Video & Transcript Research : 'county cost share'

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OK

Oklahoma 2026 Regular Session

Insurance REVISED: Links added Feb 10th, 2026

Insurance

Transcript Highlights:
  • would transfer the responsibility for collecting the health plan members' co-payment and deductible cost-sharing
  • take the plan's ability to terminate the agreement with the member, then you've just done away with cost-sharing
  • I mean, would you agree that it's sort of how the system works now, that the cost-sharing portion isn't
  • So on the part that says cost share, co-payments, co-insurance, deductibles, three related questions:
  • Aren't these cost-sharing items really uncovered services?
Summary: The committee first took up HB 3794 and HB 3796, both Oklahoma Insurance Department request bills. Members adopted PCS drafts for each without objection, heard brief explanations that the measures cleaned up and clarified insurance licensing and other statutory provisions, and then advanced both bills on unanimous or near-unanimous votes. The committee then considered HB 3928, as amended, which would require optometrists to be reimbursed at Medicare/Medicaid levels and address payment parity for certain vision plans. Representative Tedford raised concerns about premium increases and interference with private contracts, while the author argued the bill would create a fairer level playing field and would not significantly raise consumer costs. The bill passed on a recorded vote and was recommended to the next committee. HB 2955, updating the Oklahoma Captive Insurance Company Act to make Oklahoma more competitive, also passed after OID confirmed a questioned travel reimbursement provision was current law and unchanged. HB 4453 proposed creating an all-payers claims database board to analyze health care spending, use the health information exchange, and make recommendations to OID. The author described changes to board appointments and reporting language, and members asked about consumer representation, fiscal impact, and the board’s advisory role. The bill passed and was recommended onward. HB 4460, which would shift collection of copays, deductibles, and other cost-sharing from providers to insurers, drew extensive testimony from an emergency physician supporting the measure as a way to reduce medical debt and simplify billing, but members raised concerns about ERISA preemption, premium impacts, implementation, and broader market effects. After discussion, the author laid HB 4460 over for later consideration, and the meeting adjourned.
TX
Transcript Highlights:
  • I'm going to share something I don't normally share, and that is that when I was 11 years old, I was
  • I just wanted to share with you something, because I already shared with you something earlier today.
  • the small and distant counties.
  • of the County Court of Law.
  • I feel that each polling location I've worked, whether it's been in Travis County, Harris County or in
NM

New Mexico 2026 Regular Session

House - Appropriations and Finance Feb 9th, 2026 at 06:36 pm

House Appropriations & Finance

Transcript Highlights:
  • It also adds reference-based pricing to control hospital costs.
  • It converts the bill into a long-term cost-control and risk-pool stabilization framework.
  • This one addresses who participates, how cost control works, and how sustainability is enforced.
  • This one addresses who participates, how cost control works, and how sustainability is enforced.
  • When we fail to address rising costs, especially health insurance, we lose experienced teachers, bus
Bills: HB63, HB64, HB184, HB200, HB47, HB48, HB2, HB9
NM

New Mexico 2026 Regular Session

Senate - Finance Feb 9th, 2026

House Appropriations & Finance

Transcript Highlights:
  • So the increased transportation costs from the city and the county and the village, would that be to
  • The increased operational costs to Torrance County would be approximately $2.5 million annually.
  • The increased operational costs to Torrance County would be approximately $2.5 million annually.
  • It's Cibola County, and I know there's another county, Otero County, that's significantly impacted.
  • another county jail at double the rates, and the distance and the cost for those, minus what they were
Bills: HB63, HB64, HB184, HB200, HB47, HB48, HB2, HB9
Summary: The committee heard testimony on the expected impacts of House Bill 9 on private detention facilities and the surrounding counties and municipalities, focusing on Cibola County/Milan, Torrance County/Estancia, and Otero County. Corrections Secretary Alicia Lucero explained that the Corrections Department does not oversee the immigration detention facilities directly, but said the department could help displaced workers through hiring fairs and expedited hiring into state positions, and suggested possible alternative uses for the buildings such as behavioral health treatment, training campuses, or transitional living centers. She also noted that a memorial would task several state agencies and affected counties with exploring alternate uses and economic options, and that Workforce Solutions had scheduled job fairs in February for the affected communities. Local officials described major fiscal and community impacts. Cibola County and Milan said the loss of the facility would reduce gross receipts tax revenue, force service cuts, and potentially shrink the county budget substantially; they also warned that the village uses the detention population to support federal grant applications and industrial park development. Torrance County and Estancia said the closure would eliminate jobs, reduce GRT revenue that funds public safety, and require transporting prisoners to other facilities at much higher bed rates, with estimated annual impacts around $3 million. Otero County reported 284 jobs and $20.8 million in payroll at risk, along with about $3 million in annual GRT and a $68 million facility that could be foreclosed if bonds defaulted. Committee members pressed for more precise numbers, including employee counts, transport costs, current bed costs, and the total fiscal impact after accounting for existing contract payments. Several members emphasized that each facility and community is different and asked for separate, detailed plans, including short-term cost replacement and long-term economic diversification. There was discussion of possible hold-harmless assistance, emergency bill drafting, and coordination with Workforce Solutions, Economic Development, and higher education partners. No formal vote was taken; the chair directed staff and agencies to meet the next morning to continue developing an emergency response and requested more detailed information from the counties and the department.
AL

