Video & Transcript : 'provider network' :

Page 71 of 500
TX
Transcript Highlights:
  • Second, we must ensure quality providers by providing wages for direct support professionals that are
  • Second, we must ensure quality providers by providing wages for direct support professionals that are
  • We urge the legislature to provide additional funding to 211 TURN for AIC operations and network modernization
  • LIDAs and HCS providers.
  • We urge the legislature to provide additional funding to 2-1-1 TURN for AIC operations and network modernization
Bills: SB1, SB 1
NH

New Hampshire 2026 Regular Session

JLCAR Administrative Rules (04/17/2026)

Transcript Highlights:
  • The distribution network and the transmission network are two different things.
  • The distribution network and the transmission network are two different things.
  • The distribution network and the transmission network are two different things.
  • The distribution network and the transmission network are two different things.
  • The distribution network and the transmission network are two different things.
Keywords: 1189, house, all
Summary: The committee opened with housekeeping items, approved the minutes and consent agenda, and reminded the public that JLCAR’s role is limited to determining whether agency rules are within statutory authority, not to decide policy. Testimony was to be limited, and members noted that policy concerns should be addressed through the legislature rather than the committee process. The first major item was Public Utilities Commission rule 25-215 concerning natural gas suppliers. Staff said the proposal had been postponed because the PUC appeared to lack authority to impose fines and penalties in this rule set, especially suspending or revoking registrations, and recommended either a conditional approval removing those provisions or a preliminary objection for lack of statutory authority. PUC counsel responded that the cited authority had been incorrect, that the Department of Energy now has most registration rulemaking authority, but argued the commission still has jurisdiction over mediation and dispute resolution and may still have authority over fines because natural gas suppliers are not expressly excluded from public-utility status. Committee members discussed the split between PUC and DOE authority and the possibility that the transition in authority had not been fully cleaned up in statute. The committee then voted to grant a waiver of the time limit and postpone the item for another month so the agencies could work with counsel and clarify which parts of the rule could proceed. Members also urged that any needed legislative fix be brought forward quickly, noting that the Senate was not taking up non-germane amendments and suggesting the House as the likely venue for a cleanup bill. The committee next took up Department of Energy EN900 and EN1000 rules. Staff said the EN900 net-metering rules had been postponed previously and that the main remaining issue was a retroactive requirement in EN909.03(b), which the agency agreed to revise so the language would apply only on or after the 2026 effective date of the chapter. The agency described the EN900 rules as implementing net metering authority transferred from the PUC and expanding the chapter to cover municipal group net metering and low- and moderate-income community solar projects. The EN1000 interconnection rules were described as implementing 2024 legislation requiring uniform procedures for distributed energy resources. The department said both sets of rules were developed through extensive stakeholder input and asked for approval subject to the oral amendment already discussed."}】【。json
ID

Idaho 2026 Regular Session

Agenda Feb 23rd, 2026

Education

Transcript Highlights:
  • They provide... It is.
  • Senate Bill 1317 provides the support special needs students in rural communities require and provides
  • Senate Bill 1317 provides the support special needs students in rural communities require and provides
  • That network started in 2012.
  • That network started in 2012.
Summary: The Senate Education Committee began by welcoming a new Senate Page, Caleb Williams of Shelley, who introduced himself and answered a few light questions about his plans after graduation. The committee then approved minutes from February 10, 12, 16, and 17, 2026, by voice vote. The main action item was Senate Bill 1317, which would create regional service centers to help school districts and charter schools share special education-related staff and services, especially in rural areas. The sponsor and department staff said the bill is intended to reduce duplication, improve compliance with IDEA, strengthen recruitment and retention of specialists, and preserve local control. Testimony from superintendents, teachers, parents, advocates, and others was overwhelmingly supportive, emphasizing high costs for contracted services, staffing shortages, and the benefits of shared regional models. Senator Zito raised concerns about the $1 million fiscal note, the use of real property, and the lack of clarity about how many centers would be created and where they would be located. After discussion, the committee voted to send SB 1317 to the Senate floor with a due pass recommendation; the motion passed with Senator Zito voting no. Following that, the committee received informational presentations on two Idaho education programs: District 91’s PASS program in Idaho Falls, a tiered behavior-support model for young students, and Kootenai Classical Academy’s classical education model, including its curriculum, character education, and strong literacy results. The meeting adjourned at the scheduled hard stop.
AZ

