Video & Transcript Research : 'primary payer'
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TX
Transcript Highlights:
- The primary purpose of HB 4313 is to prohibit any local unit of government from using it.
- We'll keep them focused on their primary mission, and that should be the goal of local government.
- It ensures that local government stays focused on the primary issues of local government and doesn't
- Questions about how this program could be implemented and how to make certain that rate payers are not
Bills:
HB158, HB714, HB 1198, HB1630, HB1998, HB3509, HB3788, HB3875, HB3948, HB3977, HB4097, HB4313, HB4314, HB4317, HB158
Keywords:
housing, veterans, surplus government property, affordable housing, funding sources, housing assistance, homeless prevention, landlord incentives, rural housing, domestic violence, community development, tenant readiness, program participants, financial assistance, homelessness, rental support, Texas Tenant Readiness Program, tenant assistance, housing stability, Texas Department of Housing
NM
Transcript Highlights:
- that will pay for enhanced Medicaid rates for hospitals that will bring them up to what commercial payers
- A couple of key areas: primary care physicians.
- How do we recruit a primary care physician to say Roswell?
- Vastly different conversation to be able to recruit and retain physicians to do primary care and focus
TX
Texas 89th 2nd C.S.
Senate Committee on Health and Human Services Apr 8th, 2026
Health & Human Services
Transcript Highlights:
- They collect data across all their providers, across all their payers.
- CMS is the majority payer. CMS doesn’t do the licensing. Texas doesn’t do the licensing.
- It's not their primary care physician.
- , and we have to go to a primary care physician and then go out.
- So that brings me to really a primary point that I want to talk about today.
MA
Massachusetts 2025-2026 Regular Session
Formal House Session 19 Jun 21st, 2026 at 11:00 am
Massachusetts House Floor Meeting
Transcript Highlights:
- Because for the rate payer, sitting at the “Emergency relief for whom?
- The primary flaw of this legislation is that it doubles down.”
- “The primary flaw of this legislation is that it doubles down on the typical Massachusetts approach.
Summary:
The House opened with the Pledge of Allegiance and then took up several procedural matters, including adopting a resolution recognizing the work of Ukraine Forward and suspending Joint Rule 12 for a number of petitions. The chamber also scheduled several bills for later consideration, including measures on unemployment insurance for fluctuating work schedules, the Medical Society mission statement, a youth training wage, bridge and intersection namings, handicapped parking fines, public-way safety, excavation restoration, motor vehicle safety, and a Newton police age requirement. Two engrossed local bills were passed to be enacted: one authorizing retired police officers as special police in Plainville and another allowing Orange to increase its Board of Selectmen membership.
The main policy debate centered on House No. 5151, An Act relative to energy affordability, clean power, and economic competitiveness. Supporters described it as a broad affordability and clean-energy package that would cut costs for ratepayers, reform Mass Save, speed clean-energy procurement and interconnection, return a portion of alternative compliance payments to customers, and address biomass and other energy issues. Opponents argued the bill relied too heavily on long-term programs and new administrative structures while offering little immediate relief, and raised concerns about costs being shifted to consumers, impacts on natural gas, and the pace of implementation. Several amendments were debated and rejected, including proposals to shift public benefit charges away from peak hours, pause public benefit charges for a year, require greater utility disclosure before rate increases, and add a forest-clearing penalty for solar development.
One amendment to the energy bill was adopted: a consolidated amendment that included budget-billing consumer protections for gas customers, requiring notice and conservation recommendations when usage rises significantly. The House also adopted an amendment to a separate conservation-restriction bill for Hanson, changing a figure in the underlying law, and passed that bill to be engrossed as amended. The energy bill’s consolidated amendment passed by roll call, while several other amendments failed by roll call votes. The House observed multiple moments of silence honoring Jaden Booker, Thomas Skip Karam, former Freetown Police Chief Carlton Abbott, and former Representative and Senator William Q. “Biff” McLean, Jr.
