Video & Transcript Research : 'adjuster'
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KY
Kentucky 2026 Regular Session
House Budget Review Sub. on Health and Family Services. (1-28-26)
Transcript Highlights:
- What's in this includes a 2% cost-of-living adjustment for staff between 2027 and 2028.
- We include inflationary indexes and income inflationary adjustments in our forecasts.
- calculations from IT ad IT adjustment. calculations from IT ad IT adjustment.
- is one of those that is being adjusted is one of those that is being adjusted yearly<00:59:11.920
- We have made an adjustment in our projections for community engagement.
Keywords:
Meeting Start 00:00:00
Attendance Roll Call 00:00:36
Department for Medicaid Services 00:01:44, 958, all
Summary:
The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group.
A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028.
Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.
MN
Minnesota 2025 1st Special Session
Committee on Agriculture, Veterans, Broadband and Rural Development - 04/02/25
Agriculture, Veterans, Broadband, and Rural Development
Transcript Highlights:
- <00:22:22.320>
to fund impact, but uh, an adjustment to fund impact, but uh, an adjustment - > this<00:26:22.799>
division operating adjustment for this division operating adjustment - ><00:28:26.880>
57 <00:28:27.760>also operating adjustment on line 57 also operating adjustment - /c><00:45:03.680>
of <00:45:03.839>animal adjustment for the board of animal adjustment - <00:55:20.240>
the connectedly um the adjusting the connectedly um the adjusting the livestock
WY
Wyoming 2026 Regular Session
Senate Floor Session-Day 14, February 25, 2026-AM
Wyoming Senate Floor Meeting
Transcript Highlights:
- Through the budget process, we can adjust those salaries.
- Through the budget process, we can adjust those salaries.
- <00:21:10.880>
as we can make a reasonable adjustment as we can make a reasonable adjustment - amend laws to just make an adjustment. amend laws to just make an adjustment.
- >
not <00:34:13.919>taking It's an adjustment that's not taking It's an adjustment that's
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health May 20th, 2025
Transcript Highlights:
- Next item is withdrawal of resources for rent adjustment.
- Those resources will be used to make adjustments to data reporting as required.
- There's a technical adjustment to chapter legislation. It's a minor technical approval. Okay.
- And last is a technical adjustment related to SB 858 civil penalties.
- And last is a technical adjustment related to SB as 858 civil penalties.
Summary:
The Assembly Budget Subcommittee on Health held an informational hearing on the Governor’s May Revision, focusing first on the Commission on Behavioral Health, then EMSA, and then the California Department of Public Health (CDPH). The Department of Finance said the state faces a third consecutive deficit and that the May Revision includes difficult trade-offs, including proposed eliminations or reversions of some behavioral health and public health funds. The LAO echoed concern about the structural deficit and said it was still awaiting some budget details before offering a full analysis.
For the Commission on Behavioral Health, Finance proposed eliminating $20 million in Mental Health Wellness Act funds, arguing the money would help offset General Fund costs and noting future Proposition 1 innovation funding. The commission strongly opposed the cut, saying it would eliminate or delay launch-ready grants for early childhood supports, full-service partnerships, and peer respite, and would eventually end ongoing grant programming. Several advocates and commissioners testified that the funds support underserved communities and that Proposition 1 is not a substitute for the existing programs. The chair asked Finance to look for alternatives, but no vote was taken.
EMSA presented mostly technical budget adjustments: increased authority for the California Poison Control System, a correction to EMSIS funding, and a reappropriation for enterprise services and data management. CDPH then reviewed a broader set of May Revision proposals, including reversions from the California Reducing Disparities Project, workforce development, STD prevention, hepatitis C prevention, hospice, and extreme heat funding, as well as a new generative AI pilot for health facility survey reporting. Members raised concerns about cuts to CRDP and gender health equity programs, especially because many grants are mid-contract and serve underserved communities; CDPH said the reversions were part of solving the deficit and that CRDP had been successful, while also clarifying that abortion.ca.gov would not be eliminated. Public comment was overwhelmingly opposed to the CRDP and related cuts, with many speakers describing the programs as life-saving and cost-effective. No formal votes or actions were taken during the hearing.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Oct 7th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- for population, adjusted for number of physicians.
- In total, the middle line is adjusted for population, and the bottom line is adjusted for the number
- Let me comment on the need to adjust for Inflation.
- So, if I look, for example, at your adjustment... What's that?
- Prices will adjust.
