Video & Transcript Research : 'rate setting'
Page 39 of 500
NH
Transcript Highlights:
- As you all know, the department sets nursing home rates twice a year.
- working group to examine our rate working group to examine our rate setting<01:20:35.920>
methodology - So, I don't want to predict that it would totally revamp how we do the rate-setting methodology, but
- would totally revamp how we do the rate would totally revamp how we do the rate setting<01:29:59.520
- set, for example, there was a 2.4% rate set, for example, there was a 2.4% rate<01:40:36.159>
increase
TX
Transcript Highlights:
- They set their rates that they pay their providers. they're tracking off of our fee-for-service schedule
- . and acute care settings.
- Did we increase those rates?
- the rates.
- We will have a cost report basis for. setting those rates versus basing it on this formula that was set
MN
Minnesota 2025 1st Special Session
House Human Services Finance and Policy Committee 1/16/25
Human Services Finance and Policy
Transcript Highlights:
- Miss Punelli, how are those rates set? Is that in statute, or is that how the room rates are set?
- Miss Punelli, how are those rates set? Is that in statute, or is that how the room rates are set?
- Miss Punelli, how are those rates set? Is that in statute, or is that how the room rates are set?
- Miss Punelli, how are those rates set? Is that in statute, or is that how the room rates are set?
- Miss Punelli, how are those rates set? Is that in statute, or is that how the room rates are set?
Summary:
The committee met for an introductory overview of its jurisdiction and staff roles. Nonpartisan House Research and House Fiscal staff explained that they draft bills and amendments, prepare bill summaries and background research, answer legal and fiscal questions, and help track revenue and budget effects. They also distributed a Budget Overview Brief intended to condense the larger budget materials into a more usable format for members.
Staff then walked through the Human Services budget and the committee’s areas of responsibility. They described the department structure, noting that DHS oversees administration, compliance, rulemaking, and county support, and that the overall Human Services budget is large, with medical assistance as the dominant program. They also explained recent and upcoming reorganizations: many children and family-related functions are moving to the new Department of Children, Youth, and Families, Direct Care and Treatment is becoming its own agency, and some homelessness-related functions remain at DHS. Staff reviewed how the budget is organized by program and budget activity, the difference between direct appropriations and standing appropriations, and how forecasted programs and “tails” work in the budget process.
The presentation also covered Medicaid financing and long-term care. Staff explained the federal-state FMAP match, including Minnesota’s current 51.16% federal match for most Medicaid spending, the CHIP match, and the 90% federal share for the expansion population. For long-term care, they outlined Medical Assistance services for elderly and disabled people, state-funded long-term care supports, and Board on Aging programs. They highlighted the personal care assistance program’s phaseout and replacement by Community First Services and Supports, and reviewed the five home- and community-based waivers.
Members asked one question about refugee resettlement funding, specifically whether it covers flights; staff said they would need to follow up on the exact use of the federal funds. No bills were heard, and no formal votes or other committee actions were taken during this meeting.
CA
California 2025-2026 Regular Session
Assembly Select Committee on Child Care Costs Dec 9th, 2025
Transcript Highlights:
- Currently, the rate for three-year-olds is 80% more than the rate for four-year-olds.
- , but they need to be combined into a single rate rather than two separate rates, just because one-time-only
- The best rates should be strong enough to keep our businesses open while they— The best rates should
- We call upon the Legislature to ensure significant base rates as well as enhanced rates for additional
- Let's get our rates going. Thank you very much.
Summary:
The Assembly Select Committee on Child Care Costs held its third hearing, focused on how transitional kindergarten (TK) fits into California’s mixed-delivery early learning system, with an emphasis on the Central Valley. Opening remarks stressed that TK and child care should complement each other, not compete, and that families need both part-day school-based options and full-day, year-round care. Committee members outlined hearing goals around aligning TK with existing programs, understanding family needs, and examining the economic impact of early learning on workforce participation and local economies.
