Video & Transcript : 'average allowed amount' :
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MO
Missouri 2026 Regular Session
Higher Education and Workforce Development Mar 3rd, 2026
Higher Education and Workforce Development
Transcript Highlights:
- Was there a dollar amount that you were looking to establish in the fund? Or just open-ended?
- There's no dollar amount that was mentioned to me ever on this.
- So, but it was, I can inquire to see if they had an amount, if that's what your question is.
- No, I was just curious if there was a maximum amount that you were thinking.
- But you're happy to allow for these types of occupations to accept the Pell Grant.
KY
Kentucky 2026 Regular Session
Senate Standing Committee on Health Service (3-25-26)
Transcript Highlights:
- Um, and this bill will allow a funding model or allow insurance to pay and reimburse the primary care
- the outcomes for patients. approach that allows primary care approach that allows primary care physicians
- a funding model or this bill will allow a funding model or allow<00:02:41.160><c> insurance</c><00:02
- Um the average at my and wait times.
- We collect a massive amount of data that is just kind of all out there.
Summary:
The committee met with a quorum and took up a series of health-related measures. House Bill 178, on the psychiatric collaborative care model, was presented by Rep. Kim Mosher and psychiatrist Arthur Oliva. They said the bill would let primary care providers address mental health needs more quickly with psychiatrist consultation, reduce long wait times, and save money. Members voiced support, and the bill passed 7-0 with favorable expression and consent.
House Bill 387, presented by Speaker Pro Tem David Meade, would keep veterinarians excluded from KASPER reporting requirements and instead add two veterinarians to the Controlled Substance Council. Meade argued that veterinary prescribing is difficult to track by animal, that prior efforts created complications, and that rural Kentucky needs the flexibility. A senator asked about possible diversion of veterinary opioids to humans; Meade said there was no substantial evidence of widespread abuse. The bill passed 9-0 with favorable expression and consent.
House Bill 676, by Rep. Rebecca Raymer, was amended from creating a health data utility to directing LRC to study best practices for one during the interim, with a report due December 1, 2026. Members said the state needs a coordinated way to use health data. The amended bill passed 9-0 with favorable expression and consent. House Bill 689, presented by Rep. Amy Neighbors and Dr. Heidi Marley, would authorize a Medicaid state-directed payment program for qualifying hospital-affiliated physician and non-physician services, pending federal approval, with supporters saying it would improve access in underserved areas, support provider retention, and bring in about $29 million annually in federal funds without using state dollars. It also passed 9-0 with favorable expression and consent.
Finally, House Joint Resolution 24, presented by Rep. Kim Fleming, would direct the administration to withdraw a previously required community engagement waiver request because it is no longer needed. The resolution passed 9-0 with favorable expression and consent. The chair noted the next meeting might be April 1, though no bills were currently scheduled, and the committee adjourned.
CA
California 2025-2026 Regular Session
Senate Labor, Public Employment and Retirement Committee Mar 11th, 2026
Labor, Public Employment and Retirement
Transcript Highlights:
- So if you were to fit a line of average growth, you'd be right at the zero. 2023.
- And what you see there is the average, funding and granting agencies in the world.
- Everything will be resolved, hopefully, within a reasonable amount of time.
- Amounts of time.
- The Great Recession unfolded gradually, allowing time to scale.
FL
Transcript Highlights:
- State statute doesn't allow me to.
- Last year, when I spoke, the average was nine lives taken every day on average on Florida roads.
- Florida drivers pay an average of 37% more than the national average for full-coverage auto insurance
- Last year when I spoke, the average was nine lives are taken every day on average on Florida roads.
- Florida drivers pay an average of 37% more than the national average for full coverage auto insurance
Committee:
Senate Transportation
Summary:
The Transportation Committee met and considered a series of bills, beginning with SB 266, which would exempt sales and use tax on electric vertical takeoff and landing aircraft sold from manufacturers to operators. Senator Harold said the measure is intended to help Florida attract an advanced air mobility industry and create jobs. The committee adopted an amendment clarifying the definition of EVTOL aircraft and excluding drones, then reported the bill favorably. SB 350, by Senator DeSigley, was also reported favorably after a minor amendment; it allows local governments to permit vehicles to travel slowly on flooded streets without being treated as unlawfully impeding traffic. Supporters from the Florida PBA and Florida League of Cities waived in support.
