Video & Transcript Research : 'volume cap'

Page 18 of 355
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 2/25/26 - Part 2

Health Finance and Policy

Transcript Highlights:
  • was<00:15:51.680> to<00:15:52.720> um<00:15:54.160> h<00:15:54.480> cap
  • get the language intent was to um h cap get the language consistent<00:15:56.880> with<00:15:
  • The existing fees and fee caps on what providers can charge third-party requesters do not reflect the
  • Many health care organizations have large volumes of health information not interfaced on the EMR and
  • of health information not volumes of health information not interfaced<00:29:29.200> on<00:29
NH

New Hampshire 2025 Regular Session

Senate Election Law and Municipal Affairs (04/29/2025)

Election Law and Municipal Affairs

Transcript Highlights:
  • a cap.
  • as we set for overriding a cap as we set for establishing<00:16:24.320> a<00:16:24.399> cap
  • Uh, that was the establishing a cap.
  • One is about the process of establishing a cap and what goes on the ballot to establish a cap.
  • <01:29:41.520> This voting on an override of a cap. This voting on an override of a cap.
Keywords: 1191, senate, all
HI
Transcript Highlights:
  • Um, at least within our branch, um, that does not even though the volume may be low, the serious nature
  • > may<00:08:47.279> be<00:08:47.440> low<00:08:47.839> the though the volume
  • may be low the though the volume may be low the seriousness<00:08:48.800> n<00:08:49.120>
  • <00:08:57.360> Um give a sense of the volume. Um give a sense of the volume.
  • cap limit as a recommendation.
Keywords: 912, senate, all
Summary: The committee first took up SB 2567, a Judiciary package measure concerning temporary restraining orders for threats and harassment tied to a public employee’s official actions. Representatives from the Attorney General’s Office and the Judiciary said they had worked out a compromise to address earlier concerns, including a two-year pilot project, broader coverage for state officers and employees across all branches and counties, a special fund to pay for private counsel in some cases, and authority for Judiciary staff attorneys or Judiciary funds to represent Judiciary personnel. Members asked about coverage for retired judges, funding limits, and whether the measure could be used for workplace disputes; the witnesses said retired judges and per diem judges could be covered if the harassment related to their work, the fund would be limited and subject to available appropriations, and petitions would not be allowed between employees in the same branch. The chair recommended passage with amendments, and the committee adopted the recommendation unanimously. The committee then heard SB 2448, which creates a civil remedy for the unauthorized disclosure of intimate images under the Uniform Civil Remedies for Unauthorized Disclosure of Intimate Images Act. The bill’s proponent from the Uniform Law Commission explained that a plaintiff would need to show intentional disclosure or threat of disclosure of a private intimate image without consent, and said the privacy question would be fact-specific. Supporters, including the Commission on the Status of Women and Imua Alliance, favored giving survivors civil recourse. Opponents from the Sex Abuse Treatment Center and others warned that the term "private" could invite victim-blaming and broad discovery into a survivor’s past, while still acknowledging the need for some privacy limitation to avoid overbreadth, especially for people who intentionally distribute intimate content online. Committee members questioned whether the definition of "private" should be tightened. The bill’s proponent said the term should remain because it aligns with the related criminal statute and helps keep the measure focused on classic revenge-porn situations, while still allowing Hawaii-specific changes if needed. The committee did not take final action on SB 2448 in the portion provided, but testimony and discussion centered on balancing survivor protections with concerns about discovery and the scope of liability.
CA
Transcript Highlights:
  • If there is to be a cap or a decision on whether or not there should be a cap, it really needs to come
  • In the European Union, they have imposed caps on the...
  • Right now, the U.S. has about 25 percent of the payment card volume worldwide, but we have...
  • So the U.K., Australia, they have capped interchange..." "...at the international level, right?
  • So the U.K., Australia, they have capped interchange fees.
Summary: The Assembly Banking and Finance Committee heard several bills, beginning with AB 407, which would expand the California Pollution Control Financing Authority. The author said the measure would increase flexibility and access to resources, and the bill was approved 7-0 and sent to the Committee on Local Government. The committee also adopted the consent calendar, which included AB 76, by a 7-0 vote. A lengthy portion of the meeting focused on AB 1065, which would prohibit swipe fees on the sales tax portion of credit card transactions. Supporters, including small business owners, restaurant and grocery representatives, and a payments-policy expert, argued the bill would reduce costs for merchants and consumers and rein in dominant card networks. Opponents, including banks, credit unions, and payment industry groups, argued the bill is likely preempted by federal law, would be difficult to implement, and could disproportionately affect community banks and credit unions. After extensive questioning about preemption, fraud, implementation, and consumer impacts, the committee rejected the bill on a 6-0 vote, but then granted reconsideration by a 7-1 vote. The committee then heard AB 1365, which would create the Cal Account Program, a zero-fee, zero-penalty state banking account for unbanked and underbanked Californians. Supporters said the program would help low-income households, survivors of abuse, and others facing barriers to traditional banking, while opponents from community banks and credit unions argued existing low-cost accounts and the Bank On program already address the need and raised concerns about cost, feasibility, and duplication. The bill advanced on a 6-0 vote and later received enough votes on the reopened roll to move forward to the Committee on Labor and Employment. The committee also approved AB 1052, which would create a legal framework for digital assets and address unclaimed digital property and restrictions on public officials issuing or promoting digital assets, and AB 1180, which would create a pilot program for paying state fees with digital financial assets and require a report on broader adoption. Both bills passed with broad support after brief testimony and discussion. Final roll calls later confirmed AB 1052 and AB 1180, along with AB 407 and AB 1365, were moved out of committee.
HI

