Video & Transcript Research : 'primary runoff'
Page 41 of 370
NH
Transcript Highlights:
- So the idea of our primary is to select one or even two people if they're being primary in the primary
- <03:51:24.359>
that being Primary in the primary to that being Primary in the primary to that - one way but they decided on this primary one way but they decided on this primary to<03:51:52.680
- Coleman continued: “...of big decisions will be made in primaries, and if we're left out of the primaries
- <04:11:24.040>
on selection process called the primary on selection process called the primary
WA
Washington 2025-2026 Regular Session
House State Government & Tribal Relations Dec 5th, 2025
Transcript Highlights:
- Our turnout rates are quite high in both primary and general elections.
- The orange lines are primary elections. The blue lines are general elections.
- The orange lines are primary elections. The blue lines are general elections.
- In this chart, you’ll see the primary election rejection rates are slightly higher.
- General elections are higher than primary elections.
Summary:
The committee held a work session on voting rights in the United States and Washington, beginning with testimony from Marissa Wright of Campaign Legal Center and David Montes of the ACLU of Washington. They described the federal Voting Rights Act’s main protections—preclearance, vote suppression, and vote dilution—and argued that Supreme Court decisions such as Shelby County v. Holder and Brnovich have weakened those tools. They said Washington should consider stronger state-level protections, including a preclearance program and broader safeguards against discriminatory voting practices. Members asked about Washington’s history of discrimination, voter roll purges, noncitizen registration, and remedies under the Washington Voting Rights Act, including ranked-choice voting and district-based systems.
The committee then heard from the Office of Equity and several commissions, which described their roles in advising state government and working with communities. They focused on the immigration sub-cabinet created under Executive Order 2509, saying it is intended to improve coordination across agencies, the legislature, the courts, and community organizations on issues such as data privacy, language access, health care, education, and accountability under the Keep Washington Working Act. Members asked about the use of NGOs, accountability for KWW violations, and the sub-cabinet’s goals, and the panel said the effort is meant to help government respond more quickly and collaboratively while centering immigrant, disability, LGBTQ, and other communities.
The final panel was from the University of Washington Elections Database Project, which presented data on vote-by-mail ballot challenges, cures, and rejections from 2020 to 2024. They reported that about 1.5% of ballots are signature-challenged in most elections, roughly 60% of challenged ballots are cured, and overall rejection rates are about 1% in general elections and 1.5% in primaries. The researchers said voters of color, younger voters, and some tribal-area voters experience higher rejection rates, and that differences appear tied to signature mismatch, language access, ballot timing, and familiarity with the system. In the last panel, Maria Fernandez and Vicki Frausto of EIA described voter education and civic engagement work in Yakima County and Sunnyside, including concerns about intimidation, language barriers, signature mismatch, and at-large election systems; they said stronger Washington Voting Rights Act protections would help communities elect candidates of choice. No votes were taken during the work session.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Oct 7th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- Of those 864, we're looking for 198 primary care physicians.
- Another partner that we have is the New Mexico Primary Care Association.
- had an NP be my primary provider.
- It serves people in primary care and non-primary care clinicians, mental health, and dental providers
- So maybe more for primary care in a way as well.
MA
Massachusetts 2025-2026 Regular Session
Status of Persons with Disabilities Jun 21st, 2026 at 11:00 am
Transcript Highlights:
- care, which included a large focus on the primary care workforce.
- We identified that the primary care workforce—not only do we need more people pursuing careers in primary
- care, but we really need to focus on diversifying the primary care workforce.
- might engage in primary care, like NPs?
- Primary care, like NPs and—okay, yeah—so these stats are just on physicians.
Summary:
The Massachusetts Commission on the Status of Persons with Disabilities subcommittee on workforce supports met with Chair Andrew Lerault presiding. Members completed roll call, approved the August 2025 minutes, and then heard a presentation from Amy Doyle, director of the Behavioral Health Workforce Center at the Massachusetts Health Policy Commission. Doyle described the center’s launch in September 2024 and its legislative mandate to study behavioral health payment rates, workforce needs, and licensure/certification barriers, with an emphasis on recruitment, retention, capacity building, diversity/equity, and sustainability. She also shared data on unmet behavioral health needs, ED boarding, workforce shortages, aging and turnover in nursing and direct care, and the need to improve data collection on non-licensed workers and populations such as people with developmental disabilities and autism.
