Video & Transcript Research : 'aggregated data'

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ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 3rd, 2025 at 09:00 am

Appropriations - Human Resources Division

Transcript Highlights:
  • And that's really to do a lot of the data analysis and work with the providers, especially as we think
  • reports, to understand kind of how this will impact them, to help them, you know, be able to report data
  • Well, there was one million and then there and then there's the whole data for the entitlement programs
  • So the capitation rate is developed so that in aggregate rates would not exceed 145% of Medicare, with
Keywords: 908, all
Summary: The Senate Appropriations HR Division met with all members present to review the medical services portion of the HHS budget. Sarah Aker, Executive Director of Medical Services, walked the committee through several budget items, including HCBS cost-to-continue adjustments, the DD bed assessment, expansion of value-based purchasing, targeted rate increases for home health and QSP services, and the cross-disability waiver. Members generally supported the targeted increases for home health and QSP, and Aker explained that the cross-disability waiver funding would support startup work, service design, and infrastructure ahead of a planned July 1, 2028 implementation. The committee spent significant time on rate-setting and provider payment issues. Members discussed ambulance rate rebasing, with several senators expressing concern that the proposed increase was too high relative to peer states; the committee ultimately moved toward reducing that item to $1 million rather than zero so it could be revisited in conference committee. They also discussed a House-added critical access hospital networking grant and similarly leaned toward reducing it to $1 million. Aker explained the department’s value-based purchasing plans, including use of a vendor selected through RFP, and clarified how the department’s existing Medicaid managed care and hospital value-based programs work. A major portion of the meeting focused on long-term care and basic care payments, including a House-added extension of the $5 per day basic care add-on and a proposed shift in nursing facility incentive grants toward a withhold-based model. Senator Mathern indicated he would bring an amendment to delay or modify the withhold change, and Aker said the department would prefer language that directly addresses whether a withhold may be implemented. Members also discussed 1915(i) services, FMAP changes, the Medicaid legacy system modernization carryover, and a House-added legislative intent section on medical assistance. The committee adjourned for the morning with plans to return later to continue Human Services budget work and revisit unresolved items in conference committee.
TX
Transcript Highlights:
  • Senator Middleton, for bringing this bill forward, as well as the commission. for letting us have the data
  • that our operators were able to parse through and find out this data set that is by no means in . .
  • knowing that 15 years was put in to get of that extra time frame and with the thinking that there is no data
  • And you put a batch of, take your aggregate and all the materials, the cement mix, and all that at a
KY
Transcript Highlights:
  • We just got our latest data back. We're now at 56.2%. We're now at 56.2%.
  • We had to get, you know, we looked at our data and we're data focused, as you all know.
  • Lots of data, lots of slides, lots of different outcomes reviewed.
  • Uh lots of data, lots of meetings.
  • the one of the best data systems in the<01:35:06.800> nation.
Keywords: 958, all
Summary: The House Postsecondary Education Committee held its first-ever meeting and first meeting of the session, with Chairman Tipton outlining committee procedures, attendance rules, and the process for submitting committee substitutes. After a roll call confirmed full attendance, the committee heard a presentation from Senator David Givens on the history and purpose of Kentucky’s performance-based funding model for postsecondary education. Givens said the model was created to replace an older “shares” approach that distributed funds based largely on prior-year allocations, and argued the new system better aligns funding with student success and the state’s long-term educational attainment goals. Council for Postsecondary Education President Aaron Thompson and CPE staff then explained the model in more detail. They said the system was designed to address long-standing funding disparities among institutions, reward outcomes such as degrees, credit-hour progression, and completion in high-demand fields, and support the state’s “60 by 30” goal of having 60% of Kentuckians hold a postsecondary credential by 2030. Thompson said Kentucky is now at 56.2% attainment, above the national average, and highlighted gains in graduation and retention rates, lower student borrowing, and improved completion outcomes. He also emphasized that the model is part of a broader strategy that includes affordability, adult learners, low-income students, and wrap-around support services. CPE staff described the work group process that developed and periodically revises the model, noting that the General Assembly created the framework in House Bill 303 and later enacted Senate Bill 153 and Senate Bill 191 to codify changes. They explained that in 2016 the legislature carved out about 5% of institutional budgets, roughly $43 million, to be redistributed through the new model, and that the model has been reviewed every three years with changes made each time. Recent revisions included increasing the student-success weight, adding a premium for low-income students, creating a premium for adult learners, and redefining underrepresented students as first-generation college students. No votes were taken at this meeting, and the committee adjourned after the informational presentation and discussion.
FL

