representative Weyler said EFAs can save money because public school spending is already high and parents using EFAs still pay taxes and take on more responsibility for their children’s education. After discussion, Representative Murray moved to accept the amendment, and Representative Bean seconded it. There was some procedural clarification about voting on the original bill and the amendment. The transcript ends before a final recorded vote on the amendment or on HB 115 itself, though the committee had also been told it would likely reconsider several retained bills later in the week, including HB 129, HB 133, HB 671, and HB 781.
HI

Hawaii 2025 Regular Session

House Chamber - Fri Apr 4, 2025, 12:00PM HST - Day 46

Hawaii House Floor Meeting

Transcript Highlights:
  • participants and to program staff.
  • program participants and to program program participants and to program staff.<00:40:31.920>
  • participants or program staff or both. participants or program staff or both.
  • <00:42:39.119> staff HRS and is limited to program staff HRS and is limited to program staff
  • Defense is one of the few programs where Defense is one of the few programs where the<00:56:56.640>
Keywords: 910, house, all
FL

Florida 2025 Regular Session

February 11, 2025 - 09:00 AM

Transcript Highlights:
  • Highlights of our budget issues include rural and family lands protection program.
  • So there's $275 million for the Water Quality Improvement Grant Program.
  • There's $275 million for the Water Quality Improvement Grant Program.
  • , Florida Recreational Assistance Development Program, Florida, Florida Forever Program, Florida Recreational
  • Here you can see the citrus marketing program. ...state.
Summary: The Agriculture and Natural Resources Budget Subcommittee met to hear member-led presentations on agency budget requests after prior meetings with the agencies. Representative Barnaby summarized the Florida Department of Agriculture and Consumer Services’ fiscal year 2025-26 request, highlighting major funding for the Rural and Family Lands Protection Program, Florida Forest Service wildfire and land management needs, citrus disease and research efforts, a new Conner Complex facility and lab, agricultural water and BMP projects, agricultural law enforcement staffing and equipment, maintenance and vehicle needs, and federal grant-related spending. No vote was taken on the department’s request during the meeting. Representative Bartleman presented the Department of Environmental Protection request and said the subcommittee supported it fully. The request emphasized Everglades restoration, water quality grants, springs, harmful algal bloom and red tide response, alternate water supplies, resilience and flood prevention, beach and coral reef restoration, land acquisition and state parks, and cleanup of petroleum, dry cleaning, and hazardous waste sites. Representative Alvarez asked DEP to provide a list of the most contaminated lakes, along with estimated costs, so the committee could prioritize cleanup efforts. Representative Black summarized the Florida Fish and Wildlife Conservation Commission request, which included additional law enforcement funding in high-demand areas, oyster and reef restoration, habitat restoration, heavy equipment for land management and prescribed burning, a water survival training center, and red snapper data research. Representative Salzman then presented the Department of Citrus request, describing a lean agency budget focused on operations, PALM readiness, marketing and consumer awareness, greening-resistant plant material, and building repairs; the workgroup recommended fully funding the request. The meeting ended with members thanking the chair and staff for the more member-driven budget process, and the subcommittee adjourned without objection.
AR

