Video & Transcript : 'payment reimbursement' :
Page 48 of 500
LA
Transcript Highlights:
- Doctors are just looking for a fair payment in a reasonable amount of time.
- They can't look at government payment rates.
- It provides additional reimbursement guidelines for pharmacy benefit managers.
- , or a professional dispensing fee, for calculating pharmacy reimbursements.
- It focuses strictly on reimbursement and payment terms, where states have clear authority.
Committee:
House Insurance
TX
Texas 89th 2nd C.S.
Health Care Affordability, Select Apr 30th, 2026
Health Care Affordability, Select
Transcript Highlights:
- what private insurance reimburses, but just what Medicare reimburses—it’s a Just to what Medicare reimburses—forget
- what private insurance reimburses—but just what Medicare reimburses is substantially less because you
- , higher payment rates with payers.
- State directive payments are another way that it can help.
- So most of the hospitals get reimbursed for that uncompensated care through those supplemental payments
Committee:
House Health Care Affordability, Select
FL
Florida 2026 4th Special Session
January 20, 2026 - 01:00 PM
Transcript Highlights:
- So we've had two main methods of payment for state-funded projects, which are advance payment or reimbursement
- Our community-based organizations with limited resources having a reimbursement payment method caused
- We turn it back as an award and send out that first payment so they can begin the work.
- You have all the information for reimbursement or a disbursement.
- on yourselves to make sure you're getting that payment out within a certain period?
LA
Transcript Highlights:
- Doctors are just looking for a fair payment in a reasonable amount of time.
- They can't look at government payment rates.
- They can't look at government payment rates.
- , or a professional dispensing fee for calculating pharmacy reimbursements.
- It focuses strictly on reimbursement and payment terms, where states have clear authority.
Committee:
House Insurance
Summary:
The committee first took up HB 774, which would extend required hearing-aid coverage for certain individuals up to age 26. Representative Boyer said the bill helps young adults maintain access to hearing aids during school and early work years. The Louisiana Academy of Audiology supported the measure, and the committee adopted technical amendments and reported the bill favorably as amended.
The committee then heard extensive testimony on HB 702, which would require transportation network companies to provide uninsured/underinsured motorist coverage. Representative Landry and supporters argued that current law and court rulings have left injured drivers and passengers without meaningful coverage in some cases, especially for riders who do not own cars and therefore lack personal UM coverage. Insurance agents and legal witnesses said they cannot currently find a product to cover the driver in certain ride-share phases, while Uber representatives opposed the bill, warning it would raise fares and noting that drivers already have optional occupational accident coverage and that passengers’ own UM coverage would generally apply. After debate over costs, coverage gaps, and whether the issue should instead be studied further, the committee voted to voluntarily defer the bill.
The committee next considered HB 477, as substituted, which would require coverage for prosthetic and custom orthotic devices and associated services. Representative Ebert and witnesses described the bill as a modernization of existing coverage rules so people with limb loss can obtain more than one medically necessary device, including activity-specific prosthetics. Testimony from amputees and a physical therapist emphasized the impact on mobility, work, sports, and quality of life. The committee adopted the substitute and reported the bill favorably by substitute.
The committee also reported HB 76, which updates oral anti-cancer medication parity rules, by adopting amendments that clarify applicability and exempt certain limited-benefit and ERISA self-funded plans. HB 903, which increases the commissioner of insurance’s fine authority, was amended to set higher aggregate caps and then reported favorably. Finally, HB 291, which would prohibit health plans from penalizing hospitals when a member of the care team is out of network, drew support from the sponsor and the Louisiana Hospital Association as a preventative measure against insurer pressure tactics; Louisiana Blue opposed it, citing cost concerns and questioning the need for the bill. The transcript ends during that bill’s hearing, before final action is shown.
AR
Arkansas 2026 Regular Session
EDUCATION- HOUSE EARLY CHILDHOOD SUBCOMMITTEE Feb 17th, 2026
EDUCATION- HOUSE EARLY CHILDHOOD SUBCOMMITTEE
Transcript Highlights:
- What’s the formula for determining reimbursement rates?
- payment structures with, you know, if we're looking at... ...payment structures with, you know, if we're
- That has impacted our reimbursement rates in this grant and will also reimpact reimbursement rates in
- When we look at projected fund balance and reserves, we're payment to payment, and we had to make those
- If you don't have someone enrolled, you don't get that payment.
