Video & Transcript Research : 'fee structure'

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MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Veterans and Federal Affairs Jun 21st, 2026 at 01:00 pm

Joint Committee on Veterans and Federal Affairs

Transcript Highlights:
  • What's the fee structure? Obviously every consultant could be different.
  • So right now there is no real regulation on fee structure.
  • We are attempting to work with Congress to address that so that a contingency-based fee structure...
  • And here's the key: we don't need a fee structure. You know why we don't need a fee structure?
  • We don't need a fee structure. You know why we don't need a fee structure?
Keywords: 995, all
Summary: The Joint Committee on Veterans and Federal Affairs held its second public hearing of the 2025–26 session, with opening remarks from Chairs John Velis and Joe McGonagle outlining testimony on 20 House bills and 18 Senate bills. The hearing covered a wide range of veterans issues, including municipal veterans assistance funds, pension equity, expanding the Office of the Veterans Advocate, veterans service officer staffing, disability benefits eligibility, service dogs, POW tax relief, courtesy parking spaces, women veterans and motherhood, and workforce-related licensing and employment measures. Chairs emphasized the hybrid format, three-minute testimony limit, and written testimony process. Several bills drew support focused on expanding services and access. Representative Arena-DeRosa spoke for bills to broaden municipal veterans assistance funds to cover housing and legal expenses and to study enhanced pension equity for veterans, citing burn pit exposure and shorter life expectancy among veterans. Senator Fattman, Representative Peas, and Veterans Advocate Bob Notch supported bills expanding the Office of the Veterans Advocate to include active-duty service members and their families, arguing it would improve transition support, coordination with state agencies, and retention of military talent in Massachusetts. Representative Arriaga backed a bill to incentivize municipalities to provide full-time or regional veterans service officers and another to study the impact of combat on women veterans and motherhood. Representative Moulton/another sponsor also sought to exempt veterans’ disability payments from income calculations for other state benefits, and Representative Hong and Senator Scanlan supported a state service dog program, POW income tax relief, and courtesy retail parking spaces for veterans. Testimony also focused on workforce and claims-assistance issues. The Military Officers Association of America and James Keene urged passage of bills waiving duplicative education requirements so qualified veterans and military medics can become licensed practical nurses, arguing it would help address health care shortages and recognize military training. Brave Veterans Inc. called for a Veterans Research Trust Fund to protect data and program evaluation work during budget cuts. On claims assistance, one witness supported criminal penalties for unaccredited agents who charge veterans for VA claims help, while a private consulting firm opposed the bill, arguing it would restrict lawful speech and veterans’ choice and that existing federal and HERO Act safeguards already address abuses. The VFW strongly opposed paid claims consulting, said its accredited service officers provide free help statewide, and urged more public awareness of existing free services. No votes or final committee actions were taken during the hearing.
MN

