Video & Transcript Research : 'rate base'

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OK

Oklahoma 2026 Regular Session

Senate Legislative Session Mar 25th, 2026 at 01:12 pm

Oklahoma Senate Floor Meeting

Transcript Highlights:
  • Members, if you will turn your attention to the gallery with the Heartland Home Educators Co-op based
  • This bill, in particular, based upon the actuary analysis, there's actually been multiple actuary analysis
  • explain your amendment, restores title with the consent about individuals and what the district sets up based
  • Texas homeowners pay significantly higher effective tax rates in muds. Colorado...
OK

Oklahoma 2026 Regular Session

Senate Legislative Session Mar 25th, 2026 at 09:00 am

Oklahoma Senate Floor Meeting

Transcript Highlights:
  • And so, that's based on lessons learned from how other states have done this.
  • And that's really based on feedback from educators themselves, who have said for a number of years, hey
  • I know this based on the information I got from the state department of Education.
  • I can extrapolate some answers just based on our number of emergency certified and alt certified and
  • That would be based on the recommendation of the Secretary of Education as well as OEQa.
OK
Summary: The House convened, completed the roll call, prayer, Pledge of Allegiance, and recognized Eileen Cooper Grubbs as Nurse of the Day. The chamber then took up several procedural items, including second-reading referrals of Senate Joint Resolutions 50, 52, and 53 to Administrative Rules. Speaker Hilbert also announced the House would continue working despite uncertainty about action in the other chamber, and members were told dinner had been ordered for a long day of floor work. On legislation, the House rejected Senate amendments to House Bill 1728 and House Bill 3021 and requested conference on both. It adopted Senate amendments to House Bill 2137, a criminal procedure bill, and then passed the bill. The House also approved a motion by Speaker Hilbert to override the governor’s veto of House Bill 4432, with a recorded vote of 68-15, allowing the bill to become law notwithstanding the governor’s objections. The House then adopted House Concurrent Resolution 1028, which authorizes the House or Senate to modify legislative deadlines for the remainder of the 60th Legislature. Members discussed that the change was intended to keep legislation moving while the Senate was not meeting and to preserve the ability to hear bills and return them between chambers. The resolution passed after a recorded vote of 77-4. Finally, the House suspended certain rules for the rest of the session by a 68-15 vote and recessed until 1 p.m., with a reminder that the rural caucus would meet in Room 206.
LA

