Video & Transcript : 'equine genetics' :
Page 28 of 66
TX
Transcript Highlights:
- HB 4377 by Villalobos, relating to preventing the retention of certain genetic material and genetic information
Keywords:
occupation tax, securities, financial regulation, tax exemption, legislative amendment, capital gains tax, realized gains, unrealized gains, investment income, asset sale, capital assets, wealth tax, estate tax, trust tax, tax limitation, constitutional amendment, Texas Constitution, Article VIII, property tax, sales tax
NM
Transcript Highlights:
- You know, we need to get over the stigma that math is genetically...
- Yeah, I'd have people say, "Well, my mom's not good at math either," like it was genetically...
Committee:
Senate Senate Education
FL
Transcript Highlights:
- take what we do in conventional breeding, which is just crossing trees until we eliminate or add genetics
- And as we look at the genetic markers in those trees, it would appear that they have mutated and maybe
Committee:
Senate Agriculture
Summary:
The Senate Committee on Agriculture heard an update on the Florida citrus industry from Matt Joyner of Florida Citrus Mutual and Shannon Shepp of the Department of Citrus. Both described the industry’s steep decline over the past two decades due to citrus greening (HLB), hurricanes, freezes, and aging groves, but emphasized ongoing recovery efforts through research, replanting, and new therapies. They highlighted promising tools such as plant growth regulators, protective screens and covers, direct oxytetracycline application, CRISPR-based breeding, and the CRAFT program, which has expanded to more than 10,000 acres of solid-set plantings and over 20,000 acres including resets. Members discussed disaster relief, property tax pressures, grower participation, and the need for assessment relief and other state support. No votes were taken on the citrus presentation.
Shepp also outlined the Department of Citrus’s marketing and research role, noting strong consumer demand for Florida orange juice, global advertising efforts, and clinical research tied to health messaging. She said the industry remains a major economic contributor, with thousands of jobs and billions in economic impact, and that the department is working to maintain demand while growers replant and reset groves. Senators asked about the CRAFT program, new grower participation, and how advertising and state policy could help sustain the industry.
The committee then received a performance review of the Opa-locka Soil and Water Conservation Districts from David Jahossky of Malden and Jenkins. The review found wide variation among the 49 districts studied, with many lacking recurring revenue, staffing, proper meeting notices, records retention, formal performance goals, and timely financial reports. The report identified nearly 400 recommendations and noted that some districts had already dissolved or were considering dissolution. Senators questioned whether the districts were duplicative of other agencies and whether they still served a useful purpose; the presenter said there was overlap and collaboration but no duplication. A public commenter from Jefferson County argued that local boards still provide trusted, community-based support for producers and help connect them to cost-share and best management practice programs. The chair indicated the review would inform possible legislation to improve or restructure the districts, and the committee adjourned without taking a vote.
MN
Minnesota 2025-2026 Regular Session
Families Show Support for SF 1494; A Bipartisan Bill to add MLD to MN’s Newborn Screening Program Mar 7th, 2025
Minnesota Senate Floor Meeting
Transcript Highlights:
- families don't have to feel the pain of losing a child to MLD, with the ascendency of gene therapy and genetic
FL
Florida 2026 4th Special Session
February 24, 2026 - 08:30 AM
Transcript Highlights:
- Then we've changed the definition from the veterinary program to include equine. That was needed.
Summary:
The committee took up a long agenda of land use, public records, infrastructure, and local-government bills. The most debated measures were CS for CS for HB 399 and CS for HB 979, both sponsored by Rep. Borrero, which sought to streamline development approvals and reduce local-government barriers. HB 399 would require simple-majority approval for certain land development applications, mandate local definitions of compatibility, and add provisions affecting destination resorts, manufactured housing, historic properties, and a study of urban development boundaries. HB 979 would allow administrative rezoning of environmentally damaged five-acre-or-larger parcels in Palm Beach, Broward, and Miami-Dade counties for residential use if adjacent to neighborhoods. Supporters argued both bills would increase housing supply, encourage cleanup of contaminated land, and lower costs; opponents argued they preempt local decision-making, weaken voter-approved growth controls, and do not guarantee affordability. Both bills were amended and then reported favorably, with HB 399 passing 16-10 and HB 979 passing after debate.
