Video & Transcript Research : 'cost analysis'

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CA

California 2025-2026 Regular Session

Assembly Revenue and Taxation Committee Jun 29th, 2026

Revenue and Taxation

Transcript Highlights:
  • When costs go up, ratepayers pay the price. SB 1329 mitigates the risk of over-assessment.
  • Higher costs or uncertain taxes mean higher energy prices. It's a direct correlation.
  • It's based on the value of what we actually invest, our net cost to build.
  • I'll be accepting the committee amendments outlined in the analysis.
  • And I'll be accepting the committee amendments outlined in the analysis.
Keywords: 988, house, all
CA
Transcript Highlights:
  • Those costs were all for paperwork, not for housing.
  • The result is a parcel-by-parcel analysis that has frustrated both cities and, I should say, HCD alike
  • These factors include market factors like housing prices and construction costs.
  • A strategy that is proven to be successful, cost-effective, and quick.
  • This interpretation increases project costs far beyond what the Legislature... seven.
Summary: The Assembly Housing and Community Development Committee heard several housing-related bills. SB 457 would direct HCD to develop statistical formulas based on historical development data to help cities complete housing element site inventories, with the author and supporters arguing it would make RHNA compliance more realistic and less costly; the California Building Industry Association opposed, and the bill was later approved on a 7-1 vote. SB 904 would codify and expand wildfire-rebuilding coordination and reporting practices used after recent fires, with supporters saying it would speed recovery and opponents questioning the need for additional reporting; it passed 11-1. The committee also took up SB 1091, which would create a state acquisition-and-preservation program for unsubsidized affordable housing to prevent displacement; it drew broad support from housing and tenant groups and passed 9-1, with members emphasizing preservation as a key housing strategy. Members also considered SB 1267, which would require EV charger installers in common-interest developments to indemnify associations during installation and make homeowners responsible for costs arising from use of privately owned chargers. The bill was presented as a follow-up to prior HOA-related EV charging legislation, with support from HOA, EV, and climate groups and opposition from the California Association of Realtors pending amendments; it passed 10-0. SB 1117 would clarify that ADU impact fees above the 750-square-foot exemption are charged only on the portion above that threshold, not the entire unit, and supporters said it would remove a fee cliff that discourages slightly larger ADUs. Cities, special districts, and fire agencies opposed or opposed unless amended, citing infrastructure funding concerns, but the bill passed 10-0 after extensive debate. The committee also heard SB 1361, which would prevent local governments from taking actions to avoid SB 79 transit-oriented housing requirements at existing or planned transit stops. Supporters from L.A. Metro, labor, and housing groups said it would protect transit investments and jobs, while the City of Burbank opposed; the bill passed 9-0. Two consent items, SB 722 and SB 1426, were approved without discussion. Throughout the hearing, members repeatedly stressed the goals of streamlining housing production, preserving existing affordable homes, and reducing barriers to rebuilding and transit-oriented development.
NH

New Hampshire 2025 Regular Session

House Ways and Means (02/10/2025)

