Video & Transcript Research : 'arbitrary assessment'
Page 171 of 435
HI
Hawaii 2025 Regular Session
AEN, AEN-HWN Public Hearings 01-24-2025
Transcript Highlights:
- But the risk-based assessment that this bill provides for is to check the risks that we face between
- but the to be economically successful but the risk<00:09:15.399>
based <00:09:15.720>assessment - <00:09:16.279>
that <00:09:16.440>this <00:09:16.600>bill risk based assessment - that this bill risk based assessment that this bill provides<00:09:17.279>
for <00:09:18.000>< - c> Angela Melody Young testified in strong support of Senate Bill 177 for aquaculture livestock assessment
Summary:
The Senate Agriculture and Environment Committee heard five bills on January 24, 2025. SB 1 would phase out disposable air filters and require reusable air filters by 2030; testimony was limited, with one supporter urging clearer definitions of fiberglass and paper and several opponents listed, and the committee later deferred the bill indefinitely for lack of support testimony. SB 13 would create an aquaculture investment tax credit beginning in 2026; state agencies and several industry groups supported it, while the Tax Foundation raised concerns about loose definitions, internal inconsistencies, and blanks that made the bill hard to estimate or vet. The committee passed SB 13 with amendments and technical changes, and deferred its effective date to July 1, 2015 as stated on the record.
SB 177 would shift aquatic livestock import and movement permitting to the Department of Agriculture’s Animal Industry Division, require a risk-based assessment and biocontainment standards, and seek a $1 million appropriation for research and staffing. The Department of Agriculture said the bill would help expand aquaculture while managing risks to native species; aquaculture and farm groups supported it, while Animal Rights Hawaii was listed in opposition. The committee passed SB 177 with amendments, blanking the appropriation for committee report consideration, and deferred its effective date to July 1, 2050.
SB 184 would raise the beverage container deposit and refund from 5 cents to 10 cents. Supporters said the higher deposit could improve recycling and environmental outcomes, while opponents, including the Tax Foundation, cited fraud concerns, the program’s existing fund balance, and practical challenges in redemption; the Department of Human Services also noted potential impacts on blind vendors. The committee took the bill up but deferred decision-making until Monday, January 27, 2025, at 10:01 p.m. in Room 224.
The committee also heard SB 250, which would increase the income tax credit for interisland transportation costs for agricultural products. Agricultural and industry witnesses supported the bill as a way to offset rising shipping costs and preserve access to markets, while the Tax Foundation preferred direct appropriations over tax credits and objected to missing bill details. The committee passed SB 250 with amendments from the Department of Agriculture and deferred its effective date to July 1, 2050. Separately, a joint hearing on SB 240, the Right to Farm bill, drew mixed testimony: the Department of Agriculture supported further study and raised concerns about the bill’s fragmented approach, while farm, cattle, and other industry witnesses split between support for protecting customary Native Hawaiian subsistence farming and opposition to excluding CAFOs and certain business structures. No vote was taken on SB 240 in the portion provided.
WY
Transcript Highlights:
- to them about uh AI proofing assessments to them about uh AI proofing assessments for<02:31:22.240
- <02:49:10.720>
and <02:49:11.359>uh summit of assessment and uh summit of assessment - So I'll accountability assess systems.
- For the assessment, to Representative Kelly's question earlier, we do, on our website, through the assessments
- It's a very one-to-one assessment in terms of assessment for the virtual education programs.
NH
New Hampshire 2025 Regular Session
House Education Policy and Administration (05/27/2025)
Transcript Highlights:
- So our assessment is assessing really their literacy skills based on their participation and interaction
- /c><00:47:20.400>
um mentioned about assessing students um mentioned about assessing students - that our assessment think that our assessment is<00:47:44.720>
probably <00:47:45.200>separate - assessing<00:48:00.640>
really So our assessment is assessing really So our assessment is - In 2018, a evaluations for assessment.
Summary:
The committee opened hearings on SB 69, including a germane amendment on school board votes to accept or reject gifts and donations, and a non-germane amendment creating a virtual early childhood readiness family engagement program for preschool children not yet in kindergarten. Prime sponsor Rep. Glenn Cordelli said the literacy program was modeled on earlier HB 671, would be funded through gifts and donations rather than state appropriations, and would include reporting requirements to the governor and legislature. Members questioned changes from the earlier bill, including the move away from center-based language, the lack of a dollar threshold for school board action on donations, anonymous gifts, and whether the amendment preserved enough evaluation data.
