Video & Transcript : 'utilization management' :

Page 56 of 500
CA
Transcript Highlights:
  • The Senate Emergency Management Committee will come to order. Good afternoon.
  • I'm the general manager of Rowland Water District.
  • And welcome to emergency management, right?
  • I'm the general manager of Las Virgenes Municipal Water District.
  • And so that should conclude our emergency management meeting.
Summary: The Senate Emergency Management Committee held its first meeting and adopted committee rules for the 2025-26 session. SB 1020 was pulled from the agenda for a future hearing. The committee heard SB 1001, which would direct the Governor’s Office of Emergency Services to issue standardized identification cards for essential utility workers so they can more easily access evacuation zones during emergencies. The author and supporters, including Rowland Water District and the Association of California Water Agencies Joint Powers Insurance Authority, described a breakdown during the 2025 Eaton Fire when utility crews were denied access despite having credentials, causing delays in shutting off water at damaged homes. No opposition was present, and members broadly supported the bill as a practical emergency response measure. The committee voted 8-0 to pass SB 1001 to the Senate Public Safety Committee, with the measure held on call until all members voted. The committee also heard SB 1153, a wildfire preparedness bill from Senator Caballero. The bill would require urban retail water suppliers in high-risk areas to include wildfire-specific response procedures in their emergency response plans, and it includes findings clarifying that public water systems are not designed to function as wildfire suppression systems. The author accepted committee amendments clarifying that the bill does not limit liability for negligence, and witnesses from water agencies and industry groups supported the measure, citing the need for better planning and the financial strain of post-fire claims. Members discussed the balance between improving preparedness and avoiding language that could create a liability safe harbor or shift responsibility away from needed infrastructure investments. The committee voted 8-0 to pass SB 1153 as amended to the Senate Natural Resources and Water Committee, also held on call until all members voted. A consent item, SB 870, was also approved. After the committee reconvened and all members present voted, SB 870, SB 1001, and SB 1153 each received unanimous 8-0 votes and were reported out of committee. The meeting then adjourned.
CA

California 2025-2026 Regular Session

Senate Emergency Management Committee Mar 24th, 2026

Emergency Management

Transcript Highlights:
  • The Senate Emergency Management Committee will come to order. Good afternoon.
  • I'm the general manager of Rowland Water District.
  • I'm the general manager of Roll and Water District.
  • And welcome to emergency management, right?
  • And so that should conclude our emergency management meeting.
FL
Transcript Highlights:
  • I am joined today by our city manager, Mr. Derek Fiatcher, our deputy city manager, Mr.
  • Jim Morris, Deputy City Manager. I manage permits and licensing. "Come back to you, sir." "Right.
  • Jim Morris, Deputy City Manager. I manage permits and licensing.
  • But if we're utilizing it, we're the ones that are, you know, utilizing it at the main use.
  • I'm city deputy city manager.
Summary: The Joint Legislative Auditing Committee first heard a long-running audit finding involving Daytona Beach’s unexpended building permit funds, which have exceeded the statutory limit for several years and were reported at $10.8 million in the most recent audit. Mayor Derek Henry and city staff said the city has analyzed the fund, adopted a corrective action plan, waived more than $5.5 million in permit and inspection fees over several periods, and used some excess funds for a training facility rehabilitation and a proposed City Hall expansion. Committee members repeatedly questioned whether the city was simply trying to spend down the money, raised concerns about the legality and necessity of proposed expenditures, and asked about interest earnings, truck purchases, and the lack of detailed tracking for training-facility use. The city said an Attorney General opinion allows construction of a new building for building-code functions but not purchase of an existing building, and that if the city cannot comply through permissible construction it would have to return the funds. No vote was taken, but members expressed strong frustration and urged the city to resolve the issue quickly and lawfully. The committee then received the Auditor General’s presentation on the Town of Greenville, which found 31 findings and described pervasive control failures, possible fraud, waste, and abuse. The findings covered elections and quorum issues, conflicts of interest, late or missing financial disclosure forms, related-party transactions, poor meeting notices and minutes, council involvement in day-to-day operations, missing ethics training, budget and accounting deficiencies, weak bank reconciliations, improper utility billing and rates, grant compliance problems tied to a grocery store project, personnel and compensation issues involving the town manager, late vendor payments, weak procurement and P-card controls, vehicle-use and property-control problems, public records issues, and IT/fraud-policy weaknesses. The auditor said the review focused mainly on October 2022 through February 2024 but went back further for some grant-related matters. Greenville’s mayor and staff said the audit reflected actions of a previous administration and that the current council and staff have already adopted seven new policies to improve procurement, financial controls, inventory management, grant oversight, and ethics. They said the town has a new manager and clerk, that the former manager was terminated, and that the town referred matters to FDLE, which is investigating. Committee members asked about the manager’s salary increase, severance, P-card use, and whether the town should consider consolidation or dissolution. The mayor said the town is on a better path, that most of the prior leadership has been voted out, and that the town is working with auditors and an outside accounting firm to correct the problems.
MA

