Video & Transcript : 'vehicle value' :

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FL

Florida 2026 5th Special Session

FL House Floor Session - 2026-05-29 (10:00AM Session)

Florida House Floor Meeting

Transcript Highlights:
  • of the program that allows consumers to elect to contribute a portion of their sales tax on motor vehicles
  • We maintain the required local effort, or RLE, growing by the value of new construction only, which now
  • ballistic plates, forensic tools, and protective gear, while increasing funding for the pursuit vehicles
  • I do not believe that this budget is aligned with the values and the needs of Floridians, and for those
  • It’s a statement of our values. It reveals who and what we choose to invest in.
Summary: The House convened with prayer, a moment of silence for former Senator Donnell C. Childers, the Pledge of Allegiance, and recognition of Officer Antonio Richardson as law enforcement officer of the day. A quorum was announced, the journal was approved, and the Speaker said the chamber would take up 11 budget conference reports, with debate and final votes on each report. The first report considered was HB 7031E, the tax package, followed by HB 501E, the state budget appropriations bill. On HB 7031E, Chair Duggan explained that the conference report included a range of tax reductions and tax-related changes, including sales tax holidays, property tax and homestead-related provisions, reductions in certain taxes and fees, and new exemptions or administrative clarifications. He said the package also added items such as sales tax relief for certain university construction projects, a tennis admissions exemption, and changes to agricultural property tax treatment, and that the amendment reduced state and local tax revenues by $272.2 million. Members questioned the bill about the child care tax credit reduction from three years to one, the homestead exemption provision for certain diplomats and foreign service personnel, the absence of gas tax relief and combined reporting, and the inclusion of firearm accessories and tennis tickets in sales tax holidays. After structured debate, the House adopted the conference report and passed HB 7031E by a vote of 88-11. The House then began the conference report on HB 501E, the $114.5 billion budget for fiscal year 2026-2027, which was described as below the prior year’s spending level and leaving more than $14 billion in reserves. Subcommittee chairs outlined major allocations across education, higher education, IT, health care, transportation and economic development, justice, state administration, and agriculture/natural resources. Highlights included increased FEFP funding and veteran teacher raises, full funding for Bright Futures, major IT modernization projects, Medicaid and behavioral health funding, transportation and local infrastructure spending, correctional and law enforcement investments, fire station and emergency response funding, and large environmental and water-quality appropriations. Members asked detailed questions about school voucher fraud oversight, scholarship funding, teacher raises, preeminence funding, ADAP changes, SNAP data tools and error rates, Medicaid rate changes, prison wastewater monitoring, and other budget items, but the transcript ends during the budget questions before final action on HB 501E is shown.
FL

Florida 2026 Regular Session

FL House Floor Session - 2026-05-29 (10:00AM Session)

Florida House Floor Meeting

Transcript Highlights:
  • of the program that allows consumers to elect to contribute a portion of their sales tax on motor vehicles
  • We maintain the required local effort, or RLE, growing by the value of new construction only, which now
  • funding highlights include $88.4 million for local fire stations, equipment, emergency response vehicles
  • I do not believe that this budget is aligned with the values and the needs of Floridians, and for those
  • It’s a statement of our values. It reveals who and what we choose to invest in.
Keywords: 998, house, all
MN

Minnesota 2025-2026 Regular Session

Committee on Jobs and Economic Development - 04/15/26

Jobs and Economic Development

Transcript Highlights:
  • We're going to take up Senate File 4535 and Senate File 3664, which will be a vehicle bill for our supplemental
  • There is a $1.5 million appropriation to an automotive component manufacturer for electric vehicles.
  • along with classes on budgeting for vehicle ownership.
  • , along with fixing up donated vehicles to grant to a family who needs a car to get to work.
  • of this Getting to recognizing the value of this Getting to Work<00:51:56.320><c> program</c><00:51:
Keywords: 1187, senate, all
HI