Arizona 2026 Regular Session

01/28/2026 - House Government

House Government Committee of Reference

Transcript Highlights:
  • I would like to then provide... And with that, that's the overview. I would like to then provide...
  • Providers at these student health centers have a medical and a moral obligation to provide comprehensive
  • So you have providers making decisions about how the dollars that are going out to the providers are
  • You've seen that maybe the providers—I mean, who are those providers?
  • services for specific providers.
Summary: The committee heard a presentation from Intel Expert/Expert Works on software intended to help investigators process large volumes of audio, video, and text data more quickly. The presenters said the tool could be adapted for Department of Child Safety work involving neglected, abused, missing, and exploited children by flagging keywords, building link charts, translating transcripts, and aggregating files for faster review. Members discussed possible use with DCS, county sheriffs, DOC, procurement and RFP issues, and whether the software could help triage hotline calls, clear backlogs, and identify trafficking or abuse networks. The presenters said the system is already used in Iowa and elsewhere, and committee members expressed interest in pursuing legislation, appropriations, or a pilot program. The committee then considered HB 2460, which would preempt local ordinances that penalize businesses for theft of movable property, especially shopping carts. The sponsor argued cities were shifting cleanup costs onto victims of theft, while cities and towns opposed the bill, saying local ordinances address blight and public-right-of-way hazards and that businesses should take proactive steps. After testimony from the League of Arizona Cities and Towns and the City of Phoenix, the committee passed HB 2460 on a 4-3 vote. Members also heard HB 2060, which would prohibit public educational institutions and ABOR schools from encouraging or facilitating abortions. The sponsor said taxpayer-funded institutions should remain neutral and not use public resources to promote abortion, while opponents argued the bill would restrict students’ access to constitutionally protected reproductive health care and referrals. Supporters said campuses should provide alternatives such as pregnancy resources and adoption information. The committee passed HB 2060 on a 4-3 vote. Finally, the committee considered HB 2210, as amended, to prohibit the state, local governments, and private entities from using ADS-B aircraft surveillance data to calculate or collect fees from aircraft owners or operators. Supporters said the technology was intended for safety and should not be repurposed for fee collection, warning that pilots might turn it off if used that way; opponents, including the City of Phoenix, said they wanted flexibility to use the system if needed. The committee adopted the amendment and then passed HB 2210 as amended on a 4-3 vote. The transcript then began discussion of HB 2533, which would create an Office of Homeless Services, board, compensation fund, and ombudsman, but the excerpt ends before that bill is fully taken up.
MS

Mississippi 2026 Regular Session

Appropriations - Room 216, 24 February, 2026; 1:30 PM

Appropriations

Transcript Highlights:
  • ><c> telefan,</c><00:07:47.840><c> cyber</c> had been networks, telefan, cyber had been networks, telefan
  • Our state network is fully example.
  • All state agencies use that network. Eighty-two percent of schools use that network.
  • There is a research network called Mission, also provided by Ceasefire, that all of our universities
  • </c> that scope um to complement the provider that scope um to complement the provider enrollment<01:
OK
Transcript Highlights:
  • Certainly, the body is familiar with our mission, a safe, economical, and effective transportation network
  • And it should be on the national network and it should be funded by Amtrak.
  • But ultimately, if they added to the national network they would fund it.
  • And so maybe you could provide me a little bit more information on that.
  • So passenger rail is all about providing a service level and an alternative to your community.
Keywords: 914, all
FL