Summary:
The committee met to review early childhood education funding, access, and program sustainability, with Secretary Aleva and Director Ashland Abney providing updates on Arkansas’s ABC state-funded preschool program and the federal CCDF/SRA program. Members discussed the long-standing flat funding for ABC, which rose from $11 million to $14 million in 2018, compared with roughly $137 million in federal CCDF/SRA funding. Officials said ABC serves about 23,000 children, while SRA serves about 14,871 children and has a wait list of about 2,971 children. Members also asked for more data on rural versus urban access, provider types, and the number of slots and providers by region.
A major topic was how to improve quality and access while aligning early childhood with K-12. Officials said the department is moving from the Better Beginnings environmental rating system toward CLASS observations, using local leads and a kindergarten-readiness strategy tied to quality improvement. Members raised concerns about deserts and islands in service availability, the cost of school-based versus community-based providers, and the need to support infant-toddler care as well as preschool. The commissioner said early learning should be part of long-term state education investment, but that simply adding money would not solve access gaps without broader structural changes.
The committee also discussed recent funding changes and their effects on providers and families. Officials said a $14.741 million PDG-BFV competitive grant will support systems-building work, including local leads, workforce, data systems, and third-party CLASS observations, but it is a one-year grant and not direct service funding. Members questioned the impact of new co-pays, provider closures, and slot reallocations; officials said eight closures were tied specifically to funding changes, and that paying only for enrolled children rather than allocated slots saved about $576,000. They also discussed dual enrollment in home visiting and ABC, with officials estimating that limiting double enrollment could save about $2.4 million and potentially serve about 470 more children. The meeting ended with agreement to continue regular updates and further discussion, and the committee adjourned without a vote on legislation.
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Jan 14th, 2026
Transcript Highlights:
- Our reimbursement by the state has recently been cut, and we do struggle to keep staff by being able
- methodology for fees, payments, and reimbursement; a restriction on the site of services for specific
- While we've received cost-based payment under Medicare and Medicaid, our financial viability depends
- on receiving adequate payment from commercial insurers.
- One example for you is Premera had to initiate a payment policy that banned the provider practice of
Summary:
The committee heard public hearings on several health-related bills. House Bill 1904 would prohibit cat declawing except for therapeutic purposes, with staff explaining definitions, fines, recordkeeping, and reporting requirements. The prime sponsor and animal welfare advocates described declawing as cruel and linked it to pain and behavior problems, while the Washington State Veterinary Medical Association supported the substance of the bill but asked to remove the added reporting and disciplinary provisions as redundant and burdensome. House Bill 2211 would provide guidance for medically tailored meals under existing Medicaid-related nutrition supports, including standards for Washington-based nonprofit providers where possible, menu review, and nutrition requirements. The sponsor said it would clarify implementation without expanding the program, and supporters from meal providers, food distributors, and local farms said it would improve health outcomes, keep dollars local, and support Washington jobs and agriculture.
House Bill 2329 would allow licensed midwives to delegate certain tasks to medical assistants and to supervise medical assistants, with the sponsor and birth center operators saying it would fix an omission in current law and help rural and under-resourced birth centers operate more efficiently. Supporters said it would improve staffing and financial stability, while the sponsor indicated the lactation consultant language would likely be removed because those consultants are not regulated by the Department of Health. The committee then returned to House Bill 1904 for additional testimony from humane organizations, veterinarians, shelter leaders, and local officials, all supporting a ban on declawing and emphasizing animal pain, shelter impacts, and available alternatives.
House Bill 2247 would expand and clarify veterinary telehealth and veterinarian-client-patient relationship rules, allowing a VCPR to be established in certain telehealth circumstances and setting guardrails for consent, practice standards, and when in-person exams are still required. Supporters from shelters, animal welfare groups, mobile clinics, and veterinarians said telehealth would improve access in rural and underserved areas, reduce shelter intake, and help animals receive care sooner; the veterinary association supported the bill with amendments to clarify recordkeeping and access-to-care findings. House Bill 2339 would update nursing license terminology and processes for advanced registered nurse practitioners, including title changes, controlled substance rules for CRNAs, transcript submission, and interim permits. Nursing board and ARNP representatives supported the technical updates, while the hospital association and medical association raised concerns about title language for clinical nurse specialists and the deletion of a reference to the medical profession.
