Video & Transcript Research : 'rate increase'

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AZ

Arizona 2026 Regular Session

02/10/2026 - Senate Appropriations, Transportation and Technology

Appropriations, Transportation and Technology

Transcript Highlights:
  • Question: Are all providers treated equally in this scenario for the rate increases, whether they're
  • increases for... ...of fiscal years 2027 through 2031 to DES for reimbursement rate increases for room
  • You guys set our rate, so we can't raise them when the workforce rates go up.
  • This rate increase is going to be really helpful.
  • This rate increase is going to be very helpful to at least supplement.
Summary: The committee first approved the February 3, 2026 minutes and reordered the agenda to accommodate sponsors and speakers. SB 1114, which would appropriate $1 million to the Maricopa County Attorney’s Office to investigate behavioral health patient brokering statewide, was presented as a response to Medicaid fraud and exploitation of vulnerable Native American patients. After brief questions about why Maricopa County would handle statewide oversight, the bill received a do pass recommendation on a 9-0 vote with one member not voting. The committee then took up SB 1111, as amended by a strike-everything amendment regulating automated license plate readers. The amendment limited use to specified law enforcement purposes, required verification of alerts when feasible, imposed data-retention and handling responsibilities on agencies, and created a misdemeanor penalty for unauthorized release of data. Supporters from Phoenix, Tempe, Prescott Valley, the Arizona Chiefs of Police, and the Arizona Sheriffs’ Association argued the bill provides needed statewide guardrails while preserving a valuable investigative tool for missing persons, stolen vehicles, and serious crimes. Opponents from the ACLU, Institute for Justice, and private citizens raised privacy and Fourth Amendment concerns, warning about dragnet surveillance, unclear terms like “legitimate” law enforcement purposes, lack of public access to records, and the risk of misuse for immigration or abortion-related tracking. The committee adopted the amendment and then gave SB 1111 as amended a do pass recommendation on a 7-2 vote, with one not voting. Next, SB 1116, as amended, was approved. The bill requires appeals or adverse determinations on behavioral health claims under AHCCCS fee-for-service to be reviewed by someone with relevant clinical experience, and the amendment broadened the requirement to include medical-necessity denials and specified at least two years of similar clinical experience. Senator Werner said the measure was intended to curb inappropriate denials and improve payment for behavioral health providers serving Native communities. Access was neutral but said the bill’s terms were too broad and could require additional staff; the committee nonetheless adopted the amendment and passed the bill 10-0. Finally, SB 1122, as amended, was approved 10-0. The bill bars AHCCCS from requiring prior authorization for behavioral health services under the American Indian Health Plan, while the amendment prohibited 100% prepayment review and adjusted the corrective-action language. Senator Werner and provider representatives said the measure was needed because providers were being delayed or denied payment, contributing to closures, workforce shortages, and patient brokering. The committee then began hearing SB 1072, a major appropriation to increase reimbursement rates for home- and community-based services for individuals with intellectual and developmental disabilities, with testimony focused on severe caregiver shortages, overtime costs, and unassigned service authorizations.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Health Care Financing Jun 21st, 2026 at 11:00 am

