Video & Transcript Research : 'rate base'

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AR

Arkansas 2026 Regular Session

ALC-ADMINISTRATIVE RULES Jan 15th, 2026

ALC-ADMINISTRATIVE RULES

Transcript Highlights:
  • So the 9-1 date is related to the rate page.
  • So the 9-1 date is related to the rate page.
  • I am sure that there have been rate reviews.
  • So at any rate, I cannot say that they have not done rate reviews.
  • One is the rate increase.
Summary: The Administrative Rules Subcommittee of the Arkansas Legislative Council reviewed several agency rules and requests. The Insurance Department’s amendment to its holding company system rule was reviewed and approved, as were two State Board of Election Commissioners rules: one clarifying poll watcher conduct, vote challenges, and provisional voting, and another increasing pay for certified election monitors and defining training, observation, and report-writing compensation. The Arkansas Financial Education Commission also had its rule reviewed and approved after removing membership requirements tied to DEI language to comply with Act 938. The committee held over the Department of Education’s request to be excluded from reporting requirements for one month to allow further discussion about who should write or implement the rules. A major portion of the meeting focused on the Department of Human Services’ request to be excluded from reporting requirements for Acts 567, 568, 967, and 1025. DHS said CMS had raised comparability and other federal approval concerns, especially for the dental and diagnostic lab provisions, and that it might not be able to meet the acts’ effective dates. DHS described several possible paths forward, including broader benefit changes, waivers, or splitting the dental provisions so the pediatric rate increase could move separately from the special-needs adult cap increase. The Arkansas State Dental Association disputed DHS’s conclusion that the acts could not be implemented as written, argued that Act 1025 is workable, and urged DHS to continue pursuing implementation and preserve the September 1 effective date where possible. Public testimony also supported expanded dental access for adults with disabilities and special needs. After discussion, the committee voted not to exclude DHS from reporting requirements for those acts. The committee then reviewed the Division of Higher Education’s Act 781 report. The division said it has 32 rules in effect, asked to repeal three rules—two replaced by new rules and one no longer supported by authority or current law—and to continue the remaining 29 rules. The committee approved that request, with the repeals effective upon adjournment of the Legislative Council meeting on January 16, 2026. The meeting concluded with no questions on the remaining written rulemaking updates from prior and current sessions, which were filed without further action.
ND

North Dakota 2026 1st Special Session

Employee Benefits Programs Committee May 7th, 2026

Employee Benefits Programs Committee

Transcript Highlights:
  • But the blended rate helps.
  • It's based upon, well, the survey is based upon the location of the survey organization, like the entity
  • Historically, we have had one of the highest rates in the nation. This rate has had...
  • Some contracts list hourly rates for different services, but these rates are paid to contractors.
  • Some contracts list hourly rates for different services, but these rates are paid to contractors and
Summary: The Employee Benefits Committee met to hear presentations on state employee health insurance, compensation, leave policies, labor market conditions, and prevailing wage issues, then later took up committee rules and bill-draft jurisdiction. PERS reviewed the history and structure of the state health plan, noting the state has paid the full family premium since 1979, described cost-control and benefit-enhancement changes over time, and explained current plan options, wellness incentives, employer wellness discounts, and the upcoming bid process for the 2027-29 contract. HRMS then presented compensation comparisons showing state classified pay generally trails private and regional markets, with larger gaps at higher-level jobs, and reviewed benefits and leave policies, including the new enhanced annual leave and new-hire leave, the state’s unpaid family leave structure, and varying tuition reimbursement practices. Job Service reported on labor force trends, low unemployment, high labor force participation, job openings, and wage growth, and OMB said there are no state prevailing-wage requirements beyond federal Davis-Bacon rules for federally funded projects. The committee then considered a proposed amendment to Joint Rule 211 to better align the health insurance mandate review process with recent statutory changes. Members discussed how the rule should reference both the committee’s required actuarial reports and the Legislative Council cost-benefit analysis, and the amendment was adopted on a roll call vote. The committee also discussed how its jurisdiction decisions affect whether a bill draft receives actuarial analysis, with staff explaining that a decision not to take jurisdiction means the bill is not treated as impacting the relevant retirement or health plans for purposes of that analysis. After that, the committee began reviewing bill drafts for jurisdiction. The first draft, bill draft 33, would automatically renew pre-tax elections for dental and vision coverage during open enrollment instead of requiring annual re-election. Members debated whether it had any actuarial impact, noting the state does not pay those premiums directly, and the discussion was still underway when the transcript ended.
TX

Texas 89th 2nd C.S.

