Video & Transcript Research : 'state implementation plan'

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LA

Louisiana 2026 Regular Session

Finance May 11th, 2026

Finance

Transcript Highlights:
  • in the state.
  • the plan for that cost... ...you couldn't directly invoice the plan for that cost, but at the next plan
  • this state.
  • ... ...another funding mechanism to get infrastructure dollars implemented across the state.
  • So almost one per every state.
Summary: The Senate Finance Committee met with eight members present and deferred HB 127. It then considered a series of bills, most of which were reported favorably without opposition. HB 22 revised COLA rules for the clerks of court retirement system, allowing more frequent COLAs when the system is better funded; HB 324 made judicial stipends permanent and added future COLAs subject to available funding; HB 233 increased jury mileage reimbursement; HB 47 reorganized assessor retirement COLA statutes; HB 533 allowed St. Tammany Parish to transfer unused witness-fee account balances to the 22nd Judicial District Court; HB 980 adjusted eligibility for the Firemen’s Supplemental Pay Board; HCR 45 urged Congress to clarify ARPA deadlines for water projects; HB 559 increased court costs in the 4th Judicial District; HB 290 recreated the Department of Treasury and related entities in statute; and HB 382 addressed Joint Legislative Committee on the Budget review authority over Group Benefits plans. The committee also reported HB 1157 favorably, creating a financing bank mechanism for infrastructure projects, and HB 575 favorably, giving youth aging out of foster care preferred access to surplus state vehicles through the Louisiana Property Assistance Agency. Several measures drew more discussion. HB 1236, dealing with pharmacy benefit managers and professional dispensing fees, prompted extensive testimony from the sponsor, the Legislative Fiscal Office, the Department of Insurance, independent pharmacies, and PBM representatives. Supporters said it clarifies and strengthens enforcement of existing PBM law and protects independent pharmacies; opponents argued the bill’s requirement that PBMs bear dispensing-fee costs would be difficult to implement and could raise premiums. The sponsor said he would work on amendments, including clarifying language and a delayed effective date, and the bill was nevertheless moved favorably. SB 25, on registrar of voters compensation, was amended to a revised pay structure and then reported favorably. HB 47 and HB 533 were also presented as funding and administrative cleanups for retirement and court-related accounts, with local support noted. The committee also heard HB 233 on jury duty mileage reimbursement, which the sponsor said updates a 1961 rate and would be funded locally at an estimated average increase of about $4,000 per judicial district. HB 324 on judicial salaries was described as self-funded by the judiciary and subject to available funding, with no budget impact. HB 575 on foster youth transportation was presented as a non-appropriation measure aimed at helping youth aging out of foster care by giving them preferred access to surplus vehicles. HB 382, which concerns the Joint Legislative Committee on the Budget’s role in approving Group Benefits plans, was reported favorably with little discussion. The meeting ended after a motion to adjourn.
AZ
Transcript Highlights:
  • And in April 2024, the State Board voted to withhold 3% of the district's state aid pursuant to Arizona
  • in the 25 state... ...and we plan to follow up on those findings and recommendations in the 2025 state
  • Of course, the state is late.
  • is being implemented.
  • The State Board of Education has not begun to dock your basic state aid yet; is that correct?
Keywords: 1182, all
CA
Transcript Highlights:
  • And by that I mean effects in which the state will need to take action to implement them.
  • Turning to page 6, what changes could require implementing state legislation?
  • amendments to its Medicaid state plan, and counties will need to be given guidance about how to implement
  • and only a few states have sort of implemented work requirements for Medicaid.
  • And Planned Parenthood is so critical to our state and nation.
Keywords: 988, house, all
CA
Transcript Highlights:
  • projects within the State Plan of Flood Control, which is the area for which the state has liability
  • These efforts will be guided by the State Sea Level Rise Action Plan that Caitlin referred to, along
  • How are you going to integrate with state parks as they build out their plan, not just the plan, but
  • For other state agencies, but that is where we are coordinated in the planning efforts.
  • So with this approach, the state can enter into an agreement for planning, design, and restoration.
Keywords: 988, house, all
AZ
Transcript Highlights:
  • These will be conducted in the following order: State Board of Pharmacy, State Board of Nursing, Arizona
  • we plan to initiate in March.
  • Yes, you may. findings and disagreed with four of the findings but indicated that it plans to implement
  • Currently, the board has implemented 25 recommendations and has plans for the remainder.
  • plan on...
Keywords: 1182, all
Summary: The committee conducted sunset reviews for the Arizona State Board of Pharmacy, the State Board of Nursing, the Arizona Board of Occupational Therapy Examiners, and the Arizona Regulatory Board of Physician Assistants. The Auditor General’s reports praised each board for timely licensing in some areas but identified recurring problems with complaint investigations, public safety oversight, fee analysis, records/documentation, and internal controls. For Pharmacy, the main concerns were weak enforcement of controlled substances prescription monitoring program (CSPMP) requirements and slow complaint resolution; the board said it had implemented some recommendations, was pursuing a new database vendor, and supported legislation to strengthen CSPMP enforcement. For Nursing, the audit found a large and growing backlog of complaints and repeated delays in resolving cases; the executive director said the board was under-resourced and requested 28 additional investigative positions, while nursing stakeholders supported process reforms and cited a bill to improve timelines and fairness. For Occupational Therapy, the audit focused on missing or poorly documented fingerprint clearance card checks, delayed action on a serious criminal-charge disclosure, and other compliance issues; the board said it had accepted and was implementing all recommendations, including new procedures and rulemaking. For Physician Assistants, the audit found weak oversight by the executive director, extensive delays in complaint handling, and an incentive-pay system that did not align with key performance goals; the board said it had already made structural changes, was improving tracking and IT systems, and planned to continue implementing recommendations. After discussion and testimony from board officials, public members, and nursing stakeholders, the committee voted to continue the Arizona State Board of Pharmacy for six years until July 1, 2032, the State Board of Nursing for four years until July 1, 2031, the Arizona Board of Occupational Therapy Examiners for four years until July 1, 2030, and the Arizona Regulatory Board of Physician Assistants for a continued term with statutory changes (the transcript includes the board review and related discussion, but the final motion text for the physician assistants board is not fully captured in the excerpt). The votes on the first three continuations were approved by roll call, with members generally supporting continuation while expressing concern about complaint backlogs and the need for reforms.
ND