The committee next approved SB 706, designating part of U.S. 92/Gandy Boulevard as the Senator James A. Sebesta Memorial Highway. SB 628, Lucy’s Law, was heard with extensive emotional testimony from Lucy Fernandez’s parents and others. The bill strengthens boating safety by increasing penalties for reckless boating, requiring boating safety education after certain violations, and aligning some boating penalties more closely with motor vehicle laws. A substitute amendment was adopted, and the bill was reported favorably. SB 872, dealing with county and municipal price controls for the removal and storage of electric vehicles, was also amended and reported favorably after testimony from towing industry representatives about the added costs and storage constraints posed by damaged EVs; the Florida Insurance Council spoke in opposition.
The committee then approved SB 650, which expands hazardous walking condition criteria for elementary school students to include walkways along freeways, ramps, and interchanges, regardless of speed limit. SB 1318, the hands-free driving bill, generated substantial testimony from safety advocates and families affected by distracted driving; it would rename Florida’s texting law as a hands-free driving law and prohibit handheld use of wireless devices while driving. The committee also passed SB 994, increasing driver education requirements for standard and learner’s licenses, and SB 662, designating a portion of West Beaver Street in Duval County as Harry Frisch Street. Several senators recorded affirmative votes on bills after the roll calls, and the meeting adjourned after all listed measures were reported favorably.
HI
Transcript Highlights:
- It's just another allowable activity within the zones.
- Passing with an SD1 by blanking all the appropriations amount, but no deleted amount in committee report
- </c><01:12:05.880><c> and</c> blank out Appropriations amount and blank out Appropriations amount and
- </c> 2050 and note that the leaded amount 2050 and note that the leaded amount amounts<01:12:11.800><
- </c><01:13:12.840><c> of</c> insert accept the final amount of insert accept the final amount of payment
Committee:
Senate Economic Development and Tourism
Summary:
The Senate Committee on Economic Development and Tourism heard testimony on several bills, with much of the discussion focused on Enterprise Zones and related economic development measures. On SB 125, the committee heard support from DBEDT, the Department of Taxation, the Tax Foundation of Hawaiʻi, the Hawaiʻi Farm Bureau, and the Farmers Union. Members questioned how the bill would affect job-creation requirements and learned that existing companies and new companies are treated differently under the program, with existing companies generally subject to a 15% annual employment increase and new companies to a 10% increase, while the bill would extend the program period from seven to nine years. DBEDT also said the program has been effective, citing 1,162 jobs created or maintained at a cost of about $1.2 million, and noted that agriculture, manufacturing, and wholesaling are the main sectors involved.
The committee then took up SB 729, also relating to Enterprise Zones, which would expand eligibility to better accommodate local manufacturers and value-added businesses that sell directly to retail rather than only wholesale. Testifiers from the Holua Collaborative and Hawaiʻi Farm Bureau supported the measure, saying it would help small manufacturers and agricultural producers add value and adapt to internet-era sales patterns. A committee discussion clarified that the bill would add value-added processing as an allowable activity within the zones, and DBEDT explained that the current rules were written for a wholesale-dominated market. The Attorney General’s office also testified, raising a supremacy clause concern and recommending language changes to avoid conflict with federal law.
On SB 129, relating to labeling requirements for fish, the Attorney General and the Department of Agriculture both raised concerns about federal preemption and enforcement. The AG explained that federal law governs fish labeling but includes an exception for processed fish, and recommended narrowing the bill to processed fish and defining that term to fit the federal carve-out. The Hawaii Longline Association supported the bill but suggested excluding canned tuna while including products such as poke, sashimi, and sushi. The Department of Agriculture said it does not currently enforce this kind of labeling requirement and would need to determine whether another agency should handle enforcement.
