Video & Transcript : 'commission procedures' :
Page 409 of 500
AR
Arkansas 2026 1st Special Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 16th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- If you go to the doctor today and the doctor says, Senator Love, you need X procedure, it may take us
- a week or two to get information back from the insurance company that they'll approve the procedure.
- Then after they've approved the procedure, Then after they've approved the procedure, you've already
- weeks to get paid what they told us they would get paid when they gave you permission to do the procedure
Summary:
The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures.
Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete.
A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation.
At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.
MN
Minnesota 2025-2026 Regular Session
Committee on Judiciary and Public Safety - 03/11/26
Judiciary and Public Safety
Transcript Highlights:
- the individuals that are looking to help our kids, but I think it's probably more aligning with procedure
- probably more kids, but I think it's probably more aligning<00:15:56.880><c> with</c><00:15:57.000><c> procedure
- > to</c><00:15:58.040><c> do</c><00:15:58.200><c> it</c><00:15:58.320><c> this</c> aligning with procedure
- to to do it this aligning with procedure to to do it this way.<00:15:58.720><c> So,</c><00:15:58.920
- This proposal would establish a procedure during plea and sentencing hearings that places the requirement
Committee:
Senate Judiciary and Public Safety
WA
Washington 2025-2026 Regular Session
House State Government & Tribal Relations Jan 28th, 2026 at 01:30 pm
State Government & Tribal Relations
Transcript Highlights:
- State statutes also provide additional procedures.
- State statutes also provide additional procedures for filling vacancies for these partisan offices.
- House Bill 2574 establishes procedures for when a county auditor receives an official copy of a death
- Under the bill, there are the following procedures.
- This process mirrors the procedures for when a court of competent jurisdiction declares that a candidate
Bills:
HB2356 , HB2574 , HB2572 , HB2460 , HJR4212 , HB2631 , HB2333 , HB2462 , HB2419 , HB2176 , HB2491
Committee:
House State Government & Tribal Relations
MS
Mississippi 2026 Regular Session
MS House Floor - 22 January, 2026; 2:00 PM
Mississippi House Floor Meeting
Transcript Highlights:
- Clerk, we will follow that procedure.
- >> Hearing none, we will follow that procedure. >> And I'd also like an introduction out of order. >>
- So, the city, so the procedure under this bill would be the city votes to annex a territory and then
- So, so the city, so the procedure >> Okay.
- So, so the city, so the procedure under<00:26:13.039><c> this</c><00:26:13.200><c> bill</c><00:26:13.440
TX
Transcript Highlights:
- These denials can come at the last minute, sometimes the day before a scheduled procedure, causing delays
- As an example, Cicero did a cash price survey in Nashville for a common procedure, a colonoscopy.
- The cash rates for the same procedure ranged from $1,441 to $4,629, a staggering difference in cost for
- In working with the main facility that I work at, we can say if you want to have this... procedure or
- that procedure, all in—hospital, anesthesia, physicians—and this is the price.
Bills:
HB345 , HB721 , HB2580 , SB815 , HB3057 , HB4603 , HB3233 , SB495 , HB3863 , HB3914 , HB4570 , HB5099 , HB5173 , SB458
Committee:
House Insurance
Keywords:
insurance, appraisal process, disputed losses, residential property, policyholder rights, insurer obligations, natural disasters, appraisal expenses, umpire selection, policyholder, insurer, umpire, claims management, health care, cost disclosure, benefit plan, administrators, traumatic brain injury, health benefit plans, insurance coverage
TX
Transcript Highlights:
- It amends Article 550.005 of the Code of Criminal Procedure to allow individuals who received deferred
- in Texas toward expansion of using extraneous offenses and building it into the code of criminal procedure
- Constitution existed when this body looked at and considered ever creating 3837 in the Code of Criminal Procedure
- And so sorry, we refer to it as 3914 because that's, that's, I mean the code of Criminal procedure, my
- look at when making a determination as to whether or not 38, Article 38.37 of the Code of Criminal Procedure
Committee:
House Criminal Jurisprudence
Keywords:
HB 207, Texas Government Code, Section 411.201, license to carry, LTC, handgun license, concealed carry, federal judge, immigration judge, immigration court, U.S. immigration court, judicial security, firearm carry permit, Texas handgun license, federal judiciary, HB235, Texas, sales tax exemption, use tax exemption, disabled veteran
WY
Wyoming 2026 Regular Session
House Floor Session-Day 10, February 20, 2026-PM
Wyoming House Floor Meeting
Transcript Highlights:
- Folks, this amendment is essential for the Game and Fish Commission to maintain authority over its funds
- The amendment makes the allocation of the funds conditional on commission approval and therefore does
- </c><00:14:34.560><c> to</c> the ability um for the commission to the ability um for the commission to
- ,</c> gives it to the state land commission, gives it to the state land commission, which<01:24:58.720
- So, we can better define the type of procedure.
