Video & Transcript Research : 'Texas Utilities Code'
Page 243 of 500
CA
California 2025-2026 Regular Session
Senate Local Government Committee Jun 17th, 2026
Local Government
Transcript Highlights:
- This is something that other states are utilizing to great success, and we think it's a smart bill.
- It creates, within the health code, language that's already there within temporary events.
- Yeah, currently there are several counties and the cities utilizing this remote. ...and the city is utilizing
- AB 2568 is a common-sense modernization of the water code, supported by the Association of California
- As mentioned, AB 2568 is a simple but important modernization of the water code.
ND
North Dakota 2025-2026 Regular Session
Government Finance Committee Mar 19th, 2026
Transcript Highlights:
- , and you can see the two pieces of code listed there.
- Ask away. ...dictated by North Dakota Century Code.
- , and you can see the two pieces of code listed there.
- , and you can see the two pieces of code listed there.
- The rental rates are also established according to Century Code.
Summary:
The Government Finance Committee met with new leadership, approved the December 11 minutes, and received a series of informational updates on the state’s finances and related policy issues. The Office of Management and Budget reported the general fund is tracking very close to forecast, with revenues about $2 million above forecast and an estimated ending balance of about $397 million, higher than previously expected. OMB also reviewed balances in major funds, including the budget stabilization fund, legacy fund, foundation aid stabilization fund, social services fund, and strategic investment and improvements fund, and answered questions about oil tax revenues and fund management.
The Tax Department provided updates on taxable sales and purchases by county and industry, noting Cass County as the largest county by taxable sales and that retail trade remains the largest industry sector. Tax Commissioner Brian Kroshus also discussed the federal One Big Beautiful Bill Act and its estimated effects on North Dakota income tax collections, explaining that the projected revenue impacts are measured against a 2025 baseline and that some provisions are temporary while others are permanent. He also reported that primary residence tax credit applications were running ahead of last year, with more than 154,000 received so far and an expectation of roughly 160,000-plus applications.
The committee also heard fee-study presentations from the Department of Transportation and the Information Technology Department. DOT explained that driver’s license fees cover only about half of program costs and that the shortfall is subsidized by the highway fund, while also noting recent changes such as the blackout plate and motor vehicle excise tax distribution changes. NDIT described its internal service fund model, current billing structure, and possible future changes to simplify invoices and billing frequency. Legislative staff also updated the committee on office space needs in Bismarck-Mandan and on legislative branch space planning, and subcommittees reported progress on fixed-route transit funding and regional jail capacity, including a visit to the Burleigh-Morton detention facility and discussion of future prison bed needs. No formal votes or legislative actions beyond approving the minutes were taken, and the committee adjourned with its next meeting set for June 25.
MN
Transcript Highlights:
- expenditures that are being utilized expenditures that are being utilized throughout<00:06:39.120
- related to heating fuels and utility related to heating fuels and utility services.<00:17:33.840
- Um I just think through the tax code.
- <00:58:57.839>
of the implementation and utilization of the implementation and utilization - <01:09:59.360>
of programs incentivize the utilization of programs incentivize the utilization
FL
Transcript Highlights:
- And then Code Plus construction.
- The Florida Building Code has also Yes, ma'am.
- That’s a part of the Florida Building Code now.
- That’s a part of the Florida Building Code now.
- And every home is built to local building codes.
Summary:
The Committee on Community Affairs met with a quorum present and heard two hurricane-recovery presentations focused on Florida’s response and long-term recovery efforts. Kevin Guthrie, Executive Director of the Florida Division of Emergency Management, reviewed response and recovery operations for Hurricanes Debby, Helene, and Milton, including meals, water, sheltering, search and rescue deployments, power restoration, debris removal, flood-control efforts, and generator distribution. He also described ongoing public assistance and mitigation funding, the state’s FROC system for standardizing and speeding reimbursement documentation, and the Elevate Florida residential mitigation program, which will use about $400 million to elevate or reconstruct eligible flood-insurance properties and may expand to county-run programs. Senators asked about manufactured homes, school shelter hardening, mobile home tie-downs, reimbursement for USAR teams, debris hauling, regional sheltering, and FEMA review delays; Guthrie said the state is trying to move recovery faster and more proactively, while acknowledging some limits and federal bottlenecks.