Louisiana 2026 Regular Session

House of Representatives Apr 1st, 2026

Louisiana House Floor Meeting

Bills: HR91, HR92, HR93, HCR44, HR84, HR85, HR86, HR87, HR88, HR89, HR90, HCR42, HCR43, SCR21, HB483, HB484, HB893, HB1087, HB1088, HB1089, HB1090, HB1091, HB1092, HB1093, HB1094, HB1095, HB1096, HB1097, HB1098, HB1099, HB1100, HB1101, HB1102, HB1103, HB1104, HB1105, HB1106, HB1107, HB1108, HB1109, HB1110, HB1111, HB1112, HB1113, HB1114, HB1116, HB1117, HB1118, HB1119, HB1120, HB1121, HB1122, HB1123, HB1124, HB1125, HB1126, HB1127, HB1128, HB1129, HB1130, HB1131, HB1132, HB1133, HB1134, HB1135, HB1136, HB1137, HB1138, HB1139, HB1140, HB1141, HB1142, HB1143, HB1144, HB1145, HB1146, HB1147, HB1148, HB1149, HB1150, HB1151, HB1152, HB1153, HB1154, HB1155, HB1156, HB1157, HB1158, HB1159, HB1160, HB1161, HB1162, HB1163, HB1164, HB1165, HB1166, HB1167, HB1168, HB1169, HB1170, HB1171, HB1172, HB1173, HB1174, HB1175, HB1176, HB1177, HB1178, HB1179, HB1180, HB1181, HB1182, HB1183, HB1184, HB1185, HB1186, HB1187, HB1188, HB1189, HB1190, HB1191, HB1192, HB1193, HB1194, HB1195, HB1196, HB1197, HB1198, HB1199, HB1200, HB1201, HB1202, HB1203, HB1204, HB1205, HB1206, HB1207, HB1208, HB1209, HB1210, HB1211, HB1212, HB1213, HB1214, HB1215, HB1216, HB1217, HB1218, HB1219, HB1220, HB1221, HB1222, HB1223, HB1224, HB1225, HB1226, HB1227, HB1228, HB1229, HB1230, HB1231, SB1, SB54, SB82, SB87, SB92, SB93, SB99, SB104, SB113, SB114, SB115, SB123, SB129, SB133, SB161, SB162, SB224, SB236, SB275, SB280, SB289, SB305, SB310, SB325, SB330, SB339, SB350, SB359, SB382, SB410, SB412, HCR10, HB54, HB55, HB67, HB73, HB125, HB133, HB158, HB168, HB169, HB191, HB195, HB205, HB225, HB245, HB280, HB283, HB296, HB319, HB325, HB339, HB399, HB407, HB448, HB482, HB550, HB591, HB821, HB826, HB992, HB995, HB1085, HB1086, HR15, HR20, HCR14, HCR6, HCR19, HB861, HB889, HB904, HB907, HB908, HB929, HB1009, HB13, HB23, HB25, HB32, HB41, HB90, HB120, HB121, HB122, HB127, HB138, HB139, HB141, HB179, HB187, HB213, HB247, HB286, HB332, HB344, HB357, HB367, HB370, HB462, HB505, HB527, HB537, HB605, HB680, HB681, HB725, HB780, HB782, HB847, HB892, HB911, HB916, HB1012, HB81, HB134, HB154, HB163, HB170, HB194, HB217, HB220, HB254, HB259, HB290, HB308, HB311, HB360, HB382, HB401, HB410, HB417, HB463, HB575, HB592, HB718, HB723, HB750, HB755, HB776, HB812, HB844, HB882, HB888, HB961, HB966, HB980, HB228, HB289, HB735, HB796, HB284, HB301, HB722, HB468, HB546, HB746, HB842, HB923, HB46, HB166, HB349, HB352, HB436, HB588, HB140, HB429, HB827, HB953, HB901, HB9, HB52, HB58, HB193, HB400, HB570, HB577, HB582, HB733, HB747, HB868, HB952
LA

Louisiana 2026 Regular Session

House of Representatives Apr 23rd, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • Landry, do you feel that if this bill passes, the city council will be able to raise rates or fees on
  • And doesn't the city council, aren't they required to regulate rates anyway?
  • The sewage and water board doesn't make their rates. The city council does the rates, correct?
  • I'm basing it on my experience with each and every one of you.
  • I'm basing it on my experience with each and every one of you.
TX

