Video & Transcript Research : 'rate increase'

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AL

Alabama 2025 Regular Session

Alabama Senate Finance and Taxation Education Committee Mar 5th, 2025

Finance and Taxation Education

Transcript Highlights:
  • You'll see in the budget some large increases for each.
  • All of these things increase liabilities and... ...these things increase liabilities and costs, and so
  • increase this year.
  • is a total increase of about $124 million.
  • We're projecting out large increases through 27.
Keywords: 923, senate, all
ND

North Dakota 2026 1st Special Session

Legislative Management Jun 11th, 2026 at 08:00 am

Legislative Management

Transcript Highlights:
  • There's a free rate, a reduced rate, and then a paid rate.
  • What would the participation rate be?
  • Their participation rate is not going to increase because they already don't have to pay for their meals
  • So I increased that lunch to 80% to 85%. I increased that breakfast to 50% to 60%.
  • So I increased that lunch to 80 to 85%. It increased that breakfast to 50% to 60%.
Keywords: 908, all
ND

North Dakota 2026 1st Special Session

Tax Reform and Relief Advisory Committee Jun 23rd, 2026 at 10:00 am

Tax Reform and Relief Advisory Committee

Transcript Highlights:
  • So a really, really nice jump in terms of increasing the So a really nice jump in terms of increasing
  • So that amount did increase.
  • So accounting for the increases and decreases reflects tax increases, not changes caused by properties
  • Taxing district property value increases separated by increases on existing and new property.
  • Some counties implemented hiring freezes and lowered costs of increased living, or living increases,
Keywords: 908, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on the Judiciary Jun 21st, 2026 at 01:00 pm

Joint Committee on the Judiciary

Transcript Highlights:
  • So increasing the fees would only help to generate our business and help to provide an increase to our
  • at a market rate.
  • Today, that interest rate is 12%.
  • However, prejudgment interest rates above market rate can result in windfalls for plaintiffs and can
  • at a market rate today that interest rate is 12%.
Keywords: 995, all
Summary: The Joint Committee on the Judiciary held a hearing on bills in the Civil Actions 2 and Court Administration areas, with testimony spanning judicial security, judicial compensation, civil process fees, bar advocate compensation, interstate discovery, defamation protections for sexual assault survivors, and related criminal procedure changes. Chairs Edwards and Day opened with housekeeping rules on testimony limits and written submissions, then called witnesses on each bill in turn. On H. 1766, judicial officers and the Massachusetts Bar Association strongly supported a judicial security bill that would protect judges’ personal information, citing threats, online harassment, swatting, and violence against judges and their families. On H. 1819, judges and the Massachusetts Judges Conference asked for higher compensation, saying Massachusetts judges rank low nationally after cost-of-living adjustment and that pay affects recruitment and retention. The committee also heard support for H. 1582/S. 1183 to raise civil process service fees, with sheriffs saying the fees have been unchanged since 2003 and are needed to cover rising costs, safety equipment, and operations funded by those fees. The committee heard from prosecutors on H. 1604 and H. 1846, which would give district courts concurrent jurisdiction over certain school-threat and leaving-the-scene offenses, allowing prosecutors to handle less serious or panic-driven cases more efficiently while preserving mandatory penalties. CPCS and bar advocates supported H. 1876 on bar advocate compensation, describing a continuing shortage and crisis in indigent defense despite recent pay increases and staffing investments. The Boston Bar Association supported H. 1857, a Massachusetts version of the Interstate Depositions and Discovery Act, saying it would simplify out-of-state discovery and reduce cost and delay. A large portion of the hearing focused on H. 1974/S. 1143, which would protect survivors of sexual assault and harassment from retaliatory defamation suits unless the plaintiff proves actual malice, and would allow fee shifting and damages against abusive suits. Survivors, advocates, and attorneys described threats, legal costs, and chilling effects that silence reporting, while supporters said the bill would protect truthful speech and improve access to counsel. The committee also heard insurance-industry testimony on S. 1101, which would change personal injury protection payment rules to require insurers to tender disputed amounts within 30 days to avoid attorney’s fees; insurers said the bill would curb a growing volume of provider lawsuits and reduce abuse of the no-fault system. No votes were taken during the hearing, and the chair closed after all scheduled testimony was complete.
MN

