Video & Transcript Research : 'reimbursement program'
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CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services May 21st, 2026
Transcript Highlights:
- program.
- program.
- programs that are ongoing programs?
- Are they limited programs? It's a mix of programming.
- or existing programs.
Summary:
The subcommittee first heard May Revision items for child support, child care, and related human services. The Department of Child Support Services described two technical adjustments, which the LAO said raised no concerns. The Department of Social Services then walked through child care proposals, including a shift in how federal and Proposition 64 funding reductions would be absorbed, a 2.01% COLA, disaster-related child care infrastructure grants, an increase in in-contract administrative support costs for alternative payment agencies, reversion of prospective-pay implementation funding after a federal rule change, a one-time allocation to cover the first quarter of Cost of Care Plus payments in the next fiscal year, reappropriation for existing infrastructure grant closeout work, and estimates of unspent child care funds. The department also outlined trailer bill language on a single rate structure, site safety and emergency procedures, CalWORKs child care data sharing, and child care oversight.
The LAO recommended that the Legislature seek more justification for shifting reductions from General Child Care to the Alternative Payment Program, noting that CAP reductions affect more slots and that General Child Care has had significant unspent funds. It supported removing prospective-pay funding, but recommended rejecting the administrative cost shift to a percentage-based rate because it could create future General Fund pressure. It also suggested the Legislature review alignment between the disaster grants and the child care infrastructure program. Senators and members pressed the administration on why the budget would reduce child care slots and COLA percentages while the state still has waitlists and unspent funds, and questioned the need for early funding of Cost of Care Plus payments and the move from a flat administrative amount to a percentage. Public commenters, including providers, advocates, county offices, and infrastructure partners, urged full COLA funding, preservation of child care slots, support for prospective pay, and continued investment in child care access and facilities.
After a short recess, the committee moved to Part B on health and heard the Department of State Hospitals. DSH presented a May Revision budget of $3.2 billion and described proposals for a central utility plant replacement at Metropolitan State Hospital, an electronic health record implementation, reduced county bed billing authority due to phased-in LPS bed capacity, limited contract exemption authority for online clinical subscriptions, reversion of prior-year unspent operating funds, and a workforce development proposal shifting some costs to Behavioral Health Services Act funds, including support for an additional psychiatric training cohort at Napa. The department also outlined IST-related savings and a trailer bill to remove the sunset on the independent placement panel program.
MS
Mississippi 2026 Regular Session
Medicaid - Room 216, 3 February, 2026; 10:30 AM
Transcript Highlights:
- Reimbursement for certain vagus nerve stimulation.
- Bill 2674 is about access to care, hospital stability, and fairness in how Mississippi's Medicaid program
- Mississippi Medicaid's outpatient reimbursement for VNS procedures is significantly below Medicare and
- below most southern states. in how Mississippi's Medicaid in how Mississippi's Medicaid program<00:01
- for VNS procedures is reimbursement for VNS procedures is significantly<00:01:16.320>
below <00
Summary:
The Senate Medicaid Committee heard testimony on Senate Bill 2674, which would increase Mississippi Medicaid reimbursement for outpatient vagus nerve stimulation (VNS) procedures used to treat drug-resistant epilepsy. Dave Weinberger of LivaNova said current Medicaid rates are far below Medicare and most neighboring southern states, creating financial pressure on hospitals and causing some to stop offering the procedure. He argued the therapy provides durable clinical benefits and long-term savings for Medicaid, and said the bill would align Mississippi’s rates with Medicare’s 2026 outpatient rates and with other states.
Weinberger said the bill would set reimbursement at $45,000 for CPT 64568 and $35,000 for CPT 61885, and framed the measure as improving access, hospital stability, and fairness for vulnerable patients. Committee members did not ask questions during this hearing, though the chair noted the bill had been double referred and would go to appropriations, with a more detailed hearing scheduled for the next day.
After discussion, a motion was made that the title was sufficient and the bill do pass. The committee approved the motion, and the bill was reported out of committee.
