Video & Transcript Research : 'rate decoupling'

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WA

Washington 2025-2026 Regular Session

Joint Select Committee on Health Care and Behavioral Health Oversight Dec 3rd, 2025

Joint Select Committee on Health Care and Behavioral Health Oversight

Transcript Highlights:
  • their rate because of concerns about market instability.
  • And so, in all honesty, I'm almost more nervous about '27 rates than about '26 rates.
  • their rate because of concerns about market instability.
  • And so in all honesty, I'm almost more nervous about 27 rates than about 26 rates. and 27 rates, than
  • about 26 rates.
Summary: The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners. The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings. The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps. In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.
MN

Minnesota 2025 1st Special Session

Task Force on Homeowners and Commercial Property Insurance 10/1/25

Minnesota House Floor Meeting

Transcript Highlights:
  • We don't negotiate rates, but we do review rates in a different way. >> Yeah.
  • We don't negotiate rates, but we do review rates in a different way. >> Yeah.
  • We don't negotiate rates, but we do review rates in a different way. >> Yeah.
  • review rates negotiate rates, but we do review rates in<01:09:13.040> a<01:09:13.199> different
  • negotiate rates we are reviewing rates negotiate rates we are reviewing rates for for for >>
Keywords: 1183, house
MS

Mississippi 2026 Regular Session

MS Senate Floor - 24 March, 2026; 10:00 AM

Mississippi Senate Floor Meeting

Transcript Highlights:
  • . agreed upon 1% monthly interest rate.
  • Notably, without striking the word "monthly," the language would have resulted in a 12% interest rate
  • And further that that bill contain a 1% per year interest rate.
  • per year interest rate. per year interest rate.
  • until such time as they interest rate until such time as they get<00:19:43.240> reimbursed<00
Summary: The Senate convened with a quorum present, opened with an invocation and the Pledge of Allegiance, and then dispensed with the reading of the journal and committee report titles. The main business was a lengthy exchange over Senate Bill 2632, the local governments disaster recovery emergency loan program bill. The governor’s veto message argued that the enrolled bill had been materially altered after conference adoption, specifically over the interest-rate language, and called for an investigation. Senate leaders responded that the veto message was inaccurate, saying the word “monthly” had been removed earlier by unanimous consent to avoid an unintended 12% rate and that the bill was intended to provide disaster relief financing for local governments affected by Winter Storm Erin. Senators McCaughn and others defended the process, criticized the governor’s accusations as false and offensive, and emphasized that the legislation was meant to help struggling cities and counties with no interest until FEMA reimbursement, followed by a 1% rate. After the veto discussion, Senator McCaughn moved to refer the bill back to the committee from which it began, and the motion carried. The Senate then moved through routine business, including introductions and recognition of guests. Visitors included the Mississippi Farm Bureau Federation Peanut Committee, the Mississippi School for the Deaf and Blind, the doctor of the day, and an NCSL representative, along with a National Ag Day milking champions presentation and a large group of junior pages. The chamber also honored the Starkville Oktibbeha County School District’s varsity boys and girls basketball teams. Senate Resolutions 64 and 65 were called up to commend the Starkville High School girls and boys teams for winning the 2026 Class 7A state championships, and both coaches addressed the Senate briefly to thank members for the recognition.
HI

