Video & Transcript : 'patient intake' :

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MN

Minnesota 2025-2026 Regular Session

Lowering the High Cost of Healthcare | Senator Matt Klein May 1st, 2026

Minnesota Senate Floor Meeting

Transcript Highlights:
  • >> I'm hearing it from my patients every single day, and it's at every level and every demographic in
  • Would it trickle down to patients?
  • You know, if you're a patient again uh that's going to a safety net hospital and you get discharged on
  • And so we need to sort of spread the wealth a little bit and make sure that our uh patients have access
  • have access to good patients have access to good medications. medications. medications.
OK

Oklahoma 2026 Regular Session

Senate Legislative Session Feb 19th, 2026

Oklahoma Senate Floor Meeting

Transcript Highlights:
  • President, is this idea that dentists are going to price gouge their patients.
  • Right now, these contracts are deleterious to the provider and to the patient. And this is complex.
  • at a cost that they can agree upon with the... ...patient.
  • The patient can still go and negotiate. They can still go to another provider, should they decide.
  • I think this puts the power back in the hands of the patient and their providers.
Summary: The Senate convened with a quorum, opened with prayer, and then spent much of the session on recognitions and floor introductions. The chamber honored the undefeated Jones High School Longhorns football team for winning the Class 2A-I state championship, recognized Miss Oklahoma 2025 Tessa Darrell, and celebrated the Murray State College bass fishing team for winning its second consecutive national title. The Senate also adopted SR-29, a resolution recognizing February as Black History Month and highlighting Black Oklahomans’ history, civil rights contributions, and achievements; the resolution passed without opposition. The Senate then took up several bills. SB 667, requested by the Board of Chiropractic Examiners, updates chiropractic licensure language, moves to an online licensure portal, and repeals an obsolete consultant position; it passed 45-0. SB 1466 extends the sunset date for the advisory committee on midwifery to 2036; it passed 41-4 and was advanced as an emergency measure. SB 1942, dealing with dental insurance and provider pricing for services not reimbursed by insurance, prompted extended debate over free-market principles, patient costs, and insurance contract limits; it passed 40-3. SB 1989 modernizes the Oklahoma College Savings Plan by allowing contributions through digital payment platforms such as Venmo, Cash App, PayPal, Zelle, and digital wallets; it passed 44-0. The Senate also heard gallery introductions for FCCLA students, including the Bristow chapter and Adair High School students, and welcomed former Senator Judy Easton McIntyre for Black History Month events. Committee and floor announcements followed, including upcoming meetings of Business and Insurance, Administrative Rules, and Technology and Telecommunications. The chamber then adjourned until Monday, February 23, 2026, at 1:30 p.m.
AZ

Arizona 2026 Regular Session

01/21/2026 - Senate Regulatory Affairs and Government Efficiency

Regulatory Affairs and Government Efficiency

Transcript Highlights:
  • Bill is it codifies best practice in the community, number one, and for both patients and practitioners
  • This sets it at two years to be dialed down depending on the vision and medical condition of the patient
  • We would be glad to answer any... ...and medical condition of the patient.
  • As a person that works in the healthcare industry, I would argue that every single one of my patients
  • And the race matching shows that it doesn't lead to better outcomes for patients.
Bills: SB1013 , SB1023
NH

New Hampshire 2026 Regular Session

House Health, Human Services and Elderly Affairs (02/25/2026)

