Video & Transcript Research : 'case manager'
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TX
Transcript Highlights:
- Related to the overall cases in Mexico, cases remain concentrated in southern Mexico.
- Related to the overall cases in Mexico, cases remain concentrated in southern Mexico.
- So those three cases in Nueva Leone.
- With these Nuevo León cases, Dr.
- And that's not always the case. That we're all on the same side, and that's not always the case.
Summary:
The joint hearing focused on preparedness for the New World screwworm threat and brought together the House Committees on Culture, Recreation, and Tourism and Agriculture and Livestock. USDA officials, Texas Department of Agriculture Commissioner Sid Miller, and Texas Animal Health Commission leadership described the pest as a serious risk to livestock, wildlife, rural economies, and beef prices, and emphasized coordination among federal, state, industry, and Mexican partners. Witnesses repeatedly stressed that Texas is currently seeing no confirmed U.S. detections, but that recent confirmed cases in northern Mexico, including Nuevo León, remain a concern because of their proximity to the border.
USDA testimony outlined current surveillance and response efforts, including more than 120 screw worm-specific traps along the Texas border and neighboring states, thousands of additional dual-purpose traps, wildlife inspections, weekly coordination with Mexico’s Senasica, and a new USDA New World Screwworm Directorate. Officials said the existing Panama sterile fly facility is maxed out at about 100 million flies per week, while a dispersal facility in Tampico is helping move flies farther north in Mexico. They also described plans for a retrofitted sterile fly facility in Metapa, Mexico, expected to come online in 2026, and a new domestic production facility at Moore Air Base, with phase one targeted for late 2026 or early 2027 and phase two adding substantially more capacity later.
Members pressed USDA on timelines, production capacity, the reliability of Mexican reporting, the risk from wildlife, and whether modular or mobile facilities could be deployed faster. USDA said it is also exploring innovative technologies, including a genetically engineered sterile male fly, but that such tools still require EPA review and field validation. Commissioner Miller highlighted Texas biosecurity efforts, five permanent inspection stations, cooperation with FDA and EPA on treatments such as Exzolt, and other pest issues affecting Texas agriculture. He also noted research into fly bait and private-sector efforts to speed sterile fly production.
Texas Animal Health Commission officials described extensive state preparedness work, including weekly coordination calls, field response trainings, outreach to producers and veterinarians, and a Texas Screwworm Response Team. They said Texas has trained more than 100 inspectors and other personnel, with additional trainings planned, and that the state is expanding its cattle fever tick rider program. No votes or formal committee actions were taken during the hearing; the main action was the exchange of testimony and questions about readiness, surveillance, and facility timelines.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Municipalities and Regional Government Jun 21st, 2026 at 01:00 pm
Joint Committee on Municipalities and Regional Government
Transcript Highlights:
- Supreme Court case, City of Grants v. Johnson.
- I'm the general manager of the Topsfield Fair.
- I'm also the general manager of Northeast Harvest by Local.
- I appreciate the estimation that it would speed things up in 50% of the cases, but how many of the cases
- About making the present town administrator the town manager.
Summary:
The Joint Committee on Municipalities and Regional Government held a hybrid hearing on bills related to land use, zoning, permitting, municipal governance, and homelessness. Early testimony focused on a home rule petition for Ipswich to remove a residency requirement for a town manager, with supporters saying it would broaden the applicant pool and help fill a vacant permanent manager position. Another panel backed legislation to change the Springfield Water and Sewer Commission’s governance so ratepayers in surrounding communities would have representation, arguing the current board structure leaves many users without a voice in rate-setting and capital decisions.
Several housing and zoning bills drew testimony. Senator Keenan and the Home Builders and Remodelers Association supported a bill to toll the one-year period for acting on a variance while an appeal is pending, saying appeals should not consume the time needed to implement approved projects. Representative Murray and the Real Estate Bar Association also testified on broader zoning reforms, including changes to undersized lots, merger rules, hearing deadlines, appeals, and variance standards; they argued the proposals would reduce delay and uncertainty and help housing production. Committee members questioned whether shifting zoning appeals from de novo to closed-record review would limit new evidence, and the witnesses said the change would speed cases while preserving limited opportunities to supplement the record.