Minnesota 2025 1st Special Session

House Ways and Means Committee 2/17/25

Ways and Means

Transcript Highlights:
  • contribution rates of 78% for the first 3 years and then an increase to 83% moving forward in the enacting
  • > to<00:05:04.840> 83% 3 years and then an increase to 83% 3 years and then an increase
  • <00:15:32.040> and change the first year premium rate and change the first year premium rate
  • of bills being introduced, has the increase not only increased the workload but also increased requests
  • increase not only the workload increase increase not only the workload increase but<01:03:31.200
Bills: HF3
MN

Minnesota 2025-2026 Regular Session

House Energy Finance and Policy Committee 2/19/26

Energy Finance and Policy

Transcript Highlights:
  • <00:18:01.200> dramatically<00:18:01.919> increased increased dramatically increased increased
  • That drives up rates.
  • But automatic rate increases don't happen in a world with PUCs and Commerce there to watch.
  • And then on to rate cases.
  • Rate cases And then on to rate cases.
Keywords: 1183, house
FL

Florida 2026 Regular Session

FL House Floor Session - 2025-06-16 (7:00PM Session)

Florida House Floor Meeting

Transcript Highlights:
  • It provides $246 million for nursing home rate increases. It provides...
  • It provides $246 million for nursing home rate increases.
  • Representative Campbell, any rate increases... Representative Andrade: Thank you very much, Mr.
  • that have increased to address in-home care other than nursing home payment reimbursement rates.
  • that have increased to address in-home care other than nursing home payment reimbursement rates.
Summary: The House convened on the final day of session, observed a moment of silence for the Minnesota House Speaker Melissa Hortman and her husband, and for Representative Rosenwald’s father, then swore in and seated new members Boyles and Hodgers. The Speaker also outlined the chamber’s end-of-session priorities, including action on the budget and related conforming bills. The House then took up H.J.R. 5019, a constitutional amendment to expand Florida’s budget stabilization fund by raising the cap, requiring annual transfers, and allowing withdrawals for critical state needs. After sponsor explanations and questions about what would qualify as a critical need and how the fund might respond to possible federal funding cuts, the House adopted an amendment that added more flexibility for suspending transfers and withdrawals. The joint resolution then passed on final passage. Members next considered HB 7031, the tax package conference report. The bill repeals the business rent tax and aviation fuel tax, delays the natural gas fuel tax, creates or extends several sales tax exemptions and holidays, and makes changes affecting property taxes, local taxes, pari-mutuel taxes, and revenue distributions. Debate focused heavily on the new permanent exemption for ammunition and hunting-related items, the elimination of recurring housing trust fund and transit-related distributions, and the shift of some funding from recurring to nonrecurring status. Supporters argued the package provides tax relief and preserves annual budget flexibility, while opponents criticized the ammunition exemption and the reductions in recurring housing and transit support. The conference report was adopted and the bill passed. The House then passed HB 5017, which creates a debt reduction program funded by a recurring transfer from general revenue to retire state bonds early, and HB 5015, the state group insurance conforming bill, which directs DMS to develop a formulary management plan and codifies the administrative health insurance assessment. Finally, the chamber began explanation and questions on the General Appropriations Act conference report for fiscal year 2025-26, described as a $115.1 billion budget that is down from the current year and includes more than $12 billion in reserves. Subcommittee chairs summarized major budget areas, including K-12 education, health care, transportation and economic development, agriculture and natural resources, higher education, state administration, justice, and information technology, highlighting funding for school choice, Medicaid, housing, transportation infrastructure, Everglades restoration, workforce programs, cybersecurity, and technology modernization.
KY
Transcript Highlights:
  • Uh, and so we have more than cut the rate of increase in tuition in half.
  • Uh and we have kept tuition increases increases increases uh<00:15:14.560> to<00:15:14.959>
  • is about 2% per year in terms of rate is about 2% per year in terms of the<00:15:45.199> increase
  • cut the uh rate of increase in tuition cut the uh rate of increase in tuition in<00:16:01.519>
  • big increase under the word inflation? big increase under the word inflation?
Keywords: 958, all
Summary: The committee met for its fifth and final Interim Joint Budget Review Subcommittee on Education meeting, but did not initially have a quorum and approved the minutes later when enough members were present. The Council on Postsecondary Education, represented by President Aaron Thompson and Vice President Bill Payne, opened with condolences for the UPS crash victims and then presented higher education budget recommendations for the 2026-2028 biennium. Thompson emphasized the return on investment from state support for higher education, citing gains in retention, enrollment, persistence, graduation, reduced time to degree, lower student debt, and expanded dual credit participation, while noting that affordability and access remain priorities. Payne outlined CPE’s operating funds request, including $43.3 million in the first year and $86.6 million in the second year for inflation adjustments, plus $30 million and $45 million for performance funding. He said the inflation request would apply across the board to institutions to offset rising costs, and that the KSU land grant match would not need additional funding because the state has already met the matching requirement. He also explained that state support for educating students has not kept pace with inflation over time, creating pressure on institutional budgets and tuition, though tuition increases have been held to historic lows in recent years. A major portion of the discussion focused on the performance funding model and how it affects smaller institutions. CPE proposed two approaches to address institutions that have received little or no performance funding, especially Kentucky State University and Morehead State University. The first approach would create a $20 million minimum distribution pool, providing $1.95 million to each university and $4.4 million to KCTCS, with the goal of giving smaller and rural institutions a base level of support. The second approach would provide direct appropriations totaling a little over $5.6 million to Kentucky State, Morehead State, and five community colleges that have not been receiving performance funding. Members, especially Representative Tipton and Senator West, questioned how the model had treated small schools over time, and CPE officials explained that the original small school adjustment was not large enough to prevent KSU and Morehead from effectively being left out of the distribution. No votes were taken.
NJ

