Video & Transcript Research : 'longitudinal analysis'
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CT
Connecticut 2026 Regular Session
Finance Advisory Committee May 14th Meeting May 14th, 2026
Transcript Highlights:
- Senator, this is an Office of Fiscal Analysis publication, and I think they're reflecting the appropriation
- Again, Senator, this is an Office of Fiscal Analysis publication.
- Again, Senator, this is an Office of Fiscal Analysis publication.
- Carolyn Mercer, Assistant Director of Budget and Financial Analysis, and we currently have 21 open positions
Summary:
The Finance Advisory Committee approved the minutes of its April 2 meeting and then took up three budget transfers. The first, FAC 2026-6 for the Office of the State Treasurer, moved $75,000 from personal services to other expenses to pay for consultant help applying for federal energy credits under the Inflation Reduction Act’s direct pay provisions. Treasurer’s office staff said the agency had one open position and several others pending posting, and members discussed how the transfer related to vacant positions and the committee’s budget display.
The second item, FAC 2026-7 for the Office of the State Controller, transferred $700,000 from personal services to other expenses to cover higher Core-CT software maintenance and licensing costs. Comptroller staff said the office had 21 open positions, most in Core-CT, and explained that the system, implemented in 2003, receives regular quarterly and monthly updates from Oracle. Members also discussed how the system serves payroll, HR, purchasing, accounting, and related functions for many state agencies, including UConn and the Board of Regents.
The final item, FAC 2026-8 for the Department of Veterans Affairs, transferred $700,000 from personal services, the veterans opportunity pilot, and headstones accounts to other expenses for year-end operational needs. Commissioner Ron Welch said most vacancies were in the skilled nursing facility, food service, and physical plant, with staffing challenges especially for nurses and aides. He also explained that the veterans opportunity pilot never fully launched, that the Institutional General Welfare Fund has been depleted and the agency now relies more on general fund support, and that the department faces rising food, utility, and pharmaceutical costs, including a federal VA reimbursement change that will leave the state responsible for medication costs by 2027. All three transfers were approved, and the meeting adjourned.
CA
Transcript Highlights:
- As on behalf of the California Association of Nursing Anesthesiology, appreciate the analysis.
- And so the bill analysis. This doesn't include where all that money went, right?
- I appreciate the work of the committee in getting the analysis done and having us have a chance to unveil
- Additionally, the analysis points out of to express support. Name, organization, and position.
NH
New Hampshire 2026 Regular Session
House Finance Division III (02/09/2026)
Transcript Highlights:
- Is that a fair analysis? >> I think it is.
- haven't yet prepared a fiscal analysis haven't yet prepared a fiscal analysis based<01:06:47.440
- Is that a fair analysis? from there. Is that a fair analysis?
- ,<01:16:18.640>
that you do a costbenefit analysis, that you do a costbenefit analysis, that - on the fiscal analysis? on the fiscal analysis?
Summary:
House Finance Division 3 met in work session and opened with procedural remarks from the chair about the committee’s schedule, deadlines, and recommendation options, noting the meeting was advisory and no votes were expected. The first bill discussed, House Bill 1569, concerned repealing the directive to sell the Anna Philbrook Center for Children property in Concord. Testimony from DHHS and New Hampshire Hospital focused on whether the property could be subdivided, the relationship to Senate Bill 572, the status of the city of Concord’s first right of refusal, and the practical effects of a sale. Witnesses said the $5 million sale estimate was a budget assumption, that moving staff and equipment would create some relocation costs, and that the center had required significant recent maintenance and renovation spending. Members also discussed the number of transitional housing beds at the site, the temporary nature of those beds, and whether the property should remain available given hospital workforce and service needs.
The committee then turned to House Bill 661, which had been recommitted for further review after new information emerged. The chair summarized federal developments, including a December 2025 ACF letter and a related executive order, as well as a federal HHS press release about states diverting foster youths’ Social Security survivor benefits. Representative Walner explained that amendment 3055H had been drafted to move the bill forward in smaller steps, with a fiscal note requested on the amendment because the original bill was viewed as too large and expensive. Members discussed whether the committee had received copies of the amendment and whether federal guidance or funding had changed the policy landscape.