Committee members asked questions about what provider types were included in the workforce data and whether DDS-related residential and direct support roles were captured. Doyle said the center is still working to define and measure the full behavioral health workforce, including non-licensed roles, and welcomed follow-up on missing data sources. Members suggested additional sources such as CHIA and the Association of Developmental Disability Providers’ workforce survey. Doyle noted that the center is working with CHIA and that new licensure renewal surveys for behavioral health and allied mental health professionals will begin in 2025, which should improve future workforce data.
The discussion also touched on the Health Policy Commission’s broader workforce findings, including nurse attrition, burnout, low wages, and the importance of career ladders and advanced training. Doyle said the center’s first policy recommendations will come from its rate study, expected in the next one to two months, and will likely focus on capacity building and sustainability. After the presentation, members thanked Doyle and discussed subcommittee leadership. Chair Lerault announced he was stepping down, and Chris White volunteered to serve as co-chair; the committee agreed to move forward with that arrangement and to revisit FY26 goals once new leadership is in place. The meeting then adjourned by motion and second.
NH
New Hampshire 2025 Regular Session
House Executive Departments and Administration (02/12/2025)
Transcript Highlights:
- make the days on which the state primary make the days on which the state primary proceeding<01:
- entities to operate their own primaries entities to operate their own primaries um<01:20:00.199>
- This does make that designation in the primary and the presidential primary.
- I had a neighbor who wanted to vote in the primary and said to me, ‘Oh, the primary was yesterday.’
- >
establishing presidential primary um establishing presidential primary um establishing legal
Summary:
The hearing opened on House Bill 192, which concerns the Joint Committee on Employee Classification process for state employee positions. Representative Peter Schmidt explained that the bill is a procedural step to send already-reviewed classifications to Korn Ferry and then into statute and the budget. Department of Corrections staff and Commissioner Helen Hanks testified that one Deputy Director of Medical Services position had been omitted from the bill by mistake even though it had already gone through the JCEC process, and they asked for an amendment to add it. Hanks clarified that the position is an existing classified job being converted to unclassified status, not a new position. The committee discussed how the amendment would work and the quorum requirements for the JCEC, then closed the hearing on HB 192 after no further testimony.
The committee then heard House Bill 435, sponsored by Representative Don McFarland, which would clarify professional engineering licensure law. McFarland said the bill is intended to make clear that work in IT security, electronics, digital systems, computing, and software is not the practice of engineering requiring a professional engineer license, while preserving licensure requirements for fields such as civil, structural, and building-related engineering. He said he had consulted with the American Council of Engineering Companies and that the bill is meant to remove ambiguity and legal risk, not deregulate engineering. Several members with engineering backgrounds spoke in support, describing the distinction between licensed PE work and other technical fields, and one member noted that software development and regulated software work typically do not require a PE license. The committee voted ought to pass on HB 435 by a roll call of 16-0 and placed it on consent.
Finally, the committee opened House Bill 210, which would create a commission to study the New Hampshire state flag. Representative Tom Corman argued that the current flag is a generic “state seal on a blue bedsheet” and does not meet common vexillological design principles such as simplicity, meaningful symbolism, limited colors, and distinctiveness. He said the proposed commission would include legislative members plus representatives of the New Hampshire Historical Society and the New England Vexillological Association, and would review the flag’s history and recommend whether to redesign it and how to do so. He also indicated he intended to add language to avoid costs, but the bill discussion was not completed in the portion provided.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Safety and Homeland Security Jun 21st, 2026 at 10:00 am
Joint Committee on Public Safety and Homeland Security
Transcript Highlights:
- I also now would like to speak to the primary seat belt bill.
- This is not the first time I've testified for a primary seat belt bill.
- That would change with the primary seat belt use rate.
- Chair, I love the bill, primary enforcement of seatbelt violations. Love the bill.
- Back to H. 2688 regarding primary seatbelt.
