Video & Transcript Research : 'down payment'
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NM
New Mexico 2025 Regular Session
IC - Federal Funding Stabilization Subcommittee Jul 1st, 2025
Federal Funding Stabilization Subcommittee
Transcript Highlights:
- A lot of states have rounding laws to round up or round down.
- We use the language that the HDAA is a supplemental payment program.
- these provider taxes and supplemental payments as fraud and abuse.
- Rate down to 100% of Medicare rates because we are an expansion state.
- And we went down there.
MN
Minnesota 2025 1st Special Session
House Children and Families Finance and Policy Committee 4/1/25
Children and Families Finance and Policy
Transcript Highlights:
- The changes include capping families' co-payments at 7% of a family's income, which is down from 14%.
- The changes include capping families' co-payments at 7% of a family's income, which is down from 14%.
- >
in income which is down from 14% in income which is down from 14% in addition<00:04:14.079>< - to reducing fam's co-payment addition to reducing fam's co-payment the<00:04:15.879>
new <00:04 - Is it like a monthly payment? Is it an annual payment?
Keywords:
child welfare, economic assistance, child care, grant program, video security cameras, early education, scholarships, funding, children, families, Minnesota education, child care licensing, family child care, child care center, Minnesota Department of Children, Youth, and Families, correction order, conditional license, fix-it ticket, documented technical assistance, license suspension
NH
New Hampshire 2026 Regular Session
House Criminal Justice and Public Safety (01/22/2026)
Criminal Justice and Public Safety
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 2/24/26
Human Services Finance and Policy
Transcript Highlights:
- However, existing approved payments and those payments currently under review by CMS must phase down
- potentially related to the phase down. potentially related to the phase down.
- enactment July 4, 2025 for new payments. enactment July 4, 2025 for new payments.
- a payment error rate above 3%. a payment error rate above 3%.
- penalized under the payment error rate. penalized under the payment error rate.
Bills:
HR1
MO
Transcript Highlights:
- So these payments, these payments, do we have payments also to Movers for each of the quarterly updates
- section where we actually make the payments out of.
- So we are forcing those payments, us to make higher payments and continue to make payments instead of
- So we're hopeful that the cost will come down.
- Our injuries are actually going down.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 2/13/25
Human Services Finance and Policy
Transcript Highlights:
- The last lever I'll mention is payments, so we're seeing an increase in payment rates, and a lot of that
- >
a <00:20:11.520>lot an increase in payment rates and a lot an increase in payment rates - approved within our Medicaid payment approved within our Medicaid payment system<00:31:36.480>
- We'd also like to allow for payment withhold when somebody has a background study disqualification. payments
- <00:45:24.160>
withhold we'd like to allow for payment withhold we'd like to allow for payment
AL
Transcript Highlights:
- shall include payment Restitution shall include payment payable<01:13:51.840>
to <01:13:52.000 - <01:46:53.840>
I65 a state trooper who's running down I65 a state trooper who's running down - those payments. those payments. any<01:52:11.920>
allocation <01:52:12.480>of <01:52 - whereby payment can be determined. whereby payment can be determined.
- <03:36:52.720>
made those relocation payments made those relocation payments made following
Summary:
The meeting included a Senate recognition ceremony honoring the Winona High School boys basketball team for winning the 2026 Alabama High School Athletic Association 5A state championship. A resolution was read commending the team for its 101-40 victory over Silicag, noting the team’s record-setting performance, Brendan Davis’s MVP honor, the contributions of other players, and Coach Cedric Lane’s leadership. Senators and the lieutenant governor praised the players’ sportsmanship, the school community, and the team’s historic season, and copies of the resolution were presented to the team, coaches, and administrators. Several guests and school representatives also spoke briefly, including the coach and principal, who thanked the Senate and noted the team’s success and the principal’s retirement after 35 years.
