Video & Transcript Research : 'apprenticeship programs'
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NH
New Hampshire 2025 Regular Session
Committee to Study Long-Term Managed Care (09/15/2025)
Transcript Highlights:
- <00:13:19.200>
um that we've seen in in our programs um that we've seen in in our programs - <00:17:29.360>
For program and continuum of care. For program and continuum of care. - of this program?
- service programs that they offer. service programs that they offer.
- We're even in a smaller program.
Summary:
The Committee to Study Long-Term Managed Care met to approve prior minutes and outline its schedule, with meetings set for September 24 and September 29 ahead of an October 1 report deadline. The chair said the committee would use the first two meetings to digest testimony, likely ask follow-up questions of DHS, and then work toward conclusions and a report format. The minutes from the previous meeting were approved unanimously.
The main testimony came from Sharon Alexander of Amera Health, who argued in favor of moving from fee-for-service Medicaid long-term services and supports to a managed LTSS model. She described managed LTSS as a capitated, quality-driven system used in about 26 states, and said it can improve care coordination, accountability, access to home- and community-based services, and budget predictability. She cited Amera Health’s experience in Pennsylvania and Delaware, including care coordination, housing and transportation support, caregiver programs, and quality benchmarks tied to state oversight. She also said nursing facilities would remain an important option for people who need that level of care.
Committee members asked about how the programs are administered, how rates are set, how care managers work, and how quality is measured. Alexander said states contract with managed care organizations at actuarially sound capitated rates, with annual contracts, reporting, and oversight. She explained that care managers typically conduct quarterly assessments and follow up after trigger events such as hospitalization, and that housing coordinators may assist with transitions to the community. On quality, she said states use CMS-related and HCBS benchmark measures covering service timeliness, care planning, transitions, and other outcomes, and that New Hampshire could build on existing metrics rather than starting from scratch. She also noted that rural areas face workforce and transportation challenges, which managed care plans try to address through technology and self-direction options.
TX
Texas 89th Regular
Senate Committee on Finance (Part II) Jan 28th, 2025
Transcript Highlights:
- Every inmate there is there for a specific program. There's a program for vocational programs.
- There's other vocational programs that Windham is doing and educational programs.
- We have had great success with this program. This program is a grant-funded program.
- This program is a grant-funded program at this point, and we would like to move that program into a permanently
- funded program.
Summary:
The Senate Finance Committee heard the Legislative Budget Board’s overview of the Texas Department of Public Safety’s 2026-27 budget, followed by extensive testimony from DPS leadership. The LBB presentation covered funding and staffing changes across driver license services, facilities, troopers and recruit schools, crime labs, vehicle and aircraft operations, and border security. The recommendations included added support for customer service staffing and trooper hiring, but did not include several DPS exceptional items such as major driver license staffing and technology requests, new regional headquarters in El Paso and San Antonio, and other capital projects. Members also discussed proposed rider changes, including a new rider to lapse unused trooper funding and require reporting after recruit schools.
Much of the committee’s questioning focused on driver license operations, where senators criticized long call wait times, low call-answer rates, appointment delays, and what they viewed as an overreliance on adding staff rather than improving processes. DPS and LBB witnesses said the agency is pursuing some technology upgrades, including automation, online pre-population of applications, and appointment-system improvements, but acknowledged that the driver license division remains a major problem area. Senators also raised concerns about whether the 2019 efficiency study led to meaningful changes and whether the agency should consider broader process redesign or even a different administrative structure.
Colonel Freeman and other DPS officials then defended the agency’s broader law enforcement and border-security work, emphasizing the need for the Williamson County training academy, the 500 additional troopers funded in prior sessions, and continued support for Operation Lone Star. They described DPS’s role in border interdiction, threat-to-life investigations, oilfield theft cases, Capitol and Alamo security, and highway safety, and said the agency is stretched thin by deployments and overtime. Members asked about border reimbursement possibilities, regional staffing differences, pursuit safety, fleet and aircraft replacement needs, and the Texas Ranger Hall of Fame museum. No votes or formal actions were taken in the portion provided.