Joint Committee on Health Care Financing

Transcript Highlights:
  • in premiums if approved, nearly doubling the increase last year.
  • It would result in a 13.4% average increase in premiums if approved, nearly doubling the increase last
  • increases of over 13% being considered now at the DOI.
  • Why wouldn't they do that if they have these increasing concerns?
  • Why wouldn't they do that if they have these increasing concerns?
Keywords: 995, all
Summary: The Joint Committee on Health Care Financing held a public hearing on a broad set of health care bills focused on cost, market oversight, pharmaceutical access, transparency, hospital closures, and pharmacy access. Chairs John Lawn and Cindy Friedman opened by emphasizing recent health care reforms and the need for further action on the drug supply chain, PBMs, private equity, and affordability. The committee heard testimony on several measures, including a Betsy Lehman Center bill to make technical changes and create a permanent trust account for federal and private funding, and bills on hospital profits and fairness, hospital closures and health planning, pharmacy deserts, and health care market oversight and pharmaceutical access. No votes were taken during the hearing. On the hospital profits bill, physicians and labor advocates strongly supported capping hospital CEO compensation at 50 times the lowest-paid worker, requiring greater financial transparency, and directing penalties from high-margin public hospitals into a Medicaid reimbursement fund. Testifiers argued that executive pay is excessive while frontline staff and safety-net services are under strain. Committee members raised concerns about unintended consequences, including whether hospitals might shift workers to contract status or lose executive talent, and whether the bill would actually direct money to the safety net. Supporters responded that the measure is one piece of a larger effort and that the bill’s Medicaid reimbursement provisions would help underserved hospitals. Testimony on market oversight and pharmaceutical access centered on rising health care and drug costs, PBM practices, and the proposal to give the Health Policy Commission authority to set upper payment limits for certain drugs. Consumer advocates, disability advocates, an independent pharmacist, the Attorney General’s office, and others supported stronger oversight, citing premium increases, affordability problems, and the impact of high drug prices on patients and community pharmacies. Pharma and some industry witnesses opposed parts of the bill, warning that upper payment limits could disrupt access, create legal issues, and fail to address the broader supply chain. The committee also heard support for stronger hospital closure notice and public hearing requirements, and for a pharmacy deserts bill aimed at identifying and addressing closures like the one in Roxbury that affected thousands of patients.
TX

Texas 89th 2nd C.S.

Health and Human Services Apr 8th, 2026

Health & Human Services

Transcript Highlights:
  • That's a 1,900% increase.
  • rate?
  • improper payment rate.
  • And for our eligibility error rate, they found an error rate of 1.1%.
  • So we had an error rate of 1.3% compared to a national rate of a little over 5%.
Summary: The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards. Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight. The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Aug 18th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • There is a projected increase in uninsured rates across the country, likely due to those roll-offs from
  • Our funded vacancy rate is less than 1% now.
  • As we lose Medicaid rates and have higher uninsured rates, there is no guarantee that those hospitals
  • the inflation rate is two to four percent.
  • Vacancy rate; other counties, including some of yours, have a 100% vacancy rate.
NM
Transcript Highlights:
  • But those of us who are insured would see a 40, it was like a 49 increase in our insurance rate to cover
  • But those of us who are insured would see a 40% to 49% increase in our insurance rate to cover the uninsured
  • That was increased in 2014.
  • road fund, the rate itself was increased by 1%.
  • I am so grateful that we're paying quality reimbursement rates and providing so much the increased quality
TX

Texas 89th Regular

Intergovernmental Affairs Mar 11th, 2025

Intergovernmental Affairs

Transcript Highlights:
  • And when you talked about it. incarceration rate of 2.27. Yes, sir.
  • In the decade of 2000 to 2010, our growth rate was 30.4%.
  • or, again, most years we've been able to lower the tax rate, but we've just seen those insurance rates
  • Appraisals and tax rates are set at what the tax rates are, but I think. that uh not unlike the uh the
  • Everybody benefits from the increased presence.
Keywords: 1184, house, all
FL

Florida 2026 Regular Session

FL House Floor Session - 2026-02-20 (9:00AM Session)