The committee also heard SB 581, which would establish an aerospace and aeronautics development program within DBEDT. Testimony was generally supportive, but members pressed for a fiscal estimate, and the bill’s sponsor said a prior version of the office had operated on about $400,000 annually with a small staff. No votes or final committee actions were taken during the portion of the hearing provided.
NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs Afternoon Subcommittee Work Session (02/12/2025)
Transcript Highlights:
- I know I've done it for my mother, and I paid the whole amount.
- Let's say it's 32% or 400%—let's give that amount.
- </c> it should be a 204 contracted amount it should be a 204 contracted amount it's it's it's 204<00:
- Those rates were an average. So I'm...
- </c> appropriate methodology that's allowed appropriate methodology that's allowed under<01:02:19.039
Summary:
The subcommittee discussed three ambulance reimbursement bills and tried to distinguish their approaches. House Bill 185 would require insurers to pay the full amount billed by an ambulance provider when there is no contract rate, with no balance billing to the patient; the Insurance Department clarified that emergency ambulance services are already covered under the benchmark plan, so the bill’s reference to policies without ambulance coverage is effectively meaningless. House Bill 725 would set reimbursement at 325% of the Medicare rate for non-contract ambulance services and prohibit balance billing. House Bill 316 was described as addressing the broader problem that Medicare/Medicaid rates are low and that current balance billing shifts costs to patients or municipalities; its sponsor said the bill would require insurers to pay a rate that gives providers a fighting chance to remain in business, and he viewed 325% of Medicare as the most logical option.
Members debated whether insurers should pay the billed amount, a negotiated in-network rate, or a regulated percentage of Medicare. Some argued that out-of-network ambulance providers are underpaid and that in-network rates are often too low to sustain service, especially for emergency providers who cannot steer patients. Others said ambulance companies should not be able to bill whatever they want and questioned the fairness of charging insured patients or insurers more than the service is worth. There was also discussion of whether rate schedules should be reviewed by an oversight body and whether different costs in rural areas justify different reimbursement levels.
A recurring issue was balance billing and who ultimately bears the shortfall. Several members said balance billing harms patients and often does not get paid, leaving cities and towns or property taxpayers to cover the difference for municipal ambulance services. Others argued that shifting the cost to insurance premiums would spread the burden more fairly, though it could raise premiums by a few dollars per person per month. No vote or final action was taken in the excerpt; the discussion focused on clarifying the bills and weighing their policy tradeoffs.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Racial Equity, Civil Rights, and Inclusion Jun 21st, 2026 at 01:00 pm
Joint Committee on Racial Equity, Civil Rights, and Inclusion
Transcript Highlights:
- Asian women, on average, and white women, on average, made more than Black men.
- And Asian women make more than, on average, White, Black, and Hispanic men.
- average Black or Hispanic household.
- This amounts to a 47% increase.
- And so students take on a tremendous amount of debt.
Summary:
The Joint Committee on Racial Equity, Civil Rights, and Inclusion held a hearing on the impact of federal policy on the racial wealth gap in Massachusetts, the fourth in a series on federal impacts on racial equity. Chair Bud Williams and Chair Miranda opened by emphasizing that no bills were being heard and that the committee would instead take testimony from invited witnesses; public written testimony was also accepted. The chairs and witnesses repeatedly cited long-standing wealth disparities affecting Black and brown communities, including homeownership, wages, business ownership, and access to capital, and linked those disparities to federal policy changes, housing, education, health care, and workforce development.
