Video & Transcript Research : 'primary payer'
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CA
California 2025-2026 Regular Session
Assembly Natural Resources Committee Apr 20th, 2026
Natural Resources
Transcript Highlights:
- build out the energy infrastructure to meet that need and ensure the costs aren't being borne by rate payers
- AB 2245 achieves three primary outcomes.
- The primary driver of sprawl and the destruction of California's natural and sensitive landscapes is
- the most expensive form of available electricity generation resulting in an increased cost to rate payers
Summary:
The committee heard a long series of bills, beginning with AB 2026 on groundwater recharge. The author and supporters said the bill would streamline permitting, codify existing CEQA exemptions for recharge diversions, and help California capture flood flows for storage in aquifers. Water agencies and local districts supported the measure, while environmental groups and some irrigation districts opposed it or sought amendments, warning about CEQA, streambed, Delta, and tribal-resource concerns. The bill was held open pending a quorum.
Members then heard AB 1577 on data center energy accountability, which would require monthly reporting of energy use and related information to the Energy Commission and local agencies. The author and the Little Hoover Commission argued the bill would improve transparency, help protect ratepayers, and support grid planning. Data center industry and business groups opposed it as duplicative, burdensome, and uniquely targeted, while several environmental and local-government groups supported or supported if amended. The bill was left with a due-pass recommendation once a quorum was present.
The committee also took up AB 2245 on producer responsibility for vehicle lubricant products and containers, AB 2170 on CEQA language-access and environmental protections in overburdened communities, AB 2059 on rural transportation/VMT analysis, AB 1808 on Western Joshua tree permitting and fee relief, AB 2182 on industrial energy efficiency program changes, AB 2231 on streamlining two hospital projects, and AB 2433 on density bonus housing incentives. Each bill drew a mix of support from sponsors, local agencies, labor, housing, or environmental justice groups and opposition or concerns from business, local government, or conservation organizations. Several measures were amended in committee, and multiple bills were reported out on due-pass or due-pass-as-amended votes, with some roll calls left open for absent members.
CA
California 2025-2026 Regular Session
Assembly Floor Session Jun 2nd, 2025
California House Floor Meeting
Transcript Highlights:
- The recent results have findings that are not favorable for rate payers and highlight the deficiencies
- To the CPUC in order to get the same benefit for California rate payers.
- customer rates from increasing to fund lobbying, promotional advertising, and activities for the primary
- This bill requires health plans to cover fluoride varnish in primary care settings for children under
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 29 Evening Session Session Mar 25th, 2026 at 04:30 pm
Oklahoma House Floor Meeting
Transcript Highlights:
- The stuff they've done with primary care physicians is great. I'm not saying that stuff is bad.
- drug or for any other sort of medical service, device, drug, whatever else, regardless of who the payer
- It would be by provider or by payer. Both of those are included as reporters.
Bills:
HB4420, HB3974, HB3016, HB3062, HB3021, HB3145, HB4128, HB3131, HB3015, HB3472, HB3453, HB1638, HB4126, HB2696, HB2710, HB3552, HB3031, HB3544, HB3521, HB4490, HB4488, HB1746, HJR1069, HB4428, HB4429, HB1170, HB3538, HB4124, HB3904, HB4106, HB2999, HB3982, HJR1077, HB3464, HB2588, HB3462, HB4440, HB3674, HB3345, HJR1067, HB4326, HB4331, HB4337, HB4338, HB4359, HB4392, HB3557, HJR1076, HB4003, HB3495, HB3497, HB3501, HB3505, HB3749, HB3011, HB4336, HB4346, HJR1087, HB3240, HB3647, HB3796, HB3969, HB3972, HB3983, HB3984, HB3989, HB3383, HB3130, HB4358, HB3327, HJR1055, HB3386, HJR1089, HB3087, HB2970, HB3314, HB4129, HB4199
