Video & Transcript Research : 'fee structure'

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NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Nov 5th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • The current statute funds this program with a fee of $150 collected triennially from physicians.
  • I have the fees for a physician; forgive me, I don't have the others, but currently...
  • There's a fee for that.
  • Fee to Hospital Services Corporation. And so, the compact amount is $700.
  • It was $90,000 plus an additional $30,000 in legal fees. And so it does have an effect.
FL

Florida 2026 5th Special Session

FL House Floor Session - 2025-05-02 (11:00AM Session)

Florida House Floor Meeting

Transcript Highlights:
  • And because of how our county had structured our ordinance, there were concerns about the impact the
  • If you can remind me, can the traditional public school, the school district charge rent or other fees
  • Charge any fees. Representative Andrade: Thank you very much, Mr. Speaker.
  • A district school board may not charge—that's new underlined language—rental or leasing fees.
  • A district school board may not charge—that's new underlined language—rental or leasing fees.
Summary: The House took up a series of Senate messages and concurred in several amendments before passing multiple bills. Early actions included unanimous passage of CS/CS/HB 1299 on Department of Health matters, CS/HB 1549 on financial institutions after removing a Senate-added trust-account provision, and CS/CS/SB 768 on foreign ties in business ownership after trimming registration requirements. The chamber also insisted on its housing amendment to CS/CS/CS/SB 184 after the Senate refused to concur. A major portion of the meeting focused on CS/CS/HB 875 on educator preparation. The House adopted an amendment restoring two teacher-prep courses, preserving the Florida Center for Teaching Excellence at Miami-Dade College in partnership with USF, and modifying the teacher candidate testing framework and mentor qualifications. Supporters said it reduced barriers while keeping standards; opponents raised concerns about the remaining “identity politics” language and other provisions. The bill then passed 91-22. The House also passed HB 1101 on out-of-network providers after adopting a House amendment that kept the original bill’s notice and referral provisions with a good-cause exemption, despite objections that it placed too much responsibility on doctors. Later, the chamber approved CS/CS/SB 180 on emergency preparedness and response, with members highlighting debris management, emergency planning, crane safety, and hurricane recovery provisions; it passed unanimously. The House then rejected concurrence in a Senate amendment to HB 1609 on waste incineration, and later spent substantial time debating CS/CS/HB 1115 on education, especially Schools of Hope, expanded co-location authority, funding, transportation, and school-district agreement terms. Critics argued the language was added late and could disadvantage traditional public schools, while supporters said it would expand options for students; the debate continued with the bill still under consideration at the end of the excerpt.
MN

Minnesota 2025 1st Special Session

Committee on Environment, Climate and Legacy - 01/21/25

Environment, Climate, and Legacy

Transcript Highlights:
  • fees that go to the agency for permitting.
  • Also, the parks fees go into the Natural Resources Fund.
  • Those are largely supported by the hunting and fishing license fees.
  • fees that go to the agency for permitting.
  • Also, the parks fees go into the Natural Resources Fund.
Keywords: 1187, senate, all
Summary: Chair Foung Hawj opened the Environment, Climate and Legacy Committee meeting by welcoming members, agency staff, and constituents, and by outlining the committee’s shared-power arrangement for the session. Members introduced themselves and described environmental activities from the interim, including gardening, outdoor recreation, farming visits, Great Lakes work, and a tree-planting trip in Thailand that Hawj said symbolized cultural unity and environmental stewardship. Ben Stanley, the committee’s nonpartisan counsel, then explained the co-chairs’ operating agreement: Hawj would chair the meeting, Senator John Hoffman would chair the next two meetings, then Hawj would chair the following two, with the chair rotating after each pair of meetings. Agendas would be set jointly, additional meetings would require both chairs’ approval, and passing a bill out of committee would require a majority of all committee members, or seven votes. At Senator Tory Westrom’s request, the agreement was to be emailed to members in writing. Stanley also reviewed the committee’s jurisdiction, which includes environmental and natural resources bills, legacy funds, and agencies such as the Environmental Quality Board, Department of Natural Resources, Pollution Control Agency, and Board of Water and Soil Resources, along with several related councils and boards. Fiscal analyst Dan Mueller then gave a budget overview of the committee’s agencies, noting that many current biennium appropriations include one-time general fund money that drops back in the 2026-27 base budget. He highlighted funding levels for the Pollution Control Agency, DNR, Metro Parks, Conservation Corps, BWSR, the Minnesota Zoo, the Science Museum, and the Metropolitan Landfill Contingency Action Trust Account, and said the committee’s base-budget area totals about $2.2 billion. He also reviewed the Legacy funds, estimating available 2026-27 appropriations of about $327 million for Outdoor Heritage, $31.7 million for Clean Water, $133 million for Parks and Trails, and $185 million for Arts and Cultural Heritage. No votes or bill actions were taken at this meeting.
FL