The committee also approved CS for HB 437, a public records bill by Rep. Andrade, on a 25-0 vote. The bill requires agencies to respond to public records requests within three days by producing the records, citing why they cannot, or giving a good-faith estimate of time and cost; it also limits agencies from later relying on exemptions not previously raised. Proponents said the measure addresses long delays and nonresponses by agencies, while school district representatives warned the timeline could be difficult for large, complex requests. The committee adopted the bill and sent it favorably.
Several local and special district bills were also approved. CS for CS for HB 1103 would help local governments coordinate with FWC on derelict vessels and anchoring issues and passed unanimously. CS for HB 1245, dealing with biosolids regulation, also passed unanimously. CS for HB 4081 to expand the East Point Water and Sewer District passed 25-0. CS for HB 4103, creating a state special district for the Apalachicola water and sewer system, passed 25-1 after testimony from city officials who argued the city had improved its water system and should retain a role. CS for HB 4105, expanding the Port St. Joe Port Authority into a multi-county regional board, passed 23-3 despite opposition from residents concerned about infrastructure, environmental impacts, and local control. The committee also began consideration of PCS for CS for HB 433, an agriculture-related bill with changes to surplus lands and other provisions, but the transcript cuts off before final action on that measure.
TX
Transcript Highlights:
- We're all different and our biologies are different, our genetics are different, and so I think it's
- And that’s probably primarily a genetic thing, but how do we determine who’s susceptible to that?
- I've been on the genetic research side and the R&D side of the fiber projects for a couple of years now
- He got a genetic test that revealed that the only medication that could help him would be Clozapine.
- I have a genetic hereditary... ...connective tissue disease called Ehlers-Danlos syndrome.
Bills:
HB5
Committee:
House Public Health
CA
California 2025-2026 Regular Session
Joint Committee on Fisheries and Aquaculture Aug 4th, 2026
Joint Committee on Fisheries and Aquaculture
Transcript Highlights:
- This is a non-invasive genetic tagging method that samples hatchery broodstock DNA to assign age and
- significant progress on implementation of PBT monitoring, including collection of tissue samples for genetic
- This is where you start to look at genetic manipulations of kelp that is perhaps better able to withstand
- Is there any associated problem with too much kelp if you go that route, where you have genetically altered
MO
Missouri 2026 Regular Session
Substance Abuse Prevention and Treatment Task Force Jun 24th, 2026 at 01:00 pm
Substance Abuse Prevention and Treatment Task Force
Transcript Highlights:
- I knew the genetic variability, but I realized, oh my gosh, we are all so different.
- I knew the genetic variability, but I realized, oh my gosh, we are all so different.
- addiction as a treatable chronic medical disease involving complex interactions among brain circuits, genetics
- addiction as a treatable chronic medical disease involving complex interactions among brain circuits, genetics
AL
Alabama 2026 Regular Session
Alabama House Ways and Means Education Committee Mar 11th, 2026
Ways and Means Education
Transcript Highlights:
- Increase the Jacksonville State Paint Rock Valley genetic research center by $100,000.
