Video & Transcript Research : 'primary payer'
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TX
Texas 89th Regular
Senate Committee on Health and Human Services Apr 1st, 2025
Health & Human Services
Transcript Highlights:
- I called our primary care physician.
- I called our primary care physician. A dear friend, I go to church with him.
- I represent. ...physician locally and representing my own clinic, I represent myself as a direct primary
- This cost could be mitigated by having a patient-facing portal from the All Claims, All Payers data that
- A primary impetus for this bill is to address a lack of understanding regarding what constitutes a CCRC
Bills:
SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422
Keywords:
healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care
CA
California 2025-2026 Regular Session
Assembly Military and Veterans Affairs Committee Mar 25th, 2025
Transcript Highlights:
- Represented in 56 out of 58 counties, CVSOs act as a primary touchpoint for accessing many of the benefits
- changing environments, whether that involves providing greater cultural competency training to non-VA primary
- not seem—making sure that we're brushing off cultural competency training for non-VA providers in primary
- the connections regarding presumptive conditions and toxic exposures when that veteran is in that primary
- while, where the privatization, the community care, this will make VA not a provider of care, but a payer
Summary:
The Assembly Committee on Military and Veteran Affairs held an informational hearing focused on the effects of federal budget cuts and policy changes on veterans, military readiness, and California’s veteran support systems. The chair and members emphasized that federal reductions to the VA, Medicaid/Medi-Cal, SNAP, and the federal workforce are disproportionately harming veterans by threatening health care, employment, housing, crisis lines, and suicide prevention services. The chair also highlighted California’s progress on veteran homelessness and the importance of preserving state programs that leverage federal dollars.
Major General Matthew Beavers of the California Military Department described the department’s structure, its response to the Los Angeles fire emergency, and concerns that federal cuts could reduce readiness through less training, older equipment, and fewer resources. He also discussed state programs such as Work for Warriors, STARBASE, youth and community schools, and the counterdrug task force, saying they are valuable but vulnerable if funding is redirected away from readiness. Members asked about the impact of federal changes on the Guard and how the Legislature could help, and Beavers said the state should advocate for recapitalized equipment and continued support for key programs.
A second panel focused on veterans’ benefits and claims support. CalVet, Los Angeles County, and Swords to Plowshares testified that county veteran service officers, legal aid, and community-based partnerships are essential to helping veterans access VA benefits, especially after the PACT Act expanded eligibility and increased claims volume. Witnesses said these services bring substantial federal dollars back to California, but county offices and legal providers are underfunded and overburdened. Members discussed data sharing, staffing shortages, and the need for more resources to reach veterans who are not connected to VA care.
In the final panel on mental health and suicide prevention, CalVet and nonprofit providers described state-funded programs such as the Veterans Support Self-Reliance program and the California Veterans Health Initiative, which place services in permanent supportive housing and provide no-cost counseling statewide. Witnesses said these programs are showing measurable improvements in health, medication adherence, and emergency room use, but they depend on sustained funding and are vulnerable to step-down grants and federal instability. Committee members expressed support for the programs and raised questions about access, staffing, and the role of non-veteran family members in Vet Center services.
MN
Minnesota 2025-2026 Regular Session
House Energy Finance and Policy Committee 3/5/26
Energy Finance and Policy
Transcript Highlights:
- will that allow you to potentially have more resources that will help lower the cost for other rate payers
- will that allow you to potentially have more resources that will help lower the cost for other rate payers
- will help lower the cost for<00:14:36.720>
other <00:14:37.279>rate <00:14:37.519>payers - when<00:14:38.000>
it <00:14:38.160>comes <00:14:38.399>to for other rate payers - when it comes to for other rate payers when it comes to kind<00:14:39.600>
of <00:14:39.680>
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:
- achieved by ensuring payment for patient navigation services is available across both public and private payers
- My name is Julianne Mimas Walsh, and I'm a primary care pediatric nurse practitioner at Beacon Pediatrics
- Children's hospital-trained primary care nurse practitioners like myself and pediatricians perform ASD
- I practice within a large primary care network that cares for more than 400,000 children, and nurse practitioners
- Finding a primary care provider willing to take me as a patient was incredibly hard.
Summary:
The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules.
Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access.
The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.
HI
Hawaii 2025 Regular Session
HSH Info Briefing - Fri Nov 7, 2025 @ 1:30 PM HST
Hawaii House Floor Meeting
Transcript Highlights:
- We're only going to cover the major impacts, the primary ones that we're dealing with first.
- Next. major impacts, uh, the the primary ones major impacts, uh, the the primary ones that<01:29:19.679
- The payer has to assume that you've collected the co-pay.
- The payer has to assume that you've collected the co-pay.
- payer has to assume that you've collected<02:40:10.000>
the <02:40:10.319>co-pay.
Summary:
The House Committee on Human Services held an informational briefing on the impacts of federal funding cuts, inflation, labor shortages, and chronic underfunding on Hawaii’s nonprofit social safety net. Hawaii Community Foundation opened with a story about a federal worker family relying on food pantry support, then described a “perfect storm” facing human services nonprofits: historically high demand, rising costs, staffing challenges, federal cuts, and state and county contracts that do not cover true service costs. The foundation said it has reactivated its Hawaii Resilience Fund, launched strengthened service grants, and is tracking policy changes and data to help nonprofits respond.
Trey Gordner of UHERO presented research on the vulnerability of Hawaii’s nonprofit sector, explaining a framework that assessed political, financial, and structural risk. He said about 8,200 501(c)(3) nonprofits are active in Hawaii, but only about 200 receive direct federal funds; 74 grants to 59 organizations were flagged as politically at risk, totaling about $126 million in unpaid obligations. He said about 68 of the direct-funding recipients rely on federal funds for more than 20% of annual revenue, and that human services nonprofits are among the most exposed subsectors because they serve vulnerable populations and depend heavily on federal support.
Catholic Charities Hawaii and the Hawaii True Cost Coalition said community-based organizations were already under strain before the current crisis, with most contracts not covering full costs and many groups depending on private philanthropy to fill gaps. They reported that half of surveyed organizations expect to reduce programs, more than a third may decline future contracts, and some are waiting months for reimbursements. Examples included reduced shelter admissions, fewer case management hours, and cutbacks in kūpuna services. The coalition urged higher contract rates, regular inflation and cost-of-living reviews, and timely reimbursement; no votes or formal actions were taken.
Partners in Development Foundation described the loss of Native Hawaiian education funding as especially damaging, saying the federal Department of Education has zeroed out support that creates a roughly $46 million gap, including about $20 million for early childhood programs. The speaker shared a family story from the Nā Pono program to illustrate how early learning services support both children and parents, and warned that the organization’s federal funds make up 72% of its budget. The briefing ended with a call for continued emergency funding and longer-term structural changes to sustain nonprofits statewide.
HI
Transcript Highlights:
- /c><00:15:32.480>
bill <00:15:32.839>had <00:15:33.720>rate <00:15:34.000>payers - sharing the initial bill had rate payers sharing the initial bill had rate payers paying<00:15:35.000
Summary:
The joint Ways and Means and Judiciary committee met in decision-making mode and took up a long list of measures, mostly recommending passage with or without amendments. Early actions included S.B. 414, which was amended to blank the appropriation, draw funds from the major disaster fund, and change the effective date to 2050, and S.B. 223, which would require fire breaks in hazardous fire areas and create or expand wildland fire prevention and protection programs with blank appropriations for FY 2026 and 2027. The committee also advanced S.B. 1009 on state reserve parking space enforcement, S.B. 1149 on reported hate crime definitions and reporting, S.B. 402 on mooring-line requirements for certain vessels, S.B. 1441 on the Oahu regional health care system transfer, S.B. 1442 on child and adolescent mental health responsibilities, S.B. 1478 on harbor evacuation orders, and S.B. 493 on written notice for emotional support animal sales or verifications.
Members generally raised little opposition, and most measures were adopted without reservations. Some bills drew brief discussion or committee-report notes, including S.B. 1149, which referenced a Hawaii Civil Rights Commission report encouraging policy-level hate crime data reporting, and S.B. 1442, which was amended with a far-future effective date and a committee-report note about whether mental health services should be expressly subject to funding. S.B. 1441 was substantially revised to require a memorandum of agreement between the Oahu Regional Health Care System and the Department of Health by November 30, 2025, with patient care to begin by December 31, 2025, and a report to the legislature before the 2026 session.
