Video & Transcript : 'JROTC programs' :

Page 235 of 500
CA

California 2025-2026 Regular Session

Senate Rules Committee Apr 22nd, 2026

Rules

Transcript Highlights:
  • So, you know, things like programs, transitional housing, you know, what types of rehabilitative programs
  • There are programs. community-based partners, community-based organizations, there are programs, even
  • The 122 different programs at this resource fair.
  • So we have robust rehabilitative programs in the state.
  • As well as for a lot of these programs, we get a weekly report that shows the utilization of these programs
Summary: The Senate Rules Committee met with quorum and first considered several governor’s appointments not required to appear. The committee voted to advance Olivia May Assuncion to the Commission on Disability Access, William Adams to the California Exposition and State Fair Board of Directors, and two California Law Revision Commission appointments: Anacubas and David Hubner, with the latter two receiving split votes but still moving forward. The committee also approved the reference of bills to committees and later, by unanimous add-on votes, approved floor acknowledgments and the remaining appointments on the agenda. The main hearing was on Brian Bishop’s appointment as Director of the Division of Adult Parole Operations at CDCR. Bishop described his law enforcement and Marine Corps background and said his focus would be balancing public safety, accountability, rehabilitation, and staff well-being. Senators asked about risk assessment for higher-risk parolees, GPS monitoring, coordination with local law enforcement, victim protections, out-of-county placement, supervision of unhoused parolees, and oversight of private reentry/housing contractors. Bishop said DAPO uses data-driven supervision, risk tools, compliance sweeps with local agencies, exclusion zones for victims, and contract monitoring through invoices, site visits, and utilization reviews. Public testimony supported Bishop’s confirmation, including from reentry providers and advocacy groups. The committee then voted 5-0 to advance his appointment to the full Senate for confirmation. The committee also heard from Sarah Larson, appointed Director of the Division of Facilities Management and Construction at CDCR. Larson discussed aligning the prison footprint with a declining population, addressing aging infrastructure and heat issues through cooling pilots, and using projects like the San Quentin Rehabilitation Center as a model for safer, more healing facilities. Senators asked about prison closures, cold shutdown status, disaster planning, water and utility issues, and how to manage closed or deactivated facilities. Larson said closed facilities are maintained minimally, reactivation would be costly, and the department is exploring more holistic infrastructure planning. Public witnesses from criminal justice and reentry organizations strongly supported her, and the committee voted 5-0 to advance her appointment to the full Senate.
CA

California 2025-2026 Regular Session

Senate Rules Committee Apr 22nd, 2026

Rules

Transcript Highlights:
  • So, you know, things like programs, transitional housing, you know, what types of rehabilitative programs
  • There are programs.
  • The 122 different programs at this resource fair.
  • As well as for a lot of these programs, we get a weekly report that shows the utilization of these programs
  • one of these programs under 70%.
Keywords: 987, senate, all
OK

Oklahoma 2026 Regular Session

Agriculture and Wildlife Feb 23rd, 2026 at 10:00 am

Agriculture and Wildlife

Transcript Highlights:
  • They can't join these programs. Thank you, Mr. Chairman.
  • Taking money from other programs to subsidize this program, this milk program in the state.
  • So, our dairy program is The regulatory authority that we have to operate our program in the state is
  • Are you not subsidizing this program through poultry?
  • And we use funds out of that program to help subsidize the dairy program. Yes, sir.
FL

