Video & Transcript Research : 'payment processor'
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KY
Kentucky 2026 Regular Session
House Budget Review Sub. on Health and Family Services. (2-4-26)
Transcript Highlights:
- schedules or um or um create new payment schedules or um or um create new payment methodologies<
- payment error rate exceeds 6%. payment error rate exceeds 6%.
- <00:36:05.280>
error currently in Kentucky our payment error currently in Kentucky our payment - <00:37:51.680>
The impacting payment error rates. The impacting payment error rates. - we seen some increase in the payment we seen some increase in the payment error<00:38:12.800>
Keywords:
Meeting Start 00:00:00
Attendance Roll Call 00:00:01
Department for Public Health Budget Request 00:01:46
Department for Community Based Services Budget Request 00:31:58
Certified Community Behavioral Health Clinics (CCBHC) 00:57:13, 958, all
Summary:
The committee first approved the minutes, then heard a lengthy presentation from the Department for Public Health on Kentucky’s rural health transformation plan and related budget questions. Commissioner John Langfeld said the state received a $212.9 million federal award, one of the larger awards nationally, and outlined five focus areas: maternal and infant health, integrated EMS/trauma response, behavioral health and substance use disorder, oral health, and chronic disease prevention with an emphasis on obesity and diabetes. He stressed that the effort is intended to be integrated, data-driven, and sustainable, and that the federal funds cannot be used for new construction, clinician salaries, research and development, EHR replacement, or to pay for currently billable services. He also said the program carries accountability requirements and that funds can be clawed back if milestones are not met.
Members pressed for clarification on duplication with other budget requests, sustainability after the five-year funding period, and how success would be measured. Langfeld said he was not aware of any duplicate funding with the department’s additional budget requests and said the rural health funds were separate from those requests. He also said the program will be tracked through specific metrics and timelines, using both execution measures and outcome measures such as readmissions, with more rapid-cycle feedback to allow course correction. Representative Fleming raised concerns about possible overlap with navigator funding and asked for more detail on the budget breakdown; Langfeld said a detailed line-item budget had been prepared but was still awaiting final CMS approval before release, and that he would explore sharing more information once restrictions were lifted.
The committee then heard from the Kentucky State Public Health Laboratory about a request for a new central lab expansion. The presenter described the current 35-year-old facility as outdated and constrained by aging infrastructure, obsolete equipment, deferred maintenance, and inadequate space, and said the lab performs critical work with no in-state alternative for many services, including newborn screening, select-agent and biosafety level 3 testing, animal necropsy for rabies, genetic sequencing, environmental and food safety testing, and response to emerging infectious diseases. The project is already in design phase C, expected to finish in mid-April, with construction funding sought at roughly $276 million on top of about $35 million already approved for design. Members asked about long-term operating costs, backup arrangements, and whether the current facility would remain in use; the presenter said the current lab would continue to be used by the department while other divisions move into vacated space, and that the lab has mutual-aid agreements with the Southeast Consortium and universities for contingency support.
Finally, the Department for Community Based Services began its budget presentation on SNAP and relative caregiver issues. Commissioner Lisa Dennis and budget director Misty Sammons identified the governor’s recommended budget items tied to new federal requirements under HR1, including changes affecting payment error rates. The discussion was just beginning when the transcript ended.
AR
Arkansas 2026 Regular Session
LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES Jan 8th, 2026
LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES
Transcript Highlights:
- They failed to ever make that payment, it automatically defaults in.
- It will reflect those payments. Thank you, ma'am. Okay.
- Who approved the payment is what I...
- The receipt books in which these payments were recorded could not be located.
- The town council minutes indicated Ordinance No. 1001 was adopted to authorize these payments.
Summary:
The committee first heard updates on delinquent private water and sewer reports. For reports due as of December 31, 2012, staff said five additional 2024 reports had been received since the December meeting, bringing the total of released escrow funds to 17 and leaving 26 still escrowed. For reports delinquent as of December 31, 2023, two more reports were received, bringing 59 of the original 64 into compliance and leaving five outstanding. Both update reports were filed without objection.