Minnesota 2025 1st Special Session

Committee on Health and Human Services - 01/28/25

Health and Human Services

Transcript Highlights:
  • fees for our DPM licenses.
  • and with the benefit of that fee structure, we'll see whether or not that closes the gap.
  • Those are our proposed fees. It's page nine, but there's the proposed fee for the fiscal year 26.
  • Um, yes, I see the proposed fees.
  • Our fee is around the initial application fee and the annual renewal fees to cover regulating HMOs.
Keywords: 1187, senate, all
Summary: The Senate Health and Human Services Committee met on January 28, 2025, to review Governor’s budget proposals for several health-related licensing boards. The chair said no formal action would be taken and noted that final budget language was not yet available. The committee began with an overview from Bridget Anderson of the health-related licensing boards, who explained that the boards are fee-funded, operate as independent executive agencies, and handle licensing, complaints, rulemaking, and disciplinary matters. She also noted that the Board of Dentistry’s budget includes the Administrative Services Unit and criminal background check program, which can make the budget graphs appear larger than the dentistry board’s own operations. The Board of Dentistry requested funding for a new administrative staff position, estimating about $100,000 in salary, insurance, and fringe costs, to replace support lost when an administrative position was reclassified. Anderson said the board handled more than 300 complaints last year, with cases becoming more complex, especially involving surgical and implant procedures and imaging. Members asked about dental Medicaid access, but Anderson said that issue would be better directed to DHS’s Medicaid oral health division. The Board of Behavioral Health and Therapy requested a full-time position due to rapid growth in the number of regulated professionals, from about 4,000 in 2014 to nearly 10,000 now, and also sought authority to set a fee for out-of-state applicants under the Counseling Compact, with a cap of up to $100 though the board expects to charge much less. The Board of Podiatric Medicine asked to raise its fee ceiling, saying fees had not been increased since 1999 and that the board now faces a structural deficit of about $40,000 per year and declining reserves. Several senators expressed concern about “not-to-exceed” fee authority, calling it too open-ended and suggesting the legislature should scrutinize specific fee needs rather than approve broad ceilings. Similar concerns were raised during the Board of Chiropractic Examiners presentation, where the board sought $100,000 in additional spending authority and a fee increase after 32 years without an adjustment; members questioned the proposed ceiling approach and asked for more historical information before deciding. The Board of Dietetics and Nutrition Practice also discussed fee-setting authority, with the executive director explaining that the board had previously lowered fees without clear authority and later faced audit questions; she requested funding for a vacant administrative position, saying applications and revenues have increased sharply and no fee increase would be needed. The final presentation began with the Board of Pharmacy, which said it serves more than 26,000 licensees and oversees the Prescription Monitoring Program and opioid product registration. The board requested an extension of previously appropriated general fund dollars through fiscal year 2027 to continue paying legal costs tied to the insulin safety net lawsuit, emphasizing that this was not a new funding request but an extension of existing authority. No votes or formal actions were taken during the meeting.
CA

California 2025-2026 Regular Session

Senate Budget and Fiscal Review Committee Jun 15th, 2026

Budget and Fiscal Review

Transcript Highlights:
  • The budget locks in savings from coverage reductions as a structural baseline.
  • The budget locks in savings from coverage reductions as a structural baseline.
  • I advocate for us to permanently get out of having a structural deficit.
  • when... ...oversight and regulatory structures when state taxes, fees, and regulatory policies are already
  • In other words, the structural deficit was really predetermined.
Keywords: 987, senate, all
Summary: The Senate Budget and Fiscal Review Committee heard AB 109, the Budget Act of 2026, and related discussion of the legislative budget agreement. Committee staff and the Department of Finance described a two-year balanced plan with about $253 billion in General Fund spending, roughly $5.5 billion in higher assumed revenues than the May Revision, and about $36.5 billion in combined reserves. They said the package preserves or expands funding for schools and community colleges, child care, IHSS, Medi-Cal-related county administration, housing and homelessness programs, public hospitals, courthouse construction, and some criminal justice and prison-closure savings, while delaying or modifying several prior health care reductions and some Medi-Cal changes. Much of the member discussion focused on Medi-Cal, H.R. 1, and the impact on low-income and immigrant Californians. Several Democrats argued the budget protects vulnerable residents by delaying some cuts, funding county eligibility work, indigent care, public hospitals, and food banks, and rejecting the Governor’s IHSS cuts and asset-limit proposal. Republicans criticized the budget for assuming future revenues, relying on new taxes, and not doing enough to address the structural deficit or improve accountability. Members also raised concerns and support around homelessness funding, Prop. 36, judgeships and courthouse funding, transit and GGRF allocations, local journalism, Caltrans fleet spending, and a proposed “fair share” revenue measure that was not yet before the committee. Public testimony was largely supportive of the budget’s health and human services provisions, especially the rejection of IHSS cuts and the asset-limit proposal, and the inclusion of funding for child care, sickle cell centers, domestic violence services, trauma recovery centers, distressed hospitals, county eligibility work, and transit programs. Some witnesses representing hospitals and health plans cautioned about the effects of moving certain Medi-Cal populations to fee-for-service and about proposed tax changes affecting health care providers. The chair said revenue trailer bills were still being finalized and would likely come back later in the week; the committee then moved to public comment, with the chair limiting speakers to about one minute each.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Consumer Protection and Professional Licensure Jun 21st, 2026 at 10:00 am

