Video & Transcript Research : 'premium structure'

Page 51 of 482
HI
Transcript Highlights:
  • <01:35:36.960> impacting<01:35:37.400> all lead to increased premiums impacting all
  • lead to increased premiums impacting all Health<01:35:37.880> Plan<01:35:38.119> members
  • <01:38:16.320> um<01:38:16.480> for floor directly increases premiums um for floor
  • directly increases premiums um for healthcare<01:38:17.080> companies<01:38:18.000> and
  • regulations around pbms the premiums regulations around pbms the premiums actually<01:38:22.960>
Keywords: 910, house, all
Summary: The committee first took up SB 1494 on hearing aids. Testimony was generally supportive of expanding hearing-aid coverage, with the Insurance Division raising concern about possible federal defrayment issues, SHPDA supporting the goal of hearing augmentation, DCAB strongly supporting the bill as an important access issue, and health plans and insurers asking for amendments. Kaiser Permanente and the Hawaii Association of Health Plans requested changes to add a medical-necessity standard and clarify annual notice language, while HMSA suggested the proposal should be studied by the auditor. The chair noted concerns about federal preemption and the lack of an audit, and deferred the bill in favor of a related resolution calling for a study. The committee then heard SB 1448, an emergency appropriation for the Hawaii State Hospital. DAGS and the Department of Health supported the measure, with the hospital administrator saying the funding would improve the environment of care, support cleaning, and allow a third-party review of the building. Committee members questioned the size of the request and the status of litigation against the design-builder. Administration witnesses said they were pursuing a comprehensive study involving destructive testing, had made a demand on the design-builder to fund the study, and were using different processes than before. They also said the roof work would be handled through a separate CIP request. No final action was taken in the portion provided. The committee next heard SB 1432, relating to the future responsibilities of the Department of Health and land issues at Kalaupapa after the last patient dies. DOH supported the bill in part but said its long-term role would be limited mainly to environmental cleanup, with operations expected to continue under the National Park Service and land-use decisions left to DHHL and beneficiary consultation. DHHL asked that the measure reflect that any land-use or zoning changes on homeland lands require commission approval and beneficiary consultation. Testifiers from Kalaupapa and Maui County, including Degra Vanderbilt-Papa and Council Member Keani Rollins-Fernandez, supported deferring the bill, saying there had been no meaningful community discussion about provisions affecting Kalaupapa’s future management and possible transfer of responsibilities to Maui County. The committee also read into the record written testimony from Gloria Marks emphasizing that Kalaupapa stakeholders must be included in future discussions. Finally, the committee heard SB 955 on fitness-to-proceed examinations. The Judiciary and the Public Defender’s Office both supported raising pay and standardizing expectations for private examiners, but opposed reducing felony fitness evaluations from three examiners to one and opposed expanding use of expedited reports. They argued that a single examiner would reduce reliability, create a more adversarial process, and likely increase costs and contested hearings, while expedited reports do not contain enough information for a proper fitness determination. The Department of Health also supported the bill’s intent but asked to preserve a three-examiner framework and said the goal was to reduce the number of people sent to the State Hospital, where admissions have reportedly risen about 20% year over year since Act 26. The bill remained under discussion in the excerpt, with no final vote shown.
TX
Transcript Highlights:
  • One, the state pays a premium. We're completely at risk.
  • The HHSC has actuaries, independent actuaries that set our premiums.
  • As for premium setting, the speaker said that is all done by actuaries.
  • But as far as like the premium setting, that's all actuaries.
  • You've got to change the structure. ...achieve real savings.
Keywords: 1185, senate, all
NH

New Hampshire 2025 Regular Session

Senate Health and Human Services (04/16/2025)

Health and Human Services

Transcript Highlights:
  • These are costs that should be covered by insurance premiums, not local tax dollars.
  • Some may say that raising reimbursement levels will drive up insurance premiums to unsustainable levels
  • <00:31:43.039> I<00:31:43.360> wish premium dollar that they collect.
  • I wish premium dollar that they collect.
  • are under threat already from structural are under threat already from structural problems<01:43
Keywords: 1191, senate, all
NH

New Hampshire 2026 Regular Session

Senate Health and Human Services (02/11/2026)

