Video & Transcript Research : 'licensing fees'
Page 90 of 500
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 04/08/26
Health and Human Services
Transcript Highlights:
- <00:05:06.240>
board may result in licensing board may result in licensing board discipline - experienced that harm from licensed experienced that harm from licensed therapists<00:40:53.240>
- Um these methodologies often include dispensing fees that are often include dispensing fees that are
- Um these methodologies often include dispensing fees that are often include dispensing fees that are
- uh defined dispensing fee. uh defined dispensing fee.
WV
West Virginia 2026 Regular Session
WV Senate Transportation and Infrastructure Committee Mar 11th, 2026 at 09:00 am
Transcript Highlights:
- licenses and otherwise provides for rulemaking.
- licenses in West Virginia must be recognized abroad.
- licenses and otherwise provides for rulemaking.
- of foreign licenses and otherwise provides for rulemaking.
- licenses in West Virginia must be recognized abroad.
Summary:
The Senate Transportation and Infrastructure Committee met, approved the March 9, 2026 minutes, and then took up the engrossed committee substitute for House Bill 4577 relating to driver's licenses. Counsel explained that the bill would authorize the Commissioner of Motor Vehicles to enter reciprocal agreements with Ireland and Japan to recognize each other’s driver’s licenses, provided the foreign licensing standards are at least as stringent as West Virginia’s. The bill also requires drivers using recognized foreign licenses to carry insurance and comply with state financial responsibility laws, clarifies that foreign license holders are not eligible to register to vote through the DMV, and allows the commissioner to set related fees and adopt rules. A strike-and-insert amendment and a title amendment were adopted.
The committee heard from DMV counsel Adam Hawley and the bill’s House sponsor, Delegate Mike Hornby. Hawley said the measure would allow citizens of the listed countries to avoid retaking written and skills tests when transferring licenses, and noted West Virginia already has similar arrangements with Taiwan, South Korea, and Germany. Hornby said the bill was intended to support economic development and trade ties, especially with Ireland, where American workers and companies face licensing hurdles; he said Ireland had requested state-level reciprocity and that Japan was added because of West Virginia’s existing trade relationship there. Several senators expressed support, describing the bill as a symbolic and practical step toward foreign investment and job creation.
After discussion, the committee voted to report the engrossed committee substitute for House Bill 4577, as amended, with a recommendation that it do pass. The title amendment was then adopted, and the committee adjourned.
KY
Kentucky 2026 Regular Session
House Standing Committee on Appropriations and Revenue (3-10-26) - Reupload
Appropriations & Revenue
Transcript Highlights:
- Covering the regulatory side first, we streamline the local regulatory license fees.
- Second, we would like to reduce the retail license fee to align with alcohol.
- versus regulatory license fee tax. versus regulatory license fee tax.
- shipper, uh you have regulatory license shipper, uh you have regulatory license fees,<01:11:39.200
- We're making sure that there is an annual license fee, and the Department of Agriculture would be required
Keywords:
An issue was found with the live stream of this meeting. This version was uploaded as a complete version and should contain the entirety of the meeting.
Meeting Start 00:00:00
Roll Call 00:00:15
HB 647 Discussion 00:02:00
HB 647 Vote 00:05:47
HB 501 Discussion 00:07:40
HB 501 Vote 00:09:53
HB 502 Discussion 00:11:20
HB 502 Vote 00:14:48
HJR 75 Discussion 00:16:53
HJR 75 Vote 00:17:35
HJR 76 Discussion 00:19:00
HJR 76 Vote 00:19:43
HB 869 Discussion 00:21:22
HB 869 Vote 00:30:00
HB 619 Discussion 00:31:39
HB 619 Vote 00:34:33
HB 356 Discussion 00:36:22
HB 356 Vote 00:40:19
HB 900 Discussion 00:43:17
HB 900 Vote 00:46:21
HB 816 Discussion 00:48:02
HB 816 Vote 00:53:47
HB 9 Discussion 00:55:05
HB 9 Vote 01:18:25
HB 757 Discussion 01:21:04
HB 757 Vote 01:35:55, 958, all
WY
Transcript Highlights:
- We collect electrical licensing fees and, uh, those related inspection fees.
- Are the fees in line? Are the fees too much?
- Are the fees in What does it look like? Are the fees in line?
