Transcript Highlights:

• Pursuant to Act 634, we have increased that administration rate to match the Vaccines for Children rate
• Pursuant to Act 634, we have increased that administration rate to match the Vaccines for Children rate
• Okay, so what rates are you increasing? All pediatric rates.
• the rates.
• Okay, so what rates are you increasing? All pediatric rates. Okay.

Keywords: 1204, all

Transcript Highlights:

• Every year, the Department of Human Services works with actuaries to set rates for the upcoming year
• So in general, when DHS is working with actuaries to set their rates for the coming year, they're using
• So in general, when DHS is working with actuaries to set their rates for the coming year, they're using
• So in general, when DHS is working with actuaries to set their rates for the coming year, they're using
• /c><00:35:46.560> coming<00:35:46.800> year set their rates for the coming year set their

Keywords: 919, house, all

Summary: Minnesota Management and Budget Commissioner Aaron Campbell, State Economist Dr. Tony Becker, and State Budget Director Anna Mingi presented the November 2025 budget and economic forecast. Campbell said the state now projects a nearly $2.5 billion surplus at the end of the 2026-27 biennium, about $575 million better than the end-of-session estimate, but also a projected negative balance of about $2.9 billion in FY 2028-29, reflecting a worsening structural imbalance. He said the budget reserve stands at $3.4 billion, with cash flow and budget reserves totaling $3.8 billion after a $244 million addition, and emphasized that Minnesota’s AAA bond rating and reserve policy remain strengths even as future sessions will need to address the long-term gap. Becker said the national economic outlook has changed only modestly since February, but growth remains below trend through the forecast horizon. He cited slower consumer spending, weak private investment, continued tariff uncertainty, lower projected immigration, and modest inflation that stays near 3% through 2026 before easing. Revenue forecasts for the next biennium were revised up to $66.3 billion, driven mainly by higher individual income tax receipts and other revenue, partly offset by lower sales and corporate tax forecasts. He also noted risks from federal policy changes, the recent shutdown’s effect on data availability, and possible equity market volatility. Mingi said general fund spending is projected to rise sharply, with current biennium spending up $3.4 billion from end-of-session estimates and planning-year spending up $1.9 billion. She attributed much of the increase to carryforward from prior one-time appropriations, discretionary inflation, and especially Medical Assistance. MA costs are projected to be about $2.5 billion higher over 2025-29, largely because managed care rates rose more than expected due to higher utilization and higher-cost services, including pharmacy costs, while long-term care and disability waiver costs also increased. In response to questions, officials said the federal reconciliation bill had only a relatively small effect on the health care changes, and that the carryforward amounts reflect unspent prior appropriations that now show up in later years rather than new spending.

Transcript Highlights:

• This bill brings back balance and sustainability to the program by setting sustainable interest rate
• Every bank sets its rate according to its market, and there are 170 banks in the state of Florida.
• So you have 170 banks setting a comparable rate for not one account, but multiple accounts.
• Senator Pizzo, I don't know that the courts should be setting interest rates.
• interest rates I mean they could set requirements and and percentages but I that's not that should not

Summary: The committee heard several bills and amendments, beginning with CS/SB 498 on trust fund interest for IOTA accounts. The sponsor said a 2023 Florida Supreme Court rule sharply increased interest paid into legal aid funding, creating a windfall and making participation difficult for banks. An amendment was adopted requiring savings institutions to pay the higher of 0.25% or the highest comparable rate offered on certain non-IOTA accounts, and the bill then passed favorably after testimony from banks, legal aid representatives, and other stakeholders both supporting and opposing the measure. The committee also approved CS/SB 232, which clarifies Florida’s consumer collection law applies only to phone calls during restricted hours and not emails or text messages, after a delete-all amendment and supportive testimony from industry groups. It then approved SB 132, as amended, to designate gold and silver as legal tender and set rules for custody, audits, electronic transfer, and government acceptance of payments; supporters called it a sound-money measure, while the banking association said it still had unresolved technical concerns. Later, the committee passed SB 1466 to create a trust fund for the My Safe Florida Home Program, with an amendment funding it from 20% of collected insurance premium tax revenue. It also considered SB 1206 on transportation network company insurance, reducing coverage during the “dead-leg” period before a rider is picked up from $1 million to lower limits; the bill drew sharp opposition from trial lawyers and support from insurers and some business groups, and the committee adopted a clarifying amendment before reporting the bill favorably. Finally, CS/SB 924 on fertility preservation for cancer patients was amended several times to narrow scope and clarify coverage rules, then passed favorably after debate over cost, preauthorization, and post-treatment storage obligations. The committee adjourned after allowing technical and conforming changes to implement the adopted amendments.

