Video & Transcript Research : 'rate deviations'
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NM
New Mexico 2025 Regular Session
IC - Science, Technology and Telecommunications Aug 25th, 2025
Science, Technology & Telecommunications Committee
Transcript Highlights:
- It explains how to use long-distance rates to support local rates, how business rates can support residential
- rates, and how higher rates for urban populations can support... for rural rates in rural areas for
- That's a participation rate of about 1.5 percent. rate of about 17 percent.
- So you can see rates for.
- E-Rate does continue.
CA
California 2025-2026 Regular Session
Assembly Banking and Finance Committee Apr 21st, 2025
Transcript Highlights:
- compete with each other on fee rates.
- Visa and MasterCard set fee rates.
- fee rate and allow a much higher fee rate to be charged than the actual cost of processing the transactions
- They got a much higher fee rate.
- It wasn't more..." make a much higher fee rate and allow a much higher fee rate to be charged than the
Summary:
The Assembly Banking and Finance Committee heard several bills, beginning with AB 407, which would expand the California Pollution Control Financing Authority. The author said the measure would increase flexibility and access to resources, and the bill was approved 7-0 and sent to the Committee on Local Government. The committee also adopted the consent calendar, which included AB 76, by a 7-0 vote.
A lengthy portion of the meeting focused on AB 1065, which would prohibit swipe fees on the sales tax portion of credit card transactions. Supporters, including small business owners, restaurant and grocery representatives, and a payments-policy expert, argued the bill would reduce costs for merchants and consumers and rein in dominant card networks. Opponents, including banks, credit unions, and payment industry groups, argued the bill is likely preempted by federal law, would be difficult to implement, and could disproportionately affect community banks and credit unions. After extensive questioning about preemption, fraud, implementation, and consumer impacts, the committee rejected the bill on a 6-0 vote, but then granted reconsideration by a 7-1 vote.
The committee then heard AB 1365, which would create the Cal Account Program, a zero-fee, zero-penalty state banking account for unbanked and underbanked Californians. Supporters said the program would help low-income households, survivors of abuse, and others facing barriers to traditional banking, while opponents from community banks and credit unions argued existing low-cost accounts and the Bank On program already address the need and raised concerns about cost, feasibility, and duplication. The bill advanced on a 6-0 vote and later received enough votes on the reopened roll to move forward to the Committee on Labor and Employment.
The committee also approved AB 1052, which would create a legal framework for digital assets and address unclaimed digital property and restrictions on public officials issuing or promoting digital assets, and AB 1180, which would create a pilot program for paying state fees with digital financial assets and require a report on broader adoption. Both bills passed with broad support after brief testimony and discussion. Final roll calls later confirmed AB 1052 and AB 1180, along with AB 407 and AB 1365, were moved out of committee.
US
US Federal 2025-2026 Regular Session
Hearings to examine the nomination of Michael Faulkender, of Maryland, to be Deputy Secretary of the Treasury. Mar 6th, 2025 at 09:00 am
Finance Committee
Transcript Highlights:
- that we're paying on government debt those are the rates that are the base rate when you set mortgage
- rates and when you set other consumer credit rates.
- It's the pass-on rate to consumer credit rates that are a much more significant impact on family budgets
- , a car note rate?
- rates continue to rise.
Keywords:
nomination, Deputy Secretary of Treasury, economic policy, inflation, tariffs, tribal nations, government relations
Summary:
The meeting convened to consider the nomination of Mike Falkender for the position of Deputy Secretary of the Treasury. During the session, multiple members voiced concerns regarding current economic policies under the Trump administration, particularly around inflation, tariffs, and the impact on small businesses. Discussions frequently centered on the administration's approach to tariffs and taxation, and how these factors contribute to the rising cost of living and potential job losses. Additionally, the importance of bolstering government-to-government relationships with tribal nations was emphasized, highlighting the need for specialized offices focused on tribal affairs within the Treasury Department.
MA
Massachusetts 2025-2026 Regular Session
Future of Payments and Sales Transactions by Credit Card and the Impacts for Small Businesses Jun 21st, 2026 at 11:00 am
Transcript Highlights:
- Returning profit to members through lower loan rates, higher savings rates, and improved financial services
- we're paying in increased rates.
- we're paying in increased rates.
- favorable rate possible.
- Federally, they'll have to deal with the interchange rates issue.