The committee also considered several finance and energy-related measures. S.B. 897 on the wildfire liability trust fund prompted questions about whether costs would be passed to consumers; the response was that the proposal contemplated cost sharing and that some amounts were still blank. S.B. 1395 and S.B. 1396 were amended to remove special-fund structures, direct revenues into the general fund, and require the governor to include equivalent amounts in the executive budget for climate-related projects. S.B. 501 was amended to expand step-in agreement provisions for future PPAs and establish a fund outside the State Treasury, and S.B. 1589 was amended so private donations to the stadium authority would go into the NID special fund for stadium infrastructure and sod, with members discussing accountability and the source of stadium-related consultant spending. The committee adopted the recommendations on all measures considered, with some members noting reservations on a few bills, and one item, S.B. 1418, was deferred.
OK
Transcript Highlights:
- What that is pertaining to is that a tax payer-funded facility is not going to make those referrals.
- facilities, strictly healthcare, or are we talking about any state agency, any entity that received state payer
Keywords:
government reporting, information technology, child welfare, environmental policy, state agency compliance, gender transition, minors, health services, punitive damages, parental rights, health care providers, purchasing, compliance, state employees, longevity pay, contract management, marijuana tax, public service impact tax, county funding, voter approval
ND
North Dakota 2025-2026 Regular Session
House Human Services Apr 9th, 2025 at 10:00 am
Human Services
Transcript Highlights:
- So I think if you bring in the other players like the PBMs, the payers, and the other stakeholders, I
- think in terms of the hospitals, you know, I think about, you know, like I mentioned, the PBMs, the payers
Summary:
The committee first addressed Senate Bill 2387, which had previously included language expanding the definition of a sexual assault victim advocate to include advocates from organizations serving victims of sexual trafficking or other sexual violence. After concerns were raised that the language could broaden participation in forensic interviews beyond appropriately credentialed organizations, the parties agreed to remove that added language. The committee then reconsidered its prior action, adopted the amendment striking the new language, and passed SB 2387 as amended on a 12-0-1 roll call vote.
The bulk of the meeting focused on Representative Nelson’s proposed changes to a 340B-related bill, centered on expanding reporting and transparency requirements. His draft would require hospitals to report how 340B savings are used, and would also add reporting by drug manufacturers, pharmacy benefit managers, and health insurers on rebates, pricing, ownership interests, 340B savings, premiums, claims, and related data. Nelson argued the reporting was needed to give lawmakers better information about how the 340B program affects hospitals, insurers, pharmacies, and public costs, and noted the Department of Corrections also benefits from the program.
Testimony was mixed but generally supportive of more transparency. Sanford Health Plan said it needed more time to review carrier impacts and had concerns about employer-related language and rebate reporting. The North Dakota Hospital Association supported hospital transparency and said the broader approach was appropriate because hospitals are only one part of the 340B system. Several members raised procedural concerns about the scope of the proposal and the lack of a drafted LC amendment. The committee decided not to take final action on the 340B proposal that day, instead forming a subcommittee led by Representative Hendricks, with Representatives Dobervich and Bolinske, to work with LC and return with drafted language for further review on Monday.
TX
Transcript Highlights:
- Item one, add a new writer directing the agency to maximize reimbursements from third party payers at
- There is an amendment to Section 10.06, which is adopted to fund the Texas all Payer Claims database
Bills:
SB 1
NH
New Hampshire 2025 Regular Session
House Finance Committee Budget Briefing (04/08/2025)
Transcript Highlights:
- although it impacts our federal funding, and we had some impacts on other sources of revenue, our primary
- focus was we had to manage our primary focus was we had to manage our general<02:42:37.000>
funds - in other parts of the bill payers in other parts of the budget.<02:46:58.080>
Now, <02:46:58.720 - /c> Now, to the credit of my colleagues on the committee, the Democrats did find a couple of bill payers
- When you put those two things together, it was a very obvious bill-payer opportunity to go to a higher
Summary:
The meeting was a House budget briefing focused on the overall state budget and the first of three divisions. The presenter reviewed the size and structure of the budget, noting that the state had eliminated the interest and dividends tax and still balanced the budget. He explained the major spending categories in the general fund and total budget, emphasizing that health and human services and education remain the largest areas, while transportation is largely self-funded. He also walked through the revenue picture, including business taxes, insurance taxes, court fees, communications taxes, and Medicaid recoveries, and said the remaining interest and dividends tax revenue reflected late payments from prior assessments.
