Transcript Highlights:

• As you're mentioning, it suspended UAL contribution rates for four years.
• It will have major impacts upon rates and upon funding.
• It will have major impacts upon rates and upon funding.
• And so that's going to impact the rates on Plan 1 as well, right?
• We also should look at the impact of mortality rates and try to figure out.

Summary: The Select Committee on Pension Policy executive committee met to approve the November minutes, which were adopted by voice vote. The committee then received an update from the Attorney General’s Office on two ongoing cases, Fowler and Joel Lynn, with briefing and oral argument timelines still pending. Michael Harbour of the Office of the State Actuary provided an actuarial update focused on ESSB 5357, explaining that the bill raised the assumed investment return from 7% to 7.25%, suspended UAL contribution rates for four years, and changed amortization for past benefit improvements; members asked for clarification on how those changes would affect long-term funding and contribution rates, especially for Plan 1 systems. A substantial portion of the meeting was devoted to committee discussion of interim priorities and the need for more analysis of recent pension legislation. Members emphasized the importance of understanding the fiscal impacts of ESSB 5357 and related pension changes before the September economic experience study, and several asked staff to provide a more preliminary walkthrough of the bill’s effects. The committee also discussed the LEOFF 1 study and broader questions about overfunding, including when a plan should be considered overfunded and whether overfunding should be addressed through merger or closure proposals. One member suggested reviewing the operating budget’s excess compensation proviso during the interim as well. Staff reviewed the draft 2025 interim work plan, proposing June topics including election of officers, a presentation on SB 5357 and its actuarial implications, and an initial LEOFF 1 study kickoff based on SB 5085 and HB 2034. The committee also placed excess compensation and demographic experience study items in a parking lot for possible later scheduling. The June agenda was adopted by roll call vote, with three ayes and three members absent or excused, and the meeting adjourned after no further business.

Transcript Highlights:

• I'll continue to the rates.
• Bismarck is the lowest rate.
• When you say over 100, that's base rate? Base rate, yes. Sorry, I'm forgetting to acknowledge you.
• Does he have a base rate then? Yes, 34. Okay. So you're charging $34 for a base rate and $8.05.
• There's more than just the rate.

Summary: The Water Topics Overview Committee met with a quorum and received updates from the Department of Water Resources and the State Water Commission, followed by presentations from Deloitte on two legislative studies required by House Bill 1020. Director Reese Haas reviewed major project and budget updates, including the Northwest Area Water Supply and Southwest Pipeline projects, Resources Trust Fund balances, carryover spending, project prioritization, bid conditions, regional water system coverage, and department process improvements. Members also discussed how the commission prioritizes projects, maintenance expectations, and the impact of limited municipal water supply funding. No formal committee action was taken during the DWR update; the commission’s municipal funding decisions were described as pending its April 8 meeting. Deloitte then presented the cost-share policy study, which found that under current policy and forecasted revenues, North Dakota faces an estimated $1.3 billion shortfall over 14 years, with a near-term gap of about $1.8 billion through 2031. The firm outlined seven recommended options, including tighter definitions and a 25% cost share for eligible replacement projects, caps and financing strategies for the Mouse River and Red River Valley projects, aligning cost share with commission priority guidance, delaying lower-priority projects, using available lines of credit, and adjusting reimbursement timing for revolving loan funds. Committee members questioned inflation assumptions, affordability, user fees, and the use of legacy fund earnings for bonding, but no decisions were made. In the governance and finance study, Deloitte said final recommendations are still being refined, with a final report due May 29. The study examined the Southwest Pipeline, NAWS, and Red River Valley systems using governance and finance criteria such as decision authority, transparency, affordability, risk, and access to funding. For Southwest, Deloitte outlined options ranging from improved state-authority coordination to transferring ownership to the Southwest Water Authority; for NAWS, options focused on strengthening the authority’s role and potentially transitioning operations and maintenance; and for Red River, options ranged from enhanced facilitation to formal state oversight or state ownership. Members asked follow-up questions about ownership transfer, capital repayment streams, and why NAWS was not considered for transfer, and Deloitte said NAWS’s limited organizational maturity made that option less viable in the near term.