WA
Washington 2025-2026 Regular Session
Senate State Government, Tribal Affairs & Elections Dec 5th, 2025
Transcript Highlights:
- and in the federal program.
- and in the federal program.
- the state program for all veteran women's business enterprise program with no federal dollars, where
- It was the only DOT in the nation to have such a program, and we created that program in anticipation
- We have strategies like the EDGE program, and we have programs with...
Summary:
The committee heard a work session on voting access on tribal lands, beginning with a presentation from Dr. Chelsea Jones of the Brennan Center. She described barriers affecting Native voters and voters on tribal lands, including long travel distances to polling places and drop boxes, nontraditional addresses, unreliable postal service, language access, and limited broadband. Citing research, she said turnout on tribal lands trails turnout off tribal lands by about 10 percentage points nationally and about 10% in Washington, with larger gaps in some convenience voting measures. Members asked about the meaning of “lost votes,” the role of tribal leadership and community trust, and whether outreach by election officials and candidates could help; Dr. Jones emphasized that the study measured missed voting opportunities, not missing ballots, and that partnerships with trusted community leaders are important.
The University of Washington Elections Database then presented data on voter registration, turnout, signature challenges, curing, and ballot rejection for voters whose addresses fall within tribal reservation boundaries. The presenters said registration on reservations increased from about 107,000 in 2010 to 137,000 in 2024, turnout on reservations remained about 8 to 9 percentage points lower than outside reservations in recent general elections, and signature-challenge and rejection rates were generally low but somewhat higher in off-year elections. They reported that about 60% to two-thirds of signature-challenged ballots are cured, with cure rates similar inside and outside reservations, and that late return is the most common reason for primary ballot rejection while signature mismatch is the leading cause in general elections. A question was raised about USPS postmarking issues and how those might affect future data; the presenters said they plan to track return method and cure timing more closely.
The committee also received an overview of the Governor’s Office of Indian Affairs. Staff reviewed the office’s history, the Centennial Accord, the Millennium Agreement, and related state-tribal frameworks, and GOIA Director Tim Rainan described the office’s role as a bridge between the state and tribal governments, including consultation, policy coordination, training, and convening work groups. He said GOIA now has six positions, is part of the governor’s executive cabinet, and is working on a statewide tribal relations training module and consultation handbook. In response to a question, he said tribal voting is not a major topic at the Centennial Accord but is discussed more extensively through ATNI. The committee then shifted to contracting equity, hearing from WSDOT, DES, OMWBE, and the Office of Equity. WSDOT described its race-neutral small business and veteran goals, mentorship and support programs, and its response to the federal suspension of the DBE program; DES discussed statewide contracting spend, the EDGE pilot for small construction firms, and efforts to improve procurement access; OMWBE reported growth in certified firms and about $371 million in state spend with certified firms in the most recent year, while noting ongoing impacts from federal DBE changes; and the Office of Equity outlined its broader work on agency consultation, dashboards, and systems change. No votes were taken.
MN
TX
Transcript Highlights:
- funding available to such programs.
- School District vocation programs programs with our college programs and other like programs, we do
- We have two basic programs, capital post-conviction representation in this program we represent.
- So in my most restrictive program.
- Amount of time that you spend in normal programming, can you explain a little bit about what normal programming
LA
Transcript Highlights:
- Foster program.
- Those programs.
- I see where... ...programs that had higher increased cost of running those programs.
- The CCAP program is a program for families needing assistance with child care.
- As you know, we have a physical therapy program, PhD program at ULM in Monroe.