MA
Massachusetts 2025-2026 Regular Session
Formal House Session 40 Jun 21st, 2026 at 10:51 am
Massachusetts House Floor Meeting
Transcript Highlights:
- The Home Base program... What reason does the gentleman rise?
- We are... these programs work, the restrictions are in place.
- We have a responsibility to protect this program.
- It funds our Residential Assistance for Families in Transition Program, the RAF program, at $210 million
- So we put in more money for the Healthy Incentives Program.
Summary:
The House began with routine business, including the Pledge of Allegiance and adoption of three congratulatory resolutions honoring Eagle Scouts Charles Goodman, Jack Goodwin, and Liam LaCrooy. Members also adopted a House-Senate concurrence on House 4359, a Milford alcohol-license bill, after amending it to repeal Chapter 289 of the Acts of 2022 and set an effective date. The chamber then passed Senate 2596, establishing maintenance of private roads in Gloucester, and engrossed House 4887. The House also observed moments of silence for former Lynn City Councilor Richard Rick Ford, Louise M. Pedroso, and Mildred “Millie” Cox, and welcomed several guests, including students, civic visitors, and British Minister of State Stephen Doughty.
The bulk of the session focused on budget amendments related to housing and emergency assistance. Amendment 1579, which would have tightened HomeBASE eligibility by requiring citizenship-status inquiries, was debated at length and defeated 26-130. Amendment 1582, which would have barred Housing and Livable Communities from conditioning grants on MBTA Communities Act compliance, was also rejected 27-126. Amendment 1583, which would have limited right-to-shelter eligibility to U.S. citizens with six months’ Massachusetts residency, was defeated 26-122. Supporters argued these changes would reduce costs and prioritize taxpayers; opponents said they would exclude lawful residents and undermine existing housing and shelter reforms.
The House then adopted Consolidated Amendment F, covering energy, environmental affairs, and housing, by a vote of 154-0. Speakers highlighted major funding for rental vouchers, emergency shelter, HomeBASE, public housing, clean water, climate and agricultural programs, and food assistance. The chamber also considered and defeated Amendment 1218 on creating a data center commission, Amendment 1234 on eliminating certain energy surcharges, and several education-related amendments from Ms. Sullivan-Almeida: changes to special education reimbursement thresholds and rates, and a proposal to make regional school transportation funding mandatory rather than subject to appropriation. Those education amendments were all rejected after roll-call votes. Amendment 1580 on ending vocational school lottery admissions was withdrawn by its sponsor before a vote. The transcript ends as debate continues on Amendment 1308, which would increase a budget line item, but no final action on that amendment is shown.
KY
Kentucky 2025 Regular Session
Government Contract Review Committee - (3-11-25) - Upon Adjournment
Transcript Highlights:
- <00:10:37.720>
to lot of that is actually reimbursed to lot of that is actually reimbursed - They go on site and they evaluate the program on site by evaluating the program."
- They go on site and they evaluate the program on site by evaluating the program."
- "They go on site and they evaluate the program on site by evaluating the program." "What?
- for 21st Century programs.
Keywords:
This meeting will take place upon adjournment of both chambers today. There is not an exact time, there for the live stream has been created with a place holder time of 4:00 PM est., 958, all
Summary:
Chairman Hart called the meeting to order, confirmed a quorum, welcomed Representative Rachel Roarx, and the committee approved the February 11 minutes. The committee then moved through its agenda of PSC and related contract items, including a motion to consider the reviewed contracts without objection. One Department of Highways item was deferred when the virtual representatives were not yet available.
The committee first took up Kentucky Housing Corporation contracts. Members questioned outside legal services for foreclosures and bankruptcies, why the work was not handled entirely in-house, and how much of the workload and cost it represented. Witnesses said the agency’s need was largely geographic rather than a lack of expertise, that less than 1% of the loan portfolio is referred out for foreclosures, and that many fees are reimbursable through FHA. Both Kentucky Housing Corporation items were approved.
The committee then considered a Department for Community Based Services contract tied to a protest and a temporary renewal with PCG. Witnesses said the contract increase was needed to bridge the gap while the protest and RFP process were unresolved, and that the initial vendor received no funds. The committee approved the item, with Senator Douglas explaining his vote as a preference for straightforward answers.