Transcript Highlights:
  • <00:28:35.399> of like that cost of like that cost of eggs<00:28:38.000> and eggs and
  • part of that I I remember that analysis part of that I I remember that analysis I<00:46:26.760><
  • <00:59:12.920> but transaction numbers at lower costs but transaction numbers at lower costs
  • <03:17:01.680> of the cost of the cost of eggs<03:17:04.319> uh<03:17:04.920> some
  • <04:11:17.119> of can be uh from which the cost of can be uh from which the cost of Medicaid
Keywords: 1189, house, all
Summary: The committee received a Department of Revenue Administration update from Commissioner Lindsay Stepp focused on revenue estimates for fiscal years 2025, 2026, and 2027. She explained the department’s forecasting method, which uses five scenarios based on the first seven months of actual collections and different assumptions for the remaining months, then selects a reasonable high and low range for FY 25 and applies projected growth rates for FY 26 and FY 27. Members asked several clarifying questions about how the scenarios are chosen and how the estimates relate to economic growth and taxpayer behavior. For business taxes, Stepp reported FY 25 year-to-date collections of $110.3 million, 18.2% below plan and 17.2% below prior year. She said the shortfall reflects both economic conditions and a resetting of estimated payments after unusually strong pandemic-era profits, and noted that the department cannot fully separate changes in taxpayer liability from changes in estimated payment behavior. She said approximately just under $72 million was refunded in FY 24 due to the CCO cap, and that FY 25 year-to-date refunds are at 41.7%. For business taxes, the department’s FY 25 range was based on either continued underperformance versus plan or a return to prior-year levels, with FY 26 and FY 27 growth projected at 3% to 8%. The committee also reviewed meals and rooms tax, tobacco tax, and related trends. Meals and rooms revenue was $6.9 million, or 3.3%, ahead of plan and prior year; the FY 25 gross estimate was $475.894 million, with a net range of about $331.82 million to $335.259 million after municipal transfers and school building aid. Stepp said recent monthly results suggest some fluctuation tied to disposable income, weather, and travel patterns, but no clear sustained decline. Tobacco tax was $18.1 million, 14% below plan and 4.8% below prior year; she said cigarette stamp sales are declining while e-cigarettes and other tobacco products are growing, with FY 25 tobacco revenue projected at $182.5 million to $185.3 million and FY 26-FY 27 growth ranging from -5% to flat. No votes or formal actions were taken.
NM

New Mexico 2026 Regular Session

Senate - Tax, Business and Transportation Jan 27th, 2026 at 01:42 pm

Senate Tax, Business & Transportation

Transcript Highlights:
  • But online, we can find the MFA analysis that has since been submitted.
  • But online, we can find the MFA analysis that has since been submitted.
  • There's a nonprofit, and ultimately they're going to see their cost go down. Yeah.
  • Now, the cost of construction, the cost of everything has gone way up.
  • Industry believes there will be a cost increase in gasoline because of the capital cost that will be
MN

Minnesota 2025-2026 Regular Session

Committee on Transportation - 04/20/26

Transportation

Transcript Highlights:
  • Package advances life-cycle costs analysis, alternative project designs, including right-size solutions
  • > analysis, Package advances life costs analysis, Package advances life costs analysis, alternative
  • safety costs, the environmental costs, and so on.
  • operating cost per passenger trip. operating cost per passenger trip.
  • real cost on families. real cost on families.
Keywords: 1187, senate, all
FL

