Transcript Highlights:

• exceptions; and finally, allowing a rate exception to stay in place if the individual’s case manager
• exceptions; and finally, allowing a rate exception to stay in place if the individual’s case manager
• exceptions; and finally, allowing a rate exception to stay in place if the individual’s case manager
• exceptions; and finally, allowing a rate exception to stay in place if the individual’s case manager
• exceptions; and finally, allowing a rate exception to stay in place if the individual’s case manager

Keywords: 1187, senate, all

Transcript Highlights:

• or alter ego case in civil court.
• But unfortunately, we have thousands of these cases. My dad's case is not alone.
• They prioritize low-wage worker cases, so we do see a lot of our cases being taken on by the unit.
• JU has the highest vacancy rate—I'm sorry, that's the lowest vacancy rate—of all of our programs and
• This represents a 37% hit rate.

Keywords: 988, house, all

Transcript Highlights:

• Not necessarily track on a case-by-case basis.
• Fund and the increases in employee liability rates.
• What is considered high unemployment rates?
• Yes, we were working with them on a case-by-case basis.
• So, right now we're handling it on a case-by-case basis.

Transcript Highlights:

• Error rate, we are all in on our FY26 error rate.
• their first year or if it's a case.
• rating.
• And so the DHS subsidy rate may not be all of the rate that a childcare center is being paid.
• So, one clarifying question: you mentioned that the subsidy reimbursement rate is well below market rate

Keywords: 914, all

Transcript Highlights:

• In a very recent case, where the Office of Attorney General actually won, I case.
• I don't have a statistic for you on the percentage of all of our cases, but 99% of our cases resolve
• case mix component.
• Based on rate setting method 50% roughly of the overall rate should be allocated to that one rate component
• So, the overall rate? Yes.

Keywords: 1185, senate, all

Transcript Highlights:

• IN SOME CASES THEY ARE AS THAT THEY HIRE THAT LEAVE OUR SYSTEM.
• YOU INDICATED, WHAT IS THE VACANCY RATE?
• THERE IS A STRUCTURED PROCESS THE PAROLE CASE WALKED THROUGH THE SYSTEM.
• GIVES US A LOW RECIDIVISM RATE.
• OVERALL RECIDIVISM RATE FOR RECOVERY AND RELEASE ARE DROPPING.

Keywords: 999, senate, all

Transcript Highlights:

• favorable reimbursement rates. favorable reimbursement rates.
• somewhere-ish in the one in 500 rate. somewhere-ish in the one in 500 rate.
• as well as the overall autism rate? as well as the overall autism rate?
• <01:29:36.080> basis those we do on a a case-by-case basis those we do on a a case-by-case
• pay and negotiate an individual rate. pay and negotiate an individual rate.

Keywords: 958, all

Transcript Highlights:

• Um, and this has been the case<00:04:29.800> for case for case for most<00:04:31.720> if
• And we're happy to take on those cases. All the time, we take those high-behavior cases.
• the chance to do a case report on. the chance to do a case report on.
• that survival rate goes up to 94%. that survival rate goes up to 94%.
• untreated decay rates have fallen 23%. untreated decay rates have fallen 23%.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the July 15 minutes, and heard a presentation from Dr. Matthew Holder and Dr. Henry Hood of the Lee Specialty Clinic in Louisville. The clinic serves people with complex intellectual and developmental disabilities through a transdisciplinary model that combines medical, dental, behavioral, psychiatric, therapy, and other services under one roof. The presenters argued that this population is large-cost but small in number, often receives little provider training, and is vulnerable to diagnostic overshadowing, overmedication, and missed medical or dental problems. The clinic reported that in Tennessee, payer data showed average costs of about $5,200 per member per month before clinic involvement, with a 44% reduction in overall health care spending after patients were seen, including lower emergency room use, inpatient admissions, and prescription use. They said those savings were measured by the payer, not the clinic, and that the savings accrued to Medicaid or managed care payers rather than the clinic itself. They also shared a case example of a patient who had been placed on hospice but improved after diagnosis and treatment at the clinic. Patient and parent satisfaction were described as very high, generally above 95%. The clinic asked for roughly $5 million to expand into Northern Kentucky, estimating 500 to 700 patients would use the new site and projecting annual savings of about $13 million to $19 million once mature. Members asked about the budget, startup and operating costs, where the savings go, and whether the clinic had considered taking full risk or another value-based model. Senator Meredith and others encouraged the clinic to explore an accountable care or risk-based arrangement, while the presenters said they were open to that discussion but had not pursued it yet. The exchange ended with follow-up questions about the clinic’s overall budget structure and public-private funding mix.

