Video & Transcript Research : 'cost sharing'

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MN

Minnesota 2025-2026 Regular Session

House Energy Finance and Policy Committee 3/12/26

Energy Finance and Policy

Transcript Highlights:
  • A rider or a cost tracker.
  • more cost to the system.
  • cost.
  • Um, so higher demand supply cost. About 20% of our power supply cost.
  • that is energy cost. That's 4.5 cents. that is energy cost. That's 4.5 cents.
Bills: HF3830, HF3688
MN

Minnesota 2025-2026 Regular Session

House Education Policy Committee 3/3/26

Education Policy

Transcript Highlights:
  • Um a has shared with you already today.
  • <00:41:28.720> it cost of doing it is is different. it cost of doing it is is different. it
  • So this is simple, allowing us to enter into a data sharing agreement with them.
  • allowing us to enter in a data sharing allowing us to enter in a data sharing agreement<01:14:03.679
  • It would continue to cost the tier 2.
Bills: HF3635, HF3638
AZ

Arizona 2026 Regular Session

03/09/2026 - House Health & Human Services

Health & Human Services

Transcript Highlights:
  • issues, amends, delivers, or renews an insurance policy on or after January 1, 2027, from imposing cost-sharing
  • From a state perspective, certainly Medicaid doesn't really have these types of cost sharing, so it's
  • And the state system eliminated cost sharing for this current plan year.
  • So appreciate you sharing, and I vote aye. I think I should explain my vote.
  • So appreciate you sharing, and I vote aye.
Summary: The committee heard and advanced a series of health and human services bills, with most receiving unanimous or near-unanimous support. SB 1113 would allow screening or evaluation agency employees, under contract with a county, to personally serve court documents in involuntary mental health proceedings instead of requiring police officers; supporters said it would reduce burdens on law enforcement and be less disruptive for patients. An amendment clarifying county contracts and reimbursement was adopted, and the bill passed 12-0. SB 1122 would limit AHCCCS from imposing over-100% prepayment review on certain behavioral health providers serving American Indian Health Program members unless a corrective action plan is in place; AHCCCS was neutral and said it could implement the bill with additional staffing, and it passed 12-0. SB 1123 would remove a board-certification requirement so trained, licensed forensic pathologists can supervise pathology trainees during the period before board exam results are available; Maricopa County supported it as a workforce and efficiency measure, and it passed 12-0. SB 1125 would require DCS to make annual efforts to enter MOUs with Arizona tribes and improve communication on tribal children in state care; DCS said it was already working on several pending MOUs, and the bill passed 12-0. The committee also approved several bills related to cancer screening and mental health. SB 1165 would prohibit cost-sharing for diagnostic and supplemental breast cancer screening services in the commercial market; the sponsor and advocates said it would remove financial barriers that delay diagnosis, and it passed 12-0 amid personal testimony from members and the chair. SB 1243 would require notice to a patient’s guardian before discharge from court-ordered treatment and allow guardians to seek continuation of treatment; supporters said it closes dangerous gaps when treatment orders expire, and it passed 10-0 with two absent. SB 1318 would repeal a state breast-density notice requirement that now overlaps with a federal FDA standard; ADHS said the change would reduce confusion and duplicate notices, and it passed 11-0 with one absent. SB 1188 would align Arizona controlled-substance schedules with federal FDA/DEA scheduling changes; supporters said it would speed access to new treatments, while one member voted no over concerns about relying on federal review, and it passed 8-2. Additional bills addressed privacy and assisted-living referrals. SB 1193 would bar DHS from selling or disclosing EMT personal identifying information for commercial purposes without consent, while still allowing de-identified data; the sponsor’s representative said the bill arose after DHS said vendor access to licensee data was not prohibited, and members discussed whether broader privacy protections should apply to other workers as well. It passed 10-0 with two absent. SB 1477 would require referral agencies serving assisted living facilities or homes to verify background-screening practices, maintain insurance, and provide documentation regarding APS registry status; the bill’s supporters said it raises standards for senior placement services, a technical amendment was adopted, and the bill passed 10-0 with two absent.
AZ

Arizona 2026 Regular Session

02/16/2026 - Senate Finance

Finance

Transcript Highlights:
  • And so that means their premiums, whatever, the costs of insurance would be shared by all members, a
  • And so that means their premiums, whatever, the costs of insurance would be shared by all members, a
  • blanket disability insurer's insurance policy issued on or after January 1, 2027, from imposing a cost-sharing
  • SB 1165 eliminates cost-sharing or co-pays for medically necessary diagnostic breast examinations and
  • Currently, Medicaid and the state employee health program have waived the cost-sharing components for
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.
AL

