Video & Transcript Research : 'facility definition'
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AR
Arkansas 2026 1st Special Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 16th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- That's definitely a question that I'll hope you'll keep for commercial payers.
- So I can assure you that hospitals are definitely looking into that.
- Sure, definitely.
- We have nine clients that are Living Choices waiver clients in the facility.
- Has this facility always filed timely, and do you have—” “Um, has this facility always filed timely,
Summary:
The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures.
Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete.
A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation.
At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.
TX
Transcript Highlights:
- They all kicked in to remodel the facility.
- They all kicked in to remodel the facility to be a triage facility where they would send individuals
- There's a lot of definition issues with homeless.
- This is a 220-bed facility, and it was created as a low barrier-type facility where individuals coming
- However, the mental health facilities are now the jails, and the mental health facilities are now the
KY
Kentucky 2026 Regular Session
Interim Joint Committee on Appropriations & Revenue. (7-1-26)
Appropriations & Revenue
Transcript Highlights:
- District facility plan.
- District facility plan.
- District facility plan.
- District facility plan.
- District facility plan.
Keywords:
Meeting Start 00:00:00
Budget Process 00:02:28
Allotment Process 00:10:30
School Facilities Construction Commission 00:29:10
Role of KDE in School Facilities Funding 00:47:00
Kentucky School Boards Association 01:13:25
Elementary and Secondary School Construction 01:20:40
Perkins V Funding 01:35:32, 958, all
TX
Transcript Highlights:
- HHSC regulates healthcare providers, professions, and facilities to protect the health and safety of
- or any intermediate care facilities.
- I mean, we, we definitely, I hear you and we definitely hear that too, you know, we're, we work with
- So, do they still meet that nur like nursing facility or intermediate care facility level of care.
- We do not provide any behavioral health services directly through the facility.
TX
Transcript Highlights:
- or any intermediate care facilities.
- We definitely I hear you and we definitely hear that. We work with these stakeholders a lot.
- And so I definitely think like...
- Like nursing facility or intermediate care facility level of care.
- Individuals waiting to to be transferred to a state mental health facility.
KY
Kentucky 2025 Regular Session
Senate Standing Committee on Judiciary (2-13-25)
Transcript Highlights:
- <00:08:52.120>
and by the doctor's definition and by the doctor's definition and determination - That's correct, most definitely. Your point is correct.
- uh in our regional current facilities uh in our regional facility<00:37:19.359>
model <00:37:20.160 - If they do go AWOL from one of our facilities or they escape from one of our facilities, safety and apprehension
- We have already directed DJJ to renovate the existing facilities.
Keywords:
Meeting Start: 00:00:00
Roll Call: 00:00:04
SB 02: 00:01:37
Discussion in Opposition to SB 02: 00:09:49
SB 84: 00:22:19
SB 111: 00:30:35, 958, all
Summary:
The committee first considered Senate Bill 2, sponsored by Senator Mike Wilson, which would prohibit incarcerated people from receiving cross-sex hormones or gender-affirming surgeries, while allowing a tapering period if stopping an existing treatment would cause physical harm. Wilson said the bill was needed to prevent the Department of Corrections from providing such care by memo or policy rather than statute, and he argued the care was elective and not medically necessary. Senators Thomas, Neal, Nemes, Styers, and others questioned whether any gender-affirming surgeries had actually occurred in Kentucky, whether the hormone treatments were physician-prescribed, and whether the bill would override medical judgment; Wilson said the department reported no surgeries, that 67 incarcerated people were receiving cross-sex hormone therapy, and that he would only support treatment if it fit the bill’s narrow medical-harm exception.
Public testimony on SB 2 was strongly opposed. Chris Hartman of the Fairness Campaign said the bill would deny medically necessary care, violate the Eighth Amendment, and target a very small and vulnerable incarcerated population. Dr. Jack Skilles testified that gender-affirming care is medically necessary and supported by major medical organizations, warning that denying it could worsen mental health and lead to suicidality. Hannah Callahan, a transgender woman, described being denied hormone therapy while incarcerated and said the interruption caused severe physical and mental harm, including suicidal thoughts. Emma Curtis, Lexington’s Fourth District councilwoman, also urged a no vote, framing the issue as a matter of compassion and religious duty.
