Video & Transcript Research : 'cost efficiency'

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HI

Hawaii 2026 Regular Session

EDU Public Hearing 03-18-2026

Education

Transcript Highlights:
  • >> Round trip. >> Yeah, that's how much it costs for the family. >> Yeah, for the cost for the due is
  • pass, what would that cost? pass, what would that cost?
  • We're talking about budget costs.
  • We're talking about staffing<01:48:39.040> costs staffing costs staffing costs >> just<01
  • actually costing taxpayers. actually costing taxpayers.
AZ

Arizona 2026 Regular Session

02/19/2026 - Senate Health and Human Services

Health and Human Services

Transcript Highlights:
  • Madam Chair, Member, Senate Bill 1398 requires the Arizona Health Care Cost Containment System to determine
  • My team indicated that there are significant costs associated with this proposal, such as system changes
  • of each year, each person or entity with a prepaid capitated contract with the Arizona Health Care Cost
  • Possible cost at that time to renovate civil bed space to accommodate an additional 75 beds, and then
  • And the cost of that, because I would much rather spend that money on new beds, a new building...
Summary: The committee took up several health and human services bills. SB 1192 would exempt good-faith basic first aid given without compensation from Arizona Medical Board licensure requirements, with added consent and law-enforcement notification rules for injured persons under 15; a Shamp amendment clarified that the bill does not limit existing liability protections, and the bill passed as amended. SB 1398 would require AHCCCS to redetermine eligibility for members over 21 every six months starting in 2027 and report eligibility data annually; Access testified neutral but raised concerns about costs and the lack of exemptions, while supporters framed it as a transparency and budgeting measure. The committee adopted a technical amendment and passed the bill as amended. SB 1399 would require prepaid capitated AHCCCS contractors to report annual spending on direct patient care versus administrative costs; it passed without amendment after testimony that the report would improve oversight of taxpayer dollars. The committee also considered SB 1494, a strike-everything amendment aimed at stopping patient brokering and steering, including prohibiting health care providers, institutions, and drug manufacturers from paying premiums or inducing plan changes tied to health-status factors. Blue Cross Blue Shield supported the concept, describing small-scale but harmful brokering and fraud concerns, while ARMA opposed the language as too broad and vague, warning it could chill ordinary provider-patient conversations and sweep in social workers and navigators. The committee adopted the striker and passed the bill as amended, though several members said they wanted to refine the language before floor action. SB 1813 would remove the Maricopa County cap on Arizona State Hospital civil beds tied to the Arnold v. Sarn settlement and require admission based on clinical need; the sponsor and supporters argued the cap is outdated and leaves beds unused while patients remain in crisis, while the Department of Health Services and others warned of rural access concerns, litigation risk, and the need for more resources. The committee adopted both amendments, including removal of a citizenship requirement, and passed the bill as amended after a lengthy debate about legality and possible court challenges. SB 1821, which would allow JLBC audit review of DCS case-management systems, authorize unannounced inspections of licensed group foster homes, prioritize kinship placements, and require one year of supervised training for new child safety workers, passed without amendment. SB 1557 would require signed informed consent before most medical interventions; supporters said it codifies standard practice, while the ACLU argued it was vague and could create burdens for ongoing care and politically sensitive treatments. The bill passed as introduced.
OK

Oklahoma 2026 Regular Session

Retirement and Government Resources REVISED Feb 17th, 2026 at 10:30 am

Retirement and Government Resources

Transcript Highlights:
  • and not costs related to interior design and furnishings.
  • So, often we see that the hard structures have a fixed cost.
  • We know what it costs for brick and mortar, for the walls, for the doors.
  • Public employees. 283 million is the cost of that turnover rate.
  • The cost then associated with replacing that retraining these. Employees.
OK

Oklahoma 2026 Regular Session

Banking, Financial Services and Pensions Feb 10th, 2026 at 03:00 pm

Banking, Financial Services and Pensions

Transcript Highlights:
  • It's already been figured in, so it has no actuarial cost to it. Any further questions?
  • But essentially, by raising that, are there any concerns about the take-home cost of you know my.
  • My reducing somebody's cost to pay that we're that that this is going to end up impacting us on a state
  • trying to create certainty in the law so that people can practice law in a way that is actually more efficient
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:
  • So this is really flying in the face of how managed care is supposed to control costs and produce efficiency
  • The burden of increasing insurance costs should not be made worse.
  • 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.
LA