Joint Committee on Consumer Protection and Professional Licensure

Transcript Highlights:
  • You mentioned fees.
  • But in terms of licensure fees, each state gets to set their multi-state license fee, and through this
  • But in terms of licensure fees, each state gets to set their multi-state license fee, and through this
  • the function, the fee structure.
  • the function, the fee structure.
Keywords: 995, all
Summary: The Joint Committee on Consumer Protection and Professional Licensure held a hearing on late-filed bills and home rule petitions, with both in-person and remote testimony. Committee chairs reviewed logistics for public testimony and then heard a series of bill presentations on topics including nitrous oxide sales, liquor license extensions and alcohol license density, cosmetology licensure compacts, electronic textbooks, HVAC supervisor licensing, and automotive warranty reimbursement rates. Several members asked questions about the public health, consumer protection, economic mobility, and regulatory impacts of the proposals. Representative John Barrett testified in support of H. 4907, which would regulate the sale of nitrous oxide, arguing it is a public health measure aimed at reducing recreational misuse by young people while preserving legitimate culinary, medical, dental, and industrial uses. Southbridge officials Peg Dean and David Adams supported a local liquor license extension bill, saying delayed revitalization and staffing disruptions from the pandemic-era “Great Resignation” had slowed development and postponed demand for the licenses. MassPack supported H. 4597 to limit new alcohol retail licenses near existing stores after 2026, citing oversaturation and public health concerns, while the committee also heard testimony on a cosmetology compact bill from industry and state-government representatives who said it would improve workforce mobility, especially for military spouses, though members questioned its fee structure and interaction with existing reciprocity rules. Representative Mindy Domb testified for H. 559, which would create a commission to study electronic textbooks and automatic textbook billing, arguing that digital course materials can limit consumer choice, raise costs, and reduce students’ ability to share or resell materials. Student testimony echoed those concerns. The committee also heard strong support for H. 4719, a bill to create HVAC construction supervisor licensing, from industry witnesses who said it would improve consumer protection, accountability, and clean-energy implementation; and opposition testimony on H. 4019, which would change how auto dealers are reimbursed for warranty work, with dealers supporting a fix to manufacturer reimbursement practices and manufacturers warning the bill would raise costs and allow overpayment. At the end of the hearing, the chairs read the agenda items and the committee adjourned by unanimous voice vote.
OK
Transcript Highlights:
  • This was really it's a formal structure to have structured input on our policy, on rules, and on system
  • It's a nominal fee really in terms of a.
  • We're gonna be utilizing fees received from.
  • What is the fee structure compared to say the state offices?
  • The current structure.
Keywords: 914, all
MN

Minnesota 2025-2026 Regular Session

Vets Committee Meeting - 2025-03-19

Veterans and Military Affairs Division

Transcript Highlights:
  • there are free services available, but we also let them know our fee structure.
  • He talked about sort of the moral and ethical approach to their fee structures, and I was looking at
  • structures. pervasive business practice around these fee structures.
  • So, Representative, our fee structure is again contingency-based, meaning we don't charge the veteran
  • Is that how you structure your fees? If someone is awarded 40%, would you be entitled to $6,000?
ND

North Dakota 2026 1st Special Session

Legacy and Budget Stabilization Fund Advisory Board Mar 31st, 2026 at 11:00 am

Legacy and Budget Stabilization Fund Advisory Board

Transcript Highlights:
  • So the plans in your and SIB's care had much lower fees.
  • fees at two basis points.
  • And then the fee savings would be, and we were very conservative about these fee savings because we're
  • Our fees are somewhere around seven basis points, and we calculate the fee savings as being a combination
  • Estimated fee savings are about $4.78 million.
Keywords: 908, all
NH

New Hampshire 2025 Regular Session

House Ways and Means (02/03/2025)

