Video & Transcript Research : 'pilot services'

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KY
Transcript Highlights:
  • <00:25:06.320> because service or billing for services because service or billing for services
  • assisted living services.
  • uh services program. uh services program. >> Good<01:14:51.760> afternoon.
  • can bill Medicaid for those services. can bill Medicaid for those services.
  • are services that are currently covered. are services that are currently covered.
Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.
OK

Oklahoma 2026 Regular Session

Aeronautics and Transportation Mar 2nd, 2026 at 10:00 am

Aeronautics and Transportation

Transcript Highlights:
  • It happened when Service Oklahoma was created.
  • The $550,000 that's currently going to Service Oklahoma.
  • Are you suggesting that these are the two different services?
  • And only these two services should be used, or is there an additional service that can be used?
  • You know, a pilot myself.
FL

Florida 2026 Regular Session

Children, Families, and Elder Affairs Feb 10th, 2026

Children, Families, and Elder Affairs

Transcript Highlights:
  • And finally, it requires a review of gaps in access to services geographically throughout Florida.
  • array, financial viability, and service quality through a 360-degree view with subject matter experts
  • . ...office, but DCF plays a major role in our mental health and substance abuse services.
  • Next I have Victoria Zep waving in support, Family Support Services.
  • Victoria Zep waving in support, Family Support Services.
Bills: S0556, S0794, S1600
Summary: The Committee on Children, Families, and Elder Affairs considered three bills and a confirmation. On SB 1600, the committee adopted a strike-all amendment and a technical amendment that shifted the bill from creating an accreditation process to requiring the Office of Insurance Regulation, DCF, and community-based care lead agencies to study liability insurance coverage and availability in the child welfare sector and report findings to the legislature by January 1, 2027; the bill also included enforcement provisions for failure to provide requested information. Support was noted from child and family advocacy groups, and the committee reported the bill favorably. The committee also heard CS for SB 556, which would allow students with disabilities to satisfy a physical education graduation requirement through participation in Special Olympics, if included in the student’s IEP, and would clarify that two years of marching band participation can satisfy both PE and fine arts credit. Special Olympics Florida, families, and other supporters testified in favor, emphasizing flexibility, access, and recognition of rigorous activity. The bill was reported favorably. The committee then considered CS for SB 794, which requires background screening for employees of residential facilities and day training programs serving people with developmental disabilities and directs a review of waiver support coordination, including quality, consistency, access, competencies, recruitment and retention, caseloads, and geographic gaps in services. An amendment to conform to the House version was adopted, and the bill was reported favorably. Members then questioned Secretary Taylor Hatch regarding her confirmation as Secretary of the Department of Children and Families. Senators raised concerns about child welfare system performance, parent notification and rights, CBC funding formulas, managing entities, opioid settlement spending, peer support expansion, and technology/interoperability improvements. Hatch described DCF’s recent data and initiatives, including reductions in out-of-home care entries, youth advisory efforts, missing children recovery operations, expanded behavioral health capacity, and technology upgrades for benefits processing. Public comment included support from family and provider organizations and concerns from a former foster care worker about medical misdiagnosis cases. The committee voted to recommend Hatch’s confirmation favorably, with Chair Grall voting no, and adjourned after allowing Senator Sharief to be recorded as voting in favor of SB 1600.
AZ

Arizona 2026 Regular Session

02/04/2026 - Senate Public Safety

Public Safety

Transcript Highlights:
  • I think we ought to take a look at everything because juvenile services has been neglected for years.
  • But they do have those services now in police departments. And I...
  • But they do have those services now in police departments.
  • Now, there is no argument that Arizona Rangers have been a venerable public service organization.
  • , and military service.
TX

