Video & Transcript Research : 'rate setting'

Page 95 of 500
CT
Transcript Highlights:
  • , no more preliminary rates.
  • And we will have the final rates, no more preliminary rates, but they probably won't change much.
  • Harvard came out with a code set, a consortium of Western states came out with a code set, and Pennsylvania
  • came out with a code set.
  • It's really set up as a trap, to be honest.
Keywords: 962, all
Summary: The Care Management Committee met to receive a status update on the DSS/CHN PCMH program and to discuss implementation of HR1, especially the new medical frailty requirements. CHN reported the PCMH program remained steady at 124 practices and 553 sites, with 54.6% of the HUSKY population attributed to PCMH providers, and noted ongoing recruitment, provider turnover, and recent practice consolidations/acquisitions that will shift some sites to Yale and Hartford HealthCare. CHN also reported strong quality improvement engagement for 2026, with 83% of contacted PCMHs engaged, and said preliminary 2025 results showed improvement across measures. The bulk of the meeting focused on DSS’s response to the June 1 CMS interim final rule on HR1. DSS explained that it had been building a medical frailty definition based on diagnosis codes and comparisons with other states’ approaches, but the new federal rule adds a requirement that the condition significantly impair a person’s ability to work or comply with community engagement requirements. DSS said it is still evaluating how to combine claims-based data with the new federal overlay, may submit comments to CMS during the open comment period through July 31, and is considering options such as self-attestation, especially given CMS’s allowance of self-attestation for calendar year 2027. Committee members raised concerns about the rule’s complexity, possible legal challenges, the need for a good-faith waiver or implementation delay, and the risk of noncompliance if the state gets the process wrong. Members also pressed DSS for broader outreach, clearer public communication, training, and better reporting on implementation impacts and costs. DSS said it is developing a website, webinars, and a communications plan, and is working with community-based organizations, community health workers, and administrative services organizations to reach potentially affected members. DSS said it is also building a Medicaid pre-screener to help people determine whether they may be subject to work requirements. In the PCMH Plus discussion, DSS said it was not yet ready to present the 2024 quality data but would try to bring the Wave 3, Year 5 results and related quality/shared savings information to the July 8 meeting, along with the regular PCMH update and another HR1 update. The committee also discussed future agenda items including community health worker reimbursement, peer support services, and the inmate medical program.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Economic Development and Emerging Technologies Jun 21st, 2026 at 11:00 am

