Video & Transcript Research : 'predictive models'

Page 201 of 463
NM
Transcript Highlights:
  • the educator workforce, uh, the LESE work plan includes a discussion on an 80/20 premium cost share model
  • charter school paying 100% of their employees' premiums and 14 already having an 80/20 cost share model
  • If you look at table 4, we have the cost estimate for an 80/20 cost share model for all public school
  • Um, I mentioned before that some districts and charter schools already do an 80/20 cost share model or
  • Is the cost to bring all districts and charters from their current cost share models to 80/20.
TX

Texas 89th Regular

Education K-16 (Part II) May 8th, 2025

Education K-16

Transcript Highlights:
  • While this provision is modeled after the Honig Injunction, a federal legal process specific to students
  • Potential to make Texas a national leader by creating the model for how states drive college and career
  • In the first few years of its founding, the students in the RSIZ, the model for RPEPs, have increased
  • Similarly, PTech students, another model strengthened by this bill, are.
  • Our model works.
Bills: HB6, HB120, HB210
FL

Florida 2025 Regular Session

March 19, 2025 - 10:30 AM

Transcript Highlights:
  • managed care contracts and the AHCA pays the PPEC providers directly under the old fee-for-service model
  • Rather than directing AHCA to request an expansion of the model waiver, Rather than directing AHCA to
  • the Florida Medicaid model waiver for home and community-based services to include children who receive
  • So, yes, we as a state of Florida implemented managed care away from the fee-for-service model.
  • Traditionally, Florida implemented managed care away from the fee-for-service model.
Summary: The Health Care Facilities and System Subcommittee met with a quorum and considered five bills. HB 1101 on out-of-network providers drew the most discussion; Rep. Albert said it would require written notice when a patient is referred to an out-of-network provider and would count certain insurer payments toward deductibles. Several members and the Florida College of Emergency Physicians raised concerns about placing the burden on doctors’ offices, possible delays in referrals, and unclear enforcement, but the bill was reported favorably 16-2. Public testimony included support from AARP and concerns from emergency physicians about ER workflow and insurance-network transparency. The committee then unanimously approved PCS for HB 475, reducing fines for ambulatory surgery centers that violate good-faith estimate requirements from $1,000 to $250 per day, with a lower maximum penalty. The bill sponsor said the change was intended to right-size penalties for smaller facilities; witnesses from surgery centers and HCA supported it. HB 797, which would allow a nonprofit retirement community serving veterans and spouses to create veteran-and-spouse nursing home beds and transfer a certificate of need within 100 miles, also passed unanimously after members discussed whether it could affect access for veterans; the sponsor said it would create additional private beds rather than displace existing ones. HB 1085 on the Children’s Medical Services Program was amended and reported favorably 14-3. The bill would move managed care plan operations for medically fragile children from the Department of Health to AHCA, keep clinical eligibility at DOH, and shift PPEC services fully into managed care. The adopted amendment changed the waiver provision to require AHCA to develop and present a comprehensive redesign plan for the Medicaid model waiver for children receiving private duty nursing. Several members supported the goal but raised concerns about eliminating family choice and the impact on medically fragile children. Finally, HB 1353 on home health care services passed unanimously. The bill would remove geographic limits on home health administrators, allow more licensed RNs including contract RNs to perform visits, and revise the home health excellence award program. Supporters said it would address workforce shortages and improve access, while one member warned it could increase costs and competition for nurses. The committee adjourned after reporting all five bills favorably.