Transcript Highlights:

• What's the current tax rate in El Paso?
• If you had interest rates of A rated community, and if it's, it's rating is A by rating agencies, if
• it does certificates of obligation, normally the rating is lower than that A rating of a general obligation
• That's the case not only in that.
• judge each case.

Transcript Highlights:

• then your rates are coming down.
• equal to the product of the population growth rate and the inflation rate.
• We're not raising our tax rate; we deliberately keep our tax rate down.
• You've never raised the rate; there is no fixed rate.
• When I say tax rate, 5891, Irving has gone down since 2011. So, that rate didn't increase.

Bills: HB26, HB73, SB 14, HB46

Keywords: HB26, law enforcement contracts, sheriff, constable, county commissioners court, commissioners court, private security, special law enforcement district, property owners association, POA, municipal utility district, school district, junior college district, local government, contract policing, supplemental police services, large counties, population over 3.3 million, Texas Local Government Code, Harris County

Transcript Highlights:

• state rate it also helps with in state rate it also helps with in educating<01:09:38.000> with
• I think to set a rate like this for out-of-network providers, I don't think this is a reasonable rate
• Have you seen cases?
• Do you see those kinds of cases? Oh, sure, sure, some... Have you seen cases?
• Do you see those kinds of cases?

Keywords: 928, house, all

Summary: The committee heard testimony on a non-germane amendment to HB 297 that would create the Granite State Home Mitigation and Resiliency Program. Insurance Commissioner DJ Beton, joined by department staff, explained that the proposal is intended to help homeowners afford insurance by funding proactive home improvements that reduce risk and improve insurability. He said the program would be funded by the first $1 million collected annually from the insurance premium tax, with grants of up to $10,000 available on a first-come, first-served basis. Beton described the problem as rising homeowners insurance premiums, hard-market underwriting, nonrenewals, and the resulting shift to more expensive surplus lines coverage. He said eligible projects could include roof fortification, exterior improvements, flood-related foundation work, and removal of hazardous trees or limbs. He cited similar programs in other states, especially Alabama, Louisiana, and North Carolina, as evidence the model can work and noted that industry representatives were present in support. He also said the program would use means testing aligned with the Department of Energy’s weatherization program to target lower-income applicants. Members asked about the non-germane process, who would administer the program, and how the bill would prevent misuse of grant funds. The commissioner said the department would administer the program using one repurposed existing position, with Treasury handling fund flow through an MOU. Staff explained that applicants would have to show completed work through a signed contract, itemized work, and a sworn contractor affidavit, with some upfront payment allowed for materials and the remainder paid after completion. The chair and members discussed that the amendment is being attached to a different bill only to move the proposal through committee and on to House Finance for further consideration.

Transcript Highlights:

• Returning profit to members through lower loan rates, higher savings rates, and improved financial services
• we're paying in increased rates.
• we're paying in increased rates.
• favorable rate possible.
• In any case, that is my chargeback digression.

