Video & Transcript : 'payment reimbursement' :
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TX
Texas 89th Regular
Trade, Workforce & Economic Development Apr 9th, 2025
Trade, Workforce & Economic Development
Transcript Highlights:
- Under our current law, the Texas Workforce Commission cannot reimburse childcare providers in the poorest
- The same price for the same care that is reimbursed in communities.
- Unties the hands of local workforce development boards to allow them the option to reimburse the rising
- When they do not have enough funds, they're not getting the premium rate as far as TRS reimbursement
- You complete the paperwork and opt into a payment plan.
Bills:
HB74 , HB175 , HB460 , HB576 , HB2271 , HB2294 , HB2874 , HB3016 , HB3133 , HB3191 , HB3458 , HB3929 , HB4063 , HB4115 , HB4394 , HB74 , HB175
Keywords:
Puerto Verde, Port Authority, eminent domain, bonds, tax assessments, economic development, infrastructure, transportation, public welfare, child care, certifications, Texas Rising Star Program, grant program, disability inclusion, family income, affordability, economic impact, state study, cost analysis, government support
TX
Texas 89th Regular
Trade, Workforce & Economic Development Apr 9th, 2025
Trade, Workforce & Economic Development
Transcript Highlights:
- The representative for her work on the committee's job, which Judges concerned, um, um, uh, I'm reimbursement
Bills:
HB74 , HB175 , HB460 , HB576 , HB2271 , HB2294 , HB2874 , HB3016 , HB3133 , HB3191 , HB3458 , HB3929 , HB4063 , HB4115 , HB4394 , HB74 , HB175
Keywords:
Puerto Verde, Port Authority, eminent domain, bonds, tax assessments, economic development, infrastructure, transportation, public welfare, child care, certifications, Texas Rising Star Program, grant program, disability inclusion, family income, affordability, economic impact, state study, cost analysis, government support
TX
Transcript Highlights:
- Is the state going to reimburse counties for that responsibility, or is this...
- To the supposed purpose of the bill, depriving a county of reimbursement funding for election expenses
- We do not now fund and reimburse for systems like that where the votes are recorded electronically and
Bills:
SB801 , SB1200 , SB1410 , SB1717 , SB1862 , SB1863 , SB2216 , SB2681 , SB506 , SB2626 , SJR63 , SB 3
Committee:
Senate State Affairs
Keywords:
SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission
TX
Bills:
SB801 , SB1200 , SB1410 , SB1717 , SB1862 , SB1863 , SB2216 , SB2681 , SB506 , SB2626 , SJR63 , SB 3
Committee:
Senate State Affairs
Keywords:
SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission
MN
Minnesota 2025-2026 Regular Session
Human Committee Meeting - 2025-04-03
Human Services Finance and Policy
Transcript Highlights:
- Schumacher's bill that corrects terminology in the chapter of statutes governing nursing facility payment
- Section 35, also from the DHS Policy Bill, allows for reimbursement for travel expenses to and from.
- Section 37 from House File 973, from Representative Backer, specifies that co-payments, coinsurance,
Committee:
House Human Services Finance and Policy
Keywords:
human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 4/3/25
Human Services Finance and Policy
Transcript Highlights:
- Schumacher's bill that corrects terminology in the chapter of statutes governing nursing facility payment
- Section 35, also from the DHS policy bill, allows for reimbursement for travel expenses to and from interviews
- Section 37 from House File 973, from Representative Backer, specifies that co-payments, co-insurance,
Committee:
House Human Services Finance and Policy
Keywords:
human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator
TX
Texas 89th Regular
Senate Committee on Health and Human Services Mar 18th, 2025
Health & Human Services
Transcript Highlights:
- The committee substitute simply adds protections for beneficiaries who set up a rental payment.
- This law is intended to prevent retroactive recoupment of claims and payments.
- Payments are often more than the actual cost of their medications.
- request to include measures that promote compliance and do not link violations to Medicaid non-reimbursement
- Reimbursement or disenrollment would be especially challenging for rural areas and smaller practices.
Bills:
SB95 , SB268 , SB493 , SB619 , SB660 , SB922 , SB984 , SB1098 , SB1188 , SB1307 , SB1332 , SB1822
Committee:
Senate Health & Human Services
Keywords:
immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part I) Mar 5th, 2025
Health & Human Services
Transcript Highlights:
- More appropriately when it came to payment methodologies and patient protections.
- So these are things like requiring the PBM to disclose the contract that of reimbursement.
- How much are they going to get reimbursed? That is not something that's going to affect costs.
- . burst, by themselves, about $1,900 for a medication where the independent pharmacy was reimbursed $60
- reimbursement that is a fraction of the cost from the PBM-affiliated pharmacies. Good.