Transcript Highlights:

• In the last couple of years, even though we had this big rate increase since the pandemic, rate increases
• We would say this year we looked at the rates, and you can look at the rate filings.
• So they had a 2.6 experience rate, and I can't recall the surcharge rate, but we charge them for the
• And when you started talking about experience ratings, ratings, all the lights flashed all over in my
• and in other settings?

Transcript Highlights:

• WHILE THE STATEWIDE RATE FOR CALENDAR YEAR 23 WAS 76 PERCENT, INDIVIDUAL PLAN RATE FOR CALENDAR YEAR
• ON THE STATEWIDE RATE WAS 73 PERCENT, INDIVIDUAL PLANT RATES FOR 23 VARIED RANGED FROM 70 PERCENT TO
• THE AGENCY UTILIZED THIS APPROACH TO FOCUS ON REDUCING PRETERM BIRTH RATES IN PRIMARY C-SECTION RATES
• GESTATION AND THE RATE IS CALCULATED PER 100 BIRX OF THE LOWER THE RATE FOR THIS MEASURE THE BETTER.
• ABOUT THE STATEWIDE RATES.

Transcript Highlights:

• One of the issues has been a lot of denials and a higher rate, possibly a higher rate of denial than
• It helps with rate need.
• So when I said before what our rate need is, our rate need is what we need to charge to be actuarially
• proposing sweeping rate decreases.
• up, and we'll set up multiple locations, depending. are CRCs, which we go out in the field and set up

Summary: The Insurance and Banking Subcommittee received a lengthy presentation from Citizens Property Insurance Corporation CEO Tim Serio, with Insurance Commissioner Michael Yaworski also answering questions. Serio reviewed Citizens’ role as Florida’s insurer of last resort, its statutory funding structure, eligibility rules, depopulation program, reinsurance obligations, and the surcharge/emergency assessment mechanisms that can be used if Citizens runs a deficit. He emphasized that recent legislative reforms, combined with lower litigation and improved market conditions, have helped the private market recover and reduced Citizens’ policy count from a peak of about 1.41 million in 2023 to 936,182 at the end of 2024, with a projected drop to about 771,000 by the end of 2025. He also said the reforms reduced Citizens’ rate need and helped avoid an emergency assessment after the 2024 storms. Members asked about Citizens’ rate increases, why Citizens still seeks higher rates despite lower litigation, how the 20% eligibility threshold works, whether Citizens should be wind-only, and whether the state or federal government could help with deficits. Serio explained that Citizens is still charging below actuarially sound rates in most areas, that rate filings reflect reduced litigation and lower reinsurance exposure, and that assessments on all Florida property policyholders are the reason Citizens tries to build surplus and depopulate. He said the depopulation program is working better than in the past, with less than 2% of takeout policies returning to Citizens, and that the Office of Insurance Regulation has been vetting takeout companies more carefully. A substantial portion of the discussion focused on claims handling after Debby, Helene, and Milton, including flood-versus-wind disputes and Citizens’ use of the Division of Administrative Hearings for some claim disputes. Serio said Citizens had received 76,625 claims from the three storms and had paid nearly $823 million in indemnity and expenses as of January 7, 2025. He said many closed-without-payment claims were either below deductible, withdrawn, duplicate, or flood-only, and that Citizens had asked its internal audit function to independently review the claims data and denials. He also described Citizens’ storm outreach, catastrophe response centers, managed-repair program, and claim review process, and said the corporation remains focused on paying valid claims while minimizing the risk of assessments on the broader Florida market.

Transcript Highlights:

• Is it one set or two? It's one. One set. One set. Okay.
• Is it one set or two? It's one. One set. One set. Okay.
• His did not have a prevalence rate; that's the rate of infection.
• rate.
• rate is right now.