OK
Oklahoma 2026 Regular Session
Appropriations and Budget Health Subcommittee - Morning Session Jan 22nd, 2026 at 09:33 am
A&B Health Subcommittee
Transcript Highlights:
- I mean, largely, if you look at our primary care residency programs, it's upwards in some of them 80
- So, you have the ER physicians that do the primary staffing of the emergency room, and those are all
- So, if you look at our current payer mix, At the hospital, there is.
KY
Kentucky 2025 Regular Session
House Standing Committee on Natural Resources & Energy (2-27-25)
Transcript Highlights:
- constituents to look at MSD in ways that we could help support MSD, but more important, support the rate payer
- Oldham and Bullitt County as well, to go after a form of oversight and accountability for the rate payer
- was put on the demolition for that plant was put on the<00:37:33.079>
rate <00:37:33.440>payer - so in addition to our the rate payer so in addition to our electrical<00:37:35.640>
rate <00:37 - on to the rate payers the Public Service<00:38:17.480>
Commission <00:38:18.280>shall <
Keywords:
Meeting Start 00:00
Attendance Roll Call 00:04
HB 387 Discussion 01:06
HB 387 Roll Call Vote 28:30
HCR 22 Discussion 29:26
HCR 22 Roll Call Vote 31:09
HB 519 Discussion 35:36
HB 519 Roll Call Vote 38:37, 958, all
Summary:
The committee first took up House Bill 387, which would amend MSD governance and spending rules in Louisville. The sponsor said the bill was intended to add oversight and accountability in response to large MSD rate increases, though the original rate-approval provision had been removed because of concerns about contracts and bond ratings in Oldham and Bullitt counties. MSD Executive Director Tony Parrott testified that MSD is a public utility serving more than 800,000 people through wastewater, stormwater, and flood protection services, and argued that most rate pressure comes from federal and state mandates tied to a consent decree and other orders. He said MSD already provides annual notice and bond approvals through Metro Council, offers customer assistance programs, and needs flexibility for advertising, public notices, recruitment, and compliance. Members discussed stormwater funding, aging infrastructure, flood control, and the bill’s limits on advertising and other expenditures. The committee substitute was adopted and the bill passed on a roll call vote.
The committee then considered House Concurrent Resolution 22, as substituted, which expressed support for exploring nuclear energy and included language noting Kentucky’s ability to use nuclear waste, uranium tailings, and spent fuel in ways described by the sponsor as cleaner. Supporters said Kentucky faces an energy shortage and that nuclear, including small modular reactors, should be part of the state’s future energy mix. Some members said they would support the resolution but wanted a feasibility study or noted that it does not carry the force of law. The resolution passed.
Finally, the committee began House Bill 519, sponsored by Representative Fugate, which would prevent utility companies from passing demolition costs for retired coal-fired or fossil-fuel plants on to ratepayers. The sponsor cited sharply rising electricity bills in eastern Kentucky, the decline in coal employment, and the burden of demolition costs from the Big Sandy plant being placed on customers. He argued that utilities should absorb those costs rather than shifting them to ratepayers. The bill was introduced with a motion and second, and the committee was preparing to hear further questions and testimony when the transcript ended.
NH
New Hampshire 2025 Regular Session
House Executive Departments and Administration (01/29/2025)
Transcript Highlights:
- Purpose while increasing administrative costs, which is borne by the payers, the insurance companies.
- So there’s no administrative overhead, if you will, to either the provider or to the payer.
- So those are the main reasons why the payers are participating. is the cost of the vaccines or um so
- <00:38:42.920>
so either the provider or to the payer so either the provider or to the payer - are participating thank you payers are participating thank you yes<00:38:49.880>
thank <00:38:
Summary:
The committee held a public hearing on House Bill 233, which would impose transparency and reporting requirements on the New Hampshire Vaccine Association. The prime sponsor, Representative Comto, said the bill and a proposed amendment were intended to increase public access by requiring a physical meeting location, making meetings available online, and publishing a complete list of vaccines and pharmaceutical products purchased. She argued the association should be more transparent because it is involved in vaccine purchasing and public trust is important, especially given controversy around vaccines.