The committee also heard a Northern Kentucky University contract for a Workday ERP replacement, including implementation consulting and separate license fees. University officials explained the move from SAP to Workday, the complexity of the systems, and the need for a consulting partner; they said the total effort would span 10 years and that the contract was priced below comparable institutions. After extensive questioning about cost, budget, and value, the vote ended 4-4 and the chair noted the contract would move forward through the Finance Committee if no disapproval motion was made. Finally, the Office of Inspector General presented a contract for culture change training in nursing facilities funded by civil monetary penalties; witnesses said the goal was to improve staff satisfaction, communication, and resident outcomes, and that the CMP fund balance was about $38 million. Discussion also covered survey backlogs and CMS restrictions on the funds, with the item still under review as the transcript ended.
OR
Oregon 2026 Regular Session
House Interim Committee On Health Care 06/16/2026 2:30 PM
Transcript Highlights:
- Finances and rate setting within the Medicaid program.
- , which we know is a very important and robust program in the state.
- There's been a lot of ups and downs and volatility across the program.
- Program changes trend 1.3.
- On the program change tracking, OHA is working closely with CCOs on program changes, including new potential
Summary:
The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits.
CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs.
The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.
AR
Arkansas 2026 Regular Session
EDUCATION- HOUSE EARLY CHILDHOOD SUBCOMMITTEE Feb 17th, 2026
Transcript Highlights:
- and the state program and how much funding was in that program, because we are looking at the methodology
- Are there any changes to the home visiting programs, the hippie program, even specifically?
- going to an ABC program.
- Do you see the HIPPY program, or programs like the home visiting type of programs, expanding upon that
- It is a great program.
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.
ND
North Dakota 2025-2026 Regular Session
House Appropriations Apr 3rd, 2025 at 08:30 am
Appropriations
Transcript Highlights:
- So the reimbursement...
- Am I now in the chairman-of-the-day program, Mr. Chairman?
- Am I now in the chairman of the day program, Mr. Chairman?
- So $1 million for the program, and then $200,000... ...pilot program establishment.
- Is this replacing ESSER funds, this program? Mr. Chairman, Committee, no, this is a new program.
Summary:
The committee first heard Senate Bill 2271, which would formally place adult residential facilities in code and rebase their Medicaid reimbursement rates. Sponsor Chairman Ruby and HHS staff explained that these facilities, often serving people with dementia or acquired brain injury, are reimbursed at a much lower rate than skilled nursing care and help reduce bottlenecks in higher-level facilities. Members questioned how the program differs from basic care and nursing facility memory care, and the bill was referred to the HR section for deeper review before possible action on Monday.
The committee then took up Senate Bill 2396, as amended, which would authorize an independent third-party performance audit of the Department of Commerce and the North Dakota Development Fund, with findings shared with the state auditor. Sponsors said the proposal was prompted by concerns raised in testimony and that a private audit could begin faster than a state audit. The committee adopted an amendment adding an emergency clause and directing the report to the Legislative Audit and Fiscal Review Committee, then passed the bill 20-0 with 3 absent.
Next, Representative Clemine presented Senate Bills 2226, 2036, and 2037. SB 2226 would presume an incarcerated person indigent at initial appearance so counsel can be provided at that critical stage; the commission said the appropriation would fund contract attorney hours, and the bill was sent to HR for further review. SB 2036 would create procedures for determining juvenile fitness to proceed in delinquency cases, with a $500,000 appropriation for mental health evaluations, and SB 2037 would begin a juvenile criminal code framework and include a $300,000 appropriation for fitness-to-proceed evaluations; both were also referred to HR, with some concern raised about staffing and overlapping functions.
After a short break, the committee heard education-related appropriations bills. SB 2234 would replace expired ESSER funding for Choice Ready grants, but members noted the program was not included in the K-12 budget and sent it to E&E for comparison with existing appropriations. SB 2286, a University of North Dakota request for a new nursing school facility, drew extensive discussion about the age and condition of the current building and the size and scope of the project; the committee ultimately adopted a do-not-pass motion 22-0. SB 2213, the “science of mathematics” bill modeled on the science of reading initiative, would fund math professional development and implementation; it was also referred to E&E for further review. The committee then briefly passed the Racing Commission budget, SB 2023, and began discussion of the Trust Lands budget, SB 2013, including a proposed retention increase for investment-related positions.