The committee then voted on SB 2. Senator Neal explained his no vote by saying he was not medically trained and deferred to doctors; Senator Nemes said he wanted clarification that the bill would not stop ongoing treatment; and Senator Styers argued the bill was a poor priority and noted there was no fiscal note and that only 67 people were affected. Senator Wheeler moved the bill, Senator Reed seconded, and the committee reported Senate Bill 2 favorably. Afterward, the committee began hearing Senate Bill 84, sponsored by Senator Steve Rawlings, which would limit judicial deference to state agency interpretations and require courts, not agencies, to interpret ambiguous laws, citing the U.S. Supreme Court’s 2024 Loper Bright decision overturning Chevron deference.
NM
New Mexico 2026 Regular Session
House - Consumer and Public Affairs Jan 22nd, 2026 at 01:59 pm
House Consumer & Public Affairs
Transcript Highlights:
- and what goes on with the facilities. ...because we were talking a lot about the facilities and what
- goes on with the facilities.
- Do we know in the facilities, the three facilities, the three facilities...
- So at the Otero County Facility and other facilities, what are they waiting for them?
- facility.
NH
New Hampshire 2025 Regular Session
House Children and Family Law (03/03/2025)
Transcript Highlights:
- <00:19:11.760>
or or access to bathroom facilities or or access to bathroom facilities or - The definitions are merely helping those entities, parents, and the courts understand the definition
- <00:36:46.440>
talk detailed but we did definitely talk detailed but we did definitely talk - <00:59:27.160>
with could um look the definitions with could um look the definitions with - <01:03:38.520>
zero definition zero definition zero consequences<01:03:41.000>in <01:03
Summary:
The subcommittee continued work on HB 553, a bipartisan bill to update the child protection act’s definitions, especially around abuse, neglect, psychological maltreatment, and serious impairment. Supporters said the current law is outdated, vague, and too limited to address modern child welfare concerns, and argued the bill is intended to create clearer standards for DCF/DCYF, courts, and parents without adding criminal penalties or expanding authority to remove children. They also noted the bill had been developed over months of bipartisan work and that similar concepts exist in other states; a committee researcher had circulated a comparison of 17 states with prenatal and substance-use-related provisions.
A major focus was whether the bill should include a more explicit definition of emotional abuse. Some members argued that the bill’s current language is not specific enough and could leave parents without fair notice, while others said the bill already addresses the issue through definitions of psychological maltreatment, emotional harm, and serious impairment. Office of Child Advocate staff explained that the drafting process intentionally avoided defining every emotional-abuse term separately and instead used a pattern-based psychological maltreatment standard with examples such as threatening, demeaning, humiliating, and belittling behavior. They said those provisions were drawn from other states and were meant to fill gaps seen in cases involving severe emotional harm and injured infants.
The committee also discussed trauma-informed language related to substance use disorder and pregnancy. Members said the amendment was intended to avoid discouraging pregnant people with substance use disorder from seeking medical care, while still allowing intervention when a child is substance-exposed; they noted the proposal would include an exemption when a licensed health care provider is monitoring the pregnancy. Several members emphasized that the bill is meant to protect children while also giving parents clearer notice of prohibited conduct, and one member raised concerns about how the bill could affect other legislation dealing with criminal neglect. No vote or final action was taken in the portion of the meeting provided.
TX
Transcript Highlights:
- Call out that entity for not providing that definition and boundary for them.
- To the facility, so.
- Where do those definitions come from?
- I think that's something that definitely needs to be looked at.
- at public facilities, including state, county, and municipal buildings.