Hawaii 2025 Regular Session

CPN-EIG, CPN Public Hearings 03-20-2025

Commerce and Consumer Protection

Transcript Highlights:
  • Thank you. substantial cap for um future wildfire substantial cap for um future wildfire victims.<00:
  • that cap should be set at. that cap should be set at.
  • cap, isn't that a high threshold? cap, isn't that a high threshold?
  • a high liability cap. a high liability cap. Okay.<00:47:59.280> Yes. Okay. Yes. Okay.
  • should look to them to adopt the cap should look to them to adopt the cap level
Keywords: 912, senate, all
Summary: The joint Senate committees heard HB 108 HD2, which would allow direct shipment of beer and distilled spirits by certain licensees and require liquor commissions to adopt rules. Most testimony came from craft brewers and distillers in support, who said the bill would help small and fragile producers reach customers, move limited or specialty products that wholesalers do not carry, and maintain relationships with visitors after they leave Hawaii. Supporters also argued that direct-to-consumer shipping would not meaningfully increase underage access because common carriers age-gate deliveries and require adult signatures, and that the measure would supplement rather than replace the three-tier system. Opposition came from the Hawaii Food Industry Association and the Hawaii Liquor Wholesalers Association, which said the bill could create problems with minor access and tax revenue and would allow out-of-state manufacturers to ship directly to Hawaii households. Supporters responded that similar concerns were raised when wine direct shipping was adopted and said the existing shipping and reporting systems can track and tax these sales. Several witnesses, including Maui Brewing, Ola Brew, Koloa Rum, Hana Rum, Koulana Rumworks, Koval Distillery, and the Brewers Association, described their small-batch operations, limited distribution options, and the potential for direct shipping to expand sales and jobs. Committee members questioned witnesses about underage access, tax collection, and the impact on the three-tier system. One witness discussed efforts to protect and potentially scale the Hawaiian spirit Okolehao through geographic and sourcing rules. The transcript does not show a final vote or disposition on HB 108 HD2 in the excerpt provided.
CA
Transcript Highlights:
  • The volume of attorneys is three is more than that.
  • are being followed, ensuring that the dollars are being spent correctly, because of the enormous volume
  • The 15% cap on fees was enacted in 1997 and has not been increased in 28 years.
  • And our fees are capped at 17% of those revenues.
  • Due to the volume of sales, these used car dealers tend to have more sophisticated systems.
Summary: The subcommittee first heard an informational presentation on the May Revision’s proposed reorganization of the Business, Consumer Services and Housing Agency into separate housing-focused and consumer/business-focused entities. Administration officials said the split would improve oversight, streamline decision-making, and create a dedicated California Housing and Homelessness Agency with a new housing development and finance committee. The Department of Finance said funding was needed in 2025-26 to begin implementation, while the LAO recommended rejecting the proposal without prejudice because the Little Hoover Commission review was still pending and the plan would require ongoing General Fund costs. Members raised concerns about the timing, the lack of alignment with the budget process, and whether the reorganization would improve accountability for homelessness spending; several public witnesses supported the concept but stressed it could not substitute for new housing and homelessness dollars. The committee then took up the Department of Veterans Affairs. CalVet requested funding for phase three of its electronic health care record project and a trailer bill to preserve authority for federal background checks, but the May Revision withdrew requests for deferred maintenance and additional administrative support. The LAO noted deferred maintenance can prevent larger future costs, and the chair criticized the withdrawal of less than $1 million for veterans’ homes as short-sighted given existing repair needs. No vote was taken. Next, the Department of Housing and Community Development presented its budget. HCD said the May Revision provides no new affordable housing or homelessness funding, but does retain existing rounds of funding and proposes a $31.7 million reversion from undersubscribed housing programs. Members from both parties expressed concern about zeroing out ongoing housing and homelessness investments, especially for LIHTC, the Multifamily Housing Program, and HAP. HCD also defended its homelessness accountability and compliance work, saying the unit includes about 30 program staff and six attorneys, with three additional attorneys requested mainly to handle public records and litigation workload. Public commenters largely opposed the lack of new funding and urged continued support for housing and homelessness programs, while some supported the reorganization and accountability efforts. Finally, the committee heard Go-Biz proposals. The administration requested authority to increase funding for a federal trade program match if needed, plus reappropriations for administrative funds tied to the Containerized Ports Interoperability Grant Program, zero-emission vehicle operations, and the Women’s Business Center Enhancement Program. It also proposed withdrawing the Cal Competes grant request and reverting remaining funds from the Performing Arts Equitable Payroll Fund. The LAO said Cal Competes is generally effective but could be cut as a budget solution, while warning that the performing arts fund was close to awards and should be considered carefully. Members objected to pulling back committed funds for performing arts organizations and questioned why the state would withdraw support after applications had already been submitted.
NM