KY
Transcript Highlights:
  • In 2014, the Palma Act established the CCBHC model.
  • > integrates An enhanced model that integrates An enhanced model that integrates behavioral<00:04
  • CCBHC model. CCBHC model.
  • Through the CCBHC model, Kentucky now has a true 24/7 crisis response system.
  • <01:42:09.720> that of transportation delivery models that of transportation delivery models
Keywords: 958, all
Summary: The Medicaid Oversight Advisory Board first approved the September 24 minutes and then heard a presentation from four certified community behavioral health clinic providers: Pathways, NorthKey, Seven Counties Services, and NewVista. The presenters explained the difference between traditional community mental health centers and CCBHCs, describing CCBHCs as an enhanced model that integrates behavioral health, primary care, wraparound services, and crisis response. They reviewed the federal history of the model, Kentucky’s entry into the Medicaid demonstration in 2022, and the scheduled end of the enhanced federal match on December 31, 2027. They also emphasized required services such as 24-hour mobile crisis, care coordination, and services for veterans, and described care coordination as a key feature that helps patients follow up after hospital or emergency discharge, manage medications, and connect to transportation and other supports. The presenters gave examples of improved outcomes, including a patient who was able to remain living independently because of coordinated home-based and telehealth support, and they argued that CCBHCs are helping Kentucky build a more responsive crisis system through 988, mobile crisis teams, and crisis stabilization units. They said the model is data-driven, uses performance metrics, and has led to stronger collaboration among community partners. One speaker said more than 100 agencies participated in a Jefferson County community health needs assessment and continued meeting afterward to reduce redundancies and barriers to care. They also said crisis call hub compliance and mobile crisis outreach compliance improved significantly over the past year. Members asked about how navigators and connectors fit into the model, how CCBHCs work with managed care organizations, and how the program could expand statewide. The presenters said navigators are not built into the CCBHC model but may be used through referrals, while the CCBHCs continue to bill MCOs the same way and receive a Medicaid wrap payment for the enhanced rate. They said the goal would be for all community mental health centers to become CCBHCs, but that a state plan amendment would be needed and could not be limited only to CMHCs if submitted to CMS. They estimated about $28 million would be needed statewide to continue the program in the next biennium, combining the loss of enhanced federal match and the state share of enhanced service costs. The board also discussed transportation, with one presenter explaining that their program arranges Medicaid transportation for eligible appointments, and members raised concerns about mental inquest warrant transport and whether sheriffs should remain involved. No votes were taken on the CCBHC or transportation items during the discussion.
NH