Transcript Highlights:
  • Is that correct, or fee?
  • Representative Elberger continued, thanking the chair and asking whether the fee structure accounts for
  • On page 14, he said inspection revenues, which follow an annual fee structure, remain steady at around
  • The witness said that the annual fee structure for inspection revenues remains steady at around $4 million
  • The witness explained that the commercial fee is not a set fee.
Keywords: 928, house, all
Summary: The Department of Safety presented an overview of highway fund and unrestricted revenue collections, focusing on the Division of Administration, the Road Toll Bureau, and the Division of Motor Vehicles. Amy Newbery explained that the main unrestricted funding sources are highway funds and general funds, with highway fund revenue of about $263 million in FY 2024 and a FY 2025 projection of $261.2 million. She said revenue growth has been modest and has not kept pace with costs, creating structural deficits that required general fund transfers of $50 million in FY 2022-23 and another $10 million in FY 2024-25 to balance the fund. Jennifer Hall described Road Toll operations, including motor fuel tax collection at the distributor level, compliance enforcement, and licensing for fuel distributors, transporters, IFTA carriers, and oil discharge/pollution control. Members asked about IFTA, dyed-fuel enforcement, the possibility of using the state forensic lab for dyed-fuel testing, and whether audit positions had been filled; the department said it recently hired a part-time fuel enforcement officer, still uses IRS testing, could explore lab testing, and had no audit vacancies. Hall also discussed factors affecting fuel-tax revenue, including gas prices, crude oil forecasts, weather, tourism, GDP, and inflation, and said FY 2024 road toll revenue was $127.5 million, above plan, with FY 2025 projected at $127.71 million. The committee then turned to DMV-related revenues. Newbery said motor vehicle registration revenue was $93.1 million in FY 2024 and is projected at $90.4 million in FY 2025, with the state share going directly to the highway fund. Members asked about the state/town fee split, the five-year registration cycle dip, the distribution of registration revenue by vehicle weight category, and the impact of electric-vehicle surcharges; the department said the five-year dip is still occurring and will fade over time, and it would follow up on the weight-category breakdown. The presentation also noted that driver-license revenues have stabilized, inspection revenues remain steady, plea-by-mail revenue was added to the highway fund in FY 2024, and general fund revenues tied to the department are relatively small and have declined as some functions moved to OPLC. No votes or formal actions were taken.
TX

Texas 89th 2nd C.S.