Panelists from the Legislative Analyst’s Office, Every Child California, Early Edge, Children Now, and others described TK’s rapid expansion to all four-year-olds, the growth in enrollment, and related changes to state preschool and after-school programs. Witnesses generally supported TK but warned that its expansion has shifted enrollment away from community-based providers, especially centers and family child care homes, creating financial strain, vacant classrooms, and staffing challenges. They urged stronger partnerships between school districts and community providers, more flexible licensing and facilities support, higher and more uniform reimbursement rates, permanent authority for state preschool to serve two-year-olds, and better compensation and training for educators across settings.
Parents and providers testified about the importance of trusted, culturally and linguistically responsive care, the need for infant-toddler and home-based options, and the difficulty of affording child care when TK is not full-day or does not fit family schedules. Several speakers emphasized that many families still face long waits for subsidies and that reimbursement and payment delays threaten provider stability. Public comment echoed these concerns, with providers calling for true cost-of-care rates, more vouchers, support for transportation and nontraditional hours, and protection from insurance and facility costs that can force programs to close.
State education officials said California’s UPK system works best when TK, state preschool, Head Start, and community-based providers are treated as a shared system, and noted that planning and implementation grants and local coordination efforts have helped build mixed-delivery partnerships. The hearing ended without formal votes or actions, but committee members indicated they would continue gathering input to inform future policy and budget decisions.
NH
New Hampshire 2025 Regular Session
Fiscal Committee (12/19/2025)
Transcript Highlights:
- would allow us to set the nursing home<00:04:34.080>
reimbursement <00:04:34.960>rates - The nursing facility rates are set twice annually in accordance with state law.
- The nursing facility<00:05:29.120>
rates <00:05:29.840>are <00:05:30.160>set <00: - 05:30.720>
twice <00:05:31.120>annually <00:05:31.759>in facility rates are set - the rate for the next six months setting the rate for the next six months and<00:09:42.880>
in
Summary:
The Fiscal Committee met on December 19, with Senators Long and Lang serving as replacements. The committee approved the November 21 minutes and adopted the consent calendar after removing two Department of Health and Human Services items for separate discussion. It then took up an HHS request involving nursing facility rates, where Nathan White explained that $2.2 million would be transferred from a long-term care Medicaid eligibility contract to the nursing facilities budget. He said the funds would offset an otherwise projected 3.9% average rate decrease and bring the overall average change to zero for the next six months, with rates reset again in July under state law. Members asked about the budget adjustment factor, bed counts, and whether additional funds could raise rates further; White said the factor is statutory, capped at 28.76%, and that more money would lower the factor and increase rates. The committee also corrected a date in the request from February 1, 2025 to February 1, 2026, and approved the item.
The committee next approved another HHS item related to rural health transformation grants. Members confirmed the request covered the full amount applied for this biennium, and asked about the technology component. HHS said the grant is not solely about AI, but about broader technology improvements such as electronic medical records, back-end systems, and tools to improve access and sustainability in underserved areas. The committee approved that item as well.
The Judicial Council then requested funds for contract attorneys providing indigent defense on a fixed-fee basis. The council said current funds had already been exhausted and that the new appropriation would be used immediately. Members questioned the size of the request and the number of people awaiting counsel; the council reported about 150 incarcerated people and about 300 non-incarcerated people waiting for counsel, more than in recent years. It attributed the increase to competition for attorneys, public defender offices closing intake in some locations because of caseload limits, and broader case and court-system changes. One member raised constitutional concerns about delays in counsel for incarcerated defendants. The committee ultimately amended the request downward to $1 million, approved it, and then approved a motion to place several annual financial reports on file and release them to the public when available. The committee also discussed dashboard reporting from HHS, asking for more detail on community mental health center caseloads and budget-reduction information, and HHS agreed to provide more useful monthly detail.
