Video & Transcript Research : 'rate increase'

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OK

Oklahoma 2026 Regular Session

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

Oklahoma Senate Floor Meeting

Transcript Highlights:
  • Does the bill include any provisions to prevent increased long-term liabilities to the retirement system
  • So can you clarify whether this bill increases the number of individuals who can simultaneously draw
  • Texas homeowners pay significantly higher effective tax rates in muds. Colorado...
  • It accelerates higher housing construction, increased supply, and helps lower costs for families.
  • And this also allows for our Agritourism without increasing the state's fiscal burden.
OK

Oklahoma 2026 Regular Session

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

Oklahoma Senate Floor Meeting

Transcript Highlights:
  • You would see eighth-grade science and math and reading, you know, continue to increase on that, you
  • know, same delta, you would see high school graduation rates continue to increase at the same trajectory
  • It's the entrance increase you'd see GDP of your state actually increased, and so I think when you couple
  • the reading proficiency rates.
  • My second train of questioning is regarding the reading proficiency rates of our homeschooled students
LA

Louisiana 2026 Regular Session

Senate May 20th, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • Louisiana in 2025, with a 5.2% increase over 2024.
  • House Bill 559 by Representative Fisher is an act to amend Title 13 relative to court costs to increase
  • maximum... ...by Representative Fischer is an act to amend Title 13 relative to court costs to increase
  • these individuals would then have the opportunity to purchase surplus state vehicles at a reduced rate
  • It leads better accountability for the highway program, hoping for a 90% completion rate every year.
Bills: SR130, SR131, SR132, SR133, SCR74, SCR12, HB582, HB221, HCR74, HCR58, HB71, HB79, HB158, HB160, HB169, HB227, HB251, HB289, HB330, HB394, HB410, HB429, HB769, HB1017, HB1234, HB712, SCR3, SB54, SB72, SB129, SB164, SB232, SB287, SB322, SB374, SB375, SB386, SB409, SB447, SB458, SB78, SB112, SB124, SB125, SB174, SB190, SB201, SB208, SB236, SB273, SB307, SB347, SB357, SB385, SB387, SB393, SB401, SB415, SB426, SB435, SB487, SB488, SB523, SB222, SCR9, SCR58, SB480, SB514, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, HCR31, HCR47, HB362, HB363, HB368, HB377, HB380, HB382, HB386, HB392, HB406, HB431, HB441, HB466, HB503, HB533, HB559, HB575, HB590, HB593, HB618, HB655, HB664, HB685, HB692, HB707, HB715, HB732, HB738, HB741, HB748, HB776, HB807, HB822, HB856, HB860, HB868, HB887, HB888, HB905, HB908, HB961, HB980, HB990, HB992, HB999, HB1000, HB1010, HB1146, HB1157, HB1233, HB1243, HB54, HB137, HB180, HB192, HB310, HB321, HB396, HB512, HB552, HB578, HB638, HB663, HB708, HB717, HB718, HB1009, HB1082, HB1104, HB1107, HB1198, HB1246, HB27, HB143, HB205, HB259, HB267, HB288, HB308, HB403, HB405, HB414, HB417, HB478, HB546, HB548, HB555, HB557, HB609, HB670, HB672, HB740, HB779, HB786, HB796, HB812, HB848, HB915, HB917, HB921, HB930, HB933, HB1095, HB1096, HB1103, HB1129, HB1154, HB1166, HB1187, HB1195, HB1230, HB316, HB511, HB514, HB799, HB1039, HB17, HB36, HB41, HB47, HB73, HB126, HB133, HB140, HB159, HB166, HB211, HB226, HB271, HB324, HB337, HB351, HB399, HB571, HB723, HB726, HB750, HB759, HB844, HB966, HB1006, HB1018, HB1036, SB29, SB42, SB43, SB217, SB274, SB300, SB379, SB382, SB441, SB449, HB134, HB258, HB359, HB782, SB149
Summary: The Senate convened with 29 members present, opened with prayer by Oren Connor, the Pledge of Allegiance, and a musical performance by the Chuck Wagon Gang. The chamber also recognized several guests and observances, including birthdays for Senators Seabaugh, Fesi, and Price, White Coat Wednesday participants, Tourism Day, the Louisiana Oil Marketers Association, Chenault International Airport’s 40th anniversary, and visiting fair queens from Washington and Tangipahoa parishes. The Senate dispensed with reading the journal and received numerous House and Senate messages, committee reports, and resolutions. Several Senate resolutions were taken up and adopted, including commendations for Isaac Herzenberg, condolences for Kathleen Sessomson and former Senator Louis Lambert Jr., recognition of White Coat Wednesday and Tourism Day, and a study resolution on transfer-on-death and payable-on-death accounts. The Senate also adopted a conference committee report on House Bill 782, which concerned vapor and alternative nicotine products and was described as giving the state more tools to combat illegal vapes. A number of Senate bills returned from the House with amendments were either concurred in or rejected, including SB 54, SB 72, SB 129, SB 164, SB 232, SB 287, SB 374, SB 375, SB 386, SB 409, SB 112, SB 124, SB 125, SB 174, SB 190, SB 207, SB 236, SB 307, SB 357, SB 385, SB 387, SB 458, SB 477, SB 590, SB 593, SB 618, SB 655, SB 692, SB 707, SB 732, SB 738, SB 748, SB 776, SB 807, SB 860, SB 868, SB 887, SB 888, SB 905, and SB 961, with votes generally passing by wide margins. The chamber also considered several House bills on final passage. Among those approved were measures on local security districts, budget review authority, school activity access for virtual students, electronic bid forms, brake equipment and trailer safety, construction management at risk contracts, temporary registration plates, the Louisiana Maritime Academy name change, OMV fee and ID issues, ferry operations, group purchasing for local governments, the Green Envelope Program for drivers with disabilities, OMV field office fees, LED fee updates, port development priorities, workforce instructor capacity, and a campus disciplinary process bill tied to hazing prevention. Some House bills were passed after amendments, while others were passed over or rejected for later conference, including bills on virtual school participation, historic preservation, civil service, suicide prevention, local government training, and economic development districts. The Senate also rejected House amendments on SB 78 and SB 208, and rejected amendments on SB 387, sending those matters toward further negotiation.
TX