Summary:
The Joint Committee on Public Safety and Homeland Security heard testimony on several bills, beginning with a major workplace violence proposal for health care settings. Senator Lovely, the Massachusetts Nurses Association, the Massachusetts Hospital Association, and SEIU 1199 all supported legislation requiring hospitals and other health care employers to conduct facility-specific risk assessments, develop violence prevention plans, train workers, and provide reporting and protections for assaulted employees. Witnesses described workplace assaults as frequent and escalating, and committee members discussed balancing worker safety with concerns about criminalizing mental illness; testimony emphasized that the bill targets intentional assaults while preserving treatment and discretion for behavioral health crises.
The committee also heard strong support for bills to strengthen traffic safety, including primary seat belt enforcement, rear-facing car seat requirements, and seat belts on school buses. AAA Northeast, the Brain Injury Association of Massachusetts, law enforcement, legislators, and the Massachusetts Insurance Federation all backed the measures, citing crash data, injury prevention, and personal stories of traumatic brain injury. Senator O’Connor testified for school bus seat belts, saying Massachusetts should join other states requiring them, and later Sophia Furzada of the National Transportation Safety Board urged passage of school bus seat belt and child passenger safety bills, saying lap-shoulder belts would reduce injuries and save lives in crashes where compartmentalization is not enough.
Other testimony included support for a bill to make 9-1-1 disability indicator forms more accessible and inclusive, with the witness arguing the form should better reflect mental health, developmental disabilities, language access needs, and a fifth-grade reading level. The committee also heard opposition to a proposal to extend Christian’s Law to swimming pools, with a parks and recreation director warning of unintended consequences for municipal camps and underserved communities. Finally, the committee took testimony on a bill to expand the Forensic Science Oversight Board to include workforce representation, which MOSES said would restore technical expertise to the board. At the end of the hearing, the committee adjourned without taking votes on the bills discussed.
FL
Florida 2025 Regular Session
Health Policy Oct 7th, 2025
Transcript Highlights:
- AS WELL AS THE TRIAGE AND TREATMENT AT THE IF THEY LACK THE REGULAR CARE AND SERVICES FOR THE PRIMARY
- ONE INDICATED IF THE PERSON LACKS ACCESS TO PRIMARY CARE THE HOSPITAL HELPS ESTABLISH THE RELATIONSHIP
- BETWEEN SUCH PATIENTS AND COLLABORATIVE PARTNERS OR OTHER PRIMARY CARE SETTINGS.
- FOR MEDICAID PATIENTS LACKING THE PRIMARY CARE PHYSICIAN THE HOSPITAL WILL ALSO INDICATE AND CONTACT
- IT'S FUN TO TALK ABOUT PRIMARY CARE DOCTORS AND HOW YOU CAN CONNECT WITH THEM IF THEY BUT IT WOULD BE
CA
Transcript Highlights:
- Any primary or other folks in the room wish to express support?
- Are there any primary witnesses or others in support?
- Any primary witnesses in opposition? Any other opposition?
- Any primary witnesses in opposition? Any other opposition?
- Any primary witnesses in support or other folks in support? Any opposition, primary or otherwise?
Summary:
The Assembly Appropriations Committee met on May 6, 2026, with a quorum present and began by approving two large groups of bills on consent: a due-pass-to-consent set and a due-pass set for bills eligible for the floor consent calendar. The committee then heard a series of author presentations, generally focused on bills with minor, absorbable, or no state costs, and most measures were reported out with due-pass recommendations, often on roll call and sometimes with members not voting or bills held on call. Among the bills discussed were AB 1792 on updating health guidance to address AI-related digital safety risks for students, AB 1843 on removing barriers to hepatitis C treatment, AB 2350 on consumer protections for rent-now-pay-later products, AB 2780 on technical changes to teachers’ retirement law, AB 2117 on restructuring K-12 education governance, AB 1913 and AB 2706 on emergency equipment authority and cannery law modernization, and AB 1914 and AB 1820 on child care planning and EV charger permitting.