Massachusetts 2025-2026 Regular Session

Senate Committee on Climate Change and Global Warming May 27th, 2026

Senate Committee on Climate Change and Global Warming

Transcript Highlights:
  • In 2017, I founded Abode Energy Management.
  • We call the electric utilities, or the utilities now, perhaps soon to be the electric utilities only,
  • This idea of the utility— From DOER or from somebody else, this idea of the utilities running the show
  • I'm a senior policy manager with Sunrun.
  • called by the utility.
WA

Washington 2025-2026 Regular Session

House Environment & Energy Jan 12th, 2026

Transcript Highlights:
  • So you can see that under existing utilities in red.
  • And utilities must post specific device models.
  • And finally, for small utilities specifically, section 201 sub 4 requires utility to respond within 90
  • And finally, for small utilities specifically, section 201 sub 4 requires utility to respond within 90
  • We think it has a lot of utility and possibility to help utilities meet CETA goals and both preserve
Summary: The committee began with member and staff introductions, then held a work session on emissions-intensive trade-exposed facilities (EITEs) under Washington’s Climate Commitment Act. Ecology staff reviewed how cap-and-invest works, explained EITE no-cost allowance allocations, and summarized a new report to the Legislature on policy options for 2035-2050. Ecology recommended continuing no-cost allocations but adjusting them to fit the cap, considering a consignment approach that would require EITEs to invest part of the value of free allowances in decarbonization, and studying additional benchmarking and leakage-mitigation refinements. Quebec officials described their cap-and-trade system, including a consignment model that withholds part of free allocations, holds the value in trust for facilities, and requires technical studies and investment in mitigation projects; they said it has encouraged industrial investment and no business closures. Members asked about facility closures, compliance costs, eligible uses of consigned funds, and adaptation spending. The work session then closed. The committee then heard House Bill 2296, which would expand distributed energy resources by allowing portable plug-in solar devices and meter-mounted devices. The prime sponsor said the bill is intended to lower barriers and startup costs for renters and homeowners who want to electrify or add solar. Supporters, including a nonprofit promoting plug-in solar and a physician group, said the devices could broaden access to clean energy and reduce greenhouse gas and health harms. Utilities, labor, and industry groups opposed the bill as written, citing safety concerns, lack of national electrical code standards, possible backfeeding and fire risks, utility-worker hazards, unclear interconnection rules, and concerns about multifamily housing and small-utility review burdens. Some witnesses said they were open to continued work on the proposal. Next, the committee heard House Bill 2285, which would allow natural gas generation paired with carbon capture, utilization, storage, or mineralization to count toward Clean Energy Transformation Act compliance. The sponsor and supporters argued the bill would provide a “bridge” for firm power, help address reliability and transmission constraints, and support jobs while reducing emissions compared with conventional gas. Opponents said the bill would weaken CETA’s 100% clean electricity target by allowing resources that still emit carbon to qualify, and they questioned whether 75% capture is sufficient. Other testimony raised cost concerns and warned that carbon capture could increase ratepayer costs. The hearing on HB 2285 was later suspended and reopened briefly for additional testimony from Ecology, which said the bill would permanently weaken CETA standards and likely reduce emissions reductions. The committee also briefly received a staff briefing on House Bill 2272, a ski-area terminology bill, and then suspended that hearing to take it up later.
NM
Transcript Highlights:
  • In New Mexico, less than 10% of wildfire starts can be attributed to utilities, but these same utilities
  • It's not giving the utility an out and no lawsuits, but it's giving the ratepayers of that utility protection
  • If a utility is in compliance with the plan set forward and accepted by the PRC, A utility could still
  • Utility companies.
  • But you have to remember a utility has to offset that, putting that in, Member, a utility has to offset
Summary: The committee first heard Senate Bill 55, which would expand New Mexico’s solar market development income tax credit from 10% to 30% after the federal solar credit expired, raise the per-credit cap from $6,000 to $15,000, and keep the existing overall $30 million cap with a sunset in 2032. The sponsor and industry witnesses said the bill would help stabilize the residential solar sector, protect jobs, and support consumers, small businesses, small agriculture, and tribal communities. Public testimony was overwhelmingly supportive, though some members raised questions about fiscal capacity and the bill’s impact. The committee passed SB 55 on a 7-4 vote. The committee then took up House Bill 267, the Wildfire Mitigation and Liability Act, on a committee substitute. The bill would require utilities to file and maintain wildfire mitigation plans, obtain PRC approval, and receive a rebuttable presumption in civil actions if they substantially comply; it also includes access provisions for mitigation work on private and public property, cost recovery, damage limits, and a one-year statute of limitations. Utilities and co-op representatives supported the bill as a way to reduce wildfire risk and address rising insurance costs, while insurers, OSI, and wildfire-victim advocates opposed it, arguing it overly limits liability, shifts losses to homeowners and insurers, and does not fully compensate victims. Several committee members expressed concern about the liability standards, deemed approval, access to property, and the short limitations period, but the bill ultimately passed on an 8-3 vote after the chair corrected the motion and revote. Next, House Bill 320, the Industrial Carbon Reduction Act, was presented. It would create production incentives and capital grants for industrial materials made at least 40% cleaner than the industry average, with clawbacks for underperformance and competitive review by EDD and Environment. Supporters from the gas company and chambers of commerce said it uses performance-based incentives to encourage cleaner manufacturing, attract investment, and create jobs. One member raised an anti-donation clause concern, but the sponsor said the bill’s performance requirements and clawbacks address that issue. The committee passed HB 320 on a 10-1 vote. Finally, the committee heard Senate Bill 104, a follow-up to last year’s wildlife agency reform bill. It would replace vetoed language by creating a process for a governor’s removal of a wildlife commissioner that includes notice, a hearing, and direct review by the New Mexico Supreme Court, while keeping the governor’s removal authority for cause. Ranching, angling, outfitter, and conservation groups supported the bill as a bipartisan fix that adds accountability and avoids political retaliation. Members asked about the removal process and direct Supreme Court review, and some who had initially been skeptical said the testimony changed their view. The bill was moving forward with support at the end of the discussion.
MN

