Video & Transcript Research : 'residency program'
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FL
Florida 2026 Regular Session
FL House Floor Session - 2026-05-29 (9:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- Working Waterfront Program, and over $100 million for the DEP land acquisition program.
- Mayfield Working Waterfront Program, and over $100 million for the DEP land acquisition program. $638.6
- automated audit program.
- the IDD program.
- because it will bring revenue back to the program For these individuals on the ADAP program because
MN
Minnesota 2025 1st Special Session
Special Session - Senate Floor Session - Part 2 - 06/09/25
Minnesota Senate Floor Meeting
Transcript Highlights:
- legal residents in our state.
- legal residents in our state.
- legal residents in our state. legal residents in our state.
- cliff for that program. cliff for that program.
- program, local road improvement program program, local road improvement program that'll<03:53:06.640
MN
Minnesota 2025-2026 Regular Session
Local news talent pipeline program funding HF4072 3/26/26
Minnesota House Floor Meeting
Transcript Highlights:
- <00:03:21.920>
by <00:03:22.040>the successful program administered by the successful program - > help<00:03:55.440>
enhance This program will also help enhance This program will also help - internship program. internship program.
stations <00:07:57.720>across This program would allow stations across This program would- So, programs and various other things.
AZ
Arizona 2026 Regular Session
02/17/2026 - House Republican Caucus Calendar #6
Transcript Highlights:
- to be an Arizona resident for two years before applying.
- to be an Arizona resident for two years before applying.
- She did an assistance program. But there was only a six-stop.
- It's a really great program, especially for those rural hospitals.
- It's managing the wolf program, and what we're trying to get—we're trying to minimize the wolf program
Summary:
The meeting was a rapid review of a very large bill package, with the chair repeatedly asking staff to keep descriptions high level and many bills placed on third-read consent or consent calendars. A major theme was artificial intelligence: bills would require minors to be told when they are interacting with AI, allow AI-assisted divorce arbitration by consent, create an AI education program, privilege certain AI communications, and require K-12 instruction on ethical and practical AI use. Other education measures addressed school district superintendents, health instruction, anti-Semitism prohibitions, fetal development standards, and school safety, including a bill allowing concealed firearms on school grounds under specified conditions.
Several health and public safety bills were also discussed. These included funding and oversight measures for childhood cancer research, nursing care complaint timelines, firefighter cancer data collection, limits on pharmacy penalties, and a bill making it a felony to administer abortion-inducing drugs without consent. Members also heard bills on overtime wage enforcement, domestic violence evidence standards in parenting cases, probation limits for dangerous crimes against children, and a measure expanding manslaughter liability to online encouragement of teen suicide. One sponsor strongly opposed a provisional medical licensing bill for foreign-trained applicants, while other sponsors emphasized rural health access, nurse anesthetist reimbursement parity, and the need for a dental board member who is an oral surgeon.
A large portion of the meeting focused on water, land, energy, and state agency oversight. Bills would streamline or change rules for small modular reactors, new power plants, water supply determinations, groundwater transportation fees, water hauling, and state land disposition. Members also considered measures affecting the State Land Department, including audits, oversight boards, continuation, land-use maps for data centers and energy projects, and rules for mineral leases and solar or wind siting. Other topics included wildlife and ranching, Mexican wolf policy, annexation, housing and development incentives, transportation and towing rules, digital driver licenses, and a proposed four-year moratorium on municipal and county fee, tax, and utility-rate increases, which drew questions about stakeholder input and the impact on enterprise funds and local utilities. No recorded roll-call votes were taken in the transcript; most items were simply presented, briefly discussed, and left on consent or calendar status, with one bill noted as held in rules and another pulled for further discussion.
WV
West Virginia 2026 Regular Session
WV Senate Workforce Committee in Session Jan 19th, 2026 at 12:59 pm
Transcript Highlights:
- are the wonderful people you hear on the TV all the time, the actors telling you about, 'Buy this program
- The other larger graduate programs had much more dramatic falls.
- survey activity and the regulations deem that individual to be a potential threat to others that reside
- potential threat, because they manifest themselves in situations that are a threat to others that reside
- Now, does that... ...existing residents and treat them.
Summary:
The committee met with a quorum present and heard a presentation from Marty Wright, CEO of the West Virginia Healthcare Association, on the state’s long-term care system. He described the continuum from home care to assisted living to skilled nursing facilities, emphasizing that these settings increasingly serve short-term rehab-to-home patients as well as older adults needing round-the-clock care. He also outlined the number of facilities in West Virginia, the predominance of Medicaid as the payer for long-term nursing home care, the private-pay nature of assisted living, and the role of OFAC/CMS in regulation.