Florida 2026 Regular Session

Appropriations Committee on Criminal and Civil Justice Oct 8th, 2025

Appropriations Committee on Criminal and Civil Justice

Transcript Highlights:
  • We can provide it to you, and I'm not sure that we don't have it with us.
  • So we took it down by analyzing the data, which I can provide to all of you after the meeting.
  • some metrics that are of importance, but they need the $5.5 million to help sustain the services provided
  • IT: continued protection for user devices and the department's network.
  • IT, continue protection for user devices and departments network.
Summary: The committee met for an interim appropriations presentation hearing focused on justice administration agencies. Members heard budget requests from the State Attorney’s Office, Public Defenders, the Justice Administrative Commission, Regional Conflict Counsel, Capital Collateral Regional Counsel, and the Guardian ad Litem Office, followed by a presentation from the Department of Juvenile Justice and a brief public comment from a nonprofit advocate. The chair noted that presentations from the Department of Law Enforcement and the Commission on Offender Review would be moved to a later meeting. The state attorney requested funding to true up underfunded circuits under the existing formula, staff 14 new criminal judgeships, replace declining VOCA victim-services funding with general revenue, and cover a projected due process shortfall. The public defender asked for a higher starting salary for assistant public defenders, funding to restore balance in circuits where public defenders lag behind state attorneys, and staffing for new criminal judgeships. Regional conflict counsel and capital collateral regional counsel also sought salary adjustments, additional attorneys and case costs, and competitive area differential funding to address recruitment and retention issues. The Justice Administrative Commission requested funding for Florida PALM readiness and implementation and for IT hardware and software replacement; it also relayed a clerks’ request for reimbursement related to injunctions for protection, Baker Act, Marchman Act, and sexually violent predator cases. The Guardian ad Litem Office said it now has a guardian ad litem for every child in Florida and requested salary increases for senior and managing attorneys to reduce turnover. The Department of Juvenile Justice presented a much larger budget request to expand residential and detention capacity, increase per diem rates, renovate and replace aging facilities, fund the Broward detention center rebuild, improve cybersecurity and the juvenile information system, and cover rising lease costs. Members asked questions about staffing, compensation, detention and residential treatment needs, mental health and substance-use services, and the Broward project timeline. A nonprofit advocate then asked for better data collection on protection orders and related court actions to support funding for domestic violence and recovery services. The committee adjourned without taking any formal votes on the budget requests.
KY

Kentucky 2026 Regular Session

House Standing Committee on State Government.(1-29-26)

State Government

Transcript Highlights:
  • Throughout those meetings, we heard from the Department of Education, several last-mile providers, and
  • </c> Kentucky Communications Network Kentucky Communications Network Authority<00:24:02.400><c> or</c
  • All KCNA responsibilities, including maintenance, oversight, all of the network management, contract
  • </c> oversight, uh all of the network oversight, uh all of the network management,<00:26:59.919><c> contract
  • Um, and what KCNA is providing is not that at all. So, this in essence helps our schools as well.
MN