North Dakota 2025-2026 Regular Session

Water Topics Overview Committee Mar 26th, 2026

Transcript Highlights:
  • water planning and implementation based on a watershed basis.
  • oversee water and watershed planning in the state of Minnesota.
  • So, as I said, the One Watershed, One Plan is really around watershed planning and implementing those
  • So as I said, the one watershed one plan is really around watershed planning and implementing those plans
  • for implementing these plans.
Summary: The Water Topics Overview Committee met with a quorum and received updates from the Department of Water Resources and the State Water Commission, followed by presentations from Deloitte on two legislative studies required by House Bill 1020. Director Reese Haas reviewed major project and budget updates, including the Northwest Area Water Supply and Southwest Pipeline projects, Resources Trust Fund balances, carryover spending, project prioritization, bid conditions, regional water system coverage, and department process improvements. Members also discussed how the commission prioritizes projects, maintenance expectations, and the impact of limited municipal water supply funding. No formal committee action was taken during the DWR update; the commission’s municipal funding decisions were described as pending its April 8 meeting. Deloitte then presented the cost-share policy study, which found that under current policy and forecasted revenues, North Dakota faces an estimated $1.3 billion shortfall over 14 years, with a near-term gap of about $1.8 billion through 2031. The firm outlined seven recommended options, including tighter definitions and a 25% cost share for eligible replacement projects, caps and financing strategies for the Mouse River and Red River Valley projects, aligning cost share with commission priority guidance, delaying lower-priority projects, using available lines of credit, and adjusting reimbursement timing for revolving loan funds. Committee members questioned inflation assumptions, affordability, user fees, and the use of legacy fund earnings for bonding, but no decisions were made. In the governance and finance study, Deloitte said final recommendations are still being refined, with a final report due May 29. The study examined the Southwest Pipeline, NAWS, and Red River Valley systems using governance and finance criteria such as decision authority, transparency, affordability, risk, and access to funding. For Southwest, Deloitte outlined options ranging from improved state-authority coordination to transferring ownership to the Southwest Water Authority; for NAWS, options focused on strengthening the authority’s role and potentially transitioning operations and maintenance; and for Red River, options ranged from enhanced facilitation to formal state oversight or state ownership. Members asked follow-up questions about ownership transfer, capital repayment streams, and why NAWS was not considered for transfer, and Deloitte said NAWS’s limited organizational maturity made that option less viable in the near term.
AR