Committee:
Senate Health & Human Services
Keywords:
SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part II) Mar 5th, 2025
Health & Human Services
Transcript Highlights:
- That's what the payment should have been.
- They then get it filled at a local community hospital pharmacy, and the payment was $60.
Committee:
Senate Health & Human Services
Keywords:
SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare
TX
Transcript Highlights:
- That's what the payment should have been.
- They then got it filled at a local community pharmacy and the payment was $60.
Committee:
Senate Health & Human Services
Keywords:
SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare
NH
New Hampshire 2025 Regular Session
House Finance Division II (02/05/2025)
Transcript Highlights:
- </c><00:06:53.759><c> rates</c> are the the federal reimbursement rates are the the federal reimbursement
- </c> page five um these are the reimbursement page five um these are the reimbursement rates<00:09:06.079
- Those are the reimbursement rates.
- rate—there's a column for federal reimbursement rate, there's a column for State reimbursement rate,
- > that</c> school districts for Bond payments that school districts for Bond payments that they<01:33
Summary:
The Finance Committee Division II met with the New Hampshire Department of Education to review school nutrition programs and related funding. Department staff Melissa White and Kelly Rambo walked through a packet covering the National School Lunch Program, Fresh Fruit and Vegetable Program, Community Eligibility (CEP), After School Snack Program, Child and Adult Care Food Program, and Summer Food Service Program, explaining that these are federally funded USDA programs, with some state supplemental funding in certain areas. They also reviewed reimbursement rates for lunch, breakfast, child/adult care, and summer meals, noting that summer rates follow calendar-year timing while most others follow the state fiscal year.
Members asked several questions about how the funding works, especially the difference between federal reimbursements and the state match. Staff explained that the state lunch line in the budget is a fixed match amount tied to federal participation, while breakfast funding is broken out by meal type and reimbursement category. They also discussed why FY 2022 federal spending was much higher during COVID, when USDA covered meals at the free rate for all students, and why FY 2023 and FY 2024 dropped as normal income-eligibility rules returned. A committee member also asked about the “severe need lunch” two-cent rate, and staff said they did not know USDA’s formula.
A substantial portion of the meeting focused on summer meals and the distinction between the Summer Food Service Program and Summer EBT. Staff explained that SFSP provides meals at approved sites, which can be open or closed sites, while Summer EBT is a separate DHHS-operated benefit program that provides funds to families. They said some schools or sites may not qualify under USDA rules, but eligible children can often use another nearby open site, and the department posts an interactive map and phone line to help families find locations.
The committee also discussed the Community Eligibility Provision. Staff said New Hampshire currently has three CEP schools, that the eligibility threshold had recently been lowered from 40% to 25% identified students, and that the program allows participating schools to offer free meals to all students while the local district covers the non-federal share. Members asked whether any districts in the 25% to 40% range had joined; staff said no. The department offered to provide the eligibility report in Excel and noted that the CEP intent is to reduce application burden, though the lower threshold can make the local cost share harder for some districts to absorb.
NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs (01/15/2025)
Transcript Highlights:
- </c><00:14:08.959><c> coin</c> payment the payment stable stable coin payment the payment stable stable
- We are a reimbursement consulting firm, so we get involved with reimbursement issues—Medicare, commercial
- </c><03:45:52.960><c> but</c> a lower be a lower reimbursement but a lower be a lower reimbursement but
- </c> problem whether it was the reimbursement problem whether it was the reimbursement rates<04:01:12.840
- </c> hardship whatsoever I worked out payment hardship whatsoever I worked out payment plans<05:13:34.320
Summary:
The House Commerce Committee opened a public hearing on House Bill 310, sponsored by Representative Keith Ammon, which would create a study commission to develop a legal framework for stable tokens and tokenized real-world assets. Ammon described stable tokens as blockchain-based digital tokens backed by U.S. dollars or treasuries, and tokenized real-world assets as representations of ownership in items such as gold, real estate, or artwork. He said the bill is intended to help New Hampshire get ahead of emerging financial markets while waiting to see how federal legislation develops.
Committee members asked about the purpose of the bill, the difference between this proposal and Bitcoin, whether state regulation could be preempted by federal law, and whether the commission could be balanced and avoid becoming a vehicle for fraud or money laundering. Ammon said the proposal is blockchain-agnostic, could apply to multiple networks, and is meant to regulate asset-backed tokens rather than create a state-issued coin. He emphasized that the state would not be guaranteeing the underlying assets, but would set rules requiring audits, proof of reserves, and honest representation of backing, with the Secretary of State’s securities office involved in oversight.