Summary:
The committee first heard Senate Bill 399 by Senator Bass, which would create the Louisiana Higher Education Research Security Council to review and potentially block certain gifts, contracts, academic partnerships, and research partnerships involving foreign adversary sources. Bass said the bill is intended to protect university research, intellectual property, and students from foreign influence, and would also require public disclosure of certain foreign-linked arrangements and a plan to eliminate foreign-adversary-linked software. Supporters from State Armor argued Louisiana universities have been vulnerable to Chinese Communist Party influence and intellectual property theft. Representatives from Tulane University and Lenovo raised concerns that the bill could create duplicative review, delay research, raise costs, and sweep in legitimate private or multinational entities; a proposed amendment to exempt entities operating under a CFIUS national security agreement failed 4-8. After debate, the committee moved SB 399 favorably.
The committee then considered Senate Bill 310 by Senator Cloud, presented by Representative Carlson, which would require public school and college health centers to display information about pregnancy resources available in Louisiana. Supporters from Louisiana Right to Life said the bill would help connect pregnant students with existing state and private assistance programs, while the ACLU submitted a red card in opposition without speaking. The bill was moved favorably without objection. The committee also advanced House Resolution 171 by Representative Turner, which calls for a study of the workforce-oriented TOPS Tech and M.J. Foster programs, with business and workforce groups supporting the study as a way to measure outcomes and return on investment; it was moved favorably.
Next, the committee took up House Bill 1084 by Representative Turner, a tuition autonomy bill for public post-secondary institutions. An amendment was adopted to add a conceptual framework for tuition-setting considerations, but the bill would still remove the existing 10% over two years cap and allow institutions to set tuition more freely. Turner argued universities need more flexibility because state funding has declined and campuses face deferred maintenance and operating pressures. Several members, especially Representative Carlson, warned that higher tuition could reduce access and that the bill did not address broader structural problems in higher education. Despite those concerns, HB 1084 was moved favorably by an 8-3 vote.
Finally, the committee heard Senate Bill 351 by Senator Jackson Andrews, which would let families apply for child care assistance through CCAP once pregnancy is known, rather than waiting until after birth, to help move them up the waiting list. An amendment was adopted to have BESE, rather than the department, handle rulemaking and to allow the House and Senate education committees to approve the implementation process. The bill was then discussed as a way to help parents return to work sooner, and the hearing continued with questions from members.
MN
Transcript Highlights:
- > you<00:16:29.959>
would different programming that you would different programming that - <00:26:37.440>
managed Flood Hazard Mitigation Program managed Flood Hazard Mitigation Program - <00:32:01.120>
within Flood Hazard Mitigation Program within Flood Hazard Mitigation Program - Enhancement Program. Credit Enhancement Enhancement Program.
- And in the history Program. Thank you.
NM
New Mexico 2025 Regular Session
IC - Military and Veterans Affairs Nov 5th, 2025
Transcript Highlights:
- How can we do better by our law enforcement program?
- program works.
- to show that this program works.
- It's a half a million dollars to do a pilot program.
- To present about our program today.
FL
Florida 2026 Regular Session
Appropriations Committee on Higher Education Mar 26th, 2025
Appropriations Committee on Higher Education
Transcript Highlights:
- a multi-year grant program.
- They need a multi-year program.
- and Disabled Veterans Program, and the Effective Access to Student Education, the EASE Grant Program
- and Disabled Veterans Program, and the effective access to student education, the Ease Grant Program
- The foundation itself helps supplement a lot of the programs within DOE and also puts on additional programming
Summary:
The committee first heard a confirmation from UCF trustee reappointee Mr. Christie, who described his background in medical devices and prior board service and said he wanted to help UCF strengthen its financial foundation, workforce alignment, and engineering and technology pipeline. Members asked about UCF’s direction, and he emphasized the university’s role in producing engineers and supporting Florida’s space and technology sectors. The committee then moved to the higher education budget for fiscal year 2025-26, which was presented as an $11.5 billion total budget including local funds and focused heavily on workforce education, nursing, agriculture technology, tutoring, student aid, and university initiatives. Chair Harrell highlighted increases for school district workforce education, Florida College System operations, career and technical education grants, the GATE program, nursing education through USF’s Florida Center for Nursing, UF/IFAS rural and agricultural programs, UCF’s Community School Grant Program, UF’s literacy and tutoring initiatives, autism and neurodevelopment services, full funding for major scholarship programs, and $250 million for state universities through the Board of Governors. Senator Davis asked about line grant flexibility, and Harrell said a conforming bill would address the details. The budget proposal was adopted as a recommendation to the full Appropriations Committee, with staff authorized to make technical corrections.
