Video & Transcript : 'budgetary reform' :

Page 83 of 391
CA
Transcript Highlights:
  • This creates a budgetary challenge because Prop. 56 revenues have decreased.
  • This creates a budgetary challenge because Prop. 56 revenues have decreased over time, while Medi-Cal
Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.
MN

Minnesota 2025-2026 Regular Session

Committee on Finance - 04/02/25

Finance

Transcript Highlights:
  • Chair, I think it's important for us to look at this from the legal standpoint, not necessarily the budgetary
  • The budgetary standpoint might influence what the fiscal note says, but legally those monies cancel and
Committee: Senate Finance
TX
Transcript Highlights:
  • The program started in 2007 and has been funded $20 million for each year. more or less during the budgetary
  • Thank you. their budgetary requests are met. Additionally, veterinarians.
Bills: SB1 , SB 1
Committee: Senate Finance
NH

New Hampshire 2026 Regular Session

House Education Policy and Administration (01/21/2026)

Education Policy and Administration

Transcript Highlights:
  • </c><03:50:26.319><c> line</c><03:50:26.560><c> items</c> changes in budgetary line items changes in
  • budgetary line items sometimes<03:50:27.439><c> require</c><03:50:27.680><c> that</c><03:50:27.920><c
  • You're just saying as a budgetary matter, we can only afford this number of students or this percentage
  • </c><05:20:06.638><c> saying</c><05:20:06.798><c> as</c><05:20:06.958><c> a</c><05:20:07.120><c> budgetary
  • </c> You're just saying as a budgetary You're just saying as a budgetary matter,<05:20:08.080><c> we<
NH

New Hampshire 2025 Regular Session

House Finance Division I (02/28/2025)

Transcript Highlights:
  • All right, these are the requests that we have submitted, budgetary changes.
  • have these are the requests that we have have submitted<03:57:08.960><c> uh</c><03:57:09.199><c> budgetary
  • changes all right submitted uh budgetary changes all right well<03:57:11.199><c> let's</c><03:57:11.600
  • We did not initially submit these requests as budgetary requests during the agency phase or even the
  • requests during the agency budgetary requests during the agency phase<03:57:42.000><c> or</c><03:57:
Summary: The committee reviewed the Department of Corrections budget, with the chair initially noting that the overall numbers looked close to fiscal year 2024 spending, except for federal funds. Department officials explained that prior ARPA expenditures and delayed revenue recognition had distorted the comparison, and that the corrected general fund spend was about $169.7 million. Members then focused on whether the budget’s staffing assumptions were realistic, especially the shift from overtime to full-time lines and the use of vacant positions to offset overtime costs. The department said it is leaning on vacancy savings, but would return for additional appropriations if unforeseen staffing problems arise. A major portion of the discussion centered on recruitment, retention, and staffing levels. Officials reported a 42% vacancy rate in enforcement ranks, down from 51% in January 2023, with 28 new officers headed to the next academy and 33 new hires already tracked. They said overtime is more expensive than regular staffing because of benefits and that it takes about 11 months for a new hire to break even. Members also asked about the split between incarcerated and supervised populations; the department said it oversees about 1,970 inmates in facilities and just over 4,000 people in the community, with 77 positions supervising the community population and the inmate population remaining the most expensive area. The committee also discussed how sentencing and statutory changes affect incarceration levels, including misdemeanor/felony thresholds and theft thresholds, with the department agreeing that such changes can significantly affect prison and jail populations. Members asked about education and recidivism, and the department said base education is the most important foundation, followed by vocational training, while noting that many incarcerated men lack a high school diploma. The department also described a $1.3 million reduction in contracted forensic evaluation services, explaining that these evaluations are court-ordered competency assessments and are not statutorily required to be provided by DOC. Finally, members reviewed victim services funding and staffing, including VOCA-supported positions, and the department explained that a new victim witness specialist would help support survivors at parole hearings and safety planning.
CT
Transcript Highlights:
  • This was in response to budgetary restrictions, so that 2% across-the-board reduction happened.
Summary: The MAPOC Women and Children’s Health Subcommittee heard a presentation from Kate Parker Riley, executive director of the Connecticut Dental Health Partnership, on the Husky Dental Program and efforts to improve oral health during pregnancy. She reviewed the structure of Connecticut’s Medicaid dental benefit, the ASO model, provider network, utilization trends, and member barriers to care. She noted that children’s dental measures remain above the national median, but adult utilization is lower and the dental provider network has been shrinking, with longer wait times in rural areas. A major focus was the state’s goal to raise the rate of oral evaluation during pregnancy from about 17.5% to 25% by 2030. Riley described planned outreach to OB/GYN practices using a draft “snapshot” report showing each practice’s pregnancy oral-health rate compared with the state average, along with education materials based on ACOG and AAP guidance. Committee members and guests discussed barriers such as lack of provider training, workflow burden, access to dentists who will see pregnant patients, and the need for stronger referral bridges. Suggestions included adding simple oral-health screening questions in OB settings, using human support to make appointments, and exploring co-located dental hygienists or other embedded models. Riley also highlighted partnerships with DSS, DCF, Head Start, WIC, Read to Grow, YMCA programs, refugee resettlement agencies, and school-based and hospital partners, as well as data-sharing and navigation efforts. She said pregnant members newly identified through HUSKY will now receive outreach and navigation support. DSS dental director Carolyn MacArthur introduced herself and said she supports the initiative, noting the literature linking untreated maternal dental disease to poor child oral-health outcomes. No votes were taken; the meeting ended with thanks and a preview of upcoming July presentations on integrated behavioral health and home visitation programs.
MO