Other measures included AB 2417 on retirement information for community college faculty, AB 2506 on cannabis commerce involving tribal licensees, AB 2200 on greenhouse energy-code compliance, AB 1664 on notice to state officials when election records are seized or subpoenaed, AB 2135 on nursing home discharge notices, AB 2697 on allowing drive-through cannabis sales with local approval, AB 2518 on a San Diego County energization-delay pilot, AB 1665 on mental health training for school coaches, AB 2532 on cannabis beverage safeguards and labeling, AB 1627 on disqualifying certain federal immigration enforcement personnel from becoming peace officers, AB 2121 on community college funding safeguards, AB 2771 on extending the Bureau for Postsecondary Private Proprietary Education sunset, and AB 2120 on preserving LAUSD’s selected certification hiring practice. Most witnesses and sponsors described the bills as low-cost, technical, or modernization measures; a few bills drew opposition or “oppose unless amended” testimony, including AB 1820 and AB 2706-related items, but no major floor votes were taken in the transcript beyond committee recommendations.
The committee also heard AB 2541, a presentation-only suspense-file bill to create a lowrider specialty license plate that would generate revenue for community and youth programs. The bill drew enthusiastic bipartisan comments and requests to be added as coauthors, but it was sent to suspense for later consideration. Afterward, the committee approved a lengthy suspense calendar and opened general public comment, where members of the public voiced support or opposition on various other bills, including telework, physical therapy licensure, pesticide restrictions, data disaggregation, and other measures not heard that day. The meeting then adjourned.
CA
California 2025-2026 Regular Session
Assembly Local Government Committee Apr 30th, 2025
Transcript Highlights:
- Are there any primary witnesses in opposition? See no primary witnesses? Anybody in the audience?
- Is there any opposition primary witnesses in opposition?
- Any primary witnesses in opposition? Any opposition at all? Here you are. Primary opposition.
- Are there any primary witnesses in opposition?
- Any primary witnesses in opposition? Thank you. Thank you. Any primary witnesses in opposition?
Summary:
The Assembly Local Government Committee heard a long agenda of housing, water, and local finance bills, with the chair repeatedly reminding attendees about hearing rules and noting that several measures were being heard without a quorum at first. Early items included AB 407, which would broaden eligibility for state-run loan and financing programs to help small businesses fund environmental, seismic, and ADA upgrades, and AB 93, which would require data centers to estimate and report water use and follow state best practices. AB 93 drew support from water advocates and local government groups, while the Data Center Coalition opposed it, arguing the bill could be overly restrictive, difficult to retrofit, and raise trade secret or security concerns. The committee also heard AB 650 on housing element review, AB 1044 on creating a new Tulare County groundwater sustainability agency, and AB 523 on allowing proxy voting for single-representative member agencies on the Metropolitan Water District board; all drew broad support from local agencies and related stakeholders and no recorded opposition in the room.
Several housing bills were presented as part of a broader fast-track housing package. AB 507 would streamline adaptive reuse of office buildings into housing, especially in downtowns with high vacancy; supporters said it would revive urban cores and help meet housing and climate goals, while the League of California Cities and a few cities opposed it unless amended, citing concerns about one-size-fits-all by-right approval and fee limitations. AB 1294 would create a universal housing application and limit early application requirements; it drew strong support from housing and business groups, with the American Planning Association and League of California Cities seeking more flexibility and input. AB 610 would require local governments to disclose housing constraints in their housing elements and limit new constraints after certification for three years unless disclosed; supporters said it would improve transparency and certainty, while opponents warned it could chill legitimate local policy choices and inclusionary housing requirements. Both AB 610 and AB 698, which would require analysis of the housing and property tax impacts of proposed transfer taxes, were moved out of committee on 7-0 votes after discussion and amendments.
The committee also heard AB 1112, which would repeal an outdated Riverside County property tax provision affecting Rancho Mirage; the city argued it was the only qualifying no-low property tax city not receiving the standard minimum and sought equal treatment. After quorum was established, the bill was passed 6-0 with amendments and sent to Appropriations. AB 1021, heard later, would make it easier for school districts and other local education agencies to build employee housing, with the author citing teacher recruitment and retention problems and support from education stakeholders. Throughout the hearing, members and witnesses repeatedly emphasized the need to balance housing production, local fiscal tools, and infrastructure needs, and several authors accepted committee amendments and committed to continued negotiations with opponents.