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

Water, Agriculture and Rural Affairs

Transcript Highlights:
  • your rate covers the operation.
  • Talking about individual water rates? Yeah, like who has the highest rates?
  • Lowest rates in the state. Okay. Lowest rates in the state. Okay.
  • Those rates, some of them have water supply, but then also wastewater involved in that same rate.
  • So you pay a base fee plus some amount based off the volume you use.
Keywords: 1185, senate, all
FL
Transcript Highlights:
  • Furthermore, over the last few years, the department has increased the base rate of pay for by CPI, an
  • I just had a question you gave us this CPI vacancy rates in the API vacancy rate in terms of percentages
  • I know how difficult it has been and you're talking about increase base rate.
  • rate.
  • The daily board rate of the bq Itp is 3.95.
Keywords: 999, senate, all
NH

New Hampshire 2025 Regular Session

House Finance Division III (03/28/2025)

Transcript Highlights:
  • increasing rates.
  • uh these Medicaid rates that we have. uh these Medicaid rates that we have.
  • So, uh, just based on some quick analysis, um, if you were to pull the hospital rates out, it's about
  • community based care um uh services. community based care um uh services.
  • And so the rates of spending.
Keywords: 928, house, all
Summary: The Division 3 work session focused largely on amendment 1176 to HB 2, which would have incorporated the substance of HB 548FN, a House-passed bill creating a direct-pay or membership-based model for health care facilities. Representative Mlan described the proposal as a way to increase competition in health care by extending the direct-care model used in primary care to facilities, arguing it could encourage innovation and that concerns about widespread harm to critical access hospitals were overstated. He pointed to Oklahoma’s long-standing Surgical Center model as evidence that the approach had not spread broadly or displaced hospitals there. Several members and witnesses raised concerns. Representative Stringham questioned whether the model would shift profitable services and patients away from existing hospitals, potentially worsening their finances and affecting Medicaid-related funding. David Ross, speaking for county nursing homes, opposed the language because it also removed moratoriums on nursing home, skilled nursing, inpatient rehabilitation, and self-pay beds, warning that it could increase pressure on Medicaid rates and undermine community-based care. Ben Bradley of the New Hampshire Hospital Association said the proposal appeared to create a separate regulatory framework for direct-pay facilities and raised concerns about patient safety, CMS participation rules, and a separate patient bill of rights. The chair concluded that, because HB 548 was already moving through the Senate, the HB 2 process was not the best vehicle for the policy and that the issue should be left to the Senate’s more deliberative committee process. Representative Ferski moved to not accept or remove amendment 1176 from the agenda, and the committee approved the motion by roll call, 9-0, withdrawing the item from HB 2.
KY
Transcript Highlights:
  • rates.
  • And oftentimes that can be, um, based on cost, a percentage of cost, um, based on Medicare rates or a
  • Some of them are based on Medicare reimbursement, and so if Medicare updates the rates, then we would
  • Some of them are based on Medicare reimbursement, and so if Medicare updates the rates, then we would
  • Some of them are based on Medicare reimbursement, and so if Medicare updates the rates, then we would
Keywords: 958, all
Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.
CA
Transcript Highlights:
  • Of this amount, $1.8 million supports base rate increases governed by the Department of Health Care Services
  • , which include the IMD rate and the quality assurance fee rate.
  • In addition to these base rate increases, $300,000 will be used to support essential psychiatry services
  • daily bed rate.
  • So when we first requested the funding for IST solutions, it was based on an assumed rate of activation
Keywords: 987, senate, all
Summary: The subcommittee heard updates from the Department of State Hospitals on its proposed 2026-27 budget, including a $3.2 billion total budget, patient-driven operating cost increases, savings in the IST solutions program, and progress in meeting the Stiavedi court-ordered 28-day treatment standard. DSH reported it has met court benchmarks, reduced the IST pending placement list from a pandemic high of 1,953 to about 250, and is now averaging about five days to initiate treatment. Members asked about the effects of Proposition 36 and SB 1323 on referrals, outside hospitalization costs, Medicare coverage, and whether IST solution funds were being overbudgeted; DSH said referrals are slightly down overall, outside medical costs are rising due to inflation and an aging population, and the IST savings reflect slower-than-expected activation of community programs rather than a service gap. The department also outlined proposed funding for electrical infrastructure upgrades at Napa and Patton, a feasibility study under SB 380 for transitional housing for the