Alabama 2026 1st Special Session

Alabama House Insurance Committee Jan 28th, 2026

Insurance

Transcript Highlights:
  • Many women face significant out-of-pocket cost after following up breast cancer imaging after a screening
  • those additional testing and not having to stop and say, wait a minute, how much is that going to cost
  • Many women face significant out-of-pocket cost after follow-up breast cancer imaging after a screening
  • do that additional testing and not having to stop and say, wait a minute, how much is that going to cost
  • cost after following follow-up<00:14:48.800> breast<00:14:49.040> cancer<00:14:49.760>
HI

Hawaii 2026 Regular Session

EEP-LAB Joint Public Hearing - Thu Mar 19, 2026 @ 9:30 AM HST

Energy & Environmental Protection

Transcript Highlights:
  • Bill adds cost and not savings. Hawaii. Bill adds cost and not savings.
  • costs and not direct utility costs. costs and not direct utility costs.
  • costs, and risks. In a way, we don't costs, and risks.
  • there's no born cost to either side. there's no born cost to either side.
  • of the utility's costs. of the utility's costs.
Bills: SB3326
Summary: The joint committees on Energy and Environmental Protection and Labor heard SB 3326, a bill concerning a study of separating transmission from generation in Hawaii’s electric system. Testimony was largely opposed. Life of the Land argued that true separation on an isolated island grid has not been shown to work anywhere and said the bill would waste taxpayer money. Hawaiian Electric and the Public Utilities Commission also opposed the measure, saying Hawaii already uses competitive bidding for new generation, that the bill would add cost, complexity, and reliability risks, and that a new study would duplicate prior work. In response to questions, the PUC explained its existing competitive bidding framework and said it had not seen an island system fully restructure in this way. The chair then amended the bill’s intent to require the PUC to open a proceeding for an independent, comprehensive analysis of the state’s energy pathways, including cost reduction, financial risk, state energy goals, and reliability, rather than narrowly focusing on separation. Both committees voted to pass SB 3326 SD2 with amendments, with the Energy committee adopting the recommendation unanimously and the Labor committee adopting it with one reservation and two no votes. The Energy and Environmental Protection Committee then took up SB 2497 SD2, which would require electric utilities other than cooperatives to provide transparent, publicly accessible customer bill impact analyses and annual reports to the PUC. The Department of Commerce and Consumer Affairs and the PUC offered comments, with the PUC supporting the intent. Life of the Land said the proposed disclosure requirements would be too complex for most ratepayers to use meaningfully, while Hawaiian Electric said the bill could raise costs and slow projects, though it acknowledged some of the language changes and said much of the information is already available through existing planning and regulatory processes. Hawaii Clean Power Alliance and one individual testified in support. No vote was taken on SB 2497 SD2 during the excerpt. The committee also heard SB 3183 SD2, which would bar higher-income taxpayers from claiming the renewable energy technologies income tax credit for certain residential solar systems and would change refundability rules. The Department of Taxation, the Hawaii State Energy Office, and the Tax Foundation offered comments, while the Hawaii Solar Energy Association and numerous companies and individuals opposed the bill. Opponents raised concerns about impacts on financing models and the solar market. Members asked the Department of Taxation for data on how credits are claimed by homeowners versus third-party owners and on the refundability of the credit; the department said it did not have the information immediately available but would follow up. The chair indicated decision-making would likely be deferred to allow further review, and no vote was taken in the excerpt.
HI