Florida 2025 Regular Session

November 5, 2025 - 10:30 AM

Transcript Highlights:
  • The Health Professions and Program Subcommittee will come to order, and Nola, please call the roll.
  • Council, provide us a briefing on the Florida Rare Disease Council, Pediatric Rare Disease Grant Program
  • , and the Sunshine Genetics Act Pilot Program.
  • , and finally, the Sunshine Genetics newborn whole genome sequencing pilot program.
  • That group is charged with executing the pilot program and fostering collaboration.
Summary: The Health Professions and Program Subcommittee met with a quorum present and received a briefing from Melissa Jordan, Assistant Deputy Secretary for Health and chair of the Florida Rare Disease Advisory Council (ARDAC). Jordan explained that rare diseases affect fewer than 200,000 people each individually, but together impact an estimated 2.3 million Floridians. She reviewed ARDAC’s structure, its three subcommittees, and its 2025 legislative report recommendations, which focused on expanding Florida-specific data, disaster preparedness, state agency coordination, insurance oversight, provider education, faster diagnostic tools, research collaboration, and establishing centers of excellence. She also highlighted ARDAC’s work with other states and its effort to build an online repository of resources for families and providers. Jordan discussed the Andrew John Anderson Pediatric Rare Disease Grant Program, funded at $500,000 annually, which supported research awards at Florida State University and the University of Miami in 2024 and another University of Miami project in 2025. She also described House Bill 907 and the Sunshine Genetics Act pilot program, which created the Florida Institute for Pediatric Rare Diseases at FSU and a newborn whole-genome sequencing pilot to screen volunteer infants for hundreds of conditions beyond traditional newborn screening. The institute will include research, training, clinical care, a diagnostic lab, genome editing capacity, and a sequencing pilot overseen by a board, consortium, and steering committee. Members asked about interstate collaboration, the scope of data collection beyond Medicaid, how the council reduces family financial burdens, how families and providers can learn about available resources, and how ARDAC measures effectiveness. Jordan said Florida has learned from other states’ survey-based approaches and instead is using administrative data sources such as Medicaid, hospitalizations, emergency department visits, birth and death certificates, with more clinical data to be added over time. She said success is tracked through annual reports, ongoing work plans, and quarterly research reports that measure progress, patient enrollment, treatment outcomes, and potential follow-on funding. The meeting concluded after the presentation and questions, and the subcommittee adjourned without further business.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Economic Development and Emerging Technologies Jun 21st, 2026 at 11:00 am