Missouri 2026 Regular Session

Crime and Public Safety Mar 24th, 2026

Crime and Public Safety

Transcript Highlights:
  • they had it for a certain number of years or time, as they were seeing consistently in the state budgetary
WA

Washington 2025-2026 Regular Session

House Transportation Feb 18th, 2026 at 04:00 pm

Transportation

Transcript Highlights:
  • Personally, we think it's a poor use of state funds while in a budgetary shortfall.
NM
Transcript Highlights:
  • reporting practices to allow state policymakers to identify gaps in services and make responsive budgetary
FL
Transcript Highlights:
  • I would just love to see very specific statutory changes, and I have to say budgetary issues, to really
Summary: The Children, Families, and Elder Affairs Committee held a panel discussion on Florida’s child protection teams (CPTs), child advocacy centers (CACs), and related state systems. Testimony came from the Department of Children and Families, the Department of Health, a local CAC director, the Florida Network of Children’s Advocacy Centers, a CPT medical lead, and a Jacksonville sheriff’s sergeant. Witnesses described how DCF investigations, CPT medical and forensic services, CAC multidisciplinary coordination, and law enforcement work together to assess abuse allegations, provide interviews and exams, and connect children and families to services. Several speakers highlighted telemedicine, co-location, and Jacksonville’s specialized investigative model as examples of stronger coordination. Committee members focused heavily on communication gaps, staffing shortages, and delays in forensic interviews and medical evaluations. Senators asked about implementation of Jordan’s Law, the timing of DCF and law enforcement notifications, whether law enforcement is always included in decisions about forensic interviews, and how quickly children are seen after a report. DCF and DOH representatives said referrals are generally made within 24 hours and that multidisciplinary staffings are used to share information, but law enforcement described cases where interviews were scheduled weeks out or reports arrived late, creating problems for probable cause and safety decisions. Members also raised concerns about turnover among CPIs and CPT staff, caseloads, and the need for more specialty providers. CAC representatives said the model reduces trauma by bringing services together in one place, but noted uneven access across the state, especially in rural areas and in counties without CACs. They said sustainable funding and workforce development are needed to maintain and expand services, and one speaker noted that some CACs have closed due to funding challenges. DCF said there are about 1,500 CPIs statewide and an average active caseload of about 12 per investigator, while CPTs serve roughly 22,000 to 23,000 children annually. The committee did not take any formal vote or action, but members requested follow-up information on staffing numbers, communication practices, CAC locations, and recommendations for statutory or budget changes. The meeting ended with adjournment.
FL

Florida 2025 Regular Session

Children, Families, and Elder Affairs Nov 4th, 2025

Children, Families, and Elder Affairs

Transcript Highlights:
  • So I would just love to see very specific statutory changes, and I have to say budgetary changes, to
Summary: The Senate Committee on Children, Families, and Elder Affairs held a panel discussion on Florida’s child protection teams (CPTs), child advocacy centers (CACs), and the related roles of DCF, DOH, and law enforcement. Testimony from DCF, the Department of Health, a local CAC director, the Florida Network of Children’s Advocacy Centers, a Pinellas County CPT nurse practitioner, and a Jacksonville sheriff’s sergeant described how the system is intended to work: hotline reports are screened by DCF, mandatory referrals are sent to CPT, forensic interviews and medical exams are coordinated through CPT/CACs, and multidisciplinary teams share findings with law enforcement and prosecutors. Speakers emphasized the value of co-location, telemedicine, multidisciplinary staffings, and trauma-informed practices to reduce repeated interviews and improve child safety and case outcomes. Committee members focused heavily on communication breakdowns, staffing shortages, and delays in response times. Senators raised Jordan’s Law and asked what had been done to improve coordination among DCF, CPT, and law enforcement. Several members questioned whether the promised 24-hour response standard is being met in practice, citing reports of delayed referrals, delayed forensic interviews, and bottlenecks that can affect medical evaluations and criminal investigations. Law enforcement testimony from Jacksonville described cases where CPT interviews were scheduled one to two weeks out and reports were not received for weeks, while DCF acknowledged average CPI caseloads of about 12 investigations and turnover commonly occurring within 12 to 18 months. The panel also discussed access gaps and funding concerns. The Florida Network of CACs said Florida has 26 member centers, with some counties lacking CAC coverage and some centers having closed due to funding challenges. Speakers said CACs are voluntary but critical for integrated services, and that workforce shortages in medical and mental health providers limit expansion. DCF and DOH representatives said they would provide follow-up information on the number of CPT medical staff and other requested data. No bills were voted on; the meeting ended with committee members requesting additional information and recommendations for statutory and budgetary changes, and the committee adjourned.
MN