A major focus of the presentation was workforce shortages and turnover, especially for CNAs, LPNs, and RNs, along with declining interest in nursing careers and the impact of regulatory burden and burnout. Wright said the system is also struggling to serve younger patients with substance use disorder, mental illness, or other behavioral needs, who are often not well suited for traditional nursing home placement but have limited alternatives. Senators raised concerns about where such patients are being housed, the long-term effects of opioid and behavioral health issues, and the gap between school-age special needs populations and adult care needs.
Wright said Medicaid can cover long-term nursing home care for those who meet financial and medical eligibility requirements, but affordability and spend-down requirements remain major barriers. He also warned that Medicare Advantage can create confusion and shorter covered stays for rehab patients, and he urged early planning around long-term care insurance and estate planning. No votes were taken on the presentation, and the committee adjourned after questions and discussion.
FL
Florida 2025 Regular Session
December 10, 2025 - 03:30 PM
Transcript Highlights:
- BLOCK AFTER BLOCK OF HOUSING STOCK IS NO LONGER AVAILABLE TO FLORIDA RESIDENTS.
- Nix: THIS BILL DOES EVEN IN HIS AMENDMENT REQUIRED PURCHASERS OF A HOME RESIDE IN THE PRIMARY DWELLING
- SO IT IS IN THERE THE OWNER HAS TO RESIDE IN THE PRIMARY DWELLING UNIT AND WITH THAT I CLOSED. >> Chair
- FOLLOWING AND IT WAS REQUIRED THE OWNER PARCEL ON WHICH AN ACCESSORY DWELLING UNIT IS CONSTRUCTED RESIDE
- IN THE DWELLING UNIT, TO ME THAT SOUNDS LIKE IT'S ALLOWING THE PRIMARY DWELLER TO NOT HAVE TO RESIDE
AL
Alabama 2025 Regular Session
Alabama Senate County and Municipal Government Committee Apr 2nd, 2025
County and Municipal Government
Transcript Highlights:
- we did about three... ...a fix for something we did about three years ago with our Reservoir grant program
- Down the number that is subtracted from the Foundation Program formula got smaller, which means that
- residents in rural areas. ...disturb residents in rural areas.
- Of course, now you have downtown areas where you have local residents and businesses.
- So again, it's... ...and not be near residences.
Keywords:
county tax, education funding, capital projects, local government, sales tax, food trucks, mobile vendors, business license, health inspection, statewide regulation, zoning ordinances, vessel registration, boating fees, state funds, regulatory changes, water safety, municipal zoning, zoning board, appeals process, circuit court
HI
Transcript Highlights:
- million annually to support the program million annually to support the program statewide.<00:12
- <00:13:04.320>
Um, <00:13:04.560>because going on in the program. - Um, because going on in the program.
- Is this program only for the rent evictions then? That's my understanding. Yes.
- Hawaii residents, especially in times<00:26:50.799>
of <00:26:51.000>crisis.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Labor and Workforce Development Jun 21st, 2026 at 10:30 am
Joint Committee on Labor and Workforce Development
Transcript Highlights:
- We train other organizations to help more people navigate the program.
- Our content is written and reviewed by legal aid programs and community partners.
- I'm a resident of Milton. Thank you so much. My name is Jessica Klein. I'm a resident of Milton.
- Now is the time to make a good program better.
- My focus is the PFML program.
Summary:
The hearing focused on employment rights legislation, especially the Protect Labor Act (H. 2086/S. 1327), which would create state-level labor protections if federal private-sector labor law is weakened or struck down, and would also add protections such as bans on captive audience meetings, virtual elections, stronger misclassification rules, and protections for health care workers and immigrant workers. Supporters from the AFL-CIO, nurses, SEIU, UAW, building trades, teachers, graduate workers, and policy groups argued that the bill is needed because of Trump administration actions, Project 2025, and threats to the NLRA and NLRB. They described the bill as a “trigger” law meant to preserve organizing and bargaining rights in Massachusetts if federal protections disappear or if the NLRB declines jurisdiction over certain workers.