Transcript Highlights:

• That 4 and a.5% then we for MCO rates.
• Um and largest is growing at that rate.
• So as inflation increases, so does the rates for those.
• And do you, I mean, I'm sure you're at the same vacancy rates or a lot of them the same vacancy rates
• Now, it could be a function of reimbursement rates.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:36 Department for Medicaid Services 00:01:44, 958, all

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.

Transcript Highlights:

• This bill aims to add health insurance rate reviews and an affordability focus.
• It's looking at proposed rates, whereas...” “The rate regulation is looking forward.
• Yeah, I mean, that would be a part of the rate review process.
• It'll be part of the overall development of the rates.
• So I want to thank the Senator for making sure, which talked about rate reviews.

Summary: The Assembly Health Committee heard several measures, beginning with SB 331 by Sen. Menjivar, which would require large-group health plans to cover hearing aids for children. The author and supporters described the bill as a long-running effort to address a developmental emergency and reduce out-of-pocket costs for families, while opponents were absent. Testimony from parents, advocates, medical experts, and organizations emphasized the importance of early access to hearing aids; committee members voiced strong support, and the bill was moved on a do-pass basis to Appropriations, with several members requesting to be added as coauthors. The committee then heard SB 608, also by Sen. Menjivar, to expand access to condoms in school-based health centers and related settings and to prevent barriers such as ID checks. Supporters, including students and school health advocates, argued the bill would improve sexual health and reduce stigma, while opponents from family and faith groups argued it would undermine parental authority and normalize early sexual activity. The bill was supported by committee members and moved forward on a do-pass basis to Appropriations. Next, SB 971 by Sen. Choi proposed community-based healthy aging partnerships for older adults, with testimony from the California Senior Legislature and supporters from aging and dementia organizations. The measure was described as voluntary and focused on connection, independence, and local collaboration; there was no opposition, and the committee moved it on a do-pass basis to Appropriations. The committee also heard SB 869 by Sen. Weber Pierson, which would require warning icons and statements on chain restaurant menus for beverages with very high added sugar content. Supporters framed it as a transparency and public health measure, while restaurant and beverage industry representatives opposed it unless amended, citing cost and menu-space concerns; the bill was nevertheless moved on a do-pass basis to Appropriations after a roll call vote, with some members voting no and the measure placed on call. The committee also considered SB 950 by Sen. Weber Pierson, aimed at ensuring timely coverage of FDA-approved, medically necessary treatments for early-onset Alzheimer’s disease on commercial plans. Supporters, including the Alzheimer’s Association and a patient advocate, said the bill would reduce delays and barriers to care, while health plan representatives opposed it over step therapy and utilization-management concerns. Members discussed the limited treatment window and the need for early access, and the bill was moved on a do-pass basis to Appropriations. In addition, SB 490 by Sen. Umberg would set timelines for DHCS investigations of unlicensed sober living homes and allow counties to assist if the department cannot act in time; supporters from Anaheim and a patient-brokering survivor described serious abuse and oversight gaps, while county behavioral health representatives opposed the county role as an unfunded and potentially liability-creating burden. After discussion, the bill was also moved on a do-pass basis to Appropriations. Finally, the committee began hearing SB 1037 by Sen. Weber Pierson on health insurance affordability and rate review, with supporters arguing it would tie premium increases more closely to affordability targets and public reporting; the transcript cuts off before the committee completed action on that measure.

Transcript Highlights:

• Okay. >> So what is the error rate right now and what are you proposing that the error rate is going
• And if you're based on the error rate.
• It's most likely they go the error rate?
• <01:08:05.760> is uh can tell you what the error rate is uh can tell you what the error rate
• >> Our error rate is currently at 7.57%. >> Our error rate is currently at 7.57%.