NY
New York 2025-2026 Regular Session
New York State Senate Session - 04/20/2026
New York Senate Floor Meeting
Transcript Highlights:
- OF STATE AID COMING SO THEY CAN SET THEIR BUDGETS AND NOT HAVE TO PERHAPS SET PROPERTY TAXES HIGHER THAN
- a threshold, and the threshold was set at $5,000.
- In the 1990s, we had some of the highest rates in the nation.
- This bill will force utilities to raise rates.
- If you support bills like this, rates will continue to go up.
Summary:
The Senate opened with routine formalities, approved the journal, welcomed a SkillsUSA student delegation, and then moved into budget and policy business. The chamber accepted a Rules Committee report and took up a supplemental budget extender, Senate Print 9963, which would extend state operations through April 22 and authorize $12.7 billion, including about $5.1 billion in new funding for Medicaid, payroll, and school aid. Senator O’Mara questioned the delay in the budget, the lack of public detail, and unresolved issues such as CLCPA changes, auto insurance, and SEQR reforms; the sponsor said negotiations were ongoing and that school aid would likely build on the executive budget. The extender passed 57-1, with Senator Weik voting no.
The Senate then adopted Senate Resolution 1887, sponsored by Senator Brisport, memorializing the Governor to proclaim April 2026 as Arab American Heritage Month. Senators Brisport, Fahy, Salazar, and Gounardes spoke in support, emphasizing Arab Americans’ cultural, civic, and economic contributions in New York and condemning anti-Arab and anti-Muslim bias. The resolution was adopted by voice vote and opened for co-sponsorship.
The chamber next considered several bills on the calendar, including a bill by Senator Cleare to prohibit state-chartered financial institutions from investing in private correctional facilities. Supporters framed it as a moral response to private prisons and rising federal use of detention facilities, while opponents argued it would overregulate state-chartered banks and affect private investment decisions. The bill passed 36-22. The Senate also passed a bill by Senator Krueger raising the nonprofit lobbying disclosure threshold from $5,000 to $10,000, after debate over transparency and whether the change would reduce oversight; it passed 35-23. Finally, the Senate passed Senator May’s bill on advanced transmission technologies and utility planning, after extensive debate over ratepayer costs, battery storage, and data center growth; supporters said it could lower energy costs through more efficient grid use, while opponents said it would raise rates and duplicate existing studies. The bill passed after being restored to the non-controversial calendar.
TX
Transcript Highlights:
- of time. to prepare and set expectations.
- The change rate is higher on the human-scored items than the machine-scored items, but the change rate
- problems during COVID with regard to their rating?
- Tim, explain to me, isn't a rating a rating of a school? Yes, it is the rating of how the...
- That's what the rating of the school is for.
Bills:
HB8
Keywords:
HB 8, Texas public school accountability, school accountability, public school transparency, STAAR, state assessments, instructionally supportive assessment program, Student Success Tool, Texas Education Agency, TEA, accountability ratings, A-F ratings, through-year assessment, benchmark testing, norm-referenced assessment, college career military readiness, CCMR, local accountability plan, school district performance, campus turnaround
FL
Florida 2025 Regular Session
March 18, 2025 - 09:00 AM
Transcript Highlights:
- The recommended metrics are a 21% access rate and an affordability rate of $10,149, a graduation rate
- of 21%, a graduation rate of 21%, a retention... $149, a graduation rate of 21%, a retention rate of
- How many institutions are below a 40% passage rate? A 40% passage rate in graduation rate, or?
- rate.
- rate.
Summary:
The Higher Education Budget Subcommittee heard and advanced House Bill 1145, which clarifies that public charter schools may participate in the CAP Grant Fund. The bill’s amendment expanded a separate “money-back guarantee” concept for state colleges, requiring participating institutions to offer six eligible programs and refund tuition if graduates do not find qualifying employment within six months under standardized job-search requirements. Members asked about refund rates, student notification, fiscal impact, and whether the proposal accounted for disability or out-of-state job searches. Public testimony on the amendment and bill was in support from Nathan Hoffman of the Foundation for Florida’s Future, and the committee adopted the amendment and reported the bill favorably as a committee substitute by a 16-1 vote, with Representative Aristide voting no over the charter school issue.
