Video & Transcript Research : 'wellness program'
Page 192 of 500
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (10-22-25)
Transcript Highlights:
- On the other side of the program, program, program, our<00:12:17.279>
new <00:12:17.519>dental - >> Well, >> Well, >> Well, everything<00:21:25.520>
that <00:21:25.840>you're - to 5% of the program.
- "Well, in... Yes.
- "Well, in... Yes.
Summary:
The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services.
Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access.
Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access.
The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.
MN
Transcript Highlights:
- to look at it going forward as well.
- to look at it going forward as well.
- Uh and also paragraph C program.
- :02:33.760>
the <01:02:34.079>National programs are recognized by the National programs - ,<01:04:03.520>
57 in the bachelor's degree program, 57 in the bachelor's degree program,
OK
Transcript Highlights:
- Need to make well aware of.
- OK, well, thank you.
- aerobic systems as well.
- or source control programs.
- or source control programs.
Summary:
The meeting focused on the use of biosolids on farm and ranch land, with testimony from Oklahoma State University experts, a conservation official, and an engineering representative about the benefits, risks, and regulatory implications. Dr. Lusk described OSU’s long history of soil fertility research and said biosolids can provide nutrients and organic matter, but also may carry contaminants such as PFAS, heavy metals, pharmaceuticals, microplastics, and pathogens. He emphasized that many questions remain unanswered, especially about contaminant uptake into soil, crops, livestock, and humans, and said existing EPA and Oklahoma DEQ regulations address some treatment and application standards but may not fully cover PFAS. Dr. Arnell expanded on nutrient management, explaining that biosolids can function similarly to manure as a fertilizer source, especially for nitrogen and phosphorus, but should be tested, incorporated into soil, and applied under permit conditions to reduce runoff and other losses. He said PFAS testing methods are not yet standardized and that more research is needed to determine sampling protocols, movement in soil, and long-term effects.
Committee members asked whether farmers and ranchers should be notified of risks, whether PFAS is currently tested, how many counties use biosolids, and what research would be needed for a dissertation-level study. The witnesses generally agreed that landowners should be informed of known risks and uncertainties, but said the science is still developing. Dr. Arnell said a unified testing method is needed before reliable PFAS monitoring can be done, and suggested that a multi-year study would be required to understand soil movement, crop uptake, and livestock impacts. Greg Scott of the Oklahoma Conservation Commission framed the issue as a waste-management problem, noting that human waste streams contain contaminants and that soil type affects how pollutants move; he said sandy soils pose greater movement risks than clay soils and that current best practice is incorporation, careful timing, and avoiding steep or sensitive sites. He also said PFAS are widespread and not naturally occurring in the way some other compounds are, and that liability and cleanup costs are major concerns.
Mary Elizabeth Mock of Garver Engineering focused on the practical and financial consequences of a possible moratorium on land application, saying most of Oklahoma’s biosolids are currently land applied and would otherwise have to go to landfills. She warned that many landfills are nearing capacity, tipping fees could rise sharply, and cities such as Tulsa and Norman could face large increases in disposal costs, which would ultimately be borne by ratepayers and taxpayers. She also said septic system maintenance costs could rise if land application options shrink, potentially leading to deferred maintenance and system failures. Mock urged a tiered, data-driven approach to PFAS regulation and said advanced treatment technologies may help in the future, but they are still emerging and expensive. No votes were taken; the session consisted of presentations and member questions.
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Sixty Four - Wednesday, May 6
Missouri House Floor Meeting
Transcript Highlights:
- We put that in there as well.
- There are a lot of other programs in here as well, like food stamps, now called TANF, temporary assistance
- for needy families, and a lot of other programs as well.
- Those programs are Those programs are fully funded this year.
- “That I support as well.
Summary:
The House convened with prayer, the Pledge of Allegiance, approval of the previous day’s journal, and a series of special guest introductions recognizing family members, interns, students, public servants, and community advocates. Committee reports and Senate messages followed, including Senate refusals to concur on a large number of amendments to Senate Bill 1421 and the appointment of a conference committee on House Bill 2818.