NH
New Hampshire 2025 Regular Session
Senate Election Law and Municipal Affairs (05/13/2025)
Election Law and Municipal Affairs
Transcript Highlights:
- It addresses these problems by denoting a primary petitioner.
- <00:06:23.360>
petition specified then the primary petition specified then the primary petition - is that it identifies a primary is that it identifies a primary petitioner.<00:08:46.880>
So, - The primary concern that NHSBA has is on page 2, lines 24-28, where it states that the primary petitioner
- The primary petitioner shall be given the same amount.
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (10-22-25)
Transcript Highlights:
- And so that's for primary care. I mean, I see my primary care provider probably twice a year.
- And so that's for primary care. I mean, I see my primary care provider probably twice a year.
- And so that's for primary care. I mean, I see my primary care provider probably twice a year.
- And so that's for primary care. I mean, I see my primary care provider probably twice a year.
- And so that's for primary care. I mean, I see my primary care provider probably twice a year.
Summary:
The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services.
Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access.
Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access.
The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.
CA
California 2025-2026 Regular Session
Assembly Health Committee Apr 22nd, 2025
Transcript Highlights:
- We will now hear from the primary witnesses in opposition.
- If primary witnesses in opposition, please come forward.
- Any primary witnesses in opposition? Any primary witnesses in opposition?
- Are there any primary witnesses in opposition? Thank you.
- Any primary witnesses in opposition to the bill? Thank you.
Summary:
The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting.
The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call.
The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.
KY
Kentucky 2026 Regular Session
Senate Legislative Session Day 8 (1-15-26)
Kentucky Senate Floor Meeting
Transcript Highlights:
- Senate Bill 72, with the well, excuse me, with permission of the primary sponsor, I move to be added
- <00:30:28.000>
sponsor, with permission of the primary sponsor, with permission of the primary - President, >> Please proceed. >> With the permission of the primary sponsor, I would like to be added
- With permission of the primary<00:32:45.200>
sponsor, <00:32:45.519>I <00:32:45.679> - >> With the permission of the primary >> With the permission of the primary sponsor<
Summary:
The Senate convened with an invocation, Pledge of Allegiance, roll call, and a quorum declared. The journal from January 14, 2026 was approved, absent senators were excused, and the chamber moved through second readings of several bills and a concurrent resolution, including measures on identity documents, limiting gubernatorial pardon authority, motor vehicle regulation, solid waste facilities, pharmacist reimbursements, battery stewardship, property tax exemption, and a Medicaid delivery model feasibility study. Those items were referred to the Rules Committee after second reading.
Committee reports were received from Education, Judiciary, and Veterans, Military Affairs, and Public Protection, each recommending passage of listed bills, which were then treated as having first reading and placed on the calendar. The Committee on Committees later referred additional bills to Health Services, Natural Resources and Energy, and State and Local Government, and sent Senate Resolutions 35, 36, and 37 to the floor. The Rules Committee also posted Senate Bill 7 and later additional measures for the next day’s regular orders.
Several new bills and resolutions were introduced, including bills on grandparent visitation, prosthesis and orthosis coverage, welding safety, transactional precious metals, Kentucky State Police, and concealed deadly weapons, along with memorial and honorary resolutions. Members also filed multiple co-sponsorship requests, all accepted without objection. The Senate adopted Senate Resolution 29 honoring Edward Todd Jr., observed a moment of silence for Jeremiah Parsons, and heard announcements about a Kentucky State Police Professional Association breakfast, a Higher Education open house, and a Bags of Hope foster-care service project.
The session ended with technical issues noted in filing documents, but the clerk reported the new filings and the Senate adjourned without objection until 9:00 a.m. on Friday, January 16, 2026.