Florida 2025 Regular Session

House in Session May 2nd, 2025

Florida House Floor Meeting

Transcript Highlights:
  • If you can remind me, can the traditional public school district charge rent or other fees to a School
  • He says they are not allowed to change any fees. **Representative Andrade**?
  • That is a new underlying language: rental or leasing fees.
  • Part of rental and leasing fees is the insurance, the property insurance for the building.
  • It says the municipality must negotiate leasing fees with the district school board.
Bills: HJR 138, HB 42, HB 104, HB 129, HB 677, HB 426, HB 668, HB 1699, HB 2017, HB 2128, HB 2038, HB 3783, HB 3717, HB 2316, HB 3686, HB 2563, HB 3883, HB 4021, HB 2788, HB 2663, HB 3305, HB 3173, HB 3474, HB 1105, HB 3531, HB 3490, HB 3597, HB 1295, HB 3512, HB 3010, HB 3112, HB 4215, HB 3223, HB 3464, HB 3120, HB 4214, HB 4511, HB 3704, HB 4081, HB 4783, HB 4063, HB 2783, HB 4937, HB 5085, HB 2510, HB 3426, HB 4361, HB 1169, HB 2516, HB 2347, HB 4034, HB 4700, HB 3560, HB 5150, HB 3860, HB 3146, HB 3924, HCR 98, HCR 92, HB 1520, HB 1545, HB 5265, HB 1887, HB 1914, HB 2402, HB 2306, HB 2350, HB 3000, HB 3237, HB 3326, HB 3211, HB 1056, HB 2081, HB 2187, HB 3092, HB 3308, HB 3526, HB 3750, HB 4219, HB 4230, HB 4290, HB 5238, HB 4804, HB 4749, HB 245, HB 1465, HB 294, HB 793, HB 809, HB 3928, HB 334, HB 2037, HB 1973, HB 285, HB 4341, HB 1043, HB 1234, HB 1193, HB 1729, HB 2498, HB 1314, HB 1353, HB 3960, HB 3923, HB 2221, HB 2517, HB 2518, HB 2213, HB 5092, HB 3748, HB 5246, HB 4344, HB 1482, HB 4044, HB 2702, HB 4264, HB 2807, HB 2898, HB 3181, HB 3250, HB 2091, HB 2115, HB 2542, HB 2768, HB 3349, HB 4406, HB 1593, HB 1899, HB 3133, HB 3133, HB 4960, HB 3214, HB 2145, HB 1201, HB 5061, SB 29, SB 879, SB 65, SB 1745, SB 412, SB 412, SB 1746, SB 1238, SB 1341, SB 522, SB 1532, SB 1378, SB 1062, SB 2066, SB 1963, SB 2204, SB 1366, SB 2077, SB 1967, SB 1151, HB 1618, HB 2156, HB 2615, HB 2615, HB 2349, HB 1926, HB 569, HB 1762, HB 38, HJR 138, HB 42, HB 104, HB 104, HB 129, HB 677, HB 426, HB 668, HB 1699, HB 2017, HB 2128, HB 2038, HB 3783, HB 3717, HB 2316, HB 3686, HB 2563, HB 3883, HB 4021, HB 2788, HB 2663, HB 2663, HB 3305, HB 3173, HB 3474, HB 1105, HB 3531, HB 3531, HB 3490, HB 3490, HB 3597, HB 1295, HB 3512, HB 3010, HB 3112, HB 4215, HB 3223, HB 3223, HB 3464, HB 3120, HB 4214, HB 4511, HB 3704, HB 4081, HB 4783, HB 4063, HB 2783, HB 4937, HB 5085, HB 2510, HB 3426, HB 4361, HB 1169, HB 2516, HB 2347, HB 4034, HB 4700, HB 3560, HB 5150, HB 3860, HB 3146, HB 3924, HCR 98, HCR 92
TX
Transcript Highlights:
  • The panel, which is a branch of the Board of Pardons and Paroles, does not adhere to BPP fees on voting
  • Establish a standardized $25 fee per entity.
  • They are charged $350 for the filing fee.
  • We're also going to repeal a $1 fee.
  • Per agency for each notice and a $2 fee for each order to each agency that we're appealing in this bill
MN