TX
Transcript Highlights:
- are potentially on the chopping block, GT programs, dual language programs, um, librarians, communities
- Those 1st 3 programs are GR.
- Now what program is that?
- I remember you and I visited about this program back in 2021 or a related program and I'm curious how
- There's also been programs that y'all have funded, the jail-based competency restoration programs.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Education Jun 21st, 2026 at 01:00 pm
Joint Committee on Education
Transcript Highlights:
- It's called the Peabody Personalized Remote Education Program, or PREP program, and it's a virtual school
- The goal of this bill is to expand access to language programs in our schools.
- you're supposed to receive an 80% reimbursement rate.
- Yeah, so I may defer to the mayor on the actual reimbursement rate. Yeah, yeah.
- House Bill 701, an act establishing a language education grant program.
Summary:
The Joint Committee on Education opened a hybrid public hearing on a large slate of bills related to school buildings, school finance, technology, data privacy, safety, and related education issues. Chairs Jason Lewis and Ken Gordon outlined procedures for the hearing, including two-minute testimony limits and the plan to group similar bills together. Several bills drew no testimony and were closed without further discussion, while others drew extensive testimony from legislators, school officials, parents, advocates, and educators.
A major theme was school safety and student well-being. Lori Al-Hadeth testified in support of bills on alert systems in public schools, describing the loss of her daughter in the Parkland shooting and urging adoption of Alyssa’s Law-style panic alert technology. Representative Gallagher and disability advocates also supported a bill authorizing, but not requiring, airway clearance devices in schools, arguing they could save lives in choking emergencies and provide an option for people who cannot use the Heimlich maneuver. Another bill on reducing cafeteria waste drew support from a legislator and a Lexington sustainability official, who said installing dishwashers during construction would reduce waste and long-term costs.
Much of the hearing focused on Chapter 70 school funding and the inflation cap. Senator Pavel Payano, Senator Sal DiDomenico, Representative Senna, and multiple local officials and school committee members from Bridgewater, Chelsea, Groton-Dunstable, and other districts argued that the 4.5% cap on inflation adjustments has left schools underfunded during years of high inflation, forcing layoffs, larger class sizes, and cuts to programs and student supports. They urged bills to eliminate the cap, restore lost funding, increase the Commonwealth’s share of the foundation budget, or create commissions to study reforms. Testimony also highlighted the impact on special education, English learners, and low-income students, with Chelsea witnesses saying the cap has cost their district about $7 million annually.
School construction and MSBA reform were the other major topic. AIA Massachusetts, Boston Public Schools, Lynn officials, and AFT Massachusetts described aging facilities, overcrowding, deferred maintenance, and the difficulty of financing new schools under current reimbursement rules. Boston officials said the district has many pre-World War II buildings and has only built a handful of new schools in decades, while Lynn leaders said reimbursement rates have fallen well below the statutory 80% because of caps and ineligible costs. Witnesses urged modernization of the MSBA program, higher reimbursement rates, and more resources for school construction. The committee also heard support for a bill to study the adequacy and equity of the school building program, and chairs indicated some bills would be closed after no one signed up to testify.
WV
West Virginia 2026 Regular Session
WV Senate Finance Committee in Session Mar 11th, 2026 at 04:01 pm
Transcript Highlights:
- wellness reimbursement program.
- The bill defines a wellness reimbursement program as a self-insured plan that issues a contract to provide
- The bill requires a wellness reimbursement program administrator to be licensed by the commissioner before
- the administrator may sell, offer, market, promote, or operate a wellness reimbursement program, and
- program for licensure purposes.