The committee then received presentations on the William L. Boyd IV Effective Access to Student Education (EASE) Grant and the private nonprofit college sector. Department of Education staff explained that EASE, created in 1979, provides tuition assistance to eligible full-time undergraduates at participating private institutions, with a 2024-25 maximum award of $3,500 and an additional EASE Plus incentive of up to $850 for students in high-demand fields. The department reviewed the program’s funding history, disbursement process, and accountability metrics, including access, affordability, graduation, retention, and postgraduate employment/continuing education. Members asked about award proration, eligibility for other aid, religious-program restrictions, and why some institutions had low or unavailable graduation-rate data.
ICUF President Robert Boyd argued that EASE is a strong return on investment and described ICUF institutions as not-for-profit, four-year schools serving many Pell-eligible, adult, military, and minority students. He said the sector produces a significant share of Florida’s bachelor’s, graduate, nursing, and education degrees, and highlighted ICUF’s dashboard with additional transparency metrics, program earnings data, and net price calculators. Boyd and members discussed graduation and completion rates, NCLEX passage rates, affordability, institutional flexibility, and whether schools with lower graduation rates should be compared differently because of their student populations. The presentations ended with no further business, and the meeting adjourned.
KY
Kentucky 2026 Regular Session
House Budget Review Subcommittee on Justice, Public Safety, & Judiciary (1-13-26)
Transcript Highlights:
- to those rates was in 2021.
- Our rates we we've surveyed and compared our<00:04:09.760>
rates <00:04:10.000>are <00:04 - But same issue with the rates.
- But same issue with the rates.
- But same issue with the rates.
Keywords:
00:10 Call to order and Roll Call
01:06 Information Items and Introduction of Kentucky Court of Justice
03:02 Discussion of Interpreter State and National Contractor Rates
06:35 Discussion of Certifications
08:44 Discussion of AI use in Interpretation
13:56 Software Service Initiatives
16:47 Data Security and AV system Upgrades
24:38 Drug Court Issues
28:43 Discussion of Jefferson County Record Storage
35:33 Boyle County Courthouse Construction
39.26 KY State Police Driver Testing
45:22 Adjournment, 958, all
Summary:
The subcommittee heard a budget overview from the Kentucky Court of Justice focused on mandated services and several growth items in the judicial branch budget. Court officials said the requests were driven by legal and contractual obligations, including higher contractor rates for court interpreters and IT support, annual software-as-a-service costs, and upgrades to the court’s audiovisual record system (JAVS). They also discussed local facilities needs tied to Jefferson County lease space and the Boyle County Courthouse, though the bulk of the presentation centered on the court’s technology and service-delivery costs.
Members asked detailed questions about interpreter services, including whether services are provided in person, by phone, or by Zoom, and whether Kentucky could train and certify more local interpreters instead of relying on contractors from around the country. Court officials said the certification process is rigorous, that the branch is working with the National Center for State Courts on an apprenticeship program, and that they believe Kentucky may have flexibility to develop state-level certification if it meets court needs. They also said they are exploring technology and AI tools for translation, but have not found a solution that reliably handles complex courtroom context. Representative Sharp asked whether cases had been delayed for lack of interpreters; officials said they could provide aggregated data later.
The court also described its major IT modernization effort, including a statewide case management system, e-filing, and maintenance of many legacy applications. Officials said contractor rates need to be raised to compete for skilled labor during the implementation phase, but that those costs should decline once the new systems are fully built and only maintained. They explained that part of the request covers three SaaS initiatives: ongoing subscription costs for existing systems, annual fees for the CaseWorks system used in pretrial and specialty courts after federal grant funding ends, and adoption of DocuSign to streamline invoicing, procurement, and contract execution. In response to questions from Representative KC Carney, they said cybersecurity is taken seriously, that they recently conducted a tabletop exercise, and that some risk shifts to cloud vendors under contract, though no separate cybersecurity line item was included.