- the Jacksonville State Paint<00:56:13.680><c> Rock</c><00:56:14.079><c> Valley</c><00:56:14.319><c> genetic
- </c><00:56:14.720><c> research</c> Paint Rock Valley genetic research Paint Rock Valley genetic research
Bills:
HB235 , HB236 , HB565 , HB237 , HB238 , HB239 , HB240 , HB241 , HB242 , HB235 , HB236 , HB565 , HB237 , HB238 , HB239 , HB240 , HB241 , HB242
Committee:
House Ways and Means Education
Keywords:
social media, age verification, minors, under 16, children online safety, online privacy, platform regulation, deceptive trade practice, Attorney General, civil penalties, punitive damages, consumer protection, account creation, algorithmic feeds, internet safety, youth social media, HB236, Baldwin County, Board of Equalization, per diem
CA
California 2025-2026 Regular Session
Assembly Floor Session May 27th, 2026
California House Floor Meeting
Transcript Highlights:
- a consumer's precise geolocation, immigration status, race or ethnic origin, religion, health and genetic
- Today, more Californians than ever are turning to genetic testing to better understand their health and
- pursue preventative care. ...to genetic testing to better understand their health and pursue preventative
- But many are concerned that genetic information could be used against them when seeking insurance coverage
- why my bill, AB 1798, prohibits life and non-health disability insurers from using non-diagnostic genetic
Summary:
The Assembly met in session, established a quorum, approved dispensing with the previous day’s journal, and then took up a long third-reading file. Early procedural actions included moving AB 1589 to the inactive file and continuing reconsideration items. The chamber then considered a series of bills largely focused on immigration enforcement, detention, worker protections, child care, voting access, and related public services.
Several immigration-related measures passed, including AB 2393 on damages for false imprisonment/arrest, AB 1994 on an immigrant victims’ rights and resources card, AB 1929 on health plan investment disclosures, AB 1633 imposing a tax on for-profit detention facilities, AB 1650 requiring decals on rental vehicles used for enforcement, AB 1655 protecting CalWORKs benefits when a child is detained, and AB 1896 disqualifying people who participated in immigration enforcement from certain public employment. AB 2230, which would bar immigration enforcement near polling places and child care facilities, also passed after extensive debate. Supporters framed these bills as accountability and protection for vulnerable communities; opponents argued they targeted federal law enforcement, were unnecessary, or raised constitutional concerns. AB 1851 on statewide school mental-health guidance also passed unanimously.
After the midday recess, the Assembly returned and continued with more bills tied to immigration impacts and child welfare. AB 2379 passed with urgency, requiring child care providers to be informed of constitutional rights and trained on protections when confronted by immigration enforcement. AB 2460 passed to update school behavioral-health referral protocols for students affected by immigration enforcement trauma. AB 2495 passed to expand prohibitions on employer immigration-related threats, and AB 2662 was presented as a way for California to monitor and document federal enforcement actions and report on their community impacts. Throughout the day, the floor featured repeated exchanges over whether the bills addressed real problems or were political messaging, but the measures that came to a vote generally advanced with majority support.
CA
California 2025-2026 Regular Session
Assembly Floor Session May 27th, 2026
California House Floor Meeting
Transcript Highlights:
- Today, more Californians than ever are turning to genetic testing to better understand their health and
- pursue preventative care. ...to genetic testing to better understand their health and pursue preventative
- But many are concerned that genetic information could be used against them when seeking insurance coverage
- why my bill, AB 1798, prohibits life and non-health disability insurers from using non-diagnostic genetic
- AB 1798 ensures that genetic testing leads to better health.
MN
Minnesota 2025-2026 Regular Session
House Agriculture Finance and Policy Committee 3/11/26
Agriculture Finance and Policy
Transcript Highlights:
- And while we understand where Parkinson's comes from to a certain degree, it has a genetic component,
- And while we understand where Parkinson's comes from to a certain degree, it has a genetic component,
- And while we understand where Parkinson's comes from to a certain degree, it has a genetic component,
- I do not have any genetic factors for Parkinson's disease.