Summary:
The Senate Finance Committee met with a quorum present, approved the prior meeting minutes, and then considered a series of House bills and committee substitutes. House Bill 5438, dealing with changes to Step 7 of the school aid formula and allowable uses of certain education allocations, was amended to adopt the Education Committee’s changes and then reported to the full Senate. House Bill 4087 creating the West Virginia-Ireland Education Alliance was also reported, as was House Bill 4191, which expands child care tax credit eligibility for employer-sponsored facilities and changes subsidy payments from attendance-based to enrollment-based reimbursement; senators emphasized its workforce and economic development benefits. House Bill 5074, which reallocates medical cannabis fund balances and future revenues, was amended to increase the Child Protective Commission pilot funding from $3 million to $5 million and remove proposed ibogaine research funding for Marshall and WVU before being reported. House Bill 5353, regulating virtual currency kiosks and money transmission licensure, and House Bill 5527, creating licensure and oversight for wellness reimbursement program administrators, both received strike-and-insert amendments and were reported. House Bill 5687, which phases down the metallurgical coal severance tax and adds a temporary oil and gas tax reduction with county/municipal revenue adjustments, was amended and reported. House Bill 4418, creating an electronic system for municipal business and occupation tax filing and collection with a 1% administrative fee and a participation threshold, was also reported.
The committee then took up House Bill 4245, the Revenue Rules Bundle, which bundles 26 legislative rules from the Department of Revenue and related agencies. The bundle included alcohol, banking, insurance, racing, and tax rules, with several sunset extensions and repeals of outdated rules; the committee adopted a strike-and-insert amendment affecting a lottery consumer protection rule and a pre-need cemetery company rule, then reported the bill. House Bill 5168, providing a $12 million lottery-funded stream for emergency medical services, was amended to clarify the uses of the funds, rename one fund, require a 30% county match for mental health treatment spending, and create two additional county-based EMS funds; senators described it as a needed permanent funding source for EMS, and it was reported. Throughout the meeting, members generally supported the measures, with some discussion on technical details, funding allocations, and the impact of the bills on local services and workforce needs. At the end of the meeting, the chair announced that Senate House Bills 4004, 4006, and 4009 would not be taken up that day, and the committee adjourned.
TX
Transcript Highlights:
- This program has a 36% recidivism rate.
- Texas currently has PACE programs operating in Amarillo, El Paso, and Lubbock, and these programs have
- implement the program.
- elderly, or PACE program.
- Nursing costs that are non-reimbursable.
NH
New Hampshire 2026 Regular Session
House Commerce and Consumer Affairs (04/16/2026)
Commerce and Consumer Affairs
Transcript Highlights:
- You know, there's no reimbursement program where, "Hey, I got locked out because the fund was exhausted
- The program is a clinical program.
- The program is a clinical program.
- The program is a clinical program.
- The program is a clinical program.
Summary:
The committee held a public hearing on Senate Bill 562, which would create a home damage mitigation and resilience grant program aimed at helping homeowners make property improvements that could reduce insurance costs and non-renewals. Commissioner DJ Bettencourt of the New Hampshire Insurance Department explained that the program is modeled in part on Alabama’s safer homes program, but tailored for New Hampshire hazards such as floods, microbursts, heavy snow, ice, and falling trees. He said the grants would be limited to primary residences, subject to a means test, capped at $10,000, and intended to help homeowners make targeted improvements such as roof fortification or tree removal that could improve underwriting outcomes and lead to premium discounts.
Bettencourt said the program would not use state taxpayer funds and would instead rely on philanthropic donations, possible federal or regional housing-bank funding, and other outside sources. He said the department would not need new staff, and that a current position could be reconfigured to help administer the program part-time. Committee members asked about the funding language, the meaning of “loans” in the bill, whether there were any other states using a similar no-state-funds model, and how many homeowners could be helped. Bettencourt said Rhode Island and Connecticut were moving forward in a similar way, and that the number of beneficiaries would depend on how much money is raised.
Members also questioned how the grant program would actually lower premiums, whether savings would apply only to participants or more broadly, and how the IBHS evaluation process would work. Bettencourt and department staff said the direct benefit would be to the homeowner whose property is improved, though neighbors could also benefit in some cases. They explained that IBHS is a building-safety organization that certifies contractors and inspectors and that its standards can qualify homes for insurer discounts. Questions were also raised about confidentiality provisions, first-come-first-served grant awards, rollover of unused applications, and possible tax treatment of donations. The sponsor said those details would be addressed through rulemaking or existing tax rules, and no vote was taken during the hearing.
