Transcript Highlights:

• The state's budget has grown at an exponential rate, and the sales tax is the primary driver of that
• These checks do not actually lower tax rates. These checks do not solve the property tax problem.

Bills: HB 3902, HB 4420, HB 3269, HB 469, HB 336, HB 316, HB 5396, HB 993, HB 1342, HB 5216, HB 2046, HB 2188, HB 2450, HB 2813, HB 2857, HB 4075, HB 2911, HB 4682, HB 3117, HB 3253, HB 3442, HB 4820, HB 4336, HB 5356, HB 3669, HB 3428, HB 5465, HB 3662, HB 2590, HB 2288, HB 1886, HB 3458, HB 5603, HB 5620, HB 1489, HB 4101, HB 4990, HB 5685, HB 4950, HB 4980, HB 5684, HB 3507, HB 3566, HB 4487, HB 4462, HB 4876, HB 4915, HB 4663, HB 5570, HB 2929, HB 5261, HB 2920, HB 4642, HB 4746, HB 1609, HB 5403, HB 5453, HB 3844, HB 2336, HB 1572, HB 1226, HB 2806, HB 2617, HB 2827, HB 3948, HB 3945, HB 4266, HB 4542, HB 3319, HB 1772, HB 2496, HB 1970, HB 3434, HB 5545, HB 5577, HCR 59, HCR 135, HB 4, HB 46, HB 3221, HB 1403, HB 3892, HB 4234, HB 722, HB 4105, HB 4413, HB 170, HB 551, HB 3053, HB 3142, HB 3180, HB 3722, HB 1794, HB 1784, HB 1581, HB 2530, HB 4308, HB 1896, HB 2974, HB 3359, HB 4580, HB 2458, HB 2215, HB 3332, HB 2278, HB 3015, HB 3151, HB 1368, HB 40, HB 101, HB 112, HB 146, HB 214, HB 413, HB 1523, HB 493, HB 521, HB 594, HB 557, HB 305, HB 549, HB 854, HB 1057, HB 1052, HB 842, HB 3174, HB 3196, HB 824, HB 1039, HB 2529, HB 2713, HB 4936, HB 4995, HB 4830, HB 4864, HB 5219, HB 5263, HB 5154, HB 2674, HB 5525, SB 529, SB 541, SB 2004, SB 1012, SB 2269, SB 1886, SB 1236, SB 693, SB 2308, HB 2486, HB 4862, HB 4689, HB 4520, HB 2225, HB 168, HJR 218, HB 4921, HB 5623, HB 2494, HB 2545, HB 2587, HB 2625, HB 5520, HB 5436, HB 4926, HB 1573, HB 5165, HB 4811, HB 5081, HB 4755, HB 3179, HB 4310, HB 4611, HB 2159, HB 4626, HB 3637, HB 3153, HB 3066, HB 2786, HB 2966, HB 638, HB 640, HB 876, HB 497, HB 5539, HB 4809, HB 5308, HB 4687, HB 4070, HB 4421, HB 4412, HB 3284, HB 3369, HB 3420, HB 3449, HB 4098, HB 4281, HB 4120, HB 4504, HB 4370, HB 1106, HB 2370, HB 2404, HB 3863, HB 2407, HB 2253, HB 2273, HB 2040, HB 1586, HB 3788, HB 3993, HB 4690, HB 4309, HB 4696, HB 2308, HB 1142, HB 1533, HB 1621, HB 2242, HB 2012, HB 2193, HB 2442, HB 2464, HB 2348, HB 2313, HB 2289, HB 1942, HB 2011, HB 1629, HB 2993, HB 3592, HB 3824, HB 4076, HB 4535, HB 4623, HB 4773, HB 1091, HB 5115, HB 5515, HB 3372, HB 5659, HB 127, HB 386, HB 115, HB 2868, HB 1249, HB 4766, HB 3720, HB 4656, HB 4879, HB 105, HB 5383, HB 4621, HB 5431, HB 5678, HB 5534, HB 4174, HB 4212, HB 3954, HB 