A substantial portion of the discussion focused on the JAVS audiovisual court-record system. Court officials said not all courtrooms are on the same version, and they want funding to bring all locations up to the current version and prepare for version 9, which they said would standardize the system statewide and support the official court record. When asked about costs, they said each upgrade can cost about $70,000 to $80,000 per system, that they aim to upgrade about 50 per year, and that the request reflects the need to keep pace with a four-year refresh cycle. No votes or formal actions were taken during the meeting.
MN
Transcript Highlights:
- In this chart, we show the federal funds rate and the 30-year fixed mortgage rates.
- The federal funds rate and other interest rates, like the 30-year fixed mortgage rate, are closely but
- Mortgage rates and other long-term rates also respond to lenders' inflation expectations.
- mortgage rates and other long-term rates mortgage rates and other long-term rates also<00:14:37.480
- or a delayed lowering of rates.
MN
Minnesota 2025 1st Special Session
House Children and Families Finance and Policy Committee 1/21/25
Children and Families Finance and Policy
Transcript Highlights:
- Um, beginning in 2026, um, an automatic one-star rating system is set to go into effect for all child
- Um, beginning in 2026, um, an automatic one-star rating system is set to go into effect for all child
- are set in statute, and those rates are based on a survey of child care prices that's conducted every
- 01:14:32.320>
statute <01:14:33.320>and <01:14:33.480>those rates that are set in - statute and those rates that are set in statute and those rates<01:14:33.840>
are <01:14:34.000
Summary:
The committee met for an introductory overview of its jurisdiction and budget, with the chair emphasizing the committee’s role over a large portfolio of children, youth, and family programs and the new Department of Children, Youth, and Families (DCYF). House Research and House Fiscal staff explained their roles and described the 2023-24 reorganization that transferred many programs from DHS, DPS, MDH, and MDE to DCYF, along with a statute recodification and a crosswalk resource for members. Doug Berg then walked through the committee’s budget structure, explaining the difference between all-funds and general fund views, the major funding sources, and how forecasted programs and grant bases roll forward. He highlighted that the committee’s general fund base is a little over $2.1 billion for the biennium, with large federal components such as SNAP and TANF, and noted smaller accounts including child protection-related opioid funds and federal reimbursement offsets (FFP) for administrative costs.
Members asked several questions about federal financial participation, TANF, and the effect of the repeal of the Diversionary Work Program (DWP). Staff explained that FFP generally applies to administrative costs for federally related programs and usually does not change much unless program activity changes, while TANF is a block grant that has been stable for years. On DWP, staff said the program was sunsetted effective March 1, 2026, and that the associated funding and administrative costs were being reworked rather than simply removed. A member also asked about federal funding fluctuations; staff said no changes were currently factored in, though SNAP or other federal policy changes could alter future numbers.
Danielle Penelli then presented on economic assistance and employment supports transferred to DCYF, focusing first on MFIP, Minnesota’s state-supervised, county-administered welfare program jointly funded by state and federal dollars. She explained that MFIP provides cash and food assistance, employment and training services, and related supports, with a 60-month time limit and certain exemptions for illness, incapacity, or other barriers to employment. She also described the program’s income and asset standards, including a $10,000 asset limit with exclusions for homesteads and one vehicle per assistance unit member age 16 or older. Members asked clarifying questions about how the time limit applies and what assets count, and staff responded that the limit applies to the caregiver and does not restart with additional children.
Penelli also introduced support services grants, which fund employment services for MFIP, DWP, and SNAP participants through workforce centers, counties, tribes, and community agencies, and help cover some county and tribal administrative costs. She began outlining nutrition programs under DCYF, including SNAP, the Minnesota Food Assistance Program, the Minnesota Food Shelf Program, the Emergency Food Assistance Program, and the American Indian Food Sovereignty Program. No formal votes or bill actions were taken during this meeting; it was primarily an informational staff briefing and question-and-answer session.