Health and Human Services

Transcript Highlights:
  • The current structural and financing arrangements under which this program operates is placing strain
  • The current structural and this bill.
  • 01.679> emerge Should the assessment structure emerge Should the assessment structure emerge as
  • We're going to be hearing about increased premiums, increased costs.
  • increased premiums, increased costs. increased premiums, increased costs.
Keywords: 1191, senate, all
CA

California 2025-2026 Regular Session

Senate Business, Professions and Economic Development Committee Jun 15th, 2026

Business, Professions and Economic Development

Transcript Highlights:
  • first make a medical diagnosis, somatic dysfunction, a specific clinical finding involving altered structure
  • license applicants must have already done the following: submitted a license application to the Structural
  • We agree with the opposition that doctor autonomy is critical, and existing law is structured such that
  • This would include a studio offering three or more premium amenities, including digital platform services
  • This bill simply seeks to adjust the statute to account for the realities of providing a premium fitness
Keywords: 987, senate, all
Summary: The committee heard several health, professional licensing, consumer protection, and animal welfare bills. Early items included AB 1307, which would create a pilot program allowing up to 30 qualified dentists from Mexico to work in underserved California areas; the California Dental Association moved from opposition to neutral after amendments, and members discussed access to care and oversight. AB 1703 would restrict use of osteopathic titles and the practice of osteopathic manipulative treatment to licensed DOs; it drew strong support from the Osteopathic Medical Board and physician groups, but non-physician osteopaths opposed it, arguing they have long provided safe care and that the bill would criminalize their work. AB 2250 made technical cleanup changes to hemp enforcement laws and AB 1758 raised the seller-of-travel assessment for the Travel Consumer Restitution Fund; both had support and no opposition. AB 1794 would allow prescribed enteral formula to be shipped directly to patients’ homes, and AB 1939 would allow licensed professional fiduciaries to form corporations, both with support and no opposition. AB 1775 would expand expedited licensing and other state support for service members discharged under a federal transgender military policy; it received emotional support testimony and some committee concern about expanding priority categories, but no opposition. AB 2477 would create a limited provisional period for new pest control employees to work under supervision while licensing is pending, and members discussed amendments and oversight before moving it forward. AB 1999 would modernize veterinary law by creating shelter-veterinarian and retired-volunteer pathways, changing VCPR rules, and narrowing the owner exemption for surgery; it was strongly supported by veterinary and animal welfare groups, with some discussion of autonomy and implementation. AB 2010 would permit high-quality, high-volume spay/neuter clinics and mobile sterilization units without a separate surgical suite; the Veterinary Medical Board opposed unless amended, while animal welfare groups supported it, and members emphasized the need for safety and clarity. AB 2311 would let public health care district hospitals directly employ physicians, with amendments intended to protect physician autonomy; CMA remained opposed unless amended, while district hospitals and other supporters said it would improve recruitment and access. The committee also heard AB 2402, which would update the definition and fee structure for multi-service health club studios, but the discussion was cut off in the transcript. After quorum was established, the committee voted to pass several bills out on call, including AB 1307, AB 1598 consent, AB 1703, AB 1758, AB 1775, AB 1794, AB 1939, AB 1999, AB 2010, AB 2250, AB 2311, and AB 2477, sending them to the appropriate fiscal or policy committees, with some recorded no votes on a few measures.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 3/11/26

Human Services Finance and Policy

Transcript Highlights:
  • ACA gap or the marketplace, we're seeing similar trends in terms of average growth in health care premiums
  • sea gap or the marketplace for seeing similar trends in terms of average growth in health care, premiums
  • We don't have bonus structures.
  • We don't have bonus structures. We don't have things that keep our employees working for us.
  • We navigated through huge disruption, the huge structural COVID, and addressed challenges in arbitrary
Keywords: 1183, house
NM

New Mexico 2025 Regular Session

Senate - Finance Feb 4th, 2025

Senate Finance

Transcript Highlights:
  • This is for medical professional liability insurance premium reduction.
  • They have faced a structural deficit in their facilities program for quite a while, and they're trying
  • This would fund an increase in their GSD risk management premium, sort of in a special way, to continue
  • Mentioning a few minutes ago about the Department of Health Facilities Division, which, again, has structural
  • I think the rest of us kind of know, unless new members want to go over and do the structure.
TX