Members asked about the size of the tax cut from eliminating the interest and dividends tax, federal funding stability, and why Medicaid was being reduced if federal support was expected to remain steady. The response was that the lost revenue would have been about $200 million absent repeal, and that the budget gap was addressed through many small cuts across departments. On federal funds, the presenter said most aid is tied to multi-year grants and that core programs such as Medicare and Medicaid were expected to remain relatively stable, though some federal reductions could occur. He also said some agency reductions came from eliminating long-vacant, funded positions and from expected lapses.
The discussion then moved into Division One, which covers smaller and miscellaneous agencies. The division made cuts to the governor’s office, eliminated a temporary position at the Governor’s Commission on Disability, reduced Department of Information Technology spending through a back-of-budget cut, and found savings in Administrative Services. It also delayed maintenance at the Sununu Youth Services Center, stopped advertising for paid family medical leave, changed retiree health insurance funding, and consolidated several personnel-related boards into one. The division eliminated the Commission on Aging and the Office of the Child Advocate, made a temporary special education advocate position permanent, reduced the Secretary of State’s budget, kept municipal rooms-and-meals distributions flat, and made changes to the retirement system, including $55 million to improve Group 2 retirement benefits and a new retirement structure for future state hires. The judicial branch was also asked to find savings and received two additional judges because of expected caseload increases from other eliminations.
FL
Florida 2026 5th Special Session
FL House Floor Session - 2026-06-02 (10:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- If you're pulling back on the primary revenue source for local government, and yet you're saying core
- This budget amendment prohibits the state of Florida from spending tax payer money Thank you.
- This budget amendment prohibits the state of Florida from spending tax payer money to advertise or promote
Summary:
The House took up the special order calendar for a proposed constitutional amendment on property taxes, CS/HJR 1F, which would create a new homestead exemption for non-school taxes, lower the annual assessment cap on non-homestead property, and restrict how counties and municipalities may use ad valorem tax revenue. The sponsor, Rep. Overdorf, said the measure would give homeowners tax relief and argued local governments could adjust spending or use other revenue sources. Opponents repeatedly questioned the ballot language, the lack of a fiscal estimate or backfill, and the potential impact on local services, public safety, and debt obligations. The House adopted the special order report and then debated the resolution and a series of amendments.
Several amendments were offered to carve out or protect specific services from the tax changes. Rep. Bartleman’s amendment to protect Children’s Services Councils and Children’s Trusts was supported by members who said those entities fund early learning, mental health, aftercare, and other services for children and working families, but it failed 25-74. Rep. Cross offered an amendment to include water management districts in allowable ad valorem uses, warning of impacts on flood control, water quality, Everglades restoration, and water supply; that amendment also failed. Rep. Eskamani offered an amendment requiring the Legislature to backfill public safety funding if local revenues fall, arguing police and fire services, staffing, and response times would be at risk; it failed 25-71.
The chamber then rejected Rep. Woodson’s amendment to require state backfill for senior services, with supporters citing Meals on Wheels, transportation, adult day care, and other local senior programs, and opponents saying the proposal was outside the bill’s scope. Finally, Rep. Gant offered an amendment to protect veteran services, saying local governments fund housing, mental health, transition, and family support programs for veterans; debate emphasized the importance of honoring veterans and avoiding cuts to those services. The transcript cuts off during debate on that amendment, before a final vote is shown.
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Mar 24th, 2026 at 01:30 pm
Oklahoma Senate Floor Meeting
Transcript Highlights:
- Only the primary intent of this bill is to make sure that someone who is a problem in with our children
- You have to have savings to patients and payers.