ND
North Dakota 2026 1st Special Session
Administrative Rules Committee Jun 11th, 2026 at 10:00 am
Administrative Rules Committee
Transcript Highlights:
- This one simply modifies definitions to remove the definition of the job evaluation committee, as it
- This one simply modifies definitions to remove the definition of the job evaluation committee as it is
- In Section 407.1402, under definitions, we revised the definition of family.
- now in the definition of family.
- Section 407.3702, under definitions, we updated the definition of eligible employee.
MN
Minnesota 2025 1st Special Session
House Human Services Finance and Policy Committee 3/25/25
Human Services Finance and Policy
Transcript Highlights:
- <00:10:34.079>
creating individuals in DCT facilities creating individuals in DCT facilities - <00:23:57.799>
definitely <00:23:58.159>hand definitely definitely hand definitely definitely - for State operated treatment facilities for State operated treatment facilities such<00:34:12.879
- and state operated treatment facilities and state operated treatment facilities and<00:35:33.200
- <00:57:18.000>
now new basically it's a new facility now new basically it's a new facility
Keywords:
mental health, emotional disturbance, terminology update, statutory cleanup, conforming amendments, children's mental health, serious mental illness, severe emotional disturbance, case management, residential treatment, outpatient services, crisis services, health plan coverage, antipsychotic drugs, medical assistance, Medicaid, foster care, juvenile court, school discipline, county board
ND
North Dakota 2025-2026 Regular Session
Administrative Rules Committee Jun 11th, 2026
Transcript Highlights:
- This one simply modifies definitions to remove the definition of the job evaluation committee, as it
- In Section 407.1402, under definitions, we revised the definition of family.
- in the definition of family.
- Section 407.3702, under definitions, we updated the definition of eligible employee.
- , clarify definitions.
Summary:
The Administrative Rules Committee met on June 11 and first approved the March 12, 2026 minutes by voice vote. It then granted the Board of Medicine an extension of time to implement rules tied to recent legislation, including North Dakota’s participation in the physician assistant licensure compact and a new physician nutrition continuing education requirement. The Board said it was waiting on compact rules and fee information before finalizing its own changes.
The committee heard a lengthy presentation from the Office of Management and Budget on broad personnel rule revisions, including salary administration, recruitment, leave, sick leave, funeral leave, service awards, appeals, and shared leave. OMB said the changes modernize HR language and implement recent legislation such as enhanced annual leave for hard-to-fill positions and new hire leave. Members questioned the hard-to-fill leave provisions, but OMB and counsel said those standards come from statute, not the rules. The committee also heard and accepted rule packages from the Lottery, the Board of Examiners for Audiology and Speech-Language Pathology, the State Electrical Board, the Industrial Commission, PERS, and Health and Human Services, with each agency describing mostly technical, clarifying, or statutory-conforming changes and noting the public notice and comment process.
The most significant action came during the Gaming Commission rules presentation. After questioning whether the commission had authority to raise the poker tournament buy-in limit from $300 to $1,500, members moved to void Section 99-01.3-09-01 on the ground that the agency lacked statutory authority for that change. The motion passed on a roll call vote. The committee also discussed several gaming-related issues, including online raffles, kiosk use, advertising restrictions, and the broader policy question of whether charities should be allowed to own bars, but took no further formal action on those topics.
NH
New Hampshire 2026 Regular Session
House Commerce and Consumer Affairs (02/11/2026)
Commerce and Consumer Affairs
Transcript Highlights:
- Uh, facility comfort dogs are paragraph.
- c> of<00:38:55.760>
the traditionally by definition of the traditionally by definition of - on definitions. on definitions.
- installed seen these facilities installed seen these facilities installed especially<01:58:17.440
- A definition, and my definition might be a little bit different.
TX
Transcript Highlights:
- Significant planning and construction are underway for the facilities.
- There is a partner that operates the facility. And those are Rio Grande.
- Montgomery County Inpatient Facility, Victoria County, and Beaumont Baptist.
- In a state facility, that CAP is approximately $20 an hour, roughly.
- It's definitely both. Initially, we can't find a placement.
