Video & Transcript Research : 'primary payer'

Page 34 of 378
MN

Minnesota 2025-2026 Regular Session

House Commerce Finance and Policy Committee 3/5/26

Commerce Finance and Policy

Transcript Highlights:
  • shifted directly onto premium payers. shifted directly onto premium payers.
  • I am a single-payer supporter. I think health care is a basic human right.
  • I am a single-payer supporter. I think health care is a basic human right.
  • I am a single-payer supporter. I think health care is a basic human right.
  • I am a single-payer supporter. I think health care is a basic human right.
Bills: HF3388, HF400
Summary: The committee approved the minutes from the prior day and then heard House File 400, a bill described as a defrayal measure for health insurance mandates. Representative Perryman said the bill would not block future mandates, but would require the state to pay the added costs of any new mandated benefits so those costs would not be shifted to premium payers. She and supporters framed the bill as a way to protect affordability for Minnesota employers, workers, and families, especially in the fully insured market. Testimony in support came from the Minnesota Chamber of Commerce and the Minnesota Council of Health Plans. They argued that Minnesota has a high number of mandated benefits, that each new mandate adds cost to premiums, and that businesses—especially small and midsize employers—are already struggling with rising health insurance costs. The health plans representative said the bill would use the existing Commerce defrayal process to reimburse plans for eligible mandate-related claims, allowing those costs to be removed from premium rates. Several members echoed support, saying the bill would improve transparency by showing the fiscal impact of proposed mandates and help prevent people from being priced out of coverage. Members also explored how mandates apply in the market and how premiums are set. Deputy Commissioner Julia Dryer explained that, unless otherwise specified, mandates generally apply to the individual, small group, and fully insured large group markets, while self-insured ERISA plans and other markets are generally outside that scope. Representative Elkins noted that the affected market is relatively small and said small businesses are increasingly moving to self-insured plans because of cost. He and others raised concerns about affordability, while Representative Smith argued that mandates often ensure needed care and that the bill shifts costs to taxpayers rather than insurers. Representative Bacham added a personal example from tribal self-insurance, saying preventive physicals had saved lives and asking whether other factors besides mandates are driving insurer costs. No amendments were offered, and the bill was laid over for possible future consideration.
NM
Transcript Highlights:
  • Our population by payer source: our service-connected veterans, which is 70% service-connected or higher
  • They are sponsored through William Beaumont at Fort Bliss, so they're the primary hospital.
US
Transcript Highlights:
  • DoD civilians are not just critical to supporting the military, they're also a bargain for tax payers
  • As we recognize things like childcare are one of the primary resources crucial for quality of life and
Summary: The committee meeting focused on pressing issues related to the U.S. military's recruitment and personnel strategies, especially in light of the upcoming NDAA for fiscal year 2026. Chairperson expressed appreciation for the service of witnesses including senior military leaders from different branches, emphasizing the importance of personnel as the backbone of national defense. Discussions revealed concerns regarding the recent lowering of recruitment standards across military branches, which could potentially affect the quality of service members and long-term military readiness. Witnesses were asked to address the implications of these changes on military health and efficiency.
TX

Texas 89th Regular

89th Legislative Session Apr 8th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • Primary duties of the Chair is to preserve orderly discussion of matters before the House.
  • cost-benefit analysis and they would make sure that this works for all the consumers and the rate payers
NH

New Hampshire 2025 Regular Session

Senate Energy and Natural Resources (04/01/2025)

Energy and Natural Resources

Transcript Highlights:
  • zero<01:10:22.000> risk<01:10:22.320> to<01:10:22.480> rate<01:10:22.719> payers
  • ><01:10:23.840> The<01:10:24.159> passage<01:10:24.880> by zero risk to rate payers
  • The passage by zero risk to rate payers.
  • Um, in our view, if such a provider as this is connected to the grid, whether for backup power or primary
  • <01:17:17.760> power<01:17:18.159> you<01:17:18.480> are backup power or primary
Keywords: 1191, senate, all
AZ

