Video & Transcript : 'rural fund' :
Page 53 of 500
KY
Kentucky 2026 Regular Session
Senate Standing Committee on Health Service (2-18-26)
Transcript Highlights:
- hospital bailout fund.
- We cannot just give money to rural hospitals to support services that are going to suffer funding losses
- We cannot just give money to rural hospitals to support services that are going to suffer funding losses
- This is not a rural hospital<00:14:20.720><c> bailout</c><00:14:21.199><c> fund.
- </c> spent on general fund things. spent on general fund things.
Summary:
The Health Services Committee heard a presentation from Dr. Steven Stack, Secretary of the Cabinet for Health and Family Services, on Kentucky’s Rural Health Transformation Program. He said Kentucky received about $213 million in federal funding, among the highest awards nationally, after a fast application and negotiation process. He emphasized that the grant is time-limited, must be used for the specific goals in the state’s application, and cannot be treated as a general bailout or replacement for existing funding. He also noted the state will use a website, ruralhealthplan.ky.gov, to share the full application, award terms, and future opportunities.
Dr. Stack outlined five focus areas: maternal health and prenatal/early childhood supports; EMS and trauma response workforce and transfer capacity; behavioral health crisis care through the EMPATH model and mobile crisis services; oral health access through more hygienists, telehealth, and hub-and-spoke models; and rural community hubs for chronic disease prevention and innovation, including food-as-medicine and healthier lifestyle interventions. He stressed that the program is meant to be transformative, not duplicative, and that it cannot pay clinician salaries, fund new construction, replace EMR systems broadly, or duplicate billable services. He said the state will work with community partners, hospitals, universities, and others, including the Foundation for a Healthy Kentucky, to begin implementation.
Members responded positively overall. Senator Berg praised the award and the goal of integrating care across the state, but raised concerns about access to prenatal care and about possible future changes to water fluoridation, warning both could harm children and rural families. The chair and other members thanked Dr. Stack for the update and congratulated him on the award. No votes or formal committee actions were taken during this portion of the meeting.
KY
Kentucky 2026 Regular Session
House Budget Review Sub. on General Government (2-12-26)
Transcript Highlights:
- Uh, since the rural health transformation funding rolled out, it appears that we're going to have some
- </c> So, we would not need the general fund So, we would not need the general fund for<00:02:48.800><
- </c><00:04:32.000><c> Fast</c> funding. And that was in 1980. Fast funding. And that was in 1980.
- </c> service due to lack of adequate funding. service due to lack of adequate funding.
- As we've come through and learned that the rural health transformation funds are going to be divvied,
Summary:
The Kentucky Board of EMS presented an additional budget request focused on grant funding for local EMS agencies, not agency operations. Officials said the board has 13 full-time staff after losing employees in the 2022 transition back to state government, and that the request would be a 100% pass-through to providers. They initially described two requests totaling $12.91 million: $10.8 million for the EMS block grant and $2.1 million for workforce education tied to House Bill 484, but later said they would withdraw the $2.1 million request because rural health transformation funding appears likely to cover those education needs.
Most of the testimony explained why the EMS block grant should be increased. The board said the grant began in 1980 at about $1.2 million and has remained largely unchanged while EMS costs have risen sharply. They cited higher prices for ambulances, stretchers, and cardiac monitors, along with increased labor and reimbursement pressures. Board members emphasized that modern EMS now provides much more advanced care in the field, especially in rural areas, and argued that equipment such as 12-lead cardiac monitors can significantly improve patient outcomes. They said the current grant provides about $10,000 per county, while the request would raise funding to about $100,000 per county and increase the per-capita amount from roughly 26 cents to $2.60.
Members also discussed whether the block grant statute should be reformed to target need more directly. Board officials said they had considered making the grant more competitive, but decided against it for now because many counties rely on the annual funding and shifting money away from some areas would create hardship. In response to questions, they said Kentucky has about 160 class one EMS agencies providing 911 response across 120 counties, and that grant awards in recent years reached 91 counties, then 108, then 110 counties. They also highlighted the cost and safety benefits of power loading systems for stretchers, saying they can reduce back injuries and help retain EMS workers, but are often unaffordable for smaller departments.
No votes were taken on the budget request during the hearing. After the testimony and questions, the committee approved the minutes from the prior meeting by motion and second, with no opposition, and then adjourned.