The discussion also included broader questions about foster youth benefits and whether federal action would support state implementation. One member cited ACF language stating that only 11 states had enacted policies to stop interception of survivor benefits and that technical assistance would be available to the remaining states. The meeting remained in work-session mode throughout, with no votes taken and no final recommendations made during the portion provided. The chair indicated the committee could return to the bills later in the month.
MN
Minnesota 2025 1st Special Session
Minnesota Senate Internship Program: Teresa Hernandez Sep 10th, 2025
Minnesota Senate Floor Meeting
MN
Transcript Highlights:
- And so, um, this type of analysis that P20 is talking about.
- is this type of analysis that P20 is talking<00:59:01.760>
about. - <00:59:12.240>
at to invest in this type of analysis at to invest in this type of analysis - asking for the agencies to be collaborating together and doing that analysis right away.
- asking for the agencies to be collaborating together and doing that analysis right away.
Keywords:
student career pathways, education framework, experiential learning, employer engagement, career technical education, career and technical education, CTE, postsecondary scholarship, postsecondary grant, school district funding, cooperative unit, Minnesota high school, apprenticeship, certificate program, tuition assistance, workforce training, military transition, education finance, student aid, career pathways
MN
Transcript Highlights:
- Based on data collection and Analysis Based on data collection and Analysis that<00:30:37.880>
year to conduct an Actuarial analysis year to conduct an Actuarial analysis and<01:15:14.880> - :15:16.480>
kind and an implementation analysis for kind and an implementation analysis for kind - and the actuarial analysis.
- We shared the implementation analysis in May of '24, a kind of final draft version.
KY
Kentucky 2026 Regular Session
Medicaid Oversight and Advisory Board. (2-23-26)
Transcript Highlights:
- Do you have that analysis? >> Analysis? We are conducting analysis.
- Um, and that analysis is currently underway.
- Um, and that<00:15:53.839>
analysis <00:15:54.320>is <00:15:54.560>currently <00: - <00:15:55.920>
Uh, that analysis is currently underway. - Uh, that analysis is currently underway.
Summary:
The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone.
The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months.
Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value.
After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.
HI
Hawaii 2025 Regular Session
Restrictive Housing Legislative Working Group (RHG) - Tue Dec 16, 2025 @ 9:30 AM HST
Hawaii House Floor Meeting
Transcript Highlights:
- So from my staff analysis, I will be recommending an opposed position to our board on the department's
- perspective and I from a staff analysis perspective and I want<00:28:45.840>
to <00:28:45.919> - So from<00:28:52.159>
my <00:28:52.320>staff <00:28:52.640>analysis, <00:28:53.279 - So to summarize from a staff analysis perspective, I believe these proposed amendments undermine the
- , and we second her analysis. that difference.
Summary:
The working group convened with all members present, approved the minutes from its October 16, 2025 meeting and its October 28, 2025 Halawa Correctional Facility site visit by unanimous consent, and received no public testimony on the agenda or minutes. The chair then reviewed the statutory timeline under Act 292/SB 104, noting the group continues until January 8, 2027, and discussed required reporting dates and the need to develop a work plan for the remaining meetings. The chair also said the October 16 DCR presentation would be treated as satisfying the group’s interim-report purpose, though the legal reporting obligations to the Legislature and oversight commission still needed to be sorted out.
The main discussion focused on DCR’s proposed amendments to Act 292 and the department’s interim report. Director Johnson said the department’s October 16 presentation included recommended statutory amendments because the law, as written, could not be fully complied with; the proposals were described as section-by-section changes intended to address implementation problems. Members discussed several specific issues, including transfer language for higher levels of care, the 2010 MOA with the Department of Health, and replacing “physician” with “clinician” to reflect staffing realities. DCR explained that the change would allow licensed clinicians, including APRNs and doctors of osteopathy, to make decisions when physicians are not on duty, and that the MOA is being updated so transfers can occur from any DCR facility to the state hospital.
