Video & Transcript Research : 'primary payer'
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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
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
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.
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.
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.
FL
Florida 2026 4th Special Session
January 27, 2026 - 03:00 PM
Transcript Highlights:
- GDP and do not have single-payer or socialized medicine, so they are multi-payer systems. >> Rep.
- IN THIS BILL WE'VE 278 USED NATIONS THAT HAVE 60% US GDP AND DO NOT HAVE SINGLE-PAYER OR&
- nbsp; 279 SOCIALIZED MEDICINE SO THEY ARE MULTI-PAYER SYSTEM. 280 >>Rep.
- Medicines move through a national system that has two parts: the physical supply chain and the payer.
- 470 THIS PHYSICAL SUPPLY CHAIN AND THE PAYER. 471 PHYSICALLY EVERY MEDICINE GOES FOR MANUFACTURER
Summary:
The committee first took up CS/House Bill 981, which would restore the Ocklawaha River and related natural resources. Supporters, including environmental groups, Save the Manatee Club, business owners, and Reunite the Rivers advocates, argued the bill would improve manatee habitat, fish passage, flood protection, tourism, and long-term economic returns while reducing dam maintenance costs. Opponents and skeptics focused on concerns about water quality, nutrient loading in the St. Johns River, loss of the Rodman Reservoir’s habitat and water-supply value, and potential ecological and economic harms. Members in debate largely supported the restoration effort, and the bill was reported favorably on a unanimous vote.
The committee then heard HB 697, the PRICE Act, which would use international reference pricing to set a drug cost benchmark, address pharmacy benefit manager practices, and require health plans to keep drug prices stable for the year. The sponsor said the bill would lower costs and improve access, especially for uninsured Floridians. Supporters, including independent pharmacists, argued PBMs are squeezing pharmacies and that the bill could help lower prices. Opponents from BioFlorida and PhRMA warned the proposal could disrupt the national drug supply chain, fail to pass savings to patients, and lead to shortages, reduced access, and less innovation. After debate, the bill passed favorably, with Rep. Chambliss voting no.
The committee also considered CS/HB 1081, which was amended to include private colleges and universities with NCA designation in the program. After brief discussion and support from United Way Miami, the committee reported the bill favorably. Finally, CS/HB 177 was introduced as a framework for Florida’s regional councils to cross-assign bills among regions; it received supportive testimony and was also reported favorably. The meeting then adjourned.
NH
Transcript Highlights:
- So, are you referring to the all payer claims database?
- payer claims database? payer claims database?
- <01:06:21.840>
database <01:06:22.640>all So, the all payer claims database all So, - the all payer claims database all commercial<01:06:24.520>
insurers <01:06:25.120>and < - claims information into the all payer claims information into the all payer claims<01:06:31.480>
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
NM
New Mexico 2025 Regular Session
House - Appropriations and Finance Mar 18th, 2025
House Appropriations & Finance
Transcript Highlights:
- high population on Medicaid and relatively low Medicaid reimbursement rates compared to commercial payers
- the fair market value if it's for aquifer recharge, and remember, it has to be one of those three primary
- Chair, and Representative, the auxiliary only comes into effect after the primary.
- So, you have to first meet one of the three primary objectives.
- What this bill does is it just allows acquisitions that serve multiple benefits beyond the primary purposes
NH
New Hampshire 2025 Regular Session
Senate Health and Human Services (02/18/2025)
Health and Human Services
Transcript Highlights:
- OBs aren't sure; primary care, we have wonderful OBs and primary care, and they're trying their best,
- <00:26:42.960>
go-to obstetrician who's their primary go-to obstetrician who's their primary - A primary concern is affording and managing potential care and living arrangements.
- Or are you going to get rid of primary care? Are you going to get rid of providers?
