Video & Transcript Research : 'copay'
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ND
North Dakota 2025-2026 Regular Session
Senate Floor Session Apr 21st, 2025 at 12:30 pm
North Dakota Senate Floor Meeting
Transcript Highlights:
- So this bill would allow a copay accumulator to be used for that. in favor say aye as many opposed nay
- So this bill would allow a copay accumulator to be used for that.
- We talked about the copay accumulator. We talked about the prior authorization bill.
- If I understand this chart correctly, our current grandfather plan has a $30 copay or a $35 copay.
Summary:
The Senate reconvened and handled several House messages and conference committee appointments before taking up a series of bills. It appointed conference committees on Senate Bill 2265 and House Bills 1454, 1448, and 1524. The chamber also adopted a Senate amendment to House Bill 1216, delaying its effective date for the copay accumulator prescription drug bill to January 1, 2026, with later renewal timing for non-PERS plans.
House Bill 1216 then came up for final passage. Senators debated whether allowing copay accumulator programs to count manufacturer coupons toward deductibles would help patients with expensive drugs or unfairly shift costs to insurers and other policyholders. Supporters said it would help people afford life-saving medications and that the coupon payments go to pharmacies, not insurers; opponents argued it could raise premiums and create perverse incentives for drug pricing. The bill passed 29-18. The Senate also concurred in House amendments to Senate Bill 2160, which changes health insurance benefits under the Uniform Group Insurance Program to move from a grandfathered to a non-grandfathered plan, with supporters emphasizing added benefits and flexibility and opponents warning of higher costs and irreversible changes. That bill passed concurrence 33-14 and final passage 39-8.
The Senate next concurred in House amendments to Senate Bill 2339, the wildfire mitigation bill, which requires utility mitigation plans to be updated every two years, incorporate national electric standards, and creates a rebuttable presumption of reasonable care if the plan is followed. The bill then passed final passage 46-1. The chamber also adopted conference committee reports and passed House Bill 1460 on adult foster care and monitoring devices, House Bill 1440 on cigar lounge tobacco use, and Senate Bill 2374 on insurance-related provisions including property insurance arbitration, managed repair programs, and surplus lines issues; SB 2374 also added a study on towing and recovery coverage. The session ended with announcements of upcoming conference committee meetings and adjournment until April 22, 2025.
NM
New Mexico 2025 Regular Session
IC - Revenue Stabilization and Tax Policy Sep 30th, 2025
Revenue Stabilization & Tax Policy Committee
Transcript Highlights:
- This is a model of payment in contrast to a copay.
- A copay is when an insurance company pays some portion, and you have a set dollar amount—maybe a $20
- copay—that you're responsible for paying.
- However, if it were a copay, it is temporarily deductible, essentially until 2028.
- The patient has a co-insurance, not a copay, a co-insurance. Of 20%, so they have to pay $20.
OK
Transcript Highlights:
- Those kids that are on the reduced meal plan have a copay for meals. Right?
- Or even with that copay, it's very difficult for those kids.
- lets that kid eat, or at some point, they will stop providing meals because they're behind on those copays
- On those copays, this would expand those kids to be able to fall into the free category.
- This bill would advise the state to pay that copay that is currently charged to those on reduced price
Bills:
SB1632, SB1594, SB2045, SB1251, SB1884, SB1250, SB1630, SB1262, SB1374, SB1292, SB1432, SB1199, SB1790, SB1481, SB1614, SB1734, SB1437, SB1489, SB1718, SB1778
Keywords:
career readiness, education reform, high school assessments, workplace skills, state education, credentialing, teacher certification, principal requirements, education administration, special education, Oklahoma education law, SB2045, Grow Your Own Educator Program, teacher recruitment, teacher retention, alternative certification, alternative teacher certification, teacher preparation, tuition reimbursement, course fee reimbursement
MN
Minnesota 2025-2026 Regular Session
Committee on Commerce and Consumer Protection - 03/11/25
Commerce and Consumer Protection
Transcript Highlights:
- So low copay rebate or low formulary—pick your poison—to bring down the price of drugs.
- So low copay rebate or low formulary—pick your poison—to bring down the price of drugs.
- > way<00:53:36.400>
of <00:53:36.520>a <00:53:36.640>low <00:53:36.920>copay - Savings in the in the way of a low copay Savings in the in the way of a low copay so<00:53:38.000
- >
low <00:53:39.839>formulary so low copay rebate or low formulary so low copay rebate
TX
Transcript Highlights:
- So for physicians who scored better on the PEAK scoring system, we are giving a copay discount.
- And then the idea is... ...giving a copay discount.
- Freestanding ERs will waive your copay so you don't care where you go.
- If I don't have a copay, I don't care, right?
- , 500 to 1,000 percent markup just on copays.
TX
Transcript Highlights:
- Insurance interpreted that provision of code to prevent implementing a tiered network or a waiving of a copay
- So we do do direct contracting and in hospitals where we have safe harbor, they, we waive copays and
- We're missing incentives for patients to participate in shared savings to lower copays.