FL
Florida 2026 Regular Session
Appropriations Committee on Criminal and Civil Justice Feb 12th, 2025
Appropriations Committee on Criminal and Civil Justice
Transcript Highlights:
- Another matter is to increase the juror reimbursement.
- We should be reimbursed for the full $195 for each of these cases.
- And I just want to add also that this was a program that we developed.
- I'm here representing the Horizons faith-based program.
- I'm here representing the Horizons faith-based program.
Summary:
The Appropriations Committee on Criminal and Civil Justice heard an update from Department of Corrections Secretary Ricky Dixon on staffing, overtime, capital needs, and inmate population growth. Dixon said the prison population has risen by about 8,000 since January 2021 while staffing has not kept pace, forcing the agency to open 53 housing units without funded positions and rely heavily on overtime and National Guard support. He cited a $189 million deficit tied to salaries and overtime, noted that most staff have less than three years of experience, and argued the solution is to fully fund posts for operational housing units. He also reviewed the department’s fixed capital outlay projects, including repairs, new housing construction, and medical modular units intended to reduce outside hospital transports, and gave an update on the VINE victim notification system and its expansion.
The committee then heard from Florida clerks of court representatives Jason Welty and Miami-Dade Clerk Juan Fernandez-Barquin, who described clerks’ court-related and county duties and said clerk budgets have not kept pace with the broader justice system. They requested reimbursements for injunctions for protection ($3.3 million), Baker Act/Marchman Act/sexually violent predator cases ($2.5 million), and juror management ($4.8 million), and said future funding for new judges should include the full courtroom system, not judges alone. Fernandez-Barquin also raised concerns about unfunded mandates, rising retirement and health costs, low court-side pay, and the need to revisit filing fees and trust fund allocations. Members asked about collections, payment plans, license suspensions, and whether some fees or trust fund distributions could be redirected; the governor’s budget had already picked up the $2.5 million request for Baker/Marchman/SVP cases.
During public testimony, speakers urged broader criminal justice reforms and additional funding priorities. A prosecutor emphasized that adding judges requires funding for prosecutors, public defenders, and clerks as well. Other speakers called for parole or long-term sentencing reform to reduce prison populations and costs, criticized staffing and conditions in prisons, and raised concerns about inexperienced correctional officers, visitation delays, and lack of air conditioning in some facilities. The committee took no substantive votes on the items discussed and adjourned after hearing the presentations and public comments.
MN
Transcript Highlights:
- for DCYF that impacted um these programs for DCYF that impacted um these programs specifically<00
- have to participate under the program. have to participate under the program.
- comp program starting in fiscal year 27. comp program starting in fiscal year 27.
- . program. program.
- program.
MN
Minnesota 2025 1st Special Session
House Commerce Finance and Policy Committee 2/19/25
Commerce Finance and Policy
Transcript Highlights:
- Our program reimburses 80% of claims that are between $50,000 and $250,000.
- >
for example some programs only reimburse for example some programs only reimburse for claims - It is at a commercial reimbursement rate, so they pay more than a state-funded program.
- It is at a commercial reimbursement rate, so they pay more than a state-funded program.
- It is at a commercial reimbursement rate, so they pay more than a state-funded program.
FL
Florida 2025 Regular Session
March 27, 2025 - 03:30 PM
Transcript Highlights:
- We get fully reimbursed for that. Can you explain the fully reimbursed?
- We get fully reimbursed for that. Can you explain the fully reimbursed process? I'm sorry.
- Can you expand on the reimbursement process?
- We're seeing where we're reimbursing you.
- We're seeing where we're reimbursing you.