The committee also heard testimony on bills to restore a limited right to strike for certain public employees (H. 2078/S. 1311 or related filings). Supporters, including a representative, educators, and labor advocates, said the current ban on public employee strikes weakens good-faith bargaining and leaves workers without leverage to secure wages, staffing, and student supports. They argued that strikes are used as a last resort and that legalizing them under defined conditions would improve negotiations and better reflect the realities of recent teacher strikes in Massachusetts. The Massachusetts Municipal Association opposed the strike bills, warning that public employee strikes are already prohibited by state law, that strikes disrupt students and communities, and that local governments face budget constraints under Proposition 2 1/2.
The committee also took testimony on paid family and medical leave bills (S. 1351/H. 2110 and S. 1352), which would improve notice to workers, expand public reporting on claim denials and demographics, and fix a technical definition issue that has limited access for some covered contract workers. Witnesses from legal aid, policy organizations, and a small business owner said the changes would improve transparency, equity, and access to benefits without imposing major burdens on employers. Additional testimony supported a railroad sick leave bill and a private construction transparency bill, with Senator Keenan urging favorable action on both. No votes were taken during the hearing; members asked questions, and several witnesses and legislators requested favorable reports on the bills.
LA
Transcript Highlights:
- We are endeavoring to create a pilot program.
- And so he is working to put a program in place.
- Court approval is required before anyone enters the program.
- This is not a release program.
- This is not a release program.
Summary:
The committee first approved the minutes and then heard House Bill 1033, which expands the definition of critical infrastructure to include airports, heliports, spaceports, aerospace facilities, certain government and military sites, and oil and gas platforms. Supporters said the bill is part of a broader effort to position Louisiana for aerospace and defense investment, while opponents from the Sierra Club warned that repeatedly broadening critical infrastructure could chill protest and free-speech activity. The bill was reported favorably. The committee then heard House Bill 1034, which authorizes local officials to declare temporary protection zones for public safety for up to 72 hours, with one extension. The sponsor and the Department of Economic Development said it would be a tool for aerospace and defense projects and other public-safety needs; ACLU testimony raised concerns about notice, property rights, and possible impacts on public waterways. The bill was also reported favorably.
The committee next considered several criminal justice bills. House Bill 51, barring post-conviction bail for defendants convicted of aggravated offenses against children, and House Bill 55, limiting public disclosure of juror information to protect juror privacy, both received broad support and were reported favorably. House Bill 635, aimed at protecting Louisianians from transnational repression by foreign governments through penalty enhancements for underlying crimes, was supported by a national security advocate and reported favorably. House Bill 133, increasing penalties for students who commit attacks on teachers or other students, was amended to address juvenile procedure and exceptionalities; teachers testified about serious injuries they suffered, while the ACLU and criminal defense lawyers raised concerns about mandatory minimums and individualized sentencing. The bill was reported with amendments.
The committee also heard House Bill 676, which creates the crime of fraudulent patient referrals, or “body brokering,” in the substance-use treatment industry. The sponsor and Blue Cross Blue Shield representatives described schemes that steer vulnerable patients into fraudulent treatment arrangements for profit; the bill was reported favorably. House Bill 159 created a Caddo Parish pilot program for pretrial home incarceration with electronic monitoring to reduce jail overcrowding. The sheriff said the jail is far over capacity and that the program would be limited to nonviolent, non-sex-offense defendants with risk assessments, court approval, and behavioral-health check-ins. Witnesses supported the concept but urged tighter liability language; the committee adopted an amendment and reported the bill with amendments. House Bill 106, dealing with unauthorized administration of melatonin to children in child care settings, was reported favorably.
Later, the committee amended and reported House Bill 108, which changes juror qualifications to exclude people convicted of crimes of violence or sex offenses from criminal juries, after opponents argued it would unnecessarily bar citizens from jury service. House Bill 784, a cleanup bill on sex offender registration and notification, was amended and reported with technical changes. Senate Bill 388, which removes a trigger clause tied to a border compact and authorizes review of state contracts for foreign-adversary benefit, was amended and reported. Finally, House Bill 772, a bail-procedure reform requiring accurate mailing and electronic notice information and consolidating notice rules, was presented as a fairness and efficiency measure and had support from the bail industry and prosecutors; the transcript ends before final action on that bill.
HI
Hawaii 2025 Regular Session
EIG-TCA, EIG Public Hearings 03-25-2025
Energy and Intergovernmental Affairs
Transcript Highlights:
- On our testifiers list, we have program.
- Isn't that their program or something?
- This is to initiate a program to 152.
- And from what I pilot program.
- Puna residents have been my testimony.