New Mexico 2025 Regular Session

IC - Revenue Stabilization and Tax Policy Sep 30th, 2025

Revenue Stabilization & Tax Policy Committee

Transcript Highlights:
  • As far as the forecast for volume, it has been revised upward.
  • So, while oil prices came down, oil volume is coming up.
  • You can see the price and volume forecast at the bottom of slide 17.
  • The FY 27 forecast shows a drop in revenue, yet an increase in production volume.
  • Jobs Act was enacted, and there was a cap on the state and local tax deduction.
CA
Transcript Highlights:
  • compared to those with higher Medicaid volumes, or taxes Medicaid units of services at a higher rate
  • Finally, for ACA expansion states such as California, H.R. 1 reduces the existing 6% cap on provider
  • taxes by 0.5 percentage points per year beginning October 2027 until the cap reaches 3.5% in 2032.
  • Volumes of visits have steadily improved since then.
  • Volumes of visits have steadily improved since then.
Summary: The joint informational hearing focused on the impacts of H.R. 1 on California’s Medi-Cal program and on community health effects from recent immigration enforcement actions. Committee leaders said H.R. 1 would sharply reduce federal funding, increase administrative burdens, and worsen access to care, especially for Medi-Cal enrollees, immigrant families, rural communities, and reproductive health patients. The second half of the hearing examined how ICE raids and related federal actions are creating fear, reducing clinic and emergency department use, and disrupting children’s access to schools and early childhood education. Department of Health Care Services Director Michelle Bass outlined the main H.R. 1 provisions affecting Medi-Cal: work requirements, semiannual eligibility redeterminations, shorter retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal support for emergency and lawful immigrant coverage, and a one-year ban on Medicaid funding for prohibited abortion providers. She estimated millions could lose coverage, with tens of billions of dollars in federal funding at risk. Planned Parenthood Affiliates of California warned the defunding provision could force clinic closures, service reductions, and loss of access to family planning, STI testing, and cancer screenings. The California Hospital Association said the financing changes could cut hospital revenue by tens of billions over 10 years and threaten access, especially for rural and safety-net hospitals. The Western Center on Law and Poverty argued the law would increase churn, paperwork, and uninsured rates, disproportionately harming working adults and people experiencing homelessness. Committee members asked about implementation timelines, notification systems, administrative costs, the effect on immigrant eligibility, and whether California could delay or mitigate some provisions. Bass said the state was still assessing federal guidance, planning county and provider outreach, and exploring a possible delay for work requirements and a transition period for provider-tax changes. Members also discussed how state budget actions may need to be revisited in light of H.R. 1, and how California might preserve access through state-only funding or other policy changes. In the second panel, CHIRLA, Los Angeles County Department of Health Services, and the Children’s Partnership described the health consequences of immigration enforcement. Speakers said raids and data-sharing fears are causing anxiety, trauma, and avoidance of care, with Los Angeles County reporting declines in emergency, urgent care, and clinic visits after enforcement actions. The Children’s Partnership said school and early childhood absences are rising in some communities and that enforcement is undermining children’s emotional well-being and access to education. Members asked for more data and discussed possible state protections, telehealth, mobile care, and legal and policy responses to reduce fear and preserve access to health and education services.
TX
Transcript Highlights:
  • I think in recognition of the importance of the work we do at the PUC and the volume of work that we're
  • As our caseload grows in complexity and in volume, and timelines are compressed, we need the additional