The main floor action centered on the state budget, especially House Bill 2 (public education). The budget chair explained the conference report’s funding mix for K-12 schools, including $8.4 billion for public education, changes to the foundation formula, use of blind pension funds, and possible ARPA dollars later in the process. Members debated whether the report underfunded schools by $45 million or more, with opponents arguing the state was not fully funding the formula and supporters saying total school funding remained at record levels and that the issue was the source of funds rather than the total amount. A substitute motion to send HB 2 back to conference failed 62-89, and the conference report was then adopted 83-68; the bill was third read and passed 83-68.
The House then took up House Bill 2003 on higher education, where the conference report largely restored the governor’s recommendation and directed the department to develop a new funding formula by the end of the year. Members discussed performance-based funding, scholarships, apprenticeships, and the need for a slower transition to any new model. The conference report passed 119-28, and the bill was third read and passed 109-32. House Bill 2004, covering Revenue and Transportation, included about $20 million for rural roads and other transportation funding; members discussed constitutional concerns, MoDOT projects, and a small local safety fix. The conference report passed 128-21, and the bill was third read and passed 127-27.
HI
Transcript Highlights:
- We love the furlough program. We support the furlough program.
- put in a position where it's like, well, you didn't finish the program, so we're not going to let you
- . programming. programming.
- programs that we would see? programs that we would see?
- to complete said program. to complete said program.
Bills:
HB1769
Keywords:
criminal justice reform, rehabilitation, private prisons, racial equity, Native Hawaiians, community well-being, mass incarceration, 910, house, all
Summary:
The committee heard House Bill 1769, which would require the Department of Corrections and Rehabilitation to incrementally reduce the number of people incarcerated in private out-of-state correctional institutions. The DCR director opposed the bill, saying the department does not control overall prison population levels because courts determine admissions, and arguing that Hawaiʻi’s in-state facilities are already over capacity, especially Halawa, which he said is 165% over design capacity. He said only a small portion of the population is under departmental control through furlough programs and argued that bringing people home would require building a new medium-security prison.
Supporters, including the Office of Hawaiian Affairs, the Hawaii Correctional System Oversight Commission, the Public Defender’s office, and several individuals, argued the bill creates a phased, accountable path to reduce reliance on mainland prisons and bring people home. Supporters emphasized the harms of separating incarcerated people from ʻohana and culture, the disproportionate impact on Native Hawaiians, and the need for diversion, treatment, re-entry support, and fair sentencing. Several testifiers also said the department has more control than it claimed, pointing to underused furlough options, reclassification, and empty beds at some in-state facilities, while others urged clearer statutory language and guardrails.
Members questioned the director about whether people could be reclassified or moved to available beds at facilities such as Kulani and Waiawa, and about whether the department could do more through staffing and contract changes. The director said some proposals had been sent to the Department of Human Resource Development, but that major facility changes would be costly and that minimum-security facilities would need substantial upgrades to house medium-security inmates. After discussion, the chair said the committee would defer HB 1769 to Wednesday, February 18, 2026, at 11:30 a.m. for decision-making and adjourned the meeting.
FL
Florida 2025 Regular Session
February 13, 2025 - 09:00 AM
Transcript Highlights:
- We still also are a Division I athletic program.
- We all run distance learning programs supported by student fees as well to help offset the cost of the
- infrastructure necessary to run those programs.
- We expect to have that diversification as well.
- There are restrictions as well.
Summary:
The Higher Education Budget Subcommittee met to hear an overview of State University System finances from the Board of Governors and detailed budget presentations from Florida State University, the University of Central Florida, and the University of North Florida. The witnesses explained how university budgets are organized into fund categories such as education and general, contracts and grants, auxiliaries, local/designated funds, capital projects, and component units such as direct support organizations. They also described carry forward funds, the statutory reserve and spending-plan requirements, the PICO/HECO capital outlay process, and how universities use investment accounts, audits, and board oversight to manage restricted and unspent funds. The universities emphasized that most operating dollars are restricted to specific uses and that state support helps keep tuition low.
