Video & Transcript Research : 'coverage mandates'
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TX
Texas 89th Regular
Senate Committee on Health and Human Services Mar 18th, 2025
Health & Human Services
Transcript Highlights:
- by directing. the FBS to assess a capitated funding model and integrated data system rather than mandating
- This is particularly upsetting when a patient has prescription benefit coverage, and it's only due to
- Rather than the state mandating this accommodation for employees and others who practice in the field
- Mandates such as this will ultimately lead to higher costs in providing healthcare as hospitals seek
- to staff up their bench to ensure medical coverage is available as and when needed.
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
House Health Finance and Policy Committee 3/4/26
Health Finance and Policy
Transcript Highlights:
- There are anticipated to be coverage There are anticipated to be coverage losses<00:13:17.200>
- So for the individuals coverage sources.
- <00:15:47.120>
sources transition to other coverage sources transition to other coverage sources- Um but I don't coverage through Menure.
- adults who are receiving funded coverage adults who are receiving funded coverage uh<01:21:47.520
Keywords:
Medical Assistance, Medicaid, MNsure, MinnesotaCare, disability determination, expedited eligibility, state medical review team, compassionate allowance, rare disease, home and community-based services, long-term care, managed care, county-based purchasing, eligibility redetermination, periodic data matching, death master file, Social Security Administration, program integrity, income eligibility, asset test
Summary:
The House Health Finance and Policy Committee met on March 4, 2026, approved the minutes from its February 25 and March 2 meetings, and then heard a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid eligibility changes in the federal One Big Beautiful Bill Act (HR1/OB3). The presentation focused on provisions affecting Medicaid expansion adults ages 19 to 64, including new work and community engagement requirements, changes to retroactive eligibility, quarterly death master file checks, address verification requirements, six-month redeterminations for expansion enrollees, and new limits on some lawful permanent residents and other immigrant groups. Castanza also discussed state implementation issues, including the need for new data-sharing systems, system modernization, outreach, and options for helping people transition to other coverage if they lose eligibility.
She said the work and community engagement rules take effect January 1, 2027, with states given flexibility on look-back periods, consecutive versus nonconsecutive months, and optional hardship exemptions, and noted that CMS guidance is not expected until June 2026. She also described federal support for implementation, including $200 million in grants and a 90% federal match for eligibility system work, while warning that the fast timeline could lead to coverage losses, churn, and challenges for special populations such as caregivers, people with behavioral health conditions, incarcerated individuals, and rural residents. She further explained that an erroneous payment provision could expose states to federal recoupment later if eligibility errors increase.
During member questions, Representative Beerman asked about the overall size of the Medicaid cuts and the cumulative national impact; Castanza said estimates vary by state and cited KFF analysis suggesting states could lose 4% to 19% of federal Medicaid revenue, with a newer RAND analysis recently released. Beerman also asked about the history and effectiveness of state work requirements, but that discussion was not completed in the excerpt. Representative Elkins noted the presentation was not initially posted on the committee website, and the chair said it had since been posted.
AL
Keywords:
business regulation, nonprofit entities, electronic filing, merger agreements, limited liability companies, partnerships, property transfer, termination fees, SB84, agricultural nonprofit, farm bureau, nonprofit agricultural organization, health benefits, member benefits, family coverage, health insurance exemption, insurance regulation, Title 27, Alabama insurance code, risk transfer
NM
New Mexico 2026 Regular Session
Senate - Health and Public Affairs Jan 30th, 2026 at 03:13 pm
Senate Health & Public Affairs
Transcript Highlights:
- It used to be Plan F that gave you international coverage. Most everyone is on Plan G.
- add to that, it is factored into your premium, but it also could be a reason that you're denied coverage
- Could be a reason that you're denied coverage.
- So people can be denied coverage if they have a pre-existing condition.
- So, Madam Chair and Senator, there are circumstances where coverage is absolutely not available to seniors
Keywords:
SB 21, Medicare supplement, Medigap, open enrollment, guaranteed issue, birthday month enrollment, health insurance, insurance regulation, senior health coverage, elderly, retiree, Medicare beneficiaries, preexisting conditions, underwriting restrictions, premium discrimination, New Mexico insurance law, superintendent of insurance, health care coverage, policy portability, healthcare
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Banking and Insurance (9-16-25)
Transcript Highlights:
- mandating.