- medications due to high cost or payer medications due to high cost or payer requirements<03:26:25.080
CA
California 2025-2026 Regular Session
Joint Hearing Health and Select Committee on Native American Affairs May 12th, 2026
Transcript Highlights:
- At the same time, the Lifeline’s primary revenue stream was reduced drastically without consulting us
- The five-year plan envisions 988 centers acting as the primary dispatch for non-law-enforcement response
- Department of Managed Care, which regulates our insurance, individuals with commercial and other payers
- The primary goal of the proposed designation process is to create a pathway to add new 988 centers while
- Prior to Medi-Cal mobile crisis, the primary avenue that we had to know when someone was in crisis and
Summary:
The joint oversight hearing focused on AB 988 implementation and suicide prevention in California Indian communities. Members and the chairs emphasized that 988 was intended to create a behavioral health crisis system with “someone to call, someone to come, and somewhere to go,” and then turned to the disproportionate suicide burden facing Native youth and the need for culturally responsive outreach and services. Assemblymember Bauer-Kahan, the bill’s author, said the law has already saved lives but argued that key parts of the system—especially interoperability between 911 and 988, mobile crisis dispatch, and adequate funding—are not yet working as intended.
The first panel of stakeholders and call center leaders largely said California’s 988 network is underfunded and not fully integrated. Speakers from the Steinberg Institute and 988 California said call, text, and chat demand has grown sharply, but staffing and funding have not kept pace, leaving text/chat answer rates far below the state’s goals and sending many contacts to out-of-state backup centers. They also said mobile crisis teams are not being dispatched through 988 statewide, and that the state’s current governance and funding structure is too fragmented. WellSpace Health and other providers described 988 as the “front door” to crisis care, urged more stable funding, and recommended broader use of the CCBHC model to support mobile crisis and behavioral health infrastructure.
San Joaquin County offered a local success story, describing a countywide crisis continuum that links 988, mobile crisis, behavioral health access lines, and follow-up services through warm handoffs and coordinated outreach. County officials said the model has reduced reliance on emergency departments and involuntary holds, and they noted that local partnerships and repeated community meetings were key to implementation. Members asked about staffing, tribal outreach, and how to make the system more measurable and interoperable; panelists said staffing projections should be based on actual call volume and contact length, and that tribal-specific outreach has often depended on temporary grant funding.
State officials from CalHHS and DHCS then described the five-year implementation plan, the roles of multiple agencies, and current performance data. They said California’s 988 system has handled more than 74,000 contacts in a recent month, with in-state answer rates of 87% for calls and lower rates for chats and texts, and that unanswered contacts are routed to backup centers. They highlighted training efforts, LGBTQ+ competency work after the end of the federal “Press 3” option, and efforts to improve reimbursement for mobile crisis services. No formal votes or committee actions were taken during the hearing.
MN
Minnesota 2025-2026 Regular Session
House Energy Finance and Policy Committee 3/20/25
Energy Finance and Policy
Transcript Highlights:
- <00:30:07.520>
those <00:30:08.320>those <00:30:08.720>rate <00:30:09.039>payers - <00:30:09.360>
on, <00:30:09.840>you cost those those rate payers on, you cost those - those rate payers on, you know,<00:30:10.159>
Centerpoint <00:30:10.720>or <00:30:10.960 - But the reality is right, most of the people in my district have gas as one of their primary sources,
- <01:07:44.799>
sources have gas as one of their primary sources have gas as one of their primary
TX
Transcript Highlights:
- Payers pay it for the purpose of educating students, right?
- Again, the first payer is local property taxes. you'll see those factors that kind of impact just the
- to work to help support important maritime projects across Texas' coasts. talk about our role, our primary
- The primary factor impacting, you know, my motor vehicle or motor fuel tax, vehicle registration, and
- the most noteworthy. very innovative financing structure we've been able to save communities right payers
NH
New Hampshire 2025 Regular Session
House Science, Technology and Energy (02/18/2025)
Science, Technology and Energy
Transcript Highlights:
- bills but we know that impact rate payer bills but we know that these<00:07:26.919>
advancements< - so the bill tries to answer a lot payers so the bill tries to answer a lot of<00:11:21.480>
the <00:51:37.880>for probably from them to rate payers for probably from them to rate payers - Investments that Ray payers are not at Investments that Ray payers are not at risk<02:01:44.520>
of - this would be of benefit to rate payers this would be of benefit to rate payers in<04:15:41.920>
NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs (01/15/2025)
Transcript Highlights:
- They talk about an all-payer model.