Joint Committee on Economic Development and Emerging Technologies

Transcript Highlights:
  • Players can set their own limits or self-exclude entirely.
  • So the tax rate in this bill would only be 15 percent.
  • And I go, 'Hey, do that online, stop, squad setting.'
  • The limit setting, you also heard that we have lower rates...
  • The limit setting, you also heard that we have lower rates in terms of utilization.
Keywords: 995, all
Summary: The committee on Economic Development and Emerging Technologies, chaired by Rep. Carole Fiola and Sen. Barry Finegold, held a lengthy hearing on a range of gambling-related bills. Testimony first focused on H. 496 to allow the Massachusetts Gaming Commission to authorize Plain Ridge Park Casino to add table games and more slot machines. Supporters, including Rep. Jeffrey Roy, Sen. Finegold, Rep. Barry R. Finegold, Rep. Brian Vaughn, and Plainville officials, argued the change was needed to keep Massachusetts gaming dollars from flowing to Rhode Island, protect jobs, and preserve local tax revenue. They described Plain Ridge as a strong community partner and cited host-community benefits such as municipal infrastructure projects and local aid. Opponents or skeptical witnesses later argued that expanded gambling, especially online, would increase harm and cannibalize existing casinos and local economies. The committee also heard testimony on bills related to sports betting restrictions and online gambling. Sen. John Keenan presented a “Better Health Act” proposal to ban prop bets and in-play bets, require affordability checks, prohibit hosts, raise the sports betting excise tax, expand funding for problem-gambling services, and increase research and data sharing. He and supporters framed the bill as a public-health response to addiction, suicide, bankruptcy, and other harms. Rep. David Nangle, speaking from personal experience with gambling addiction, strongly opposed internet gaming, warning that it would intensify addiction and expose children and families to 24/7 gambling on phones. In contrast, Rep. David Moradian and industry witnesses supported H. 4431 to legalize and regulate internet gaming, arguing it would bring illegal activity into a regulated market, generate new revenue, and include consumer protections such as age verification, deposit limits, self-exclusion, and responsible-gaming tools. The committee also took testimony on H. 4238, which would expand fundraising options for fraternal organizations, especially the Elks. Rep. Bruce Ayers and Elks representatives said the bill would help lodges raise money for scholarships, veterans’ services, and community programs after COVID-related losses and declining membership. On H. 480, Rep. Kathleen LaNatra, Rep. Badger, and representatives of veterans organizations and gaming-machine operators urged allowing qualified veterans groups to participate in certain video gaming activity, saying it would provide a sustainable revenue source to keep posts open and support veterans’ services. Dr. Rachel Volberg testified that expanding gambling, especially online gambling and slot machines at veterans organizations, would likely increase gambling harm, and she urged stronger harm-prevention measures, data reporting, and research funding. Other witnesses, including anti-gambling advocates and industry representatives, sharply disagreed over whether legalization would reduce illegal gambling or worsen addiction and social costs. No votes or final actions were taken during the hearing.
TX
Transcript Highlights:
  • and they have set are maintained.
  • Is that your four-year rate or your six-year rate? Six-year. Okay, that's your six-year, right?
  • What's your four-year rate? Our four-year rate is 26%. Okay, thank you. Twenty-six percent.
  • Your six-year rate is slightly above that for HBCUs.
  • Now, our six-year graduation rate... Now our four-year graduation... rate has surpassed that.
Bills: SB1, SB 1
CA
Transcript Highlights:
  • I have one question on this item: the 75% graduation rate target.
  • This amendment is set to sunset as of the merits of each case.
  • This amendment is set to sunset as of July 1.
  • As I mentioned, their contracts are set to expire June 30.
  • It assumes CalHR's projected utilization rate of 15%.
Keywords: 988, house, all
CA
Transcript Highlights:
  • So there are three sets of reliability assessments there for you.
  • So what is the ramping rate on that?
  • And then through the advanced rate design rulemaking, we’re looking at how can we set, in advance of
  • Is it through the rates? Is that the best way to do it?
  • Is it through the rates? Is that the best way to do it?
Summary: The Assembly Committee on Utilities and Energy heard SB 1259, which would require refineries to provide advance closure and remediation planning information, and SB 1425, which would authorize the High-Speed Rail Authority to create a permit process for encroachments in its right of way. The committee also held an informational hearing on California electricity reliability and the future of the Strategic Reliability Reserve. The chair opened by noting the hearing room change, testimony limits, and that the committee would proceed without a quorum at first, then later established quorum for votes. On SB 1259, Senator Blake Spear argued the bill would give communities and state agencies needed information to plan for refinery closures, cleanup, and land reuse, comparing the requirement to estate planning. Supporters, including Benicia City Councilmember Carrie Birdseye and UC Santa Barbara professor Ranjit Schmook, said the bill would help communities facing refinery closures avoid being left without information and better prepare for redevelopment and remediation. Opponents, including the Western States Petroleum Association, the State Building and Construction Trades Council, and business groups, argued the bill could send negative market signals, create conflicts with federal reporting, and potentially accelerate refinery closures. The committee passed SB 1259 on a 7-3 vote, later reopening the roll and recording additional votes before moving it out as amended to Appropriations. On SB 1425, Senator Cortese and sponsor Robert Pearsall said the bill would help the High-Speed Rail Authority manage utility, broadband, drainage, and vegetation encroachments along the project corridor and reduce delays. Labor and construction groups supported the measure as a way to add certainty and speed project delivery. Utilities and local agencies, including LADWP, Southern California Gas, Southern California Edison, PG&E, and others, opposed unless amended, saying the bill needed clearer language on emergencies, existing agreements, and potential impacts on their own rights of way and service obligations. After discussion about emergency language and utility coordination, the committee passed SB 1425 as amended to Appropriations on a 10-3 vote. In the oversight hearing, CEC, CPUC, CAISO, and DWR officials reported that California’s summer reliability outlook is better than in prior years, with substantial new procurement, storage, and demand-response resources added since 2020. They said the state is projected to meet its summer reliability standard and has not needed a flex alert for three straight years, but cautioned that extreme heat, fire, hydro conditions, and federal policy uncertainty still pose risks. Officials emphasized that the current Strategic Reliability Reserve remains important as a backstop, while longer-term planning must address rising demand from electrification and data centers and the eventual retirement of emergency resources.
MN

Minnesota 2025-2026 Regular Session

House Ways and Means Committee 2/10/25

Ways and Means

Transcript Highlights:
  • The corporate income tax rate: we have the second-highest rate of corporate income tax in the United
  • The corporate income tax rate: we have the second-highest rate of corporate income tax in the United
  • The corporate income tax rate: we have the second-highest rate of corporate income tax in the United
  • X could either be the growth rate of the population plus the growth rate of inflation.
  • <00:54:10.680> a rate a a little or the matching rate a rate a a little or the matching rate
Keywords: 1183, house
Summary: The Ways and Means Committee began with member and staff introductions, including several new members and committee staff. Representative Zach Stevenson, the DFL lead, objected to the day’s presentation, saying he was disappointed the committee was starting with a group he viewed as aligned with Republicans rather than a nonpartisan budget presentation. The chair responded that the committee had a bipartisan agreement and that hearing a different perspective was appropriate. The committee then proceeded to a presentation from economists with the Center of the American Experiment, with questions held until the end. The presentation focused on Minnesota’s budget outlook, arguing that the state faces a structural imbalance and a projected $5.14 billion deficit in the 2028-29 biennium. The presenters said spending has outpaced revenues, highlighted a large increase in general fund spending since 2023, and argued that inflation-adjusted per-capita spending remains above pre-2024 levels through the forecast period. They said the biggest growth areas are E-12 education and especially Health and Human Services, with HHS projected to become the largest budget category and much of its growth tied to Medicaid and long-term care waivers. The presenters also argued Minnesota spends more than most states on welfare and Medicaid, citing comparisons showing the state near the top nationally in spending per person in poverty and in several Medicaid categories. They said some of the HHS growth reflects policy changes from the 2023 session, while other pressures come from enrollment growth, health care prices, federal debt, and an aging population. No votes or formal committee actions were taken during the portion of the meeting shown.
HI