- Our agency is funded 100% by permit and licensing fees, as well as legislated mandatory percentage percentages
- . license. license.
AZ
Arizona 2026 Regular Session
02/17/2026 - House Democratic Caucus Calendar #6
Transcript Highlights:
- , and the mandatory revocation of licenses.
- or non-operating license indicating the holder has a pre-hospital medical care directive.
- to operate a health care institution denied, revoked, or suspended, or a license within a health care
- county from raising a tax, fee, or utility...
- for groundwater transportation and update the fee annually to reflect inflation.
Summary:
The caucus reviewed a long calendar of House bills across education, health, water, land, housing, labor, public safety, and taxation. Several measures dealt with artificial intelligence, including bills on AI disclosures for minors, AI-assisted divorce arbitration, an Arizona AI education program, AI privilege protections, and a required AI course in schools. Other topics included ESA administration funding, a prohibition on public money for certain foreign-controlled genetic sequencing devices, towing regulations, DUI and ignition interlock changes, health facility and nursing facility complaint timelines, internationally trained physicians, nurse anesthetist reimbursement, pharmacy penalties, childhood cancer research, cybersecurity encryption, school mental health instruction repeal, superintendent performance pay, adoption disclosures in student health settings, anti-Semitism in schools, and a range of water, land, and housing bills.
Members frequently raised concerns about local control, unfunded mandates, constitutional issues, and the scope of state intervention. Several bills drew criticism for affecting school curriculum, public education, reproductive rights, protest activity, or tribal communities. Others were supported as technical fixes, consumer protections, or funding measures. The caucus also discussed a series of bills related to the Mexican gray wolf, state land management, solar and wind siting, groundwater transport, and rural development, with some members objecting that the proposals would undermine federal protections or tribal interests.
A number of bills were pulled from consent for further discussion, including HB 2020, HB 2957, HCR 2044, HB 2352, HB 2667, HB 2906, HB 2093, HB 2386, HB 2481, HB 2830, HB 2076, HB 2411, HB 2136, HB 2665, and HB 2904. The meeting ended with an announcement of the Latino Caucus guest presentation and an emotional tribute to Reverend Jesse Jackson, followed by presentation of an Affordability Award to Representatives Lorena Austin and Stephanie Simacek for work on economic justice and working families. The caucus then adjourned.
NH
Transcript Highlights:
- driveway permit there's no fee driveway permit there's no fee associated<00:19:34.200>
with - <00:19:47.600>
to they would be willing to pay a fee to they would be willing to pay a fee - the municiple portion registration fees the municiple portion registration fees to<00:35:15.800>
- <00:41:40.240>
uh state and Municipal costs and fees uh state and Municipal costs and fees - <00:41:57.520>
will <00:41:57.720>be fees will be fees will be prated<00:41:59.680>
NH
New Hampshire 2026 Regular Session
JLCAR Administrative Rules (04/17/2026)
Transcript Highlights:
- So, not just fee.
- So, not just fee.
- So, not just fee.
- So, not just fee.
- It is for fees for certificates of registration, radioactive material licenses, and other regulatory
Summary:
The committee opened with housekeeping items, approved the minutes and consent agenda, and reminded the public that JLCAR’s role is limited to determining whether agency rules are within statutory authority, not to decide policy. Testimony was to be limited, and members noted that policy concerns should be addressed through the legislature rather than the committee process.
The first major item was Public Utilities Commission rule 25-215 concerning natural gas suppliers. Staff said the proposal had been postponed because the PUC appeared to lack authority to impose fines and penalties in this rule set, especially suspending or revoking registrations, and recommended either a conditional approval removing those provisions or a preliminary objection for lack of statutory authority. PUC counsel responded that the cited authority had been incorrect, that the Department of Energy now has most registration rulemaking authority, but argued the commission still has jurisdiction over mediation and dispute resolution and may still have authority over fines because natural gas suppliers are not expressly excluded from public-utility status. Committee members discussed the split between PUC and DOE authority and the possibility that the transition in authority had not been fully cleaned up in statute.
The committee then voted to grant a waiver of the time limit and postpone the item for another month so the agencies could work with counsel and clarify which parts of the rule could proceed. Members also urged that any needed legislative fix be brought forward quickly, noting that the Senate was not taking up non-germane amendments and suggesting the House as the likely venue for a cleanup bill.