Texas 89th Regular

Senate Session Feb 3rd, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • Senate Bill 320 by Creighton relating to limitation on increases in the appraised value of a resident's
  • Senate Bill 321 by Colcourts relating to the limitation on increases.
  • This relates the limitation on increases in the appraised value of certain real property for ad valorem
  • Amendment 77 by Middleton relating the limitation on increases in the appraised value of a resident's
  • Senate Bill 654 by West relating to a franchise tax credit for certain child care centers that increase
Bills: SJR36, SB2, SJR6, SJR7, SJR8, SJR9, SJR10, SJR11, SJR12, SJR13, SJR14, SJR15, SJR16, SJR17, SJR18, SJR19, SJR20, SJR21, SJR22, SJR23, SJR24, SJR25, SJR26, SJR27, SJR28, SJR29, SJR30, SJR31, SJR32, SJR49, SCR1, SCR2, SCR3, SCR4, SCR5, SCR6, SCR8, SCR9, SB9, SB41, SB42, SB43, SB44, SB45, SB46, SB47, SB48, SB49, SB50, SB51, SB52, SB53, SB54, SB55, SB56, SB57, SB58, SB59, SB60, SB61, SB62, SB63, SB64, SB65, SB66, SB67, SB68, SB69, SB70, SB71, SB72, SB73, SB74, SB75, SB76, SB77, SB78, SB79, SB80, SB81, SB82, SB83, SB84, SB85, SB86, SB87, SB88, SB89, SB90, SB91, SB92, SB93, SB94, SB95, SB96, SB97, SB98, SB99, SB100, SB101, SB102, SB103, SB104, SB105, SB106, SB107, SB108, SB109, SB110, SB111, SB112, SB113, SB114, SB115, SB116, SB117, SB118, SB119, SB120, SB121, SB122, SB123, SB124, SB125, SB126, SB127, SB128, SB129, SB130, SB131, SB132, SB133, SB134, SB135, SB136, SB137, SB138, SB139, SB140, SB141, SB142, SB143, SB144, SB145, SB146, SB147, SB148, SB149, SB150, SB151, SB152, SB153, SB154, SB155, SB156, SB157, SB158, SB159, SB160, SB161, SB162, SB163, SB164, SB165, SB166, SB167, SB168, SB169, SB170, SB171, SB172, SB173, SB174, SB175, SB176, SB177, SB178, SB179, SB180, SB181, SB182, SB183, SB184, SB185, SB186, SB187, SB188, SB189, SB190, SB191, SB192, SB193, SB194, SB195, SB196, SB197, SB198, SB199, SB200, SB201, SB202, SB203, SB204, SB205, SB206, SB207, SB208, SB209, SB210, SB211, SB212, SB213, SB214, SB215, SB216, SB217, SB218, SB219, SB220, SB221, SB222, SB223, SB224, SB225, SB226, SB227, SB228, SB229, SB230, SB231, SB232, SB233, SB234, SB235, SB236, SB237, SB238, SB239, SB240, SB241, SB242, SB243, SB244, SB245, SB246, SB247, SB248, SB249, SB250, SB251, SB252, SB253, SB254, SB255, SB256, SB257, SB258, SB259, SB260, SB261, SB262, SB263, SB264, SB265, SB266, SB267, SB268, SB269, SB270, SB271, SB272, SB273, SB274, SB275, SB276, SB277, SB278, SB279, SB280, SB281, SB282, SB283, SB284, SB285, SB286, SB287, SB288, SB289, SB290, SB291, SB292, SB293, SB294