Hawaii 2025 Regular Session

ECD Public Hearing - Wed Jan 29, 2025 @ 10:00 AM HST

Economic Development & Technology

Transcript Highlights:
  • <00:19:22.400> aside prohibits the use of setting aside prohibits the use of setting aside
  • at the same rate as someone's ordinary income tax rate.
  • at the same rate as someone's ordinary income tax rate.
  • at the same rate as someone's ordinary income tax rate.
  • We only do for taxing it at the same rate as ordinary income.
Keywords: 910, house, all
Summary: The committee on Economic Development and Technology heard testimony on several bills, beginning with HB 22, which would limit state and local cooperation with federal immigration detainers. Supporters, including the Legal Clinic, the Office of the Public Defender, and the ACLU of Hawaiʻi, argued the bill would protect due process and constitutional rights regardless of immigration status. Some supporters requested amendments, including removing a probable-cause terrorism provision, adding enforcement language, and preserving warrant requirements. Public testimony was heavily in favor, with the chair announcing 91 testimonies in support and 52 in opposition. The committee then heard HB 73, which would prohibit setting aside public lands for immigration detention facilities. Testifiers in support said public land should serve local needs, not detention centers, and cited housing, food security, and community trust concerns. The Office of the Public Defender and others also supported the measure, and the chair reported 85 testimonies in support and 40 in opposition. The committee next took up HB 438, which would fund legal representation for people in immigration proceedings. Supporters, including the Public Defender, the University of Hawaiʻi Law School Refugee and Immigration Clinic, the Hawaiʻi Coalition for Immigrant Rights, the Legal Clinic, and the ACLU, emphasized the civil nature of immigration court, the severe consequences of removal, and the need for more pro bono and trained attorneys. Several suggested amendments focused on training and building a legal-services pipeline; the chair reported 83 testimonies in support and 51 in opposition. The committee also heard HB 457, aimed at requiring notice to detained individuals about their rights when ICE seeks to interview them or has a detainer request. Supporters said the bill would ensure people understand their right to remain silent and to refuse interviews, and the Legal Clinic suggested the warning be given orally, potentially via recorded messages, rather than only in writing. The Office of the Public Defender noted the bill aligns with existing due-process warnings in criminal court and suggested referencing current law. Finally, HB 476, which would raise the capital gains tax rate, drew support from Hawaiʻi Appleseed on fairness grounds; the Department of Taxation said it would review revenue questions but had no estimate available. After recess, the committee returned to decision-making and moved HB 22 forward on the chair’s recommendation of HD1, with the chair noting that the bill already contained language allowing counties to adopt stronger standards and protections.
LA

Louisiana 2026 Regular Session

Health and Welfare May 13th, 2026

Health and Welfare

Transcript Highlights:
  • The second set of amendments is set 3694. The second set of amendments is set 3694.
  • Third amendment set? Final one for this one? I'm setting a record this session, Representative.
  • This one also has three sets of amendments.
  • I had a set of amendments prepared.
  • I had a set of amendments prepared.
Summary: The Senate Committee on Health and Welfare met on May 13 and approved the minutes from the prior week before taking up a series of House bills, many of them with testimony from sponsors, agency officials, and stakeholders. Early action included HB 971, which would direct LDH to equalize Medicaid reimbursement rates between independent rural health clinics and hospital-owned rural health clinics; the sponsor described a significant payment disparity and the committee reported the bill favorably. The committee also deferred HB 1030 and HB 796 until the following week before moving to other items on the agenda. Several bills dealing with Medicaid and provider regulation were advanced. HB 414, as amended, closes a loophole so health care providers cannot hire unlicensed workers with certain serious out-of-state convictions; amendments addressed effective dates, FBI background-check issues for therapeutic group homes, and delays for direct support professional applicants caused by minor record issues. HB 740, as amended, creates an independent review process for Medicaid claims disputes in the coordinated system of care for behavioral health providers, with amendments clarifying applicability dates and program definitions. HB 786, which prohibits extrapolation in managed care claims recoupments and requires recovery to be based on actual overpayments or underpayments, was also reported favorably. HB 915 set timelines and accountability standards for prior authorization and utilization management in Medicaid managed care and was reported favorably after testimony about delays in care. The committee also heard and passed several bills affecting health professions and facilities. HB 405 simply updates the name of the national acupuncture certification body. HB 1095 allows nursing homes to use alternative power sources while keeping existing generator and fuel requirements. HB 557 defines long-term care pharmacies for policy purposes. HB 779 authorizes expedited partner therapy prescriptions for certain sexually transmitted diseases. HB 933 creates an optional commemorative birth certificate, with part of the fee going to the Office of Women’s Health. HB 796, carried by another representative for the author, establishes a chiropractic preceptorship program with on-site supervision requirements and was reported favorably after questions about student training and patient safety. The committee also heard emotionally charged testimony on HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation and patient communication. Several witnesses described the distress caused by current coding language, and supporters said the change would make records more compassionate and understandable; the bill was reported favorably. HB 403 increased the cottage food gross-sales cap, and after testimony from small producers and the committee’s discussion of other states’ higher limits, an amendment raised the cap to $150,000 before the bill was reported favorably. HB 930 modernizes cosmetic-product regulation and creates a small home-based producer exemption under a wholesale-sales threshold; it was also reported favorably. Finally, HB 1041, a no-mandate bill restricting discrimination based on medical intervention status, prompted extended debate over exemptions for schools, hospitals, and other entities, with one amendment failing on a roll-call vote and the discussion continuing over the scope of the bill and federal funding concerns.
TX