Administration officials testified first. Secretary of Labor and Workforce Development Lauren Jones described persistent labor market disparities, including higher unemployment for Black and Latino residents, lower median hourly wages, and underemployment among degree holders, and highlighted state efforts such as ESOL-for-work funding, workforce training grants, MassHire career centers, skills-based hiring, and the state equity dashboards. Secretary of Health and Human Services Kiami Mahania argued that poverty drives poor health, not the reverse, and said wealth gaps contribute to chronic disease, maternal health inequities, medical debt, and shorter life expectancy; she pointed to the Advancing Health Equity Massachusetts initiative, a health care affordability working group, and the governor’s push to bar medical debt from credit reporting. Assistant Secretary Juan Vega of EOED focused on entrepreneurship and procurement, citing technical assistance grants, founder support programs, place-based investment, the Business Front Door, and the need to broaden access to contracts, capital, and business growth opportunities.
Committee members pressed the panel on the effects of the federal “big beautiful bill” on households, especially single-parent and Black women-led households, and on whether the state could develop more timely data systems instead of relying on federal numbers. Officials said the impacts were still being monitored, but warned that Medicaid and SNAP changes would likely hit lower-income households and community institutions hard. Members also asked about unions and apprenticeships, microbusiness definitions, supplier diversity, pay equity, and degree inflation; the administration said registered apprenticeships and skills-based hiring are key tools, and noted that wage equity reporting is still in its early stages. Later testimony from BECMA’s Nicole O’Bean stressed that tariffs, DEI rollbacks, immigration enforcement, capital gaps, and federal funding cuts are constraining Black-owned businesses and inclusive procurement, while Gastón Institute researchers described severe Latino homeownership and rent burdens, educational inequities, and the need for housing, labor, and education policy changes to close the wealth gap.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 6 on Public Safety Apr 28th, 2025
Transcript Highlights:
- The manner in which we have a ramp up in this formula revision allows for counties.
- Average cost includes other components such as prison staff as part of that formula.
- So that could affect the amount that the state actually.
- And finally currently the growth amount, currently the program doesn't have a growth amount built in.
- amount of prison commitments would be a good first start.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Feb 23rd, 2026
Transcript Highlights:
- It's slightly less for UC students; right now the average is around $150,000.
- Historically, we have supplemented this amount with other... General Fund.
- “What it allows the clinician to do is it allows work-life to be much more balanced.
- The handout has a fair amount of background and findings.
- Use those resources, stay there, and sort of allow the system to work.
KY
Kentucky 2025 Regular Session
Budget Review Subcommittee on Education (8-20-25)
Transcript Highlights:
- </c> include what we project needed amounts include what we project needed amounts are<00:03:50.080><
- , which equals the appropriation amount and the amount we actually needed.
- amount and the amount we appropriation amount and the amount we actually<00:20:52.400><c> needed.
- </c><00:28:39.520><c> that</c> ofstate exceptions where we allow that ofstate exceptions where we allow
- It reduces their Work Ready amount.
Summary:
The Interim Joint Budget Review Subcommittee on Education met and approved the July 15, 2025 minutes before hearing a presentation from the Kentucky Higher Education Assistance Authority (KHEAA/KIA) on student financial aid ahead of the January biennial budget session. KHEAA outlined its role administering 17 state-funded grant and scholarship programs, 529 plans, and outreach services, and emphasized that net lottery proceeds after a $3 million literacy appropriation are statutorily dedicated to student aid. The agency focused on the major need-based programs—College Access Program (CAP), Kentucky Tuition Grant (KTG), and KEES—along with dual credit, Work Ready Kentucky, teacher scholarship, and National Guard tuition assistance. Officials said the new federal FAFSA methodology created a major increase in eligible students, especially for CAP, and thanked lawmakers for adding substantial funding this biennium to meet the higher demand.
Staff explained that CAP is for Pell-eligible, low-income students, while KTG is a need-based grant for students at private Kentucky colleges; both use FAFSA data, but schools verify final eligibility. They said CAP awards are first-come, first-served and that the higher funding level allowed the program to last the full 21-month application cycle in FY 2024-2025, compared with much shorter periods in earlier years. KHEAA reported about $232 million spent on CAP for roughly 72,000 students last year, with current applications running about 10% ahead of the prior year. Members asked about the difference between applicants and recipients, the effect of lower lottery revenues, and whether recent federal legislation would affect state aid; KHEAA said it does not expect major impacts on grants and scholarships, though student loan changes could affect graduate students.