, SB295, SB296, SB297, SB298, SB299, SB300, SB301, SB302, SB303, SB304, SB305, SB306, SB307, SB308, SB309, SB310, SB311, SB312, SB313, SB314, SB315, SB316, SB317, SB318, SB319, SB320, SB321, SB322, SB323, SB324, SB325, SB326, SB327, SB328, SB329, SB330, SB331, SB332, SB333, SB334, SB335, SB336, SB337, SB338, SB339, SB340, SB341, SB342, SB343, SB344, SB345, SB346, SB347, SB348, SB349, SB350, SB351, SB352, SB353, SB354, SB355, SB356, SB357, SB358, SB359, SB360, SB361, SB362, SB363, SB364, SB365, SB366, SB367, SB368, SB369, SB370, SB371, SB372, SB373, SB374, SB375, SB376, SB377, SB378, SB379, SB380, SB381, SB382, SB383, SB384, SB385, SB386, SB387, SB388, SB389, SB390, SB391, SB392, SB393, SB394, SB395, SB396, SB397, SB398, SB399, SB400, SB401, SB402, SB403, SB404, SB405, SB406, SB407, SB408, SB409, SB410, SB411, SB412, SB413, SB414, SB415, SB416, SB417, SB418, SB419, SB420, SB421, SB422, SB423, SB424, SB425, SB426, SB427, SB428, SB429, SB430, SB431, SB432, SB433, SB434, SB435, SB436, SB437, SB438, SB439, SB440, SB441, SB442, SB443, SB444, SB445, SB446, SB447, SB448, SB449, SB450, SB451, SB452, SB453, SB454, SB455, SB456, SB457, SB458, SB459, SB460, SB461, SB462, SB463, SB464, SB465, SB466, SB467, SB468, SB469, SB470, SB471, SB472, SB473, SB474, SB475, SB476, SB477, SB478, SB479, SB480, SB481, SB482, SB483, SB484, SB485, SB486, SB487, SB488, SB489, SB490, SB491, SB492, SB493, SB494, SB495, SB496, SB497, SB498, SB499, SB500, SB501, SB502, SB503, SB504, SB505, SB506, SB507, SB508, SB509, SB510, SB511, SB512, SB513, SB514, SB515, SB516, SB517, SB518, SB519, SB520, SB521, SB522, SB523, SB524, SB525, SB526, SB527, SB528, SB529, SB530, SB531, SB532, SB533, SB534, SB535, SB536, SB537, SB538, SB539, SB540, SB541, SB542, SB543, SB544, SB545, SB546, SB547, SB548, SB549, SB550, SB551, SB552, SB553, SB554, SB555, SB556, SB557, SB558, SB559, SB560, SB561, SB562, SB563, SB564, SB565, SB566, SB567, SB568, SB569, SB570, SB571, SB572, SB573, SB574, SB575, SB576, SB577, SB578, SB579, SB580, SB581, SB582, SB583, SB584, SB585, SB586, SB587, SB588, SB589, SB590, SB591, SB592, SB593, SB594, SB595, SB596, SB597, SB598, SB599, SB600, SB601, SB602, SB603, SB604, SB605, SB606, SB607, SB608, SB609, SB610, SB611, SB612, SB613, SB614, SB615, SB616, SB617, SB618, SB619, SB620, SB621, SB622, SB623, SB624, SB625, SB626, SB627, SB628, SB629, SB630, SB631, SB632, SB633, SB634, SB635, SB636, SB637, SB638, SB639, SB640, SB641, SB642, SB643, SB644, SB645, SB646, SB647, SB648, SB649, SB650, SB651, SB652, SB653, SB654, SB655, SB656, SB657, SB658, SB659, SB660, SB661, SB662