Members asked about differences in funding levels among institutions, especially why FSU receives more funding than UCF despite lower enrollment. Officials said preeminence funding, performance funding, and special legislative appropriations explain much of the difference, and the Board of Governors noted that Florida now has four preeminent universities, with UCF nearing that status. Questions also focused on what happens to unspent carry forward money, how it is invested, and whether the Board of Governors or Legislature can require funds to be returned; officials said the money is invested conservatively, subject to board and audit oversight, and can roll forward under a detailed spending plan, though the Legislature can change funding levels. The committee also discussed capital projects, with members asking about delays, inflation, and whether more projects should be phased or funded faster; witnesses said PICO funds remain with the state until needed and are reimbursed as construction proceeds.
A substantial portion of the discussion covered athletics, research, student fees, and endowments. The universities said athletics is generally expected to be self-supporting, though limited use of auxiliary or carry forward funds may be allowed for projects benefiting the broader student body. They also described the financial pressures from name, image, and likeness changes and new NCAA-related costs, and said institutions are planning for those changes now. On research, the universities explained sponsored research funding, indirect cost recovery, compliance obligations, and tech transfer, but did not provide specific commercialization revenue figures and said they would follow up. Members also asked about student fee increases, student input, counseling and wellness funding, and how housing costs affect affordability; the universities said student committees and boards review fees, and aid packaging is intended to keep student debt low. Endowments were described as being held in separate foundations/DSOs with independent investment committees and used mainly for scholarships, faculty support, and research.
LA
Transcript Highlights:
- I would thank you for having us as well.
- Well, I'm kind of a free speech maximist as well in this regard.
- But non-public school pre-K programs, which we're dealing with in this bill, are programs of choice,
- It does not regulate pre-K programs.
- earlier, we feel as well.
Keywords:
mandatory reporter, child abuse training, online training, Department of Children and Family Services, Department of Education, educator requirements, early childhood education, microcenter, school board, cooperative endeavor, economic disadvantage, vaccination, meningococcal disease, school entry, immunization requirements, public health, academic freedom, free speech, retaliation, faculty rights
Summary:
The committee first heard HB 1079, which would allow charter schools to give enrollment preference to children who attended a licensed early learning center operated by the charter school or by another center with an articulation agreement. An amendment expanded the preference to children of active-duty military members, children in foster care, and children in court-ordered custody situations, and a second amendment clarified that the preference is permissive and not required. Supporters said the bill would improve continuity from pre-K to kindergarten and encourage more early learning centers. The committee adopted both amendments and reported HB 1079 as amended.
The committee then took up HB 737, which would remove the state requirement that students show proof of meningococcal vaccination for school and postsecondary entry. The author and supporters argued the vaccine should be a matter of parental choice and shared decision-making with doctors, citing updated CDC guidance and the low incidence of the disease. Opponents, including pediatricians, vaccine advocates, and meningitis survivors, warned that the disease is fast-moving and severe, that the vaccine helps prevent outbreaks, and that existing opt-out provisions already provide flexibility. After extensive testimony, the motion to report HB 737 failed on a 4-8 vote.
Next, the committee considered HB 628, as substituted, which would allow the Department of Education to license type 3 early learning centers to operate micro-centers at schools and expand access for three-year-olds. The author said the bill would help expand early childhood education, improve school readiness, and support working families. Department of Education staff explained the licensing and approval process, and supporters said the measure would improve access and transitions into kindergarten. The committee adopted the substitute and reported HB 628 by substitute.
Finally, the committee heard HB 1008, which would prohibit public postsecondary institutions from retaliating against faculty for disclosing certain violations or exercising academic freedom and free speech. The author and a professor supporting the bill argued it would protect faculty expression and reduce self-censorship. The committee adopted two amendments that clarified the definition of academic freedom and tightened the remedies language. Testimony in support continued from the Foundation for Individual Rights and Expression, and the bill remained under consideration at the end of the transcript.
MN
Minnesota 2025 1st Special Session
House Public Safety Finance and Policy Committee 2/25/25 - Part 1
Public Safety Finance and Policy
Transcript Highlights:
- <00:05:09.199>
and away some of these credits as well and away some of these credits as well - undermines the key to the whole program: incentive to behave and incentive to engage in programming.