ND
North Dakota 2026 1st Special Session
Water Topics Overview Committee Mar 26th, 2026
Water Topics Overview Committee
Transcript Highlights:
- Fund.
- Fund at SIB.
- Fund, $414 million in the Resources Trust Fund.
- Development Fund.
- Fund at SIB.
Committee:
Joint Water Topics Overview Committee
Summary:
The Water Topics Overview Committee met with a quorum and heard updates from Department of Water Resources Director Reese Haas and Lieutenant Governor/State Water Commission Chair Michelle Strinden on statewide water funding, major projects, and two legislative studies requested in House Bill 1020. Haas reviewed the status of the Northwest Area Water Supply and Southwest Pipeline projects, noting NAWS construction is expected to move water by fall and Southwest’s Hebron-Rugby expansion phase one is in final design with bids expected next month. He also summarized the department’s budget outlook, including Resources Trust Fund and Water Project Stabilization Fund balances, the effect of oil price volatility and stripper well exemptions on revenues, and the status of project buckets, carryover, lines of credit, regionalization, bid trends, and administrative/process updates.
Committee members asked about project prioritization, municipal funding demand, maintenance expectations, replacement versus deferred maintenance, and whether the 2025 session may have underfunded municipal water supply needs. Haas said the commission uses the same high/medium/low prioritization process across all buckets, reviews maintenance plans as part of policy, and is seeing strong demand in the municipal bucket. He also explained that the department’s 14-year projection is based on the next seven legislative sessions and that the state faces a projected $1.3 billion shortfall over that period if all planned projects are funded under current assumptions.
Deloitte then presented draft findings from the cost-share policy study and the governance/finance study. For cost share, Deloitte said the model shows a roughly $1.3 billion shortfall over 14 years and about $1.8 billion through 2031 under current policy, and offered seven options including tighter eligibility for replacement projects, state funding caps for the Mouse River and Red River Valley projects, a priority-based cost-share scale, timing shifts, use of existing lines of credit, and delayed reimbursement timing. For governance, Deloitte outlined draft options for Southwest, NAWS, and Red River ranging from maintaining current structures with stronger planning to transferring ownership or adding formal oversight, and recommended broader use of performance metrics, long-term financial planning, and clearer decision trees. No votes or formal actions were taken; the commission discussed the scenarios and the studies will return in revised form later in the spring.
ND
North Dakota 2025-2026 Regular Session
Water Topics Overview Committee Mar 26th, 2026
Transcript Highlights:
- Fund.
- Fund at SIB.
- Fund, $414 million in the Resources Trust Fund.
- Fund at SIB.
- And two, because of the funding gap, certainly with unlimited funding, but with the funding gap, I think
Summary:
The Water Topics Overview Committee met with a quorum and received updates from the Department of Water Resources and the State Water Commission, followed by presentations from Deloitte on two legislative studies required by House Bill 1020. Director Reese Haas reviewed major project and budget updates, including the Northwest Area Water Supply and Southwest Pipeline projects, Resources Trust Fund balances, carryover spending, project prioritization, bid conditions, regional water system coverage, and department process improvements. Members also discussed how the commission prioritizes projects, maintenance expectations, and the impact of limited municipal water supply funding. No formal committee action was taken during the DWR update; the commission’s municipal funding decisions were described as pending its April 8 meeting.
Deloitte then presented the cost-share policy study, which found that under current policy and forecasted revenues, North Dakota faces an estimated $1.3 billion shortfall over 14 years, with a near-term gap of about $1.8 billion through 2031. The firm outlined seven recommended options, including tighter definitions and a 25% cost share for eligible replacement projects, caps and financing strategies for the Mouse River and Red River Valley projects, aligning cost share with commission priority guidance, delaying lower-priority projects, using available lines of credit, and adjusting reimbursement timing for revolving loan funds. Committee members questioned inflation assumptions, affordability, user fees, and the use of legacy fund earnings for bonding, but no decisions were made.
In the governance and finance study, Deloitte said final recommendations are still being refined, with a final report due May 29. The study examined the Southwest Pipeline, NAWS, and Red River Valley systems using governance and finance criteria such as decision authority, transparency, affordability, risk, and access to funding. For Southwest, Deloitte outlined options ranging from improved state-authority coordination to transferring ownership to the Southwest Water Authority; for NAWS, options focused on strengthening the authority’s role and potentially transitioning operations and maintenance; and for Red River, options ranged from enhanced facilitation to formal state oversight or state ownership. Members asked follow-up questions about ownership transfer, capital repayment streams, and why NAWS was not considered for transfer, and Deloitte said NAWS’s limited organizational maturity made that option less viable in the near term.