, SB663, SB664, SB665, SB666, SB667, SB668, SB669, SB670, SB671, SB672, SB673, SB674, SB675, SB676, SB677, SB678, SB679, SB680, SB681, SB682, SB683, SB684, SB685, SB686, SB687, SB688, SB689, SB690, SB691, SB692, SB693, SB694, SB695, SB696, SB697, SB699, SB700, SB1047, SB1048, SJR6, SJR7, SJR8, SJR9, SJR10, SJR11, SJR12, SJR13, SJR14, SJR15, SJR16, SJR17, SJR18, SJR19, SJR20, SJR21, SJR22, SJR23, SJR24, SJR25, SJR26, SJR27, SJR28, SJR29, SJR30, SJR31, SJR32, SJR49, SCR1, SCR2, SCR3, SCR4, SCR5, SCR6, SCR8, SCR9, SB9, SB41, SB42, SB43, SB44, SB45, SB46, SB47, SB48, SB49, SB50, SB51, SB52, SB53, SB54, SB55, SB56, SB57, SB58, SB59, SB60, SB61, SB62, SB63, SB64, SB65, SB66, SB67, SB68, SB69, SB70, SB71, SB72, SB73, SB74, SB75, SB76, SB77, SB78, SB79, SB80, SB81, SB82, SB83, SB84, SB85, SB86, SB87, SB88, SB89, SB90, SB91, SB92, SB93, SB94, SB95, SB96, SB97, SB98, SB99, SB100, SB101, SB102, SB103, SB104, SB105, SB106, SB107, SB108, SB109, SB110, SB111, SB112, SB113, SB114, SB115, SB116, SB117, SB118, SB119, SB120, SB121, SB122, SB123, SB124, SB125, SB126, SB127, SB128, SB129, SB130, SB131, SB132, SB133, SB134, SB135, SB136, SB137, SB138, SB139, SB140, SB141, SB142, SB143, SB144, SB145, SB146, SB147, SB148, SB149, SB150, SB151, SB152, SB153, SB154, SB155, SB156, SB157, SB158, SB159, SB160, SB161, SB162, SB163, SB164, SB165, SB166, SB167, SB168, SB169, SB170, SB171, SB172, SB173, SB174, SB175, SB176, SB177, SB178, SB179, SB180, SB181, SB182, SB183, SB184, SB185, SB186, SB187, SB188, SB189, SB190, SB191, SB192, SB193, SB194, SB195, SB196, SB197, SB198, SB199, SB200, SB201, SB202, SB203, SB204, SB205, SB206, SB207, SB208, SB209, SB210, SB211, SB212, SB213, SB214, SB215, SB216, SB217, SB218, SB219, SB220, SB221, SB222, SB223, SB224, SB225, SB226, SB227, SB228, SB229, SB230, SB231, SB232, SB233, SB234, SB235, SB236, SB237, SB238, SB239, SB240, SB241, SB242, SB243, SB244, SB245, SB246, SB247, SB248, SB249, SB250, SB251, SB252, SB253, SB254, SB255, SB256, SB257, SB258, SB259, SB260, SB261, SB262, SB263, SB264, SB265, SB266, SB267, SB268, SB269, SB270, SB271, SB272, SB273, SB274, SB275, SB276, SB277, SB278, SB279, SB280, SB281, SB282, SB283, SB284, SB285, SB286, SB287, SB288, SB289, SB290, SB291, SB292, SB293, SB294, SB295, SB296, SB297, SB298, SB299, SB300, SB301, SB302, SB303, SB304, SB305, SB306, SB307, SB308, SB309, SB310, SB311, SB312, SB313, SB314, SB315, SB316, SB317, SB318, SB319, SB320, SB321, SB322, SB323, SB324, SB325, SB326, SB327, SB328, SB329, SB330, SB331, SB332, SB333, SB334, SB335, SB336, SB337, SB338, SB339, SB340, SB341, SB342, SB343, SB344, SB345, SB346, SB347, SB348, SB349, SB350, SB351, SB352, SB353, SB354, SB355, SB356, SB357, SB358, SB359, SB360, SB361, SB362, SB363, SB364, SB365, SB366, SB367, SB368, SB369, SB370, SB371, SB372, SB373, SB374, SB375, SB376, SB377, SB378, SB379, SB380, SB381, SB382, SB383, SB384, SB385, SB386, SB387, SB388, SB389, SB390, SB391, SB392, SB393, SB394, SB395, SB396, SB397, SB398, SB399, SB400, SB401, SB402, SB403, SB404, SB405, SB406, SB407, SB408, SB409, SB410, SB411, SB412, SB413, SB414, SB415, SB416, SB417, SB418, SB419, SB420, SB421, SB422, SB423, SB424, SB425, SB426, SB427, SB428, SB429, SB430, SB431, SB432, SB433, SB434, SB435, SB436, SB437, SB438, SB439, SB440, SB441, SB442, SB443, SB444, SB445, SB446, SB447, SB448, SB449, SB450, SB451, SB452, SB453, SB454, SB455, SB456, SB457, SB458, SB459, SB460, SB461, SB462, SB463, SB464, SB465, SB466, SB467, SB468, SB469, SB470, SB471, SB472, SB473, SB474, SB475, SB476, SB477, SB478, SB479, SB480, SB481, SB482, SB483, SB484, SB485, SB486, SB487, SB488, SB489, SB490, SB491, SB492, SB493, SB494, SB495, SB496, SB497, SB498, SB499, SB500, SB501, SB502, SB503, SB504, SB505, SB506, SB507, SB508, SB509, SB510, SB511, SB512, SB513, SB514, SB515, SB516, SB517, SB518, SB519, SB520, SB521, SB522, SB523, SB524, SB525, SB526, SB527, SB528, SB529, SB530, SB531, SB532, SB533, SB534, SB535, SB536, SB537, SB538, SB539, SB540, SB541, SB542, SB543, SB544, SB545, SB546, SB547, SB548, SB549, SB550, SB551, SB552, SB553, SB554, SB555, SB556, SB557, SB558, SB559, SB560, SB561, SB562, SB563, SB564, SB565, SB566, SB567, SB568, SB569, SB570, SB571, SB572, SB573, SB574, SB575, SB576, SB577, SB578, SB579, SB580, SB581, SB582, SB583, SB584, SB585, SB586, SB587, SB588, SB589, SB590, SB591, SB592, SB593, SB594, SB595, SB596, SB597, SB598, SB599, SB600, SB601, SB602, SB603, SB604, SB605, SB606, SB607, SB608, SB609, SB610, SB611, SB612, SB613, SB614, SB615, SB616, SB617, SB618, SB619, SB620, SB621, SB622, SB623, SB624, SB625, SB626, SB627, SB628, SB629, SB630, SB631, SB632, SB633, SB634, SB635, SB636, SB637, SB638, SB639, SB640, SB641, SB642, SB643, SB644, SB645, SB646, SB647, SB648, SB649, SB650, SB651, SB652, SB653, SB654, SB655, SB656, SB657, SB658, SB659, SB660, SB661, SB662, SB663, SB664, SB665, SB666, SB667, SB668, SB669, SB670, SB671, SB672, SB673, SB674, SB675, SB676, SB677, SB678, SB679, SB680, SB681, SB682, SB683, SB684, SB685, SB686, SB687, SB688, SB689, SB690, SB691, SB692, SB693, SB694, SB695, SB696, SB697, SB699, SB700, SB1047, SB1048
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 3/4/25