3966, HB 3636, HB 3918, HB 1422, HB 4765, HB 4732, HB 4742, HB 5122, HB 4518, HB 5084, HB 3986, HB 4045, HB 4144, HB 3911, HB 3976, HB 4473, HB 3425, HB 3641, HB 3642, HB 3475, HB 3509, HB 3424, HB 3383, HB 4744, HB 4531, HB 4539, HB 3159, HB 5228, HB 5370, HB 4359, HB 4398, HB 4443, HB 4466, HB 3861, HB 3849, HB 4240, HB 4706, HB 4685, HB 5354, HB 5141, HB 5686, HB 3629, HB 3554, HB 3567, HB 2015, HB 3575, HB 5381, HB 1431, HB 3514, HB 4614, HB 4546, HB 4683, HB 5681, HB 5673, HB 5663, HB 4271, HB 4350, HB 4035, HB 3807, HB 3812, HB 3552, HB 3540, HB 3715, HB 3710, HB 3664, HB 4196, HB 4233, HB 4173, HB 1998, HB 3333, HB 3510, HB 4222, HB 2070, HB 2854, HB 2347, HB 113, HB 983, HB 4847, HB 1449, HB 3833, HB 5151, HB 265, HB 1845, HB 782, HB 108, HB 1960, HB 158, HB 1954, HB 1955, HB 2512, HB 605, HB 2581, HB 2803, HB 627, HB 2667, HB 1738, HB 636, HB 3679, HB 2638, HB 2655, HB 871, HB 2438, HB 1107, HB 1765, HB 1822, HB 2153, HB 4099, HB 3732, HB 3171, HB 3178, HB 3182, HB 3749, HB 2814, HB 3977, HB 4204, HB 4207, HB 4449, HB 1820, HB 1876, HB 1939, HB 1347, HB 2593, HB 2136, HB 2132, HB 2658, HB 2413, HB 2757, HB 2080, HB 3154, HB 3063, HB 3009, HB 3448, HB 3006, HB 2844, HB 3241, HB 3680, HB 3169, HB 2078, HB 2507, HB 4559, HB 3946, HB 3460, HB 3405, HB 475, HB 3463, HB 3441, HB 3520, HB 2060, HB 4731, HB 4991, HB 1991, HB 5596, HB 2014, HB 2142, HB 2673, HB 2731, HB 2417, HB 2399, HB 2301, HB 3335, HB 3234, HB 3320, HB 5573, HB 4848, HB 4748, HB 4769, HB 4795, HB 2086, HB 2234, HB 2203, HB 4916, HB 5624, HB 4505, HB 139, HB 5093, HB 5302, HB 5402, HB 5606, HB 2333, HB 4630, HB 4701, HB 2583, HB 2983, HB 4924, HB 3339, HB 3793, HB 3631, HB 4882, HB 5509, HB 5499, HB 5430, HB 5561, HB 5611, HB 5043, HB 5064, HB 3733, HB 3781, HB 3219, HB 32, HB 4515, HB 5348, HB 3902, HB 4420, HB 3269, HB 469, HB 336, HB 316, HB 5396, HB 993, HB 1342, HB 5216, HB 2046, HB 2188, HB 2450, HB 2813, HB 2857, HB 4075, HB 2911, HB 4682, HB 3117, HB 3253, HB 3442, HB 4820, HB 4336, HB 5356, HB 3669, HB 3428, HB 5465, HB 3662, HB 2590, HB 2288, HB 1886, HB 3458, HB 5603, HB 5620, HB 1489, HB 4101, HB 4990, HB 5685, HB 4950, HB 4980, HB 5684, HB 3507, HB 3566, HB 4487, HB 4462, HB 4876, HB 4915, HB 4663, HB 5570, HB 2929, HB 5261, HB 2920, HB 4642, HB 4746, HB 1609, HB 5403, HB 5453, HB 3844, HB 2336, HB 1572, HB 1226, HB 2806, HB 2617, HB 2827, HB 3948, HB 3945, HB 4266, HB 4542, HB 3319, HB 1772, HB 2496, HB 1970, HB 3434, HB 5545, HB 5577, HCR 76, HCR 127, HCR 9, HCR 40, HCR 118, HR 559, HCR 59, HCR 135

