Video & Transcript Research : 'prepayment program'
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MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Health Jun 21st, 2026 at 10:00 am
Joint Committee on Public Health
Transcript Highlights:
- H. 5013, an act to establish a celiac disease screening pilot program, filed by Rep.
- Badger; S. 2928, an act to establish a celiac disease screening pilot program, filed by Senator Lovely
- Celiac Disease Screening Pilot Program.
- This pilot screening program will not only catch children earlier.
- The pilot program proposed is a reasonable, evidence-informed first step.
Summary:
The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening at ages 8 to 12; H. 5087, regulating medical spas; and H. 5115, establishing statewide food truck regulations, though the transcript focused almost entirely on the celiac and medical spa bills. For the celiac proposal, Rep. Badger and Sen. Lovely described long diagnostic delays, the lack of a cure, and the potential for a simple blood test to identify children earlier and reduce long-term harm. Multiple patients, clinicians, and researchers supported the pilot, saying celiac is frequently missed because symptoms vary widely or are absent, and that early detection could prevent malnutrition, growth problems, osteoporosis, and other complications. Testifiers also emphasized that the bill would study feasibility, accuracy, cost, and acceptability, and would include family education and support resources if diagnoses are made through the program.
Several experts and advocates backed the celiac screening pilot, including a pediatric gastroenterologist from Italy who described successful national screening efforts there, a Celiac Disease Foundation representative, pediatric gastroenterologists from Massachusetts and Colorado, a pediatric dietitian, and a parent whose child was diagnosed after severe malnutrition. They argued that routine screening alongside existing pediatric bloodwork could identify many undiagnosed children and improve health equity, since celiac disease is often overlooked in people of color and lower-income patients. Committee members asked about how the screening would work, and witnesses explained it could begin with a blood test, followed by confirmatory endoscopy if needed. No vote was taken in the hearing.
On H. 5087, witnesses from the medical aesthetics industry largely opposed the bill as written, saying it was outdated, redundant with existing Massachusetts licensing and board oversight, and too restrictive for nurse practitioners, physician assistants, and other licensed providers. Testifiers, including a retired lobbyist, a nurse practitioner, a PA, a plastic surgeon, and a clinic owner, said the bill could reduce access, raise costs, and push care into less regulated settings, while not addressing the real issues of training, compliance, and patient safety. Committee members pressed for more specific feedback on what provisions were unnecessary or duplicative, and witnesses said they had submitted position papers and written testimony identifying conflicts with current law. The hearing ended with the chair noting that all oral and written testimony would be reviewed before any decisions are made.
AZ
Transcript Highlights:
- such as passport to manhood and football leadership enrichment programs such as passport to manhood
- He has been an active member of the Davis-Monthan Youth Programs for more than eight years, where he
- He has been an active member of the Davis-Monthan Youth Programs for more than eight years, where he
- The Youth of the Year program is a premier leadership recognition initiative.
- She has been an active member of the Luke Air Force Base Youth Program for nine years.
FL
Transcript Highlights:
- So we're very proud of that program. Rural and Family Lands, we can't say enough about.
- If anyone's listening that wants to apply to that program, it is open currently.
- We've greatly increased that program the last two years, thanks to the legislature.
- Adalia, this legislature put in place a loan program, an emergency loan program after emergencies, with
- And we're really proud of all of the efficiencies in the programs that we've done.
Summary:
The Florida Senate Committee on Agriculture convened with a quorum present and heard two presentations. Commissioner Wilton Simpson, head of the Department of Agriculture and Consumer Services, outlined department accomplishments and funding needs, including IT modernization, expansion of the Rural and Family Lands program, updated best management practice manuals, growth of the Fresh From Florida marketing campaign, hurricane recovery loans for farmers, clearing concealed-weapons permit backlogs, construction of the Conner Complex headquarters, forestry equipment upgrades, and youth agriculture programs such as FFA and 4-H. Senators asked about water policy, citrus greening, FAMU partnerships, staffing efficiencies, and interdiction stations used to stop invasive species, stolen goods, and diseased or banned agricultural products from entering the state.
