Video & Transcript Research : 'rate decoupling'

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HI

Hawaii 2026 Regular Session

Tourism and Gaming Working Group (TGWG) - Thu Jun 18, 2026 @ 10:00 AM HST

Hawaii House Floor Meeting

Transcript Highlights:
  • So, you're really stuck with just ...tax revenue, tax rate, I included that in the slide.
  • So, you're really stuck with just ...tax rates are slightly different for each casino, and it's based
  • Like I said, it says, "Okay, the tax rate is whatever, let's go with 20%."
  • And the tax rate you'll see is actually quite low compared to what you see elsewhere.
  • And so, as part of that recognition, Arizona was like, "We don't actually need as high of a tax rate
Keywords: 910, house, all
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 4/7/25

Health Finance and Policy

Transcript Highlights:
  • Higher mortality rates, communities.
  • Rates of burnout in health care fields were at record highs before the COVID pandemic, and those rates
  • Rates of burnout in health care fields were at record highs before the COVID pandemic, and those rates
  • Rates of burnout are at an 1645.
  • > of<00:23:18.559> early data shows that rates of early data shows that rates of early
TX

Texas 89th 2nd C.S.

Higher Education Mar 4th, 2025

Higher Education

Transcript Highlights:
  • This rate climbs to 65% when you look out six years.
  • Where we've made more progress is in graduation rates.
  • That rate was created in many ways to deal with.
  • In FYI 21, the six-year graduation rate yielded 23%.
  • surpasses the 85% historical rate.
TX

Texas 89th Regular

Appropriations - S/C on Articles I, IV, & V Feb 26th, 2025

Appropriations - S/C on Articles I, IV, & V

Transcript Highlights:
  • But if you look at their turnover rates, they're dealing with... with 30-plus percent turnover rates
  • This chart highlights turnover rates for JCOs all.
  • Is the turnover rate I think you if not have the highest turnover rate in a state is it's definitely
  • And those are those come from savings that you see in reduced re-arrest rates, re-incarceration rates
  • With a 90.7% success rate. completion rate.
Keywords: 1184, house, all
MN

Minnesota 2025 1st Special Session

House Human Services Finance and Policy Committee 2/11/25

Human Services Finance and Policy

Transcript Highlights:
  • we've also had um more ongoing rate we've also had um more ongoing rate increases<00:29:19.559><
  • for elderly waiver and Alternative rates for elderly waiver and Alternative Care<00:29:29.840> by
  • Chapter 256R relates to nursing facility rates, and it establishes the MA reimbursement rates for nursing
  • and it establishes the ma Facility rates and it establishes the ma reimbursement<00:35:43.200> rates
  • Services rate Services rate methodologies<00:38:24.520> and<00:38:24.720> payment<
Keywords: 1183, house
CA
Transcript Highlights:
  • Now, California's rate of food insecurity, that 13%, is pretty close to the national rate of about 14%
  • The rate declined between 2011 and about 2017.
  • at a rate of four a day.
  • The participation rate is high.
  • The participation rate is high.
Summary: The joint oversight hearing focused on food insecurity in California and how state and federal nutrition programs, agricultural production, and food distribution systems intersect. Assemblymembers emphasized that many Californians, including farmworkers, seniors, children, and communities of color, remain food insecure despite California’s agricultural abundance. Panelists and members discussed CalFresh, WIC, school meals, Sun Bucks, food banks, and the impact of federal policy changes, including possible nutrition cuts, tariffs, and immigration enforcement, on access to food and the agricultural workforce. Secretary Karen Ross described CDFA programs aimed at improving access to fresh food and supporting local agriculture, including the senior farmers’ market program, California Nutrition Incentive Program, Healthy Refrigeration Grant Program, Community Food Hubs, Farm to School, urban agriculture, and a proposed tribal food sovereignty program. She said these efforts help connect local producers to consumers, expand healthy food access, and build infrastructure such as refrigeration, mobile markets, and aggregation hubs. Department of Social Services Deputy Director Alexis Fernandez Garcia outlined CalFresh, CFAP, Sun Bucks, CACFP, emergency food programs, and tribal nutrition assistance, noting that CalFresh and related programs significantly reduce poverty and food insecurity, but participation gaps remain for non-English speakers, some Asian American communities, and undocumented households. PPIC researcher Tess Thorman presented data showing that 13% of California households experienced food insecurity in 2023, with higher rates among households with children and Latino, Black, and other households. She said nutrition programs reduce poverty and food hardship, but federal rules, income thresholds, immigration restrictions, and high living costs limit their reach. Members asked about simplifying applications, improving call center access, increasing outreach in multiple languages, and adjusting benefits for inflation. Officials said the state has used available federal options to streamline enrollment, improve customer service, and target outreach, but many core rules and benefit levels are set federally. The second panel shifted to food production and market access. A farmer, a UC food systems leader, and a produce distributor described efforts to connect small and medium farms with food banks, schools, universities, and Medi-Cal food-as-medicine programs. They highlighted programs such as Farms Together, the USDA Southwest Regional Food Business Center, Farm to School, food hubs, and climate-smart infrastructure grants as ways to create stable markets for local growers while improving food access. Speakers also raised concerns about land tenure, consolidation, regulatory burdens, labor constraints, and the loss of federal funding, and members discussed whether state investments and Prop. 4 funds could help sustain and expand these efforts.
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Nov 7th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • First, for prescription drugs, there are pretty high denial rates across insurers.
  • at 81% and the lowest denial rate at 19% for prior authorizations, according to 2023 data.
  • denial rate at 47%.
  • The Medicaid rate of $163 on average is among the lowest nationally.
  • There have been frozen provider rates, so you have limited subspecialty access.
FL
Transcript Highlights:
  • And how those pass rates right rates degree
  • The four-year graduation rate. Was 65% go.
  • For your grad rate. goals 90%.
  • For your grad rate. increased almost 50%.
  • For your grad rate. increased almost 50%.
Keywords: 999, senate, all
TX