Florida House Floor Meeting

Transcript Highlights:
  • and what are some of the supports that we provided as far as rate increases there, but more specifically
  • In this budget, we provide $55 million of new support, a 1% increase for provider rates, and then $45.3
  • hospital rate.
  • We are increasing that allocation.
  • The Senate provides an across-the-board 3% base salary rate increase for state employees, state attorneys
Summary: The Senate took up the 2026-2027 budget and related implementing bills. Appropriations Chair Hooper presented a $115 billion General Appropriations Bill, saying it reduces overall spending from the prior year, preserves reserves, and includes a 3% raise for state employees and 5% raises for state law enforcement, firefighters, correctional officers, and park rangers. Committee chairs then outlined major budget areas, including K-12 education, higher education, health and human services, criminal and civil justice, transportation/tourism/economic development, and environmental/agricultural agencies. Highlights included increased funding for school safety, teacher and scholarship funding, workforce education, Medicaid and kid care, corrections operations, judgeships, affordable housing, hurricane recovery, Everglades and water quality projects, and arts and cultural grants. Members asked detailed questions about several items. Senators discussed the Emergency Management Trust Fund, cultural arts grant allocations, Florida Forever land acquisition versus conservation easements, teacher salary support, charter school capital outlay funding, Bright Futures and EASE funding, New College funding, DOC deficits and inmate health care/food service costs, the ADAP HIV drug program, Medicaid reductions for non-critical access hospitals, and the use of opioid settlement and COVID relief funds. Chairs explained that some apparent reductions reflected shifts below the line or reclassification, that the ADAP appropriation would only cover about six months, and that some vacant positions were being removed as part of a right-sizing effort. Questions also covered lottery staffing, concealed weapons permit processing, elections security funding, and arts grant selection and proviso language. The Senate then substituted House bills for the Senate budget and implementing measures, amended them into the Senate posture, and passed them. HB 5001 (the appropriations bill), HB 503 (implementing bill), HB 5201 (collective bargaining), and HB 5205 (retirement) all passed 36-0 and were sent to conference. Other budget-related bills also passed, including SB 2506 on fuel taxes, SB 2508 on the state agency law enforcement radio system surcharge, SB 2510 on court trust funds, SB 2512 creating 13 circuit and 12 county judgeships, SB 2514 on K-12 education, SB 2516 on higher education, and SB 2518 on health. Most of these passed unanimously, with the Senate requesting the House either pass the Senate versions or include them in budget conference.
TX

Texas 89th Regular

Judiciary & Civil Jurisprudence Mar 5th, 2025

Judiciary & Civil Jurisprudence

Transcript Highlights:
  • . 15% have a clearance rate between 77% and 89%.
  • Clearance rates by court level.
  • Filings increased in every felony case category.
  • We have much increased the quality of our data.
  • So is there like a base rate, and then you get a? an increase for the years of service?
Keywords: 1184, house, all
AR

Arkansas 2026 Regular Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 16th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • So from commercial carriers, not to Medicaid, what's the rate? Why is the rate?
  • Medicaid, what's the rate? Why is the rate so low?
  • The rate is what it is. The last time we had a rate change for inpatient Medicaid was in 2007.
  • So where does the rate that we get for our per diem rate come from?
  • And we'll look at the per diem rate.
Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.
CA

California 2025-2026 Regular Session

Senate Rules Committee Apr 29th, 2026

Rules

Transcript Highlights:
  • In 2024 to 2025, we saw huge increases. I see I should stop.
  • we saw huge increases.
  • statute requiring movement toward a 15% vacancy rate.
  • statute requiring movement toward a 15% vacancy rate.
  • Cardona said the office’s vacancy rate had been coupled with a huge increase in cases, and that the two
Summary: The Senate Committee on Rules first took up several governor’s appointments not required to appear, including Rick Simpson to the Commission on Teacher Credentialing and Trinidad Solis, M.D., and Gerald Talbert, M.D., to the Medical Board of California. The committee also approved reference of bills to committees and floor acknowledgments, with roll calls on each item showing unanimous support from members present and the items left open for additional votes before final tallying. The main public business was the confirmation hearing for George Cardona, J.D., for a second term as Chief Trial Counsel of the State Bar of California. Cardona described reforms made since taking office, including new conflict-of-interest and gift rules, stronger investigative requirements, efforts to reduce backlog and improve efficiency, and monitoring of discipline disparities identified in prior studies. Senators questioned him about safeguards after the Girardi matter, the John Eastman discipline case, racial and ethnic disparities in attorney discipline, unauthorized practice of law by notarios, staffing shortages, and the use of AI in filings. Public witnesses from the State Bar, SEIU Local 1000, and others spoke in support. The committee voted 3-0 to advance Cardona’s appointment to the full Senate. The committee then heard Laura Enderton Speed, J.D., for Executive Director of the State Bar. She said her priorities would be restoring public trust, improving the discipline system, addressing the February 2025 bar exam problems, and strengthening fiscal stability and internal controls. Members asked about the State Bar’s structural budget deficit, the remote administration failures in the February exam, safeguards against undisclosed gifts and conflicts, and the status of audits and investigations. Supporters from the State Bar, the civil defense bar, SEIU Local 1000, and a longtime colleague testified in favor. The committee approved her appointment 5-0 to move to the full Senate. At the end of the meeting, members also approved the remaining governor’s appointments and procedural items, and the chair thanked Senator Jones for his service on the committee before adjourning the public portion.
MN

