Video & Transcript Research : 'payment methods'

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AZ

Arizona 2026 Regular Session

02/19/2026 - Senate Health and Human Services

Health and Human Services

Transcript Highlights:
  • The amendment also prohibits life or disability insurance rebates from including direct or indirect payment
  • The amendment also prohibits life or disability insurance rebates from including direct or indirect payment
  • brokers; they were hearing... ...they were hearing cases where they were providing incentives, cash payments
  • about a year ago when we started digging in... ...about what was happening with Access, the lack of payment
  • And I think if that's what the bill was limited to with that payment piece, you wouldn't see us up here
MS

Mississippi 2026 Regular Session

Agriculture - Room 210, 3 February, 2026; 2:00 P.M.

Agriculture

Transcript Highlights:
  • . >> And I don't have a problem with the deposit and that payment plan as long as that payment plan's
  • Um >> because they can do payment plans now, I believe. >> And I think, and I say this, that I don't
  • That all your payments got to be done before slaughter. Period. >> That's right.
  • 00:16:48.480> filed The elevators have either filed bankruptcy and left the farmers without payment
  • It creates a system that would overlook any claims and make payments to those farmers.
Summary: The committee first discussed a bill codifying herd-share/custom slaughter practices for small livestock producers. The sponsor proposed amending the bill to change “sale and/or purchase” to “deposit” and to allow pricing by live weight, dressed weight, or final weight. Members raised concerns that allowing payment by dressed weight could trigger federal USDA inspection requirements and conflict with existing federal rules. After discussion, the committee agreed to keep only the first change, striking “purchase” and inserting “deposit,” and to leave the weight-pricing language unchanged. The sponsor then withdrew the broader amendment, and the bill was reported out with a title-sufficient do-pass motion. The committee next took up a bill authorizing Mississippi State University Extension to assist poultry farmers with management plans, citing delays caused by short staffing at NRCS and DEQ. Members asked whether the extension service was comfortable with the role and were told the assistance would be voluntary and not mandatory. The bill was reported out on a title-sufficient do-pass motion. The committee also approved a bill to allow crawfish farms to be licensed, and a bill on district livestock shows that would let the northeast district show be held at any facility within the county rather than only at the Verona livestock center, which the sponsor said was no longer suitable for the children involved. The committee then considered a meat-labeling bill making technical amendments to last year’s law on cultured meat and related products. After an initial vote was set aside because of a communications problem, the committee reconsidered the bill and adopted an amendment changing a funding reference from “special” to “general fund.” The bill was then reported out as amended. Finally, the committee heard Senate Bill 2631, creating a voluntary Mississippi Grain Indemnity Act to protect grain producers if elevators or buyers fail financially. The sponsor said the program would be funded by a per-bushel assessment, capped at $25 million, with possible state seed money still under discussion. Members asked about the source of any additional funds and the history of recent grain failures, and the bill was then moved forward on a title-sufficient do-pass motion.
CA

California 2025-2026 Regular Session

Assembly Elections Committee Jul 2nd, 2025

Transcript Highlights:
  • consideration to another person with the intent to induce the person to vote or register to vote, where the payment
  • Federal law prohibits offering payments in exchange for registering to vote or voting.
  • Then America PAC offered Wisconsin voters entry into a million-dollar lottery and $100 payments for signing
  • describes, makes it a crime to give money or other valuable consideration, including lotteries, where the payment
  • committee has made appropriate recommendations for exclusions for things such as transportation, payments
Summary: The Assembly Elections Committee met on July 2, 2025, with a quorum present and took up eight agenda items, including four consent bills. The committee first approved the consent calendar, which included SB 280, SB 621, SB 851, and SB 852, all moving forward without objection. The committee then heard several bills from Senator Umberg focused on election administration and campaign finance, along with SB 408 on voter-roll maintenance. SB 249 would require county board of education elections to be consolidated with the statewide general election. Supporters, including the League of Women Voters, argued this would increase turnout and make those elections more representative; opponents, including Orange County education officials, argued it would override local control, increase costs, and add ballot fatigue. The bill passed 5-2 and was re-referred to the Committee on Education. SB 398 would make it a crime to pay or offer contingent payments or other valuable consideration to induce voting or voter registration, closing what supporters described as a loophole involving lotteries and incentives. It passed 5-0 as amended and was re-referred to the Committee on Public Safety. SB 42 would remove the state ban on public financing for campaigns in general law cities and counties, allowing local voters to decide whether to adopt such systems. Supporters from Common Cause, the League of Women Voters, and many local advocates said it would broaden participation and reduce the influence of big money; opponents raised concerns about taxpayer funding, guardrails, and local oversight. The bill passed 5-2 and was re-referred to Appropriations. Finally, SB 408 would require election officials to use U.S. Postal Service change-of-address data to help maintain voter rolls; supporters said it would improve accuracy and trust in elections, while one commenter questioned reliance on postal data. The bill passed unanimously 6-0 and was re-referred to Appropriations. The committee then completed the remaining roll calls and adjourned.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am