Keywords:
budget, House Bill 1, public education, healthcare, border security, federal funding, spending limits
Summary:
The meeting primarily focused on reviewing the proposed budget for the upcoming biennium, with substantial discussions around House Bill 1 and its implications for public education, healthcare, and border security. The Comptroller presented a revenue overview indicating a total of $194.6 billion available for general purpose spending, which reflects a slight decrease compared to previous years due to fluctuating economic conditions. Members raised questions regarding spending limits and the impact of federal funding on state programs, highlighting concerns about the sustainability of funding in light of potential changes at the federal level.
MN
Minnesota 2025-2026 Regular Session
How will federal law affect Medicaid in Minnesota? 2/24/26
Minnesota House Floor Meeting
Transcript Highlights:
- change, um this one would definitely change, um this one would definitely need<00:21:35.200>
- This does not apply to nursing facilities or intermediate care facilities for people with developmental
- This does not apply to nursing facilities or intermediate care facilities for people with developmental
- , a stroke facility.
- at the Mayo Clinic, a stroke facility. at the Mayo Clinic, a stroke facility.
Summary:
The Department of Human Services briefed the committee on how the federal HR1 law will affect Minnesota Medicaid and related programs. Budget Director Elise Bailey said the 900-page bill makes sweeping changes that will reduce coverage, increase administrative complexity for counties and tribal governments, raise uncompensated care for providers, and reduce federal funding. She reviewed current Medicaid spending and enrollment, emphasizing that the largest impacts will fall on the adult expansion group (adults ages 21-64 without children), which currently receives a 90% federal match.
Bailey walked through several major provisions: work and community engagement requirements for the adult expansion group beginning January 1, 2027; six-month renewals for that same group; shorter retroactive coverage periods; new cost-sharing requirements for expansion enrollees above 100% of poverty; narrower Medicaid eligibility for certain lawful noncitizens; limits on provider taxes and state-directed payments; a reduced federal match for emergency medical assistance; and tighter federal rules on payment error penalties. She said many provisions require state law changes and additional federal guidance, and she cited research from Georgia suggesting work requirements increased administrative burden and caused coverage losses without increasing employment.
The department estimated fiscal effects including reduced Medicaid spending in some areas but higher state costs in others, such as MinnesotaCare, emergency medical assistance, administrative systems, and provider uncompensated care. Bailey said the immigration-status changes would shift some people from Medical Assistance to MinnesotaCare, and that provider-tax and state-directed-payment changes could reduce future funding to hospitals and other providers. No votes or formal committee actions were taken in the portion provided; the presentation was informational and the department indicated it would return with proposed state-law language as needed.
MN
Minnesota 2025-2026 Regular Session
House Energy Finance and Policy Committee 3/20/25
Energy Finance and Policy
MN
Minnesota 2025-2026 Regular Session
Agriculture Committee Meeting - 2025-04-02
Agriculture, Veterans, Broadband, and Rural Development
Transcript Highlights:
- So definitely, agriculture is very important to me, so I brought you a little bit about House File 2878
- But this will definitely be a step in the right direction.
- We definitely want to keep them strong.
- Myself and my colleagues in the room didn't think much of this definitional change.
- that location even though it has no grain storage facilities, could you comment on that?
MN
Transcript Highlights:
- Meta is building a huge facility right now in Rosemont.
- Meta is building a huge facility right now in Rosemont.
- <00:57:56.000>
which air to cool um these facilities which air to cool um these facilities - 2028 which is just for the one facility 2028 which is just for the one facility in in in Rosemount
- <01:29:46.239>
and tax exemptions for their facilities and tax exemptions for their facilities
MN
Minnesota 2025 1st Special Session
Committee on Energy, Utilities, Environment and Climate - 01/29/25
Energy, Utilities, Environment, and Climate
Transcript Highlights:
- They're very interesting facilities.