WY
Wyoming 2026 Regular Session
Senate Floor Session-Day 21, March 6, 2026-PM
Wyoming Senate Floor Meeting
Transcript Highlights:
- institution and her knowledge of all the things that we need to keep in mind, of the rules and procedures
- ><00:13:38.399><c> the</c><00:13:38.639><c> rules</c><00:13:39.120><c> and</c><00:13:39.519><c> procedures
- </c> keep in mind of the rules and procedures keep in mind of the rules and procedures and<00:13:40.560
- , that did the physical moving and facilitated that huge undertaking, but we had to develop new procedures
- and figure out how to new procedures and figure out how to make<00:16:53.680><c> everything</c><00:16
TX
Transcript Highlights:
- XX is woman, XY is man; dressing as the opposite sex, taking hormones... ...having surgical procedures
- I know because I had an abortion procedure.
- No accurate numbers are available due to the procedure being performed by women typically in their homes
- I left my home feeling like a criminal, fleeing my own state for a medical procedure that I needed. of
- What should have been a heartbreaking but straightforward medical procedure to prevent infection and
Committee:
House State Affairs
TX
Texas 89th Regular
Senate Select Committee on Disaster Preparedness and Flooding Aug 20th, 2025
Transcript Highlights:
- procedures to notify local emergency services, appropriate camp personnel, and the parents or legal
- It didn't even cross my mind that a camp like Mystic wouldn't have a detailed emergency procedure in
- There's a good chance that if inspectors are not extremely diligent in ensuring that these procedures
- You know, in the military, we would say that our standard operating procedures were written in blood.
- What were your, what are your procedures? Okay, thank you.
HI
Transcript Highlights:
- The working group is tasked with reviewing federal and state laws, emergency evacuation procedures for
- and state laws, the emergency federal and state laws, the emergency evacuation<01:47:14.880><c> procedures
- procedures for commercial harbors,<01:47:16.800><c> accessing</c><01:47:17.280><c> moing</c><01:47:17.679
- </c><03:48:34.000><c> and</c><03:48:34.239><c> they</c><03:48:34.800><c> the</c> conference procedures
- and they the conference procedures and they the signitories<03:48:36.000><c> of</c><03:48:36.160><c>
FL
Florida 2026 Regular Session
Appropriations Committee on Pre-K - 12 Education Jan 15th, 2025
Appropriations Committee on Pre-K - 12 Education
Transcript Highlights:
- In addition, it is required that every local educational agency provide ESE policies and procedures,
- So I wanted to share that as well, that there are comprehensive policies and procedures in place throughout
- In addition, it is required that every local educational agency provide an ESC policies and procedures
- It's also a matter of making sure that we have appropriate screening procedures in place early on.
- It's also a matter of making sure that we have appropriate screening procedures in place early on.
Summary:
The committee held its first meeting and received an overview of the Pre-K-12 education appropriations jurisdiction and base budget. Staff explained that education funding is driven largely by enrollment and per-student formulas, with most money coming from state and local sources. The presentation highlighted the major budget areas: early learning, the Florida Education Finance Program (FEFP), non-FEFP K-12 programs, federal programs, and the State Board of Education. Members asked about instructional materials funding and how scholarship students who return to public schools are counted and funded; staff explained that instructional materials remain in the base and that funding depends on survey timing, with districts ultimately funded through the enrollment count process.
The committee then reviewed federal IDEA funding for students with disabilities. Department of Education officials explained how IDEA Part B funds are split between state set-asides and local educational agencies, and noted that Florida ranked fourth nationally in total IDEA Part B funding and received a 95% state determination for meeting IDEA requirements. They also described the bureau’s responsibilities, including monitoring, dispute resolution, instructional support, and the Hope Florida unit for ages 3 to 5. Members asked for more information on student performance outcomes and how the state measures success beyond compliance, and the department agreed to provide follow-up data.
The final major topic was the Florida Diagnostic and Learning Resources System (FDLRS), including associate centers, multidisciplinary centers, and specialized centers for deaf/hard of hearing and visually impaired students. Presenters described services such as child find, family support, assessments, professional learning, accessible instructional materials, and technical assistance. Committee members focused on whether families and schools have equal access to services across the state, how IEP disputes and reevaluations are handled, and whether more support is needed for parents, teachers, and rural districts. FDLRS representatives said they do not write IEPs but help connect families to districts, provide training and assessments, and support compliance and data collection; they also emphasized staffing and resource needs, especially for low-incidence disabilities and multilingual family outreach.