Texas 89th Regular

89th Legislative Session May 15th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • Their last rate cases for Encore, Centerpoint, and AEP, it would have raised rates by $25 to $50 million
  • Is it an organization that is set up to make money? Is it an organization set up to...
  • That's just how it's set up; it's set up under nonprofit status.
  • So under "rates and charges" on page 17, lines 17 to 21, you talk about rates and charges.
  • Also, because they're engaging in this space, they'll even allow hourly rates and not overnight rates
Bills: HB75, HB188, HB199, HB4029, HB330, HB507, HB524, HB1517, HB 1065, HB1375, HB1630, HB1398, HB 1227, HB689, HB1814, HB2160, HB2140, HB4897, HB5600, HB5489, HB4188, HB2881, HB2048, HB3900, HB4074, HB5568, HB5528, HB3811, HB3726, HB3382, HB4507, HB4775, HB3626, HB3569, HB5212, HB5248, HB5178, HB3453, HB3231, HB3941, HB1571, HB1969, HB1865, HB2879, HB2643, HB4799, HB4891, HB5567, HB5549, HB5187, HB5118, HB3191, HB1730, HB1687, HB2192, HB4511, HB4805, HB1863, HB3195, HB3199, HB5562, HB5551, HB5169, HB3290, HB3712, HB3996, HB5098, HB5097, HB5089, HB3897, HB3868, HB3829, HB4840, HB3753, HB4368, HB4142, HB2841, HB3457, HB3784, HCR46, HCR109, HCR10, SB1844, SB1833, SB2284, SB2052, SB1666, SB1265, SB1146, SB1921, SB480, SB1734, SB296, SB2039, SB462, SB1646, SB2173, SB2925, SB682, SB1173, HB4535, HB4520, HB3824, HB3066, HB2442, HB3863, HB4773, HB4327, HB5115, HB5515, HB3372, HB5659, HB 127, HB386, HB 115, HB2868, HB 1249, HB4766, HB3720, HB4879, HB5383, HB4621, HB5431, HB5678, HB5534, HB4212, HB3954, HB3966, HB3918, HB1422, HB4765, HB4732, HB4742, HB4518, HB5084, HB3986, HB4144, HB3976, HB4473, HB3425, HB3641, HB3642, HB3475, HB3424, HB4744, HB4539, HB3159, HB5228, HB5370, HB4359, HB4443, HB4466, HB3849, HB4240, HB5141, HB5686, HB3629, HB3554, HB3567, HB2015, HB3575, HB5381, HB4398, HB3514, HB4614, HB4546, HB5681, HB5663, HB4271, HB4350, HB4035, HB3812, HB3540, HB3715, HB3664, HB4233, HB3333, HB3510, HB4222, HB2070, HB2854, HB2347, HB 113, HJR218, HB5623, HB4921, HB5673, HB5520, HB 105, HB4685, HB5354, HB4683, HB75, HB983, HB4847, HB1449, HB3833, HB5151, HB265, HB1845, HB782, HB 108, HB1960, HB158, HB1954, HB1955, HB2512, HB605, HB2581, HB2803, HB627, HB2667, HB1738, HB636, HB3679, HB2638, HB2655, HB871, HB2438, HB 1107, HB1765, HB1822, HB2153, HB4099, HB3732, HB3171, HB3178, HB3182, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2132, HB2658, HB2413, HB2757, HB2080, HB3154, HB3063, HB3009, HB3448, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3946, HB3460, HB3405, HB475, HB3463, HB3441, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB2301, HB3335, HB3234, HB3320, HB5573, HB5573, HB4848, HB4848, HB4748, HB4769, HB4795, HB2086, HB2086, HB2234, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5561, HB5611, HB5043, HB5064, HB5064, HB3733, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB1342, HB5216, HB2046, HB2046, HB2188, HB2188, HB2450, HB2813, HB2857, HB4075, HB4075, HB2911, HB4682, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB2288, HB1886, HB3458, HB3458, HB5603, HB5620, HB1489, HB1489, HB4101, HB4990, HB5685, HB5685, HB4950, HB4950, HB4980, HB5684, HB3507, HB3507, HB3566, HB4487, HB4487, HB4462, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB 1226, HB 1226, HB2806, HB2806, HB2617, HB2617, HB2827, HB3948, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5545, HB5577, HB5577, HB31, HB31, HB279, HB370, HB370, HB4768, HB513, HB875, HB982, HB 1085, HB 1085, HB2677, HB2874, HB5478, HB4880, HB4798, HB4514, HB4958, HB4958, HB4508, HB4508, HB3758, HB3830, HB3744, HB3622, HB741, HB741, HB2204, HB2204, HB2860, HB4659, HB4578, HB813, HB712, HB712, HB1551, HB2790, HB2698, HB3365, HB3504, HB3118, HB3118, HB2959, HB1862, HB1862, HB 1026, HB4401, HB4401, HB4164, HB4164, HB3920, HB4737, HB4966, HB4966, HB4967, HB1958, HB4979, HB4979, HB5459, HB3862, HB1823, HB1823, HB4415, HB4893, HB2343, HB 1228, HB4337, HB188, HB199, HB4029, HB330, HB507, HB524, HB1517, HB 1065, HB1375, HB1630, HB1398, HB 1227, HB689, HB689, HB1814, HB2160, HB2140, HB4897, HB5600, HB5489, HB4188, HB2881, HB2048, HB3900, HB4074, HB5568, HB5528, HB3811, HB3726, HB3382, HB3382, HB4507, HB4775, HB3626, HB3569, HB5212, HB5248, HB5178, HB3453, HB3231, HB3941, HB1571, HB1969, HB1865, HB2879, HB2879, HB2643, HB4799, HB4891, HB5567, HB5549, HB5187, HB5118, HB3191, HB1730, HB1687, HB1687, HB2192, HB4511, HB4805, HB4805, HB1863, HB3195, HB3199, HB5562, HB5562, HB5551, HB5169, HB3290, HB3712, HB3996, HB5098, HB5098, HB5097, HB5089, HB5089, HB3897, HB3868, HB3829, HB4840, HB3753, HB4368, HB4142, HB2841, HB3457, HB3784, HCR76, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR59, HCR135, HCR141, HCR46, HCR46, HCR109, HCR10
FL