Minnesota 2025-2026 Regular Session

Hied Committee Meeting - 2025-04-21

Higher Education Finance and Policy

Transcript Highlights:
  • I want to say thank you for making the state grant program a priority in a time of very limited budgetary
Bills: HF2312
MN

Minnesota 2025-2026 Regular Session

Energy Committee Meeting - 2025-04-01

Energy Finance and Policy

Transcript Highlights:
  • My colleague, Nathan, has a few questions for you. of the budgetary elements of the project to share.
Bills: HF2928 , HF2912 , HF2297
CA
Transcript Highlights:
  • The department has one budgetary request before the committee for resources to support the implementation
LA

Louisiana 2026 Regular Session

House of Representatives May 26th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • His legislative priorities include reform in taxes, infrastructure, and insurance.
Bills: HR320 , HR321 , SCR55 , SCR69 , SCR75 , SCR77 , SCR78 , SCR79 , SB259 , SB295 , SB312 , SB348 , SB444 , SB485 , HR73 , HR118 , HR144 , HR196 , HR237 , HR249 , HR260 , HR267 , HR272 , HR278 , HCR85 , HCR100 , HCR105 , HCR107 , HCR114 , HR245 , SCR5 , SCR29 , SCR33 , SCR37 , SCR63 , SCR30 , SCR40 , HB62 , HB193 , HB210 , HB220 , HB246 , HB364 , HB420 , HB475 , HB584 , HB622 , HB772 , HB784 , HB949 , HB953 , HB1043 , HB1070 , HB1092 , HB1134 , HB1162 , HB1176 , HB1196 , HB1214 , HB119 , HB129 , HB233 , HB283 , HB538 , HB789 , HB850 , HB870 , HB1236 , HB1241 , HB54 , HB137 , HB321 , HB368 , HB386 , HB414 , HB431 , HB552 , HB555 , HB578 , HB590 , HB593 , HB618 , HB638 , HB670 , HB692 , HB707 , HB708 , HB715 , HB718 , HB732 , HB741 , HB748 , HB776 , HB796 , HB807 , HB822 , HB848 , HB856 , HB887 , HB888 , HB917 , HB921 , HB1082 , HB1243 , HB1246 , HB378 , HB509 , HB1090 , HB1259 , SB80 , SB131 , SB143 , SB251 , SB254 , SB279 , SB367 , SB384 , SB388 , SB389 , SB398 , SB408 , SB431 , SB468 , SB469 , SB496 , SB4 , SB52 , SB57 , SB83 , SB145 , SB152 , SB194 , SB276 , SB319 , SB333 , SB448 , SB450 , SB465 , SB484 , SB501 , SB509 , SB149 , HR168 , HB463 , HB998 , SB123 , SB353 , SB479 , SB495 , SB82 , SB97 , SB283 , SB326 , SB518 , SB197 , SB268 , HB901 , HR20 , HR74 , HCR65 , HCR71 , HCR98 , HB284 , HB306 , HB341 , HB366 , HB393 , HB458 , HB577 , HB603 , HB605 , HB614 , HB625 , HB646 , HB733 , HB752 , HB773 , HB798 , HB911 , HB955 , HB996 , HB1035 , HB1069 , HB1113 , HB1140 , HB1180 , HB1191 , HB1240 , HB1255 , SB89 , HB74 , HB134 , HB258 , HB359 , HB468 , HB956 , HB1117 , SB29 , SB42 , SB43 , SB78 , SB208 , SB217 , SB274 , SB300 , SB341 , SB379 , SB382 , SB387 , SB401 , SB441 , SB449 , SB487
LA