NH
New Hampshire 2026 Regular Session
Fiscal Committee (02/20/2026)
Transcript Highlights:
- They'll be monitoring the performance and, based on what they're seeing, they may adjust future amounts
- <00:09:52.800>
seeing, <00:09:53.279>they <00:09:53.519>may <00:09:53.760>adjust - what they're seeing, they may adjust what they're seeing, they may adjust future<00:09:54.720>
- Two items, and these have been adjusted. Senator Lang moves to approve both items 028 and 029.
- So they need to come back and at least adjust that some way, whether that's new money or transferring
Summary:
The Fiscal Committee met on February 20, 2026, first approving the minutes and then adopting the consent calendar as amended, with item 26045 removed for separate consideration. The committee then heard item 26045 from the Department of Health and Human Services on the Real Health Transformation Grant for Go North. HHS explained that the first-year award is $204 million, with most funds passed through to Go North and only limited administrative and audit costs retained by HHS. Members asked about staffing, procurement, the program’s spending plan, and whether future grant amounts would be fixed. HHS said Go North will administer the grants, staffing is expected to be about 20 positions, procurements will be competitive, and future awards will depend on federal review of performance and spending. The commissioner said the money is intended to create transformative changes that must be sustainable after the grant period. The committee then approved the item.
The committee next took up regular calendar item 26041 from HHS and adopted it without discussion. It also approved two adjusted items on tab 11, FIS26028 and FIS26029. Item 26027 from the Department of Transportation was adopted as well. Item 26034 from the Department of Corrections was withdrawn, and members noted that any request for new overtime money would be closely scrutinized, especially given the tight budget and the need to explain how existing salary funds were being used. Committee staff said they would follow up with Corrections on vacancy rates, available funds, and other class lines and provide answers to the committee.
The committee then received audit presentations on the state’s college savings plans, including the Unique College Investing Plan and the Fidelity Advisor 529 Plan. Auditors reported clean opinions, no material weaknesses, no audit adjustments, and no unadjusted items requiring reporting. The State Treasurer said the plans are performing well, now total more than $32 billion in assets under management, and are expected to generate about $20 million in revenue this year, with the proceeds supporting scholarship programs for low-income students. The committee placed the audits on file and released them in the usual manner. In other business, members set the next Fiscal Committee meeting for Friday, March 20, 2026, at 11:00 a.m., and then adjourned.
AL
Alabama 2026 1st Special Session
Alabama House Constitution, Campaigns and Elections Committee Feb 4th, 2026
Constitution, Campaigns and Elections
Transcript Highlights:
- It allows for an adjustment equal to the CPI on January 1 of 2030.
- The $40,000 is adjusted, as Representative K said.
- Um, and in 2030 the $40,000's adjusted up.
- I mean in 2030 the 40,000's adjusted up.
- It'll be adjusted whatever the CPI is.
Keywords:
HB272, LASEA, AMSTEP, Alabama Commission on Higher Education, State Department of Education, teacher loan repayment, student loan forgiveness, educator shortage, teacher shortage, acute educator shortage, acute shortage location, public K-12 schools, school systems, math teachers, science teachers, computer science teachers, charter schools, failing schools, underperforming schools, teacher recruitment
MN
Minnesota 2025-2026 Regular Session
Human Committee Meeting - 2025-04-09
Human Services Finance and Policy
Transcript Highlights:
- On line 176, we have the governor's operating adjustment; on line 196, we have the governor's...
- The House position carries the balance of the outbringing adjustment requested by the governor.
- They modify future DWRS inflationary adjustments. Sections 25, 26, and 27 are new.
- Proposed cap on future inflationary adjustments.
- Rates within the DWRS are adjusted every other year.
Bills:
HF2434
TX
Texas 89th Regular
Senate Committee on Business and Commerce Mar 25th, 2025 at 08:00 am
Business & Commerce
Transcript Highlights:
- Bill 1856 introduces a capacity-related cost recovery rider, allowing Entergy to go to the PUC to adjust
- Bill 1856 introduces a capacity-related cost recovery rider, allowing Entergy to go to the PUC to adjust
- those adjustments. ...adjustments we in testimony are offering those adjustments along with any of those
- retroactively. ...to look at each rider fully and make any adjustments retroactively, but in either
- And so the idea that we need to incrementally adjust rates up and down for every single penny of change
Bills:
SB483, SB522, SB783, SB1239, SB1254, SB1255, SB1259, SB1341, SB1664, SB1762, SB1856, SB1877, SB1977
Keywords:
utility, proprietary information, customer data, data protection, electric service, customer information, emergency communication, electric utility, privacy, certification, public accountants, interstate licensing, accounting, regulatory amendment, energy efficiency, construction regulations, building codes, Texas, sustainability, cost-effectiveness
Summary:
The Senate Business and Commerce Committee met with a quorum and first took up pending business, voting out several bills. Senate Bills 1697, 1569, 1202 as substituted, 1029, 1364, 1185, 924, 1008 as substituted, 264, 1376, and 1358 as substituted were reported favorably, with some sent to the local and uncontested calendar. The committee also adopted a substitute for SB 1202 and later corrected votes on several measures. SB 924 and SB 1376 drew some opposition, while the rest of the pending bills were reported without dissent or with limited nays.