AZ
Transcript Highlights:
- Arizona and the importance of rural economic development.
- I have a heart for rural.
- importance of rural economic development.
- I have a heart for rural.
- And the second way we do that is actually through a rural co-op program.
Committee:
Senate Director Nominations
FL
Transcript Highlights:
- Is there a funding mechanism for this program?
- It also makes a significant investment in rural roads, providing new funding for SCRAP and an updated
- The focus of my bill is on rural communities.
- This late-filed amendment clarifies that the FARM program funds must be used to connect existing rural
- arterial roads in rural communities.
Summary:
The Senate opened with prayer, the Pledge of Allegiance, and several introductions recognizing visiting groups, including FSU students and officials, Catholic lay leaders, Broward County school officials and students, and veterans-related guests. The chamber then took up a series of bills, with several routine reviser measures passing unanimously: SB 36 adopting the 2025 Florida Statutes, SB 38 changing a division name in the statutes, SB 40 deleting repealed provisions, and SB 42 cleaning up obsolete language and cross-references. SB 50 on nature-based coastal resilience was amended to strengthen the Florida Flood Hub’s role and passed 39-0 after debate about mangroves, oyster reefs, living shorelines, and hybrid green-gray infrastructure. SB 116, a major veterans bill, passed 39-0 after extensive discussion of veteran benefits awareness, mental health training, coordination with federal agencies, adult day health care, and the Florida Veterans Hall of Fame. SB 118 on presidential libraries passed 36-3 after questions and debate over state preemption of local zoning and related regulation, and SB 126 on mailing prescription hearing aids passed 39-0 to expand access for adults after licensed evaluation.
The Senate also passed SB 150, as amended, to conform to the House by changing the bill’s wording from “animals” to “dogs” in the natural-disaster abandonment context. SB 294 passed 38-0 to limit collaborative pharmacy practice from being expanded to certain serious cardiac conditions. Senate Memorial 314 was adopted by voice vote, urging Congress to seek a larger Florida National Guard force structure. SB 322 passed 39-0 creating a nonjudicial process for commercial property owners to have unauthorized occupants removed by the sheriff. SB 348 passed 39-0, making it an ethics violation to falsely claim a military rank for material gain and allowing delinquent ethics fines to be withheld from public paychecks. SB 7012 on child welfare passed 39-0 and would recruit former public safety workers into CPI/case manager roles, create a treatment foster care pilot in two judicial circuits, and improve data collection and services for commercially sexually exploited children.
Later, the Senate returned to SB 108 on administrative procedures, which passed 39-0 after debate over a five-year review cycle for agency rules, reporting requirements, and greater transparency in rulemaking. SB 160 on public accountancy passed 39-0 after an amendment clarifying contracted services and discussion of easing pathways into the CPA profession while maintaining standards. SB 110 on rural communities passed after an amendment package and extensive debate, with provisions described as creating an Office of Rural Prosperity, a Renaissance grant program, housing and road funding, school support, and health care investments for rural areas. At the end of the session, the Senate waived rules to immediately certify all passed bills to the House, observed a moment of silence for former Surfside Chief John Healy, and received additional announcements before adjournment.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 02/06/25
Health and Human Services
Transcript Highlights:
- </c><00:17:38.840><c> to</c> kind of allocating some other funds to kind of allocating some other funds
- </c><00:40:09.000><c> rural</c><00:40:09.400><c> EMS</c> bills are introduced to fund rural EMS bills
- are introduced to fund rural EMS you're<00:40:10.560><c> seeing</c><00:40:10.960><c> some</c><00:40:
- So what was funded?
- We're grateful for that funding.
Committee:
Senate Health and Human Services
MN
Minnesota 2025-2026 Regular Session
Committee on Jobs and Economic Development - Part 1 - 04/02/25
Jobs and Economic Development
Transcript Highlights:
- funds from the<01:04:25.920><c> general</c><01:04:26.240><c> fund.
- fund for the Rural workforce development fund for the Rural Cancer<01:35:22.280><c> Institute</c><01
- </c> has not received jobs funding. has not received jobs funding.