Several members raised concerns about the risks of stablecoins, including money laundering, tax evasion, and possible harm to the dollar or confusion about whether the state was endorsing a new currency. Ammon responded that the bill would not undermine the dollar and argued that tokenization could actually expand demand for U.S. currency by making it easier to use globally. He also said the state would not be in the business of weighing assets or directly valuing them, only ensuring a valid audit trail and one-to-one backing. The discussion ended with general agreement that the subject is complex and that a commission could help develop future legislation, but no vote or final action was taken in the hearing.
WY
Wyoming 2026 Regular Session
House Labor, Health & Social Services Committee, February 23, 2026
Labor, Health & Social Services
Transcript Highlights:
- </c> the 911 responses, the non-reimburseable the 911 responses, the non-reimburseable and<00:03:51.200
- </c><00:04:53.840><c> ambulance</c> reimburse or pay these ambulance reimburse or pay these ambulance
- That's what those payments are for.
- ><00:20:27.280><c> healthc</c><00:20:27.520><c> care</c> payments are for that healthc care payments
- . reimbursement. reimbursement.
Bills:
HB0004
Committee:
House Labor, Health & Social Services
MN
Transcript Highlights:
- State agencies are also responsible for reviewing and approving claims for reimbursement and making payments
- claims and distributing reimbursement claims and distributing reimbursements<00:09:01.880><c> among<
- for reimbursement and making payments<00:09:30.560><c> to</c><00:09:30.760><c> sponsors</c><00:09:31.200
- payments.
- It seems to me that fraud or unstated reimbursement claims would certainly be a good reason to stop payments
Committee:
House Education Policy
KY
Kentucky 2026 Regular Session
Medicaid Oversight and Advisory Board (1-12-26)
Transcript Highlights:
- /c> we have to reduce those payment rates we have to reduce those payment rates uh<00:26:11.320><c> to
- </c> This has state directed payment changes. This has state directed payment changes.
- </c> reimbursement rate? reimbursement rate? >> Yeah. Thank<00:38:56.960><c> you.
- </c><00:56:00.040><c> I</c> adequacy, and reimbursement. I adequacy, and reimbursement.
- </c> network adequacy, and reimbursement. network adequacy, and reimbursement. >> Yes.
Summary:
The Medicaid Oversight and Advisory Board met on January 12, 2026, to approve the December 10, 2025 minutes and continue finalizing its findings and recommendations. Members reviewed findings on administrative inefficiencies, Medicaid and workforce participation under HR 1, Medicaid budget growth, rural health transformation fund development, and provider tax/state-directed payment changes. The board approved a motion to change “pilot” to “partnership” in the workforce-related recommendation, and also adopted a technical amendment clarifying overlapping HCBS services by removing reference to adult daycare waiver services and revising the language to focus on reducing duplication, simplifying provider contracting, and standardizing processes across programs. A separate technical correction was noted to change “DMS” to “DPH” in the rural health transformation finding, to be handled in the final edits.
Several findings drew discussion but no final substantive vote during the meeting. On the rural health transformation fund, Dr. Berg said Kentucky had done well in federal funding and noted limits on what could be shared publicly, while Commissioner Lee said a public website had been created and recommended the department reference be changed to the Department for Public Health. Finding five prompted extended discussion about provider taxes, state-directed payment reductions under HR 1, and whether the board should address the relationship between actuarial studies, MCO payments, and actual provider reimbursement more directly. Senator Meredith and others argued for a broader, more transparent baseline review of rates across provider groups, while Commissioner Lee said CMS will require certain fee schedule comparisons to Medicare beginning July 1, 2026, and that quarterly expenditure reports already go to LRC.
The board did not finish resolving finding five during the meeting and agreed to return to it after staff prepared more explicit language. Members also discussed the possibility of an all-payers claims database as a better way to understand what is being paid across payers and services. No final vote on the full findings package was taken in the portion of the meeting provided, but the board did adopt the noted amendments and continued working through the remaining language.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 03/19/25
Health and Human Services
Transcript Highlights:
- the reimbursement.
- the reimbursement.
- , we're at about 25% in Medicaid payments, we're at about 25% in Medicaid payments,<00:47:58.800><c>
- reimbursed for non-transport.
- reimbursed for non-transport.
Committee:
Senate Health and Human Services
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health May 19th, 2025
Transcript Highlights:
- We are proposing to limit payments for our PACE providers.
- These managed care payment increases are in addition to those payment rates that existed at that time
- These payments will support the non-federal share as fixed dollar supplemental payments for primary care
- So, currently, we have some abortion reimbursement issues.
- payments?
KY
Kentucky 2025 Regular Session
House Standing Committee BR Sub. on Justice, Public Safety, & Judiciary (3-4-25)
Transcript Highlights:
- They don't get reimbursed for mileage. They don't get reimbursed for administrative assistance.
- </c><00:09:12.519><c> for</c> counties they don't get reimbursed for counties they don't get reimbursed
- </c> revers excuse me they're not reimbursed revers excuse me they're not reimbursed for<00:09:23.160
- for timely payments.