Arizona 2026 Regular Session

03/31/2026 - House Appropriations

Appropriations

Transcript Highlights:
  • And it's the primary mechanism for distributing funds to protect and rehabilitate trails throughout the
  • There's at least 10 or 11 members of this House that won't be here next year, and with primaries and
  • I would think it’s not enough because other health care providers, primary care providers like nurse
  • Arizona faces basically a lack of, or a shortage of, primary care providers.
  • By the time you see a primary care provider, the window to initiate treatments like Tamiflu has often
Summary: The committee began with Senate Bill 1272, which would provide $5 million for the City of Douglas as a state match for the Douglas Port of Entry project. The chair adopted a Livingston amendment changing the funding source from the General Fund to the Water Supply Development Revolving Fund. Senator Gowen, Douglas Mayor Jose Grijalva, and city staff testified that the project could unlock $678 million in federal funding, create jobs, improve trade and national security, and generate future tax revenue. The bill passed 15-0 with three present and one not voting. Senate Bill 1503 was then amended with a strike-everything to expand the state death benefit for first responders to include pilots employed by law enforcement agencies, retroactive to January 1, 2026, and subject to voter approval. Senator Gowen and DPS Director Colonel Jeffrey Glover said the change would ensure the family of a DPS aviation supervisor killed in a helicopter crash would qualify for the benefit. The committee approved the bill 18-0 with one not voting. Senate Bill 1274 was converted by strike-everything amendment into a timeshare salesperson licensing measure, creating a separate license and training path focused on timeshare sales. Supporters said the change would better prepare salespeople and streamline licensing, while the sponsor said it would make government more efficient. The bill passed 17-1 with one not voting. Senate Bill 1286, dealing with veterinary telemedicine, was also approved after negotiated changes extended most telemedicine prescription periods to 30 days, kept antimicrobials at 14 days with no renewal, and allowed longer flea-and-tick prescriptions; supporters said it would help rural and disabled pet owners. It passed 18-0 with one not voting. The committee next considered Senate Bill 1519 on off-highway vehicles. A hostile strike-everything amendment proposing paid family and medical leave failed 7-11 with one not voting. The committee then adopted a Lopez amendment and advanced the underlying bill, which raises the OHV weight threshold from 2,500 to 3,500 pounds and adjusts registration and funding provisions. Supporters said it reflects newer enclosed and electric vehicles and helps trail funding, while opponents warned of trail damage and said the issue should wait for the study committee. The bill passed 10-7 with one present and one not voting. Senate Bill 1618, which updates the Military Affairs Commission, expands its membership and duties, and creates a military affairs fund, drew mixed testimony about whether it would strengthen Arizona’s ability to attract and retain military missions or shift the commission away from its traditional support role; it passed 10-6 with two present and one not voting. Finally, Senate Concurrent Resolution 1020, which would send to voters a CPI-based annual adjustment to legislative salaries, passed 9-8 with one present and one not voting after members debated legislative compensation, citizen-legislator concerns, and whether the change would broaden access to public service.
TX

Texas 89th Regular

Public Education May 20th, 2025

Public Education

Transcript Highlights:
  • the law by encouraging their staff members to vote for certain political candidates in the March primary
  • an independent school district. ...to host forums for a candidate for an elected office during the primary
  • simple but powerful truth: that parents are not visitors in their child's education, but they are the primary
  • system, reflect our community standards, remain age-appropriate, and respect the roles of parents. primary
  • will reflect our community standards, remain age-appropriate, and respect the role of parents as the primary
MN

Minnesota 2025-2026 Regular Session

House Floor Session: 2025 First Special Session - part 1 Jun 9th, 2025

Minnesota House Floor Meeting

Transcript Highlights:
  • So we go back to what we've heard already about the costs of healthcare: primary care is $300 for a visit
  • To stop children of undocumented immigrants from going to primary school?
  • As I am the primary caregiver for my nephew, Gabriel.
  • And we're protecting our plans as payers. I think I'm done. I think I'm done, Madam Speaker.
  • We've dramatically expanded primary care.
MN