- genetic factors for Parkinson's disease.<00:09:33.120><c> My</c><00:09:33.360><c> doctors</c><00:09:
Committee:
House Agriculture Finance and Policy
Keywords:
pesticide, agriculture, environmental protection, health risks, chemical safety, local agriculture, insecticides, pollinators, seeds, environmental health, neonicotinoids, systemic insecticides, civil penalties, pest management, land trends, report, appropriation, farmers, veterinary medicine, veterinary technology
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Nineteen - Wednesday, February 11 - Afternoon Session -
Missouri House Floor Meeting
Transcript Highlights:
- against under Title VI or Title VII on various bases, you know, race, religion, national origin, genetic
- People should not be put upon by their race, genetic characteristics.
- People should not be put upon by their race, genetic heritage, or even necessarily where they live, though
Summary:
The House first established a quorum after introductions of special guests, then moved to bills for perfection. House Bill 2016, concerning anti-Semitism in Missouri schools, colleges, and universities, drew extensive debate. The sponsor said the bill would require educational institutions to adopt non-discriminatory policies protecting Jewish students from harassment and intimidation, use the IHRA definition as a guide, and preserve First Amendment rights. A Pulaski County member offered and secured adoption of an amendment clarifying that protected political, religious, and expressive speech would not be reported, cataloged, or used to create records. Supporters said the bill was needed because of rising anti-Semitic incidents and student safety concerns; opponents argued it singled out one group, could chill discussion of Israel and Palestine, and created a reporting hierarchy. The chamber ultimately adopted the amendment and then ordered the bill perfected and printed.
House Bill 2384, a housing and building-code measure, was then taken up. The sponsor said it was aimed at reducing housing costs by rolling back energy-code mandates to 2009 standards, setting clearer permitting timelines, and allowing certain multifamily buildings to use a single staircase. Supporters framed it as a response to Missouri’s housing shortage and rising home prices, while opponents criticized the bill as preempting local control, especially in Kansas City and other municipalities that had adopted newer codes. A Pulaski County amendment was adopted to reduce the number of required hard copies of municipal ordinance books when ordinances are available online. After debate over energy efficiency, safety, and local authority, the House moved the previous question, then adopted the committee substitute and ordered the bill perfected and printed.
House Bill 1766, dealing with personal property tax and Hancock limitations, was also perfected and printed. The sponsor said the bill would treat personal property tax growth more like real property under Hancock-style limits, arguing that rapid increases in vehicle values had created windfalls for political subdivisions. Members questioned whether the change would reduce local revenue needed for schools and other services, while supporters said it would protect taxpayers and still allow growth. The House then took up House Joint Resolution 154, which would place a Medicaid work requirement in the Missouri Constitution by mirroring federal policy. The sponsor said it would require able-bodied adults ages 19 to 64 to work, volunteer, attend school, or participate in a work program for 80 hours a month to remain eligible. Opponents raised concerns about administrative burden, documentation requirements, and the impact on vulnerable recipients, while supporters argued the measure should be made permanent through the constitution. The transcript cuts off during that debate, before final action on the resolution is shown.
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Nineteen - Wednesday, February 11 - Afternoon Session -
Missouri House Floor Meeting
Transcript Highlights:
- against under Title VI or Title VII on various bases, you know, race, religion, national origin, genetic
- People should not be put upon by their race, genetic characteristics.
- People should not be put upon by their race, genetic heritage, or even necessarily where they live, though
Summary:
The House first established a quorum after several members were absent, then moved into bills for perfection. House Bill 261, dealing with anti-Semitism in public schools and higher education, drew extensive debate. The sponsor described rising anti-Jewish incidents and said the bill would require educational institutions to adopt nondiscriminatory policies, use the IHRA definition as a guide, and treat failures to address harassment as Title VI issues. An amendment from the gentleman from Pulaski was adopted to clarify that protected First Amendment speech, religious expression, and political viewpoints would not be reported or cataloged. Supporters said the bill was needed to protect Jewish students; opponents argued it singled out one group, could chill speech about Israel and Palestine, and created unequal reporting requirements. The House ultimately ordered the bill perfected and printed as amended.