An OHA staff member gave a detailed critique of the proposed amendments, saying they would weaken Act 292’s intent by reducing procedural protections, expanding exceptions, and relying on aspirational language such as “strive” and “if practicable.” OHA also raised concerns about the lack of baseline data on restrictive housing use and said the department’s report showed serious operational problems, including overcrowded and outdated facilities, limited space for private medical or mental health exams, and the use of suicide/safety cells for people who may not need mental health treatment. DCR responded that it had requested 35 new medical positions in the budget, supported by the governor, and said those positions are needed to meet basic care obligations for people in custody.
The group did not take a vote on the proposed amendments. Instead, members agreed to continue the discussion, with the chair saying the reports, settlement tracker, 2010 MOA, and comparison guidelines would be distributed and used as the basis for future work. In the final discussion on work-plan priorities, members identified staffing shortages, physical plant limitations, and the need to examine humane alternatives and implementation challenges as key topics for upcoming meetings.
FL
Florida 2026 Regular Session
Environment and Natural Resources Jan 27th, 2026
Environment and Natural Resources
Transcript Highlights:
- So, reading from the staff analysis, it says a net zero policy is any target, threshold, initiative,
- So, reading from the staff analysis, it says a net zero policy is any target, threshold, initiative,
- I mean, you laid out the definition as it is in the staff analysis.
- I mean, you laid out the definition as it is in the staff analysis.
- That's not my language, that's the bill analysis.
Keywords:
stormwater systems, environmental standards, municipal infrastructure, engineering certifications, local compliance, Florida Department of Transportation, biosolids, agronomic rate, land application, environmental protection, Florida statutes, nutrient management, recordkeeping, farming, compost products, wastewater treatment, environment, sewage disposal, pollution control, reporting requirements
Summary:
The committee took up several environmental bills, beginning with SB 1682 on local administration of vessel restrictions. Senator Trumbull said the bill would give cities and counties tools to address abandoned, derelict, and long-term anchored vessels while following state standards and FWC guidance. Members from affected areas spoke in support, citing recurring derelict vessel problems and the difficulty and cost of removal once vessels sink. The bill was reported favorably.
The committee then heard SB 1468 on advanced wastewater treatment, which would require DEP to compile a detailed statewide report on wastewater treatment plants, including construction age, treatment levels, contaminant data, spill history, flood risk, and receiving waterbody impairment information. Florida Rural Water Association testified that any move to require advanced treatment for all plants over one MGD could create major financial burdens without dedicated funding. The bill was reported favorably. The committee also considered CS/SB 1294 on biosolids management, with a strike-all amendment adopted. Senator Bradley said the revised bill would require bulk Class AA biosolids fertilizer and compost products to be land applied only at agronomic rates and, absent a bona fide sale, only at permitted DEP-approved sites, with a transition date moved to July 1, 2028. Supporters said it would protect water quality and legitimate fertilizer and compost markets, while rural utilities asked for funding and flexibility. The committee reported the bill favorably.
Next, the committee took up CS/SB 1628 on net zero policies by governmental entities. Senator Avila said the bill would prohibit local governments and other governmental entities from adopting or funding net zero policies, imposing related fees or taxes, or operating cap-and-trade or carbon trading programs. The committee adopted an amendment clarifying the definition of carbon dioxide. The bill drew extensive debate: supporters argued it would protect residents and businesses from higher costs and preserve predictability, while opponents said it would block local climate and clean-energy policies, including electric buses, energy-efficiency measures, and climate resilience planning. After public testimony on both sides, the bill was reported favorably.
The committee also approved CS/SB 1474 on biosolids management, which Senator Gates said would require biosolids and septage to be treated at the highest practical level when wastewater treatment facilities are reasonably accessible and would bar Class B land application within 50 miles of a permitted wastewater facility. An amendment applying the statutory definition of septage was adopted, and the bill was reported favorably. Finally, the committee heard SB 558 on stormwater system standards. Senator Burgess said it would create statewide standards for municipal and county stormwater systems using FDOT guidelines and third-party inspections, with an amendment making technical changes and broadening who may perform inspections. Supporters said uniform standards could improve safety and reduce failures, while contractors, engineers, and industry groups warned it could raise costs, delay projects, and preempt stronger local standards. The bill remained under discussion as the transcript ended.