Joint Committee on Economic Development and Emerging Technologies

Transcript Highlights:
  • We have a robust program with the Boston Public Schools, including our dual enrollment program, which
  • The business school offers free programs to high school students.
  • It's fascinating the different program breadth that you all support.
  • But we support that training program.
  • It's an eight-week training program, an intensive hands-on program on how you will become a biomanufacturing
Keywords: 995, all
Summary: The committee held an informational hearing on the economic impact of Massachusetts higher education institutions, with opening remarks noting the significance of September 11 and the role colleges and universities play in the state’s economy, workforce, and research ecosystem. UMass leaders testified first, describing UMass as a major employer and economic driver that educates large numbers of Massachusetts residents, supports thousands of jobs, and generates billions in annual economic activity. They emphasized the importance of research funding, warned that federal grant cancellations, suspensions, and slowdowns were harming research operations and talent retention, and voiced strong support for Governor Healey’s proposed DRIVE initiative as bridge funding to protect research capacity and jobs. Committee members focused heavily on workforce preparation in emerging fields such as AI, cyber, quantum computing, and engineering. UMass leaders said AI is being embedded across curricula and research, but also warned that financial constraints forced reductions in PhD admissions, especially in computer science and engineering, which could weaken the future workforce pipeline. They also described the practical effects of grant uncertainty, including reduced graduate admissions and concerns about losing researchers to institutions abroad. Members asked for more detailed data on grant timing, funding gaps, and where students and researchers were going. A second panel from private colleges and universities, including AICUM, Suffolk, Smith, and Clark, highlighted the broad economic and civic contributions of private higher education. Testimony cited large annual economic impacts, job creation, tax revenue, community service, legal clinics, dual enrollment, entrepreneurship support, sustainability investments, and access programs. Speakers also discussed enrollment pressures, COVID-related social and mental health challenges, student visa and federal policy concerns, and the need to preserve liberal arts alongside career-focused training. The committee then heard from MIT, where testimony focused on research commercialization, biotech spinouts, and the role of federal, philanthropic, and industry funding in sustaining innovation; members pressed for more data on funding sources and asked what state policy could do to keep talent and businesses in Massachusetts. The hearing continued with additional public higher education testimony, including Bridgewater State, Bristol Community College, and Northeastern, which emphasized workforce-aligned programs, social mobility, apprenticeships, co-op education, and the need for better coordination between higher education, employers, and state workforce systems.
CA
Transcript Highlights:
  • But we have a great program in San Diego State. It’s a unique program. It’s a life skills program.
  • But we have a great program in San Diego State. It's a unique program. It's a life skills program.
  • So, really great program.
  • And like I said, it's a really great program.
  • That program affects campus relationships, right?
Summary: The committee held an informational hearing on name, image, and likeness (NIL) and financial literacy for student athletes, with members framing California as a national leader on NIL but emphasizing the need for stronger protections and more consistent education. The chair and witnesses discussed how NIL opportunities now include both third-party endorsement deals and school revenue-sharing arrangements, and how the current landscape varies widely by institution, leaving athletes with a patchwork of rules and support. Several witnesses argued that student athletes, especially younger ones and those from low-income or first-generation backgrounds, are vulnerable to predatory contracts, tax problems, and pressure from family, agents, or lenders. The first panel featured Tyree Dillingham and Brandon Copeland, who called for standardized financial literacy, better guardrails against predatory NIL advances, and a player-led association or similar collective voice for athletes. They described examples of athletes not understanding paychecks, taxes, or contract terms, and warned that some schools and collectives blur the line between education and marketing. Copeland also argued that college athletics now functions like a professional business and that athletes need representation and a standard contract structure to protect them. The second panel focused on lived experience, including testimony from attorney Anthony Coronae and student athlete Mikey Williams. Coronae described reviewing a contract that he said functioned like a predatory loan disguised as marketing support, with the company taking exclusive rights to Williams’ NIL and requiring repayment far beyond the advance. Williams testified that he signed without a lawyer, later lost endorsements, scholarship, and housing stability, and only later learned the contract’s consequences. He said a required financial literacy course at Sacramento State helped him begin to understand budgeting, taxes, and contracts, and he urged the legislature to require legal review or stronger safeguards for athletes. The third panel, from San Diego State University, highlighted a more structured institutional model. Athletic director Brendan Hill described a mandatory four-year life-skills program that includes financial literacy, resume workshops, internships, and branding education, while student athlete Sloan Benchoff said the program helped her manage money and prepare for post-college life. Witnesses agreed that support is uneven across schools, that some agents and lenders are exploiting athletes, and that California should consider standardized financial education and agent regulation while also being careful not to create rules that unintentionally restrict athlete rights. No formal vote or bill action was taken at the hearing.
MN
Transcript Highlights:
  • Um, programs that are state funded only.
  • Feeding our which is a food program.
  • ,</c><00:08:01.280><c> we're</c> says, "Yeah, these 14 programs, we're says, "Yeah, these 14 programs
  • </c> from the dozens of programs that exist. from the dozens of programs that exist.
  • They with they created these programs.
Keywords: 1187, senate, all
HI

Hawaii 2026 Regular Session

Room 224 Conference AM - 04-29-2026

Hawaii Senate Floor Meeting

Transcript Highlights:
  • First item on the agenda is HB 2270 HD1 SD1, relating to the down payment loan assistance program.
  • of DERF for pilot programs subject to an annual cap.
  • Okay, our next bill is Senate Bill 2552, relating to the individual housing down program.
  • So, the bill is just clarifying the 99-year leasehold program under ATDA.
  • a program.
OK

Oklahoma 2026 Regular Session

Rules REVISED Apr 20th, 2026 at 09:00 am

Rules

Transcript Highlights:
  • Are there work requirements associated with eligibility for this program? Thank you.
  • Is it a thirty-day window similar to Our other entitlement programs.
  • So if a parent is not working at all, are they still eligible to apply for this program?
  • This is just a small program.
  • And so I think this is a program that is here to stay.
MO