New Hampshire 2025 Regular Session

Senate Education (04/15/2025)

Education

Transcript Highlights:
  • state into a one county one uh SAU<00:54:42.079> per SAU per SAU per county<00:54:44.000> model
  • with an extra SAU for NSHA county model with an extra SAU for NSHA and<00:54:47.760> another<
  • However, we have examined models in other states across this country, and we find and recommend that
  • This is modeled after what we did.
  • So it is modeled with that language. So, we have amendment 2025-168. I'm looking for a motion.
Keywords: 1191, senate, all
TX

Texas 89th Regular

Public Health Apr 14th, 2025

Public Health

Transcript Highlights:
  • I have 17 years as a primary care pediatric physician in a team-based model.
  • And I can tell you. that this team model works the best because of this experience.
  • So even in the existing model, to the points made earlier, this is how the interpretation of the model
  • Let's turn this earlier version of the program into a model for other states to follow.
  • There are a number of national model efforts, one of them that informed this discussion.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Election Laws Jun 21st, 2026 at 01:00 pm

Joint Committee on Election Laws

Transcript Highlights:
  • the 26 red, blue, and purple states across the country that have already passed such laws, and the model
  • And the model on which this is based, this automatic replacement approach, is something that's already
  • In addition, the model Uniform Law Commission bill on which this is based is approved by the American
  • My goodness, what an impressive model for civic engagement.
  • And that's sort of where the genius, I think, of this Uniform Law Commission model approach lies.
Keywords: 995, all
Summary: The Committee on Election Laws held a hearing with House and Senate chairs and several members participating in person and online. The main bill discussed was House Bill 5086, the Electoral Count Reform/Uniform Faithful Presidential Electors Act, which would require presidential electors in Massachusetts to sign a faithfulness pledge, automatically replace any elector who casts a vote contrary to the state’s popular vote, and update state procedures to meet federal Electoral Count Act deadlines and paperwork requirements. Testimony in support came from Public Citizen, the Uniform Law Commission, and Protect Democracy United. Witnesses argued the bill would protect against coercion, threats, and “faithless electors,” and said it would help ensure Massachusetts’ electoral votes reflect voters’ choices and cannot be rejected on technical grounds. One witness noted the bill is already enacted in many states and has been upheld by the U.S. Supreme Court, and several organizations endorsed the model approach. Members asked about how the bill would interact with Massachusetts’ participation in the National Popular Vote Interstate Compact. The witness said the bill is compatible with the compact and suggested a minor clarifying amendment to avoid any implication that the state is stepping away from it. After testimony and questions, the chair noted that testimony had also been received on the other two bills from Representative Breguire, the governor’s office, and Representative Hogan, and the committee then adjourned without taking a vote in the hearing.
NM
Transcript Highlights:
  • I don't have that number, but the modeling numbers you've spoken to are largely the numbers we've used
  • Members of the committee, so the VA modeling that we follow for tracking the number of veterans in the
  • And they every year each year they reinstitute the model and refine the number Last year the model projected
  • The model I'm looking at, and it actually Reduces into the future as we move forward.
Keywords: 996, all
MS

Mississippi 2026 Regular Session

Medicaid - Room 210; 2 February, 2026: 2:30 PM

Medicaid

Transcript Highlights:
  • Uh, 457 allows the department to look at various value-based payment models.
  • thing in line 766, 769, and in removing that language we also allowed for an alternative payment models
  • changed from 30 days allowed for an alternative payment uh allowed for an alternative payment uh models
  • . models. models.
Summary: The committee first took up a placeholder bill related to the Medicaid “L tax” for long-term acute care hospitals. The sponsor explained that these hospitals pay into Medicaid but do not receive Medicaid reimbursement, and said members had reached a general consensus that a solution is needed. The bill was described as a dummy bill with no firm language yet, and the committee adopted a motion for title sufficient do pass; the bill was reported despite one opposing vote. Members then heard a detailed explanation of the committee’s Medicaid technical bill. The sponsor said it was much lighter than in prior years because of uncertainty around federal Medicaid conditions and the lack of a signed bill in recent years. Most changes were described as federal-language updates, cleanup, or department-requested revisions, including changes from “shall” to “may” to give the department more flexibility, shortened notification and care-period timelines, and removal of outdated provisions. Substantive items mentioned included allowing the department to review value-based payment models, adding pediatricians to a covered list, increasing ambulatory surgery center reimbursement from 80% to 85%, approving “treat in place” for ambulances, allowing supplemental payments to hospitals, and reestablishing the Medical Advisory Council. After brief questions, the committee adopted a motion for title sufficient do pass on the tech bill and reported it, again with one opposing vote. The chair then announced a follow-up hearing for the next day at 1:30 p.m. in Room 216 on the L tax, the hospital bed tax, a Medicaid 101 overview on hospital financing, and a briefing on nonopioid medications and a device intended to prevent or reduce epilepsy seizures.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 3/4/26

Human Services Finance and Policy

Transcript Highlights:
  • This investment in the model will really allow Dakota County to continue to be a model for other counties
  • have sustainable funding once that model have sustainable funding once that model is<00:09:45.839
  • <00:10:15.120> uh so this investment in the model uh so this investment in the model uh really
  • A balanced model of government agencies.
  • ,<01:15:28.560> the operated and contracted models, the operated and contracted models, the
WY

Wyoming 2026 Regular Session

Senate Floor Session-Day 10, February 20, 2026-AM

Wyoming Senate Floor Meeting

Transcript Highlights:
  • “Raise your hand if you want us to just move on and keep the current funding model.”
  • model. Every hand in the room went up. model. Every hand in the room went up.
  • That recommendation came funding model.
  • So this time the room would have model.
  • Um and this three-dimensional modeling.
Keywords: 916, all
MN

