Video & Transcript Research : 'reliability model'
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MN
Minnesota 2025-2026 Regular Session
House Energy Finance and Policy Committee 3/26/26
Energy Finance and Policy
Transcript Highlights:
- And the unique business model that most utilities operate here in the state of Minnesota is they're a
- And the unique business model that most utilities operate here in the state of Minnesota is they're a
- We are here because we all share a goal: achieving a reliable, affordable, and carbon-free electrical
- <01:05:10.359>
energy <01:05:10.720>to <01:05:10.920>our consistent, reliable - energy to our consistent, reliable energy to our residents<01:05:12.080>
be- <01:05:12.480>
Keywords:
HF4308, Monticello nuclear plant, Prairie Island, renewable development account, RDA, nuclear waste, spent fuel, dry cask storage, utility tax, commercial-industrial property tax, state general levy, property tax exemption, residential heating fuels, natural gas tax exemption, electricity sales tax exemption, year-round sales tax exemption, distributed solar energy standard, solar mandate, community solar, grid modernization
HI
Hawaii 2025 Regular Session
EEP Public Hearing - Tue Mar 11, 2025 @ 9:00 AM HST
Energy & Environmental Protection
Transcript Highlights:
- <00:12:12.800>
resiliency address safety uh reliability resiliency address safety uh reliability - The cost of capital and the credit spread, uh, we've modeled it several ways, and we can try to get back
- it<00:21:04.159>
several <00:21:04.520>ways <00:21:04.799>and could we've modeled - it several ways and could we've modeled it several ways and we<00:21:05.000>
can <00:21:05.159 - applications filed by acquiring entities that operate under a non-investor-owned utilities ownership model
Summary:
The committee on Energy and Environmental Protection heard testimony on Senate Bill 897, which would create a Wildlife Liability Trust Fund within DCCA for administrative purposes. The chair opened by noting the hearing had to end by noon because of floor session, and that written testimony would be considered if not all witnesses could speak. Testimony included support from DCCA, the Attorney General’s office, the Public Utilities Commission, Charter Communications, Ulupono Initiative, AES Hawaii, Hawaiian Electric, Clearway Energy Group, Kauai Island Utility Cooperative, Hawaiian Telcom, and IBW Local 1260, with opposition or concerns from the Hawaii Association for Justice and some others. Hawaiian Electric strongly supported the bill and asked for amendments, saying the fund would help address wildfire liability, protect customers and the economy, and support restoration of investment-grade credit; it also proposed a larger shareholder contribution and said the bill was part of a broader effort to raise settlement funds and improve grid safety and resiliency.
Committee members focused heavily on whether the bill would actually lower costs for ratepayers and improve credit ratings. DCCA said there was a nexus between limiting liability, creating a sufficiently large wildfire fund, and transparent mitigation requirements, but acknowledged there was no guarantee of a credit-rating improvement or precise estimate of rate impacts. Members questioned Hawaiian Electric about the assumptions in its cost comparisons, the 30-year securitization structure, and whether funding could be shifted later to shareholders after credit was restored. Hawaiian Electric responded that the bill assumes the fund is paid through securitization, that removing that presumption could undermine the credit-rating benefit, and that its models suggest credit-spread savings could offset the customer charge over time; it also said it would follow up with additional analysis. The company and Ulupono both described the measure as a difficult but potentially necessary way to socialize wildfire risk and avoid a larger crisis later.
The Hawaii Association for Justice opposed the bill’s liability caps and raised concerns about consumer rights, oversight discretion, statute-of-limitations changes, and evidence rules. Hawaiian Telcom suggested amendments to clarify compliance with FCC pole-attachment agreements. No vote or final action was taken during the portion of the hearing provided, and members indicated they wanted more analysis before being comfortable with the bill’s long-term ratepayer impacts.