Texas 89th 2nd C.S.

Senate Committee on Water, Agriculture, and Rural Affairs May 11th, 2026

Water, Agriculture and Rural Affairs

Transcript Highlights:
  • rate covers the operation.
  • Who has the highest water rates on your chart on page 4?
  • Talking about individual water rates, yeah, like who has the highest rates? Like if I look...
  • So the other thing we did is we did tiered rate structures.
  • No, they are rate payers to us. We manage and maintain that.
Summary: During the meeting, legislative members discussed the practice of municipalities diverting water and sewer revenues to their general funds, which impacts infrastructure maintenance and project delays. Vice Chair Sparks proposed limiting public testimony to two minutes, which was adopted without objection. The committee heard from various witnesses, including Perry Fowler from the Texas Water Infrastructure Network, who emphasized that utility revenues should primarily support water services and that transfers should be transparent and justified. He noted that many utilities face financial pressures that could hinder infrastructure projects. Larry French from the Texas Public Policy Foundation highlighted the significant financial impact of water loss and general fund transfers, estimating the annual loss at $1.5 billion. He argued that these transfers can create disincentives for municipalities to address water loss issues. Brian Butcher, Assistant City Manager of Sugar Land, defended the city's cost allocation model for general fund transfers, asserting that they are necessary for equitable service provision and operational efficiency. The committee also discussed the implications of rising construction costs and the need for better procurement processes to ensure effective use of taxpayer dollars. The second part of the meeting focused on the New World Screwworm and the state's preparedness to manage potential infestations. Dudley Hoskins from the USDA outlined the federal response efforts and the importance of collaboration with state agencies. He emphasized the need for ongoing surveillance and the production of sterile flies to combat the pest. Dr. Philip Kaufman from Texas A&M discussed the historical context of the screwworm and the challenges posed by its potential reintroduction, urging proactive management strategies among livestock producers. The committee acknowledged the need for increased resources and research to effectively address the threat of the screwworm.
MN

Minnesota 2025 1st Special Session

House Housing Finance and Policy Committee 2/19/25

Housing Finance and Policy

Transcript Highlights:
  • We're very proud of the AAA stable credit rating that our city has from the rating agencies.
  • We're very proud of the AAA stable credit rating that our city has from the rating agencies.
  • <01:10:39.280> Workforce creation of market rate Workforce creation of market rate Workforce
  • Inflation and interest rates are creating a challenging environment.
  • Inflation and interest rates are creating a challenging environment.
Keywords: 1183, house
MN