- All-payer models for healthcare reimbursement systems are very unusual, meaning that all payers would
- >
for an all-payer model all-payer models for an all-payer model all-payer models for healthcare - very unusual meaning that uh all payers very unusual meaning that uh all payers would<03:47:05.680
- <04:28:31.359>
we so in other words commercial payers we so in other words commercial payers
Summary:
The House Commerce Committee opened a public hearing on House Bill 310, sponsored by Representative Keith Ammon, which would create a study commission to develop a legal framework for stable tokens and tokenized real-world assets. Ammon described stable tokens as blockchain-based digital tokens backed by U.S. dollars or treasuries, and tokenized real-world assets as representations of ownership in items such as gold, real estate, or artwork. He said the bill is intended to help New Hampshire get ahead of emerging financial markets while waiting to see how federal legislation develops.
Committee members asked about the purpose of the bill, the difference between this proposal and Bitcoin, whether state regulation could be preempted by federal law, and whether the commission could be balanced and avoid becoming a vehicle for fraud or money laundering. Ammon said the proposal is blockchain-agnostic, could apply to multiple networks, and is meant to regulate asset-backed tokens rather than create a state-issued coin. He emphasized that the state would not be guaranteeing the underlying assets, but would set rules requiring audits, proof of reserves, and honest representation of backing, with the Secretary of State’s securities office involved in oversight.
Several members raised concerns about the risks of stablecoins, including money laundering, tax evasion, and possible harm to the dollar or confusion about whether the state was endorsing a new currency. Ammon responded that the bill would not undermine the dollar and argued that tokenization could actually expand demand for U.S. currency by making it easier to use globally. He also said the state would not be in the business of weighing assets or directly valuing them, only ensuring a valid audit trail and one-to-one backing. The discussion ended with general agreement that the subject is complex and that a commission could help develop future legislation, but no vote or final action was taken in the hearing.
AZ
Transcript Highlights:
- This legislation is applying that same standard to commercial payers. Mr.
- ability to provide bonuses or enhanced payments or other financial incentives to pediatricians or primary
- May I remind this committee that we have a 264% shortage of primary care physicians alone in Maricopa
- We have a 264% shortage of primary care physicians alone in Maricopa County.
Keywords:
breast cancer, screening services, health insurance, cost sharing, preventive care, storm damage, catastrophic storm, hail damage, wind damage, roof repair, roof replacement, post-storm repairs, insurance claim, property and casualty insurance, adjuster, public adjuster, contractor licensing, homeowner protections, deductible waiver, insurance fraud prevention
Summary:
The Senate Finance Committee approved committee amendments and then heard a series of bills covering consumer lending, health insurance, chiropractic practice, breast cancer screening, insurance claim practices, digital assets, vaccination-based reimbursement, agricultural property inspections, and aviation tax exemptions. Testimony generally split between sponsors and industry or advocacy supporters emphasizing modernization, consumer access, or fairness, and opponents raising concerns about higher costs, tax breaks for wealthy interests, or unclear policy changes. Several bills drew detailed debate over whether they would help consumers or shift costs, and multiple witnesses described personal or industry experiences in support of the health-related measures.
SB 1689, which would raise consumer loan thresholds and change interest-rate tiers, was amended but failed on a tied vote after Senator Epstein opposed it as shifting costs to smaller borrowers. SB 1347, requiring coverage for fertility preservation for cancer patients, was amended and passed 4-2 after testimony from the sponsor, a nonprofit representative, and two cancer survivors. SB 1165, eliminating cost-sharing for diagnostic and supplemental breast exams, was amended and passed 5-1. SB 1206, updating rules for public adjusters and contractors after loss events, was amended and passed 5-1. SB 1649, creating a digital assets strategic reserve fund, passed 4-2 despite criticism that it was unnecessary and pro-crypto. SB 1212, barring different reimbursement rates based on vaccination status, passed 4-2.