Keywords: Medicaid, reimbursement, nursing facilities, ownership change, healthcare policy, mental health, psychiatric beds, inpatient psychiatric treatment, acute psychiatric care, bed availability, bed capacity, hospital reporting, HHSC, Health and Human Services Commission, state hospitals, private mental health facilities, civil commitment, competency restoration, not guilty by reason of insanity, jail diversion

Summary: The Florida House passed Senate Bill 2510 relating to prekindergarten through grade 12 education funding and policies. Speaker Perez delivered remarks criticizing the Senate for breaking a budget deal and outlined the House's position on reducing state spending and revenue. He emphasized that the state has a spending problem, not a revenue problem, and proposed various tax cuts including sales tax, business rent tax, and communication services tax eliminations. The House also passed a concurrent resolution extending the 2025 legislative session until June 30, 2025. Perez stressed that property tax relief and state revenue reduction are separate issues, highlighting the House's tourist development tax reform proposal.

Transcript Highlights:

• The appraisal process does not determine tax rates.
• No, it's the people who set the tax rates.
• But at the end of the day, this is about the tax rate.
• They get to say that, "Hey, your tax rate went down," when, in fact, the effective rate went up.
• The taxing jurisdictions set the tax rates.

Bills: HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB5216, HB2046, HB2188, HB2450, HB2813, HB2857, HB4075, HB2911, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB1886, HB3458, HB5603, HB5620, HB1489, HB4101, HB4990, HB5685, HB4950, HB4980, HB5684, HB3507, HB3566, HB4487, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB 1226, HB2806, HB2617, HB2827, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5577, HCR59, HCR135, HB4, HB46, HB3221, HB1403, HB3892, HB4234, HB722, HB4105, HB4413, HB170, HB551, HB3053, HB3142, HB3180, HB3722, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HB40, HB 101, HB 112, HB146, HB214, HB413, HB1523, HB493, HB521, HB594, HB557, HB305, HB549, HB854, HB 1057, HB 1052, HB842, HB3174, HB3196, HB824, HB 1039, HB2529, HB2713, HB4936, HB4995, HB4830, HB4864, HB5219, HB5263, HB5154, HB2674, HB5525, SB529, SB541, SB2004, SB1012, SB2269, SB1886, SB1236, SB693, SB2308, HB2486, HB4862, HB4689, HB4520, HB2225, HB168, HJR218, HB4921, HB5623, HB2494, HB2545, HB2587, HB2625, HB5520, HB5436, HB4926, HB1573, HB5165, HB4811, HB5081, HB4755, HB3179, HB4310, HB4611, HB2159, HB4626, HB3637, HB3153, HB3066, HB2786, HB2966, HB638, HB640, HB876, HB497, HB5539, HB4809, HB5308, HB4687, HB4070, HB4421, HB4412, HB3284, HB3369, HB3420, HB3449, HB4098, HB4281, HB4120, HB4504, HB4370, HB 1106, HB2370, HB2404, HB3863, HB2407, HB2253, HB2273, HB2040, HB1586, HB3788, HB3993, HB4690, HB4309, HB4696, HB2308, HB 1142, HB1533, HB1621, HB2242, HB2012, HB2193, HB2442, HB2464, HB2348, HB2313, HB2289, HB1942, HB2011, HB1629, HB2993, HB3592, HB3824, HB4076, HB4535, HB4623, HB4773, HB 1091, HB5115, HB5515, HB3372, HB5659, HB 127, HB386, HB 115, HB2868, HB 1249, HB4766, HB3720, HB4656, HB4879, HB 105, HB5383, HB4621, HB5431, HB5678, HB5534, HB4174, HB4212, HB3954, HB3966, HB3636, HB3918, HB1422, HB4765, HB4732, HB4742, HB5122, HB4518, HB5084, HB3986, HB4045, HB4144, HB3911, HB3976, HB4473, HB3425, HB3641, HB3642, HB3475, HB3509, HB3424, HB3383, HB4744, HB4531, HB4539, HB3159, HB5228, HB5370, HB4359, HB4398, HB4443, HB4466, HB3861, HB3849, HB4240, HB4706, HB4685, HB5354, HB5141, HB5686, HB3629, HB3554, HB3567, HB2015, HB3575, HB5381, HB1431, HB3514, HB4614, HB4546, HB4683, HB5681, HB5673, HB5663, HB4271, HB4350, HB4035, HB3807, HB3812, HB3552, HB3540, HB3715, HB3710, HB3664, HB4196, HB4233, HB4173, HB1998, HB3333, HB3510, HB4222, HB2070, HB2854, HB2347, HB 113, HB983, HB4847, HB1449, HB3833, HB5151, HB265, HB1845, HB782, HB 108, HB1960, HB158, HB1954, HB1955, HB2512, HB605, HB2581, HB2803, HB627, HB2667, HB1738, HB636, HB3679, HB2638, HB2655, HB871, HB2438, HB 1107, HB1765, HB1822, HB2153, HB4099, HB3732, HB3171, HB3178, HB3182, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2132, HB2658, HB2413, HB2757, HB2080, HB3154, HB3063, HB3009, HB3448, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3946, HB3460, HB3405, HB475, HB3463, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB3335, HB3234, HB3320, HB5573, HB4848, HB4748, HB4769, HB4795, HB2086, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5611, HB5043, HB5064, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB5216, HB2046, HB2188, HB2450, HB2813, HB2857, HB4075, HB2911, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB1886, HB3458, HB5603, HB5620, HB1489, HB4101, HB4990, HB5685, HB4950, HB4980, HB5684, HB3507, HB3566, HB4487, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB 1226, HB2806, HB2617, HB2827, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5577, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR135