Minnesota 2025-2026 Regular Session

Child Committee Meeting - 2026-03-24

Children and Families Finance and Policy

Transcript Highlights:
  • , historically low unemployment rates, historically low unemployment rates, something<01:13:30.000
  • about reducing the payment error rate. about reducing the payment error rate.
  • payment error rate lower than 6%. payment error rate lower than 6%.
  • I believe we could work together to reduce our error rate.
  • This can also help reduce error rates.
MN
Transcript Highlights:
  • The SNAP rates, too: in Minnesota, in terms of a SNAP error rate, we are kind of right in the middle
  • Somebody will going to pay higher rates.
  • The SNAP rates too, we have in we can.
  • , Minnesota in terms of a SNAP error rate, Minnesota in terms of a SNAP error rate, we<00:13:00.960
  • So we're going rates, they get a pass.
Keywords: 918, senate, all
Summary: Senate DFL senators discussed the Health and Human Services supplemental budget on the floor, framing it as a response to federal HR 1 and related Trump administration policies that they said shift costs to states, counties, hospitals, and families. Senators Liz Bolden, Lindsey Port, Erin Murphy, Alice Mann, and Rob Kupec argued the bill is needed to backfill cuts to Medicaid and SNAP, stabilize hospitals, and prevent property tax increases and service disruptions. They said the package totals about $700 million, with more than $250 million aimed at hospital support and roughly $300 million to help counties absorb food-support cost shifts. Members described the federal changes as adding red tape and work-reporting requirements that would cause eligible people to lose coverage, with estimates cited of more than 150,000 Minnesotans losing Medicaid and about 62,000 losing individual-market coverage due to higher premiums. They also said counties would face new administrative burdens and hiring needs, and that rural hospitals, safety-net providers, and EMS systems would see more uncompensated care. One senator noted Dakota County could face an additional $11 million next year and property tax increases, while another said Minnesota hospitals could see charity care rise by more than $269 million next year. The discussion also covered specific funding in the bill, including $300 million for hospital stabilization, with $150 million for HCMC, nearly $115 million for other hospital stabilization grants, almost $18 million for community safety-net providers, and $15 million for rural EMS uncompensated care. Senators said these funds are short-term measures, not long-term fixes, and that if the state did nothing, the health care system and SNAP administration could collapse. They said they do not expect Republican support in the Senate and suggested longer-term options could include federal changes after the next election or state-level tax changes on the ultra-wealthy. No vote outcome was stated in the excerpt, but the senators indicated the bill would move forward with DFL support.
FL

Florida 2026 Regular Session

Ethics and Elections Feb 23rd, 2026

Ethics and Elections

Transcript Highlights:
  • And lastly, reducing our vacancy rates.
  • When I started in the role, our vacancy rate was over 20%. It is now down to 8.9%.
  • You're right that we have seen in those areas a large increase in customer rates.
  • I think that Florida...” “...increase in customer rates.
  • So it's a government-granted monopoly, and government sets the rates.
Summary: The committee met to consider a large slate of appointments, with the main discussion centered on the confirmation of Chavon Harris as Secretary of the Agency for Health Care Administration (AHCA). Harris testified about her background in state service and outlined agency priorities including Medicaid financial accountability, transparency, managed care oversight, behavioral health redesign, rural health access, workforce recruitment, and use of technology and AI. Senators questioned her extensively about the Hope Florida/Medicaid settlement controversy, opioid settlement-funded advertising campaigns tied to marijuana prevention and the 2024 Amendment 3 election, public records compliance, abortion reporting and enforcement under the Heartbeat Protection Act, managed care denials, value-based purchasing, and Medicaid funding pressures. After debate, the committee voted to recommend her confirmation, with Senator Polsky voting no. The committee then considered Anna Ortega and Robert Payne for the Florida Public Service Commission. Ortega, a current PSC commissioner and former staff advisor, discussed utility regulation, data center load issues, ratepayer protections, transparency in PSC decisions, and lessons from other states. Payne, a former legislator and longtime utility co-op employee, emphasized his technical background and the need to balance utility returns with consumer affordability. Both nominees were confirmed by unanimous or near-unanimous votes and recommended favorably to the full Senate. Next, the committee heard from Jeffrey Aaron for reappointment to the Public Employees Relations Commission. Aaron described PERC’s role in public-sector labor disputes and said his work had been upheld in appellate courts without reversal. Senators questioned him about his law firm’s state contracts, his role as chairman of Attorney General James Uthmeier’s PAC, and his connection to the Hope Florida Foundation matter; he declined to discuss the pending investigation. Public testimony included opposition from Florida Voice for the Unborn. The committee nevertheless recommended his confirmation, with several no votes. Finally, the committee approved the remaining appointees on tabs 5 through 46 in a single vote, postponing Dr. John Littell and DCF Secretary Hatch, and then adjourned.
MO