Summary: The committee first considered several local property-transfer and wildlife/fisheries bills, including SB 229 (Bojeur Parish property transfer), SB 71 (Lafayette Parish property transfer), and a series of Department of Wildlife and Fisheries measures. SB 203 simplified possession rules for fish on multi-day trips and remote camps; SB 429 created an administrative path to register “orphan” boats with lapsed registrations; SB 204 removed a residency-based restriction on certain commercial fishing gear licenses; SB 205 reduced duplicate registration requirements for federally documented boats; SB 213 clarified titling rules for vessels and outboard motors; and SB 257 removed Social Security number requirements from certain commercial fishing tags. Each of these bills was reported favorable, generally without objection, after brief explanations from sponsors and department counsel about reducing red tape, improving enforcement, or modernizing records. The committee also heard SB 214, which would allow the Teche-Vermilion Fresh Water District to stop pumping during an imminent flood threat identified by the National Weather Service or GOSEP, addressing liability concerns and giving local officials more flexibility in emergencies. SB 274, as amended, required lead hazard risk assessments for certain child care, early learning, and pre-kindergarten facilities and required hazards found in assessments to be addressed before licensing. Both bills were reported favorable. SB 379, a technical reorganization bill for the Department of Conservation and Energy, received two amendment sets: one changing investment language and another standardizing judicial-review procedures and online notice requirements; it was reported favorable after those amendments. The committee then adopted HCR 62, urging FEMA to review flood maps every five years instead of every ten and to better account for local flood-protection projects, with members discussing the burden of flood insurance and the need for FEMA to recognize levees, pump stations, and elevated homes. HCR 78 was also reported favorable, memorializing Congress to pass the American Seafood Competitiveness Act of 2026 in support of Louisiana’s seafood industry. HB 662, as substituted, was reported favorable after being rewritten to codify the department’s internal protocol for seized sick, injured, or orphaned wildlife, prioritizing release, rehabilitation, placement, and euthanasia as a last resort. Finally, the committee considered two more contentious items. HR 216, which urged repudiation of the Louisiana Climate Action Plan of 2022, drew extended debate over whether the plan had been adopted without legislative input and whether it could affect permits or future policy; after discussion, the sponsor voluntarily deferred the resolution to return with a revised approach focused on a legislative hearing or review. SCR 24, dealing with chronic wasting disease rules, was introduced with amendments that would raise the prevalence threshold, cap samples, allow zone removal after three years without new detections, and lift baiting/feed prohibitions above a higher prevalence level; the transcript cuts off before final action on that measure.

Transcript Highlights:

• The in-network rate is set at 325. The out-of-network rate is set at 100.
• The in-network rate is set at 325. The out-of-network rate is set at 100.
• The in-network rate is set at 325. The out-of-network rate is set at 100.
• The in-network rate is set at 325. The out-of-network rate is set at 100.
• Those rates are set.

Keywords: 928, house, all

Summary: The subcommittee continued work on Senate Bill 297 and a new amendment dealing with pooled risk management programs and whether they should be regulated under the insurance department. Lisa Duket, executive director of SchoolCare, testified at length that the draft language could allow co-mingling of public entity risk funds, could trigger producer-licensing requirements for staff who are not actually brokers, and may not fit public entity risk pools because they are not insurance companies. She also raised concerns about the March 1 reporting deadline, the proposed uniform accounting language, aggregate excess insurance, examination costs being charged to the program, and confidentiality provisions that she argued may conflict with right-to-know principles for public entities. She urged the committee to slow down and consider a study committee or more time for review, saying the regulated entities were not adequately involved in drafting the proposal. Chairman Hunt and the department responded that the bill is intended to create a licensure-based regulatory model, similar to other licensed industries, and that the pooled risk management program would be exempt from producer licensing while anyone else selling or negotiating such coverage would need a producer license. The department said failure to comply would be handled through an administrative licensing process, with denial or nonrenewal of a license and appeal through the department process. On the reporting deadline, the department said March 1 is a standard filing date used for financial analysis and that the filing can be the most recent annual report, regardless of fiscal year end. They also explained that the confidentiality language was taken from existing RSA 5B, that aggregate excess insurance was included as a solvency measure, and that the draft was intended to preserve familiar language while adapting it for pooled risk programs. The discussion did not include a final vote or formal action on the bill in the portion provided. The committee appeared to be compiling follow-up questions for the insurance department and considering whether additional revisions or a slower process would be needed before moving the bill forward.

Transcript Highlights:

• So, lower rate, but it would still be a rate, not the same as today.
• So, lower rate, but it would still be a rate, not the same as today.
• in rate cases usually.
• in rate cases usually.
• in rate cases usually.