Hawaii 2026 Regular Session

EIG-CPN, EIG, EIG-TRS Public Hearings 04-16-2026

Energy and Intergovernmental Affairs

Transcript Highlights:
  • And if you look at our testimony, you can see just the costs that are related to generation.
  • <00:01:42.600> that<00:01:42.760> are can see the just the costs that are can see the
  • just the costs that are related<00:01:43.280> to<00:01:43.400> generation.
  • <00:02:03.080> uh<00:02:03.240> generation most uh cost-effective uh generation most
  • And then thirdly, the bill doesn't clearly define operational oversight, maintenance, and cost.
Bills: HCR202
Summary: The joint committees on Energy and Intergovernmental Affairs and Consumer Commerce and Consumer Protection heard HCR 202 HD2, a resolution creating a task force to study Hawaii’s electric generation mix and related costs. Testimony from the Hawaii State Energy Office was neutral and stood on written comments, while another testifier supported the resolution, emphasizing affordability, reliability, and the need to understand the right balance of thermal generation and renewables as the state moves toward its 2045 renewable goals. The chairs said they had conferred on the measure and outlined recommended amendments, including adding study of the separation of ownership and control of generation versus transmission and distribution, and adding Senate committee representation to the task force. The Consumer Commerce and Consumer Protection committee voted to pass HCR 202 HD2 with amendments; the chair, vice chair, and another member voted aye, with one senator excused, and the recommendation was adopted. The Energy and Intergovernmental Affairs committee did not have quorum at that time and said it would take its vote later. The Energy and Intergovernmental Affairs committee also heard HCR 165, concerning pickleball courts in Hawaii Kai. One resident testified in opposition, citing concerns about permanent lights, permanent nets, noise, light pollution, safety, maintenance, and the loss of multi-use flexibility. After discussion, the chair recommended passing the measure as is, and the committee said it would vote the next day because it lacked quorum. The committee also heard HCR 154 and HCR 43 with the Transportation Committee; HCR 154 was passed unamended, and HCR 43, which urged raised crosswalks near Ala Wai Elementary School for pedestrian safety, was also passed unamended. Supporters of HCR 43 described heavy pedestrian traffic, schoolchildren crossing, and unsafe vehicle turning patterns at the intersections. The Transportation Committee adopted both recommendations, while the Energy and Intergovernmental Affairs committee scheduled its votes for the following day.
AL

Alabama 2025 Regular Session

Alabama Senate Finance and Taxation General Fund Committee Apr 23rd, 2025

Finance and Taxation General Fund

Transcript Highlights:
  • It's just simply a procedure to give state employees and retired state employees a cost of living increase
  • Well, the difference is a bonus is just one time anyway, whereas a cost of living increase is Whereas
  • a cost of living increase is traditionally put forward or it goes on forever.
  • That quadriennium of '03 to '06, which I was here then, we gave three cost of living increases and told
  • It's lower risk and it's less risk to healthcare and other costs through Medicare and Medicaid costs
TX

Texas 89th Regular

Insurance Mar 26th, 2025

Insurance

Transcript Highlights:
  • cost roughly about $9,000 for each exam.
  • The cost would be paid by insurers or the plan which TDI...
  • And then on the, so on the cost per... Year, was that 9k?
  • 100% of the time, these costs are passed on.
  • We feel we could absorb these costs.
TX

Texas 89th Regular

Insurance Mar 26th, 2025

Insurance

Transcript Highlights:
  • To the question of cost, I've heard that hiring these New York lawyers to arbitrate these disputes costs
  • Wendell shared.
  • It's the technology that is driving these costs up. ...driving up the cost.
  • How do we control costs?
  • raising costs?
HI