Louisiana 2026 Regular Session

Senate May 28th, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • committee or advisory group to study methods to improve the efficiency, transparency, and fairness of
  • committee or advisory group to study methods to improve the efficiency, transparency, and fairness of
  • committee or advisory group to study methods to improve the efficiency, transparency, and fairness of
  • So let me ask you about the cost. There's a fiscal note for this. I'd have to get it pulled.
  • And so they already have actually, who's actually picking up the cost to do this work?
LA

Louisiana 2026 Regular Session

Senate May 28th, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • committee or advisory group to study methods to improve the efficiency, transparency, and fairness of
  • committee or advisory group to study methods to improve the efficiency, transparency, and fairness of
  • committee or advisory group to study methods to improve the efficiency, transparency, and fairness of
  • Let me ask you about the cost. There's a fiscal note for this. I'd have to get it pulled.
  • And so they already have actually, who's actually picking up the cost to do this work?
Summary: The Senate convened with 26 members present, heard a prayer from Dr. Steve Horn, and recited the pledge. The chamber then handled messages from the House, including concurrence in SCR 83 and appointment of conference committee members on several disagreements. A number of Senate resolutions were introduced or adopted, mostly creating study task forces or commending individuals and organizations, including resolutions on energy infrastructure, breast pump access, insurance coverage for auto repairs, biomarker testing, higher education funding, public-private partnership contracting, and various commendations. Several resolutions were adopted without objection, while others were returned to the calendar or concurred in by recorded vote, including SCR 29 and SCR 33 with House amendments. The Senate also considered House and Senate bills and resolutions returned from the House, with many measures adopted or concurred in. Notable actions included concurrence in HCR 117 on homeowner insurance claims processes, adoption of HCR 5 on special red drum harvest permits, and passage of bills on TOPS Tech eligibility (HB 325), vapor product permitting (HB 623), ABLE/Tuition Trust administration (HB 749), design services contracting (HB 755), rare cancer advisory board composition (HB 761), non-emergency medical transportation reimbursement (HB 1028), public meeting notices (HB 1049), healthy food retail financing (HB 1194), genetic testing coverage for SCN2A disorders (HB 1199), grocery initiative grants (HB 1222, which failed), and a constitutional amendment on retirement debt repayment order (HB 27). The chamber also adopted HCR 95, creating a joint rule requiring a fiscal review of certain tax measures for sales and use tax uniformity. Several measures drew extended debate. HB 181, which would allow the legislative auditor access to Medicaid and SNAP-related tax information for eligibility verification and fraud review, prompted concerns about privacy and scope but ultimately passed 26-8. HB 1220 on the State Board of Medical Examiners generated amendment discussion about board composition and transparency, including live video broadcasting of meetings, but was returned to the calendar before final action. HB 1018, creating a temporary local moratorium on certain alcohol permits in one Shreveport district, passed after discussion about broader policy solutions. The Senate then recessed for lunch at 2 p.m. after completing the subject-to-call list for the morning session.
LA

Louisiana 2026 Regular Session

House of Representatives Apr 7th, 2026

Louisiana House Floor Meeting

OK

Oklahoma 2026 Regular Session

Senate Legislative Session Apr 16th, 2026 at 09:30 am

Oklahoma Senate Floor Meeting

Transcript Highlights:
  • Thank you, and do you know why there were cost overruns? Thank you for the question, Mr. President.
  • I don't, but I would assume it's just a cost of building materials and goods and inflation.
  • That's an appropriated cost to them or an expense to them.
  • Cost the people of Oklahoma, on whose behalf we lobby and debate so vociferously, a billion dollars.
  • I believe that we need to have an efficient government in this state, not a big government, but an efficient
OK
Transcript Highlights:
  • And my question in health was, admin costs separately.
  • at that cost going forward.
  • , the PBM shall reimburse at that cost going forward.
  • So the cost and how they look at it...
  • But isn't it true that the cost of health care...
TX

Texas 89th Regular

Senate Session Mar 10th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • Hancock relating to renaming the Sunset Advisory Commission as a Sunset Legislative Initiative. for Cost
  • Efficiency Advisory Commission to Economic Development.
  • of certain special districts to use operation and maintenance ad valorem tax funds to pay certain costs
HI

Hawaii 2026 Regular Session

PSM-HWN Informational Briefing 04-13-2026

Hawaii Senate Floor Meeting

Transcript Highlights:
  • costs 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.
  • So, those are some of the efficiencies So, those are some of the efficiencies we're<00:48:33.640