Arkansas 2026 1st Special Session

JBC-PERSONNEL Apr 15th, 2026

JBC-PERSONNEL

Transcript Highlights:
  • It's moving nutritional programs from... All nutritional programs. Correct. So all the...
  • , which included commodities, some different adult feeding programs, different programs that came in,
  • But what we're pulling out in this particular program...
  • Can you assure this committee that all program assets involved in the nutritional program of the state
  • So the entire programs are transferring to the...
Summary: The committee first considered the Lieutenant Governor’s Office budget and personnel request. Office representatives said they wanted to move the office to the state pay plan to better align salaries with other constitutional offices and remain competitive, noting that OPM had approved the positions and grades. Senators questioned the size of the requested increases and the office’s workload, and after discussion the motion to adopt the proposal failed on an 8-8 tie. The committee then voted to expunge that vote and returned to the regular agenda. The committee approved a series of Governor’s letters involving position transfers and appropriation adjustments across several agencies. These included changes for AETN, the Department of Health and Nursing Board/Dietetics Board, multiple DHS divisions, DFA shared services and budget management, and the Department of Public Safety shared services division. Most of these items involved moving positions and associated salary appropriations between divisions, with no major opposition and motions passing. A lengthy discussion followed on the transfer of child nutrition and related nutrition programs from the Department of Education to the Department of Agriculture. Education and DFA officials explained that the programs fit better under Agriculture because the funding and commodities are tied to USDA programs, and they clarified that both state and federal funding and all related positions would move. Senators raised concerns about the math in the letters, the split between state and federal funding, and whether all program resources were being transferred. After the explanation, the committee approved the Education side of the transfer and then approved the Agriculture companion letter. The committee also discussed the Educational Freedom Account program budget. Officials said the $309 million request matched current participation and included a $70 million reserve in case applications increase. Several senators expressed concern about the program’s growth and its effect on public education funding and adequacy, while others noted that the program’s rules and funding levels could be adjusted through the State Board and future legislative action. The committee then approved a Public Safety classification change and a member amendment changing a title at East Arkansas Community College from assistant to the president to assistant to the chancellor, with no change in positions or appropriation.
FL

Florida 2025 Regular Session

February 5, 2025 - 09:00 AM

Transcript Highlights:
  • So the Rural and Family Lands Protection Program is an agricultural land preservation program, and it's
  • , our best management practices program, which is a water quality and water quantity program.
  • So from 2001, when the program was created, to 2022, the Rural and Family Lands Protection Program acquired
  • , our best management practices program, which is a water quality and water quantity program.
  • So from 2001, when the program was created to 2022, the Rural and Family Lands Protection Program acquired
Summary: The Agriculture and Natural Resources Budget Committee met with a quorum and heard two Department of Agriculture presentations. First, the Director of Rural and Family Lands described the Rural and Family Lands Protection Program, which buys development rights through perpetual conservation easements on private agricultural land to preserve farming, wildlife habitat, water resources, and open space while keeping land taxable and avoiding state maintenance costs. He said the program has expanded rapidly since 2023 through streamlined applications, templates, and an online portal, increasing acreage protected from about 66,000 acres through 2022 to more than 210,000 acres, with a higher share in the Florida wildlife corridor. He also said review times were reduced by more than 85 days and that projects under $5 million can move faster under statutory authority. The department is seeking $200 million in nonrecurring funding on top of $100 million recurring, citing 203 existing projects and 224 new applications totaling nearly $2 billion in estimated need. Members asked about the scientific ranking process, South Florida participation, project prioritization, maintenance responsibilities, and whether landowners can exit the program; staff said land remains privately owned, easements are in perpetuity, and partnerships and cost-sharing are prioritized. The committee then heard from the Florida Forest Service director, who outlined the agency’s dual mission of wildfire response and land management. He said the service responds to roughly 2,200 to 2,500 wildfires annually, manages 38 state forests and one ranch totaling more than 1.1 million acres, and receives about 15 million visitors each year. He highlighted the impact of Senate Bill 1638 gaming compact funds, which provided $32 million for land management, recreation, equipment, roads, invasive species control, habitat restoration, prescribed burning, reforestation, and staffing support. He said Florida leads the nation in prescribed fire, with 277,818 acres burned on state forests last year and 2.47 million acres burned statewide, and noted ongoing restoration work such as Picayune Strand. He also described challenges including aging equipment, deferred maintenance, contractor availability, and timber market instability caused by hurricanes and mill closures, and suggested longer-term funding and a higher capital asset allowance. Members discussed timber markets, public communication and marketing, recreation fees, and coordination with other agencies and FDOT. The meeting ended with the chair noting that next week’s meeting would report out agency conversations and budget recommendations, and the committee rose.
KY
Transcript Highlights:
  • The name of this program specific to both Medicare and Medicaid is the balance program.
  • There are two separate programs. I'll be focusing on the balance program.
  • > separate<00:38:16.079> program generous program is a separate program generous program
  • balance program.
  • Uh the balance program balance program.
Keywords: 958, all
Summary: The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone. The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months. Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value. After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.
TX