The committee then took up a series of confirmations, beginning with Florida State University reappointee Peter Collins, who emphasized his long FSU ties, leadership on the board, and goal of keeping FSU on a path toward top-10 status and AAU membership. Rebecca Matthews, a new University of West Florida appointee, discussed her education-related volunteer work, Florida Education Foundation service, and interest in supporting UWF’s continued excellence; senators questioned her on Title IX and she said she would support student protections and compliance. Rachel Moyah, another UWF appointee, highlighted her education, school board experience, and priorities of student safety, fiscal discipline, and workforce readiness; she also said she would comply with Title IX and other applicable rules. Ashley Ross, also nominated to UWF, said she would focus on university advancement, military ties, cybersecurity, civil engineering, and strong governance, and agreed that Title IX protections should be preserved and advanced.
The most extensive questioning came during the confirmation of Adam Kessel, a UWF appointee and Heritage Foundation fellow, who was asked about prior writings on privatizing public universities, his comments about the GI Bill, and his views on free speech and Project 2025. Kessel said he did not recommend privatizing Florida universities, clarified that his comments about the GI Bill and over-enrollment were about broader higher education policy, and said he supports veterans and the GI Bill. He described his higher education work as focused on civic education, accreditation, student success, tenure, and free speech, and said trustees should improve campus culture through policies, training, and institutional neutrality. Public testimony on UWF was sharply divided: former UWF leaders and community members warned that the new slate of trustees and their vote to make Scott Yenor chair had chilled donations, enrollment, and community trust, while a James Madison Institute representative praised Kessel’s scholarship and thoughtful approach. The committee also heard from FAMU reappointment Belvin Perry, who cited his judicial career and board service and said his goal is to support student success, retain strong faculty and staff, and help FAMU continue rising in national standing. Finally, the committee began hearing from remote appointees, including UCF nominee Mark Philburn, who emphasized his construction, affordable housing, and higher education board experience, and FSU nominee Peter Jones, who described his finance and investment background and long service to FSU boards and committees. The last nominee heard before the transcript ended was Florida Gulf Coast appointee Paul Applegarth, whose audio issues delayed his remarks; he began by noting his prior federal confirmation, military service, and GI Bill-supported education.
NH
New Hampshire 2025 Regular Session
House Health, Human Services and Elderly Affairs (02/12/2025)
Health, Human Services & Elderly Affairs
Transcript Highlights:
- The statewide respite program provides comprehensive training programs, and the funds are used to pay
- The bill also provides funds for three senior volunteer programs: the Senior Companion Program and RSVP
- The targeted programs under House Bill 704 include caregiver respite programs.
- I am the program manager for the AmeriCorps Senior Companion Program.
- <02:36:31.080>
so program and the state funded program so program and the state funded program
HI
Hawaii 2025 Regular Session
FIN Info Briefing - Thu Jan 16, 2025 @ 9:00 AM HST
Hawaii House Floor Meeting
Transcript Highlights:
- <01:26:00.639>
now be transferred into our program now be transferred into our program now - lands that make sense in our program lands that make sense in our program because<01:27:19.800><
- scattered Lots development program scattered Lots development program something<01:30:43.159>
- residential HUD has a 221 D4 program residential HUD has a 221 D4 program where<01:48:50.000>
- We also have, uh, program requests in for the supporting the sex traffic victim support program.
NH
New Hampshire 2026 Regular Session
Commission to Study Costs of Special Education (05/18/2026)
Transcript Highlights:
- that is a different program altogether. that is a different program altogether.
- residential program. residential program.
- . program. program.
- programming? programming?