New Jersey 2026-2027 Regular Session

Senate Budget and Appropriations Jun 24th, 2026

Senate Budget and Appropriations

Transcript Highlights:
  • The recommendation for a mid-year rate increase, we all agree, is problematic.
  • So we know we need to do something to put cash in and avoid a rate increase.
  • However, there is only one mechanism to repay the loan, and that is a rate increase.
  • That rate increase could be built into the rates as soon as the July rates are increased.
  • increases, more than that, ...million dollars to bill into the loan, to their rate increases, more than
Keywords: 1146, all
AL

Alabama 2026 Regular Session

Alabama House Madison County Legislation Committee Feb 12th, 2026

Madison County Legislation

Transcript Highlights:
  • rate hikes for the citizens long term. rate hikes for the citizens long term.
  • that uh increases that uh increases u<00:06:14.479> the<00:06:14.800> actual<00:06
  • :16.479> citizens u the actual rates uh for the citizens u the actual rates uh for the citizens
  • well the model of regulated utility rate well the model of regulated utility rate making<00:09:52.240
  • and how soon will this increase happen? and how soon will this increase happen?
Keywords: 1136, house, all
KY
Transcript Highlights:
  • comes back to reimbursement rates. comes back to reimbursement rates. people<00:48:04.880> don't
  • <00:51:29.680> and answer about higher Medicaid rates and answer about higher Medicaid rates
  • in these rates as well.
  • Even in and achieving such high rates.
  • continued increases in these rates as continued increases in these rates as well.<01:03:01.440><
Keywords: 958, all
Summary: The meeting opened with roll call, approval of the September 17 minutes, and an introduction of Sarah Rome to the committee. The chair also noted that the committee would stay on schedule and then moved to presentations. Representative Amy Neighbors and Taylor Williams of the Kentucky Pharmacists Association presented a refiled “pharmacy parity” proposal, formerly House Bill 3, to require Medicaid reimbursement for pharmacist clinical services already authorized under current scope of practice. They said the bill would not expand Medicaid or pharmacist scope, but would align Medicaid with commercial insurance, improve access and outcomes, and likely save money; they cited a Cabinet report under Senate Joint Resolution 26, which found similar laws in other states were producing savings or trending toward savings and would require only modest administrative updates. No member questions were raised after that presentation. The committee then heard an update on the Kentucky Colon Cancer Screening Program from Senator Stephen Meredith, Dr. Whitney Jones, Melissa Carrier, and Representative Neighbors. They described the program’s goals of increasing screening, reducing deaths through earlier detection, and preventing cancers by finding polyps, saying it has produced substantial savings and improved outcomes. Speakers emphasized Kentucky’s high colorectal cancer burden, especially in younger adults, and said the program helps uninsured and underinsured Kentuckians access stool-based screening and follow-up colonoscopies through a network of partners including the Department for Public Health, Kentucky Cancer Link, and university cancer programs. They requested an increase in funding from $500,000 to $1.25 million annually, or $2.5 million over the biennium, to expand services, fill geographic gaps, and support education and navigation. Members asked whether the colon cancer screening was already covered by Medicaid, and the presenters replied that Medicaid does cover it, but the program serves people who are not on Medicaid or who fall into a separate eligibility category based on income and insurance status. A member also clarified the requested funding increase. The committee then moved on to the next agenda item, an update from the Children’s Home of Northern Kentucky, where board member Sal Santoro and CHNK Behavioral Health leaders began a presentation describing the organization’s broader behavioral health work and its request, but the transcript cuts off before that presentation concludes or any action is taken.
TX
Transcript Highlights:
  • Based on rate setting method 50% roughly of the overall rate should be allocated to that one rate component