Summary:
The joint Committee on Energy and Intergovernmental Affairs and Committee on Transportation, Culture, and the Arts heard several resolutions, with most public testimony focused on Senate Concurrent Resolution 159 and Senate Resolution 129, which urge continued U.S. support for the Ukrainian military. Testimony on those measures was largely opposed, with witnesses arguing Hawaii should prioritize local needs such as homelessness, infrastructure, and cost of living over additional aid to Ukraine; one support testimony was noted from the Democratic Party of Hawaii. Despite the opposition, both committees recommended passage with technical, nonsubstantive amendments, and the recommendations were adopted.
The committees also considered transportation-related resolutions. Senate Concurrent Resolution 182 and Senate Resolution 152 would initiate a summer streets pilot program, and Senate Concurrent Resolution 200 and Senate Resolution 180 would ask AMPO to coordinate a transportation management training program. Testimony on the summer streets proposal included support and opposition, with one witness saying community input should be gathered through existing district and community meetings rather than creating a pilot. The training-program measure drew opposition from a witness who argued it would add unnecessary bureaucracy. Both pairs were recommended for passage, with the summer streets resolutions passed unamended and the training-program resolutions passed with technical amendments.
In the Energy and Intergovernmental Affairs committee, Senate Concurrent Resolution 18 and Senate Resolution 14, concerning relocation of the Pearl City post office to Navy property, were recommended for passage with technical amendments. The committee also heard extensive testimony on Senate Concurrent Resolution 136 and Senate Resolution 150, which call for a geothermal energy working group. Supporters included the State Energy Office, PUC, consumer advocate, and others, though the energy office asked to move the report deadline to 2027. Opponents raised concerns about cost, health impacts, environmental risks, and Native Hawaiian representation. The chair proposed amendments to add a Native Hawaiian member, the consumer advocate, and the House and Senate energy committee chairs, clarify participation by utility, geothermal, and nonprofit representatives, and extend the report deadline to 2027. The resolutions were then recommended for passage with amendments, and all recommendations were adopted before adjournment.
FL
Florida 2026 5th Special Session
Appropriations Committee on Higher Education Feb 18th, 2026
Transcript Highlights:
- So I learned when I returned to the college here that it's a great program.
- So I learned when I return to the college here that it's a great program.
- My name is Peter Beatty, and as a lifelong resident of the Florida Keys, and as someone who attended
- My name is Peter Beatty, and as a lifelong resident of the Florida Keys, and as someone who attended
- So we have a culture of care, and we are really developing our programs around what the needs of our
Summary:
The Appropriations Committee on Higher Education convened with a quorum and first took up CS for SB 1694 on technology education. The bill would require technology-integrated postsecondary general education core courses to include digital literacy and competency instruction, including use of artificial intelligence tools, and would encourage high school computer science courses that include AI to teach how AI systems use data, their benefits and limitations, and responsible use in academic and personal settings. The bill sponsor and several supporters emphasized preparing students for an AI-driven workforce while teaching critical evaluation and ethical use; one speaker raised concerns about overreliance on AI and the need to preserve real-world skills. Senator Davis supported the measure and suggested introducing similar instruction earlier, possibly in middle school. The committee voted the bill favorably, with Senator Leak later recorded in the affirmative.
The committee then heard a large block of confirmations for higher education boards, including appointees to Tallahassee State College, the University of South Florida, the University of North Florida, Palm Beach State College, the College of the Florida Keys, Hillsborough College, Miami-Dade College, Florida A&M University, Florida Gulf Coast University, Florida International University, New College of Florida, Florida Polytechnic University, and the University of Florida. The appointees generally highlighted backgrounds in education, health care, law, business, technology, and public service, and described priorities such as student success, workforce alignment, affordability, fiscal responsibility, and institutional growth. One nominee to Tallahassee State College was asked about low NCLEX pass rates and said the college had a plan approved by the Florida Board of Nursing. Another nominee discussed Florida Poly’s STEM mission, and several members praised the nominees’ community ties and professional experience.
After hearing the appointees, the committee voted to report the block of confirmations favorably to the Ethics and Elections Committee. The committee then received a high-level overview of the higher education budget, totaling $11.9 billion, with major emphasis on workforce training and development. Highlights included increases for school district workforce education, the Florida College System, workforce development capitalization, a rural educator recruitment program, funding for the USF Center for Nursing, preeminent research universities, UCF’s community school grant program, UF’s literacy and math initiatives, UF’s autism and neurodevelopment center, and a postsecondary guardian program for campus security. Members asked a brief question about a workforce fund transfer, and the chair explained it was a transfer of an existing program with new funds added. No public comment was offered, and the meeting adjourned.