Keywords:
reading, intervention, literacy, education, third grade retention, teacher training, funding, Strong Readers Act, tort claims, inmate housing, government immunity, public trust, private prison, emergency legislation, vision screening, binocular vision, kindergarten, elementary education, health, firearm rights
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 29 Afternoon Session Mar 25th, 2026 at 01:00 pm
Oklahoma House Floor Meeting
Bills:
HB4420, HB3974, HB3016, HB3062, HB3021, HB3145, HB4128, HB3131, HB3015, HB3472, HB3453, HB1638, HB4126, HB2696, HB2710, HB3552, HB3031, HB3544, HB3521, HB4490, HB4488, HB1746, HJR1069, HB4428, HB4429, HB1170, HB3538, HB4124, HB3904, HB4106, HB2999, HB3982, HJR1077, HB3464, HB2588, HB3462, HB4440, HB3674, HB3345, HJR1067, HB4326, HB4331, HB4337, HB4338, HB4359, HB4392, HB3557, HJR1076, HB4003, HB3495, HB3497, HB3501, HB3505, HB3749, HB3011, HB4336, HB4346, HJR1087, HB3240, HB3647, HB3796, HB3969, HB3972, HB3983, HB3984, HB3989, HB3383, HB3130, HB4358, HB3327, HJR1055, HB3386, HJR1089, HB3087, HB2970, HB3314, HB4129, HB4199
Keywords:
reading, intervention, literacy, education, third grade retention, teacher training, funding, Strong Readers Act, tort claims, inmate housing, government immunity, public trust, private prison, emergency legislation, vision screening, binocular vision, kindergarten, elementary education, health, firearm rights
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 29 Morning Session Mar 25th, 2026 at 10:30 am
Oklahoma House Floor Meeting
Bills:
HB4420, HB3974, HB3016, HB3062, HB3021, HB3145, HB4128, HB3131, HB3015, HB3472, HB3453, HB1638, HB4126, HB2696, HB2710, HB3552, HB3031, HB3544, HB3521, HB4490, HB4488, HB1746, HJR1069, HB4428, HB4429, HB1170, HB3538, HB4124, HB3904, HB4106, HB2999, HB3982, HJR1077, HB3464, HB2588, HB3462, HB4440, HB3674, HB3345, HJR1067, HB4326, HB4331, HB4337, HB4338, HB4359, HB4392, HB3557, HJR1076, HB4003, HB3495, HB3497, HB3501, HB3505, HB3749, HB3011, HB4336, HB4346, HJR1087, HB3240, HB3647, HB3796, HB3969, HB3972, HB3983, HB3984, HB3989, HB3383, HB3130, HB4358, HB3327, HJR1055, HB3386, HJR1089, HB3087, HB2970, HB3314, HB4129, HB4199
Keywords:
reading, intervention, literacy, education, third grade retention, teacher training, funding, Strong Readers Act, tort claims, inmate housing, government immunity, public trust, private prison, emergency legislation, vision screening, binocular vision, kindergarten, elementary education, health, firearm rights
CA
Transcript Highlights:
- We will move on now to any primary witnesses.
- We will move on now to any primary witnesses. Thank you.
- Seeing none, we can move to any primary opposition witnesses.
- Seeing none, we will move on to any primary witnesses in opposition. ...we will move on to any primary
- Are there any primary witnesses in opposition?
CA
California 2025-2026 Regular Session
Assembly Health Committee Apr 21st, 2026
Transcript Highlights:
- We will move on now to any primary witnesses. Thank you.
- Seeing none, we can move to any primary opposition witnesses.
- We will move on to any primary witnesses in opposition.
- Are there any primary witnesses in opposition?
- for the rates paid from a primary plan to a subcontracted plan.
Summary:
The Assembly Health Committee heard a long agenda of health-related bills, with most items presented for later vote once quorum was reached. Early in the hearing, the committee adopted a consent calendar of multiple bills with motions for due pass to Appropriations, and it noted that AB 2029 had been pulled from the agenda. The committee also took up AB 1973, a bill by Aguiar-Curry to expand who may provide procedural abortion care. Supporters, including physicians and certified nurse midwives, argued the bill would align law with current training and improve access, while opponents said later-term abortion procedures require physician-level surgical training and raised safety concerns. The author emphasized hands-on training, consultation, and transfer protocols, and the bill was held pending quorum with a motion and second recorded.