- this again, and they have to have a commitment that there will be estimated savings to patients and payers
Bills:
SJR47, SB1491, SB1579, SB1806, SB1552, SB483, SB63, SB137, SB346, SB514, SB1344, SB1360, SB1380, SB1437, SB1189, SB1217, SB1221, SB1262, SB1272, SB1325, SB1339, SB201
Keywords:
voter ID, elections, constitutional amendment, Oklahoma, proof of identity, presidential electors, vacancies, oath of office, political party, property tax, valuation increase, taxpayer rights, homestead, protest process, foster care, adoption assistance, transitioning youth, Department of Human Services, voluntary services, county home rule charter
TX
Transcript Highlights:
- Because I thought the primary purpose was for them to go in and look at bringing back a design-and-rebuild
- third-reading amendment that would have opened the door to exempting facilities from the bill if the all-payer
- If the all-payer claims database initiative collected similar information, members, the bill was intended
Summary:
The Senate opened with an invocation and then took up several conference committee matters and resolutions. It granted the House request for a conference committee on House Bill 46 and adopted a conference report on Senate Bill 37, which was described as higher education governance reform, including stronger board authority, changes to faculty senates, general education requirements, and a new ombudsman office. Senators also adopted a large package of resolutions and HCRs by voice vote.
A major focus was Senate Bill 12, the “Parental Bill of Rights,” whose conference report was adopted after extended questioning. The bill was described as giving parents more access to school materials and grievance procedures, requiring parental consent for student clubs, and restricting school district employees from assisting with social transitioning or related gender-identity instruction. Senators raised concerns about effects on students already socially transitioned and on parental rights in medical or psychological decisions; the author said the House language was retained in key areas and that districts would need policies and parent notification. The report passed 20-11.
The Senate then adopted a resolution allowing the conference committee on Senate Bill 1, the state budget for fiscal years 2026-2027, to go outside the bounds, and later adopted the budget conference report. Senators highlighted major funding for public education, property tax relief, public safety, health and human services, child care, water and transportation infrastructure, and the Texas Energy Fund. The budget discussion also covered higher education, mental health facilities, community attendant wages, rural hospitals, DFPS case management, child care assistance, and a study rider on TRS. The report passed unanimously, 30-0.
Finally, the Senate suspended rules to take up Senate Bill 8 and adopted its conference report. The bill requires counties with jails or jail contracts to participate in the federal 287(g) immigration enforcement program, with sheriffs choosing among available models and counties receiving tiered grants to help cover costs. Supporters framed it as a public safety measure targeting criminal illegal aliens, while opponents questioned whether it would divert local resources and increase fear in immigrant communities. The report was adopted after debate.
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 7/8/25
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- with what are the optional benefits Minnesota has adopted versus traditional Medicaid, acute and primary
- with what are the optional benefits Minnesota has adopted versus traditional Medicaid, acute and primary
- with what are the optional benefits Minnesota has adopted versus traditional Medicaid, acute and primary
- often, you know, nursing homes that accept Medicaid receive reimbursement at the same rate from other payers
- often, you know, nursing homes that accept Medicaid receive reimbursement at the same rate from other payers
NY
New York 2025-2026 Regular Session
New York State Senate Session - 05/27/2026
New York Senate Floor Meeting
Transcript Highlights:
- rebate program applies to taxpayers in the State of New York, not specifically exclusive to utility payers
- rebate program applies to taxpayers in the State of New York, not specifically exclusive to utility payers
- But they can have those apartments and still have their primary residence somewhere else.
- President, I dispute the characterization that someone buying a home that's not their primary residence
- But only for those people who happen not to live in New York City as their primary residence.
Summary:
The Senate opened with the Pledge of Allegiance and an invocation, then approved the prior day’s Journal and moved into motions, resolutions, and budget-related business. Senator Gianaris called up Senate Print 5898A for reconsideration; the Senate voted 59 ayes to restore the bill to the third reading calendar. Several amendments were also received on third-reading bills, and the Finance Committee was called into session while the chamber proceeded with resolutions.
The Senate adopted Resolution J.2106 recognizing Second Chance Month and the mental health impacts of incarceration, with Senator Brisport speaking in support and a guest from the community recognized in the chamber. The body also adopted Resolution J.1492 designating May 27, 2026, as Taiwan Heritage Day, with remarks from Senators Sepúlveda, Stavisky, and Liu highlighting Taiwanese contributions to New York and expressing support for Taiwan amid current geopolitical tensions. The Finance Committee then reported several budget bills, including Senate Prints 9003D, 9004D, 9007C, and 9009C, which were moved to third reading.