The chamber then took up House Bill 2384 on housing affordability and building codes. The sponsor said the bill would lower housing costs by rolling back energy-code mandates to 2009 standards, setting clearer permitting timelines, and allowing certain multifamily buildings to use a single staircase. Supporters argued current codes raise costs, discourage builders, and contribute to Missouri’s housing shortage. Opponents raised concerns about local control, preemption of municipal energy standards, and public safety, especially the single-stair provision; the sponsor responded that the design has been used safely in other states and cities. A Pulaski amendment requiring municipalities with online ordinances to keep only one hard copy available was adopted, and after debate the previous question was moved and approved. The House then adopted the committee substitute and ordered the bill perfected and printed.
House Bill 1766, addressing personal property tax, was also perfected and printed. The sponsor said the bill would apply Hancock/CPI-style tax limitations to personal property tax growth, arguing that rapidly rising vehicle values had created a windfall for political subdivisions and unfairly increased taxpayer burdens. Supporters said the bill would slow growth without eliminating it, while opponents argued local governments need revenue to keep up with inflation and that the measure would reduce resources for schools and other services. Finally, the House began consideration of House Joint Resolution 154, which would place into the Missouri Constitution a Medicaid work requirement mirroring federal policy. The sponsor said adults ages 19 to 64 would need to work, volunteer, participate in a work program, or attend school for 80 hours a month to remain eligible, and the discussion began with questions about whether the constitutional change was necessary and how documentation requirements would work.
MO
Transcript Highlights:
- Page 184 is the Genetics and Newborn Health Services core.
- The Genetics and Newborn Health Services core reflects initiatives to increase healthier births and promote
- the best possible health for those born with rare and certain genetic disorders.
Committee:
House Budget
Summary:
The committee heard the Missouri Department of Health and Senior Services present its FY 2027 budget request, with Director Sarah Wilson and budget staff describing the department’s mission, major divisions, and the impact of federal funding shifts, especially the FMAP change that will shift costs to general revenue. Wilson emphasized prevention, public health infrastructure, workforce capacity, and data modernization, while several members praised the department’s responsiveness and cost-cutting efforts. The discussion repeatedly focused on lapses, excess authority, and the department’s stated practice of spending federal and other funds before general revenue where possible.
Members asked detailed questions about local public health agency support, nutrition programs, rural health and primary care, newborn screening, the state public health lab, and the department’s use of flexibility and reallocations. There was extended discussion of substance use disorder funding: the department explained that some funding is being reduced in its own budget because transfer authority is being added for the Department of Mental Health and the Department of Corrections, while some other SUD-related lines are actual reductions. Members also questioned tobacco prevention and cessation cuts, maternal and infant health programs, fetal infant mortality review, and minority health initiatives, with staff explaining program purposes and noting that some reductions were tied to excess authority or to moving programs to other departments.
The committee also reviewed specific operational items such as the Health Initiatives Fund transfer, debt offset escrow for loan repayment defaults, donated funds authority, emergency preparedness, environmental health, health informatics, HIV/STI/hepatitis services, local public health incentives, and the COVID/ARPA authority reductions. Several members requested follow-up information on vacancies, lapse trends, grant spending plans, and program details. No final vote or formal action was taken in the portion provided; the chair recessed briefly and the hearing continued with additional budget testimony.
NM
New Mexico 2025 Regular Session
IC - Courts, Corrections and Justice May 27th, 2025
Courts, Corrections & Justice Committee
Transcript Highlights:
- And what's called forensic investigative genetic genealogy.