NM
New Mexico 2025 Regular Session
IC - Water and Natural Resources Aug 20th, 2025
Water & Natural Resources Committee
Transcript Highlights:
- Renwei Li, who conducted a lot of targeted analysis with his students. Additionally, Dr.
- We then conducted a comprehensive water quality analysis.
- We also sent the samples to commercial certified labs for analysis, which included ammonia, alkalinity
- We also conducted non-target analysis to identify unknown compounds not covered by existing analytical
- When people apply for funding, is there a feasibility and needs analysis?
HI
Transcript Highlights:
- strictly limited to circumstances in which the county council finds, based on independent financial analysis
- on couldn't council finds, based on independent<00:13:44.960>
financial <00:13:45.520>analysis - , independent financial analysis, independent financial analysis, that<00:13:47.040>
the <00 - enforcing them unless certain conditions are met, including a nexus assessment, financial feasibility analysis
- enforcing them unless certain conditions are met, including a nexus assessment, financial feasibility analysis
Bills:
HB2241, HB1163, HB1514, HB1696, HB2021, SB2135, SB2466, SB2727, SB3082, SB3097, SB2861, SCR100, SB3096, SB99, SB2138, HB2289, HB2319, HB1711, HB2270, SB3138, SB3076, HB1642, HB2338, HB2171, HB1785, SB2881, HB2505, SB2552, HB1518, HB1815, SB3125, SB3234, SCR162, SB2614, SB3118, SB2053, SB2494, SB2851, SB3073, HB1678, HB1721, HB2475, HB2246, HB1667, HB1516, SB2532, SB3131, SB3154, HB2297, HB1737, SB2143, SB2398, SB2623, HB1740, HB1920, HB1682, SB2153, SB3140, HB2158, HB1718, HB2207, HB1801, SB3229, SB2338, SB3069, SB2600, HB2300, HB1800, HB1960, SB2999, SB2060, SB2866, SB2239, HB1741, HB1713, HB2023, HB2417, SB2877, SB2598, SB2921, SB2645, HB2547, HB2275, HB2452, HB2329, HB2339, HB1838, HB1509, HB1661, HB2271, HB2272, HB2344, HB1888, HB1707, SB2340, HB2474, HB1576, HB1853, HB1804, HB1854, HB2095, HB2050, HB472, SB3215, SB2247, SB2400, HB1618, HB1802, HB1969, HB1541, HB2310, HB2498, HB2443, HB2218, HB649, HB2104, HB1710, SB2802, HB1973, HB1974, HB1894, HB1891, HB1890, SB177, SB2101, SB3320, SB2487, HB2429, HB1870, HB1839, HB2583, HB1391, HB2094, SB2671, SB2673, SB2892, SB2057, SB3245, HB306, HB2592, SB3157, SB3204, SB3324, SB2580, SB2074, SB411, SB3025, SB2934, SB2567, SB2125, SB3238, SB2367, SB2599, SB3007, SB2001, SB2756, SB3029
Keywords:
renewable energy, income tax credit, solar energy, wind energy, low-income households, energy policy, commercial drivers license, non-domiciled, federal regulations, commercial learner's permit, citizenship, lawful residency, Department of Transportation, workers' compensation, vocational rehabilitation, injury recovery, employment services, return to work, commercial driving, driver's license
AR
Arkansas 2026 1st Special Session
ARKANSAS LEGISLATIVE COUNCIL (ALC) Mar 20th, 2026
ARKANSAS LEGISLATIVE COUNCIL (ALC)
Transcript Highlights:
- They told me they do a yearly analysis on cost effectiveness for that, and then they said they would
- They said they would send it to me, and again, they said they do that every year, an analysis on it,
- It will be— they testified it will be in 2027 before there will be any kind of analysis on that.
- What I had asked was for the analysis, which they testified they do every year.
- “It provides us a lot of analysis that we don’t currently have.” “Right. Thank you.” “All right.