Florida 2026 Regular Session

Health Policy Jan 14th, 2025

Health Policy

Transcript Highlights:
  • And here we also measure the preterm delivery rate.
  • Do we have any data on our success rate? You're recognized.
  • So our rates compared to other states of our size and demographics, the monthly participation rates seem
  • below the Healthy People 2030 rate.
  • What is that rate based upon? I think it was 33%, it's not 33% or roughly.
Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.
NH
Transcript Highlights:
  • I would just add two items: rate setting.
  • I would just add two items. um<00:54:10.640> rate<00:54:10.960> setting.
  • I think I've mentioned um rate setting.
  • And, uh, Jennifer, if I can, you were asking about rate setting data and then changes in Medicaid rules
  • Thanks. >> Rate settings specifically for out-of-district placement. >> Yes. Thank you, Mr.
Keywords: 928, house, all
Summary: The commission met to review and amend the minutes from its previous meeting, correcting the date, several spelling and wording errors, and clarifying references to a scholarship fund and a member’s title. The minutes were then approved as amended, with some members abstaining because they were not present at the prior meeting. The chair then turned to the commission’s work plan under SB 57, emphasizing the need to prioritize the statutory topics and identify which issues require additional research, documentation, and possible spreadsheets. Members discussed a broad range of special education cost drivers and policy questions, including student referral rates, why students are classified as other health impaired, whether referrals increased after COVID school closures, intervention processes before referral, the cost of services required under IEPs and 504 plans, differences between federal law, state law, and DOE rules, reporting of special education costs, out-of-district and residential placements, district sharing of resources, dispute resolution, graduation rates, and adult learning outcomes. Several members raised concerns that school environments, mental health, bullying, and possible overidentification may be contributing to rising special education numbers and costs, while others cautioned that some reported district percentages may be inflated or unclear because of how the data are counted. A major portion of the meeting focused on HB 742, which would eliminate prorated special education aid when state appropriations are insufficient and require the governor to draw a warrant to cover shortfalls. Representative Ames explained that the bill had been recommended for interim study because the commission is already examining special education costing, and he highlighted the gap between FY24 special education costs of about $977.1 million and state aid of $33.9 million for catastrophic aid, $67.4 million for differentiated aid, and $50.8 million in federal IDEA funds, leaving local districts to cover about $825.1 million. He argued the commission should ultimately make clear that both the federal government and the state should contribute more. The Department of Education, through Melissa White, answered questions about data and oversight. She said special education counts come from IEPs entered into the state system using SASIDs, that DOE monitors districts through both desk audits and on-site visits, and that billing is checked against the services listed in each student’s IEP. She also said DOE’s special education work is largely federally funded, with roughly $56.7 million received through IDEA this year and about $49.1 million flowing through to LEAs, while the department retains a small amount for administration and statewide support activities. Members also discussed how adequacy calculations use special education counts from the state system and how those figures are reported.
NH