Senate Committee on Water, Agriculture, and Rural Affairs May 11th, 2026

Water, Agriculture and Rural Affairs

Transcript Highlights:
  • We want to know that the water and sewer tap fees, the sewer fees, the stormwater runoff fees, those
  • Rick, does it matter if it's a home rule versus a general city as far as how they do their fee structures
  • Impact fees. Impact fees! Wow.
  • And so they are charged, it's called a GRP fee, a Groundwater Reduction Program fee.
  • On the wastewater side, you see your wastewater fee, your surface water fee, your storm water fee, and
Summary: During the meeting, legislative members discussed the practice of municipalities diverting water and sewer revenues to their general funds, which impacts infrastructure maintenance and project delays. Vice Chair Sparks proposed limiting public testimony to two minutes, which was adopted without objection. The committee heard from various witnesses, including Perry Fowler from the Texas Water Infrastructure Network, who emphasized that utility revenues should primarily support water services and that transfers should be transparent and justified. He noted that many utilities face financial pressures that could hinder infrastructure projects. Larry French from the Texas Public Policy Foundation highlighted the significant financial impact of water loss and general fund transfers, estimating the annual loss at $1.5 billion. He argued that these transfers can create disincentives for municipalities to address water loss issues. Brian Butcher, Assistant City Manager of Sugar Land, defended the city's cost allocation model for general fund transfers, asserting that they are necessary for equitable service provision and operational efficiency. The committee also discussed the implications of rising construction costs and the need for better procurement processes to ensure effective use of taxpayer dollars. The second part of the meeting focused on the New World Screwworm and the state's preparedness to manage potential infestations. Dudley Hoskins from the USDA outlined the federal response efforts and the importance of collaboration with state agencies. He emphasized the need for ongoing surveillance and the production of sterile flies to combat the pest. Dr. Philip Kaufman from Texas A&M discussed the historical context of the screwworm and the challenges posed by its potential reintroduction, urging proactive management strategies among livestock producers. The committee acknowledged the need for increased resources and research to effectively address the threat of the screwworm.
CA
Transcript Highlights:
  • retailers of tangible goods charge tax on service fees.
  • We do understand that this does bring in those service fees.
  • And so we think that's a good structural component.
  • And so we think that's a good structural component.
  • We believe the reason is structural.
Summary: The Assembly Budget Subcommittee on State Administration heard several budget proposals from CDTFA, the Board of Equalization, and the Franchise Tax Board. The first panel focused on cannabis, hemp, flavored tobacco, and related enforcement. CDTFA requested ongoing funding to implement cannabis tax changes, enforce the new intoxicating hemp restrictions and flavored tobacco seizure authority, and continue compliance work. The department said it is targeting illicit product, protecting licensed businesses, and using referrals from the public and lawmakers to focus inspections. The LAO supported some of the proposals but urged the Legislature to treat them as part of a longer-term enforcement strategy and raised concerns about the use of General Fund support for cannabis enforcement. Public testimony on the cannabis item largely supported stronger enforcement and funding for the legal market. The committee also heard CDTFA’s request to reappropriate funds for an upgrade to the CROS tax collection system, which would improve taxpayer services, security, and software maintenance without adding new money. A separate CDTFA proposal would make all delivery network companies, such as DoorDash and Uber Eats, marketplace facilitators for sales tax purposes. CDTFA said the change would reduce confusion for restaurants and improve compliance, while the LAO questioned whether the proposal functioned more like a tax increase because it would also capture service fees. Members raised affordability concerns, but the proposal was framed by the administration as a parity and compliance measure. The subcommittee then considered a governor’s proposal for a sustainable aviation fuel tax credit. Finance argued the credit would help decarbonize aviation and support in-state production, while the LAO recommended rejection, citing cost, uncertainty about environmental benefits, possible diversion of diesel excise tax revenues from transportation programs, and concerns about consistency with voter-approved transportation funding rules. Testimony from airlines, labor unions, airports, and refinery workers strongly supported the credit, emphasizing union jobs, refinery conversions, and emissions reductions, while fuel retailers and some others warned about fiscal risk and higher fuel prices. The chair and some members expressed support for the proposal despite the funding concerns. Finally, the BOE presented an IT modernization project for state-assessed property administration, saying the current system is outdated and manual and that a new system is needed to improve accuracy, cybersecurity, and workflow efficiency, especially with a likely increase in workload from new VoIP assessments. The LAO asked for more justification for the timing, but BOE said the urgency stems from aging systems and growing workload. BOE also requested modest funding to implement SB 293 changes to intergenerational property transfers and wildfire relief guidance, which the LAO did not oppose. The Franchise Tax Board began its presentation on the final phase of its Enterprise Data to Revenue modernization effort, describing the project’s rollout across audit, collections, legal, and filing enforcement workloads and noting it is now in a warranty period.
NH

New Hampshire 2025 Regular Session

House Committee on Housing (04/22/2025)