KY
Kentucky 2026 Regular Session
House Standing Committee on State Government (3-19-26)
State Government
Transcript Highlights:
- 08:40.080>
a as a as a uh uh uh chartered<00:08:42.280>financial <00:08:43.120>analysis - chartered financial analysis. chartered financial analysis. A<00:08:44.920>
CFA. - qualifications that those certified qualifications that those certified financial<00:10:40.000>
analysis - financial analysis financial analysis um<00:10:42.040>
and ...and they would be knowledgeable
TX
Transcript Highlights:
- Not about the aligning, whether I decide to represent myself, you guys have done analysis that presumably
- Myself, you guys have done analysis that presumably either inculpates me or is exculpatory regarding
- This approach introduces inconsistency in lab analysis and can complicate prosecution, as officers and
- This approach introduces inconsistency in lab analysis and can complicate prosecution, as officers and
- Supports more consistent lab analysis and aids law enforcement in the prosecution of LSD-related offenses
Summary:
The Committee on Criminal Jurisprudence met with a quorum and heard a series of Senate bills, generally receiving sponsor explanations and, in most cases, no public testimony. SB 2595 would create a Class B misdemeanor for harassing, threatening, or intimidating someone while intentionally concealing identity with a mask, with broad affirmative defenses for legitimate mask use; SB 1980 would increase penalties for assaulting peace officers, parole officers, and community supervision officers and add related presumptions and interference protections; and SB 1896 would require magistrates to issue emergency protective orders in certain family violence, sexual assault, stalking, and aggravated cases, with law enforcement required to provide needed information. All three were left pending. The committee also heard SB 955, which increases trafficking of persons from a second-degree to a first-degree felony when the victim was recruited from a correctional facility, and SB 614, which would let the Texas Forensic Science Commission refer dismissed complaints to the Office of Capital and Forensic Writs when they reference a prior FSC report; both were left pending.
Members then heard several forensic and criminal procedure bills. SB 1372 would resolve a discovery/access conflict involving the DPS crime lab portal by limiting portal access to defense attorneys rather than defendants directly, prompting questions from members about access for pro se defendants; DPS’s chief crime lab witness testified neutrally. SB 1936 would change the LSD “abuse unit” definition for unmarked/unperforated paper from a square-measurement method to a 10-milligram weight standard, and SB 1937 would require a subject matter expert from the testing lab to participate in pretrial meetings in capital cases involving biological evidence to help identify viable testing and conserve resources. SB 2580 would lower the population threshold for sheriff’s departments to independently use tracking equipment and access certain communications from 3.3 million to 500,000, expanding the authority beyond Harris County; it was described as a public safety and emergency response measure and left pending.
The committee also considered SB 2798, which would extend the statute of limitations for certain financial crimes from three years to seven years, with testimony from a Montgomery County assistant district attorney supporting the change because fraud is often discovered late. SB 1099 would increase penalties for felony offenses committed by undocumented or unauthorized aliens, but drew strong opposition from the Texas Civil Rights Project, which argued immigration is a federal matter and that the bill would create difficult and potentially unfair status determinations for local courts; members raised concerns about the lack of an expert-testimony requirement. SB 1278 would create an affirmative defense to prostitution prosecution for trafficking victims compelled by their traffickers to commit the conduct, and testimony from advocates and a member’s personal account emphasized the coercive, traumatic nature of trafficking; members discussed whether the defense should be narrower or framed as mitigation, and the bill was left pending. Finally, SB 127 would extend the statute of limitations for failure to report or conceal child abuse, with members discussing mandatory reporting duties and the need to allow more time for delayed discovery of cover-ups; it too was left pending before the committee adjourned.
CA
California 2025-2026 Regular Session
Assembly Governmental Organization Committee Apr 23rd, 2025
Transcript Highlights:
- run, in one specific venue, which the Governor, in his signing message, which is reflected in your analysis
- , asked the CHP to do an analysis of the impact of that later closing hour.