Hawaii 2026 Regular Session

CPN-LBT, CPN DEFER, CPN DEFER, CPN, CPN-EIG Public Hearings 02-10-2026

Commerce and Consumer Protection

Transcript Highlights:
  • clarifying that grid ready home means retrofitted homes and new homes, clarifying provisions related to the cost-sharing
  • /c><00:13:28.240> sharing<00:13:28.720> program related to the cost sharing program related
  • to the cost sharing program [clears throat]<00:13:29.760> and<00:13:30.000> that<00:13
  • cost the rate $1.4 billion. Correct. cost the rate $1.4 billion. Correct.
  • information that you can share? information that you can share?
Bills: SB3326, SB2911
Summary: The committees heard SB 3001 on artificial intelligence in a joint Commerce and Consumer Protection/Labor and Technology hearing. Testimony included support from the Department of Education and Google, comments from the Office of Consumer Protection and the Attorney General’s office, and late opposition from Agentic LLC. The Attorney General raised constitutional and vagueness concerns and suggested clarifying amendments, while Google said the bill’s risk-based approach and proposed amendments could help establish industry-wide safety standards for minors. The committees recessed and then voted to pass SB 3001 with amendments, adopting DCCA/OCP recommendations on data minimization for minors and UDAP clarity, the Attorney General’s proposed clarifications and deletions, and Google’s nonconflicting amendments; the effective date was deferred to July 1, 2050. The vote passed unanimously among members present, with some members excused. The Commerce and Consumer Protection committee then took up several previously heard measures in decision-making. SB 2045 on combat sports passed with amendments reflecting DCCA and boxing commission recommendations, including clarifying the on-site medical professional requirement, reporting duties, promoter payment, removal of the combat sports registry and ambulance requirement, and other technical changes; the effective date was deferred to July 1, 2050. SP 2347 on the residential landlord-tenant code passed with amendments striking landlord requirements so OCP could work on a multilingual tenant-rights notice, and SP 2495 on consumer protection passed with amendments requiring OCP to publish an annual report on potential code violations. SB 2777 on insurance was deferred to February 17, 2026 for further decision-making. At a later CPN decision-making agenda, SB 2471 and SB 2829, both relating to the powers of artificial persons, passed with amendments clarifying the preamble, removing language about foreign artificial persons, and making other consistency and non-substantive changes; both effective dates were moved to January 1, 2027. SP 2033 on renewable energy also passed with amendments clarifying the definition of grid-ready homes, cost-sharing provisions, applicability to interconnecting customers, and safety/certification compliance, with the effective date deferred to July 1, 2050. In each case, the committee voted to adopt the recommendations without objections from members present. The committees also heard SB 3000 on insurance, which would authorize the Attorney General to bring civil actions to recover costs and losses tied to climate-attributable harm and future climate risk, including costs incurred by state insurance-related entities. The Insurance Division and Attorney General’s office offered comments seeking clarification and warning about redundancy, implementation issues, possible representation of private insurers, and concurrent litigation concerns. Supporters, including the Center for Climate Integrity, a resident testifier, Sierra Club, and Green America, argued the bill would help shift insurance costs to fossil fuel companies responsible for climate harms and address rising premiums and nonrenewals in Hawaii. Opponents, including the American Petroleum Institute, argued the bill singled out one industry, raised constitutional concerns, and should be deferred because related climate litigation is already pending. The transcript ends with the committee continuing testimony and discussion on SB 3000 and then moving into SB 3326 on energy, where the consumer advocate and Hawaiian Electric opposed the bill’s proposed separation of generation from transmission and distribution, while the PUC stood on written testimony, Retail Merchants of Hawaii supported it, and Life of the Land raised concerns about assumptions and the need for more substance.
TX
Transcript Highlights:
  • We need a cost-of-living increase to survive. Thank you.
  • Housing costs have soared, and basic necessities have become harder to afford.
  • The last time Texas retirees received a cost-of-living adjustment, a gallon of gas cost $1.60.
  • And when these workers leave, it costs all of us.
  • The last time Texas retirees received a cost-of-living adjustment, a gallon of gas cost $1.60.
Summary: The committee meeting focused on critical issues facing Texas state employees and retirees, highlighting the need for increased compensation and improved benefits. Senator Sarah Eckhardt and Representative John Busey presented new legislation aimed at addressing these longstanding problems, including proposed House Bills 343 and 247, which seek a $10,000 across-the-board pay increase for state employees. Senator Eckhardt emphasized the growing wage gap between public sector jobs and private sector offerings, which has led to high turnover rates and the loss of institutional knowledge. Public testimonies underscored the urgency of the issue as retirees shared their struggles with stagnant pensions amidst rising living costs.
AZ

Arizona 2026 Regular Session

03/16/2026 - House Public Safety & Law Enforcement

Public Safety & Law Enforcement

Transcript Highlights:
  • But then there's a cost. There is a cost, and then it also includes additional people.
  • , and fees, court costs, as reviewed and approved by the court.
  • So that's where... ...costs as reviewed and approved by the court.
  • We know there's a cost associated.
  • We know they're a cost associated.
Summary: The Committee on Public Safety and Law Enforcement heard several bills related to public safety personnel. SB 1520, which would have required state agencies to share certain immigration-related data with the federal government and sunset in 2029, was set aside after a proposed strike-everything amendment was defeated. The committee then voted 7-5 to give the underlying bill a do pass recommendation. SB 1216, which removes the sunset from traumatic event counseling programs for peace officers, firefighters, and 911 dispatchers and expands eligibility to crime scene and digital forensics technicians, drew support from police and fire representatives and passed 12-1 with a do pass recommendation. SB 1391 would create an AZ POST-administered law enforcement stress management pilot program, funded with a $950,000 general fund appropriation and operated through one Arizona nonprofit. The sponsor described it as a preventive, peer-support-focused program, but several members objected that the bill was overly prescriptive and looked like a vendor-specific measure. The committee voted 5-7 against giving SB 1391 a do pass recommendation. SB 1493, as amended, would require employers to pay taxable costs, attorney fees, and expert fees when a law enforcement officer who was terminated without just cause prevails through the administrative appeal process and then in Superior Court after the employer refuses reinstatement. Supporters argued it was a fairness and due process measure for rare cases where officers must litigate twice to be reinstated. After adopting a chairman’s amendment, the committee approved SB 1493 as amended with a due pass recommendation by an 8-3 vote, with one member changing from yes to no before the final tally.
AL

