Video & Transcript : 'electric generating facility' :
Page 403 of 500
FL
Florida 2025 Regular Session
Health Policy Oct 7th, 2025
Transcript Highlights:
- EACH FACILITY TYPE WAS ALSO CAPPED AT THE AMOUNT THEY COULD RECEIVE EACH YEAR.
- WERE CAPPED AT $100,000 IN THE FACILITY FOR THE FISCAL YEAR.
- FIFTY NINE PARENT ORGANIZATIONS REPRESENTING THE 229 UNIQUE FACILITIES THROUGHOUT THE STATE.
- BUT THEY WERE CLOSE TO 100 MORE FACILITIES ACROSS THE STATE.
- AND OF THE 210 NONACCREDITED FACILITIES 23 REACH THE CAP OF 75,000.
MN
Minnesota 2025-2026 Regular Session
Human Committee Meeting - 2025-04-02
Human Services Finance and Policy
Transcript Highlights:
- We're working on a psychiatric residential treatment facility; we understand the need.
- facilities.
- An appropriate facility is not what is happening as there's not enough capacity.
- Can we bring some consistency to who would be sent to these kinds of facilities?
- Generational wealth has provided.
Committee:
House Human Services Finance and Policy
CA
California 2025-2026 Regular Session
Assembly Natural Resources Committee Jun 8th, 2026
Natural Resources
Transcript Highlights:
- Title V facilities are among the most comprehensively regulated stationary sources in the state.
- It reflects a troubling hostility toward facilities that operate lawfully and create jobs and generate
- of whether those facilities comply with applicable law.
- Title V facilities are among the most comprehensively regulated stationary sources in the state.
- It reflects a troubling hostility toward facilities that operate lawfully and create jobs and generate
Committee:
House Natural Resources
FL
Florida 2025 Regular Session
March 25, 2025 - 09:00 AM
Transcript Highlights:
- permit or registration as opposed to a solid waste transfer facility permit.
- permit or registration as opposed to a solid waste transfer facility permit.
- permit or registration as opposed to a solid waste transfer facility permit.
- permit or registration as opposed to a solid waste transfer facility permit.
- And as students who are members of Generation Z, it was very important to us to get involved in things
Summary:
The Agriculture and Natural Resources Budget Subcommittee met to consider three bills before moving to its budget presentation. HB 843, relating to Fish and Wildlife Conservation Commission trust funds, was explained as a set of clarifying changes to improve budget flexibility, including use of certain trust funds for law enforcement and other conservation-related purposes. After questions about whether the bill would shift resources away from conservation, an amendment removed the sections dealing with the Administrative Trust Fund and the Florida Panther Research and Management Trust Fund. The amended bill received support in public testimony and was reported favorably.
The committee then heard HB 295, which directs the Department of Environmental Protection to develop a comprehensive waste reduction and recycling plan by 2026 based on prior recycling recommendations. Supporters, including students involved in an “Ought to Be a Law” program and representatives from the waste and recycling industry, said the bill would create a roadmap for improving recycling and waste diversion. An opponent argued the state should instead enact more direct statutory changes on issues such as food waste, yard waste, and manure handling rather than study them further. Members praised the student participation and the bill passed.
HB 339, creating a temporary alternative credentialing pathway for surveyors and mappers, was presented as a response to workforce shortages and an aging profession. The sponsor said the bill would help meet demand while preserving oversight, and an amendment added a four-year work requirement and adjusted renewal provisions. After brief supportive debate, the amended bill passed. The subcommittee then received its Fiscal Year 2025-26 budget proposal, which emphasized spending reductions, vacant-position cuts, and a smaller overall budget than the current year while still funding water resources, Everglades restoration, resiliency, land management, cleanup programs, agriculture facilities, and other projects. Members closed by thanking the chair for an inclusive budget process, and the meeting adjourned after a motion to rise.
TX
Transcript Highlights:
- , which is a foster care facility where we have hundreds of kids.
- , if you will, and I can only do that very generically.