The committee also discussed KEES and dual credit. KHEAA said KEES has been fully funded since its creation and that its forecast was within $76,000 of actual need last year. For dual credit, staff said a recent bill consolidated work-ready dual credit and career/technical education under one scholarship program, and KHEAA will seek growth funding because participation and costs continue to rise. The agency said FY 2025 dual credit spending reached $26.4 million across dual credit and work-ready funding, requiring transfers from Work Ready Kentucky to keep dual credit fully funded. Members asked about transferability of dual credit hours and whether the program reduces later college costs; KHEAA said it does not have hard data on every credit transfer, but it does see higher bachelor’s completion rates and lower student debt, suggesting positive effects. No votes were taken beyond approving the minutes.
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Thirty Five - Tuesday, March 10 - Morning Session
Missouri House Floor Meeting
Transcript Highlights:
- It allows for that conversation to occur.
- You are asking the average voter to vote to raise their taxes in ways and in amounts that we will decide
- I don't know what to tell the average Missourian.
- Okay, so the amount of net, moving on, the amount of net general revenue collections for the fiscal year
- the reduced rates necessary to produce that amount.
Summary:
The Missouri House met with prayer, the Pledge of Allegiance, approval of the prior House journal, and numerous guest introductions, including a tribute to Harris-Stowe State University President Dr. Latanya Collins-Smith during Women’s History Month. The chamber then took up House Committee Substitute for House Joint Resolutions 173 and 174, which would place on the ballot a constitutional change to gradually eliminate Missouri’s individual income tax and allow the legislature to broaden the sales tax base to services if needed. The sponsor and supporters framed the proposal as a long-term tax reform that would let Missourians keep more of their earnings, spur economic growth, and ultimately let voters decide the state’s tax structure.
Supporters argued that no-income-tax states have stronger growth, more business relocation, and better population trends, and said the resolution includes triggers and revenue-neutral safeguards, including protections for school funding and local governments. Several members said the measure is only a referral to the voters, not an immediate tax change, and emphasized that the plan is designed to phase out the income tax only as state growth allows. Opponents countered that the measure would ultimately require a large sales tax increase on goods and services, shifting the burden onto working families, seniors, renters, and low-income Missourians, while threatening public schools, services, and tax-credit-supported nonprofits. They also criticized the ballot language as misleading and warned that the fiscal impact could be as high as an $8.5 billion revenue loss.
Members debated comparisons to Tennessee, Texas, Florida, Washington, Oregon, and Kansas, with supporters citing those states as evidence that lower or no income taxes can attract growth, while opponents said Missouri’s economy, tourism, and budget structure are not comparable and that the Kansas example shows the risks of tax-cut experiments. The sponsor and several allies repeatedly stressed that the proposal is a constitutional amendment for voters to decide, not a final legislative tax hike, and said the plan is different from Kansas because it uses triggers and a defined path to zero. The transcript does not show a final vote on the resolution in the excerpt provided.
LA
Louisiana 2026 Regular Session
Revenue and Fiscal Affairs May 11th, 2026
Transcript Highlights:
- I'd be glad to do so, if Representative Owen allows me.
- I don't know. as well as the average homeowner. Okay.
- We have a monthly average of 400 walk-ins.
- It allows them to share the risk with each other, allows them to supplement each other if needed.
- So we think that it'll incentivize that and allow for more projects to get moving and allow them to share
Summary:
The Senate Committee on Revenue and Fiscal Affairs met on May 11, 2026, approved the April 27 minutes, and then took up several House bills. HB 618, by Rep. McMakin, would update Louisiana Economic Development fees and filing charges by indexing them to inflation and allowing some discretion to waive or reduce fees for small businesses; it was reported favorable. HB 732, by Rep. Owen, drew extensive discussion because it combined two issues: temporary OMV relief for a hospice-related ID problem and a suspension of the new hybrid vehicle road usage fee. Members and the OMV commissioner raised constitutional and drafting concerns about waiving or eliminating obligations, and the committee discussed how newer vehicle classifications blur the line between electric, hybrid, and gas-powered vehicles. The committee ultimately reported HB 732 favorable, with the understanding that amendments and further work would be needed before floor action.