Missouri 2026 Regular Session

Health and Mental Health Apr 16th, 2026 at 08:00 am

Health and Mental Health

Transcript Highlights:
  • So thank you for letting me talk about the STARS program.
  • , and those are the only payees into the program.
  • is an EMS program, not a hospital program.
  • Her bill does not ask for an expansion of the STARS program.
  • For adult daycare programs, we don't know if our customers are a participant in the adult daycare program
Keywords: 959, house, all
CA

California 2025-2026 Regular Session

Senate Labor, Public Employment and Retirement Committee Apr 15th, 2026

Labor, Public Employment and Retirement

Transcript Highlights:
  • The program was established in 1982.
  • The panel has served as California's premier workforce training program.
  • SB 1059 will strengthen ETP and position the program for the future.
  • sure that the program runs right, efficiently, and progressively.
  • sure that the program runs right, efficiently, and progressively.
Summary: The committee heard several labor and workforce bills. SB 1059 would modernize the Employment Training Panel by allowing electronic record-keeping, digital attendance documentation, and updated training terminology; supporters said it would reduce paperwork and better match current training systems, while no opposition appeared. SB 966 would codify refinery process safety protections adopted in 2017 after the 2012 Chevron Richmond fire, including worker participation in safety proceedings, anonymous hazard reporting, access to safety information, and stop-work authority; labor supported it, while the Western States Petroleum Association opposed it as conflicting with a 2024 settlement and potentially preempted by federal labor law. SB 1024 would provide 26 weeks of paid postpartum and recovery leave for firefighters who give birth, with job restoration and no requirement to use sick or vacation time first; firefighters and labor groups strongly supported it, and the committee discussed staffing and operational coverage concerns, but no opposition testified. The committee also heard SB 1316, which would strengthen wage theft enforcement by allowing Labor Commissioner liens to be renewed, limiting employers’ late use of records, and requiring Cal/OSHA to report complaints and citations data annually. Supporters said the bill would help workers actually collect wages after long delays and prevent employers from hiding records; it passed the committee on a 5-0 vote. SB 1185 would apply skilled and trained workforce requirements to pharmaceutical facility construction and maintenance, with supporters arguing these facilities require high precision to protect public health and supply chains; construction industry opponents said the bill was an unnecessary expansion of state mandates into private projects. SB 1227 would create apprenticeship pathways into DIR enforcement jobs, including Cal/OSHA and Labor Commissioner roles, to address staffing shortages and improve labor law enforcement; supporters emphasized vacancies and backlogs, and the bill was framed as a way to build a merit-based pipeline into state service. After hearing testimony, the committee took final votes on all six bills once the full membership returned. SB 966, SB 1024, SB 1059, SB 1185, and SB 1227 were all reported out of committee, and SB 1316 was also passed and sent to the Senate Judiciary Committee. The recorded final votes were unanimous or near-unanimous in favor, with the bills advancing on 4-1 or 5-0 votes depending on the measure.
MN