MN
Minnesota 2025 1st Special Session
Task Force on Homeowners and Commercial Property Insurance 12/3/25
Minnesota House Floor Meeting
Transcript Highlights:
- two distinct ways on the way the primary two distinct ways on the way the primary carriers<00:14
- it's a totally different type of primary it's a totally different type of primary carrier.<00:16
- the the uh commercial um and the primary the the uh commercial um and the primary carrier<00:19:
- <00:19:42.640>
carrier relationship that the primary carrier relationship that the primary - really a helpful hand to the primary really a helpful hand to the primary carriers<00:27:02.720>
MN
Minnesota 2025-2026 Regular Session
Human services panel considers HF1005 3/4/25
Minnesota House Floor Meeting
Transcript Highlights:
- c><00:11:01.600>
um preventive care as well as primary um preventive care as well as primary um - Primary care ultimately saves the overall health care system money.
- It affects your ability as a primary physician. It affects your ability to hire workforce.
- It affects your ability as a primary physician. It affects your ability to hire workforce.
- It affects your ability as a primary physician. It affects your ability to hire workforce.
Summary:
House File 105 was presented by Representatives Beerman and Baker and then laid over for possible inclusion in a future omnibus bill. The bill would implement the remaining mental health and physician service recommendations from DHS’s rate study, including raising certain Medicaid reimbursement rates to at least 100% of Medicare where a Medicare equivalent exists, increasing community-based children’s and adult mental health rates and behavioral health home rates, and phasing in additional increases over three years. The authors said the proposal also addresses master’s-level clinician reimbursement and fee-for-service hospital inpatient mental health services, and they emphasized that the changes are intended to improve access, transparency, and provider stability.
Both authors argued that low MA reimbursement rates are driving access problems across Minnesota, especially for children, families, and rural communities. They said providers are struggling to hire and retain staff, clinics are closing or shrinking, and patients are facing long waits, boarding in hospitals, or delayed care. Representative Baker said the issue is personal and described the bill as a phased, long-term approach because of state budget limits and the size of the cost, which he said is in the hundreds of millions but still awaiting a fiscal note.
Public testimony was strongly supportive overall. A family physician said higher rates would improve access, keep clinics open, and help patients avoid emergency care, while a Children’s Minnesota mental health leader described more than 1,200 pediatric boarding episodes in 2024 and said outpatient investment is needed to reduce pressure on emergency and inpatient services. A rural provider said her organization had to close an in-home children’s mental health program because of insufficient reimbursement, harming access in underserved counties. A psychologist testifying for the Minnesota Psychological Association supported the bill’s general direction but objected to repealing the pay differential for doctoral-level psychologists, arguing that doctoral training is more extensive and that eliminating the differential could worsen workforce shortages. After testimony and member questions about the bill’s scope and cost, public testimony was closed and the bill was laid over.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am
Joint Committee on Financial Services
Transcript Highlights:
- Based on the existing law, Enterprise takes a voluntary primary liability position in just two states
- I do know that certain charge cards also cover it sometimes as a primary and sometimes as a secondary
- New York recently, as in two months ago, just had a ruling where they are no longer officially primary
- It's why the Casualty Actuarial Society says that geography is considered one of the primary drivers
- regarding House Bill 1301 regarding primary insurance liability for rental car companies.
Summary:
The Joint Committee on Financial Services held a public hearing on a wide range of auto insurance and vehicle-related bills. Testimony focused heavily on autonomous vehicle regulation, auto insurance rating by ZIP code, rental car liability coverage, and surcharge thresholds for minor accidents. Representative Polito supported a bill to regulate autonomous vehicle testing and deployment, arguing for school-zone restrictions, slower speeds, a remote kill switch, and minimum insurance requirements to protect the public. Representative Mendez and Senator Payano testified for legislation to reduce racial and socioeconomic inequities in auto insurance pricing by limiting the weight insurers may place on territorial loss costs, while the Mass Insurance Federation and Consumer Federation of America offered opposing and supporting views, respectively, on the fairness and actuarial impact of geographic rating. The committee also heard support for a bill to remove inspection-sticker violations from license-point calculations, and for a bill to raise the damage threshold for insurance surcharges and minor/major accident classifications.
A substantial portion of the hearing addressed House Bill 1301 on rental car liability. Enterprise Mobility, the American Car Rental Association, and a small Massachusetts rental company supported the bill, saying personal auto insurers should be primary when their insureds drive rental cars, that Massachusetts is an outlier compared with most other states, and that the change would reduce costs and simplify claims handling. The Mass Insurance Federation opposed the bill, arguing that current Massachusetts law already clearly makes the vehicle owner’s policy primary and that shifting liability would raise costs for private-passenger policyholders. Committee members asked detailed questions about how rental coverage works, whether premiums or rental rates would change, and how other states handle the issue.
