Video & Transcript Research : 'managed care'

Page 3 of 500
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 2/23/26

Health Finance and Policy

Transcript Highlights:
  • <00:09:05.279> Our and help fill gaps in care. Our and help fill gaps in care.
  • is quality health care.
  • seek the health care that they need. seek the health care that they need.
  • care.
  • Wraparound care is to give optimal care. Wraparound care is super<01:26:47.520> important.
LA

Louisiana 2026 Regular Session

Health and Welfare May 19th, 2026

Health and Welfare

Transcript Highlights:
  • “I know that, but preventative care is a lot.
  • care.
  • When people aren’t able to get that health care coverage, they’re only really able to get that care through
  • emergency care.
  • We conducted a study with Health Management Associates and found that the actual cost of providing care
TX

Texas 89th Regular

Health and Human Services Apr 30th, 2025

Health & Human Services

Transcript Highlights:
  • I'm the CEO of the Texas Association of Health Plans, and we represent all of the Medicaid managed care
  • One of the main tenets of Medicaid managed care and the move away from fee-for-service rates was to create
  • A study over the last few years has found that Medicaid managed care has saved between $5 billion and
  • It is the main core structure of Medicaid managed care.
  • By permitting Medicaid-managed care organizations to pay for nutrition counseling and instruction in
Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.
OK

Oklahoma 2026 Regular Session

Health and Human Services 2ND REVISED Feb 16th, 2026 at 02:00 pm

Health and Human Services

Transcript Highlights:
  • of care.
  • The bottom line, Senate Bill 1794 helps Oklahoma get people in crisis to care faster.
  • Let's see if we can get that per person to the appropriate care faster. That's all this is doing.
  • To get people care quicker. Thank you. That concludes debate. The clerk will call a roll.
  • Senator Ice, do you care to vote? Senator Stanley, Senator Rossino. 10 ayes, two nays.
TX
Transcript Highlights:
  • Health care facility.
  • , which is a barrier to care.
  • the volume of care rather than the quality of care. provided.
  • care, fee-for-service, to paying for health care that keeps people healthy.
  • care.
TX
Transcript Highlights:
  • We represent all of the Medicaid managed care organizations that contract with the state of Texas to
  • One of the main tenets of Medicaid managed care and the move away from fee-for-service rates was to create
  • The bill amends Government Code 540 to allow Medicaid-managed care organizations to provide medical care
  • Medicaid managed care organizations can pay for nutrition counseling and instruction in lieu of other
  • It's also important that healthcare providers and Medicaid Managed Care Organizations (MCOs) have the
OK
Transcript Highlights:
  • establishes parameters for the Oklahoma healthcare Authority when they're performing audits of long-term care
  • My question is what facilities in Oklahoma medical hospitals are wanting to provide this type of care
TX

Texas 89th Regular

Public Health Apr 7th, 2025 at 03:30 pm

Public Health

Transcript Highlights:
  • A nation that takes care of its veterans will always thrive.
  • to be exposed to primary care.
  • But that's the only area that they could do that—primary care?
  • , there are a lot of primary care residency programs around the state.
  • We were extra careful.
Summary: The meeting of the public health committee focused on the pressing issue of opioid addiction in Texas, with a particular emphasis on House Bill 3717. Chairman Harris detailed the bill's intent to fund a grant program for Ibogaine clinical trials, framing it as a critical response to the ongoing opioid crisis. He shared poignant testimonies highlighting the struggles of families and veterans battling addiction and mental health issues. The conversation underscored the necessity of innovative treatments, like Ibogaine, which showed promising results in studies for reducing symptoms of withdrawal and PTSD.
TX