Alabama 2026 1st Special Session

Alabama House Economic Development and Tourism Committee Mar 11th, 2026

Economic Development and Tourism

Transcript Highlights:
  • The markup can be no more than 16.99% of the cost of merchandise plus freight cost.
  • This bill is going to provide that the term cost of merchandise shall only include the amount the board
Bills: SB289, HB395
TX

Texas 89th Regular

Health and Human Services May 23rd, 2025

Health & Human Services

Transcript Highlights:
  • Bit of background, three share Senator Hinojosa: health plans were created to make coverage more affordable
  • Some programs now function solely as premium assistance subsidizing commercial insurance costs instead
  • Three-share is a good program, not Chair: often used, but I think that this is a really good bill.
Bills: HB50
MN

Minnesota 2025-2026 Regular Session

House Commerce Finance and Policy Committee 3/5/26

Commerce Finance and Policy

Transcript Highlights:
  • Instead, it provides that if we choose to enact a new mandate, the state will cover the share of costs
  • /c><00:03:28.800> otherwise<00:03:29.360> be share of costs that would otherwise be share
  • these mandates come with a cost. these mandates come with a cost.
  • sharing, or both.
  • defrail costs, pay for um reinsurance. defrail costs, pay for um reinsurance.
Bills: HF3388, HF400
Summary: The committee approved the minutes from the prior day and then heard House File 400, a bill described as a defrayal measure for health insurance mandates. Representative Perryman said the bill would not block future mandates, but would require the state to pay the added costs of any new mandated benefits so those costs would not be shifted to premium payers. She and supporters framed the bill as a way to protect affordability for Minnesota employers, workers, and families, especially in the fully insured market. Testimony in support came from the Minnesota Chamber of Commerce and the Minnesota Council of Health Plans. They argued that Minnesota has a high number of mandated benefits, that each new mandate adds cost to premiums, and that businesses—especially small and midsize employers—are already struggling with rising health insurance costs. The health plans representative said the bill would use the existing Commerce defrayal process to reimburse plans for eligible mandate-related claims, allowing those costs to be removed from premium rates. Several members echoed support, saying the bill would improve transparency by showing the fiscal impact of proposed mandates and help prevent people from being priced out of coverage. Members also explored how mandates apply in the market and how premiums are set. Deputy Commissioner Julia Dryer explained that, unless otherwise specified, mandates generally apply to the individual, small group, and fully insured large group markets, while self-insured ERISA plans and other markets are generally outside that scope. Representative Elkins noted that the affected market is relatively small and said small businesses are increasingly moving to self-insured plans because of cost. He and others raised concerns about affordability, while Representative Smith argued that mandates often ensure needed care and that the bill shifts costs to taxpayers rather than insurers. Representative Bacham added a personal example from tribal self-insurance, saying preventive physicals had saved lives and asking whether other factors besides mandates are driving insurer costs. No amendments were offered, and the bill was laid over for possible future consideration.
AL

Alabama 2026 1st Special Session

Alabama House Commerce and Small Business Committee Feb 3rd, 2026

Commerce and Small Business

Transcript Highlights:
  • Um, peer-to-peer car sharing industry is basically like a BBO or an Airbnb for your car.
  • So, this bill will make it to where there's more definition of what peer-to-peer car sharing is.
  • <00:03:12.879> Um,<00:03:13.760> peer-to-peer Peer-to-peer car sharing industry is
  • So, this bill will make it to where there's more definition of what peer-to-peer car sharing is. >> And
  • This bill will make it to where there's more definition of what peer-to-peer car sharing is. >> And that
Bills: HB351, SB109, HB351, SB109