- undermines the key to the whole program: incentive to behave and incentive to engage in programming.
- representative Whitty uh the program representative Whitty uh the program that<00:19:23.760>
- <00:20:17.720>
so they want to stay on that program so they want to stay on that program so
MN
Minnesota 2025-2026 Regular Session
House Floor Session: 2025 First Special Session - part 1 Jun 9th, 2025
Minnesota House Floor Meeting
Transcript Highlights:
- So if you thought you were going to sleep well tonight, saying like, well, at least kids aren't going
- Well, you're about to do it again.
- , as well as getting a report after one year to make sure that those programs are being funded as we
- Well, it's the same...
- And so we start to phase out that program in here as well.
NH
New Hampshire 2025 Regular Session
House Ways and Means (02/12/2025)
Transcript Highlights:
- How well do we know? How do we know how well the kids are doing? We just don't know.
- the voucher program.
- Well, I shouldn't say good...
- regulated by the fact that it's so well regulated by the program<01:41:30.400>
itself <01:41:31.280 - Well, our average is good.
Summary:
The committee held a public hearing on HB 402, a bill to repeal a provision in RSA 194-F:2 stating that Education Freedom Account (EFA) funds “shall not constitute taxable income” to the parent or student. The bill sponsor argued the current language is misleading because the state cannot determine federal tax liability, and said the bill would simply remove inaccurate tax advice from state law. He cited IRS guidance and prior federal legislation, including a Ted Cruz proposal, to suggest some EFA uses may be taxable under federal law, while others may not, and said the bill could be amended if needed to avoid confusion.
Testimony was sharply divided. Py Campbell opposed the bill, arguing it would unfairly single out EFA students and could amount to a tax on education funds, including for self-employed families, and recommended it be voted inexpedient to legislate. Stephen Matthew French, a tax preparer, also opposed the bill, saying IRS Publication 970 already makes clear that scholarship-type payments used for tuition and related expenses are not taxable, and that the bill addresses a problem that does not exist. He warned that adding tax reporting requirements could create administrative costs for families and the program administrator.
Bill Ardinger, a tax attorney, supported the repeal of the statutory language, saying the state should not place potentially incorrect tax advice into law. He explained that under federal tax law, only certain scholarship-like uses are exempt, while many EFA-eligible expenses may not be, especially for families using the program for homeschooling or other nontraditional expenses. He said the current statute could mislead families into thinking all EFA payments are tax-free and could expose the state to future legal problems. The hearing ended after questions from committee members; no vote or final action was taken in the transcript.
OK
Transcript Highlights:
- My team into the Q&A as well.
- that’s publicly reported as well.
- Respite programs have been around for over 3 decades and The adoption of these programs is spreading
- For our state, respite programs rely on...
- the alternative benefits of like our SSI, SSDI, that medically fragile program waiver programs are available
Summary:
The meeting focused on hospital “avoidable days” and the difficulty of discharging medically stable patients who still need post-acute placement or social services. Presenters from Saint Anthony Hospital Midtown, the Oklahoma Hospital Association, City Care, and OU Health described common barriers including lack of skilled nursing, rehab, long-term care, behavioral health, and hospice placements; insurance prior authorization delays; Medicaid and Social Security eligibility delays; guardianship and Adult Protective Services bottlenecks; limited home health and private duty nursing; and the challenge of placing unhoused, uninsured, or medically complex patients. Several speakers emphasized that these delays reduce bed availability, increase emergency department boarding, contribute to staff burnout, and expose patients to hospital-acquired conditions and other harms.
The testimony included multiple examples of patients remaining in acute care for days, weeks, or even months after being medically ready for discharge, including patients awaiting guardianship, disability determinations, or placement in facilities willing to accept them. Speakers also highlighted special populations such as patients with behavioral health or substance use disorders, medically fragile children, patients with criminal histories, and unhoused individuals who need respite or hospice care. City Care described its planned 40-bed medical respite facility, set to open in 2027, as a way to provide clinical support and housing navigation for patients too sick to recover on the street or in shelters.