The committee then heard AB 1558 by Arambula, which would adopt the Uniform Emergency Volunteer Health Practitioners Act to speed the use of out-of-state licensed volunteers during declared disasters. Supporters from the Uniform Law Commission and the Red Cross said the bill would reduce delays and clarify legal authority for volunteer health workers; there was no opposition testimony. AB 2282 by Alanis, a temporary rural emergency stabilization center for Patterson while a permanent hospital is built, drew support from local emergency responders and a late opposition from the California chapter of ACEP. The chair praised the bill as a creative local solution and agreed to coauthor it; a motion and second were recorded, with the vote to occur later.
Several public health access bills followed. AB 1843 by El-Hawari would limit prior authorization and align hepatitis C treatment coverage with medical guidelines; supporters said it would remove barriers to a curable disease, while health plans opposed it as a mandate, citing premium impacts and the recent SB 306 prior-authorization process. AB 2247 by El-Hawari would create the THRIVE program for mental health services for youth affected by gun violence; Youth Alive and other supporters described trauma-informed, community-based care, and the chair and another member asked to be added as coauthors. AB 2138 by Krell would expand access to certified peer support specialists in enhanced care management and remove automatic disqualifications based solely on criminal history; supporters said peers are essential to engagement and recovery, and the bill was held with a motion and second.
Later, AB 1682 by Hart would require coverage of scalp cooling for chemotherapy patients, with emotional testimony from cancer survivors and clinicians; insurers opposed it as another mandate, but the author stressed the modest per-member cost and the bill was moved with a motion and second. AB 1879 by Dixon would standardize data reporting for alcohol and drug treatment facilities, including private providers, to improve statewide information on outcomes and access; the bill drew broad support from recovery organizations and the prior opposition was withdrawn after amendments. AB 1906 by Aguiar-Curry would require coverage of at-home cervical cancer screening kits without cost sharing; supporters cited improved access for rural and working Californians, insurers opposed it on affordability grounds, and the bill passed on a recorded roll call after quorum was established. Finally, AB 1556 by Haney would clarify and support drug-free recovery housing and return-to-use policies; supporters said it would expand sober housing options, while opponents warned it could allow evictions after relapse and conflict with Housing First principles. The hearing ended with the bill still under discussion and opposition-unless-amended concerns noted.
NM
New Mexico 2026 Regular Session
Senate - Tax, Business and Transportation Feb 12th, 2026 at 06:05 pm
Senate Tax, Business & Transportation
Transcript Highlights:
- Madam Chair, members of the committee, and a special... protects our rate payers.
- Forcing these systems to meet rigid portfolio mandates undermines their primary purpose, keeping facilities
Keywords:
horse racing, program training, program owning, state licensing, racehorses, regulation, local news, newspaper printing, journalism, media tax credit, print media, digital news, news publisher, newsprint, press operator, printing industry, local journalism, tax credit, income tax, corporate income tax
OK
Transcript Highlights:
- These are kids who may be dangerous in particular situations, etc., but the primary thing that we're.
- That's what the CCBHC model is, but we have a mandate to serve any child, no matter what their payer
Summary:
The committee held an interim study on how to educate and support students with severe violent or disruptive behavior while protecting classmates, teachers, and school staff. Members framed the issue as one involving students who have often experienced trauma and may be removed from class through suspension, expulsion, or juvenile placement, but who still need a meaningful path back to school. Several legislators shared personal experiences as former educators or administrators and emphasized that schools need clearer criteria for removal and return, along with stronger support for families and staff.
Dr. Michelle Butler, an alternative education director, testified that Oklahoma’s current alternative education system is not designed to serve students removed for major discipline issues because placement is generally voluntary and programs are built around students who need a different learning environment, not punitive removal. She argued for early intervention, stronger attendance enforcement, trauma screening, teacher training, and a regional or cooperative model that would combine credentialed educators, social workers, therapists, and family counselors. She also described existing programs such as Trace Academy, Rogers County Youth Services diversion programs, and the limitations of virtual-only models and current funding, saying the system lacks sufficient resources and staffing.