MN
Minnesota 2025-2026 Regular Session
Committee on Agriculture, Veterans, Broadband and Rural Development - 02/19/25
Agriculture, Veterans, Broadband, and Rural Development
Transcript Highlights:
- In September of 2022, the Iowa State estimated livestock returns model reported the first of what would
- It wasn't until March of 2024 that that model resulted in there being profitability during that time
- resulted in there 2024 that that model resulted in there being<00:18:26.679>
profitability <00 - roads Railways and waterways reliable roads Railways and waterways are<00:37:02.119>
essential - <01:36:08.280>
market school offers Farmers a reliable market school offers Farmers a reliable
OR
Oregon 2026 Regular Session
Joint Task Force On Municipal Solid Waste in the Willamette Valley 07/10/2026 1:00 PM
Transcript Highlights:
- incentivized, including hearing from DEQ and Business Oregon about existing programs that could serve as models
- I think it's important to hear about a model that has criteria that's being scored by one agency, but
- I think important to hear how about a model that has criteria. about a model that has criteria that's
- So the presentations we had today gave us some models that might be used for WIPA as an example.
- Under this model, we would not be forced into a sweeping one-size-fits-all state mandate.
Summary:
The task force met to focus on funding systems and incentive structures for a proposed regional waste infrastructure effort, including how a future WIPA framework might support solid waste planning in the Willamette Valley. Staff and members heard presentations from DEQ on the Clean Water State Revolving Fund, from Business Oregon on the Special Public Works Fund, and from Oregon State Treasury on state bonding capacity and the bond issuance process. Presenters explained how their programs are structured, how projects are scored or approved, what kinds of public entities and projects are eligible, and how interagency coordination and co-funding can work. DEQ emphasized that its revolving loan fund is driven by water-quality benefits and public-health criteria, while Business Oregon described a broader infrastructure loan program for public entities with no scoring system, and Treasury outlined the state’s debt-capacity process and the differences between general obligation and lottery bonds.
Members used the presentations to discuss whether similar funding tools could support solid waste infrastructure, especially for transfer stations, regional hubs, and related facilities that may need to be built before Coffin Butte reaches the end of its lifespan. Several questions centered on whether public-private partnerships could qualify, whether equipment inside facilities could be financed, how repayment would work, and whether planning costs could be covered. DEQ and Business Oregon both said they could potentially collaborate on scoring or co-funding, but noted eligibility limits and the need for public ownership in many cases. Treasury said bond capacity is limited and competitive, especially for lottery bonds, and that project authorization generally runs on a two-year cycle, though unused authority can sometimes be reauthorized.
In task force discussion, members debated whether the group should pursue a dedicated funding lane for the seven-county region rather than having local governments compete with other statewide needs. Some members stressed the importance of criteria to avoid stranded assets and to ensure funding is available when projects are ready, while others raised concerns about how cities and counties would generate revenue to repay debt during construction and early operations. The group also discussed flow control, system fees, and the need for regional collaboration among counties, cities, and haulers to create enough waste volume to support new infrastructure. Staff noted that pre-session filing materials for the legislature are due September 11, and the chair said the August meeting will focus on organizational structure and identifying partners.
During public comment, Representative Kevin Mannix submitted written testimony supporting the WIPA concept and urging the task force to endorse it. Commissioner Bubba King of Yamhill County urged the task force to compare alternatives objectively and warned against adding bureaucracy before evaluating existing infrastructure and costs. Commissioners Kevin Cameron and Roger Nyquist of Marion and Linn counties described regional hub-and-spoke concepts, transfer stations, and intermodal options, emphasizing the need for planning, strategic siting, and collaboration with haulers and local governments.
TX
Transcript Highlights:
- You said it's not a business model or distribution model, is there a limit?
- We chose the Senate Bill 22 model. From last session because it works.
- So, HB 541 expands this model, allowing Texans to not only have a direct payment model with physicians
- In a direct primary care model, they're not. That's right.
- Like moving to an exclusive rather than an inclusive model of cottage food.