The committee also reported favorable on HB 217 and HB 214 by Rep. Henry, which would authorize local governments to grant property tax exemptions for the rehabilitation of blighted property and place the related constitutional amendment before voters. Testimony emphasized that the measure is permissive for local governments, applies only after a property is formally blighted and rehabilitated, and is intended to encourage redevelopment while preserving some tax revenue. Members discussed the exemption level, duration, and the need for clearer definitions of blight, but no objections were raised. HB 593, also by Rep. Henry, would raise the maximum service fee for OMV public tag agent offices statewide; the commissioner explained that many offices are locally operated and that the increase would help cover costs, and the bill was reported favorable.
Later, HB 514 and HB 961, by Rep. Foreman, were reported favorable. HB 514 would allow local governments, by referendum, to provide additional property tax relief for seniors who meet income and freeze requirements, with phased age-based eligibility steps; HB 961 would extend a similar concept to certain homesteads held in trust. Members discussed the optional local nature of the program and the need to avoid overly broad rules. HB 908, by Rep. Mina, would increase certain Secretary of State business services fees to support operations and system upgrades; agency officials said the fees had not been comprehensively adjusted since 2013 and remained below regional averages, and the bill was reported favorable. The committee then heard an informational update on the capital outlay bill from the Division of Administration, including the use of bundled projects for universities and DOTD, the status of P1/P2/P5 funding, and available cash capacity. Finally, HB 1010, by Rep. Deshotel, was reported favorable after brief discussion; it would require assessors to report property tax collections to the Louisiana Tax Commission for centralized public reporting.
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Dec 10th, 2025 at 08:35 am
Transcript Highlights:
- Hotel and it allows us to do two things.
- Like, what amounts are we talking about?
- It's right at the national average.
- Amount of funding 5 million.
- New construction in the amount of $4 million.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Mar 31st, 2026
Joint Committee on Ways and Means
Transcript Highlights:
- So we aren't disenrolling, but we are not allowed to...
- Thank you very much for allowing us to testify.
- Thank you very much for allowing us to testify.
- This amounts to about a $9 million shortfall.
- So $9 million saved based on the average amount that people spend per year on filing their taxes.
Committee:
Joint Joint Committee on Ways and Means
MN
Transcript Highlights:
- </c><00:45:00.079><c> of</c> you would kind of limit the amount of you would kind of limit the amount
- was there and the time what the average was there and the average<00:50:34.160><c> for</c><00:50:34.319
- It's certainly the case that the amount of fraud you've identified is less than the amount of fraud that
- </c> it's certainly the case that the amount it's certainly the case that the amount of<01:30:12.560>
- </c> um represent AUM noted to me the amount um represent AUM noted to me the amount of<01:45:36.199>
Committee:
House Ways and Means
DE
Transcript Highlights:
- You will need large amounts of coffee if you're going to listen.
- It allows landlords to remain profitable and keep rents at a reasonable rate.
- It allows landlords to remain profitable and keep rents at a reasonable rate.
- Allow those policies and those changes to play out before we make additional changes.
- This increases the average Christina residential tax by $580 per year.
Bills:
HB371
Committee:
Senate Executive
Summary:
The Senate Executive Committee met in hybrid format, approved the minutes from its June 17 and June 18 meetings, and considered several nominations and bills. The committee heard testimony from Michael T. Skeuse for the Delaware Thoroughbred Racing Commission and Jay Eric Fearwald for the University of Delaware Board of Trustees; both nominees described their backgrounds and qualifications, and no objections were raised. The committee then moved to legislation focused largely on property tax reassessment and related school-tax issues, along with a technical constitutional corrections bill, an agricultural lands preservation cleanup bill, and a child-safety/service-letter bill.
