Video & Transcript Research : 'replacement cost'

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OK

Oklahoma 2026 Regular Session

General Government Feb 10th, 2026 at 01:30 pm

General Government

Transcript Highlights:
  • Further, the bill asks that those agencies report the cost of the work done, whether the job is complete
  • The report must list the vendor's name, contract cost, and a description of the deliverables.
TX

Texas 89th Regular

Insurance Apr 9th, 2025

Insurance

Transcript Highlights:
  • It costs taxpayers nothing.
  • So one of those things is the cost.
  • or research and development driving drug costs; rather, drug costs are being driven by profit motivation
  • which I don't want to get into your cost-benefit analysis of what it costs to manufacture versus what
  • Our primary concerns are the cost of insurance as well as the cost of litigation.
TX

Texas 89th Regular

Insurance Apr 9th, 2025

Insurance

Transcript Highlights:
  • The burden of increasing insurance costs should not be made worse.
  • But they did find that it was only a $900,000 cost shift from consumers.
  • To insurers to contain costs in the long run since there's about a $300,000 cost differential between
  • It comes with a small cost.
  • That says you can't do any cost sharing, nor can you account for the cost of this test in the premium
TX

Texas 89th Regular

Health and Human Services Apr 1st, 2025

Health & Human Services

Transcript Highlights:
  • on your lowest-cost provider.
  • on your lowest-cost provider.
  • Because if you come to one of us, we cost about half of what it costs to go to the hospital.
  • Senator Hall: cost. It costs to be certified.
  • Value is cost, or excuse me, quality divided by cost.
Summary: The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed. The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending. Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending. Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.
OK
Transcript Highlights:
  • Since then, operating costs have increased significantly. 6% will allow them to cover the increased cost
  • Projected costs for the two groups and it drops every day. Move for passage. Open for questions.
  • One gets the response back and figures out what the cost is.
  • Calculate how we as a body work on the cost of what that'll be to pay out.
  • cost that was earlier described?
HI

Hawaii 2026 Regular Session

PSM-HWN Informational Briefing 04-13-2026

Hawaii Senate Floor Meeting

Transcript Highlights:
  • really needed to replace the old OCCC. really needed to replace the old OCCC.
  • not just for first cost, but for operational costs as well.
  • not just for first optimizing costs not just for first cost,<00:34:52.960> but<00:34:53.159><
  • cost, but for operational costs as well. cost, but for operational costs as well.
  • Now, it's his offset the cost of OCCC.
OK

Oklahoma 2026 Regular Session

Health and Human Services Oversight REVISION 2: Delayed until 11:30 AM

Health and Human Services Oversight

Transcript Highlights:
  • And it's my understanding that this does not cost the state to run applicants through the SAVE program
  • them—there's a great need for more therapists out there—but they're having to shoulder the burden of this cost
AZ

Arizona 2026 Regular Session

02/11/2026 - Senate Health and Human Services

Health and Human Services

Transcript Highlights:
  • The human cost is immeasurable.
  • services or cost avoidance in state-funded systems.
  • services or cost avoidance in state-funded systems.
  • Most people with an SMI designation cost about $30,000 a year.
  • There is a serious human cost to this.
Summary: The committee first approved the February 4 minutes and then heard Senate Bill 1086, which would require AHCCCS contractors to reimburse non-contracting providers for certain laboratory services when a member was referred by a contracting provider, and would bar prior authorization for diagnostic services and retaliation tied to such referrals. AHCCCS testified neutral but warned the prior-authorization ban could increase utilization and create fiscal and federal compliance concerns. The committee adopted the Warner amendment limiting non-contracting reimbursement to no more than contracting-provider rates, then passed SB 1086 as amended on a 4-2 vote. The committee next took up Senate Bill 1611, an emergency measure to require AHCCCS to contract with an administrative services organization for program integrity and case management functions for the American Indian Health Plan, while keeping AHCCCS ultimately responsible. The chair’s amendment expanded the ASO’s duties to include provider support, quality improvement, and data analytics, removed AHCCCS claims payment authority, added more tribal observers, and exempted IHS and tribal facilities. Testimony strongly supported reforming the system after fraud and overcorrection harmed Native members and providers, but AHCCCS raised concerns about the fast timeline, possible duplication of fraud-fighting functions, and the need for 45 days of tribal consultation. The committee adopted the amendment and passed SB 1611 as amended on a 5-2 vote. Senate Bill 1630 would create a Medicaid-funded home and community-based services program for adults with serious mental illness, capped initially at 250 members under the Angius amendment, with semiannual reporting and a process for future expansion only if costs are reduced or neutral. Supporters said the bill would help the sickest SMI patients avoid repeated hospitalizations, jail, and homelessness, and could save the state general fund by shifting costs to federal Medicaid funding; AHCCCS was neutral and said it was finalizing the fiscal estimate. The committee adopted the amendment and passed SB 1630 unanimously. The committee also passed SB 1193, protecting emergency medical care technician personal information from disclosure; SB 1318, repealing an outdated state dense-breast notification requirement to align with FDA language; and SB 1345, restricting anonymous complaints against health care institutions, though AHCCCS warned that federal law may still require investigation of complaints from any source and that the bill could reduce reporting and invite litigation.
AZ