NH
Transcript Highlights:
- factor potentially further in the next cycle of rate setting.
- <00:21:32.360>
time uh from the uh normal rate-setting time uh from the uh normal rate-setting - those rates um and then frame in setting those rates um and then the<00:21:36.360>
additional - Well, that's part of the rate-setting process.
- <00:26:59.560>
the <00:26:59.680>rates You had set the rates You had set the rates
CA
California 2025-2026 Regular Session
Assembly Utilities and Energy Committee Jun 24th, 2026
Transcript Highlights:
- “The rules have got to be set. Safety first. Fees, okay.
- They have a guaranteed rate of return.
- And they'd be willing to do it even for a lower rate of return.
- And thirdly, there's no setting yet on that.
- Yes, we want everybody to pay in rates.
Summary:
The committee first heard SB 804, the Hydrogen Pipeline Safety Act, from Senator Arreguín. He said the bill would designate the State Fire Marshal as the safety regulator for intrastate hydrogen pipelines and require hydrogen-specific standards, while not mandating any pipeline construction or bypassing environmental review. Supporters included labor groups, utility employees, and the City of Burbank, while Air Products opposed unless amended, citing concerns about the bill’s specificity, fee structure, and the need for a hydrogen-specific rulemaking process. The committee discussed safety, fees, and regulatory certainty, and later passed SB 804 on a 9-0 vote to Emergency Management with commitment to take amendments.
The committee then took up SB 905 by Senator Becker, aimed at reducing electricity rates by changing utility incentives. The bill would tie part of executive compensation to keeping rates below inflation, require more performance metrics, and allow the CPUC to consider lower returns on equity for certain lower-risk investments and alternative financing options. Support came from consumer, environmental, agricultural, and large energy user groups, while Southern California Edison, CalChamber, PG&E, and utility labor groups raised concerns that the bill could reduce investment, create regulatory uncertainty, and raise borrowing costs. After extensive discussion about utility affordability, wildfire costs, and capital markets, the committee passed SB 905 on a 7-1 vote to Appropriations.
SB 913, also by Senator Becker, would create a clearer pathway for distributed energy resources such as batteries and smart thermostats to participate in the resource adequacy market and compete with utility-scale resources. Supporters said the bill would better use existing grid capacity, lower costs, and build on the state’s Demand Side Grid Support Program; PG&E opposed unless amended, saying the use case was not yet proven and was already being addressed in other rulemakings. After the committee accepted amendments, one opposition group moved to neutral and another said it might do so after reviewing the changes. The bill passed 8-0 to Appropriations and was placed on call.
Several other measures were heard and advanced, including SB 1196 on faster utility hookups for small energization projects such as ADUs and EV chargers, SB 931 reauthorizing the Diablo Canyon Essential Services Mitigation Fund through 2028, SB 1158 reducing the frequency of joint reliability assessments from quarterly to twice yearly, and SB 1245 directing further study of California’s gasoline market and potential use of non-CARBOB fuel during supply disruptions. SB 1196 and SB 931 both passed with broad support and no opposition after amendments, SB 1158 passed without testimony, and SB 1245 drew strong support from consumer and environmental advocates but opposition from fuel industry and business groups concerned about costs, confidentiality, and fuel standards.
NH
New Hampshire 2025 Regular Session
House Ways and Means (02/12/2025)
Transcript Highlights:
- rough tax rate federal income tax rate rough tax rate federal income tax rate that<00:39:46.319>
- <01:46:46.920>
interest <01:46:47.280>rate doing interest rate interest rate doing - He said the bill sets a rate of $5 per $1,000 of equalized property valuation.
- It sets a fixed rate by legislative action.