Keywords: Medicaid, reimbursement, nursing facilities, ownership change, healthcare policy, mental health, psychiatric beds, inpatient psychiatric treatment, acute psychiatric care, bed availability, bed capacity, hospital reporting, HHSC, Health and Human Services Commission, state hospitals, private mental health facilities, civil commitment, competency restoration, not guilty by reason of insanity, jail diversion

Transcript Highlights:

• rate add-ons and rate cutbacks different rate add-ons and rate cutbacks which<00:07:01.599> again
• So these are rates that are not currently cost-based rates.
• were but um these rates these sud rates were but um these rates these sud rates were mostly<00:19
• rate?
• <00:40:11.040> and mental health rates and sud rates um and mental health rates and sud rates

Bills: HF1005

Keywords: health insurance, medical assistance, behavioral health, reimbursement rates, primary care services, physician fee schedule, managed care, residential services, 1183, house

Transcript Highlights:

• We calculated that rate to be $885, so again, that rate is more than what the benchmark rate would have
• We calculated that rate to be $885, so again, that rate is more than what the benchmark rate would have
• We calculated that rate to be $885, so again, that rate is more than what the benchmark rate would have
• I want to reiterate that the rate study results are the rates reported, the rates that it would take
• rates you know each rate study for each rates you know each rate<00:52:47.200> so<00:52:47.400

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met with a quorum still coming together and first handled roll call and minutes. The main presentation came from the Department for Medicaid Services, with Commissioner Lisa Lee and CFO Steve Beckle giving an overview of Kentucky Medicaid, its federal-state financing structure, and the department’s 1915(c) home- and community-based waiver programs. They explained FMAP funding levels for traditional Medicaid, administration, IT, expansion adults, and CHIP, and noted the size of the program, including more than 600,000 Kentucky children eligible for Medicaid or CHIP, about 485,000 expansion adults, over 69,000 enrolled providers, and $18.5 billion in 2024 expenditures. A major focus was the waiver system, including the acquired brain injury waivers, model waiver, independence waiver, Michelle P. waiver, and Supports for Community Living waiver. The department said these waivers are intended to keep people with physical or developmental disabilities in home and community settings rather than facilities, and that many services are not covered by Medicare or commercial insurance. Officials described participant-directed services, interagency administration, and eligibility rules, including that some waiver programs use the child’s income only rather than family income. They also reported an unduplicated waiver wait list of 13,930 people and said the General Assembly had added waiver slots in the last budget, including 650 ABI slots and 1,275 more to be allocated July 1, 2025. The department also discussed a waiver rate study conducted by Guidehouse, explaining that CMS requires a defensible rate methodology because there is no Medicare or commercial benchmark for many waiver services. They said the study used cost and wage surveys, provider and stakeholder input, and aimed to improve transparency, provider stability, and rate parity. Officials reviewed prior COVID-era Appendix K rate increases and budget-driven increases, and said the budget ultimately funded rates at about 70% of the benchmark study, while preserving higher existing rates where needed so no provider would be cut. They highlighted larger differences in behavioral support and case management rates, and said a public report is available. Members asked several questions about the potential impact of federal FMAP changes, especially possible reductions in the enhanced match for expansion adults and Medicaid IT/admin activities. DMS said any FMAP reduction would require more state general fund dollars, estimating about $75 million for each 1% drop in the expansion match, while impacts on administrative IT funding would depend on the systems being built or implemented in a given year. Members also pressed for clarification on waiver wait-list procedures, funded versus filled slots, and what happens when someone on the wait list is later found ineligible. DMS said people on the wait list may not yet have been assessed, can be reevaluated if conditions change, and are still eligible for regular Medicaid state-plan services if they qualify, even if they are waiting for waiver services.