Texas 89th Regular

89th Legislative Session May 15th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • My last question, is it true that if utility proposals on capital structure had been adopted...?
  • Through not one executive or a traditional structure, but for the whole collective of the organization
  • This happened in my district in May of 2023 at the tragic Allen Premium Outlet shooting, where I lost
  • Now that structure... ...will be transferred to DSHS; is that my understanding? Yeah, that's right.
  • When you said that it's going to reduce premiums, all right, I think I understand what you're asking
Bills: HB75, HB188, HB199, HB4029, HB330, HB507, HB524, HB1517, HB 1065, HB1375, HB1630, HB1398, HB 1227, HB689, HB1814, HB2160, HB2140, HB4897, HB5600, HB5489, HB4188, HB2881, HB2048, HB3900, HB4074, HB5568, HB5528, HB3811, HB3726, HB3382, HB4507, HB4775, HB3626, HB3569, HB5212, HB5248, HB5178, HB3453, HB3231, HB3941, HB1571, HB1969, HB1865, HB2879, HB2643, HB4799, HB4891, HB5567, HB5549, HB5187, HB5118, HB3191, HB1730, HB1687, HB2192, HB4511, HB4805, HB1863, HB3195, HB3199, HB5562, HB5551, HB5169, HB3290, HB3712, HB3996, HB5098, HB5097, HB5089, HB3897, HB3868, HB3829, HB4840, HB3753, HB4368, HB4142, HB2841, HB3457, HB3784, HCR46, HCR109, HCR10, SB1844, SB1833, SB2284, SB2052, SB1666, SB1265, SB1146, SB1921, SB480, SB1734, SB296, SB2039, SB462, SB1646, SB2173, SB2925, SB682, SB1173, HB4535, HB4520, HB3824, HB3066, HB2442, HB3863, HB4773, HB4327, HB5115, HB5515, HB3372, HB5659, HB 127, HB386, HB 115, HB2868, HB 1249, HB4766, HB3720, HB4879, HB5383, HB4621, HB5431, HB5678, HB5534, HB4212, HB3954, HB3966, HB3918, HB1422, HB4765, HB4732, HB4742, HB4518, HB5084, HB3986, HB4144, HB3976, HB4473, HB3425, HB3641, HB3642, HB3475, HB3424, HB4744, HB4539, HB3159, HB5228, HB5370, HB4359, HB4443, HB4466, HB3849, HB4240, HB5141, HB5686, HB3629, HB3554, HB3567, HB2015, HB3575, HB5381, HB4398, HB3514, HB4614, HB4546, HB5681, HB5663, HB4271, HB4350, HB4035, HB3812, HB3540, HB3715, HB3664, HB4233, HB3333, HB3510, HB4222, HB2070, HB2854, HB2347, HB 113, HJR218, HB5623, HB4921, HB5673, HB5520, HB 105, HB4685, HB5354, HB4683, HB75, 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, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB2301, HB3335, HB3234, HB3320, HB5573, HB5573, HB4848, HB4848, HB4748, HB4769, HB4795, HB2086, HB2086, HB2234, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5561, HB5611, HB5043, HB5064, HB5064, HB3733, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB1342, HB5216, HB2046, HB2046, HB2188, HB2188, HB2450, HB2813, HB2857, HB4075, HB4075, HB2911, HB4682, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB2288, HB1886, HB3458, HB3458, HB5603, HB5620, HB1489, HB1489, HB4101, HB4990, HB5685, HB5685, HB4950, HB4950, HB4980, HB5684, HB3507, HB3507, HB3566, HB4487, HB4487, HB4462, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB 1226, HB 1226, HB2806, HB2806, HB2617, HB2617, HB2827, HB3948, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5545, HB5577, HB5577, HB31, HB31, HB279, HB370, HB370, HB4768, HB513, HB875, HB982, HB 1085, HB 1085, HB2677, HB2874, HB5478, HB4880, HB4798, HB4514, HB4958, HB4958, HB4508, HB4508, HB3758, HB3830, HB3744, HB3622, HB741, HB741, HB2204, HB2204, HB2860, HB4659, HB4578, HB813, HB712, HB712, HB1551, HB2790, HB2698, HB3365, HB3504, HB3118, HB3118, HB2959, HB1862, HB1862, HB 1026, HB4401, HB4401, HB4164, HB4164, HB3920, HB4737, HB4966, HB4966, HB4967, HB1958, HB4979, HB4979, HB5459, HB3862, HB1823, HB1823, HB4415, HB4893, HB2343, HB 