The committee also heard testimony on bills to end the criminalization of homelessness. Representatives, advocates, and shelter organizations said local camping bans and fines are counterproductive, especially after the U.S. Supreme Court’s Grants Pass decision, and urged a statewide response centered on housing and public health rather than punishment. Other municipal bills included remote participation in open town meetings for Wayland and a statewide local option, Fairhaven and Mattapoisett charter changes, and Cambridge’s request to use automated parking enforcement and mail parking tickets. The hearing also included testimony supporting fairground zoning flexibility, a Shrewsbury solar siting bill, and an Inspector General bill clarifying county land disposition procedures by requiring written notice to DCAM and a defined response period. No votes were taken during the hearing.
MN
Minnesota 2025-2026 Regular Session
House Judiciary Finance and Civil Law Committee 4/3/25 - Part 2
Judiciary Finance and Civil Law
Transcript Highlights:
- Um, and this—the two cases we've already had at least two cases where they've applied for licenses.
- The attorneys from that office could be used in state cases, ICWA cases, and in tribal court.
- The attorneys from that office could be used in state cases, ICWA cases, and in tribal court.
- in<00:32:24.080>
tribal state cases, IQUA cases, and in tribal state cases, IQUA cases, and - along with the case closed data for the along with the case closed data for the prior<00:45:35.359>
Bills:
HF2233, HF1524, HF1893, HF1396, HF2456, HF2959, HF2300, HF2412, HF3022, HF2825, HF1862, HF1373, HF1039, HF3070
Keywords:
Uniform Special Deposits Act, special deposit, banking law, financial institutions, escrow, escrow account, trust account, security deposit, beneficiary, depositor, creditor process, garnishment, attachment, levy, setoff, recoupment, financial market infrastructure, retirement benefits, compensation, earnest money
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Nov 7th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- And in 80% of the cases, death.
- It's in some cases yes, in some cases not so much, or partially.
- For drugs, non-urgent cases are three days.
- Management that they hoped for from the MCO.
- A number of advocates wanted a primary care case management model and had been pushing for that as an
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration May 19th, 2026
Transcript Highlights:
- Those costs do at times include litigation, as in this case.
- management, workload management, staff oversight, system integration, and legacy system retirement.
- Maybe the average case that a worker is bringing is more complex.
- a true 60-day period to consider the merits of each case.
- to...” “...the Appeals Board, every case, every party on both sides of the case knows that there’s a
Summary:
The Assembly Budget Subcommittee 5 on State Administration held a May Revise hearing focused on state administration proposals, with the chair noting no actions would be taken and all items would remain open. The committee heard presentations on a range of budget proposals, including technical adjustments for the Governor’s Office of Service and Community Engagement and the California Workforce Development Board, security and election-related funding for the Secretary of State, modernization and loan-backfill requests for the Department of Consumer Affairs, and multiple Employment Development Department updates covering EDD Next, UI and DI/PFL benefit estimates, workforce funding, and an EMT training reappropriation.
Several items drew discussion from the LAO and committee members. The LAO generally supported technical or modernization items such as PERB’s implementation requests, GoServe’s College Corps adjustment, the Secretary of State’s security and HAVA grant items, and the Board of Pharmacy modernization proposal, but raised concerns about the Bureau for Private Postsecondary Education’s proposed $10 million General Fund backfill and interest-free loan language. For EDD, the LAO flagged the size of the DI/PFL benefit adjustment and the unusual structure of the document management system proposal within EDD Next, while EDD said the changes reflected higher participation and benefit levels after SB 951 and ongoing modernization needs.