Hawaii 2025 Regular Session

HHS-HRE, HHS-EDT, HHS Public Hearings 03-19-2025

Health and Human Services

Transcript Highlights:
  • and 75% employment rate.
  • and 75% employment rate.
  • and 75% employment rate.
  • and 75% employment rate.
  • a 98% completion rate and 75% employment<01:00:41.200> rate.
Keywords: 912, senate, all
Summary: The joint Health, Human Services, and Higher Education hearing took up HB 441 HD2, a measure to increase cigarette taxes and dedicate the revenue to the University of Hawaii Cancer Center. The Department of Taxation said it had no substantive objection but requested an effective date of January 1, 2026 if tax rates change so it can order new stamps. The Department of Health, the Deputy Attorney General/tobacco enforcement, the University of Hawaii Cancer Center, the Hawaii Public Health Institute, the American Cancer Society, the Hawaii Medical Association, and several other health organizations and youth advocates supported the bill, arguing that higher cigarette prices reduce youth initiation, encourage cessation, and help fund cancer research and care. Several supporters asked for a larger increase, including at least $1 per pack, while opponents from retail, wholesale, and tobacco-related groups argued the tax would be regressive, burden low-income smokers, and drive sales to the illicit market. The Tax Foundation and other opponents also criticized reliance on sin taxes and said smoking rates are already at historic lows. After testimony and questions, members discussed how the revenue should be used and whether higher taxes change smoker behavior or push people toward vaping or other alternatives. The chairs announced they would pass HB 441 HD2 with amendments, replacing the contents with SB 528 SD1 except for changes reflecting the Department of Taxation’s request and a provision directing all proceeds from the tax increase to the Hawaii Cancer Center’s debt reduction, with an effective date of December 31, 2025. The House Health, Human Services, and Higher Education committees then voted to adopt the recommendation; the Health, Human Services committee vote was adopted with Chair and several members voting aye and one member voting no in the Higher Education committee vote. The hearing also briefly covered HB 1334 on meat donation, which drew support from the Department of Agriculture, Hawaii Farm Bureau, food industry, and community groups, though no action was taken in the excerpt. The committee then heard HB 1098 on crimes against protective services workers. The Honolulu Prosecutor’s Office and Honolulu Police Department supported the bill, saying assaults on protective services workers can have chilling effects and deserve stronger deterrence; a committee question raised whether the bill should instead be part of a broader, more proactive approach to assault statutes. The Department of Human Services also described safety steps such as panic buttons and phone apps for social workers. The excerpt ends before any final vote on HB 1098.
NH

New Hampshire 2025 Regular Session

House Science, Technology and Energy (04/21/2025)

Science, Technology and Energy

Transcript Highlights:
  • rate setting, the rate is set in no rate setting, the rate is set in statute<00:13:36.240> and
  • energy service rate was uh 22.6 6 cents. energy service rate was uh 22.6 6 cents.
  • other rate payers, we'd look pretty bad. other rate payers, we'd look pretty bad.
  • There's no rates in here. All right. There's no rates in this<02:14:47.040> bill.
  • generators and not by the rate payers. generators and not by the rate payers.
Keywords: 1189, house, all
NH

New Hampshire 2025 Regular Session

House Education Funding (01/30/2025)

Transcript Highlights:
  • rate was closer to 66 or 67%.
  • goes on to the tax rate goes on to the tax rate simply<04:28:43.760> no<04:28:43.960>
  • local education portion of the tax rate local education portion of the tax rate so<04:29:58.960>
  • valuations also because swept tax rates valuations also because swept tax rates are<04:39:30.240
  • <04:39:40.798> is<04:39:41.040> not rate is not rate is not uniformed<04:39:43.240>
Keywords: 928, house, all
Summary: The hearing focused on HB 563, which would revise the education funding formula for pupils receiving special education services by replacing the current single special education amount with three differentiated categories. Representative Rick Ladd, the prime sponsor, said the bill largely tracks a House-passed version from the prior session with minor figure adjustments, and explained that the proposal uses projected FY26 amounts for three categories based on time in general education versus more intensive placements. He also noted that the bill does not address catastrophic aid directly, but that special education aid, CAT aid, and proration all remain issues for later work sessions. Ladd and supporters argued that weighted categories better reflect actual costs and are more sustainable than treating all IEPs the same. Representative Margaret Drye said the approach was one of the best ideas from the education funding subcommittee and urged the committee to support differentiated aid. Representative Ames asked how the category amounts were derived, and Ladd said Category A follows the FY26 base, Category B is a higher weight, and Category C is a still higher weight for more intensive services, though he acknowledged the exact multipliers were developed earlier and could be revisited. He also said the committee would continue discussing whether the weights are appropriate and how they interact with CAT aid. Testimony from Bonnie Dunham strongly opposed the bill. She argued that funding based on placement rather than actual service need would create incentives to move students into more restrictive settings, could stigmatize children with labels such as "Category C," and would undermine the least restrictive environment requirements under federal special education law. She described her son’s experience in inclusive settings as beneficial and said the bill would have penalized the district for serving him there. In response to questions, she said schools and parents should base funding on the child’s actual needs and costs, not on placement, and urged the committee to recommend the bill inexpedient to legislate.
MA