Texas 89th Regular

Education K-16 (Part I) May 15th, 2025

Education K-16

Transcript Highlights:
  • university programs, a year-long residency program, improved alternative certification programs with pre-service
  • With pre-service training and supports, and a grow-your-own initiative that we've had in the past, that
Bills: HB2
Summary: The Senate Education K-16 Committee met to consider HB 2, the major school finance bill, with the chair explaining that the committee substitute would provide about $8 billion in new public education funding. The bill was described as including permanent teacher compensation increases, expanded teacher incentive allotment funding, support for early literacy and numeracy, teacher certification and residency pathways, special education funding, career and technical education, school safety dollars, and facilities support for charter schools. The committee adopted the committee substitute without objection after roll was called and a quorum was present. Members questioned the bill’s structure, especially the balance between across-the-board teacher pay and the teacher incentive allotment, the treatment of uncertified teachers, and differences in requirements between traditional public schools and charter schools. Senator Menendez and Senator West raised concerns about equity, charter-school parity, facilities funding, inflation, and whether the bill should include more support for fine arts and extracurricular programs. The chair responded that the bill was designed to direct most new money to traditional public schools while also preserving flexibility and that charter-school and public-school alignment would need further work. Invited witnesses Dr. Imelda De La Rosa and Val Acri testified in support of the bill, emphasizing that the Teacher Incentive Allotment helps recruit and retain teachers in rural districts and supports mentorship and certification pathways. Public witnesses also supported the bill but urged more funding for fine arts, local flexibility, and full restoration of House-proposed funding levels. Dr. Josh Jones supported year-long teacher residencies, Dr. Philip Morgan asked for more local control and restoration of fine arts funding, Rich Saina supported the bill but warned about hold-harmless reductions, and Dr. Greg Poole supported the bill while asking for flexibility for high-performing districts that already pay high salaries. After the invited testimony and some public testimony, the committee recessed subject to the call of the chair so members could attend the Senate floor.
TX

Texas 89th Regular

Education K-16 (Part II) May 15th, 2025

Education K-16

Transcript Highlights:
  • We do not charge anyone for our services. All of our funding is through philanthropy.
  • As a parent of a child who receives special education services, pardon me.
  • As a parent of a child who receives special education services, I am thrilled for the intensity of service
  • We represent about 350 rural schools across Texas and every educational service center.
  • provider, and any other service provider.
Bills: HB2
Summary: The committee continued public testimony on House Bill 2, which would make major changes to public school funding, teacher pay, special education, early learning, school safety, and related programs. Many superintendents and education advocates supported the bill’s overall direction but urged changes, especially a larger basic allotment and more flexible funding for rural and small districts. Witnesses from Paint Creek, West Hardin, Cushing, Blooming Grove, Mildred, Buffalo, Plano, and rural school groups said the bill’s targeted raises and new requirements would not fully cover inflation, TRS/Medicare costs, transportation, insurance, or support staff salaries, and several asked the committee to restore the House version’s higher basic allotment and small-school allotment. Charter school representatives supported the facilities funding changes and said charter schools need state help because they cannot levy taxes, while also noting the funding gap with ISDs. Fine arts advocates asked the committee to restore the fine arts allotment, arguing arts improve engagement, attendance, and academic outcomes, especially in rural and at-risk communities. Early learning and special education witnesses supported parts of the bill but raised concerns about pre-K restrictions, disability-related pre-K access, and the need to preserve or clarify special education provisions and mental health oversight language. Several witnesses praised the teacher pay raise, teacher incentive allotment expansion, and teacher preparation investments, saying they would help recruit and retain educators and improve student outcomes. Others, including counselors and support staff advocates, argued the bill should also include raises for counselors, nurses, librarians, bus drivers, custodians, aides, and other non-teaching employees who keep schools running. One witness from the Texas Counseling Association opposed the substitute because it removed a counselor pay provision, warning of counselor shortages and inequities. A parent and special education advocate said the bill’s structure creates too many strings attached and asked for a larger basic allotment instead of more targeted funding. Another witness from Mental Health America urged keeping the collaborative task force on public school mental health services through 2031, and a disability rights advocate said the committee substitute appears to omit some special education items that were in the House version. The committee also briefly took up House Bill 6, a school discipline bill. After questions about automatic mandatory expulsion for vape possession and concerns about younger students, the committee adopted the substitute and voted to report HB 6 favorably to the full Senate by a 9-1 vote, with Senator Menendez voting no and Senators West and Menendez expressing reservations but supporting further discussion. After that vote, testimony on HB 2 resumed. Senators used the hearing to ask about the bill’s cost, the difference between the basic allotment and the bill’s targeted funding buckets, and whether the permanent teacher pay increase shifts pressure off districts. The bill’s supporters emphasized that it represents an historic, roughly $8 billion investment and that many of the new funding streams are intended to be permanent or to address specific district needs.
ND