Minnesota 2025-2026 Regular Session

House Housing Finance and Policy Committee 3/17/26

Housing Finance and Policy

Transcript Highlights:
  • ><c> service</c> thirdparty property managers, service thirdparty property managers, service providers
  • 04:58.000><c> on</c> property manager was assaulted on property manager was assaulted on property.<00
  • </c><00:05:42.160><c> by</c><00:05:42.320><c> a</c> property manager was assaulted by a property manager
  • The bill was silent on how we did the final utility bill because utility billing doesn't necessarily
  • billing</c> utility bill because utility billing utility bill because utility billing doesn't<00:15:
Bills: HF4141 , HF3951
CA
Transcript Highlights:
  • Public Utilities Commission.
  • But as you mentioned, ideally it would go back to the utility managing the state. including those who've
  • But as you mentioned, ideally it would go back to the utility managing the state.
  • It would go back to the utility managing the state-owned property, right?
  • He explained that the utility typically addresses project delays internally through its project management
Summary: The committee first heard AB 13, which would restructure the CPUC to increase legislative oversight, add legislative liaisons, require more detailed and timely reporting on rate-setting decisions, and add a public advocate member. The author and supporters argued the bill would improve transparency, accountability, and geographic diversity in CPUC decision-making amid rising utility rates. Witnesses from TURN, San Joaquin County, SDG&E, and former CPUC Commissioner Loretta Lynch offered support or support-in-principle, while no opposition testimony was presented. Members generally praised the bill’s transparency goals, and AB 13 passed 10-0 to Appropriations, with the roll left open for absent members. The committee then adopted the 2025-2026 committee rules and approved three consent items: AB 61, AB 365, and AB 406. The next bill, AB 99, would cap investor-owned utility rate increases above inflation except for specified costs such as safety, modernization, and fuel/commodity costs. The author and supporters, including a representative of the California Senior Legislature, said the bill was needed to protect ratepayers, especially seniors and low-income customers, from repeated rate hikes. Opposition came from utility labor, utilities, the Chamber of Commerce, and others, who argued the bill was too simplistic, could suppress labor costs, and did not account for major cost drivers such as wildfire mitigation, mandates, and net metering. Several members supported moving the bill forward as a starting point on affordability, while others criticized it as overly blunt. AB 99 passed 11-0 to Appropriations, with the roll left open. The hearing then shifted to an informational panel on strategies to reduce California transmission costs. A Public Advocates Office staffer described a growing backlog of approved-but-unbuilt transmission projects, rising transmission access charges, and long project timelines driven largely by utility pre-application and construction periods. Panelists from Net Zero California and consulting firms presented research suggesting that public financing or public-private partnership lease models could reduce transmission costs by lowering financing, tax, and capital costs, with estimated savings of up to 57% and as much as $123 billion over 40 years. PG&E’s representative said the utility is already pursuing federal loan guarantees, grants, and a public-private partnership with Citizens Energy, but warned that state ownership could create tax, wildfire-liability, and governance risks. Members asked about the CPUC’s role, the causes of delays, and whether public financing could complement existing competitive solicitation processes.
MN