Testimony on the donation provisions raised concerns about broad language, timing, and public-meeting requirements. Rep. Timothy Han and Becky Wilson of the New Hampshire School Boards Association both noted that school districts already have policies and asked how the bill would work for routine donations, anonymous gifts, and situations that might require non-public discussion under right-to-know law. Wilson cited examples such as field-trip scholarships, backpack drives, and sports uniforms, and said the association was not taking a position but wanted clearer guardrails. Rep. Han said school boards may need to discuss some gifts in non-public session and that the bill should better address those circumstances.
On the early literacy amendment, Wilson and others questioned whether the program was sufficiently developed, whether it was appropriate to rely on a primarily online model for very young children, and how it would interact with special education services and IEPs. A representative from Waterford.org, Rob Riley, testified in support, saying the program would be supplementary, adaptive, and family-engagement based, and that Waterford could provide devices and internet access for families who need them. He said the program would work alongside school districts and IEP teams rather than replace existing services. No vote was taken during the hearing; the chair said the committee would later exec the bills and try to get reports in for the calendar.
MN
Minnesota 2025 1st Special Session
House Floor Session 5/5/25 - Part 2
Minnesota House Floor Meeting
Transcript Highlights:
- Uh the A11 men choices assessments.
- choice assessment 60 days before. choice assessment 60 days before. oftentimes<02:41:09.680>
- We're changing language from chemical dependency assessment to comprehensive assessment because they're
- <03:33:26.160>
to from chemical dependency assessment to from chemical dependency assessment - to have this comprehensive assessment. to have this comprehensive assessment.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Apr 30th, 2026
Transcript Highlights:
- At the same time, we are assessing training and technical assistance strategies and certainly welcome
- That means people were stabilized through de-escalation, clinical assessment, safety planning, linkages
- The Sycamores teams de-escalate emergencies in the community by providing crisis assessments, clinical
- During the same time frame, our mobile crisis teams conducted 1,723 in-person crisis assessments.
- They provide in-the-moment de-escalation, suicide risk assessment, safety planning, and direct links
Summary:
The subcommittee heard presentations from the Department of State Hospitals (DSH), the Commission for Behavioral Health, and the Department of Health Care Services (DHCS) on budget proposals and implementation updates. DSH outlined its proposed 2026-27 budget, including funding for patient operating expenses, IST solutions savings, conditional release program costs, LPS bed allocation changes, electrical infrastructure projects at Napa and Patton, SB 380 transitional housing feasibility work, and expanded dental services at Metropolitan and Patton. DSH also reported that it has met court-ordered IST treatment benchmarks in the Stiavedi v. Clinton case, with average time to initiate treatment down to about five days and pending placements reduced to roughly 250, while noting that Proposition 36 could increase referrals and SB 1323 may divert some individuals earlier into community-based treatment. Members asked about rising outside hospitalization costs, Medicare enrollment, the timing and structure of capital projects, and whether IST solution funds are being fully used; DSH said the savings reflect slower-than-expected ramp-up of community programs and that the Central California FACT replacement program is still on track for January 2027 activation.
The Commission for Behavioral Health described its role under the Behavioral Health Services Act (BHSA), including data, evaluation, grantmaking, technical assistance, and transparency work. It highlighted the new statewide Innovation Partnership Fund, a five-year, $20 million-per-year program with small and large grant categories; the first RFA drew strong interest, with more than 400 questions and over 1,000 bidders’ conference participants. The Commission also discussed a proposed extension to spend down about $4.1 million remaining for the Alcove Youth Drop-in Center grants so sites can finish implementation and Stanford can complete the final evaluation. Members asked about grant duration, whether projects can be renewed, what qualifies as innovation, and whether the fund could support service delivery rather than awareness campaigns or training; the Commission said awards are expected to be three-year contracts and that proposals must be new or meaningfully expanded approaches that support BHSA priority populations.