Texas 89th Regular

Health and Human Services (Part II) May 7th, 2025

Health & Human Services

Transcript Highlights:
  • So there's a young woman who is about to age out of foster care now.
  • She came into care because her mom was beating her. She came in as a teenager.
  • So that young woman is stuck in foster care with no option for a permanent home.
  • I'm the Director of Child Protection Policy at Texans Care for Children.
  • I'm the Director of Child Protection Policy at Texans Care for Children.
Summary: The committee first reopened testimony on House Bill 2216, which would strengthen child welfare requirements by expanding “active efforts” to help families avoid removal and support reunification, while also raising standards related to removals and terminations. Supporters from child welfare and family defense groups said the bill would better protect families and align Texas more closely with ICWA-style principles, but several warned it would require significant new funding, staffing, and community services such as mental health care, housing, child care, and substance use treatment. The committee then left HB 2216 pending. The committee next heard Senate Bill 1782, aimed at boarding and group homes. Senator Miles said the bill closes enforcement gaps left by prior law by requiring retention of background-check records and creating misdemeanor penalties for failing to conduct or keep them, or for knowingly hiring people with serious convictions. Harris County sheriff’s investigators testified in support, describing illegal boarding homes, operators who evade permits and background checks, and exploitation of vulnerable residents; the bill was left pending. The committee also took up Senate Bill 481 on emergency preparedness for nursing facilities and assisted living facilities, adopted a new committee substitute that softened some requirements and removed the fiscal note, and left the bill pending. The committee then heard House Bill 388, which would require the Texas Department of Insurance to create a single standardized coordination-of-benefits form for dual health plans to reduce errors and surprise bills; it was left pending. Senate Bill 1590 would move paternity registry searches for adoptions to an electronic process with a 10-day target, and House Bill 2809 would track child suicide attempts in managing conservatorship and require related reporting and parental notice; both were left pending. The committee also heard Senate Bill 1887, which would prohibit administering mRNA-containing products for immunization for 10 years, with exceptions for cancer and genetic disorders. Supporters argued the bill was needed for safety, informed consent, and medical freedom, while opponents from the medical, research, and public health communities said mRNA vaccines are well-studied, save lives, and that the bill would harm access, research, and Texas’s biotech economy. The bill remained under discussion as testimony concluded.
TX

Texas 89th Regular

Health and Human Services (Part I) May 7th, 2025

Health & Human Services

Transcript Highlights:
  • Care Consortium.
  • We're managed.
  • Quality health care be delivered in rural Texas, and does rural Texas deserve quality care?
  • care, to actual health care.
  • that child in the foster care system.
Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.
TX

Texas 89th Regular

Insurance Mar 26th, 2025

Insurance

Transcript Highlights:
  • I have been providing care for both... primary care and mental health care in the rural areas for over
  • We provide the only access to primary care and mental health care in those counties.
  • This includes providing care in foster care facilities; we see patients in the jails and at schools,
  • care where you pay a monthly fee.
  • Texas Primary Care Consortium.
TX

Texas 89th Regular

Insurance Mar 26th, 2025

Insurance

Transcript Highlights:
  • Having a health care plan is better than not having a health care plan.
  • Inpatient care, okay?
  • One of the reasons why we do that is to keep people from managing their health care in the emergency
  • To me, any care is better than no care. Does that make sense?
  • The managed care organization negotiates contracts with them to maintain that relationship.
KY
Transcript Highlights:
  • It has to approve state appropriations management.
  • We have full oversight of budget and appropriations management is statutory language.
  • management is statuto language.<00:13:01.600> We<00:13:01.839> we're<00:13:02.079>
  • We appreciate it very much. >> All right, moving on to our next item is the Kentucky Managed Technical
  • ones that that fund and that take care ones that that fund and that take care of<00:40:32.960>
Summary: The committee first approved the minutes from its May 21 and June 10 meetings, then heard testimony from the Kentucky Office of the Attorney General on the effect of HB 314 on the Kentucky Communications Network Authority (KCNA) board. The Attorney General’s representative said HB 314 changed KCNA’s structure and staffing, but did not alter the statutory duties of the board, which still include developing and implementing strategic plans, providing policy direction, monitoring results, and approving fiscal planning. He argued the board is not merely advisory, has operational and budget authority, and that actions taken outside board approval could be ultra vires and without effect. He also noted the board historically approved settlements and contracts, including matters involving Open Fiber, and said the removal of the executive director position reduced direct personnel control but did not eliminate the board’s broader oversight. The committee then heard from representatives of Kentucky Managed Technical Services/LTS, who described a dispute over the Kentucky Wired network refresh and service-provider transition. They said the project agreement required a market test and acceptance of a proposal for both the network refresh and service-provider role, but that their proposals were rejected and the refresh work was later treated by the parties as a change order issue. They said some equipment worth about $3 million had been delivered, transferred, and paid for, while roughly $7 million in additional equipment was canceled by LTS but reportedly shipped to a KCNA warehouse and not paid for. They also said no refresh installation work has been performed, that they continue providing network maintenance to avoid service disruption, but believe the contract has expired and that there is no current agreement for ongoing service-provider work. Committee members asked whether actions taken without board approval would be invalid, whether the board could alter or terminate contractor arrangements, whether the bond disclosures suggesting a successful contract extension were accurate, and what equipment had been purchased or remained in storage. LTS representatives said they would follow up with the committee on the financial delta between the contracted rate and the month-to-month billing they say has been in effect since the contract expired, and on an inventory of in-service equipment and end-of-life dates. They said they want a commercial resolution, but if no resolution is reached soon they may pursue the formal contractual dispute process, and identified September 1 as their stated target date for resolving the matter and completing the refresh.
LA