- system, that you're not going to get a CODIS hit from, and that's forensic investigative genealogy genetic
- if there's significant enough enough DNA of a potential perpetrator, they can research through um Genetic
TX
Texas 89th Regular
Senate Committee on Health and Human Services Apr 30th, 2025
Health & Human Services
Transcript Highlights:
- As a mother of a daughter with a genetic disorder, I'm pretty sure on its face I fit the profile and
- My name is Rebecca Galinsky, and I'm the parent of a medically complex 16-year-old with a rare genetic
- On the baby's side, gestational age, oral anatomy, neurological and genetic conditions, as well as birth
Bills:
HB136 , HB451 , SB425 , SB466 , SB905 , SB1986 , SB2311 , SB2450 , SB2805 , SB2826 , SB2919 , SB3001 , HB136
Committee:
Senate Health & Human Services
HI
Hawaii 2025 Regular Session
JHA Public Hearing - Thu Mar 13, 2025 @ 2:00 PM HST
Judiciary & Hawaiian Affairs
Transcript Highlights:
- the current bill, donor-conceived people still do not have access to the information about their genetic
- would ensure that donor-conceived individuals have the legal right to access information about our genetic
- access to the information<02:15:42.360><c> about</c><02:15:42.599><c> their</c><02:15:42.800><c> genetic
- </c><02:15:43.679><c> Origins</c> information about their genetic Origins information about their genetic
- Origins from a gam bank or our genetic Origins from a gam bank or Fertility<02:16:16.679><c> clinic<
Committee:
House Judiciary & Hawaiian Affairs
Summary:
The committee met on March 13, 2025, and took up several firearms and fireworks measures. On SB 227, which would create an illegal fireworks enforcement division in the Department of Law Enforcement and appropriate funds, DLE supported the bill, saying fireworks enforcement has become a full-time job requiring dedicated staff rather than a collateral-duty task force. Members discussed whether the bill and the related task force bill were both needed; DLE said yes, explaining that the new division would provide full-time state employees while the task force funding covers interagency costs such as transportation, storage, overtime, and personnel. Testimony on SB 227 was reported as 12 in support and 6 in opposition.
On SB 222, which would fund the illegal fireworks task force and extend its sunset to June 30, 2030, DLE and the Honolulu Police Department supported the measure, emphasizing continued enforcement pressure and interagency coordination. An opponent from the Libertarian Party of Hawaii argued the bill was a waste of time, criticized fireworks prohibition as cultural overreach, and performed a song in opposition. Representative Shimizu asked about results from the extra enforcement effort, and DLE said enforcement has driven up street prices and made investors think twice, which they described as a goal of pricing people out of the market. The chair reported 13 testimonies in support and 6 in opposition.
The committee then heard SB 1324, a more comprehensive fireworks bill that would revise definitions and penalties, create first- and second-degree fireworks offenses, add infractions, and increase penalties for serious injury or death. DLE and the Attorney General strongly supported it, saying the bill would improve enforcement, address black-market activity, and help prosecutors when fireworks have already exploded and evidence is destroyed. The Public Defender opposed the bill, arguing existing laws already punish these offenses and that the real issue is enforcement; the office also raised constitutional concerns about the bill’s concurrent civil infraction and criminal trial process. Honolulu Police supported the bill, while the Honolulu Prosecutor’s Office said the alternative definitions would help in cases involving exploded versus seized fireworks. The chair noted 17 testimonies in support, 7 in opposition, and 3 comments, and members discussed whether the bill could be amended to address the public defender’s concerns.
The committee also began hearing SB 308, which would expand the state’s magazine-capacity restrictions to firearms with detachable magazines over 30 rounds, with a grandfathering provision for certain magazines obtained before January 1, 2026. DLE supported the bill as a fair balance that would grandfather existing magazines while preventing new high-capacity acquisitions. Opposition testimony from Jerry Yuan of the Pool, Oil, Rifle, and Pistol Club argued the proposal was another shifting restriction and opposed magazine bans generally. The hearing continued with additional testimony not fully captured in the excerpt.