- I will be supporting your bill today with the inclusion of the amendments detailed in the analysis and
- behalf of the California Distillers Association, I want to thank committee staff for their thorough analysis
- I want to thank committee staff for their thorough analysis, Madam Chair, for your continued support
Summary:
The Governmental Organization Committee heard a series of bills focused largely on alcohol licensing, nonprofit funding, tribal grants, public transparency, and tobacco policy. AB 342 (Haney) would allow local governments to create hospitality zones with extended last-call hours on certain days; supporters argued it would boost tourism, nightlife, and major-event readiness, while opponents warned of alcohol-related harms and public safety risks. AB 684 (Patel) would subject the UC Board of Admissions and Relations with Schools to open-meeting requirements, with supporters saying admissions-related changes should be more transparent and allow schools time to adjust. AB 1008 (Addis) would authorize up to 10 new on-sale general licenses in San Luis Obispo County to meet tourism demand, and AB 1039 (Hart) would require state agencies to offer advance payments on new nonprofit grants and contracts, which supporters said would help cash-strapped nonprofits deliver services. AB 221 (Ramos) would revise the Tribal Nation Grant Fund to provide more predictable annual distributions to eligible non-gaming and limited-gaming tribes, and it drew broad support from tribal representatives and others. AB 795 (Jeff Gonzalez) would create a California commission for the nation’s 250th anniversary celebration, with supporters describing it as a privately funded, nonpartisan planning body. AB 828/AB 28 (Mark Gonzalez, as referenced in the transcript) would expand neighborhood-restricted liquor licenses in Los Angeles County to reduce costs and support restaurant recovery, and AB 1246 (Hoover) would increase craft distillers’ direct sales limits and address barrel-storage rules; both were supported as small-business measures. AB 1428 (Ta) would require reporting of all surplus and underutilized state land, and AB 957 (Ortega) would prohibit tobacco sales in pharmacies, with strong public health support. Several bills were voted out on motions to Appropriations, some with amendments, while others were held or left on call until quorum was established; the committee also adopted a consent calendar and left rolls open for absent members on multiple measures.
NH
New Hampshire 2025 Regular Session
House Science, Technology and Energy (03/04/2025)
Science, Technology and Energy
Transcript Highlights:
- These changes are designed to allow the Public Utilities Commission to do a full and thorough analysis
- These changes are designed to allow the Public Utilities Commission to do a full and thorough analysis
- These changes are designed to allow the Public Utilities Commission to do a full and thorough analysis
- <00:25:34.200>
the <00:25:34.360>last know the cost benefit analysis the last know - uh it's kind of a it's kind of analysis uh it's kind of a it's kind of a<00:29:42.679>
science
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Appropriations and Revenue (8-20-25)
Transcript Highlights:
- They've been following rural hospitals for years, and they did analysis for every state and identified
- <00:31:40.559>
of North Carolina did a risk analysis of North Carolina did a risk analysis - for everybody every they did analysis for everybody every state<00:31:47.360>
and <00:31:47.840 - . you know, what's it going to analysis. you know, what's it going to take<00:53:53.119>
to <00 - And Senator, let me just add we're going to be doing a similar analysis for Medicaid eligibility.
Keywords:
Meeting Start 00:00:00
FY 2025 Budget Close Out 00:02:55
Impressions of H.R. – 119th Congress 00:28:15
SNAP Payment Error Rates 00:37:05, 958, all
Summary:
The committee first established a quorum, approved the July minutes, and recognized Jennifer Hayes of the Department of State Budget Director for her retirement and long service. Secretary Hicks then presented a review of fiscal year 2025 closeout for the general fund and road fund, explaining that the general fund ended with a $313 million surplus and the road fund with a $61 million surplus. He attributed the general fund result to strong corporate income and LLC tax receipts, investment income, and lower-than-budgeted spending, while noting that individual income tax and sales tax underperformed estimates. He also described how the general fund surplus was allocated, with $62 million used for necessary government expenses and $251 million deposited into the budget reserve trust fund, which remained at historically strong levels. For the road fund, he said the surplus would be deposited into the Department of Highways construction account, and he highlighted record motor vehicle usage tax receipts despite lower motor fuels tax revenue due to a rate decline.
Members asked questions about the pass-through entity tax, delayed filing deadlines, THC beverage sales, and income tax collection from undocumented workers. Hicks said the pass-through entity tax remains difficult to model because of timing issues and the first year’s unusual filing pattern, and that staff are still working with the Department of Revenue and other states to improve forecasting. He said the delayed filing deadline likely would not require a major restatement and that any related receipts would still be counted in fiscal 2026. On THC beverages, he said the issue would be considered in the next forecasting cycle. On the undocumented-worker question, he said withholding may capture some of the revenue but referred broader collection efforts to the Department of Revenue.