The Department of Industrial Relations drew the most extensive questioning. It proposed funding for legal unit reclassifications, EAMS and Cal/OSHA data modernization, a new Cal/OSHA emerging technologies unit, a COYA reappropriation, and trailer bill changes requiring electronic payment of employer assessments and adjusting the Workers’ Compensation Appeals Board timeline. Members pressed DIR on high vacancy rates, long wage theft and workers’ compensation backlogs, low collection rates for fines, and the need for clearer workload and outcome measures. DIR said the requests were intended to improve efficiency, support audits and corrective action plans, and better address emerging workplace risks, while the LAO said the workload drivers behind delays remain unclear. The hearing also included support for CalHR’s employee assistance program consolidation and CDT’s proposal to expand “Poppy,” a statewide generative AI assistant for state employees.
CA
California 2025-2026 Regular Session
Assembly Housing and Community Development Committee May 7th, 2025
Transcript Highlights:
- AB 456 will prohibit a park manager from requiring reporting.
- mobile home, closing a loophole used by park managers across the state.
- Park management is known to disrupt home sales to allow management to buy the home at a much lower price
- Picture that in your own case. Nobody's looking inside my house.
- many cases that's not happening right now because these are all-cash deals.
Summary:
The Assembly Housing and Community Development Committee heard four items, including one consent bill, and began before quorum was established. AB 760, by Assemblymember Ta, would temporarily allow mobile home park-owned homes to be rented to people displaced by a natural disaster in areas under a declared state of emergency, including adjacent jurisdictions. Supporters said it would quickly add housing after fires, floods, or earthquakes; there was no opposition at the hearing, and members generally praised the narrow committee amendments. The bill later passed on a due-pass-as-amended vote.
Chair Haney presented AB 1445, which would let cities create downtown recovery districts to finance office-to-housing conversions and other downtown revitalization projects using growth in property tax revenue. Support came from the California Travel Association, Housing Action Coalition, IKEA, Spur, Abundant Housing, and Circulate San Diego, with members saying the bill could help downtowns recover and expand mixed-use housing. The committee voiced support and interest in broader use of the tool, and the bill was approved on a due-pass-as-amended vote.
AB 456, by Assemblymember Connolly, drew the most extensive debate. The bill would prohibit mobile home park managers from requiring interior repairs or improvements as a condition of sale and would require timely written lists of exterior repairs, with supporters arguing that park managers are interfering with sales and delaying closings. Opponents, led by the Western Manufactured Housing Communities Association, argued that interior inspections are needed to protect buyers and park residents from unsafe conditions and potential liability. Members raised questions about safety, disclosure, HCD oversight, and liability; after discussion, the bill was moved on a due-pass-as-amended vote, with some members not voting or expressing reservations. The committee also approved the consent calendar.
AZ
Transcript Highlights:
- So in my particular case, which I'm not supposed to talk about, we were unable to be able to... ...case
- I'm the senior public policy manager with Lyft.
- About 10 to 15 park managers generally attend our classes, which are now required only for managers of
- AMHO strongly believes that all park managers in Arizona, not just managers of manufactured home parks
- If I was, open and shut case.
Keywords:
digital goods, advertising, ownership, license, consumer protection, refund policies, streaming services, minors, content creators, online platforms, compensation, trust accounts, child protection, video content, privacy, employment, mobile homes, recreational vehicles, landlord tenant laws, tenant rights
Summary:
The committee heard and acted on several bills. HB 2192, a child influencer bill, would require compensation for minors featured in monetized content to be placed in trust, allow takedown requests for content as minors become adults, and create remedies for sexualized depictions of minors. The sponsor and Google described it as a modern Coogan-trust style protection; some members raised concerns about the age-13 and age-18 provisions, but the bill received a do pass recommendation on a 9-0 vote with two present.