New Hampshire 2025 Regular Session

House Finance Division II (03/25/2025)

Transcript Highlights:
  • versus a higher rate?
  • for the 30% rate to is important for the 30% rate to incentivize<00:14:41.880> the<00:14:42.079
  • likely to transition at the 30% rate likely to transition at the 30% rate versus<00:15:14.440>
  • was 45% rate whatever the other rate was 45% rate what<00:16:25.800> would<00:16:26.199> the
  • And the transition is separate from the tax rate, and I am of the belief that at a 45% tax rate they
Keywords: 928, house, all
Summary: The committee first heard Representative Sweeney present and defend the budget amendment legalizing video lottery terminals (VLTs) and setting a 30% tax rate, with 65% of the tax going to the state and 35% to charities. He argued the lower rate was needed to encourage operators of historic horse racing (HHR) machines to convert to VLTs, saying the higher 45% rate would discourage adoption. He walked through revenue projections for fiscal years 2026 and 2027, estimating significant increases in state and charity revenue as machines transition over time, and said the amendment was designed to expand charitable gaming revenue overall. Several members questioned the assumptions behind his projections and the basis for his analysis, including why his independent research differed from the governor’s and Lottery Commission’s estimates. Sweeney said his figures were based on research into other states and conversations over many years, and he maintained that a 45% tax would likely result in no VLT adoption. Members also debated whether the transition costs for operators would be quickly recouped and whether the state’s share should be larger. One member emphasized that the committee was effectively choosing between a lower operator share and a higher state share, while Sweeney argued the 30% structure would produce revenue for everyone. The committee then moved to other revenue items on the tracking sheet. It voted 7-0 to accept the Lottery Commission’s revised base revenue estimates. Members also discussed an amendment to repeal the local option requirement for Kino games, which would expand Kino availability and was estimated to generate additional lottery profit in fiscal years 2026 and 2027. That amendment drew opposition from members who said local control was an important part of the original Kino policy and that removing it would override municipal decisions. The committee also noted that the VLT/HHR revenue item had already been adopted and was being revisited only to confirm the associated revenue estimates.
FL

Florida 2025 Regular Session

March 11, 2025 - 08:00 AM

Transcript Highlights:
  • Their skill sets apply regardless of where they work.
  • You had two kinds of sets in front of you. The first set were, I believe, 12 reductions.
  • Look at that first set as reductions that have already occurred.
  • So it’s a very difficult skill set to achieve.”
  • So it's a very difficult skill set to achieve.
Summary: The subcommittee met to review agency travel, budget reduction exercises, and member reports from agency meetings. Early discussion focused on the Department of Management Services (DMS), where members questioned the cost of travel for four out-of-state data/cyber staff and the secretary’s absence. DMS defended the hires as highly specialized enterprise cybersecurity and data personnel, said the positions were lawfully paid and posted, and explained that the staff work on statewide data cataloging and cyber risk reduction rather than agency-by-agency systems. Members also raised concerns about fleet inventory discrepancies and requested follow-up information on hiring, travel, and data inventory timelines. The chair said she would consider travel guardrails and possible reductions, and noted that DMS, the Lottery, and the Florida Commission on Human Relations did not meet the requested reduction target, while the Public Employee Relations Commission did not submit reductions. The committee then heard from the Florida Lottery about the secretary’s trip to Paris for the World Lottery Convention. Lottery staff said the trip was reimbursed through the multi-state lottery organization and was intended to share best practices and improve operations, though members questioned the value of the travel and requested reimbursement records and the trip agenda. The subcommittee also reviewed agency reduction exercises from several agencies. The Department of Revenue exceeded its target and was praised for frugality; DFS, the Florida Gaming Control Commission, the Office of Financial Regulation, the Office of Insurance Regulation, the Public Service Commission, the Division of Administrative Hearings, and the Department of Business and Professional Regulation each described how they met or approached their reduction goals, often through vacancies, reversions, or expense cuts. OIR warned that further reductions could hurt insurance regulation capacity, while OFR and PSC said their reductions were based on historical reversions and lower post-COVID travel or vacancy levels. Members then reported back on agency meetings. DMS members raised fleet tracking, real property audits, salary studies, and health plan savings ideas, and asked for follow-up on the Florida PALM project, cybersecurity grants, and state IT modernization. DFS members said the agency was efficient and that its Palm-related work and insurance consumer programs were important. Lottery members emphasized the agency’s revenue generation for education and its low administrative overhead. Gaming Control members highlighted storage costs for seized gaming equipment and suggested technology-based alternatives. PERC members said a union-related law had doubled their workload and asked for more staffing and possible AI assistance. OIR members stressed the need for a Tampa satellite office and more resources to recruit and retain specialized staff. The chair closed by saying the committee would continue reviewing travel, staffing, and reductions with an eye toward taxpayer value and transparency.
TX