Joint Committee on Financial Services

Transcript Highlights:
  • He added that EMS providers face similar issues collecting payment for the actual cost of providing services
  • We face in collecting payment for services rendered.
  • He added that Medicaid and other insurance companies would be required to increase payments to non-public
  • would require the insured to assign their benefits to the ambulance company in order to facilitate payment
  • Pre-treatment estimates are not guarantees of payment.
Keywords: 995, all
Summary: The Joint Committee on Financial Services held a lengthy public hearing with more than 70 people signed up to testify, focusing mainly on health insurance and health care access bills. Early testimony centered on H.1257/S.712, which would require insurance coverage for medically necessary treatment of genetic craniofacial conditions. Supporters included legislators, dentists, and medical experts who said these conditions are not cosmetic, can severely affect eating, speech, pain, and social functioning, and often create major financial hardship because insurers deny coverage. A related dental bill, H.1262/S.676, drew technical testimony from the Life Insurance Association of Massachusetts about implementation issues with the 2022 dental loss-ratio law, while the Massachusetts Dental Society supported H.1306/S.696 on transparency in dental network leasing and opposed H.1262. Representative Gentile also testified for H.4013, which would ban for-profit acute care hospitals and for-profit health insurers in Massachusetts, arguing that profit incentives undermine patient care. A major portion of the hearing was devoted to H.1261/S.799, a bill to protect patients from surprise ambulance bills. Municipal fire chiefs, Boston EMS, nonprofit ambulance providers, and the bill’s Senate sponsor said the measure would require insurers to pay ambulance providers directly and promptly, cap patient out-of-pocket costs, and reduce confusion caused by out-of-network billing. Witnesses described ambulance services as essential public health infrastructure and said current billing practices can discourage people from calling 911 or leave municipalities and nonprofits unable to recover costs. Committee members asked about unpaid debt, municipal billing burdens, and how the bill would affect rates and reimbursement. No votes were taken during the hearing. The committee also heard extensive testimony on H.1249/S.805, which would require screening for PANS/PANDAS in medical and clinical settings. Legislators, clinicians, parents, a teen with the condition, and educators described PANS/PANDAS as an infection-triggered inflammatory illness that can present as sudden psychiatric symptoms and is often misdiagnosed as a mental health disorder. Supporters said routine screening at well visits, emergency rooms, and other clinical settings would help identify children earlier, reduce unnecessary psychiatric treatment and hospitalizations, and improve outcomes. Testifiers repeatedly urged favorable action, emphasizing the personal and financial toll on families and the potential for early treatment to prevent long-term harm. The hearing concluded with continued testimony on these bills; no committee action or votes were announced.
HI

Hawaii 2026 Regular Session

WAM-HWN, WAM-PSM, WAM-CPN Informational Briefings 01-08-2026

Hawaii Senate Floor Meeting

Transcript Highlights:
  • . >> Yeah, we've only, but you know, with construction and development, it's usually progress payments
  • 00:03:35.599> progress development it's usually progress development it's usually progress payments
  • . payments. payments.
  • and you can certainly longevity payments and you can certainly revisit<00:37:03.119> that<00:
  • <01:39:26.880> as central services assessments payments as central services assessments payments
Keywords: 912, senate, all
MN