After the recognition, the Senate returned to session and adopted the Committee on Rules report setting the special order calendar. The calendar included Senate Bill 99 on the Ten Commandments, Senate Bill 298 on Class 3 municipalities, House Bill 381 on camp safety, Senate Bill 370 on tax increment districts, Senate Bill 363 on the Department of Economic and Community Affairs, House Bill 466 on firefighters, House Bill 95 on elections, House Bill 259 on stablecoin, and Senate Bill 342 on education.
The chamber then took up SB 99, sponsored by Senators Kelly and Sessions. Senator Kelly described the bill as requiring local school boards to display the Ten Commandments, together with founding documents such as the Declaration of Independence, Constitution, Bill of Rights, and Alabama Constitution preamble, in certain history classrooms and common areas for grades five through 12, using donated displays and funds when available. He said the bill was intended as a historical and educational measure, not religious instruction, and emphasized the inclusion of a disclaimer stating Alabama is not establishing a religion. After extended debate and a petition to close debate from the Rules Committee, the Senate voted on the bill by long roll and passed SB 99, with the recorded vote announced as 30 yeas and 4 nays.
MN
Minnesota 2025-2026 Regular Session
Legislative Audit Commission 11/4/25
Minnesota House Floor Meeting
Transcript Highlights:
- . payment. payment.
- We have no have overp payments.
- This is two payments to vendors.
- , they are not rushing payment.
- the way down to individual providers. the way down to individual providers.
Summary:
The committee heard a presentation from the legislative auditor on a performance audit of the governor’s office and lieutenant governor’s office covering July 1, 2022 through December 31, 2024. The audit reviewed receipts, inventory, payroll, and non-payroll expenditures and found 12 findings, concluding the office generally did not comply with the criteria tested because of internal control deficiencies. The auditor said four of five prior findings that remained relevant were not fully resolved, and that the problems were widespread across financial operations, creating opportunities for waste and fraud, though no evidence of wrongdoing or misuse of funds was found.
The main findings involved weak segregation of duties, late vendor payments, inaccurate reimbursements and vendor payments, missing documentation, and poor receipt management. Auditors said one employee handled purchasing, receiving, payment processing, and inventory functions without adequate oversight; vendors were often paid late, resulting in more than $1,000 in late/reactivation fees; reimbursements and some state airplane payments contained errors; and many vendor payments, reimbursements, and purchasing card transactions lacked required support. The office also failed to collect about $12,000 for events at the governor’s residence, did not fully process several deposits, and lacked documentation for some billed or deposited amounts.
Members reacted strongly to the repeated control failures and the lack of documentation, with several saying the issues were pervasive and concerning even if the dollar amounts were not large. Questions focused on whether the problems reflected different treatment of vendors versus employee expenses, whether restitution was being sought, and whether legislation was needed. The auditor responded that the state already has the necessary policies and procedures, and that the issue is implementation and oversight by the governor’s office, not new legislation. The auditor also said the governor’s office had been receptive and had begun taking steps to address the findings.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Health Care Financing Jun 21st, 2026 at 01:00 pm
Joint Committee on Health Care Financing
Transcript Highlights:
- direct payments by Medicaid.
- direct payments by Medicaid.
- The payment structure I certainly understand.
- Although other states have increased payments for commercially insured primary care, none linked payments
- to monthly prospective payment.
Summary:
The Joint Committee on Health Care Financing held a public hearing on a large docket focused on primary care, workforce development, and medical debt. Chairs Cindy Friedman and John Lawn outlined hearing procedures and noted that testimony would be taken on 17 matters. The committee first heard testimony on bills to establish a community health center nurse practitioner residency program and to strengthen mental health centers. Senator Keenan, Rep. Keefe, and health center leaders described the Worcester nurse practitioner residency as a successful pipeline and retention strategy, citing workforce shortages, training needs in community health centers, and the cost of the program. Rep. O’Day also supported the mental health centers bill, saying it would raise payment rates, improve reimbursement for behavioral health services, and help clinics retain staff and expand access.