Keywords: 912, senate, all

Summary: The joint Senate hearing focused primarily on SB 1201, a wildfire measure that would create a wildfire recovery fund and allow securitization for electric utilities. Hawaiian Electric strongly supported the bill, saying it would help protect customers, property owners, insurers, and the broader economy from future catastrophic wildfire liability while improving the utility’s credit profile and lowering financing costs. Support also came from DCCA Consumer Advocacy, the Attorney General’s office on written comments, Ulupono Initiative, Clearway Energy Group, IBEW Local 1260, Par Hawaii, KIUC, the Chamber of Commerce Hawaiʻi, Plus Power, and numerous organizations and individuals. Opponents or commenters raised concerns about the liability cap, victim compensation process, and fund structure, including the Hawaiʻi Association for Justice, the Hawaiʻi Regional Council of Carpenters, and the Hawaiʻi Insurance Council; Henry Curtis of Life of the Land supported the concept of a fund but questioned the catastrophe threshold and whether the fund would be empty without a prudency finding. Much of the discussion centered on whether the proposed fund would actually help restore Hawaiian Electric to investment grade, with senators comparing the proposal to California’s wildfire fund. Hawaiian Electric said the bill was only one part of a broader process, alongside physical risk reduction and settlement finalization, and argued that without the bill the utility would not regain investment grade. Senators also questioned the proposed $1 billion fund size, the fairness of ratepayer contributions versus shareholder contributions, and whether customers should pay for consulting and administrative costs; Hawaiian Electric said its proposed amendment would remove those consulting-related charges. The company also said the fund would accrue interest and, if unused, could be returned to customers, and that there would be replenishment and supplemental contribution mechanisms if the fund were exhausted. The Attorney General’s office said it still had further amendments to discuss, and the departments had not yet resolved where the fund should reside administratively, though Hawaiian Electric said it believed DCCA was the appropriate place but was open to alternatives. KIUC requested two amendments. No vote or final committee action was taken during the hearing, and the measure remained under discussion with questions and proposed amendments still outstanding.

Transcript Highlights:

• They set the rules for it.
• Rebase Medicaid rates for ambulance service. So this isn't increasing rates.
• When we say rebase, that's really kind of aligning the rates to a new target rate.
• rate.
• So this kind of shows you how cost reports are used in terms of setting rates.

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.

Transcript Highlights:

• are set up for.
• And so that we just didn't have enough data when we set the capitation rates to really know for sure
• So that data has now all come in, and when we set the rate, the capitation rates for calendar year 2026
• Chair, I think it is important just to note one other piece about managed care rate setting, which...
• And so, it's just an added factor in terms of managed care rate setting.

Keywords: 996, all

Transcript Highlights:

• Upon a payment error rate.
• Higher rate of 10% of error rate share.
• the state error rates. the state error rates.
• do to make sure the air rates lower? do to make sure the air rates lower?
• <01:04:19.039> It affect error rates? It affect error rates?

Keywords: Meeting Start 00:00:00 FY 2025 Budget Close Out 00:02:55 Impressions of H.R. – 119th Congress 00:28:15 SNAP Payment Error Rates 00:37:05, 958, all

Summary: The committee first established a quorum, approved the July minutes, and recognized Jennifer Hayes of the Department of State Budget Director for her retirement and long service. Secretary Hicks then presented a review of fiscal year 2025 closeout for the general fund and road fund, explaining that the general fund ended with a $313 million surplus and the road fund with a $61 million surplus. He attributed the general fund result to strong corporate income and LLC tax receipts, investment income, and lower-than-budgeted spending, while noting that individual income tax and sales tax underperformed estimates. He also described how the general fund surplus was allocated, with $62 million used for necessary government expenses and $251 million deposited into the budget reserve trust fund, which remained at historically strong levels. For the road fund, he said the surplus would be deposited into the Department of Highways construction account, and he highlighted record motor vehicle usage tax receipts despite lower motor fuels tax revenue due to a rate decline. Members asked questions about the pass-through entity tax, delayed filing deadlines, THC beverage sales, and income tax collection from undocumented workers. Hicks said the pass-through entity tax remains difficult to model because of timing issues and the first year’s unusual filing pattern, and that staff are still working with the Department of Revenue and other states to improve forecasting. He said the delayed filing deadline likely would not require a major restatement and that any related receipts would still be counted in fiscal 2026. On THC beverages, he said the issue would be considered in the next forecasting cycle. On the undocumented-worker question, he said withholding may capture some of the revenue but referred broader collection efforts to the Department of Revenue. The committee then shifted to an overview of the federal reconciliation act’s potential impact on the next biennial budget, with Hicks and Commissioner Lisa Dennis focusing on Medicaid and SNAP. Hicks said the Congressional Budget Office estimated roughly $900 billion in federal savings over 10 years, driven in part by work or community engagement requirements for the Medicaid expansion population and limits on state-directed payments. He emphasized that CMS still must issue regulations to define how the state-directed payment reductions will be calculated, making the exact fiscal impact uncertain. He referred members to a prior Medicaid Oversight Advisory Board presentation for more detail, and the discussion remained informational with no votes or formal actions taken on the federal changes.