HB 2501, an agency bill, conformed Arizona’s definition of appraisal management company to federal law and passed unanimously. HB 2693, which revises bona fide association rules to allow statewide chambers or business leagues to operate self-funded multiple employer welfare arrangements, drew support from the Chamber and small-business advocates but opposition from a coalition citing possible federal preemption; it passed as amended on an 8-1 vote. HB 2010, the digital goods disclosure bill, required clearer notice that online “purchases” may be licenses, prorated refunds if access changes, and removed some penalty language in amendment; supporters said it would reduce consumer confusion, while retailers argued federal law already covers the issue. It passed as amended 11-0.
The committee also approved HB 2279, which limits liability for Grand Canyon river outfitters for inherent risks of rafting while preserving claims for gross negligence or intentional acts, despite constitutional objections from opponents; it passed 7-4. HB 2690, which tightens unemployment insurance eligibility by adding work-search and fraud cross-check requirements, was opposed by advocates who said it would add red tape and burden eligible claimants, but it passed 7-4. HB 2310, clarifying that qualified marketplace contractor agreements may be terminated unilaterally by the contractor, passed 10-0. HB 2555, requiring retail businesses to accept cash for purchases of $100 or less and banning cash fees, passed as amended 9-1 after debate over consumer access and business flexibility.
Finally, HB 2199, which expands required education for RV park managers and shifts some enforcement duties to the Department of Housing, passed as amended 7-0 with three present. The committee then considered HB 2459, which would let mobile home park landlords recover actual utility charges and add an administrative fee for submetering; supporters said it would address overcharges and improve transparency, while opponents warned it could increase costs and confusion. The transcript cuts off before the final action on HB 2459.
NH
New Hampshire 2025 Regular Session
House Executive Departments and Administration (01/29/2025)
Transcript Highlights:
- We do not manage any of that.
- We do not manage any of that.
- In many cases, the answer to the question is not known, and in some cases even not knowable.
- immediately knowable uh in many cases immediately knowable uh in many cases the<00:39:26.280>
- I represent PFM Asset Management.
Summary:
The committee held a public hearing on House Bill 233, which would impose transparency and reporting requirements on the New Hampshire Vaccine Association. The prime sponsor, Representative Comto, said the bill and a proposed amendment were intended to increase public access by requiring a physical meeting location, making meetings available online, and publishing a complete list of vaccines and pharmaceutical products purchased. She argued the association should be more transparent because it is involved in vaccine purchasing and public trust is important, especially given controversy around vaccines.
Committee members questioned the sponsor about the association’s legal status, who sets vaccine requirements, whether other private entities would be covered, and whether the proposal should instead apply more broadly to all meetings or include recordings. The sponsor said the association was created by the legislature, that childhood vaccine requirements come from DHHS and CDC-related processes, and that she would be open to broader recording requirements. Some members raised concerns about misinformation and whether requiring answers to public questions could be problematic in a contentious policy area.
Patrick Miller, executive director of the Vaccine Association, and attorney Mark McHugh testified in opposition. They described the association as a not-for-profit voluntary corporation created by statute in 2002 to serve as a funding mechanism for the state’s universal childhood vaccine purchase program, with no policymaking role and no public funding. They said the association already posts notices, agendas, minutes, and allows public webinar access and comments, while also providing annual audits and reports and other statutory reporting. They argued HB 233 would impose unnecessary administrative costs on a private entity, interfere with its limited charitable purpose, and ultimately increase costs borne by insurers, employers, and consumers. No vote or final action was taken during the hearing.
TX
Texas 89th Regular
Senate Committee on Health and Human Services Apr 30th, 2025
Health & Human Services
Transcript Highlights:
- And that was not always the case.
- This is why in one of my current cases, when the attorney subpoenaed the risk management notes, the hospital
- True cases of medical child abuse are extremely rare, estimated at between 0.5 to 2 cases per year. .
- I had a recent case because I mean I have all these cases, and so a recent case where there was a pediatrician
- My first cases were back in 2006.