- utilities uh very interesting facilities utilities uh very interesting facilities if<00:02:13.360
- <00:02:29.360>
should this is something we definitely should this is something we definitely - permit any hydroelectric facility permit any hydroelectric facility regardless<00:09:01.640>
- of-the art facilities or granting existing<00:09:25.880>
facilities <00:09:26.399>the <
Summary:
The Minnesota Senate Energy Committee heard Senate File 426, authored by Senator Icorn, which would remove the 100-megawatt cap on hydropower for purposes of qualifying as an eligible energy technology under Minnesota law. Supporters said hydropower is carbon-free, reliable, flexible baseload power that can help Minnesota meet its 100% carbon-free electricity goal by 2040. Testifiers from Missouri River Energy Services and Minnesota Power described existing hydropower resources, including allocations from federal Missouri River dams, Minnesota hydro stations, and Manitoba Hydro, and argued that the bill would preserve and expand options for clean energy development.
Several members raised concerns about the bill’s purpose and potential environmental impacts. Senator McEwen questioned why the size limit should be removed without specific proposed projects or more information about the need for larger dams, citing concerns about fisheries, water resources, and land use. Senator Port and others asked about costs, environmental effects, and where new projects might be built. In response, supporters said the bill is intended to open the door to future projects and allow agencies to review proposals through existing permitting and environmental processes, rather than approving any specific dam.
Committee members offered mixed reactions. Senator Frentz said he supported the concept but recommended laying the bill over for further discussion and possibly sending it to the Environment Committee, noting environmental concerns and the need for more conversation. Senator Gruenhagen strongly supported the bill, arguing that it merely lifts a cap while leaving permitting and review requirements in place. Senator Hoffman also supported the bill, saying current policy blocks consideration of new projects and that the change would allow regulators to evaluate proposals on their merits. No vote was taken during the hearing, and the bill was left open for further consideration.
FL
Florida 2026 5th Special Session
Community Affairs Feb 10th, 2026
Transcript Highlights:
- And so we want to make sure that the facilities that they have will be in place so that they can feel
- ... ...sheriff's office or county commission to show up or a representative, but I can definitely get
- , mostly mom and pops, Minimum, the owner-operator of the towing facility, mostly mom-and-pops, will
- It expands the definition of sufficient capacity. ...purpose, including supporting amenities.
- I'm definitely a vote for the bill today.
Summary:
The committee heard and advanced a wide range of bills, with several focused on water safety, utilities, and local government transparency. CS/SB 848 on stormwater treatment was explained as clarifying water quality credits and water quality enhancement areas, and it was reported favorably after one support appearance. SB 28, a claim bill for Reginald Jackson against the City of Lakeland arising from injuries caused by a police shooting, was also reported favorably. CS/CS/SB 658 on water safety requirements for rental properties drew extensive testimony in support from child advocacy and drowning prevention advocates, who cited Florida’s high child drowning rates and the disproportionate impact on children with autism; the bill was amended to require front-end certification and remove local add-on authority, then passed favorably. CS/SB 18, a claim bill involving the estate of a deceased minor and the Broward County Sheriff’s Office, was reported favorably after questions about the verdict, settlement posture, and who would receive the funds. SB 934 on areas of critical state concern was amended to remove a provision viewed as conflicting with the Live Local Act and then passed favorably. SB 1622, which creates a one-time waiver for certain late-filed financial disclosure fines, also passed favorably with support from an appearance form. SB 1264 on private schools and zoning was reported favorably after members noted ongoing concerns and planned further discussion. CS/CS/SB 260 on electric vehicle storage in towing yards was amended to narrow the bill to storage issues and cap the fee period until inspection; it drew both support and opposition from insurers, fire officials, and vehicle industry representatives, and was reported favorably. CS/CS/SB 1014, dealing with municipal utility service to properties outside city limits, was amended to limit it to residential development and clarify capacity standards, then passed favorably. CS/SB 1102 expanded the local infrastructure surtax to include body camera programs and was reported favorably after an amendment requiring voter approval. Finally, CS/SB 1724 and SB 1566, both on local government utility and budget transparency, were amended and reported favorably despite concerns from cities and counties about implementation costs and burdens.