Minnesota 2025-2026 Regular Session

House Republican Press Conference 3/10/26

Transcript Highlights:
  • It opens Minnesota into a federal tax credit program that would ensure Minnesota dollars can be used
  • It does not create a credit program. That program has already been created by federal law.
  • It does not create a credit program. That program has already been created by federal law.
  • It does not create a credit program. That program has already been created by federal law.
  • </c><00:03:45.000><c> to</c> to send their money, use this program to to send their money, use this program
Keywords: 1183, house
Summary: House Republican leaders and Speaker Melissa Hortman held a press event promoting House File 3490, which would opt Minnesota into a federal education tax credit program. They argued the bill has no state cost and would keep donations made by Minnesotans benefiting Minnesota students and schools rather than out-of-state scholarship organizations. Supporters said the funds could help with tutoring, extracurriculars, school supplies, special education-related services, learning loss, and other school needs, and they repeatedly urged Governor Tim Walz to opt in or publicly explain why he would not. Rep. Andrew Myers, the bill’s chief author, said the proposal is personal to him as a parent and legislator and described recent school budget pressures, including staff and resource cuts and larger class sizes. Rep. Ben Bakeberg, a middle school principal, said the bill could generate significant funding if many taxpayers participate and argued it could help offset school district shortfalls and the Blue Ribbon Commission. Rep. Griesbach also backed the bill, calling it a “no-brainer” and saying he would not work with the governor on other budget items unless the governor opted in. In response to questions, supporters said scholarship-granting organizations could be created by a variety of entities, including education foundations, and could support both private-school tuition and public-school-related costs such as extracurricular fees, field trips, and transportation for summer learning. They rejected the idea that the bill pits public and nonpublic schools against each other, saying it is meant to expand educational opportunity for all students. No vote or formal committee action was taken during the event; it ended with questions from reporters on the bill and other Republican priorities such as rental assistance, gas taxes, and energy costs.
NM

New Mexico 2026 Regular Session

House - Appropriations and Finance Jan 13th, 2026 at 01:31 pm

House Appropriations & Finance

Transcript Highlights:
  • This is an extremely successful program.
  • So we're very close on that program.
  • This program we.
  • money from that program to their livestock inspection program.
  • Do you have a program like that?
Keywords: 996, all
NH

New Hampshire 2025 Regular Session

House Finance Division II (03/24/2025)

Transcript Highlights:
  • </c> So on page number 11 is the programs So on page number 11 is the programs that<00:37:32.160><c>
  • This is a pilot program.
  • This is a pilot program.
  • Um well, so the state the program.
  • We cannot support expanding the program at this time. It is not a popular program to expand.
Keywords: 928, house, all
Summary: The committee met with Lottery Director Charlie McIntyre and Charitable Gaming Chief Compliance Officer Kulie Aoyo to review proposed changes in HB 2 and related amendments affecting video lottery terminals, historic horse racing, charitable gaming, and scratch tickets. McIntyre said the late-arriving amendment made revenue estimates difficult, especially because the bill would allow operators to decide when to convert from HHR to VLTs and would change the floor-space rules. He explained that the existing 70/30 floor-space split between machines and table games was negotiated to protect charity revenue, and warned that moving to a 90/10 split could reduce charity revenue, potentially by as much as $17 million, while also changing the character of the facilities. Committee members discussed whether to keep the 70/30 split, and McIntyre said he could provide updated estimates later that day, including net impacts after any offsetting gains or losses under current law. Members also asked about the governor’s proposed operator share versus the Sweeney amendment’s higher