The committee next took up Department of Energy EN900 and EN1000 rules. Staff said the EN900 net-metering rules had been postponed previously and that the main remaining issue was a retroactive requirement in EN909.03(b), which the agency agreed to revise so the language would apply only on or after the 2026 effective date of the chapter. The agency described the EN900 rules as implementing net metering authority transferred from the PUC and expanding the chapter to cover municipal group net metering and low- and moderate-income community solar projects. The EN1000 interconnection rules were described as implementing 2024 legislation requiring uniform procedures for distributed energy resources. The department said both sets of rules were developed through extensive stakeholder input and asked for approval subject to the oral amendment already discussed."}】【。json
AR
Transcript Highlights:
- So there does appear to be a lot of fees and licensing and commissions, 5% commission on the toll back
- The promoters still pay the same fees for their promoter's license and for the event fee.
- Same fees for their promoter's license and for the event fee, and then the participants all pay a similar
- So we're just charging a participant licensing fee for anybody that might serve as a cornerman, a referee
- Participant licensing fee for anybody that might serve as a cornerman, a referee, announcer, a wrestler
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Apr 20th, 2026
Transcript Highlights:
- The proposal specifies that plans licensed by the DMHC, health insurers licensed by the Department of
- health plan or California Department of Insurance-licensed insurer.
- AB 116 required the department to license PBMs, and those licensed PBMs to submit quarterly financial
- to be taxed. or California Department of Insurance License Insurer.
- AB116 required the department to license PBMs and those licensed PBMs to submit quarterly financial statements
US
US Federal 2025-2026 Regular Session
Hearings to examine managing risk for the long-term in the 7(a) loan program, focusing on hearing from lenders. Feb 26th, 2025 at 01:30 pm
Small Business and Entrepreneurship Committee
Transcript Highlights:
- Fees meant to protect the taxpayer from having to subsidize. bad loans.
- After completing the necessary hours and passing the licensing exam, I obtained my license to practice
- So I think looking at borrower fees and lender fees. and reintroducing them is probably necessary.
- and the lender fee was waived up to I believe it's a million dollars No, no guarantee fee The borrower
- It's no lender fee up to $500,000.
Keywords:
SBA, 7A loan program, underwriting standards, loan defaults, Community Advantage Program, small business funding, testimony
Summary:
The committee meeting focused on discussions regarding the SBA's 7A loan program and its implementation challenges. Members raised significant concerns about recent changes to the underwriting standards, which have been criticized for leading to an increase in loan defaults. Ranking members expressed a desire for a return to stronger guidelines to protect taxpayers and ensure the program remains a viable source for small businesses struggling to secure funding. Testimonies from community lenders highlighted their efforts to support underserved communities and stressed the importance of the Community Advantage Program.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration May 20th, 2025
Transcript Highlights:
- All right, let's go ahead and begin with issue number six, the vehicle license fee backfill.
- So VLF, vehicle license fee, our favorite topic.
- How we got here: in 2004, then Governor Arnold Schwarzenegger reduced the vehicle license fee from 2%
- The vehicle license fee, our favorite topic.
- How we got here: in 2004, then Governor Arnold Schwarzenegger reduced the vehicle license fee from 2%
Summary:
The subcommittee first heard an informational presentation on the May Revision’s proposed reorganization of the Business, Consumer Services and Housing Agency into separate housing-focused and consumer/business-focused entities. Administration officials said the split would improve oversight, streamline decision-making, and create a dedicated California Housing and Homelessness Agency with a new housing development and finance committee. The Department of Finance said funding was needed in 2025-26 to begin implementation, while the LAO recommended rejecting the proposal without prejudice because the Little Hoover Commission review was still pending and the plan would require ongoing General Fund costs. Members raised concerns about the timing, the lack of alignment with the budget process, and whether the reorganization would improve accountability for homelessness spending; several public witnesses supported the concept but stressed it could not substitute for new housing and homelessness dollars.
The committee then took up the Department of Veterans Affairs. CalVet requested funding for phase three of its electronic health care record project and a trailer bill to preserve authority for federal background checks, but the May Revision withdrew requests for deferred maintenance and additional administrative support. The LAO noted deferred maintenance can prevent larger future costs, and the chair criticized the withdrawal of less than $1 million for veterans’ homes as short-sighted given existing repair needs. No vote was taken.