The committee then heard from Justin Domer, Deputy Secretary of Community Development at Florida Commerce, on HUD Community Development Block Grant Disaster Recovery programs. He explained that Commerce administers long-term recovery funds through its Office of Long-Term Resiliency for housing, infrastructure, and economic development, with funds used as a last resort after FEMA and insurance. Domer outlined the process for the most recent $925 million allocation covering multiple disasters, including Idalia, Debby, Helene, Milton, Broward flooding, and North Florida tornadoes, and said the state currently manages about $3.4 billion in DR funds, rising to over $4 billion with the new allocation. He highlighted completed and ongoing housing programs for Hurricane Irma, Michael, and Ian, plus workforce recovery programs and subrecipient infrastructure grants. Senators asked about Broward and Fort Lauderdale funding, homeowner turnaround times, and mobile home eligibility; Domer said Broward and Fort Lauderdale will have separate HUD-directed programs, and the committee adjourned after the presentations and questions.
MA
Massachusetts 2025-2026 Regular Session
Senate Committee on the Census Jun 21st, 2026 at 10:30 am
Senate Committee on the Census
Transcript Highlights:
- It will not receive a form, it won't get a postcard and the scan code, and so it may not get counted.
- And what this gives us is the residential... ...residential use code or the residential status.
- So we can have a whole conversation separately about life safety codes and building codes.
- And in the green dash box, you see the abbreviated code RES, which stands for residential.
- Even our own utilities and National Grid, various other utilities, they have often, right recently we've
Summary:
The Senate Committee on the Census held a hearing on September 22, 2025 focused on preparations for the 2030 census, with an emphasis on Massachusetts’ role in building a complete address list and improving local participation in census-related address review programs. Chair Brownsberger and witnesses from the Secretary of the Commonwealth’s office, the UMass Donahue Institute, Watertown, and MassGIS described the importance of accurate address data for congressional apportionment, federal funding, and state and local planning. They also discussed the first major upcoming step, the Block Boundary Suggestion Project, and the later Local Update of Census Addresses (LUCA) process, both of which rely on municipalities reviewing and correcting census geography and address files.
John Rosenberry of the Secretary of the Commonwealth’s office said outreach to cities and towns is beginning now, with a likely December start for the block boundary process based on the 2020 cycle. He stressed that local officials, clerks, building inspectors, housing authorities, and GIS staff should be engaged early, especially to capture new development and conversions created under the state’s housing policies. Susan Strait of UMass Donahue explained that LUCA allows local governments to compare their address lists with the Census Bureau’s master address file, and that Massachusetts had very high participation in 2020; she cited examples where local review added hidden or newly built housing units and noted that Boston later corrected a group-quarters undercount of about 6,000 students through a post-census review program. In response to questions, she clarified that those corrections affected annual estimates and funding formulas, but not the 2020 apportionment count.
Watertown City Manager George Proakis described how local address review is complicated by accessory dwelling units, single-family to two-family conversions, and large multifamily projects, and urged continued state support for local governments doing this work. Dan Marrier of MassGIS then outlined the Massachusetts Master Address Database, explaining that it combines multiple sources, including E911, assessor, voter, and municipal data, to create a standardized residential address repository used for census preparation and other state functions. He said the database has helped improve census accuracy, including by updating more than one million Census Bureau address-point locations before 2020, and noted that local municipalities remain the final authority on addresses even as MassGIS standardizes and reconciles variants across the Commonwealth.
NY
New York 2025-2026 Regular Session
New York State Senate Session - 04/28/2026
New York Senate Floor Meeting
Transcript Highlights:
- . >> Senator Krueger moves to discharge from the Committee on Codes and substitute the identical Senate
- >> SENATOR KRUEGER MOVES TO DISCHARGE FROM THE COMMITTEE ON CODES AND SUBSTITUTE THE IDENTICAL
- And again, I’ll tell you, it is not South Carolina or Florida or Texas."
Summary:
The Senate convened, approved the prior journal, and adopted a resolution calendar with several exceptions before taking up a series of ceremonial resolutions and bills. Members welcomed student visitors from the YWCA of White Plains’ Voices Unfiltered Policy Program, then adopted resolutions honoring Senegalese independence and the Senegalese community, MWBE Advocacy Day, John Coltrane’s 100th birthday, the Sing Sing Prison Museum, I Love My Park Day, Animal Advocacy Day, Neuromyelitis Optica Spectrum Disorder Awareness Month, and Denim Day. Speakers emphasized cultural recognition, public service, environmental stewardship, animal welfare, rare disease awareness, and support for survivors of sexual violence; each resolution was adopted.