Committee members questioned the sponsor about the association’s legal status, who sets vaccine requirements, whether other private entities would be covered, and whether the proposal should instead apply more broadly to all meetings or include recordings. The sponsor said the association was created by the legislature, that childhood vaccine requirements come from DHHS and CDC-related processes, and that she would be open to broader recording requirements. Some members raised concerns about misinformation and whether requiring answers to public questions could be problematic in a contentious policy area.
Patrick Miller, executive director of the Vaccine Association, and attorney Mark McHugh testified in opposition. They described the association as a not-for-profit voluntary corporation created by statute in 2002 to serve as a funding mechanism for the state’s universal childhood vaccine purchase program, with no policymaking role and no public funding. They said the association already posts notices, agendas, minutes, and allows public webinar access and comments, while also providing annual audits and reports and other statutory reporting. They argued HB 233 would impose unnecessary administrative costs on a private entity, interfere with its limited charitable purpose, and ultimately increase costs borne by insurers, employers, and consumers. No vote or final action was taken during the hearing.
TX
Transcript Highlights:
- health care access. primary health care.
- But this bill is about primary care, expanding into any other specialty. This is about primary.
- But my primary reason and my primary qualification... ...for being here today is that I am the husband
- Primary and preventative care.
- To address some other points, 70% of MPs may be boarded in primary care, but 70% do not work in primary
Keywords:
grand jury, jury qualifications, jury wheel, small counties, Texas legislation, age verification, obscene devices, online sales, juvenile protection, penalties, antitrust, attorney general, Texas Free Enterprise, business regulations, legal confidentiality, personal identifying information, data brokers, judicial safety, civil rights, data privacy
TX
Transcript Highlights:
- Members, there are three primary reasons why this amendment is critical: One, school libraries already
- The Supreme Court said the amounts regularly paid to a hospital by third-party payers was relevant to
- and private payers are relevant to the value of services provided, which speaks to Rule 402.
- So those are cases in which you have a third-party payer paying for these, right?
- So you have the bills of the third-party payer paid.
Bills:
SB6, SB30, SB13, SB2878, SB2501, SB66, SB268, SB331, SB618, SB414, SB1394, SB2425, SB898, SB993, SB442, SB735, SB784, SB2538, SB1919, SB1013, SB2215, SB2322, SB626, SB570, SB747, SB2183, SB673, SB1015, SB1447, SB1370, SB1784, SB1897, SB2873, SB2891, SB2933, SB2540, SB2681, SB2695, SB1965, SB2203, SB872, SB875, SB1030, SB1277, SB1730, SB1681, SB1152, SB2969, SB2747, SB2705, SB2541, SB1708, SB2080, SB2721, SB1986, SB2392, SB2539, SB2857, SB2799, SB2785, SB2782, SB1531, SB1927, SB1263, SB1098, SB835, SB3070, SB22, SJR27, SB25, SB7, SB552, SB1612, SJR87, SJR1, SB6, SB30, SB13, SB2878, SB57, SB127, SB293, SB441, SB3059, SB512, SB241, SB1718, SB140, SB2055, SB2075, SB2018, SB1534, SB1567, SB785, SB1233, SB1580, SB1663, SB413, SB447, SB519, SB467, SB1579, SB1191, SB1021, SB1838, SB2807, SB2835, SB546, SB2121, SB2167, SB2035, SB2024, SB1032, SB1049, SB1266, SB1400, SB1302, SB401, SB1596, SB1281, SB1242, SB1343, SB310, SB1346, SB2753, SB2703, SB2221, SB1719, SB2177, SB800, SB790, SB748, SB571, SB1957, SB1923