- Most escapes that do occur are generally speaking of very low value damages.
- Public land burning is generally done by those agencies. This is all private land, right?
- That generally doesn't work well with bonds, but there could be something different.
Bills:
HB139
Committee:
House Insurance
FL
Florida 2026 Regular Session
Appropriations Committee on Agriculture, Environment, and General Government Jan 15th, 2025
Appropriations Committee on Agriculture, Environment, and General Government
Transcript Highlights:
- It only allowed projects that were septic-to-sewer or wastewater treatment facility upgrades.
- It only allowed projects that were accepted to sewer or wastewater treatment facility upgrades.
- These funds do not include general law enforcement or funding for invasive plant control.
- These funds do not include general law enforcement or funding for invasive plant control.
- To date, the program has received more than 7,000 requests. public facilities around the state.
Summary:
The committee meeting began with quorum, member introductions, and an overview of the Agriculture, Environment, and General Government budget process. The chair emphasized using the committee resource book and performance metrics to review the base budget and invited members to identify areas of interest for later discussion. Members were also reminded about appearance forms and speaking procedures.
Wes Gregory of the Department of Agriculture and Consumer Services presented on agricultural best management practices and water policy. He said the office had updated all nine commodity BMP manuals and added a manual for small farms and livestock, expanded enrollment by 742 producers covering 677,000 acres, and used GIS and data analysis to target areas such as the Indian River Lagoon. He also described cost-share projects, a new field application for enrollment and inspections, cross-training staff, and a request for $20 million for regional water quality projects. Members asked about BMP enrollment, compliance, and enforcement; Gregory said noncompliance is uncommon and cases can be referred to DEP.
Adam Blaylock of DEP reviewed environmental grant programs, saying the state has appropriated $2.9 billion since 2018 for water quality projects, with about 1,100 projects reducing nitrogen and phosphorus statewide. He described the Water Quality Improvement Grant, Indian River Lagoon, Biscayne Bay, Springs, Alternative Water Supply, and Resilient Florida programs, including a planned public dashboard and a water-quality monitoring portal. Senators asked about the application window, award timing, and the high cost of septic-to-sewer conversions, with Blaylock estimating a blended average of about $35,000 per home.
Chief Conservation Officer George Worthing of the Fish and Wildlife Conservation Commission then presented on invasive animal control. He discussed prevention, risk screening, law enforcement at ports, public outreach programs such as the Python Challenge, Lionfish Challenge, and Exotic Pet Amnesty Program, and early detection tools like the Ive Got One reporting system. He also described control efforts for Burmese pythons, tegus, and lionfish, along with research and partner coordination. Members asked about the most harmful invasive species and whether iguanas may be taken; Worthing said iguanas are open for take, subject to other laws. The meeting ended after members briefly identified priorities such as water quality, recreation water quality, sustainability, sea level rise, and septic-to-sewer infrastructure, and the committee adjourned without any formal votes.
CA
Transcript Highlights:
- The Legislature created the Office of Inspector General in 2022, and the Inspector General has already
- My witnesses today are Ben Belknap, Inspector General, Office of the Inspector General, High Speed Rail
- No, we've adopted the standards by the Association of Inspectors General.
- That’s money not going into our general fund. We have to be careful.
- I mean, the California Attorney General is among, if not the most active Attorney General on antitrust
Committee:
House Judiciary
MN
Transcript Highlights:
- A small portion of that is general fund.
- </c> small portion of that is general fund. small portion of that is general fund.
- </c> insurance costs for nursing facilities insurance costs for nursing facilities as<00:10:15.600><c
- </c> to the rates paid for nursing facilities to the rates paid for nursing facilities since<00:47:42.560
- Prior to that, there were facilities.
Committee:
Senate Finance
FL
Florida 2026 Regular Session
FL House Floor Session - 2026-05-29 (10:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- And so I really do urge the next generation of lawmakers.
- The report includes $7 billion of general revenue and $1 billion of trust funds.
- Funding includes $1.4 billion in general revenue and $4.6 billion in trust funds.