Minnesota 2025-2026 Regular Session

House Energy Finance and Policy Committee 4/1/25

Energy Finance and Policy

Transcript Highlights:
  • rate rate pairs.<00:05:05.919> Cub<00:05:06.320> has<00:05:06.479> listened<00:
  • that data centers could bring to rate that data centers could bring to rate payers<00:05:11.360>
  • <00:05:12.639> for payers uh in terms of reduced rates for payers uh in terms of reduced rates
  • Any rate design costbased reasoning.
  • important tool that can rapidly increase important tool that can rapidly increase generation<01:
Bills: HF2928, HF2912, HF2297
HI

Hawaii 2025 Regular Session

EEP Public Hearing - Tue Feb 4, 2025 @ 9:00 AM HST

Energy & Environmental Protection

Transcript Highlights:
  • one of those is that we need to increase one of those is that we need to increase our<00:08:14.280
  • It also has a tax increase.
  • the revenue by if we if we increase the revenue by increasing<00:25:18.640> tat<00:25:19.640>
  • from governor was how can we increase from governor was how can we increase this<00:29:53.600>
  • It's not market rate.
Keywords: 910, house, all
Summary: The committee heard testimony on House Bill 1077, a governor’s administration bill to increase transient accommodations tax revenue and split it between two new special funds: a climate mitigation and resiliency special fund and an economic development and revitalization special fund for tourism/resort areas. Supporters, including the Governor’s Office, recovery and resilience staff, climate and conservation groups, and several state agencies, said the bill would create a dedicated, more reliable funding stream for wildfire mitigation, coastal resilience, land clearing, infrastructure, and community-led projects. Some supporters also urged changes to the bill, including moving the fund to DLNR, adding DHHL and OHA representation, clarifying community grants, and ensuring the fund can support both state-led and community-led resilience work. The Attorney General’s office flagged a drafting issue, noting that the bill references fees deposited into the new fund even though the new chapter does not authorize fee collection, and recommended deleting that language or adding fee authority. The Climate Advisory Team representative also suggested adding DHHL to the decision-making body and requiring at-large members to have climate, resilience, conservation, or infrastructure expertise. The Tax Foundation of Hawaii and the Kohala Coast Resort Association opposed the measure, arguing that the special fund structure does not meet statutory criteria, that the bill functions as a tax increase, and that the transient accommodations tax is not being collected equitably across all lodging types before any increase is imposed. Other opponents, including tourism and lodging interests, warned that hotels and timeshares already bear most of the tax burden and that raising the TAT could hurt an already struggling visitor industry and drive tourists away. Supporters countered that current funding is far short of what is needed and that a dedicated revenue stream is necessary to address climate impacts now. Committee members questioned why the Legislature should cede spending decisions to a separate executive-branch process, and the administration responded that the bill is intended to create a transparent, recurring mechanism for funding priorities that can be adjusted over time. No vote or final action was taken in the portion of the hearing provided.
MN