WY
Wyoming 2026 Regular Session
Senate Floor Session-Day 14, February 25, 2026-AM
Wyoming Senate Floor Meeting
Transcript Highlights:
- </c><00:16:45.040><c> sponsored</c> postelection audit procedures sponsored postelection audit procedures
- President, is not a proper procedure. We've done it a few times, but it's not a proper procedure.
- This is the better procedure.
- President, is not a proper procedure. We've done it a few times, but it's not a proper procedure.
- This is the better procedure.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Committee Feb 11th, 2026
Transcript Highlights:
- What's the estimate on procedural disenrollments, not changes in eligibility, but the fact that the process
- So we don't have exact estimates of the sort of breakout and disenrollments from procedural versus just
- example, some assumptions have estimated as many as half of disenrollments could come from the procedural
- Department of Health Care Services is working to maximize efforts so that individuals are not procedurally
- To the chair's earlier question about procedural termination rates, we know when Medi-Cal renewals were
Summary:
The Senate Budget and Fiscal Review Subcommittee held an oversight hearing on the impacts of H.R. 1 on California’s safety net, focusing on Medi-Cal and CalFresh. The chair and vice chair framed the issue as a major federal disruption that would reduce benefits and shift costs to the state, counties, hospitals, and other local systems. The first panel included the Legislative Analyst’s Office, the Department of Finance, the UC Berkeley Labor Center, and the Food Research and Action Center, each describing projected enrollment losses, higher state and county costs, and implementation challenges.
The LAO outlined H.R. 1’s main changes: new and expanded work requirements, more frequent eligibility redeterminations, restrictions on certain non-citizen eligibility, and financing changes affecting provider taxes and federal matching rates. The LAO estimated that 1 to 2 million people could be disenrolled from Medi-Cal and more than 600,000 could lose CalFresh, with additional costs from reduced federal support and possible state and county administrative burdens. The Department of Finance said the Governor’s budget includes about $1.4 billion General Fund in 2026-27 to respond to H.R. 1, with larger out-year reductions in federal funds and projected Medi-Cal caseload losses of up to 2 million by 2029-30. The UC Berkeley Labor Center projected up to 3 million Californians could lose full-scope Medi-Cal by 2028 when H.R. 1 is combined with state budget changes, while noting the state could choose policies that would reduce some of those losses. The Food Research and Action Center warned that CalFresh cuts and time limits would increase hunger, worsen health outcomes, and strain local economies and emergency systems.
Members questioned the witnesses about procedural disenrollments, regional variation, the overall growth in Medi-Cal spending, the future of the MCO tax, the CalFresh error rate, and the downstream effects on hospitals and county indigent care. Several senators argued that the federal law was driven by tax cuts for high-income earners and would disproportionately harm low-income Californians, immigrants, and communities of color. Administration witnesses said some impacts are still being analyzed, that counties and departments are working on implementation, and that the Legislature may need to use statute, reporting, and oversight tools as federal guidance develops. No votes or formal actions were taken during this portion of the hearing.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Committee Feb 11th, 2026
Budget and Fiscal Review
Transcript Highlights:
- What's the estimate on procedural disenrollments, not changes in eligibility, but the fact that the process
- So we don't have exact estimates of the sort of breakout and disenrollments from procedural versus just
- example, some assumptions have estimated as many as half of disenrollments could come from the procedural
- Department of Health Care Services is working to maximize efforts so that individuals are not procedurally
- To the chair's earlier question about procedural termination rates, we know when Medi-Cal renewals were
Committee:
Senate Budget and Fiscal Review
NH
New Hampshire 2025 Regular Session
House Children and Family Law (02/10/2025)
Transcript Highlights:
- And as Deputy Director Ross just pointed to our policy, that policy and procedure was written in response
- </c><00:29:03.480><c> work</c> goes over our policies procedural work goes over our policies procedural
- It's not structuring policies or procedures; it's strictly definitions as a guideline.
- The division then works on creating new policies, new standard operating procedures that then go into
- Our general counsel has to review policies and procedures that our OB departments have to use, and so
Summary:
The subcommittee met on House Bill 553, which concerns the definitions of child abuse and neglect in RSA 169-C, including psychological maltreatment and the rebuttable presumption of harm. The chair and members emphasized that the bill is intended to clarify definitions rather than create punishments, and they discussed concerns that had arisen after the bill’s earlier drafting. Representative Eimon stated his view that the bill is constitutional, citing case law, and members noted that amendment 114 would restore language refined by the prior study committee and address trauma-informed wording, especially around substance use disorder and newborns.