Keywords: 995, all

Summary: The commission met for its second hearing to study the future of credit card payments and sales transactions and their impacts on small businesses. Members heard extensive testimony from credit unions, retailers, restaurants, and payment-industry representatives on interchange fees, processing fees, fraud, chargebacks, rewards programs, and the ability of businesses to pass fees on to customers. Several witnesses argued that swipe fees have risen sharply, are especially burdensome for restaurants and other small businesses, and are charged on taxes and tips that are merely pass-through amounts. They urged state action to prohibit fees on tax and tip portions, improve transparency, and allow surcharging or convenience fees, while opponents warned that state regulation could reduce fraud protections, increase compliance costs, and threaten consumer rewards programs. Business owners and trade groups described thin margins, rising costs, and the difficulty of understanding merchant statements or negotiating with processors. Restaurant witnesses said card-not-present and online transactions create the greatest fraud and chargeback risk, with money often removed immediately from merchants’ accounts and disputes rarely resolved in their favor. Retail witnesses gave examples of rising effective rates, higher fees on rewards cards, and the burden of processing fees on low-value transactions. A representative from the Massachusetts Restaurant Association and others said restaurants are effectively paying fees on meals tax and gratuities, which they argued should not be subject to interchange charges. On the other side, the Cooperative Credit Union Association said interchange revenue helps credit unions fund fraud prevention, rapid card replacement, and member protections, and warned that state limits on interchange could weaken those safeguards and lead to higher consumer costs or reduced services. Airlines for America testified that airline credit card rewards are popular, support travel and jobs in Massachusetts, and could be harmed by interchange reform. The National Restaurant Association and a payments-policy attorney countered that interchange fees are set by card networks rather than competitive markets, that banks remain highly profitable even with rewards, and that states can act after recent court decisions. No votes were taken; the hearing consisted of testimony and questions from commissioners.

Transcript Highlights:

• having to full rate case.
• to full rate case.
• to full rate case.
• to be able to do it without having to full rate case.
• Uh, the rate case, you know, a full-blown rate case is the best place to do it because we're looking

Keywords: 910, house, all

Summary: The committee met on March 19, 2025, and first heard SB 137 SD2 HD1 relating to electric utilities. The Division of Consumer Advocacy and the Public Utilities Commission said they stood on their written comments, IBEW Local 1260 supported the bill, and Ulupono Initiative also supported it. Hawaiian Electric supported the intent but asked for an amendment, saying the bill’s definition of “acquiring entity” was too broad and could unintentionally cover purely local utility transactions. A later witness from Life of the Land supported the bill only if the merger/acquisition language were removed, arguing the PUC would not have a workable mechanism to let a cooperative intervene in a utility sale process. Committee members questioned whether the bill could still work without that section, and Ulupono said it was open to clarifying language but did not seek to remove the provision; the discussion ended without a vote in the excerpt provided. The committee then took up SB 1220 SD2 relating to a renewable gas tariff. The Division of Consumer Advocacy and the PUC again stood on written comments. HGas strongly supported the measure, saying it would create a faster, more cost-effective path for a voluntary renewable gas tariff without requiring a full rate case, while preserving PUC oversight and consumer protections. The Coalition for Renewable Natural Gas also supported the bill, emphasizing that it would expand consumer choice and help Hawaii’s clean energy goals while keeping the program voluntary and shielding non-participating customers from costs. Henry Curtis of Life of the Land opposed the bill, arguing that HGas already had an active rate case and could have raised the issue there, and that the proposal did not increase renewable gas supply or speed up acquisition; he called it a gimmick. In response, HGas said the bill was mainly a mechanism to speed filing and that the details would be worked out in a PUC docket. Committee members pressed HGas on whether the measure would actually add renewable gas, what source would be used, and whether customers would simply be paying more for the same gas; HGas said it had two projects in development, including banagrass and hydrogen-related work, and that the tariff would be a voluntary opt-in rate for customers seeking renewable natural gas to meet sustainability goals. No vote was taken in the excerpt provided.

Transcript Highlights:

• So in that case, it's acceptable.
• So in that case, it's acceptable.
• Many different use cases.
• In many cases, the answer is yes.
• are allocated and you have rate cases and you have rate design, the rates are designed in such a way

Keywords: 908, all

Transcript Highlights:

• On the low end, a handful of counties have the lowest rates.
• Those are in extreme cases.
• We are able to look into bullying cases.
• Give me one of your case managers. They have a high turnover of case managers. I don't know.”
• “Give me one of your case managers. They have a high turnover of case managers.