Texas 89th Regular

Senate Session Mar 25th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • That's a 50% increase to that hourly rate.
  • This session, in our base rate, we went to $12, and I want to thank Senator Huffman for that.
  • And then ultimately, a rate that we have not raised.
  • Did in the base bill, there's a little over five hundred. Million dollars.
  • Kinship placements at a higher rate.
Bills: SCR8, SCR25, SB1, SB14, SB24, SB213, SB251, SB315, SB371, SB378, SB379, SB406, SB413, SB472, SB487, SB502, SB502, SB509, SB513, SB513, SB565, SB565, SB583, SB608, SB621, SB650, SB686, SB686, SB707, SB710, SB710, SB761, SB761, SB810, SB815, SB840, SB856, SB875, SB875, SB896, SB896, SB916, SB925, SB958, SB958, SB961, SB965, SB965, SB973, SB973, SB987, SB990, SB995, SB1018, SB1019, SB1146, SB1146, SB1198, SB1252, SB1252, SB1253, SB1253, SB1330, SB1343, SB1362, SB1499, SB1499, SB1532, SB1532, SB1547, SB1547, SB1555, SB1596, SB1596, SJR36, SJR12, SJR57, SCR25, SCR22, SCR12, SCR8, SB565, SB765, SB62, SB666, SB707, SB888, SB687, SB847, SB1248, SB14, SB1006, SB504, SB925, SB995, SB857, SB305, SB296, SB284, SB815, SB1379, SB1497, SB1499, SB1498, SB241, SB304, SB621, SB1023, SB1024, SB686, SB112, SB371, SB204, SB609, SB670, SB502, SB850, SB854, SB413, SB1555, SB1362, SB1346, SB1033, SB1220, SB1073, SB810, SB987, SB1539, SB447, SB875, SB406, SB985, SB965, SB1119, SB1505, SB24, SB1194, SB1253, SB1215, SB1532, SB1302, SB856, SB650, SB583, SB673, SB213, SB681, SB1172, SB1252, SB378, SB1343, SB608, SB487, SB955, SB957, SB988, SB990, SB1019, SB1021, SB1120, SB251, SB958, SB761, SB1, SB541, SB315, SB379, SB1018, SB1737, SB266, SB1415, SB1527, SB125, SB599, SB1330, SB53, SB916, SB896, SB1352, SB973, SB785, SB710, SB472, SB1450, SB1502, SB1566, SB414, SB1062, SB1547, SB961, SB1038, SB513, SB578, SB711, SB746, SB942, SB1404, SB1448, SB1738, SB108, SB8, SB318, SB507, SB533, SB689, SB1026, SB1349, SB1355, SB1433, SB1434, SB1596, SB1403, SB1198, SB1146, SB763, SB667, SB1059, SB617, SB1567, SB503, SB1, SB1555, SR233, SR307, SR310, SR318, SR319, SCR25, SJR72, SJR73, SJR75, SJR77, SJR79, SJR80, SJR81, SJR82, SB2198, SB2201, SB2202, SB2203, SB2204, SB2205, SB2206, SB2207, SB2208, SB2209, SB2210, SB2211, SB2213, SB2214, SB2215, SB2216, SB2217, SB2218, SB2219, SB2220, SB2221, SB2222, SB2223, SB2224, SB2225, SB2226, SB2227, SB2228, SB2229, SB2231, SB2232, SB2233, SB2234, SB2235, SB2236, SB2237, SB2238, SB2239, SB2240, SB2241, SB2242, SB2243, SB2244, SB2245, SB2246, SB2247, SB2248, SB2249, SB2250, SB2251, SB2252, SB2253, SB2254, SB2255, SB2256, SB2257, SB2258, SB2259, SB2260, SB2261, SB2262, SB2263, SB2264, SB2265, SB2266, SB2267, SB2268, SB2269, SB2270, SB2271, SB2272, SB2273, SB2274, SB2275, SB2276, SB2277, SB2278, SB2279, SB2280, SB2281, SB2282, SB2283, SB2284, SB2285, SB2286, SB2287, SB2288, SB2289, SB2290, SB2291, SB2292, SB2293, SB2294, SB2295, SB2296, SB2297, SB2298, SB2299, SB2300, SB2301, SB2302, SB2303, SB2304, SB2305, SB2306, SB2307, SB2308, SB2309, SB2310, SB2311, SB2313, SB2314, SB2315, SB2316, SB2317, SB2318, SB2319, SB2320, SB2321, SB2322, SB2323, SB