Finally, House Bill 2106 would require health carriers to give 90 days’ notice of significant mid-contract payer modifications and provide the actual modification language, with the sponsor and hospital and provider representatives saying insurers are increasingly making unilateral changes that affect payment, services, and patient access. UW Medicine and a rural hospital district described examples where insurers changed imaging or preventive service coverage mid-contract, causing financial losses and forcing difficult choices about network participation. Carriers were noted as opposing the bill, while providers and facilities argued it would improve transparency and prevent one-sided contract changes that disrupt care.
NM
New Mexico 2025 Regular Session
IC - Federal Funding Stabilization Subcommittee Jul 2nd, 2025
Federal Funding Stabilization Subcommittee
Transcript Highlights:
- We all know about the payments to state governments.
- Now, the hospitals just got their first quarterly payment.
- a year of those increased payments.
- You know, they haven't even had a full year's payment.
- payment.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration May 19th, 2026
Transcript Highlights:
- the total estimated payment to $668.3 million for 2026-27.
- Some annual payments can be up to $20 million, so payment via check can be cumbersome for the employer
- Of those victims, only 24% receive any payment at all. Only 24% receive any payment at all.
- Do you have any data on the payment breakdowns?
- I have one question just for this reimbursement authority.
Summary:
The Assembly Budget Subcommittee 5 on State Administration held a May Revise hearing focused on state administration proposals, with the chair noting no actions would be taken and all items would remain open. The committee heard presentations on a range of budget proposals, including technical adjustments for the Governor’s Office of Service and Community Engagement and the California Workforce Development Board, security and election-related funding for the Secretary of State, modernization and loan-backfill requests for the Department of Consumer Affairs, and multiple Employment Development Department updates covering EDD Next, UI and DI/PFL benefit estimates, workforce funding, and an EMT training reappropriation.
Several items drew discussion from the LAO and committee members. The LAO generally supported technical or modernization items such as PERB’s implementation requests, GoServe’s College Corps adjustment, the Secretary of State’s security and HAVA grant items, and the Board of Pharmacy modernization proposal, but raised concerns about the Bureau for Private Postsecondary Education’s proposed $10 million General Fund backfill and interest-free loan language. For EDD, the LAO flagged the size of the DI/PFL benefit adjustment and the unusual structure of the document management system proposal within EDD Next, while EDD said the changes reflected higher participation and benefit levels after SB 951 and ongoing modernization needs.
The Department of Industrial Relations drew the most extensive questioning. It proposed funding for legal unit reclassifications, EAMS and Cal/OSHA data modernization, a new Cal/OSHA emerging technologies unit, a COYA reappropriation, and trailer bill changes requiring electronic payment of employer assessments and adjusting the Workers’ Compensation Appeals Board timeline. Members pressed DIR on high vacancy rates, long wage theft and workers’ compensation backlogs, low collection rates for fines, and the need for clearer workload and outcome measures. DIR said the requests were intended to improve efficiency, support audits and corrective action plans, and better address emerging workplace risks, while the LAO said the workload drivers behind delays remain unclear. The hearing also included support for CalHR’s employee assistance program consolidation and CDT’s proposal to expand “Poppy,” a statewide generative AI assistant for state employees.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 04/15/26
Health and Human Services
Transcript Highlights:
- </c> payment methodology. payment methodology.
- </c> payment program. payment program.
- If that hospital does not receive payments under the hospital directed payment program, which was also
- under the hospital directed payments under the hospital directed payment<00:31:44.840><c> program,</
- </c> Section 7 requires DHS to reimburse Section 7 requires DHS to reimburse critical<00:32:48.520><c
Committee:
Senate Health and Human Services
ND
North Dakota 2026 1st Special Session
Health Care Committee Feb 12th, 2026 at 09:30 am
Transcript Highlights:
- The insurance commissioner may direct an insurer to make these payments.
- So that's Medicare, Medicaid shortfalls in payments.
- Now we will transition to dental utilization and payment.
- Now we will transition to dental utilization and payment.
- Increasing reimbursement rates alone will not solve this problem.
Summary:
The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options.
Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process.
PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Jan 14th, 2026 at 01:30 pm
Health Care & Wellness
Transcript Highlights:
- Our reimbursement by the state has recently been cut, and we do struggle to keep staff by being able
- methodology for fees, payments, and reimbursement; a restriction on the site of services for specific
- While we've received cost-based payment under Medicare and Medicaid, our financial viability depends
- on receiving adequate payment from commercial insurers.