- </c> our rural patients with cancer. our rural patients with cancer.
- The state-funded RPAP, or Rural Physician Associate Program, has successfully placed primary care doctors
Committee:
Senate Jobs and Economic Development
FL
Transcript Highlights:
- It's not just community... ...and rural arterials.
- FDOT funds up to 100% of the project costs for those... ...funds up to 100% of the project costs for
- With more housing popping up in rural areas, Especially in our rural areas.
- funded, and a lot of those are unfunded.
- The program funding for the rural arterials and the local programs fluctuate over time based on transportation-related
Committee:
Senate Agriculture
Summary:
The Committee on Agriculture convened, took roll, and heard Senate Bill 58 by Senator Harrow, which would create regulation for companion animal cremation. Harrow described a case involving mishandled pet remains and said the bill would require written service descriptions, prohibit false or misleading statements, require certification with returned remains, authorize Department of Agriculture and Consumer Services rulemaking, and impose civil penalties for violations. With no questions or public opposition, the committee voted the bill favorably.
The committee then heard presentations on robotics in agriculture and aquaculture. Dr. Nathan Boyd of UF/IFAS discussed the rapid growth of agricultural robotics, including AI-driven weed detection, targeted spraying, autonomous tractors, and harvesting technology, emphasizing reduced pesticide use, lower input costs, and labor-saving automation. Dr. Nicole Kirchoff of Live Advantage Bait and Adrian Johnson of the Florida Shellfish Aquaculture Association highlighted aquaculture’s economic and environmental value, Florida’s strong position in the industry, and challenges including hurricane losses, lack of insurance, land-use instability, capital access, and water quality. They urged support for working waterfronts, risk mitigation, and policies to help the sector commercialize and expand.
The committee also heard from dairy producers Kevin Lusher and Jacob Larson. Lusher described his family’s dairy and artisan cheese business, noting reliance on USDA grants, rising costs, labor shortages, and regulatory burdens, and asked for more grant support, marketing for Fresh From Florida products, and permanent funding for Farmers Feeding Florida. Larson discussed the broader dairy market, declining herd sizes due to efficiency gains, high production costs in Florida, and competition from out-of-state processing, suggesting incentives for local processing and supply management. Finally, FDOT Chief Planner Wayway Schen presented on arterial and local road funding programs, including ART, ARTW, SCOP, SCRAP, CIGP, and TRIP, and said rural road needs remain significant, with more than $16 billion in unfunded or partially funded project needs. The committee adjourned after brief discussion and thanks to the presenters.
FL
Transcript Highlights:
- And excuse me, I said the Rural Florida; it's the Florida Rural Jobs Act.
- And excuse me, I said the Rural Florida; it's the Florida Rural Jobs Act.
- This bill, along with our Rural Renaissance bill, will let our rural communities in Florida compete on
- It's also connected into our rural initiative, our rural renaissance, the Senate president's primary
- They're not funded by the state.
Committee:
Senate Commerce and Tourism
Summary:
The Commerce and Tourism Committee heard and favorably reported several bills. SB 1672 removed duplicative state provisions related to labor pools; CS/SB 940 prohibited third-party sale of restaurant reservations without the restaurant’s consent; and CS/SB 1820 made changes to motor vehicle manufacturer and dealer franchise law, including disclosure of performance measures, anti-retaliation protections, and limits on franchise termination or nonrenewal. The committee also approved CS/SB 324, creating a revolving loan program to help small businesses affected by prolonged public works construction, and SB 936, which creates a recurring three-year study of the effects of AI, robotics, and automation on Florida’s workforce and economy. SB 1322, the Florida Rural Jobs Act, was amended and reported favorably to encourage private investment in rural small businesses through a state tax credit program. The committee also reported favorably on CS/SB 910, which regulates for-profit veterans’ benefit assistance services, and CS/SB 656, which extends protections from extraordinary collection actions to all bill-of-care payment actions by hospitals and ambulatory surgical centers.
The committee spent substantial time on CS/SB 1264, a broad Department of Commerce agency bill. The strike-all amendment added or revised provisions on Secure Florida, the RISE venture capital tax credit program, data center tax exemptions, business development classifications, military land transfers, and other economic development matters, while also repealing regional planning councils from statute. That repeal drew extensive opposition from local officials and regional council representatives, who argued the councils are important for emergency management, grant writing, planning, and support for small and rural communities. Supporters of the amendment said the councils could continue locally without state statutory involvement. After debate, the amendment was adopted and the bill was reported favorably, though Senators Davis and Smith voted no.