1228, HB4337, HB188, HB199, HB4029, HB330, HB507, HB524, HB1517, HB 1065, HB1375, HB1630, HB1398, HB 1227, HB689, HB689, HB1814, HB2160, HB2140, HB4897, HB5600, HB5489, HB4188, HB2881, HB2048, HB3900, HB4074, HB5568, HB5528, HB3811, HB3726, HB3382, HB3382, HB4507, HB4775, HB3626, HB3569, HB5212, HB5248, HB5178, HB3453, HB3231, HB3941, HB1571, HB1969, HB1865, HB2879, HB2879, HB2643, HB4799, HB4891, HB5567, HB5549, HB5187, HB5118, HB3191, HB1730, HB1687, HB1687, HB2192, HB4511, HB4805, HB4805, HB1863, HB3195, HB3199, HB5562, HB5562, HB5551, HB5169, HB3290, HB3712, HB3996, HB5098, HB5098, HB5097, HB5089, HB5089, HB3897, HB3868, HB3829, HB4840, HB3753, HB4368, HB4142, HB2841, HB3457, HB3784, HCR76, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR59, HCR135, HCR141, HCR46, HCR46, HCR109, HCR10
CA
Transcript Highlights:
  • but in regards to goal number three, which is unifying funding, and that work is the single rate structure
  • It was very structured, and it even helped with our routine at home.
  • In order to staff these hours, providers often have to pay their assistants a premium price to ensure
  • In order to staff these hours, providers often have to pay their assistants a premium price to ensure
  • As soon as possible, which includes putting key structural components into the law, like the federal
Summary: The joint hearing focused on California’s child care, preschool, and transitional kindergarten oversight, with chairs emphasizing the state’s Master Plan for Early Learning and Care and the need to break down silos between programs. CDSS and CDE reported progress toward the plan’s goals, including universal access to TK for all four-year-olds next school year, expanded access for low-income three-year-olds, and more children with disabilities being served in state preschool. They also noted ongoing work on quality rating/review reform, funding structure changes, and the need to address rates, workforce shortages, and federal uncertainty around Head Start. Testimony from advocacy groups and providers largely supported expanding access while simplifying the system. Children Now, Every Child California, and the California Budget and Policy Center argued that California still has uneven access, especially for infants, toddlers, and three-year-olds, and urged investments in mixed delivery, inclusion, full-day options, and a cost-of-care rate methodology. Every Child California recommended consolidating part-day and full-day contracts, streamlining eligibility priorities, making the two-year-old option permanent, and funding staffing incentives. Parent testimony highlighted how child care gaps and county-to-county transfer delays can disrupt work, safety, and children’s stability, and providers described low reimbursement rates, the need for health and retirement benefits, and support for delinking subsidy rates from private pay. The second panel addressed universal transitional kindergarten. The Learning Policy Institute reported rapid TK expansion, with most districts now offering TK, but said access still depends on facilities, staffing, and whether programs are available at all school sites. The Department of Finance said the governor’s budget would fully implement TK by adding funding for all eligible four-year-olds and lowering the adult-to-child ratio from 12:1 to 10:1. The Legislative Analyst’s Office said the administration’s enrollment and cost assumptions were optimistic and estimated lower TK enrollment growth and lower costs for the ratio change. CDE supported the expansion and urged continued funding for UPK coordinators, teacher development, and mixed-delivery planning grants. Members questioned facilities shortages, staffing competition, and how to ensure TK expansion does not displace CSPP or Head Start classrooms. No formal votes or actions were taken in the hearing.