Transcript Highlights:

• the actuarial contribution rates.
• rates on the prior slide.
• rate column, the PERS employer rate reflects an underlying minimum rate of 4.6%.
• We saw that for PERS, where the combination of the minimum rate... ...2027–2029 biennium rates.
• This would invite a motion to adopt the rates. I make a motion to adopt the rates. Thank you.

Summary: The Pension Funding Council met on June 23, 2026, for a work session that began with an overview of the Higher Education Supplemental Retirement Plan (SRP) and a 2025 accounting valuation of that plan. Staff explained that the SRP is a closed defined benefit supplement for higher education employees hired before the 2011 closure, with employer contributions currently pre-funding benefits in institution-specific trusts while institutions still pay benefits on a pay-as-you-go basis. The State Actuary’s office reported that the plan’s accounting position has improved, with combined market assets of about $245 million against $377 million in accrued liability, and that strong market performance since 2022 has increased the asset-to-liability ratio. The office emphasized that this was an educational accounting valuation, not a funding valuation for rate-setting. The council then received the 2025 actuarial valuation report for the state retirement systems. Actuaries reviewed the recent demographic experience study, noting updated assumptions for mortality, retirement, termination, and salary growth, and said the net impact on most plans was small. They reported that most plans’ funded ratios improved, with all plans at least 94% funded and several at or above 100%, and that contribution rates for the 2027–2029 biennium are generally lower than current rates. They also noted that future rates could be affected by market volatility as deferred gains are recognized over the next few years. During public comment, a representative of the Association of Washington Cities urged the council to consider rate reductions to help local governments facing budget pressures. In executive session, the council first approved a motion directing the Office of the State Actuary to perform an actuarial evaluation and analysis of each institution’s Higher Education Supplemental Retirement Plan, including institution-specific contribution rates, asset sufficiency, and funding policy options, due by July 1, 2028. The council then adopted the 2027–2029 pension contribution rates based on the 2025 actuarial valuation report. Both motions passed 5-0, with one member excused. The meeting concluded with no further business.

Transcript Highlights:

• , and gave future rate-setting authority to the Pension Funding Council. ...and gave future rate-setting
• rates on the prior slide.
• rate column, the PERS employer rate reflects an underlying minimum rate of 4.6%.
• We saw that for PERS, where the combination of the minimum rate... ...2027-29 biennium rates.
• This would invite a motion to adopt the rates. I make a motion to adopt the rates. Thank you.

Keywords: 904, all

Transcript Highlights:

• That kicks off our rate-setting process. So 2025 is the basis for 2027 rates.
• for 2027 rates.
• for 2027 rates.
• year 2027 rates.
• So for 2027 rates, OHA is moving to release the rate model on August 12th to provide 21 2027 rates.

Keywords: 907, all

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• When it comes to recurring rates, most jurisdictions adopt a rate formula to set a cap.
• We publish the rate, give them the rate which is $12.50 is what we charge. OK, OK.
• rate of return.
• With the PUC to raise rates, then we were raising rates and I'm not exaggerating.
• where a rate may not exceed either the existing pole attachment rate.

Transcript Highlights:

• Any questions on the rates, committee? Any questions on the rates, committee?
• How do you establish a rate, a leave day rate that might be different than the full rate?
• It's different than the flat rate. It's a little more complicated than the flat rate.
• We work on their rates in December for a January 1 rate year. And just, Mr.
• One flat rate would be preferable if you're going to do a flat rate. One flat rate.