North Dakota 2025-2026 Regular Session

Senate Workforce Development Apr 10th, 2025 at 10:00 am

Workforce Development

Transcript Highlights:
  • previous version, we had major discussion about what was Section 4 about the Department of Human Services
  • to legislative management, and that we took that whole section out about the Department of Human Services
Bills: HB1119
Summary: The Workforce Development Committee reconvened to consider House Bill 1119 with amendment version 02005. Senator Hogan explained that the amendment removed a section requiring the Department of Human Services to respond to legislative management, in order to make the bill feel more like a program evaluation than an audit and to avoid placing an unreasonable burden on the executive branch. The amendment also clarified that the Child Care Advisory Committee would provide an update and that the committee would dissolve after the rewrite of licensing standards, making it a time-limited body. Committee members discussed the bill as a novel approach to forming a group to study an issue and then disbanding after reporting back. Senator Larson noted the concept was similar to broader performance-review ideas, and Senator Hogan said the Legislative Council program evaluation effort was parallel to, but separate from, other performance-review proposals. The committee then voted 4-0-1 to adopt the amendment. Afterward, the committee moved to give House Bill 1119, as amended, a do pass recommendation. That motion also passed on a roll call vote, and the committee adjourned.
TX

Texas 89th Regular

89th Legislative Session May 24th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • And lastly, is the warrant service model.
  • This bill only deals with the WSO model, but More importantly, this puts one service warrant service
  • The warrant service officer model was actually extended; the authority of the warrant service officer
  • Push the participation in the warrant service model.
  • My faith is... ...the reason I'm in public service.
Bills: SB37, SJR84, SJR87, SJR27, SB8, SB10, SB227, SB261, SB15, SB12, SB25, SB57, SB127, SB293, SB441, SB3059, SB512, SB241, SB1718, SB140, SB2055, SB2075, SB2018, SB1534, SB1567, SB785, SB1233, SB1580, SB1663, SB413, SB447, SB519, SB467, SB1579, SB1191, SB1021, SB1838, SB2807, SB2835, SB546, SB2121, SB2167, SB2035, SB2024, SB1032, SB1049, SB1266, SB1400, SB1302, SB401, SB1596, SB1281, SB1242, SB1343, SB310, SB1346, SB2753, SB2703, SB2221, SB1719, SB2177, SB800, SB790, SB748, SB571, SB1957, SB1923, SB1896, SB1760, SB1335, SB2368, SB2477, SB2587, SB2972, SB2986, SB2965, SB1563, SB1467, SB1164, SB1137, SB614, SB705, SB961, SB918, SB955, SB869, SB850, SB863, SB1610, SB1055, SB2206, SB457, SB2337, SB1362, SCR9, SB2405, SB2406, SB2407, SB2166, SB2148, SB535, SB777, SB827, SB1141, SB1330, SB1352, SB1664, SB1862, SB1936, SB1453, SB1448, SB1398, SB2137, SB2111, SB53, SB226, SB1677, SB1723, SB1839, SB36, SB38, SB815, SB1856, SB552, SB646, SB37, SJR84, SJR87, SJR27, SB8, SB10, SB227, SB261, SB15, SB12, SB25, SB57, SB127, SB293, SB441, SB3059, SB512, SB241, SB1718, SB140, SB2055, SB2075, SB2018, SB1534, SB1567, SB785, SB1233, SB1580, SB1663, SB413, SB447, SB519, SB467, SB1579, SB1191, SB1021, SB1838, SB2807, SB2835, SB546, SB2121, SB2167, SB2035, SB2024, SB1032, SB1049, SB1266, SB1400, SB1302, SB401, SB1596, SB1281, SB1242, SB1343, SB310, SB1346, SB2753, SB2703, SB2221, SB1719, SB2177, SB800, SB790, SB748, SB571, SB1957, SB1923, SB1896, SB1760, SB1335, SB2368, SB2477, SB2587, SB2972, SB2986, SB2965, SB1563, SB1467, SB1164, SB1137, SB614, SB705, SB961, SB918, SB955, SB869, SB850, SB863, SB1610, SB1055, SB2206, SB457, SB2337, SB1362, SCR9, HB5560, HB762, HB 107, HB 114, HB300, HB138, HB4386, HB2495, HB581, HB3348, HB5323
OK