- This bill would ensure the payment that was agreed upon and on which we depend is honored through the
Committee:
House Health Care & Wellness
Keywords:
animal welfare, cats, declawing, animal rights, pet care, healthcare, contract modifications, provider notifications, insurance carriers, health facilities, HB 2211, medically tailored meals, medical nutrition therapy, medical assistance, Medicaid, Health Care Authority, Department of Social and Health Services, nutrition support, chronic disease, dietary accommodations
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Mar 19th, 2026
Transcript Highlights:
- PPS is a federally well-established cost-based reimbursement model.
- We continue to serve them, but we lose the payment for reimbursement for these services.
- Protect PPS reimbursement.
- We didn't always give this payment. So this, it's PPS for the UIS population.
- Okay, so for about 10 years, they've had this payment.
Summary:
The Budget Subcommittee on Health and Human Services heard an overview of the expected California budget and program impacts from H.R. 1, including changes to Medi-Cal and CalFresh eligibility, redeterminations, work requirements, immigration-related coverage rules, retroactive coverage limits, and reductions in federal matching for certain services and provider financing mechanisms. DHCS and CDSS described implementation plans focused on automation, data matching, clearer communications, county training, and outreach, while noting that many federal details are still pending. The Legislative Analyst’s Office also reviewed how H.R. 1 could increase pressure on county indigent care systems, explaining the history of county responsibility under Section 17000, 1991 realignment, and AB 85, and warning that counties may face large increases in uninsured residents seeking care without corresponding funding flexibility. An independent policy expert urged consideration of a more standardized statewide approach to indigent care and raised questions about governance, benefits, and financing.
Department witnesses estimated substantial coverage losses and fiscal effects: DHCS projected major Medi-Cal disenrollment tied to work requirements, six-month renewals, narrowed immigrant eligibility, and reduced retroactive coverage, while CDSS estimated large CalFresh benefit losses and a significant increase in administrative workload and payment accuracy pressure. Members questioned how exemptions would work for older adults, people experiencing homelessness, undocumented residents, and cash workers, and asked about the effect on the CalFresh Minimum Nutrition Benefit Pilot and on county administrative funding. Officials said they would use available data and self-attestation where possible, but acknowledged that many cases would require manual screening and that the county workload estimates remain in dispute. They also said the state is still evaluating the impact of H.R. 1 on provider taxes and state-directed payments, which could create additional budget pressure.
County representatives from Los Angeles, Santa Clara, Tulare, and San Bernardino described major local consequences if H.R. 1 is implemented as written. They warned of higher uninsured rates, more strain on emergency rooms and public hospitals, increased homelessness and food insecurity, and a likely need to rebuild or expand county indigent care programs that were largely scaled back after the ACA. Counties said they are already freezing hiring, cutting positions, reducing overtime, deferring spending, and launching outreach and coordination efforts with managed care plans and community partners, but argued that these steps are not enough without additional state support. Several counties backed the California County Welfare Directors Association’s request for $373 million in General Fund support for eligibility work and asked for a CalFresh match waiver to soften the new county share of administrative costs; Los Angeles and Santa Clara also emphasized that their local revenue measures would not close the projected gaps. No votes or formal actions were taken in the portion provided.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Aug 19th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- Facilities get reimbursed, meaning that these facilities end up losing a lot of money because many reimbursements
- Another issue that came up frequently was the reimbursement rates of Medicaid in particular.
- and the Medicaid reimbursement.
- So we're going to recoup that payment.
- . payment they believe was made inaccurately.
ND
North Dakota 2025-2026 Regular Session
Employee Benefits Programs Committee May 7th, 2026
Transcript Highlights:
- And if you comply with the requirements of the program, you can also have some of your co-payments reimbursed
- per month, you can be reimbursed up to $20 for the cost of that.
- We were asked to talk specifically about tuition reimbursement.
- Some agencies do support tuition reimbursement; others do not.
- It does not cover—it's not specifically tuition reimbursement—but it does include tuition reimbursement
Summary:
The Employee Benefits Committee met to approve prior minutes, hear presentations on state employee health insurance, compensation, leave, and related policy issues, and then recess for lunch. PERS reviewed the history and structure of the state health plan, noting the long-standing state-paid family coverage, cost-control measures, wellness incentives, the current grandfathered PPO and high-deductible options, and the effects of recent benefit mandates such as insulin caps, prosthetic coverage, medication management, prescription copay changes, and ambulance balance-billing limits. Committee members questioned the fiscal impact of adding benefits and the possible cost of moving to a non-grandfathered plan, while PERS and HRMS emphasized that health insurance remains the top-ranked employee benefit and that any major plan changes should be considered carefully. HRMS also presented compensation comparisons showing state pay generally below private-market benchmarks, discussed targeted market equity adjustments, identified ongoing recruitment and retention concerns in fields like nursing, IT, engineering, and attorneys, and reviewed leave policies, tuition reimbursement, and family leave comparisons with neighboring states. Job Service provided labor market data showing low unemployment, high labor force participation, and wage growth that still trails some neighboring markets, and OMB explained that prevailing wage requirements apply to federally funded projects under Davis-Bacon, not to ordinary state contracts.