Health, Human Services and Elderly Affairs

Transcript Highlights:
  • </c> affected patient care in New Hampshire. affected patient care in New Hampshire.
  • . patients. patients.
  • . patient. patient.
  • </c> doctors to tell patients those things. doctors to tell patients those things.
  • </c><01:59:42.239><c> if</c><01:59:42.480><c> they</c> patient, I would ask the patient if they patient
ND
Transcript Highlights:
  • That's a big step and will be a big helper for these patients. So this is where we started.
  • We'll be able to do it a little more organically as the patients and as capacity starts to fill.
  • Remote patient monitoring, electronic caregivers, kiosks, and facilitated video visits.
  • This includes adding a second window in the patient room, fitting up the northwest and southwest patient
  • This includes adding a second window in the patient room, fitting up the northwest and southwest patient
Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on major health-related projects and programs. CHI St. Alexius representatives reported progress on behavioral health buildouts in Bismarck, Williston, and Grand Forks, including demolition and construction milestones, staffing plans, and timelines. The Bismarck project remains on track for completion in June 2027 with about $346,500 spent to date. Williston reported construction underway, a $750,000 unbudgeted air handler replacement, active recruitment for psychiatrists and other staff, and a projected substantial completion in early 2027. Grand Forks reported about 30% completion, weather-tight status expected in August, and continued staffing ramp-up as the facility expands from its current 24-bed operation. The Department of Health and Human Services then reviewed a set of technical line-item transfers, emphasizing that they were administrative corrections with no net change in funding. The department also walked through the Salaries and Wages Block Grant and FTE counts, noting overall staffing remained within appropriated limits and that behavioral health staffing had increased. Members asked about vacancies, consultant use, and the mix of in-state versus out-of-state expertise for the Rural Health Transformation Program. HHS said it had posted 12 funding opportunities, received 422 applications, obligated $8.4 million so far, hired 26 people, and was preparing additional grant rounds and a CMS budget submission. The department said the program is structured around workforce, prevention/healthy living, care closer to home, and technology/data, with ongoing stakeholder engagement and community forums. The committee also heard on the certified community behavioral health clinic implementation plan, SNAP payment error rates, and the state laboratory project. HHS said CCBHC certification is being implemented in four regions—Williston, Minot/North Central, Fargo/Southeast, and Dickinson/Badlands—with care coordination expanding and baseline data still being collected. On SNAP, the department reported a 2025 payment error rate of 9.89%, acknowledged cost impacts under HR1, and said it is using training, system changes, and pre-authorization quality checks to reduce errors toward a 6% target over the next 6 to 12 months. Finally, Public Health reported the state laboratory reached substantial completion on June 12, with total costs at $69.95 million of the $70 million budget, though a service elevator issue will require a new lift to be added using contingency funds.
MO

Missouri 2026 Regular Session

Professional Registration and Licensing Jan 14th, 2026 at 09:00 am

Professional Registration and Licensing

Transcript Highlights:
  • Patients and athletes through improved access to timely care, rural and health care shortage areas by
  • it really does enhance the mobility and the practice of athletic training as well as incorporates patient
  • Obviously, again, one of the primary patient populations that we serve is student athletes, youth athletes
  • It offers some telehealth opportunities for us to engage with those patients across state lines for the
  • So on behalf of athletic trainers, my students, our patients, and the health care teams here in the state
AL

Alabama 2025 Regular Session

Alabama Senate Banking and Insurance Committee Mar 5th, 2025

Banking and Insurance

Transcript Highlights:
  • order in that contract that keeps you from discussing and having a transparent relationship with the patients
  • But I think that this patient should be using a different brand.
  • And so this allows you to continue to talk to your patients freely without any repercussions based on
  • It just allows you to have a transparent relationship with your patient and I'm all for that.
  • I'm all for doctors having the ability to treat the patient the way they need to treat them.
OK

Oklahoma 2026 Regular Session

Business and Insurance 2ND REVISED Feb 26th, 2026

Business and Insurance

Transcript Highlights:
  • health benefit plan that already covers prosthetic benefits to fulfill their contracts with the patients
  • These premium increases were lowered in regards to patient cost sharing.
  • It protects patients and restores balance in the marketplace that we urgently need. Mr.
  • This PBM and their parent insurance company, they are the ones who choose how it will impact patients
  • this is passed along directly to the patient.
Summary: The Senate Business and Insurance Committee met to consider several bills, with the chair emphasizing pharmacy benefit managers (PBMs) and the impact on local and rural pharmacies. Before taking up the bills, the committee announced that Senate Bills 1620 and 1625 would be laid over. The committee also adopted an amendment to Senate Bill 1673 to exempt certain state-funded flexible benefit plans, and then passed the bill, which creates the Prosthetic Access and Accountability Act of 2026 and requires health plans that already cover prosthetic benefits to administer them without disability-based discrimination. The committee then passed several PBM-related measures. Senate Bill 1500 requires PBMs to reimburse rural pharmacies within 30 calendar days. Senate Bill 1447 adds safeguards to the Oklahoma Employee Insurance Plan by restricting PBM contracts, including disfavoring PBMs involved in recent lawsuits or those affiliated with insurers, retail pharmacy chains, specialty pharmacies, mail-order pharmacies, or drug manufacturers. Senate Bill 1646 strengthens utilization review standards for mental health and substance use disorder treatment, and Senate Bill 2007 prohibits PBMs from reducing reimbursement after a successful appeal and adds administrative fees when they fail to make required adjustments. The committee also passed Senate Bill 1275, which requires upfront disclosure of all fees for short-term rental bookings such as Airbnb and VRBO, with only tax added at checkout. Finally, the committee passed Senate Bill 2074 after extensive debate; it would require fairer and more transparent PBM reimbursement using a Medicaid-based methodology and a professional dispensing fee, with supporters arguing it would help independent and community pharmacies and opponents raising concerns about consumer costs and legal issues. All bills considered in the meeting were reported out with favorable votes, and the meeting adjourned after the chair noted one more meeting would be held the following week.
MN