- of arbitrary rate um or amount to a rate of arbitrary rate um or amount to a rate would<04:18:46.119
Summary:
The committee opened a public hearing on HB 402, a bill dealing with whether Education Freedom Account (EFA) payments should be described in state law as not constituting taxable income. The bill sponsor argued that the current statute is misleading because New Hampshire should not imply a federal tax result, and said the bill would remove that language and could also be amended to clarify that families should consult tax advisors. He emphasized that the measure was not intended to impose a state tax on EFAs, but to avoid giving inaccurate advice about possible federal tax liability.
Testimony was divided. A retired representative and a tax preparer both opposed the bill, saying EFA payments are already treated consistently with IRS rules and that the bill would create confusion, administrative burden, and possible tax consequences for low- and moderate-income families. They argued the bill is a solution in search of a problem and warned that requiring 1099s could add costs for the scholarship organization and recipients. A tax attorney supported the bill’s repeal of the state language, saying New Hampshire should not put tax advice into statute and that the current wording is inaccurate because federal law, not state law, controls taxability. He cited IRS Section 117 and Publication 970, explaining that only some scholarship-like payments are tax-free and that many EFA-eligible expenses may not qualify for federal exemption.
Members asked questions about what would be misleading, whether the bill was trying to tax EFAs, and the cost of issuing 1099s. The sponsor and witnesses repeatedly said the bill was not a state tax on voucher payments, but a clarification about federal tax treatment. No vote or final committee action was taken in the portion provided.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Mental Health, Substance Use and Recovery Jun 21st, 2026 at 01:00 pm
Joint Committee on Mental Health, Substance Use and Recovery
Transcript Highlights:
- , not a reduced rate, which is what we get often now.
- not a reduced rate, which is what we get often now.
- And we all ...retention challenges and limited capacity in care settings.
- People for more expensive, less efficient care settings.
- as related to the Medicare reimbursement rate.
Summary:
The Joint Committee on Mental Health, Substance Use and Recovery held a public hearing on 14 bills focused on insurance, parity, opioids, behavioral health access, and mental health system reform. Chair Mindy Domb and Vice Chair Robyn Kennedy outlined hearing procedures and noted the committee would accept written testimony. The hearing featured testimony from legislators, providers, advocates, and behavioral health organizations, with most speakers urging favorable reports on the bills they addressed.
A major topic was psychiatric collaborative care, including H. 222/S. 1390, which would raise reimbursement for collaborative care codes to at least Medicare levels and allow billing outside the MassHealth primary care subcapitation model. Supporters said the model improves access, outcomes, and cost savings by embedding behavioral health in primary care, and several witnesses described successful implementation in practices and schools. Committee members asked questions about how the model works, what specialties use it, barriers to adoption, and whether copays, deductibles, and subcapitation rules should be changed. Witnesses also supported related innovation legislation, including H. 2224, which would create a mental health innovation fund and support nontraditional trauma-healing approaches.
Other bills discussed included H. 2212, which would require prescribers to discuss opioid and pain-medication risks, alternatives, and addiction/overdose concerns with patients or guardians; H. 2232 and H. 2233, which would address equitable payment and equitable access for behavioral health providers serving MassHealth patients; and S. 1406, which would add opioid maintenance treatment information to MassPAT and allow patient-authorized access to that information. Witnesses also strongly backed S. 1399, which would set targets to increase behavioral health spending within the overall health care cost benchmark, arguing that Massachusetts underinvests in behavioral health and that greater investment could reduce emergency, hospitalization, homelessness, and criminal justice costs. No votes were taken; the hearing concluded after testimony and committee questions.
TX
Transcript Highlights:
- We have A through F ratings that show 74% of HISD schools are now A and B rated.
- Two very different sets of results.
- This bill sets aside money to help.
- If it gets another F rating, a two-year... So a one-year F rating?
- Anytime a school gets an F rating, that's right.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 2 on Human Services Mar 26th, 2025
Transcript Highlights:
- and update rate models, and we already know that there are a number of issues with rate model...