Arkansas 2026 1st Special Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 15th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • But the state plan has a regional plan. It's setting the state up as a kind of regional area.
  • But state plan has a regional plan.
  • But state plan as a regional plan, setting the state up as a kind of a regional area.
  • He explained that the state plan was submitted last month, and the U.S.
  • right now we have two separate state plans.
Keywords: 1204, all
AR
Transcript Highlights:
  • The fact, as Melissa stated, that he was restrained in a prone position, and then implementation of the
  • We have drafted a plan. Looks like we have drafted a plan.
  • So the plan that I'm talking about is the plan that would be a recruitment plan for all five, not in
  • So the plan that I'm talking about is the plan that would be a recruitment plan for all five, not in
  • When the new pay plan was implemented, one of the goals behind it was to, because the pay was increasing
Summary: The Joint State Agencies committee met to approve prior minutes and then focused on the death of Zachary Moore at the Southeast Arkansas Human Development Center, later clarified in discussion as the Warren facility. DHS officials described Moore’s background, said he died after a prolonged prone restraint followed by a delayed chemical restraint, and reported that 13 staff were terminated, the superintendent was replaced, a consultant was brought in, and the agency entered a settlement with the family for $725,000. Members pressed DHS on the cause of death, restraint policies, staff training, supervision, family notification, and why the family had not been kept informed; DHS said a family-notification procedure exists but that communications during litigation had been handled through counsel. The committee also heard that six staff had been criminally charged with manslaughter and neglect of a vulnerable person, and that the death certificate listed the manner of death as homicide with cause of death tied to physiologic stress associated with struggle and prone restraint. DHS officials gave broader context on the five human development centers, their licensing and accreditation, resident population, mortality review process, and training programs. They said the centers serve highly medically and behaviorally complex residents, that annual restraint training and CPI-based instruction are required, and that the mortality review committee and Office of Long-Term Care review deaths and make recommendations. Members repeatedly criticized the agency for not having complete information at the meeting and for what they saw as gaps in oversight, staffing, and chain-of-command clarity during emergencies. DHS responded that the Warren facility had not been meeting the same standards as the others, that the consultant’s root-cause analysis identified multiple failures, and that new crisis-team and chain-of-command procedures were being drafted. A second major topic was staffing and recruitment. Members discussed low pay, turnover, use of float and on-call staff, rural staffing shortages, and a waiting list of about 2,000 people for home- and community-based services. DHS said CNAs at the centers start at about $39,000 a year, that a broader retention and recruitment plan is being drafted for all five centers, and that a separate rate study for PASS services will be implemented in January 2027 but does not cover CNA pay. The meeting ended with testimony from Moore’s mother, Angela Stevens, who said money could not replace her son and urged stronger training, background checks, and supervision so other residents would be protected. The committee asked DHS to keep members and Stevens updated on consultant reports, recruitment efforts, and follow-up on the family communication issue, and then adjourned.
ND