Minnesota 2025-2026 Regular Session

Committee on Energy, Utilities, Environment and Climate - 02/19/25

Energy, Utilities, Environment, and Climate

Transcript Highlights:
  • Um, these costs are financed at a low interest rate through the utilities' ability to issue low-cost
  • utilities. tool used in more than 30 States uh in tool used in more than 30 States uh in case<00:01:
  • Then the PUC could approve a utility to issue bonds.
  • Those events can put serious burdens on both the utilities and our customers.
  • The utility doesn't have to request securitization.
OK
Transcript Highlights:
  • growth Without managed care, we think that utilization number would be much higher.
  • But you mentioned utilization, and so how do we know the actuarial projections on utilizations are accurate
  • That was how they managed the system.
  • We're gonna see more utilization.
  • That's just more utilization in the system.
ND

North Dakota 2026 1st Special Session

Budget Section Regulatory Division Jun 24th, 2026

Transcript Highlights:
  • Devin is utilizing surfactants.
  • If you utilize it in a... You get a five-year incentive.
  • And if you utilize it for a non-Bakken, you get X, and if you utilize it for this, you get Y.
  • We manage those revolving loan funds on your behalf.
  • , strong talent management... ...the bank, focusing on strong banking, strong risk management, strong
Summary: The committee received a compliance and budget update on Industrial Commission agencies and programs, including the Industrial Commission administrative office, the Oil and Gas Research Program, the Clean Sustainable Energy Authority, the State Energy Research Center, the Research Technology Park grant program, and related funds. Staff reviewed spending and balances for items such as electric grid resiliency grants, lignite research, enhanced oil recovery, the salt cavern business case study, and the new NDSU research and technology park grant. Members also discussed timing, carryover balances, matching requirements, and how some programs are structured to reimburse projects over several years rather than spend funds immediately. Karen Tyler of the Industrial Commission described the agency’s administrative budget, the grant management system nearing completion, and the transition to standalone audits and staffing after separating from other agencies. She also outlined the status of active grant rounds across lignite, oil and gas, renewable energy, outdoor heritage, and clean sustainable energy programs. Members asked about the length of active grants, demand for clean energy funding, and the possibility of future grant rounds. Tyler and members also discussed the salt cavern study, the need to better define its commercial value, and the research technology park grant’s cash-match requirement. Ron Ness then testified on enhanced oil recovery and broader oil and gas market conditions. He said North Dakota production remained steady, but future growth depends on infrastructure, longer laterals, and better use of natural gas and carbon dioxide for EOR. He described the state’s EOR grant round, the use of federal DOE funding to replace part of a state-funded project, and the expectation of additional grant rounds. Members asked about CO2 supply, storage, and the economics of using legacy fields and pipelines to extend oil production and support agriculture and industrial uses. The committee also heard from Bank of North Dakota President Don Morgan, who reviewed the bank’s mission, governance, lending verticals, disaster programs, and new initiatives. He said the bank is seeing deposit growth flatten and is responding to fintech competition by focusing on liquidity, risk management, and a new payment infrastructure initiative called Rough Rider Coin, which he emphasized is not crypto and not a public coin, but a banking payment rail for North Dakota institutions. Members asked about student loan rates, disaster lending, and how the bank’s lines of credit and balance sheet capacity are affected by deposit trends. Morgan said the bank remains profitable and continues to support agriculture, commerce, and industry through participation loans, student lending, and state-directed programs.
TX