CONREP SVP program, and a dental services expansion at Metropolitan and Patton. The committee held those DSH items open after discussion. The Commission for Behavioral Health presented its role in overseeing the transition from MHSA to BHSA, including data, evaluation, transparency, grantmaking, and technical assistance. It described the new Innovation Partnership Fund, a statewide innovation grant program funded at up to $20 million annually for five years, with small and large grants, and said it had received strong interest ahead of the May 8 application deadline. Members asked about what qualifies as innovation, whether grants could be renewed, and how the state would ensure the program supports service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for up to $4.062 million in remaining Alcove Youth Drop-in Center funds so sites can finish implementation and Stanford can complete the final evaluation; that item was also held open. DHCS provided an overview of behavioral health policy changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, the access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation, transitional rent, and upcoming youth-focused guidance such as high-fidelity wraparound and activity funds. On BHSA implementation, DHCS said it is not tracking specific local program cuts, but is monitoring county plans and outcomes while noting that counties must still preserve Medi-Cal specialty mental health and DMC-ODS services. The department also discussed its H.R. 1 implementation strategy, including outreach, streamlined renewals, ex parte exemptions, and proposed clinic navigator and outreach funding to reduce Medi-Cal coverage loss, especially for people with behavioral health needs. In response to questions, DHCS said it has not produced a specific H.R. 1 impact estimate for county behavioral health populations, and later explained that counties can still use BHSA and other funding streams for prevention and early intervention while the state tracks impacts through integrated plans and new performance measures. The department also reported on BH-CHIP bond spending, saying it has awarded $5.8 billion for 437 infrastructure projects creating 546 new or expanded facilities and more than 9,553 residential beds, with tribal set-asides exceeding the original allotment.
NH

New Hampshire 2026 Regular Session

House Finance Division III (04/20/2026)

Transcript Highlights:
  • <00:37:48.120> on fund based on the request and based on fund based on the request and based
  • He added that the payment error rate is based on a monthly sample of eight cases, which is not a statistically
  • fraud rates. fraud rates.
  • So, when we set rates, we make a lot of assumptions based on the best information that's available that's
  • So, when we set rates, we make a lot of assumptions based on the best information that's available that's
Keywords: 1189, house, all
Summary: Division Three of the Finance Committee met in work session on April 20, 2026, to consider Senate Bills 481, 603, and 663, with the discussion focused primarily on SB 481, relative to the sale of the Sununu Youth Services Center property. The chair explained that the bill was advisory only and that the committee’s recommendations would go to full Finance on April 27. For SB 481, members reviewed conflicting provisions in the prior budget law about whether sale proceeds should go to the general fund or the Youth Development Center Claims and Administration Settlement Fund, and the bill was described as a compromise that would direct proceeds to the general fund before June 30, 2027, and to the settlement fund after that date. It was noted that the settlement fund had originally received about $20 million and had roughly $10 million remaining. The committee also received an extensive update from DCYF Director Marie Noonan on the new Youth Development Center in Hampstead. She reported that construction remained on schedule, with major structural and interior work complete, substantial completion expected in late summer or early fall 2026, and occupancy anticipated in early 2027. The presentation highlighted the facility’s design features, including single-occupancy bedrooms, sensory rooms, an education wing, medical and clinical suites, visitation space, a gym, and multiple outdoor courtyards, all intended to support a trauma-informed setting. Members asked about the facility’s funding, square footage, fencing, and scanner; staff said the building is about 34,000 square feet, funded entirely with federal ARPA state recovery funds to date, and that the scanner is on site but not yet operational pending policy and staff training. Committee members also raised concerns about the facility’s design and security. In response, DCYF said some concrete walls are required for structural and safety reasons, but they are being painted to maintain a brighter environment, and that the fencing will be about 15 feet high with privacy netting because the campus is shared with Hampstead. Officials said the new facility is legislatively limited to a maximum of 12 youth, while the current center can house 12 to 18, and emphasized that courts ultimately determine placements. No votes or final actions were taken during the work session.
ND