Missouri 2026 Regular Session

Corrections and Public Institutions Jan 14th, 2026

Corrections and Public Institutions

Transcript Highlights:
  • The rate structure for the contract is set on a per-offender, per-day amount.
  • As the population goes up in increments, the rate goes down—not the total rate, but the rate per offender
  • As the population drops, the rate goes up per offender per day.
  • At different rates. So it was heavily front-loaded.
  • It goes up, but maybe not at a higher rate. Okay.
Keywords: 959, house, all
FL

Florida 2025 Regular Session

December 9, 2025 - 03:00 PM

Transcript Highlights:
  • In addition, I just also want to touch and rate the common around security.
  • If you look at our graduation rate were the highest graduation rate among large states.
  • We also measure or for your rate. It's 60% of our program.
  • And each of those 5 years, our growth rate has been 0.2%.
  • Four-year graduation rate is 63.5%.
MN

Minnesota 2025 1st Special Session

Committee on Housing and Homelessness Prevention - 02/20/25

Housing and Homelessness Prevention

Transcript Highlights:
  • The low interest rates we had just saw a nice boom in marketing.
  • we're in a position where, because of inflation, the Federal Reserve has had to increase interest rates
  • And on top of that, the interest rates are so high and the cost to build is so high that the math simply
  • <00:03:43.799> times through the low interest rate times through the low interest rate times
  • low income housing and market rate low income housing and market rate housing<00:10:38.079> and
Keywords: 1187, senate, all
AR
Transcript Highlights:
  • So I think thinking about that is we don't have a differential in rate.
  • You get the same rate for an hour of counseling...
  • So we tried to rework that rate. They worked with us.
  • and a partial day rate.
  • We'll see how that works as well for some of those daily rate services.
Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to behavioral health as the main topic. Representatives Woodridge and Vaught described the work of the behavioral health working group, saying Arkansas needs a more proactive system that improves access, reduces red tape, and focuses on a few achievable policy changes for the 2027 session rather than many bills. Members discussed barriers such as low reimbursement, workforce shortages, licensing and credentialing hurdles, rural access problems, and the need to better use community providers, compacts, and step-down services. Director Paula Stone of DHS’s Office of Substance Abuse and Mental Health gave a detailed overview of the behavioral health system. She said Medicaid pays for more than 75% of behavioral health services in Arkansas and explained that when people are jailed or admitted to the state hospital, Medicaid generally stops, leaving state general revenue to cover care. She described current efforts including family-centered treatment for children, community reintegration group homes, a new adolescent substance use disorder residential unit, expanded community mental health center contracts, a secured restoration unit to reduce state hospital backlogs, and an IMD waiver to allow Medicaid payment for certain residential services. She also said DHS is working on crisis services, forensic evaluations, and provider rebidding in areas previously served by ERISA. Members asked about reimbursement for jail services, the lack of a statewide behavioral health dashboard, civil commitment options, crisis stabilization units, and whether Arkansas should expand step-down or long-term facilities for people who cannot safely return to the community. Stone said the state hospital backlog remains significant, average stays are still about 14 months, and crisis stabilization units have had mixed success, with Fort Smith and Jonesboro performing better than Fayetteville and Little Rock. The meeting ended with a commitment to continue the work, with more substantive discussion planned for August.
AR
Transcript Highlights:
  • So I think thinking about that is we don't have a differential in rate.
  • You get the same rate for an hour of counseling...
  • So I think thinking about that is we don't have a differential in rate.
  • So we tried to rework that rate. They worked with us.
  • and a partial day rate.
Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to a broad discussion of behavioral health policy, taking up work previously handled by a behavioral health working group. Representatives Wooldridge and Vaught described major gaps in Arkansas behavioral health care, emphasizing access problems, workforce shortages, rural service barriers, low reimbursement, and the need to move from a reactive crisis system to more proactive community-based care. Members discussed possible 2027-session priorities such as reducing red tape, improving provider licensing and supervision pathways, expanding billing codes and reimbursement structures, and considering interstate compacts and other workforce fixes. A major focus was the state’s crisis and forensic system, including long waits for competency evaluations, the backlog at the Arkansas State Hospital, and the use of county jails for people awaiting treatment. DHS Director Paula Stone explained that Medicaid pays for most behavioral health services, but cannot pay for services in jails or state hospitals because those individuals are treated as inmates of public institutions, leaving state general revenue to cover much of that cost. She outlined DHS efforts including secured restoration beds, therapeutic communities, community mental health center contracts for jail-based services, and plans for an institution-for-mental-disease waiver that could allow Medicaid payment for certain hospital-based services. Members also discussed crisis stabilization units, with DHS noting that Fort Smith and Jonesboro have been more successful than Fayetteville and Little Rock, largely because of location, partnerships, and law enforcement coordination. Questions covered reimbursement for county jails, step-down facilities, civil commitment options, non-emergency behavioral health transportation, and whether DHS should create a bed-availability dashboard similar to hospital systems. DHS said it does not currently have such a dashboard but is exploring the idea. The meeting ended with a commitment to continue the work, with more detailed discussion planned for August, and the subcommittee adjourned.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Consumer Protection and Professional Licensure Jun 21st, 2026 at 10:00 am