The chamber then moved through the regular calendar, passing a number of bills on broad roll-call votes. Among the measures approved were bills amending the Penal Law, Executive Law, Public Housing Law, Retirement and Social Security Law, Social Services Law, Environmental Conservation Law, General Municipal Law, Railroad Law, Election Law, Labor Law, and Public Service Law. Several bills passed unanimously or nearly so, while a few drew notable opposition, including a public health measure that passed 39-19 and the labor-related bill on ghost job postings that passed 39-19 after extended debate.
The most detailed floor debate centered on the Labor Law bill addressing “ghost jobs,” requiring employers with 100 or more employees to disclose whether postings are for current vacancies, expected future openings, or general resume collection, with Department of Labor enforcement and civil penalties. Supporters argued it would protect job seekers from deceptive postings; opponents said it was unnecessary, burdensome, and could invite litigation or penalties disproportionate to the problem. The Senate also debated and passed a bill expanding election-language assistance under the John R. Lewis Voting Rights Act to Haitian Creole and Middle Eastern and North African communities, with supporters citing growing language-access needs and opponents raising concerns about scope and local costs. The Senate then adjourned until the next day.
NM
New Mexico 2025 Regular Session
Legislative Finance Sub Committee Sep 24th, 2025
Transcript Highlights:
- The Children's Code does specifically name some professionals, such as teachers and medical professionals
- I believe in code: if you go to a house and you knock on a door and no one answers, that would be considered
- Looking at some of the child welfare commissions and councils in other states on slide 20, Texas has
AZ
Arizona 2026 Regular Session
02/05/2026 - House Artificial Intelligence & Innovation
Artificial Intelligence & Innovation
Transcript Highlights:
- example, holding bad actors accountable for using AI tools and closing gaps in criminal and civil code
- And one is what I already referenced before: utilizing the existing procurement processes.
- and utilize the existing procurement processes wherever possible.
- Utilizing existing staff and resources versus creating whole new regulatory bodies.
- Bad actors accountable for utilizing AI to run afoul of the laws.
HI
Hawaii 2026 Regular Session
AGR Public Hearing - Wed Mar 18, 2026 @ 9:30 AM HST
Agriculture & Food Systems
Transcript Highlights:
- ><00:28:38.080>
continue <00:28:38.320>to <00:28:38.399>be <00:28:38.640>utilized - that should continue to be utilized that should continue to be utilized happy<00:28:39.760>
to - And from what I understand, this bill is modeled after Texas legislation, where they have found success
- ><00:59:49.680>
is <00:59:49.920>modeled <00:59:50.400>after <00:59:50.960>Texas - this bill is modeled after Texas this bill is modeled after Texas legislation<00:59:52.160>
where
Bills:
SB2885, SB2174, SB2925, SB2798, SB2320, SB2800, SB1230, SB2706, SB3233, SB2405, SB2350, SB2169, SB3320
Keywords:
coconut rhinoceros beetle, invasive species, biosecurity, green waste, environmental management, agriculture, quarantine, pest control, transport regulations, Hawaii Revised Statutes, coconut trees, tax credit, natural management, Hawaii, environment, agricultural enforcement, agricultural theft, farm theft, crop theft, commodity theft
Summary:
The committee heard testimony on SB 2885 SD1, which would create mandatory handling and storage rules for commercial and residential coconut rhinoceros beetle host material beginning in 2027, with penalties and an effective date. Support came from the Department of Agriculture and Biosecurity, DLNR, Maui County Department of Agriculture, the Hawaii Farm Bureau, Hawaii Farmers Union, and the Office of Hawaiian Affairs. Testifiers generally said the bill would help reduce CRB spread, though some urged additional science-backed methods, better coordination, and technical or cost-share support for smaller operations. Hawaiian Earth Recycling recommended amendments to align the bill with existing Department of Health/EPA composting rules, add other materials that can harbor CRB, allow future approved treatment methods, and replace the bill’s 60-day turning requirement with existing pathogen-reduction standards. One individual supported the goal but argued the state’s CRB strategy has lacked community and cultural consultation and should include a cultural advisement role. Department witnesses said enforcement would rely on inspection and an educate-before-regulate approach, and they noted the challenge of creating enough drop-off sites, especially in rural areas.