The committee also heard testimony on a bill to adjust surcharge rules for at-fault accidents, with sponsors arguing that repair costs and vehicle values have risen sharply and that the current thresholds are outdated. Members discussed how the point system affects drivers, whether the proposal should apply cumulatively or per incident, and how Carfax and out-of-pocket repairs factor into consumer costs. At the end of the hearing, the chair noted written testimony could still be submitted and, during a brief personal privilege, recorded support for two underinsurance bills, H. 1109 and S. 748. The committee then moved and seconded a motion to adjourn, and the hearing ended without any votes on the bills themselves.
CA
California 2025-2026 Regular Session
Assembly Local Government Committee Jun 17th, 2026
Transcript Highlights:
- We will take up to two primary witnesses in support and up to two primary witnesses in opposition for
- Is there a primary opposition to this measure?
- Any primary opposition to this bill? Seeing no opposition.
- Primary opposition? Good afternoon, Chair and members.
- Any primary opposition? I see no opposition.
Summary:
The Assembly Local Government Committee heard a long agenda of local government, housing, transportation, and public safety bills. Early items included SB 762, which would give certain local governments a voter-approved path to seek additional local sales tax authority to address fiscal pressures; SB 1400, which would modernize Alameda Health System governance and give Alameda County more flexibility and oversight; and SB 1408, which would authorize Contra Costa County to place a renewal of its transportation sales tax on the ballot. Supporters for those bills included local officials, county representatives, labor groups, fire and police organizations, and transit advocates, while no organized opposition was presented on those measures in committee.
The committee also heard SB 1272, which would give homeowners more time to correct certain inherited code violations and allow an affidavit process for buyers who did not know about the violation at purchase. The bill drew support from the California Apartment Association and opposition from code enforcement and county groups, who argued it would reduce local enforcement discretion and create health and safety risks. After questions about disclosure and enforcement, the committee approved SB 1272 as amended and re-referred it to Appropriations. SB 1055, dealing with procurement flexibility for Pajaro flood control and levee repairs, also passed as amended and was sent to Appropriations.
Later, the committee approved SB 1379, which would separate the Riverside County Sheriff-Coroner and create an independent medical examiner system. The author and supporters argued the change was needed for transparency and independence in in-custody death investigations, while opponents raised labor, cost, and governance concerns; some opposition was softened after the author agreed to employee-protection amendments. The committee also passed SB 1172, limiting consultant compensation and adding transparency rules for local tax-sharing agreements, and several housing bills from Senator Grayson: SB 1003 on pro-housing infrastructure financing districts, SB 1014 on early disclosure of infrastructure requirements for housing projects, and SB 1169 on extending tentative vesting map validity. The committee took votes on consent items and later add-ons, with most measures passing on bipartisan or unanimous votes and several being re-referred to Appropriations or Housing and Community Development as appropriate.
CA
California 2025-2026 Regular Session
Assembly Revenue and Taxation Committee Apr 27th, 2026
Transcript Highlights:
- Chair, members, Dennis Cuves-Romero with the California Primary Care Association.
- Primary opposition to this measure. Opposition to this measure?
- Seeing no primary opposition.
- Primary opposition to this measure, please come forward. Seeing and hearing none.
- Primary opposition to this measure, please come forward, seeing and hearing none.
Summary:
The Assembly Committee on Revenue and Taxation heard several bills dealing with tax policy, local revenue authority, consumer protections, and incentives for development. AB 1726 would create catastrophe savings accounts for homeowners to save pre-tax dollars for disaster mitigation and recovery costs; it drew support from the Department of Insurance and the California Bankers Association, while the California Teachers Association opposed it because of the General Fund and Prop. 98 impact. The bill was referred to suspense. AB 1768 would authorize Los Angeles and Contra Costa counties to ask voters to approve local transaction and use taxes to offset projected federal funding cuts affecting health care and safety-net services; it received broad support from health providers and county representatives, opposition from one member and a resident, and passed the committee 5-2 to the Assembly Local Government Committee.