Florida 2025 Regular Session

February 11, 2025 - 03:30 PM

Transcript Highlights:
  • This data point talks about once a person is enrolled and they have a care plan, or as it's...
  • Well, from a trusted source using APD documents, we acquired the data that 72% of the...
  • We acquired the data that 72% of the cost plan allocations were spent in 2022, and 61% of the service
  • So our financial management occurs at an aggregate level, not on the individual client level.
  • So do you have that data? Is that something that you can share with us?
Summary: The Health and Human Services Committee received an overview of Florida’s intellectual and developmental disabilities (IDD) managed care pilot, created by legislation in 2023 to test whether a managed care model could integrate Medicaid medical services with iBudget waiver home- and community-based services for adults in pre-enrollment categories. AHCA explained the existing system, the pilot’s scope in Regions D and I, and the rollout timeline, including federal approval, contract execution with Florida Community Care, and the October 2024 go-live. Officials reported that, as of early February, 370 individuals had been sent for onboarding and 168 more were in queue, with about $35.8 million of the appropriation remaining. APD also clarified the difference between the pre-enrollment categories and the waiver waitlist, and noted that crisis cases can be enrolled more quickly depending on eligibility and funding. Florida Community Care described the pilot as a comprehensive managed care model offering medical, long-term care, and iBudget services, plus enhanced benefits such as bed-hold days, caregiver transportation, and help with legal guardianship costs. The plan said it uses one care coordinator, a 1:18 coordinator ratio, a face-to-face assessment within five days of enrollment, and 180 days of continuity of care for existing providers. The company emphasized that it is recruiting providers by offering higher rates than some iBudget rates, lower administrative burden, and network adequacy incentives, while APD said it continues to monitor provider supply and demand and recruit across service types and regions. Members repeatedly questioned whether the pilot’s costs, provider rates, and service levels were truly comparable to the iBudget system, and AHCA and APD said it was too early to draw firm conclusions because claims data are still lagging. Committee members also raised concerns about communication, enrollment delays, provider shortages, and whether the pilot could scale statewide. APD said it has used letters, phone calls, texts, emails, and community meetings to reach eligible individuals, and that some delays stem from required assessments, Medicaid eligibility checks, and level-of-care determinations. Several members asked for more detailed comparisons of costs and provider reimbursement between the pilot and iBudget, and APD said it would provide additional data. Public testimony at the end was strongly critical of managed care, with a participant and his mother describing poor service, transportation failures, and loss of control under prior managed care arrangements, and urging the committee not to expand such a model without safeguards. No votes or formal committee action were taken before adjournment.
CA
Transcript Highlights:
  • The bill also asks the state to take a serious, data-driven look at...
  • Without this data, consumers cannot make informed choices about their internet service.
  • from the same data source.
  • If the point is you want to confirm the data that the provider is doing, the FCC...
  • The point is you want to confirm the data that the provider is doing.
Summary: The Assembly Business and Professions Committee heard a full agenda of bills focused on reproductive health, professional licensing and sunset reviews, consumer protection, and business regulation. Early testimony centered on AB 260, which would protect access to medication abortion, mifepristone, and telehealth reproductive care in California; supporters emphasized state protections against federal restrictions, while an opponent argued the bill removed safety safeguards. The committee also heard AB 714 on closing a loophole in regulation of low-cost commercial driving schools, AB 968 on allowing pharmacists to prescribe non-hormonal contraception, AB 671 on streamlining restaurant permitting, AB 1027 on strengthening cannabis product testing oversight, AB 1271 on broadband pricing and speed transparency, and AB 1332 on narrowly allowing medicinal cannabis shipments for seriously ill patients. Several sunset bills were also taken up, including AB 1482 on animal shelter and breeder transparency, AB 1501 on the Podiatric Medical Board and Physician Assistant Board, AB 1502 on the Veterinary Medical Board, AB 1503 on the Board of Pharmacy, and AB 1504 on the Massage Therapy Council. Testimony was largely in support of the measures, with many bills drawing co-sponsors or support from industry, consumer, or professional groups. AB 1503 generated the most sustained opposition, with nurses, physicians, and drug industry representatives objecting to expanded pharmacy technician ratios, standard-of-care language, and therapeutic interchange authority; supporters argued the bill would modernize pharmacy practice and expand access. AB 1504 also drew mixed testimony, with massage therapy groups supporting continuation of the council but raising concerns about proposed public records and governance provisions. AB 1271 drew a policy dispute over whether broadband reporting requirements duplicated federal FCC processes, while supporters argued California needed its own consumer-facing data and complaint system. After quorum was established later in the hearing, the committee began taking roll-call votes. AB 1271, AB 1332, AB 1482, AB 1501, and AB 1502 were all reported out on due-pass motions, with AB 1271 amended and the others generally amended or as introduced as noted. Earlier bills including AB 260, AB 671, AB 714, AB 968, and AB 1027 also received motions and were approved once the quorum was present. The chair repeatedly noted the lack of quorum during the hearing, but once one was secured, the committee completed votes on the agenda items and advanced the measures to Appropriations.
FL