North Dakota 2026 1st Special Session

Water Topics Overview Committee Mar 26th, 2026 at 09:00 am

Water Topics Overview Committee

Transcript Highlights:
  • water planning and implementation based on a watershed basis.
  • oversee water and watershed planning in the state of Minnesota.
  • So, as I said, the One Watershed, One Plan is really around watershed planning and implementing those
  • So as I said, the one watershed one plan is really around watershed planning and implementing those plans
  • for implementing these plans.
Keywords: 908, all
WA

Washington 2025-2026 Regular Session

Senate Health & Long-Term Care Jul 22nd, 2025

Transcript Highlights:
  • However, prior to the bill passing, our state was already engaged with CMS on mitigation plans.
  • Our state was already engaged with CMS on mitigation plans, as we are non-compliant with our non-MAGI
  • The states in white...
  • But the implementation, state by state, is quite different.
  • We were also funded and directed to contract for a design and create an implementation plan for the statewide
Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.
CA

California 2025-2026 Regular Session

Assembly Insurance Committee Jul 2nd, 2025

Transcript Highlights:
  • Allstate says they will return to the state. ...staying in our state and growing.
  • Other states that have recently created their own fair plans are much more transparent than ours, which
  • Like I said, you know, states that have just implemented... That we need for the Fair Plan.
  • Like I said, you know, states that have just implemented their own Fair Plans are much more transparent
  • Business success of the state, the housing success of the state.
Summary: The Assembly Insurance Committee held its fifth oversight hearing on the California Department of Insurance’s Sustainable Insurance Strategy (SIS), with Commissioner Ricardo Lara providing an update on implementation. Lara said the department has finalized major reforms, including new catastrophe modeling tools, faster rate review procedures, use of forward-looking data tied to mitigation, and modernization of the FAIR Plan. He argued the strategy is intended to improve insurance availability in wildfire-prone areas, increase transparency, and stabilize the market, while also criticizing consumer intervenor groups and saying the department will tighten rules on intervener compensation and relevance. Members questioned Lara about when the SIS would begin producing visible market changes, how long rate filings would take to approve, and what the FAIR Plan modernization would mean for consumers’ costs. Lara said catastrophe model approvals should be completed by the end of the month, insurers are expected to begin submitting SIS filings in the coming weeks, and rate reviews have already been reduced from 281 days to 71 days. He also discussed a new market conduct investigation into State Farm’s handling of wildfire claims, ongoing complaints about smoke-damage claims, and a newly created smoke claims and remediation task force to develop standards. Lara said the department has helped more than 12,000 wildfire survivors, with over 38,000 claims filed and more than $17 billion paid, and that it is also working with other western states on underinsurance issues. Public commenters from the insurance industry, homebuilding, and insurance brokerage sectors largely supported the SIS and the department’s efforts, saying the reforms are needed to restore availability and stability. They emphasized the importance of timely rate approvals, FAIR Plan solvency, and greater transparency, and several noted that member companies are preparing to use the new filing process. The hearing ended without a vote or formal action, though members and the commissioner discussed ongoing legislative needs, including AB 226 and possible future FAIR Plan transparency measures.
AR