Bills:
HB3000, HB2622, HB2283, HB541, HB1776, HB1803, HB1669, HB2588, HB220, HB3415, HB50, HB1314, HB 107, HB220, HB50, HB107
Keywords:
ambulance service, rural healthcare, grants, financial assistance, qualified counties, mental health, patient transport, female attendants, security measures, healthcare regulation, epinephrine, anaphylaxis, health care, school safety, training, emergency response, direct patient care, healthcare, physicians, medical services
NH
Transcript Highlights:
- <04:30:03.160>
have in households that do not reliably have in households that do not reliably - We hear about how we should model other We hear about how we should model other states<05:45:20.920><
- How should we measure reliability? I suggest we go with voter fraud cases.
- <06:50:11.840>
or deleted in this bill are reliable or deleted in this bill are reliable or - How should we measure reliability? How should we measure reliability?
OK
Oklahoma 2026 Regular Session
Business and Insurance 2ND REVISED Apr 23rd, 2026 at 09:30 am
Business and Insurance
Transcript Highlights:
- plumbing The industry equips him well to serve on the Uniform Building Code Commission, as he can bring reliable
- Currently, under the current model, patients are forced to use insurer-designated pharmacies.
- Currently, under the current model, care is fragmented between the physician and the pharmacy.
- Reliable revenue as legal sales. A weight-based tax avoids these distortions.
Bills:
HB4322, HB4202, HB4203, HB4457, HB3983, HB3660, HB3802, HB2933, HB2955, HB2956, HB3781, HB3521, HB3794, HB3796, HB3800
Keywords:
funeral services licensing, funeral director, embalmer, funeral director in charge, dual licensure, mortuary science, Oklahoma Funeral Board, funeral establishment, commercial embalming establishment, crematory, cremation, alkaline hydrolysis, apprenticeship, licensing requirements, professional regulation, undertaker, mortician, burial services, death care industry, workers' compensation
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Monday, March 10, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- These technologies can also help Border Patrol agents communicate reliably in remote areas.
- THESE TECHNOLOGIES CAN ALSO HELP BORDER PATROL AGENTS COMMUNICATE RELIABLY IN REMOTE AREAS.
- Modeled after previous...
- Specifically, this bill will provide participating cities with more reliable guidance and support from
- This bill clears up the eligibility criteria for the program so that it can be a steady, reliable source
TX
Transcript Highlights:
- This replaces the reimbursement model in favor of a grant system that delivers upfront, reliable funding
- or the task force model.
- Are the jail model and the warrant service model two of the three, or all three?
- The 287(g) program has a jail enforcement model and a warrant service model. task force model.
- You mentioned that there are three different models. Let's take the task force model.
Bills:
SB27, SB1494, SB2121, SB2373, SB2431, SB1, SB8, SB12, SB13, SB15, SB30, SB37, SB260, SB268, SB331, SB379, SB441, SB447, SB457, SB568, SB650, SB763, SB1405, SB1506, SB1540, SB1566, SB1610, SB1637, SB1660, SB2018, SB2024, SB2217, SB2308, SB2337, SB2601, SB2753, SB2878, SB2900, SB2972, SB3059, HB4, HB40, HB46, HB119, HB145, HB300, HB493, HB705, HB1545, HB2011, HB2017, HB2067, HB2516, HB2885, HB2963, HB2974, HB3071, HB3372, HB3556, HB3595, HB3642, HB3909, HB5138, HB5246, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3045, SB3071, HB796, HB1523, HB5294, HB748, HB3395, HB180, HB3171, HB146, HB5596, HB5694, HB1135, HB3225, HB186, HB1449, HB3793, HB112, HB104, HB3336, HB3520, HB3320, HB5663, HB2399, HB111, HB3483, HB4580, HB3748, HB632, HB4730, HB5690, HB5689, HB3385, HB4359, HB5381, HB123, HB5606, HB1057, HB3664, HCR141, HCR40, HCR59, SR634, SR687, SR703, SR709, SR715, SB1494, SB2121, SB2373, SB2431, HB46, SB1, SB8, SB12, SB13, SB15, SB37, SB260, SB331, SB379, SB441, SB447, SB457, SB568, SB763, SB1405, SB1540, SB1566, SB2018, SB2308, SB2337, SB2878, SB3059, HB705, HB2017, HB2067, HB3071, HB3372, HB3556, HB3595, HB3909, HB5246
Keywords:
elections, local governance, political subdivisions, general elections, Texas Election Code, data brokers, personal data, regulation, business entities, consumer protection, financial exploitation, artificial intelligence, phishing, legal liability, criminal offense, civil penalty, foreign language, study abroad, higher education, language credit
MN
Minnesota 2025-2026 Regular Session
House Children and Families Finance and Policy Committee 2/25/26
Children and Families Finance and Policy
Transcript Highlights:
- stream of funding to have a reliable stream of funding to keep<01:10:48.880>
food <01:10:49.120 - We have been a reliable source of food for nearly 45 years.