DHCS reviewed major behavioral health changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, updated specialty mental health access criteria, and new substance use treatment standards based on ASAM’s fourth edition. DHCS reported strong contingency management results, with more than 13,000 members served and 95% testing negative for stimulant use during treatment, and said 21 Indian health care providers have been approved to offer traditional health care practices. It also described BH Connect initiatives such as the $1.9 billion access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation by four counties, and transitional rent services. On BHSA implementation, DHCS said it is not tracking individual county contract cuts but is monitoring county plans and statewide outcomes, while stakeholders raised concerns about local prevention and service gaps. DHCS also outlined its H.R. 1 implementation strategy, including outreach, streamlined renewals, exemptions for disabled, substance use, and medically frail individuals, and proposed clinic navigator and outreach funding; it said it has not yet produced a focused estimate of H.R. 1 impacts on behavioral health populations. The discussion ended with DHCS noting that B-CHIP bond funding has supported 437 infrastructure projects, creating 546 new or expanded facilities and more than 9,500 residential beds across the state.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 4 on Climate Crisis, Resources, Energy, and Transportation Apr 22nd, 2026
Transcript Highlights:
- So moving on, I'm going to provide a few comments about the LAO's assessment of the Governor's proposal
- So I'm curious if you have a different assessment and why.
- But, you know, even by—I think CDFW, by your own assessment, the department is meeting 40%—am I correct
- I didn't want to walk away with the wrong assessment of your testimony.
- I didn't want to walk away with the wrong assessment of your testimony.
Summary:
The meeting began with a lengthy opening discussion with Secretary Karen Ross of the Department of Food and Agriculture, who reviewed the department’s proposed budget, emphasized California agriculture’s record output, and highlighted major priorities including climate-smart agriculture, groundwater management, local food systems, farm-to-school, food hubs, invasive pest prevention, bird flu response, and food safety. She also warned about federal budget cuts, especially at USDA and FDA, and discussed market access challenges abroad, rising input costs, labor shortages, and the need for automation and workforce training. Members raised questions about the future of Farm to School, the California Nutrition Incentive Program/Market Match, local food procurement, and how to better connect farmers to schools, food banks, and food hubs; Ross said the department had strong evidence the program benefits small farms and Title I schools and noted continued interest in building out local food infrastructure.
The committee then took up item one on eliminating vacant positions at the Departments of Fish and Wildlife, Parks and Recreation, and Food and Agriculture. The Legislative Analyst’s Office explained that the Governor proposed eliminating 6,000 vacant positions statewide, with the Joint Legislative Budget Committee previously rejecting 650 of them, including 174 in these three departments. LAO and Finance said the vacancies represented a source of budget flexibility, but warned that eliminating them could create program impacts; LAO recommended retaining the special-funded positions at Fish and Wildlife and Food and Agriculture, while weighing the General Fund positions against other priorities. Finance argued the reductions were part of a broader budget-resiliency exercise and that departments could reclassify or shift vacancies to higher priorities.
Members focused heavily on the practical impacts of the cuts. Assemblymember Petrie-Norris argued that Fish and Wildlife staffing shortages were already slowing permits needed for housing, clean energy, water, and transportation projects, and questioned the value of saving relatively small amounts of money. Fish and Wildlife officials said the department had prioritized mission-critical work and could still meet permitting obligations, but acknowledged limited-term staffing constraints. State Parks said the proposed ranger and maintenance cuts would not have immediate effects but could slow maintenance and eventually worsen deferred maintenance. Food and Agriculture said some of the eliminated positions supported early pest detection and eradication, but that the department believed it could still meet its mandate and reclassify positions if needed. The chair and several members signaled concern about the Fish and Wildlife and Parks cuts, while also noting the broader need for budget reductions.
The committee then moved to item six, hearing an overview from the Governor’s Office of Land Use and Climate Innovation. Staff described the office’s role in CEQA implementation and said the budget requests were baseline funding to maintain existing functions, including IT services and administrative/legislative support, rather than new programs. The chair asked the presenters to move quickly through background material so the committee could get to questions, and the item began with no votes taken during the meeting.
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Natural Resources and Energy (7-24-25) - Reupload
Transcript Highlights:
- Every agency also has to do a comprehensive needs assessment every two years that fully documents the
every <00:14:50.080>2 <00:14:50.360>years <00:14:51.040>that needs assessment- every 2 years that needs assessment every 2 years that fully<00:14:51.480>
documents <00:14:52.080 - So this chart from the needs assessment always gets a lot of attention.