Florida 2026 Regular Session

Regulated Industries Mar 12th, 2025

Regulated Industries

Transcript Highlights:
  • It costs more... Because the city still has to make up the money. It costs more than the 25%.
  • There ought to be, in the first instance, a cost-benefit analysis based on, you know, we've had a lot
  • and really listening in the time of extreme costs.
  • Right now, when the plan is adopted, costs and benefits And you're right.
  • Do those costs for that benefit get the ratepayers where they should be?
Summary: The committee took up several bills and reported each favorably after brief debate and roll call votes. SB 578 would allow wine to be sold in recyclable containers, aligning wine with beer container rules; it had support from Americans for Prosperity. SB 606 clarified when nonpaying guests may be removed from public lodging establishments, updated notice and checkout provisions, and removed a mandatory arrest requirement, with support from Florida Realtors, the Asian American Hotel Association, and the Florida Restaurant and Lodging Association. SB 202 addressed a long-running dispute between Miami Gardens and North Miami Beach over a water utility surcharge, requiring the utility to charge residents in the city where the plant sits the same rate as its own residents; supporters argued it was a fairness issue, while North Miami Beach opposed it as a burden on its residents. All three bills were reported favorably. The committee also approved SB 570, which updates and clarifies the scope of work for swimming pool and spa contractors, and CS/SB 928, which targets non-approved disposable nicotine devices by restricting advertising and display visible to minors, increasing inspections and penalties, and adopting an amendment to clarify the bill does not cover fully unlawful products and to add a 500-foot school buffer for smoke shops. SB 346, dealing with state preemption of local regulation of hoisting equipment, was reported favorably after testimony about the St. Petersburg crane collapse during Hurricane Milton; supporters said local governments need authority to address hurricane-related crane safety, while builders and contractors warned against patchwork regulation and urged a more targeted approach. The committee then considered SB 652, creating Veterinary Professional Associates to perform certain tasks under veterinarian supervision, including limited surgical procedures after an amendment clarified those procedures are limited to spay/neuter and non-cavity surgeries. Supporters said the bill would expand access to veterinary care and help shelters, while some veterinarians expressed concern about training and safety; the bill was reported favorably. Finally, the committee took up SB 354 on the Public Service Commission, adopting a substitute amendment that would expand the commission, require stronger financial expertise and more detailed rate justifications, set rate-filing schedules, tighten storm-hardening review, and add transparency rules for nonprofit water and wastewater utilities; the bill drew support from consumer advocates and AARP, while Florida Rural Water warned of unintended consequences for nonprofit systems. The transcript ends while testimony on SB 354 is still underway, with no final vote shown in the excerpt.
CA
Transcript Highlights:
  • It's also the most cost-effective way to deliver care.
  • analysis when trying to have a contractor Hospitals to conduct a cost analysis when trying to have a
  • AB 393 is a straightforward measure to ensure that if the cost of a contractor is more than the cost
  • AB393 is a straightforward measure to ensure that if the cost of a contractor is more than the cost of
  • the cost of the contractor they'll hire, Service worker, compare that to the cost of the contractor they'll
Summary: The Assembly Committee on Public Employment and Retirement met for its first hearing of the session, adopted committee rules, and heard several labor-related bills. The chair reviewed hearing procedures, including limits on testimony and expectations for orderly conduct. Members then took up measures affecting public employee bargaining, contracting, confidentiality, school employee benefits, pay stub information, and state correctional health staffing. AB 672 would require public employers to notify PERB when filing court actions involving statutes PERB administers and allow PERB to intervene; it drew support from SEIU, AFSCME, school employees, labor groups, and no opposition, and was passed out of committee. AB 283 would move IHSS bargaining from the county to the state level; providers and recipients testified about low wages, long delays in bargaining, and care access concerns, while counties and public authorities raised cost, scope, and implementation issues. The bill passed 7-0 after members discussed family care worker concerns and the author said he would continue working on the issue. AB 339 would require local governments to give unions 120 days’ notice before contracting out bargaining-unit work. Labor supporters said the bill would make existing meet-and-confer rights meaningful and protect jobs, while counties, cities, special districts, chambers of commerce, and staffing groups argued it would burden local agencies and interfere with existing MMBA procedures. The committee also heard AB 340, which would make communications between employees and union representatives confidential for PERB purposes; supporters said it codified existing case law, while school administrators, special districts, counties, and business groups warned it could hinder investigations. AB 378 would extend the classified school employees summer assistance program to JPA employees, and AB 374 would require more detailed pay stubs for classified school employees; both had labor support and some education-sector opposition over implementation and cost concerns, and both advanced. AB 393 would require cost analyses before contracting out physician work at CDCR and the Department of State Hospitals; supporters argued the state was overpaying contractors amid high vacancy rates, and the bill also advanced. At the end of the hearing, the committee recorded final votes showing AB 283, AB 340, AB 374, AB 378, AB 393, and AB 672 all passing out of committee, while AB 339 remained on hold with a 4-0 vote and some members not voting.
OK
Transcript Highlights:
  • I think we will certainly look at the costs and get back to you.
  • Here, Pathfinder cost is included in that, in the $3 million.
  • We've done a market analysis with OMES.
  • Then, we can look at actual trend analysis.
  • And so, we're building those costs in now. Thank you.
Keywords: 914, all
CA
Transcript Highlights:
  • The state has an outstanding loan to help augment costs for the interest payment.
  • While state costs to administer programs, of course, have increased with cost of living and inflation
  • Our office just... this afternoon, published a short analysis of the EDDDX proposal.
  • us anywhere close to the tune of $1,000. of 60 to 70% of the total cost of the portfolio.
  • But roughly 60% to 70% of the total cost of what we have requested. Is about to come up.
Keywords: 988, house, all
CA