Summary:
The State Administration Budget Subcommittee met for budget day, heard agency follow-up questions, and then presented its recommended budget for fiscal year 2025-2026. Chair Lopez opened with remarks about reducing spending, emphasizing vacancy reductions and recurring savings across agencies. The recommendation eliminated 452.5 vacant positions and produced recurring savings of $57.2 million overall, while still funding selected priorities. Notable funded items included $500,000 for a new DBPR website for condominium complaints and document filing, $481.3 million for the MICEF Florida Home Program in DFS, funding for Florida PALM implementation, $330,000 for a Tampa office in the Office of Insurance Regulation, $835,000 for warehouse space for confiscated gambling machines, $821,000 for the Lottery gaming system contract, and major DMS capital and facilities funding. Lopez also criticized DMS leadership and said the secretary’s salary would be held in reserve pending answers on fleet management, remote workers, SUNCOM billing, and other issues.
The committee then questioned DBPR Secretary Griffin about condominium records, structural integrity reserve studies, and milestone-inspection compliance. Members focused on how the division tracks condominiums, whether it can identify buildings with three habitable stories, and whether the current filing system can be improved to better capture building height and story count. Griffin said the division relies heavily on self-reporting and complaint-driven checks, but has updated forms to capture whether a condominium has buildings three stories or higher and has received additional submissions. Members also asked about staffing and the Miami-area office; Griffin said DBPR now has two Fort Lauderdale offices and a Doral office, with about 82% of new positions filled.
Secretary Davis of the Florida Lottery also testified, defending travel to Paris and other conferences as part of industry engagement, technology research, and best-practice sharing. He said the travel was reimbursed through lottery-related organizations, described the Lottery as an enterprise fund that receives no general tax revenue, and said the agency has remained a top revenue generator nationally. Members questioned Orlando travel reimbursements and dues to the Multi-State Lottery Association, and asked for more information on how increased revenue translates into more Bright Futures scholarships. Davis said he would provide additional details.
The subcommittee then unanimously passed two conforming bills. PCB SAB 25-01 removed statutory references to the legacy FLAIR accounting system in preparation for Florida PALM and was reported favorably. PCB SAB 25-02 addressed Capitol Center space after the planned House lease cancellation, declaring the governor, cabinet, and legislature permanent tenants, protecting existing space and parking allocations, giving the legislature first right of refusal on vacant space, and giving legislative leaders control over utilities in their space; it also passed unanimously. The meeting adjourned after the bills were reported favorably.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 2 on Human Services Apr 23rd, 2025
Transcript Highlights:
- key program partners through those spaces.
- Some of you know about this program.
- The recommendation currently is the funded programs already exclude 20, The funded programs already exclude
- One is to fund the center-based programs, well, actually all the subsidized programs, for enrollment
- It's limited by the ability and the funding of that program to serve more.
Summary:
The committee took up issue number seven, Child Care Rate Reform Transition Plan, and heard a presentation from the LAO on an eight-part transition plan for the period before implementation of the alternative methodology-based child care rate system. The plan would provide interim rate increases to existing regional market rates and standard reimbursement rates beginning January 1 of the budget year, keep the higher of SRR or ARMR as the single rate, annualize cost-of-care supplements, update hold-harmless language, eliminate the private market cap, authorize one-time systems transition funding with JLBC approval, and require annual reporting on parent co-pays. Members asked about the timeline and public/legislative feedback process, and administration staff said they were working toward the July 1, 2025 deadline while continuing stakeholder engagement through the rate and quality advisory process.
Public comment was overwhelmingly focused on child care and early learning funding. Providers, county offices, advocacy groups, and education organizations urged the Legislature to move quickly on the alternative rate methodology, provide interim relief through a cost-of-living adjustment, reimburse based on enrollment rather than attendance, and preserve health and retirement benefits and workforce stability. Many speakers also pressed for funding to expand the promised 200,000 child care slots, warning that waitlists remain long and providers are under financial strain. Several commenters supported maintaining or extending grants and technical assistance for transitional kindergarten, inclusive early education, and mixed-delivery early learning programs.
A separate set of comments addressed the Inclusive Early Education Expansion Program, with Sacramento County education officials and others urging a statewide plan that would extend support to the 20 counties not currently receiving grants, especially rural areas. Other speakers raised concerns about facilities and staffing impacts from TK expansion, the need for consistent eligibility rules across subsidized programs, and the importance of statewide systems-level funding. The chair thanked the LAO, administration, and public commenters, said the item would remain open until after the May Revision, and adjourned the meeting.