Minnesota 2025-2026 Regular Session

House Floor Session - part 2 May 15th, 2025

Minnesota House Floor Meeting

Transcript Highlights:
  • This increases access to eye care for patients and increases the availability of eye care doctors.
  • It's a privilege to help bring these improvements to our patients.
  • It creates long patient wait times and provider strain.
  • We collaborate very well and co-manage patients every single day.
  • So, I believe that this scope adjustment is in the best interest of patient care and ultimately will
AR

Arkansas 2026 Regular Session

PUBLIC HEALTH- HOUSE HEALTH SERVICES SUBCOMMITTEE Jun 25th, 2026

PUBLIC HEALTH- HOUSE HEALTH SERVICES SUBCOMMITTEE

Transcript Highlights:
  • Providers are just as strapped as the patients who are receiving services.
  • You know, from a provider's perspective, you're wanting to get a critical patient.
  • And there's really not a good path currently for a medical provider to transport that patient.
  • But the second reason for issues with the CSU is they don't take involuntary patients.
  • And so when you don't take an involuntary patient, what would happen is...
CT
Transcript Highlights:
  • Or hospital and patient, hospital, outpatient, things like that.
  • But the, like, hospital and patient outpatient are bigger buckets. Thank you.
  • So they make more money when their patients cost less. And then that's...
  • So they make more money if their patients cost less.
  • This whole group of complex care patients that have fallen through the cracks.
Summary: The Complex Care Committee meeting focused first on a new Diabetes Caucus launched at the Capitol. Rep. Johnson described the caucus as a forum to educate people about type 1 and type 2 diabetes, genetic risk, early testing, pregnancy-related diabetes, and ways Medicaid policy might improve prevention and lower long-term costs. Members agreed the caucus could intersect with care management, and Carolyn Grandell of CHNCT offered to share information about current diabetes-related care management services at a future meeting. The committee then heard a detailed presentation from Alex Rigger of the Office of Health Strategy, who is moving to the Office of Policy and Management. He reviewed Connecticut health care benchmark data, including total health care expenditures, medical spending, and market-by-market trends. He said 2023 to 2024 per-capita spending grew more than 8.5% statewide and 14% in Medicaid, with long-term care accounting for about 46% of Medicaid spending and retail pharmacy also identified as a major cost driver. Members asked about enrollment changes, dual-eligible populations, Medicare Savings Program members, 340B drug pricing, and value-based payment models. Rigger explained that his office tracks alternate payment models and quality benchmarks, but does not separately capture 340B data. Discussion then shifted to Medicare Advantage, dual eligibles, and hospital discharge planning. Members said they want better data on how many Medicaid members are in Medicare Advantage plans and whether those plans shift costs back to Medicaid or affect access to care, especially for complex-care patients. Staff noted DSS does have some Medicare Advantage indicators and that CMS is developing encounter-data rules for states. Kathy Holt and others raised concerns about denials, nursing home stays, and the need to compare Medicaid spending for dual eligibles in Medicare Advantage versus traditional Medicare. The meeting ended with plans for follow-up data sharing, including Alex Rigger’s slides, the diabetes caucus materials, and a future discussion with DSS and other agencies; no formal votes were taken.
ID

Idaho 2026 Regular Session

Mar 9th, 2026

Business

Transcript Highlights:
  • House Bill 529 is a simple patient-centered reform.
  • In other words, ...the patient should not be punished for saving money.
  • Today, too many patients face that backwards incentive.
  • The states that recognize that when patients save money on covered care, the system should recognize
  • It would be a cash price that they would offer any patient that came into their office.
Committee: House Business
AZ