California 2025-2026 Regular Session

Senate Education Committee Jun 10th, 2026

Education

Transcript Highlights:
  • According to the bill analysis, nearly 9 out of 10 Native students According to the bill analysis, nearly
  • Finally, these contracts are paid locally and do not have any state costs.
  • The purpose of JOC is to reduce costs.
  • Yet the available research on project labor agreements raises serious questions about cost impacts.
  • or other sorts of costs.
Keywords: 987, senate, all
Summary: The committee heard several education-related bills, with most of the discussion centered on student privacy, faculty health coverage, Native student data collection, mental health training for coaches, and human trafficking prevention education. AB 1159, the California Learner Personal Information Protection Act, would expand student data privacy protections to higher education, clarify existing ed-tech rules, and add limited enforcement. The author and supporters said current law is outdated and does not adequately protect sensitive student information, while some college-related stakeholders raised definitional concerns about preserving routine student communications and access to course materials. The bill was approved on a due-pass motion to the Senate Privacy, Digital Technologies and Consumer Protection Committee and placed on call. AB 1171 would keep unspent funds in the part-time community college faculty health insurance program from being swept for other uses and would require all community college districts to begin negotiating participation by 2030. The author and supporters argued that part-time faculty often lack employer-sponsored coverage despite teaching most community college courses, while opponents said the bill was premature because participation is still growing and the program’s full-year spending data is not yet known. Members debated whether the Legislature should preserve the funding in statute or continue handling it through the budget process. The bill passed on a due-pass motion to Senate Appropriations and was placed on call. AB 1581 would require collection of tribal affiliation data for Native American and Alaska Native students in CalPADS to address severe undercounting and improve resource allocation. The author and tribal and education supporters said Native students are often misclassified, making it harder to provide culturally responsive programs and measure outcomes; committee members discussed how the reporting would work for multitribal and multiracial students and emphasized the need for tribal consultation and workable data definitions. The bill passed on a due-pass motion to Senate Appropriations and was placed on call. AB 1665, requiring mental health training for school coaches, was supported as a way to help trusted adults recognize warning signs and connect student athletes to services; it also passed to Senate Appropriations and was placed on call. AB 1766, which would expand human trafficking prevention education from kindergarten through 12th grade and address online grooming and exploitation, received strong support from the author, survivors, and advocacy groups, with testimony emphasizing earlier prevention and digital safety; the transcript ended during support testimony and did not include final action on that bill.
NH

New Hampshire 2025 Regular Session

House Education Funding (02/11/2025)

Transcript Highlights:
  • no analysis by we we did no analysis no analysis by cohort<03:56:59.720> level<03:56:59.960><
  • The cost—what that could be is a situation where the cost for the high-cost special education student
  • The analysis you're describing is actually getting into the cost of a speech pathology teacher?
  • <04:51:20.480> you're costs are we the the analysis you're costs are we the the analysis you're
  • what the cost increase year toye which what the cost increase year toye or<04:53:39.680> cost
Keywords: 928, house, all
Summary: The committee first discussed HB 443, which would change terms and vacancy language for members of a higher education commission. Members raised concerns that the bill was too narrow to address broader issues with commission membership, including expired appointments, attendance expectations, and whether the Department of Education could replace the commission’s role. Several members suggested the bill was not ready for action and favored holding it for further work, possibly through a subcommittee or work session. One member suggested that if attendance standards were added, no more than two unexcused absences should trigger removal, given the commission’s meeting schedule. The chair said he would defer action and form a small subcommittee to report back before the committee deadline. The committee then moved to HB 484, dealing with repurposing Career and Technical Education classroom space after 20 years of exclusive use. The chair explained that the bill was aimed at the Milford CTE project, where shared use of space could allow a school to repurpose part of a CTE facility while still using it for CTE-related instruction. Members discussed other possible situations around the state, including Claremont, North Conway, and Jaffrey/Rindge, and whether the bill should be limited to Milford or broadened to allow local districts more flexibility. Some members favored passing the bill now to help CTE projects move forward, while others argued for an amendment removing the requirement that the space be vacated specifically to expand the CTE program occupying it. Testimony and discussion emphasized that the Milford project had state approval but reduced funding, requiring a smaller scope and repurposing of existing space. Supporters said the bill could help preserve CTE programs while also benefiting general education space needs, and that local districts should have flexibility after 20 years. Opponents or cautious members noted that the language might not fit every district situation and asked for feedback from Director Beard and Steve Rothenberg before final action. The committee did not take a final vote in the portion provided, and instead discussed waiting for an amendment and additional input before acting.
NM