, SB1896, SB1760, SB1335, SB2368, SB2477, SB2587, SB2972, SB2986, SB2965, SB1563, SB1467, SB1164, SB1137, SB614, SB705, SB961, SB918, SB955, SB869, SB850, SB863, SB1610, SB1055, SB2206, SB457, SB2337, SB1362, SB926, SB1494, SB251, SB456, SB500, SB1307, SB2615, SB2995, SB2321, SB973, SB974, SB865, SB506, SB781, SB1522, SB1558, SB510, SB667, SB763, SB2073, SB1858, SB1660, SB505, SB2900, SB1433, SB1540, SB1964, SB1300, SB1644, SB2217, SB2373, SB2431, SB1758, SB2480, SB3039, SB3047, SB3073, SB2920, SB2781, SB826, SB766, SB2460, SB527, SB1946, SB2885, SB1243, SB2610, SB2595, SB857, SB2501, SB66, SB268, SB331, SB618, SB414, SB1394, SB2425, SB898, SB993, SB442, SB735, SB784, SB2538, SB1919, SB1013, SB2215, SB2322, SB626, SB570, SB747, SB2183, SB673, SB1015, SB1447, SB1370, SB1784, SB1897, SB2873, SB2891, SB2933, SB2540, SB2681, SB2695, SB1965, SB2203, SB872, SB875, SB1030, SB1277, SB1730, SB1681, SB1152, SB2969, SB2747, SB2705, SB2541, SB1708, SB2080, SB2721, SB1986, SB2392, SB2539, SB2857, SB2799, SB2785, SB2782, SB1531, SB1927, SB1263, SB1098, SCR9, HB5560, HB762, HB 107, HB 114, HB138, HB4386, HB2495, HB581, HB3348, HB5323, HB1584, HB4341, HB6, HB171, HB143, HB449, HB3486, HB4263, HB5246, HB2, HB2011, SB17, SB21
Keywords:
electric power, interconnection, utilities, ERCOT, large load customers, water supply, sewer service, demand management, school libraries, library advisory councils, parental rights, library materials, educational content, challenging materials, judicial branch, court security, expunction, pretrial intervention, youth diversion, record retention
TX
Texas 89th Regular
S/C on Telecommunications & Broadband Mar 31st, 2025
S/C on Telecommunications & Broadband
Transcript Highlights:
- That's our primary focus.
- Our owner, member, rate payers are governing these decisions.
- Our rate payers are. Owners, our consumers, are represented at our boards. Many wear cowboy hats.
- That's great payers, that they can have that land, and they can impose fees, and they can have a guaranteed
LA
Transcript Highlights:
- So these additional duties, that's all part of the new format with closed primaries and additional days
- So these additional duties, that's all part of the new format with closed primaries and additional days
- While you answered the first part of my question that it wasn't all due to closed primaries and the cost
- There's a cost for going to the closed primary system. There's a cost for everything.
- All we're trying to do is get the payers to pay and adjudicate the claims faster.
Bills:
SB83, SB135, SB143, SB155, SB157, SB202, SB237, SB261, SB276, SB295, SB450, SB465, SB506, HB1070
Keywords:
human trafficking, trafficking prevention, school safety, public schools, elementary and secondary education, charter schools, mandatory reporting, victim identification, victim services, child trafficking, sex trafficking, labor trafficking, commercial sexual activity, DCFS, Department of Children and Family Services, Louisiana State Police, governor's office of human trafficking prevention, counselor training, mental health professional, administrator training
AZ
Arizona 2026 Regular Session
02/24/2026 - Senate Appropriations, Transportation and Technology
Appropriations, Transportation and Technology
Transcript Highlights:
- I'm also a nurse practitioner specializing in primary care, mostly for elderly populations.
- I have also provided primary care for the SMI population, many of whom are even more disabled than the
- So as many of you know, members with a primary psychiatric condition are currently excluded from ALTCS
- Three million Arizonans, almost half our state, have limited access to primary care.