A major portion of the discussion focused on whether the bill could be read to treat ordinary parental discipline or disagreements with a child—such as grounding, taking away car keys or a phone, or refusing gender-affirming care—as abuse or neglect. DCF Deputy Director Jen Ross explained that screeners look at the nature of the allegation and whether the parent’s conduct is likely to cause serious psychological or emotional harm; she said routine discipline or prudent parenting would not be screened in, while persistent ridiculing, terrorizing, bullying, isolating, threats, or similar conduct could qualify. She also said that denial of gender-affirming care, by itself, would not be treated as neglect, but the agency would consider the full context and any resulting harm or need for mental health care.
DCF General Counsel Susan Larby added that the legislature’s earlier definition of psychological maltreatment and related policy already focus on pervasive emotionally abusive behavior, and that the bill is meant to make the statute more understandable and transparent, not to change the core neglect standard. She and other speakers said the goal is to identify serious harm and provide services, not to remove children for ordinary parental decisions. Lisa Massio of the Office of the Child Advocate said the bill and related placement language are intended to preserve family unity and fill gaps where courts have interpreted neglect too narrowly or inconsistently. Members also discussed a proposed concise analysis from Representative Maral and asked about CPSW qualifications and training; DCF said staff generally have backgrounds in human services, social work, psychology, or education and receive a 12-week Core Academy on policy, law, investigations, and family engagement. No vote was taken in the portion provided, and members indicated they wanted to continue refining the amendment before sending anything to the Office of Legislative Services.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/18/26
Human Services Finance and Policy
Transcript Highlights:
- It focuses on facility policy and procedure requirements, and it focuses on training requirements of
- </c> facility policy and procedure facility policy and procedure requirements,<00:02:52.560><c> and</
- </c><00:09:40.800><c> So</c><00:09:40.959><c> three</c> policies and procedures.
- So three policies and procedures.
- Um and so we and procedures in place.
Committee:
House Human Services Finance and Policy
Keywords:
assisted living, healthcare, training, unlicensed personnel, resident rights, safety regulations, nursing home, long-term care, guardian, conservator, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services
CA
California 2025-2026 Regular Session
Assembly Floor Session Jun 1st, 2026
California House Floor Meeting
Transcript Highlights:
- On to procedural motions. Madam Majority Leader, you are recognized for your procedural motions.
- Majority Leader, you are recognized for your procedural motions. Good afternoon, Mr. Speaker.
Summary:
The Assembly met in session after a quorum call, heard a prayer and the Pledge of Allegiance, approved procedural motions, and then moved through guest introductions and floor items. Members welcomed students from Futures High School’s Hydrogen Car Grand Prix team, family members and visitors from their districts, and former legislator George Runner. The chamber also took up several ceremonial resolutions recognizing Portuguese Heritage Month, Italian American Heritage Month, congenital cytomegalovirus awareness month, and World No Tobacco Day.
ACR 185 by Assembly Member Macedo was adopted by voice vote after 51 co-authors were added, honoring Portuguese Heritage Month and the contributions of Portuguese Californians. ACR 197 by Assembly Member Stephanie was also adopted after 54 co-authors were added, recognizing Italian American Heritage Month and Italian American contributions to California. ACR 205 by Assembly Member Lackey was adopted after 55 co-authors were added, designating June as CMV Awareness Month, and SCR 177 by Assembly Member Connolly was adopted after 49 co-authors were added, proclaiming May 31, 2026, as World No Tobacco Day and reaffirming California’s anti-tobacco efforts.
The session also included adjournments in memory for John Wesley Finney, Jr., a longtime educator and public servant, and Deputy Levi Vargas of the Los Angeles County Sheriff’s Department. The Assembly observed a moment of silence for Finney. The body then announced upcoming committee and floor schedules and adjourned until Thursday, June 4, 2026, at 9 a.m.
CA
California 2025-2026 Regular Session
Assembly Floor Session Jun 1st, 2026
California House Floor Meeting
TX
Transcript Highlights:
- We use it in a lot of dental procedures and medical procedures, as the chair mentioned.
- Typically when it's being used in these procedures, it's really only 30 to 70%, uh, but right now the
Committee:
Senate State Affairs
Keywords:
municipal libraries, state funding, gender identity, public events, children's literature, SB 19, Texas, political subdivision, local government, county, city, municipality, taxpayer-funded lobbying, lobbying ban, public funds, registered lobbyist, Chapter 305, Government Code, Local Government Code, county association dues