New Mexico 2025 Regular Session

IC - Federal Funding Stabilization Subcommittee Nov 6th, 2025

Federal Funding Stabilization Subcommittee

Transcript Highlights:
  • This is decent planning, given the penalties and cost shifting.
  • And then a quantitative analysis about the effects of the shutdown.
  • Get that information to you about the true costs of a shutdown.
  • It wasn't the cost that went down; it was just the appropriation.
  • District attorneys cost the counties to house, and every time a new judge is added, it costs us between
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 03/05/25

Health and Human Services

Transcript Highlights:
  • Yes, you are correct that any standards passed by the board, we have to do an analysis, and the analysis
  • The minimum wages, though, we did do that analysis and found that there would be an increased cost to
  • The minimum wages, though, we did do that analysis and found that there would be an increased cost to
  • It does not cost any money.
  • It does not cost any money.
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

Committee on Labor - 03/10/26

Labor

Transcript Highlights:
  • Regulation does not mean slowing down innovation, but it's worth pointing out that that's the cost that
  • that people are willing to pay the cost that people are willing to pay if<00:10:32.399> it<00
  • , would not be captured in this analysis, would not be captured in this analysis, right?
  • So in that sense, our analysis is also very dated.
  • So in that sense, our analysis is also very dated.
Keywords: 1187, senate, all
CA

California 2025-2026 Regular Session

Assembly Transportation Committee Aug 25th, 2025

Transcript Highlights:
  • Road usage charges: there are costs associated with the hardware, costs with the administration.
  • There are costs associated with the hardware, costs with the administration.
  • The cost that I mentioned is really big.
  • One of the challenges for a RUC program is keeping the admin costs low.
  • That also lowered our administrative costs.
Summary: The Assembly Transportation Committee first took up three highway naming resolutions on its consent calendar: ACR 109, SCR 78, and SCR 90. The committee approved the consent calendar with 11 aye votes and no no votes, then adjourned the bill-hearing portion. Members also recognized committee science fellow AJ Mendeola for his service, noting his contributions to bill analysis and staff support. The committee then held an informational hearing on alternatives to the gas tax, focused on the projected decline in fuel-tax revenue and the need for a more sustainable transportation funding model. The chair and invited experts described how inflation, improved fuel efficiency, and growth in electric and other alternative-fuel vehicles are eroding gas-tax revenues. Presenters from the National Conference of State Legislatures and the University of California discussed state options such as higher or indexed gas taxes, EV registration fees, road usage charges, delivery fees, public EV charging fees, transportation network company fees, and managed lanes, emphasizing tradeoffs among revenue adequacy, fairness, administrative cost, and public acceptance. Committee members raised concerns that mileage-based fees or EV fees could function as new taxes on commuters and lower-income drivers, especially if the gas tax is not repealed. Presenters responded that road usage charges are generally intended as replacements for the gas tax, not additions, and argued that mileage-based systems better preserve the user-pays principle while being less tied to vehicle fuel efficiency. They also noted that flat EV registration fees are easy to administer but can be less equitable because they are not linked to actual road use. Officials from Hawaii, Utah, and Oregon described their state programs and policy choices. Hawaii said its new road usage charge began July 1, 2025, for EVs, offers a choice between a per-mile charge and a flat annual fee through 2028, and will transition to mandatory EV participation before expanding to all light-duty vehicles by 2033. Utah described its voluntary EV road usage charge program, quarterly reporting, privacy protections, and legislative scenarios for removing the cap or making participation mandatory. Oregon outlined its constitutional cost-responsibility framework and broader transportation funding challenges, including reliance on user fees and limited use of general-fund support.
MN