Arizona 2026 Regular Session

02/05/2026 - House Floor Session

Arizona House Floor Meeting

Transcript Highlights:
  • , and lead the anesthesia care team to ensure optimal patient safety.
  • before, during, and after surgery, and lead the anesthesia care team to ensure optimal patient safety
  • She is passionate about excellent patient care.
  • the high standards we need for our patients.
  • Mays and her team settled with SimonMed for delayed patient refunds.
KY
Transcript Highlights:
  • So there are many different types of patient consent.
  • So there are many different types of patient consent.
  • Uh the most types of patient consent.
  • where they live, um, from, the patient where they live, um, and<00:12:49.200><c> determine</c><00:12
  • </c> of the of the the patient. of the of the the patient.
Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.
WA

Washington 2025-2026 Regular Session

House Appropriations Feb 6th, 2026 at 10:30 am

Appropriations

Transcript Highlights:
  • Our mission is to serve medically underserved patients.
  • delivery of care for all patients.
  • Health centers contract with external pharmacies where patients fill their medications.
  • I also want to clarify that this bill is not about where patients access their medicine.
  • At UW Medicine, we use our 340B savings directly to support patient care.
MN

Minnesota 2025-2026 Regular Session

Committee on Higher Education - 02/27/25

Higher Education

Transcript Highlights:
  • We contribute to a national network of 1,400 health centers serving over 32 million patients.
  • The majority of our patients' family incomes are below the federal poverty line.
  • I met a patient last night and got his permission.
  • </c> services from several thousand patients services from several thousand patients annually<01:42:35.360
  • </c><01:47:53.639><c> with</c> barriers to care connect patients with barriers to care connect patients
TX
Transcript Highlights:
  • And I know on statewide intake with HHSC we work really hard on all of that.
Summary: The Sunset Advisory Commission convened for the 2026-27 review cycle, established a quorum, approved its review schedule and the January 15, 2025 meeting minutes, and heard introductory remarks from members and staff. Chair Kolkhorst and Vice Chair Hall emphasized the commission’s role in reviewing state agencies for efficiency, accountability, and transparency. Sunset staff then gave an overview of the process and noted that 16 agencies and entities are under review this cycle, representing about a third of the state budget. The main staff presentation focused on the Texas Workforce Commission (TWC), the Texas Workforce Investment Council (TWIC), and the Purchasing from People with Disabilities Program. Sunset staff said TWC needs stronger oversight of local workforce development boards, better coordination and communication with those boards, and improved IT and data systems. Other recommendations included transferring TWC’s career schools and colleges regulatory program to the Texas Department of Licensing and Regulation, improving vocational rehabilitation integration and structure, strengthening child care fraud oversight and unemployment insurance fraud penalties, improving child care subsidy data and communication with DFPS, continuing TWC for 12 years, and retaining the Purchasing from People with Disabilities Program while removing its separate sunset date. Staff also recommended continuing TWIC for 12 years while removing outdated functions. Members questioned staff extensively about local board performance, IT failures, fraud recovery, child care oversight, and SNAP Employment and Training (SNAP E&T). Several members argued that IT contractors and agencies should be held more accountable, and that real-time data and stronger enforcement tools are needed. Staff said TWC’s current systems and processes limit effective oversight, that child care fraud investigations are inconsistent across the 28 boards, and that the unemployment insurance fraud penalty is lower than in other states. They also said SNAP E&T participation is hampered by low standards, limited funding, and structural inefficiencies between HHSC, TWC, and local boards. TWC leadership and TWIC leadership generally agreed with the staff report and said they were already working on many of the recommendations. TWC officials said the agency has grown significantly since its last review and acknowledged problems with IT modernization, board communication, and some oversight processes. TWIC officials supported continuing the council and said its role as the neutral state workforce board is important under federal law, while agreeing to eliminate outdated functions and update procedures. No final substantive action was taken on the agency recommendations during this portion of the meeting beyond the earlier approvals of the schedule and minutes.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Municipalities and Regional Government Jun 21st, 2026 at 01:00 pm