MA
Massachusetts 2025-2026 Regular Session
Senate Session (Full Formal with Calendar) Jun 21st, 2026 at 11:00 am
Massachusetts Senate Floor Meeting
Transcript Highlights:
- Like biometric identifiers, reproductive and sexual health data, genetic information, or precise geolocation
- this bill is the highlighted protections of sensitive data, a category that includes location data, genetic
Summary:
The Senate opened with the Pledge of Allegiance, recognized several guests in the chamber, and adopted a resolution congratulating Coleman-Nee on election as National Commander of the Disabled American Veterans. It also took up several local and personnel matters, including a sick leave bank for Emily Cullick and later Paul Stavarski, and local bills affecting the town of Weston and a Dorchester housing/library procurement exemption; those measures were advanced to third reading or engrossment as appropriate. The chamber also suspended Joint Rule 12 to refer several House petitions to committees.
The main business was Senate No. 2516, the Massachusetts Data Privacy Act, which came before the Senate on a Ways and Means substitute (Senate Document 2608). Senators Creem, Moore, Charles, Feingold, Keenan, and others spoke in support, describing the bill as a comprehensive consumer privacy measure with data minimization rules, limits on sensitive data, protections for minors, and strong Attorney General enforcement. Several amendments were debated, with many rejected or withdrawn, while some were adopted, including provisions on geolocation data protections, opting out of targeted advertising, affiliate and merger/acquisition protections, internal operations exemptions, parental access to child data, and a Ways and Means amendment. A number of other amendments on employee data, union data, loyalty programs, AI training, reporting, and related issues were either not adopted or held/withdrawn.
After the amendment process, the Senate adopted the amended Ways and Means substitute and ordered the bill to a third reading. The bill was then passed to be engrossed on a roll call vote of 40-0. The Senate also adopted an order to adjourn to the following Monday at 11:00 a.m. and to dispense with printing a calendar. The session adjourned in memory of Darrow Logan Alexander of South Boston.
CT
Connecticut 2026 Regular Session
Medical Assistance Program Oversight Council Complex Care Committee May 21st Meeting May 21st, 2026
Transcript Highlights:
- , and the sooner people understand what that is, the sooner, and whether or not they might have a genetic
- I'm sure as you're aware from the work you've done, that if you understand that you might have a genetic
Summary:
The Complex Care Committee meeting focused first on a new Diabetes Caucus launched at the Capitol. Rep. Johnson described the caucus as a forum to educate people about type 1 and type 2 diabetes, genetic risk, early testing, pregnancy-related diabetes, and ways Medicaid policy might improve prevention and lower long-term costs. Members agreed the caucus could intersect with care management, and Carolyn Grandell of CHNCT offered to share information about current diabetes-related care management services at a future meeting.
The committee then heard a detailed presentation from Alex Rigger of the Office of Health Strategy, who is moving to the Office of Policy and Management. He reviewed Connecticut health care benchmark data, including total health care expenditures, medical spending, and market-by-market trends. He said 2023 to 2024 per-capita spending grew more than 8.5% statewide and 14% in Medicaid, with long-term care accounting for about 46% of Medicaid spending and retail pharmacy also identified as a major cost driver. Members asked about enrollment changes, dual-eligible populations, Medicare Savings Program members, 340B drug pricing, and value-based payment models. Rigger explained that his office tracks alternate payment models and quality benchmarks, but does not separately capture 340B data.
Discussion then shifted to Medicare Advantage, dual eligibles, and hospital discharge planning. Members said they want better data on how many Medicaid members are in Medicare Advantage plans and whether those plans shift costs back to Medicaid or affect access to care, especially for complex-care patients. Staff noted DSS does have some Medicare Advantage indicators and that CMS is developing encounter-data rules for states. Kathy Holt and others raised concerns about denials, nursing home stays, and the need to compare Medicaid spending for dual eligibles in Medicare Advantage versus traditional Medicare. The meeting ended with plans for follow-up data sharing, including Alex Rigger’s slides, the diabetes caucus materials, and a future discussion with DSS and other agencies; no formal votes were taken.