- Induced utilization means, for example, in this mandate, the coverage was going to be mandated with no
- Um, this is not a typical section that we use because typically we're only looking at one mandated coverage
- For a mandate?
- So, the bills that have passed that have mandated the coverages that we look to add to our essential
Keywords:
Meeting Start 00:00:00
Call to Order and Roll Call 00:00:23
Kentucky Bankers Association 00:02:32
How to Read and Understand KRS 6.948 Health Mandate and Federal Cost Defrayal Impact Statements 00:25:40
Proposed Amendments to Kentucky's Essential Health Benefit-Benchmark Plan 00:50:18
Proposed Health Insurance Legislation for the 2026 Session 01:04:22
Reimbursement for Covered Benefits Delivered Through the Psychiatric Collaborative Care Model 01:01:46
Coverage of Eating or Feeding Disorders 01:18:47
Coverage of Hearing Loss 01:25:31, 958, all
Summary:
The Interim Joint Committee on Banking and Insurance met for its first interim meeting, established a quorum, approved routine opening items, and welcomed a new committee assistant and a legislative intern. The committee first heard a Kentucky Bankers Association presentation from Tim Shank and John Cooper focused on the state’s housing shortage, which they described as affecting all 120 counties and especially low- and moderate-income and workforce housing. They urged support for a proposed $20 million banker-backed revolving fund, paired with tax credits, to finance new housing construction; they said the program would be flexible, could support alternatives such as manufactured housing, and would use below-market loans with tax credits vesting over five years only after units are completed. They also asked for extension of the historical tax credit carryforward from five to seven years and for continued support of new market tax credits, arguing that supply-chain delays make the longer period necessary for historic rehabilitation projects.
The bankers also raised concerns about credit unions, arguing that because credit unions do not pay the same taxes as banks, they should not be allowed to acquire healthy state-chartered banks or hold state and local deposits. They cited the recent purchase of First State Bank of Middlesborough as an example, saying the transaction would reduce state, county, and city tax revenue and weaken local tax bases. In response to committee questions, the presenters said local regulations, zoning, parking, sidewalk, and utility easement issues can significantly delay housing projects, and they emphasized that state policy and infrastructure support are needed to help address affordability and development barriers.
The committee then shifted to a Department of Insurance presentation by Commissioner Sharon Clark on how to read KRS 6.948 health mandate and federal cost defrayal impact statements. Clark explained that the mandate statements were created in 1998 so legislators would have actuarial estimates of how proposed health insurance mandates would affect administrative costs, premiums, and total costs, and she noted that later legislation added federal cost-defrayal analysis. She also reviewed the background of the Affordable Care Act’s essential health benefits framework and said the department’s statements are intended to help lawmakers make informed decisions on proposed health coverage mandates. No votes or formal actions were taken during the portion of the meeting provided.
LA
Transcript Highlights:
- a disability, but there's a large group of people who are on Medicaid but do not have any dental coverage
- So OGB would then be mandated to do what?
- Under the legislation, OGB wouldn't be mandated to do anything.
Keywords:
survivor benefits, law enforcement, reserve officer, auxiliary officer, public safety, firefighters, medical expenses, dental expenses, disability benefits, Medicaid, dental coverage, healthcare access, medical necessity, Louisiana Department of Health, health insurance, provider agreements, contracting actions, participating facilities, network status, survivors benefits
TX
Texas 89th Regular
Senate Committee on Health and Human Services Mar 12th, 2025
Health & Human Services
Transcript Highlights:
- First, I would encourage the drafters to expand the bill's coverage. often of the greatest value.
- So we identified a number of solutions, whether it was in Medicaid, private market coverage, or Medicare
- this is one of the, they're all very common sense solutions of us trying to help people know about coverage
- Senate Bill 125 is impractical. because it mandates a 72-hour timeline.