Summary:
The commission met for its second hearing to study the future of credit card payments and sales transactions and their impacts on small businesses. Members heard extensive testimony from credit unions, retailers, restaurants, and payment-industry representatives on interchange fees, processing fees, fraud, chargebacks, rewards programs, and the ability of businesses to pass fees on to customers. Several witnesses argued that swipe fees have risen sharply, are especially burdensome for restaurants and other small businesses, and are charged on taxes and tips that are merely pass-through amounts. They urged state action to prohibit fees on tax and tip portions, improve transparency, and allow surcharging or convenience fees, while opponents warned that state regulation could reduce fraud protections, increase compliance costs, and threaten consumer rewards programs.
Business owners and trade groups described thin margins, rising costs, and the difficulty of understanding merchant statements or negotiating with processors. Restaurant witnesses said card-not-present and online transactions create the greatest fraud and chargeback risk, with money often removed immediately from merchants’ accounts and disputes rarely resolved in their favor. Retail witnesses gave examples of rising effective rates, higher fees on rewards cards, and the burden of processing fees on low-value transactions. A representative from the Massachusetts Restaurant Association and others said restaurants are effectively paying fees on meals tax and gratuities, which they argued should not be subject to interchange charges.
On the other side, the Cooperative Credit Union Association said interchange revenue helps credit unions fund fraud prevention, rapid card replacement, and member protections, and warned that state limits on interchange could weaken those safeguards and lead to higher consumer costs or reduced services. Airlines for America testified that airline credit card rewards are popular, support travel and jobs in Massachusetts, and could be harmed by interchange reform. The National Restaurant Association and a payments-policy attorney countered that interchange fees are set by card networks rather than competitive markets, that banks remain highly profitable even with rewards, and that states can act after recent court decisions. No votes were taken; the hearing consisted of testimony and questions from commissioners.
MN
Minnesota 2025-2026 Regular Session
Committee on Jobs and Economic Development - 03/04/26
Jobs and Economic Development
Transcript Highlights:
- And that's a rate between 0% and 8.9%. That's a rate between 0% and 8.9%.
- the experience rating.
- the experience rating.
- The seasonally adjusted rate flattens the rate significantly.
- rate flattens the rate significantly. rate flattens the rate significantly.
NH
New Hampshire 2026 Regular Session
House Science, Technology and Energy (02/02/2026)
Science, Technology and Energy
Transcript Highlights:
- , to rate litiga uh rate case litigation, to rate litiga uh rate case litigation, which<00:07:16.800
- <00:07:20.880>
requests <00:07:21.599>rate utility request rate requests rate utility - rate structures and the other on uh rate rate structures and the other on uh rate design<00:14:18.240
- We agree rate cases recent rate case.
- It does say in rates, but >> Yes, in rates.
NM
Transcript Highlights:
- That is to support rates that are actuarially sound.
- The first one is around provider rate increases.
- on the SNAP error rate and how we need to quickly fix that.
- But what is your goal then for our error rate?
- We know many of the drivers for the payment error rate.
WA
Washington 2025-2026 Regular Session
Senate Health & Long-Term Care Dec 4th, 2025
Transcript Highlights:
- Home care rates, Just one example here, home care rates in particular are, you know, run and developed
- through the Consumer Direct rate-setting board.
- The Consumer Direct rate is a straight labor and administration.
- The Consumer Direct rate is a straight labor and administrative rate.
- best rating because then the consumer will choose the one that's got the best rating because, again,
Summary:
The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only.
The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit.
The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance Apr 29th, 2026
Transcript Highlights:
- does not exceed the Tier 1 rate.
- However, we recommend going further and fully fixing the Tier 2 rate at $1,579, the rate it has been
- They asked why one rate versus the other, noting that a Tier 1 rate of about $2,900—close to $3,000,
- And based on just, you know, the tier one rate, we think that like the current rate is sufficient, but
- At that point, in the beginning of the school year, there's a rate, then they know what the rate would
Summary:
The committee heard testimony on three education budget items: the Expanded Learning Opportunities Program (ELOP), differentiated assistance/statewide system of support, and universal school meals plus kitchen infrastructure grants. For ELOP, the Department of Finance described the Governor’s proposal to provide $4.7 billion ongoing Proposition 98 funding and $62.4 million to set a minimum Tier 2 rate of $1,800 per pupil. The LAO recommended instead fixing the Tier 2 rate at $1,579, and committee members questioned how the rate was determined, how much funding is actually spent, and whether overlapping funding from ELOP, ACEs, and 21st Century programs is being tracked. CDE said ELOP is showing positive attendance and math outcomes, but some requested data will not be available until mid-2027; members also raised concerns about double-funding, transparency, and whether middle and high school students are being equitably served.