North Dakota 2026 1st Special Session

Budget Section Jun 24th, 2026 at 10:00 am

Budget Section

Transcript Highlights:
  • So a positive there, 9.17 is the effective tax rate there. So, Mr.
  • More of a volume-based tax than a value-based tax like we have on the oil side.
  • And then we asked for base budgets to be submitted.
  • about half of the mill rate in Fargo or Grand Forks County.
  • rates, and that helps them do their budgeting.
Keywords: 908, all
WA
Transcript Highlights:
  • Detention is a population-based service.
  • And then we have an evidence-based expansion grant.
  • Community-based program.
  • I talked about the rate increases.
  • What you see here is licensed family homes received a rate increase, but rate increases were delayed
Summary: The committee began with a work session on juvenile rehabilitation institution capacity, services, and staffing. DCYF Assistant Secretary Jennifer Redmond described overcrowding at Green Hill School and Echo Glen, driven by longer adult-style sentences extending past age 25, limited community placements, and small facility sizes. She said Green Hill remains above safe operating capacity, but staffing, injuries, large-scale aggression, and use-of-force incidents have improved over the past year. She also discussed Harbor Heights, a new 46-bed flex facility that had opened with 22 youth and would expand once a medical trailer arrives, as well as community transition services, vocational programming, behavior management reforms, and a request for more resources for mental health-focused facilities and staffing. Members asked about success metrics, developmental disability screening and supports, college access at Echo Glen, Mission Creek planning, and gender-responsive programming; Redmond said JR uses assessments, family involvement, and specialized living units, and that some requested funding had already been secured for returning a girls’ program at Echo Glen. The committee then heard from Team Child and the Youth Action Coalition. Greta Schultz said youth perspectives should guide system reforms and identified key concerns: overuse of sentence extensions, underuse of community transition services, continued criminal referrals from Green Hill to Lewis County, limited family contact, inadequate mental health access, and unequal education opportunities, especially for young women at Echo Glen. Justella Gonzalez, a former system-involved youth, said her time in county and state facilities was harmful, with staff mistreatment, poor education, limited therapy access, and humiliating restraint practices; she also said girls at Echo Glen lacked the same college opportunities as boys at Green Hill. Committee members asked for follow-up on county versus state experiences and on telehealth mental health services. The next presentation covered county-level services for youth involved or at risk of involvement with the justice system, led by juvenile court administrators Christine Simon-Smeyer and Judge Rachel Anderson. They outlined the juvenile court continuum from prevention and truancy work through diversion, detention alternatives, community supervision, and disposition alternatives, emphasizing evidence-based, trauma-informed, and restorative practices. Clark County was used as an example of a court that partners closely with schools and community providers, uses risk assessments and wraparound behavioral health probation, and offers detention alternatives without electronic home monitoring. They said most courts do not use detention for status offenses, but instead use court involvement to connect youth to services. They also described funding, noting that courts rely on a mix of state block grant and local dollars, and that recent cuts to early intervention funding reduced programming and staff hours. Members asked about detention for truancy, developmental disability identification, restorative justice practices, and the juvenile block grant. Finally, DCYF Assistant Secretary Nicole Rose and Katie Warren of the Washington State Association of Head Start and ECAP discussed child care and early learning impacts from recent policy and budget changes. Rose said Fair Start for Kids investments had increased child care access, provider participation, and kindergarten readiness, with more than 60,000 children in Working Connections care and rising ECAP enrollment and provider capacity. She said recent reductions will raise most family copays in 2026, delay eligibility expansions, eliminate some expanded eligibility categories, reduce ECAP slots by about 3,000, delay entitlement timelines, and cut provider supports such as rate increases for centers, complex-needs grants, trauma-informed and dual-language incentives, and infant/early childhood mental health consultation. Warren emphasized ECAP’s role in family stability, workforce participation, and reducing poverty, and noted its two-generation approach to supporting both children and parents.
TX