- Section 125 would impose an impractical and unworkable mandate by requiring all hospital levels, regardless
Bills:
SB 53, SB53, SB125, SB315, SB379, SB457, SB541, SB599, SB896, SB921, SB963, SB1038, SB1084, SB1330, SB1461
Keywords:
voter registration, election procedures, provisional ballot, change of address, residence requirements, mental health, court proceedings, notice requirements, legal filings, electronic documents, autologous blood donation, direct blood donation, blood bank, hospital, Health and Safety Code, physician order, preoperative blood donation, patient blood reserve, transfusion, surgery
AZ
Arizona 2026 Regular Session
02/04/2026 - House Federalism, Military Affairs & Elections
Federalism, Military Affairs & Elections
Keywords:
veteran status, veterans court, treatment court, diversion program, initial appearance, arrestee processing, criminal procedure, DD-214, Department of Veterans' Services, prosecuting agency, court notification, military service, armed forces, veterans benefits, reentry, mental health court, drug court, specialty court, Arizona criminal law, pretrial hearing
Summary:
The committee first took up HB 2663, which updates military leave protections for state and non-state employees by aligning statutory language with how service members’ orders are described. Representative Pena said the change was intended to remove confusion without affecting benefits, and members noted it would help protect employees called to training, deployment, or state active duty. The bill passed unanimously with a due pass recommendation.
The committee then heard HB 2976, a bill addressing administrative control of justice courts and due process for elected justices of the peace when state or county entities take action affecting their statutory authority. Supporters, including two Pima County justices of the peace, described administrative orders that transferred control of their courts without notice, findings, or a meaningful chance to respond, and argued the bill would require notice, a hearing, written findings, and review before such changes. The Arizona Supreme Court’s government affairs director opposed the bill as unconstitutional, arguing the state constitution gives the Chief Justice administrative supervision over all courts and that the legislature cannot impose those procedures by statute. After a lengthy and at times contentious exchange over constitutional authority and the role of elected JPs, the committee voted 6-1 to give HB 2976 a due pass recommendation.
After a recess, the committee considered HB 2406, which requires the Arizona Department of Veterans’ Services to study how aware veterans are of available state, local, and federal benefits and to report recommendations for improving awareness. Testimony in support emphasized that many veterans do not know the full range of benefits available to them and suggested surveys, outreach, and other low-cost methods to gather information. Some members questioned whether a study was necessary or how it would be conducted, but several said they would support it for now; the bill received a due pass recommendation by a 5-1-1 vote.
Finally, the committee heard HB 2226, which requires courts at initial appearance hearings to ask whether a defendant is a veteran and, if so, to consider referral to veterans’ treatment or diversion programs. Supporters said the bill would help identify eligible veterans early in the process and connect them to services, while one member raised Fifth Amendment concerns about asking the question before counsel is present. The sponsor and testifier agreed to work on an amendment clarifying that the answer could not be used against the defendant in later proceedings. The committee moved the bill forward with a due pass recommendation, with members indicating support pending that amendment.
LA
Louisiana 2026 Regular Session
Transportation, Highways and Public Works May 21st, 2026
Transportation, Highways & Public Works
Transcript Highlights:
- for persons who owe reinstatement fees imposed pursuant to 32:863 for having lapse of insurance coverage
- owe reinstatement fees imposed pursuant to Revised Statute 32:863 for having lapse of insurance coverage
Keywords:
Saint Claude Avenue Bridge, Port of New Orleans, backup motors, infrastructure, traffic management, oversized vehicles, permitting, economic impact, transportation, local regulations, Louisiana economy, Interstate 12, I-12, Interstate 55, I-55 interchange, DOTD, Department of Transportation and Development, D.R.I.V.E. Initiative, highway infrastructure, transportation planning
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 4/8/26
Health Finance and Policy
Transcript Highlights:
- . coverage. coverage.
- But it is notable that this bill will likely be interpreted to mandate coverage of an extra-statutory
- But it is notable that this bill will likely be interpreted to mandate coverage of an extra-statutory
- someone could utilize this coverage. someone could utilize this coverage.
- It's because we mandate coverage for different things, and somebody has to pay for that.