- Is there any money in there for that new facility we're supposed to be building?
- Is there any money in there for that new facility we're supposed to be building?
MN
Minnesota 2025-2026 Regular Session
Committee on Rules and Administration - 04/30/25
Rules and Administration
Transcript Highlights:
- So there was generational Park Tavern.
- It's not a general fund impact.
- </c><00:08:28.800><c> It's</c> it's not a general fund impact. It's it's not a general fund impact.
- It's not a general fund impact.
- and assisted living facilities.
Committee:
Senate Rules and Administration
WA
Washington 2025-2026 Regular Session
House Housing Jan 20th, 2026
Transcript Highlights:
- emphasize the leadership that the Attorney General demonstrated in this.
- That’s usually done through the local government when you’re pulling a permit for a new facility.
- Can I actually locate enough facilities in my community to meet my target?
- Creating more affordable housing is a priority for both the state and the Attorney General.
- Creating more affordable housing is a priority for both the state and the Attorney General.
Summary:
The Housing Committee held work sessions on federal Continuum of Care homelessness funding and on state step-housing siting rules before moving into public hearings on House Bill 2266 and House Bill 2489. Commerce staff said HUD’s late and restrictive Continuum of Care funding notice put about $120 million a year in Washington operating support for existing homeless housing projects at risk, but a lawsuit led by the Attorney General forced HUD to restart renewal funding. Commerce also reviewed how local governments are implementing step-housing requirements, including model ordinances, planning updates, and ongoing compliance reviews under recent state law.
House Bill 2266 would require cities and counties to allow step housing in all nonindustrial zones, apply the same permitting and environmental review as other residential uses, limit design review to administrative processes, and remove certain local standards and conditions on existing buildings and affordable housing. Supporters, including Plymouth Housing, Disability Rights Washington, King County, the Attorney General’s Office, and Catholic Community Services, argued the bill would reduce discriminatory barriers, protect people with disabilities, and make it easier to site shelters, transitional housing, and permanent supportive housing. Several city representatives and the Association of Washington Cities opposed or sought amendments, saying the bill was too broad and could limit local authority over operational agreements, safety plans, spacing, community engagement, and funding conditions; some asked for clearer carveouts for emergency shelters and related uses.
House Bill 2489 would bar local governments from enforcing public-space anti-camping or similar laws unless adequate alternative shelter space is available, with “life-sustaining activities” and “adequate alternative shelter space” defined in detail. Rep. Gregerson said the bill would create a statewide floor and prevent punishment for survival conduct when no real shelter option exists. The ACLU, service providers, and shelter operators supported the bill, citing displacement from fragmented local ordinances, enforcement costs, and the need to align enforcement with actual shelter availability. Testimony also described low-barrier shelter operations and examples of people stabilizing once housed. The hearing on HB 2489 began with staff explanation and initial testimony; no votes were taken on either bill in the transcript.
FL
Florida 2026 Regular Session
FL House Floor Session - 2026-06-02 (10:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- However, in reading this as I have, again, it says an expenditure prohibited by general law.
- However, in reading this as I have, again, it says an expenditure prohibited by general law.
- We all say our seniors are important, the most important generation.
- I'm excited to pass the torch to my next generation of lawmakers.
- Tampa General Hospital is the only Level One trauma center across our entire region.
Summary:
The House met in special session, opened with prayer and the Pledge of Allegiance, approved the journal, and adopted the special order report setting the day’s calendar. The chamber then took up CS/House Joint Resolution 1F, the Governor’s property tax proposal, which would raise the homestead exemption for non-school taxes, lower the annual assessment cap on non-homestead property from 10% to 5%, and restrict county and municipal ad valorem revenue to public safety and certain other uses. Sponsor Rep. Overdorf said the measure would return money to homeowners and give local governments flexibility, while opponents repeatedly argued the ballot language was misleading and that the proposal could create large local revenue shortfalls, shift costs to other taxpayers, and threaten local services and debt obligations.