- They can, they can have less deductibles, but if less copays, that kind of stuff, but it's if they're
Bills:
HB139
MD
Transcript Highlights:
- in this program that are receiving child care, that the copay is $1 to $3 per week.
- So, the copay, it's anywhere from...
- House Bill 1321, child care scholarship program enrollment and copays alterations.
- Allows the State Department of Education to set a minimum copay.
- Repeals the presumptive copay. Repeals the presumptive eligibility<01:36:43.960>
policy.
Summary:
The House convened with 124 members present, offered a prayer, and recognized foster youth visiting the chamber. Members then adopted two House resolutions honoring Dr. Sonja Santelises for 10 years as CEO of Baltimore City Public Schools and recognizing Sigma Gamma Rho Sorority, Incorporated, for 104 years of service, scholarship, and sisterhood. The House also received Senate bills and began taking up committee reports.
Several bills were reported favorably and advanced to third reading, including measures on higher education grants, public safety pay restrictions, retirement and pension system work group extensions and cost-of-living adjustments, synthetic turf and aquaculture studies, rail crew requirements, Howard County speed limits, election address confidentiality, IT investment fund uses, ethics financial disclosures, Public Information Act divorce records, aging-in-place grants, judicial assignments, clerk and register salaries, and firearm literature distribution. House Bill 428, concerning temporary assignment of former judges, was special ordered until the next day after the minority whip requested time for an amendment.
The chamber also considered and adopted amendments on several bills. House Bill 437, the Transportation and Climate Alignment Act of 2026, was amended to exempt the Chesapeake Bay Bridge project and then special ordered after questions about greenhouse gas impacts on major highway expansion projects. House Bill 457 on menstrual hygiene products at higher education institutions, House Bill 538 on student enrollment disclosures, House Bill 561 on child care credential funding, House Bill 720 on a veterans scholarship, and House Bill 212 on out-of-state vehicle registration all received amendments and favorable reports as amended. HB 212 drew extended debate about Maryland residents using out-of-state tags, with supporters saying it would help enforce registration laws and opponents raising concerns about legislative вмешательство in vehicle regulation and enforcement discretion.
MN
Minnesota 2025-2026 Regular Session
Conference Committee on SF 3472: Extending health care premium reinsurance program - 03/28/33
Transcript Highlights:
- carriers who offer individual or small group health plans to include a pre-deductible flat dollar copay
- health plans to include a pre-deductible flat<00:21:34.640>
dollar flat dollar flat dollar copay - amount<00:21:36.559>
prescription <00:21:37.039>drug <00:21:37.360>benefit copay - amount prescription drug benefit copay amount prescription drug benefit and<00:21:38.080>
at <
Summary:
The committee reviewed a side-by-side comparison and fiscal analysis of Senate File 3472, a reinsurance-related bill affecting the premium security plan account, MinnesotaCare, and related health care funding. Staff explained the Senate and House versions of the bill, including how the Senate proposal extends reinsurance for five years and uses a projected $1.087 billion general fund transfer to fully fund claims and administrative costs through fiscal year 2028, while the House version conditions continuation of the program on federal approval of the state innovation waiver. The fiscal presentation also covered appropriations for MNsure, a mental health parity and substance abuse office, and House provisions for delivery reform and a public option study, along with a House transfer of $110.674 million to the health care access fund.
Members debated the budget horizon and whether costs should be forecast beyond fiscal year 2025. Representative Schultz argued that the spreadsheet understated the broader fiscal impact of reinsurance and warned about future funding cliffs for MinnesotaCare and other health programs, while other members and staff noted that the state’s standard forecast ends in fiscal year 2025 and that the fiscal note only estimated reinsurance costs through the five-year extension. Supporters said reinsurance was the best available option to reduce premium increases, especially in rural areas, and some pointed to a public option as a longer-term alternative. Opponents argued reinsurance does not address underlying health care costs or deductibles and urged consideration of other reforms.
House Research then walked through the policy differences. House-only provisions would change Minnesota Comprehensive Health Association board membership, require platinum plans in certain markets, expand postnatal coverage, require a prescription drug benefit in some plans, set a minimum actuarial value for MinnesotaCare, create an Office of Mental Health Parity and Substance Abuse Accountability, and direct reports on delivery reform and a public option. The shared provisions would extend the premium security program to 2027 and delay the transfer of remaining premium security plan funds to the health care access fund until 2029, with the House language again contingent on federal waiver approval. No formal vote was taken in the excerpt; the chair closed discussion after hearing no further questions and indicated members would be contacted about next steps.
AL
Alabama 2026 1st Special Session
Alabama House Ways and Means Education Committee Mar 18th, 2026
Ways and Means Education
Bills:
HB527, HB563, HB580, HB579, SB190, HB15, HB390, HB527, HB563, HB580, HB579, SB190, HB15, HB390
Keywords:
liability, off-roading, parks, participant safety, risk management, SNAP, food assistance, public assistance, income standards, Department of Human Resources, eligibility, HB580, Alabama Healthy Schools Act, public schools, K-12, school nutrition, school meals, cafeteria, vending machines, fundraising sales
TX
Keywords:
dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness
TX
Keywords:
dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness
TX
Texas 89th Regular
Senate Committee on Health and Human Services Mar 18th, 2025
Health & Human Services
Keywords:
immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 04/08/26
Health and Human Services
Transcript Highlights:
- It all depends on the benefit design that says you have a $10 copay every time you go in up until you
- the full $10 of your copay.