Minnesota 2025-2026 Regular Session

Committee on Jobs and Economic Development - 02/26/25

Jobs and Economic Development

Transcript Highlights:
  • <00:26:42.159> of 2.2 uh8 and on the the loan payment of 2.2 uh8 and on the the loan payment
  • It says loan interest payments, so it appears as if there's loan payment of principal must be paid back
  • It says loan interest payments, so it appears as if there's loan payment of principal must be paid back
  • That is correct, and the fee could be spread out by monthly payments added on top of the monthly payment
  • Spread out by monthly payments added on top of the monthly payment as well.
Keywords: 1187, senate, all
CA
Transcript Highlights:
  • As such, the facilities that choose to accept Medi-Cal payments from these programs should also be limited
  • Assisted living providers participating in these programs agreed to accept payment from DHCS in accordance
  • with the Medi-Cal fee structure as payment in full for the care provided.
  • to waive this when necessary and appropriate, such as when facilities choose to accept Medi-Cal payments
Summary: The Assembly Aging and Long-Term Care Committee met on June 24 with a substitute chair presiding and considered three measures. SB 352 by Senator Reyes was placed on the consent calendar and approved unanimously, 7-0, to be re-referred to the Committee on Emergency Management. SB 433 by Senator Wahab, presented on behalf of Senator Stern, was heard next and focused on room-and-board protections for participants in the assisted living waiver and CalAIM assisted living transition community support programs. Supporters, including Justice in Aging, CANHR, the Western Center on Law and Poverty, the California Commission on Aging, and the Long-Term Care Ombudsman Association, argued the bill would prevent low-income Medi-Cal residents from being charged unaffordable rates and losing their housing. Opponents, including the California Assisted Living Association, LeadingAge California, and Six B’s, said they remained concerned about the bill’s rent-control implications and statutory scope, though they acknowledged recent amendments addressed some eligibility issues. After committee discussion, SB 433 was approved 5-1 with one abstention and re-referred to the Committee on Human Services. The committee also heard SB 582 by Senator Stern, presented by Senator Wahab, which would allow state departments to issue disaster suspensions of active licenses for facilities rendered inoperable by declared emergencies, waive some licensing fees, and provide temporary flexibility for community-based adult services, child care, and evacuation planning requirements for skilled nursing and residential care facilities. Support came from the California Assisted Living Association, LeadingAge California, the California Commission on Aging, the Long-Term Care Ombudsman Association, CANHR, and a child care resource center, all describing the bill as helpful for rebuilding and continuity of services after disasters. There was no recorded opposition, and SB 582 passed unanimously, 7-0, to the Committee on Health. The meeting then adjourned.
TX

Texas 89th 2nd C.S.

Ways & Means May 12th, 2025

Ways & Means

Transcript Highlights:
  • people own multiple properties and the experience that in Galveston County, the minute we determine a payment
  • This argument is akin to owning two cars with a $500 monthly loan payment attached to each.
  • You pay off one car, you'd expect your monthly car payment to go down from $1000 a month to $500 a month
  • But the banks claim they are fiscally responsible and leave your payment at $1000 a month for the remaining
WA

Washington 2025-2026 Regular Session

Senate Floor Debate — April 26 Apr 26th, 2025

Transcript Highlights:
  • integrating a business and occupation tax deduction and increasing a rate for persons conducting payment
  • And what it does here is establish a B&O tax rate of 3.1% for payment...
  • credit card processing activities, and then allows a B&O tax deduction for certain fees related to payment
  • In act relating to payment to acute care hospitals for difficult-to-discharge medical patients.
Summary: The Senate opened with a moment of silence for Senator Chris Gildon and his family after the death of his wife, Autumn. It then took up several bills on final passage, beginning with Substitute House Bill 2020, which establishes a 3.1% B&O tax rate for payment card processing activities and allows a deduction for certain related fees. Supporters said it resolves a long-running dispute with the Department of Revenue; it passed 47-0. The chamber also passed House Bill 2039, delaying the child support pass-through expansion from 2026 to 2029, and House Bill 2040, delaying the elimination of recoveries from the Aged, Blind, and Disabled Assistance Program from October 2025 to October 2028. Supporters framed both as timing changes, while opponents argued they would postpone benefits for families and vulnerable people. Both bills passed 25-22. Substitute House Bill 2051, dealing with payment to acute care hospitals for difficult-to-discharge patients, passed 27-20 after several proposed amendments were withdrawn. Supporters said the bill helps hospitals care for patients who have nowhere else to go, while opponents argued the state should not delay payment support for these patients. The Senate also passed In Gross Substitute House Bill 2061, imposing a 10% concession fee on duty-free sales to fund tourism promotion and sustainable aviation fuel, over objections that it was a tax increase passed on to consumers. Finally, Substitute House Bill 2077, which taxes certain business activities related to zero-emission vehicle credits, passed 28-19 after an amendment to remove or narrow parts of the tax was rejected. Supporters said the measure would encourage spending of credits and support clean transportation goals, while opponents called it a targeted tax on Tesla and warned it could raise EV prices. The Senate then concurred in amended Engrossed Substitute House Bill 1293, a litter and plastic bag measure that increases litter penalties and keeps the planned bag-thickness increase from taking effect, and passed it 27-20. The Senate adjourned until April 27, 2025.
FL
Transcript Highlights:
  • 50 PERCENT REPORTED CURRENTLY PICK IT ADDITIONALLY REQUIRES OCCA TO REPORT TO THE LEGISLATURE IN PAYMENTS
  • MEDICARE QUALITY AND SENATE PROGRAM THAT REPORT MUST INCLUDE QUALITY OF CARE THAT MAY BE TO THE PAYMENTS
  • OCCA TO BEGIN WORKING WITH SURVEY RESULTS WORK IN THE SURVEY RESULTS AND TO THE QUALITY INCENTIVE PAYMENT
  • LASTLY THE AMENDMENT DIRECTED TO ENGAGE A CONTRACTOR TO STUDY NURSING HOME QUALITY PAYMENT SYSTEMS AND
Keywords: 999, senate, all
CA