The committee then took up SB 2174 SD2, which would authorize the Department of Agriculture and Biosecurity to declare an emergency quarantine, halt operations in affected areas for 96 hours with possible extension, quarantine suspected pest areas, issue notices and compensation to affected farmers, and adopt interim transportation rules for materials that may harbor high-impact invasive species. The department and DLNR supported the measure, emphasizing the need for fast action in the first hours of an invasion. Hawaii Farmers Union supported the compensation provisions but asked for stronger communication with producers and a post-action report to the Board of Agriculture after about 90 days to evaluate effectiveness and economic impacts. In response to questions, department staff said the bill would be a short-term, department-only quarantine authority distinct from the governor-declared biosecurity emergency authority enacted previously, and that it could serve as an intermediate step. They also said outreach would need to be done through farm organizations such as Farmers Union, Farm Bureau, and Cattlemen’s groups.
The final measure discussed was SB 2925 SD1, relating to coconut trees. The bill would recognize coconut trees as a source of food and water and a cultural treasure, require rules for coconut tree seed banks, require signage identifying landscape palms where applicable, set labeling standards for non-consumable landscape palms, and create an income tax credit for consumable coconut trees maintained through natural management practices. The transcript ended before testimony or action on this bill was completed, and no vote was taken on any of the measures discussed in the portion provided.
AL
Transcript Highlights:
- What happened in Texas? I mean happen. What happened in Texas? I mean happen.
- What happened in Texas?
- . bill then that could also be utilized. bill then that could also be utilized.
- utilized, see where we are.
- Cuz see, some of it's being utilized. Cuz see, some of it's being utilized.
ND
North Dakota 2026 1st Special Session
Joint Policy Jan 21st, 2026 at 01:00 pm
Transcript Highlights:
- So when I read Century Code, I keep everything... Substitutions.
- So when I read Century Code, I keep everything under the section.
- Either that or I'm reading Century Code wrong.
- To me, if I was reading code, Century Code, it's already under Section 4 therapeutic substitution under
- But there is another section of code where a pharmacist may substitute.
Summary:
The committee first took up Senate Bill 2401, which would require physicians to complete continuing education on nutrition and metabolic health as part of the state’s rural health transformation effort. HHS supported the bill, saying it would help physicians better address chronic disease and preserve federal grant points tied to the state’s application. A member of the public also testified in favor, arguing that better nutrition education could improve diabetes outcomes and reduce costs. The committee then adopted an amendment to add the Board of Occupational Therapy Practice to the background-check statute so the occupational therapy compact could proceed, and it passed the bill as amended on a roll call vote.
The committee next heard House Bill 1621, which would require the Presidential Fitness Physical Fitness Test in elementary, middle, and high school physical education courses. HHS said the bill was part of the rural health transformation application and could help preserve federal funding, but members raised many questions about the test’s criteria, adaptive options for students with disabilities, equipment needs, and whether the bill should apply to non-public schools. Senator Clemens offered an amendment to limit the requirement to public schools, but it failed. Senator Hogan then offered an amendment to clarify exemptions and allow DPI to align implementation with federal guidance; that amendment passed. A further amendment adding language allowing DPI to establish criteria for and exceptions to the test also passed. The committee then approved the bill as amended on a roll call vote.
The committee also considered House Bill 1622, which joins North Dakota to the physician assistant licensure compact. HHS said the compact would improve access to care, especially in rural areas, support military families, and help preserve rural health transformation funding. Members noted the compact had been discussed in a prior session and that many earlier concerns had been resolved. After brief discussion about the compact process and its consistency with other interstate compacts, the committee voted to do pass the bill.
Finally, the committee began Senate Bill 2402, which expands pharmacists’ prescriptive authority and therapeutic substitution powers. HHS and the Board of Pharmacy supported the bill as a way to improve access to care and maintain rural health transformation funding. Senator Roers introduced a detailed amendment negotiated with the Board of Medicine and Board of Pharmacy to narrow and clarify the bill, including notification requirements, limits on certain drug categories, and patient-protection language for therapeutic substitution. The Board of Pharmacy then testified in support of the broader bill and explained the CLIA-waived testing provisions and the repeal of the older, narrower pharmacist-testing language. The hearing and amendment discussion were still underway when the transcript ended.
MN
Transcript Highlights:
- David Southerland said that his wife had a serious fall in Austin, Texas.
- Four days later, they returned from Texas and went to one of his son's JV basketball games.
- established standards that we always work with and that we're working around, um, and that we'll utilize
- established standards that we always work with and that we're working around, um, and that we'll utilize
- Engineering system and we're going to utilize that best information that's out there.