KY
Transcript Highlights:
  • Scott Baker: This contract is not just the architect, but it's also the structural engineers, MEP, you
  • And another issue with this is when you do that, they got to pay premium rates through all these different
  • And another issue with this is when you do that, they got to pay premium rates through all these different
  • And another issue with this is when you do that, they got to pay premium rates through all these different
  • <00:48:42.040> rates do that they got to pay premium rates do that they got to pay premium
Keywords: 958, all
Summary: The committee approved the January 14 minutes and then considered a large agenda of contracts, including personal services contracts, amendments, memoranda of agreement, and Kentucky Entertainment Incentive Program items. The chair noted the agenda contained 240 items and emphasized the need for transparency in how contract approvals work. Several items were pulled for questions, while the rest were approved without objection. The first major discussion involved seven contingency-fee contracts for the Attorney General’s office. Committee members asked about the apparent $20 million maximum per contract, and staff explained that the amount was a ceiling, not a guarantee, and that under the statutory waterfall in KRS 45A.717 a $20 million fee would require roughly $355 million returned to the Commonwealth. Staff also said the new batch included some new firms, that these contracts are being handled in 6- to 12-month batches, and that no money had yet been spent from the prior cycle. The committee then approved those contracts. Members also questioned a Cabinet for Health and Family Services training contract, which officials said was needed because Finance provides only Kentucky-specific training, while the outside vendor offers broader procurement and federal-funds training; the committee approved that item. A University of Kentucky capital project contract for the State Capitol exterior renovation was approved after questions about the open-ended date, total project cost, and expected completion, with staff saying the overall project is projected for substantial completion by the end of 2026 and final warranty work could extend into 2027. A DCBS amendment for SSI eligibility determinations for children in out-of-home care was explained as an increase caused by a protest, a reissued RFP, and more children entering care; the committee approved it after discussion of the protest and scoring details. The committee also approved a Transportation Cabinet amendment for an I-71 widening and interchange project in Oldham County after staff explained it was a time extension with no additional funds, though the project had evolved due to traffic changes and now includes an eight-lane bridge design. Finally, the committee discussed two Finance Cabinet facilities and support services amendments tied to the Capitol renovation and juvenile justice facility retrofits. Staff said the Capitol project contract covered the full design team, with completion projected around 2029, while the juvenile justice amendments covered additional design work for McCracken and Breathitt facilities, with final bid documents expected in June or July and construction anticipated to begin in the latter half of 2025. Both items were approved.
NM