  • increases which which we're very grateful to receive those rate increases all of the money has gone
  • The quality of care has been steadily increasing. quality five-star rating system in long-term stays,
  • So, the overall rate? Yes.
  • Are you concerned about increasing cost of patient as a result of increased administration?
Keywords: 1185, senate, all
MN

Minnesota 2025-2026 Regular Session

Committee on Capital Investment - 03/25/25

Capital Investment

Transcript Highlights:
  • But I just wanted to know what were those interest rate increases? So what was that assumption?
  • But I just wanted to know what were those interest rate increases? So what was that assumption?
  • But I just wanted to know what were those interest rate increases? So what was that assumption?
  • > into<00:16:02.079> your rate increases uh factored into your rate increases uh factored
  • what what were those interest rate what what were those interest rate increases?
Keywords: 1187, senate, all
ND
Transcript Highlights:
  • That's with zero increase.
  • the number at 0% increase, so...
  • undergraduate rate is.
  • So if you increase those rates, you decrease the percentage of base.
  • But under this, using those rates, those completion rates, the base is about 86 and a half.
Summary: The Higher Ed Funding Committee met to review how North Dakota might identify and address low-producing academic programs and to discuss draft funding formulas for the university system. Lisa Johnson of the NDUS explained that the State Board of Higher Education is already developing a system-wide policy, using models from other states such as Texas, Virginia, North Carolina, Colorado, Kentucky, Ohio, and Connecticut. She described how low-producing programs are typically flagged by multi-year enrollment or completion thresholds, then reviewed for workforce demand, mission fit, cost, accreditation, and regional need before any action is taken. Committee members asked about what counts as a program, how costs are analyzed, whether certificates are included, how exemptions work for mission-critical or high-demand fields, and whether the board or legislature should set the rules. Johnson said the board is the appropriate body to lead the process, but legislators could use funding leverage if they wanted to encourage action; the chair asked the board to bring a detailed proposal to the June meeting. The committee then heard a Legislative Council presentation on a draft formula for UND and NDSU. The proposal uses fall census FTE enrollment, with a placeholder undergraduate rate of $7,000 per FTE and a graduate/professional rate of $10,500, plus incentives for completions in in-demand fields and research productivity. Alex from Legislative Council walked through the projected funding effects, noting that the model would increase funding for NDSU and reduce it for UND in the current biennium, with different results in the next biennium as enrollment changes are recognized. Members questioned the use of the placeholder rates, the definition of in-demand programs, the treatment of research funding, and the exclusion of state-appropriated dollars from the external grants calculation. The chair emphasized that the numbers were illustrative and that appropriators would set the actual dollar amounts later. A second draft formula for the other nine institutions was also reviewed. That model uses fall census FTE without a weighted economic factor, applies a higher undergraduate rate, and adds completion incentives for in-demand credentials and all other completions. Members noted that the formula would benefit some institutions, such as Bismarck State College, while reducing funding for others, such as Mayville State, and discussed whether the nine institutions should be treated more uniformly or split into smaller groups because of their different missions and sizes. Committee members and staff repeatedly stressed that the formulas are still being refined and that some institutions would likely need hold-harmless adjustments or other transition measures. The meeting ended with the chair directing the committee to continue the discussion later and to expect further work on both the low-producing program policy and the funding formulas.
MN