Minnesota 2025 1st Special Session

House Judiciary Finance and Civil Law Committee 1/21/25

Judiciary Finance and Civil Law

Transcript Highlights:
  • structure the Chief Justice<00:04:21.919> currently<00:04:22.360> Natalie<00:04:22.880
  • Through this funding, we are able to make our compensation structure more competitive with our public
  • Through this funding, we are able to make our compensation structure more competitive with our public
  • We have our own compensation structure. We currently have three unions.
  • <00:51:33.200> um the appet level expert witness fees um the appet level expert witness fees
Keywords: 1183, house
Summary: The House Judiciary Finance and Civil Law Committee met to approve the January 16 minutes and then heard a budget presentation from State Court Administrator Jeff Shorba on behalf of the Minnesota judicial branch. Shorba described the courts’ structure, mission, and workload, noting 322 judges, about 2,800 staff, roughly 1 million district court filings annually, and a current budget of about $479 million. He emphasized the branch’s constitutional obligation to provide fair and timely access to justice and said the courts are funded almost entirely through legislative appropriations. He also highlighted recent accomplishments made possible by prior legislative funding, including eliminating the pandemic felony and gross misdemeanor backlog, expanding remote and hybrid hearings, improving courtroom technology, sustaining treatment courts, and increasing pay for interpreters and psychological examiners. Shorba outlined the judicial branch’s 2026–27 budget request, which he said totals a 12% increase over the starting biennial base. Major requests included $77.3 million in 2026–27 and $104 million in 2028–29 for a 6% judicial salary increase and related compensation costs; $5.1 million in 2026–27 and $1.76 million in 2028–29 for digital accessibility compliance with new federal ADA rules; $4 million in 2026–27 and $800,000 in 2028–29 to modernize justice partner access to court records; $7.2 million in 2026–27 to raise pay for contract psychological examiners; and $18 million in 2026–27 to increase juror pay from $20 to $100 per day and align mileage rates with federal rates. He also discussed ongoing funding needs for interpreter services, jury costs, cybersecurity, and other statutorily required court services, saying temporary funding provided in the prior session will expire and that permanent support is needed. Members asked questions about treatment courts, employee bargaining, and mental health competency issues. Representative Eric requested more detail on funding for newly launched and existing treatment courts, and Shorba said many treatment courts begin with federal grants before transitioning to state support after about three years. He confirmed the judicial branch negotiates its own employee contracts rather than the executive branch doing so, and said the branch has three unions plus many unrepresented employees. On mental health and competency, Shorba said the branch is focused on obtaining timely psychological evaluations and is not responsible for treatment services themselves, but acknowledged a shortage of examiners and treatment beds and said a related competency board would be testifying the following week. No votes or formal actions were taken beyond adoption of the minutes.
MN