The committee also considered CS/SB 1238, which would tighten reemployment assistance rules by disqualifying claimants who fail to meet job-search requirements or refuse work, and by adding verification and reporting requirements. Supporters framed it as adding guardrails and preventing fraud, while opponents argued Florida’s unemployment system is already difficult to access and that the bill would add unnecessary barriers and costs. Despite opposition from labor and advocacy groups, the bill was reported favorably, with Senators Smith and Arrington voting no. Finally, the committee unanimously recommended confirmation of Alexis Yarborough and John Gilbert to the Board of Supervisors of the Central Florida Tourism Oversight District.
ID
Transcript Highlights:
- And then down to 33-1020 funding.
- Then in line 24, as far as eligibility for state funding, this is subsection I.
- So we're only funded based on enrollment that we project.
- So we're only funded based on enrollment that we project.
- And then after that, any additional funding that would be required.
Committee:
Senate Education
WA
Transcript Highlights:
- Other things like fund swapping through cannabis funds, the hospital safety net that does a fund swap
- And then rural health funding, I think there's a separate briefing that you are either...
- And then rural health funding, I think there's a separate briefing that you are either going to receive
- or have received on the rural health grant funding project that is $10 billion annually provided to
- and live in rural communities is not an eligible funding source.
Committee:
Senate Ways & Means
Summary:
The committee held a work session to review how H.R. 1 would affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on state budget impacts and implementation challenges. Staff and agency officials explained Washington’s Medicaid financing, eligibility categories, caseload trends, and the role of managed care, then outlined H.R. 1 provisions affecting the expansion population, including work requirements, six-month redeterminations, changes to immigrant eligibility, reduced retroactive coverage, cost sharing, provider tax and state-directed payment limits, and penalties tied to eligibility error rates. Officials also described the need for major IT and systems changes across agencies, including the state’s existing CMS corrective action plan for automated renewals and the difficulty of implementing new federal requirements before guidance is finalized.
Health Care Authority and DSHS witnesses said the expansion population would be most affected, with potential coverage losses for about 620,000 Apple Health expansion enrollees and additional impacts for some lawfully present immigrants and a smaller number of long-term care and developmental disability clients. They said many current enrollees already work, but the new requirements would create administrative barriers and could increase uninsured rates, emergency room use, and uncompensated care. Agency leaders also discussed the immediate prohibition on Medicaid funding for Planned Parenthood services, with the state planning to backfill about $11 million so clients can continue care. Members asked about FMAP comparisons, work requirement experiences in other states, waiver possibilities, definitions of exemptions, and whether the changes would affect COFA communities, rural areas, and behavioral health services.
The committee then heard a separate presentation on H.R. 1’s food assistance provisions. DSHS said the bill would broaden SNAP work requirements, end certain immigrant eligibility for federal SNAP, eliminate SNAP-Ed, increase the state administrative match from 50% to 75%, and create a future state cost share for SNAP benefits based on payment error rates. Officials estimated a four-year fiscal impact of about $750 million, with significant costs tied to the immigrant eligibility shift, administrative match changes, and possible benefit cost sharing. DSHS also described the state’s integrated eligibility system and the large amount of work needed to update it across multiple quarterly releases while coordinating with other agencies. No votes or formal actions were taken.
MN
Minnesota 2025-2026 Regular Session
Hied Committee Meeting - 2025-03-27
Higher Education Finance and Policy
Transcript Highlights:
- And we do not currently have funding transfer links.
- We also receive some state funding in Merck funding, which is listed here for a single resident, and
- area, they're more likely to stay in that rural area.
- in the available funding that's out there.
- Federal funding—there's not a lot out there.
Committee:
House Higher Education Finance and Policy
KY
Kentucky 2026 Regular Session
Government Contract Review Committee 2-10-26
Transcript Highlights:
- . funding. funding.
- </c> Rural Health Transformation. Rural Health Transformation.