Dr. Krista Court of the University of Florida/IFAS presented a preliminary economic assessment of the 2024 hurricane season’s agricultural impacts from Hurricanes Debby, Helene, and Milton. She explained that the estimates are based on wind, rainfall, flooding, crop location, and survey data from extension agents, industry groups, FDACS, and producers, and that the figures do not include many asset losses, supply-chain effects, forestry losses, or some insurance-covered damages. Her preliminary estimates placed total 2024 agricultural production losses between about $402.3 million and $975.8 million, with the hardest-hit commodity groups including field and row crops, vegetables, melons, potatoes, greenhouse/nursery products, and animals and animal products.
Members discussed the importance of accurate survey participation and baseline data, including use of USDA Farm Service Agency information, to improve future disaster estimates and federal relief decisions. Several senators emphasized agriculture’s importance in their districts and statewide. No bills were considered and no formal votes were taken; the only action was adjournment by motion of Senator Burton.
NH
New Hampshire 2025 Regular Session
House Finance Division III (03/17/2025)
Transcript Highlights:
- volunteer programs.
- :07:23.400>
using senior volunteer programs we're using senior volunteer programs we're using - <02:09:06.400>
is so the adrd respit grant program is so the adrd respit grant program is - <02:14:19.880>
in programs at the friends program in programs at the friends program in conquered - <02:15:32.520>
some different for every program some different for every program some programs
Summary:
Division 3 Finance held a work session to move through five bills before noon, noting one member’s early departure and adjusting the order of bills accordingly. The first item, HB 54, would allow some alternative treatment centers in the medical cannabis system to operate for profit. Members discussed a fiscal note showing a one-time $133,000 cost, which was described as a Division 1 budget item to be handled through HB 2 rather than directly in Division 3. After discussion about keeping Division 1 informed and the distinction between retaining a bill versus funding it, the committee voted unanimously to retain HB 54 for further finance work and conversion into HB 2.
The committee then took up HB 547, concerning reimbursement to counties for enhanced FMAP funds during the COVID period. The chair summarized the issue as federal enhanced Medicaid matching funds that were received by the state before authority existed to pass them through to counties, creating a disputed amount owed to counties. County representatives said the money should have gone to counties and clarified the relevant time period, while the department did not take a position. The chair proposed retaining the bill and moving it into HB 2, with discussion of a possible four-year repayment structure in equal annual installments. The committee agreed to retain the bill for continued work in the budget process.
During the HB 547 discussion, members also clarified the fiscal and accounting details, including that the fiscal note had not been widely available and that some figures in the note should be treated as county revenue rather than county expenditure. Testimony explained that the enhanced FMAP increased from 50 percent to 56.2 percent, and that the state’s and counties’ shares of claims were affected by the timing of the federal change and the later state authorization. The committee emphasized that the issue was complex and budget-dependent, and that retaining the bill would allow further negotiation and incorporation into HB 2 rather than immediate final action.
MN
NH
Transcript Highlights:
- and programming or inspection process and programming or Quality<00:11:26.079>
Equipment <00:11 - She said the pilot program Sean was talking about is a cowboy program that they run, where they take
- She said the program would help them expand into a residential program.
- She said this program would help them expand into a residential program.
- She said the program would help them expand into a residential program.
FL
Transcript Highlights:
- The fourth reform modernizes the Medicaid-prescribed drug services program.
- training program that's actually leading to a job. ...intellectual pursuits, but a training program
- This bill builds on that program by revising the eligibility criteria.
- Senate Bill 96, relating to the Veteran Dental Care Grant Program.
- This bill builds on that program by revising the eligibility criteria.
Summary:
The Senate convened with a quorum, opening prayer, Pledge of Allegiance, and several introductions and recognitions, including a resolution honoring Bob Graham and a moment of silence for firefighter Roger Timmy Miley. The chamber then moved through a special-order calendar with multiple bills, many of them paired with House companions and amended before final passage. Early action included adoption of a tax conformity bill tied to federal changes in the Internal Revenue Code, with a 34-0 vote.