- So we have a level three program. We have up to 15 children in that program.
Summary:
The commission on the costing of special education met to review several documents and updates, including draft materials on residential placements, an LBA dispute resolution report, prior minutes, rate-setting rules, and a letter involving Senator Hassan. The minutes from March 16 were approved by motion, second, and one abstention. Members also received an update that the LBA special education performance audit is still pending; the report is expected to be very large, NHED and the Board of Education must review and comment before release, and it likely will not be available until late summer or early fall. The separate EFA audit was also noted as still unreleased, and members said they may return later to issues involving EFA costing and differentiated aid.
A major focus was HB 1099, which would create a committee to study the cost and liability of providing educational services to students placed in residential facilities. The chair explained that the House version had passed unanimously and the bill was headed to a committee of conference. Members discussed a proposed amendment to add the phrase “including but not limited to” so the study would cover not only court-ordered or treatment-related placements but also other residential placements, including those tied to school district decisions. Some members said this was a substantial expansion, while others said it would simply give the committee broader latitude.
Jason Stock of the Winnisquam Regional School Board described how the issue arose during budget work at Winnisquam, where the district was trying to determine who should pay for educational services for students living at Spaulding Youth Center in Northfield. He said the district had 10 students attending Winnisquam, including three foster students and seven students connected to Spaulding, and that Spaulding-specific invoicing for 2024-2025 totaled $141,417.05 for eight students. Members also discussed rising private placement tuition costs and the difficulty of determining residency and fiscal responsibility for students placed in residential settings. Department counsel explained that under RSA 193:27 and 193:28, children placed in a home for children may attend the local district school, and that special education cost responsibility depends on whether the student is identified as disabled and on the nature of the placement. Spaulding representatives had not yet presented by the end of the excerpt, and the committee was still working through the residency and funding questions.
NH
New Hampshire 2026 Regular Session
House Education Policy and Administration (01/29/2026)
Education Policy and Administration
Transcript Highlights:
- <03:55:28.640>
and student progress, evaluate program and student progress, evaluate program - they can submit their hunter ed program they can submit their hunter ed program for<04:04:08.319
- everywhere program? everywhere program?
- So I view this bill as a major threat to the program because we don't have a voucher program.
- president says if you have a program president says if you have a program where<05:17:44.000>
Summary:
The committee held a hearing on House Bill 1571, which would direct the Department of Education to review and revise statewide academic standards and curriculum and make an appropriation. Representative Kristen Noble, the sponsor, said the bill is intended to update outdated standards, especially in math, and to have the department create a list of high-quality curriculum and materials aligned to the revised standards. She noted she would likely amend the bill to change a requirement that districts “shall” select from the list to “may,” and said a misplaced crossed-out section would need to be restored and moved by amendment. She also said assessments would need to be updated to match any new standards.
Testimony from Marie Banfield strongly supported the bill and the move away from a mandate, arguing that current standards are outdated and that Common Core and related standards have not improved student outcomes. She criticized the math standards for emphasizing multiple strategies and written explanations over computation, and said stronger standards would better support students, including those with learning or communication challenges. She also argued that New Hampshire should follow examples such as Massachusetts, which she said used rigorous standards successfully.
Nate Green of the Department of Education did not take a position on the bill but explained that the bill would affect statewide academic standards, state assessments, and potentially federal compliance. He distinguished academic standards from minimum standards in statute, said any standards revision would require work with content experts, State Board approval, and then a corresponding assessment update that could take about two years. He estimated assessment development costs could range from about $200,000 to $500,000 for minor revisions and $1 million to $2 million for a wholesale new set of standards. He also said the bill would apply to public and charter public schools, not private or homeschool students, and that the department does not currently provide a statewide list of curriculum materials because curriculum decisions have historically been local.
CA
California 2025-2026 Regular Session
Assembly Transportation Committee Jun 29th, 2026
Transportation
Transcript Highlights:
- Under California's Active Transportation Program, ATP, bikeways funded through the program are already
- It doesn't create a new program and improves an existing program, and so from our perspective, a bus
- This bill would upgrade the Clean Miles Standard and Incentive Program to ensure that the program is
- most polluting programs within SB 1.