Transcript Highlights:

• What are they setting the rate to?
• What are they setting the rate to? Thank you. Are there any questions?
• What are they setting the rate to, the MCOs? Pardon me? What are the MCOs setting there?
• When a provider trains in a community setting, many stay in those community settings.
• When physicians train in a community setting, many stay in those community settings.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably. The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs. Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.

Transcript Highlights:

• So I make a motion to adopt Amendment Set 44-29, Mr. Chair. Motion to adopt it. Set 44-29.
• And the only way you would get that lower rate or that $1.13 rate that you see on the actual sign that
• The Medicaid rate paid The Medicaid rate paid in an ambulatory surgery center is a loss for those centers
• , and after that, repriced the same claims at the proposed rate, the increased rate, and they compare
• Because if you were to compare, if you were to raise the rates for ASCs up to those hospital rates, the

Summary: The Finance Committee met on May 27, 2026, with six members present and took up a series of House bills, most of them dealing with education funding, criminal justice staffing, transportation, health care access, and economic development. HB 325 was reported favorably after testimony that it would expand TOPS eligibility by allowing dual-enrollment credits to satisfy eligibility criteria and by making part-time students eligible for TOPS Tech, with supporters saying the program has been underused and the change would help working students. HB 719 was amended and reported favorably to increase assistant district attorney positions in various judicial districts; the Louisiana District Attorneys Association said the changes were based on workload data and local input, and members discussed the need to coordinate any expansion with public defender funding. The committee also reported HB 749 favorably, which would move Louisiana’s 529 savings accounts to a more secure online platform after a cyber incident, and HB 1028 favorably, which concerns transportation reimbursement for providers and was described as already subject to appropriation. Several bills focused on food access and local economic development. HB 1222, the Grocery Initiative Act, was reported favorably to let LED use existing grant resources to map food deserts and develop a program, with members noting it could return for funding later if needed. HB 1194 was amended and reported favorably to define food deserts and direct the LSU AgCenter and the Department of Agriculture and Forestry to identify and map them, with authors emphasizing it was a study and not a government-run grocery program. HB 755, which would create IDIQ contracting for architects and engineers on smaller state projects, was reported favorably with no fiscal impact. HB 823, a local diversion pilot for Orleans Parish, was also reported favorably after the fiscal note was revised to remove state impact and reflect only local costs. The committee spent substantial time on HB 488, a proposal from Plaquemines Parish to use severance-tax revenue to help buy out a private toll concession on the parish’s bridge. The author and local officials described severe toll burdens, economic harm to local businesses, and what they called an unfair contract, but members noted the bill was not funded and ultimately deferred it without a motion. HB 797, the Bayou Gold/Louisiana Sound Money Act, was amended to make implementation subject to appropriation and then reported favorably. The committee also took up HB 198, which would raise Medicaid reimbursement for ambulatory surgery centers for certain outpatient procedures; after extensive discussion about fiscal notes, access to care, and potential long-term savings, the bill was amended to narrow its scope and make implementation subject to appropriation, then reported favorably as amended. The meeting ended with the chair noting it would be the committee’s last meeting and asking members to spread the word.

Transcript Highlights:

• rate.
• rate.
• Arkansas's ESSA plan sets a four-year graduation rate goal of 94% by 2030.
• anything specific in that ESSA plan to do with graduation rates, or withdrawal rates, excuse me.
• We'll start with school ratings.