Members debated a series of amendments aimed at protecting specific programs from the bill’s effects. Rep. Bartleman’s amendment to exempt Children’s Services Councils and Children’s Trusts was defeated 25-74 after supporters said those entities fund child care, mental health, aftercare, and family support, while opponents said local governments could still choose to fund them. Rep. Cross’s amendment to include water management districts in allowable uses of ad valorem taxes was also defeated, despite testimony that the districts are essential for flood control, water supply, Everglades restoration, and drought response. Rep. Eskamani’s amendment to require the Legislature to backfill public safety funding failed 25-71 after debate over whether the proposal could reduce police and fire budgets and response times.
The House then rejected Rep. Woodson’s amendment to require state backfill for senior services, with supporters citing Meals on Wheels, transportation, adult day care, and other aging services, and opponents saying the state already funds senior programs. Finally, Rep. Gant’s amendment to protect veteran services was introduced and debated, with members emphasizing housing, mental health, transition assistance, and homelessness concerns for veterans; the transcript cuts off before the vote on that amendment. Throughout the debate, sponsors and supporters of the main resolution maintained that local governments would retain spending discretion and could use other revenue sources, while critics argued the measure lacked clear backfill provisions and could force cuts or tax shifts at the local level.
ND
North Dakota 2025-2026 Regular Session
Higher Education Funding Review Committee Jun 3rd, 2026
Transcript Highlights:
- and then student housing facilities.
- They can use general fund and other appropriated operating funds.
- There's a shift from the general fund here.
- And so that's generated by higher education today.
- Solid on we don't fund building athletic facilities.
Summary:
The committee met to discuss higher education funding and capital building policy. Members first heard an update from NDUS Deputy Commissioner Lisa Johnson on low-producing academic programs. She described a proposed board policy using a five-year rolling window and thresholds of fewer than 10 undergraduate graduates or fewer than 5 graduate graduates, with programs flagged for three consecutive review periods going to the board. Possible outcomes would include continuation, continuation with modifications, inactivation, or termination. Members asked about how the review would account for program costs, service to other students, workforce demand, and the difference between inactivation and termination. Johnson said the board would consider broader factors and that campuses already do detailed program analysis. Several members also asked about cost savings and staffing impacts from program terminations, and Johnson said the board would try to provide more information later.
The committee then received a report on the Capital Building Fund from Jamie Wilkie. He reviewed the program’s history, matching requirements, and recent uses, noting that about $334 million in state and matching dollars has been invested overall, with most going to deferred maintenance and extraordinary repairs. Members discussed whether the program is reducing deferred maintenance and requested updated systemwide data on deferred maintenance and campus space utilization. Wilkie said the board is considering a new study to update deferred maintenance figures, which are based on information more than 12 years old. He also reported that several institutions have used current biennium funds for projects such as residence hall renovations, health sciences housing, generators, and building repairs.
Later, the committee began a detailed walkthrough of a draft bill that would replace the current higher education funding formula with an FTE-based model and also revise the capital building fund structure. The draft would use fall enrollment FTEs, add completion incentives for degrees in in-demand fields, and create a separate research funding component for UND and NDSU tied to doctoral completions and external research expenditures. Members raised concerns about the use of older data in the formula, the treatment of waivers, the weighting of professional and health sciences programs, and the use of CIP codes to define CTE and education incentives. The bill draft would also combine capital building fund tiers, broaden eligible uses for deferred maintenance and legislatively authorized projects, change matching requirements, repeal the old formula chapter and the capital pool, and transfer funds from the Strategic Investment and Improvements Fund into the capital building fund. No final votes were taken during the portion provided; the meeting was primarily discussion and review.
OK
Oklahoma 2026 Regular Session
Appr/Sub-Health and Human Services Feb 4th, 2026 at 09:45 am
Transcript Highlights:
- In FY 26, we are actually licensing more facilities than we licensed in Y25.
- Accreditation numbers, so in the end of 2024, we had 1,300 five-star facilities.
- So we went from having I don't know 20 or 25 cameras throughout that facility to over 100.