Texas 89th Regular

Public Education Feb 25th, 2025

Public Education

Transcript Highlights:
  • So in Dallas, we've got the base pay start.
  • But we do know that the existence. of a public rating system that as a tiered performance rating system
  • And so we We probably just have a better experience base more experience base teaching students that
  • It's based upon the entitlement per kid.
  • Kids who earn industry-based certifications.
Keywords: 1184, house, all
NH

New Hampshire 2026 Regular Session

House Science, Technology and Energy (02/02/2026)

Science, Technology and Energy

Transcript Highlights:
  • of the overall rate base in terms of all of our regions.
  • of the overall rate base in terms of all of our regions.
  • base, their distribution rate base, not for default service supply.
  • ><01:25:17.440> not base, their distribution rate baits, not base, their distribution rate baits
  • Allowing the rate basing any other type.
Keywords: 1189, house, all
NM

New Mexico 2025 Regular Session

IC - Federal Funding Stabilization Subcommittee Jul 31st, 2025

Federal Funding Stabilization Subcommittee

Transcript Highlights:
  • It increases the base standard deduction for tax year.
  • They don't get the benefit of the marginal tiered rates.
  • This will affect the tax bases for both those tax programs.
  • I wouldn't say that it was in response to the state reducing its rate, but the state rate is actually
  • Note that the tax base is gone for those communities.
MN

Minnesota 2025 1st Special Session

Committee on Higher Education - 02/06/25

Higher Education

Transcript Highlights:
  • increase High School graduation rates increase High School graduation rates and<00:07:24.960>
  • :07:26.160> of and then ultimately increase rates of and then ultimately increase rates of college
  • <00:08:08.639> go attainment rates go attainment rates go increase<00:08:10.639> um
  • look at sort of college going rates look at sort of college going rates generally<00:26:14.720><
  • 12 um the U has a total all funds base 12 um the U has a total all funds base of<01:31:32.600>
Keywords: 1187, senate, all
Summary: The committee received an informational presentation from the Office of Higher Education on college access efforts, with a focus on FAFSA outreach, the Get Ready program, and Direct Admissions Minnesota. Wendy Robinson said OHE’s role is to provide nonpartisan information, partner with K-12, colleges, and community groups, and use statewide programs to expand awareness of higher education options and financial aid. She highlighted outreach through brochures, virtual sessions, conferences, the State Fair, and events serving specific populations, as well as the Lumina-funded Connect College grant and the federally funded Get Ready program, which serves about 7,500 low-income students across 14 capacity-building schools and 28 additional schools with tutoring, college visits, application help, and financial aid support. A member asked for demographic data on Get Ready students, and staff said they would provide it later. Robinson also reviewed FAFSA outreach, noting that last year was especially difficult for students because of federal FAFSA problems. OHE’s Ready Set FAFSA sessions drew 1,300 unique registrations in October and 939 in January, and the agency continued training K-12 and college staff on state aid programs, FAFSA simplification, and implementation of North Star Promise. OHE said it also held FAFSA completion events with partners, including at the State Fair, and planned another financial aid event in Duluth. The bulk of the presentation covered Direct Admissions Minnesota. Robinson said the program is now in its fourth year, with 55 participating colleges and universities and 182 participating high schools in the third cohort, serving just over 32,000 students. She described the program as a broad, collaborative model that sends students letters listing colleges that would admit them based on junior-year performance, while preserving student choice and waiving application fees for participating schools. She said the program is intended to reduce anxiety about admissions, encourage FAFSA completion, and keep more Minnesota students in-state. Robinson previewed second-year data showing continued positive outcomes, including higher FAFSA completion, increased college enrollment, and more students staying in Minnesota. Participation increased among students eligible for free and reduced lunch, rising from 21% in the first year to 40% in the second year. She noted a continuing concern about American Indian and Alaska Native students, whose FAFSA completion declined and whose participation numbers were lower in the newest cohort, and said the agency would continue to study that data. She also said some of the increase in free-and-reduced-lunch participation may reflect the impact of North Star Promise and related financial aid messaging. No votes or formal actions were taken.
NM