Louisiana 2026 Regular Session

Insurance May 6th, 2026

Insurance

Transcript Highlights:
  • It's carved out of most of the Affordable Care Act.
  • That's all taken care of by the professional dispensing fee.
  • There have been studies by the Journal of Managed Care Pharmacy showing when maximizers are included
  • costs and promote innovation in health care.
  • I represent the Pharmaceutical Care Management Association, the nation's trade association for the PBM
TX

Texas 89th Regular

Insurance Apr 17th, 2025

Insurance

Transcript Highlights:
  • Yes, I think pharmacists have the care and they feel like they need to take care of their community and
  • Whether or not the care was an emergency to begin with.
  • . is to lower health care costs for Texans.
  • It's like health insurance from the 70s, before there was managed care.
  • And then they're taken care of.
OK

Oklahoma 2026 Regular Session

Health and Human Services REVISED Apr 20th, 2026 at 02:00 pm

Health and Human Services

Transcript Highlights:
  • This is Yes, it could be for foster care as well.
  • in foster care?
  • House Bill 3650 extends to managed care rate floor for one more year to July 1 of 2028.
  • care.
  • care in the next couple of years.
TX
Transcript Highlights:
  • The person receiving care has the right to make choices and decisions about their medical care.
  • This bill, Senate Bill 963 has to do with communications between managed care organizations. and patience
  • Supported by the health plans, primary care consortium and Texas 24.
  • I am the Chief Operating Officer at Carter Blood Care.
  • I don't care how many percentage it is, it's humans.
AZ

Arizona 2026 Regular Session

02/18/2026 - Senate Health and Human Services

Health and Human Services

Transcript Highlights:
  • So that means Medicare Advantage, Medicaid managed care, CHIP, and plans that are sold on the exchange
  • Madam Chair, SB 1629 requires AHCCCS-managed care organizations to demonstrate that they will still meet
  • AHCCCS is responsible for regulating and overseeing the managed care plans to ensure our members have
  • October 1, 2026, to conduct managed care contracting under the Arizona hybrid procurement model for
  • AHCCCS is committed to strengthening the process used to procure Medicaid managed care contracts.
Summary: The committee heard and acted on several health-related bills, with the longest discussion centered on SB 1214, the Arizona Stem Cell Therapy Act. The bill would regulate stem cell and birth tissue therapies, bar use of tissues derived from aborted fetuses or embryos, require informed consent and disclosure for non-FDA-approved therapies, and create civil and criminal penalties for violations. Supporters framed it as a patient-safety and bioscience-innovation measure, while opponents objected to the abortion-related language and felony penalties. The committee approved SB 1214 on a 4-3 vote. The committee also advanced SB 1194, which would prohibit health professionals and institutions from denying care or reducing care quality based on vaccination status, and SB 1814, which creates a study committee on substance use disorder treatment standards and oversight. SB 1602, increasing monthly stipends for kinship foster care parents, and SB 1603, expanding child-only cash assistance eligibility for certain foster and relative placements, were both amended and passed unanimously. SB 1177, barring public funds from being used for gender transition procedures, and SB 1014, requiring insurance coverage for detransition care and related reporting, both drew strong support and opposition and were each approved on 4-3 votes. Later, the committee unanimously passed SB 1628, requiring insurers and health plans to report claims-denial and prior-authorization data to DIFI for public reporting, and SB 1629, requiring AHCCCS managed care organizations to give advance notice and network-adequacy documentation before terminating high-volume providers without cause. Supporters of both bills emphasized transparency and patient access, while opponents argued the measures duplicated existing federal or state oversight. The committee then heard SB 1752, which would criminalize commercial harvesting or sale of mescaline while preserving a religious-use defense; the sponsor said it was intended to address improper sales of peyote-derived substances, but no final action on that bill was taken in the portion provided.
TX

Texas 89th Regular

Public Health Apr 7th, 2025

Public Health

Transcript Highlights:
  • How do we manage this?
  • We treat acute care.
  • care, or in the state for care.
  • the care of their patients.
  • In the management, the standard of care will be based on where the pregnancy is located and then opt.