Minnesota 2025 1st Special Session

Committee on Housing and Homelessness Prevention - 01/28/25

Housing and Homelessness Prevention

Transcript Highlights:
  • In the case of apartments, labor costs, supply costs, and interest rates have all increased, which adds
  • costs and interest rates have all increased<00:15:48.880> which<00:15:49.079> adds<00:
  • <00:19:36.480> densities narrowed lot sizes increased densities narrowed lot sizes increased
  • $1,500 a month $ 1583 it's an increase $1,500 a month $ 1583 it's an increase of<00:41:35.880>
  • :18.440> would us have hoped that interest rates would us have hoped that interest rates would
Keywords: 1187, senate, all
Summary: The committee on Housing and Homelessness Prevention heard informational presentations from Housing First Minnesota and the Coalition of Greater Minnesota Cities on the state of housing in Minnesota. Mark Foster of Housing First Minnesota said the state has a severe housing shortage, with demand outpacing supply since the 2007-09 housing crash, and argued that Minnesota is nearly 100,000 units short of a healthy market. He said new homes are increasingly unaffordable, citing a median new single-family price above $530,000 and declining affordability in the Twin Cities metro, and he urged lawmakers to remove exclusionary zoning and other regulatory barriers that he said make starter homes and smaller-lot housing difficult or illegal to build in many growing cities. He also highlighted the group’s Housing for Heroes projects, including transitional housing for veterans and other crisis housing projects around the state. Members asked Foster about starter-home examples and his view that the committee’s top priority should be reforming residential development approvals. He said most new housing is negotiated through planned unit developments rather than built under base zoning, which he argued adds cost and reduces supply. The committee then heard from Elizabeth Wael of the Coalition of Greater Minnesota Cities, who said housing challenges outside the metro are different but equally serious. She said many Greater Minnesota cities face a lack of developers, inadequate infrastructure such as roads and utilities, and gaps in the housing continuum, especially starter workforce housing and senior housing. She thanked the committee for 2023 housing funding and said cities are contributing their own resources, updating zoning, reducing parking requirements, allowing ADUs, and partnering with developers and nonprofits. Wael also urged faster rollout of the Greater Minnesota infrastructure grant program and said the state should consider changes to the housing tax credit and housing TIF rules to make them easier to use. In response, senators said they shared frustration with the slow implementation of the infrastructure program and emphasized the need for state investment and locally tailored zoning reforms. No bills were heard and no votes were taken; the meeting was informational and focused on stakeholder testimony and committee discussion.
MN

Minnesota 2025-2026 Regular Session

House Taxes Committee 3/17/26

Taxes

Transcript Highlights:
  • interest rate of 6%. interest rate of 6%.
  • <00:10:58.959> on rate in excess of the interest rate on rate in excess of the interest rate
  • Mhm. was 1% above the bond rate. Mhm.
  • <00:31:24.240> are impact health insurance increases are impact health insurance increases
  • See an actual pay increase.
TX
Transcript Highlights:
  • The operating part of the tax rate could go beyond that, but the debt part of the tax rate has to go
  • There are MUDs who have tried to establish rates with different rate classes to try to have... ...with
  • Okay, and where's the resistance on being able to then increase the water, sewer rate to those that are
  • authority on water rates.
  • We set our tax rates in September. Right now, my district's tax rate is at $48 per $100 values.
Summary: The committee heard testimony first from the Texas General Land Office and School Land Board. GLO officials described the agency’s role in managing more than 13 million acres of state lands and mineral interests for the Permanent School Fund, overseeing the Alamo, coastal programs, veterans’ services, and federal disaster recovery. They said the agency has generated about $6 billion for the Permanent School Fund since Commissioner Buckingham took office, and that its disaster recovery portfolio is about $14 billion across multiple events, with more than 22,000 housing units rebuilt or reconstructed since Hurricane Harvey. Members asked about land purchases such as Brewster Ranch, rare earth mineral leasing, SpaceX-related beach access, and whether the lands are public access lands; GLO staff said the holdings are managed to maximize revenue for education, that most land is leased rather than open to public access, and that they are coordinating on coastal access and compliance. On the School Land Board, members sought clarification on the difference between GLO-managed lands and the Permanent School Fund Corporation’s investment role, and staff explained that GLO generates the revenue while the separate corporation invests it. No votes or formal actions were taken. The Board for Lease of University Lands then testified. University Lands officials explained that they steward 2.1 million acres of surface and mineral interests in West Texas for the Permanent University Fund, which supports UT and Texas A&M institutions. They said a 2025 lease sale produced about $50 million in bonus revenue from 28,000 acres, and described the Board for Lease’s role in approving lease forms, lease sales, and development agreements. Members asked about the size and use of the PUF, how distributions work through UTIMCO, whether PUF money can be used for athletics, and how the land is managed; the witness said the fund is a constitutional endowment, the land is largely leased rather than sold, and distributions are generally used for buildings, labs, and other permanent structures, with some institutions also using a portion for operations. No votes or formal actions were taken. The committee then took up municipal utility districts. Testimony from a law firm, the Texas Municipal League, Fort Bend County Commissioner Vincent Morales, and Johnson Development largely supported MUDs as a financing tool for infrastructure tied to growth. Witnesses said MUDs help fund water, sewer, drainage, roads, parks, and related infrastructure, allowing development to proceed without shifting costs to existing taxpayers and helping keep housing affordable. They emphasized that MUDs are created with disclosure to homebuyers, are subject to the Open Meetings Act and Public Information Act, and are overseen by TCEQ for bond issuance and related financial stress tests. Members questioned whether MUDs are taxing entities, whether they can be created inside city limits or ETJs, how much control cities and counties retain, and whether MUDs are becoming permanent local governments; witnesses acknowledged they levy taxes and debt, can exist within city limits with city consent, and often function as long-term local entities. The committee did not take any formal action during the hearing.
FL
Transcript Highlights:
  • BUT THEY ARE ON THE INCREASE.
  • THAT'S AN 85 PERCENT FAILURE RATE.
  • ABOUT THE MEDICAL SCHOOL PASSAGE RATE, NO.
  • THE RN PASS RATES FOR THE PRIVATE SCHOOLS HAVE INCREASED OVER 30 PERCENT.
  • IF YOU LOOK AT THE PUBLIC SCHOOLS WHEN THEY WERE STARTED WITH AN 85 PERCENT PASSAGE RATE, IF THEY INCREASED
Keywords: 999, senate, all
NH