New Mexico 2025 Regular Session

IC - Courts, Corrections and Justice Nov 7th, 2025

Courts, Corrections & Justice Committee

Transcript Highlights:
  • There's a handful of community-based violence interventions.
  • They noticed that when their service people would move from base to base and state to state, they Often
  • So, in the last three years, we have focused on these rate increases: 2.2.
  • Certainly not to assume that it would increase by any rates.
  • We didn't have doctors fleeing; we didn't have high insurance rates.
ND

North Dakota 2026 1st Special Session

Employee Benefits Programs Committee May 7th, 2026 at 10:00 am

Employee Benefits Programs Committee

Transcript Highlights:
  • But the blended rate helps. The blended rate helps you as the Legislative Assembly set budgets.
  • It's based upon, well, the survey is based upon the location of the survey organization, like the entity
  • That's 1.5% less than the national rate. One of the highest rates in the nation.
  • Some contracts list hourly rates for different services, but these rates are paid to contractors.
  • Some contracts list hourly rates for different services, but these rates are paid to contractors and
Keywords: 908, all
KY
Transcript Highlights:
  • That 4 and a.5% then we for MCO rates.
  • And it says blended, and I want to explain that is because your federal fiscal matching rates are based
  • And it says blended, and I want to explain that is because your federal fiscal matching rates are based
  • And it says blended, and I want to explain that is because your federal fiscal matching rates are based
  • And do you, I mean, I'm sure you're at the same vacancy rates or a lot of them the same vacancy rates
Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Revenue Jun 21st, 2026 at 10:00 am

Joint Committee on Revenue

Transcript Highlights:
  • rate for the past 36 years.
  • rate for the past 36 years.
  • For 20 years before the pandemic, our rate was 3% to 5%.
  • When staffing meets the needs of families, error rates are low.
  • My presentation is based on Corporations as human entities.
Keywords: 995, all
Summary: The Joint Committee on Revenue, chaired by Senator James Eldridge and Representative Adrian Madaro, opened its hearing with a moment of silence for the late Lowell State Senator Ed Kennedy and reviewed hearing procedures and deadlines. The committee then took testimony on several corporate tax bills, including S. 2033/H. 3110 on offshore tax avoidance, H. 3248 on a manufacturing tax exemption, H. 3057 on a tiered corporate minimum tax, and S. 2041 on a corporate tax haven blacklist, along with a separate business interest deduction bill. No votes were taken during the hearing. Supporters of S. 2033/H. 3110, including labor unions, health care workers, educators, public health advocates, seniors, and several legislators, argued that Massachusetts needs new revenue to offset federal cuts to Medicaid, SNAP, health care, education, and other services. They said the bill would raise roughly $400 million annually by increasing the share of offshore profits included in the state tax base from 5% to 50%, and they framed it as a fairness measure that would require large multinational corporations to pay more while leaving most local businesses and workers unaffected. Testimony emphasized risks to MassHealth, PCA services, adult dental care, hospitals, schools, and public health programs if new revenue is not raised. Opponents, including the Mass Taxpayers Foundation and the Council on State Taxation, argued the proposal is poor tax policy and likely unconstitutional because it would tax foreign-source income without allowing foreign tax credits or a comparable apportionment method. They said Massachusetts should take a broader, coordinated approach to federal tax changes rather than a standalone bill, and warned of litigation risk and possible double taxation. Supporters such as MassBudget and former tax counsel Don Griswold countered that the bill is a reasonable rough-justice approach, consistent with federal and neighboring-state treatment, and that it would primarily affect a small number of very large multinationals. On S. 2041, the Global Business Alliance opposed the proposed tax haven blacklist, while supporting a separate bill allowing business interest deductibility.
AL