Hawaii 2026 Regular Session

EDT DEFER, EDT-EDU, WLA-EDT-EDU, EDT Public Hearings 02-17-2026

Economic Development and Tourism

Transcript Highlights:
  • Uh, but there is a vehicle uh that is moving Senate Bill 3179, and we are going to use that vehicle uh
  • Uh but there is a vehicle uh that made.
  • Uh but there is a vehicle uh that is<00:30:53.120><c> moving</c><00:30:53.600><c> Senate</c><00:30:53.919
  • uh and make going to use that vehicle uh and make some<00:30:58.320><c> changes</c><00:30:58.960><c>
  • </c><00:42:39.599><c> add</c> agricultural and value add agricultural and value add manufacturing. manufacturing
Keywords: 912, senate, all
Summary: The committee first took up Senate Bill 2693 relating to capital improvement projects for aerospace infrastructure. Members had no questions, and the recommendation to pass the bill with a defective date of July 1, 2050 was adopted unanimously. The committee then deferred decision making on Senate Bill 26980 relating to transportation and Senate Bill 2374 relating to the blue economy until Thursday, February 19, 2026, in Room 229, pending additional information. In the joint hearing on Senate Bill 2816 relating to state enterprise zones, agencies and organizations including DBEDT, HTDC, Taxation, the University of Hawaii Cancer Center, Oceanit, the Hawaii Medical Association, and the Queen’s Health System testified in support or submitted written comments. One public testifier urged expanding enterprise zones around the Kakaako/Cancer Center area and combining them with the foreign trade zone to reduce taxes and attract business. A senator questioned whether the enterprise zone program had ever been comprehensively evaluated, noting DBEDT said it had not done a full study in recent years and cited annual report figures including about $221 million in company revenues and $460,000 in foregone state revenue in 2022. The discussion focused on whether the bill would subsidize existing activity or support new economic development, and on the broader policy question of whether enterprise zones should be used to revitalize depressed areas or to target strategic sectors like health care technology. The committee then heard Senate Bill 2900 relating to sports officials. The Department of Education supported the measure, saying the Attorney General is best positioned to represent employees in temporary restraining order matters and that elevating intentional bodily injury of a sports official to a class B felony would improve safety. The Office of the Public Defender opposed the bill, arguing it would escalate conduct already covered by existing assault statutes and go beyond other protected classes. The Department of the Attorney General recommended narrowing the bill by inserting “substantial” before bodily injury in the criminal section and deleting a section that would make the AG’s office act like plaintiff’s counsel in civil matters, suggesting instead that departments adopt policies to help employees obtain TROs without creating an open-ended civil representation role. Several sports and school-related organizations testified in support, and members discussed whether the bill should be narrowed or coordinated with other measures before further action.
MA

Massachusetts 2025-2026 Regular Session

Formal House Session 19 Jun 21st, 2026 at 11:00 am

Massachusetts House Floor Meeting

Transcript Highlights:
  • House Bill 3729, the House bill relative to the safe operation of motor vehicles.
  • An Act relative to the safe operation of motor vehicles, House No. 3748.
  • An Act relative to the safe operation of motor vehicles, House No. 3748.
  • So it goes, I hope my good friend from Fitchburg can bring back his arguments here for the value of these
Keywords: 995, all
Summary: The House opened with the Pledge of Allegiance and then took up several procedural matters, including adopting a resolution recognizing the work of Ukraine Forward and suspending Joint Rule 12 for a number of petitions. The chamber also scheduled several bills for later consideration, including measures on unemployment insurance for fluctuating work schedules, the Medical Society mission statement, a youth training wage, bridge and intersection namings, handicapped parking fines, public-way safety, excavation restoration, motor vehicle safety, and a Newton police age requirement. Two engrossed local bills were passed to be enacted: one authorizing retired police officers as special police in Plainville and another allowing Orange to increase its Board of Selectmen membership. The main policy debate centered on House No. 5151, An Act relative to energy affordability, clean power, and economic competitiveness. Supporters described it as a broad affordability and clean-energy package that would cut costs for ratepayers, reform Mass Save, speed clean-energy procurement and interconnection, return a portion of alternative compliance payments to customers, and address biomass and other energy issues. Opponents argued the bill relied too heavily on long-term programs and new administrative structures while offering little immediate relief, and raised concerns about costs being shifted to consumers, impacts on natural gas, and the pace of implementation. Several amendments were debated and rejected, including proposals to shift public benefit charges away from peak hours, pause public benefit charges for a year, require greater utility disclosure before rate increases, and add a forest-clearing penalty for solar development. One amendment to the energy bill was adopted: a consolidated amendment that included budget-billing consumer protections for gas customers, requiring notice and conservation recommendations when usage rises significantly. The House also adopted an amendment to a separate conservation-restriction bill for Hanson, changing a figure in the underlying law, and passed that bill to be engrossed as amended. The energy bill’s consolidated amendment passed by roll call, while several other amendments failed by roll call votes. The House observed multiple moments of silence honoring Jaden Booker, Thomas Skip Karam, former Freetown Police Chief Carlton Abbott, and former Representative and Senator William Q. “Biff” McLean, Jr.
LA