Texas 89th Regular

Natural Resources Aug 11th, 2025

Natural Resources

Transcript Highlights:
  • and through Hazard Mitigation. ...grant program.
  • And houses the State National Flood Insurance Program, or NFIP.
  • Another key flood grant program that we manage is the FMA program.
  • Program as part of FEMA's Hazard Mitigation Assistance Grant Program.
  • These are our current programs. Yes.
Keywords: 997, house, all
MN

Minnesota 2025-2026 Regular Session

Leg Committee Meeting - 2025-03-26

Legacy Finance

Transcript Highlights:
  • the Boys and Girls Club Teen Coordinator and a mentorship program.
  • And the arts district, and it’s to provide materials and energy-generational programming.
  • I just have a quick question about how many people this program is serving?
  • As Representative Johnson said, I'm excited to introduce a new conservation program.
  • This is a good program.
HI

Hawaii 2025 Regular Session

EDN Info Briefing - Thu Jan 16, 2025 @ 2:00 PM HST

Hawaii House Floor Meeting

Transcript Highlights:
  • <00:24:35.960> and Childhood educator stien program and Childhood educator stien program and
  • through the whole preparation program through the whole preparation program they've<00:31:02.440
  • over is Educator preparation programs over is Educator preparation programs that<00:35:55.640>
  • Family child interaction learning programs are multigenerational programs that include a caregiver.
  • programs.
Keywords: 910, house, all
LA
Transcript Highlights:
  • As far as civics education, we have a few other programs.
  • As far as civics education, we have a few other programs.
  • We also have a program for high school students.
  • But as it is now, it's a summer program.
  • However, it will be a two-day program instead of a six-day program.
Keywords: 974, senate, all
Summary: The Louisiana Commission on Civic Education met with quorum, approved the minutes from its previous meeting, and took several action items related to the Legislative Youth Advisory Council (LIAC). The commission unanimously approved the 2026-27 LIAC membership slate after reviewing recommendations from the selection committee, and it also approved the council’s budget and mileage reimbursement guidelines, noting the only change was an updated IRS mileage rate. Members thanked the legislature for continuing to fund LIAC after earlier years when it relied on outside donations. The meeting featured presentations on civic education resources and America 250 programming. Brandon Burris, representing the Lieutenant Governor’s office, highlighted Louisiana state parks, the Checkout Louisiana library backpack programs for parks and museums, Keep Louisiana Beautiful’s anti-litter campaign, and Homework Louisiana. Liam Julian of the Sandra Day O’Connor Institute discussed national civics education trends, teacher discomfort with controversial topics, and the institute’s teacher training, student camps, debate programs, and civics app. Louisiana Public Broadcasting’s Katie Stark and Nancy Torren presented America 250-related materials, including a PBS Kids feature on a Louisiana child and LPB’s “Louisiana’s Hidden History” videos and teacher resources on Bernardo de Galvez and Spanish Louisiana. LIAC members then reported on their work, including school safety efforts, digital service-hour tracking, AP self-study access, minor work permits, AI-generated harassment concerns, and local civic engagement projects. Peggy Cotonia of the Louisiana Center for Law and Civic Education reported 87 Law Day presentations and 287 total Law Day and Constitution Day presentations reaching about 9,400 students, along with updates on awards and a shortened but still free summer institute for teachers. Barry Irwin reported that legislation to clean up outdated commission membership and quorum language had passed the House and been heard in Senate Education, moving toward final passage. The commission adjourned after no further business.