Keywords:
infertility, fertility treatment, fertility preservation, IVF, assisted reproductive technology, ART, oocyte retrieval, embryo transfer, egg freezing, sperm freezing, reproductive health, maternity coverage, health insurance mandate, health plan benefits, Medical Assistance, Medicaid, MinnesotaCare, family planning, oncology fertility preservation, chemotherapy
MN
Transcript Highlights:
- some program and reallocate those funds to one of these programs, and hopefully it wouldn't be a mandate
- some program and reallocate those funds to one of these programs, and hopefully it wouldn't be a mandate
Keywords:
HF169, Minnesota insurance, health plan, summary of benefits and coverage, SBC, patient assistance program, deductible, health insurer, consumer disclosure, out-of-pocket costs, medical assistance funds, copay assistance, health coverage transparency, chapter 62Q, enrollee, HF195, Fairmont, street reconstruction, bonding bill, capital investment
TX
Texas 89th Regular
Pensions, Investments & Financial Services Mar 31st, 2025
Pensions, Investments & Financial Services
Transcript Highlights:
- as pending business House Bill 618, by Representative... ...which relates to health benefit plan coverage
- Coverage for those districts would resume on September 1, 2026.
- This is not a mandate, but rather an opportunity for districts to make another choice.
- The bill before you is simply meant to expand the FCIC's mandated function.
- Our initial mandate revolved around card fraud and skimming.
Keywords:
gift card fraud, counterfeit gift card, gift card tampering, gift card theft, prepaid card, stored value card, retail fraud, financial crimes, consumer protection, organized retail crime, gift card skimming, magnetic stripe, chip card, redemption information, gift card packaging, Penal Code, felony theft, state jail felony, third-degree felony, second-degree felony
AL
Alabama 2026 1st Special Session
Alabama Senate Banking and Insurance Committee Feb 25th, 2026
Banking and Insurance
Keywords:
public officers, bonding, risk management, notification, delinquency, consumer protection, rental home, marketplace guarantees, insurance, commissioner of insurance, healthcare, breast cancer screening, insurance coverage, deductible, copayment, emergency medical services, ambulance reimbursement, health care insurers, balance billing, provider networks
HI
Hawaii 2026 Regular Session
EDU-EDN Informational Briefing 05-21-2021 2pm
Hawaii Senate Floor Meeting
Keywords:
HI Senate YouTube, https://www.youtube.com/watch?v=KFEaItdBNI4, 2026-07-02T01:22:52+00:00, 2.2.24, Data collected via generic collector engine, Video coverage by the House IT Department.
Agenda:
https://www.capitol.hawaii.gov/session2021/hearingnotices/HEARING_EDU-EDN_05-21-21_INFO_.PDF, 912, senate, all, 2.2.42, 2.1.47
AZ
Arizona 2026 Regular Session
03/18/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- Government mandates are contrary to these individual rights.
- As we recently experienced, medical intervention mandates were put forth that were not voted upon by
- The Nuremberg Code was violated by institutions that mandated experimental injections that had never
- The Nuremberg Code was violated by institutions that mandated experimental injections that had never
- The primary mandate of the Board of Nursing is to protect the public.
Keywords:
orders of protection, domestic violence, court procedures, legal guardian, enforcement, healthcare, licensed health aides, scope of practice, ventilator care, training standards, medical freedom, healthcare mandates, employment requirements, public health, government regulation, elderly, physical disabilities, Arizona Health Care Cost Containment System, home and community based services, funding increase
Summary:
The committee first heard a presentation from Central Arizona Shelter Services (CASS) on homelessness in Maricopa County and CASS programs for single adults, families, and older adults. The witness described rising homelessness, especially among older adults, and said recent declines were linked to American Rescue Plan Act funding for shelters and flexible rental assistance. Members asked about CASS partnerships with mutual aid and service organizations; the witness described collaborations for food, banking, haircuts, digital access, and behavioral health. No vote was taken on this presentation.
The committee then considered HB 2248, the Arizona Medical Freedom Act, which would bar businesses, schools, and government entities from denying services or employment based on medical interventions and limit employer medical requirements, with a school outbreak amendment adopted. Proponents framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would weaken employers’ ability to control communicable diseases and protect public health. The committee adopted the amendment and advanced the bill on a 4-3 vote. It also advanced HB 2906, requiring one oral and maxillofacial surgeon on the State Board of Dental Examiners, and HB 2189, directing the Nursing Board to implement rules for licensed health aides performing routine ventilator care; both passed with amendments and strong support from sponsors and board representatives.