- So again, building on the needs assessment, we decided to work with our partners at the Trust for Public
Keywords:
Meeting Start 00:00:00
Attendance Roll Call 00:00:26
Approval of Minutes 00:02:27
LIHEAP Presentation and Public Hearing 00:02:42
Conservation Opportunities in Kentucky 00:29:52, 958, all
Summary:
The committee first took up a public hearing and presentation on the Low Income Home Energy Assistance Program (LIHEAP). Shannon Hall of the Department for Community Based Services and Rick Baker of Community Action Kentucky explained that LIHEAP is a 100% federally funded block grant that helps low-income households pay heating and cooling bills, avoid utility disconnects, and support weatherization. They outlined the program’s components, eligibility limits, seasonal application periods, and recent participation figures, including tens of thousands of households served through the summer cooling, fall subsidy, winter crisis, and spring subsidy components. They also described weatherization priorities, the partnership with Kentucky Housing Corporation, and the role of Community Action agencies in administering the program statewide.
Members asked about Assurance 16, the balance between need and available funding, summer cooling assistance, weatherization measurement, renter versus homeowner participation, and whether federal changes could affect LIHEAP. Hall and Baker said Assurance 16 supports energy-burden reduction through education, case management, and conservation strategies; that funding has generally been sufficient in recent years but crisis funds have sometimes been exhausted quickly in the past; and that summer assistance is primarily electric utility support. They also said weatherization uses return-on-investment testing and that Kentucky still has a large backlog of homes needing service. On federal funding, they said the recently passed federal bill did not directly cut LIHEAP, but future appropriations could still affect it, and any major reduction could leave a gap the state might need to consider filling. The committee approved the minutes and later approved the LIHEAP finding of fact; no members of the public signed up to testify.
After concluding LIHEAP, the committee heard a presentation from Heather Jeff of The Nature Conservancy on conservation opportunities in Kentucky. She described the organization’s voluntary land-protection work and highlighted the Cumberland Forest project, a conservation easement on about 55,000 acres in Bell, Knox, and Leslie counties supported in part by a $3.875 million state appropriation. She also reported on mine-land reforestation, elk habitat work, and the rapid allocation of a $2 million appropriation for the Kentucky Heritage Land Conservation Fund. Jeff emphasized the economic value of conservation for tourism, hunting and fishing, agriculture, forestry, bourbon, and flood protection, and said the group is finalizing a Kentucky conservation needs assessment and related feasibility research.
MN
Minnesota 2025 1st Special Session
House Environment and Natural Resources Finance and Policy Committee 1/23/25
Environment and Natural Resources Finance and Policy
Transcript Highlights:
- And then lastly, I'll just mention briefly that the report does assess Minnesota's environmental review
- And then lastly, I'll just mention briefly that the report does assess Minnesota's environmental review
- 49.720>
does mention uh briefly that the report does mention uh briefly that the report does assess - <00:18:50.520>
Minnesota's <00:18:51.120>environmental <00:18:51.600>review assess - Minnesota's environmental review assess Minnesota's environmental review and<00:18:52.120>
wetlands
Summary:
The committee approved the January 21, 2025 minutes and then heard a presentation from the Minnesota Chamber Foundation on its report about Minnesota’s environmental permitting system. The presenters said the report was based on research by Barr Engineering and the Policy Navigation Group and argued that permitting delays can discourage investment and make Minnesota less competitive for manufacturing, mining, energy, clean tech, and other industrial projects. They highlighted that Tier 1 permits are generally issued quickly, but Tier 2 air and water permits often take much longer than the state’s 150-day goal, with some median timelines ranging from 419 to 771 days for Tier 2 air permits and similar delays for industrial water permits. The report also said Minnesota’s permit timelines were longer than peer states and estimated that reducing delays could increase annual output by $260 million to $910 million and support 960 to 3,400 additional full-time-equivalent jobs per year.
Committee members asked about which businesses fall under Tier 2 permits, the economic impact of permitting delays, and whether the Chamber had discussed the report with the governor or MPCA. The presenters said Tier 2 permits typically involve higher-emitting facilities such as manufacturing, utilities, mining, and other industrial operations, and that the economic estimates were based on modeling rather than exact lost-job counts. They also noted that the governor had been briefed and that MPCA had been invited to the hearing but did not attend.