Arkansas 2026 1st Special Session

ALC-ADMINISTRATIVE RULES Jan 15th, 2026

ALC-ADMINISTRATIVE RULES

Transcript Highlights:
  • Then we also put it out for public comment for the entire rule as required to implement a state plan.
  • Then we also put it out for public comment for the entire rule as required to implement a state plan.
  • State plan amendment or other authorization necessary to implement this section.
  • plan amendment, or other authorization, state plan amendment or other authorization necessary to implement
  • Right now we have submitted that state plan amendment.
Summary: The Administrative Rules Subcommittee of the Arkansas Legislative Council reviewed several agency rules and requests. It approved without objection an Insurance Department amendment implementing Act 261’s holding company system requirements, two State Board of Election Commissioners rules on poll watchers/provisional voting and certified election monitors, and a Treasurer of State rule removing DEI-related membership requirements to comply with Act 938. The committee also held over for a month a Department of Education request related to excluding a rule from reporting requirements so it could be discussed further with the Department of Commerce. A major portion of the meeting focused on the Department of Human Services’ request to be excluded from rulemaking for Acts 567, 568, 967, and 1025. DHS said federal CMS guidance created comparability and other issues for the Medicaid-related dental and diagnostic lab provisions, making it difficult to implement the acts as written by their effective dates. DHS outlined possible paths, including broader adult dental coverage, waivers, or splitting the dental rate increase from the special-needs cap increase. The Arkansas State Dental Association disputed DHS’s approach, arguing Act 1025 is workable, that the pediatric rate increase should move forward separately, and that DHS should continue pursuing the law rather than stop rulemaking. Committee members questioned both sides extensively about CMS correspondence, waiver timelines, fiscal impact, and whether the acts could be severed. After testimony from DHS, the Dental Association, and a public commenter, the committee adopted a motion not to exclude DHS from reporting requirements for Acts 567, 568, 967, and 1025, meaning DHS must continue the normal rulemaking/reporting process. The committee then accepted the Division of Higher Education’s report, which recommended repealing three of its 32 rules and keeping the remaining 29 in effect. It also received routine written updates on older and newer rulemaking items and filed the monthly updates without further action.
CA
Transcript Highlights:
  • plan.
  • individual program plan, section 504 plan, or an incidental medical service plan.
  • plan.
  • entities such as CalOES, implementation of the five-year 988 plan, convening the 988 Crisis Policy Advisory
  • implementation progress through 2029. ...and annual updates on plan implementation progress through
Keywords: 988, house, all
Summary: The Assembly Budget Subcommittee on Human Services held a hearing on the Governor’s May Revision, with no votes taken. The first major discussion focused on child care and early education, including proposed reductions tied to federal Child Care and Development Fund and Proposition 64 revenue changes, the shift of reductions from general child care to the California Alternative Payment Program, the end of funding for prospective pay implementation, a 2.01% cost-of-living adjustment, child care infrastructure grants, and a proposal to increase administrative funding for alternative payment agencies. The Legislative Analyst’s Office generally supported removing prospective pay funding and urged caution on the administrative-rate shift, while also recommending more justification for the slot reduction approach and more detail on infrastructure grant alignment. Committee members strongly objected to eliminating about 6,000 child care slots, arguing the Legislature should preserve and expand child care access. The Department of Education supported the preschool QRIS block grant increase and the COLA but raised concerns about rate alignment for three- and four-year-olds and the lack of funding to maintain enrollment growth. The committee then reviewed trailer bill language affecting child care, including codifying age-based reimbursement categories, expanding documentation for enhanced inclusion rates, clarifying CalWORKs child care eligibility, aligning health and safety standards with federal requirements, coordinating disaster-related infrastructure funding, and updating oversight language. Administration officials said the proposals were intended to support the single reimbursement rate structure, improve safety compliance, and coordinate disaster recovery funding. LAO said it had no major initial concerns with the trailer bill language but would continue reviewing it. The hearing then turned to CalFresh and nutrition programs. CDSS described projected caseload declines, a one-time augmentation for county administration to implement federal H.R. 1 changes, a proposed reassessment schedule for county administrative funding, and updated estimates that H.R. 1 could cut CalFresh funding by $2.3 billion to $3.7 billion annually and affect about 500,000 people. Members pressed the administration on the impact of H.R. 1, the “chilling effect” on immigrant households, county workload, and whether the state should backfill federal cuts, especially for families with children subject to new work requirements. The committee also discussed a one-time CalFood augmentation, state administrative expense funding, staffing for H.R. 1 implementation, and a small increase to the CACFP meal reimbursement rate. Finally, the committee began IHSS items, including the impact of reinstating the Medi-Cal asset limit, automatic IHSS termination tied to Medi-Cal loss, and related savings and caseload estimates, with the administration explaining that these proposals would reduce eligibility and that there is no broad substitute for IHSS for many recipients.
CA