Minnesota 2025-2026 Regular Session

House Floor Session - part 2 Apr 28th, 2025

Minnesota House Floor Meeting

Transcript Highlights:
  • It provides for a different funding source than what was in the bill.
  • Apologies for providing this example.
  • Representative Hudson, thank you for trying to provide me some comfort.
  • These provide 7.4 million rides in 2023.
  • We have the fourth largest road network in the country. largest road network in the country.
CA
Transcript Highlights:
  • We will provide an opportunity for public comment following the conclusion of the discussion item list
  • We believe that we are fulfilling the mandate, and that includes providing those reports and providing
  • These are networked organizations that are doing this.
  • It provides a stable market to small farmers and it feeds families.
  • I'm the policy director with the California Food and Farming Network.
Summary: The subcommittee heard a series of budget presentations from the Department of Food and Agriculture (CDFA), the Department of Cannabis Control (DCC), and related agencies. CDFA discussed its overall budget, ongoing support for the Farm to School program and climate-smart agriculture, and a proposed climate bond expenditure plan. Members focused heavily on whether the Farm to School proposal should become ongoing, how schools and suppliers are selected, whether the program is reaching disadvantaged and food-insecure communities, and whether the trailer bill language creates new duties. The LAO recommended rejecting the ongoing Farm to School proposal as presented, suggesting the Legislature consider Prop. 98 funding instead, while CDFA argued the program supports children, farmers, and local economies and helps build long-term supply-chain infrastructure. Several members also questioned the bond plan’s timing, program metrics, and workforce impacts, while LAO said the bond plan was generally reasonable and should be guided by legislative input. The committee also discussed CDFA’s proposal to eliminate vacant positions; the department said the positions were largely long-vacant or unfunded and could be reclassified if needed, while LAO recommended retaining the special-fund positions and weighing the General Fund positions on their merits. CDFA’s IT support request for additional ongoing funding and four positions was presented as necessary to address staffing shortages, legacy systems, and cybersecurity risks, and LAO had no concerns. The committee then took public comment and voted to approve items 9 through 13, including CDFA dog importation and carcass disposal items, a Gambling Control Commission IT item and tribal grant fund item, and an ABC office relocation item. DCC presented a request to strengthen enforcement against the illicit cannabis market by opening a North State office in Redding and adding sworn and non-sworn staff. The department said most cannabis consumed in California still comes from the illicit market, that it receives about 1,500 complaints annually but can close only about 400 cases, and that it has a backlog of roughly 4,000 cases. DCC argued that a northern office would reduce travel time, improve coordination with local agencies, and help target cross-county and cross-border criminal networks. Finance supported the request as a targeted investment, and LAO had no comment. Members asked about public safety, office security, and whether a North State presence would increase complaints or referrals; DCC said safety is considered in every office opening and that a local presence would likely improve case development. The director also described the broader regulatory strategy as balancing consumer safety, illicit-market enforcement, consumer awareness, and reducing friction for legal operators. The discussion continued into broader concerns about the size of the illicit market and the long-term goals for the cannabis program.
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Sep 10th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • and providing them with that experience.
  • Then she's been building her network.
  • Healthcare at all, or having to go for some kind of out-of-network provider.
  • How many are providing services?
  • and food networks in our state.
KY

Kentucky 2026 Regular Session

Senate Legislative Session Day 21 (2-5-26)

Kentucky Senate Floor Meeting

Transcript Highlights:
  • </c> establish a statewide trauma network. establish a statewide trauma network.
  • We have only 20 level four network.
  • So the idea of expanding our statewide trauma network so that we can communicate with health care providers
  • </c><01:11:01.520><c> at</c> telling your health care providers at telling your health care providers
  • </c> We're talking about trying to provide We're talking about trying to provide good<01:13:17.600><c
Keywords: 958, all
ID