Representatives and senators asked about funding, staffing, credentials, and whether statutes should be changed to prevent alternative education dollars from going to programs that do not provide direct services. Other testimony came from Family and Children’s Services and Mid-Del Youth and Family Services, both of which described embedded school-based mental health, crisis response, intensive outpatient services, family engagement, and juvenile diversion programs. Witnesses stressed that wraparound services, school-community partnerships, and a bridge back to the home school are essential, and that many students and families need mandatory or strongly supported participation rather than purely voluntary help. The study concluded with members noting possible next steps, including expanding or supplementing alternative education, improving early intervention, and examining participation requirements and transition supports; no votes were taken, and the committee adjourned after the presentations.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Oct 7th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- verdict, the blockbuster verdict, the nuclear verdict is almost irrelevant to the real risk faced by payers
- In my own personal life, after the purchase of—well, I had an appointment with my primary care that I
NM
New Mexico 2025 Regular Session
IC - Investments and Pensions Oversight Jul 18th, 2025
Investments & Pensions Oversight Committee
Transcript Highlights:
- So, with Medicare, we're a secondary payer.
- Medicare is primary for 80%, and we pay 20%. So, even with Blue Cross...
TX
Transcript Highlights:
- Downtown Dallas, Inc., which is tasked with managing PID resources, would be governed by PID rate payers
- The two primary obstacles are resources and then enforcement.
Bills:
HB22, SB250, SB375, SB536, SB845, SB1633, SB1944, SB1957, SB2081, SB2137, SB2262, SB2299, SB2419, SB2452, SB2522, SB2549, SB2594, SB2605, SB2631, SB2639, SB2675, SB3029, SJR60, HB22, HB1392, HB2525
Keywords:
emergency communication, broadband, funding, natural disasters, technology, HB 22, Texas broadband development office, comptroller, emergency communications, early warning systems, disaster alerts, natural disaster notifications, interoperable communications, interoperable emergency radio, public safety communications, 9-1-1, next generation 9-1-1, NG911, broadband grants, low-interest loans
FL
Transcript Highlights:
- Our primary purpose is to assist water and wastewater systems with every phase of their water and wastewater
- I don't know. that benefit, get the rate payers where they should be.
Summary:
The committee took up several bills and reported each favorably after brief debate and roll call votes. SB 578 would allow wine to be sold in recyclable containers, aligning wine with beer container rules; it had support from Americans for Prosperity. SB 606 clarified when nonpaying guests may be removed from public lodging establishments, updated notice and checkout provisions, and removed a mandatory arrest requirement, with support from Florida Realtors, the Asian American Hotel Association, and the Florida Restaurant and Lodging Association. SB 202 addressed a long-running dispute between Miami Gardens and North Miami Beach over a water utility surcharge, requiring the utility to charge residents in the city where the plant sits the same rate as its own residents; supporters argued it was a fairness issue, while North Miami Beach opposed it as a burden on its residents. All three bills were reported favorably.
The committee also approved SB 570, which updates and clarifies the scope of work for swimming pool and spa contractors, and CS/SB 928, which targets non-approved disposable nicotine devices by restricting advertising and display visible to minors, increasing inspections and penalties, and adopting an amendment to clarify the bill does not cover fully unlawful products and to add a 500-foot school buffer for smoke shops. SB 346, dealing with state preemption of local regulation of hoisting equipment, was reported favorably after testimony about the St. Petersburg crane collapse during Hurricane Milton; supporters said local governments need authority to address hurricane-related crane safety, while builders and contractors warned against patchwork regulation and urged a more targeted approach.
The committee then considered SB 652, creating Veterinary Professional Associates to perform certain tasks under veterinarian supervision, including limited surgical procedures after an amendment clarified those procedures are limited to spay/neuter and non-cavity surgeries. Supporters said the bill would expand access to veterinary care and help shelters, while some veterinarians expressed concern about training and safety; the bill was reported favorably. Finally, the committee took up SB 354 on the Public Service Commission, adopting a substitute amendment that would expand the commission, require stronger financial expertise and more detailed rate justifications, set rate-filing schedules, tighten storm-hardening review, and add transparency rules for nonprofit water and wastewater utilities; the bill drew support from consumer advocates and AARP, while Florida Rural Water warned of unintended consequences for nonprofit systems. The transcript ends while testimony on SB 354 is still underway, with no final vote shown in the excerpt.