The committee then discussed Act 709 of 2021 and the town of Daisy’s repayment of street turnback funds. Staff said Daisy had made improper payments to a nonprofit, used restricted street funds for fire truck and fire department building costs, and had not adopted the required repayment ordinance or obtained approval for a reduced repayment percentage. Mayor Lisa Cogburn said the city council had not approved repayment because members disputed the amount, though she said the city had funds to pay. After questions from members and staff explaining the audit calculations, the committee adopted a motion requiring Daisy to repay 10% of unrestricted general fund revenues under the statute and to withhold turnback funds if the city fails to comply. The report was then filed.
The committee reviewed numerous deferred and current audit findings from cities, counties, and water systems. Several local officials appeared and described corrective steps, including Harrison district court, Carroll County airport, Izard County treasurer, Alexander district court, Town of 56 officials, Bull Shoals, Lone Oak County, Beaver, Central City, Gravette, Ralston Water Department, Thornton Waterworks, Ozan, and Lee County. Findings included missing or inaccurate reconciliations, unsupported credit card charges, payroll and compensation issues, improper use of public funds, missing receipts, and budget overruns. Some matters were referred to the prosecuting attorney and Attorney General, including Bull Shoals and Lone Oak County, while others were filed or deferred as appropriate. The committee also deferred two private water and sewer reports for lack of proper responses, filed 19 reports with resolved findings, and filed 53 reports with no findings.
Before adjourning, the committee set its next meeting for February 12, 2026.
MN
Minnesota 2025 1st Special Session
House Health Finance and Policy Committee 1/22/25
Health Finance and Policy
Transcript Highlights:
- <00:08:48.519>
from especially governmental payments from especially governmental payments - <01:17:58.800>
program it's called a directed payments program it's called a directed payments - >
through quarterly supplemental payments through quarterly supplemental payments through the< - new or untested idea uh directed payment new or untested idea uh directed payment programs<01:19
- this directed payment this directed payment program<01:36:20.000>
um <01:36:20.199>I
Summary:
The Health Finance and Policy Committee heard testimony from the Minnesota Hospital Association and several hospital leaders about the financial strain facing hospitals across Minnesota. The association’s CEO said hospitals are essential 24/7 safety-net providers, but rising labor, supply, technology, and drug costs are outpacing reimbursement from Medicaid, Medicare, and commercial payers. He warned that many not-for-profit hospitals are struggling, that workforce shortages remain significant, and that the committee should consider help on Medicaid rates, discharge/boarding problems, mental health services, workforce development, protecting the 340B drug discount program, and avoiding new mandates that add costs.
Relle Schultz of Winona Health described a community hospital with a 49-bed facility and long-term care services that has faced years of losses, including a $17 million loss in 2023 and $12 million in losses the following year. She said government payers now make up about 65% of the hospital’s mix, and each 1% increase in that mix costs about $1 million. She highlighted the difficulty of sustaining services such as dialysis, which was nearly closed until a local donor provided $3 million to keep it open for three years, and she emphasized the importance of 340B savings and the need for higher Medicaid payments.
Carrie Mulski of Riverview Health in Crookston said critical access hospitals are also under pressure despite their federal designation. She explained that federal support has eroded, that Medicaid and other public programs do not cover full costs, and that her hospital’s 340B savings help keep the doors open. She said Riverview opened a new hospital in 2020 but was hit by the pandemic and inflation, leading to annual losses of $5 million to $6 million and a negative operating margin of 9% to 10%. She also described bond covenant problems, low cash on hand, the prior closure of the nursing home, and the need for rapid state action to stabilize rural hospitals and preserve access to care.
TX
Transcript Highlights:
- 1999, the total amounts deposited into the judicial fund by statutory probate courts and the total payments
- If deposits exceed... ...courts and the total payments made to counties have been calculated at the end
- Well, many times if you're late, the landlord won't accept payment for that next month.
- And that's what Harold is alluding to: what if they don't want to take the payment?
- And that's what Harold is alluding to: what if they don't want to take the payment?
Keywords:
statutory probate courts, probate court fees, judicial fund, county reimbursement, comptroller, Texas Government Code, Local Government Code, court fees, fee allocation, excess contributions, judicial education and support fund, presiding judge salary, county finance, court administration, Texas judiciary, revenue distribution, SB 2933, elder abuse, neglect, judicial training
MN
Minnesota 2025 1st Special Session
House Fraud Prevention and State Agency Oversight Policy Committee 12/17/25
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- <00:28:46.799>
as follow the evidence, stop payments as follow the evidence, stop payments - >
whenever <00:56:10.880>our suspending payments um whenever our suspending payments um - Those overlapping payments just years. Those overlapping payments just stopped. stopped. stopped.