After lunch, the committee took up the required process for health insurance mandate bills and adopted an amendment to Joint Rule 211. The amendment clarified that the deadline for submitting mandate measures is intended to allow time for all required reports, including both the cost-benefit analysis and any Employee Benefits Committee actuarial report, while leaving the existing deadline unchanged. The amendment was adopted on a roll call vote, with several members voting yes and a few no votes recorded. The committee then moved into its jurisdiction review of bill drafts, beginning with a bill that would automatically renew pre-tax dental and vision elections; members debated whether it had any actuarial or administrative impact on PERS or the state, and the chair explained that the committee’s role was only to decide whether further analysis was needed before later testimony and recommendations.
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Banking and Insurance (12-17-25)
Transcript Highlights:
- </c><00:08:41.599><c> The</c> reimbursement levels are low. The reimbursement levels are low.
- So, it's an immediate payment.
- So, it's an immediate payment.
- So, it's an immediate payment.
- So, it's an immediate payment.
Keywords:
Meeting Start 00:00:00
Call to Order and Roll Call 00:00:38
Consideration of Referred Administrative Regulations 00:01:34
Proposed Legislation for the 2026 Session 00:10:14
Basic and Added Reparation (PIP) Benefits 00:10:41
Prior Authorization 00:46:15
Measures to Strengthen Kentucky’s Economic Infrastructure 00:59:46, 958, all
Summary:
The committee met in a special-called session of the Interim Joint Committee on Banking and Insurance and first took up three Department of Insurance regulations tied to House Bill 256, the Strengthen Kentucky Homes program: 806 KAR 22:00, 22:10, and 22:20. Commissioner Sharon Clark said the program would provide $5 million in grants to help homeowners strengthen roofs, with regulations covering eligibility and operations, contractors and evaluators, and reinspections in cases of suspected fraud. A committee substitute to 806 KAR 22:10 was explained as a technical correction to conform to the statutory preference for in-state contractors and evaluators. Representative Hampton moved and Representative Rudy seconded approval of the substitute, and it was adopted by voice vote; the amended regulations were then reviewed. Clark also said the grant money would be distributed statewide rather than targeted to storm-prone areas.
The committee then heard an update from Commissioner Clark on mental health parity in response to questions from Representative Pollock. Clark said the department reviews insurer filings and conducts market conduct examinations, but does not have authority over provider reimbursement rates or to require providers to join insurer networks. She said complaints are investigated and, when needed, teams review claims and data on site to check compliance with parity requirements. No action was taken on that discussion.
After approving the November 4 meeting minutes, the committee heard testimony on a proposed PIP reform package from Representative Josh Bray, the Kentucky Hospital Association, the Kentucky Justice Association, and State Farm. Supporters said the bill would apply the workers’ compensation fee schedule to most PIP medical claims, keep the $10,000 PIP limit in place while stretching benefits further, reduce balance billing, modernize benefit amounts, and address fraud and delayed billing. They noted hospitals would be exempt from the fee schedule, while hospital-based physical therapy would be included, and said the compromise reflected negotiations among stakeholders. Some members questioned whether exempting hospitals undercut the bill’s purpose and asked about possible rate effects; proponents said they had not done a rate analysis and that the bill could lead to more treatments within the existing PIP limit. No vote was taken on the PIP proposal during this meeting.
CO
Colorado 2026 Regular Session
Colorado House 2026 Legislative Day 087 Apr 11th, 2026
Colorado House Floor Meeting
Transcript Highlights:
- An estimated $2,279,944 shall be from federal interim assistance reimbursement payments, and an estimated
- </c> reimbursement payments and an estimated reimbursement payments and an estimated $9596,542 $9596,542
- Child support payment pass-through reimbursements.
- </c> Officer Payments. Officer Payments.
- Equivalent payments, 10,94,22. Payments to OIT.