  • This is 93% of our FTE cap.
  • include reducing the agency's appropriate FTEs by 6.5 percent, 5 to 25 each year, to better align the cap
Bills: SB1, SB 1
NH

New Hampshire 2025 Regular Session

House Labor, Industrial and Rehabilitative Services (01/28/2025)

Labor, Industrial and Rehabilitative Services

Transcript Highlights:
  • If they have multiple awards, it would still hit the cap.
  • Right now, each individual is capped at $125,000.
  • What is there a cap on what the typical amount?
  • Right, so the cap there is just the amount of weeks.
  • weeks there's no monetary cap for weeks there's no monetary cap for individual<01:17:32.040> claimants
Keywords: 1189, house, all
CA
Transcript Highlights:
  • They just had to be within the income cap.
  • Also, in the context of caps now on borrowing, total amounts borrowed for parents with their student
  • still parents at the public segments that take out Parent PLUS loans and could be impacted by these caps
  • Just at a high level, some of these changes include the annual and lifetime caps on parent plus loans
  • programs in anticipation of the new loan caps?
Summary: The subcommittee on Education Finance heard an overview of the governor’s budget proposals and higher education financial aid trends, with a major focus on the Middle Class Scholarship (MCS), Cal Grant spending, and the effects of recent federal student aid changes. The Department of Finance said the budget would fully fund Cal Grant at projected levels and reduce MCS coverage from 35% to 17.5% of unmet need in 2026-27, while the Legislative Analyst’s Office supported considering the reduction as a cost-saving measure given out-year deficits. UC and CSU representatives opposed the cut, saying MCS is important to affordability and debt-free degree goals; they estimated average awards would fall substantially and that campuses do not have funds to backfill the loss. The Student Aid Commission said the proposal would reduce aid but simplify administration, and members questioned how lower awards would affect students, borrowing, and work-study options. No vote was taken, and the issue was held open for possible future action. The committee then discussed federal changes to student loans and Pell Grant policy under H.R. 1, including caps on Parent PLUS loans, elimination of Grad PLUS loans, and new proration rules for federal direct loans based on enrollment intensity. The LAO said these changes would likely push some borrowers into the private market, especially graduate and professional students and some parents of students at private institutions. CSU said the changes would affect thousands of graduate and part-time students and could reduce access by about $97 million in loan availability for part-time borrowers, while UC said the new definitions of professional degrees were too restrictive and would reduce access for nursing, teaching, law, dentistry, and other programs. Community colleges said they use relatively little federal loan aid but are monitoring Workforce Pell. Members raised concerns about workforce impacts, social mobility, and whether the state should consider alternative loan programs or other ways to reduce student costs. This issue was also held open. In the segment financial aid update, the LAO reported Cal Grant spending is projected to rise to about $3.2 billion in 2026-27, driven by more recipients and higher awards tied to UC and CSU tuition increases, while CSAC said FAFSA and CADAA applications are up significantly year over year. CSU, community colleges, and UC described their aid packaging and rising aid totals, with CSU reporting over $5.5 billion in aid to 381,000 students, community colleges reporting over $4.3 billion to more than 920,000 students, and UC reporting $3.17 billion in grant aid to undergraduates. Members asked about Cal Grant reform, application trends, and long-term outcomes; UC and community colleges pointed to alumni and wage dashboards, and the LAO noted the state’s Cradle to Career data effort. The committee then took public comment, including testimony on library funding and other education-related priorities, and concluded by holding the issues open without formal action.
MO