Massachusetts 2025-2026 Regular Session

Senate Session (Full Formal with Calendar) Jun 21st, 2026 at 11:00 am

Massachusetts Senate Floor Meeting

Transcript Highlights:
  • Graduation rates, incarceration rates, employment opportunities, Incarceration rates, employment opportunities
  • the rate should be set.
  • how, where the rate should be set.
  • And so we, we're, we're, where the rate should be set.
  • It sets the rate of commercial pay for primary care at that PPS rate. That's what it does.
Keywords: 995, all
Summary: The Senate considered a series of amendments to a primary care health care bill and also took up a separate literacy bill. Several amendments were withdrawn, including one on artificial intelligence in health care and others related to cost controls, direct primary care, and provider studies. The Senate adopted amendments on preserving access to treatment for serious mental illness, modernizing the definition of primary care, clarifying payment rates for community health centers, excluding pharmaceutical spending from primary care expenditure calculations, and strengthening health equity reporting. Other amendments on rate bands, alternative payment systems, private equity reporting, scope of practice, and ownership disclosure were rejected. The Senate then approved the Ways and Means amendment and ordered the primary care bill to a third reading. The chamber also took up final passage of An Act Relative to Teachers Preparation and Student Literacy, with senators describing it as a long-awaited compromise focused on improving early reading outcomes. Supporters said the bill requires evidence-based K-3 literacy curricula, regular student screening and family notification, dyslexia screening protocols, professional development for teachers, and a free state-developed curriculum option. Senators emphasized the need to address declining third-grade reading proficiency and equity gaps. The bill passed to be enacted by a unanimous roll call and was sent to the Governor. After the literacy bill, the Senate returned to the primary care bill, where senators again debated cost containment, innovation, and access. The final version included the adopted amendments and was passed to be engrossed by a roll call vote of 35-4. The Senate then adopted an adjournment order and recessed, adjourning in memory of Henry Thomas III, former Representative Ben Swan, and Mr. Dennis Frane.
ND

North Dakota 2026 1st Special Session

Health Care Committee Feb 12th, 2026 at 09:30 am

Transcript Highlights:
  • So we have to justify our rates. I would say if there was a savings, you see rates come down.
  • So we have to justify our rates. I would say if there was a savings, you see rates come down.
  • Let's transition to looking at rates.
  • rate each of these states pay.
  • North Dakota Medicaid dental rates were last rebased in 2009.
Keywords: 908, all
Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.
MN

Minnesota 2025 1st Special Session

Committee on Taxes - 03/27/25

Taxes

Transcript Highlights:
  • And overall, the real estate taxes generated, even at the lower tax rate, the housing tax rate, will
  • ,<00:32:49.200> will<00:32:49.440> be tax rate, the housing tax rate, will be tax rate
  • Sherman, about taking a property that is taxed at the commercial rate down to a lower rate because it's
  • So yes, the tax rate is previously.
  • <01:33:43.679> through operating referendum tax rates through operating referendum tax rates
Keywords: 1187, senate, all
WY

Wyoming 2026 Regular Session

Joint Appropriations Committee, June 23, 2026

Appropriations

Transcript Highlights:
  • Wyoming's cost of living is going up at a higher rate.
  • About 18 months later, that was then included in that rate-setting process.
  • on what happened as far as the rate increase is concerned.
  • This is the governor can give rate holidays.
  • I would imagine the take-up rate would be quite low there if we said, "Gotcha...
Keywords: 916, all
FL

Florida 2026 Regular Session

FL House Floor Session - 2026-05-29 (9:00AM Session)

Florida House Floor Meeting

Transcript Highlights:
  • we perhaps just put an across-the-board rate increase not tied to inflation?
  • provider rates.
  • provider rates.
  • provider rates.
  • provider rates.
Keywords: 998, house, all
FL

Florida 2026 5th Special Session

FL House Floor Session - 2026-05-29 (10:00AM Session)

Florida House Floor Meeting

Transcript Highlights:
  • At last check, we had a 15% error rate.
  • At last check, we had a 15% error rate.
  • And we are an embarrassing outlier with an error rate at 15%.
  • Because previously we did not have this very high error rate.
  • Do we know why our error rate spiked over the last four years?
Summary: The House convened with prayer, a moment of silence for former Senator Donnell C. Childers, the Pledge of Allegiance, and recognition of Officer Antonio Richardson as law enforcement officer of the day. A quorum was announced, the journal was approved, and the Speaker said the chamber would take up 11 budget conference reports, with debate and final votes on each report. The first report considered was HB 7031E, the tax package, followed by HB 501E, the state budget appropriations bill. On HB 7031E, Chair Duggan explained that the conference report included a range of tax reductions and tax-related changes, including sales tax holidays, property tax and homestead-related provisions, reductions in certain taxes and fees, and new exemptions or administrative clarifications. He said the package also added items such as sales tax relief for certain university construction projects, a tennis admissions exemption, and changes to agricultural property tax treatment, and that the amendment reduced state and local tax revenues by $272.2 million. Members questioned the bill about the child care tax credit reduction from three years to one, the homestead exemption provision for certain diplomats and foreign service personnel, the absence of gas tax relief and combined reporting, and the inclusion of firearm accessories and tennis tickets in sales tax holidays. After structured debate, the House adopted the conference report and passed HB 7031E by a vote of 88-11. The House then began the conference report on HB 501E, the $114.5 billion budget for fiscal year 2026-2027, which was described as below the prior year’s spending level and leaving more than $14 billion in reserves. Subcommittee chairs outlined major allocations across education, higher education, IT, health care, transportation and economic development, justice, state administration, and agriculture/natural resources. Highlights included increased FEFP funding and veteran teacher raises, full funding for Bright Futures, major IT modernization projects, Medicaid and behavioral health funding, transportation and local infrastructure spending, correctional and law enforcement investments, fire station and emergency response funding, and large environmental and water-quality appropriations. Members asked detailed questions about school voucher fraud oversight, scholarship funding, teacher raises, preeminence funding, ADAP changes, SNAP data tools and error rates, Medicaid rate changes, prison wastewater monitoring, and other budget items, but the transcript ends during the budget questions before final action on HB 501E is shown.
OK