Texas 89th Regular

State Affairs May 6th, 2026

State Affairs

Transcript Highlights:
  • Taxpayer is utilized.
  • Utilities know how to do the wires; they know how to do it. Utilities know how to do the wires.
  • This is not anti-utility.
  • So managing the time of charge is a real easy way to utilize that electric vehicle battery.
  • utilities.
Committee: House State Affairs
WA

Washington 2025-2026 Regular Session

House Environment & Energy May 18th, 2026

Transcript Highlights:
  • Utilized.
  • And that's the integrated disposal management chain in order to manage risk, a firm focus on safety,
  • I manage the solid waste management program with the Department of Ecology.
  • For households, there are several ways to manage HHW.
  • I'm a policy advisor with Seattle Public Utilities and the hazardous waste management program in King
Summary: The committee held an interim work session focused first on carbon capture, utilization, and sequestration (CCUS), then on hazardous waste and extended producer responsibility (EPR). On the CCUS topic, industry and nonprofit presenters described point-source capture, direct air capture, mineralization, and geologic sequestration, emphasizing Washington’s basalt formations and state trust lands as strong candidates for storage. They argued that CCUS can help hard-to-abate industrial sectors, support jobs and investment, and provide a pathway for compliance, while also noting the need for clearer permitting, subsurface rights, pipeline authority, and storage infrastructure. Ecology and Commerce staff explained current state policy touchpoints, including Cap-and-Invest offsets and exemptions for permanently stored CO2, the public comment process underway to define “thousand-year” permanence, and how CCUS might fit within the Clean Energy Transformation Act without counting emitting generation as non-emitting. Some presenters supported more state action and primacy over federal permitting, while others warned about costs, energy use, uncertain capture performance, and the need to ensure real net greenhouse gas reductions and long-term liability protections. Members asked about public meetings, whether mineralized carbon would qualify as exempt under the Climate Commitment Act, the timeline for Ecology guidance, aquifer and water-quality concerns, energy intensity of capture systems, and liability if storage later proves problematic. Responses said Ecology’s guidance process is already underway, public meetings will be virtual, mineralized carbon would likely qualify if it meets the permanence standard, and EPA rules require storage in deep saline formations below drinking water aquifers. Industry speakers said capture energy use varies by source and concentration, and one presenter noted that some states use trust funds funded by injectors to address long-term liability. The second half of the session shifted to hazardous waste and EPR. Ecology staff reviewed existing product stewardship programs for electronics, paint, batteries, and mercury lights, and described moderate risk waste and household hazardous waste management in Washington. They highlighted that E-Cycle and PaintCare are producer-funded, that the battery stewardship program will begin in 2027, and that the mercury lamp program is in transition after its prior stewardship organization exited, prompting enforcement notices and a pending replacement plan. Ecology recommended best practices for future EPR programs, including clear producer and product definitions, full producer funding, convenience standards, annual reporting, and strong agency enforcement and plan approval authority. Local government speakers from King County and Douglas County described rising collection costs, equity and access barriers, rural travel distances, and the need for stable funding and flexible local implementation. King County said it collected over 3 million pounds of hazardous products in 2025 and supports EPR as a way to shift costs from ratepayers to producers, while Douglas County emphasized that rural residents will participate when services are accessible and that future systems should account for geography and local infrastructure.
TX

Texas 89th Regular

Senate Committee on Water, Agriculture, and Rural Affairs May 11th, 2026

Water, Agriculture and Rural Affairs

Transcript Highlights:
  • and utilized. to talk about and how those funds are managed and utilized.
  • They utilize IT, they utilize finance, they utilize all those different departments, but those utility
  • They utilize IT, they utilize finance, they utilize all those different departments.
  • They utilize IT, they utilize finance, they utilize all those different departments, but those utility
  • We manage it with IPM, integrated pest management.
CA
Transcript Highlights:
  • We are proposing to implement various utilization management changes, or UM changes, including prior
  • We are proposing to repeal existing statute that prohibits utilization management controls for outpatient
  • This would allow the department and our Medi-Cal managed care plans to implement utilization management
  • We also use our medical necessity utilization management controls to evaluate the need.
  • Regarding the step therapy protocols and the ways to manage utilization, it encourages our prescribers
WA