Keywords: 1189, house, all

Summary: The meeting covered two committee of conference items. On HB 1260, the House and Senate debated a Senate amendment dealing with sealing certain divorce-related financial records. House members argued the amendment conflicted with the Keane Sentinel decision and would improperly flip the burden of proof on public access to court records, raising constitutional concerns under the state constitution’s open government and privacy provisions. Senate members responded that the privacy amendment and modern conditions support more protection for sensitive financial information, especially in limited uncontested divorces, but several members agreed the issue should be studied in a separate bill with a full hearing next year rather than resolved in conference. The committee ultimately voted unanimously to have the Senate recede and pass HB 1260 in the form originally passed by the House, preserving the underlying bill without the Senate amendment. The committee then took up HB 1574, which extends free and reduced-price breakfast and lunch programs and provides funding for SNAP administrative costs. The main dispute was the Senate’s addition of $4.4 million for SNAP administration. Senator Gray and DHHS officials said federal changes will shift more administrative costs to the state and that underfunding administration could raise the SNAP error rate, which could trigger future federal penalties and larger state costs; DHHS reported a current error rate of 7.57%, below the national average, and said a higher error rate could cost the state roughly $12 million in a partial fiscal year and nearly $16 million in a full year. Representative Papovich said he understood the department’s needs but was reluctant to support the bill as amended, noting the Senate language resembled a prior bill that had already failed in the House. The discussion ended with the committee still considering the Senate amendment, with members weighing the immediate appropriation against possible future costs.

Transcript Highlights:

• Rate of return, particularly, was, I think, not very good.
• What was your rate of return this year? 9.8%.
• So whatever the actuarial rate is—which I forget what the actuarial rate is, 29%, something probably
• Of course, you don't want your rate to go up.
• Of course, you don't want your rate to go up.

Keywords: 959, house, all

Transcript Highlights:

• and remediation rate, alongside SAT proficiency rates in reading and math.
• The graph on the left shows graduation rates alongside SAT proficiency rates.
• We are seeing increasing graduation rates. We are seeing slowly increasing proficiency rates.
• Now those two graduation rates and proficiency rates shouldn't be independent of one another.
• If we said increase graduation rates, they did their job. Graduation rates are up.

Transcript Highlights:

• chat, answer rates remain dramatically lower, around 42%.
• There’s a human impact when we talk about that answer rate.
• goals of a 90% in state answer rate.
• , and rollover rates to the backup network.
• We're still losing our people at an alarming rate.

Keywords: 988, house, all

Summary: The joint oversight hearing focused on AB 988 implementation and suicide prevention in California Indian communities. Members and the chairs emphasized that 988 was intended to create a behavioral health crisis system with “someone to call, someone to come, and somewhere to go,” and then turned to the disproportionate suicide burden facing Native youth and the need for culturally responsive outreach and services. Assemblymember Bauer-Kahan, the bill’s author, said the law has already saved lives but argued that key parts of the system—especially interoperability between 911 and 988, mobile crisis dispatch, and adequate funding—are not yet working as intended. The first panel of stakeholders and call center leaders largely said California’s 988 network is underfunded and not fully integrated. Speakers from the Steinberg Institute and 988 California said call, text, and chat demand has grown sharply, but staffing and funding have not kept pace, leaving text/chat answer rates far below the state’s goals and sending many contacts to out-of-state backup centers. They also said mobile crisis teams are not being dispatched through 988 statewide, and that the state’s current governance and funding structure is too fragmented. WellSpace Health and other providers described 988 as the “front door” to crisis care, urged more stable funding, and recommended broader use of the CCBHC model to support mobile crisis and behavioral health infrastructure. San Joaquin County offered a local success story, describing a countywide crisis continuum that links 988, mobile crisis, behavioral health access lines, and follow-up services through warm handoffs and coordinated outreach. County officials said the model has reduced reliance on emergency departments and involuntary holds, and they noted that local partnerships and repeated community meetings were key to implementation. Members asked about staffing, tribal outreach, and how to make the system more measurable and interoperable; panelists said staffing projections should be based on actual call volume and contact length, and that tribal-specific outreach has often depended on temporary grant funding. State officials from CalHHS and DHCS then described the five-year implementation plan, the roles of multiple agencies, and current performance data. They said California’s 988 system has handled more than 74,000 contacts in a recent month, with in-state answer rates of 87% for calls and lower rates for chats and texts, and that unanswered contacts are routed to backup centers. They highlighted training efforts, LGBTQ+ competency work after the end of the federal “Press 3” option, and efforts to improve reimbursement for mobile crisis services. No formal votes or committee actions were taken during the hearing.