operator share. McIntyre said the governor’s 45% figure was based on his own estimate and on comparable rates in other states, and he supported it as a way to maximize revenue for the state and charities. He also described a change to high-stakes tournaments: after speaking with Rep. Sweeney, he said the amendment was clarified to apply only to those tournaments and would lower the house take from 10% to 5% to encourage participation in rare, high-buy-in events. The committee also discussed a separate proposal to raise the maximum scratch ticket price from $30 to $50; McIntyre said the change would take time to implement, would likely increase net state revenue by about $1 million in year two, and was consistent with pricing in neighboring states such as Massachusetts and Connecticut. Additional questions covered sports betting and a separate Kino-related estimate. McIntyre said March Madness is the busiest period for sports betting and that the state’s sports betting revenue has exceeded initial expectations. He also said he had estimated that removing a municipal-vote restriction for Kino could cost about $12 million total, with $2 million in the first year and $10 million thereafter. No formal votes were taken during the discussion; the chair indicated the committee would revisit the VLT amendment and other sections later, and McIntyre agreed to send updated revenue estimates to committee members.
TX
Transcript Highlights:
  • Increase funding in B-1 and B-1-3 programs for the 26-27 biennium.
  • Moving to the trustee programs, one of my favorites is the music incubator program.
  • The next one is the Texas Moving Image Industry Incentive Program.
  • So that happened early in the program.
  • our child care programs.
Bills: SB 1
Summary: The committee began with Article I budget items for the Secretary of State. LBB staff outlined recommendations that would reduce the agency’s appropriation by about $40.3 million, including changes to HAVA funding, removal of one-time business system replacement money, and a rider directing the agency to use Fund 5095 first. Secretary Jane Nelson and staff then defended several exceptional items, especially additional staffing for elections and business filings, a new website, digitization of records, cybersecurity tools, and renovation of the James Earl Rudder Building. Members focused heavily on election administration, cross-checking voter rolls, Harris County complaints, call-center response times, and whether online voter registration should be expanded. No votes were taken; the discussion was informational and budget-focused. The committee then heard the Office of the Governor and trustee programs. LBB presented a recommended $2.4 million decrease for the governor’s office proper and a much larger decrease in trustee programs driven by one-time funding and unexpended balances, while still preserving major border security funding and victim assistance funding. Governor’s staff emphasized Texas’ economic growth, the importance of border security, and efforts to seek federal reimbursement for the roughly $11 billion Texas has spent on border operations. Members discussed whether shifting National Guard deployment to federal control could reduce state costs, and they also reviewed the music incubator program, the Governor’s University Research Initiative, and the semiconductor innovation consortium. Staff highlighted a $5 million late-added request for grants to protect nonprofits from violence and terrorism. Again, the exchange was largely explanatory, with no formal action. Finally, the committee took up the Texas Facilities Commission and lease payments for revenue bonds. LBB recommended major reductions overall, including removal of border wall construction funding and capital complex bond funding, but added money for higher utility costs, renovation of the Rudder Building, and additional facilities staff. George Purcell also noted stable maintenance-and-renewal funding and new riders related to the Texas State Library and Archives Commission building, tenant communications, and space utilization. For lease payments, LBB recommended a smaller appropriation tied to revenue-bond costs allocated across agencies. The discussion was informational, with members asking about the Rudder Building renovation, border wall progress, and capital complex construction timelines; no votes were recorded.
VT