On differentiated assistance, CCEE outlined the statewide system of support and the various tiers of universal, targeted, supplemental, and intensive assistance. Finance explained the Governor’s proposal to replace the current DA structure with a more stable universal and targeted assistance model, funded at $131.9 million ongoing, with a three-year support cycle aligned to LCAP and ESSA timelines and broader State Board authority to revise eligibility criteria. The LAO objected to considering the proposal before the State Board finalizes the new performance criteria, and committee members expressed concern that moving to a three-year cycle could delay support for LEAs that newly fall into need mid-cycle. There was also discussion about whether the proposal would weaken subgroup-based equity guardrails or give the State Board too much discretion over who qualifies for support.
For school meals and kitchen infrastructure, Finance proposed $1.8 billion ongoing for universal meals and an additional $100 million ongoing plus $100 million one-time for a fourth round of kitchen infrastructure and training grants. The LAO recommended rejecting the new kitchen grant round because prior rounds are still being spent and the unmet need is not yet clear. CDE said prior investments have improved meal participation, efficiency, and menu variety, but many schools still lack the facilities for scratch cooking and face construction, electrical, and procurement barriers. Members asked for more data on how prior grants were used, which schools are benefiting, and whether funds could also support lower-cost food access strategies such as pantries, while noting federal restrictions on some meal-service innovations.
CA
Transcript Highlights:
- filed escrow rates.
- It also creates confusion for consumers trying to understand rate information.
- It also creates confusion for consumers trying to understand rate information.
- So the rating for those under the traditional rating factors stays the same.
- Your rate stays the same.
NH
Transcript Highlights:
- rate dropped as far as $3. rate dropped as far as $3.
- um real estate tax rate in the state. um real estate tax rate in the state.
- the rates are set in November. the rates are set in November.
- or municipal rate.
- to a rate and then um then add cola. to a rate and then um then add cola.
TX
Transcript Highlights:
- The change rate is higher on the human-scored items than the machine-scored items, but the change rate
- problems during COVID with regard to their rating?
- Tim, explain to me, isn't a rating a rating of a school? Yes, it is the rating of how the...
- That's what the rating of the school is for.
- It's going to get a low rating, right? That's correct.
Bills:
HB8
Keywords:
HB 8, Texas public school accountability, school accountability, public school transparency, STAAR, state assessments, instructionally supportive assessment program, Student Success Tool, Texas Education Agency, TEA, accountability ratings, A-F ratings, through-year assessment, benchmark testing, norm-referenced assessment, college career military readiness, CCMR, local accountability plan, school district performance, campus turnaround
TX
Transcript Highlights:
- The interest rates in Chapter 342.
- Those online loans, unregulated, cost Texans more and have a lower success rate. rate.
- increase to the federal funds rate with a cap of 5%.
- . rates.
- mirrors the formula for labor rates.
Bills:
SB 1113, SB 1117, SB 1206, SB 1460, SB 1802, SB 1906, SB 1917, SB 2340, SB 2455, SB 2680, SB 2690, SB 705, SB 748
Keywords:
SB 1113, converter's license, converter license, motor vehicle dealer, auto dealer, vehicle conversion, converted vehicles, direct sales, retail sales, trailer, semitrailer, manufactured trailer, chassis, manufacturer's statement of origin, MSO, Occupations Code, Transportation Code, Texas Department of Motor Vehicles, dealer licensing, general distinguishing number
Summary:
The meeting of the Senate Business and Commerce Committee was marked by discussions on several significant bills, with a keen emphasis on legislative updates and committee substitutes. Notably, Senator Blanco presented a new committee substitute for SB2610, which modifies the employee cap from 100 to 250 and extends the update timeline for cyber security programs for small businesses. This substitute was adopted unanimously, reflecting a collaborative agreement among the committee members. Additionally, there were discussions surrounding SB1856 as Senator Crayton provided insights into how stakeholder feedback influenced the bill's committee substitute. The committee ultimately voted in favor, pushing it towards the local and contested calendar, indicating the bill's progression through legislative channels.
TX
Transcript Highlights:
- to the product of the population growth rate and the inflation rate.