Minnesota 2025-2026 Regular Session

House Republican Press Conference 4/9/26

Transcript Highlights:
  • This would go back to the property tax payers. Yeah. Any other questions?
  • :20.400> tax This would go back to the property tax This would go back to the property tax payers
  • . payers. payers.
Keywords: 1183, house
Summary: House Republican leaders unveiled their “North Star Comeback” budget plan, describing it as a focused effort to make Minnesota more affordable, reduce government waste, and strengthen the economy. They said the package would include a $3.8 billion tax cut proposal with one-time property tax relief, elimination of taxes on tips and overtime, childcare relief, lower car tab fees, and funding for schools through scholarship-granting organizations. They also framed the plan as a response to rising costs for groceries, housing, energy, insurance, and childcare. A major emphasis of the rollout was government accountability, especially a strong Office of Inspector General bill and IT modernization to reduce fraud. Leaders said the OIG proposal had moved out of committee and was now in Ways and Means, with a working group continuing to reconcile House and Senate differences. On IT modernization, Chair Paul Torkelson said the plan would likely use a two-pronged approach, with about $15 million for near-term needs and a longer-term fund for ongoing technology upgrades; he said many such investments could qualify for federal matching dollars. The leaders also highlighted Medicaid conformity, saying Minnesota should align with federal changes to avoid losing funding, and they discussed a property tax rebate proposal as a one-time $1 billion return to taxpayers to offset higher property taxes. In response to questions, they said many of the budget items were still moving through the process and some had not met finance deadlines, while others were already in bills. They repeatedly criticized House Democrats for blocking or delaying Republican proposals and said they wanted bipartisan cooperation to pass the plan this year.
WV
Transcript Highlights:
  • commission from approving any increase in rates charges or costs paid by west virginia retail rate payers
  • unless it finds based upon a preponderance of the evidence that the costs assigned to the rate payers
Keywords: 994, senate, all
Summary: The Senate Energy, Industry and Mining Committee met, established a quorum, and approved the minutes from the March 9 and March 11 meetings. The committee then took up an engrossed committee substitute for House Bill 4012, which as explained by counsel would limit the Public Service Commission’s ability to approve rate increases and certain utility-related approvals unless the costs to ratepayers are shown to be proportionate to the benefits, with written justification required for approved increases. The bill also addressed PSC approval of certain electric transmission lines and related service commitments. The committee adopted a strike-and-insert amendment that removed most of the House bill’s provisions and inserted the contents of engrossed committee substitute for Senate Bill 669, which had previously passed the Senate, while retaining only the portion related to certificates of public convenience and necessity for certain transmission lines. After the amendment was adopted, the committee voted to report House Bill 4012, as amended, to the full Senate with a recommendation that it do pass. The committee also adopted a title amendment and then adjourned. No opposition votes were recorded on the motions described in the meeting.
UT

Utah 2025 Regular Session

Business and Labor Interim Committee - November 19, 2025

Business and Labor Interim Committee

Transcript Highlights:
  • There is no assurance that commercial payers will reimburse services without licensure, and the financial
  • We have in conversations with payers, and of course we cannot speak for CMS.
  • But in speaking with other payers, often what they're looking for is not the term licensure, but that
  • And number two, these concerns about interstate portability and payers.
  • These concerns about interstate portability and payers are brought up.
Keywords: 985, all
HI

Hawaii 2025 Regular Session

EEP Public Hearing - Thu Feb 6, 2025 @ 9:00 AM HST

Energy & Environmental Protection

Transcript Highlights:
  • low interest loans for<00:08:04.680> underserved<00:08:05.240> rate<00:08:05.599> payers
  • ><00:08:06.599> uh<00:08:06.680> from<00:08:06.879> the for underserved rate payers
  • uh from the for underserved rate payers uh from the clean<00:08:07.240> energy<00:08:07.680><
  • :08:10.759> rate revolving Loan Fund underserved rate revolving Loan Fund underserved rate payers
  • include state and local payers include state and local governments<00:08:12.919> low<00:08:13.159
Keywords: 910, house, all
Summary: The Committee on Energy and Environmental Protection heard testimony on a series of energy, transportation, climate, and waste bills. HB 977 would provide additional funding to the Hawaii Green Infrastructure Authority for low-interest financing of rooftop solar and storage for underserved ratepayers; HB 1295 would require state and county agencies to use federal energy tax credits; HB 1051 concerns energy efficiency portfolio standards; HB 1019 addresses long-duration clean energy storage; HB 344 concerns EV charging infrastructure at state facilities; HB 733 would change EV parking requirements; HB 242 creates a working group on EV battery reuse and recycling; HB 1022 expands access to energy industry information reporting; HB 1017 repeals the greenhouse gas sequestration task force; HB 787 asks for a feasibility study on a Buy Clean program; and HB 751 sets composting goals. Testimony was largely supportive across the bills, with some agencies standing on written testimony or offering comments, and a few measures drawing opposition or concerns, including HB 751 from county agencies and HB 242 from Redwood Materials requesting inclusion of a specialized battery recycler on the working group. Members asked several questions, including about EV charging siting, whether bike parking and showers should be considered in EV facility planning, how often EV charging stalls are relocated to other sites, and whether Hawaiʻi has in-state capacity to prepare EV batteries for shipping and recycling. On HB 751, the committee discussed county diversion rates and Maui’s composting capacity, with the Department of Health noting Maui’s diversion decline was tied to closure of the EKO co-composting facility at Central Maui landfill and that reestablishment was planned. On HB 242, Redwood Materials explained it handles lithium-ion batteries, including work related to the Maui wildfire response, and said a full in-state recycling chain is unlikely, though local facilities can safely prepare batteries for shipment. In decision-making, the committee voted to pass all of the measures with amendments. For HB 977, the committee noted a recommended appropriation of $50 million and made technical amendments. HB 1295, HB 1051, HB 1019, HB 344, HB 733, HB 242, HB 1022, HB 1017, and HB 787 were all advanced with technical or substantive amendments, including changes to dates, appropriations, and working group membership. For HB 344, the committee accepted DAGS’s suggestion to make HSEO the expending entity and adjusted the appropriation to one year. For HB 242, the committee added a battery storage industry member, included stationary storage as a consideration, and extended the reporting date to 2027. HB 787 was advanced with a request that the Climate Commission and State Procurement Office work together on more specific amendments if the bill continues moving forward.
MN