Transcript Highlights:

• On our water rates.
• Keep the rates affordable, but do all those things.
• payer's rate time over time.
• sell for the average rate rate payer?
• The programs at the board are helping systems in areas such as asset management, rates, their rates,

Keywords: 1184, house, all

Transcript Highlights:

• with regards to setting the tax rate with regards to setting the tax rate under<00:18:37.360>
• <00:22:05.440> we<00:22:05.679> need<00:22:05.840> to rate we need to rate we need
• negative tax rates and you're setting negative tax rates and you're using<00:44:18.800> it<00
• on their municipal rate.
• is applied to the municipal rate.

Keywords: 1189, house, all

Transcript Highlights:

• So it is not going to have negative impacts on rates.
• You all saw the exciting news of our bond rating going up.
• , sort of pro-rate of any agency.
• And to Member Vincent's point, there is always about rate of return, but before you can get to rate of
• So these are GSD rates that are being charged at a higher rate for liability.

Keywords: 996, all

Transcript Highlights:

• But the blended rate helps.
• With the growth rates. Okay, thank you.
• Historically, we have had one of the highest rates in the nation. This rate has had...
• Some contracts list hourly rates for different services, but these rates are paid to contractors.
• Some contracts list hourly rates for different services, but these rates are paid to contractors and

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

Transcript Highlights:

• a couple times this session what happens with the perm rate is talk about the perm rate a couple times
• Our state has been paying to house Kelsey at hospital rates.
• It's going to be based on capitation rate shifts from the SMI RBHA to the ALTCS capitation rate, in addition
• The reimbursement rate must be applied as an increase to the provider reimbursement rate and in addition
• that exceed the Access fee-for-service reimbursement rates.

Bills: SB1086, SB1193, SB1318, SB1345, SB1346, SB1451, SB1496, SB1611, SB1630, SB1631, SB1632, SB1672

Keywords: reimbursement, healthcare, laboratory services, noncontracting providers, Arizona health care cost containment, personal identifying information, PII, privacy, confidential records, public records exemption, commercial disclosure, data privacy, licensure, certification, health professions, health care licensing, Arizona Department of Health Services, ADHS, emergency medical care technician, EMCT

Summary: The committee first approved the February 4 minutes and then heard Senate Bill 1086, which would require AHCCCS contractors to reimburse non-contracting providers for certain laboratory services when a member was referred by a contracting provider, and would bar prior authorization for diagnostic services and retaliation tied to such referrals. AHCCCS testified neutral but warned the prior-authorization ban could increase utilization and create fiscal and federal compliance concerns. The committee adopted the Warner amendment limiting non-contracting reimbursement to no more than contracting-provider rates, then passed SB 1086 as amended on a 4-2 vote. The committee next took up Senate Bill 1611, an emergency measure to require AHCCCS to contract with an administrative services organization for program integrity and case management functions for the American Indian Health Plan, while keeping AHCCCS ultimately responsible. The chair’s amendment expanded the ASO’s duties to include provider support, quality improvement, and data analytics, removed AHCCCS claims payment authority, added more tribal observers, and exempted IHS and tribal facilities. Testimony strongly supported reforming the system after fraud and overcorrection harmed Native members and providers, but AHCCCS raised concerns about the fast timeline, possible duplication of fraud-fighting functions, and the need for 45 days of tribal consultation. The committee adopted the amendment and passed SB 1611 as amended on a 5-2 vote. Senate Bill 1630 would create a Medicaid-funded home and community-based services program for adults with serious mental illness, capped initially at 250 members under the Angius amendment, with semiannual reporting and a process for future expansion only if costs are reduced or neutral. Supporters said the bill would help the sickest SMI patients avoid repeated hospitalizations, jail, and homelessness, and could save the state general fund by shifting costs to federal Medicaid funding; AHCCCS was neutral and said it was finalizing the fiscal estimate. The committee adopted the amendment and passed SB 1630 unanimously. The committee also passed SB 1193, protecting emergency medical care technician personal information from disclosure; SB 1318, repealing an outdated state dense-breast notification requirement to align with FDA language; and SB 1345, restricting anonymous complaints against health care institutions, though AHCCCS warned that federal law may still require investigation of complaints from any source and that the bill could reduce reporting and invite litigation.