Texas 89th Regular

Ways & Means Feb 25th, 2025

Ways & Means

Transcript Highlights:
  • local rate of 2% for a maximum combined state and local rate of 8.25%.
  • The tax rate is $2,500. on debt service and a tax rate to fund maintenance and operations as determined
  • That's how this study is set up. OK.
  • total school district. rate.
  • The amount of tax you have to pay is not determined until tax rates are set later in the year.
Keywords: 1184, house, all
KY
Transcript Highlights:
  • > east lowest rates electricity rates uh east lowest rates electricity rates uh east of<00:20:
  • <01:31:14.320> of nationwide, the rate of nationwide, the rate of utility<01:31:16.880>
  • rate for utilities. rate for utilities.
  • development opportunity pay lower rates development opportunity pay lower rates than<01:37:35.360
  • We had low energy rates. We Kentucky. We had low energy rates.
Summary: The committee meeting began with prayer, the Pledge of Allegiance, roll call, and approval of the prior minutes. Members also observed a moment of reflection for Charlie Kirk and offered condolences to Representative Bobby McCool on the death of his mother. Representative Fugate then made announcements about the ongoing ATV/UTV trail system, including an October 21 opening in Letcher County and an October 2 groundbreaking in Knott County, and staff was asked to circulate the dates to members. The main agenda item was Senate Bill 137, presented by Senator Cassie Chambers Armstrong with testimony from George Ecklan of the Coalition of the Homeless and Wesley Bryant, a flood survivor and Eastern Kentucky resident. The bill would prohibit utility disconnections for non-payment during dangerous weather and emergencies, including extreme cold, excessive heat, and declared natural disasters. Supporters said the measure is narrow, does not forgive past-due balances or change reconnection policies, and is intended to protect vulnerable residents, reduce risks to first responders, and create a minimum statewide standard amid a patchwork of utility policies. They cited weather thresholds and historical examples of extreme weather and disaster declarations in Kentucky. Testimony emphasized the human impact of shutoffs, especially for low-income households, older adults, and families facing illness or disaster recovery. Bryant described experiences with people shivering without heat or struggling to keep children cool when power was cut off, calling electricity a lifeline rather than a luxury. Representative Gu raised concerns that utility bills have become unaffordable due to broader policy and rate issues, argued that some customers may not pay if shutoffs are prohibited, and questioned whether the bill was needed. Senator Chambers Armstrong responded that the proposal is limited to non-payment shutoffs during short periods of dangerous conditions and is meant to keep people safe during emergencies. No vote or final action on the bill was taken in the portion of the meeting provided.
MN
Transcript Highlights:
  • In addition, this would also include a rate-setting study for market rate services and homemaking services
  • <00:14:00.480> setting<00:14:00.800> study would also include a rate setting study
  • would also include a rate setting study for<00:14:01.199> market<00:14:01.519> rate<00:
  • ICS daily rate with a 15minute 15minute 15minute unit<00:25:10.559> rate.
  • authority that is set to expire in 2027. authority that is set to expire in 2027.
Keywords: 918, senate, all
Summary: The joint hearing opened with chairs explaining that the program integrity omnibus bill is a combined draft assembled from individual member bills and governor proposals, many of which had already been heard in committee. Members emphasized the compressed end-of-session timeline, said the language was not yet ready for enactment, and invited continued revisions as the bill moves next to judiciary and finance. Several speakers stressed the need for bipartisan collaboration, while also warning that the Legislature must act this session on program integrity rather than defer reforms. The fiscal staff then walked through a spreadsheet showing the bill’s overall budget effects and major provisions. The package includes DHS proposals on transforming human services, market- and receipt-based rate reform, enhanced program and payment integrity, uniform service standards, nursing facility rate changes, ICS reforms, and a repeal/redesign of housing stabilization, along with child care assistance integrity and human services redesign items in DCYF. Staff highlighted that the bill combines multiple sources, including governor proposals and member bills, and noted several items that are also in the supplemental human services budget. Committee discussion focused heavily on prepayment review, remote supports, ICS, and provider accountability. Chairs said the bill would codify prepayment review with a 60-day notice requirement after providers were caught off guard by prior rollout, and that remote supports and ICS language were placeholders or under active debate. One member argued the system needs stronger standards but cautioned against harming compliant providers, while another urged the committee to learn from good providers and warned against repeating failed implementations. Staff also reviewed thematic indexes covering billing and service delivery oversight, EVV, administrative reform, licensing and background studies, provider enrollment, sanctions, and child care provider compliance training. No formal votes were taken in the portion provided. The hearing ended with staff beginning the index walkthrough and members indicating that posted amendments would be considered as the bill advances through the remaining committees.
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - Part 1 - 03/17/26