MN
MI
Transcript Highlights:
- As a utility, our overarching goal is safe, reliable, and affordable power.
- In turn, this encourages transparent communication between the utility and the residents.
- They believe the utility needs to be there.
- In turn, this includes. loop by setting a statutory guideline for utilities to adhere to.
- They believe the utility needs to be there.
Summary:
The Senate Committee on Energy and Environment met with 13 members present, approved the June 4, 2026 minutes, and took up Senate Bill 947, which concerns dam registration, inspections, and related enforcement. The committee discussed a substitute that made technical changes and implementation adjustments, including lower registration fees for counties with multiple dams, extending registration validity from five to ten years, allowing conditional permits, giving EGLE flexibility to modify deficiency schedules, and adding provisions related to inspection reports and low-hazard dam evaluations. Members also raised an unresolved issue involving FERC preemption and hydroelectric dams; the chair and EGLE said that issue would continue to be worked on, likely through the floor process. Public testimony cards were read in support from a range of environmental and policy groups and individuals. The committee adopted the S-1 substitute 13-0 and then reported SB 947 to the floor on an 8-3 vote with two passes.
The committee then considered Senate Bill 627, which also had been heard previously. No additional questions were raised, and testimony cards were read in support from several organizations, including the Michigan Environmental Council, Sierra Club, the Michigan Conservative Energy Forum, and the Michigan League of Conservation Voters. The committee voted to report SB 627 to the floor with the recommendation that it pass, and the bill was reported on an 11-1 vote with one pass.
Finally, the committee took testimony only on House Bill 4361, sponsored by Representative Green, which would direct the Public Service Commission to create a rule allowing utilities broader vegetation management within rights-of-way to improve grid reliability. Representative Green and Thumb Electric Cooperative’s Kevin Mazur testified that the bill would reduce outages, improve safety, and align statutory standards with existing utility practices. Several senators raised concerns that the language was too broad and could allow extensive tree removal, harming property owners, local control, tree canopy, and environmental and health interests; others said utilities already have similar authority and emphasized reliability and homeowner coordination. The committee did not take action on HB 4361 and adjourned after reading in testimony cards from utilities, environmental groups, and others both supporting and opposing the bill.
NM
New Mexico 2025 Regular Session
IC - Science, Technology and Telecommunications Nov 12th, 2025
Science, Technology & Telecommunications Committee
Transcript Highlights:
- The overall common perception of New Mexico DO-IT often seems primarily as a utility provider: hardware
- To talk a little bit more about the perception here: DO-IT is often seen primarily as a utility provider
- So, I view DO-IT as a much more strategic agency than necessarily the utility company.
- Ever clap eyes on the software; heaven forbid, look at the code, you wouldn't want to do that.
- These are the standards that you're going to use to define code quality.
ND
North Dakota 2026 1st Special Session
Legislative Task Force on Government Efficiency Mar 25th, 2026 at 10:00 am
Legislative Task Force on Government Efficiency
Transcript Highlights:
- This is under North Dakota Century Code Chapter 54-7.
- But to follow Century Code, we have to bring those on.
- So these conversations are ongoing, but it's recognized that Century Code and administrative code would
- And it's being utilized by schools and districts today.
- I believe the code just said water resource districts, which ones?
HI
Hawaii 2025 Regular Session
PSM-EIG, PSM-HHS, PSM-TCA, PSM Public Hearings 04-11-2025
Public Safety and Military Affairs
Transcript Highlights:
- This is requesting the governor, state building code council, planning departments of each county, mayors
- House standing committees on housing to develop a comprehensive strategy for adopting updated building codes
- and House standing committees on housing to develop a comprehensive strategy for adopting building codes
- strategy for adopting building codes. strategy for adopting building codes.
- My name is Kyra How, utility analyst at the PUC.
Summary:
The committees heard and acted on several resolutions related to housing, emergency preparedness, public safety, corrections, transportation, and wildfire mitigation. Measures discussed included HCR 67 on developing a comprehensive strategy for updated building codes; HCR 164 on maintaining publicly accessible hurricane shelter lists; HCR 180 on coordinated homelessness response; HCR 37 on emergency outreach to kupuna; HCR 121 on expanding Kolekole Pass as an emergency exit route; HCR 43 on studying highway patrol and speed cameras; HR 69 on vegetation management and wildfire risk; HCR 133 on supporting a floating dry dock at Pearl Harbor; HCR 153 on reducing the use of private out-of-state prisons; and HTR 23 on the new Oahu Community Correctional Center design and inmate release procedures.