Minnesota 2025-2026 Regular Session

Energy Committee Meeting - 2025-03-25

Energy Finance and Policy

Transcript Highlights:
  • analysis.
  • Upfront, you know, as part of the cost analysis when going down the initial path for project development
  • It's much higher cost—the initial project development and installation costs versus conventional HVAC
  • So if you're looking at your potential load from a cost-benefit analysis, are you currently using all
  • Hodel, just kind of looking at expanding that conversation: have you done a price cost analysis?
CA

California 2025-2026 Regular Session

Assembly Labor and Employment Committee Jun 24th, 2026

Labor and Employment

Transcript Highlights:
  • As the committee analysis notes, high-road employment standards are becoming the standard.
  • Is it fair for taxpayers to subsidize corporate labor costs?
  • Is it fair for taxpayers to subsidize corporate labor costs?
  • And what does that cost the state and taxpayers each year?
  • And now we are seeing this cost in human life that's going to be expected as well.
Keywords: 988, house, all
CA

California 2025-2026 Regular Session

Assembly Health Committee Jul 1st, 2025

Transcript Highlights:
  • The Senate Environmental Quality Committee analysis contemplated this, noting that if this bill were
  • The analysis further stated that more engagement surrounding this concern will be necessary to ensure
  • So what do you see is the cost-benefit analysis between getting enough of these nutrients and perhaps
  • So what do you see is the cost-benefit analysis between getting enough of these nutrients and perhaps
  • We appreciate the author's work with us as well as the committee staff's analysis on this bill.
Summary: The committee heard several health-related bills, with extensive testimony on maternal health, prenatal safety, privacy, valley fever, Medi-Cal contracting, anti-discrimination protections, and health data sharing. SB 32 would require time-and-distance standards for labor and delivery units in health plan networks; the author and supporters said it would address maternity care deserts and improve access, while health plans opposed. SB 646 would require testing and public disclosure for toxic elements in prenatal vitamins; supporters emphasized fetal and maternal safety and transparency, while industry opponents warned it could confuse consumers or lead to reduced nutrient content. Both bills drew broad support from medical and public health groups, and both were advanced on party-line or near-unanimous votes after committee discussion. The committee also approved SB 313, which moves a parent’s birthplace on birth certificates into the confidential section to protect privacy, and SB 297, which directs CDPH to identify high-incidence valley fever regions and publish them for screening and awareness; valley fever experts and supporters stressed rising cases and the need for earlier diagnosis, while local health jurisdictions raised concerns about mandates. SB 324, dealing with Medi-Cal enhanced care management and community supports, would prioritize local community-based organizations and clarify contracting and data practices; it received strong support from nonprofits and community health advocates, with children’s hospitals and health plans seeking amendments, and it was sent forward after amendments were discussed. The committee then considered SB 418, which would codify ACA nondiscrimination protections in state law and allow up to a 12-month prescription supply for hormone therapy when medically necessary. Supporters framed it as protecting continuity of care for transgender patients and others using hormone therapy, including IVF and menopause patients, while opponents argued it would conflict with federal policy and promote harmful treatments. The bill passed to the next committee. Finally, SB 660 would strengthen the California Health and Human Services data exchange framework by creating governance and accountability for data sharing across health and social service entities; supporters said it would reduce duplication and improve care coordination, while some providers and hospital groups raised concerns. It was approved and sent to the Privacy and Consumer Protection Committee. The consent calendar and the other measures were also voted out, with the committee recording the required roll-call votes and sending the bills onward.
NH