New Hampshire 2025 Regular Session

House Finance (03/12/2025)

Transcript Highlights:
  • We are calling for an increase in Medicaid rates that's sustainable and ongoing because, as you know,
  • > Medicaid<00:37:53.200> rates<00:37:54.000> that's increase in Medicaid rates that's
  • <01:14:36.600> increases<01:14:37.120> last Providers including rate increases last
  • :14:38.960> rate<01:14:39.199> increases<01:14:39.840> have budget cycle the rate
  • increases have budget cycle the rate increases have been<01:14:40.159> beneficial<01:14:40.600
Keywords: 928, house, all
Summary: The House Finance Committee opened a public hearing on House Bills 1 and 2, which concern the governor’s proposed FY 2026-2027 budget. The chair explained that the committee must fit the budget to House Ways and Means revenue, which is about $800 million below the governor’s estimate in an almost $16 billion budget. He also noted a projected current-budget overspend, the impact of recently passed legislation, possible fee updates, no new tax proposals at that time, and the importance of federal funding and Medicaid stability. Testimony was limited to three minutes, with the chair asking speakers to avoid duplication. Much of the testimony focused on Medicaid, disability services, and home- and community-based care. Speakers urged the committee to restore or protect funding for transportation, Medicaid, day programs, in-home supports, and behavioral health services. Several individuals and providers described how cuts would affect people with disabilities, medically fragile children, and families who rely on services to remain employed and avoid institutional care. A home care provider argued that a proposed 3% Medicaid cut would increase hospitalizations and costs, while a behavioral health representative asked for sustainable Medicaid rates, uncompensated care support, housing resources, and continued funding for community behavioral health clinics. Another major topic was the Group II retirement provisions in HB 2 for public safety workers. Representatives from police, fire, corrections, probation/parole, and related associations testified in support, saying prior pension changes hurt recruitment and retention, pushed experienced workers to neighboring states, and should be reversed to restore promised benefits. They argued the provisions would help keep public safety careers viable and honor commitments made to first responders. An executive counselor also warned that when the state shifts costs away from itself, local property taxpayers bear the burden, and she opposed cost shifts such as Medicaid premiums and universal vouchers. A separate speaker urged funding public schools rather than universal vouchers, arguing vouchers can leave other students behind as resources are diverted.
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 02/19/26