- And um we have applied from Kentucky and received that funding through the Rural Health Transformation
- Now as we move into the next biennium, these rural health transformation funds in a contract with the
- this these rural health transformation funds<00:41:53.360><c> in</c><00:41:53.440><c> a</c><00:41:53.520
Summary:
The committee first approved the minutes from its January 13 meeting and then moved through a large agenda of contracts and agreements, with members repeatedly voting to review items without objection. The chair noted the agenda included 227 contracts totaling about $89.5 million, all with vendors registered with the Secretary of State. Most items were approved after brief discussion and roll-call votes.
Several contracts drew questions. Kentucky State University explained two four-month contracts tied to its online academic program: one for continued implementation support and one for marketing. University officials said the program is in a transition year under a management improvement plan, that the university owns the intellectual property, and that the marketing effort is aimed at growing enrollment in targeted programs such as business and social work. They reported online enrollment had grown from 74 students to 612, with an overall university enrollment of 2,872, and said the goal is to reach about 1,000 online students by fall. The committee approved both items, though Senator Douglas said he would keep watching university spending.
The Department of Education presented a contract cancellation for administrative reviews of the National School Lunch and School Breakfast Program. Officials said USDA changed the review requirement from every three years to every five years, making the outside contract unnecessary because internal staff can now handle the work. The committee approved the cancellation. The Transportation Cabinet also explained an increase to a professional services contract for engineering work on a section of KY 54 in Owensboro, describing it as preliminary design and commissioning work for a multi-section roadway project; the committee approved that item as well.
The Kentucky Lottery Corporation sought approval for an amendment tied to its iLottery platform. Officials said the increase reflected higher sales volume, since the contract structure causes prize and platform-related expenses to rise as sales grow. The committee approved the amendment. The Department of Public Health also discussed a perinatal psychiatry consultation program funded by a five-year federal HRSA grant; members raised concerns about what would happen if federal support changes, but no action beyond discussion was noted in the excerpt.
AR
Arkansas 2026 Regular Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 16th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- The general fund is how these cost settlements are funded for the state share.
- So that it is a flow-through of state funds to pull down the federal funds.
- So it is no cost to the appropriated and funded budget. Funds.
- So I know when you all talk about the rural health transformation funds and things like that, you think
- She said they are looking forward to rural health transformation funds, even though they recognize the
Summary:
The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used.
The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so.
Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.
TX
Texas 89th Regular
Economic DevelopmentNote: This video has been edited to include the opening roll call. Video footage begins at 00m:32s. Apr 7th, 2025
Economic Development
Transcript Highlights:
- The Events Trust Fund consists of three funds that are used to attract various types of events to the
- Trust Fund.
- We are already participating in one of the other funds that operates the event trust fund and view this
- And without it, we're already participating in the event trust fund, the other fund that does not require
- Rural communities are critical to Texas' economic success, with rural small businesses representing 24%
Bills:
SB913 , SB1086 , SB1087 , SB1143 , SB1534 , SB1553 , SB1718 , SB1754 , SB2004 , SB2322 , SB2448
Committee:
Senate Economic Development
Summary:
The Senate Economic Development Committee met to hear a series of bills and informational primers, with several resource witnesses from the Governor’s Office, the Texas Workforce Commission, and the Texas Higher Education Coordinating Board. The chair opened by noting the death of Senator King’s son and asking members to keep the family in their prayers. Most bills were laid out and left pending subject to the call of the chair after brief author presentations and public testimony.
The committee heard several local hotel occupancy tax bills: SB 1553 for Kerr County, SB 1086 for Childress County, SB 1087 for Mason County, and SB 913 for Alpine. Supporters, including the Texas Hotel and Lodging Association and local officials, said the measures would allow counties or the city to use hotel tax revenue for tourism-related projects and local development. The committee also heard SB 1534, which would direct a study on health physics education and workforce needs in Texas; resource witnesses from TWC and THECB testified on the bill. All of these measures were left pending.
A major portion of the hearing focused on SB 1754, which would prohibit local tax abatements for renewable energy facilities selling power at wholesale, with an exception for certain battery storage tied to dispatchable generation. The bill drew strong support from witnesses who argued counties should not subsidize wind and solar projects that can harm neighboring landowners and that renewables already receive substantial federal support. Opponents from the solar and storage industry argued the bill would remove a voluntary local economic development tool, raise power prices, and discourage investment. Senators also debated landowner impacts, grid reliability, and whether the bill was the right policy tool; the bill was left pending.