- In July, we moved our first group of residents to one of the new facilities.
- So, managed care in general is to Drive costs down and maintain costs and keep them in there.
HI
Hawaii 2026 Regular Session
EDN Public Hearing - Thu Mar 19, 2026 @ 2:00 PM HST
Transcript Highlights:
- And I think this is owners facilities.
- Miranda Watt, Deputy Attorney General.
- </c><00:26:15.679><c> feeling</c> system because there's a general feeling system because there's a general
- </c><00:27:57.600><c> we</c> do for government property generally. we do for government property generally
- is</c><01:11:33.520><c> as</c> specific the general comment is as specific the general comment is as
Summary:
The committee on Education met on March 19 and moved through several bills under time pressure, hearing mostly brief testimony. SB 2024 SD2 and SB 896 SD2, both concerning public-private partnerships for charter school facilities, drew support from the Department of Education, the Charter School Commission, White Kids Can, and Hawaii Technology Academy. DOE said any P3 model should apply only to charter schools on private land and not affect public schools on DOE land. Supporters argued the approach could speed construction, reduce costs, and keep public money in public assets, while UPW and HGA raised concerns about privatization. In response, SFA said the intent was to mirror the existing conversion charter school model, with public ownership of assets and unionized staff, and noted some regions have waited years for schools.
SB 2613 SD1 on TMK transfers was heard next. DOE said the bill had originally been supported as part of the governor’s package but was amended to require DOE to convey lands for 13 libraries on DOE property, which DOE said would create “donut holes” in campuses and was unnecessary because existing agreements already govern library use. The State Public Library System supported the bill, saying it has long coexisted with DOE but needs clearer separation and more reliable control over its sites. The Attorney General’s office said the library system currently lacks express statutory authority to own real property and flagged implementation issues because some of the affected parcels are not currently owned by DOE. Committee members questioned both sides about current agreements, communication, and how the bill would change operations.
SB 494 SD2, concerning charter school audits, received comments from the Charter School Commission, which said the bill was redundant because charter schools already undergo annual audits during the term of their contracts. The Office of the Auditor was also present. SB 2391 SD2, relating to automatic pay increases for teachers, drew strong opposition from the Office of Collective Bargaining, which said step movement and longevity increases are negotiated in each contract and do not automatically carry over when a contract expires; it warned the bill could affect upcoming negotiations with HSTA. HSTA and several other supporters argued the bill would standardize annual step movement, improve retention, and reflect existing contract language. No votes or final actions were taken in the portion of the meeting provided.
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Twenty Seven - Wednesday, February 25 - Afternoon Session
Missouri House Floor Meeting
Transcript Highlights:
- Large crowds, large gatherings, open-air facilities. Okay.
- I just had one question on this because it's about the use of critical infrastructure facility.
- We've seen bills in the Senate and in the House that would redefine critical infrastructure facility
- That would all be defined under critical infrastructure facilities.
- All right, well, there's other legislation moving that would redefine critical infrastructure facility
Summary:
The House convened after a quorum call and welcomed several guests and advocacy groups, including disability rights advocates, American Heart Association volunteers, and special guests connected to public safety, transportation, and Miss Missouri. After quorum was established, the chamber moved into House bills on perfection and formal passage.
Members first debated House Committee Substitute for House Bill 2587, which would update Missouri law on unmanned aircraft and give trained law enforcement clearer authority to detect, track, and respond to dangerous drone activity around critical infrastructure and major events such as the upcoming FIFA World Cup matches. Supporters said it was needed for public safety and to align with federal law; some members raised concerns about FAA jurisdiction, commercial drone use, privacy, and possible future expansion. The substitute was adopted and ordered perfected and printed. The House then took up House Bill 1977, which removes notarization requirements for detention and evaluation applications and related documents when completed by certain qualified professionals; members said it would help rural hospitals and streamline 96-hour commitment paperwork. That bill was also adopted and ordered perfected and printed.