Oklahoma 2026 Regular Session

Appropriations and Budget Education Subcommittee Jan 22nd, 2026 at 09:00 am

A&B Education Subcommittee

Transcript Highlights:
  • Define placement rate.
  • Pass rates from Horizon exceed the pass rates for Oklahoma on average, and last year we exceeded the
  • So, our long-term assumed rate of return is 7%.
  • The actuary said at this rate, we can't tell you.
  • We still have an impact on the state's credit rating.
Keywords: 914, all
MN

Minnesota 2025-2026 Regular Session

House Floor Session - part 2 May 12th, 2025

Minnesota House Floor Meeting

Transcript Highlights:
  • , and how to get payment rates really fair.
  • So my amendment takes care of that by channeling all these extra costs back into the rates to raise rates
  • because the underlying law does bring the rates back to the fee-for-service rates, and that is a concern
  • But if the rates don't get established in law in two more years, then the rates are at the fee-for-service
  • rates.
TX

Texas 89th Regular

Health and Human Services Apr 30th, 2025

Health & Human Services

Transcript Highlights:
  • Lactation consultant services do not just increase breastfeeding rates.
  • As mentioned before, the rates of breastfeeding...
  • The ability to get a reasonable in-network contracted rate.
  • that is no lower than 95% of the state-determined rate.
  • Generally, we are always opposed. for service rates.
Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.
WY

Wyoming 2026 Regular Session

House Corporations, Elections & Political Subdivisions, February 18, 2026

Corporations, Elections & Political Subdivisions

Transcript Highlights:
  • The interest rate can be decreased, and those are the things I already talked to you about.
  • , we're changing your interest rate, we're changing your interest rate, something<00:13:23.839>
  • The interest rate can that's necessary.
  • We'll drop that interest rate. We'll drop that interest rate.
  • We'll drop that interest rate. We don't have to go through the appraisal process.
Bills: SF0114, SF0102, SF0117
FL

Florida 2025 Regular Session

Health Policy Jan 14th, 2025

Transcript Highlights:
  • Similar metrics here related to the primary C Section rate.
  • Thank you, Madam Chair, do we have any data on our success rate?
  • below the healthy people, 2030, rate.
  • Meyer, he gave us that rate. They they need to try to beat.
  • What does that rate base to project was?
Keywords: 999, senate, all
FL