2324, SB2325, SB2326, SB2327, SB2328, SB2329, SB2330, SB2331, SB2333, SB2334, SB2335, SB2336, SB2337, SB2338, SB2339, SB2340, SB2341, SB2342, SB2343, SB2344, SB2346, SB2347, SB2348, SB2349, SB2350, SB2351, SB2352, SB2353, SB2354, SB2355, SB2356, SB2357, SB2358, SB2359, SB2360, SB2361, SB2362, SB2363, SB2364, SB2365, SB2366, SB2367, SB2368, SB2369, SB2370, SB2371, SB2372, SB2373, SB2374, SB2375, SB2376, SB2377, SB2378, SB2379, SB2380, SB2381, SB2382, SB2383, SB2384, SB2385, SB2386, SB2387, SB2388, SB2389, SB2390, SB2391, SB2393, SB2394, SB2395, SB2396, SB2397, SB2398, SB2399, SB2400, SB2401, SB2402, SB2403, SB2404, SB2405, SB2406, SB2410, SB2411, SB2412, SB2413, SB2414, SB2415, SB2416, SB2417, SB2418, SB2419, SB2420, SB2421, SB2422, SB2423, SB2424, SB2426, SB2427, SB2428, SB2429, SB2430, SB2431, SB2432, SB2433, SB2434, SB2435, SB2436, SB2437, SB2438, SB2439, SB2440, SB2441, SB2442, SB2443, SB2444, SB2445, SB2446, SB2447, SB2448, SB2449, SB2450, SB2451, SB2452, SB2453, SB2454, SB2455, SB2456, SB2457, SB2458, SB2459, SB2460, SJR72, SJR73, SJR75, SJR77, SJR79, SJR80, SJR81, SJR82, SB2198, SB2201, SB2202, SB2203, SB2204, SB2205, SB2206, SB2207, SB2208, SB2209, SB2210, SB2211, SB2213, SB2214, SB2215, SB2216, SB2217, SB2218, SB2219, SB2220, SB2221, SB2222, SB2223, SB2224, SB2225, SB2226, SB2227, SB2228, SB2229, SB2231, SB2232, SB2233, SB2234, SB2235, SB2236, SB2237, SB2238, SB2239, SB2240, SB2241, SB2242, SB2243, SB2244, SB2245, SB2246, SB2247, SB2248, SB2249, SB2250, SB2251, SB2252, SB2253, SB2254, SB2255, SB2256, SB2257, SB2258, SB2259, SB2260, SB2261, SB2262, SB2263, SB2264, SB2265, SB2266, SB2267, SB2268, SB2269, SB2270, SB2271, SB2272, SB2273, SB2274, SB2275, SB2276, SB2277, SB2278, SB2279, SB2280, SB2281, SB2282, SB2283, SB2284, SB2285, SB2286, SB2287, SB2288, SB2289, SB2290, SB2291, SB2292, SB2293, SB2294, SB2295, SB2296, SB2297, SB2298, SB2299, SB2300, SB2301, SB2302, SB2303, SB2304, SB2305, SB2306, SB2307, SB2308, SB2309, SB2310, SB2311, SB2313, SB2314, SB2315, SB2316, SB2317, SB2318, SB2319, SB2320, SB2321, SB2322, SB2323, SB2324, SB2325, SB2326, SB2327, SB2328, SB2329, SB2330, SB2331, SB2333, SB2334, SB2335, SB2336, SB2337, SB2338, SB2339, SB2340, SB2341, SB2342, SB2343, SB2344, SB2346, SB2347, SB2348, SB2349, SB2350, SB2351, SB2352, SB2353, SB2354, SB2355, SB2356, SB2357, SB2358, SB2359, SB2360, SB2361, SB2362, SB2363, SB2364, SB2365, SB2366, SB2367, SB2368, SB2369, SB2370, SB2371, SB2372, SB2373, SB2374, SB2375, SB2376, SB2377, SB2378, SB2379, SB2380, SB2381, SB2382, SB2383, SB2384, SB2385, SB2386, SB2387, SB2388, SB2389, SB2390, SB2391, SB2393, SB2394, SB2395, SB2396, SB2397, SB2398, SB2399, SB2400, SB2401, SB2402, SB2403, SB2404, SB2405, SB2406, SB2410, SB2411, SB2412, SB2413, SB2414, SB2415, SB2416, SB2417, SB2418, SB2419, SB2420, SB2421, SB2422, SB2423, SB2424, SB2426, SB2427, SB2428, SB2429, SB2430, SB2431, SB2432, SB2433, SB2434, SB2435, SB2436, SB2437, SB2438, SB2439, SB2440, SB2441, SB2442, SB2443, SB2444, SB2445, SB2446, SB2447, SB2448, SB2449, SB2450, SB2451, SB2452, SB2453, SB2454, SB2455, SB2456, SB2457, SB2458, SB2459, SB2460
TX