KY
Kentucky 2026 Regular Session
House Legislative Session Day 48 (3-17-26)
Kentucky House Floor Meeting
Transcript Highlights:
- <00:15:07.120>
in of people about our SNAP program in of people about our SNAP program in - <00:15:56.800>
and employment and training programs. and employment and training programs. - Well, the Safe at Home program is a newer program.
- Well, the Safe at Home program is a newer program.
- Well, the Safe at Home program is a newer program.
CO
Colorado 2026 Regular Session
Colorado House 2026 Legislative Day 050 Mar 5th, 2026
Colorado House Floor Meeting
Transcript Highlights:
- It saves it could park residents money.
- So, this is, I think, a good amendment to protect the residents.
- It's a good amendment to residents.
- He was an elected official, and there's nothing so permanent as a temporary government program.
- He was an elected official, and there's nothing so permanent as a temporary government program.
Summary:
The House convened, established a quorum, and approved the journal. Members then took up Senate Joint Resolution 4, which designates September 20-26, 2026, as Frontotemporal Degeneration Awareness Week in Colorado. The resolution was read at length, with Representative Clifford speaking in support and describing FTD as a devastating, early-onset dementia that affects families during working and child-rearing years. The resolution passed on a 60-0 vote.
The chamber also handled scheduling motions, including removing House Bill 1110 from special orders and placing several bills on special orders for March 4. The meeting then shifted into committee-style consideration of House Bill 1205, concerning changes to state law to reflect the federal expansion of good neighbor authority agreements. After a minor committee-report correction adding wildlife habitat language and removing the safety clause, the report was adopted and the bill passed. Sponsors said the measure aligns state law with federal statute and supports recreation projects and cross-ownership coordination in wildfire-prone landscapes.
The bulk of the discussion focused on House Bill 1145, concerning water quality in mobile home parks. Sponsors Velasco and Phillips said the bill responds to longstanding water problems in mobile home communities, including discolored, foul-smelling water and contaminants such as arsenic and E. coli, and that it strengthens testing, complaint, and enforcement authority. Two amendments were offered by Representative Richardson and Representative DeGraaf to narrow or clarify the bill’s standards and hearing provisions; both were defeated. The committee report was then adopted and the bill advanced, with supporters emphasizing public health and financial burdens on residents and opponents warning about vague standards, penalties, and possible unintended effects on park owners.
CA
California 2025-2026 Regular Session
Assembly Business and Professions Committee Apr 1st, 2025
Business and Professions
Transcript Highlights:
- The CSU programs have single digits acceptance rates as well.
- You can become a California Board Approved Program and we wouldn't have a two tiered system.
- West Coast University is our largest nursing program in the state of California.
- California's Committee of Interns in Residence.
- -based programs and even allow them to qualify abroad.
NH
Transcript Highlights:
- owned dormitories and residence halls. owned dormitories and residence halls.
- This program is already surging. We are This program is already surging.
- of the program.
- program in this bill four times over. program in this bill four times over.
- program? program?
CA
California 2025-2026 Regular Session
Joint Hearing Health and Select Committee on Native American Affairs May 12th, 2026
Transcript Highlights:
- At Hualapai Indian Village, I am the director of our program, the Acorns to Oaks program, which focuses
- You know, our program is really unique.
- and for programming in each community.
- One will focus on adults and older adult suicide program campaigns.
- So here, follow this program.
Summary:
The joint oversight hearing focused on AB 988 implementation and suicide prevention in California Indian communities. Members and the chairs emphasized that 988 was intended to create a behavioral health crisis system with “someone to call, someone to come, and somewhere to go,” and then turned to the disproportionate suicide burden facing Native youth and the need for culturally responsive outreach and services. Assemblymember Bauer-Kahan, the bill’s author, said the law has already saved lives but argued that key parts of the system—especially interoperability between 911 and 988, mobile crisis dispatch, and adequate funding—are not yet working as intended.
The first panel of stakeholders and call center leaders largely said California’s 988 network is underfunded and not fully integrated. Speakers from the Steinberg Institute and 988 California said call, text, and chat demand has grown sharply, but staffing and funding have not kept pace, leaving text/chat answer rates far below the state’s goals and sending many contacts to out-of-state backup centers. They also said mobile crisis teams are not being dispatched through 988 statewide, and that the state’s current governance and funding structure is too fragmented. WellSpace Health and other providers described 988 as the “front door” to crisis care, urged more stable funding, and recommended broader use of the CCBHC model to support mobile crisis and behavioral health infrastructure.