California 2025-2026 Regular Session

Senate Revenue and Taxation Committee Jun 24th, 2026

Revenue and Taxation

Transcript Highlights:
  • There are settlement payments.
  • The bill says that California will not tax those settlement payments. That's fair.
  • A tax liability on a reparations payment is not a technicality. It is a reduction in justice.
  • Disaster relief, certain legal settlements, federal COVID relief payments.
  • This bill ensures that California does not erode the value of reparations by taxing payments meant to
Keywords: 987, senate, all
AR

Arkansas 2026 Regular Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 15th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • It's a payment error rate.
  • It's a payment error rate, not a case error rate. All right. Thank you. Thank you.
  • It's a payment error rate.
  • It's a payment error rate, not case error rate. All right. Thank you. Thank you.
  • “FNS measured us on payment accuracy.
Keywords: 1204, all
LA

Louisiana 2026 Regular Session

Judiciary A May 12th, 2026

Judiciary A

Transcript Highlights:
  • It mandates that owners pay prime general contractors within 35 days of a request for payment on their
  • You're talking about on payment after? Yeah, because...
  • But Empress has always worked with all of the municipalities to put them on payment plans and to try
  • So, yeah, I think what this bill is focusing on is the prompt payment deadline.
  • So that is when an appropriate invoice or request for payment comes to the owner, then that triggers
Summary: The committee first approved the May 5 minutes and then heard House Bill 578, which would define sex in Louisiana law as biological sex, replace references to gender with sex in various statutes and forms, and direct the Law Institute to make conforming changes. Supporters from the governor’s office said the bill would bring clarity and consistency, while opponents argued it could create conflicts with existing law and weaken protections tied to gender identity. After debate, the committee reported HB 578 favorably. Members then considered House Bill 1250, a measure aimed at aerospace-related litigation. The bill would allow a special motion to strike certain claims against aerospace flight entities when the claims are preempted by federal law. Senators raised concerns that the language was broad enough to affect airports, airlines, contractors, and even unrelated incidents, and the author said he was willing to work on narrowing amendments. The committee nevertheless reported HB 1250 favorably. House Bill 718, dealing with liability protections for private airstrips used for recreation, was amended to narrow its scope and then reported favorably, while House Bill 163, a narrower related airstrip bill, was voluntarily deferred so the committee could work from the other measure. The committee also approved House Concurrent Resolution 61, which asks the Louisiana Law Institute to review possible conflicts between the constitution and statutes on expropriation. House Bill 180, defining foreign adversaries and agents of foreign adversaries for a proposed constitutional amendment, and House Bill 192, a constitutional amendment barring foreign adversaries from expropriating land in Louisiana, were both reported favorably. House Bill 1008, which sets out academic freedom and whistleblower protections for higher education, was rejected on a roll-call vote after concerns about its scope and limits on university discipline. House Bill 638, a prompt-payment bill for contractors, was set aside while amendments were being located. Finally, the committee took up House Bill 71, which would extend existing liability protections for justified use of force to properly trained armed security guards. The author and the Board of Private Security Examiners said security officers receive training and often face dangerous situations, but opponents argued the bill would give too much protection to personnel with far less training than law enforcement and could shield bad shootings. After debate, the committee voted to defer HB 71. The last measure discussed was House Bill 1082, which would change venue rules for lawsuits involving the Municipal Police Employees’ Retirement System so actions by the system would be filed where the employer is located; the author said the bill was meant to help small municipalities, and members indicated they were open to narrowing amendments.
AZ