- Whether it's the no new revenue rate, the voter approval rate, or the natural disaster rates, we have
- rate, and in that instance, what doesn't the county do.
- of that is the debt portion of the rate.
- the rates have definitely come down.
Bills:
HB386, HB1449, HB1701, HB2142, HB2675, HB2857, HB3063, HB3171, HB3641, HB3732, HB4045, HB4370, HB4491, HB4505, HB4626, HB5267, HB5356
Keywords:
construction contracts, change orders, local government, budget limits, Texas legislation, HB 1449, mobile food vendors, food trucks, mobile food service establishments, permits, county health permit, municipal permitting, Health and Safety Code Chapter 437A, Chapter 437, inspection agreements, permit reciprocity, fee cap, preemption, large counties, population over one million
AZ
Transcript Highlights:
- The error rate in fiscal year 2024 was below 10%.
- It's definitely possible to achieve a 3% error rate.
- You know, error rates used to be a lot lower.
- So does it... ...rates below that was pre-COVID.
- Yeah, 3% error rate is exactly what we need.
Bills:
HB2180, HB2184, HB2188, HB2194, HB2206, HB2321, HB2322, HB2438, HB2442, HB2448, HB2727, HB2797
Keywords:
appropriation, funding, University of Arizona, education, state budget, fetal death, funeral homes, informed consent, abortion, women's rights, medical assistance, emotional support, language acquisition, early intervention, hearing impairment, grant program, deaf education, health care, insurance claims, prior authorization
Summary:
The Committee on Health and Human Services opened with remarks about shortening meeting times and then heard a JLBC presentation on the effects of H.R. 1 on SNAP. JLBC staff explained that H.R. 1 expands SNAP work requirements, raises the state share of SNAP administrative costs from 50% to 75% beginning in FY 2027, and could require Arizona to pay a share of benefits if its SNAP error rate exceeds 6%. JLBC estimated the administrative cost increase at about $33 million in FY 2027 and $44 million in FY 2028, and said a 2024 error rate of 8.8% could trigger about $139 million in state benefit costs under the new federal formula.
The committee then considered HB 2797, which requires DES to regularly review data from other agencies to verify SNAP eligibility, post fraud and noncompliance data, and address out-of-state EBT purchases. Supporters said it would improve program integrity and help Arizona avoid federal cost-sharing penalties; the bill passed 7-5. The committee next heard HB 2180, which appropriates $2.5 million in FY 2027 to the University of Arizona for AZ REACH, a statewide hospital transfer coordination service. Supporters from rural hospitals and the health system described it as a useful, voluntary service that speeds transfers and reduces burden on physicians, while one health system representative asked for better operational coordination. The bill passed 11-1.
HB 2184, as amended, would extend fetal death certificate filing requirements to fetal deaths at or before 20 weeks if requested by the mother and require notice of the option to transfer remains to a funeral home before an abortion. Supporters, including a mortuary owner and parents who had experienced miscarriages, said it would give grieving families dignity and closure; opponents raised concerns about reproductive rights and language in the bill. The committee adopted the Bliss amendment and passed the bill 7-4-1. HB 2188, as amended, created a Language Acquisition Grant Program for services to deaf or hard-of-hearing infants and toddlers. Supporters said it would streamline funding and preserve family choice among spoken language, ASL, or both, while an opponent argued the bill should more explicitly ensure equal access to ASL and Deaf Culture services; the bill passed 12-0.
The committee also considered three more H.R. 1-related SNAP bills. HB 2442 would require able-bodied adults under 60 receiving SNAP to participate in an employment and training program unless exempt; supporters said it would connect recipients to work and training, and it passed 7-5. HB 2448 would bar DES from seeking work-requirement waivers or discretionary exemptions unless authorized by law; supporters said it would prevent broad waivers and improve employment outcomes, and it also passed 7-5. Finally, HB 2206 would require DES to reduce the SNAP payment error rate to 3% by 2030, submit annual progress reports, and face corrective action if targets are missed. Supporters said it would save taxpayer money and improve accountability, while opponents argued the target was too aggressive without more staff or funding and could strain DES; the bill was still under discussion at the end of the transcript.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Health Care Financing Jun 21st, 2026 at 01:00 pm
Joint Committee on Health Care Financing
Transcript Highlights:
- They would, on a biennial basis, review rates.
- Rates on medical care in the country.
- the same rate as Medicaid.