FL
Transcript Highlights:
- We are talking about the premium payers for the larger market.
- If it is between the physician and the patient, is my primary care since we did endocrinologist one,
- How could my primary doctor know that? **Representative Griffitts:** Thank you, Mister Speaker.
- So we have a primary care shortage in the state of Florida.
- This bonus should not be on these primary care physicians, and the biggest problem for me is that in
Bills:
HB 118, HB 388, HB 114, HB 205, HB 2789, HB 2791, HB 499, HB 2960, HB 3163, HB 3135, HB 2427, HB 1618, HB 1672, HB 1722, HB 1338, HB 787, HB 2618, HB 879, HB 1126, HB 4134, HB 3513, HB 718, HB 1536, HB 1445, HB 1640, HB 1893, HB 1734, HB 3229, HB 3306, HB 1276, HB 3272, HB 3276, HB 3516, HB 4145, HB 1585, HB 4810, HB 2989, HB 2558, HB 3014, HB 2742, HB 1695, HB 29, HB 125, HB 145, HB 171, HB 255, HB 50, HB 363, HB 116, HB 491, HB 1495, HB 368, HB 1285, HB 1905, HB 2002, HB 917, HB 2723, HB 2067, HB 1238, HB 745, HB 1188, HB 1606, HB 2003, HB 2147, HB 2355, HB 2546, HB 2495, HB 2818, HB 2249, HB 3228, HB 3240, HB 1507, HB 658, HB 1748, HB 1851, HB 1922, HB 2798, HB 107, HB 1587, HB 3684, HB 118, HB 388, HB 114, HB 205, HB 2789, HB 2791, HB 499, HB 2960, HB 3163, HB 3135, HB 2427, HB 1618, HB 1672, HB 1722, HB 1338, HB 787, HB 2618, HB 879, HB 1126, HB 4134, HB 3513, HB 718, HB 1536, HB 1445, HB 1640, HB 1893, HB 1734, HB 3229, HB 3306, HB 1276, HB 3272, HB 3276, HB 3516, HB 4145, HB 1585, HB 4810, HB 2989, HB 2558, HB 3014, HB 2742, HB 1695, HB 609, HB 630, HB 420, HB 767, HB 1708, HB 1404, HB 2457, HB 140, HB 227, HB 913, HB 2198, HB 2763, HB 1261, HB 1135, HB 1318, HB 2358, HB 2765, HB 2735, HB 3307, HB 1242, HB 2842, HB 333, HB 201, HB 694, HB 2415, HB 155, HB 272, HB 405, HB 519, HB 1136, HB 1275, HB 1437, HB 1532, HB 1675, HB 1868, HB 1888, HB 1990, HB 2286, HB 2523, HB 3129, HB 3251, HB 3354, HB 3479, HB 3803, HB 3804, HB 3805, HB 3806, HB 3887, HB 4163, HB 4238, HB 1240, HB 1842, HB 2029, HB 2622, HB 3255, HB 654, HB 4643, HB 4945, HB 3611, HB 3724, HB 3623, HB 3810, HB 4127, HCR 78, HCR 12, SB 767
Keywords:
HB 388, HB388, coordination of benefits, COB questionnaire, health benefit plan, health insurance, insurance commissioner, Texas Department of Insurance, uniform form, primary payer, secondary payer, multiple coverage, dual coverage, Medicaid, CHIP, managed care, HMO, small employer health plan, school district health coverage, self-funded plan
TX
Bills:
HB 118, HB388, HB 114, HB205, HB2789, HB2791, HB499, HB2960, HB3163, HB3135, HB2427, HB1618, HB1672, HB1722, HB1338, HB787, HB2618, HB879, HB 1126, HB4134, HB3513, HB718, HB1536, HB1445, HB1640, HB1893, HB1734, HB3229, HB3306, HB 1276, HB3272, HB3276, HB3516, HB4145, HB1585, HB4810, HB2989, HB2558, HB3014, HB2742, HB1695, HB29, HB 125, HB145, HB171, HB255, HB50, HB363, HB 116, HB491, HB1495, HB368, HB 1285, HB1905, HB2002, HB917, HB2723, HB2067, HB 1238, HB745, HB 1188, HB1606, HB2003, HB2147, HB2355, HB2546, HB2495, HB2818, HB2249, HB3228, HB3240, HB1507, HB658, HB1748, HB1851, HB1922, HB2798, HB 107, HB1587, HB3684, HB 118, HB388, HB 114, HB205, HB2789, HB2791, HB499, HB2960, HB3163, HB3135, HB2427, HB1618, HB1672, HB1722, HB1338, HB787, HB2618, HB879, HB 1126, HB4134, HB3513, HB718, HB1536, HB1445, HB1640, HB1893, HB1734, HB3229, HB3306, HB 