Witnesses recommended policy and system changes such as standardizing preauthorization protocols, expanding rural swing-bed and home-based services, increasing public guardianship resources, improving data collection on homelessness, expanding private duty nursing hours, and creating more placement options for complex patients. They also suggested better coordination between hospitals, DHS, APS, the Health Department, and post-acute facilities, including a database of facility services to improve discharge planning and keep patients closer to home. No votes or formal committee actions were taken in the transcript, but the chair indicated the issue would require collaboration across multiple agencies and partners.
MN
Minnesota 2025 1st Special Session
House Human Services Finance and Policy Committee 1/16/25
Human Services Finance and Policy
Transcript Highlights:
- <00:21:46.720>
federal program the chip program the federal program the chip program the federal - well uh the programs Health Services as well uh the programs and and and services<00:41:30.079>
must - program.
- program forensic mental health program program forensic mental health program um<00:48:45.640>
- County administered County administered programs<01:00:25.799>
um programs um programs um this - County administered County administered programs<01:00:25.799>
Summary:
The committee met for an introductory overview of its jurisdiction and staff roles. Nonpartisan House Research and House Fiscal staff explained that they draft bills and amendments, prepare bill summaries and background research, answer legal and fiscal questions, and help track revenue and budget effects. They also distributed a Budget Overview Brief intended to condense the larger budget materials into a more usable format for members.
Staff then walked through the Human Services budget and the committee’s areas of responsibility. They described the department structure, noting that DHS oversees administration, compliance, rulemaking, and county support, and that the overall Human Services budget is large, with medical assistance as the dominant program. They also explained recent and upcoming reorganizations: many children and family-related functions are moving to the new Department of Children, Youth, and Families, Direct Care and Treatment is becoming its own agency, and some homelessness-related functions remain at DHS. Staff reviewed how the budget is organized by program and budget activity, the difference between direct appropriations and standing appropriations, and how forecasted programs and “tails” work in the budget process.
The presentation also covered Medicaid financing and long-term care. Staff explained the federal-state FMAP match, including Minnesota’s current 51.16% federal match for most Medicaid spending, the CHIP match, and the 90% federal share for the expansion population. For long-term care, they outlined Medical Assistance services for elderly and disabled people, state-funded long-term care supports, and Board on Aging programs. They highlighted the personal care assistance program’s phaseout and replacement by Community First Services and Supports, and reviewed the five home- and community-based waivers.
Members asked one question about refugee resettlement funding, specifically whether it covers flights; staff said they would need to follow up on the exact use of the federal funds. No bills were heard, and no formal votes or other committee actions were taken during this meeting.
HI
Hawaii 2025 Regular Session
TCA-EIG, TCA DEFER, TCA Public Hearings 03-13-2025
Transcript Highlights:
- These programs help parents.
- This will be harmful as well.
- This will be harmful as well.
- This will be harmful as well.
- <01:30:30.119>
and well as programming and positions and well as programming and positions
Summary:
The joint committees first heard House Bill 229, which would establish a statewide speed restriction for motor vehicles under certain circumstances. Testimony on the bill was limited and came in support from the City and County of Honolulu’s transportation services, the Department of Parks and Recreation, and the Oahu Metropolitan Planning Organization. No one testified in opposition, and there were no questions.
The committees then took up House Bill 860, which would grant immunity from liability to the state or counties when they repair or maintain a street whose ownership or jurisdiction is disputed between them. The Department of Transportation and the Department of Land and Natural Resources submitted written testimony, and the Hawaii State Association of Counties, Maui County Council Chair Alice Lee, Hawaii County Council member Heather Kimble, and the Iolani Homestead Community Association for Justice testified in support. The Ho Association for Justice opposed the bill, arguing the immunity was too broad and that the issue had already been addressed by prior legislation. In discussion, members raised concerns about liability and asked whether a different approach, such as extending the 2017 law transferring Oahu roads in limbo to the counties, would be acceptable; county representatives said that path could be considered if immunity were removed.