- polluting programs within SB 1.
HI
Hawaii 2026 Regular Session
ECD/TOU Joint Public Hearing - Wed Feb 4, 2026 @ 10:00 AM HST
Transcript Highlights:
- Export Council on its high-step program Export Council on its high-step program or<00:23:33.440>
- or Hawaii State Trade Expansion Program or Hawaii State Trade Expansion Program for<00:23:36.159
- program.
- program.
- space program, aerospace program, and space program, aerospace program, and prove<00:44:48.319>
that
Summary:
The joint hearing covered several bills focused on economic development, tourism, business climate, and related policy areas. On HB 1943, which would support a DBEDT office in Korea, DBEDT and the Retail Merchants of Hawaii testified in support, emphasizing Korea’s importance as a market for investment, trade, and tourism and the value of helping small and midsize Hawaii businesses access Asian markets. A later witness also tied the proposal to broader free-trade and APEC-related goals. The committees heard no opposition on that measure.
The committees then heard HB 1612 and HB 1614, both supported by multiple organizations and agencies. Testimony for HB 1612 stressed Hawaii’s weak business climate and the need for policies that improve economic growth and competitiveness; the Hulamua Collaborative cited survey results showing only 19% of respondents viewed Hawaii as a good place to do business. HB 1614 also drew support, with HTC saying its focus is on economic growth. For HB 1968 and HB 1967, the Office of Planning and Sustainable Development, the University of Hawaii, the Chamber of Commerce, and Hulamua Collaborative largely stood on written testimony in support; the hearing notes reported nine supporters and one opponent on HB 1968, and seven supporters with one comment on HB 1967.
A substantial portion of the hearing focused on HB 1589, a bill to create dementia training and recognition for businesses. Testifiers included a private citizen sharing a personal family story, the Alzheimer’s Association, and DBEDT. Supporters said the measure would help families affected by dementia, reduce stigma, and make businesses more dementia-friendly. DBEDT said the issue would be better handled by an agency with dementia expertise, while the Alzheimer’s Association said it could provide training at no cost and suggested amendments to shift implementation toward the Executive Office on Aging and to use the term “dementia business champion.”
The final major topic was HB 1608, involving a space-related project and financing. Phoenix Space testified that the bill would help launch responsive space access operations at Hilo International Airport, create local jobs, and support partnerships with Hawaii institutions, while another supporter said the project could diversify the economy. A committee member raised a timing concern, noting bond cap capacity was already allocated through 2028, and the witness said they were willing to work on a solution. The hearing also included HB 1850 on capital gains taxation, where supporters argued the bill would make the tax system fairer by increasing taxes on investment income, while the Chamber of Commerce opposed it. No votes or final committee actions were taken during the hearing.
ND
North Dakota 2026 1st Special Session
Legislative Management Jan 20th, 2026 at 01:00 pm
Transcript Highlights:
- We'll see what's working in this program. We'll see what's not working in this program.
- The purpose and benefit of the program, the problems or needs the program will address, other possible
- solutions, methods to evaluate the program, and budget details, as well as, if it's a pilot program,
- And are we expanding a program here?
- And are we expanding a program here?
Summary:
The committee opened with roll call and a review of special-session procedure: bills would be heard in filing order, with related school-lunch bills grouped together, and any bill advancing would require a motion, second, and majority vote to be introduced. Members also discussed that the committee was functioning much like a delayed-bills committee, with final referral to either Appropriations or Policy depending on the bill’s fiscal impact.