The committee then heard testimony on SB 1856, which would create an annual capacity-cost recovery rider for Entergy Texas customers in the MISO region. The author and Entergy argued the bill would better match rates to actual capacity costs and improve transparency, while the Texas Association of Manufacturers and the Public Utility Commission raised concerns about the short 10-day review period, rider proliferation, and the preference for full rate cases over piecemeal adjustments. The bill was left pending. The committee also heard and left pending SB 522 on CPA reciprocity, SB 1664 requiring TDUs to provide clearer, standalone rate-change disclosures, SB 1877 expanding OPUC’s access to market data, SB 1254 and SB 1255 as TDLR cleanup bills on professional employer organizations and mold assessors, SB 1341 updating manufactured housing rules, SB 1239 on sovereign debt and Texas governing law, and SB 1259 streamlining the surveyor-in-training licensing process.
Additional bills discussed included SB 1977, which would cap recoverable legal expenses in electric, water, and sewer rate cases; OPUC and some consumer advocates supported the idea as a way to reduce ratepayer costs, while utility representatives warned it could discourage participation and increase rate shock. The committee also heard SB 1762 clarifying that geothermal energy conservation wells are not battery resources, and SB 783 allowing SECO to proceed with future energy-code rulemaking for state-funded buildings. Both drew supportive testimony from industry and environmental groups. All remaining bills heard during the meeting were left pending, and the committee recessed subject to the call of the chair.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration Apr 8th, 2025
Transcript Highlights:
- Without appropriate adjustments, the department will face substantial financial shortfalls jeopardizing
- Crowe's findings underscore the urgent need for fee adjustments to maintain fiscal stability and ensure
- rates based on estimated average costs, including overhead, allowing for annual adjustments to maintain
- Too much money is raised, hallelujah, then you could make some adjustments at that time.
- It has been quite a long time since they have adjusted, so a shorter term would allow you And then let
NM
Transcript Highlights:
- In future years, the hundred thousand dollar exemption will be adjusted for inflation.
- How is it adjusted for inflation in that way?
- Chair, are property taxes today adjusted? Is it based on market valuation or CPI? Mr.
- Chair, you said that other taxes are also adjusted for CPI.
- CPI but the rates are capped, how does that adjustment come into play? Chair, if that makes sense.
WA
Washington 2025-2026 Regular Session
Joint Higher Education Committee Dec 3rd, 2025
Joint Higher Education Committee
Transcript Highlights:
- the rest of the universities send only some balance sheet activity monthly and other activity is adjusted
- Then, at year-end, as mentioned previously, additional manual entries are done to adjust certain activity
- And as we transmit data to the state, we make adjustments to that data so that it can meet the required
- So we had to adjust for a significant increase in the Washington College Grant caseload.
- And then from the 2025–27 operating budget, you see an adjustment or a decrease of $500,000.
Summary:
The Joint Higher Education Committee met for a work session on higher education accounting practices and financial transparency. OFM Deputy Director Sarah Rupp explained how state accounting rules and higher education reporting differ, including what data is captured in AFRS today and what will move into Workday, with universities generally reporting summary-level fund data, mandatory codes, and most balance sheet and income statement activity, but not transaction-level detail or vendor payment information. Representatives from the University of Washington and Washington State University described the complexity of their own accounting systems, the many entities and business lines they must track for audits and compliance, and the need to reconcile university-level accrual accounting with state reporting requirements. The committee also heard from the Education Research and Data Center on the public four-year finance dashboard created under Senate Bill 5512; ERDC said the dashboard is based on publicly available data, is best used to examine institutions individually rather than compare them directly, and will be updated with additional metrics in 2025 and 2026.