Keywords: 1204, all

Summary: The committee received a Bureau of Legislative Research presentation on Arkansas academic standards, accountability, and achievement as part of the adequacy study. Staff reviewed how state curriculum and standards have evolved from the 1997 Public Education Act, the 2003 Quality Education Act, and the 2017 Educational Support and Accountability Act, including required course offerings, graduation requirements, career and technical education pathways, and recent additions such as success-ready pathways, Arkansas history, firearm safety, and fetal growth and development instruction. Members asked for a comparative chart showing how the laws and requirements changed over time, and staff agreed to provide one. The presentation then turned to the federal ESSA plan and Arkansas’s state accountability system. Staff explained the state’s long-term goals for 2030, including 80% proficiency in ELA and math, 52% of English learners on track to English proficiency, and 94%/97% four- and five-year graduation rates. They reviewed 2025 assessment results showing proficiency rates generally in the 30s, with English learners and students with disabilities performing lowest and white students highest. They also discussed school support and improvement categories, equitable access to educators, and report card/public reporting requirements, noting that some ESSA-related measures such as the school index, equity labs, and certain 2024 report card data were not currently available or not being calculated. Members questioned whether those ESSA commitments were being met and asked staff to follow up with DESE, including whether the legislature can revise the ESSA plan. The committee also reviewed the Arkansas Accountability Act and related assessment data. Staff described the Atlas assessment system, alternate assessments for students with significant cognitive disabilities, ELPA 21 for English learners, ACT results, and NAEP comparisons. They reported that no student group met the 80% proficiency goal in 2025, Arkansas’s ACT composite score declined slightly over time, and Arkansas generally trailed national and SREB averages on NAEP. Members asked for additional data, including historical highs and lows, the number of assessments students take by grade, dropout data, and comparisons with other states. The meeting ended with agreement to invite the Department of Education to a future meeting to answer questions about missing data, equity labs, report cards, and ESSA compliance.

Transcript Highlights:

• and that brought us to our um two sets and that brought us to our um two sets of<00:09:04.519>
• Nursing homes are paid via the VBR rate methodology, which increases over time, and that rate methodology
• any direction to DHS to update the rates any direction to DHS to update the rates or<00:49:04.520
• But he said legislators must remember that the state sets reimbursement rates for nursing facilities.
• update to the elderly waiver rates update to the elderly waiver rates ensuring<01:04:21.279>

Bills: HF1419, HF500

Keywords: nursing facilities, reimbursement rates, elderly care, minimum wage, healthcare funding, nursing home, employment standards, worker rights, Minnesota Statutes, labor compensation, 1183, house

Transcript Highlights:

• Chair, we don’t set rates to that target.
• We set rates according to the costs that the utilities and others bring to us in rate cases, and then
• Chair, uh we don't set rates to that >> Mr.
• > set<00:40:56.480> rates<00:40:56.880> according<00:40:57.280> to<00:40:
• We uh set rates according to the target.

Keywords: 1187, senate, all

Transcript Highlights:

• We’ve seen what happens when the rate is set too low.
• We’ve seen what happens when the rate is set too low.
• We’ve seen what happens when the rate is set too low.
• We’ve seen what happens when the rate is set too low.
• We’ve seen what happens when the rate is set too low.

Bills: SB2060, SB2063, SB2062, SB2069, SB2070

Keywords: rental housing revolving fund, HHFDC, Hawaii Housing Finance and Development Corporation, mixed-income housing, mixed-income rental project, affordable housing, low-income housing, housing finance, housing development, preservation, rehabilitation, pre-development, construction financing, equity investment, credit enhancement, collateral, gap financing, area median income, AMI, perpetual affordability