Keywords: 908, all

Summary: The committee first took up Senate Bill 2399, concerning therapeutic leave days for psychiatric residential treatment facilities (PRTFs). Sarah Aker from the Department of Health and Human Services explained the current Medicaid rate-setting methodology, how occupancy affects rates, and why paying the full rate for leave days would create additional fiscal impact. Members debated whether the bill should pay the full Medicaid rate, a flat reduced rate, or a tiered rate, and discussed whether a cap or department authorization should be used to control use of leave days. The department said it was not supporting the change as it was not in the governor’s budget, though it supported family engagement in care. After discussion, the committee settled on a compromise motion to set therapeutic leave days at a $500 daily rate and require department authorization of the number of leave days. The motion passed 6-2, with Representative Anderson voting no and the rest of the recorded members voting yes. The committee then moved on to Department of Corrections and Rehabilitation budget materials, where Michelle Zander walked through detailed population and rate calculations for women’s and men’s facilities, county holds, deferred admissions, transitional facilities, work release, and proposed reentry, man camp, and Grand Forks-related costs. Members asked about the county jail reimbursement rates and the overall pool of funds, and Zander explained the calculations and noted the proposal was roughly break-even depending on assumptions. The committee also heard an overview of DOCR IT requests from Amy and NDIT staff, including data processing, medical modules, a new client management system, body scanners, data management tools, facility management software, medical software upgrades, college solutions, and body cameras/tasers. Staff explained that the new client management system would likely be a multi-phase project with a wide cost range based on vendor selection and scope, and that the current request was for phase one. Members emphasized the importance of better data tracking, staff safety tools, and information that could help explain programming and release outcomes to the public. The committee planned to continue with Veterans Affairs the next day and then return to Senate Bill 2015.

Transcript Highlights:

• On the rate issue, I'm happy to address that. We're using a blended rate.
• We don't have that many, and our rates are way below the FCC rate.
• No attacher actually has used that rate; they've negotiated a different rate.
• As far as the FCC rate being a good enough rate for the IOUs, remember, values have a guaranteed rate
• Support this rate anymore.

Bills: HB3445, HB3448

Keywords: telecommunications, electric cooperative, rights-of-way, infrastructure, provider access, right-of-way, pole attachment, regulatory access, 1184, house, all

Transcript Highlights:

• than 10% from a previously filed rate.
• than 10% from previously filed rate.
• Right now, it's a process where they get to file the rates, use those rates, and then they are scrutinized
• And yes, rates have continued to go up, but just because rates are going up does not mean that the system
• rates for their policies.

Summary: The committee first took up several bills and voted them out favorably without amendment: SB 2857, relating to prescription drug purchasing proof for certain health benefit plan issuers and employers; SB 1307, relating to the biennial health coverage reference guide; and SB 527, relating to health benefit coverage for general anesthesia for certain pediatric dental services. Each of those motions passed on a 7-0 roll call. The main discussion centered on SB 1643, which would require prior approval from the Texas Department of Insurance for property and casualty rate changes above 10% from a previously filed rate. The chair framed it as a response to rate volatility and rising homeowners and auto premiums, while several members questioned whether it would slow a market that is already stabilizing and could encourage insurers to file repeated increases just under the threshold. Witnesses from consumer groups supported tighter oversight and argued for a lower threshold, while insurance industry representatives opposed the bill, saying Texas’s file-and-use system and competitive market work better and that the proposal could increase costs or create uncertainty. After testimony, SB 1643 was left pending. The committee then heard SB 1642, which would replace the single Texas Department of Insurance commissioner with a three-commissioner structure and an executive director. Supporters said it could improve accountability and transparency, while opponents argued the current single-commissioner model is more efficient and avoids confusion and added cost. Witnesses also raised concerns about open meetings issues, administrative expense, and the lack of a clear model from other states. SB 1642 was also left pending. Finally, the committee heard SB 2530, the Texas Windstorm Insurance Association omnibus bill. The bill would make a number of changes to TWIA’s governance and finances, including exempting TWIA from certain taxes, moving its headquarters to a coastal county, changing board composition and voting rules, and lowering the probable maximum loss standard from 1-in-100 to 1-in-50. Supporters said the bill would strengthen TWIA’s reserve funding and improve local relevance, while opponents warned it could increase assessments, reduce reinsurance protection, and create operational risks by relocating the headquarters to the coast. The bill was left pending, and the committee then adjourned.

Transcript Highlights:

• So, my question is: if you don't know the rates for National Grid, then how do you say that the rates
• Most people have no idea what a good rate is or what is not a good rate.
• service rate.
• rate-making study.
• pump rates across the utilities.