House Bill 1161, which would authorize counties to use a road usage charge mechanism similar to the state’s, drew support from the Department of Transportation, the Energy Office, the Hawaii State Association of Counties, several county and city offices, and the Oahu Metropolitan Planning Organization. Rental car companies and industry groups supported the concept but asked for amendments, including a flat fee instead of a per-mile charge, relief for plug-in hybrid vehicles, and a delayed implementation date. The Tax Foundation of Hawaii also supported relief for hybrids. Members questioned the rental car representatives about the flat-fee proposal, and they said a per-mile charge would be difficult to calculate and pass on to customers. At the end of the joint agenda, the committees deferred decision-making on HB 1161 to Tuesday, March 18 at 3:00 p.m., and the Energy and Intergovernmental Affairs committee also deferred the three measures to that date and time.
The Transportation and Culture and the Arts committee then began hearing House Bill 925, which would create a Performing Arts Special Fund, and House Bill 1378, which would establish a Performing Arts Grants Program and Special Fund and revise the State Foundation on Culture and the Arts’ responsibilities and funding sources. HB 925 received support from the State Foundation on Culture and the Arts and written support or comments from DBEDT, the Hawaii Arts Alliance, and others. HB 1378 drew extensive testimony and discussion focused on preserving arts funding while addressing concerns about the use of Works of Art Special Fund dollars for positions and programming. The Governor’s office said it supported the intent but had concerns; the Attorney General warned that the bill’s cap and transfer provisions were unclear and could affect the tax-exempt status of bond-funded dollars; and the State Foundation on Culture and the Arts opposed the measure, urging an audit, tracking of deposits, and a shift of positions and programs to general funds instead of changing the law. The chair explained that the bill was intended to protect arts funding while tightening the legal guardrails around bond-financed dollars and preserving federal support, and asked testimony to focus on new points as the hearing continued.
MN
Minnesota 2025-2026 Regular Session
Requiring MMB to include fraud impacts in budget forecasts 3/3/26
Minnesota House Floor Meeting
Transcript Highlights:
- including program integrity efforts. including program integrity efforts.
- does as well. does as well.
- our programs. our programs.
- Chair, well, Mr.
- Craft I'll say well, Mr.
Summary:
The committee took up House File 3683, which would require the state budget forecast to estimate the budgetary impacts of fraud committed against state programs. Chair Nash argued that fraud has real fiscal effects on the state, that those costs should be quantified in the forecast much like inflation was previously incorporated, and that doing so would help lawmakers understand the true cost of money lost to fraud. He also said the bill was intended to give MMB direction to develop a way to forecast fraud’s impact and that the issue should be treated as part of the state’s fiscal outlook.
Deputy Commissioner Anna Mingy of Minnesota Management and Budget testified in opposition to the bill’s approach, saying fraud is unacceptable and MMB is committed to combating it, but that the twice-a-year forecast is not the right tool for this analysis. She said forecasts are forward-looking budget tools based on projected revenues and spending, while fraud analysis is retrospective and involves legal definitions and processes. She also warned that requiring MMB to consult with legislative chairs on fraud estimates before public release could politicize the forecast and would be a departure from current practice.
Members raised concerns about how fraud would be defined and quantified, whether the bill would cover known or potential fraud, and whether it would duplicate existing budget adjustments. Chair Nash responded that the bill was modeled on prior inflation-forecast language and said fraud’s fiscal impact should be estimated even if the exact number is debated. Other members questioned whether the proposal would add value or create subjective numbers, while supporters said audits and program integrity data provide a basis for estimating a range. Deputy Commissioner Mingy also answered questions about bond ratings, saying Minnesota maintained its AAA rating and that rating agencies focus on governance and long-term obligations, not specific fraud estimates. She later said the administration’s anti-fraud package includes permanent bans on state contracts and grants for individuals convicted of fraud. The discussion ended without a recorded vote or final action in the excerpt.
ND
North Dakota 2026 1st Special Session
Rural Health Transformation Committee - Appropriations Division Jan 13th, 2026 at 02:00 pm
Transcript Highlights:
- Well, that's the way I read this.
- Well, if you plan it, well, we're going to run this for 20 years, we can do this more efficiently by
- Well, if you plan it, well, we're going to run this for 20 years, we can do this more efficiently by
- Well, Mr.