The most extensive debate centered on CS/CS/SB 1758, a Medicaid and SNAP reform bill. The sponsor described provisions to strengthen fraud enforcement, impose work requirements for able-bodied adults, expand behavioral health services through a waiver, modernize Medicaid drug purchasing, and require a SNAP fraud-reduction plan and photo ID on EBT cards. Democrats offered amendments to delay work requirements until Medicaid expansion and to add protections for SNAP users such as caregivers, seniors, disabled individuals, and domestic violence survivors; both amendments failed. Senators also questioned implementation details, exemptions, and potential effects on vulnerable populations. After debate, the bill was placed on the calendar for third reading.
The Senate also passed bills on technology education and AI instruction, a public records exemption and related Parkinson’s Disease Registry measures, designation of the SS American Victory as the state flagship, electronic payments for local governments, repeal of the sunset on legal tender recognition for gold and silver, public records protections for financial and digital-asset custodians, a Florida stablecoin pilot program, local government budget transparency, digital voyeurism, insurance customer representative licensing, and a medical freedom bill with amendments on vaccine-related materials and anti-kickback provisions. Most of these measures passed with little or no opposition, though the public records bill for gold/silver custodians and the legal tender repeal drew a few dissenting votes.
MN
Minnesota 2025 1st Special Session
House Environment and Natural Resources Finance and Policy Committee 2/20/25
Environment and Natural Resources Finance and Policy
Transcript Highlights:
- Representative Franson, will give... that the programs continue um and that the programs continue um
- <00:24:57.240>
um <00:24:57.760>these law our land programs um these law our land programs - programs that work with local partners to implement the watershed approach.
- Representative Gillman, I appreciate the attention to the school bus program.
- Representative Gillman asked about the electric school bus program.
Keywords:
human services, Medical Assistance, Medicaid, long-term services and supports, LTSS, public assistance, application process, eligibility determination, customer service survey, wait times, form complexity, lead agencies, Department of Human Services, Department of Children Youth and Families, streamlining, administrative reform, case management, reassessment, intake system, adaptive eligibility form
KY
Kentucky 2026 Regular Session
Interim Joint Committee on Economic Development & Workforce Investment. (6-18-26)
Economic Development & Workforce Investment
Transcript Highlights:
- We run a program that's been really successful, which we call our C-suite program, which Rich is a part
- So, it's not just program though.
- culture programs. Growth and innovation. culture programs. Growth and innovation.
- And through the JCPS that program.
- program? program? >> Mhm. >> Mhm. >> Mhm.
NH
New Hampshire 2026 Regular Session
Senate Energy and Natural Resources (01/13/2026)
Energy and Natural Resources
Transcript Highlights:
- Um, and this aggregation programs.
- <00:18:13.840>
through that have now launched programs through that have now launched programs - <00:22:01.360>
that and demand response programs that and demand response programs that benefit - First, New Hampshire's uh program most.
- Um I know there's uh programs.
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Sixty Eight - Tuesday, May 12
Missouri House Floor Meeting
Transcript Highlights:
- inside that reserve program?
- It stays in the air program or with the DNR? Yeah.
- Go ahead and get that money from these programs.
- And can it fund any of their programs?
- Or does it have to stick with the program they collect the money on? It sticks with the program?
TX
Transcript Highlights:
- These programs make teaching a viable aspirational.
- These programs build not just entry but retention.
- That is why I am here today to speak in support of the Grow Your Own program, a program that not only
- This program isn't just about filling vacancies.
- funding. to accommodate the plan or the program or the system.
Keywords:
instructional materials, public schools, Education Code, adoption, rejected materials, local funds, open educational resources, Texas Education Code, school districts, open enrollment charter schools, funding restrictions, environmental regulation, business compliance, local authority, economic development, state preemption, local control, open education resources, SB 762, Texas public schools
TX
Texas 89th 2nd C.S.
Appropriations - S/C on Articles VI, VII, & VIII Feb 25th, 2025
Appropriations - S/C on Articles VI, VII, & VIII
Transcript Highlights:
- some advanced practice programs, graduate programs and so that takes away.
- There are a number of programs in the state that offer what's called an RN to BSN program.
- Licensing program supervisor 7, epidemiologist 4. Web administrator 32 program specialist 3s.
- Um, if there's a program that uses the, that has a willed body program, I guess.
- I think we have a very good program, sir.