The chamber next considered House Bill 2593, a Missouri National Guard and military affairs bill modernizing Guard authority to respond to cyber threats, updating awards and emergency relief provisions, and adding veterans’ recognition language. Three amendments were adopted: one creating a living organ donor leave/status provision for Guard members, one providing a monthly allowance to cover TRICARE or similar premiums for certain service members on state active duty, and one extending legal protections to Guard personnel activated for state emergency duty, similar to federal servicemember protections. The amended bill was then ordered perfected and printed.
Finally, the House debated House Committee Substitute for House Bill 1948, the fatherhood bill creating a state fatherhood program to support community organizations and nonprofits that help fathers overcome barriers to involvement with their children. Supporters cited child welfare, poverty, incarceration, and reintegration benefits; opponents questioned whether it was an appropriate government role. An amendment was adopted to preserve certain driving, hunting/fishing, and occupational license relief for participating fathers who comply with child support or custody obligations. The amended bill was then ordered perfected and printed. The House also adopted House Bill 2473, which clarifies rules for real estate brokers’ trust accounts by allowing limited personal funds for service charges and permitting interest to be withdrawn within 30 days, and then adjourned after announcements and notice of bills to be considered on the next legislative day.
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part II) Apr 23rd, 2025
Health & Human Services
Transcript Highlights:
- If it has a fiscal note, we'll have to move it to the general calendar. Thank you.
- provision to the new Chapter 104A. to preserve DISH's ability to collect data from health care facilities
- And it's about Texas taking its place at the forefront of the next generation of mental health care.
- That is in conflict with the General Appropriations Act which actually has If this bill were to pass,
- And so I will be working with nursing facilities.
Bills:
SB128 , SB640 , SB672 , SB904 , SB1141 , SB1263 , SB1525 , SB1528 , SB2041 , SB2306 , SB2308 , SB2357 , SB2446 , SB2695 , SB2857 , SB2891 , SB2583
Committee:
Senate Health & Human Services
Keywords:
hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, SB 640, Texas Family Code, Department of Family and Protective Services, DFPS, child welfare, foster care, managing conservatorship, suicide attempt, youth suicide, mental health, child protective services, state custody, annual report, reporting requirements
NH
New Hampshire 2025 Regular Session
Health and Human Services Oversight Committee (11/21/2025)
Transcript Highlights:
- </c> So just to kind of level set the general So just to kind of level set the general fund<00:22:54.000
- 33% of the total general funds why only 33% of the total general funds lapse<00:26:39.760><c> at</c>
- /c><00:27:05.200><c> lapse</c> much higher general fund lapse much higher general fund lapse assumption
- </c> to the designated receiving facility. to the designated receiving facility.
- </c> or transport to a facility or transport to a facility can<00:50:14.400><c> be</c><00:50:14.640><
Summary:
The committee first handled routine business, including roll call and approval of the prior meeting minutes, with one member abstaining because of absence and one member opposing. The main informational items were a Department of Health and Human Services update on the rural health transformation grant and a public health briefing on vaccines, followed by a quarterly budget and staffing update and an annual report from the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias.
Commissioner Lori Weaver reported that the department submitted the rural health transformation grant application on November 4, described it as reflecting input from communities and providers statewide, and said CMS review and budget negotiations would follow before final approval on December 31. She said the grant could support hiring as long as administrative costs stay within the 10% cap, and that the governor’s office will oversee administration with HHS. Ian Watt then testified that New Hampshire remains committed to vaccine access, including through the universal purchase program and annual respiratory virus guidance for flu, RSV, and COVID-19. He said the state continues to use evidence-based review for vaccine policy, noted the CDC’s change regarding the combined MMRV vaccine for the first dose in young children, and said New Hampshire’s school vaccine mandates remain at nine for schoolchildren and 10 for child care, with statutory exemptions still in place. Department staff also said there have been no supply or funding problems affecting childhood vaccine access.