The remainder of the session focused on the supplemental and controversial budget calendars, especially tax and spending provisions. Senators debated the “Protecting Our Wallets” energy rebate, with supporters describing it as a one-time check for eligible taxpayers and critics arguing it was too small and not tied directly to utility bills; the chamber accepted the message of necessity and laid the bills aside. Members also debated extensions and changes to tax provisions affecting corporations, alternative fuel exemptions, Broadway and theatrical production tax credits, charitable deductions for certain 501(c)(3)s, nicotine pouch taxes, a new New York City pied-à-terre tax, and a standardbred horse-racing testing fee. Several senators criticized the budget as raising costs or favoring certain industries, while supporters defended the measures as revenue-raising, affordability, or public-health policies. No final votes on the controversial budget bills are shown in the excerpt beyond procedural rulings, adoption of the resolution calendar, and acceptance of committee reports.
NH
New Hampshire 2026 Regular Session
House Commerce and Consumer Affairs (01/21/2026)
Commerce and Consumer Affairs
Transcript Highlights:
- That might be harder, but I think it would be an immeasurable improvement in the lives of primary care
- care doctors and specialists if primary care doctors and specialists if it<00:45:54.000>
just - So by putting things on the focus on primary care and mental health, narrowing the scope of... ...primary
- So by putting things on the focus on primary care and mental health, narrowing the scope of... ...primary
- My primary question is: So you just named a lot of things.
KY
Transcript Highlights:
- So, as it stands right now, we do have several payers who are working on food as medicine pilot programs
- 13.919>
several it stands right now, we do have several it stands right now, we do have several payers - :15.279>
working <00:30:15.520>on <00:30:15.840>food <00:30:16.080>as payers - who are working on food as payers who are working on food as medicine<00:30:16.720>
pilot <00:
Keywords:
00:00 - Call to Order/Roll Call
01:38 - Discussion of 26RS SCR 9
22:00 - Roll Call Vote on 26RS SCR 9
23:15 - Discussion of 26RS SJR 23
33:20 - Roll Call Vote on 26RS SJR 23
35:18 - Adjournment, 958, all
Summary:
The House Standing Committee on Health Services met with a quorum and first heard Senate Concurrent Resolution 9 from Sen. Steve Meredith. He argued that Kentucky’s Medicaid system is too costly and bureaucratic, saying spending has grown dramatically and that managed care organizations do not align with improving health outcomes. His proposal would create a feasibility study for a five-year pilot of an “accountable community healthcare organization” in three area development districts, with a locally owned, nonprofit, provider-driven model intended to reduce costs, address social determinants of health, and keep savings in the community. Members asked about how the model would differ from MCOs, administrative costs, eligibility changes, and implementation costs; Meredith said the model would eliminate preauthorization barriers, rely on provider and community risk-sharing, and could be funded initially through existing grant opportunities. The committee then voted unanimously to report SCR 9 favorably.
The committee next took up Senate Joint Resolution 23, the “Food is Medicine” resolution, introduced by Sen. Shelley Funke Frommeyer and Dana Feldman of the Kentucky Department of Agriculture. They described the resolution as part of a broader wellness and rural prosperity effort, emphasizing that nutrition should be treated as part of health care and that Kentucky agriculture can support better health outcomes through local, healthy food. They said the effort grew out of task force work and regional listening sessions and is intended to build a foundation for continued collaboration between hospitals, agriculture, and state agencies. Members expressed support for the concept and the partnership approach, and the discussion highlighted using evaluation and shared learning to expand the initiative.
AZ
Arizona 2026 Regular Session
02/18/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- But those are limited to just specific payers.
- And the rules require the impacted payers to publicly report as part of the CMS rules.
- Providers and payers are speaking the same digital language.
- So it basically says that providers and payers are speaking the same digital language.