WY
MS
Transcript Highlights:
- is going to be a very successful program.
- Mississippi's program is going to be a very successful program. And at this point in time, Mr.
- 6,615 this program are 6,615 this program are 6,615 today<00:14:27.279>
of <00:14:27.519>- for a fireman. >> 3 million was put in the program. >> 3 million was put in the program.
- We've got four people in our program.
Summary:
The committee took up several insurance and health-related bills. Earlier discussion focused on metastatic cancer step therapy and biomarker testing, with the sponsor explaining that the bills would prevent insurers from requiring patients to try less effective treatments first and would require coverage for biomarker testing to better target treatment. The biomarker bill was described as a product of a summer study committee and was reported favorably. The committee also advanced a bill setting standards tied to the National Association of Insurance Commissioners, and a private residence elevator bill requiring licensing, inspection, and permitting for elevator installers, with an amendment exempting those elevators from annual inspections after the initial inspection.
Members then considered a mitigation program for retrofitting homes, with the sponsor saying the Department of Insurance and industry were close to a workable statewide program. The bill would be funded by increasing a fee paid by insurance companies, not policyholders, and would allow use of a third-party administrator capped at 5% of program funds. The committee also reported bills extending the state health plan repealer, extending the LOSAP volunteer firefighter program repealer, and creating a fraud detection trust fund at the Insurance Department to address AI- and cyber-related fraud. The fraud fund bill drew questions about whether it would raise premiums and how it would help investigators; supporters said the fund would support staffing and equipment and that the existing fund had been dormant.
Additional bills included a transparency measure for dental insurance spending, which would require reporting on the share of premiums spent on dental services beginning in 2027, and a bill expanding access to self-funded group health plans for members of legitimate professional and trade associations. The committee also heard a Mississippi Patient Protection Act aimed at strengthening willing-provider protections and limiting insurer discrimination against qualified providers; an amendment was proposed to clarify that vision benefit managers would not be treated as pharmacy benefit managers. Most measures were moved by title sufficient due pass and reported without opposition.
FL
Florida 2025 Regular Session
February 13, 2025 - 09:00 AM
Transcript Highlights:
- We still also are a Division I athletic program.
- As you go down, athletics—obviously, we all have athletic programs.
- As you go down, athletics, obviously, we all have athletic programs.
- We all do international programs in various forms.
- infrastructure necessary to run those programs.
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.
NM
New Mexico 2026 Regular Session
House - Rural Development, Land Grants And Cultural Affairs Feb 12th, 2026 at 08:58 am
House Rural Development, Land Grants And Cultural Affairs
Transcript Highlights:
- As part of our BED program, the federal fund, $382 million, we ran two bidding processes.
- As part of our BED program, the federal fund, $382 million, we ran two bidding processes.
- We also awarded funds to Acoma Pueblo and Jemez Pueblo as part of that program.
- So this would be a neutral program. Technology neutral is now our policy.
- This would be a different program supporting affordability on a technologically neutral basis.
TX
Transcript Highlights:
- The JET Grant Program provides funding for equipment used in career and technical education programs.
- maintenance of technology solutions necessary to support eligible career and technical education programs
- types of programs for these athletes.
- Senator West: I think your institutions are running those types of programs for these athletes.
- Witness: About these programs? Just very basic knowledge. The same. I mean, we do it.
Keywords:
election laws, attorney general, prosecution, criminal offenses, voting integrity, education, property values, school districts, comptroller, funding formula
Summary:
The Senate Committee on Education K-16 met to hear testimony on a full agenda of education-related bills. Several measures were laid out and left pending, including HB 322 to allow JET Grant funds to be used for subscription-based and ongoing technology costs for career and technical education; HB 3062 to require fentanyl and drug-poisoning prevention instruction for entering college students; HB 121 to update school safety laws, including TEA peace officer commissions, annual renewal of certain safety exceptions, new reporting requirements, and special education behavior threat assessment changes; HB 3627 to let the State Board of Education chair employ staff; HB 5515 to curb inflated shipping and handling charges on instructional materials; HB 2674 to prohibit new state regulation of homeschool programs; HB 2310 to require a statewide strategic plan for early learning and inclusion for young children with disabilities; HB 367 to standardize documentation for excused absences due to serious illness; HB 1178 to speed certification for out-of-state educators and military spouses; and HB 1481 to expand cell phone restrictions to the full school day.