Testimony was largely supportive across the agenda. Supporters included state agencies, advocacy groups, and individuals, with some measures drawing comments or suggested amendments. For HCR 69, the Division of Consumer Advocacy, PUC, Hawaiian Electric, Charter Communications, and Life of the Land all supported the measure, though some requested amendments or raised due process concerns. For HCR 121, the Department of Transportation said improvements were planned later in the year to allow emergency access through Kolekole Pass, and public testimony emphasized wildfire, tsunami, and evacuation concerns. For HCR 43, DOT supported the study, and testimony noted possible benefits for enforcement and court efficiency. HCR 37 received strong support from ARP Hawaii, social work students, caregivers, and other community groups focused on kupuna safety.
The committees took action on all items. HCR 67, HCR 164, HCR 180, HCR 37, HCR 121, HCR 43, HCR 133, HCR 153, and HTR 23 were all recommended for passage, with some measures passed as is and others with amendments. HCR 69 was amended to add the Department of Land and Natural Resources and the Department of Education, and to incorporate suggested amendments from Charter Communications and Hawaiian Telecom. HCR 121 was passed with technical amendments. Votes were recorded in favor on each measure, with some members excused and one no vote noted on HCR 43. The meetings concluded with adjournment after the final votes.
MS
Mississippi 2026 Regular Session
Judiciary, Division A - Room 216, 29 January, 2026; 3:00 PM
Judiciary, Division A
Transcript Highlights:
- and process and that's what these code and process and that's what these code sections<00:04:11.840
- <00:09:01.600>
sections that's why you have the code sections that's why you have the code - <00:09:13.839>
sections that um it brings the code sections that um it brings the code sections - conform to the code section with that. conform to the code section with that.
- could be private utility contractors. could be private utility contractors.
Summary:
The committee met to discuss several bills, beginning with a block motion on Senate Bills 2138, 2697, 2707, 2717, and 2726. Those measures were described as code-section updates involving redrawn Supreme Court districts, youth court reforms, Administrative Office of Courts matters, replacement of the MyKids youth court computer system, and Mississippi opioid settlement commission procedures. The committee agreed to take them up together, and the motion to report them title sufficient and due pass carried without opposition.
The committee then considered Senate Bill 2890, dealing with the judicial operations fund. Members were told the fund no longer has sufficient revenue to cover court operations and requested judicial raises, and the proposed committee substitute would repeal the fund while conforming related code references. The substitute was adopted and the bill was reported title sufficient and due pass. Senate Bill 2730, granting immunity to nonprofits and churches that open during declared emergencies, was amended with a reverse repealer and then passed as amended.
Next, Senate Bill 2135 was explained as a change to jury summons procedures so clerks could use the SEMS active/inactive voter designation and summon only active voters, without removing anyone from the voter rolls. The bill drew no opposition and passed, though a reverse repealer was later requested on similar procedural grounds in other bills. Senate Bill 2360 would create a public registry of entities that, though appearing private, are covered by the Mississippi Tort Claims Act; members discussed whether such entities should also be required to identify themselves on websites and written materials, and an amendment to that effect was adopted. A reverse repealer was then added, and the bill passed as amended.
Finally, Senate Bill 2362 was presented as a proposal to create a private cause of action under the Unfair Trade Practices Act, allowing claimants to sue directly while still notifying the Attorney General. The sponsor said the bill would not add extra damages and noted similar laws in other states. The committee discussion was cut off in the transcript before a final vote on that bill is shown.
KY
Kentucky 2025 Regular Session
Budget Review Subcommittee on Health and Family Service (11-5-25)
Transcript Highlights:
- usually have the highest utilization usually have the highest utilization rate<00:15:34.800>
- number four you mentioned utilization number four you mentioned utilization rate<00:19:02.240>
not talking about utilization itself. not talking about utilization itself. - It is written in what's called COBOL code, which is an obsolete code.
- , which is an what's called Cobalt code, which is an obsolete<00:46:30.720>
code.
Summary:
The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys.
The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis.
Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.
NH
Transcript Highlights:
- It's right in the code. I if you I it. It's right in the code.
- this by amending the model code. this by amending the model code.
- model code and so forth. Right. model code and so forth. Right.
- Applicable code. Yeah. Page three. one. Applicable code. Yeah. Page three.
- Existing Building Code 2021, the International Plumbing Code 2021, the International Mechanical Code