Next, the Department of Housing and Community Development presented its budget. HCD said the May Revision provides no new affordable housing or homelessness funding, but does retain existing rounds of funding and proposes a $31.7 million reversion from undersubscribed housing programs. Members from both parties expressed concern about zeroing out ongoing housing and homelessness investments, especially for LIHTC, the Multifamily Housing Program, and HAP. HCD also defended its homelessness accountability and compliance work, saying the unit includes about 30 program staff and six attorneys, with three additional attorneys requested mainly to handle public records and litigation workload. Public commenters largely opposed the lack of new funding and urged continued support for housing and homelessness programs, while some supported the reorganization and accountability efforts.
Finally, the committee heard Go-Biz proposals. The administration requested authority to increase funding for a federal trade program match if needed, plus reappropriations for administrative funds tied to the Containerized Ports Interoperability Grant Program, zero-emission vehicle operations, and the Women’s Business Center Enhancement Program. It also proposed withdrawing the Cal Competes grant request and reverting remaining funds from the Performing Arts Equitable Payroll Fund. The LAO said Cal Competes is generally effective but could be cut as a budget solution, while warning that the performing arts fund was close to awards and should be considered carefully. Members objected to pulling back committed funds for performing arts organizations and questioned why the state would withdraw support after applications had already been submitted.
WV
West Virginia 2026 Regular Session
WV Senate Finance Committee in Session Jan 19th, 2026 at 02:59 pm
Transcript Highlights:
- The Secretary mentioned earlier our fee inequality, specifically for service of process fees, and some
- But yes, depending on the appetite, we can do all-at-once fee raises, but all of our fees are set in
- So the fee that we pay to file for office is a real exception to the rule of your other fees?
- What's the fee I'm paying?
- Maybe fees should go down for them.
Summary:
The Senate Finance Committee met with a quorum, approved the minutes from the prior meeting, and heard budget presentations from the Secretary of State, the Attorney General, and the State Auditor. The Secretary of State’s office described its FY27 budget, emphasizing efficiency gains from technology, election security work, and business services. It said it is operating with fewer staff than a decade ago, but rising costs and outdated statutory fees are creating deficits in service of process and other operations. The office asked the committee to consider either increasing fees or allowing it to retain a larger share of business-service revenue, and it also proposed creating an Office of Entrepreneurship to help small businesses navigate state government, grants, permits, and related services.
Committee members questioned the Secretary of State’s office about fee increases, the current 50-50 split of certain revenues with general revenue, and whether the proposed entrepreneurship office would duplicate existing services. The office said it would complement, not replace, Commerce, SBDC, or grant programs, and would report metrics and policy recommendations to the legislature. The Attorney General then requested a one-time $2 million special revenue appropriation to hire additional lawyers and support staff, citing increased litigation, federal and state legal work, and the need to defend new laws. He also discussed embedded DMV lawyers handling DUI revocation hearings and said the arrangement costs the office just over $200,000.
The State Auditor reported that his office is largely self-funded through special revenue and said he wants to reduce reliance on general revenue over time. He highlighted savings from renegotiated leases and an open government contract, discussed the need for more auditors in the Chief Inspector’s Division, and described fraud recovery and P-card operations. A major topic was delinquent land sales: the auditor said the office sold about 17,000 parcels last year and believes online bidding and better marketing could generate substantially more revenue, with the surplus potentially shared among counties, the state, and other programs. Members also asked about securities fee changes, fairness hearings, fire department audits, IT/cybersecurity, and how surplus proceeds from delinquent land sales should be handled. The committee adjourned after the presentations and questions.
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Working Group 1/15/25
Minnesota House Floor Meeting
Transcript Highlights:
- One is through managed care, and the other is through fee-for-service.
- enroll through fee-for-service.
- <00:15:33.040>
for and instead enroll through fee for and instead enroll through fee for service - , and has had the preview of many of these conversations and licensing.