- and consistent food to our reliable and consistent food to our nearly<01:14:14.800>
500 <01:14 - In response, we piloted some new distribution models to try to meet the demand.
- to try to meet the distribution models to try to meet the demand.<01:31:36.239>
uh <01:31:36.400
Keywords:
HF45, Lake Benton, capital investment, bonding bill, state bonds, bond proceeds fund, Public Facilities Authority, public infrastructure, sanitary sewer, water main, storm sewer, utility replacement, U.S. Highway 75, road reconstruction, municipal infrastructure, local government grant, Minnesota bonding, capital appropriation, food insecurity, prepared meals
HI
Hawaii 2025 Regular Session
AEN/EEP/AGR Joint Info Briefing - Mon Feb 24, 2025 @ 1:00 PM HST
Hawaii House Floor Meeting
Transcript Highlights:
- and the pictures of that that modeling and the pictures of each<00:26:37.000>
of <00:26:37.279 - <00:47:09.880>
of data analysis to create models of data analysis to create models of associations - The quality and the accuracy of the data can affect the reliability and the validity of the analysis.
- The quality and the accuracy of the data can affect the reliability and the validity of the analysis.
- The quality and the accuracy of the data can affect the reliability and the validity of the analysis.
Summary:
This joint informational briefing of Senate and House committees focused on restricted use pesticides in Hawaiʻi, with opening remarks framing the issue as one of health, environmental impact, and state-level regulation. The briefing reviewed the history of pesticide disclosure efforts, including prior county actions, a 2016 court ruling that shifted responsibility to the state, and Act 45, which enabled disclosure of restricted use pesticide data. Speakers highlighted 2019 reporting data showing concentrated use in parts of Oʻahu and Kauaʻi, especially near schools and communities, and identified fumigants such as 1,3-dichloropropene and metam sodium as among the heaviest-used products. Concerns were raised about potential links to cancer, respiratory illness, reproductive harms, Parkinson’s disease, and developmental effects, as well as the lack of long-term mixture studies and the need for better buffer zones, reporting, and farmer transition support.
The Department of Agriculture’s pesticides program manager described the state’s regulatory framework, explaining the distinction between general use and restricted use pesticides and the department’s role under FIFRA and Hawaiʻi law. He outlined the branch’s enforcement, education/certification, registration, and laboratory functions, including inspections, complaint response, market surveillance, applicator certification, product review, groundwater protection modeling, and special registrations. He also noted staffing and resource limitations, including the absence of an in-house toxicologist and long-term monitoring capacity, and compared Hawaiʻi’s resources to California’s much larger pesticide regulatory program. He said the department supports Act 231, which was passed the previous year and is moving forward this session.