Louisiana 2026 Regular Session

House of Representatives May 25th, 2026

Louisiana House Floor Meeting

LA

Louisiana 2026 Regular Session

Senate May 25th, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • The bill builds on literacy standards and reforms.
Bills: SR145 , SR146 , SR147 , SR148 , SCR78 , SCR12 , HB302 , HB221 , HCR58 , HB59 , HB89 , HB153 , HB243 , HB335 , HB342 , HB350 , HB407 , HB451 , HB513 , HB595 , HB682 , HB688 , HB690 , HB730 , HB762 , HB802 , HB816 , HB940 , HB944 , HB1003 , HB1011 , HB1029 , HB1053 , HB1058 , HB1062 , HB1064 , HB1079 , HB1084 , HB1098 , HB1161 , HB1189 , HB1203 , HB1215 , HB1247 , HB1248 , HB1251 , HB1253 , HB1257 , HB1258 , SCR3 , SB393 , SB401 , SB415 , SB426 , SB435 , SB487 , SB488 , SB523 , SB56 , SB163 , SB341 , SB504 , SB322 , SR125 , SCR54 , SCR59 , SCR9 , SCR58 , SB35 , SB65 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , SB514 , HCR27 , HCR28 , HCR66 , HCR67 , HCR72 , HCR5 , HCR32 , HCR49 , HCR50 , HCR53 , HCR60 , HCR62 , HCR64 , HCR68 , HCR78 , HCR81 , HCR86 , HCR97 , HCR102 , HCR31 , HCR47 , HCR3 , HB1095 , HB1096 , HB1103 , HB1129 , HB1154 , HB1166 , HB1195 , HB1230 , HB316 , HB511 , HB799 , HB1039 , HB12 , HB66 , HB145 , HB167 , HB196 , HB213 , HB218 , HB222 , HB256 , HB291 , HB326 , HB352 , HB401 , HB430 , HB433 , HB434 , HB448 , HB456 , HB476 , HB481 , HB487 , HB492 , HB549 , HB579 , HB608 , HB621 , HB624 , HB626 , HB632 , HB637 , HB656 , HB722 , HB745 , HB804 , HB818 , HB821 , HB833 , HB864 , HB867 , HB874 , HB893 , HB909 , HB951 , HB968 , HB969 , HB978 , HB979 , HB988 , HB989 , HB1001 , HB1005 , HB1007 , HB1024 , HB1032 , HB1038 , HB1050 , HB1051 , HB1056 , HB1059 , HB1077 , HB1080 , HB1081 , HB1086 , HB1108 , HB1112 , HB1153 , HB1172 , HB1173 , HB1175 , HB1192 , HB1193 , HB1204 , HB1218 , HB1242 , HB1244 , HB1249 , HB1252 , HB1254 , HB1 , HB2 , HB3 , HB42 , HB45 , HB71 , HB79 , HB158 , HB160 , HB169 , HB227 , HB251 , HB289 , HB312 , HB313 , HB314 , HB330 , HB383 , HB394 , HB410 , HB429 , HB769 , HB971 , HB983 , HB1017 , HB1126 , HB1234 , HB1235 , HB17 , HB27 , HB36 , HB41 , HB47 , HB73 , HB126 , HB133 , HB140 , HB159 , HB166 , HB205 , HB211 , HB226 , HB259 , HB271 , HB308 , HB310 , HB324 , HB337 , HB351 , HB399 , HB403 , HB571 , HB712 , HB723 , HB726 , HB740 , HB750 , HB759 , HB812 , HB844 , HB966 , HB1006 , HB1009 , HB1018 , HB1036 , HB1107 , SB29 , SB42 , SB43 , SB78 , SB208 , SB217 , SB274 , SB300 , SB379 , SB382 , SB387 , SB441 , SB449 , HB74 , HB134 , HB258 , HB359 , HB468 , HB956 , HB1117 , SB149
MO

Missouri 2026 Regular Session

Budget Jan 20th, 2026 at 01:00 pm

Budget

Transcript Highlights:
  • I think, not you department-wide, everybody, all of us, frankly, it's budgetary malpractice, and I think
  • I was actually at a property tax reform committee hearing in Kansas City. ...and drove to Bolivar, where
Committee: House Budget
OK

Oklahoma 2026 Regular Session

Senate Legislative Session Apr 7th, 2026 at 01:30 pm

Oklahoma Senate Floor Meeting

Transcript Highlights:
  • Department of Tourism is their need to cover debt service and then, of course, you see the Oprah's reform
  • And instead, without real reform, we can anticipate we're giving more money to state agencies because
  • We've requested for reforms. We've requested for transparency.
  • some point, in order for us to have a no income tax, we're going to have to have campaign finance reform