- for the rate.
- What's the individual-level outcome measure you're going to use to set their rate for the entire year
- our rate structure for rate-setting purposes, meaning we need to get the same answer from the same person
- Tie that with what I said about rate setting. This is not simple.
Summary:
The Assembly Budget Subcommittee on Human Services held a hearing on developmental services, rehabilitation, and related supports, with no votes taken. The first major topic was the Master Plan for Developmental Services. Administration officials described a year-long, community-driven process that included a steering committee, work groups, and statewide engagement sessions, and said the final draft would be released that Friday with about 170 recommendations. The Department of Developmental Services said the plan would inform future work, but did not offer a detailed implementation roadmap. The LAO said the plan contains significant policy and budget implications, may require statutory changes, and needs further analysis to turn recommendations into actionable proposals. Advocates and regional center representatives urged the Legislature and administration to avoid letting the plan sit on a shelf, called for prioritization and ongoing stakeholder oversight, and emphasized the need to address equity, workforce, service coordination, and cross-system collaboration. The chair said he wanted to work with the LAO on trailer bill language and future reporting to create a clearer path forward.
The second topic was the Office of Employment First and competitive integrated employment. Administration witnesses said California has ended subminimum wage under SB 639, but that moving people into competitive integrated employment remains a major priority. They described existing efforts such as DDS’s coordinated career pathways pilot, paid internships, job development services, benefits counseling, and DOR’s career counseling and referral services, along with pilot projects in San Diego and Orange County. The State Council on Developmental Disabilities and advocates argued that employment outcomes have remained stuck at roughly 15% and that a dedicated Employment First Office is needed to coordinate across agencies, align goals, and improve outcomes. The LAO recommended regular legislative oversight on people transitioning out of subminimum wage and asked for technical assistance on coordinated career pathways. The chair criticized the administration’s decision to effectively eliminate funding for the office, requested a detailed implementation timeline and quarterly transition reports, and said the committee would continue pressing for the office to be implemented.
The final issue was respite services, utilization trends, and access. DDS reported that in-home respite use and spending have risen sharply over several years, with about 150,000 people using respite in 2023-24 and expenditures reaching about $1 billion. Officials said access depends on families knowing the service exists, service coordinators identifying need, and having enough providers, especially in rural and linguistically diverse communities. The San Diego Regional Center said utilization generally mirrors statewide trends, but access is stronger in some areas, such as Imperial County, where families often prefer family-directed or agency-supported models that allow them to hire trusted workers. Committee members emphasized the importance of respite for family health and caregiver well-being, asked whether service coordinators are asking practical questions about sleep and stress, and discussed the need for better identification of complex behavioral and medical needs. DDS said a standardized family support tool and updated IPP process are intended to improve consistency, transparency, and person-centered assessment for respite and related services.
MN
Minnesota 2025 1st Special Session
Cmte on Rules - Subcommittee on the Federal Impact on Minnesotans and Economic Stability - 10/15/25
Transcript Highlights:
- And it's important to remember that the department does not set health insurance rates.
- <00:04:15.280>
Instead, <00:04:15.599>we set health insurance rates. - Instead, we set health insurance rates.
- on how plans could set the rates, which helped to keep the prices low.
- set the rates which how how plans could set the rates which helped<00:39:17.680>
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NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Sep 10th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- Cancellation notices, their rate increases.
- Given our high rates of CEP participants due to high rates of student participation in these programs
- Participation rates are now higher than the national average.
- They pay significantly less than even our Medicaid rates or less than commercial insurance rates.
- It's very difficult for them to participate in a group setting.
VA
Virginia 2026 Regular Session
Commission on Unemployment Compensation Jul 9th, 2026
Transcript Highlights:
- individual experience rating.
- in for next year's employer tax rates.
- of employers and their individual tax rates as well.
- And too, though, the rate is lower per employee.
- The rate is lower per employee, per employer, because we have a low unemployment rate.