Idaho 2026 Regular Session

Agenda Feb 2nd, 2026

Transcript Highlights:
  • So they’re on our network. We’re not piggybacking on the county network.
  • Network is a problem for us, and we just released an RFP. We're about to award it.
  • We said firewall network is your priority because we've got to protect it.
  • So I was just kind of curious how much that costs us annually to provide those services.
  • It also provides a good resource from a legal standpoint.
Summary: The committee heard budget presentations for the Office of Information Technology Services (ITS) and the Idaho State Tax Commission. For ITS, the analyst and administrator described the agency’s role in statewide IT policy, cybersecurity, telecommunications, and consolidation of IT staff from other agencies. The discussion focused on the agency’s growing FTP count as more IT functions are centralized, the treatment of continuously appropriated cash used for hardware and services purchased on behalf of other agencies, and a proposed policy change to separate that cash into a distinct fund. ITS also outlined its fiscal year 2027 requests, including funding for enterprise security/firewall upgrades, a federal E-CORE grant for a statewide data repository using AI, a supplemental for Chinden Campus furnishings, and the next phase of Health and Welfare consolidation. The administrator emphasized the volume of cyberattacks, the need for security investments, and the agency’s efforts to reduce costs through redesign and consolidation. Members asked about the E-CORE grant, the basis for the governor’s 3% holdback, whether Health and Welfare’s budget would be reduced when IT staff move to ITS, and why some equipment and furnishings were being requested instead of simply transferring assets. The administrator said the firewall request was critical, that delaying it could cost about $3 million more later, and that the 58 FTP transfer from Health and Welfare was the final consolidation phase, with some equipment being transferred and some new furnishings still needed. Questions also addressed cybersecurity threats, procurement speed, software review delays, and the use of AI. ITS said it processes over 82,000 tickets annually, works with federal and law enforcement partners on cyber threats, and is trying to improve efficiency while maintaining security. The Tax Commission presentation covered its five programs, its roughly $55 million budget, and its role in collecting and distributing state revenues. The analyst highlighted the agency’s dedicated funds, continuous appropriations for tax rebates and distributions, and fiscal year 2027 requests for property tax education funding, GenTax automation, use of dedicated funds for a chief operating officer, replacement items, and the governor’s holdback. The chairman said the agency returns more than $7.8 billion in revenue and costs less than one penny to collect each dollar, but warned it is at a “tipping point” where further cuts would reduce service and delay revenue processing. He also discussed the Multi-State Tax Compact, the need for more staffing in the call center, and the challenges of implementing tax conformity changes tied to the federal One Big Beautiful Bill Act, which could require substantial software and form updates on a compressed timeline. Members asked about the sustainability of dedicated fund increases, the reduction of two FTP tied to a completed rebate program, customer service delays, vehicle replacements, tax gap enforcement, and the parental choice tax credit. The chairman said the tax credit program was designed with income priority, electronic-only applications, audit and contest procedures, and criminal penalties for fraud. He also explained that the commission had received seven of ten requested staff for the tax credit, and that the new chief operating officer role was intended to provide continuity and operational management. No formal votes or bill actions were taken in the portion provided; the meeting concluded with thanks to the agencies and adjournment until the next day.
CA
Transcript Highlights:
  • To close this compensation gap, the state could provide additional funding to providers.
  • was provided and trained more than 5,000 providers.
  • And that includes not only providing the local planning councils to providing that report that they provide
  • care provider.
  • providers.
Summary: The hearing was a joint budget discussion focused first on California preschool and child care, then on universal transitional kindergarten (TK), with later movement toward a reading-difficulties screener item. Members emphasized the need for a coordinated early childhood system that better serves families’ real schedules and needs, rather than forcing families to fit existing program structures. The preschool panel reviewed access, quality, workforce, facilities, and information systems, with repeated concern about whether current funding and program design are sufficient for infants, toddlers, three-year-olds, and full-day/full-year care. Witnesses from the Learning Policy Institute, CDSS, CDE, and community providers described major growth in preschool and child care enrollment, especially for two- and three-year-olds, but also noted persistent gaps, waitlists, workforce shortages, low reimbursement rates, and the need for more stable funding. Several witnesses urged expansion or permanence of two-year-old eligibility in CSPP, more support for mixed-delivery systems, facility conversion and renovation grants, better statewide enrollment and referral systems, and continued funding for one-time grants such as UPK coordinators and planning/implementation supports. Provider and parent testimony stressed that rate reform, enrollment-based reimbursement, and continued hold-harmless protections are needed to keep programs open and accessible. The TK panel reviewed the Governor’s budget proposal for full implementation of universal TK, including Proposition 98 funding for expansion and lower adult-to-child ratios, plus a multilingual learner screening implementation budget change proposal. LPI and CDE reported that TK enrollment has grown rapidly but uptake is now a little over half of eligible four-year-olds, with families citing lack of awareness, preference for other care, and logistical barriers such as location and hours. CDE and providers said the UPK planning and implementation grant, mixed-delivery planning grants, and UPK coordinators have been critical, but these one-time funds are set to sunset. Members pressed for more information on eligible population projections, full-day/full-year demand, teacher credential data, and how administrative credential programs are preparing leaders for early childhood settings. The committee held the issues open and requested follow-up data from the departments.