- When we're looking at the four primary functions of government—infrastructure, education, public safety
Bills:
SB1041, SB1050, SB1131, SB1138, SB1249, SB1267, SB1272, SB1317, SB1461, SB1488, SB1504, SB1517, SB1523, SB1580, SB1582, SB1584, SB1585, SB1602, SB1630, SB1654, SB1672, SB1673, SB1718, SB1761, SB1819, SB1826, SB1827
Keywords:
electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, veterans, lifetime pass, state parks, Arizona, access, disabled veterans, cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, automated license plate readers
Summary:
The committee first considered Senate Bill 1630, which would direct AHCCCS to seek federal approval for a home- and community-based services program for adults determined to be seriously mentally ill, with quarterly implementation updates, stakeholder input, and a cap on enrollment. The sponsor and advocates from Arizona Mad Moms argued the bill would create an assisted-living-style Medicaid option for the most disabled SMI individuals, improve continuity of care, and reduce state general fund costs by shifting some expenses to federal Medicaid funding. Access testified neutral, estimating a total fiscal impact of $27.7 million, including $5.83 million general fund, and explained the need for CMS approval. The committee adopted an amendment reducing the initial cap to 250 members, changing reporting frequency, and adjusting eligibility and expansion conditions, then passed SB 1630 as amended on a 10-0 vote.
The committee next heard Senate Bill 1131, which originally required school districts and charter schools to adopt cardiac emergency response plans and appropriated $1 million for implementation. An amendment replaced the mandate with a reporting requirement on AED counts, CPR/AED-trained staff, and whether schools have a plan, while keeping a grant component for AEDs and prioritizing rural schools. The American Heart Association supported the amended approach as a way to gather baseline data and target resources, and members discussed AED training, school preparedness, and whether the funding should favor rural or high-population schools. The committee adopted the amendment and passed SB 1131 as amended on a 9-1 vote, with Senator Kuby voting no and several members explaining concerns about funding and priorities.
The committee then took up Senate Bill 1582, which concerned the school safety interoperability fund. An amendment shifted the appropriation from the Department of Education to the Department of Administration and allocated funds to specific county sheriff offices for continuing operation and maintenance of existing interoperability systems, while narrowing the program to public safety agencies and school districts and requiring twice-yearly testing. Sheriffs, a county school superintendent, and the Arizona Sheriffs Association described the systems as useful for drills and real emergencies, improving communication between schools and first responders; one speaker noted the program had been used in drills and at least one live deployment. Some members questioned the audit findings, the focus on rural counties, and whether the program was a good use of funds, while supporters emphasized its value for school safety. The committee adopted the amendment and passed SB 1582 as amended on a 6-4 vote.
Finally, the committee began hearing Senate Bill 1504, which would change retirement rules for Tier 2 and Tier 3 public safety personnel by allowing earlier normal retirement and shortening the COLA waiting period, with an amendment exempting the changes from the statutory pre-funding requirement. Supporters from firefighter and police groups said the bill would improve recruitment and retention and let employees receive earned benefits sooner, while city, county, and taxpayer representatives warned it would add substantial unfunded liabilities and undermine the 2016 pension reforms. Actuarial testimony estimated significant costs, including tens of millions in annual or upfront impacts depending on how the change is funded, and members debated whether the amendment would shift costs onto future taxpayers or simply spread them over time. The transcript ends during continued testimony and discussion on SB 1504, before a final vote is reached.
MN
Minnesota 2025-2026 Regular Session
Committee on Energy, Utilities, Environment and Climate - 03/05/25
Energy, Utilities, Environment, and Climate
Transcript Highlights:
- c><00:28:51.120>
utility <00:28:51.640>P <00:28:52.159>rate <00:28:52.399>payers - benefits to utility P rate payers benefits to utility P rate payers Statewide<00:28:54.320>
however - well aware of the incredible economic potential of sustainable aviation fuel, and while ammonia's primary
- factors the volatile price of primary factors the volatile price of fuel<00:42:10.079>
sources - <00:42:40.160>
input <00:42:40.400>for the primary input for the primary input for
AL
Alabama 2026 1st Special Session
Alabama House Boards, Agencies and Commissions Committee Feb 11th, 2026
Boards, Agencies and Commissions
Transcript Highlights:
- <00:17:32.080>
AD&H, <00:17:33.120>a <00:17:33.360>major <00:17:33.760>payer - payer and provider<00:17:35.120>
in <00:17:35.360>charge <00:17:35.600>of <00:17 - The bill as structured now would make Alabama the only state in America where a provider and payer is
- The bill as structured now would make Alabama the only state in America in which a payer and a provider
- The bill as structured now would make Alabama the only state in America in which a payer and a provider
Keywords:
inhalants, butyl nitrite, nitrous oxide, amyl nitrite, possession, sale, misdemeanor, felony, criminal penalties, public health, public works, sealed bids, bid advertisement, procurement, government contracting, construction bids, municipal bidding, county bidding, state bidding, Department of Transportation
KY
Kentucky 2026 Regular Session
House Standing Committee on Natural Resources and Energy. (1-29-26)
Natural Resources & Energy
Transcript Highlights:
- the matching principle and the cost causation principle to make sure that the correct set of rate payers
- How do we protect those rate payers?