- So if, for example, we had a grant program or you set up a grant program for rural districts to apply
Summary:
The Appropriations Division met in a work session on the draft Rural Health Transformation appropriations bill, 25.1392.01000, with no public testimony taken. Legislative Council and the Department of Health and Human Services walked through the bill, which would appropriate about $397.8 million in federal grant funds over two federal fiscal years, provide transfer authority, allow certain federal funds to be used for salaries and wages without counting against existing transfer limits, and authorize OMB to adjust other agencies’ spending authority if they receive grant awards through HHS. The bill also includes several temporary statutory exemptions to help implement the program, plus recipient acknowledgement/reporting requirements, periodic reports to Legislative Management, and an immediate effective date upon filing.
Committee discussion focused heavily on how the federal rural health transformation money can be used and administered. Department officials explained that CMS will review projects for allowability and sustainability, that the state has flexibility to move funds among categories, and that the grant is limited to 10% administrative costs. Members asked about whether the funding could support renovations, equipment, ambulances, bulk purchasing, food distribution, and other rural health ideas, and were told many details will depend on CMS approval and the eventual applications. Questions also addressed cash flow, timing of obligations and reimbursements, FTE funding, and whether grant recipients should be told the program will not continue beyond the federal period; officials said the language is meant to prevent expectations of automatic continuation, not to bar future legislative action.
The committee also discussed the bill’s use of a two-year appropriation amount, with staff explaining that the state must appropriate enough authority to cover the federal grant cycle and that unused authority would lapse if the full amount is not received or spent. Members raised concerns about whether the bill’s language could limit creativity or future program design, but department officials and several members emphasized the need for flexibility because CMS may reject overly specific directives. After discussion, the committee voted to recommend the bill draft to the full committee; the motion carried on a roll call vote, and the chair said the full Joint Appropriations Committee would take up the bill at the special session next week.
NM
New Mexico 2025 Regular Session
IC - New Mexico Finance Authority Oversight Aug 11th, 2025
New Mexico Finance Authority Oversight Committee
Transcript Highlights:
- both programs.
- But it's almost the same, well, not really, Separate and apart from our PPRF program, DOT debt is very
- Concentration issues under our program?
- So the indenture is that bond program.
- , or they made co-op wells.
MN
Minnesota 2025-2026 Regular Session
House Agriculture Finance and Policy Committee 3/5/25
Agriculture Finance and Policy
Transcript Highlights:
- Also, these programs didn't exist, so every program that the department is approving right now had to
- Also, these programs didn't exist, so every program that the department is approving right now had to
- Also, these programs didn't exist, so every program that the department is approving right now had to
- Also, these programs didn't exist, so every program that the department is approving right now had to
- Also, these programs didn't exist, so every program that the department is approving right now had to
MN
Transcript Highlights:
- or programs where the immersion programs or programs where the objective<00:03:01.120>
is <00: - Um um it makes the teacher program. Um um it makes the program<00:03:23.800>
permanent. - records related to department programs. records related to department programs.
- from a department program.
- Well, members, we'll bill? Okay. Nope. Well, members, we'll have<00:20:49.280>
discussion.
Bills:
HF1306
Keywords:
education, school policy, teacher training, student health, emergency response, 1183, house
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 2/25/26
Commerce Finance and Policy
Transcript Highlights:
- Evans, you may as well come up as well, all at the same time.
- <00:05:28.000>
all you may may as well come up as well, all you may may as well come up as - Well, it's loopholes. Well, it's vague. Well, it's this."
- Well, it's fraud. Well, it's loopholes.
- Oklahoma has instituted a program as well, but we probably don't need to build our roofs to hurricane
ND
North Dakota 2026 1st Special Session
Legislative Management Jun 11th, 2026 at 08:00 am
Legislative Management
Transcript Highlights:
- When a school chooses to operate the National School Lunch Program or School Breakfast Program, they
- opt into that program.
- So that's part of the process of operating the program.
- And I'll get into the number of schools as well.
- Well, I just question or I ask.