California 2025-2026 Regular Session

Assembly Insurance Committee Mar 19th, 2025

Transcript Highlights:
  • States like Kentucky, Florida, and Texas have already implemented stricter limits on adjuster fees to
  • States like Kentucky, Florida, and Texas have already implemented stricter limits on adjuster fees to
  • I want to state from my onset of the testimony, as you said in your comments, Madam Chair, that the implementation
  • The Fair Plan serves as the insurance safety net and is required by the state for insurance companies
  • In my February order, I implemented further measures to ensure that the Fair Plan continues to meet its
Summary: The committee first heard AB 597, a bill to strengthen consumer protections for disaster survivors who use public adjusters. The author and the Department of Insurance said the measure would cap public adjuster fees at 15% for claims tied to declared disasters, require clearer contracts, prohibit solicitation during emergency conditions, and allow consumers to rescind contracts that were solicited during prohibited periods. Insurance industry groups supported the bill, while public adjuster representatives opposed it as written but said they were willing to work on revisions. The committee approved the bill and re-referred it to Appropriations; the roll call was ultimately recorded as 16-0. The committee then held its fourth oversight hearing on the Department of Insurance’s Sustainable Insurance Strategy, with Commissioner Ricardo Lara giving an extensive update on wildfire-related market reforms and consumer protections. He said the recent Southern California wildfires had not derailed the strategy and described actions including advance claim payments, a one-year moratorium on residential non-renewals in affected areas, a new fraud strike team, smoke-damage claim guidance, additional living expense protections, and a consumer claims tracker. He reported more than $12.1 billion in claims paid, over 37,000 claims filed, and more than 7,000 survivors assisted directly. He also discussed related bills and reforms, including AB 597, SB 495, SB 547, SB 429, SB 616, AB 888, and AB 2026. Members questioned the commissioner about the Fair Plan’s growing exposure, the $1 billion assessment, rate increases, non-renewals, underinsurance, and whether the reforms would actually stabilize the market. Lara said the assessment was already approved, that policyholders would not be hit with one large bill because insurers have two years to recover costs, and that the department was pushing insurers to use catastrophe modeling and reinsurance tools in exchange for commitments to write more policies in wildfire-distressed areas. He said the department expects to see market stabilization by 2026, though he emphasized the timeline depends on insurer participation, implementation of the new regulations, and future disaster activity. Members generally expressed support for the goals of the strategy while pressing for clearer expectations for consumers and faster action on mitigation and market reform.
WA
Transcript Highlights:
  • a plan by December of 2028.
  • Beyond that, we will continue to implement the plans as we go and monitor performance and provide updates
  • At the time of our study, LCB had plans to replace its data system and had a planned implementation date
  • They concurred with submitting a plan by the end of this calendar year, but noted that an implementation
  • , which in Washington State means only the slightest presence in the state counts.
Summary: The committee met on December 3, 2025, with a quorum present and approved the September 17 minutes. Members first voted to suspend the 2026 JLARC lodging tax expenditure report for one year, based on staff’s explanation that the report is self-reported, not verified, and less useful than State Auditor accountability audits; the motion passed. The committee also approved renaming the JLARC I-900 subcommittee to the “Committee to Hear SAO Performance Audits,” while keeping the opening script noting that the performance audit process exists under Initiative 900. The committee then heard follow-up updates on two prior performance audits. The Department of Health presented a draft strategic management plan in response to findings on hospital inspections, complaints, adverse event review, and hospital data access. JLARC staff reiterated that 72% of hospital inspections were late, that DOH did not verify third-party inspection standards or review adverse event reports, and that complaint data suggested possible language-access barriers. DOH said it concurred with the recommendations, had improved on-time inspection compliance to about 49%, planned annual updates starting in July 2026, and would work on accreditation oversight, complaint-language access, and data accessibility, though members pressed for firmer deadlines and questioned the three-year timeline for language access improvements. The Liquor and Cannabis Board also reported on its cannabis market study recommendation. JLARC staff said the agency’s data were incomplete and