The committee also heard SB 2322, a committee substitute related to the Jobs, Energy, Technology, and Innovation Act, which would exempt electric generation facilities from the program’s compelling-factor test so they can qualify for school tax limitation agreements. Supporters said the change would correct an unintended barrier for dispatchable generation, while Senator Johnson argued it would weaken the program’s purpose by subsidizing projects that would locate in Texas anyway. SB 1718 would add the NRA annual meeting to the major events reimbursement program; the NRA supported it, while gun violence prevention advocates opposed using state incentives for the organization. SB 2004 would add the Arlington Grand Prix to the major events program, and SB 2448 would create a rural workforce development grant program; both drew supportive testimony and were left pending. The committee also heard SB 1143, a substitute bill aimed at improving transparency and coordination in programs serving opportunity youth ages 14 to 24, with witnesses supporting better reporting and workforce alignment. At the end of the meeting, Senator Johnson moved that the committee stand in recess subject to the call of the chair.
OK
Oklahoma 2026 Regular Session
Health and Human Services REVISED Apr 13th, 2026
Health and Human Services
Transcript Highlights:
- So under Section 5, where we're creating a revolving fund, it looks like... ...a revolving fund, it looks
- Currently, there's no funding in the revolving fund, so I don't see anything actually happening or occurring
- until there's funding that goes in it.
- So they've upped their funding to $100 million.
- The bill includes language for a matching fund from those drug developers that they can match these funds
Bills:
HB3767 , HB3934 , HB4199 , HB4336 , HB2947 , HB3834 , HB4302 , HB4095 , HB3287 , HB3649 , HB4430 , HB4431 , HB2059 , HB3647
Committee:
Senate Health and Human Services
Summary:
The Senate Health and Human Services Committee first considered three executive nominations. Shonda Lasseter was reappointed to the State Board of Pharmacy, with discussion focused on pharmacy staffing shortages, PBMs, and broader health care workforce challenges; she was advanced 11-0. Dr. Lane Sabara was renominated to the Health Care Workforce Training Commission, where members discussed rural physician shortages and training pipelines; he was advanced 12-0. Dr. Paul Wright was nominated to fill an unexpired term on the same commission and was advanced 12-0 after questions about his availability and experience supporting rural medicine.
The committee then heard several health-related bills. HB 3767, which adds 14 chemicals used to enhance fentanyl to Oklahoma’s controlled substances schedules, advanced 10-0. HB 3934, a dentistry workforce and cleanup bill updating insurance-claim and billing language, advanced 11-0. HB 4199, creating a three-year tri-share workforce pilot program for the Department of Commerce, was amended to change eligibility language and then advanced 9-2. HB 2947, allowing supervised behavioral health interns to bill Medicaid, advanced 10-1. HB 3834, authorizing the Department of Health to begin stage-one clinical trials for ibogaine and creating a revolving fund for that purpose, drew extensive testimony about veteran and first responder treatment, safety, funding, and state liability, and advanced 10-2.
Additional measures also moved forward. HB 4302, after amendment, advanced 12-0 on a juvenile oversight reporting and law enforcement notification issue. Committee member bills included HB 495, reinstating the 211 Collaborative advisory council, which advanced 11-0; HB 3287, requiring domestic violence and human trafficking signage in health facilities, which advanced 11-0; HB 3649, allowing the Mental Health Department to sell underused property and keep the proceeds in its trust, which advanced 12-0 after amendment; HB 4430, clarifying malpractice coverage for APRNs and PAs at state facilities, which advanced 12-0; HB 2059, creating a mechanism to reimburse medication costs for incarcerated people in county and municipal jails, which advanced 12-0 after questions about continuity of care; and HB 3647, creating an all-payer claims database and transparency board, which advanced 10-2. The committee adjourned after announcing another meeting the following week.
FL
Florida 2026 Regular Session
Appropriations Committee on Transportation, Tourism, and Economic Development Jan 14th, 2026
Appropriations Committee on Transportation, Tourism, and Economic Development
Transcript Highlights:
- The next set of funds are the rural infrastructure funds.
- The next bucket of funding is rural workforce program funding.
- Additional funds for our rural communities.
- The next bucket of funding is rural workforce program funding.
- Additional funds for our rural communities.