Bills:
HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001, HB136
Keywords:
Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening
AR
Arkansas 2026 1st Special Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 18th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- I think one other thing I was just thinking about as case managers: I think it’s so important that we
- Are we case managing programs? Are we case managing people?
- managers and how we can case-manage people and not programs.
- Are we case managing programs? Are we case managing people?
- What’s happening with our case managers and how we can case-manage people and not programs.
Summary:
The committee met to hear an update from consultants Mason Bishop and Cameron Christie on Arkansas’s “one door” or “no wrong door” workforce and social services modernization effort. The discussion focused on moving the state toward a work-first system that better connects job seekers, employers, education, and public assistance programs, with goals of increasing upward mobility, improving labor force attachment, reducing inefficiencies, and adapting to changes such as AI and other economic disruptions. The consultants argued that Arkansas’s current system is fragmented across multiple offices, portals, agencies, and funding streams, and that people often have to navigate separate doors for workforce services, TANF, SNAP, Medicaid, and related supports.
Bishop repeatedly pointed to Utah as the model, describing how that state integrated workforce and human services into a single department, used cost allocation to blend funding behind the scenes, and saw improved customer service and outcomes after reform. He said TANF should be treated as a workforce program, not just a benefits program, and suggested that Arkansas could use TANF and other tools to cross-train DHS staff, co-locate services, and create a more unified service delivery model. Members asked about federal flexibility, waivers, and whether the state could use one large waiver or a broader restructuring to simplify the system. Bishop explained that a federal pilot authority proposal failed in Congress, so the current approach relies on waivers, cost allocation plans, and possible state-level changes.
The committee also discussed the relationship between DHS and workforce offices, the role of local workforce boards, how disability and vocational rehabilitation cases would be handled, and how the governor’s Restore Hope/Hope Hub and faith- and community-based initiatives might fit into the broader plan. Bishop said Arkansas already has rehabilitation services within the workforce department and emphasized that case managers should focus on people rather than programs. No votes were taken. The chair said the committee would revisit case management at its August meeting and adjourned the meeting after thanking the consultants.
MN
Minnesota 2025-2026 Regular Session
House Public Safety Finance and Policy Committee 4/7/26
Public Safety Finance and Policy
Transcript Highlights:
- <00:03:27.440>
was In that case, the victim was In that case, the victim was a<00:03:28.680 - cases and leads to better outcomes. cases and leads to better outcomes.
- <01:18:15.160>
involved of use of deadly force cases involved of use of deadly force cases - grown. cases.
- particular cases and the way the cases particular cases and the way the cases have<01:25:29.920>
Keywords:
public safety, law enforcement, mental health, domestic violence, appropriations, criminal justice, Minnesota corrections, victim services, task force, personal safety, emergency management, local government, funding, preparedness, Minnesota, Bureau of Criminal Apprehension, BCA, Independent Use of Force Investigations Unit, use of force, police accountability
TX
Texas 89th 2nd C.S.
Senate Committee on Health and Human Services Jul 8th, 2026
Health & Human Services
Transcript Highlights:
- management system, or the first part of funding for our new case management system.
- But our intent will be, when we build that new case management system, to build a separate module that
- The first is the proposed central registry module within the new case management system.
- The first is the proposed central registry module within the new case management system.
- That goes hand in hand with that new case management system.
ND
North Dakota 2026 1st Special Session
Human Services Committee Feb 11th, 2026 at 09:00 am
Human Services
Transcript Highlights:
- And within case management, and North Dakota Rent Help had case management too.
- And this case management that we're doing, it's very intense.
- management, because we know that that case management component stabilization, case management, because
- I was a transitional housing case manager.
- The role of the case manager and ombudsman was discussed.