Alabama 2026 Regular Session

Alabama Senate Finance and Taxation Education Committee Feb 11th, 2026

Finance and Taxation Education

Transcript Highlights:
  • Can you share that with us? You've got failing schools here.
  • Can you share that with us? But you make them happy and keep them suffering. That ain't right.
  • Can you share that with us? Is there why shouldn't we do what they want done?
  • Can you share that with us?
  • Can you share the pro the that part.
TX
Transcript Highlights:
  • This authority currently applies to Hidalgo County, Cameron County, El Paso County, and Webb County.
  • I'm a Fort Bend County Commissioner representing Fort Bend County, and I'm testifying for House Bill
  • Of the Senators in Collin County, nor any other county around this state.
  • Is Dallas County okay? Senator, Dallas County has reviewed the bill.
  • This is the Wood County Hospital. district, brain and memory care that does not cost any money except
TX

Texas 89th 2nd C.S.

S/C on Family & Fiduciary Relationships Apr 7th, 2025

S/C on Family & Fiduciary Relationships

Transcript Highlights:
  • Now let me be clear, this bill costs nothing. It harms no one and it ends a human rights abuse.
  • Now, it's this that I am here to share with you today.
  • The last minor married in Harris County was 17 in 2019.
  • That number always increases in rural counties.
  • The exploitation of minors is always worse in rural counties.
Bills: HB168
AL

Alabama 2025 Regular Session

Alabama House Local Legislation Committee Apr 30th, 2025

Local Legislation

Transcript Highlights:
  • county office.
  • I personally called the counties in every county he discussed last year and even in Monroe County this
  • Sheriffs in Monroe County have worked with the county commissions to . ... worked with the county commissions
  • in Barber County.
  • I'm the county commissioner for District One, Barber County.
Bills: SB287
TX

Texas 89th Regular

Press Conference: Senator César Blanco Feb 5th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • They don't even require the physician to be in the same county. Think about that.
  • We only have 3,800 people in our whole county of Garza County.
  • Well, thank you so much, Susie, for sharing your powerful story.
  • We only have 3,800 people in our whole county of Garza County.
  • Thank you for sharing your powerful story, and you're right.
Bills: SB2, SJR36, SB2, SB2, SR29, SB2
TX

Texas 89th Regular

Senate Session (Part I) Feb 5th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • Eagle Pass is in Maverick County.
  • And the connection between Maverick County and Webb County as we talk about border security.
  • I'll take you down to my counties and you can go talk to my county. I'd be happy to.
  • It's $13,000, which approaches the cost of one year at the University of Texas and recently the county
  • cost for child care?
Bills: SB2, SJR36, SB2, SB2, SR29, SB2
TX

Texas 89th Regular

Senate Session (Part II) Feb 5th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • This is a map of private schools in Harris County.
  • These are the private schools that exist now in Harris County.
  • Going further, by 2030, this program is expected to cost $4.6 billion.
  • Let me bring it a little local to Harris County.
  • While 140 Texas counties don't have a private school, half of those counties also don't have a hospital
Bills: SB2, SJR36, SB2, SB2, SR29, SB2
TX

Texas 89th Regular

Senate Session (Part I) Aug 22nd, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • DeWitt County is 34.8% and Lavaca County is 19.4% Hispanic?
  • County, you split the county in half.
  • Between Tarrant County and Dallas County.
  • There's one in Houston and one in your county, Dallas County.
  • Are you aware that Harris County has the largest Black population of any county in America?
Bills: SB 2, SB 5, SB 9, SB 7, SB 17, SB 4, HB4, HB1, HB3, HB20, HB22, SB9, SB7, SB17, SB4, HB4, SB2, SB5