Minnesota 2025-2026 Regular Session

Committee on Environment, Climate and Legacy - 03/17/26

Environment, Climate, and Legacy

Transcript Highlights:
  • Um protectant fee with PILT. Um wetland. Um protectant fee with PILT.
  • Protect and fee making a PILT payment. Protect and fee without<00:18:39.679> PILt.
  • projects that where you're doing fee projects that where you're doing fee title<00:37:23.280>
  • Um, and we fee title or easement land.
  • , flowage or uh for permanent structure, flowage or uh for permanent structure, we<01:02:24.799><
Keywords: 1187, senate, all
WV
Transcript Highlights:
  • That tax structure needs to be changed in order to be maintained.
  • , and we'd like to pay for roads with user fees.
  • The user fees are relatively flat and typically need periodic adjustments.
  • If those people properly registered at DMV, they're going to pay higher fees, and these higher fees offset
  • And these higher fees offset the loss on fuel tax. We have that in place in the code.
Keywords: 994, senate, all
Summary: The Senate Finance Committee met with a quorum present and first approved the minutes from the January 15 morning meeting. The main agenda item was the Department of Revenue’s budget and revenue presentation from Secretary Eric Nelson, Deputy Secretary Peter Shirley, and Deputy Secretary Mark Mucco. Nelson said the state remains double-A rated with a positive outlook, the budget includes a 5% personal income tax reduction, and the 2027 general revenue estimate is $5.493 billion, up $170 million from the prior year. Shirley gave an economic overview, saying West Virginia is forecast to see continued but slowing employment growth, continued wage growth, gains in private education/health services and business services, declines in some sectors, improving labor force participation relative to the nation, and strong recent net in-migration. He also noted continued growth in natural gas production and a modest rebound in coal production, though coal faces longer-term demand pressure. Mucco reviewed revenue trends and said 2025 collections were about $5.5 billion, below the prior year but above estimate, with personal income tax and sales tax driving the surplus. He explained that the forecast incorporates the 5% PIT cut and annual conformity to the federal One Big Beautiful Bill Act, including changes such as Section 179 expensing, bonus depreciation, R&D expensing, business interest deductions, and a new manufacturing facility expensing provision. He also discussed the effects of tax credits, severance tax volatility, declining tobacco revenues, and health care provider tax changes tied to federal Medicaid rules. He said road fund revenues are largely flat absent policy changes, and county commission revenues are growing faster than state revenues. Members asked about when new economic development projects like NewCore would appear in the projections, how much 20,000 new jobs would matter, whether the department had a calculator for job-growth impacts, the status of recent tax cuts, road fund growth, tobacco/vape taxation, and whether migration data could be broken down by county. The witnesses said major projects are not yet in the S&P-based forecast but would likely add jobs, wages, and tax revenue over time; they estimated 20,000 jobs would be a significant increase. They also said the state is unlikely to hit the current personal income tax trigger in the near term. No substantive votes were taken beyond approving the minutes, and the committee adjourned after a motion carried by voice vote.
FL
Transcript Highlights:
  • BRING A PRIVATE INDIVIDUAL, SOMEONE THAT HAS TO DEPEND ON THEMSELVES TO GET FUNDING AND MONEY AND FEES
  • THIS BILL SHIFTS ALLOCATION OF FEES AND SUPPORT PROGRAMS TO ASSIST UNDERREPRESENTED STUDENTS WHILE USING
  • IT PROVIDES FEE WAIVERS FOR STATE BOARD MEMBERS FOR RESTRICTION.
  • GRANDPARENT WHO IS A LEGAL RESIDENT FOR AT LEAST ONE YEAR CAN QUALIFY OR A WAIVER OF THE OUT-OF-STATE FEE
  • THAT SIMILARLY IS THE MISSION OF ANY POST SECONDARY SUPPORT STRUCTURE TO MAKE SURE STUDENTS GRADUATE
Keywords: 999, senate, all
MN

Minnesota 2025 1st Special Session

Committee on Education Policy - 03/26/25

Education Policy

Transcript Highlights:
  • They need to have received, or be in the process of receiving, the evidence-based structured literacy
  • literacy training uh before structured literacy training uh before the<00:51:52.599> uh<00:51
  • Students can model rising tuition fees or look at infectious disease rates.
  • <01:34:41.880> or<01:34:42.080> look<01:34:42.199> at rising tuition fees or
  • look at rising tuition fees or look at infectious<01:34:43.320> uh<01:34:43.440> disease
Keywords: 1187, senate, all
FL