Minnesota 2025-2026 Regular Session

House Higher Education Finance and Policy Committee 2/11/25

Higher Education Finance and Policy

Transcript Highlights:
  • When you look at direct admissions models across the country, direct admissions is a model that we're
  • When you look at direct admissions models across the country, direct admissions is a model that we're
  • Tell us how your model works.'
  • <00:26:18.960> we part of the direct admissions model we part of the direct admissions model
  • 00:26:58.440> we're directed missions is a model that we're directed missions is a model that
Keywords: 1183, house
MN
Transcript Highlights:
  • Our most effective treatment models haven't been built to scale, and we do not have sufficient capacity
  • Our most effective treatment models haven't been built to scale, and we do not have sufficient capacity
  • proposal and other recent projects are building updated, trauma-informed, and responsive treatment models
  • <00:02:36.760> that<00:02:36.880> are responsive treatment models that are responsive
  • treatment models that are greatly<00:02:37.320> needed.
Keywords: 1183, house
KY
Transcript Highlights:
  • So the EMPATH model and mobile crisis—so this is mental health.
  • So the empath model and to recovery.
  • across the state in a regional model across the state in a regional model which<00:07:48.560>
  • <00:08:47.040> project<00:08:47.680> preventive<00:08:48.240> care, models project
  • preventive care, models project preventive care, screening<00:08:49.120> care<00:08:49.680>
Keywords: 958, all
Summary: The Health Services Committee heard a presentation from Dr. Steven Stack, Secretary of the Cabinet for Health and Family Services, on Kentucky’s Rural Health Transformation Program. He said Kentucky received about $213 million in federal funding, among the highest awards nationally, after a fast application and negotiation process. He emphasized that the grant is time-limited, must be used for the specific goals in the state’s application, and cannot be treated as a general bailout or replacement for existing funding. He also noted the state will use a website, ruralhealthplan.ky.gov, to share the full application, award terms, and future opportunities. Dr. Stack outlined five focus areas: maternal health and prenatal/early childhood supports; EMS and trauma response workforce and transfer capacity; behavioral health crisis care through the EMPATH model and mobile crisis services; oral health access through more hygienists, telehealth, and hub-and-spoke models; and rural community hubs for chronic disease prevention and innovation, including food-as-medicine and healthier lifestyle interventions. He stressed that the program is meant to be transformative, not duplicative, and that it cannot pay clinician salaries, fund new construction, replace EMR systems broadly, or duplicate billable services. He said the state will work with community partners, hospitals, universities, and others, including the Foundation for a Healthy Kentucky, to begin implementation. Members responded positively overall. Senator Berg praised the award and the goal of integrating care across the state, but raised concerns about access to prenatal care and about possible future changes to water fluoridation, warning both could harm children and rural families. The chair and other members thanked Dr. Stack for the update and congratulated him on the award. No votes or formal committee actions were taken during this portion of the meeting.
LA