- copay copay every<01:43:06.600>
time <01:43:06.800>you <01:43:06.920>go <01:43:07.080 - of 10 lesser of logic you pay $3 copay of 10 lesser of logic you pay $3 100%<01:43:16.760>
of - when you would normally pay $3 $10 copay when you would normally pay $3 or<01:43:23.120>
$2.50
TX
Texas 89th Regular
Delivery of Government Efficiency May 7th, 2025
Delivery of Government Efficiency
Transcript Highlights:
- sector is that people are choosing this model when the employee chooses to go there and waives the copays
- But if they go to someplace other than those. ...that are contracted, they will pay the traditional copays
Keywords:
HCR 141, House Concurrent Resolution, NASA, Houston, Space City, Johnson Space Center, Mission Control, Apollo 11, moon landing, aerospace, commercial space, space exploration, Texas Space Commission, space policy, federal resolution, memorial resolution, Congress, Washington D.C., headquarters relocation, space industry
TX
Texas 89th 2nd C.S.
Delivery of Government Efficiency May 7th, 2025
Delivery of Government Efficiency
Transcript Highlights:
- Um, when, when the employee chooses to go there and waives the copays and deductibles, then, um, and
- but if they go to someplace other than those, um, that are contracted, they will pay the traditional copay
HI
Hawaii 2025 Regular Session
HSH Public Hearing - Tue Feb 4, 2025 @ 9:30 AM HST
Human Services & Homelessness
Transcript Highlights:
- It allows the department to be able to implement a copay if needed, but it also gives the department
- It allows the department to be able to implement a copay if needed, but it also gives the department
- the ability to not have to implement a copay.
- the ability to not have to implement a copay.
- the ability to not have to implement a copay.
Summary:
The committee heard several Human Services measures focused on Medicaid access, long-term care benefits, home health reimbursement, SNAP administration, trauma-informed child welfare, and child abuse reporting. HP 702 would increase funding for Medicaid in-home services if federal matching funds are secured, and testimony from disability advocates supported the measure as needed to help people with disabilities cover medical expenses. HB 1477, described as a correction to a prior session’s mistake, would clarify that the monthly needs allowance for certain long-term care residents does not replace state supplemental payments and would raise the ceiling by $25 to fix the prior issue and by an additional $20 as a new benefit; DHS supported it with amendments, and the committee indicated it would amend accordingly. HB 713 would fund a DHS rate study for home health services, with the Healthcare Association of Hawaii strongly supporting it and describing rising labor costs, losses on Medicaid patients, and access concerns if agencies cannot keep serving Medicaid clients. HB 1099 would appropriate emergency funds to DHS after a USDA penalty tied to SNAP response times, with supporters including Catholic Charities Hawaii, Hawaii Public Health Institute, and others arguing the money should be reinvested in staffing and systems to improve access and avoid further penalties. HB 1079 would direct the Office of Wellness and Resilience and DHS to create trauma-informed assessments and training for Child Welfare Services staff; testimony from state offices and advocacy groups supported it, citing the Mālama ʻOhana Working Group, staff burnout, and the need for a sustainable train-the-trainer model. Finally, HB 239 would narrow when failure to provide a child’s needs constitutes abuse or neglect, but DHS raised concerns that the current wording could broaden abuse findings and leave families in poverty without a clear safety net, while the Honolulu prosecutor’s office opposed it, warning it could weaken mandatory reporting and hinder investigations of child abuse. No formal votes were taken in the portion provided, though the chair said HB 1477 would be amended and several measures were left open for further questions and testimony.
AL
Alabama 2025 Regular Session
Alabama Senate Banking and Insurance Committee Mar 19th, 2025
Banking and Insurance
NM
New Mexico 2025 Regular Session
IC - Revenue Stabilization and Tax Policy Dec 16th, 2025 at 09:08 am
Revenue Stabilization & Tax Policy Committee
TX
Transcript Highlights:
- So it's not $25, it's $25 plus, or whatever the copay is, plus time off work.
- A lot of times you have a copay and all of a sudden you're going to the same facility the next day, and
- ...and the copay situation is, right?
- And by copay, the facility fee on that person's insurance plan was 20%.
- But that was for a copay? That was for their personal. ...co-insurance.
Bills:
HB46, HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794
Keywords:
local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 02/19/26
Health and Human Services
Transcript Highlights:
- couple retired in Rochester, their costs in 2025 were $73.09 per month, or $877.08 per year, for a copay
- In 2025, their cost was $145.68 a month, or $1,748 per year, for a copay plan with a $9,200 out-of-pocket
- their cost is nearly doubling, more than doubling, to $362.97 per month, or $4,355 per year, for a copay
- Thank you. year for a copay plan with a $13,600 year for a copay plan with a $13,600 out-of-pocket<01
- plan with a $9,200 per year for a copay plan with a $9,200 out-of-pocket<01:13:22.600>
maximum.