A pediatrician speaking for the Hawaiʻi chapter of the American Academy of Pediatrics emphasized concerns about chronic low-level pesticide exposure in children, citing AAP policy statements and technical reports that associate exposure with cancer, leukemia, birth defects, neurobehavioral issues, and asthma. Drawing on work with the Kauaʻi Joint Fact Finding Task Force, the speaker said the group found the west side of the island to be an unhealthy community but could not prove causation because of missing drift, geospatial, and biomarker data. The testimony pointed to elevated cancer mortality, pneumonia admissions, obesity, dialysis, and developmental delay indicators, and described concerns about pesticide drift near schools and homes, including reports of children becoming ill after nearby spraying and low levels of chlorpyrifos detected in dust samples.
An environmental health scientist from the University of Hawaiʻi described a pilot project using restricted use pesticide data in a public health context. She said the project began after seeing maps of Central Oʻahu pesticide use and aimed to pair GIS data with health and ethnicity data, while also conducting community focus groups. Preliminary focus group themes included calls to action, voting and policymaker awareness, concern about pesticide use near homes and fields, lack of community consent, and a desire to stay engaged. No votes or formal committee actions were taken during the briefing.
MN
Transcript Highlights:
- Without a reliable funding pathway, meeting that deadline is very uncertain.
- reliable funding pathway, Without reliable funding pathway, meeting<00:47:57.440>
that <00:47: - Our Greater Minnesota bus service is affordable, flexible, cost-effective, and reliable.
- These funding models have kept IT systems running, but many have fallen into disrepair.
- Happy to stand for any questions. models have kept IT systems running but models have kept IT systems
Keywords:
emergency shelter, grant program, homelessness, capital investment, Minnesota Statutes, appropriation bonds, public funding, housing, infrastructure bonds, funding, appropriation, Minnesota constitutional amendment, public debt, state bonds, general obligation bonds, information technology, IT infrastructure, software licenses, technology modernization, capital improvements
TX
Texas 89th 2nd C.S.
S/C on Telecommunications & Broadband Mar 24th, 2025
S/C on Telecommunications & Broadband
Transcript Highlights:
- Reliable high-speed internet is no longer a luxury for our constituents.
- million across 41 awards, which will connect over 83,000 locations in the state of Texas to fast, reliable
- This is our private property and it's not favorable for us to encounter safety and reliability issues
- It delivers reliable high-speed internet access without annual contracts.
- It equips first responders with the new capabilities of reliable access to critical information while
FL
Florida 2025 Regular Session
February 4, 2025 - 12:30 PM
Transcript Highlights:
- Most of them, you know, the model is you're not supposed to be cheaper.
- Most of them, you know, the model is you're not supposed to be cheaper.
- They all have different business models.
- We're sort of like the reliable Chevy, not the Cadillac, right?
- I mean, what you have, you know, you want innovation, but you also have this model of residual insurer
Summary:
The Insurance and Banking Subcommittee received a lengthy presentation from Citizens Property Insurance Corporation CEO Tim Serio, with Insurance Commissioner Michael Yaworski also answering questions. Serio reviewed Citizens’ role as Florida’s insurer of last resort, its statutory funding structure, eligibility rules, depopulation program, reinsurance obligations, and the surcharge/emergency assessment mechanisms that can be used if Citizens runs a deficit. He emphasized that recent legislative reforms, combined with lower litigation and improved market conditions, have helped the private market recover and reduced Citizens’ policy count from a peak of about 1.41 million in 2023 to 936,182 at the end of 2024, with a projected drop to about 771,000 by the end of 2025. He also said the reforms reduced Citizens’ rate need and helped avoid an emergency assessment after the 2024 storms.
Members asked about Citizens’ rate increases, why Citizens still seeks higher rates despite lower litigation, how the 20% eligibility threshold works, whether Citizens should be wind-only, and whether the state or federal government could help with deficits. Serio explained that Citizens is still charging below actuarially sound rates in most areas, that rate filings reflect reduced litigation and lower reinsurance exposure, and that assessments on all Florida property policyholders are the reason Citizens tries to build surplus and depopulate. He said the depopulation program is working better than in the past, with less than 2% of takeout policies returning to Citizens, and that the Office of Insurance Regulation has been vetting takeout companies more carefully.