New Mexico 2025 Regular Session

IC - Land Grant Aug 14th, 2025

House Rural Development, Land Grants And Cultural Affairs

Transcript Highlights:
  • Structure that's required in order to re-establish that farm.
  • it's going to happen at some point that we'll have some significant flooding there, and we need structures
  • I haven't really figured out how that would work, but we have this structure in place, and I think we
  • And it's structured, Madam Chair, similar to what we already have in the books.
  • Holy Cross paid over $10 million in premiums in the last three years.
NH

New Hampshire 2025 Regular Session

Senate Session (03/20/2025)

New Hampshire Senate Floor Meeting

Transcript Highlights:
  • because their health status is worse, and we know this from the carriers that will make commercial premiums
  • <02:16:50.439> rise make commercial premiums rise make commercial premiums rise so<02:16:52.160
  • the construction and operation of the construction and operation of stationary<02:39:51.000> structures
  • <02:39:52.000> infrastructure<02:39:52.680> or stationary structures infrastructure
  • or stationary structures infrastructure or facilities<02:39:53.920> must<02:39:54.359> by<
Keywords: 1191, senate, all
DE

Delaware 2025-2026 Regular Session

Senate Environment, Energy & Transportation Committee Meeting Jun 23rd, 2026

Environment, Energy & Transportation

Transcript Highlights:
  • He also said the bill strengthens enforcement by establishing a clear penalty structure with escalating
  • of six months, increased by the amendment to also allow for a $500 fine and a 60-day impoundment structure
  • It also strengthens enforcement by establishing a clear penalty structure with escalating consequences
  • The problem is with batteries: unless the state's involved to pay a premium to merchant developers, .
  • ..unless the state's involved to pay a premium to merchant developers, they won't build them.
Summary: The committee heard several bills focused on energy, public safety, and environmental cleanup. House Bill 455 would create a historic preservation license plate to raise funds and awareness for Delaware preservation efforts, and House Bill 471 would tighten rules and penalties for off-highway vehicles on shared private roads, with golf carts excluded. House Substitute No. 1 for House Bill 439, the Truth in E-Bike Marketing Act, would require clearer disclosures when selling electric mopeds and electric motorcycles so consumers understand classification, power, and licensing/insurance requirements. House Substitute No. 1 for House Bill 407, related to the Hazardous Substance Cleanup Act and brownfields, would shift funding for brownfield cleanup from the original realty transfer tax approach to a dedicated share of the hazardous substance cleanup fund and raise civil penalties for fraudulent acts. The committee also approved the June 18, 2026 minutes once quorum was reached. Most of the meeting centered on House Substitute No. 1 for House Bill 233, as amended, a large-load/data center bill intended to protect ratepayers from costs tied to massive new electricity users. The sponsor and Public Advocate said PJM’s warnings about a coming reliability backstop auction made it urgent to establish a Delaware framework now, requiring large energy users to sign utility agreements, cover their share of transmission, distribution, and capacity costs, and comply with curtailment and other protections. Supporters from environmental groups and some labor and business voices said the bill was needed to prevent cost shifts to households and small businesses, while opponents argued it was being rushed, could deter investment, and might unintentionally affect other industries; several asked for more time and clearer definitions. No vote was taken in the portion provided. The committee also took up House Bill 470, which would authorize Delmarva Power, with PSC approval, to build and operate utility-owned battery storage and spread costs across the customer base. The sponsor and Delmarva said the bill would improve reliability quickly and help avoid outages, while the chair expressed concern that the state had not yet fully studied whether utility-owned or competitively procured storage is the best model, noting a recent SEU storage study and broader policy questions. Supporters said utility storage could be deployed faster and help with peak shaving, while others urged a competitive process; the transcript cuts off before any final action on HB 470.
MN