Oklahoma 2026 Regular Session

Senate Legislative Session Feb 23rd, 2026 at 01:30 pm

Oklahoma Senate Floor Meeting

Transcript Highlights:
  • When I was first honored with the call into the service of my country, then on the eve of an arduous
  • Senate Bill 2143 will allow assessors to use existing state-funded aerial images taken by fixed-wing piloted
  • Health and Human Services will meet immediately after session, and when we get a quorum, we will start
NV
Transcript Highlights:
  • Division of the Department of Health and Human Services.
  • The bill amends NRS 427A to enable Aging and Disability Services to provide and coordinate services for
  • So these, and you say it's a pilot program.
  • So these, and you say it's a pilot program.
  • intersection here between the pilot?
OK

Oklahoma 2026 Regular Session

Business and Insurance 2ND REVISED Apr 23rd, 2026 at 09:30 am

Business and Insurance

Transcript Highlights:
  • I think it has applicable knowledge to apply to continue my service on the consumer credit mission.
  • And they feel they feel like they\'re not getting serviced correctly.
  • That was a blanket full exemption for payroll service providers.
  • exemption, which effectively removes all ability to have any type of regulations or licensing for payroll service
  • it is set up right now, the banking association can regulate and can require a license of payroll service
OK

Oklahoma 2026 Regular Session

Business and Insurance 2ND REVISED Apr 23rd, 2026

Business and Insurance

Transcript Highlights:
  • I think it has applicable knowledge to apply to continue my service on the Consumer Credit Commission
  • insurance for homeowners, and it is issues when claims happen, and they feel like they're not getting serviced
  • in very late, that wasn't discussed, wasn't debated, that was a blanket full exemption for payroll service
  • in very late, that wasn't discussed, wasn't debated, that was a blanket full exemption for payroll service
  • it is set up right now, the Banking Association can regulate and can require a license of payroll service
Summary: The Business and Insurance Committee first handled a series of executive nominations, including appointments or reappointments to the Oklahoma Securities Commission, Real Estate Commission, State Athletic Commission, Accountancy Board, Commission on Consumer Credit, Uniform Building Code Commission, Abstractors Board, Used Motor Vehicle Dismantler and Manufactured Housing Commission, and State Banking Board. Most nominees briefly addressed the committee, and the nominations were advanced by unanimous or near-unanimous votes. One HB 4488 was laid over at the start of the meeting. The committee then considered several bills. HB 4322, which would remove a dual-licensure requirement for funeral directors and embalmers, drew questions about consumer protection and body care procedures and passed 6-3. HB 4202, changing workers’ compensation fee schedule treatment for radiology, passed unanimously. HB 4203, directing the Uniform Building Code Commission to explore guidelines for single-exit configurations in certain buildings up to four stories, passed 7-2 after concerns were raised about fire safety. HB 4457, dealing with specialty pharmacies, pharmacy benefit managers, and access to specialty medications, passed unanimously. Members also debated HB 3983, which would move Oklahoma’s moist smokeless tobacco tax to a weight-based system; supporters argued it would improve fairness and revenue stability, while opponents said it would raise taxes on some products and lacked consumer protections. It passed 6-3. HB 3660, authorizing natural organic reduction as an additional end-of-life option, prompted a lengthy debate over dignity, religious concerns, and consumer choice; it passed 5-4. HB 3802, prohibiting auto insurers from raising premiums solely because a spouse died, passed unanimously. HB 2933, a consumer protection insurance bill, passed 9-0 after extensive discussion of claims handling and insurer accountability. Additional insurance and regulatory measures—HB 2955, HB 2956, HB 3781, HB 3521, HB 3796, HB 3794, and HB 3800—were also advanced, most with little or no opposition. The chair closed by noting all executive nominations and legislation had been cleared from the committee for the year.