A major portion of the meeting centered on Senate Bill 350, which would create a third multifamily residential tax classification at 1.2 times the residential rate. Supporters argued apartments are housing and should not be taxed as commercial property, emphasizing relief for renters and fairness after reassessment. Opponents, including county and school officials, warned the bill would reduce local revenues, complicate tax administration, and create unintended consequences for counties, municipalities, school districts, and agriculture. Similar themes carried into House Bill 462, which would make the split-rate school tax structure permanent and lower the nonresidential cap to 1.85, and House Bill 463, which would align New Castle County senior school-tax exemptions with county exemption rules; both bills drew discussion about shifting burdens, fiscal impacts, and timing.
The committee also heard House Substitute 1 for House Bill 320, a technical corrections bill to the Delaware Constitution, with one public commenter objecting to charter-related changes being included in a correction bill. House Bill 371, which removes the requirement for county farmland preservation advisory boards under the Delaware Agricultural Lands Preservation Act, was presented as a streamlining measure and had support from the Department of Agriculture and public comment in favor. House Bill 438, expanding service-letter requirements to a broader set of child-serving facilities and requiring reporting when employers fail to respond, was described as a cleanup bill closing a safety loophole. After public comment and committee discussion, the meeting ended with a motion and unanimous adjournment; no recorded votes on the bills were taken in the transcript.
KY
Kentucky 2026 Regular Session
Medicaid Oversight and Advisory Board. (2-23-26)
Transcript Highlights:
- And that amount equals 8,750 people.
- ><c> per</c> The average dispensing fee per The average dispensing fee per prescription<00:14:44.320>
- In 2025, amounts are confidential.
- </c><00:54:35.760><c> of</c> and there has been a growing amount of and there has been a growing amount
- </c> for the dispensing fee, our average for the dispensing fee, our average margin<01:11:01.920><c>
Summary:
The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone.
The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months.
Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value.
After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/11/25
Human Services Finance and Policy
Transcript Highlights:
- and about 60% of Medicare allowed amounts, and all the providers are coming in saying we should probably
- and about 60% of Medicare allowed amounts, and all the providers are coming in saying we should probably
- and about 60% of Medicare allowed amounts, and all the providers are coming in saying we should probably
- and about 60% of Medicare allowed amounts, and all the providers are coming in saying we should probably
- and about 60% of Medicare allowed amounts, and all the providers are coming in saying we should probably
Committee:
House Human Services Finance and Policy
CA
California 2025-2026 Regular Session
Joint Legislative Committee on Climate Change Policies Feb 26th, 2025
Joint Legislative Committee on Climate Change Policies
Transcript Highlights:
- That long-term certainty that the caps are going to go down, the amount of emissions allowed are going
- And over time, the amount of allowances each year goes down by 4%.
- That bank of 5% is often called an oversupply or an excessive amount of allowances in the market.
- We also give that free amount of allowances to industry.
- out allowances.
Summary:
The hearing focused on California’s cap-and-trade program, its role in meeting state climate targets, and how to balance emissions reductions with affordability. Committee members and CARB officials discussed the state’s 2030 and 2045 greenhouse gas goals, the need to defend California climate policy amid federal rollbacks, and the importance of making the program durable, cost-effective, and understandable to the public. CARB also outlined its broader climate portfolio, including updates to the Low Carbon Fuel Standard, methane rules, landfill regulations, implementation of recent climate bills, and work on community air protection and other sector-specific strategies.
CARB’s presentation emphasized that cap-and-trade covers about 80% of California emissions, has had near-full compliance, and has generated more than $31 billion for the Greenhouse Gas Reduction Fund, along with billions more in utility bill credits and free allowances intended to protect jobs and limit leakage. Officials described the program’s core design features—banking, trading, multi-year compliance periods, offsets, free allocation, and a price containment reserve—as essential to keeping costs down while still driving emissions reductions. Members pressed CARB on the cost impacts of proposed changes to align the program with the state’s stronger 2030 target, the treatment of offsets, leakage risks for industries like cement, and the need for more technical analysis and stakeholder input before legislative action.