Human Services Finance and Policy

Transcript Highlights:
  • > can those rate increases and decreases can those rate increases and decreases can impact<00:
  • rate increases that are ways uh we have rate increases that are geographical<00:07:52.680> we
  • that geographical we have rate increases that geographical we have rate increases that are<00:07:
  • rates we saw about um 42% increase rates we saw about um 42% increase um<00:15:25.399> um
  • ><00:15:27.440> increased um um 42% of rates were increased um um 42% of rates were increased
Bills: HF1005
OR
Transcript Highlights:
  • We saw a significant increase in the rates for 2027.
  • that increased rates by 30%, both on the fee-for-service side and for CCOs.
  • that increased rates by 30%, both on the fee for service side and for CCOs.
  • We also had a big increase in the amount of rate.
  • Well, we actually got the fourth-lowest rate increase in the state.
Keywords: 907, all
Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.
TX
Transcript Highlights:
  • When utilities request rate increases, they often lead to increased costs for consumers.
  • Such actions may blunt the impact of rate increases.
  • increase and the struggles that they may be facing if that rate increase went through.
  • increase and the struggles that they may be facing if that rate increase went through.
  • What was your replacement cost increase last year, even though there was no rate increase?
Keywords: 1185, senate, all
ND

North Dakota 2025-2026 Regular Session

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

Appropriations - Human Resources Division

Transcript Highlights:
  • So we are looking to do that rate increase across all programs.
  • Not every provider receives a targeted rate increase every year, but South Dakota's rates were recently
  • Rebase Medicaid rates for ambulance service. So this isn't increasing rates.
  • Chair, this will increase the rates.
  • They did not receive a targeted rate increase last biennium. Mr.
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.
WA