Louisiana 2026 Regular Session

Agriculture, Forestry, Aquaculture, and Rural Development May 7th, 2026

Agriculture, Forestry, Aquaculture & Rural Development

Transcript Highlights:
  • 100-plus-foot boats, and, you know, that pulled two rigs, four rigs, and now there may be two on the value
  • Our cooperative extension program, which is our vehicle for all of the research that we do.
  • It is really going to be a training vehicle and an area.
  • The expensive part is having the vehicle to pull that mobile processor and a CDL driver.
Keywords: 965, house, all
Summary: The House Committee on Agriculture, Forestry, Aquaculture, and Rural Development met to approve the October 3, 2024 interim minutes and then took up two resolutions. HCR 205, by Representative Kerner, urged USDA to use its Commodity Procurement Program to purchase domestic Louisiana shrimp. Supporters said shrimpers are facing very low prices, full cold storage, and an urgent need for federal purchases to stabilize the market and help local processors and fishermen. Commissioner Mike Strain explained that USDA commodity purchases can support schools, nursing homes, and food banks, and members discussed the need for cold storage, marketing, and better promotion of local seafood. The resolution was reported favorably without objection. The committee also considered HCR 188, which memorializes Congress to oppose any federal farm bill language that could negatively affect the use of hunting dogs; members said the provision had raised concerns about field trials, scent hounds, and hunting practices, and the resolution was also reported favorably without objection. The committee then received a presentation from Southern University Ag Center and College of Agriculture leadership, led by interim president and chancellor Orlando McMeans and Executive Vice Chancellor Calvin Walker. They outlined the center’s research, teaching, and extension work, including medicinal cannabis research, beef cattle and smart ranching, viticulture, aquaculture, precision agriculture, food and nutrition, and support for small farmers and K-12 dual enrollment. They highlighted scholarship and enrollment programs, including USDA-supported 1890 scholars and JAG Stars, as well as partnerships with LSU and USDA. They also described major facility projects, including a high-tech meat processing facility, research labs, a vineyard, and a proposed 1,300-bed disaster shelter/mega shelter at the experiment station. Members asked questions about meat-cutting and processing training, cattle genetics, and the shelter’s use when not needed for disasters. Southern officials said the new processing facility is intended to support training and workforce development, and that the shelter could also be used for events such as weddings, graduations, and agricultural activities. The committee expressed appreciation for the presentation and the work of the Ag Center. Representative Broussard then moved to adjourn, and the committee adjourned.
AZ

Arizona 2026 Regular Session

02/10/2026 - House Floor Session

Arizona House Floor Meeting

Transcript Highlights:
  • The school was founded with a vision to provide strong academic education grounded in Christian values
  • This is for someone that intentionally, intentionally discharges a weapon from a motor vehicle.
  • If they just take a step away from that vehicle, now it's not a drive-by shooting, even though they go
  • HB 48, commercial motor vehicle liability. Commerce. HB 492, peace officers cameras.
Summary: The House convened with prayer, the Pledge of Allegiance, guest introductions, and a proclamation recognizing February 2026 as American Heart Month, with Representative Willoughby emphasizing CPR and AED readiness. Members also welcomed students and guests from Wilcox Christian School, the Arizona State Fair Association, and other visitors. The chamber then handled routine business including attendance, journal approval, committee assignments, and first and second readings of numerous bills. The Committee of the Whole considered several measures, including HB 2016, HB 2133, HB 2223, HB 2459, HB 2501, and HB 2785. Most received do-pass recommendations after brief explanations and amendments. HB 2785, a major tax conformity bill, drew the most debate: supporters said it would align Arizona law with federal tax changes, prevent taxpayers from having to amend returns, and provide certainty during filing season, while opponents argued it would create a large revenue loss and benefit corporations and the wealthy without a clear funding plan. The committee adopted the Ways and Means amendment to HB 2785 by a 31-22 division vote, and the bill ultimately received a do-pass recommendation. Back on the floor, the House adopted the Committee of the Whole report and sent HB 2016, HB 2133, HB 2123, HB 2459, HB 2501, and HB 2785 to engrossing. In third reading, HB 2029, HB 2120, HB 2126, and HB 2131 passed, while HB 2045 failed on a 19-36 vote and then failed again on a reconsideration motion by 25-27. Members then made several personal privilege remarks about legislative process, representation, and Black History Month, and the House adjourned until the following Wednesday afternoon.
NV
Transcript Highlights:
  • And so I had promised I would do it, and then I wasn't here, and then De Silva had an open vehicle, so
  • I don't know if, you know, the city in Reno chooses to do something, but at least there will be a vehicle
  • I don't know if, you know, the city in Reno chooses to do something, but at least there will be a vehicle
  • resources and the need to compromise for what we have to do to keep higher ed going, and really trying to value
Bills: AB328, AB397
FL