The second panel, including the Legislative Analyst’s Office, an IMAC chair, and a Stanford scholar, offered a more analytical discussion of affordability. They said cap-and-trade likely has limited direct impact on electricity and natural gas bills because of utility allocations and climate credits, but it does add roughly 25 to 26 cents per gallon of gasoline. They identified several policy levers for the Legislature: setting the cap, adjusting allowance allocation, using auction revenues for rebates or bill relief, and deciding how much authority to delegate to CARB. Witnesses also argued that carbon pricing remains one of the most cost-effective ways to reduce emissions, but that the program’s political sustainability will depend on making benefits more visible, targeting relief to households facing high bills, and using revenues to help lower the cost of electrification and grid investments.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance Feb 24th, 2026
Transcript Highlights:
- LCFF base grant amounts are calculated on a per-student basis measured by average daily attendance of
- This brings the total LCFF amount for districts and charters to $85.3 billion.
- need the updated average daily attendance estimates and COLA.
- You can change the amount. You can modify the allocation formula.
- It's not, like, a specific formula behind the amount.
Summary:
The committee heard opening public comment and then took up several K-12 budget items in the Governor’s January proposal. On LCFF and necessary small schools, the Department of Finance described a 2.41% COLA, a roughly $2.2 billion increase for districts and charters, and a $30.7 million ongoing augmentation to raise necessary small schools funding by 20%. The LAO supported funding the COLA and said the small schools proposal had merit, but questioned the 20% figure and warned about a sharp funding cliff around the enrollment thresholds. Members and witnesses repeatedly raised declining enrollment, attendance, and the need to align funding with outcomes and local cost pressures. The chair and several members also asked whether consolidation, shared administration, or alternative formulas could better address small district costs, and the issue was left open for further discussion.
The panel then discussed special education equalization. Finance proposed $509 million ongoing Proposition 98 funding to raise the statewide special education base rate to $999 per ADA, which would fully equalize SELPA base rates; the LAO said the same target could likely be reached with less money under current assumptions. CDE strongly supported equalization as an equity issue and said about 15% of students are identified with disabilities, with identification rising by roughly 20,000 to 25,000 students per year. Members raised concerns about staffing shortages, high caseloads, and the need to use any additional funds for inclusive practices, alternative diploma pathways, and the extraordinary cost pool. The committee also discussed whether the budget language should reflect the $509 million amount or the $999 rate, and the item was held open.
For the Learning Recovery Emergency Block Grant, Finance proposed restoring $757.3 million one-time to complete the program, while the LAO recommended approval because learning loss remains unresolved and districts have generally used the funds for tutoring, supplemental instruction, and other academic supports. CDE explained that LEAs must revisit their needs assessments and that many districts are using the funds alongside other support systems, but members pressed for clearer accountability and better data on how much money actually goes to tutoring or other direct services. The committee then reviewed the Student Support and Professional Development Discretionary Block Grant, with Finance proposing $2.8 billion one-time and the LAO saying discretionary funding can help districts address local priorities but should be paired with fiscal oversight and possibly more targeted priorities. Members split between supporting flexibility for local needs and worrying that the grant could be used to cover ongoing structural deficits without clear evidence of student-outcome gains; the issue was also held open.
Finally, the committee heard a high-level overview of school facilities funding under Proposition 2, with Finance proposing to continue $1.5 billion in bond spending in 2026-27. OPSC said that at the current pace all Prop 2 K-12 funds would likely be exhausted around 2029-30, and that demand is shifting toward modernization as enrollment declines in many areas. Members asked about school closures, reuse of unused sites, and the new small school district facilities program, which OPSC said is moving toward proposed regulations and would begin accepting modernization applications in November 2026 and new construction applications in January 2027. The committee also briefly noted community college facilities funding and asked for more information later in the process.