Housing

Transcript Highlights:
  • You're assuming that the building permit fees already include the inspections fees in it.
  • the inspector's fee, but there's no discount from our $350 building permit fee.
  • We charge a flat fee for residential, and we charge a flat fee for commercial.
  • the fee. the fee.
  • . fees. fees.
Keywords: 1189, house, all
MN
Transcript Highlights:
  • Not only did they raise license fees.
  • you're paying that same fee. you're paying that same fee.
  • license tab fees, and gas tax. license tab fees, and gas tax.
  • We still have a structural imbalance.
  • We still have a structural imbalance.
Keywords: 1187, senate, all
Summary: Minnesota Senate Republicans held a press conference unveiling a package of affordability and tax-relief bills aimed at property taxes, taxes on tips and overtime, and vehicle registration costs. Leader Mark Johnson said the proposals were meant to counter rising costs for wages, homeownership, and driving, and argued that Democrats’ policies had made life more expensive. Several senators echoed that theme, saying Minnesotans need immediate relief and that the state has room to act because of a reported surplus. Senator Michael Kunesh described a property-tax cap bill that would limit increases for cities and counties to inflation plus 50% of population growth, with higher increases requiring voter approval. He said constituents, including seniors, a disabled veteran, and young people, are seeing unsustainable property-tax hikes, and he argued that state and federal mandates have driven local costs. In response to a question about added county workload from federal SNAP and Medicaid changes, he said the solution is both to pause new mandates and to cap property-tax growth. Senator Karin Housley outlined a proposal to end state taxes on tips and overtime, with deductions up to $25,000 for tips and $12,500 for overtime, phased out at $150,000 for individuals and $300,000 for families. She said the measure would help workers keep more of what they earn and would not cost small businesses directly. Senator John Jasinski proposed rolling back vehicle registration tab fees to pre-2023 levels, saying Minnesota’s fees are far higher than neighboring states and that the change would save drivers money over time. Senator Julia Coleman also supported the package, saying the bills would provide practical relief for families facing high housing, driving, and work-related costs. No votes were taken; the event ended with questions from reporters about fiscal impacts, offsets, and whether the proposals would worsen the state’s structural budget imbalance.
CA
Transcript Highlights:
  • structure that's ultimately going to impact those consumers that we're talking about helping.
  • Because right now, there are mostly landline customers that are paying a huge fee.
  • That's another thing that's on their bill, right, because that's a USF-mandated fee.
  • fees.
  • They've been getting ...has 15% of all the access line fees.
Summary: The Assembly Communications and Conveyance Committee held an informational hearing on the state of broadband affordability in California. Chair Tasha Berner said the committee was examining how broadband prices, access, and affordability are affecting households, especially after the end of the federal Affordable Connectivity Program and amid concerns about federal resistance to state broadband regulation. She noted the committee’s continued interest in policy options for 2026 and referenced prior legislation, including AB 353, that would have required affordable home internet as a condition of doing business in California. Industry witnesses from U.S. Telecom and CTIA argued that broadband and wireless prices have generally fallen in real terms even as inflation and other household costs have risen, citing competition, infrastructure investment, and faster speeds as the main drivers. They said California’s higher costs are tied to permitting delays, taxes, copper theft, and legacy obligations such as COLR requirements, and they urged the Legislature to preserve market incentives, reduce fees and regulatory burdens, and support infrastructure deployment. They also discussed fixed wireless access, federal BEAD funding, and Universal Service Fund reform, arguing that more entities benefiting from networks, including tech platforms, should contribute to support programs. Consumer and public-interest witnesses presented a different view, saying California still has a serious affordability and adoption problem, especially for low-income households. Sunny McPhee of the California Emerging Technology Fund said broadband adoption has improved dramatically over time, but about 500,000 households remain offline or underconnected and many low-income households still pay above the FCC affordability benchmark. Ernesto Falcon of the CPUC Public Advocates Office said California’s market is losing its competitive edge, with prices higher than in other states and meaningful price pressure coming mainly from fiber competition at the gigabit tier. He said roughly 4.8 million Californians are limited to one gigabit option and estimated that more competition could save consumers more than $1 billion annually. Both witnesses emphasized the need for stronger transparency, targeted subsidies, and a permanent affordability solution, including extending and refining the CPUC broadband Lifeline pilot and advancing SB 716. Public commenters, including representatives from cable providers, nonprofits, and digital equity organizations, largely supported SB 716 and a permanent broadband affordability program. Several urged the committee to remove a cap on the Lifeline program, expand the CPUC pilot, and invest in digital navigators, outreach, and enrollment assistance. The hearing ended without a vote or formal action, after the chair thanked the witnesses and public commenters for their testimony.
NH
Transcript Highlights:
  • In addition, insurance companies pay fees, licensing fees, and so forth, to the department.
  • In addition, insurance companies pay fees, licensing fees, and so forth, to the department.
  • In addition, insurance companies pay fees, licensing fees, and so forth, to the department.
  • In addition, insurance companies pay fees, licensing fees, and so forth, to the department.
  • <01:32:40.760> or<01:32:41.080> or fees so it's either an illegal fee or or fees so
Keywords: 928, house, all
Summary: The subcommittee first reviewed its schedule, noting that 13 bills were being executed the next day and that additional subcommittee work would be scheduled around Town Meeting Day and the following session days. The chair explained that the committee would not meet on Town Meeting Day, would handle the remaining bills on the next available subcommittee day, and would continue any unfinished items later in the month. The committee then took up House Bill 774, which concerned Medicare-related coverage issues. Members discussed the bill’s purpose and the differences between Medicare standard and Medicare Advantage, with one member saying the proposal was informative but did not offer a workable solution. The committee also moved to inexpedient to legislate on House Bill 185, and the motion passed on a 6-0 vote. House Bill 241, relating to alternatives to opioids, was retained for further work. Members said the bill raised concerns about insurers effectively practicing medicine and about the lack of evidence on the efficacy of some alternative treatments, while also noting that chiropractic coverage mandates already exist in statute. The committee voted to retain the bill, with the motion passing 6-0. The most extended discussion was on House Bill 648, which would expand insurance coverage for glucose monitoring. Testimony and committee comments focused on whether coverage should be tied to insulin use or instead to a physician’s medical judgment, the role of continuous glucose monitoring for people with type 2 diabetes who are not on insulin, and the potential cost impact. An insurance department fiscal analyst said the original $22-per-member estimate was based on the unamended bill and that the amended version would require updated analysis; members agreed to retain the bill to narrow the eligible population and revisit the language later.
LA