SB 1291, limiting county assessors’ ability to reclassify or inspect agricultural property for four years after a successful appeal, was amended to allow inspections if taxable improvements are made and passed 5-1 over assessor opposition. SB 1516, expanding aviation-related tax exemptions to more aircraft maintenance and repair property, passed 4-1 after supporters framed it as economic development and opponents called it a tax break for private jets. SB 1554, updating chiropractic language from “x-ray” to “diagnostic imaging,” initially failed, was reconsidered after additional questioning, and then passed 3-2 after members said the change mainly codified current practice and reduced liability concerns.
VT
Transcript Highlights:
- approach, and the opportunity to build more options was set aside to pursue a government-run single-payer
- funding, over the next five years, we got a plan to put nearly $1 billion into rural health to expand primary
- Because when essential systems begin to fail, we need to look at the foundation. to expand primary care
- practices, give to expand primary care practices, give underserved<00:29:27.440>
areas <00:29:
TX
Texas 89th Regular
Pensions, Investments & Financial Services Mar 3rd, 2025
Pensions, Investments & Financial Services
Transcript Highlights:
- If you also look at the chart on the problem banks and you look at the payers, you'll see there's a direct
- benefits to those 140,000. $130,000 annuitants, and the payments for that come from basically three. primary
- Hurston Primary is providing pension benefits to our retirees.
- some of the things that you mentioned at the top are definitely the issues that we hear of, are the primary
MN
Minnesota 2025-2026 Regular Session
FULL INTERVIEW: Lowering Energy Costs Through Innovation | Senator Nick Frentz May 29th, 2026
Minnesota Senate Floor Meeting
Transcript Highlights:
- So, for your average rate payer who maybe doesn't know the name of their state senator, but knows their
- Minnesota Excel rate payers it comes to sustainable airplane or it comes to sustainable airplane or airline
- 05:16.280>
Minnesota <00:05:16.960>Excel <00:05:17.400>rate <00:05:17.640>payers - will<00:08:00.400>
help <00:08:00.720>to <00:08:00.880>pay that Xcel rate payers - will help to pay that Xcel rate payers will help to pay for<00:08:01.320>
clean <00:08:01.600>
Summary:
The interview focused on Minnesota’s clean energy policy, energy affordability, and the state’s path toward its 100% clean electricity goal. The senator said Minnesota’s clean energy reputation comes from environmental concern, job creation, and lower long-term costs, noting that wind is now the lowest-cost generation source and that solar costs have fallen sharply. He said rising electricity demand has led to some increased coal use, but argued the state can still meet its 2040 clean energy target through continued renewable buildout, permitting reform, conservation, and demand response.
A major topic was data centers. The senator emphasized both concerns and benefits, saying hyperscale data centers can bring substantial construction jobs, property tax revenue, and, under the 2025 law, payments to low-income energy assistance. He cited the Pine Island Google data center as air-cooled, with no water concerns, and said it will pay $5 million annually while funding 1,600 MW of wind, solar, and battery resources at its own expense. He also said Xcel’s filing projected a $1.1 billion ratepayer savings over 10 years, while urging the public to weigh both pros and cons, especially around water use and local tax impacts.
The discussion also covered nuclear power and climate costs. The senator said the Senate has passed a nuclear study three years in a row and expects it to advance, while the moratorium on new nuclear plants remains tied to the Prairie Island Indian Community and unresolved nuclear waste storage. He argued Minnesota likely cannot reach its emissions goals without nuclear in the mix, though he acknowledged current nuclear is not cost-competitive and said future advanced or small modular nuclear could change that. On affordability, he pointed to climate-driven costs such as higher homeowners insurance and storm damage, and described Senate energy omnibus provisions including conservation, plug-in solar, and renewable development account projects such as a Como Zoo clean energy project. No votes were taken in the interview itself, but the senator referenced the recently announced budget deal and said he still needed to negotiate a renewable development account agreement between the House and Senate.
TX
Texas 89th Regular
Delivery of Government Efficiency Mar 5th, 2025
Delivery of Government Efficiency
Transcript Highlights:
- And they can be distilled into basically five primary areas.
- and tax payers because of the law.
- subscriptions, direct primary care? I will get you that number. We have a.
- About half of our people go to see their primary care doctor every year.
- There are three primary funding pools, to my knowledge, in the marketplace.