Missouri 2026 Regular Session

2026 Legislative Session - Day Sixty Eight - Tuesday, May 12

Missouri House Floor Meeting

Transcript Highlights:
  • in place instead of removing that cap.
  • Or it caps out at $5,000 per permit, and that's what it is today, and that's where it will stay.
  • I’m the one that introduced the bill to put a cap on water usage for AI infrastructure.
  • I'm the one that introduced the bill to put a cap on water usage for AI infrastructure.
  • So is there a cap on that fee, or does that go back to their program?
Summary: The House convened with prayer, the Pledge of Allegiance, and approval of the previous day’s journal by a 129-0 vote. Members then spent considerable time on points of personal privilege and introductions, including remarks recognizing law enforcement wellness, personal health updates, legislative service and family sacrifices, interns, visiting students, and special guests such as a St. Louis entrepreneur honored with a House resolution and a visiting governor from Samarkand, Uzbekistan. The chamber then received Senate messages and committee reports before moving to conference requests on Senate Bills 835 and 1111 and Senate Bill 1020, both of which were approved for conference committees. The House also passed Senate Bills 977 and 1011, a measure barring international organizations or foreign law from exercising authority in Missouri or being used to deny “fundamental rights,” after debate over its scope and concerns about foreign-law venue rules and its practical effect; the final vote was 99-45. Senate Bill 1470, dealing with legislative research and statutory publication procedures, was amended and passed 148-1 after debate over reducing committee size, shifting publication to a primarily web-based format, and preserving printed archival copies. The House then adopted and finally passed Senate Bill 1940, the public notices/newspaper bill, by 142-1, with discussion focused on modernizing notice publication rules and election-related deadlines. It also took up Senate Bill 1871, which included county clerk and election administration provisions and a Senate amendment incorporating campaign finance language; debate emphasized ballot testing timelines and election transparency. The transcript ends during discussion of that bill, before a final vote is shown.
CA
Transcript Highlights:
  • So, beginning with the proposal to cap provider work hours at 50 hours per week.
  • Understanding that some of the providers will still work over time underneath the proposed cap.
  • the proposed cap.
  • The reference to the reduction of hours I'm going to assume is related to the overtime cap.
  • Also oppose the IHSS caps to overtime and travel and cuts to the undocumented population.
Keywords: 988, house, all
WY

Wyoming 2026 Regular Session

Capitol Interpretive Exhibits and Wayfinding Subcommittee, May 7, 2026

Capitol Interpretive Exhibits and Wayfinding Subcommittee

Transcript Highlights:
  • and they kind of are also larger volumes and they kind of go<00:17:57.200> together.
  • and dimming cap capabilities. and dimming cap capabilities.
  • Cap Bird Studio has been a tremendous help with that.
  • Cap Bird Studio has been a tremendous help with that. The time capsule is Mr. Treasurer.
  • Cap Bird Studio has been a tremendous help with that. The time capsule is Mr. Treasurer.
Keywords: 916, all
TX