Summary:
The Human Services Committee met in interim session and first approved the previous meeting minutes before receiving a series of presentations on homelessness and housing stability. Jennifer Henderson of the North Dakota Housing Finance Agency updated members on the new Interagency Council on Homelessness, describing its executive-order mandate to review resources, gather input from stakeholders, identify gaps, and develop recommendations. She said the council’s first work is building a statewide program matrix of existing homeless services and funding sources, with attention to youth, tribal communities, and other vulnerable populations. Members raised concerns about youth homelessness, homeless veterans, and how the council will stay focused on a practical framework rather than getting lost in details. The committee also discussed possible connections to the rural health transformation grant and agreed to continue the topic later in the spring.
Beth Olson of Presentation Partners in Housing described the organization’s housing-first model in Cass County and Clay County, including homeless prevention/diversion, housing navigation, and Cooper House, a 42-unit permanent supportive housing building in Fargo. She said the organization focuses on people with long-term and chronic homelessness, many with mental health, addiction, health, domestic violence, and Indigenous identity-related barriers, and reported strong outcomes: 85 of 86 people housed in 2025, 91% still housed after one year, and major reductions in emergency room use, ambulance rides, jail stays, detox days, and shelter use. She also explained that state funding has grown from a small share of the budget to about $1.1 million in state-connected funding for fiscal 2026, largely through contracts tied to supportive services. Members asked about vouchers, rent contributions at Cooper House, length of stay, and whether similar projects could be expanded elsewhere.
Andrea Olson of the Community Action Partnership of North Dakota outlined statewide homeless and housing-related services delivered through six community action agencies in all 53 counties. She explained the Community Services Block Grant structure, said housing was identified as the top need in the most recent statewide needs assessment, and described programs including Supportive Services for Veteran Families, North Dakota Homeless Grant services, and Home ARP supportive services. She emphasized that the end of North Dakota Rent Help has increased pressure on the system, that the current $2 million annual homeless grant is far smaller than prior rent-help assistance, and that community action is using case management and financial assistance to move households toward self-sufficiency. Members asked about funding formulas, rural service delivery, and coordination with Presentation Partners to avoid duplication. YouthWorks then began a presentation on youth homelessness, describing services for ages 12 to 24, the special needs of youth and former foster youth, and the organization’s use of federal and state funds to support transitional housing, emergency shelter, maternity housing, and diversion services.
TX
Transcript Highlights:
- We need to know, you know, we can't manage what we don't measure.
- Water management in Texas is critical, 301 Water management in Texas is critical, not just for urban
- If you don't know what the numbers are, you can't manage it.
- And so who do you really have managing the district?
- And so who 351 do you really have managing the district?
Summary:
The committee met to hear House Bills 27 and 24 on groundwater issues in East Texas, with members and witnesses focusing on a proposed large-volume groundwater export project and the need for more science before major permitting decisions are made. HB 27, which was within the special session call, would direct the Texas Water Development Board to conduct a hydrogeologic study of the aquifers in the affected area and temporarily pause new export permits while the study is underway. HB 24, a separate bill that would limit certain production and export permits to 5% of modeled available groundwater, was laid out but the chair said it would not be moved out of committee.
Testimony on HB 27 was largely supportive, though some witnesses were neutral. Supporters, including representatives from a water supply corporation, the Trinity River Authority, Environmental Defense Fund, and the Texas and Southwestern Cattle Raisers Association, said the region lacks enough hydrologic data, that the proposed pumping could affect private wells, surface water, and local economies, and that the state needs better information on sustainable yield and groundwater-surface water interaction. Several witnesses emphasized that groundwater conservation districts need clearer tools and better data, while also noting concerns about property rights and the rule of capture. Committee members discussed the scale of the proposed project, the absence of a groundwater conservation district in Houston County, and the possibility that the study should examine desired future conditions and maximum sustainable pumping rather than only modeled available groundwater.
The committee adopted the committee substitute for HB 27 and voted it out favorably to the full House with a recommendation that it do pass, be printed, and be sent to the Committee on Calendars. The roll call was unanimous, 11 ayes and 0 nays. After the vote, members briefly reflected on the complexity of the issue and the need to continue working on broader groundwater policy in the interim and next session. HB 24 was discussed later in the meeting, but no final action on that bill was taken in the portion provided.