Florida 2026 Regular Session

Judiciary Jan 14th, 2025

Judiciary

Transcript Highlights:
  • pay the legal fees of an insured if the insured prevailed in the action against the insurer.
  • reasonable in a case in which the attorney's fees are determined by the court.
  • A lodestar fee is determined by multiplying the reasonable number of hours by a reasonable fee.
  • This change limits the application of multipliers to an award of attorney's fees.
  • This change limits the application of multipliers to an award of attorney's fees.
Summary: The Judiciary Committee met with a quorum present and heard several Office of the State Courts Administrator presentations. Judge Mark Mahan discussed the impact of 2023’s HB 837 litigation reforms on court operations, explaining that the law’s changes to comparative negligence, filing deadlines, collateral source evidence, premises liability, bad faith claims, attorney’s fees, and offer-of-judgment rules triggered a major March 2023 civil filing surge. He described how filings tripled statewide, with especially large increases in auto negligence and premises liability cases, and outlined how circuits responded through active case management, added resources, and workflow changes. Members asked whether the bill’s immediate effective date contributed to the surge and whether clearance rates would normalize over time; Judge Mahan said the court system viewed its response as a success and expected rates to settle as the backlog is worked through. The committee then received a presentation on problem-solving courts from Jennifer Grandal and Judge Nina Richardson. Grandal reviewed Florida’s drug courts, mental health courts, veterans courts, dependency and early childhood courts, noting statewide best-practice standards, annual reporting requirements, funding sources, and data collection systems. Judge Richardson gave a local perspective on treatment courts, emphasizing that they address underlying mental health and substance use issues, rely on judicial supervision and sanctions as well as incentives, and help participants achieve recovery and avoid reoffending. She said the programs are accountable, transparent, and effective, and thanked the Legislature for continued support. Finally, Judge Rachel Nordby and Eric McClure outlined the judicial branch’s legislative agenda. Nordby summarized the Supreme Court workgroup’s recommendations to expand Florida’s vexatious litigant law, including broader coverage, fewer qualifying adverse cases, a longer lookback period, and a public records exemption for stricken defamatory or sham material. McClure then highlighted additional agenda items: modernizing the duty-judge statute, expanding senior management retirement eligibility, authorizing additional judgeships based on workload studies, removing the statutory cap on court-ordered nonbinding arbitration compensation, protecting appellate clerks’ personal information, allowing alternative authentication for certain judicial notarizations, and creating a hearsay exception for guardian ad litem reports and testimony. No votes were taken, and the committee adjourned after member introductions and staff introductions.
MN

Minnesota 2025-2026 Regular Session

Committee on Environment, Climate and Legacy - 02/04/25

Environment, Climate, and Legacy

Transcript Highlights:
  • Without PILT, it will be about 4,000 protected in fee with PILT, about 2,485, and then restored will
  • protected by easement protected in fee protected by easement protected in fee without<00:09:04.360
  • <00:09:06.880> with<00:09:07.079> pilt<00:09:07.480> about protected in fee
  • with pilt about protected in fee with pilt about 2485<00:09:09.720> and<00:09:09.880> then<
  • The enhancement breaks out, or the fee title acquisition with PILT or without PILT, etc.
Keywords: 1187, senate, all
CA