Florida 2026 Regular Session

Appropriations Committee on Pre-K - 12 Education Mar 11th, 2025

Appropriations Committee on Pre-K - 12 Education

Transcript Highlights:
  • programs and teacher recruitment in low-income areas, allows districts to locally fund a wider range of vehicles
  • programs and teacher recruitment in low-income areas, allows districts to locally fund a wider range of vehicles
  • needs to go back into our districts, our schools, our staff, because our teachers are not feeling valued
  • Shifting high school start times to 8:30 or later would add more vehicles during peak traffic times to
Summary: The Appropriations Committee on Pre-K-12 Education met with a quorum present and observed a moment of silence for Senator Geraldine Thompson. The committee first took up CS/SB 102, a bill by Senator Gates directing the Department of Education to develop a workforce credential program for students with autism spectrum disorder or students on a modified curriculum, in coordination with the Florida Center for Students with Unique Abilities and OSHA. Supporters said the bill would help autistic students gain job skills and workplace safety credentials, while an opponent argued the bill should clearly make participation voluntary, expand to other exceptional student groups, include funding, and add stronger accountability. The bill was reported favorably. The committee then considered SB 166, the Administrative Efficiency in Public Schools bill by Senator Simon. The bill would reduce or remove several state mandates and give districts more flexibility on testing, teacher evaluations, contracts and certification, school board operations, instructional materials timelines, audits, facilities planning, emergency make-up days, federal fund use, and public VPK oversight. Senators asked about the impact on student proficiency, teacher evaluations, and the transfer of public VPK oversight to districts; Simon said the tests would remain but count as 30 percent of the grade, districts would retain flexibility in evaluation measures, and only public VPK would shift to districts. Public testimony was largely supportive, with some speakers praising reduced testing and local control, while one senator cautioned that Florida still has a math proficiency problem. The bill was reported favorably. Finally, the committee heard CS/SB 296 by Senator Bradley, which would repeal the 2023 statewide mandate requiring later middle and high school start times and return the decision to local districts, while still requiring districts to inform the community about the health, safety, and academic impacts of sleep deprivation and consider later start times. Supporters argued the mandate created transportation, staffing, and scheduling problems and that local control was more practical, while opponents emphasized sleep science and the benefits of later start times for teens. Several senators discussed the tension between research and district resources, and the bill sponsor said the measure preserves the conversation about sleep while allowing local scheduling decisions. CS/SB 296 was reported favorably, and the committee then adjourned.
FL