Alabama 2026 1st Special Session

Alabama Senate Finance and Taxation Education Committee Mar 11th, 2026

Finance and Taxation Education

Transcript Highlights:
  • Uh the next page is is is uh<00:17:15.439> based<00:17:15.839> on uh based on uh based
  • You want to improve your retention rate? Do you want improve your graduation rate?"
  • decisions based on what we've promised. decisions based on what we've promised.
  • of our credit rating.
  • We have schools here in the state, the graduation rate, um, four-year graduation rate, is 46%.
Bills: SB344, SB344
CA

California 2025-2026 Regular Session

Senate Human Services Committee Jun 15th, 2026

Human Services

Transcript Highlights:
  • This bill makes sure that the state follows through on its promise to implement a fair rate system based
  • This bill makes sure that the state follows through on its promise to implement a fair rate system based
  • Everything has gone up except for our rates.
  • Everything has gone up except for our rates.
  • They have reduced high school graduation rates and decreased college attendance rates compared to their
Keywords: 987, senate, all
Summary: The Senate Human Services Committee heard a long agenda of child welfare, food assistance, child care, and social services bills. Early actions included AB 308 on regional center safety training for people with intellectual and developmental disabilities, AB 1049 to remove sponsor deeming from the California Food Assistance Program, AB 1201 to narrow a violent-felony bypass for family reunification services, AB 2379 to require know-your-rights training for family child care providers, AB 2429 to ease requirements in early childhood mental health consultation, AB 1755 to repeal CalWORKs’ 100-hour work penalty, AB 2478 to create a kinship family approval pathway, and AB 1969 and AB 1996 to expand coordinated cradle-to-career and child-poverty reduction efforts. The committee also began discussion of AB 1932, which would continue and strengthen community-based crisis response services. Testimony was largely in support across the hearing. Advocates, county representatives, child care providers, legal aid groups, food banks, disability organizations, and anti-poverty coalitions argued that the bills would reduce administrative barriers, improve access to benefits and services, and better protect children and families. Several authors and witnesses emphasized real-world harms from current rules, including fear of immigration enforcement, wrongful benefit denials, delayed kinship placements, and the burden of outdated eligibility requirements. On AB 1201, county welfare officials and child welfare advocates said the bill would preserve judicial discretion while allowing more parents a fair chance at reunification; on AB 2478, they said a kin-specific approval path would help place children with relatives more quickly; and on the child care bills, providers said current reimbursement and compliance systems are unsustainable. There was some committee concern about accountability and safety, especially on AB 1049 and AB 1201. One senator questioned whether removing sponsor deeming could weaken program integrity, and another raised concerns about whether narrowing the reunification bypass could expose children to unsafe environments or criminal activity. Authors and supporters responded that the bills still leave eligibility screening, judicial review, supervision, and service plans in place, and that the changes mainly remove automatic barriers or overly broad rules. Votes taken during the hearing were generally favorable: AB 308 passed 3-0 and was held on call; AB 1049 passed 2-1 and was held on call; AB 1201 passed and was held on call; AB 2379 passed 3-0 and was held on call; AB 2429 passed and was held on call; AB 1755 passed and was held on call; AB 2478 passed and was held on call; and AB 1969 and AB 1996 both passed and were held on call. The committee also noted that some bills were on the consent calendar and approved those items 3-0 while holding them open.