Arizona 2026 Regular Session

03/18/2026 - Senate Judiciary and Elections

Judiciary and Elections

Transcript Highlights:
  • default determination on grounds that the defendant did not receive notice of the hearing on non-payment
  • think that this bill is a sound measure that will allow individuals to show up to court, get on a payment
  • We think individuals would be more willing to show up to court to get on a payment plan.
  • And in that notice, they have an opportunity to learn about consequences of non-payment and resolution
  • As a... ...learn about consequences of non-payment and resolution options.
CA
Transcript Highlights:
  • Last year, I was blessed to buy a home, but the down payment took the majority of that retirement.
  • I was blessed to buy a home, but the down payment took the majority of that retirement.
  • At this time, it will help families as we won’t feel pressure to raise payment on private-pay families
  • , in Head Start payments, our programs are being stretched thin.
  • The providers who are available are unable to accept subsidy payments because the rates are too low.
Summary: The joint hearing focused on California’s child care, preschool, and transitional kindergarten oversight, with chairs emphasizing the state’s Master Plan for Early Learning and Care and the need to break down silos between programs. CDSS and CDE reported progress toward the plan’s goals, including universal access to TK for all four-year-olds next school year, expanded access for low-income three-year-olds, and more children with disabilities being served in state preschool. They also noted ongoing work on quality rating/review reform, funding structure changes, and the need to address rates, workforce shortages, and federal uncertainty around Head Start. Testimony from advocacy groups and providers largely supported expanding access while simplifying the system. Children Now, Every Child California, and the California Budget and Policy Center argued that California still has uneven access, especially for infants, toddlers, and three-year-olds, and urged investments in mixed delivery, inclusion, full-day options, and a cost-of-care rate methodology. Every Child California recommended consolidating part-day and full-day contracts, streamlining eligibility priorities, making the two-year-old option permanent, and funding staffing incentives. Parent testimony highlighted how child care gaps and county-to-county transfer delays can disrupt work, safety, and children’s stability, and providers described low reimbursement rates, the need for health and retirement benefits, and support for delinking subsidy rates from private pay. The second panel addressed universal transitional kindergarten. The Learning Policy Institute reported rapid TK expansion, with most districts now offering TK, but said access still depends on facilities, staffing, and whether programs are available at all school sites. The Department of Finance said the governor’s budget would fully implement TK by adding funding for all eligible four-year-olds and lowering the adult-to-child ratio from 12:1 to 10:1. The Legislative Analyst’s Office said the administration’s enrollment and cost assumptions were optimistic and estimated lower TK enrollment growth and lower costs for the ratio change. CDE supported the expansion and urged continued funding for UPK coordinators, teacher development, and mixed-delivery planning grants. Members questioned facilities shortages, staffing competition, and how to ensure TK expansion does not displace CSPP or Head Start classrooms. No formal votes or actions were taken in the hearing.
CA
Transcript Highlights:
  • For example, increasing SSP payments or updating provider rates.
  • The biggest barrier is that the payment system itself is inverted.
  • Rate reform implementation and quality incentive payments updates and issues. And Mr.
  • A couple of comments on the quality incentive payments. First, the director and Mr.
  • Payments leading up to July 1, 2026. That's one question. Thanks for the question.
Keywords: 988, house, all
NH

New Hampshire 2025 Regular Session

House Children and Family Law (01/21/2025)