KY
Kentucky 2025 Regular Session
Budget Review Subcommittee on Health and Family Service (11-5-25)
Transcript Highlights:
- that modernization of the cases program. that modernization of the cases program.
- And they said, "Cases." I said, "What version of Cases?" They said, "Cases."
- management.
- management.
- <01:04:16.079>
Um pediatric pain management. Um pediatric pain management.
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.
MN
Minnesota 2025-2026 Regular Session
House DFL Press Conference 2/25/26
Transcript Highlights:
- management.
- But county case management would be mine. Do you have another one on privatization?
- increasingly outsource case management. increasingly outsource case management.
- But county case management<00:15:07.839>
would <00:15:07.920>be <00:15:08.079>mine. - >> So, the funding that goes to the case >> So, the funding that goes to the case management
Summary:
House DFL leaders held a press availability outlining a broad anti-fraud agenda focused on state programs, especially Medicaid-related services, but also unemployment and tax fraud. They said the package is intended to strengthen accountability, improve oversight, and prevent fraud before it occurs, while arguing that fraud harms vulnerable Minnesotans such as children with autism, people with disabilities, seniors, and homeless people. They also tied the problem to long-term privatization of public services, arguing that outsourcing creates more layers and opportunities for fraud, and cited examples like county case management and managed care arrangements.
Specific proposals discussed included strengthening the attorney general’s Medicaid fraud control unit, creating or expanding inspector general functions, requiring more in-person site visits, using electronic visit verification, improving background checks and fingerprinting, and upgrading outdated IT systems. Members said some bills would be relatively low-cost while others would require funding, and that bills without fiscal notes might move separately while others could be folded into budget discussions. They also said the House DFL had already taken steps in prior sessions, including creating a fraud unit at the BCA and adding DHS staff for site visits.
The discussion also covered the Office of Inspector General bill, with DFL members saying they support placing the office in the executive branch and that the governor should make the final appointment for constitutional reasons. They said Republicans had blocked amendments they viewed as adding fraud-prevention authority to the OIG bill, and that the governor’s staff had not been involved in working groups. On a separate bill involving disclosure requirements, they said the committee version was improved but still flawed because it could interfere with investigations; they said it would next go to the Children and Families Committee. No votes were taken in the exchange, and members said they were still early in session and hoped for more constructive negotiations later.
MN
Transcript Highlights:
- But that's how we had to try to manage it because, in some cases, I think it's not necessarily nefarious
- But that's how we had to try to manage it because, in some cases, I think it's not necessarily nefarious
- But that's how we had to try to manage it because, in some cases, I think it's not necessarily nefarious
- But that's how we had to try to manage it because, in some cases, I think it's not necessarily nefarious
- it because there was in to try to manage it because there was in some<01:32:07.840>
cases <01:
VT
Transcript Highlights:
- use cases and the commingling of data. use cases and the commingling of data.
- provide savings in certain cases. provide savings in certain cases.
- can't manage what you can't measure. can't manage what you can't measure.
- That is not true in this case.
- That is not true in this case. That is not true in this case.
Summary:
The House first suspended the rules briefly to make announcements, including welcoming former representative Doug Gage to the gallery. It then returned to House Bill 211 on data brokers and personal information, where the Appropriations Committee explained a $50,000 appropriation to the Secretary of State for a consultant-led study on an accessible deletion mechanism for consumers to delete personal data held by data brokers, with interim and final reports due in 2027 and 2028. The committee reported a 9-0-2 vote in favor, and the House agreed to the Commerce and Economic Development Committee’s amendment and ordered third reading.