Keywords: 995, all

Summary: The committee heard testimony on several energy-related bills, with the main focus on H. 3534/S. 2255, which would ban or sharply restrict residential third-party electric suppliers, and on related reform proposals. Supporters included the Attorney General’s office, municipal and regional planning officials, environmental justice groups, consumer advocates, and city officials from Boston and Chelsea. They argued that the residential competitive supply market has produced higher bills, deceptive sales tactics, auto-renewals into higher rates, and disproportionate harm to low-income residents, seniors, communities of color, and people with limited English. Witnesses cited AG reports estimating hundreds of millions of dollars in overcharges over time, described door-to-door and storefront marketing abuses, and said municipal aggregation programs have saved residents money while offering more stable rates. Several supporters said the Legislature should either ban residential competitive supply or adopt strong guardrails such as ending automatic renewals, banning incentive-based commissions, and capping rates relative to basic service. Opponents or industry representatives from the Retail Energy Advancement League, Vistra, and Constellation argued that the market can provide savings, longer-term price stability, and value-added products such as renewable options and time-of-use offerings. They said Massachusetts has already improved consumer protections through DPU proceedings, that complaints are relatively few compared with the size of the market, and that a ban would eliminate consumer choice. They also defended direct sales and commissions as normal features of a retail market, while saying they would support additional protections, licensing, bonding, and stronger oversight of bad actors. Committee members pressed both sides on whether the market truly saves money, whether automatic renewals should be banned, and whether the AG’s proposed reforms would be enough. The committee also heard testimony on H. 3972, a bill to extend utility shutoff protections during extreme heat, with Rep. Mindy Domb arguing that Massachusetts should treat extreme heat like extreme cold and protect customers facing financial hardship. Rep. Barrett also testified for H. 3450, a municipal broadband/right-of-way bill, arguing that communities need easier and cheaper access to utility poles and public rights of way to build municipal broadband. In addition, Senate Majority Leader Creem testified for S. 2239, which would bar utilities from recovering ratepayer funds for lobbying, promotions, trade association dues, and similar expenses. No votes were taken during the hearing.

Transcript Highlights:

• , RATE PAYERS, AND 61.6% HIGHER THAN THE NATIONAL AVERAGE AMONG RATE PAYER WHICH IS SEEMS TO CONTRADICT
• It was about the rate cases, so utility companies come forward to the P.S.C. and they bring a rate case
• And that would assume that a formal rate case is happening in this four-month cycle, and when a rate
• That keeps our rates down.
• That keeps our rates down.

Keywords: 993, senate, all

Summary: The Senate convened, approved the prior journal, and then took up a series of utility and public service bills and resolutions. A resolution sponsored by Senator Scarcella-Spanton designating April 9, 2026, as Yellow Ribbon Day was adopted after remarks honoring veterans, active-duty service members, and their families. The chamber then moved through several Public Service Law measures focused on utility affordability, consumer protections, and PSC procedures, with some bills laid aside and others advanced. Among the bills passed were measures by Senators Mayer, Cleare, Hinchey, Comrie, and Parker. Debate on the Mayer bill centered on limiting utility expenses and fees recoverable in rate cases; supporters said it was part of a broader package to reform PSC practices, while opponents argued it would not lower current bills and had been softened from earlier versions. The Webb bill creating a residential utility usage monitoring program drew extended debate over whether it would meaningfully reduce costs, who would pay for the program, and whether it could lead to government monitoring of household usage; supporters said it would give consumers more control and transparency, while critics said it would not lower rates. The Gonzalez bill, which would add consumer protections during PSC investigations and delay shutoffs in certain circumstances, also passed after questions about whether it applied to rate cases, with the sponsor saying rate cases were explicitly excluded. Several members explained their votes, with supporters emphasizing affordability, transparency, and consumer protection, and opponents arguing the package would not address immediate rate relief and could burden ratepayers or encourage nonpayment. Senator Tedisco and others criticized PSC appointments and state energy policy, while Democratic sponsors argued the bills were part of a longer-term effort to reform utility regulation and address climate and affordability concerns. The chamber restored multiple bills to the non-controversial calendar before final votes, and the recorded results showed passage of the major utility bills by substantial margins, along with one amendment appeal being ruled nongermane and rejected.

Transcript Highlights:

• HOURLY RATE?
• THE RATES ARE STANDARDIZED.
• THE RATES?
• WHEN YOU FACTOR IN THE RATES? WHEN YOU LOOK AT THE RATES?
• AND DOES THIS RATE DO THAT?