Summary: The committee met to discuss student attendance and chronic absenteeism in Florida K-12 schools, with Chair Simon outlining the state’s attendance requirements and intervention process, including school contact after unexcused absences, child study team review, district superintendent referral, DJJ family services referral, truancy petitions, and possible parental prosecution and driver’s license consequences. Dr. Chris Curran of the University of Florida presented statewide data showing chronic absenteeism has risen sharply since the pandemic, with Florida at about 31.4% in 2023–24, and noted that absenteeism varies by district, school level, demographics, and urbanicity. He emphasized that causes are multifaceted—ranging from transportation, mental health, housing instability, safety concerns, and family circumstances—and said effective responses include early warning systems, text or phone outreach, multi-tiered interventions, mentoring programs like Check & Connect, and community partnerships. He also cautioned that punitive responses alone are often less effective than addressing root causes and keeping students engaged academically even when they miss school. Collier County Superintendent Leslie Ricciardelli described her district’s attendance efforts as a priority supported by attendance specialists, social workers, mental health staff, home visits, attendance contracts, and extensive parent communication. She said Collier’s chronic absenteeism rate was about 9% in 2023–24 and attributed success to consistent monitoring, family outreach, and community support, while stressing that students must be physically present to learn. She also argued that many absences are tied to barriers such as clothing, transportation, childcare, or family mental health, and that districts need resources to address those issues. Dr. Rachel Dawes added that Collier uses multilingual brochures, attendance awareness campaigns, vacation-planning guidance, door tags, automated calls and letters, and a truancy flow chart, with truancy court used as a last resort. Volusia County Executive Director Mike McAuliffe described a districtwide overhaul that included an attendance matters campaign, automated notices sent early and often, same-day and period-by-period notifications, a data dashboard, and tiered supports through MTSS. He said Volusia reduced chronic absenteeism from 34% in 2023–24 to a projected 29% and reported a first-quarter rate of about 20% in the current year. He highlighted community partnerships, including AdventHealth support for washers and dryers, bikes for students with transportation barriers, and monetary recognition for schools that reduce absenteeism. In response to questions, both district leaders emphasized that funding, staffing, and consistent follow-through are essential, and that attendance work is most effective when paired with family engagement, data monitoring, and practical supports rather than punishment alone.

Transcript Highlights:

• As part of rate reform implementation, a new job development service and corresponding rate has been
• and update rate models, and we already know that there are a number of issues with rate model...
• for the rate.
• Back in 2008, when we had rate cuts and rate freezes, it took us 17 years, to January 1 of this year,
• In that case, I was a toddler.

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on developmental services, rehabilitation, and related supports, with no votes taken. The first major topic was the Master Plan for Developmental Services. Administration officials described a year-long, community-driven process that included a steering committee, work groups, and statewide engagement sessions, and said the final draft would be released that Friday with about 170 recommendations. The Department of Developmental Services said the plan would inform future work, but did not offer a detailed implementation roadmap. The LAO said the plan contains significant policy and budget implications, may require statutory changes, and needs further analysis to turn recommendations into actionable proposals. Advocates and regional center representatives urged the Legislature and administration to avoid letting the plan sit on a shelf, called for prioritization and ongoing stakeholder oversight, and emphasized the need to address equity, workforce, service coordination, and cross-system collaboration. The chair said he wanted to work with the LAO on trailer bill language and future reporting to create a clearer path forward. The second topic was the Office of Employment First and competitive integrated employment. Administration witnesses said California has ended subminimum wage under SB 639, but that moving people into competitive integrated employment remains a major priority. They described existing efforts such as DDS’s coordinated career pathways pilot, paid internships, job development services, benefits counseling, and DOR’s career counseling and referral services, along with pilot projects in San Diego and Orange County. The State Council on Developmental Disabilities and advocates argued that employment outcomes have remained stuck at roughly 15% and that a dedicated Employment First Office is needed to coordinate across agencies, align goals, and improve outcomes. The LAO recommended regular legislative oversight on people transitioning out of subminimum wage and asked for technical assistance on coordinated career pathways. The chair criticized the administration’s decision to effectively eliminate funding for the office, requested a detailed implementation timeline and quarterly transition reports, and said the committee would continue pressing for the office to be implemented. The final issue was respite services, utilization trends, and access. DDS reported that in-home respite use and spending have risen sharply over several years, with about 150,000 people using respite in 2023-24 and expenditures reaching about $1 billion. Officials said access depends on families knowing the service exists, service coordinators identifying need, and having enough providers, especially in rural and linguistically diverse communities. The San Diego Regional Center said utilization generally mirrors statewide trends, but access is stronger in some areas, such as Imperial County, where families often prefer family-directed or agency-supported models that allow them to hire trusted workers. Committee members emphasized the importance of respite for family health and caregiver well-being, asked whether service coordinators are asking practical questions about sleep and stress, and discussed the need for better identification of complex behavioral and medical needs. DDS said a standardized family support tool and updated IPP process are intended to improve consistency, transparency, and person-centered assessment for respite and related services.