Louisiana 2026 Regular Session

Commerce May 18th, 2026

Commerce, Consumer Protection, and International Affairs

Transcript Highlights:
  • So how much was the 1% administrative fee?
  • And if they go before the board, their fee, their fine can continue to increase as the attorney fees
  • , how do they determine what the attorney's fees are?
  • And again, right now, they may charge the attorney fees.
  • They don't have to charge the attorney fees now.
Summary: The House Committee on Commerce met on May 18, 2026, with a quorum present and the chair noting it was the committee’s last meeting of the session. The committee first considered Senate Bill 254, which would prohibit certain excess debit card surcharges and authorize enforcement by the Attorney General. After adopting technical amendments and a committee amendment requiring written notice before a private right of action, the bill was reported favorably as amended. The committee then took up Senate Bill 80 on broadband administration fees and GUMBO program closeout. Members questioned the proposed increase in administrative and contractor fees, the timing of project completion, and how withheld reimbursements would work for utility damage. After adopting several amendments, including cleanup language and a provision to restore the reimbursement process, the bill was reported favorably as amended, though the Louisiana Telecommunications Association voiced concerns about the withholding language and lack of a clearer fault-determination process. The committee next considered Senate Bill 469, updating the Louisiana Underground Utilities and Facilities Damage Prevention Law. Technical amendments were adopted, along with amendments clarifying that the bill’s 30-day notice to utility owner-operators is separate from existing GUMBO notice requirements and creating a rapid dispute-resolution process involving the Office of Broadband, the utility operator, and the local governing authority. Testimony from broadband and municipal stakeholders emphasized the need for quicker responses to excavation damage and better enforcement, while some witnesses raised concerns about the late amendment and the need for clearer recourse and standards. The bill was reported favorably as amended. Senate Bill 468, dealing with fuel rewards programs and fuel discount limits, was also amended to allow such discounts while capping them at $1 below the advertised price; it was reported favorably as amended. Senate Bill 131, concerning attorney’s fees and costs in professional licensing disciplinary proceedings, drew testimony from a cosmetology board representative and the Pelican Institute. Supporters argued the bill would curb incentives for boards to generate revenue through enforcement and give licensees a fairer opportunity to resolve cases; board testimony noted that some boards already have fee caps and that enforcement actions are relatively limited. After adopting an amendment clarifying when a licensee is the prevailing party, the bill was reported favorably as amended. Senate Bill 251 on critical infrastructure protection also received technical amendments and several substantive changes, including adding ports and airports to the definition of critical infrastructure, clarifying “significant access,” adding a knowledge requirement, and adjusting exemptions and enforcement timing; it was reported favorably as amended after testimony from State Armor representatives about foreign adversary threats. Finally, House Resolution 253 was introduced to create a task force to study how post-2005 building code additions and inspection requirements affect residential construction costs, with the sponsor explaining the goal was to gather industry input and return recommendations next session.
MS