The committee then took up House File 8, which Chair Heintzeman said is intended to improve permitting efficiency while maintaining environmental standards. He described provisions that would reduce the number of 60-day wetland application extensions, require MPCA to issue permitting efficiency reports twice a year, break out data on missed timelines by municipal versus industrial applicants, treat failure to meet the 150-day Tier 2 deadline as a final action subject to judicial review, and require quicker notice when applications are incomplete. He also outlined sections that would allow separate construction and operating permits, expand expedited permitting, and change environmental assessment worksheet petition rules. The bill was moved to be re-referred to the Labor and Workforce Development Committee, and the discussion began, but the transcript ends before any final vote on the bill is shown.
MN
Minnesota 2025-2026 Regular Session
House Environment and Natural Resources Finance and Policy Committee 1/21/25
Environment and Natural Resources Finance and Policy
Transcript Highlights:
- Its main responsibility is for the environmental review program, including the environmental assessment
- Its main responsibility is for the environmental review program, including the environmental assessment
- Its main responsibility is for the environmental review program, including the environmental assessment
- Its main responsibility is for the environmental review program, including the environmental assessment
- environmental assessment worksheet rules and<00:15:46.560>
the <00:15:46.720>environmental
Summary:
The committee met for an organizational hearing of the Environment and Natural Resources Policy and Finance Committee. Members and staff introduced themselves, with several legislators noting their backgrounds in farming, mining, water management, and outdoor recreation, and the chair reviewed draft committee rules emphasizing decorum, quorum, timely starts, and submitting bill hearing requests to the committee administrator. The committee also heard from nonpartisan staff and caucus staff who will support the committee this session.
House Research and House Fiscal staff then provided an overview of the committee’s jurisdiction and the major agencies and programs it oversees. The presentation covered the Department of Natural Resources, Pollution Control Agency, Environmental Quality Board, Board of Water and Soil Resources, Metropolitan Council regional parks and water resources, Conservation Corps of Minnesota, Minnesota Zoological Board, Science Museum of Minnesota, and the Legislative-Citizen Commission on Minnesota Resources. Staff summarized the main statutory chapters and subject areas under each, including wildlife, state lands, mining, water use, air and water permitting, environmental review, wetlands, drainage, and natural resources funding.
The finance portion explained the committee’s appropriation types and major funding sources, including direct, statutory, and open appropriations. Staff highlighted the general fund, bonding, the Environment and Natural Resources Trust Fund, the Game and Fish Fund, and the Heritage Enhancement Account, along with how those dollars are typically used for parks and trails, habitat, land acquisition, flood and drainage projects, and agency operations. Members also discussed whether DNR and BWSR responsibilities in overlapping water statutes can conflict; staff said responsibilities are generally clear in statute, though conflicts can occur and are usually resolved.
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Working Group 1/15/25
Minnesota House Floor Meeting
Transcript Highlights:
- Mure is primarily financed by a 3.5% assessment on the premiums of the plans offered through Mure, and
- out of the state government special revenue fund, and while those health-related boards are able to assess
- MNsure is primarily financed by a 3.5% assessment on the premiums of the plans offered through MNsure
- MNsure is primarily financed by a 3.5% assessment on the premiums of the plans offered through MNsure
- MNsure is primarily financed by a 3.5% assessment on the premiums of the plans offered through MNsure
Summary:
The meeting was an informational walkthrough for the Health Finance and Policy Working Group, focused on committee structure, budget basics, and major health-related accounts and programs. Staff explained the roles of House Research and House Fiscal, then reviewed key funds used by the committee, including the general fund, government special revenue fund, federal funds, the health care access fund, remediation account, and drinking water revolving fund. They also outlined the committee’s main budget areas, noting that medical assistance is the largest general fund item and that the Department of Health is a substantial agency funded by a mix of federal, general fund, and special revenue dollars.
A major portion of the presentation covered subsidized health coverage programs. Staff described Medical Assistance (Minnesota’s Medicaid program) as an entitlement for eligible Minnesotans, with no premiums or cost sharing, and explained its managed care and fee-for-service delivery systems. MinnesotaCare was presented as a separate federal-state basic health program for people who are not eligible for MA, with income limits, premiums for adults age 21 and older, and cost-sharing requirements; staff noted that federal premium tax credit changes affect MinnesotaCare premium ranges. The presentation also summarized MNsure’s role in the individual market and in determining eligibility for premium tax credits, cost-sharing reductions, MinnesotaCare, and MA.