CA
Transcript Highlights:
  • , or Women, Infants and Children, and the Genetic Disease Screening Program, or GDSP.
  • or women infants and children and the genetic disease screening program or GDSP.
  • the prenatal screening programs.
  • Finally, program participation is stable.
  • The screening program, yeah, primarily due to caseload.
Keywords: 988, house, all
Summary: The Assembly Subcommittee on Health heard an overview of the California Department of Public Health budget and several budget change proposals, including environmental health, healthcare quality, healthy communities, lab sciences, and family health programs. CDPH said its $5.1 billion budget is split between state operations and local assistance, with major estimates showing WIC participation essentially flat but food costs rising due to inflation, and the Genetic Disease Screening Program remaining relatively stable as birth-related caseloads decline slightly. Members and public commenters raised concerns and support around WIC continuity during federal shutdowns, the California Reducing Disparities Project, lead poisoning prevention, school nutrition implementation, prenatal vitamin testing, vector-borne disease work, and the hospital bed capacity registry. Dr. Erica Pond presented the 2026 State of Public Health report, highlighting improvements such as record-low all-cause, cancer, and cardiovascular mortality, an all-time high life expectancy, and the first decline in overdose deaths in 14 years. She also noted continuing problems, including rising behavioral health-related deaths among younger adults, persistent racial disparities in maternal and infant outcomes, and major geographic health gaps. She emphasized the importance of prevention, the Behavioral Health Services Act, and public health preparedness for emergencies, fires, and other environmental threats. Members discussed the need to invest upstream in prevention and to address social drivers of health, environmental hazards, and mental health. In a separate update on California’s response to federal public health actions, CDPH described efforts to preserve vaccine confidence and public health coordination through new partnerships such as the West Coast Health Alliance, the Governor’s Public Health Alliance, and the FACT Coalition. CDPH also explained how it is implementing AB 144 by posting and updating immunization and preventive service recommendations based on evidence and consultation with medical organizations, while declining some federal changes it found unsupported. Members asked about measles outbreaks, vaccine uptake, and how quickly the new initiatives might affect outcomes. The committee also reviewed the AIDS Drug Assistance Program estimate, which CDPH said would decrease because of lower caseloads and the expiration of one-time funds. Public commenters urged reinvestment of ADAP rebate funds into HIV prevention, PrEP, testing, disease intervention staff, and related services. The final and most contentious item was public health information technology systems: CDPH said Sapphire and CalReady are funded, but CalConnect, CARE, and the vaccine management system are not proposed for funding while the administration evaluates utilization and costs. Members and local health officials strongly opposed defunding the systems, arguing they are essential for disease investigation, vaccination tracking, outbreak response, and avoiding a return to manual spreadsheets and phone calls. The hearing ended without votes or formal action.
NM