Nathan White, the department’s CFO, reviewed the DHHS budget and vacancy trends. He said DHHS makes up a large share of the state budget, that about 31% of its budget is general funds subject to lapse, and that lapse projections are difficult because much of the budget is driven by utilization rather than personnel. He reported current projected general fund lapse of just under $20 million, compared with about $39 million in the statewide surplus statement, and explained that only about a third of DHHS general funds can actually lapse because of statutory restrictions. He also said the department has about 400 unfunded positions, contributing to roughly a $30 million general fund reduction across the biennium, and that the hiring freeze has pushed vacancy trends upward while critical direct-care positions are being prioritized.
The Alzheimer’s subcommittee reported six meetings this year, presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and work toward a new state Alzheimer’s plan. The subcommittee is developing a needs-assessment survey for people living with dementia, caregivers, and service providers, with the goal of using the results and other data sources to inform the plan. Its recommendations focus on integrating Alzheimer’s and dementia materials into chronic disease and aging outreach, embedding brain health into systems of care, adding cognitive health measures to BRFSS, and continuing partnerships with statewide organizations. Members also discussed recent research and prevention efforts, and the committee noted that a separate bill is being pursued to include Alzheimer’s and dementia in existing public health awareness campaigns.
NH
New Hampshire 2025 Regular Session
Committee to Study Long-Term Managed Care (09/29/2025)
Transcript Highlights:
- </c> nursing facilities. nursing facilities. if<00:21:59.120><c> the</c><00:22:00.000><c> um</c> if the
- facilities.
- The alternative could be for MCOs to make incentive payments to those facilities.
- . facilities. facilities.
- </c><00:34:25.040><c> a</c> but I want to I want to be generating a but I want to I want to be generating
Summary:
The committee approved the previous meeting minutes and then reviewed a draft preliminary report on long-term managed care. The chair explained the report is intended to frame issues and outline legislative options, not make a final recommendation, especially given unresolved questions about the federal One Big Beautiful Bill (OB3). The report’s key issues included the current financing of county and private nursing homes through Medicaid rates, ProShare, MQUIP, and related funding mechanisms, and the concern that those payments could be affected or eliminated under a managed care model. Members also discussed managed care organizations’ role in Medicaid and cited other states’ experiences, noting examples of savings in Florida and Tennessee but higher costs in California. One member raised Indiana as another important comparison, and the committee agreed to add it to the report’s state examples.
The committee also reviewed sections on dual eligibility, D-SNP, PACE, and CFI waivers. The chair raised concerns about whether OB3 creates incentives for states to move toward D-SNP and whether federal changes could affect provider taxes, state-directed payments, and intergovernmental transfers. Henry Litman, the state Medicaid director, said he would confirm details on D-SNP incentives and explained that ProShare is based on certified public expenditure rather than an IGT, while county cap financing is the relevant intergovernmental transfer issue. He said IGTs are not going away and that the main risk is whether current financing mechanisms could be preserved if the state later changed course. Members discussed the possibility of a waiver not being granted or renewed and the high fiscal impact that could have on counties and property taxes.
The committee then discussed the population that any long-term managed care model should cover. Members agreed that there is no appetite to move developmental disability or acquired brain disorder populations into long-term managed care at this time, and the chair changed the report’s terminology from “elderly” to “aging population.” The chair also noted that the status quo option should reflect the recent shift toward home and community-based services and reduced nursing home utilization since earlier county reports. The report’s four policy options were summarized as: maintain the status quo; pursue D-SNP for dual eligibles, with DHHS potentially submitting an application as early as 2027; adopt an HCBS carveout; or move fully to managed care for the aging population. No final policy recommendation was made, and the committee discussed making edits to the draft before circulation, including adding Indiana, clarifying OB3-related issues, and changing the report title from “final” to “preliminary” or “interim.”
HI
Transcript Highlights:
- The general funds are only available to cover employees whose salaries are paid with general funds in
- The general funds are only available to cover employees whose salaries are paid with general funds in
- </c><00:18:52.440><c> are</c><00:18:52.600><c> only</c> General funds the general funds are only General
- use of the facility for private production assistance and then perhaps generate additional revenues
- This is not general funds.