Florida 2026 Regular Session

Military and Veterans Affairs, Space, and Domestic Security Feb 11th, 2025

Military and Veterans Affairs, Space, and Domestic Security

Transcript Highlights:
  • The first stage's job is to get the vehicle really up out of the atmosphere and start accelerating.
  • We're building the majority of that vehicle and developing it in Starbase, but we're very excited about
  • with the state, to really, you know, hopefully bring that program here and accelerate and scale that vehicle
  • And to unlock this value, data accessibility is key.
Summary: The committee met to hear presentations on Florida’s space economy and related infrastructure. SpaceX Vice President Kiko Donchev described the company’s Florida operations, launch cadence, reusable rocket program, Starlink service, and plans for future Starship activity at the Cape. Senators asked about Florida employment, expansion plans, satellite lifetimes, disaster-relief uses of Starlink, and recreational connectivity; members also praised SpaceX’s hurricane response and broader public benefits. Donchev said SpaceX’s Florida workforce has grown to about 1,600 and that the company hopes to add Starship pads and continue expanding in the state. The committee then recognized Commander Dennis Baker for his military service and veteran advocacy, including his leadership of the Florida Veterans Foundation, grant work, the Walk of Honor, and the Gadsden Flag license plate program. Members highlighted that revenue from the plate helps fund veterans’ dental care and noted upcoming dental services for veterans in Volusia County. Baker received a flag flown over the Capitol and a framed gubernatorial proclamation. Newview CEO Clint Grumman presented the company’s commercial satellite LiDAR mapping system, describing its Lake Nona headquarters, Florida ownership, planned jobs, and applications for infrastructure planning, environmental monitoring, and disaster response. He said the company’s satellite data could improve accuracy and lower costs, and noted partnerships including a Department of Defense contract and a European Space Agency moon-mapping effort. Space Florida then outlined its role as the state’s aerospace finance and business development authority, emphasizing its pipeline of projects, spaceport improvement program, workforce academy, and efforts to address infrastructure constraints and seek tax-exempt bond authority for spaceports. NASA’s Kelvin Manning closed with an update on Kennedy Space Center, highlighting Artemis progress, rising launch demand, commercial partnerships, economic impact, and the Florida University Space Research Consortium. No bills were voted on, and the meeting adjourned after comments from members.
NH

New Hampshire 2026 Regular Session

House Session (01/07/2026)

New Hampshire House Floor Meeting

Transcript Highlights:
  • ,</c> monitors have medical value, monitors have medical value, but<00:45:16.160><c> whether</c><00:45
  • </c> value to the workforce. value to the workforce.
  • </c> passing HB 112 will increase the value passing HB 112 will increase the value of<01:54:38.360><c
  • This non-germane amendment also cited a vehicle to help departments and vehicle to help departments and
  • </c> the incredible value it affords us all. the incredible value it affords us all.
Keywords: 1189, house, all
LA

Louisiana 2026 Regular Session

Appropriations Apr 27th, 2026

Appropriations

Transcript Highlights:
  • residential type vehicle that most of us drive.
  • The value of what they're getting...
  • to five percent, you would help offset this currency losing value.
  • So it was essentially just sort of offsetting the value of what we're holding.
  • But maybe his bill is the vehicle that we need to use if your constitutional amendment passed.
AZ

Arizona 2026 Regular Session

03/26/2026 - House Floor Session

Arizona House Floor Meeting

Transcript Highlights:
  • She values clear communication, continuous learning, and a patient-centered approach in every aspect
  • He grew up surrounded by a family that instilled in him the values of honesty, compassion, and service
  • Every human life is created with inherent dignity and value, endowed by God with a fundamental right
  • being a voice for the voiceless and to advancing a culture that recognizes, protects, and upholds the value
  • ambassadors, and learn more about Arizona's world-class fishing, hunting, boating, and off-highway vehicle
Summary: The House convened with prayer, the Pledge of Allegiance, approval of the prior journal, and recognition of the doctor of the day. Members also introduced numerous guests and groups in the gallery, including the Dandy Project, Arizona Right to Life, Red State Reform, Reproductive Freedom for All, Somerton elected officials, Apache County Supervisor Alton Joe Shepard, and the family of the late Brad Brower. The chamber then adopted House Concurrent Resolution 2053 honoring Brower’s life and service, followed by a moment of respectful silence and remarks from members about his community leadership. The House considered several Senate bills in Committee of the Whole. SB 1020, relating to the Arizona Space Commission and a specialty license plate, drew debate over a proposed Villegas floor amendment to add a community college access and success plate; the amendment failed on a recorded division vote, and SB 1020 was then approved. SB 1127 and SB 1181 also received do-pass recommendations without controversy. The House later held an additional Committee of the Whole on SB 1426, adopted a floor amendment, and reported the bill as amended with a do-pass recommendation. On third reading, the House passed SB 1125 on child safety by a vote of 43-4 and SB 1415 on insurance adjusters by a vote of 46-1. The House also adopted the Committee of the Whole report, with a separate motion to include the defeated Villegas amendment in SB 1020 failing 19-28. The chamber announced upcoming committee meetings, made several brief personal and ceremonial announcements, and adjourned until Monday, March 30, 2026.
AZ