unreliable, limiting oversight of production, recalls, tax collection, and diversion. LCB said it had improved its current CCRS system but still relied on self-reported data, and it presented a decision package for a new traceability system estimated at about $9 million over three fiscal years. LCB described a plant-tagging and serialization approach tied to production, processing, testing, and retail, but acknowledged it did not currently have sufficient staff to fully implement the system without additional funding. The committee also received briefings on JLARC’s recommendation-tracking tools and the 2024 public records reporting summary, including a high-level review of agency response rates, request volumes, costs, and litigation. Finally, JLARC presented the proposed final report on the Office of Privacy and Data Protection, concluding that OPDP meets its statutory responsibilities and has high user satisfaction, but that its mandate should be updated to better match its current capacity and focus; the committee adopted the report for distribution. The meeting then moved into the 2025 tax preference performance reviews, where JLARC staff summarized nine reviews and noted that the Citizens Commission on Tax Preference and Performance Measurement endorsed all 17 legislative auditor recommendations, with comments on seven. Early reviews discussed included natural gas transportation fuel preferences, travel agent and tour operator B&O rates, nonprofit low-income housing development, multipurpose senior centers, disabled veteran adaptive housing, and trade convention attendance, with staff and commissioners generally recommending continuation of some preferences, modification of others, and improved objectives or performance measures where needed.
CA
Transcript Highlights:
  • , Individual Education Plan, Individual Program Plan, Section 504 plan, or incidental medical service
  • plan.
  • plans equally.
  • incorporate that into our implementation plan to avoid disruptions or interruptions in care across transitions
  • Issue 13 is a BCP requesting resources to support the CalAIM waiver renewal planning and implementation
Keywords: 987, senate, all
Summary: The subcommittee first heard May Revision items for child support, child care, and related human services. The Department of Child Support Services described two technical adjustments, which the LAO said raised no concerns. The Department of Social Services then walked through child care proposals, including a shift in how federal and Proposition 64 funding reductions would be absorbed, a 2.01% COLA, disaster-related child care infrastructure grants, an increase in in-contract administrative support costs for alternative payment agencies, reversion of prospective-pay implementation funding after a federal rule change, a one-time allocation to cover the first quarter of Cost of Care Plus payments in the next fiscal year, reappropriation for existing infrastructure grant closeout work, and estimates of unspent child care funds. The department also outlined trailer bill language on a single rate structure, site safety and emergency procedures, CalWORKs child care data sharing, and child care oversight. The LAO recommended that the Legislature seek more justification for shifting reductions from General Child Care to the Alternative Payment Program, noting that CAP reductions affect more slots and that General Child Care has had significant unspent funds. It supported removing prospective-pay funding, but recommended rejecting the administrative cost shift to a percentage-based rate because it could create future General Fund pressure. It also suggested the Legislature review alignment between the disaster grants and the child care infrastructure program. Senators and members pressed the administration on why the budget would reduce child care slots and COLA percentages while the state still has waitlists and unspent funds, and questioned the need for early funding of Cost of Care Plus payments and the move from a flat administrative amount to a percentage. Public commenters, including providers, advocates, county offices, and infrastructure partners, urged full COLA funding, preservation of child care slots, support for prospective pay, and continued investment in child care access and facilities. After a short recess, the committee moved to Part B on health and heard the Department of State Hospitals. DSH presented a May Revision budget of $3.2 billion and described proposals for a central utility plant replacement at Metropolitan State Hospital, an electronic health record implementation, reduced county bed billing authority due to phased-in LPS bed capacity, limited contract exemption authority for online clinical subscriptions, reversion of prior-year unspent operating funds, and a workforce development proposal shifting some costs to Behavioral Health Services Act funds, including support for an additional psychiatric training cohort at Napa. The department also outlined IST-related savings and a trailer bill to remove the sunset on the independent placement panel program.
ND