Washington 2025-2026 Regular Session

House Community Safety Dec 4th, 2025

Transcript Highlights:
  • clearance rates, or solve rates.
  • It's about a 65% increase in the juvenile homicide rate, which could account for some of the upturn.
  • Our per capita rate of law enforcement officers increased for the first time in several years, which
  • Vancouver saw a 31% increase, Marysville saw a 94% increase, and Lynnwood saw a 145% increase from 2019
  • Both Seattle and Tacoma saw their solve rates decline instead of increase between 2019 and 2024.
Summary: The House Committee on Community Safety held a December 4, 2025 work session focused first on crime trends and then on policing effectiveness. Adam Gelb of the Council on Criminal Justice reviewed long-term national data showing major declines in reported crime and victimization since the early 1990s, a pandemic-era spike in homicide and some violent crime, and a recent drop back toward pre-pandemic levels. He also highlighted a sharp decline in juvenile arrests and incarceration, a substantial reduction in racial disparities in imprisonment, and noted that much of the disparity reduction appears tied to changes in arrest patterns. James McMahon of the Washington Association of Sheriffs and Police Chiefs then presented Washington’s 2024 crime report, saying total crime fell 8.4% from 2023, with decreases in violent crime, property crime, murders, robberies, aggravated assaults, hate crimes, and vehicle theft, while crimes against society rose. He emphasized that domestic violence makes up about half of crimes against persons, that Washington remains above its 2019 levels in several categories, and that underreporting affects the data. Marshall Clement of the Council of State Governments Justice Center added that Washington remains one of the states still above 2019 violent-crime levels, with homicide and juvenile victimization especially concerning, and noted wide variation in juvenile arrests and violent-crime trends across cities and counties. Jeff Asher of the Real Time Crime Index said his near-real-time data through September 2025 suggests continued national and Washington declines in murder, violent crime, and property crime, with Washington’s murder trend likely continuing downward into 2025. The second half of the work session shifted to policing methods and clearance rates. Richard Hahn of the Niskanen Center argued that disorder and neighborhood conditions affect public safety perceptions, that environmental design and street lighting can reduce crime, and that police agencies need better deployment, investigative capacity, and clearance rates, especially amid staffing shortages. Mark Kropanski of Arnold Ventures summarized research finding that police staffing matters, hotspots and problem-oriented policing reduce crime, and better investigations increase deterrence and trust; he stressed that homicide clearance rates remain only around 60% in Washington and that property-crime clearance is much lower. Marshall Clement returned to focus on Washington’s solve rates, saying only 44% of violent crimes reported to police are solved, with 62% of homicides, 51% of aggravated assaults, 25% of rapes, and 31% of robberies cleared in 2024, and that large numbers of serious crimes remain unsolved over a three-year period. He urged state leaders to set goals, improve data collection, strengthen investigative resources, and support victims and witnesses. No votes or formal actions were taken; the session was informational and included extensive member questions about juvenile crime, domestic violence, underreporting, detective staffing, and how to improve clearance rates.
CA
Transcript Highlights:
  • rates for providers, that perhaps support rate increases that perhaps wouldn't have otherwise existed
  • Most of the provider rate increases have been supplemental fixed-dollar amounts above the base rate to
  • And the state has focused on supplemental rates rather than base rate increases because they provide
  • And the state has focused on supplemental rates rather than base rate increases because they provide
  • Funds to help cover base rate increases to physicians.
Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.
AZ

Arizona 2026 Regular Session

02/11/2026 - House Ways & Means

Ways & Means

Transcript Highlights:
  • What it says is you can't increase the rate.
  • What it says is you can't increase the rate.
  • What it says is you can't increase the rate.
  • in utility rates in order to make up for any rate increase that they otherwise would have increases
  • They can't assess tax rate increases.
Summary: The committee first heard House Bill 2780, a technical cleanup measure related to Arizona’s judicial tax lien foreclosure and excess proceeds process. The sponsor and a witness said the bill clarifies when a court should order a public sale, standardizes distribution of sale proceeds, and corrects inconsistencies left from prior reforms. No opposition was raised, and the committee approved HB 2780 unanimously on a 9-0 do pass vote. The committee then took up House Bill 4029, which would require the Governor’s Office of Strategic Planning and Budgeting and the Joint Legislative Budget Committee to evaluate the revenue impact of federal tax conformity changes earlier in the process, and would require the Department of Revenue to issue tax forms consistent with statute. An amendment was adopted to have OSPB and JLBC each make the evaluation and to require a governor’s report if the impact is $100 million or more, along with new reporting deadlines for DOR. Supporters argued the bill would force earlier action on conformity and prevent tax forms from diverging from statute; opponents said it added bureaucracy and could delay filing. The committee approved HB 4029 as amended by a 5-4 vote. The committee also heard House Bill 4030 and the related HCR 2052, both aimed at limiting local tax and fee increases. HB 4030 would bar municipalities and counties from adopting, imposing, or collecting increased fees, transaction privilege taxes, and utility rates from July 1, 2026, through June 30, 2030. The sponsor said the measure was intended to protect taxpayers from inflation and rising local costs. Cities, counties, and utility representatives opposed the bills, warning they would hinder infrastructure financing, water and wastewater projects, road improvements, and public safety services, and could force general fund subsidies or delayed maintenance. Supporters argued local governments have seen substantial revenue growth and should be restrained from further increases. The committee did not reach a final vote on HB 4030 or HCR 2052 in the portion provided.
MN