- <00:55:51.799>
nursing my life career as a licensed nursing my life career as a licensed nursing
Summary:
The meeting was an informational walkthrough for the Health Finance and Policy Working Group, focused on committee structure, budget basics, and major health-related accounts and programs. Staff explained the roles of House Research and House Fiscal, then reviewed key funds used by the committee, including the general fund, government special revenue fund, federal funds, the health care access fund, remediation account, and drinking water revolving fund. They also outlined the committee’s main budget areas, noting that medical assistance is the largest general fund item and that the Department of Health is a substantial agency funded by a mix of federal, general fund, and special revenue dollars.
A major portion of the presentation covered subsidized health coverage programs. Staff described Medical Assistance (Minnesota’s Medicaid program) as an entitlement for eligible Minnesotans, with no premiums or cost sharing, and explained its managed care and fee-for-service delivery systems. MinnesotaCare was presented as a separate federal-state basic health program for people who are not eligible for MA, with income limits, premiums for adults age 21 and older, and cost-sharing requirements; staff noted that federal premium tax credit changes affect MinnesotaCare premium ranges. The presentation also summarized MNsure’s role in the individual market and in determining eligibility for premium tax credits, cost-sharing reductions, MinnesotaCare, and MA.
The committee also received an overview of health-related licensing boards and occupational regulation. Staff said Minnesota has 16 health-related licensing boards, funded mainly through the state government special revenue fund and subject to legislative appropriation, and explained that health occupations may be regulated by the Department of Health, the Office of Emergency Medical Services, or the boards under chapter 214. Interstate licensure compacts were briefly noted as a way to ease practice across states. No bills were debated and no votes or formal actions were taken during the meeting.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 4 on Climate Crisis, Resources, Energy, and Transportation May 13th, 2026
Transcript Highlights:
- states, trying to get a driver's license.
- driver's license.
- The main fee, the registration fee, and the CHP fee, those are tied to inflation.
- The main fee, the registration fee, and the C.G. as they noted earlier, the main fee, the registration
- fee, and the CHP fee, those are tied to inflation.
Summary:
The committee first heard a DMV budget presentation on the state-to-state verification system required for Real ID compliance and the Digital Experience Platform (DXP) modernization project. DMV officials said the state-to-state system is a pointer-based exchange used when a person applies for a license in another state, with only limited identifying data shared initially and the full driver history sent only after a qualified request. Members raised concerns about privacy, possible misuse by other states or federal actors, notification to Californians, hacking, and whether California could detect or stop abusive access. DMV said it can monitor requests, see patterns of access, work with AAMVA and legal counsel, and seek to block or challenge misuse; LAO said California is in a difficult position and should consider guardrails rather than opt out. On DXP, DMV said the project is on its revised schedule and budget, occupational licensing is complete, vehicle registration is expected by the end of calendar year 2026, and the full system should be finished by fiscal year 2028-29, with phased rollout and reappropriated funding to keep costs controlled.
The committee then heard from the California High-Speed Rail Office of Inspector General on a trailer bill and AB 1608. The Inspector General said current law does not clearly authorize public reports or establish a framework for retaining and disclosing work papers, and the proposed trailer bill would create that framework while also adding authority to hire needed classifications and purchase goods and services. He also said the office needs a clearer statutory definition of “proposed agreements” and notice when the High-Speed Rail Authority is reviewing them, so the office can review contracts and related agreements effectively. LAO raised no concerns with the trailer bill language, and Finance said any amendments would come in the May revision.
Members debated the scope of confidentiality in the Inspector General proposal, especially whether reports could be held confidential when they identify weaknesses in fraud controls, security, or other vulnerabilities. The Inspector General said confidentiality would be temporary, tied to articulating the risk, reassessing it every 120 days, and releasing the report once the risk is no longer substantial; he also said the office had already published reports at its discretion and had found at least one procurement violation involving an amendment that added services not in the original contract. Several members pressed for stronger transparency and suggested time limits or broader disclosure, while others argued the bill would improve oversight and make the Inspector General’s authority clearer. No votes were taken during the discussion, and the item was left for further work on the trailer bill and AB 1608 language.
NM
New Mexico 2026 Regular Session
Senate - Tax, Business and Transportation Feb 17th, 2026 at 05:06 pm
Senate Tax, Business & Transportation
Transcript Highlights:
- They're getting a $5 fee.
- and gas proceeds, and pass-through entity withholding tax, and the workers' comp fee.
- until I was 18. get my driver's license until I was 18.