New Mexico 2026 Regular Session

Senate - Finance Jan 28th, 2026 at 02:47 pm

Senate Finance

Transcript Highlights:
  • As you can tell, these are sort of environmentally focused programs and education-focused programs.
  • As you can tell, these are sort of environmentally focused programs and education focus programs.
  • That's our Migrant Seas and Farm Worker Program. The programs that help people find jobs.
  • You'll see in the next slide that there's a list of programs. So these are the programs.
  • There are three specific programs there. We have an events program.
Keywords: 996, all
FL

Florida 2025 Regular Session

February 12, 2025 - 01:00 PM

Transcript Highlights:
  • Research Program, and Live Like Bella.
  • And one way you can make that happen is to keep this program rolling.
  • Remember, that was a goal that was listed in the program as well.
  • versus the success rates outside of those programs?
  • All of us have very robust clinical trial portfolio programs.
Summary: The Health Care Budget Subcommittee held a panel discussion on Florida’s cancer research and funding programs, including the Casey DeSantis Cancer Research Program, the Florida Cancer Innovation Fund, the James and Esther King Biomedical Research Program, the Bankhead-Coley Research Program, and Live Like Bella. Dr. Ladapo and leaders from Moffitt, Sylvester/University of Miami, UF Health, and Mayo Clinic described how state funding has helped Florida’s four NCI-designated cancer centers expand research, recruit faculty, increase clinical trials, and build collaborations. They emphasized that the programs are intended to improve cancer care statewide, support innovation, and encourage more institutions to pursue NCI designation. The Governor’s budget recommendation was noted as including additional funding, and members asked about the cost and requirements of becoming NCI-designated and eventually comprehensive. Panelists said NCI designation requires major infrastructure, compliance, research, and training investments, with de novo development estimated at about $1 billion. They described Florida’s collaborative model as unusual nationally, with annual symposia, shared pilot funding, and joint projects across the four centers. Members also asked about rural access, home-based care, and recruitment/retention. Mayo described its “Cancer Care Beyond Walls” home-treatment model and said it could expand to rural counties within months; Moffitt and UF discussed mobile screening, satellite sites, and affiliations with local hospitals and practices. Several members raised concerns about workforce shortages, licensure delays, and the need to reach underserved areas. The discussion also covered outcomes, data reporting, and the broader economic impact of the cancer centers. Panelists cited growth in jobs, federal research funding, and clinical trial enrollment, and highlighted advances in immunotherapy, CAR-T, TIL therapy, carbon ion therapy, AI-driven screening, and the firefighter cancer initiative. They said the Florida Cancer Data System is being expanded to track recurrence and quality-of-life measures. Members also asked about philanthropy, medical tourism, and federal funding risks, including possible indirect cost reductions that could affect research budgets. The meeting ended with general support for continued investment, while some members noted an ongoing policy debate over whether future cancer research dollars should be concentrated in the four NCI centers or spread more broadly across the state.
OR
Transcript Highlights:
  • Finances and rate setting within the Medicaid program.
  • , which we know is a very important and robust program in the state.
  • There's been a lot of ups and downs and volatility across the program.
  • Program changes trend 1.3.
  • On the program change tracking, OHA is working closely with CCOs on program changes, including new potential
Keywords: 907, all
Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.
CA
Transcript Highlights:
  • Program, and we run a variety of other family health programs related to genetically handicapped persons
  • But a program that has a really bad history of being— mildly off on your estimates on this program, and
  • So again, this is a state-only program.
  • To help cover growth in program costs.
  • Medi-Cal program.
Keywords: 988, house, all
KY

Kentucky 2026 Regular Session

Senate Legislative Session Day 41 (3-6-26)

Kentucky Senate Floor Meeting

Transcript Highlights:
  • In addition, it revamps the KBI program, Kentucky Business Incentive Investment Program, to allow them
  • Senate participate in these programs.
  • programs. Senator Chambers-Armstrong. programs. Senator Chambers-Armstrong.
  • , be in different benefits programs, be in different benefits programs, whether<01:29:00.680>
  • What are they doing with the program?
Keywords: 958, all
Summary: The Senate convened with an invocation and pledge, established a quorum, approved the prior journal, and received a message from the House announcing passage of House Bills 364, 534, 600, and 662 and requesting concurrence. The chamber then took up second-reading reports, placing several bills on the Rules Committee calendar, and briefly recessed for caucus meetings before returning to floor business. The first major floor action was Senate Bill 11, a residential safe room rebate program aimed at rural tornado preparedness. Supporters described it as a way to use FEMA or private funds to help homeowners build personal storm shelters that could also serve neighbors; one senator opposed it over a fiscal note and concerns about unintended consequences in rural areas. The Senate adopted a committee substitute and passed SB 11 by a vote of 33–3. The Senate then considered Senate Bill 8 on public utilities and PSC intervention procedures. A committee substitute and floor amendment were adopted to clarify intervention standards, limit delay tactics, allow written comments from non-intervenors, and revise transmission-line approval thresholds; supporters said the changes would improve PSC efficiency and protect ratepayers, while some senators objected to a provision moving records from the Energy and Environment Cabinet to the state auditor as politically motivated. SB 8 passed 30–5. Senate Bill 94, dealing with dealer compensation for warranty and recall work, was also amended and passed unanimously after supporters said it reflected agreement between auto dealers and manufacturers. Finally, Senate Bill 197 on economic development incentives was amended to create county tiers, expand incentives for distressed areas, allow cross-border projects near state lines, and correct clerical errors; it passed 36–0.