The committee then took testimony on bills to address medical debt through hospital financial assistance reform. The Attorney General’s Office, Health Care for All, Health Law Advocates, the Leukemia and Lymphoma Society, and individual patients supported the measure, arguing that hospital financial assistance policies are inconsistent, hard to find, and difficult to navigate. Witnesses said the bill would standardize eligibility criteria, create a uniform application, improve notice requirements, and expand access to discounted care up to 400% of the federal poverty level. Several personal stories described medical bills being sent to collections, confusion over insurance billing, and the burden of debt on low-income and chronically ill patients. Committee members asked about hospital concerns, the role of the health safety net, and whether the bill addressed root causes of medical debt; testimony emphasized that the proposal was meant to improve transparency and access rather than replace broader insurance reforms.
The hearing also focused heavily on “Primary Care for You” legislation, H. 1370 and S. 867, which would increase primary care investment and create a new payment model. Rep. Haggerty, physicians, a patient, community health center leaders, and the Massachusetts League of Community Health Centers described a primary care crisis marked by low reimbursement, staffing shortages, long waits, burnout, and difficulty recruiting clinicians. Supporters said the bills would shift spending toward preventive, team-based care, improve access and equity, and reduce long-term costs. The Massachusetts Association of Health Plans said it was directionally supportive of increased primary care investment but warned that any new spending must stay within the cost growth benchmark and preserve existing contracting structures. The hearing ended with additional testimony on a community health center workforce and loan repayment grant bill from Rep. Stanley, and with further discussion from Dr. Alan Garo about the need for payment reform in primary care.
HI
Hawaii 2025 Regular Session
CPC Public Hearing - Wed Mar 12, 2025 @ 2:00 PM HST
Consumer Protection & Commerce
Transcript Highlights:
- charge $5 for debit card payments charge $5 for debit card payments correct<00:24:58.960>
uh< - I would imagine a normal loan payment might be 100 bucks.
- Premiums will never go down to where they were in 2019 or 2020. That's just not possible.
- Continuing to go down this path is not in the best interest of condominium owners.
- So continuing to go down this path is not in the best interest of condominium owners.
Summary:
The Committee on Consumer Protection and Commerce met on March 12, 2025, and heard testimony on several bills, with most measures drawing support from state boards, agencies, and industry groups. SB 102 (restaurants) had one supportive testifier and no questions. SB 1367 SD1 (installment loans) drew support from DCCA and other boards, but the chair raised concerns about a proposed $5 debit-card convenience fee, saying it seemed high and suggesting it might be amended downward; DCCA said it would check with industry on the likely impact. SB 1373 SD2 (administrative licensure action against sex offenders) received broad support from DCCA and multiple professional licensing boards, including psychology, physical therapy, naturopathic medicine, chiropractic, dentistry, massage therapy, nursing, optometry, barbering and cosmetology, the Hawaii Medical Board, and HPD.
The committee then heard SB 1142 SD1 (insurance proceeds), which was supported by DCCA, the Council for Native Hawaiian Advancement, AARP, Hawaiʻi Realtors, and the Hawaiʻi Insurers Council, while State Farm offered comments and the Hawaii Bankers Association opposed. Testimony focused on insurance access after the Lahaina wildfires and the need to address underinsured homeowners. The committee also discussed SB 144 SD2 (stabilization of property insurance), with support from the Hawaii Green Infrastructure Authority, AARP, Hawaiʻi Realtors, and the Hawaiʻi Insurers Council, and comments from the Attorney General and DCCA Insurance Division about revising the financing structure and correcting bill language. Opponents and reservationed supporters argued the bill may not help if applicants can still obtain coverage at very high prices, while supporters said it would expand market capacity and provide a safety net as climate-related losses continue.
Finally, SB 253 SD2 (condominium reserves) received support from Hawaiʻi Realtors, CI, and several individual testifiers. Supporters said it would enforce existing disclosure requirements under Act 199 and improve reserve funding transparency, while one individual argued stronger enforcement and an ombudsman-style office would be more effective. The chair reminded testifiers to stay on the bill at hand. No votes or final committee actions were taken during the portion of the meeting reflected in the transcript.