Summary: The committee heard five housing measures, with the chair announcing that SB 2060, SB 2063, SB 2062, and SB 2069 were works in progress and that decision-making would be deferred to February 3. SB 2060 would allow HHFDC, with Finance approval, to transfer money within the rental housing revolving fund and its subaccounts without further legislative authorization, including a transfer to the mixed-income subaccount for FY 2026-2027. HHFDC and other supporters said the change would give the agency more flexibility to move projects forward, while Catholic Charities Hawaii and a testifier from Roars and Cares supported the bill but warned that shifting money away from lower-income housing could weaken efforts to serve households under 80% of area median income and people at risk of homelessness. HHFDC said the fund’s uncommitted balance was about $100 million and that demand exceeded available resources. SB 2063 would revise the mixed-income subaccount by changing project priorities, adding new criteria, allowing transfers within the subaccount without legislative approval, and directing conveyance tax revenues into the subaccount. HHFDC, OPSD, LURF, Hawaii Appleseed, Housing Hawaii’s Future, Stanford Carr Development, and Roars and Cares supported the measure, while Catholic Charities urged the committee to keep rental and for-sale housing policy separate and to use other mechanisms for homeownership. Catholic Charities said the rental housing revolving fund should remain focused on rentals, and that for-sale initiatives should be addressed separately. The chair indicated an intent to defer the bill for further edits. SB 2062 would make the dwelling unit revolving fund equity pilot a permanent HHFDC program, allowing the agency to buy equity in for-sale developments to lower initial purchase prices and require repayment through shared appreciation. HHFDC said the pilot had been successful, with 83 units committed and $7.6 million of the $10 million program cap already committed, and said permanence would let the agency pair the program with DERF loans earlier in project financing. The chair said SB 2069 would be used as the vehicle for amendments to the DERF equity program and related changes. SB 2069 would authorize HHFDC to use existing dwelling unit revolving fund balances for the equity pilot; it drew support from HHFDC and several housing organizations. SB 2070 would create a permanently affordable for-sale housing program by replacing the current 10-year buyback restriction with a resale price cap tied to an appreciation index, which HHFDC said would preserve affordability while allowing owners to build equity. In questioning, senators pressed HHFDC on whether the bill was necessary, whether it would remove first-time homebuyer and other ownership restrictions, and whether the new program was truly “permanently affordable” if not tied to AMI. HHFDC said the current statutory restrictions limit flexibility, that the proposal would expand access to local residents, and that the price cap would be based on about 4.5% annual appreciation. Supporters said the approach would help buyers move up the housing ladder, while some senators expressed concern that it could open the program to owners of multiple properties and that the committee should see sales-velocity data on existing restricted units before proceeding.

Transcript Highlights:

• One, for example, is that sometimes managed care organizations have the actuarial rates set by actuaries
• In some cases, more than two and a half times Medicare rates because they were set to average commercial
• rates.
• A Medicaid PBM is an affiliate of a Medicaid pharmacy, where the PBM can set the rate of reimbursement
• They also have an independent company that sets rates.

Keywords: 1185, senate, all

Transcript Highlights:

• They would, on a biennial basis, review rates.
• Rates on medical care in the country.
• the same rate as Medicaid.
• Vacancy rates range from 20% to over 50%, while our better-funded CBHCs with higher reimbursement rates
• This bill would help stabilize our clinics, including the implemented 5% rate increase, the regular rate

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket focused on primary care, workforce development, and medical debt. Chairs Cindy Friedman and John Lawn outlined hearing procedures and noted that testimony would be taken on 17 matters. The committee first heard testimony on bills to establish a community health center nurse practitioner residency program and to strengthen mental health centers. Senator Keenan, Rep. Keefe, and health center leaders described the Worcester nurse practitioner residency as a successful pipeline and retention strategy, citing workforce shortages, training needs in community health centers, and the cost of the program. Rep. O’Day also supported the mental health centers bill, saying it would raise payment rates, improve reimbursement for behavioral health services, and help clinics retain staff and expand access. The committee then took testimony on bills to address medical debt through hospital financial assistance reform. The Attorney General’s Office, Health Care for All, Health Law Advocates, the Leukemia and Lymphoma Society, and individual patients supported the measure, arguing that hospital financial assistance policies are inconsistent, hard to find, and difficult to navigate. Witnesses said the bill would standardize eligibility criteria, create a uniform application, improve notice requirements, and expand access to discounted care up to 400% of the federal poverty level. Several personal stories described medical bills being sent to collections, confusion over insurance billing, and the burden of debt on low-income and chronically ill patients. Committee members asked about hospital concerns, the role of the health safety net, and whether the bill addressed root causes of medical debt; testimony emphasized that the proposal was meant to improve transparency and access rather than replace broader insurance reforms. The hearing also focused heavily on “Primary Care for You” legislation, H. 1370 and S. 867, which would increase primary care investment and create a new payment model. Rep. Haggerty, physicians, a patient, community health center leaders, and the Massachusetts League of Community Health Centers described a primary care crisis marked by low reimbursement, staffing shortages, long waits, burnout, and difficulty recruiting clinicians. Supporters said the bills would shift spending toward preventive, team-based care, improve access and equity, and reduce long-term costs. The Massachusetts Association of Health Plans said it was directionally supportive of increased primary care investment but warned that any new spending must stay within the cost growth benchmark and preserve existing contracting structures. The hearing ended with additional testimony on a community health center workforce and loan repayment grant bill from Rep. Stanley, and with further discussion from Dr. Alan Garo about the need for payment reform in primary care.