Minnesota 2025-2026 Regular Session

Committee on Taxes - 02/05/25

Taxes

Transcript Highlights:
  • <00:36:21.760> title<00:36:22.040> 32 title 10 active duty payer title 32 title 10
  • active duty payer title 32 State<00:36:22.640> active<00:36:22.920> duty<00:36:23.200><
  • employment or their primary family situation, and then their service is a secondary part-time obligation
  • employment or their primary family situation, and then their service is a secondary part-time obligation
  • goal of issuing office with the primary goal of issuing private<02:07:05.400> letter private
Keywords: 1187, senate, all
NH

New Hampshire 2026 Regular Session

House State-Federal Relations and Veterans Affairs (04/10/2026)

State-Federal Relations and Veterans Affairs

Transcript Highlights:
  • So, their<00:44:59.680> primary<00:45:00.160> responsibility<00:45:01.400> is<00
  • :45:01.560> to<00:45:01.680> be<00:45:01.840> a their primary responsibility is
  • to be a their primary responsibility is to be a veteran<00:45:02.560> and<00:45:02.720> to<
  • So, wanting to make sure that this is going to help the local tax base and the property tax payer would
  • So, wanting to make sure that this is going to help the local tax base and the property tax payer would
Keywords: 1189, house, all
AZ

Arizona 2026 Regular Session

02/11/2026 - House Ways & Means

Ways & Means

Transcript Highlights:
  • else paying the bill that's pretty fantastic for me that doesn't seem pretty fair for those rate payers
  • In Queen Creek, we've frozen our primary property taxes for three years and plan to continue to do so
  • You mentioned that you guys froze your primary tax...
  • You froze the rate that you charge on primary tax, is that correct? Yes, Mr. Chairman.
  • But yes, we froze the rate, and with the frozen rate, the overall revenue for primary tax still went
Summary: The committee first heard House Bill 2780, a technical cleanup measure related to Arizona’s judicial tax lien foreclosure and excess proceeds process. The sponsor and a witness said the bill clarifies when a court should order a public sale, standardizes distribution of sale proceeds, and corrects inconsistencies left from prior reforms. No opposition was raised, and the committee approved HB 2780 unanimously on a 9-0 do pass vote. The committee then took up House Bill 4029, which would require the Governor’s Office of Strategic Planning and Budgeting and the Joint Legislative Budget Committee to evaluate the revenue impact of federal tax conformity changes earlier in the process, and would require the Department of Revenue to issue tax forms consistent with statute. An amendment was adopted to have OSPB and JLBC each make the evaluation and to require a governor’s report if the impact is $100 million or more, along with new reporting deadlines for DOR. Supporters argued the bill would force earlier action on conformity and prevent tax forms from diverging from statute; opponents said it added bureaucracy and could delay filing. The committee approved HB 4029 as amended by a 5-4 vote. The committee also heard House Bill 4030 and the related HCR 2052, both aimed at limiting local tax and fee increases. HB 4030 would bar municipalities and counties from adopting, imposing, or collecting increased fees, transaction privilege taxes, and utility rates from July 1, 2026, through June 30, 2030. The sponsor said the measure was intended to protect taxpayers from inflation and rising local costs. Cities, counties, and utility representatives opposed the bills, warning they would hinder infrastructure financing, water and wastewater projects, road improvements, and public safety services, and could force general fund subsidies or delayed maintenance. Supporters argued local governments have seen substantial revenue growth and should be restrained from further increases. The committee did not reach a final vote on HB 4030 or HCR 2052 in the portion provided.
NM