Minnesota 2025 1st Special Session

Committee on Capital Investment - 01/21/25

Capital Investment

Transcript Highlights:
  • When we get higher premium, we can sell fewer bonds, but when interest rates go up, we get less premium
  • When we get higher premium, we can sell fewer bonds, but when interest rates go up, we get less premium
  • When we get higher premium, we can sell fewer bonds, but when interest rates go up, we get less premium
  • Lower premium from our bond holders so Lower premium from our bond holders so it's<01:18:28.080> additional
  • <01:18:36.239> we projects when we get higher premium we projects when we get higher premium
Keywords: 1187, senate, all
Summary: The Committee on Capital Investment held its first meeting of the 2025 session with members and staff introducing themselves and describing their priorities. Senators from both parties repeatedly emphasized the goal of passing a strong bipartisan bonding bill this year, with several members noting that local projects were delayed after no bonding bill passed the previous year. Chair Housley also said the committee would not meet later that week and previewed an upcoming presentation from MMB on federal funds. The committee then heard a presentation from MMB’s Leah Corey and Anna Ming on Minnesota’s federal funding efforts. Corey explained that MMB’s federal funds team coordinates state efforts to maximize funding from IIJA, IRA, CHIPS, and related federal programs. She said Minnesota has secured about $12.3 billion in federal funding so far, including roughly $3 billion more since the last presentation, supporting about 1,800 projects statewide. Most of the funding is going to transportation, roads, and bridges, with other major areas including clean energy and weatherization. She also highlighted an interactive public dashboard showing projects by region and noted that much of the data reflects funds flowing through the state enterprise. Corey also discussed state match programs that helped unlock federal dollars, including the IIJA discretionary match fund, the State Competitiveness Fund, and the Forward Fund. She said $180 million in state match has unlocked about $1 billion in federal investment through the IIJA discretionary match fund, nearly $17 million in state investment has unlocked nearly $90 million in federal funding through the State Competitiveness Fund, and $124 million for the Forward Fund has unlocked nearly $1 billion in federal and private investment. Members asked whether more state dollars could have brought in more federal funds; Corey said she was not sure, but noted the IIJA match fund is expected to run out in the coming months. The presentation also focused on direct pay tax credits under the Inflation Reduction Act, which allow tax-exempt entities such as governments, nonprofits, school districts, and tribal nations to receive payments for eligible clean energy projects after they are completed. Corey said the state is building awareness and technical assistance around direct pay, including educational sessions and a tax expert resource. She also described Minnesota’s Green Bank, the Minnesota Climate Innovation Finance Authority, which is beginning to issue loans for projects such as community energy, nonprofit geothermal systems, and solar-plus-battery installations.
HI
Transcript Highlights:
  • So if this bill were to pass, would these retired physicians be paying into the fee structure like other
  • Which is that everyone's concerns about you folks's vertical integration does not increase premiums."
  • it be through inflation or other expenses, premiums may go up.
  • increasing I mean just of premiums increasing I mean just year-over-year<00:44:21.839> right<
  • I think the hope of premiums may go up.
Keywords: 912, senate, all
Summary: The committee heard testimony on a large number of health-related measures, with the most extensive discussion on SB 2283, which would expand mail-order pharmacy access for prescription drugs. Supporters including HMSA, the Board of Pharmacy, and health plan groups said mail order could lower costs, improve adherence, and reduce hospitalizations, while independent pharmacies and rural neighbor-island providers warned it could harm local pharmacies, reduce access for patients who rely on face-to-face service, and create delivery and storage problems for medications. No vote was taken on SB 2283 during the excerpt, and the chair moved on after hearing testimony. The committee also heard SB 2855 on opioid antagonists, with the Insurance Division and HMSA noting that medically necessary opioid antagonists are already covered and suggesting the issue may be addressed through education or administrative fixes. Fentanyl and substance abuse groups supported the measure. SB 3045 on health insurance coverage for continuous glucose monitors drew broad support from diabetes and health organizations; HMSA said it had already expanded coverage for members on injectable insulin but raised concerns about supply constraints and said it had not yet seen an auditor study referenced in discussion. Members asked whether the bill would extend coverage beyond current policy. SB 2843 on domestic violence received support from the Public Defender’s Office, prosecutors, and victim-related organizations, who said the pilot program for misdemeanor domestic violence cases had reduced backlogs and improved court efficiency. A prosecutor also supported retaining coercive control as a petty misdemeanor tool in larger domestic violence cases. SB 2845 on healthcare facility access drew strong support from many health, legal, and advocacy groups, who said it would protect patients and staff from disruptive interference at healthcare facilities; one opponent argued it would chill lawful speech and protest and unfairly exempt labor demonstrations. The committee then heard SB 2854 and SB 3202, both healthcare-related measures, with testimony largely in support. SB 2854 drew comments from health and dental groups, and SB 3202 focused on workforce and licensing issues, including support for retired physicians volunteering, preceptor tax credits, and adding advanced midwifery and physician assistant-related provisions. The chair repeatedly enforced a one-minute testimony limit and moved through the agenda without recorded votes in the excerpt.
US
Transcript Highlights:
  • as a commitment to reform our broken health care system, which too often relies on ineffective structures
  • In Miami-Dade County, average premiums have spiraled up to $17,000 per year.
  • Average premiums are up roughly 25 percent, or a thousand bucks over six years, predicted to more than
  • and tax credits to bring down the premiums of policies they would buy.
  • Unfortunately, our colleagues on the other side of the aisle enacted a costly and uncapped enhanced premium
MN