Texas 89th Regular

89th Legislative Session May 23rd, 2025

Texas House Floor Meeting

Transcript Highlights:
  • Relating to public information regarding the rates of a transmission and distribution utility.
  • This bill changes the cumbersome perforation of a square-inch base system and replaces it with a weight-based
  • SB1453 by Betancourt, relating to the current debt rate and tax rate of a taxing unit for ad valorem
  • This amendment was found to be necessary based off of a bill we previously passed.
  • This was a collaborative effort based on the feedback from prosecutors and the OAG's office.
Bills: SB2405, SB2406, SB2407, SB6, SB7, SB36, SB38, SB815, SB1856, SB379, SB1171, SB1121, SB1061, SB1036, SB1019, SB890, SB11, SB868, SB1188, SB1120, SB1254, SB2778, SB2543, SB2443, SB1333, SB1259, SB1401, SB1404, SB2139, SB2165, SB2237, SB2268, SB1202, SB1198, SB1212, SB1451, SB1470, SB1498, SB965, SB1547, SB1667, SB1818, SB1902, SB2129, SB2078, SB2069, SB1737, SB1589, SB1318, SB387, SB1150, SB1574, SB2127, SB3034, SB860, SB1278, SB263, SB370, SB663, SB924, SB1939, SB1937, SB1598, SB2798, SB2801, SB2580, SB2569, SB2514, SB2064, SB1940, SB1621, SB2601, SB1379, SB1376, SB1372, SB1353, SB2216, SB552, SB2405, SB2406, SB2407, SB2166, SB2148, SB535, SB777, SB827, SB1141, SB1330, SB1352, SB1664, SB1612, SB1862, SB1936, SB1453, SB1448, SB1398, SB2137, SB2111, SB53, SB226, SB1677, SB1723, SB1839, SB6, SB7, SB36, SB38, SB815, SB1856, SCR5, SCR32, SCR8, HCR88, HCR91, HCR129, HCR130, HCR131, HCR133, HCR137, HCR138, HCR139, HCR140, HCR143, HCR145, HCR147, HCR150, HCR152, HR6, HR105, HR112, HR124, HR146, HR151, HR158, HR221, HR222, HR237, HR469, HR543, HR571, HR605, HR702, HR703, HR704, HR705, HR706, HR707, HR708, HR709, HR710, HR713, HR714, HR715, HR716, HR717, HR718, HR719, HR720, HR721, HR722, HR723, HR724, HR725, HR726, HR727, HR728, HR729, HR730, HR731, HR732, HR733, HR734, HR735, HR736, HR737, HR738, HR739, HR740, HR741, HR742, HR743, HR744, HR745, HR746, HR747, HR748, HR749, HR750, HR751, HR752, HR782, HR787, HR789, HR796, HR798, HR799, HR800, HR801, HR802, HR804, HR807, HR812, HR813, HR814, HR817, HR819, HR820, HR821, HR822, HR824, HR827, HR828, HR830, HR831, HR832, HR833, HR837, HR839, HR840, HR841, HR842, HR843, HR844, HR847, HR849, HR850, HR851, HR852, HR853, HR854, HR855, HR856, HR858, HR859, HR861, HR865, HR871, HR873, HR874, HR875, HR876, HR880, HR881, HR884, HR886, HR887, HR890, HR892, HR894, HR895, HR898, HR900, HR901, HR903, HR904, HR905, HR908, HR910, HR912, HR913, HR915, HR916, HR917, HR918, HR919, HR920, HR921, HR922, HR923, HR924, HR925, HR926, HR927, HR928, HR930, HR931, HR932, HR936, HR937, HR938, HR939, HR940, HR941, HR942, HR943, HR946, HR947, HR948, HR949, HR952, HR953, HR954, HR955, HR956, HR960, HR964, HR965, HR967, HR968, HR969, HR970, HR972, HR973, HR974, HR975, HR976, HR977, HR978, HR979, HR980, HR981, HR982, HR983, HR984, HR985, HR987, HR988, HR989, HR990, HR991, HR992, HR993, HR994, HR995, HR996, HR997, HR998, HR999, HR1000, HR1002, HR1003, HR1004, HR1005, HR1006, HR1007, HR1008, HR1009, HR1010, HR1011, HR1012, HR1013, HR1014, HR1015, HR1016, HR1017, HR1018, HR1019, HR1020, HR1024, HR1025, HR1026, HR1027, HR1028, HR1029, HR1030, HR1032, HR1034, HR1035, HR1036, HR1038, HR1040, HR1041, HR1042, HR1043, HR1044, HR1046, HR1047, HR1048, HR1049, HR1050, HR1051, HR1052, HR1053, HR1055, HR1056, HR1057, HR1059, HR1064, HR1067, HR1068, HR1069, HR1070, HR1071, HR1073, HR1074, HR1075, HR1077, HR1078, HR1079, HR1080, HR1081, HR1083, HR1086, HR1087, HR1088, HR1089, HR1090, HR1091, HR1092, HR1093, HR1094, HR1095, HR1096, HR1098, HR1099, HR1100, HR1101, HR1103, HR1104, HR1105, HR1106, HR1109, HR1111, HR1112, HR1115, HR1116, HR1117, HR1118, HR1119, HR1121, HR1123, HR1125, HR1128, HR1130, HR1131, HR1132, HR1139, HR1140, HR1143, HR1144, HR1146, HR1147, HR1148, HR1149, HR1151, HR1153, HR1154, HR1155, HR1156, HR1157, HR1158, HR1159, HR1160, HR1161, HR1162, HR1163, HR1164, HR1165, HR1166, HR1167, HR1168, HR1169, HR1170, HR1171, HR1172, HR1173, HR1174, HR1175, HR1176, HR1177, HR1178, HR1179, HR1180, HR1181, HR1182, HR1183, HR1184, HR1185, HR1186, HR1187, HR1188, HR1189, HR1190, HR1191, HR1192, HR1193, HR1194, HR1195, HR1196, HR1197, HR1198, HR1199, HR1200, HR1201, HR1202, HR1203, HR1204, HR1205, HR1206, HR1207, HR1208, HR1209, HR1210, HR1211, HR1212, HR1213, HR1214, HR1215, HR1216, HR1217, HR1218, HR1219, HR1220, HR1221, HR1222, HR1223, HR1224, HR1225, HR1226, HR1227, HR1228, HR1229, HR1230, HR1231, HR1232, HR1233, HR1234, HR1235, HR1236, HR1237, HR1238, HR1241, HR1243, HR1244, HR1245, HR1246, HR1247, HR1248, HR1249, HR1252, HR1253, HR1255, HR1256, HR1257, HR1260, HR1261, HR1262, HR1263, HR1264