North Dakota 2025-2026 Regular Session

Employee Benefits Programs Committee May 7th, 2026

Transcript Highlights:
  • employee or the state health plan.
  • That is a substantial plan that is offered to employees, of course, within the state of North Dakota.
  • plan, the different benefits that we're offering or that are available to state employees, the current
  • was implemented at the beginning of last year, which is a defined contribution plan.
  • plans of state employees or any public political subdivisions.
Summary: The Employee Benefits Committee met to approve prior minutes, hear presentations on state employee health insurance, compensation, leave, and related policy issues, and then recess for lunch. PERS reviewed the history and structure of the state health plan, noting the long-standing state-paid family coverage, cost-control measures, wellness incentives, the current grandfathered PPO and high-deductible options, and the effects of recent benefit mandates such as insulin caps, prosthetic coverage, medication management, prescription copay changes, and ambulance balance-billing limits. Committee members questioned the fiscal impact of adding benefits and the possible cost of moving to a non-grandfathered plan, while PERS and HRMS emphasized that health insurance remains the top-ranked employee benefit and that any major plan changes should be considered carefully. HRMS also presented compensation comparisons showing state pay generally below private-market benchmarks, discussed targeted market equity adjustments, identified ongoing recruitment and retention concerns in fields like nursing, IT, engineering, and attorneys, and reviewed leave policies, tuition reimbursement, and family leave comparisons with neighboring states. Job Service provided labor market data showing low unemployment, high labor force participation, and wage growth that still trails some neighboring markets, and OMB explained that prevailing wage requirements apply to federally funded projects under Davis-Bacon, not to ordinary state contracts. After lunch, the committee took up the required process for health insurance mandate bills and adopted an amendment to Joint Rule 211. The amendment clarified that the deadline for submitting mandate measures is intended to allow time for all required reports, including both the cost-benefit analysis and any Employee Benefits Committee actuarial report, while leaving the existing deadline unchanged. The amendment was adopted on a roll call vote, with several members voting yes and a few no votes recorded. The committee then moved into its jurisdiction review of bill drafts, beginning with a bill that would automatically renew pre-tax dental and vision elections; members debated whether it had any actuarial or administrative impact on PERS or the state, and the chair explained that the committee’s role was only to decide whether further analysis was needed before later testimony and recommendations.
NH

New Hampshire 2026 Regular Session

House Public Works and Highways (01/27/2026)

Public Works and Highways

Transcript Highlights:
  • 10-year plan. 10-year plan.
  • 10-year plan. 10-year plan.
  • . in state in our state budgeting lingo.
  • <03:24:44.160> u implement it implement this without u implement it implement this without
  • Let them implement<04:04:34.960> that. implement that. implement that.
Keywords: 1189, house, all
MN

Minnesota 2025 1st Special Session

House Workforce, Labor, and Economic Development Finance and Policy Committee 2/13/25 - Part 1

Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:
  • Number three: run an extensive beta test with state employees before full implementation.
  • By implementing a phased, flexible model that's fully funded by the state, we can protect employees while
  • paid family leave and not delay the implementation of this important program that Minnesotans are planning
  • paid family leave and not delay the implementation of this important program that Minnesotans are planning
  • We understood, however, that the state needed time to properly implement this groundbreaking policy,
Keywords: 1183, house
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Nov 5th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • What we do know nationally and from state research is that treatment courts are, if implemented To fidelity
  • But the Corrections Department, for how they're planning to implement, they are doing a rollout that
  • What the plans that they get back from states based or from regions based on Senate Bill 3 of last year
  • plans.
  • Successful in implementing the work once those plans get approved.