Transcript Highlights:

• <00:03:02.400> in in 2024 auto insurance rates in in 2024 auto insurance rates in Minnesota
• used by insurance companies to set rates used by insurance companies to set rates determine<00:04
• So since that about 10% uninsured driving rate, we have seen an incredible increase in those rates that
• disproportionately these higher rates disproportionately these higher rates are<00:18:46.760>
• pay it off quickly which means her rate pay it off quickly which means her rate of<00:19:38.720>

Keywords: 1183, house

Transcript Highlights:

• <00:04:31.440> that now the low ma reimbursement rates that now the low ma reimbursement rates
• and behavioral health home rates to the DHS study calculation, as these rates do not have an equivalent
• equivalent as well as increases rates equivalent as well as increases rates for<00:08:36.120>
• > almost<00:08:56.000> all rate increases impact almost all rate increases impact almost
• health reimbursement rate.

Keywords: 919, house, all

Summary: House File 105 was presented by Representatives Beerman and Baker and then laid over for possible inclusion in a future omnibus bill. The bill would implement the remaining mental health and physician service recommendations from DHS’s rate study, including raising certain Medicaid reimbursement rates to at least 100% of Medicare where a Medicare equivalent exists, increasing community-based children’s and adult mental health rates and behavioral health home rates, and phasing in additional increases over three years. The authors said the proposal also addresses master’s-level clinician reimbursement and fee-for-service hospital inpatient mental health services, and they emphasized that the changes are intended to improve access, transparency, and provider stability. Both authors argued that low MA reimbursement rates are driving access problems across Minnesota, especially for children, families, and rural communities. They said providers are struggling to hire and retain staff, clinics are closing or shrinking, and patients are facing long waits, boarding in hospitals, or delayed care. Representative Baker said the issue is personal and described the bill as a phased, long-term approach because of state budget limits and the size of the cost, which he said is in the hundreds of millions but still awaiting a fiscal note. Public testimony was strongly supportive overall. A family physician said higher rates would improve access, keep clinics open, and help patients avoid emergency care, while a Children’s Minnesota mental health leader described more than 1,200 pediatric boarding episodes in 2024 and said outpatient investment is needed to reduce pressure on emergency and inpatient services. A rural provider said her organization had to close an in-home children’s mental health program because of insufficient reimbursement, harming access in underserved counties. A psychologist testifying for the Minnesota Psychological Association supported the bill’s general direction but objected to repealing the pay differential for doctoral-level psychologists, arguing that doctoral training is more extensive and that eliminating the differential could worsen workforce shortages. After testimony and member questions about the bill’s scope and cost, public testimony was closed and the bill was laid over.

Transcript Highlights:

• Residential rates, compared to 2023, increased by 4.5 percent in 2024, while residential rates only saw
• been for a rate payer.
• Bolduc:** Windstorm rates are determined by our board of directors, and any increase in rates must be
• Or if they've charged anybody in that time frame, if the rate—not all rates immediately go in.
• If the rate, so not all rates immediately go in. Into effect.

Keywords: 1185, senate, all

Transcript Highlights:

• THE NEXT SLIDE WILL HAVE INFORMATION ON THOSE RATES.
• RATE WE WOULD SHOW FOR THIS MARKET.
• HIKES, I SAW ONE RATE HIKE OVER 51% AND SOME OVER 40%.
• Cassel: GOING BACK TO SLIDE 10 TALKING ABOUT THE RATES WE KNOW THE APPROVAL RATES ARE FOR THE COMING
• WELL WE SEE A DECREASE IN THE RATES? LONGER REASONABLE. WELL WE SEE A DECREASE IN THE RATES?

Transcript Highlights:

• growth rate. growth rate.
• It's a slower growth rate than the nation's rate of 6%.
• > unemployment rate, the women's unemployment rate, the women's unemployment<00:14:19.199> rate
• rate.
• rates.

Keywords: 1183, house

Transcript Highlights:

• State Ratings for Fitch Ratings, and I think Mr. Kim is via Zoom. Yes, I am. Oh, there you are.
• My name is Eric Ben—I am an analyst at Fitch Ratings. I manage the rating stream.
• rating that process happens in a rating rating that process happens in a rating committee<00:12:
• <00:13:04.959> and rating is we publish that rating and rating is we publish that rating and
• <00:13:52.320> for<00:13:52.560> US ratings data our average rating for US ratings

Keywords: 1187, senate, all