MN
Minnesota 2025-2026 Regular Session
House Housing Finance and Policy Committee 2/18/25
Housing Finance and Policy
Transcript Highlights:
- So this is the impact that having to wait longer, having to save more, needing larger down payments,
- the needing larger down payments and all the needing larger down payments and all the concerns<00
- But more supply can help bring down the P&I part of the payment.
- But more supply can help bring down the P&I part of the payment.
- <01:03:23.400>
if <01:03:23.520>we down the pni part of the payment if we down the
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Revenue Jun 21st, 2026 at 10:00 am
Joint Committee on Revenue
Transcript Highlights:
- They need to make advance payments.
- They're going to have to make a bigger advance payment.
- They call me back, said, hey, start making the payments.
- We need $5,000 down to get you below the threshold we're allowed to have in order to set up a payment
- I had made $11,000 in payments. But I owe $28,000.
Summary:
The Joint Committee on Revenue held a hybrid hearing on several property and local tax bills. The main focus was H.56, the Municipal Empowerment Act, which the Healey-Driscoll Administration, the Massachusetts Municipal Association, MAPC, and Salem Mayor Dominick Pangallo supported as a package of local options and administrative reforms. Supporters said municipalities need more tools to relieve pressure on property taxes and fund services, citing proposed increases to local meals and lodging taxes, a new local vehicle excise surcharge, senior property tax relief, one-year override flexibility for emergencies, and central valuation of telecom and utility property by DOR. The administration said the bill was based on municipal listening sessions and was intended to give cities and towns optional, not mandatory, revenue tools. Opponents, including the National Federation of Independent Businesses, argued the tax increases would hurt restaurants, hotels, tourism, and small businesses and add to affordability concerns.
The committee also heard testimony on H.3211, dealing with deeds excise receipts, from Norfolk County Commissioner Richard Staidi. He said Norfolk County is financially stable but needs additional revenue for major capital needs at its agricultural school, especially a new cafeteria and other aging facilities, and also to support county programs such as veteran transportation services. On S.2020, a bill to allow settlements of tax liability, Greater Boston Legal Services, the Asian American Civic Association, and several individual taxpayers urged creation of a more workable offer-in-compromise process at DOR. They said the current system is too subjective, requires an unaffordable $5,000 threshold, lacks clear standards and appeal rights, and leaves low-income taxpayers stuck with unmanageable debt, license suspensions, or business closures. Supporters said the bill would give both taxpayers and DOR a practical way to resolve liabilities and bring people back into compliance.
The committee also took testimony on S.1966, which would require nonprofits selling property to disclose any back-tax obligations to buyers. Senator Peter Durant said the bill was prompted by a personal experience in which a tax bill arrived after a nonprofit property purchase was already completed, and he argued the disclosure would prevent buyers from being surprised by retroactive tax liability. No votes were taken during the hearing, and the chair closed the session after hearing from all scheduled witnesses.
KY
Kentucky 2025 Regular Session
House Standing Committee on Veterans, Military Affairs, & Public Protection (2-11-25)
Transcript Highlights:
- These supplemental payment programs allow for a situation to get closer to full payment of what those
- These supplemental payment programs allow for a situation to get closer to full payment of what those
- The Medicaid payment does not cover the cost of those EMS runs.
- These supplemental payment programs allow for a situation to get closer to full payment of what those
- Program, and they are drawing down those dollars.
Summary:
The House Standing Committee on Veterans, Military Affairs, and Public Protection held its first meeting of the 2025 session, welcomed new members, announced a 24-hour rule for committee amendments, and reviewed basic meeting procedures. After roll call confirmed a quorum, members recited the Pledge of Allegiance and prayer. The chair also recognized Representative Thomas for his service to the committee and presented remarks of appreciation as he moved into other duties.
The committee then considered House Bill 191, which would extend burial eligibility in Kentucky state veterans cemeteries to certain National Guard and Reserve members who were honorably discharged but never activated under Title 10. Testimony from Rep. Aaron Thompson and KDVA officials explained that the bill aligns with the federal Burial Guard Reserve Act of 2022 and would cover some long-serving Guard and Reserve members, including those who served during disasters such as the Eastern Kentucky floods and western Kentucky tornadoes. Members voiced support, and the bill passed the committee with a favorable recommendation after adoption of a title amendment.