Transcript Highlights:

• This division reviews policy forms and rates. Regulation division.
• When it comes to rates, and I'm going to be specific to homeowners insurance, we do not have rate approval
• And so the other thing is that, again, we do look at those rates.
• What's your vacancy rate, or what's your turnover rate today?
• So we still have a fairly high turnover rate.

Keywords: 959, house, all

Transcript Highlights:

• , federal income tax rate.
• rough tax rate federal income tax rate rough tax rate federal income tax rate that<00:39:46.319>
• <01:46:46.920> interest<01:46:47.280> rate doing interest rate interest rate doing
• So when you stack the two, that's the total tax rate in that community, equalized tax rate.
• of arbitrary rate um or amount to a rate of arbitrary rate um or amount to a rate would<04:18:46.119

Keywords: 928, house, all

Summary: The committee opened a public hearing on HB 402, a bill dealing with whether Education Freedom Account (EFA) payments should be described in state law as not constituting taxable income. The bill sponsor argued that the current statute is misleading because New Hampshire should not imply a federal tax result, and said the bill would remove that language and could also be amended to clarify that families should consult tax advisors. He emphasized that the measure was not intended to impose a state tax on EFAs, but to avoid giving inaccurate advice about possible federal tax liability. Testimony was divided. A retired representative and a tax preparer both opposed the bill, saying EFA payments are already treated consistently with IRS rules and that the bill would create confusion, administrative burden, and possible tax consequences for low- and moderate-income families. They argued the bill is a solution in search of a problem and warned that requiring 1099s could add costs for the scholarship organization and recipients. A tax attorney supported the bill’s repeal of the state language, saying New Hampshire should not put tax advice into statute and that the current wording is inaccurate because federal law, not state law, controls taxability. He cited IRS Section 117 and Publication 970, explaining that only some scholarship-like payments are tax-free and that many EFA-eligible expenses may not qualify for federal exemption. Members asked questions about what would be misleading, whether the bill was trying to tax EFAs, and the cost of issuing 1099s. The sponsor and witnesses repeatedly said the bill was not a state tax on voucher payments, but a clarification about federal tax treatment. No vote or final committee action was taken in the portion provided.

Transcript Highlights:

• Cancellation notices, their rate increases.
• The free or reduced reimbursement rate that you are likely familiar with.
• Given our high rates of CEP participants due to high rates of student participation in these programs
• Participation rates are now higher than the national average.
• They pay significantly less than even our Medicaid rates or less than commercial insurance rates.

Transcript Highlights:

• And 11 last question, do we know, so how does this impact their, um, no new revenue rate?
• following year, they can adjust their rates.
• So currently, our tax rate is, uh, 52 cents on a dollar, uh, valuation.
• And I'm proud to say though that our tax rate in our city here.
• The 10-year growth rate is, uh, currently around 26%.

Transcript Highlights:

• know at the 2 and a half million rate know at the 2 and a half million rate without<00:28:43.240
• We pay certain rates for them.
• We pay certain rates for them.
• We pay certain rates for them.
• We pay certain rates for them.

Keywords: 1191, senate, all

Transcript Highlights:

• It would not go up near the rate.
• and as rates get compressed.
• rates that could be increased.
• What's your attrition rate? Are you?
• So right now our disposition rate... So right now our disposition rate is about 80 percent.

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Medicaid rates.
• Getting rates.
• He told the committee that they were doing a rate study and a provider capacity study to set base rates
• They did the rate study before they did the provider capacity study, so the rate study didn't know that
• This is still the rate that we're relying on today is a rate that is illegal to use.