Health and Human Services

Transcript Highlights:
  • The expiration of the enhanced premium tax credits paired with an average base rate increase in Minnesota
  • The expiration of the enhanced premium tax credits paired with an average base rate increase in Minnesota
  • They qualify for tax credits, but the combination of base rate increases and tax credit changes resulted
  • <01:13:43.760> increases<01:13:44.280> and combination of base rate increases and combination
  • of base rate increases and tax<01:13:44.680> credit<01:13:44.960> changes<01:13:45.440
Keywords: 1187, senate, all
NH
Transcript Highlights:
  • We know when people don't have enough leave, those rates decrease, which increases health conditions
  • It's going to increase the rates of breastfeeding and therefore actually save money in the long run by
  • We know when people don't have enough leave, those rates decrease, which increases health conditions
  • for having a larger pool doesn't overwhelmingly increase the premium rates.
  • Annual increases for this rating model are only subject to the general cost of providing the plan.
Keywords: 928, house, all
Summary: The committee first heard testimony on House Bill 437, which would change New Hampshire law on undischarged mortgages by creating a shorter period after which certain old mortgages would be treated as unenforceable. Prime sponsor Representative Bill Boyd said the bill was developed with input from bankers, lawyers, realtors, the Attorney General’s office, and the Banking Department, and he noted a drafting correction needed on line 18. He explained that the proposal would replace current law with a new framework modeled partly on Massachusetts, including a five-year expiration after a stated maturity date and a 35-year period for mortgages without an expiration date. Supporters said the bill would help clear obsolete title defects, reduce costly quiet-title litigation, and make real estate transactions easier for consumers, attorneys, and conveyancers. Representative Mary Hakken-Phillips, Susan Cole of the New Hampshire Association of Realtors, and Michelle Coffin all testified in support, describing the bill as a consumer protection measure. They said undischarged or improperly discharged mortgages often surface during title searches, causing delays, legal expenses, and failed or delayed closings. Coffin and Hakken-Phillips emphasized that many of these cases involve old, effectively obsolete mortgages and that the current process often requires expensive court action even when no one contests the title. Cole described a recent transaction in which a title defect caused a buyer to walk away and later restart the financing process, creating costs for both buyer and seller. A committee member asked about notice to mortgage holders; the response was that the lender bears responsibility for recording and extending the mortgage, and that due process rights would remain if a lender later contested the discharge. Ryan Hill of the New Hampshire Bankers Association said the banking industry had reviewed the bill and was generally comfortable with it, while requesting a delayed effective date so members would have time to adjust their recording practices. He said the bill’s January 1, 2028 effective date reflected that request. After closing the hearing on HB 437, the committee opened a hearing on House Bill 721, the Gold and Silver Legal Tender Act. Representative Juliet Harvey-Bolia introduced it as a bipartisan economic justice bill intended to recognize gold and silver as legal tender, protect against inflation, and address concerns about trust, taxes, and government taking. She argued that gold is a stable store of value and discussed tax treatment in neighboring states, federal history, and digital gold platforms. The hearing on HB 721 was still in progress when the transcript ended, with the chair limiting questions because of time.
AR
Transcript Highlights:
  • Should we look at poverty rate requirements and expanding it and open up... ...reimbursement rates.
  • So we actually have more providers now with the new rates than we did under the old rates.
  • That has impacted our reimbursement rates in this grant and will also reimpact reimbursement rates in
  • The rate change was their reason for closing.
  • The rate change was their reason for closing.
Summary: The committee met to review early childhood education funding, access, and program sustainability, with Secretary Aleva and Director Ashland Abney providing updates on Arkansas’s ABC state-funded preschool program and the federal CCDF/SRA program. Members discussed the long-standing flat funding for ABC, which rose from $11 million to $14 million in 2018, compared with roughly $137 million in federal CCDF/SRA funding. Officials said ABC serves about 23,000 children, while SRA serves about 14,871 children and has a wait list of about 2,971 children. Members also asked for more data on rural versus urban access, provider types, and the number of slots and providers by region. A major topic was how to improve quality and access while aligning early childhood with K-12. Officials said the department is moving from the Better Beginnings environmental rating system toward CLASS observations, using local leads and a kindergarten-readiness strategy tied to quality improvement. Members raised concerns about deserts and islands in service availability, the cost of school-based versus community-based providers, and the need to support infant-toddler care as well as preschool. The commissioner said early learning should be part of long-term state education investment, but that simply adding money would not solve access gaps without broader structural changes. The committee also discussed recent funding changes and their effects on providers and families. Officials said a $14.741 million PDG-BFV competitive grant will support systems-building work, including local leads, workforce, data systems, and third-party CLASS observations, but it is a one-year grant and not direct service funding. Members questioned the impact of new co-pays, provider closures, and slot reallocations; officials said eight closures were tied specifically to funding changes, and that paying only for enrolled children rather than allocated slots saved about $576,000. They also discussed dual enrollment in home visiting and ABC, with officials estimating that limiting double enrollment could save about $2.4 million and potentially serve about 470 more children. The meeting ended with agreement to continue regular updates and further discussion, and the committee adjourned without a vote on legislation.