Louisiana 2026 Regular Session

Health and Welfare Apr 28th, 2026

Health and Welfare

Transcript Highlights:
  • It has turned into model legislation that other states are hoping passes, and quite frankly, rooting
  • This is, like you said, model legislation.
  • Sometimes the pendulum goes... ...like you said, model legislation.
  • And, of course, I've got 14 plans that have 14 different business models.
  • It's because I tried everything that the Western model had to offer: talk therapy.
Bills: SCR37, SB145, SB237
Summary: The House Committee on Health and Welfare met on April 28 with a quorum and took up several health-related bills. SB 113, concerning the local health care provider participation program in Calcasieu Parish, was amended with a technical set and reported favorably with amendments after the author explained it would shift the local sponsor from the parish to the city. SB 23, which exempts certain assisted living facilities from the definition of food service establishment, was reported favorably. SB 150, allowing LDH to scan and return supporting documents for vital records changes, was also reported favorably. SB 221, which would allow EMS providers to be reimbursed by Medicaid for treating patients on scene without transport, drew questions about billing, coding, and implementation but was reported favorably, with members noting it could reduce unnecessary ER use and costs.
HI
Transcript Highlights:
  • So, what are some of the current challenges with the line-item model that it operates under?
  • So could you just educate the committee on some of the challenges of this model? you don't mind.
  • challenges with the um line item model challenges with the um line item model that<00:15:36.560>
  • 00:15:46.240> challenges<00:15:46.560> of<00:15:46.720> this<00:15:46.880> model
  • like for peer a typical funding model like for peer institutions<00:17:40.640> on<00:17:40.799
Keywords: 910, house, all
Summary: The House Committee on Higher Education met on February 18, 2026, and heard four bills. HB 2519 would shift University of Hawaii funding toward block appropriations, a stabilization fund, limited procurement and fiscal exemptions, performance-based metrics, and annual reporting. UH supported the bill, saying line-item budgeting hampers systemwide efficiency across its 10 campuses; the State Procurement Office commented on the procurement exemption. The chair proposed amendments to address concerns from Budget and Finance and procurement, including capping UH’s retained funds at 10%, requiring lapse after three fiscal years, removing CIP-to-operating transfers, narrowing procurement exemptions while keeping Chapter 103B principles, shifting performance metric-setting to the Board of Regents, and requiring annual reporting. The committee then voted to pass HB 2519 with amendments. HB 2409 would establish the Hawaii Geological Survey in Hilo and designate its director as the state geologist. UH Hilo supported the concept but said it would need sufficient general-fund support, estimating roughly $200,000 to start. DLNR and the Attorney General offered comments, with the AG calling it a matter of statewide concern. The chair said the DNR testimony raised public safety concerns and that UH Hilo had not identified a firm funding amount, so the committee voted to defer the bill. HB 2141 HD1 concerned state enterprise zones and would expand eligible business activities and allow DBED to designate up to two areas as enterprise zones with gubernatorial approval. DBED, the Tax Foundation, and other organizations submitted support or comments. After discussion, the chair said the current version no longer fit the higher education committee’s focus and recommended reverting to the original bill, which would limit the zone to Kakaʻako Makai for a biomedical health innovation hub near JABSOM and the Queen’s Cancer Center, with a defective date. The committee voted to pass HB 2141 HD1 with amendments. HB 2233 HD1 would appropriate funds to continue the SNAP-Ed program through UH and the Department of Health. DOH supported the bill and said it had been working on nutrition education and environmental changes; it estimated about $600,000 each for DOH and SEAR, or $1.2 million total. Testimony in support also came from several organizations and individuals, including a senior advocate who described the program’s practical benefits. The chair said the committee would reflect the $600,000-per-entity estimate in its report, and the committee voted to pass HB 2233 HD1 as is before adjourning.
MN

Minnesota 2025-2026 Regular Session

Governor, legislative leaders honor Melissa and Mark Hortman 2/17/26

Minnesota House Floor Meeting

Transcript Highlights:
  • Melissa was the only House Speaker I have had the honor to serve under, and every day she modeled the
  • Melissa was the only House Speaker I have had the honor to serve under, and every day she modeled the
  • <00:20:02.640> by around us, a way that was modeled by around us, a way that was modeled by
  • But Melissa left us the model.
  • <00:28:50.080> Let's But Melissa left us the model. Let's But Melissa left us the model.
Keywords: 1183, house
NM

New Mexico 2026 Regular Session

House - Health and Human Services Feb 4th, 2026 at 08:36 am

House Health & Human Services

Transcript Highlights:
  • It affirms the spirit of fidelity of the model and it places back and it follows best practices that
  • These services, part of the model, are helping families reunite, kinship guardianship care, and families
  • I did not name Foster Care Plus or Oklahoma Model.
  • We have some contractors working with us on that, as well as our training model.
  • And so, while we might not be able to look at a plethora of models of where we can model this response
Keywords: 996, all
OK