Later, the committee approved HB 2403, appropriating $2.5 million in FY2027 for home- and community-based services providers serving elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers and reduce more expensive hospital or facility care. The committee also passed several continuation bills, including HB 2731 for the Physician Assistants Board, HB 2730 for the Occupational Therapy Board, and HB 2729 for the Nursing Board, all on largely party-line or near-unanimous votes after testimony from board staff emphasizing public protection and oversight.
The committee then took up HB 2728, a DES continuation bill that also incorporated nine previously vetoed policy bills affecting SNAP, unemployment, and related benefits. Opponents argued it would make access to essential benefits harder and turn a routine continuation bill into a vehicle for controversial policy changes; supporters said it was needed for oversight and program integrity. The bill advanced on a 4-3 vote. Finally, the committee approved HB 2048, a strike-everything amendment requiring AHCCCS to treat a new non-opioid pain medication no more restrictively than opioids in utilization controls, and ACR 2058, which would require a comprehensive Medicaid claims audit funded by recoveries. Both measures drew support from sponsors and some personal testimony, while opponents warned about cost, duplication of oversight, and incentives that could bias audits; each advanced on 4-3 votes. The committee then adjourned.
FL
Transcript Highlights:
- Simon and our amazing team in appropriations to make sure that we are not just passing on an unfunded mandate
- With this bill, if this bill passes, we've gotten to the legislature telling, setting a mandate, actually
- Now we are mandating teachers and instructors to utilize two photos from these two gentlemen during the
Keywords:
autism, autism spectrum disorder, ASD, special education, exceptional student education, ESE, teacher preparation, educator certification, micro-credential, loan forgiveness, student loan repayment, teacher stipend, salary supplement, professional development, inclusive education, developmental disabilities, Down syndrome, behavioral disabilities, school district compensation, collective bargaining
Summary:
The committee first heard SB 420, which would require portraits of George Washington and Abraham Lincoln to be prominently displayed in classrooms used for social studies and in all K-5 classrooms, with the Department of Education selecting the portraits. Senator Burgess framed the bill as a patriotic and educational measure tied to America’s 250th anniversary, while Senator Davis raised concerns about exclusivity, political precedent, and state intrusion into local classroom decisions. Senator Osgood and others asked about sensitivity to diverse student populations and whether additional figures such as Harriet Tubman could also be displayed. Burgess said the bill would not prevent other displays, emphasized the two presidents’ historical significance, and committed to funding support so the mandate would not burden districts. The committee voted the bill favorably.
The committee then took up CS/SB 206 on autism education and teacher preparation. Senator Harrell’s strike-all amendment required teacher preparation programs to include autism and other neurodevelopmental disabilities, required ESE-certified teachers to complete an autism microcredential, created an autism loan forgiveness program and salary supplement provisions, and directed district professional development to include autism-specific training with local CARD centers. A second amendment removed a proposed change to the legal definition of autism so that issue could be handled separately. Senators Davis and Osgood asked about implementation timelines, grandfathering current teachers, and how the bill would affect educators already working in autism classrooms; Harrell said he was open to further discussion and wanted to ensure flexibility while still requiring the credential. Public testimony included support from Orange County Public Schools, a parent of children with autism, and others. The committee adopted the amendments and reported the bill favorably.
Finally, the committee heard CS/SB 556, which allows students with disabilities to satisfy the high school physical education requirement by participating in Special Olympics for one year if included in the student’s IEP. An amendment also clarified that two years of marching band satisfies both the PE credit and a fine or performing arts credit. Supporters said the bill expands inclusive options and reduces administrative burdens, and Senator Yarborough praised the change as giving students more flexibility. The committee adopted the amendment and reported the bill favorably. The committee also took up confirmation votes for appointments in tabs 4 through 7 and recommended all of them favorably by a single roll call vote.