MO
Missouri 2026 Regular Session
Substance Abuse Prevention and Treatment Task Force Jun 24th, 2026 at 01:00 pm
Substance Abuse Prevention and Treatment Task Force
Transcript Highlights:
- There's a Dots mobile program that is run by DMH, not my department. It is an exemplary program.
- We need to make sure that reimbursement reimburses the team, not individual providers.
- So we really need to reimburse teams.
- Back to the question on reimbursement.
- Is it reimbursement? Like, I know obviously not sharing information.
WY
Wyoming 2026 Regular Session
Select Committee on School Finance Recalibration, June 24, 2026 - AM
Select Committee on School Finance Recalibration
Transcript Highlights:
- Those are reimbursed separately outside the guarantee now.
- , even the Yes, band programs, even the marching band aspect of that band program are probably very clearly
- We have a separate chapter for the dual enrollment reimbursement program, and that one is nearly complete
- My SROs have taught reading programs, bike safety, internet safety, anti-bullying programs.
- Like we're teaching, we're providing education programs.
CA
California 2025-2026 Regular Session
Assembly Select Committee on Youth Mental Health and Treatment Accessibility Jun 10th, 2026
Transcript Highlights:
- They can make a program.
- And number three, future programs and grants should build upon existing programs and priorities rather
- We had a prior program pre-pandemic that didn't last the pandemic. That was a leadership program.
- We are peer-to-peer is not reimbursable.
- I support and coordinate a program, a juvenile justice program called Concrete Rose, which is implemented
Summary:
The Select Committee on Youth Mental Health and Treatment Access held its third hearing to review the state of youth mental health, progress under the Children and Youth Behavioral Health Initiative (CYBHI), and remaining implementation and funding challenges. The chair emphasized that schools are often the main point where education, health care, and social services intersect for students, and that the committee’s goal is to ensure public investments translate into better access and outcomes. The hearing featured testimony from researchers, a youth advocate, state officials, and local practitioners.
PPIC researcher Shalini Mostala reported that teen mental health remains a serious concern, with high rates of chronic sadness, hopelessness, and suicidal thoughts, though recent California data show some improvement since the pandemic. She noted persistent disparities by gender, race, and rural status, and said school-based health centers, wellness centers, and community schools are associated with lower suicidal thoughts. Youth advocate Ella Cruz, speaking for NAMI California, described her own mental health struggles and argued that youth voice, peer-to-peer support, and reducing stigma are essential; she also said technology and AI cannot replace trusted adults or trained professionals. Committee members asked about phone use, stigma, cultural barriers, and how to make supports more accessible and relatable to students.
Dr. Sohill Sood of the California Health and Human Services Agency said statewide survey data show declining stigma, increased counseling use, and lower suicide ideation among students, and he highlighted CYBHI’s certified wellness coaches, digital tools, awareness campaigns, and the first-in-the-nation fee schedule that allows schools and colleges to bill health plans for behavioral health services. He said the program is growing quickly, with more than 230,000 claims and over $11 million in new revenue to date, while acknowledging that billing systems and coordination are still being built. Trina Frazier of Fresno County described a multi-tiered system of care supported by CYBHI, CalAIM, and other grants, serving thousands of students through school-based services, wellness centers, and mobile therapy units; she said ongoing funding and flexibility are critical. Rachel Kroberniski of El Segundo High School’s James Morehouse Project described a long-running wellness center and peer mentorship model that supports students in multiple languages, and said peer programs help students feel seen, connected, and more willing to seek help.
Members broadly praised the flexibility, collaboration, and peer-based approaches described by the witnesses. Questions focused on sustaining funding after one-time grants expire, improving coordination among schools, counties, and providers, expanding the fee schedule to higher education, and ensuring continuity of care for students after high school. Officials said county offices of education, DHCS, and other partners are using communities of practice and technical assistance to spread best practices, and that CYBHI services can follow some young adults through age 25, with additional supports through community-based programs and digital platforms.