Minnesota 2025-2026 Regular Session

House Capital Investment Committee 3/18/25

Capital Investment

Transcript Highlights:
  • So, in this case, theoretically, the tax-exempt rate would be 80% of the taxable rate.
  • the credit rating, the lower the interest rate that you're going to be charged.
  • As you heard, there are different proposals about the increase in interest rates we might face, but we
  • would estimate that the interest rates on state bonds could increase by one and a half percent or more
  • Our projected interest rates have increased quite a bit within our forecast, and that has had some impact
Keywords: 1183, house
MN

Minnesota 2025 1st Special Session

Committee on Higher Education - 02/06/25

Higher Education

Transcript Highlights:
  • high school graduation rates and then ultimately increase rates of college attainment.
  • 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
  • and increasing the college application rates.
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.
CA

California 2025-2026 Regular Session

Senate Health Committee Apr 15th, 2026

Health

Transcript Highlights:
  • We are asking regulators to do more than just check proposed rate increases for actuarial soundness.
  • We are asking regulators to also evaluate these rate increases for consumer affordability.
  • The bill requires review to show the impact of rate increases on affordability through consumer cost
  • The bill requires review to show the impact of rate increases on affordability through consumer cost
  • The bill importantly enties on reasonable rate increases definition in the Affordable Care Act, codifying
Summary: The committee first took up SB 1377, a bill on medical exemptions for school immunizations. The author and supporters said the measure was a narrow reform to restore physician discretion and reduce what they described as chilling effects from audits and license discipline; opponents from pediatric, medical, public health, and school groups argued the current system already works, protects against fraudulent exemptions, and should not be weakened. Committee members debated the data, the number of exemptions reviewed or revoked, and the effect of the proposed amendments. The bill was amended in committee, but because there was no quorum it was not formally voted on at that time. The committee then heard SB 995, the Masuma Khan Justice Act, which would create a statewide inspection and compliance framework for large private detention facilities. The author and supporters described severe conditions in immigration detention, including denial of medication, unsafe food and water, and lack of oversight, and the bill was presented as a response to those abuses. The California Hospital Association raised concerns about duplicative regulation and overlapping standards, but said it was continuing to work on a solution. The committee discussed constitutional and jurisdictional issues, and the bill was moved on a do-pass motion to the Committee on Judiciary with a 5-0 vote placed on call. Next, SB 1089 was heard, proposing expanded access through CalPERS and CalRX to GLP-1 medications for chronic weight disease and diabetes prevention. The author and supporters from the American Diabetes Association and medical groups argued the drugs are effective tools to prevent type 2 diabetes, reduce long-term costs, and improve health equity, while the author also shared personal experience with weight loss and medication access barriers. There was no opposition testimony. The bill was moved on a do-pass motion to the Committee on Labor, Public Employment, and Retirement with a 5-0 vote placed on call. Finally, the committee heard SB 1221, dealing with Murphy conservatorships for people found not guilty by reason of insanity or otherwise under criminal-mental health conservatorship. Supporters, including prosecutors and psychiatrists, said the bill addresses a gap created by a court decision and would improve public safety and placement decisions for a small population of high-risk individuals. Opponents from county behavioral health and disability rights groups warned it would turn a civil process into a quasi-criminal one, expand district attorney involvement, and disrupt bed prioritization and least-restrictive-placement principles. The discussion centered on the scope of the bill and its amendments, but no final vote was taken in the portion provided.
MN