Florida 2026 Regular Session

Appropriations Committee on Criminal and Civil Justice Apr 10th, 2025

Appropriations Committee on Criminal and Civil Justice

Transcript Highlights:
  • Each has its own data, its own time frames, and its enforcement procedures.
  • Each has its own data, its own time frames, and its enforcement procedures.
  • We're going to take up Tab 11, SB 1252, statewide pawn data database, by Senator Yarbrough.
  • Members, data sharing, including pawn data, is a critical component to effective law enforcement, ensuring
  • Pawn data is a critical component to effective law enforcement.
Summary: The committee heard and voted on a long agenda of criminal justice, public safety, victims’ rights, and related bills. SB 984 on aggravating factors in capital cases was reported favorably after debate over its focus on religious, school, and government gatherings; the Florida Conference of Catholic Bishops opposed expanding the death penalty, while supporters said it was about accountability rather than deterrence. CS for SB 1140 creating a Hillsborough County substance abuse pilot program for offenders, CS for SB 1180 broadening child sexual image protections, CS for SB 10 compensating Sidney Holmes for a wrongful conviction, CS for SB 500 creating a Spectrum Alert system for missing children with autism, and SB 1054 on tampering with electronic monitoring devices all passed favorably, with the substance abuse bill drawing supportive testimony about treatment and recovery and the Holmes bill receiving emotional support from Holmes himself. The committee also approved SB 1072 on expedited DNA testing grants, CS for SB 240 on domestic and dating violence victims, CS for SB 494 creating a statewide animal abuse database, and CS for SB 1422 on unmanned aircraft over critical infrastructure and weaponized drones. SB 240 drew extensive testimony from advocates describing a feasibility study for a discreet emergency alert system and the need to align domestic and dating violence protections; SB 494 drew strong support from animal welfare groups and county officials who described local registries and the link between animal abuse and violence toward people, while members discussed whether the bill should also bar known abusers from adopting animals. SB 1422 passed after questions about “reasonable force” against drones and concerns about firearms use, with the sponsor saying the bill was meant to protect privacy and property rights. Additional measures reported favorably included SB 1268 updating Department of Law Enforcement statutes and increasing reimbursement for retired police dogs, CS for SB 1344 revising juvenile status-offender procedures, CS for SB 1252 creating a feasibility study for a statewide pawn data database, CS for SB 1386 increasing penalties for assault and battery on utility workers, CS for SB 1084 strengthening sexual cyber harassment laws for intimate and digitally forged images, CS for SB 1654 revising sex offender/predator registration and reporting rules, CS for SB 1650 expanding the vexatious litigant law, and CS for SB 1652 creating a public records exemption for stricken court filings. The final and most heavily debated bill, CS for SB 1284 on wrongful death of an unborn child, drew extensive testimony from supporters who framed it as recognizing unborn life and opponents who warned it could be used to harass abortion patients, providers, and supporters and could increase malpractice exposure; the sponsor said the bill would allow parents to recover damages while protecting mothers and lawful medical care. The transcript ends before the roll call on SB 1284 is completed, but the committee had already reported the other measures favorably by recorded votes, generally along party lines with broad support from members present.
TX
Transcript Highlights:
  • counties to act on that data if they have it.
  • The Commission did not have accurate population data or costs for these tests.
  • So when you look at the aggregate debt for the state, we are perfect on that.
  • We're using the US Census Bureau, and the data is a little dated.
  • And then we also have folks in San Angelo at our San Angelo data center.
Bills: SB1, SB 1