Transcript Highlights:
  • We are against mandatory, non-changing, non-terminating payments.
  • We are against mandatory, non-changing, non-terminating payments.
  • That means that once I die, my payments stop.
  • spouse passes away payments my former spouse passes away payments revert<03:51:37.920> back<03
  • <04:44:47.638> on that they could put a down payment on that they could put a down payment
Keywords: 928, house, all
Summary: The meeting began with committee process reminders from the chair, including rules for questioning witnesses, time limits for testimony, and how motions and committee reports are handled. The chair also discussed the committee’s history, emphasized a cooperative approach with agencies and the Judiciary, and noted that a special committee on the Family Division of Circuit Court had previously done useful work; he said a new subcommittee could be appointed later to continue looking at judicial-system issues. He also mentioned that the Speaker’s office was expected to name members to the DHHS oversight committee by Friday at 1. The substantive presentation was from the Department of Health and Human Services’ Bureau of Child Support Services. Attorney John Williams introduced the bureau team, and Bureau Chief Lisa Dekowski described the program’s mission: encouraging responsible parenting, family self-sufficiency, and child well-being by locating parents, establishing paternity, setting or modifying support orders, and enforcing court-ordered child and medical support. She said the bureau operates statewide under Title IV-D of the Social Security Act, works with courts, employers, and other partners, and serves both in-state and out-of-state cases, with some international and tribal coordination. She also cited program scale, saying the bureau dispersed about $76 million to families in New Hampshire in fiscal year 2023 and that most collections go directly to families. Members asked about enforcement tools, especially passport denial. In response to a question about a case involving a very small shortfall, the bureau said the federal passport-denial threshold is $2,500 in arrears, not a few cents, and that denial remains in place until the balance is resolved or an arrangement is made with the agency, with hardship factors potentially considered. The bureau also explained that either parent can apply for services when a child support order exists and that the bureau can help initiate income withholding orders. No votes or formal actions were taken during this portion of the meeting.
MN

Minnesota 2025-2026 Regular Session

Committee on Taxes - 04/15/26

Taxes

Transcript Highlights:
  • The payment for the capital expenditures would be a total of 15 million 526 thousand dollars, of which
  • like four and a half from uh payment like four and a half from uh payment from<00:49:17.840>
  • When combined with self-pay patients, more than 80% of all patients lack a viable payment source.
  • lack a viable payment source. lack a viable payment source.
  • as an enhanced payment to us through Medicaid.
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

House Housing Finance and Policy Committee 2/18/26

Housing Finance and Policy

Transcript Highlights:
  • In our community and statewide, frankly, the vast majority of evictions are due to non-payment of rent
  • , payments, payments, and<01:04:30.400> a<01:04:30.559> sharp<01:04:30.960> increase
  • This will help to pause eviction actions on tenants who are in the process of their rent payment and
  • So, that is non-payment of rent case.
  • Evictions for non-payment of rent harm tenant households and destabilize rental housing properties.
Bills: HF3403, HF3410, HF3424
KY
Transcript Highlights:
  • <00:04:52.960> between supposed to set equal payments between supposed to set equal payments
  • We going to deny payments to them?
  • Are we going to deny payments to them? Well, we can't because it's not our money.
  • Are we going to deny payments to them? Well, we can't because it's not our money.
  • Are we going to deny payments to them? Well, we can't because it's not our money.
Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 785, as amended by a committee substitute that combined language from HB 785 and HB 787. The bill was described as addressing Medicaid managed care organization (MCO) audits, provider contract notice and amendment procedures, mental health parity compliance, and related transparency requirements. Supporters said the measure would tighten notice to providers, limit repeated contract amendments and rate reductions, require more standardized audit procedures, and add reporting on Medicaid claims, appeals, and grievances. It also includes a provision requiring coverage of at least two evaluation-and-management billable services per physician per recipient per date of service, and a section addressing narcotic/opioid treatment program licensing and reimbursement language. Testimony in support came from Representative Kim Moore, John Inman of BrightView Health, Michelle Sandborne of the Children’s Alliance, and Kelly Cormic of RYSE. They argued that MCOs often use audits and recoupments in ways that are burdensome, opaque, and financially damaging to providers, especially smaller and rural ones. They cited examples of multiple audit requests in short timeframes, large record requests with short deadlines, delayed or absent feedback, and recoupments taken before appeals are resolved. They also said parity laws are not being consistently enforced and that the bill would give the Department of Insurance authority to suspend or revoke an MCO certificate of authority for willful or repeated parity violations. Committee members generally expressed support for provider protections and transparency, while asking for clarification on the narcotic treatment and E/M billing provisions. Tom Stevens of the Kentucky Association of Health Plans testified in opposition, saying the bill is complex to implement and should be handled through the broader Medicaid oversight work of House Bill 9, the MOAB. He said the issues raised were better suited for that bipartisan stakeholder process and noted the committee substitute had not yet been fully reviewed by his group. After discussion, the committee adopted the committee substitute and then moved to a vote on the bill; the roll call began, with several members recorded as voting yes, but the transcript cuts off before the final vote result is shown.