- How do we protect those rate payers?
- How do we protect those rate<00:13:47.279>
payers? - it constantly resets every rate payers?
Keywords:
Meeting Start 00:00
Attendance Roll Call 00:02
HB 398 Discussion 01:01
HB 398 Roll Call Vote 16:09
Chair Comments 18:05, 958, all
Summary:
The committee heard House Bill 398, sponsored by Rep. Wade Williams, with testimony from David Samford of East Kentucky Power Cooperative. The bill would amend KRS 278.264, the Senate Bill 4 statute, to clarify that it governs retirement of fossil fuel plants and not the recovery of associated decommissioning costs. Supporters said the measure would restore the Public Service Commission’s discretion to spread decommissioning costs over the life of a plant, consistent with traditional ratemaking, and avoid large rate spikes when plants are retired.
Testimony focused on ratemaking principles such as cost causation and matching, with the witnesses arguing that customers should pay costs as they are incurred rather than face a large “sticker shock” charge at the end of a plant’s life. Members asked about possible double charges, environmental surcharges, fuel adjustment clauses, and what happens if a planned retirement is delayed or canceled. The witnesses said the bill is intended to prevent double exposure and that rates would be revisited in future base rate cases as assumptions change.
During roll call, most members voted yes, while Rep. Fugate passed and explained concern about high electric bills and prior lump-sum charges in his area, and Rep. Watkins voted no, saying he needed more information on long-term affordability. The committee reported the bill out favorably, with the chair stating it should pass on the floor.
ND
North Dakota 2026 1st Special Session
Senate Floor Session Jan 23rd, 2026 at 08:30 am
North Dakota Senate Floor Meeting
Transcript Highlights:
- It expands this to all families, and I think that's why we've seen such good reaction to the primary
- So there's 150,000 primary residences... I will be voting green. Senator Magram.
- So everybody's primary residence is a family. So if that isn't germane, I don't know what it is.
- Madam President, I absolutely love the primary residence tax credit.
- Madam President, the House Bill 1626, which concerns how the primary residence credit, or the PRC, is
Keywords:
SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine
Summary:
The Senate convened with prayer, roll call, and a quorum present, then took up second reading and final passage of several House bills related to the Rural Health Transformation Program and other matters. House Bill 1621, requiring the presidential fitness test in school physical education with exceptions and a delayed effective date, passed 43-3. House Bill 1623, appropriating federal rural health transformation grant funds and creating a related loan program and reporting structure, passed 46-0 after extensive debate about using the federal money for community health, infrastructure, and sustainability. House Bill 1622, joining the physician assistant licensure compact, also passed unanimously 46-0. House Bill 1625, authorizing the Ray Richards Golf Course land sale to support a Grand Forks transportation project and golf course improvements, passed 46-0. House Bill 1626, clarifying that the primary residence credit is applied after the early payment discount so taxpayers receive the full $1,600 benefit, passed 40-6.