The first major proposal was Senator Schibley’s bill to create a narrow, statewide Bank of North Dakota bridge-loan program for struggling nonprofit medical facilities, prompted by Jacobson Memorial Hospital’s financial crisis. He argued the hospital and surrounding EMS services could close without short-term help, while committee members questioned the added language, the population cap, the $10 million fund with $5 million per applicant limit, and whether the program could open the door to future requests. Representative Headland then presented two cleanup bills from the prior property-tax session: one to fix notice and tax-certification issues for local taxing districts, and another to correct how the primary residence credit is applied so taxpayers receive the full benefit rather than counties retaining part of the reimbursement. Members asked about township hearing timing, the estimated $10–15 million annual impact, and whether the credit issue could be fixed retroactively; Headland said the bill was intended to correct the problem going forward.
Three school-lunch bills drew extensive discussion. Representative Vetter proposed a small administrative appropriation to add an FTE to help eligible families enroll in the existing free/reduced lunch program, saying the goal was to ensure needy children are signed up and that the state should not subsidize meals for wealthy families. Representative Nathe offered a broader bill mirroring the pending initiated measure but placing the program in statute instead of the Constitution, moving implementation up a year, and funding it with a one-time $65 million from the strategic investment fund; he said this would preserve legislative flexibility and avoid constitutional entrenchment. Representative Dressler proposed raising the state-funded eligibility threshold from 225% to 300% of poverty, arguing it would expand access while still preserving federal reimbursements and encouraging better enrollment systems. Members debated costs, future budget pressure, whether the bills set a precedent for responding to ballot measures, and whether the program should include breakfast and other operational details.
Other proposals included Senator Powers’ bill to create a hyperbaric oxygen board and support rural access to hyperbaric chambers for wounds, concussions, PTSD, and other conditions; Representative Tolman’s reporting-requirements bill to force new or expanded programs to justify purpose, alternatives, evaluation methods, and full implementation costs; Representative Frelich’s bill addressing the ongoing redistricting litigation and what happens if the Supreme Court or lower courts alter the current map; and a bill requested by the Public Service Commission and ITD for FERC litigation support and ADA website/document compliance. The committee also heard a rural-health eligibility bill from Representative Twait aimed at steering federal rural health dollars toward rural providers, with questions focused on whether the mileage limits would exclude some communities. One Holocaust education item was deferred until the sponsor could be located.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Health Care Financing Jun 21st, 2026 at 10:00 am
Joint Committee on Health Care Financing
Transcript Highlights:
- So here we had a Medicaid program paying ...a Medicaid program paying one rate, the fee for service,
- Because it's a federal program, I thought it was worth just a brief explanation: the 340B program is
- We know that it has an impact on the Medicaid program.
- This program was actually developed after meeting with advocates in Colorado who created a Take 5 program
- for the Program for Language Equity.
Summary:
The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably.
The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs.
Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.
KY
Kentucky 2025 Regular Session
Interim Joint Committee on State Government (9-23-25)
Transcript Highlights:
- Skills Training Corporation program Skills Training Corporation program today.<00:03:30.720>
- programs.
- So uh the reimbursement program.
- . program. program.
- are more attracted to the cash program. are more attracted to the cash program.
Keywords:
Cabinet for Economic Development – Bluegrass State Skills Corporation Overview 02:35
----Discussion of BR 868, 2026 Regular Session 24:08, 958, all
Summary:
The meeting began with a quorum call and approval of the August 21 minutes. The main presentation was from the Kentucky Cabinet for Economic Development on the Bluegrass State Skills Corporation (BSSC), which was created in 1984 and is administratively tied to the cabinet. Staff explained that BSSC supports workforce training for companies in Kentucky through two main programs: the grant-in-aid reimbursement program and the skills training investment tax credit. They also described the board’s structure, quarterly meetings, annual audit, and the metropolitan tax credit tied to UPS in Louisville, along with public-private training consortia supported by the program.