The committee then received a presentation from the Washington Student Achievement Council on the Workforce Education Investment Account (WIA). Joel Anderson reviewed WIA’s creation under House Bill 2158, its revenue sources, and its intended uses for higher education, financial aid, and workforce development. He said recent legislation significantly increased WIA revenues and that, in the 2025–27 budget, the account is being used in new ways, including to replace general fund support for University of Washington operations and to fund a larger share of the Washington College Grant and some faculty compensation costs. Anderson said roughly 98% of current WIA appropriations go to higher education, but the share used to supplant other higher education funding has grown, and he estimated about 60% to 70% of current spending still aligns with the account’s original intent. He also described a new effort to track WIA appropriations across biennia in more detail and noted the WIA Oversight Board’s role in recommending uses of the account and monitoring outcomes. No votes were taken; the committee ended by moving into executive session for staffing issues and then adjourned.
MN
Transcript Highlights:
- special education adjustment special education adjustment elimination.<00:41:00.000>
This - We'll have final figures, so those numbers may be adjusted.
- Um we do those numbers may be adjusted.
- So this would again eliminate $132 per adjusted pupil unit. this is um $132 per adjusted pupil unit.
- this is um $132 per adjusted pupil unit.
NH
New Hampshire 2025 Regular Session
House Finance (02/14/2025)
Transcript Highlights:
- This adjustment was done thoughtfully and in close collaboration with our commissioners.
- Thank you. beacon of the Northeast and adjust to beacon of the Northeast and adjust to the<00:13:51.120
- <00:38:10.359>
significant <00:38:11.040>adjustments <00:38:12.040>uh adjustments - significant adjustments uh adjustments significant adjustments uh last<00:38:12.520>
term <00: - <00:46:53.440>
authorized reduction off their adjusted authorized reduction off their adjusted
Summary:
The Finance Committee heard a briefing from the governor on her recommended fiscal years 2026-2027 budget. She described it as a “recalibration” that reduces general fund spending by about $150 million from the prior budget, avoids tax increases, and aims to protect vulnerable residents while supporting the economy. She said the proposal addresses a projected current-biennium deficit, cites lower-than-expected revenues and off-budget spending, and includes a hiring freeze and other spending reductions. The governor also said the budget is built on current revenue estimates developed with the Department of Revenue Administration and the state’s chief economist.
Major policy areas discussed included education, public safety, health and human services, housing, and workforce development. The governor said the budget increases spending on public education and special education, expands Education Freedom Accounts to public school students, funds a cell-phone-free classroom grant program, continues the community college tuition freeze, and supports workforce training. She also highlighted investments in the Group II retirement system for first responders, Northern Border Alliance and drug interdiction efforts, child advocacy and victim services, mental health services, developmental disability services with no wait list, and a streamlined housing permitting process with a 60-day review target.
Committee members raised questions about the fiscal assumptions, the impact of possible federal funding changes, the Education Freedom Account expansion, dam infrastructure funding, and workforce issues such as state employee pay and vacant positions. The governor said the budget continues funding for federal programs currently assumed, and that she would advocate for block grants and other federal flexibility. On dams, administration officials said the budget includes about $13 million in capital funding, with possible fee increases under consideration. On staffing, the governor said the budget funds the previously bargained 12% state employee increase, includes eight position reductions tied to program changes, and would allow those employees to be rehired if openings arise. No votes or formal committee actions were taken during the briefing.
TX
Transcript Highlights:
- that since 2011 per pupil, so not an aggregate, so adjusted for the influx into the state of Texas.
- And the legacy payment will adjust in order to do that. And then.
- On page 7, I'll talk a little bit about a cost of living adjustment that ERS just paid.
- in the revenue, we've just adjusted for that.
- or do there need to be some adjustments on that app? What's your feeling about that?
Keywords:
infrastructure, water supply, flood mitigation, Texas Water Fund, community projects, funding allocations
Summary:
During this committee meeting, the focus was on discussing critical infrastructure funding, especially related to water supply and flood mitigation projects. Chairwoman Stepney and the Water Development Board presented extensive details regarding the Texas Water Fund, which included $1 billion appropriated to assist various financial programs and tackle pressing water and wastewater issues. Additionally, funding allocations aimed at compromising the state's flood risk and improving water conservation were hotly debated, emphasizing collaboration among committee members and the necessity of addressing community needs in such projects.
MN
Minnesota 2025-2026 Regular Session
House Agriculture Finance and Policy Committee 2/26/25
Agriculture Finance and Policy
Transcript Highlights:
- While Minnesota Farm Bureau appreciates the operating adjustment of $367,000 in the FY 26-27 biennium
- While Minnesota Farm Bureau appreciates the operating adjustment of $367,000 in the FY 26-27 biennium
- basically if we have a crop adjuster basically if we have a crop adjuster who's<01:14:21.000>
- We have been relying on crop adjusters.