San Joaquin County offered a local success story, describing a countywide crisis continuum that links 988, mobile crisis, behavioral health access lines, and follow-up services through warm handoffs and coordinated outreach. County officials said the model has reduced reliance on emergency departments and involuntary holds, and they noted that local partnerships and repeated community meetings were key to implementation. Members asked about staffing, tribal outreach, and how to make the system more measurable and interoperable; panelists said staffing projections should be based on actual call volume and contact length, and that tribal-specific outreach has often depended on temporary grant funding.
State officials from CalHHS and DHCS then described the five-year implementation plan, the roles of multiple agencies, and current performance data. They said California’s 988 system has handled more than 74,000 contacts in a recent month, with in-state answer rates of 87% for calls and lower rates for chats and texts, and that unanswered contacts are routed to backup centers. They highlighted training efforts, LGBTQ+ competency work after the end of the federal “Press 3” option, and efforts to improve reimbursement for mobile crisis services. No formal votes or committee actions were taken during the hearing.
WY
Wyoming 2026 Regular Session
Senate Floor Session-Day 12, February 23, 2026-AM
Wyoming Senate Floor Meeting
Transcript Highlights:
- And I want to tell you swim program.
- Welcome. program together that accomplishes program together that accomplishes something<00:08:28.720
- From UW Family Residency. Come I say it? From UW Family Residency. Come on<00:16:18.639>
down. - <01:19:50.000>
within There is not a single resident within There is not a single resident - Um this is ready community program.
MN
Transcript Highlights:
- Listen to your residents. The school and the hill and all that come into play.
- Listen to your residents. The school and the hill and all that come into play.
- These participants are serving program.
- launched last year for a similar program launched last year for a similar program with<01:11:05.120
- <01:13:09.520>
to with local artists on a program to with local artists on a program to install
NH
New Hampshire 2025 Regular Session
Committee to Study Long-Term Managed Care (09/29/2025)
Transcript Highlights:
- Florida's<00:10:18.959>
programming <00:10:19.839>program <00:10:20.320>achieving - > Florida's programming program achieving Florida's programming program achieving uh<00:10:21.600>
- increasing community based residents increasing community based residents from<00:10:43.200>
- New Hampshire residents. New Hampshire residents.
- lot of the program lot of the program um um um okay<00:28:58.640>
other <00:28:59.200>
Summary:
The committee approved the previous meeting minutes and then reviewed a draft preliminary report on long-term managed care. The chair explained the report is intended to frame issues and outline legislative options, not make a final recommendation, especially given unresolved questions about the federal One Big Beautiful Bill (OB3). The report’s key issues included the current financing of county and private nursing homes through Medicaid rates, ProShare, MQUIP, and related funding mechanisms, and the concern that those payments could be affected or eliminated under a managed care model. Members also discussed managed care organizations’ role in Medicaid and cited other states’ experiences, noting examples of savings in Florida and Tennessee but higher costs in California. One member raised Indiana as another important comparison, and the committee agreed to add it to the report’s state examples.
The committee also reviewed sections on dual eligibility, D-SNP, PACE, and CFI waivers. The chair raised concerns about whether OB3 creates incentives for states to move toward D-SNP and whether federal changes could affect provider taxes, state-directed payments, and intergovernmental transfers. Henry Litman, the state Medicaid director, said he would confirm details on D-SNP incentives and explained that ProShare is based on certified public expenditure rather than an IGT, while county cap financing is the relevant intergovernmental transfer issue. He said IGTs are not going away and that the main risk is whether current financing mechanisms could be preserved if the state later changed course. Members discussed the possibility of a waiver not being granted or renewed and the high fiscal impact that could have on counties and property taxes.
The committee then discussed the population that any long-term managed care model should cover. Members agreed that there is no appetite to move developmental disability or acquired brain disorder populations into long-term managed care at this time, and the chair changed the report’s terminology from “elderly” to “aging population.” The chair also noted that the status quo option should reflect the recent shift toward home and community-based services and reduced nursing home utilization since earlier county reports. The report’s four policy options were summarized as: maintain the status quo; pursue D-SNP for dual eligibles, with DHHS potentially submitting an application as early as 2027; adopt an HCBS carveout; or move fully to managed care for the aging population. No final policy recommendation was made, and the committee discussed making edits to the draft before circulation, including adding Indiana, clarifying OB3-related issues, and changing the report title from “final” to “preliminary” or “interim.”