TX
Transcript Highlights:
  • That's correct, as well as providing additional savings.
  • This isn't just a bonus that we're providing for our teachers.
  • What exactly is the Texas Impact Network?
  • PAC Network is dedicated to turning good policy into practice.
  • So that makes it really hard to provide additional raises outside of what's provided in this bill, but
Bills: SB26, SB 26
NH
Transcript Highlights:
  • It also stores information about their provider networks, authorizations made on services and drugs,
  • It also stores information about their provider networks, authorizations made on services and drugs,
  • In 2023, we started with 79 providers, so that network has grown over the years.
  • The beginning of the program was really focused on the number of providers who signed on to the network
  • who signed on to the number of providers who signed on to the network<01:26:37.679><c> and</c><01:26
Keywords: 928, house, all
Summary: The committee first approved the draft minutes from its May 29 meeting and then received an informational update from the Commission for the Deaf and Hard of Hearing about the state’s ASL interpreter pipeline. Representative Woods and Associate Commissioner Ann Landry explained that the American Sign Language program at UNH Manchester, the nation’s first fully accredited program, is facing viability concerns because high tuition has left only two of a potential 20 students committed so far. They warned that if enrollment does not recover, the program could face a teachout and eventually be lost, which they said would be detrimental because many state services and legal proceedings require qualified interpreters. Members discussed possible alternatives, including whether community colleges could help, and asked for follow-up research and contact information for UNH officials. The committee also heard that interpreter demand across DHHS continues to rise and that the department must ensure compliance with civil rights and service-access requirements. The committee then turned to Medicaid policy changes tied to Senate Bill 134 and a new federal interim final rule on Medicaid community engagement, or work, requirements. DHHS officials Olivia May and Ann Landry explained that the state law and federal rule align in many areas, but the committee still needed to decide how to implement several remaining policy choices. The department recommended adopting all four short-term hardship exceptions because the federal rule requires states to take them all or none: inpatient or institutional care, federally declared emergencies, high-unemployment areas, and extensive out-of-state travel for serious medical care. Members generally supported the exceptions but raised concerns about how they would be defined and applied, especially the emergency and medical-travel categories. Several legislators asked for more clarity on terms like “extensively” and “serious or complex medical care,” and DHHS said the federal rule does not rigidly define them, though the state could refine implementation through rulemaking if authorized. The department also said the emergency exception would apply only to federally declared emergencies, not state declarations, and would be tied to the emergency event itself. No final vote on the Medicaid policy was recorded in the portion provided, but the discussion indicated the committee was reviewing the remaining decisions needed to implement Senate Bill 134 under the new federal framework.
CA
Transcript Highlights:
  • There’s how many providers are in the network.
  • This $311 million cut would leave $517 million in federal funds on the table, decimate the provider network
  • California spent years rebuilding its dental network after prior underpayment caused provider participation
  • California spent years rebuilding its dental network after prior underpayment caused provider participation
  • California spent years rebuilding its dental network after prior underpayment caused provider participation
Summary: The subcommittee heard an overview of the Department of Health Care Services’ proposed budget, including a $229.1 billion total-funds budget and projected Medi-Cal enrollment decline as redeterminations continue. Members focused heavily on the fiscal and programmatic effects of prior budget solutions and federal changes, especially the elimination of General Fund-supported Prop. 56 dental supplemental payments beginning July 1, 2026, the hospice utilization-management change, and the impact of reduced caseloads alongside rising health care costs. DHCS said it is still completing required access and rate-reduction analyses for the dental cuts and has been engaging stakeholders, but could not yet quantify the real-world effect on utilization or provider participation. The committee also reviewed the November 2025 Medi-Cal local assistance estimate, which shows higher General Fund spending despite lower enrollment, driven by managed care rate growth, Medicare cost growth, state-only claiming, and federal policy changes. The hearing then turned to provider taxes and federal H.R. 1 constraints, with extensive discussion of the MCO tax, the hospital quality assurance fee, and other health care-related taxes. DHCS explained that H.R. 1 phases down allowable tax levels and tightens “generally redistributive” rules, making the current MCO tax structure and the proposed higher hospital fee levels difficult or impossible to renew as originally designed. Staff and the LAO described the tradeoff between preserving Medi-Cal funding and avoiding higher costs on private providers and consumers. Members asked about options for preserving revenue, including possible amendments to Prop. 35 or returning to voters, and were told the department is still evaluating approaches while federal guidance remains in flux. The committee also reviewed hospital payment increases already implemented through state-directed payments, with DHCS noting that H.R. 1 will force those