- We've now lost our last crop adjuster who was interested in doing this.
Keywords:
agriculture, depredation compensation, livestock, crop damage, elk, wolves, wildlife management, skills path program, career and technical education, CTE, dual credit, postsecondary options enrollment, apprenticeship, apprenticeship readiness, dual training, work-based learning, career pathways, skilled trades, workforce development, high school to career
WY
Transcript Highlights:
- Chairman and Representative Williams, the only other item I would add is the premium adjustments for
- Chairman and Representative Williams, the only other item I would add is the premium adjustments for
- The only increases made to those have been through an external cost adjustment by the legislature.
- small school district adjust small school district adjust adjustments.<00:50:11.920>
You < - You also discussed a little adjustments.
Bills:
HB0159
TX
Transcript Highlights:
- And it's happened time and time again, and it's never been fixed or adjusted.
- We don't let adjusters who do this go in unlicensed.
- . ...adjustment or readjustment authority of the claim for appraisers and umpires.
- And so, while yes, all other professionals, public adjusters, adjusters, etc., should be licensed because
- the door to adjustment or policy interpretation or application in any kind of way.
Keywords:
autism, health insurance, coverage, medical treatment, health benefit plan, HIV prevention, prescription drug, prior authorization, health benefits, insurance coverage, insurance, contract termination, property and casualty, insurance agents, discrimination, appraiser, umpire, licensing requirements, continuing education, admin penalties
ND
North Dakota 2025-2026 Regular Session
Senate Appropriations - Human Resources Division Apr 14th, 2025 at 02:00 pm
Appropriations - Human Resources Division
Transcript Highlights:
- So the bottom of page three, footnote one says funding is adjusted as follows.
- And we made a couple of adjustments in there.
- I mean, adjustments—yeah, Mr. Chairman.
- So what's... it says adjustments or enhancements, is that from, what is that from?
- So we can agree on what we talked subject to the adjustments, or we can take another look at it.
Bills:
SB2015
Keywords:
corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras
Summary:
The Senate Appropriations Human Resources Division met with all members present and took up several bills, focusing most of the discussion on SB 1577 and SB 1619, along with a detailed review of the HHS budget bill draft. On SB 1577, Senator Magrum explained that the bill was being revised to focus on wastewater rather than raw water, possibly shifting the Washburn project to the Department of Water Resources so it could access matching funds, and potentially converting the bill into a line of credit if federal money is restored later. Members discussed whether to keep an emergency clause or instead use a date-based approach, and agreed the bill would likely be handled through the full committee and possibly reconsidered later. On SB 1619, Senator Davison said amendments were still being worked on, including changes requested by the Bank of North Dakota, and the committee planned to hold it for possible amendment before full committee consideration.
The bulk of the meeting was a section-by-section review of the HHS appropriations bill draft. Members discussed one-time funding items such as technology projects, child care programs, housing programs, behavioral health facility grants, infant and toddler care provider support, juvenile justice diversion, medical housing, and other public health and human services projects. Several adjustments were noted, including reductions or changes to IMD-related funding, incarcerated-person treatment funding, the child welfare technology project, and the provider rate increase. The committee also discussed the FTE block grant structure at length, with staff explaining that the apparent increase in positions reflected budgeting mechanics, zero-dollar “phantom” positions, and positions approved previously but not counted in the FTE total. Members raised concerns about transparency and whether the bill should list FTE numbers, but staff said the block grant was intended to give the department flexibility while quarterly reporting would provide oversight.
Other topics included Medicaid expansion funding and provider reimbursement rules, the move toward certifying human service centers as certified community behavioral health clinics, a moratorium on new ICF beds, and studies or reports on Medicaid, obesity, disability services, truancy, and behavioral health facility grants. The committee also discussed removing or revising broad intent language in Section 31 so the department would report findings rather than implement changes without further legislative action. No final votes were taken in the transcript; instead, members agreed to make a few technical adjustments, continue reviewing the bill, and likely revisit it the next day before moving it to conference committee.
FL
Florida 2025 Regular Session
Children, Families, and Elder Affairs Jan 14th, 2025
Transcript Highlights:
- And then once those risk adjustment and applied growth adjustment factors were implemented.
- There were a number of adjustments that were made to this trend forward.
- That is something that we are adjusting in see was to be able to model prevention services.
- I their adjustments that will be made to this formula? You're recognized.
- Yes, meeting the risk adjustments are at the 2% risk order within this model.