OK
Oklahoma 2026 Regular Session
Commerce and Economic Development Oversight REVISED: SB1101 and SB1966 - Added Apr 16th, 2026 at 10:30 am
Commerce & Economic Development Oversight
Transcript Highlights:
- I am here to satisfy a grant requirement federally mandated by the US Department of Health and Human
Keywords:
SB80, legislation, state law, public safety, community impact, local governance, dental coverage, insurance reporting, healthcare access, dental loss ratio, community benefits, Oklahoma law, Athletic Trainer, Compact, interstate practice, licensure, public health, workforce development, military spouses, telehealth
CO
Colorado 2026 Regular Session
Colorado House 2026 Legislative Day 086 Apr 9th, 2026
Colorado House Floor Meeting
Keywords:
Colorado Channel (CGA Floor), https://www.youtube.com/watch?v=ESt4lOIeaUQ, 2026-06-21T02:37:49+00:00, 2.2.24, Data collected via generic collector engine, Due to technical issues, this stream ended at 3:45pm. Please refer to Part 2 for continued coverage of today's legislative session., 981, all, 2.2.42, 2.1.47
AZ
Transcript Highlights:
- If reimbursement parity is mandated here, it gets mandated elsewhere.
- , up and then we all by law have to mandate our mandate and cover that, and that's how the system works
- And the idea of if you want to provide these coverages, give us some tools to make that mandate more
- , including whatever hospital... to provide call coverage, including whatever hospital coverage they
- They really have coverage.
Bills:
HB2176, HB2333, HB2435, HB2447, HB2617, HB2683, HB2686, HB2725, HB2726, HB2906, HB2953, HB2958
Keywords:
health care, licensure, complaints, investigation, safety, patient care, regulatory compliance, prosthetics, orthotics, health insurance, Medicare, medical necessity, disability rights, coverage, reimbursement, internationally trained physicians, medical board, clinical training, provisional license, healthcare workforce
Summary:
The committee heard and acted on several health care bills. HB 2726 would require Access contractors to cover diagnosis and treatment of mild obstructive sleep apnea, including a new prescription tongue-stimulation device; supporters said it offers an effective, less burdensome alternative to CPAP and could improve adherence and outcomes, while Access was neutral and raised concerns about cost and bypassing its normal clinical review. The committee adopted the Bliss amendment and then approved HB 2726 as amended on an 8-4 due-pass vote.
HB 2435 would create a pathway for internationally trained physicians to receive a provisional Arizona medical license, with a later amendment adding a four-year supervised rural practice requirement and automatic conversion to a full license if criteria are met. Supporters argued it would help address severe physician shortages in rural and underserved areas, especially for cardiology and other specialties, and several doctors testified about their experience and the need for more access. Opponents, including the Arizona Medical Board, said the state already has a case-by-case licensure process for foreign-trained physicians and warned the bill could weaken safeguards and allow insufficiently vetted applicants. After adopting the amendment, the committee approved HB 2435 as amended on a due-pass recommendation.
HB 2958 would require Access to cover comprehensive dental care for pregnant women age 21 and older, with a $500,000 pilot program and reporting requirements. The sponsor and public health advocates said preventive dental care during pregnancy can reduce infections and improve maternal and infant outcomes, and the bill drew broad support from health and advocacy groups. The committee passed HB 2958 on an 11-1 due-pass vote.
The committee also approved HB 2176, which changes criteria and timelines for health care institution licensing complaints and informal dispute resolution, with supporters saying it would improve transparency and predictability for hospitals while preserving enforcement authority. Finally, the committee heard HB 2447, which would bar insurers from paying certified registered nurse anesthetists less than physicians for the same anesthesia service; opponents argued it would interfere with contract negotiations and raise costs, while supporters said insurer reimbursement cuts are harming rural access and shifting costs to hospitals. The transcript ends during testimony on HB 2447, before any committee vote on that bill.
AL
Alabama 2025 Regular Session
Alabama House Ways and Means General Fund Committee Feb 12th, 2025
Ways and Means General Fund
Keywords:
elections, post-election audit, election audit, risk-limiting audit, ballot audit, election integrity, voter confidence, Secretary of State, judge of probate, canvassing board, poll watchers, ballot containers, manual tally, recount, county election, statewide election, general election, absentee ballots, provisional ballots, election transparency