California 2025-2026 Regular Session

Senate Education Committee Jun 3rd, 2026

Education

Transcript Highlights:
  • do is have the college or students say, I'm currently in WUE, paying one and a half times resident fees
  • if, you know, the ones my children can go to your place if you're not going to charge nonessential fees
  • No, tribal students who... ...you're not going to charge nonessential fees.
  • Over the last 40-plus years, California's public school finance structure has allowed per-pupil funding
  • I do think it's an interesting concept to create a constitutionally protected funding structure that
Keywords: 987, senate, all
Summary: The committee first heard AB 402, which would increase Cal Grant award amounts for students attending private nonprofit colleges and allow community college transfer entitlement awards to be used at those institutions. The author and supporters said the bill would restore award levels to their 2001 value and improve access for low- and middle-income, working, military, and transfer students. Several witnesses from private nonprofit universities, community college districts, and advocacy groups supported the measure. Senators raised concerns about the prior Cal Grant agreement tied to Associate Degree for Transfer participation and about the need to fund broader Cal Grant reforms, but the bill advanced on a unanimous due-pass vote to Senate Appropriations and was placed on call. The committee then took up AB 2067, a sunset extension for lease-lease-back authority for TK-12 school construction through July 1, 2032. The author and supporters from school housing and contractor groups said the method provides flexibility, early collaboration, cost control, and legal certainty for school construction projects. Senators asked how often lease-lease-back and other alternative delivery methods are used, and whether the skilled-and-trained workforce provisions limit competition. Some members objected to the skilled-and-trained requirement, while others said the bill simply preserves an existing tool without changing labor rules. The bill passed on a 6-1 vote, with Senator Ochoa Bogh voting no, and was placed on call. AB 1204, which would revise the Local Control Funding Formula by increasing supplemental and concentration grants, lowering the concentration threshold, adding regional cost adjustments, and setting a minimum annual COLA floor, drew extensive testimony on both sides. Supporters said the bill better reflects regional costs, inflation, and student need, especially for low-income, multilingual, and unhoused students. Opponents, including several school district leaders, argued it would widen funding disparities and divert money from the LCFF base grant, which they said should be the priority. Committee members also questioned the fiscal impact, the proposed 4% COLA floor, and whether the bill had enough research and stakeholder consensus. Despite those concerns, the bill was advanced to Appropriations on a due-pass vote and placed on call. Finally, the committee heard AB 1235, which would require a skilled-and-trained workforce process for CSU design-build projects to align CSU with UC and community college construction rules. Supporters said it would improve training and project quality, while opponents from contractor groups argued it would reduce competition, increase costs, and impose mandates without evidence of better outcomes. Several senators objected to the skilled-and-trained requirement as limiting opportunities for contractors who comply with state law, while others noted the issue was already common in higher education construction. The discussion was still underway when the transcript ended, and no final vote on AB 1235 was captured.
MN

Minnesota 2025-2026 Regular Session

House Agriculture Finance and Policy Committee 2/25/26

Agriculture Finance and Policy

Transcript Highlights:
  • There has been plenty of precedent in other committees, particularly with DNR and PCA, on legal fees.
  • We wanted to have the exact cost of what so far has been the legal fees. Um, and maybe Mr.
  • We wanted to have the exact cost of what so far has been the legal fees. Um, and maybe Mr.
  • the legal fees.
  • of attorney fees, things like that?
Bills: HF3474, HF3475, HF3508
NH
Transcript Highlights:
  • Is this a fee >> Okay.
  • >> Um, there have been changes to various components of the fee structure depending upon the type of
  • fee, a lead abatement worker fee, a lead abatement supervisor fee, a lead inspector fee, and a risk
  • assessor fee.
  • Originally it was established to, uh, under the regulatory structure whereby it would assess fees and
Keywords: 928, house, all
Summary: The Joint Committee on Dedicated Funds met to review inactive and dedicated accounts, note prior legislation that had passed, and begin its annual review of agency funds. Members discussed several inactive funds, including some HHS-related accounts, a law enforcement memorial fund, and possible cleanup of accounting references where funds had been reorganized or merged. Staff noted that some newer funds may simply not have started receiving revenue yet, and the committee agreed to follow up on specific accounts later rather than address everything immediately. The committee then heard from Fish and Game on its dedicated funds. Topics included the statewide public boat access account, which is used for boat ramp and access-site maintenance and is supported by boat registration fees and federal funds; the ORV education, training, and enforcement account, which has declined over time and may need attention because revenue depends heavily on weather and snowmobile use; and the search and rescue account, which is funded by Hike Safe cards, a $1 fee from boat and OHRV registrations, and court-ordered fees. Fish and Game also explained that the conservation license plate fund had been merged into the non-game species management account, which is supported by donations, federal funds, and a statutory general fund transfer, and that pheasants are treated as game species under a separate program. The committee spent considerable time on the lifetime license account, an off-book Treasury-held account that collects lifetime license sales and returns funds to Fish and Game based on annual sales plus 9% of the fund balance. Members questioned why the account’s presentation did not clearly show the transfer as a revenue reduction and suggested the reporting format needed cleanup so the flow of money would be easier to understand. Fish and Game said the account is operating properly and that the transfer to the unrestricted Fish and Game fund exceeded $400,000 in the most recent year. The committee also reviewed the publications and fundraising revolving fund, which keeps a $100,000 balance for inventory purchases and transfers excess year-end funds to the unrestricted Fish and Game fund; members again raised concerns that the reporting format did not clearly show the transfer, and staff said they could add a note or other clarification.
OK