Arizona 2026 Regular Session

03/26/2026 - House Floor Session

Arizona House Floor Meeting

Transcript Highlights:
  • She values clear communication, continuous learning, and a patient-centered approach in every communication
  • He grew up surrounded by a family that instilled in him the values of honesty, compassion, and service
  • Every human life is created with inherent dignity and value, endowed by God with a fundamental right
  • being a voice for the voiceless and to advancing a culture that recognizes, protects, and upholds the value
  • ambassadors, and learn more about Arizona's world-class fishing, hunting, boating, and off-highway vehicle
Keywords: 1182, all
FL

Florida 2025 Regular Session

Regulated Industries Feb 4th, 2025

Transcript Highlights:
  • BEGUN WE HAVE AT 88 OPERATIONS AND SEIZED 4500 ILLEGAL MACHINES AND 10 MILLION IN CURRENCY 7.5 IN VEHICLES
  • BUT A SLOT MACHINE YOU PUT SOMETHING OF VALUE IN AND YOU'RE BETTING, STAKING, OR WAGERING SOMETHING OF
  • VALUE WITH FACTORS THAT ARE OUTSIDE OF YOUR CONTROL IS THE PLAYER DETERMINING WHETHER OR NOT YOU ARE
  • ENTITLED TO ANYTHING BACK AS A VALUE.
  • GOING INTO THE FINER DETAILS OF 54610 THERE ARE SPECIFIC LIMITS ON THE REDEMPTION VALUE OF THE COUPONS
Keywords: 999, senate, all
KY

Kentucky 2026 Regular Session

Interim Joint Committee on Families and Children.(6-17-26)

Families & Children

Transcript Highlights:
  • And we count it a pleasure and we value every opportunity that we have to engage with policymakers, with
  • And we count it a pleasure and<00:03:51.320><c> we</c><00:03:51.400><c> value</c><00:03:51.840><c> every
  • </c><00:03:52.160><c> opportunity</c><00:03:52.920><c> that</c><00:03:53.120><c> we</c> and we value
  • So, I think the short answer for that vehicle is no.
  • There are other for that vehicle is no.
Keywords: 958, all
WA

Washington 2025-2026 Regular Session

House Transportation Feb 19th, 2026 at 04:00 pm

Transportation

Transcript Highlights:
  • approval of at least 60% of the voters within the district, an RTA may incur debt of up to 5% of the value
  • King, Snohomish, and Pierce Counties, and imposes a sales and use tax of 1.4%, an annual 1.1% motor vehicle
  • excise tax, an annual 25% per thousand dollars of assessed property value, and a rental car sales tax
  • of assessed value property tax, is that subject to the 1% limit?
  • Our PUD's mission is high-value services at the lowest practical cost, and we believe very strongly this
Bills: SB6148
NM

New Mexico 2026 Regular Session

Senate - Rules Feb 9th, 2026 at 09:11 am

Senate Rules

Transcript Highlights:
  • little bit of a problem because there's not transparency into the fund that uses the residence as a vehicle
  • So I would have thought that we'd use taxpayer money to value the expansion, whatever it's being done
  • because on the Department of Health, New Mexico, it shows Rio Arriba number one, but it shows with the value
  • here, those counties are One, but it shows, with the value here, those counties are incorrect when you
  • And so we feel that this memorial would clearly show how we, as New Mexicans, value survivors and survivor
Bills: SB238, HJR1, SM21, SM22
MN

Minnesota 2025-2026 Regular Session

Environment Committee Meeting - 2026-03-26

Environment and Natural Resources Finance and Policy

Transcript Highlights:
  • ,</c><01:14:12.880><c> and</c><01:14:13.000><c> can</c><01:14:13.120><c> be</c> real economic value,
  • and can be real economic value, and can be recovered<01:14:13.720><c> and</c><01:14:13.800><c> reused
  • , and that subsidizes that um have value, and that subsidizes the<01:24:42.560><c> program.
  • There's the motor vehicle transfer fee that goes in.
  • Uh there's the motor vehicle into there.
NH
Transcript Highlights:
  • </c><01:03:28.640><c> for</c> uh implementation of a of a vehicle for uh implementation of a of a vehicle
  • We're in an even smaller minority of states that don't have any vehicle to address DS, although again
  • uh in moving forward with and a value uh in moving forward with long-term<01:08:18.400><c> care.
  • I've toured the Hillsborough County nursing home, and we deeply appreciate the value that they bring.
  • </c> appreciate the value that they bring. appreciate the value that they bring.
Keywords: 928, house, all
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.