payments down to Medicare levels over time. Several budget change proposals were discussed and left open, including requests tied to the managed care final rule, managed care operations, hospital value strategy, long-term care payment transparency, and interoperability requirements. The committee also heard about a one-year trailer bill extension for skilled nursing facility financing, including continuation of the SNF workforce standards program, the SNF quality assurance fee, and annual rate growth, while the department develops a longer-term financing redesign for 2027-28. Members expressed skepticism about repeated rate reform efforts and questioned whether a one-year extension of the eliminated workforce quality incentive program should be restored during the transition. Finally, Covered California presented its budget and enrollment update, reporting that the expiration of the federal enhanced premium tax credit is expected to reduce affordability significantly, with average premiums roughly doubling for many enrollees and as many as 400,000 Californians potentially losing marketplace coverage over time. The exchange said California’s $190 million subsidy program is helping lower-income enrollees, but not enough to offset the federal loss, and it is also implementing a new gender-affirming care benefit and awaiting federal action on benchmark plan changes.
CA
Transcript Highlights:
  • There's how many providers are in the network, and then of those providers that are participating, how
  • to provide The member asked about analysis of the impact of providing the increase to provider rates,
  • providers or field-based providers.
  • This $311 million cut would leave $517 million in federal funds on the table, decimate the provider network
  • California spent years rebuilding its dental network after prior underpayment caused provider participation
Summary: The subcommittee heard a lengthy Department of Health Care Services presentation on the governor’s Medi-Cal budget, including a $229.1 billion total-funds proposal, projected Medi-Cal enrollment declines as redeterminations continue, and several major cost drivers such as managed care growth, Medicare-related costs, pharmacy spending, and changes tied to federal policy. Members focused heavily on the elimination of Prop. 56 dental supplemental payments beginning July 1, 2026, questioning the likely impact on provider participation and utilization. DHCS said it is completing the required rate reduction/access analysis for CMS, has been holding stakeholder meetings and issuing provider bulletins, but could not yet quantify the real-world effect. The committee also discussed a $50 million savings proposal tied to new hospice utilization management authority and asked about possible effects on emergency dental care and provider participation. The hearing then moved through the November 2025 family health estimate and several county and program administration issues, including CCS, GHPP, and Every Woman Counts. DHCS said family health costs are rising despite slight caseload declines because of higher utilization and medical costs, and members raised concerns about CCS website accessibility, county administrative funding, and the transition of youth aging out of CCS. The department said most CCS beneficiaries are also on Medi-Cal, that counties have long raised funding concerns, and that it had clarified use of maintenance-and-operations dollars to address some county workload issues. Members also asked about Every Woman Counts potentially seeing higher demand as Medi-Cal changes take effect; DHCS said that is possible and that the program has multiple funding sources including General Fund. A major portion of the hearing focused on provider taxes and federal changes under H.R. 1, especially the Medi-Cal managed care organization tax and the hospital quality assurance fee. DHCS explained that H.R. 1 restricts new or increased health care-related taxes, phases down allowable tax levels over time, and tightens “generally redistributive” rules, which could sharply reduce the state’s ability to use the MCO tax for Medi-Cal financing. Members asked whether the Legislature could amend Prop. 35 or whether voters would need to act; DHCS said a three-fourths legislative amendment may be possible if it aligns with the measure’s purpose, but the department is still evaluating options. The committee also discussed hospital financing, with DHCS describing recent increases in state-directed payments and the effect of H.R. 1 in capping those payments at Medicare levels, and the LAO noting the tradeoff between preserving provider taxes and maintaining Medi-Cal funding. The subcommittee also reviewed a series of DHCS budget change proposals and trailer bill items, including managed care final-rule implementation, managed care operations, a hospital value strategy, a one-year extension of skilled nursing facility financing, long-term care payment transparency, and interoperability/prior authorization requirements. Members repeatedly questioned the use of limited-term versus permanent positions, the overlap among proposals, and the timing of new financing reforms. DHCS said the SNF extension would preserve current workforce standards, sanctions, growth limits, and the SNF quality assurance fee while the department develops a broader 2027-28 redesign. No votes were taken; items were repeatedly held open for later action. Covered California then presented on the expiration of the federal enhanced premium tax credit and the resulting affordability crisis. The agency said Californians will lose about $2.5 billion in premium assistance for 2026, average premiums could nearly double for many enrollees, and as many as 400,000 people could eventually leave marketplace coverage. Open enrollment ended with 1.9 million sign-ups, down 3% from the prior year, with especially steep declines among middle-income consumers and increased movement into bronze plans. Covered California said the state’s $190 million affordability subsidy is helping lower-income enrollees retain coverage, but cannot fully replace the lost federal assistance. Members also asked about the Health Care Affordability Reserve Fund, repayment of loans from that fund, the status of federal review of California’s essential health benefits benchmark, and implementation of the new gender-affirming care benefit under AB 144.
OK