Arizona 2026 Regular Session

02/10/2026 - House Natural Resources, Energy & Water

Natural Resources, Energy & Water

Transcript Highlights:
  • And I would argue the GRD system is a more cost-effective system when it comes to obtaining water than
  • Then all of a sudden that determination was made, so the delay in that process cost a lot of money for
  • It allows this interest or earnings to be applied to the final reclamation cost of the unit or of the
  • It allows this interest or earnings to be applied to the final reclamation cost of the unit or of the
Summary: The committee on Natural Resources, Energy and Water heard and advanced several bills and memorials focused on water policy, mining, environmental regulation, and professional licensing. HB 2260, a veterinary board measure, HB 2986, an ADEQ cleanup/omnibus bill, and HB 2827, which extends Pinal AMA groundwater fee authority and related fund deadlines, all received due pass recommendations on unanimous 10-0 votes. HB 2078, clarifying that public notice for new aggregate mine reclamation plans applies only to new plans and can be satisfied by certain local notices, also passed 9-1 after testimony from the sponsor and mining industry representatives. HCM 2009, urging Congress to amend the Antiquities Act, address split estate mineral rights, and streamline mining permits, passed 5-4 along party lines and drew support from mining interests and opposition from members concerned about federal land protection and monuments. HCR 2038, supporting a seven-state Colorado River agreement, passed 9-1 with testimony emphasizing the importance of a negotiated river settlement to Arizona’s economy, food supply, and national security. The committee then took up a series of water-management bills that generated more extensive debate. HB 2026, which narrows how ADWR evaluates water availability by focusing on proposed dedicated supplies even if commingled in delivery systems, passed 6-4 despite concerns that it echoed previously vetoed language and could weaken water security. HB 2027, as amended, would limit application of Pinal AMA-style rules in the Phoenix AMA and alter physical-availability review for applicants enrolled in the Central Arizona Groundwater Replenishment District; it passed 6-4 after strong opposition from CAP, municipal water users, and ADWR, who warned it could undermine assured water supply designations and CAGRD obligations, while home builders argued it was a fairness issue for development. HB 2028, removing ADWR’s exemption from appealable administrative-completeness determinations, passed 6-4 over agency concerns that it would turn deficiency letters into formal appeals and add workload, while supporters said it would give applicants the same legal rights as other regulated parties. The committee also approved HB 2031, an emergency measure setting a deadline for filing grandfathered groundwater rights in the Wilcox AMA, on a 5-4 vote, and HB 2094, which would require ADWR to re-review certain assured water supply determinations and retroactively validate some applications using specified models, also on a 5-4 vote; both were described as similar to previously vetoed measures. The transcript ends as the committee begins HB 2095, which would expand the factors ADWR considers in determining groundwater depth and physical availability for assured water supply applications, with an amendment being explained but no final action captured in the excerpt.
HI

Hawaii 2026 Regular Session

GVO DEFER, GVO Public Hearings 02-05-2026

Government Operations

Transcript Highlights:
  • However, recognizing the concerns, we're going to adopt the recommended amendments of replacing 'government
  • because the $5,000 can be tied to the changes that were made in New York and California in so far as the cost
  • because the $5,000 can be tied to the changes that were made in New York and California in so far as the cost
Summary: The committee met for decision-making on measures heard earlier in the week and took up a series of government operations, procurement, public records, public meetings, and related bills. Several measures were deferred one week to February 12, 2026, including bills on state construction projects, government accountability, gubernatorial appointments, the legislature, public procurement, and a bill on Hawaiian lei sales, largely so the committee could compare similar measures, address concerns, or integrate related reports. The committee also deferred SB 2449 on public meetings for the year, citing concerns that the proposed business-day definition was overly prescriptive and unnecessary. The committee passed several bills with amendments. These included measures clarifying UIPA applicability to records created or maintained by agencies, with amendments changing “government function” to “agency function” and committee report language noting Attorney General concerns and exempting ERS for now; SB 2811 on state building projects with technical amendments and a delayed effective date; SB 2809 on budget-related reports; SB 2336 on trees, with a Senate draft and removal of “political subdivision”; SB 2308 on small purchase vendor compliance, setting the threshold at $5,000 and adding a delayed effective date; SB 2601 on procurement, reorganizing misdemeanor language and leaving funding/FTE issues to Ways and Means; SB 2219 on a capital visitor center working group; and SB 2849 on public meetings, with technical amendments and a delayed effective date. Bills on neighborhood board concerns and public notice were also adopted, with SB 2929 drawing testimony both for and against. Testimony was generally supportive on procurement and small business measures, especially SB 2928 establishing permanent small business procurement coordinator positions, which drew strong support from the State Procurement Office, DBEDT, the Chamber of Commerce, DOT, the Ethics Commission, and others. On public notice, the County of Maui supported allowing website posting, while another witness raised concerns about accessibility, centralized notice locations, and impacts on kūpuna and people with disabilities. On search and rescue, the committee heard support for creating a statewide coordination structure, along with discussion of where such an office should reside; the Attorney General raised constitutional and placement concerns, while witnesses suggested law enforcement, DLNR, or DoD as possible homes. The committee also heard support for a bill protecting home addresses of covered public servants and candidates, though the Public First Law Center urged broader coverage and a better fit with existing law.
HI