A substantial portion of the discussion focused on claims handling after Debby, Helene, and Milton, including flood-versus-wind disputes and Citizens’ use of the Division of Administrative Hearings for some claim disputes. Serio said Citizens had received 76,625 claims from the three storms and had paid nearly $823 million in indemnity and expenses as of January 7, 2025. He said many closed-without-payment claims were either below deductible, withdrawn, duplicate, or flood-only, and that Citizens had asked its internal audit function to independently review the claims data and denials. He also described Citizens’ storm outreach, catastrophe response centers, managed-repair program, and claim review process, and said the corporation remains focused on paying valid claims while minimizing the risk of assessments on the broader Florida market.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Monday, July 21, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- These communities have been waiting for over six decades for a reliable water source.
- and begin delivering clean, reliable and begin delivering clean, reliable water<04:38:49.520>
- ensure the grid's reliability. ensure the grid's reliability.
- <04:49:14.320>
energy, homes with affordable, reliable energy, homes with affordable, reliable - >
the <06:15:49.600>Holding bill is modeled after the Holding bill is modeled after the
CA
California 2025-2026 Regular Session
Assembly Floor Session Sep 8th, 2025
California House Floor Meeting
Transcript Highlights:
- Now, we have also done many great things like sent out direct economic stimulus modeled after Donald
- This bill ensures that the millions of Californians who depend on reliable electricity for their health
- , safety,... ...that the millions of Californians who depend on reliable electricity for their health
- Muriel didn't model silence and politeness like women of her generation were often told to do so.
- She modeled strength and she modeled intelligence in a sharp, witty sense of humor, whether she meant
Summary:
The Assembly convened, established a quorum, offered prayer and the Pledge of Allegiance, and then moved through a long floor file with many Senate bills. Early procedural actions included unanimous-consent motions, a successful roll-call to rescind prior action on SB 351, and a 54-vote suspension of Joint Rule 61(a)(3) to allow floor amendments on SBs 80, 351, and 415. The chamber also made several referrals, moved one item to the inactive file, and welcomed new Assembly Member Natasha Johnson and other guests.
The bulk of the meeting consisted of concurrence and third-reading votes on a wide range of measures, many of them passing with little or no opposition. Topics included tribal gaming grants (AB 221), State Bar fee and bar exam changes (SB 253), AI guardrails in community colleges (SB 241), consumer arbitration clauses (SB 82), due process for law enforcement in Racial Justice Act cases (SB 734), dental payment fee disclosures (SB 386), HOA balcony inspection reports (SB 410), farmland protection and EIFD rules (SB 5 and SB 516), emergency shelter zoning (SB 340), HIV confidentiality (SB 504), election signature-cure reforms (SB 3), contractor workers’ compensation compliance (SB 291), fire training funding (SB 345), wage theft enforcement (SB 355 and SB 261), food allergen disclosures (SB 68), ride-share insurance coverage (SB 371), housing and disaster recovery measures (SB 233, SB 625, SB 21), midwifery education (SB 520), mobile home insurance access (SB 525), epinephrine in schools (SB 568), health facility emergency licensing (SB 582), hair relaxer enforcement (SB 236), wastewater surveillance (SB 317), and several tax, transportation, and public health bills.
A number of bills drew brief policy debate or opposition. SB 388, creating a California Latino Commission, prompted criticism from some members who argued the money should go directly to community needs rather than a new commission; it still passed. SB 50 on digital safety for victims of abuse, SB 20 on silicosis prevention, SB 306 on prior authorization reform, SB 373 on oversight of out-of-state special education placements, and SB 437 on reparations descendant-status verification were among the more substantive and discussed measures. Most bills passed by wide margins, often unanimously, and several urgency or tax-levy measures required 54 votes and were approved. The session ended with continued passage of remaining file items and multiple items retained or passed temporarily for later action.