Florida 2026 Regular Session

Children, Families, and Elder Affairs Jan 14th, 2025

Children, Families, and Elder Affairs

Transcript Highlights:
  • That include geographic housing growth rates, wage growth rate, growth rates broken out by region, as
  • They get reimbursed at a higher rate. And then that rate is kind of cost-averaged, so to speak.
  • They get reimbursed at a higher rate.
  • And then that rate is kind of, They get reimbursed at a higher rate.
  • so that it's not just one monolithic rate.
Summary: The committee heard a presentation from Dr. Kelly O’Dare on first responder behavioral health access, peer support, and suicide prevention. She described UCF Restores, the Second Alarm Project, and related partnerships that provide culturally competent treatment, peer training, clinician education, disaster response support, and behavioral health navigation. She cited survey and state data showing significant rates of sleep problems, anxiety, depression, substance use, and suicide among Florida first responders, and said evidence-based treatment has helped many patients recover, including a reported 76% who no longer met PTSD diagnostic criteria after treatment. Senators asked about measuring outcomes, peer support standards, and whether the state should create more consistent statewide requirements; O’Dare said peer support training must be specialized, linked to higher levels of care, and supported by sustainable funding and statewide coordination. The committee also heard from a public commenter who supported the work and emphasized the need for adequate resources and peer support infrastructure. The committee then received a Department of Children and Families presentation from Casey Penn on the proposed funding methodology for community-based care lead agencies under HB 7089. Penn explained that the new model is intended to be actuarially based, reimbursement-oriented, and more transparent than prior funding approaches, using historical expenditures, standardized reporting, and two main tiers: Tier 1 for largely fixed administrative and operational costs, and Tier 2 for direct child-serving costs based on per-child-per-month blended rates. He said the model includes a 2% risk corridor for Tier 2, hold-harmless funding in the first year, and optional Tier 3 performance incentives, with an estimated additional state appropriation need after offsets. Senators raised concerns about prevention, historical inequities, reasonableness of costs, administrative overhead, blended state and federal funds, adoption subsidies, high-acuity placements, and disaster-related disruptions. Penn said some of those issues could be addressed in future iterations as the child welfare information system is modernized, and he agreed to provide written responses to committee questions. Representatives of the Florida Coalition for Children and CBCs responded that the model is a major improvement but urged additional safeguards, including an administrative cap, clearer separation of direct and indirect costs, and better treatment of federal and pass-through funds. They argued that the system already has oversight and that deficits reflect insufficient appropriations rather than excess spending, while also noting that higher-acuity children and regional differences can drive costs. No votes were taken on either topic, and the meeting ended with committee staff introductions and adjournment.
NH
Transcript Highlights:
  • This is the rates for the prior fiscal years have been set, so uh the next time rates will be changed
  • <01:43:23.599> a<01:43:23.760> net<01:43:24.159> of rates a net of rates a net of
  • of return or the actual the assumed rate of return or the actual rate<03:31:07.680> of<03:31:
  • available on as what the attrition rate available on as what the attrition rate of<04:20:34.239>
  • I looked the rates up.
Keywords: 928, house, all
Summary: The committee first took up House Bill 622, but after the sponsor said further research raised concerns, he asked that the bill be tabled. The committee then moved in executive session and voted unanimously to find the bill inexpedient to legislate, sending it to consent. The committee also retained House Bill 349, the ophthalmologic laser bill, after members said more time was needed for the professions involved to work out training standards and provide additional information; that motion also passed unanimously. The committee then discussed House Bill 244, a municipal building/fire code recodification measure. Members said the bill needed more review and careful scrutiny because of its length and possible unintended effects, and they voted unanimously to retain it as well. House Bill 534 was then heard; the sponsor said the bill did not do what was intended because of a misunderstanding about current processing, and the committee voted inexpedient to legislate and placed it on consent. The committee next considered House Bill 233, with an amendment to remove a requirement affecting the New Hampshire Vaccine Association. Supporters argued the bill would reduce an unnecessary burden and improve transparency, while opponents said the committee should not single out one private 501(c)(3) organization. The amendment was adopted 8-5, and the bill as amended then passed 7-6; a minority report was requested. Finally, the committee opened House Bill 536, a proposed 1.5% cost-of-living adjustment for certain state retirees. The sponsor and supporters argued retirees had not received adequate COLAs and that the bill would help offset inflation, while the retirement system testified that the proposal would add significant costs, including an estimated $1.5 million for the state, $6.6 million for political subdivisions, and about $100.7 million in present-value unfunded liability, with the impact reflected in future employer contribution rates.
KY
Transcript Highlights:
  • a Dminus on their pre-term birth rates a Dminus on their pre-term birth rates at<00:06:56.000>
  • and a 9% lower and infant mortality rate and a 9% lower rate<00:08:32.159> of<00:08:32.399>
  • We're also addressing this terrible mortality rate.
  • We're also addressing this terrible mortality rate.
  • We're also addressing this terrible mortality rate.
Keywords: 958, all
Summary: The committee met with a quorum, approved the minutes, and then took up several administrative regulations. The first was an Office of the Attorney General regulation creating an online submission process for an annual certification report to replace prior quarterly notarized certification forms; there were no amendments or questions. The main discussion centered on Personnel Cabinet regulations 101 KAR 2:034, 2:102, 3:015, and 3:045, which include staff-suggested technical amendments and address state employee compensation and leave. The compensation provisions clarify salary and rehiring/demotion rules, increase critical position premiums from one to three, and update weekend premium and ACE award practices. The leave provisions would provide up to six weeks of paid leave per 10-year interval for birth, adoption, foster placement, or a serious health condition, and allow one paid adverse-weather day per year with supervisor approval. Staff explained that annual and sick leave already accrue and roll over, and that the new six-week benefit was intended as an additional enhancement tied to the 10-year and 20-year sick-leave milestones.