New Hampshire 2026 Regular Session

House Finance Division II (03/09/2026)

Transcript Highlights:
  • So, net cost is 1.7.
  • cost more. cost more.
  • current high-cost students. current high-cost students.
  • to hopefully make it as, well, to reduce the cost per pupil, if you will, of doing the analysis.
  • additional cost. additional cost.
Keywords: 1189, house, all
Summary: The committee took up HB 1563, a special education aid formula bill, after a brief recess. Members reviewed a replace-all amendment that would keep the current reimbursement lag structure but make the bill effective July 1, 2028, with districts beginning to collect the new data in the next biennium. The amendment changes the reimbursement tiers from a dollar-based system to one tied to average per-pupil spending: districts would pay 100% below 2.5 times average per-pupil spending, 85% from 2.5 to 3.5 times, 20% from 3.5 to 10 times, and 10% above 10 times, with the state covering the remainder. Speakers emphasized that the bill is intended as an incremental step to gather better data before any larger expansion of state participation. A major new section would create a risk-based monitoring program for reimbursement claims. Instead of reviewing every claim individually, the department would review at least 20% of districts each year so every district is reviewed at least once every five years, with additional random or targeted reviews based on risk indicators, anomalies, prior findings, or other department criteria. Members discussed whether the audit sample should be district-based or student-based, and whether the bill should more specifically define the type of audit and the meaning of “other” criteria. Department witnesses said the current process already involves confidential information and that the new approach would not worsen privacy concerns; they also said the department would follow federal and state privacy laws and adopt rules to implement the process. Several members supported the bill as a practical first step to improve data collection and eventually expand aid, noting that districts currently do not track lower-cost special education students well. Others raised concerns about the lack of a fiscal note, possible local costs, and whether the new monitoring language gives the department too much discretion. The discussion ended with no vote taken in the excerpt, and members indicated they may need more time to review the final amendment before proceeding.
NH
Transcript Highlights:
  • So now here's the answer to that question. >> I'll ask the department, did we ever do a cost analysis
  • <00:28:33.760> I cost analysis of this legislation. I cost analysis of this legislation.
  • And we've had bills, I think we had liquor bills that we had some debate over whether the cost analysis
  • Those kinds of ones are easier for a department to figure out what the cost analysis will be for a fiscal
  • cost analysis will be for a fiscal note. cost analysis will be for a fiscal note.
Keywords: 928, house, all
Summary: The committee first took up an insurance-related chronic pain bill and an amendment modeled on language from Massachusetts and Maine. The sponsor explained the amendment was developed after stakeholder meetings because the original bill would have created an unaffordable insurance mandate in New Hampshire. The amendment was intended to improve access to non-opioid therapies by limiting prior authorization and step-therapy barriers so they are not more restrictive than for other treatments, including opioid therapies. After questions, the committee took a straw vote and advanced the amendment. The next item was a department-sponsored bill involving the state’s all-payer claims database. Insurance Department officials explained that the bill would encourage self-funded employer plans to opt in voluntarily by giving them aggregated, deidentified claims information in return. They said self-funded plans cannot be required to report data because of federal law, but the bill would provide an incentive while protecting employee privacy. Members asked detailed questions about who would see the data, whether individual employees could be identified, and how privacy would be enforced; the department said access would be aggregated and deidentified, and employer privacy issues would be governed by ERISA and the U.S. Department of Labor. The committee also discussed a glucose-monitoring bill. Members debated whether the bill was aimed at type 1 diabetes coverage or broader access to continuous glucose monitors, and whether it would amount to an unnecessary insurance mandate that could raise premiums. Department testimony estimated the equipment cost and said the annual impact per member would be modest, but also noted that non-insulin therapies have not consistently shown clinically significant A1C reductions. The chair and some members emphasized that the bill should be considered on its own terms as a CGM coverage issue, not as a general diabetes mandate. The committee discussed the bill’s cost implications and asked the department for any prior cost analysis.