, HR1266, HR1267, HR1268, HR1269, HR1270, HR1271, HR1272, HR1273, HR1274, HR1275, HR1278, HR1280, HR1281, HR1282, HR1283, HR1284, HR1285, HR1286, HR1287, HR1288, HR1289, HR1290, HR1291, HR1293, HR1294, HR1295, HR1299, HR1300, HR1301, HR1302, SCR49, HCR134, HCR136, HR18, HR247, HR428, HR494, HR538, HR540, HR786, HR791, HR803, HR805, HR808, HR809, HR811, HR816, HR825, HR826, HR836, HR838, HR845, HR846, HR862, HR869, HR870, HR878, HR879, HR896, HR899, HR902, HR911, HR914, HR933, HR934, HR935, HR951, HR958, HR959, HR986, HR1021, HR1022, HR1039, HR1054, HR1058, HR1061, HR1062, HR1065, HR1072, HR1107, HR1108, HR1110, HR1114, HR1120, HR1122, HR1129, HR1142, HR1145, HR1239, HR1242, HR1250, HR1251, HR1254, HR1258, HR1259, SCR21, HB3228, HB2802, HB45, HB1318, HB5560, HB2894, HB4344, HB4238, HB 130, HB2775, HB34, HB33, HB 12, HB148, HB4273, HB4850, HB2733, HB4783, HB4187, HB39, SB2155
KY
Transcript Highlights:
  • Rates are based on assumptions and industry data when provider data was unavailable or insufficient.
  • Rates are based on assumptions and industry data when provider data was unavailable or insufficient.
  • is the the the rate that was developed based<00:15:11.160> on<00:15:11.360> that<00:15
  • ><00:15:12.680> gu based on that rate study completed by gu based on that rate study completed
  • The benchmark rate would have been $741 based on the activity and the billing that is currently being
Keywords: 958, all
Summary: The Budget Review Subcommittee on Health and Family Services met with a quorum still coming together and first handled roll call and minutes. The main presentation came from the Department for Medicaid Services, with Commissioner Lisa Lee and CFO Steve Beckle giving an overview of Kentucky Medicaid, its federal-state financing structure, and the department’s 1915(c) home- and community-based waiver programs. They explained FMAP funding levels for traditional Medicaid, administration, IT, expansion adults, and CHIP, and noted the size of the program, including more than 600,000 Kentucky children eligible for Medicaid or CHIP, about 485,000 expansion adults, over 69,000 enrolled providers, and $18.5 billion in 2024 expenditures. A major focus was the waiver system, including the acquired brain injury waivers, model waiver, independence waiver, Michelle P. waiver, and Supports for Community Living waiver. The department said these waivers are intended to keep people with physical or developmental disabilities in home and community settings rather than facilities, and that many services are not covered by Medicare or commercial insurance. Officials described participant-directed services, interagency administration, and eligibility rules, including that some waiver programs use the child’s income only rather than family income. They also reported an unduplicated waiver wait list of 13,930 people and said the General Assembly had added waiver slots in the last budget, including 650 ABI slots and 1,275 more to be allocated July 1, 2025. The department also discussed a waiver rate study conducted by Guidehouse, explaining that CMS requires a defensible rate methodology because there is no Medicare or commercial benchmark for many waiver services. They said the study used cost and wage surveys, provider and stakeholder input, and aimed to improve transparency, provider stability, and rate parity. Officials reviewed prior COVID-era Appendix K rate increases and budget-driven increases, and said the budget ultimately funded rates at about 70% of the benchmark study, while preserving higher existing rates where needed so no provider would be cut. They highlighted larger differences in behavioral support and case management rates, and said a public report is available. Members asked several questions about the potential impact of federal FMAP changes, especially possible reductions in the enhanced match for expansion adults and Medicaid IT/admin activities. DMS said any FMAP reduction would require more state general fund dollars, estimating about $75 million for each 1% drop in the expansion match, while impacts on administrative IT funding would depend on the systems being built or implemented in a given year. Members also pressed for clarification on waiver wait-list procedures, funded versus filled slots, and what happens when someone on the wait list is later found ineligible. DMS said people on the wait list may not yet have been assessed, can be reevaluated if conditions change, and are still eligible for regular Medicaid state-plan services if they qualify, even if they are waiting for waiver services.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 3rd, 2025 at 09:00 am