1276, HB3272, HB3276, HB3516, HB4145, HB1585, HB4810, HB2989, HB2558, HB3014, HB2742, HB1695, HB609, HB630, HB420, HB767, HB1708, HB1404, HB2457, HB140, HB227, HB913, HB2198, HB2763, HB 1261, HB 1135, HB1318, HB2358, HB2765, HB2735, HB3307, HB 1242, HB2842, HB333, HB201, HB694, HB2415, HB155, HB272, HB405, HB519, HB 1136, HB 1275, HB1437, HB1532, HB1675, HB1868, HB1888, HB1990, HB2286, HB2523, HB3129, HB3251, HB3354, HB3479, HB3803, HB3804, HB3805, HB3806, HB3887, HB4163, HB4238, HB 1240, HB1842, HB2029, HB2622, HB3255, HB654, HB4643, HB4945, HB3611, HB3724, HB3623, HB3810, HB4127, HCR78, HCR12, SB767
Keywords:
HB 388, HB388, coordination of benefits, COB questionnaire, health benefit plan, health insurance, insurance commissioner, Texas Department of Insurance, uniform form, primary payer, secondary payer, multiple coverage, dual coverage, Medicaid, CHIP, managed care, HMO, small employer health plan, school district health coverage, self-funded plan
TX
Texas 89th 2nd C.S.
Senate Committee on Health and Human Services Jul 8th, 2026
Health & Human Services
Transcript Highlights:
- multi-billion-dollar global marketplace, a market targeting financially vulnerable young women, and the primary
- target here, A market targeting financially vulnerable young women, and the primary target here is our
- The only thing I would add to that, Senator, and I am not a Medicaid expert, is that Medicaid is the payer
- Is that Medicaid is the payer of last resort.
- Texas has unwittingly become a primary destination for this global marketplace.
MN
Minnesota 2025-2026 Regular Session
Committee on Human Services - 03/04/26
Health and Human Services
Transcript Highlights:
- have to know, are you just making money and like hoarding money off of both taxpayers or private payers
- have to know, are you just making money and like hoarding money off of both taxpayers or private payers
- have to know, are you just making money and like hoarding money off of both taxpayers or private payers
- have to know, are you just making money and like hoarding money off of both taxpayers or private payers
- have to know, are you just making money and like hoarding money off of both taxpayers or private payers
CA
California 2025-2026 Regular Session
Senate Labor, Public Employment and Retirement Committee Jun 10th, 2026
Labor, Public Employment and Retirement
TX
Texas 89th Regular
Senate Committee on Health and Human Services Apr 2nd, 2025
Health & Human Services
Transcript Highlights:
- It's important to point out, however, that even in those circumstances, due to other regulatory and payer
- And, ultimately, all the payers of insurance in Texas money. Thank you.
Keywords:
healthcare, training, abuse, neglect, penalties, chemical dependency, safety, regulation, inpatient competency restoration, competency restoration, forensic mental health, mental health law, criminal competency, incompetent to stand trial, Chapter 46B, HHSC, Health and Human Services Commission, state hospital, behavioral health, local mental health authority
NH
Transcript Highlights:
- 00:21:04.039>
our <00:21:04.280>Health <00:21:04.480>Center's <00:21:05.080>payer - <00:21:05.400>
mix amount but our Health Center's payer mix amount but our Health Center's - payer mix is<00:21:05.880>
35% <00:21:06.840>Medicaid <00:21:07.480>it <00:21:07.600 - hearing thank you for Senate Bill 34 hearing thank you for coming Okay, Senate Bill 59 is next, and the primary