Mississippi 2026 Regular Session

Medicaid - Room 216, 4 February, 2026; 2:00 PM

Medicaid

Transcript Highlights:
  • So you will see that's both fee-for-service managed care and all of these other payment structures that
  • structures that we have. structures that we have.
  • So, for structures are interrelated.
  • So now we pay MHAP under a fee time.
  • Um as the structure not impact us. Um as the structure stands<00:42:28.319> today.
Summary: The committee heard presentations on several Medicaid-related topics. First, a pharmacy representative discussed nonopioid pain medications as a way to reduce opioid dependence and overdose risk, emphasizing that options such as acetaminophen, NSAIDs, and topical diclofenac can be useful for pain management. She cautioned that nonopioids can still have risks and said any policy should avoid requiring patients to step through opioids before accessing safer alternatives, while still allowing reasonable step therapy among nonopioid options. The presenter said the goal is to keep patients from being pushed toward opioids by cost or insurance design. The committee also heard emotional testimony from parents of a child with Prader-Willi syndrome, who described the condition as a rare genetic disorder that causes severe, lifelong hyperphagia and requires rigid supervision and ongoing treatment. They argued that alternative funding programs can disrupt access to medically necessary drugs such as human growth hormone, forcing families into costly and uncertain coverage gaps. They asked lawmakers to ensure insurance coverage remains stable for rare disease patients and thanked Senator Blackwell for prior support of rare disease legislation. Next, a Livanova representative urged the committee to support higher Medicaid reimbursement for vagus nerve stimulator surgery for drug-resistant epilepsy. He said inadequate hospital reimbursement has reduced access in Mississippi, causing patients to travel long distances or go without treatment, and argued that better reimbursement would improve outcomes and save money over time. He cited studies showing seizure reductions, lower ER use, and a projected $2.8 million in five-year savings for Medicaid based on 40 patients, and asked that hospitals be reimbursed at 100% of Medicare rates for the procedure codes. Finally, a Medicaid official gave a broad overview of hospital payment structure, including fee-for-service, managed care, MHAP, DSH, UPL, provider taxes, and related funding mechanisms. She explained that hospital payments are interrelated and have shifted over time, with major changes tied to managed care, MHAP/UPL increases, and provider taxes. At the end of the discussion, the committee was running short on time and asked her to skip ahead to the provider tax component; no votes or formal actions were taken in the portion provided.
AR

Arkansas 2026 1st Special Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 16th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • And then we use assessment fees, which is what's on your screen.
  • Does every hospital pay an assessment fee?
  • So the fees are used as the state share.
  • We have to have a broad-based and uniform fee structure that is approved by the feds to be charged to
  • So this fee that you're talking about starts out.
Keywords: 1204, all
UT

Utah 2025 Regular Session

Natural Resources, Agriculture, and Environment Interim Committee - November 19, 2025

Natural Resources, Agriculture, and Environment Interim Committee

Transcript Highlights:
  • should be assessed on, how to calculate the fee amount, the process for collecting the fee, and where
  • The report outlines a range of options associated with the fee.
  • And then we also plan that if there was a fee, any fee collected would be distributed as grants.
  • It says that the fee may not have a direct nexus between the fee and the service received in each system
  • structure, and how are you using those?
Keywords: 985, all
TX

Texas 89th 2nd C.S.

Natural Resources Apr 2nd, 2025

Natural Resources

Transcript Highlights:
  • Members of the Railroad Commission of Texas requested this bill to modernize its permitting fee structure
  • It's important to know that that much of Railroad Commission's funding structure is largely fee-based
  • was moved to being more fee-based and how these fees compare to the rest of the fees that cover the
  • structure so that you have an even fee across the, the industry participants that participate in this
  • That there's an appropriate offset on the fee. Not necessarily the surcharge, but the fee.
Bills: HB16