- proud of that driver's license.
- Madam Chair and Senator, I reviewed where other driver's license designations had gone.
MN
Minnesota 2025-2026 Regular Session
Committee on Environment, Climate and Legacy - 02/26/26
Environment, Climate, and Legacy
Transcript Highlights:
- So, but it would be the same license and not cost any more. It's just a bow license, probably.
- And we don't think paying the fee.
- We can start talking about non-resident license fees as well, um, for Minnesota, and you know, not to
- We can start talking about non-resident license fees as well, um, for Minnesota, and you know, not to
- you could probably increase the fees. you could probably increase the fees.
HI
Hawaii 2025 Regular Session
CPN-PSM, CPN-EDT, CPN Public Hearing 02-05-2025
Commerce and Consumer Protection
Transcript Highlights:
- We believe that there is an alternative: you could increase the fees for the commissary fees, but I'm
- We believe that there is an alternative: you could increase the fees for the commissary fees, but I'm
- the fees for the commissary<00:18:10.919>
fees <00:18:11.360>but <00:18:11.679>um - managing agent can be a licensed managing agent can be a licensed brokerage<01:23:22.840>
uh< - that the U managing agents be licensed that the U managing agents be licensed as<01:27:18.800>
Summary:
The committee opened by outlining testimony procedures and then heard SB 376 on tax credits, which would create a home fire safety improvement tax credit. Testimony from the Tax Foundation of Hawaiʻi urged that the concept would be better handled as a subsidy program and raised drafting concerns about unclear definitions and eligibility. Later, the committees agreed to pass SB 376 with amendments, including making the credit nonrefundable, clarifying third-party certification, deleting recapture-related language, and making technical changes.
Members then heard SB 417, which would make unlicensed contractor work during or within five years after an emergency or disaster a class B felony. The Contractors License Board was listed for comments, and the Subcontractors Association supported the measure. The committees ultimately recommended passage with technical, non-substantive amendments and an adjusted effective date, and the measure was adopted.
A substantial portion of the meeting focused on SB 782, which would require free and accessible voice communication services for incarcerated people and prohibit state agencies from profiting from those services, while also directing the PUC to set standards and providing funding for the SAVIN victim notification program. Supporters, including the Public Defender, ACLU of Hawaiʻi, Worth Rises, and others, argued the bill would reduce costs for families, improve reentry, and align adult corrections with the juvenile system. Opponents, including the Department of Corrections and Rehabilitation, the Hawaiʻi Paroling Authority, and SAVIN-related witnesses, warned that changing the funding structure could weaken victim notification and safety services. The committees deferred SB 782.
The committee also heard SB 999 on fireworks, which would repeal permissible consumer fireworks uses, impose civil penalties and forfeiture remedies, and create a forfeiture special fund for safety education. The Department of Law Enforcement and Honolulu Police Department supported the bill, while fireworks industry representatives and others opposed it, arguing prohibition would be ineffective and urging stronger enforcement and education instead. The committees deferred SB 999 for further consideration, and SB 1136 on insurance was also deferred after insurers and the Department of Commerce and Consumer Affairs opposed it. In the later joint session with the Committee on Economic Development and Tourism, SB 744 on condominium loans was heard with support from the Hawaii Green Infrastructure Authority and banking groups, while one testifier raised concerns that the program could function like C-PACE financing and add risky debt to condominium associations; testimony and discussion continued on that measure.
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (10-22-25)
Transcript Highlights:
- So, yes, for that fee schedule, the ones that are on the Medicare fee schedule are reduced by 25%.
- fee schedule. fee schedule.
- fee SC or<00:36:53.920>
Medicaid <00:36:54.320>fee <00:36:54.560>schedule. - I've<00:45:14.800>
been <00:45:14.960>licensed I've been licensed I've been licensed > - the fee schedule rate setting. the fee schedule rate setting.
Summary:
The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services.
Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access.
Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access.
The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.
ND
North Dakota 2025-2026 Regular Session
Senate Floor Session Apr 2nd, 2025 at 12:30 pm
North Dakota Senate Floor Meeting
Transcript Highlights:
- and hunting guide and outfitter licensing requirements.
- It's now 12 years since the last major license increase bill.
- consumer if we're going to be assessing this fee to the EWAs?