The committee also received an overview of health-related licensing boards and occupational regulation. Staff said Minnesota has 16 health-related licensing boards, funded mainly through the state government special revenue fund and subject to legislative appropriation, and explained that health occupations may be regulated by the Department of Health, the Office of Emergency Medical Services, or the boards under chapter 214. Interstate licensure compacts were briefly noted as a way to ease practice across states. No bills were debated and no votes or formal actions were taken during the meeting.
ND
North Dakota 2026 1st Special Session
Water Topics Overview Committee Jun 10th, 2026 at 09:00 am
Water Topics Overview Committee
Transcript Highlights:
- Special assessments.
- There is a possibility for an assessment district here, but I can guarantee you that an assessment district
- There is a possibility for an assessment district here, but I can guarantee you that an assessment district
- There is a possibility for an assessment district here, but I can guarantee you that assessment district
- City of Mandan has approved a citywide assessment.
MN
Minnesota 2025-2026 Regular Session
How will federal law affect Medicaid in Minnesota? 2/24/26
Minnesota House Floor Meeting
Transcript Highlights:
- Um and tax programs that assess waiver.
- Um and tax programs that assess a<00:28:30.720>
rate <00:28:30.960>on <00:28:31.200> - <00:30:25.919>
the <00:30:26.159>impact <00:30:26.559>to we are assessing the - impact to we are assessing the impact to Minnesota.<00:30:27.679>
Um <00:30:28.080>and - Um, in terms of scope, we are doing an assessment on how many people we are talking about here.
Summary:
The Department of Human Services briefed the committee on how the federal HR1 law will affect Minnesota Medicaid and related programs. Budget Director Elise Bailey said the 900-page bill makes sweeping changes that will reduce coverage, increase administrative complexity for counties and tribal governments, raise uncompensated care for providers, and reduce federal funding. She reviewed current Medicaid spending and enrollment, emphasizing that the largest impacts will fall on the adult expansion group (adults ages 21-64 without children), which currently receives a 90% federal match.
Bailey walked through several major provisions: work and community engagement requirements for the adult expansion group beginning January 1, 2027; six-month renewals for that same group; shorter retroactive coverage periods; new cost-sharing requirements for expansion enrollees above 100% of poverty; narrower Medicaid eligibility for certain lawful noncitizens; limits on provider taxes and state-directed payments; a reduced federal match for emergency medical assistance; and tighter federal rules on payment error penalties. She said many provisions require state law changes and additional federal guidance, and she cited research from Georgia suggesting work requirements increased administrative burden and caused coverage losses without increasing employment.
The department estimated fiscal effects including reduced Medicaid spending in some areas but higher state costs in others, such as MinnesotaCare, emergency medical assistance, administrative systems, and provider uncompensated care. Bailey said the immigration-status changes would shift some people from Medical Assistance to MinnesotaCare, and that provider-tax and state-directed-payment changes could reduce future funding to hospitals and other providers. No votes or formal committee actions were taken in the portion provided; the presentation was informational and the department indicated it would return with proposed state-law language as needed.
MS
Transcript Highlights:
- The hospital UPL tax is 36 million, and then there's the $104 million hospital assessment.
- So the reason it's not 104 assessment.
- So it aligns payments and related tax assessments and disperses the tax burden in alignment with the
- payments uh and related tax assessments payments uh and related tax assessments and<00:49:30.880
- <01:10:15.040>
on said um is right now assessed on said um is right now assessed on non-medicare
Summary:
The committee heard presentations on several Medicaid-related topics. First, a pharmacy representative discussed nonopioid pain medications as a way to reduce opioid dependence and overdose risk, emphasizing that options such as acetaminophen, NSAIDs, and topical diclofenac can be useful for pain management. She cautioned that nonopioids can still have risks and said any policy should avoid requiring patients to step through opioids before accessing safer alternatives, while still allowing reasonable step therapy among nonopioid options. The presenter said the goal is to keep patients from being pushed toward opioids by cost or insurance design.
The committee also heard emotional testimony from parents of a child with Prader-Willi syndrome, who described the condition as a rare genetic disorder that causes severe, lifelong hyperphagia and requires rigid supervision and ongoing treatment. They argued that alternative funding programs can disrupt access to medically necessary drugs such as human growth hormone, forcing families into costly and uncertain coverage gaps. They asked lawmakers to ensure insurance coverage remains stable for rare disease patients and thanked Senator Blackwell for prior support of rare disease legislation.