Minnesota 2025-2026 Regular Session

Health Committee Meeting - 2026-04-28

Health Finance and Policy

Transcript Highlights:
  • Hennepin Healthcare has long experienced structural financial imbalance and has required county property
  • has long experienced structural has long experienced structural financial<00:02:40.879> imbalance
  • of the chart represent structural of the chart represent structural operating<00:07:59.360> deficit
  • <00:45:30.160> Other sustained structural losses. Other sustained structural losses.
  • <01:49:14.560> tax enhanced affordable care act premium tax enhanced affordable care act premium
KY
Transcript Highlights:
  • Again, we added the premium to low-income students.
  • <00:28:39.400> Um the premium to a low-income students.
  • Um the premium to a low-income students.
  • <00:42:20.640> So, the the the premiums are cumulative.
  • So, the the the premiums are cumulative.
Keywords: 958, all
Summary: The House Postsecondary Education Committee held its first-ever meeting and first meeting of the session, with Chairman Tipton outlining committee procedures, attendance rules, and the process for submitting committee substitutes. After a roll call confirmed full attendance, the committee heard a presentation from Senator David Givens on the history and purpose of Kentucky’s performance-based funding model for postsecondary education. Givens said the model was created to replace an older “shares” approach that distributed funds based largely on prior-year allocations, and argued the new system better aligns funding with student success and the state’s long-term educational attainment goals. Council for Postsecondary Education President Aaron Thompson and CPE staff then explained the model in more detail. They said the system was designed to address long-standing funding disparities among institutions, reward outcomes such as degrees, credit-hour progression, and completion in high-demand fields, and support the state’s “60 by 30” goal of having 60% of Kentuckians hold a postsecondary credential by 2030. Thompson said Kentucky is now at 56.2% attainment, above the national average, and highlighted gains in graduation and retention rates, lower student borrowing, and improved completion outcomes. He also emphasized that the model is part of a broader strategy that includes affordability, adult learners, low-income students, and wrap-around support services. CPE staff described the work group process that developed and periodically revises the model, noting that the General Assembly created the framework in House Bill 303 and later enacted Senate Bill 153 and Senate Bill 191 to codify changes. They explained that in 2016 the legislature carved out about 5% of institutional budgets, roughly $43 million, to be redistributed through the new model, and that the model has been reviewed every three years with changes made each time. Recent revisions included increasing the student-success weight, adding a premium for low-income students, creating a premium for adult learners, and redefining underrepresented students as first-generation college students. No votes were taken at this meeting, and the committee adjourned after the informational presentation and discussion.
NH

New Hampshire 2025 Regular Session

House Labor, Industrial and Rehabilitative Services (01/28/2025)

Labor, Industrial and Rehabilitative Services

Transcript Highlights:
  • Does that affect their premiums?
  • <03:28:28.399> those cost is born uh by in the premiums those cost is born uh by in the premiums
  • I would expect it their uh premiums I would expect it might<03:28:45.040> premium<03:28:45.439
  • sor based represent kahill might premium sor based represent kahill on<03:28:49.000> primarily
  • It is certainly true that then, on appeal, the way that the fees are currently structured is that if
Keywords: 1189, house, all
FL

Florida 2026 4th Special Session

January 27, 2026 - 03:00 PM

Transcript Highlights:
  •   78 >> [Witness]: The Kirkpatrick Dam is classified as a high-hazard structure.
  • For that reason, a state-specific system cannot plug into a system that is structured and contracted
  • A PRICE CONTROL BILL IN THE US  HEALTHCARE MARKET IS NOT EQUIPPED AND NOT   507 STRUCTURED
  • The supply chain is just not structured to accommodate this proposal.
  • This bill creates a regulatory structure to address holding insurers accountable.
Summary: The committee first took up CS/House Bill 981, which would restore the Ocklawaha River and related natural resources. Supporters, including environmental groups, Save the Manatee Club, business owners, and Reunite the Rivers advocates, argued the bill would improve manatee habitat, fish passage, flood protection, tourism, and long-term economic returns while reducing dam maintenance costs. Opponents and skeptics focused on concerns about water quality, nutrient loading in the St. Johns River, loss of the Rodman Reservoir’s habitat and water-supply value, and potential ecological and economic harms. Members in debate largely supported the restoration effort, and the bill was reported favorably on a unanimous vote. The committee then heard HB 697, the PRICE Act, which would use international reference pricing to set a drug cost benchmark, address pharmacy benefit manager practices, and require health plans to keep drug prices stable for the year. The sponsor said the bill would lower costs and improve access, especially for uninsured Floridians. Supporters, including independent pharmacists, argued PBMs are squeezing pharmacies and that the bill could help lower prices. Opponents from BioFlorida and PhRMA warned the proposal could disrupt the national drug supply chain, fail to pass savings to patients, and lead to shortages, reduced access, and less innovation. After debate, the bill passed favorably, with Rep. Chambliss voting no. The committee also considered CS/HB 1081, which was amended to include private colleges and universities with NCA designation in the program. After brief discussion and support from United Way Miami, the committee reported the bill favorably. Finally, CS/HB 177 was introduced as a framework for Florida’s regional councils to cross-assign bills among regions; it received supportive testimony and was also reported favorably. The meeting then adjourned.