The committee then shifted to an overview of the federal reconciliation act’s potential impact on the next biennial budget, with Hicks and Commissioner Lisa Dennis focusing on Medicaid and SNAP. Hicks said the Congressional Budget Office estimated roughly $900 billion in federal savings over 10 years, driven in part by work or community engagement requirements for the Medicaid expansion population and limits on state-directed payments. He emphasized that CMS still must issue regulations to define how the state-directed payment reductions will be calculated, making the exact fiscal impact uncertain. He referred members to a prior Medicaid Oversight Advisory Board presentation for more detail, and the discussion remained informational with no votes or formal actions taken on the federal changes.
CA
Transcript Highlights:
- But as the analysis correctly points out, there are complementary efforts out there, whether it's the
- A recent DME analysis followed drivers who received a DUI in 2005.
- I want to start by thanking the committee for their thoughtful analysis.
- And I am grateful for the analysis and the comments, and respectfully request an aye vote. Okay.
- Per the analysis, we will be adding amendments.
NH
New Hampshire 2026 Regular Session
Senate Health and Human Services (04/08/2026)
Health and Human Services
Transcript Highlights:
- see um which um national uh analysis see um which um national uh analysis shows<00:53:46.319>
- In 2023, there's a robust meta-analysis published by the University of Toronto.
- <01:33:11.840>
published there's a robust meta analysis published there's a robust meta analysis - And the fiscal analysis on the bill is as introduced.
- And the fiscal analysis on the bill is as introduced.
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 3/4/26
Health Finance and Policy
Transcript Highlights:
- I believe from KFF some of the initial analysis that they did was that states could anticipate losing
- I also believe RAND just came out with an analysis within the last two days.
- <00:25:30.000>
that KFFF some of the initial analysis that KFFF some of the initial analysis - <00:25:51.440>
I analysis within the last two days. I analysis within the last two days. - <00:25:58.320>
than conducts a more uh current analysis than conducts a more uh current analysis
Keywords:
Medical Assistance, Medicaid, MNsure, MinnesotaCare, disability determination, expedited eligibility, state medical review team, compassionate allowance, rare disease, home and community-based services, long-term care, managed care, county-based purchasing, eligibility redetermination, periodic data matching, death master file, Social Security Administration, program integrity, income eligibility, asset test
Summary:
The House Health Finance and Policy Committee met on March 4, 2026, approved the minutes from its February 25 and March 2 meetings, and then heard a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid eligibility changes in the federal One Big Beautiful Bill Act (HR1/OB3). The presentation focused on provisions affecting Medicaid expansion adults ages 19 to 64, including new work and community engagement requirements, changes to retroactive eligibility, quarterly death master file checks, address verification requirements, six-month redeterminations for expansion enrollees, and new limits on some lawful permanent residents and other immigrant groups. Castanza also discussed state implementation issues, including the need for new data-sharing systems, system modernization, outreach, and options for helping people transition to other coverage if they lose eligibility.
She said the work and community engagement rules take effect January 1, 2027, with states given flexibility on look-back periods, consecutive versus nonconsecutive months, and optional hardship exemptions, and noted that CMS guidance is not expected until June 2026. She also described federal support for implementation, including $200 million in grants and a 90% federal match for eligibility system work, while warning that the fast timeline could lead to coverage losses, churn, and challenges for special populations such as caregivers, people with behavioral health conditions, incarcerated individuals, and rural residents. She further explained that an erroneous payment provision could expose states to federal recoupment later if eligibility errors increase.
During member questions, Representative Beerman asked about the overall size of the Medicaid cuts and the cumulative national impact; Castanza said estimates vary by state and cited KFF analysis suggesting states could lose 4% to 19% of federal Medicaid revenue, with a newer RAND analysis recently released. Beerman also asked about the history and effectiveness of state work requirements, but that discussion was not completed in the excerpt. Representative Elkins noted the presentation was not initially posted on the committee website, and the chair said it had since been posted.