- That's what we heard as far as a fee.
- Updated our court fees. And we did pass this out earlier.
Summary:
The Senate convened with prayer, pledge, roll call, and a quorum present, then approved a motion to lay over House Bill 1525 for one legislative day. It also voted not to concur with House amendments on Senate Bills 2294, 2297, 2070, 4017, and 2262, appointing conference committees for each. The chamber then took up a series of House bill amendments and final-passage votes.
On amendments, the Senate adopted changes to House Bill 1229 on fleeing law enforcement and driving-record transparency after debate over insurance impacts and public safety; House Bill 1510 on teacher retention, on-site child care, and licensure study language; House Bill 1160 to restrict student personal electronic devices during instructional time; House Bill 1429 to address drone harassment and stalking of animals; House Bill 1203 to harmonize medical marijuana provisions; House Bill 1600 to create a UND immigration clinic with reporting requirements; House Bill 1130 to broaden K-12 funding formula changes and reduce state fiscal impact; House Bill 1279 to modify the coal conversion tax exemption; House Bill 1442 to adjust membership and scope of a state task force; and House Bill 1464 to convert a maternal care services proposal into a study and remove the appropriation. The Senate rejected an amendment to House Bill 1022 concerning the Retirement and Investment Office bonus program, then passed the bill. It also passed House Bill 1234 on a $90 million transfer to reduce PERS liability, while rejecting a floor amendment to it.
On final passage, the Senate passed House Bills 1008 (Public Service Commission budget), 1218 (temporary moratorium and study on economic analysis for drain projects), 1234 (PERS funding transfer), 1146 (PERS defined contribution cleanup and emergency clause), 1355 (expanded notice for administrative rulemaking), 1470 (Game and Fish fee changes and guide/outfitter updates), 1029 (Capital Grounds Planning Commission duties), 1017 (Game and Fish budget), 1374 (township supervisor open-meeting exemption for on-site inspections), and 1064 (NC-SARA membership and distance education regulation). It defeated House Bill 1583 on false political advertisements with civil-action language and House Bill 1393 on earned wage access provider regulation. The transcript ends as the Senate begins consideration of House Bill 1326 on self-defense and unlawful firearm possession by felons.
NH
New Hampshire 2025 Regular Session
Long Range Capital Planning and Utilization Committee (02/24/2025)
Transcript Highlights:
- of December 2024 done by licensed of December 2024 done by licensed certified<00:25:22.120>
General - The department will also assess an administrative fee of $100.
- <00:30:25.679>
land buyer commissioning a licensed land buyer commissioning a licensed land - <00:36:01.880>
certified <00:36:02.359>General done by a licensed certified General - <00:41:19.640>
of $9,800 plus an administrative fee of $9,800 plus an administrative fee of
Summary:
The Long Range Capital Planning and Utilization Committee met in organizational session and first elected Representative John Cluder as clerk. A nomination of Senator Mark Makoni as vice chair was made but not voted on because he was absent; it was carried over to the next meeting. The committee also reviewed its guidelines and procedures, including how it handles property-disposal requests, late items, and informational materials, and then approved the November 12, 2024 minutes with one abstention from a member who had been absent.
The committee then considered several state property and lease requests. It approved a 50-year, $1-per-year ground lease for about 5.66 acres at Berlin Regional Airport in Milan for a New Hampshire Army National Guard hangar/support facility, after hearing that the project is federally funded, intended for training and search-and-rescue support, and would have no permanent full-time staffing. The committee also approved a 30-year lease for the Department of Justice to move the chief medical examiner’s offices, morgue, and autopsy suite to 279 Pleasant Street in Concord, with testimony that the current Concord Hospital space is inadequate and that the new site would double body-storage capacity.
Several Department of Safety and Department of Transportation property items were approved as well. Safety received approval for a 10-year lease, with renewal options, for the State Police aircraft hangar at 91 Airport Road in Concord. Transportation was authorized to continue disposal efforts for remnant parcels in Concord, Conway, Lisbon, Effingham, and Mount Vernon, with testimony explaining market conditions, appraisals, access limits, and easements; members asked questions about access and buildability, but each item was approved. During the Berlin lease item, the committee was told the FAA objects to any lease longer than 50 years at that airport, so the request was revised from 55 years to 50 years on the record before approval.