- Vacancy rates range from 20% to over 50%, while our better-funded CBHCs with higher reimbursement rates
- This bill would help stabilize our clinics, including the implemented 5% rate increase, the regular rate
Summary:
The Joint Committee on Health Care Financing held a public hearing on a large docket focused on primary care, workforce development, and medical debt. Chairs Cindy Friedman and John Lawn outlined hearing procedures and noted that testimony would be taken on 17 matters. The committee first heard testimony on bills to establish a community health center nurse practitioner residency program and to strengthen mental health centers. Senator Keenan, Rep. Keefe, and health center leaders described the Worcester nurse practitioner residency as a successful pipeline and retention strategy, citing workforce shortages, training needs in community health centers, and the cost of the program. Rep. O’Day also supported the mental health centers bill, saying it would raise payment rates, improve reimbursement for behavioral health services, and help clinics retain staff and expand access.
The committee then took testimony on bills to address medical debt through hospital financial assistance reform. The Attorney General’s Office, Health Care for All, Health Law Advocates, the Leukemia and Lymphoma Society, and individual patients supported the measure, arguing that hospital financial assistance policies are inconsistent, hard to find, and difficult to navigate. Witnesses said the bill would standardize eligibility criteria, create a uniform application, improve notice requirements, and expand access to discounted care up to 400% of the federal poverty level. Several personal stories described medical bills being sent to collections, confusion over insurance billing, and the burden of debt on low-income and chronically ill patients. Committee members asked about hospital concerns, the role of the health safety net, and whether the bill addressed root causes of medical debt; testimony emphasized that the proposal was meant to improve transparency and access rather than replace broader insurance reforms.
The hearing also focused heavily on “Primary Care for You” legislation, H. 1370 and S. 867, which would increase primary care investment and create a new payment model. Rep. Haggerty, physicians, a patient, community health center leaders, and the Massachusetts League of Community Health Centers described a primary care crisis marked by low reimbursement, staffing shortages, long waits, burnout, and difficulty recruiting clinicians. Supporters said the bills would shift spending toward preventive, team-based care, improve access and equity, and reduce long-term costs. The Massachusetts Association of Health Plans said it was directionally supportive of increased primary care investment but warned that any new spending must stay within the cost growth benchmark and preserve existing contracting structures. The hearing ended with additional testimony on a community health center workforce and loan repayment grant bill from Rep. Stanley, and with further discussion from Dr. Alan Garo about the need for payment reform in primary care.
NH
New Hampshire 2025 Regular Session
Senate Health and Human Services (02/05/2025)
Health and Human Services
Transcript Highlights:
- put in here for those Medicaid rate put in here for those Medicaid rate increases<01:22:05.320><
- commissioner the ability to Target rate commissioner the ability to Target rate increases<01:22:
- <02:14:29.000>
um rate or close to that Medicare rate um rate or close to that Medicare rate - You know, you brought up the fact that Medicaid rates are 45% less than the Medicare rate.
- Do you know what the rate is, if there's an average rate for NICU stay, daily rate?
WA
Washington 2025-2026 Regular Session
Senate Health & Long-Term Care Jul 22nd, 2025
Transcript Highlights:
- And so that's going to take an immediate hit to our uninsured rate.
- It requires states to publicly report rate comparisons, and it launches a Medicaid and CHIP quality rating
- The good news is our PERM rate, we call it, is less than 1%.
- And just to make a point, the nationwide error rate was 3.31%.
- And just to make a point, the nationwide error rate was 3.31%. The nationwide error rate was 3.31%.
Summary:
The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed.
The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license.
The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.
NM
New Mexico 2025 Regular Session
IC - Legislative Education Study Jun 25th, 2025
Transcript Highlights:
- So at the beginning you talked about absenteeism graduation rates.
- Um, so Superintendent, what is your vacancy rate?
- Our, our vacancy rate right now is down.
- So I'm gonna start by talking about For your graduation rates.
- graduation rate for next year, mathematically, It's impossible for me to reach a rate of 85%, which
MN
Minnesota 2025 1st Special Session
House Energy Finance and Policy Committee 2/11/25 - Part 1
Energy Finance and Policy
Transcript Highlights:
- payers in the medium term low rates rate payers in the medium term low rates help<00:15:17.000>
attract - end up increasing residential energy rates in order to reduce rates for other classes of customers as
- use every excuse to jack up our rates use every excuse to jack up our rates whenever<00:53:42.200
- How do we decarbonize and keep rates low?
- How do we decarbonize and keep rates low?