Appropriations - Human Resources Division

Transcript Highlights:
  • rate.
  • For advanced life support, it would go from about $600 to the base rate to about $670.
  • on qualifying for it or the reimbursement rates that... ...are reasons based on qualifying for it or
  • It's in the base.
  • in our base budget.
Keywords: 908, all
Summary: The Senate Appropriations HR Division met with all members present to review the medical services portion of the HHS budget. Sarah Aker, Executive Director of Medical Services, walked the committee through several budget items, including HCBS cost-to-continue adjustments, the DD bed assessment, expansion of value-based purchasing, targeted rate increases for home health and QSP services, and the cross-disability waiver. Members generally supported the targeted increases for home health and QSP, and Aker explained that the cross-disability waiver funding would support startup work, service design, and infrastructure ahead of a planned July 1, 2028 implementation. The committee spent significant time on rate-setting and provider payment issues. Members discussed ambulance rate rebasing, with several senators expressing concern that the proposed increase was too high relative to peer states; the committee ultimately moved toward reducing that item to $1 million rather than zero so it could be revisited in conference committee. They also discussed a House-added critical access hospital networking grant and similarly leaned toward reducing it to $1 million. Aker explained the department’s value-based purchasing plans, including use of a vendor selected through RFP, and clarified how the department’s existing Medicaid managed care and hospital value-based programs work. A major portion of the meeting focused on long-term care and basic care payments, including a House-added extension of the $5 per day basic care add-on and a proposed shift in nursing facility incentive grants toward a withhold-based model. Senator Mathern indicated he would bring an amendment to delay or modify the withhold change, and Aker said the department would prefer language that directly addresses whether a withhold may be implemented. Members also discussed 1915(i) services, FMAP changes, the Medicaid legacy system modernization carryover, and a House-added legislative intent section on medical assistance. The committee adjourned for the morning with plans to return later to continue Human Services budget work and revisit unresolved items in conference committee.
OR
Transcript Highlights:
  • We are still focused on higher rates for team-based care providers in 2026.
  • We are still focused on higher rates for team-based care providers in 2026.
  • base data for rates.
  • CareOregon, based on what happened with the behavioral health space, based on where rates were at, lost
  • Companies are allowed to rate based on geography throughout the state.
Keywords: 907, all
Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.
NH

New Hampshire 2026 Regular Session

House Labor, Industrial and Rehabilitative Services (01/29/2026)

Labor, Industrial and Rehabilitative Services

Transcript Highlights:
  • They're kind of being apples and oranges in a way, so that rate again is based off of that monthly survey
  • but it is the only rate that we have. but it is the only rate that we have.
  • Um it gets rate.
  • Model it based off of this relationship between the unemployment rate and weekly claim volume.
  • rate and weekly claim volume. rate and weekly claim volume.
Keywords: 1189, house, all
MN

Minnesota 2025 1st Special Session

Committee on Jobs and Economic Development - 02/12/25

Jobs and Economic Development

Transcript Highlights:
  • The base tax rate is the same rate for all taxpaying employers, and then the taxable wages is a figure
  • c><00:08:10.080> rate<00:08:10.599> and experience rate and a base tax rate and experience
  • The base tax rate is based on a formula that's outlined in Minnesota statutes, where it's tied to the
  • In 2025, the base rate is 4% with a 5% additional assessment.
  • ><00:19:15.960> base both on the experience rate and the base both on the experience rate and
Keywords: 1187, senate, all