Texas 89th Regular

Insurance May 7th, 2025

Insurance

Transcript Highlights:
  • Our team is looking into the evidence of those tests and the volume of the tests.
  • The sheer volume has been a challenge, but our team is working very, very hard. ...hard to get these
  • It removes some age caps that are very outdated.
  • It's been about 16 years, so we want to remove those dollar caps and remove the age limits.
  • Individuals with autism is a lifelong condition, and these age caps...
NH
Transcript Highlights:
  • The monthly volume of transfers using stable coins has also grown a huge amount, from 1.9 trillion to
  • transfers<00:25:20.400> using The monthly volume of transfers using The monthly volume of
  • They now have a $300 billion market cap.
  • I know about $45 billion of that market cap was brought on in the last month or so.
  • Manage the on- and off-chain cap table for issuers in our ecosystem.
Keywords: 1189, house, all
Summary: The Stable Token Study Commission held its first regular meeting, welcomed all remaining appointed members, and completed brief introductions from legislators and agency designees. The chair outlined the commission’s plan to use the first part of the enabling legislation as a “level-setting” discussion, focusing this meeting on the basics of blockchain, the current landscape for stablecoins and tokenized real-world assets, and leaving blockchain-based trust for a later meeting. No votes were taken. The main presentation came from Deanna Bario Zales of the Global Blockchain Business Council, who described stablecoins as increasingly converging toward fiat-backed or asset-backed models, with algorithmic designs viewed more cautiously. She said stablecoins are being used for payments, remittances, DeFi activity, cross-border transfers, retail use in high-inflation markets, and treasury functions, while noting risks such as peg instability, reserve transparency, counterparty and network risk, and possible capital flight from weaker banking systems. She cited growth in supply, wallet activity, and transfer volume, and said U.S.-pegged stablecoins dominate the market, with USDT and USDC leading. Zales also discussed tokenized real-world assets, describing them as digital representations of physical assets that can enable fractional ownership, liquidity, and faster settlement. She said the market is growing quickly, with institutional participation from firms such as BlackRock and Franklin Templeton, and projected continued expansion. She closed with an overview of regulatory developments, emphasizing the new U.S. stablecoin framework under the Genius Act, the proposed Clarity Act, OCC guidance, and similar regimes in the EU, UK, UAE, Singapore, Japan, and elsewhere, all of which she said are shaping compliance requirements and market development.
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 03/10/25

Human Services

Transcript Highlights:
  • Legislators have heard a lot this session about the impact that capping inflationary increases on DWS
  • Legislators have heard a lot this session about the impact that capping inflationary increases on DWS
  • the growth well we we're just capping the growth well we knew<00:45:50.520> 13<00:45:50.960><
  • We're just going to cap the growth here, so help us understand that, right?
  • Why are the call volumes up?
Keywords: 1187, senate, all
WA

Washington 2025-2026 Regular Session

Senate Health & Long-Term Care Dec 4th, 2025

Transcript Highlights:
  • And while there is a cap on provider reimbursement for agency staffing, there is no cap on what agency
  • the market, and then obviously health care utilization being kind of the use of those services, the volume
  • for large employers to voluntarily submit data, but we know that we're not receiving a significant volume
  • for large employers to voluntarily submit data, but we know that we're not receiving a significant volume
  • You need tools to be able to understand and calculate and analyze the sheer volume of data that's out
Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.
TX
Transcript Highlights:
  • Because, you know, commercial, obviously, in your case, it's a volume problem, the other case, it's a
  • In Europe, they capped the rates at 0.3%.
  • You know, and of course, here, that's for credit; they also capped it for debit.
  • But here in the United States with the Durbin Amendment, we are capped for only debit.
  • Credit card volume is much less. I think that market's about 70% or 75% debit.
NM

New Mexico 2026 Regular Session

Senate - Finance Jan 26th, 2026 at 02:04 pm

Senate Finance

Transcript Highlights:
  • You can find more information in your LFC volumes in volume 2 on page 385.
  • , volume 2, and volume 3 pages.
  • So for volume 1, it's going to be page 170 through 171.
  • For volume 2, it's page 235 through 240, and for volume 3...
  • For volume 2, it's page 235 through 240, and for volume 3, it's pages 67 through 68.
Keywords: 996, all