TX
Texas 89th Regular
Disaster Preparedness & Flooding, Select Jul 23rd, 2025
Disaster Preparedness & Flooding, Select
DE
Delaware 2025-2026 Regular Session
Senate Health & Social Services Committee Meeting Jun 17th, 2026
Health & Social Services
Transcript Highlights:
- care currently helps more than 12,000 Delaware children across the state, providing access to safe, reliable
- know that when a child is placed in foster care, they experience significant disruption, Access to reliable
- This is an important, innovative model that we have adopted from other states that will go a long way
Keywords:
human remains, indigent, burial, cremation, next of kin, social services, environmental impact, nursing education, preceptorship programs, healthcare workforce, nurse shortage, clinical training, dry needling, physician assistant, nurse practitioner, occupational therapist, referral process, neuromusculoskeletal pain, Western medicine
Summary:
The Senate Health and Social Services Committee met with a quorum, approved the minutes from the prior two meetings, and briefly acknowledged the tragedy at Christiana Care before moving to legislation. The committee heard House Bill 385, which creates a statewide nurse preceptor grant program to expand clinical training placements for nursing students; testimony from nursing organizations, health care associations, and educators emphasized workforce shortages, the need for preceptor stipends and training, and the bill’s potential to help students complete programs and remain in Delaware. Members asked about eligibility and reporting, and several senators asked to be added as co-sponsors. Public comment was uniformly supportive, and the bill was advanced out of committee.
The committee then considered House Bill 424, which repeals Delaware’s Autism Surveillance and Registration Program and requires DHSS to expunge protected health information collected through the registry. The sponsor and DHSS said the registry is no longer used for research or policy development and that repeal would reduce outdated reporting burdens; Autism Delaware, the Delaware Health Care Association, and the State Council for Persons with Disabilities support the change. A committee member raised the question of whether families would be notified before records are expunged, and DHSS said that process was not yet clear and would need further verification. Members discussed the issue, and the bill also moved forward.
House Bill 419 was next, making children in foster care automatically eligible for the Purchase of Care child care subsidy and extending the same treatment to certain kinship and safety-plan placements through House Amendment 1. The Children’s Department and advocacy groups said the bill would provide immediate stability for children and caregivers, reduce delays from applications and income verification, and support working foster and kinship families. The committee also heard House Bill 359, which would allow cremation as an option for unclaimed and indigent remains when there is no family objection or next of kin cannot be found, addressing a shortage of burial plots and lowering costs; funeral industry testimony focused on preserving next-of-kin rights. Finally, the committee heard House Bill 475, creating a Delaware Nursing Advancement Fund financed by a $10 surcharge on nursing licenses and disciplinary fines to support workforce data collection and analysis through a nonprofit partner, and House Bill 165, authorizing physician associates, occupational therapists, and APRNs to perform dry needling under training and practice standards set by the Board of Medical Licensure and Discipline. All of the bills received supportive testimony, several members added their names as co-sponsors, and the committee adjourned after moving through the agenda.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Jun 21st, 2026 at 11:00 am
Joint Committee on Ways and Means
Transcript Highlights:
- It basically disrupts the entire model and closes the place down.
- After a year of planning, DMH launched two weeks ago its updated case management model.
- Right now, we're doing the modeling on how For new individuals, right now we're doing the modeling on
- We have... ...reliable data on our Commonwealth's health care system.
- These systems can reliably detect well over 100 types of harm in near real time.
Summary:
The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs.
EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle.
MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.
HI
Transcript Highlights:
- So it's an ongoing struggle for libraries right now. um new models uh but they still I'm um new models
- <01:30:36.040>
we Antiquated old Revenue model I mean we Antiquated old Revenue model I mean we - yeah but we have more detailed models yeah but we have more detailed models but<01:48:03.040>
- the planning money we've built a model the planning money we've built a model that<01:54:03.520>
- <03:11:03.640>
M attend build out Middle School model M attend build out Middle School model