Oklahoma 2026 Regular Session

Administrative Rules Feb 3rd, 2026 at 01:30 pm

Administrative Rules

Transcript Highlights:
  • I pulled a rule packet back right after Christmas that said it was a fee increase, and when I opened
  • It'd be pretty hard to have a fiscal cost of zero when there is a fee increase.
  • We are bundling the committee based on bundling the rules based on our oversight committee structure.
Keywords: 914, all
CA

California 2025-2026 Regular Session

Assembly Aging and Long-Term Care Committee Jun 24th, 2025

Aging and Long-Term Care

Transcript Highlights:
  • help with programs agree to accept payment from received from DHCS in accordance with the Medi-Cal fee
  • structure as payment in full for the care provided.
  • That motion we will place on call at the moment and we will move on. fees on the inoperable facility.
Keywords: 988, house, all
CA

California 2025-2026 Regular Session

Assembly Health Committee Apr 22nd, 2025

Transcript Highlights:
  • can charge their full fee.
  • This bill would increase the fees that tobacco retailers pay each year from $265 to $600.
  • This bill provides a solution by increasing the licensing fee.
  • This bill provides a solution by increasing the licensing fee.
  • So it's not just 13%; it's the $13 dispensing fee plus 13% of the cost of the drug.
Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.
NH
Transcript Highlights:
  • That's so holding company structure.
  • It then sets a temporary rate structure.
  • It then sets a temporary rate structure.
  • It then sets a temporary rate structure.
  • So this rate temporary rate structure.
Keywords: 928, house, all
Summary: The subcommittee continued work on Senate Bill 297 and a new amendment dealing with pooled risk management programs and whether they should be regulated under the insurance department. Lisa Duket, executive director of SchoolCare, testified at length that the draft language could allow co-mingling of public entity risk funds, could trigger producer-licensing requirements for staff who are not actually brokers, and may not fit public entity risk pools because they are not insurance companies. She also raised concerns about the March 1 reporting deadline, the proposed uniform accounting language, aggregate excess insurance, examination costs being charged to the program, and confidentiality provisions that she argued may conflict with right-to-know principles for public entities. She urged the committee to slow down and consider a study committee or more time for review, saying the regulated entities were not adequately involved in drafting the proposal. Chairman Hunt and the department responded that the bill is intended to create a licensure-based regulatory model, similar to other licensed industries, and that the pooled risk management program would be exempt from producer licensing while anyone else selling or negotiating such coverage would need a producer license. The department said failure to comply would be handled through an administrative licensing process, with denial or nonrenewal of a license and appeal through the department process. On the reporting deadline, the department said March 1 is a standard filing date used for financial analysis and that the filing can be the most recent annual report, regardless of fiscal year end. They also explained that the confidentiality language was taken from existing RSA 5B, that aggregate excess insurance was included as a solvency measure, and that the draft was intended to preserve familiar language while adapting it for pooled risk programs. The discussion did not include a final vote or formal action on the bill in the portion provided. The committee appeared to be compiling follow-up questions for the insurance department and considering whether additional revisions or a slower process would be needed before moving the bill forward.
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 02/26/25

Health and Human Services

Transcript Highlights:
  • and the new Medicaid rate structure and the new Medicaid rate structure required<00:14:03.560>
  • Would we buy some of the fees that people would like?
  • Would we buy some of the fees that people would like?
  • Would we buy some of the fees that people would like?
  • Would we buy some of the fees that people would like?
Keywords: 1187, senate, all