Next, the committee took up House Bill 152, which would create a supplemental Medicaid payment program for public EMS agencies through voluntary intergovernmental transfers, with no general fund dollars used. Rep. Michael Meredith and EMS chiefs testified that the measure would help public agencies recover more of the cost of Medicaid transports; one example cited was a local agency that could increase reimbursement substantially under the program. In response to questions, witnesses said the existing program for public and private agencies is mandatory, while this bill creates an additional voluntary enhancement for public agencies only, and that the program could be affected if Medicaid match rates change. The committee approved the bill with a favorable recommendation and a title amendment. The meeting ended with announcements about Military Kids Day on February 25 and a Kentucky National Guard Association reception and dinner on February 15, followed by adjournment.
MN
Transcript Highlights:
- Um, it's reasonable salaries even all the way down to the workers that are there.
- Um, it's reasonable salaries even all the way down to the workers that are there.
- Um, it's reasonable salaries even all the way down to the workers that are there.
- , directed pharmacy dispensing payment, directed pharmacy dispensing payment, how<00:14:14.240>
- So, anything above that will not receive this direct payment.
NM
New Mexico 2025 Regular Session
IC - Federal Funding Stabilization Subcommittee Jul 2nd, 2025
Federal Funding Stabilization Subcommittee
Transcript Highlights:
- We all know about the payments to state governments.
- Back down to Medicare. Now, the hospitals just got their first quarterly payment.
- a year of those increased payments.
- So let's get down into the weeds on slide 16.
- You know, they haven't even had a full year's payment.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 7 on Accountability and Oversight Aug 20th, 2025
Transcript Highlights:
- It is trickle-down economics that never trickles down.
- It is a trickle-down economics that never trickles down.
- at 100% of Medicare payment rates.
- It simplifies the payment plans by and large.
- payment error rate.
Summary:
The Assembly Budget Subcommittee on Accountability and Oversight held its fifth hearing of the year to examine the newly enacted federal H.R. 1 and its effects on California. Members and the chair described the law as a major threat to state health, food, education, and climate programs, and emphasized that California would not be able to fully backfill the federal cuts. Several members also highlighted the bill’s tax provisions, including temporary deductions for tips, overtime, seniors, and auto loan interest, while warning that the largest benefits flow to higher-income taxpayers and that major cuts to Medi-Cal, CalFresh, and clean-energy incentives are delayed or phased in over time.
The Legislative Analyst’s Office and the Department of Finance presented detailed overviews of the bill’s likely impacts and implementation timelines. They identified the main affected areas as health care coverage and financing, food assistance, higher education, personal income taxes, and clean-energy/electric-vehicle credits. They explained that H.R. 1 limits provider taxes used to finance Medi-Cal, adds work and redetermination requirements, restricts CalFresh eligibility and increases state costs, changes student loan and Pell Grant rules, extends and modifies federal tax provisions, and phases out many clean-energy credits. Finance also noted major rescissions of Inflation Reduction Act funds, new border and immigration enforcement spending, and the possibility of PAYGO sequestration if Congress does not act to offset the deficit increase.
During member questions, the committee focused on likely enrollment losses, administrative burdens, and fiscal exposure for the state and counties. Witnesses said many details still depend on federal guidance, but they estimated significant impacts on Medi-Cal, CalFresh, and graduate/professional student borrowing, and noted that California’s high CalFresh error rate could increase state costs. UC testified that the elimination of Graduate PLUS loans would affect thousands of professional students, especially in health, law, and other high-cost programs. Members asked for follow-up data on county, health, and tax impacts, and staff agreed to provide additional tables and estimates as implementation guidance becomes clearer.