Next, a Livanova representative urged the committee to support higher Medicaid reimbursement for vagus nerve stimulator surgery for drug-resistant epilepsy. He said inadequate hospital reimbursement has reduced access in Mississippi, causing patients to travel long distances or go without treatment, and argued that better reimbursement would improve outcomes and save money over time. He cited studies showing seizure reductions, lower ER use, and a projected $2.8 million in five-year savings for Medicaid based on 40 patients, and asked that hospitals be reimbursed at 100% of Medicare rates for the procedure codes.
Finally, a Medicaid official gave a broad overview of hospital payment structure, including fee-for-service, managed care, MHAP, DSH, UPL, provider taxes, and related funding mechanisms. She explained that hospital payments are interrelated and have shifted over time, with major changes tied to managed care, MHAP/UPL increases, and provider taxes. At the end of the discussion, the committee was running short on time and asked her to skip ahead to the provider tax component; no votes or formal actions were taken in the portion provided.
MN
Transcript Highlights:
- these<00:21:08.919>
Parcels <00:21:09.679>that's <00:21:09.880>something assess - these Parcels that's something assess these Parcels that's something that<00:21:10.240>
we'd < - Property values, if assessed against the proverbial or theoretical highest and best use, would be very
- Property values, if assessed against the proverbial or theoretical highest and best use, would be very
- minimized property values um if assessed minimized property values um if assessed against<00:49:
TX
Transcript Highlights:
- and the assessment tool itself is the CANS. which is the Child Adolescent Needs Strength Assessment
- They also come in through our outreach screening assessment and referral. which are kind of our front
- We really try to... tailor the care to the individual what their need is based on that assessment that's
- The circumstances have been assessed then it's determined if that person needs ongoing services if they
- Have you done some sort of assessment as far as that's concerned? in the mental health.
HI
Transcript Highlights:
- So it's<01:04:00.640>
trying <01:04:00.960>to <01:04:01.920>assess <01:04:02.400> how <01:04:03.119>to <01:04:03.359>move it's trying to assess how to move it's- trying to assess how to move forward<01:04:04.079>
without <01:04:04.960>the <01:04:05.280 - Establishes a pharmacist workforce assessment fee and appropriates funds.
- Establishes a pharmacist workforce assessment fee and appropriates funds.
Summary:
The committees heard testimony on HB 1872, which would create an early learning apprenticeship grant program to help early childhood providers participate in approved apprenticeship programs, require annual reporting, and appropriate funds. Testifiers in support included the University of Hawaiʻi, the Executive Office on Early Learning, the City and County of Honolulu, Commit to Keiki, the Chamber of Commerce Hawaiʻi, the Commission on the Status of Women, Hawaiʻi Children’s Action Network Speaks, Parents for Public Schools of Hawaiʻi, and Kīʻoka Family Learning Centers. Supporters said the bill would reduce financial barriers, strengthen recruitment and retention, improve compensation and career pathways, and help address child care shortages and workforce instability. The committee then voted to pass HB 1872 with amendments, including an HD1 and a defective date to allow further discussion.
The committee next took up HB 2489, which would appropriate funds for the University of Hawaiʻi to establish a bachelor’s degree program in American Sign Language interpretation, with a longer-term plan for a master’s program. Testimony in support came from the Disability Communication Access Board and the University of Hawaiʻi, and members also heard detailed support from DECAP and other advocates describing a statewide shortage of ASL interpreters, long waiting lists for ASL courses, and the need for locally trained interpreters who understand Hawaiʻi’s cultural and community needs. Witnesses said the shortage affects schools, courts, hospitals, emergency services, and other settings, and that the program could be expanded through articulation with other campuses. The committee voted to pass HB 2489 with amendments, again using an HD1 and defective date.
After those two measures, the committee moved to HB 441 on campus safety, which would require students, including transfer students, to complete training on federal laws and university policies regarding sexual misconduct before initial registration and would change how often training is provided to students and employees. The University of Hawaiʻi stood on its written testimony, while supporters including IMUA Alliance and other testifiers urged passage, citing survivor experiences, national best practices, and the need for prevention before harm occurs. No vote on HB 441 was reached in the portion provided.