Bills:
S0048
Summary:
The Appropriations Committee on Transportation, Tourism, and Economic Development heard the Governor’s proposed FY 2026-27 budget for the TED silo and presentations from Commerce, Highway Safety and Motor Vehicles, Military Affairs, the State Guard, State, Transportation, and Emergency Management. The Governor’s office outlined a $117.4 billion overall budget, including $18.3 billion for TED agencies, with major allocations for FDOT, Commerce, emergency management, tourism, military affairs, and state operations. Agency heads emphasized priorities such as housing and disaster recovery, workforce and rural infrastructure, law enforcement recruitment, defense support, tourism marketing, aerospace and spaceport investment, election audits, historic preservation, road and bridge maintenance, aviation safety, and emergency preparedness systems.
Members asked several questions about the use and effectiveness of funding. Visit Florida officials said the public-private match is essential and that they exceeded the required match last year. Highway Safety and Motor Vehicles discussed trooper pay, vehicle replacement, aviation support, and transparency tools such as vehicle camera systems, with senators praising the department’s recruitment efforts. Military Affairs and the State Guard described readiness, recruiting, facility construction, and support for domestic missions, including hurricane response and perimeter security at the Everglades detention site; questions focused on deployment tempo, staffing, and costs. The Department of State explained funding for automated election audits, a conservation lab, and historic preservation, and said its arts grant changes were intended to standardize scoring rather than cut programs. Transportation highlighted a $15.4 billion total budget, major work program funding, safety initiatives, seaport and aviation investments, and the elimination of Florida Rail Enterprise funding due to reduced documentary stamp revenues.
The committee also heard and passed CS/SB 48 by Senator Gates, which requires local governments to allow accessory dwelling units on a voluntary basis, while preserving local authority over setbacks, construction, and permitting. An amendment removed reusable tenant screening reports and clarified that conforming ADUs are allowed by right without separate hearings. The Florida Restaurant and Lodging Association and several industry and business groups supported the bill, citing the need for long-term rental housing for workers. After debate, the committee adopted the amendment and reported the bill favorably by roll call vote.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Transportation Jun 21st, 2026 at 01:00 pm
Joint Committee on Transportation
Transcript Highlights:
- this funding.
- These are rural communities with limited ability to generate revenues to augment Chapter 90 funds for
- must augment Chapter 90 funds with other capital funds to execute road projects.
- for smaller or rural communities that lack a substantial local tax base or other funding sources to
- 90 program ensures that all communities, urban, suburban, and rural, have access to the funding they
Committee:
Joint Joint Committee on Transportation
Summary:
The Joint Committee on Transportation held its first hearing of the session on H. 53, Governor Healey’s Chapter 90 proposal to increase state funding for municipal roads, bridges, sidewalks, and culverts. Committee chairs outlined the hybrid hearing process and invited testimony from municipal officials, labor groups, regional planning organizations, contractors, and administration officials. Across the hearing, speakers consistently supported the bill, emphasizing long-deferred maintenance, inflation in construction costs, climate-related flooding, and the need for more predictable, multi-year funding so cities and towns can plan projects and take advantage of the construction season.
The administration described H. 53 as part of a broader $8 billion transportation package, proposing to raise annual Chapter 90 funding from $200 million to $300 million for five years, with the additional $100 million distributed by road mileage to better support rural and small communities. They also highlighted $200 million for culverts and small bridges, plus other transportation investments, and said the five-year authorization would provide certainty for municipal capital planning. Municipal witnesses from places including Carlisle, Beverly, Granby, Hatfield, Newton, Nahant, Gardner, Beckett, and Yarmouth described local road and culvert backlogs, rising asphalt costs, and the difficulty of maintaining infrastructure on limited local budgets.
Labor and industry witnesses from the AFL-CIO and MAPA said the bill would support good-paying jobs and provide stability for contractors and producers. The MBTA Advisory Board and regional planning representatives also backed the proposal, noting the connection between local roads and the broader transportation system. Committee members asked questions about the road-mile formula, culvert needs, asphalt costs, and the rationale for a five-year authorization. No votes were taken during the hearing, and the committee adjourned after testimony concluded.
AZ
Transcript Highlights:
- governor or executive branch to shift those funds or commingle those funds with any other funds?"
- But we do think it's important to fund projects throughout rural Arizona.
- the Arizona Compete Fund because the Arizona Compete Fund is expiring on June 30th.
- Item one, the general fund money going into the Compete Fund.
- We funded law enforcement. We funded the elderly. We fixed the broken tax system.