MA
Massachusetts 2025-2026 Regular Session
Senate Committee on Intergovernmental Affairs Feb 4th, 2026
Senate Committee on Intergovernmental Affairs
Transcript Highlights:
- It doesn't just unilaterally reduce federal reimbursement rates for Medicaid.
- Well, theoretically, the error rate would capture fraudulently made payments as well.
- So this doesn't mean that the payments are permanently made in error.
- determine what that payment appropriately should be.
- How the feds determine what that payment appropriately should be.
Summary:
The committee heard testimony from Doug Howe of the Mass Taxpayers Foundation and Evan Horowitz of Tufts on the fiscal effects of federal policy changes, especially the OB3 reconciliation law, federal shutdown risks, and Massachusetts budget planning. Howe outlined a framework of direct and indirect federal impacts on the state budget, capital program, and grant funding, emphasizing uncertainty around Medicaid, SNAP, LIHEAP, immigration, NIH funding, and federal tax changes. He said OB3 is expected to reduce federal health spending in Massachusetts by about $3 billion annually when fully implemented, with an estimated 250,000 to 300,000 people losing coverage, and could shift up to $400 million in annual SNAP costs to the state if Massachusetts’ error rate remains above the federal threshold. He also discussed the governor’s proposal to delay conformity with certain federal tax changes and to expand the pass-through entity tax to offset revenue losses.
Members questioned the witnesses about SNAP error rates, unemployment insurance, the use of the stabilization fund, and whether the state should adopt a Maryland-style delay in implementing federal tax changes. Howe argued the stabilization fund should not be used to backfill permanent obligations, but could be used for temporary crises, and said the state should improve data-sharing and administrative systems so eligible residents do not lose MassHealth or other benefits because of paperwork barriers. He also said unemployment insurance remains a major problem and that a broader fix should include benefit, tax, and possibly state contributions. Horowitz took a more aggressive view on using reserves for urgent needs like SNAP, argued the state should harden its budget against volatility, and warned that Massachusetts is increasingly exposed to stock-market-driven revenue swings and to a possible income tax ballot question that could significantly reduce revenues. No votes were taken; the hearing was informational, and the chair asked both witnesses for follow-up written recommendations, especially on system integration and accountability.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 2/13/25
Human Services Finance and Policy
Transcript Highlights:
- The last lever I'll mention is payments, so we're seeing an increase in payment rates, and a lot of that
- ><c> a</c><00:20:11.520><c> lot</c> an increase in payment rates and a lot an increase in payment rates
- </c><00:20:59.760><c> in</c> of course value based reimbursement in of course value based reimbursement
- </c> approved within our Medicaid payment approved within our Medicaid payment system<00:31:36.480><c
- </c> our current value based reimbursement our current value based reimbursement system<00:37:53.200>
Committee:
House Human Services Finance and Policy
NE
Nebraska 2025-2026 Regular Session
Legislative Morning Session Apr 9th, 2026
Nebraska Unicameral Floor Meeting
Transcript Highlights:
- , utility payments, security deposits, landlord risk mitigation payments, and other related costs.
- , utility payments, security and utility deposits, landlord risk mitigation payments, and other related
- The bill further describes landlord risk mitigation payments, including payments for excessive damage
- The form of annuity payments shall be in the amount paid.
- A police officer may also elect a single lump-sum payment.
Bills:
LB737 , LB753 , LB788 , LB913 , LB1055 , LB1195 , LB1216 , LB1256 , LB429 , LB721 , LB722 , LB727 , LB743 , LB745 , LB749 , LB778 , LB787 , LB365A , LB823 , LB900 , LB903 , LB940 , LB954 , LB1127 , LB1127A , LB1205 , LB1240 , LR293 , LR296 , LR422 , LR505 , LR507
Keywords:
LB737, Olmstead, developmental disabilities, disability services, community-based services, integrated settings, DHHS, Department of Health and Human Services, stakeholder advisory committee, independent consultant, public hearing, legislative oversight, disability rights, community integration, housing, employment, education, transportation, community supports, self-advocacy
NH
New Hampshire 2026 Regular Session
House Labor, Industrial and Rehabilitative Services (01/13/2026)
Labor, Industrial and Rehabilitative Services
Transcript Highlights:
- </c> today if payment wasn't received? today if payment wasn't received?
- reimbursement.
- And all of a sudden you're getting reimbursed reimbursed reimbursed less<04:29:25.199><c> than</c><04
- </c> payment to providers. payment to providers.
- that are going on and the reimbursements that are going on and the delay<04:34:08.879><c> payments</