Health and Human Services

Transcript Highlights:
  • . rates. rates.
  • , not the fraud rate, the error rate, so the overpayment underpayment rate.
  • ,<00:19:39.520> the error rate, not the fraud rate, the error rate, not the fraud rate, the
  • error rate, so the overpayment error rate, so the overpayment underpayment<00:19:41.800> rate
  • So anywhere and underpayment rate.
Keywords: 1187, senate, all
AR

Arkansas 2026 1st Special Session

REVENUE & TAXATION- HOUSE May 4th, 2026

Transcript Highlights:
  • It will also reduce the corporate rate down to 4.1, and that will be as of 2020.
  • The corporate rate from down to 4.1, and that will be as of 2027.
  • That's why we are asking you to vote no on this new set of tax cuts.
  • We shouldn't be competing with neighboring states for the lowest tax rate.
  • The 2025 rate study that you mandated shows it is 23% underfunded, 23%.
Summary: The committee heard House Bill 1001, sponsored by Representative Les Eaves, which would lower Arkansas’s personal income tax rate to 3.7% retroactive to the current year and reduce the corporate income tax rate to 4.1% beginning in 2027. Eaves argued the bill continued a decade-long strategy of broad-based tax relief, would help working families, and would keep Arkansas competitive with other states. He said the measure would reduce future surpluses rather than cut current services, and noted the average taxpayer could see roughly $800 to $1,000 in annual savings from recent tax changes. Several witnesses testified against the bill. Arkansas Appleseed’s Anna Morchetti, Missy Wyatt Joyce, Pastor Preston Clegg, Michelle Pedro of the Arkansas Coalition of Marshallese, and Arkansas Advocates for Children and Families’ Pete Guest all argued the state should prioritize funding for public schools, health care, supported living services, food assistance, rural hospitals, and early childhood education instead of further tax cuts. They said Arkansas faces significant unmet needs, including underfunded schools, food insecurity, and shortages in disability and community-based services, and warned the tax cut would mainly benefit higher earners while reducing resources for essential programs. After testimony, the committee limited debate time for witnesses to five minutes. Representative Eaves closed by saying the state had been responsible in prior tax cuts and that the bill would return money to taxpayers without reducing services. Representative Bray also spoke in support, saying the legislature has continued to fund major priorities while still providing tax relief to working families. The committee then voted to pass the bill, and HB 1001 was approved.
NH

New Hampshire 2025 Regular Session

House Science, Technology and Energy (04/14/2025)

Science, Technology and Energy

Transcript Highlights:
  • > to<01:06:46.559> the to rates, rate structure, charges to the to rates, rate structure
  • However, the lion's share of our energy rates are set by the energy markets.
  • c> share of our energy rates are set by the share of our energy rates are set by the energy<05:46:22.638
  • It's whatever the market is clearing at that sets the default service rate, which then sets the compensation
  • > rates as those rates as those rates change. change. change.
Keywords: 928, house, all
Summary: The committee met on April 14 and began by welcoming a new member, Representative Samban Denier, who briefly described his background as a Clarkson University environmental engineering graduate and Air Force veteran. The committee then moved into a work session on five energy-related bills, starting with Senate Bill 65 on stormwater management for solar arrays. Representative McGee presented amendment 1594H, which would exclude projects in shoreland areas from the bill’s permit-by-notification process and require the standard alteration-of-terrain permit review instead. Members asked for clarification, and McGee explained the amendment was requested by the New Hampshire Lakes Association and others to preserve the fuller review process for shoreland projects. The committee appeared satisfied with the explanation and moved on. The committee next discussed Senate Bill 230 on electric utility restructuring and investment in distributed energy resources. Members concluded that section one was unnecessary because a better definition of advanced nuclear resources had already been added to House Bill 710, and that section two would allow investment in advanced nuclear resources in a way they had already rejected in another bill due to ratepayer risk. Several members agreed the bill was redundant and supported an ITL motion. They also discussed Senate Bill 232 on net metering terms and conditions, focusing first on whether hydroelectric generators could be listed in ISO New England while also taking net metering credits. Granite State Hydropower Association representative Heidi Kroll testified that generators are subject to checks and balances, that double-dipping is not occurring, and that rules and tariffs already require participation in one market arrangement or the other. Discussion on Senate Bill 232 then shifted to section two, which would bar retroactive changes to net metering tariffs in place as of January 1, 2025. Representative McGee proposed alternative language to protect existing customer generators, group hosts, and municipal hosts from retroactive changes, while others said the language was needed to provide stability for current participants operating on thin margins. Some members supported the clearer wording; others argued the committee should not tie the hands of the PUC and DOE, noting future circumstances could require regulatory flexibility and that conflicts could be resolved in court if necessary. The committee did not take a final vote in the portion of the meeting provided, and the discussion was still ongoing when the transcript ended.
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Jul 21st, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • Yes, so two of our data sets do include age, gender, and location.
  • What is your rate, and how do you get it better?
  • Of children and the way the facility was set up.
  • They can be brought into this setting and then also connected to services.
  • I'm getting set up here. Okay, thank you.