Joint Committee on Municipalities and Regional Government

Transcript Highlights:
  • So, as we're seeing, the intake calls nearly doubled within the past three months. 53% of families are
Summary: The Joint Committee on Municipalities and Regional Government held a long public hearing focused mainly on two sets of issues: proposals to amend or repeal the MBTA Communities Act, and bills to allow local rent stabilization. Committee chairs opened by explaining the hearing would be tightly managed because of the very large number of speakers, with testimony limited to two minutes per person and written testimony still accepted by email. Members and witnesses were called in a mix of in-person and virtual order throughout the hearing. On the MBTA Communities Act, several legislators and local officials argued the law is too rigid and should be revised to account for local conditions. Speakers from small, rural, or infrastructure-limited communities such as Hanson, Halifax, Marshfield, Winthrop, Dracut, Carver, Rehoboth, and others said the law’s one-size-fits-all approach does not fit towns with limited water, sewer, transit access, or buildable land. Some filed bills would repeal the law, exempt certain communities, or create appeals processes based on infrastructure, environmental, or historical constraints. Supporters of the law’s changes emphasized local control and the need to avoid forcing development where communities believe it is impractical or inconsistent with town character. A large portion of the hearing was devoted to rent stabilization legislation, especially S. 1447 and related House bills. Supporters included legislators, city councilors, tenant advocates, labor leaders, housing nonprofits, public health organizations, and residents who described sharp rent increases, displacement, homelessness risk, and the strain on working families, seniors, students, and people with disabilities. They argued local-option rent stabilization would let municipalities cap excessive increases and prevent no-fault evictions while preserving flexibility for local conditions. Opponents, including small landlords and property owners, said rent control would discourage investment, worsen housing quality, burden responsible owners, and drive small landlords out of the market. Some witnesses also supported a Cape Cod/Island transfer fee bill and a suburban infrastructure fund, arguing those would provide local revenue for housing or roads. No votes or formal committee actions were taken during the hearing.
WA

Washington 2025-2026 Regular Session

House Appropriations Mar 5th, 2026

Transcript Highlights:
  • I am a patient navigator and community health worker. My name is Raquel Campuzano.
  • Recently, I actually supported a Yakima patient who was paralyzed with fear about these expenses.
  • Abortion access is in danger, especially for patients further into pregnancy.
  • Even with patients with insurance or Medicaid, clinics must subsidize care.
  • Even with patients with insurance or Medicaid, clinics must subsidize care.
Summary: The Appropriations Committee held public hearings on several bills and took executive action on House Bill 2747. HB 2747 would change how Washington estimates future revenue in its four-year balanced budget outlooks by using the official revenue forecast instead of the current 4.5% growth assumption for the next two biennia. Staff described the bill as a technical change with indeterminate fiscal effects, and supporters said it would make budgeting more realistic and sustainable. The committee adopted a technical amendment and then reported the bill out of committee with a do pass recommendation by a vote of 26 ayes, 3 nays, and 2 excused. The committee also heard Second Substitute Senate Bill 6182, which would create an abortion savings program funded by a new annual assessment on health carriers offering exchange plans. Staff said the bill would generate about $10 million in fiscal year 2027 and about $2.1 million annually thereafter, with most funds going to grants for abortion care providers and some administrative costs for the Office of the Insurance Commissioner and the Department of Health. Supporters said it would stabilize access to abortion care and help low-income patients, while opponents argued it would force taxpayers and insurers to subsidize abortion and raised concerns about oversight, morality, and premium impacts. Substitute Senate Bill 6355, which would create a Washington Electric Transmission Authority to support new transmission projects and related tribal clean energy work, drew testimony from utilities, labor, clean energy advocates, counties, and landowners. Supporters said the state needs faster transmission buildout to improve reliability, support clean energy, and reduce congestion costs; opponents and county representatives raised concerns about eminent domain, loss of local tax revenue, board accountability, and the need for stronger landowner and county involvement. Staff estimated the bill would have a several-million-dollar general fund impact and noted possible indeterminate local revenue effects. The committee also received a briefing on engrossed Substitute Senate Bill 6260, which would reduce funding or eligibility for several K-12 programs, including bus depreciation, Running Start, and transition to kindergarten; public testimony was overwhelmingly opposed, with school officials, educators, community college representatives, students, and rural districts warning of reduced opportunities and harm to small and low-income districts.
CA

California 2025-2026 Regular Session

Assembly Business and Professions Committee Jul 8th, 2025

Business and Professions

Transcript Highlights:
  • The Endocrine Society recommends monitoring transgender patients for bone health, cardiovascular risk
  • factors, and cancer screening, which is made more difficult when patients are on inadequate hormone
  • Other important co-occurring chronic medical conditions may also be neglected when patients don't feel
  • A 12-month supply of estrogen or 6-month supply of testosterone will allow patients to feel secure in
  • I know this bill will help me reassure my patients that their supply of medication is secure.