Bills:
SB1014, SB1094, SB1146, SB1177, SB1192, SB1194, SB1214, SB1372, SB1390, SB1398, SB1399, SB1494, SB1557, SB1561, SB1564, SB1602, SB1603, SB1621, SB1628, SB1629, SB1713, SB1752, SB1776, SB1813, SB1814, SB1821
Keywords:
gender transition, gender detransition, health insurance, medical procedures, insurance claims, official documents, Arizona law, gender reassignment, civil liability, minors, medical consent, detransition, dependent children, foster care, periodic review, court hearings, child welfare, public funds, prohibition, Arizona legislation
NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs (01/23/2025)
Transcript Highlights:
- was our who kind of put as the primary was our who kind of put as the primary sponsor<02:17:36.359
- care physician is part of the St primary care physician is part of the St Joseph's<03:57:11.319>
- care physician, and the primary care physician refers them to the physical, you know, the phys... the
- In fact, those of you from last session probably remember the primary care Behavioral Health bill.
- care Behavioral Health bill this primary care Behavioral Health bill this actually<05:03:37.000>
Summary:
The committee first heard testimony on House Bill 167, a PFAS-related measure to add ski, snowboard, and boat wax to the state’s list of banned consumer products containing PFAS. The sponsor said the product is already banned in many other places, alternatives exist, and the concern is that these products go directly into water rather than landfills. She cited high PFAS levels in several New Hampshire lakes and argued the bill would help stop further contamination. A member of the public also described personal experience with ski wax products disappearing from the market, suggesting PFAS may have been the reason. The chair then closed the hearing on HB 167.
The committee next opened a hearing on House Bill 312, dealing with college athletes’ name, image, and likeness (NIL) rights. Representative Moffett explained the bill was prompted by the U.S. Supreme Court’s NCAA v. Alston decision and was modeled on New Jersey law. He said the bill would prevent colleges from restricting NIL compensation, require athletes to use licensed attorneys or registered sports agents, and limit certain endorsements involving addictive drugs, adult entertainment, firearms, and weapons. He framed the measure as a proactive response to a changing college sports landscape and noted possible future conflicts involving schools, agents, and endorsements.
Committee members raised several concerns and suggested changes. One member questioned the bill’s exclusion of two-year institutions, another objected to the weapons restriction, and others asked how the bill would affect scholarships. The sponsor said the intent was to protect scholarships, especially athletic scholarships, and clarified that need-based scholarships were not meant to be affected. He also acknowledged discomfort with the endorsement restrictions and said the committee might want to broaden or revise the language. The hearing remained open for further consideration, with no vote taken in the excerpt.
NH
New Hampshire 2025 Regular Session
House Children and Family Law (01/28/2025)
Transcript Highlights:
- They ought to at least take the child tax credit, as they're the primary financial supporter of the child
- can't take the exemption since the payer can't take the exemption they<00:03:38.480>
ought <00 - tax credit as they're the primary tax credit as they're the primary Financial<00:03:44.480>
um - or a lower arrangement, it shouldn't matter because they're the primary financial provider.
- Primary custody or secondary or a lower arrangement, it shouldn't matter because they're the primary
Summary:
The House Children and Family Law Committee met on January 28, 2025, and first heard House Bill 322, which would give a parent paying child support the exclusive right to claim the child as a dependent on taxes. Representative Barton, the sponsor, argued that because child support is no longer tax-deductible, the paying parent should at least receive the child tax credit. Committee members and later testimony from New Hampshire Legal Assistance raised concerns that the bill would override court discretion, could disadvantage low-income custodial parents, and would not account for cases where child support payments are small or where parents share support unevenly. Several members noted that judges already allocate dependency claims in divorce orders and can modify those orders when circumstances change.
After testimony, the committee moved to ITL (inexpedient to legislate) HB 322. The motion was seconded, discussion continued, and the roll call was unanimous in favor of ITL. The committee then placed the bill on consent and ended the executive session on HB 322.
The committee next took up House Bill 325, which would eliminate term and reimbursement alimony in no-fault divorces. Representative Barton testified that alimony in those cases was akin to involuntary servitude and should not survive dissolution of the marriage contract. The hearing then moved into questions about whether alimony is meant to compensate a spouse for sacrifices made during the marriage, such as supporting a partner through school or staying home with children, and the sponsor maintained that post-divorce support should not continue as a marital obligation. The transcript cuts off before any vote or further action on HB 325 is shown.