Minnesota 2025 1st Special Session

House DFL Press Conference 3/27/25

Transcript Highlights:
  • So since that about 10% uninsured driving rate, we have seen an incredible increase in those rates that
  • drop their insurance, and that increases the uninsured driving rate.
  • So since that about 10% uninsured driving rate, we have seen an incredible increase in those rates that
  • drop their insurance, and that increases the uninsured driving rate.
  • So since that about 10% uninsured driving rate, we have seen an incredible increase in those rates that
Keywords: 1183, house
TX

Texas 89th Regular

Insurance Mar 5th, 2025

Insurance

Transcript Highlights:
  • Yes, that is the average rate increase for the state.
  • In August of 2024, the board agreed to file a 10% rate increase.
  • basis existed for a 10% rate increase.
  • However, due to the steep increase in our reinsurance costs and the absence of rating increases, we do
  • to the policyholders here and looking at your increased rates, your rate increase over a number of years
Keywords: 1184, house, all
TX

Texas 89th 2nd C.S.

Insurance Mar 5th, 2025

Insurance

Transcript Highlights:
  • Yes, that is the average rate increase for the state.
  • A lot of that home, uh, increase in rates is due to the roof.
  • However, due to the steep increase in our reinsurance costs and the absence of rate increases, we do
  • to the policyholders here and looking at your increase of rates, your rate increase, uh, over a number
  • And I understand that y'all, I guess you haven't had a rate increase since 21 and like a 5% rate increase
MN

Minnesota 2025-2026 Regular Session

Human Committee Meeting - 2025-04-09

Human Services Finance and Policy

Transcript Highlights:
  • Includes provisions for a SUD rate increase.
  • We just want to make sure that the rate increases as opposed to taking 72% of the modeled rate.
  • We would just ask that this increase be contingent on whether rates are increased; it would be less of
  • Those were not rate increases; they provide incremental care.
  • increase to the supplemental service rate.
Bills: HF2434
FL

Florida 2025 Regular Session

October 14, 2025 - 03:30 PM

Transcript Highlights:
  • FOR PLAN YEAR 2026 OIR HAS APPROVED A 12.8% RATE INCREASE FOR SMALL GROUP PLANS.
  • YOU CAN SEE THERE'S A NUMBER OF FACTORS THAT ARE INCREASING THE RATE YOU SEE TODAY, 34% IS NOT THE TYPICAL
  • THE CONSUMER WILL SEE A RATE INCREASE BUT YOU WILL NOTE THAT THE AMOUNT THEY PAY IS MINUS THE SUBSIDY
  • I WOULD SAY FLORIDA IS NOT ALONE IN SEEING THESE RATE INCREASES.
  • WE DO HAVE A LOT OF DIFFERENT CARRIERS, A LOT OF DIFFERENT OPTIONS BUT OBVIOUSLY A 34% RATE INCREASE
TX
Transcript Highlights:
  • Social Security increase to directly fund an annual equivalent increase in the base rate while keeping
  • I'm here to ask for an increase to the support services portion of our rate.
  • , and according to the rate table, it now needs a 21% increase to fully fund the rate.
  • I ask that you fully fund HHSC's analysis for a 21% increase to the PDN rate and address the rates in
  • However, the turnover rate of workers has increased due to insufficient funding.
Bills: SB1, SB 1
TX
Transcript Highlights:
  • comes to requesting rate increases?
  • Combined an increased rate with increased limits, you have significantly increased premium, and then
  • What percentage of rates can be attributable to that rate increases and our overall rates?
  • rate increase was, quote, enhanced pricing sophistication.
  • More. cause the higher rate increases in 2023 and in 2024.
Keywords: 1185, senate, all