Oklahoma 2026 Regular Session

Appropriations and Budget Finance Subcommittee Oct 28th, 2025

A&B Finance Subcommittee

Transcript Highlights:
  • Any piece of this dollar that gets affected, any shift in this model, creates extra need for nonprofits
  • Our plan is to scale this model across rural and urban communities across the state as rural grocery
  • "However, through the years our service model has changed.
  • All of that takes people, so people and salaries are also direct service and a part of our model.
  • I visited the Food Bank of Eastern Oklahoma a few weeks ago, and I learned a lot more about their model
Summary: The committee heard an interim study on expanding or simplifying sales tax exemptions for Oklahoma nonprofits. Representatives Stark and Schreiber said the issue has been filed repeatedly over several sessions and framed it as a bipartisan effort to keep more charitable dollars in service of communities rather than paying sales tax. Schreiber also suggested broader tax reform or an omnibus approach rather than continuing to add individual exemptions. Marnie Taylor of the Oklahoma Center for Nonprofits gave an overview of the sector, describing nonprofits as a major part of the state economy and safety net, and argued that many organizations are highly regulated, under-resourced, and facing declining donations and funding. She said the current patchwork of exemptions is uneven and that a blanket or broader exemption would help organizations serving public needs. Committee members asked for sources behind some of the poverty, education, and health rankings cited in her presentation. Several nonprofit leaders testified about how sales tax affects their operations. RG Foods described the cost of opening neighborhood grocery markets in food deserts and said sales tax on a Tulsa project would divert about $85,000 from programming. Jubilee Partners, Skyline Urban Outreach, the Pencil Box, the Tulsa Police Foundation, Blue Rose Ranch, and Legacy Parenting Center each explained how exemption status or the lack of it affects food assistance, school supplies, public safety equipment, animal rescue, and diapers and family support. Members asked follow-up questions about food desert definitions, budgets, and how much sales tax savings would change operations. No vote was taken in the excerpt, but the study concluded with closing remarks emphasizing that the exemption would keep more money in direct services and support the nonprofit sector statewide.
CA
Transcript Highlights:
  • directs the state to conduct a public study, just a study, to assess which ownership and finance models
  • A previous version of the bill included a best-value procurement model that has been removed.
  • of California's energy landscape will entertain the notion of dismantling the state's existing IOU model
  • And maybe for more fire-prone areas it’s a different model, and for metro areas it’s a different model
  • is not a signal to the financial markets that California has made a decision to move away from our model
Summary: The Assembly Committee on Utilities and Energy heard several bills focused on utility rates, wildfire safety, carbon capture, methane reduction, large energy users, low-income energy programs, and clean energy supply chains. Early items included SB 613, which would direct state agencies to prioritize reducing methane emissions from imported fossil fuels, and SB 614, which would allow California to move forward with carbon dioxide pipeline safety rules and potentially lift the state’s moratorium on new CO2 pipelines. Both bills drew support from advocates and industry-related witnesses, with no opposition registered at the time they were presented, and the committee indicated it would vote once quorum was established. After quorum was called, the committee took up SB 57, which would require the Public Utilities Commission to establish tariffs for large energy users such as data centers to prevent cost shifts to other ratepayers and address stranded infrastructure costs. Supporters argued the bill would protect affordability and encourage clean energy use, while opponents, including utilities and business groups, warned it could create uncertainty and interfere with existing regulatory processes. The committee also heard SB 256 on wildfire mitigation and emergency response, including undergrounding, PSPS communication, and removal of abandoned lines; supporters emphasized the need for stronger action after recent fires, while utilities raised concerns about duplicative requirements and public disclosure of sensitive infrastructure information. Both SB 57 and SB 256 were approved on roll calls. The committee then heard SB 647, which would expand and standardize oversight of low-income energy savings programs and performance metrics, with strong support from community advocates and some neutral or “tweener” positions from utilities that sought further work on data collection and implementation. SB 787 followed, proposing a state strategy to coordinate supply chains and workforce development for clean energy industries including EVs, building decarbonization, and offshore wind; it received broad support and no opposition. The committee also considered SB 332, a study bill on utility ownership models and affordability reforms, which drew strong support from consumer and climate advocates but opposition from utilities and business groups concerned about bias, investor signals, and executive compensation provisions. The consent calendar was later approved, and several bills were reported out with votes or held open for absent members to add on.