The committee also considered AB 1790, which would repeal the Waters Edge corporate tax election and require worldwide combined reporting for multinational corporations. The author and supporters argued it would close a loophole, raise several billion dollars annually, and help fund schools, Medi-Cal, and other programs; opponents warned of double taxation, compliance burdens, retaliation from foreign governments, and job losses. After extensive testimony and member debate, the bill was referred to suspense. AB 2020 would provide a full property tax exemption for the primary residence of 100% disabled veterans and surviving spouses, and AB 2069 would create a targeted sales and use tax exemption to spur development projects at fairgrounds; both measures had support from sponsors and related organizations, no opposition, and were referred to suspense.
Finally, AB 2705 would regulate third-party “asset finders” who help claim excess proceeds from tax sales by requiring written agreements, disclosure that claims can be filed free with the county, and a cap on fees at 10%. County officials and local government groups supported the bill as a consumer protection measure, while recovery companies and related firms opposed it, arguing the work is complex and the cap would reduce access to services. The committee moved AB 2705 to the Assembly floor on a 4-0 vote.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Jun 25th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- Um, and then we can also get estimates of how many primary care, uh, FTEs.
- Well, it's easier to become an MP or a PA than it is to become a primary care physician.
- Is the primary care projections, and I do have a couple of bullets I wanna go over on the side.
- Um, and the other thing to be mindful of is, you know, the primary care physician workforce is.
- Sorry, Madam Chair, these are just primary care physicians as well as, as, um.
KY
Kentucky 2026 Regular Session
House Legislative Session Day 11 (1-21-26)
Kentucky House Floor Meeting
Transcript Highlights:
- The Primary and transportation of milk. House Bill 281 transportation of milk.
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is Kentucky Primary Care Association is Kentucky Primary Care Association is - To primary education, House Bill 358.
Keywords:
Convene 00:00
Senate Message 05:10
Calendar/2nd Readings 07:06
Report of Committees 07:47
Orders of the Day 08:52
HB 176 09:09
HB 178 12:19
HB 280 15:34
Motions, Petitions, and Communications 19:55
Introduction of New Bills and Resolutions 32:05
Recess for ConC and Rules Meeting 32:05
ConC and Rules Report 39:04
Adjournment 40:48, 958, all
Summary:
The House convened with prayer and the Pledge of Allegiance, established a quorum, excused absent members, and approved the journal. The Senate then communicated passage of Senate Bills 10 and 28 and requested concurrence. The House also received second-reading reports for several bills, including measures on custody, human sexuality instruction in schools, tax increment financing, death benefits, postsecondary education, and disabled veterans, along with committee reports advancing bills on agriculture, criminal trespass, concealed firearms, human trafficking, sexual performance material involving minors, reading and writing in schools, and educators.
The chamber then took up and passed three health-related bills. House Bill 176, on prior authorization, was explained as a bipartisan effort to reduce insurance-related delays and bureaucracy in patient care; it passed 90-1. House Bill 178, on the psychiatric collaborative care model, was presented as a budget-neutral way to expand timely mental health access through primary care settings; it passed unanimously, 93-0. House Bill 280, a Kentucky Board of Nursing cleanup bill and school rescue-medication update, was amended by House Committee Substitute 1 to restore language allowing investigations involving abuse and to update school medication provisions; the substitute and the bill as amended both passed 94-0.
House Resolution 35, recognizing January 21, 2026 as Certified Registered Nurse Anesthetist Day in Kentucky, was introduced, taken from committee, and adopted. During announcements, members noted upcoming committee meetings and events, including a reception for highway contractors and related groups, and several committee cancellations. One member also spoke about a catastrophic fire in Williamsburg, asking for prayers for the community and first responders.
The Committee on Committees and Rules then reported referrals for numerous newly introduced bills to standing committees and made changes to the 2026 Committee on Impeachment, removing Representatives Marzian and Donworth and appointing Representatives Watkins and Gentry. The House then adjourned until 2:00 p.m. Thursday, January 22, 2026.