MN
Transcript Highlights:
- The $22 million came from a bottom-up assessment of the funding needed for all SWCDs to deliver on their
- The $22 million came from a bottom-up assessment of the funding needed for all SWCDs to deliver on their
- We discovered that the property tax assessments would be a substantial burden for occupying the entire
- In 2023, we assessed nearly 39,000 acres, and these are acres that are farmed by the board members of
- <00:42:45.480>
nearly Minnesota uh in 2023 we assessed nearly Minnesota uh in 2023 we assessed
Keywords:
property tax, Indian Tribe, tax exemption, Minnesota, public charity, property tax exemption, Minnesota statutes, unorganized territory, federally recognized, soil conservation, water conservation, local government aid, environmental funding, Minnesota legislation, tax credits, sustainable aviation fuel, environmental policy, corporate franchise, Minnesota taxation, tobacco
NH
Transcript Highlights:
- New Hampshire is experiencing a homeless crisis, according to HUD's 2024 Annual Homelessness Assessment
- New Hampshire is experiencing a homeless crisis, according to HUD's 2024 Annual Homelessness Assessment
- New Hampshire is experiencing a homeless crisis, according to HUD's 2024 Annual Homelessness Assessment
- you know these College Bound assessments you know these College Bound assessments um<01:39:24.159
- evidence through a series of Assessments evidence through a series of Assessments or<01:43:39.239
KY
Kentucky 2026 Regular Session
Medicaid Oversight and Advisory Board - (6-24-26) - Reupload
Transcript Highlights:
- And then the managed care 1% assessment, which we collect every year in March from all the MCOs, and
- Just another quick couple of questions on the provider tax and assessment report."
- on the provider tax and assessment on the provider tax and assessment report. report. report.
- We actually have to assess them.
- We actually have to assess requirements.
Keywords:
During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used.
The lost footage was recovered from backup, and the other issues corrected in post production editing.
1. 00:00:41 Call to Order
2. 00:01:02 Roll Call
3. 00:02:54 Approval of Minutes
4. 00:05:06 Statutory Reports and Data Requests
5. 00:35:14 2025 and 2026 Session Update
6. 01:03:10 Board Structure Updates and Subcommittees
7. 01:05:20 Public Comment
8. 02:23:14 Adjournment, 958, all
Summary:
The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions.
On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year.
Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available.
Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.
MN
Minnesota 2025-2026 Regular Session
Minnesota House passes bill to fund enhanced security at State Capitol, courtrooms 5/6/26
Minnesota House Floor Meeting
Transcript Highlights:
- by the BCA, which I'll assessment by the BCA, which I'll describe<00:01:39.759>
later. - threat assessment looking BCA threat assessment looking proactively<00:49:40.400>
to <00:49:40.640 - coordinated threat assessment efforts. coordinated threat assessment efforts.
- We need to improve threat assessments We need to improve threat assessments and<01:42:01.440>
- said enough the BCA threat assessment said enough the BCA threat assessment that<02:44:24.560>
Summary:
The House took up Senate File 3432, a public safety bill focused on removing identifying equipment and insignia from emergency vehicles sold to the public, and first adopted a House language amendment to bring the Senate file into the House form. Representative Mhler and co-chair Noatne described the bill as part of a broader security package covering judicial security and courthouse grants, Capitol grounds screening and security hardware, short-term protection for legislators facing credible threats, reimbursement for Department of Public Safety costs, and additional BCA analysts and investigators to examine threats statewide. They emphasized that the measures were intended to protect not only legislators but also staff, visitors, and the public, and the amendment was adopted by voice vote.
Representative Schultz then offered an amendment to expand Capitol grounds protections by making destruction of permitted displays on the grounds automatically count as felony-level property damage. He argued that current enforcement is inconsistent and that the change would better protect First Amendment displays and ensure accountability. Schultz later withdrew that amendment after discussion.
Schultz next offered another amendment aimed at school safety, proposing an increase in safe schools revenue and extending funding to charter, nonpublic, and tribal schools. He said the money could support school resource officers, mental health staff, counselors, and building security improvements, and argued that school safety should be prioritized alongside Capitol security. A point of order was raised that the amendment was not germane because it introduced a new subject and education funding; the Speaker agreed, ruled the point of order well taken, and the ruling was appealed, prompting a roll call. Representative Long supported the ruling, saying the amendment belonged in a different bill and committee, while Schultz argued the chamber should still address school safety. The transcript ends during the appeal process.