Public commenters from counties, early childhood advocates, health coalitions, disability rights groups, immigrant-rights organizations, and other stakeholders urged the Legislature to mitigate the law’s effects. They warned of higher county costs, reduced access to health care and food assistance, increased administrative burdens, and harm to children, immigrants, people with disabilities, and low-income families. Several urged new state revenue solutions and stronger protections for Medi-Cal, CalFresh, child care, and home- and community-based services. No votes were taken; the hearing was informational and ended with a commitment to continue monitoring federal guidance and to work on state responses in the budget process.
NH
Transcript Highlights:
- the resetting of um estimated payments the resetting of um estimated payments by<00:14:45.440>
- , real estate tax is gone or down.
- ,<01:03:45.039>
I tempering of the estimated payments, I tempering of the estimated payments- Do we think that might come down a little bit? Yes, but it won't come down significantly.
- Sonia, you got those down. errors. Sonia, you got those down.
CA
Transcript Highlights:
- Come on down. You may begin when you're ready.
- The behested payments are payments made at the request on or behalf of an official for a legislative,
- report within 30 days of the payment being received.
- payments.
- Who is directing these payments and who is benefiting from these payments, right?
KY
Kentucky 2025 Regular Session
Budget Review Subcommittee on Health and Family Service (6-4-25)
Transcript Highlights:
- ambulance providers enhanced payments, or if you will, directed payments, and those have to be approved
- We do have some payment programs.
- or if you will or enhanced payments or if you will or directed<00:04:07.800>
payments directed - payments directed payments and<00:04:09.440>
those <00:04:09.800>have <00:04:10.000> - limitation on our directed payments. limitation on our directed payments.
Summary:
The Budget Review Subcommittee for Health and Family Services met for its first meeting, established quorum, and heard a presentation from Department for Medicaid Services Commissioner Lisa Lee and CFO Steve Becktold. The department reviewed its compliance with House Bill 695, which requires legislative approval before certain Medicaid eligibility, service, benefit, or waiver changes, along with fiscal impact reporting to the Legislative Research Commission. They described current waivers, including home and community-based waivers, managed care and transportation waivers, and the 1115 re-entry waiver, and said the community engagement waiver is in public comment and on track for submission to CMS. They also said required reports and other HB 695 tasks, including a pharmacy rebate fund, budget analyses, expenditure reports, and a behavioral health scorecard, are underway or completed as required.
The CFO outlined Medicaid’s budget, saying the department has two appropriation units and projecting near-full use of state funds while leaving some federal funds unspent because of matching-rate differences. They reported roughly 211 filled positions and 11 vacancies. Members asked about the vacancy makeup, the behavioral health scorecard, and whether a provider involved in quality metrics could have a conflict if used in the scorecard process; the department said it would follow up. Members also asked about the community engagement waiver and its interaction with federal policy, and the department said CMS guidance is still pending and that it will proceed under HB 695.
A substantial portion of the discussion focused on federal Medicaid policy changes under a reconciliation bill, including possible limits on provider taxes, directed payments, cost-sharing, and community engagement requirements. Department officials said the final federal impact is still uncertain because the Senate bill is not finalized, but they have modeled several scenarios and warned that any reduction in federal support or benefits would be harmful, especially for hospitals and rural hospitals. They estimated Medicaid benefits are funded about 80% federal and 20% state overall, with expansion populations closer to 90% federal funding, and said administrative costs would also rise if federal requirements change.
Members also asked about work requirements and eligibility. The department said the community engagement waiver would mainly affect the expansion population, which they estimated at about 450,000 people out of roughly 1.5 million total Medicaid enrollees, and that many groups are exempt, including children, the aged, blind, disabled, and people in substance use disorder treatment. Officials said they can provide data on how many enrollees are working or work-ready and explained that their eligibility system is designed to prevent duplication by automatically placing people in the correct category and correcting errors quickly. They also noted a federal proposal to require expansion eligibility reviews every six months, compared with current annual renewals.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 04/14/26
Health and Human Services
Transcript Highlights:
- . payments. payments.
- We do not have the authority to tell them turn on payments, turn off payments because they administer
- , turn off payments them turn on payments, turn off payments because<00:23:41.000>
they <00:23: - That number would go up or down.
- do you get now on directed payments? do you get now on directed payments?