Joint Committee on Consumer Protection and Professional Licensure

Transcript Highlights:
  • There is a provision in there on warranty rates to make it one and a half times the amount of time.
  • You know that dealers already charge a higher labor rate than independent shops.
  • do not have the very tools and training that they use to justify their labor rates.
  • For all the discussions with the car dealers about flat rate, you're limited by the same flat rate discussion
  • For all the discussions with the car dealers about flat rate, you're limited by the same flat rate discussion
Keywords: 995, all
Summary: The Joint Committee on Consumer Protection and Professional Licensure heard testimony on a wide range of bills involving consumer protection, auto regulation, alcohol licenses, and professional licensure. A major focus was legislation to require a one-hour domestic violence awareness training for salon and cosmetology licensees (H.323/S.200), supported by District Attorney Marion Ryan, law enforcement, and a salon industry witness who described the program’s value in identifying and helping victims. The committee also heard strong support from the Attorney General’s office for auto consumer protection legislation (S.228/H.379) that would expand used-car warranty protections, extend the Lemon Law return period to seven days after receipt of the vehicle, raise the mileage cap to 200,000 miles, and increase dealer surety bonds to $50,000. Independent dealers opposed those changes, arguing they would burden small businesses and that dealer education, not expanded liability, was the better solution. The committee also took testimony on bills related to vehicle financial products and repair information. A trade association supported GAP waiver legislation (H.4188/S.281), saying it would create clear consumer protections and standard disclosures. On right-to-repair and heavy-duty vehicle service information (S.266), engine and truck manufacturers supported an exemption for commercial vehicles, while others argued that releasing service data to the general public could create safety, cybersecurity, and emissions risks. The committee then heard extensive testimony on auto dealer franchise and warranty reimbursement legislation (S.201/H.406), with dealer groups supporting changes to warranty labor reimbursement and manufacturer groups opposing them as costly and unnecessary. Manufacturers from GM, Volvo, Toyota, Hyundai, Mazda, and others said their current time-study and appeals processes already compensate dealers fairly and that the bill would raise costs for consumers. In addition, the committee heard testimony on H.333, which would move auto damage appraiser licensing from the Division of Insurance to the Division of Occupational Licensure. Collision repair advocates supported the change, saying the current board structure leads to repeated dismissals of complaints and lacks accountability, while emphasizing that the bill is intended to protect consumers and ensure proper repair reimbursement. The hearing also included testimony in support of a local alcohol license petition for Westwood and a separate local alcohol measure for a town grant license. At the end of the hearing, the chairs announced that all docketed bills had been heard, noted that a joint poll would be held on H.4184, and the committee voted to adjourn by voice vote.
TX

Texas 89th Regular

Human Services May 6th, 2025

Human Services

Transcript Highlights:
  • I had a question about rates, specifically the current rates and how that has changed over the years.
  • On creating rate structures that are based on those cost reports.
  • We were talking about rates earlier in funding.
  • negotiate rates for kids.
  • Down the road a little bit with the new T3C rates, the T3C rates are doing a much more refined job at