Testimony was generally supportive on most bills, with some concerns raised on HB 121 about school district police departments investigating misconduct and on HB 2674 about how it would interact with the new ESA program in SB 2. HB 5515 drew support from instructional materials coordinators who described extreme shipping invoices and argued the bill would restore transparency and fiscal responsibility. HB 2310 was supported by disability advocates and early learning groups, who said a coordinated state plan would improve access and inclusion for children with disabilities. HB 367 was presented as a simple clarification to reduce confusion for medically vulnerable students and families, and HB 1178 was described by TEA as a modest pathway that would help bring experienced out-of-state teachers into Texas schools more quickly.
HB 126, updating Texas’ NIL law to align with the pending House settlement and allow direct payments and pre-enrollment NIL agreements, received extensive testimony from university counsel and committee questioning about the settlement, recruiting, and future college athletics rules. HB 1481, expanding school cell phone restrictions from instructional time to the entire school day, drew strong support from parents, students, educators, and advocates who linked phones to distraction, cyberbullying, and mental health harms; one teacher asked for flexibility so phones could still be used for limited academic tasks. No bills were voted out; each measure heard was left pending subject to the call of the chair, and the committee then recessed to attend the floor session.
ND
North Dakota 2025-2026 Regular Session
Senate Floor Session Apr 11th, 2025 at 12:30 pm
North Dakota Senate Floor Meeting
Transcript Highlights:
- Just curious, we know several of these grant programs.
- food grant program.
- There's also a new bill or a new program called a rural catalyst grant program.
- There's also a new bill or a new program called the Rural Catalyst grant program, and then there's a
- The first report is done by the PERS program, and then we got this other report for the PERS program
Summary:
The Senate opened with prayer, the Pledge of Allegiance, and a quorum call showing 46 members present. It then took up multiple House messages and amendments, appointing conference committees on several measures, including SB 2007, SCR 4007, SB 2374, SB 233, and House bills 1029, 1218, and 1022. The chamber also considered a series of House bills on the sixth and 14th orders, often adopting committee amendments before final passage or, in some cases, rejecting the bill outright.
Among the major policy items, the Senate passed HB 1524 on regional planning council grants, HB 1143 increasing a food bank appropriation to $10 million, HB 1126 modernizing cosmetology licensing and inspections, HB 1542 making student applications for admission exempt records, HB 1613 regulating law enforcement use of robots, HB 1582 directing a study on false reports and accusations, HB 1214 revising school transportation funding, HB 1448 creating a study on advanced technologies, HB 1280 on drainage project voting rules, HB 1499 protecting records related to federal judges, and several Senate bills returned from the House, including SB 2221, SB 2117, SB 2198, SB 2120, and SB 2214. The Senate also adopted amendments to HB 1541 on septic systems before rejecting it on final passage.
Several high-profile bills failed after debate. HB 1566, dealing with kratom regulation, saw an amendment to convert it to a study fail on a 21-25 vote, after which the chamber laid the bill over for one legislative day rather than take final action. HB 1283, which would have eliminated cost-sharing for diagnostic and supplemental breast exams in the state employee plan, was defeated 22-24 after extensive debate over cost, precedent, and insurance impacts. HB 1527, requiring Holocaust education in statute, also failed 22-24, with supporters emphasizing the importance of the subject and opponents arguing curriculum belongs in standards rather than statute. The Senate adjourned after announcements, scheduling its next meeting for Monday, April 14, 2025.
MN
Minnesota 2025 1st Special Session
Expanded college grant program, HF2090, considered in higher education committee 3/18/25
Transcript Highlights:
- There's also a requirement to report back the progress of the program recipients.
- It is a big hole in the State Grant program, so this is making that hole much, much bigger.
- It's a big hole in the State Grant program, so this is making that hole much, much bigger.
- It is a big hole in the State Grant program, so this is making that hole much, much bigger.
- expand the Northstar promise program expand the Northstar promise program rather rather rather than