Floor debate on H. 211 focused heavily on the bill’s deletion and exemption framework. Supporters argued the bill is needed to give Vermonters meaningful control over their data and to prevent data brokers from commingling information for unrelated uses. Opponents warned the bill could conflict with existing federal frameworks such as the Fair Credit Reporting Act, Gramm-Leach-Bliley, and the Driver’s Privacy Protection Act, and could make credit, banking, insurance, fraud prevention, and identity verification harder. In response, the sponsor said the bill uses use-case-based exemptions rather than broad entity-level exemptions, noted testimony from banks, insurers, a data broker, a former data broker employee, and the Attorney General, and said no constitutional concerns were raised. The House ultimately adopted the amendment and advanced the bill.
After H. 211, the House moved to House Bill 577, establishing the Vermont Prescription Drug Discount Card Program. Committee reports from Health Care, Ways and Means, and Appropriations were read into the record, and the Colchester member described the bill as a way to lower prescription drug costs by joining the multi-state Array Rx program. The bill would let any Vermont resident obtain a free discount card for FDA-approved prescription drugs, with claimed savings up to 80% on generics and 20% on brand-name drugs. The House then proceeded to second reading on H. 577.
TX
Texas 89th 2nd C.S.
Senate Committee on Water, Agriculture, and Rural Affairs May 11th, 2026
Water, Agriculture and Rural Affairs
Transcript Highlights:
- We manage it with IPM, integrated pest management.
- And again, tell us if you have cases.
- or cases.
- So this map that's been put out by the USDA that shows where the cases are, and obviously the cases are
- It needs to be reported, at least for case management. Senator, thank you for that.
FL
Florida 2026 5th Special Session
Fiscal Policy Apr 22nd, 2025
Transcript Highlights:
- And I've prosecuted murder cases. I've prosecuted sexual battery cases.
- and sexual battery cases.
- We want any kind of management plans available electronically, so you can see We want any kind of management
- Senate Bill 496 on timeshare management.
- We have also known that some, while manageable to some, might not be manageable for others, and I know
Summary:
The committee met and first reported favorably CS for SB 1782, which creates a new offense for dangerous excessive speeding, with support noted from the Orange County Sheriff’s Office and the Florida PBA. It also reported favorably CS for SB 306, which addresses Medicaid managed care provider network access by requiring after-hours and holiday appointment availability and a minimum level of primary care participation. CS for SB 716, imposing mandatory minimum sentences for certain sexual offenses committed by registered sex offenders or predators, and CS for SB 1084, expanding protections against non-consensual dissemination of intimate images and digitally forged intimate images, were also approved.
The committee then approved CS for CS for SB 1604, a corrections package that would require prepayment of court costs for certain inmate lawsuits, shorten the limitations period for confinement-condition claims, allow consecutive sentencing in some cases, and revise mental health treatment procedures in correctional settings. Members discussed constitutional concerns and access-to-courts issues, but the bill was reported favorably. CS for CS for SB 1804, which creates a capital offense for trafficking a child 12 or younger or a mentally incapacitated person for sexual exploitation, drew extensive debate and opposition from the Florida Conference of Catholic Bishops, the Florida Association of Criminal Defense Lawyers, and Floridaans for Alternatives to the Death Penalty; despite objections about constitutionality and ethics, it was reported favorably.
The committee also approved CS for SB 1838, expanding protections for court officials against tampering, harassment, and retaliation, and CS for CS for SB 890, the Emily Adkins Family Protection Act, which creates a statewide VTE registry and requires blood clot screening and training in hospitals and care facilities. Members and public witnesses spoke in strong support of the blood clot bill, including family members and survivors. Finally, the committee reported favorably CS for SB 1252, directing FDLE to study a statewide pawn data database, CS for SB 468, increasing penalties for fleeing or eluding law enforcement and allowing vehicle impoundment, CS for SB 490, expanding off-duty concealed carry eligibility for correctional officers and correctional probation officers, and CS for SB 572, the Pam Rock Act on dangerous dogs, which was amended to refine enclosure, confiscation, euthanasia, and insurance requirements.