Washington 2025-2026 Regular Session

House Environment & Energy May 18th, 2026 at 01:30 pm

Environment & Energy

Transcript Highlights:
  • And this is where DNR manages many agricultural leases.
  • And that's the integrated disposal management chain in order to manage risk, a firm focus on safety,
  • I manage the solid waste management program with the Department of Ecology.
  • For households, there are several ways to manage HHW.
  • I'm a policy advisor with Seattle Public Utilities and the hazardous waste management program in King
AZ

Arizona 2026 Regular Session

01/27/2026 - House Natural Resources, Energy & Water

House Natural Resources, Energy & Water Committee of Reference

Transcript Highlights:
  • utility side.
  • , utilities that are... ...representing both public and private utilities, utilities that are governed
  • of the utility, which are in this case... ...financing that are borne by the owners of the utility,
  • Management Agency.
  • Management Agency.
Summary: The committee began by announcing that House Bill 2094 would be held and not heard that day, then received a lengthy update from Arizona Department of Water Resources Director Tom Buschatzky on Colorado River negotiations and post-2026 operating rules. He described Arizona’s legal position, the basin’s water allocations, current shortages, conservation efforts, and the state’s view that the Upper Basin should share more of the reductions and move more water from reservoirs above Lake Powell to Lake Mead. Members asked about tourism, recreation, tribal water rights, public outreach, and the role of the state’s delegation and the federal government. Buschatzky said Arizona has already made major conservation cuts and that further reductions are likely, whether by agreement or federal action, and emphasized ongoing negotiations and public meetings. The committee then heard House Bill 2758, which would expand McMullen Valley groundwater transfer rules to allow eligible entities, including private water companies, to withdraw and transport groundwater under specified conditions, with ADWR oversight and reporting requirements. Supporters argued the bill would provide a lawful, regulated way to move water for urban growth and housing needs, while opponents from La Paz County and rural advocacy groups said it would accelerate aquifer depletion, harm private wells, and benefit a New York hedge fund at the expense of local residents. After debate over guardrails, stakeholder outreach, and the impact on rural communities, the committee adopted the Griffin amendment and passed HB 2758 as amended on a 6-4 due-pass vote. Finally, the committee took up House Bill 2098, which revises bonding authority and public hearing notification requirements for county water augmentation authorities and allows such authorities to enter into local repayment agreements with WIFA. Pinal County officials and related stakeholders testified in support, saying the changes would help the Pinal County Water Augmentation Authority finance future water and infrastructure projects, including possible augmentation efforts tied to Bartlett Dam, and would clean up statutory language to match the authority’s needs. The transcript ends during testimony on HB 2098, before any committee vote on that bill is shown.
CA
Transcript Highlights:
  • We are proposing to implement various utilization management changes, or UM changes, including prior
  • We are proposing to implement various utilization management changes or UM changes, including prior authorization
  • We are proposing to repeal existing statute that prohibits utilization management controls for outpatient
  • This would allow the department and our Medi-Cal managed care plans to implement utilization management
  • utilization?
Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.
FL

Florida 2026 Regular Session

Ethics and Elections Feb 23rd, 2026

Ethics and Elections

Transcript Highlights:
  • Compliance of the managed care plans is really important to me.
  • Most of our recipients are receiving care through a managed care plan.
  • utilities heretofore before these.
  • that add to the cost of utility rates? That's another really great question.
  • But investor-owned utilities are not businesses the way we would think of them.
CA
Transcript Highlights:
  • On the specific activities that have been shared in the May revision for the utilization management,
  • For the CalAIM reforms, I was struggling to understand utilization management of community supports.
  • How do you utilize management if it's like a down payment, if it's, you know, stuff like that?
  • These resources are requested to transform, manage, and transmit Medi-Cal data to H-QI and to utilize
  • The imposition of utilization management for transportation services, which are critically important