Transcript Highlights:

• So I think that's actually not the case.
• There are only about 800 cases known worldwide.
• What are they setting the rate to?
• Reimbursement rates are a key factor.
• Is that still the case?

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably. The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs. Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.

Transcript Highlights:

• , then basically the same tax rate—I mean, the same exact rate—would be adopted for the following year
• If you wish to increase the tax rate above the no-new-revenue rate, when there is a lack of agreement
• Okay, so if that rate is maintained and doesn't change, if and to the extent that that rate based on
• as you just heard, the no-new-revenue rate.
• The overall rate is 36.3%.

Bills: HB240, HB2097, HB2731, HB3087, HB3234, HB3319, HB3394, HB3687, HB4105, HB4205, HB4350, HB4462, HB4642, HB4801, HB5403

Keywords: quorum, tax levy, county governance, local government, population regulations, quorum requirement, Texas counties, population threshold, deputy sheriff, civil service, law enforcement, appeals process, sheriff's department, HB 2731, roadside vendors, solicitors, county regulation, border counties, Mexico border, Transportation Code

Summary: The subcommittee on county and regional government heard a long agenda of county-related bills, with most measures left pending after testimony. HB 2097, by Rep. Martinez, would let counties that opt in use an independent hearing examiner instead of a civil service commission for certain deputy sheriff discipline appeals; the bill drew support from CLEET’s Robert Leonard, who said it would be fairer and faster, and it was left pending. HB 4642, by Rep. Gonzalez, would require counties that contract with out-of-state jail facilities to include Texas jail-standard protections and oversight; Gonzalez, detainee Jess Hampton, his wife, Texas Jail Project’s Krish Kundu, and TCJS director Brandon Wood all discussed deaths and poor conditions in Louisiana facilities, staffing shortages, and the need for guardrails and data collection. The bill was left pending. The committee also heard HB 4350, by Rep. Capriglione, allowing peace officers to request redaction of personal information from online real property records. Supporters said officers face targeted threats and should have protections similar to judges; a title industry witness warned about preserving the integrity of land records. The bill was left pending. HB 3687, by Rep. Harless, would require county fire marshals in counties over 100,000 to meet training and certification standards within set timeframes; Harris County Fire Marshal Laurie Christensen supported professionalization, and the bill was left pending. HB 4105 would let very large counties give a local-bid preference for construction and infrastructure contracts, and HB 4205 would require pay parity for similar law enforcement ranks within large counties; both were supported by Harris County officials and constables and left pending. Later, the committee heard HB 5403, which would repeal a special rule limiting Dallas and Tarrant county sheriffs’ control over commissary funds; the author said it would remove an outdated population bracket, and the bill was left pending. HB 4462 would require large counties to allow elected officials named in civil suits to seek outside counsel and have a role in settlement decisions; supporters argued county attorneys and commissioners court can have conflicts of interest, while questions focused on who qualifies and whether the bill could complicate settlements. The bill was left pending. Finally, HB 240, by Rep. Swanson, would restore a five-member quorum requirement for Harris County tax levies, effectively preventing tax action without all commissioners present and defaulting to the no-new-revenue rate if quorum is not met; urban counties opposed it as a potential budget obstruction, while supporters said it protects taxpayers and representation. That bill was also left pending. The transcript ends as the committee begins HB 3319, which would create a civil service system for constable department employees in large counties, but the discussion is cut off before testimony or action.

Transcript Highlights:

• Sorry, the error rate. The error rate. Yes, sir. Great. Mr.
• rates are higher.
• Same would be the case in this.
• So, in the best case scenario...
• What happens in that case, Mr.

Transcript Highlights:

• Texas reimburses community-based DSPs at an average rate of just $10.60 an hour, far below market rates
• National federal rates.
• I think they're not the same, but we get the flat rate. Sorry, we get the flat rate for the...
• The way our rate is structured is not the same as the IDD rate.
• , and according to the rate table, it now needs a 21% increase to fully fund the rate.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all