Hawaii 2026 Regular Session

GVO Public Hearing 02-03-2026

Government Operations

Transcript Highlights:
  • um those costs um again because we are talking to the implementation of large capital programs.
  • um those costs um again because we are talking to the implementation of large capital programs.
  • um those costs um again because we are talking to the implementation of large capital programs.
  • um those costs um again because we are talking to the implementation of large capital programs.
  • um those costs um again because we are talking to the implementation of large capital programs.
Summary: The committee heard several government operations measures, beginning with SB 2064 on state construction projects, which would create an office of the state architect within DAGS to oversee design review and approvals for state construction. DAGS said it stood on its written testimony, DECAB supported the bill, DOT supported it, and HGA opposed it. No audience testimony or member questions were taken, and the chair moved on. The committee then took up SB 2312 on government contracts, which would make records held by private contractors performing government functions subject to UIPA. The State Procurement Office, Attorney General, OIP, ERS, DHS, and HGA offered comments or opposition, while the League of Women Voters, Public First Law Center, All Hawaii News, Grassroots, and several individuals supported the bill. Public First Law Center argued the bill closes a loophole and does not expand or reduce existing exemptions, while OIP and others raised concerns about privacy, confidential information, and the need for clearer procedures. Members discussed possible clarifying amendments, including changing “government function” to “agency,” and the bill was left for further consideration. Other measures discussed included SB 2662 on government accountability, which would require justification and caps for external consultants; ERS and DOT opposed it, while the American Council of Engineering Companies of Hawaii and Airlines Committee of Hawaii argued consultants are often more efficient and necessary for major projects. The committee also heard SB 2744 on due process, for which no testimony was received; SB 2809 on budget-related reports, with comments from B&F and the Tax Foundation; SB 2862 on gubernatorial appointments, opposed by the Governor’s Office and the Hawaii Correctional System Oversight Commission and supported by one individual; a bill on continuous legislative sessions, with comments from B&F, LRB, and Hope for Hawaii; SB 2336 on tree management standards, supported by an individual and the Outdoor Circle; and SB 2075 on public procurement local preferences, which drew broad support with comments from SPO and the Attorney General and discussion of simplifying the preference structure. No votes were taken in the excerpt, and the chair repeatedly moved measures along after testimony and questions.
TX

Texas 89th Regular

Public Health May 12th, 2025

Public Health

Transcript Highlights:
  • You all have heard this before, but the U.S. pays twice as much for our medical... ...costs for about
  • We believe that it is crucial in order to address healthcare costs.
  • And patients can see costs before treatment and prevent surprise fees, billing, gouging, etc.
  • Now, many patients fear the financial costs of medical care, which is a barrier to care.
  • Your customers do not know what stuff costs, and yes, you do. Can I ask you one quick question?
TX

Texas 89th Regular

Public Health May 12th, 2025

Public Health

Transcript Highlights:
  • For the medical device companies, how much does a specimen cost?
  • Do you know how much a specimen costs? I've seen two price lists.
  • So what is the cost of an MOC? So I would, I'm going to defer to you, Charlie.
  • Those are costs that are sustaining the program. We are all non-profits.
  • That costs money to do. So are you, Ms.
TX

Texas 89th Regular

Pensions, Investments & Financial Services Apr 23rd, 2025

Pensions, Investments & Financial Services

Transcript Highlights:
  • It's easy on the City of Austin, managing these costs early to keep them low.
  • In order to achieve cost savings on the cost of the money.
  • We did a study with TRS, and it showed the cost of doing either a 20 or 25-year retirement.
  • I'm in the process of scheduling an elbow replacement right now.
  • And as long as we're fully covering the actuarial cost of the benefit, it's a fantastic bill.
TX

Texas 89th Regular

Pensions, Investments & Financial Services Apr 23rd, 2025

Pensions, Investments & Financial Services

Transcript Highlights:
  • This payment will cost, I think, in the fiscal note it was only about $180 million.
  • Maybe putting it another way, the cost for charter schools involves more money.
  • The actuarial cost is reported by TRS to be $806 million, and their reported actuarial cost, of course
  • And your underwriting cost associated...
  • That covers those initial costs because those costs are similar to making a loan; that doesn't cover