MN
Minnesota 2025 1st Special Session
Committee on Energy, Utilities, Environment and Climate - 02/17/25
Energy, Utilities, Environment, and Climate
Transcript Highlights:
- <00:15:55.759>
bills <00:15:56.759>Nationwide <00:15:57.720>on to rate payer - bills Nationwide on to rate payer bills Nationwide on average<00:15:59.040>
if <00:15:59.160>< - <00:37:59.839>
our affect our consumers our rate payers our affect our consumers our rate - payers our utilities<00:38:00.839>
and <00:38:00.960>to <00:38:01.119>the <00:38: - the Pu to the extent that rate payer the Pu to the extent that rate payer protection<01:42:22.719
NH
New Hampshire 2025 Regular Session
House Education Funding (03/31/2025)
Transcript Highlights:
- So, one of the primary points in terms of where Medicaid funding could support schools is if someone
- So in the school setting, I suspect maybe their Medicaid would be primary in covering that, but I'll
- There's our role as a Medicaid payer. We can't sort of tell you how to do your business.
- Medicaid is supposed to be the payer of last resort, right?
- <01:36:46.960>
of Medicaid is supposed to be the payer of Medicaid is supposed to be the payer
Summary:
The subcommittee met to begin work on HB 742, which would require catastrophic special education aid to be drawn from the education trust fund, and more broadly to study special education aid/differentiated aid and related costing issues. The chair said the group was starting early because the issue has been debated for years without resolution, local districts are being forced to absorb prorated costs, and the committee wants to send the Department of Education and HHS Medicaid a clear request for data and recommendations before retained bills return in the fall. A committee clerk was also selected, with Representative Reverend volunteering to take notes for the meeting.
Members reviewed background materials on special education enrollment, high-cost students, and possible funding formulas, including data on students in high-cost brackets and prior ideas such as category-based funding and caseload-based approaches. The chair also referenced research on other states, including Arkansas, which uses a different special education funding structure and audits IEPs. The committee emphasized that it was focused on the funding mechanics and costs, not on questioning whether services should be provided.
Henry Lipman of HHS explained how Medicaid-to-schools currently works in New Hampshire. He said 172 school districts participate, but utilization dropped during the pandemic and remains below historical levels, in part because districts need the capacity to bill Medicaid. Under the current system, schools receive reimbursement based on half of the Medicaid fee schedule, with the school district effectively providing the state share. He said the federal government is requiring a shift by July 1, 2026, to a true certified public expenditure model based on actual costs, which should allow schools to recover 50% of their true costs and some administrative overhead. The department has received a roughly $2.5 million grant to hire a vendor and support districts through the transition, and an RFP and stakeholder meetings are underway.
Committee members asked about how costs would be determined, whether the new system would use actual district-specific costs rather than averages, and how the department would support districts that do not currently participate. Lipman said the cost model would be based on each district’s own reasonable costs, subject to audit standards, and that the department expects to provide templates and technical assistance through the vendor because its staff is limited. He also said about one in four New Hampshire children are enrolled in Medicaid, that child enrollment has been relatively stable, and that continuous coverage rules should reduce churn. No votes or formal actions on HB 742 were taken during the meeting beyond organizing the subcommittee and beginning testimony and discussion.
CA
California 2025-2026 Regular Session
Assembly Health Committee Apr 1st, 2025
Transcript Highlights:
- Seeing none, are there any primary witnesses in opposition?
- Any other primary witnesses in opposition? Any me-toos in opposition?
- There's no standard form that these payers are required to use.
- Are there any primary witnesses in opposition? Thank you.
- Any primary witnesses in opposition? Or anyone else in opposition?
Summary:
The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved.
The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations.
The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.
WY
Wyoming 2026 Regular Session
Senate Corporations, Elections & Political Subdivisions Committee, February 16, 2026
Corporations, Elections & Political Subdivisions
Transcript Highlights:
- generation impacts on rate payers generation impacts on rate payers whether<00:42:36.000>
an< - And the general and primary elections.
- Of course, those are on the 24 primary.
- Chairman, go ahead. >> Do primary right after 2026 would be primary right after 2026 would be primary
- All right, primary [clears throat] and general primary [clears throat] and general elections. elections