Vermont 2025-2026 Regular Session

Senate Session - 2026-02-13 - 11:30AM

Vermont Senate Floor Meeting

Transcript Highlights:
  • called the Read Vermont program.
  • called the Read Vermont program.
  • </c><00:28:25.440><c> We</c> called the Read Vermont program. We called the Read Vermont program.
  • </c> for the bridges to health program. for the bridges to health program.
  • </c> program. We just released the the RFP. program. We just released the the RFP.
Keywords: 927, senate, all
AZ

Arizona 2026 Regular Session

01/22/2026 - Joint Legislative Audit Committee

Joint Legislative Audit Committee

Transcript Highlights:
  • systems program.
  • the school safety pilot program and the rural county interoperability communication systems program.
  • So now we're talking about $26 million for this program, where... ...for this program where ADE got $82
  • of the program that was bid on.
  • It's a pilot program.'
Summary: The committee began with opening remarks about moving to a monthly, two-hour schedule for more timely and focused oversight of Auditor General findings. Members also recognized Melanie Chesney for 32 years of service to the Office of the Auditor General, with several speakers praising her work and her role in strengthening the relationship between the Auditor General’s office and J-LAC. The main agenda item was the Auditor General’s December 2025 special audit on the school safety interoperability fund and interoperable communication systems. Staff reported that about $26 million had been allocated to 14 law enforcement agencies for systems intended to improve real-time communication between schools and first responders. The audit found that all 14 agencies used the money for interoperable systems, but four agencies allowed private or tribal schools to participate contrary to statute, and several agencies failed to submit required annual expenditure reports. It also found that none of the three systems reviewed met every statutory requirement as written, in part because some requirements were vague or interpreted differently by vendors and agencies. The audit recommended that agencies recover and report any improper benefit to non-public schools, avoid using fund money for ongoing costs tied to non-public school participation, submit missing reports, and improve cost planning and contract monitoring; it also recommended that the legislature clarify eligibility for private and tribal schools and revisit unclear system requirements. The audit further found procurement and contracting problems at nine of 14 agencies, including weak or missing sole-source justifications, contracts that lacked accountability and termination provisions, and poor documentation of pricing and deliverables. Several agencies had not planned for ongoing annual costs, which the audit estimated could range from about $16,000 to $382,000 per rural county depending on the system. In the discussion, members expressed frustration with sole-source contracting and lack of documentation, and some said they would oppose future vendor bills without competitive bidding and stronger payment controls. The auditor also described mixed system performance: some agencies reported useful features such as panic alerts, camera access, and map sharing, but other systems were not fully functional or had never been implemented. The committee then heard from the Arizona Sheriffs’ Association, whose president said sheriffs support the goal of improving school safety, described county implementation challenges, and defended the use of local staff to manage the projects, while acknowledging that smaller counties face staffing and connectivity limits.
TX

Texas 89th Regular

Delivery of Government Efficiency Mar 19th, 2025

Delivery of Government Efficiency

Transcript Highlights:
  • And so program after program, whether it's STEM program. programs in high school or computer programs
  • , women infants and children program, which is the WIC program, behavioral health. early childhood intervention
  • So Medicaid is a joint federal and state health care program and long term services and support program
  • , so they can get services from both programs.
  • The, the program.
MN

Minnesota 2025-2026 Regular Session

Senate Floor Session - 05/01/25

Minnesota Senate Floor Meeting

Transcript Highlights:
  • </c> Stewart has a resilient pavement program Stewart has a resilient pavement program initiative<00:
  • It's a very small amount of program.
  • </c> interactions with kids and with programs interactions with kids and with programs wherein<02:43:
  • President. have a very solid program. It's have a very solid program.
  • existing LTPP program or the pavement investment program.
Keywords: 1187, senate, all
AR

Arkansas 2026 1st Special Session

ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE Mar 18th, 2026

ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Transcript Highlights:
  • So they redesigned the whole program.
  • So they redesigned the whole program.
  • So the redesign of the program was to get rid of some of those incentives and to restructure the program
  • So the redesign of the program was to get rid of some of those incentives and to restructure the program
  • So they've restructured the program that they have, since...
Summary: The committee received an update from Grant Wallace on the state employee Medicare Advantage group plan and the ongoing rebid with UnitedHealthcare. Wallace said the agency is exploring “decoupling” the medical and pharmacy portions of the plan, and that preliminary estimates suggested potential savings of about $100 to $200 per participant per month. He said the final CMS rate-setting process would conclude in April, with a revised contract amendment likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. He also clarified that the plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. Representatives from Segal Consulting then gave a broader presentation on Medicare Advantage and Part D market trends, reviewing Arkansas’s prior decision to adopt a Medicare Advantage prescription drug plan and the savings generated since the 2023 RFP. They explained that the Inflation Reduction Act significantly changed Part D financing by shifting more federal support into a direct subsidy tied to risk scores, which makes accurate risk adjustment more important and creates a larger difference between Medicare Advantage prescription drug plans and standalone Part D plans. They said this has led to a growing divergence in funding, especially for standalone Part D, and is the main reason decoupling medical and pharmacy coverage is being considered. Committee members asked about how the risk-score changes affect costs and members. Segal said the new structure has reduced member out-of-pocket costs, with the annual cap now at $2,000 and many members reaching it after roughly $600 to $800 in spending, but that the plan absorbs more of the cost. They also said the market appears to be adjusting through annual bids, and that a decoupled structure could allow the state to capture more favorable funding on the Part D side. No votes were taken, and the committee adjourned after being told to expect further information once the April rate notice and renewal proposal are available.