The cabinet outlined eligibility and funding rules: applicants must be qualified companies, trainees must be full-time Kentucky residents meeting wage requirements, and eligible training includes in-house company-specific training, train-the-trainer efforts, safety/OSHA training, and outside training through KCTCS or other providers. Grant-in-aid is a 50% reimbursement program capped at $75,000 per company per fiscal year and $2,000 per trainee, while the tax credit is capped annually and is awarded on a first-come, first-served basis. Applications are scored based on county tier, wages, workforce development activity, veteran hiring, participation in consortia, and job growth. Members asked for data on trainees and industries served, and staff said they could provide it. They also discussed coordination with other workforce programs, especially KCTCS and the state’s TRAIN program, to avoid overlap and double dipping.
Several members asked about program usage and differences between fiscal years. Staff said the tax credit is less popular because it is not refundable and requires tax liability, while grant-in-aid is more attractive because it is cash reimbursement. They said lower or delayed spending in some years can reflect one-year training windows, reimbursement lag, new facilities ramping up, consortia activity, and special allocations such as those tied to Ford facilities. Questions also covered support for new businesses, which staff said can receive favorable scoring for new jobs and may have funds set aside for new location projects. On veterans, staff said they connect companies to Kentucky Valor and other resources, but the program does not track veteran retention outcomes.
The final discussion was on a draft bill related to the Kentucky Horse Park and the U.S. Center for SafeSport. Representative Vanessa Gracel and Kentucky Horse Park President Lee Carter explained that the proposal is intended to help the park maintain integrity and protect athletes, volunteers, coaches, trainers, and guests from abuse and misconduct. They described SafeSport’s federal role in Olympic and Paralympic sports and said they hope to move the draft forward as legislation in 2026. No votes were taken on the BSSC presentation or the horse park discussion.
MN
Transcript Highlights:
- . world-class programming.
- you're able to put through this program. you're able to put through this program.
- this program in enrollment? this program in enrollment?
- specifically through the Legacy Program. specifically through the Legacy Program.
- and SNAP program impacts. and SNAP program impacts.
KY
Kentucky 2026 Regular Session
Tobacco Settlement Agreement Fund Oversight Committee (6-11-26)
Transcript Highlights:
- projects over there and um that program projects over there and um that program over<00:02:16.879
- and I know you all are of this program and I know you all are of this program too.<00:06:25.440>
- other compliance that does the programs other compliance that does the programs and<00:09:37.040
- <00:31:48.080>
for thought why that that this program for thought why that that this program - Um I will say programs that we fund.
Keywords:
Meeting Start 00:00
Attendance Roll Call 00:18
KOAP Report 00:58
Approval of Minutes 53:58, 958, all
Summary:
The Tobacco Settlement Agreement Fund Oversight Committee met on June 11 but did not have a quorum, so it could not approve the prior minutes. The committee then received a compliance and program update from Brandon Reed and Bill McClowski of the agricultural development board, who said the office is fully staffed, has digitized most records, and has added a Facebook page to share board actions, projects, and compliance work. They also reported that the board and finance corporation continue to operate with strong county-council participation and that the office had completed numerous site visits, program reviews, and project closeouts over the reporting period.
The presenters reviewed monthly funding actions from December through May, including board approvals ranging from hundreds of thousands to several million dollars, with a December finance meeting delayed by a snowstorm. They highlighted that the Kentucky Agriculture Finance Corporation now has 57 loans generating more than $2 million per month in payments, and that the revolving loan program has grown to support more than $24 million annually in repayments available for relending. They also noted that 75% of the portfolio is in beginning farmer loans and that the office had recently surpassed 1,000 active loans.
Several projects were discussed in detail. These included a grain facility in Callaway County supporting organic corn production for expanding egg-layer operations, a Union County cattle business expansion, a West Liberty Veterinary Clinic project to build a working cattle facility, a Grayson County farmers market project, a Casey County veterinary services project, and a packing warehouse for the Kanye family to support specialty crops. The presenters emphasized that county and state tobacco settlement funds are often combined, sometimes with participation loans, to leverage local investment. They also stressed the importance of supporting greenhouses, farmers markets, specialty crops, and large-animal veterinary services as key agricultural priorities. No votes or formal actions were taken beyond the lack of quorum and the informational presentations.