Minnesota 2025-2026 Regular Session

Minnesota House passes veterans policy and supplemental finance bill 5/4/26

Minnesota House Floor Meeting

Transcript Highlights:
  • What the bill does is it increases the pay rate for state-activated National Guard members to the E-5
  • to the E-5 rate.
  • them a rate that exceeds their base pay. them a rate that exceeds their base pay.
  • to the E5 rate.
  • So, if you are a rates to the E5 rate.
Keywords: 919, house, all
Summary: The House took up Senate File 4807, a bill relating to state government and veterans of the secret war in Laos, but the discussion focused on a House amendment that replaced the Senate language. Representative Olson explained that the amendment would tie Minnesota National Guard state active duty pay to the E-5, or sergeant, rate, rather than the current minimum pay structure, which he said can leave lower-ranked members earning about $15 an hour during emergency activations. He argued the change would better compensate Guard members who leave civilian jobs to serve and said it would mirror federal pay adjustments without affecting the Department of Military Affairs budget except when the Guard is activated. The amendment was adopted after brief discussion. On third reading of the bill as amended, Olson urged support, describing the Minnesota National Guard as highly trained and deserving of recognition for its service and sacrifice. No opposition was recorded. The House then took the roll call vote and passed Senate File 4807 as amended by a vote of 133-0. The title was agreed to.
CT
Transcript Highlights:
  • in the children's dental rate and a significant increase in providers. ...children's dental rate and
  • These are the five states that are in the rate study, which is the way in which rates will be indexed
  • Massachusetts dental sealant rates are about $5 more as an increase than ours.
  • So this is the children's rates, right? So this is the children's rates, right?
  • Yeah, I mean, just about the rates. It's not cheap by the care, because you don't set the rates.
Keywords: 962, all
Summary: The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention. The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support. The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.
HI

Hawaii 2025 Regular Session

FIN Info Briefing - Wed Jan 8, 2025 @ 9:00 AM HST

Hawaii House Floor Meeting

Transcript Highlights:
  • You noted that delinquency rates on the Big Island would increase.
  • in and utility significant increases in and utility rate rate rate cases<01:02:58.839> um<01:
  • <01:13:59.880> increase about insurance um rate increase about insurance um rate increase
  • the mitted carriers to increase their rates<01:14:14.840> have<01:14:15.000> been rates
  • , even despite the recent increase to the Medicaid rate.
Keywords: 910, house, all
Summary: The Committee on Finance held an informational briefing with the Department of Labor and Industrial Relations on its budget, staffing, and operations. The director reviewed department leadership and reported on recruitment and retention efforts, including a 14% vacancy rate, a 10.5% workforce increase from filling 189 positions, and the Hela Imua internship program, which has placed 516 interns since inception and led to 62 permanent hires. The department also described modernization efforts, including the UI Huakai project and the Disability Compensation Division’s electronic case management system, and said the unemployment compensation trust fund exceeded $71.5 million, triggering Schedule C for calendar year 2025. The department’s main budget requests included $2.9 million for fiscal year 2026 to support maintenance and operations of the electronic case management system, plus restoration of two enforcement specialist positions. Officials said those positions are needed to address a decline in investigators from 11 to six since 2009, improve compliance, and handle Hawaii Compliance Express certificate work. Additional requests included two human resources specialists to address recruitment backlogs, two labor enforcement specialists to reduce a backlog of Chapter 104 prevailing wage and wage cases, and two positions for the Office of Community Services to expand immigrant services and access centers. The department also discussed federal funding for unemployment insurance and workforce programs, including National Dislocated Worker Grants and Workforce Innovation and Opportunity Act funds, and said some funding is received in increments and may require extensions. Members asked about Kauai inspection coverage, federal funding uncertainty, the size of the special unemployment insurance fund, and whether the department could ramp up staffing during a future crisis. Officials said Kauai is currently served by inspectors from Honolulu and there are no plans to open a permanent island position because of staffing constraints. They said the department is meeting federal guidelines and is not in jeopardy, and that the special unemployment insurance fund has about $10 million, with current UI operations funded at a little over $15 million, meaning the fund may need to cover roughly $5 million if federal support declines. The director said the department would use the special fund to supplement shortfalls, but noted that federal funding cuts and the loss of ARPA support have already affected operations.