Oklahoma 2026 Regular Session

Joint Committee on Appropriations and Budget Feb 17th, 2026

Joint Committee on Appropriations and Budget

Transcript Highlights:
  • After the 2024 expansion, OPCN's established providers were not allowed to submit bids because they were
  • Once approved, providers are closely monitored.
  • Client and counselor signatures are verified, performances reviewed monthly, and each provider receives
  • Is the Oklahoma Pregnancy Care Network a state agency? No, it is a pass-through.
  • Is the Oklahoma Pregnancy Care Network a 501(c)(3), and do they access private dollars?
Bills: HB2786, HB2787
Summary: The committee first considered House Bill 2786, with Representative Stinson presenting a PCS as the working draft. He explained the bill as supplemental funding for the Department of Mental Health to close out its 2025 budget and pay obligations the department had fallen short on. The committee moved quickly to a do pass vote, and the bill was reported out 31-0 with no nays. The committee then took up House Bill 2787, with Representative West presenting a PCS as the working draft. She described the bill as a one-time $2 million supplemental for previously established costs tied to the Choosing Childbirth Program, saying the funding was needed to avoid a lapse in services for nearly 4,000 mothers and babies until the Oklahoma Pregnancy Care Network can re-enter bidding in 2028. She emphasized oversight and transparency measures, including provider vetting, invoice review, annual evaluations, and a reported 97% of expenses going to client services. Members raised concerns about accountability, transparency, and why the funding should come from state general revenue rather than private sources, noting prior audits and news reports. Representative West said the network is a 501(c)(3), uses private dollars as well, and that the program is a public-private partnership already established by law. She also said she would share the 2025 tax return information with the committee. The committee then voted to report HB 2787 out do pass by a vote of 26-5, and adjourned.
FL

Florida 2026 Regular Session

Transportation Jan 14th, 2025

Transportation

Transcript Highlights:
  • So there's two options that the provider has.
  • your transportation providers?
  • Are your providers brought on by way of an RFP?
  • Are your providers brought on by way of an RFP?
  • Amtrak is basically the one provider.
Summary: The Senate Transportation Committee met, took roll, and heard introductory remarks from members about their districts and transportation priorities, with several senators noting congestion and mobility challenges in their regions. The committee then received a presentation from the Florida Transportation Commission on its oversight role for FDOT, including annual and quarterly performance reviews, review of the five-year work program, and monitoring of tolling and transit authorities. Members asked whether the commission gets involved in project prioritization; the answer was no, because it is statutorily limited to high-level oversight rather than day-to-day project decisions. The committee next heard two reports related to transportation disadvantaged and paratransit services. FDOT’s Melissa Smith described the statewide Transportation Disadvantaged program, its governance structure, service models, and challenges such as fragmented administration, cost, inconsistent reporting, and rural service limitations. She outlined recommendations including better use of technology, regional partnerships, improved training, and alternative delivery models like microtransit and TNC partnerships. A University of South Florida researcher, Martin Katala, discussed best practices for paratransit and demand-response service, emphasizing route optimization software, dynamic dispatching, service standards, vendor accountability, and the use of TNCs and mobility management to improve efficiency and reduce travel times. A later presentation from UF’s I-Street program focused on emerging technologies for transit, including in-cabin monitoring, automatic restraints, accessible booking and tracking tools, and the need for statewide safety standards and better driver interfaces. Finally, FDOT Secretary Jared Perdue and District 5 Secretary John Tyler provided an update on the transition of SunRail local entities. They explained the differences among commuter rail, intercity rail, and light rail, and said SunRail’s financial transition to local partners was completed on January 1, with operational transition to follow over up to three years. They contrasted that with Tri-Rail, where FDOT still funds operations and discussions about a future transition are ongoing. Members asked about the differences between SunRail, Tri-Rail, Amtrak, and Brightline, and the presenters explained that commuter rail serves regional daily commuters while intercity rail connects regions. The committee concluded without taking any formal votes or other legislative action.