New Mexico 2026 Regular Session

Senate - Finance Feb 3rd, 2026 at 09:10 am

Senate Finance

Transcript Highlights:
  • know, we're actually worried that we're not that $15 million isn't going to cover both either the primary
  • and what is coming forward now from the House, there is a 15 million supplemental, so FY26 for the primary
  • way, if you're going to effectively engage in utility oversight and regulation on behalf of rate payers
  • We have another against SNAP for sextortion, as it's the primary platform for sextortion.
  • The primary drivers for rate increases are inflationary pressures, personnel, elevated wages.
Keywords: 996, all
AR
Transcript Highlights:
  • So we are the policy driver for Medicaid payer as the Medicaid entity.
  • So we are the policy driver for Medicaid payer as the Medicaid entity.
  • we were doing the working group that they brought together legislators, providers, and DHS as the payer
  • So that becomes a critical piece of this is that we don't have another payer.
Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to behavioral health as the main topic. Representatives Woodridge and Vaught described the work of the behavioral health working group, saying Arkansas needs a more proactive system that improves access, reduces red tape, and focuses on a few achievable policy changes for the 2027 session rather than many bills. Members discussed barriers such as low reimbursement, workforce shortages, licensing and credentialing hurdles, rural access problems, and the need to better use community providers, compacts, and step-down services. Director Paula Stone of DHS’s Office of Substance Abuse and Mental Health gave a detailed overview of the behavioral health system. She said Medicaid pays for more than 75% of behavioral health services in Arkansas and explained that when people are jailed or admitted to the state hospital, Medicaid generally stops, leaving state general revenue to cover care. She described current efforts including family-centered treatment for children, community reintegration group homes, a new adolescent substance use disorder residential unit, expanded community mental health center contracts, a secured restoration unit to reduce state hospital backlogs, and an IMD waiver to allow Medicaid payment for certain residential services. She also said DHS is working on crisis services, forensic evaluations, and provider rebidding in areas previously served by ERISA. Members asked about reimbursement for jail services, the lack of a statewide behavioral health dashboard, civil commitment options, crisis stabilization units, and whether Arkansas should expand step-down or long-term facilities for people who cannot safely return to the community. Stone said the state hospital backlog remains significant, average stays are still about 14 months, and crisis stabilization units have had mixed success, with Fort Smith and Jonesboro performing better than Fayetteville and Little Rock. The meeting ended with a commitment to continue the work, with more substantive discussion planned for August.
HI
Transcript Highlights:
  • Hawaii Primary Care Association, Eric Abby.
  • Our priority is primary care, mental health, and rural areas.
  • Our priority is primary care, mental health, and rural areas.
  • Our priority is primary care, mental health, and rural areas.
  • Is primary care, mental health, and rural areas.
Keywords: 910, house, all
Summary: The joint hearing opened with SB 1442, which would update the statute governing the Child and Adolescent Mental Health Division and clarify its role as the state Medicaid provider of intensive mental health services for children and adolescents with serious emotional disturbance. The Department of Health testified in strong support, saying the current statute is outdated and warning against any unfunded mandate because the division relies on federal funding and faces uncertainty about future resources. Written testimony from several organizations also supported the bill. The committees took no immediate action and said they would hold decision-making until later. The hearing then moved to SB 479 on ABLE savings accounts. The Hawaii State Council on Developmental Disabilities and the Hawaii Disability Rights Center supported the measure, arguing that ABLE accounts help people with disabilities save money without losing benefits and that the state needs more outreach and staffing to expand participation. A testifier with a disability said the bill would help people keep Social Security and housing stability. The chair indicated an intention to move the bill forward, and asked about funding; the discussion settled on a requested appropriation of about $75,000 for incentives. Next, SB 1245 on reimbursement of pharmacists drew broad support from the Hawaii Pharmacists Association, rural pharmacies, the Hawaii Primary Care Association, and others, who said the bill would improve access to care, especially on neighbor islands and in rural communities, and help pharmacies participate in 340B-related services. The Insurance Division and HMSA raised concerns about bill language, saying it could be read to cover pharmacists outside an insurer’s network and that the scope of reimbursable services needed clarification; the pharmacists’ association said the bill is intended to apply only to in-network pharmacists and should continue to reference existing scope-of-practice law. The hearing also took up SB 1279, which would allow pharmacists to authorize medications via telehealth under certain circumstances. The State Board of Pharmacy opposed the bill, citing patient safety, a pilot project with reported errors, concerns about controlled substances and unregulated technicians, and the view that in-person pharmacist services are safer and already available on the affected islands. Several pharmacies and health care groups supported the measure as a way to preserve 340B access and improve service on Lānaʻi and Molokaʻi, while some local pharmacies said they already provide in-person service and opposed remote dispensing. No votes were taken in the portion of the hearing provided.