- </c><00:47:23.640><c> process</c> payments so that's the payment process payments so that's the payment
Summary:
The subcommittee met to discuss the guardian ad litem system, including appointment qualifications, training, payment, and whether any changes are needed. Roll was called, the February 25, 2025 minutes were approved, and the chair emphasized that the meeting was informational only and no vote would be taken. Representatives from the Court of Justice, including Chief Justice Deborah Henry Lambert and several family and district judges, testified about how the system has evolved since concerns raised in 2019 about overappointment and fees.
Court witnesses said the judiciary responded to earlier concerns by requiring open appointment lists of trained and qualified attorneys, improving training, and increasing oversight of fee orders. They reported that statewide GAL fees have fallen from a little over $14 million in 2019 to about $12 million, even as caseloads have grown, and said the average payment works out to about $650 per case, with the statutory cap for trial-level GAL fees still set at $500 since 1986. They argued that the current local appointment model works well, especially in rural areas, and warned that moving to a DPA-style regional model would create serious scheduling and conflict problems because of overlapping dockets and related criminal cases.
Judges from rural districts described shortages of available attorneys, high burnout, travel burdens, and the difficulty of finding enough counsel in smaller counties. They also said the Court of Justice cannot seek certain federal Title IV-E reimbursements, but urged the legislature to encourage the Finance and Administration Cabinet and the Cabinet for Health and Family Services to pursue that funding through an MOU. One judge noted that some appointed attorneys are effectively underpaid relative to private rates and that better compensation would help attract and retain lawyers.
The discussion also covered training standards adopted after the 2019 audit. Witnesses said Rule 37 now requires initial training and four hours of multidisciplinary continuing training every two years, with topics including child development, trauma-informed care, substance use, child welfare, forensics, ethics, and communication with clients. They said the Court of Justice has offered in-person regional trainings and remote options, and that the goal is to keep qualified attorneys on the appointment lists while improving representation for children and parents in dependency, neglect, abuse, and termination-of-parental-rights cases.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 04/08/26
Health and Human Services
Transcript Highlights:
- So, it prohibits PBMs from reimbursing pharmacies below the required reimbursement standard and from
- So, it prohibits PBMs from reimbursing pharmacies below the required reimbursement standard and from
- So, it prohibits PBMs from reimbursing pharmacies below the required reimbursement standard and from
- I'm seeing the bridge payment part and I'm seeing the bridge payment part and or<01:20:50.320><c> or<
- </c> reimbursements to pharmacies. reimbursements to pharmacies.
Committee:
Senate Health and Human Services
FL
Florida 2026 Regular Session
Joint Legislative Budget Commission Feb 5th, 2025
Transcript Highlights:
- Providers are to be reimbursed up to their respective upper payment limit gap for inpatient and outpatient
- Payments are made on a quarterly basis.
- share of these payments.
- and the public hospital payment programs.
- By providing payments for the shortfall in physician Medicaid reimbursement for medical school faculty
Summary:
The Legislative Budget Commission met with a quorum present and considered 12 budget amendments, most of which were adopted without opposition. The first amendment transferred $8.2 million in Department of Corrections general revenue authority from salary incentives to contracted services to support the phased demobilization of Florida National Guard troops assisting with correctional staffing. Senator Pizzo questioned the length of the Guard’s deployment and urged a long-term staffing solution, while the department said the Guard presence was being reduced and that about 2,200 employees were in training. The Department of State received an additional $618,391 in federal grant authority for library grants and private cloud costs, and the Department of Transportation’s two amendments were zero-sum work program changes: one realigned funds to production-ready projects and another added three projects over $3 million each to the current-year work program.
The commission then approved several Agency for Health Care Administration amendments tied to Medicaid supplemental payment programs. These included funding for the Florida Cancer Hospital Program, indirect medical education payments, disproportionate share hospital payments for the state mental hospitals, the Low-Income Pool program, physician supplemental and public hospital payments, Florida KidCare, and Medicaid services realignment. Members asked about possible federal disallowances in the LIP and physician/public hospital programs, and agency staff said some disallowances were likely but the amount was not yet known. For KidCare and Medicaid, staff explained the changes were based on the December estimating conference, enrollment shifts, and updated actuarial assumptions, including changes to managed care regions and program design.
The final amendment restored budget authority for a hospital direct payment program after a prior payment, including a $24.3 million CMS-related amount and $3.2 million in administrative fees, was not processed before fiscal year-end and reverted. Senator Pizzo pressed the agency on how the payment was missed and whether any penalty applied; staff said the invoice was not received and processed in time and that communication issues contributed. After brief debate on each item, the commission adopted all amendments, with one recorded nay on the final item, and then adjourned.