- The US attorney and the OA payment.
- And so payments from being stopped.
NM
New Mexico 2025 Regular Session
IC - New Mexico Finance Authority Oversight Aug 12th, 2025
New Mexico Finance Authority Oversight Committee
Transcript Highlights:
- One more interest payment was made right at the end, so there were two interest payments made in the
- So converting those borrower payments from the annual payments to the monthly payments is where we're
- So it looks like the smaller payments and smaller borrowers are the ones that are maintaining their payment
- to convert folks from the annual payment cycle to a monthly payment cycle and put out for bid a loan
- So they send out the invoices, collect the payments, and apply the payments to the loan.
FL
Florida 2026 Regular Session
Appropriations Committee on Pre-K - 12 Education Mar 26th, 2025
Appropriations Committee on Pre-K - 12 Education
Transcript Highlights:
- And again, this declining student enrollment payment.
- The bill aligns the scholarship payment installments from quarterly to monthly and aligns the payments
- , or a monthly payment, rather, they receive front-loaded monthly payments, and that money goes into
- I do have a question when it comes to the monthly payments.
- So they're the ones that are making the payments.
Summary:
The committee first heard the proposed Pre-K-12 education budget for fiscal year 2025-26, totaling $34.7 billion. The chair highlighted major increases for the FEFP, including $29.6 billion for public schools and K-12 scholarships, a $984 million year-over-year increase, along with higher per-FTE funding, $4 billion for the Family Empowerment Scholarship, $431.4 million for VPK, funding for school safety, the Florida School for the Deaf and Blind, school hardening, Jewish day school security, and an education enrollment stabilization fund. With no public comment, the committee adopted a motion for staff technical corrections and then approved the budget proposal as a recommendation to the full Senate Appropriations Committee.
The committee then considered SB 1402 on dropout retrieval programs. The bill expands eligibility so any individual who has withdrawn from high school may enroll in dropout retrieval services and clarifies how school grades are calculated for virtual instruction providers that offer those services. An amendment clarifying the grading calculation was adopted, and the committee reported the bill favorably.
Next, the committee took up SPB 7030 on educational scholarship programs, a broad measure addressing school choice funding and administration. The bill would fund the Family Empowerment Scholarship as a separate categorical, expand the education stabilization fund, create fall and spring application windows, require a single scholarship application and more documentation, assign student IDs, standardize payment timing to monthly installments, require continued eligibility verification, and add Level 2 background checks for providers receiving state funds. Members raised questions about background-check enforcement, payment timing, data sharing, and the impact on homeschool and private-school families. Public testimony included support from school-choice advocates and concerns from private-school representatives about added regulatory burdens and deadlines. The committee adopted the bill as a committee bill and reported it favorably, with Senator Osgood voting no.
Finally, the committee considered SB 508 on the Family Empowerment Scholarship Program, which requires private schools to disclose in writing what accommodations, modifications, and services they will provide to students with existing plans such as IEPs, EEPs, 504 plans, or ELL plans before enrollment. An amendment was adopted to require public schools to consult with private schools about equitable services. Testimony was mixed: supporters said the bill would give parents needed information for informed choice, while private-school representatives said the language could be burdensome and vague. The committee reported the bill favorably.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services May 21st, 2026
Transcript Highlights:
- CDSS issues quarterly cost of care plus payments to contractors so that they can make their timely payments
- And if we do, for example, have to make an early payment to make a, To make those payments.
- And if we do, for example, have to make an early payment to make sure that Cost of Care Plus payments
- So at least that first payment is for services rendered in 2025-26.
- So that first payment is for June.
Summary:
The subcommittee first heard May Revision items for child support, child care, and related human services. The Department of Child Support Services described two technical adjustments, which the LAO said raised no concerns. The Department of Social Services then walked through child care proposals, including a shift in how federal and Proposition 64 funding reductions would be absorbed, a 2.01% COLA, disaster-related child care infrastructure grants, an increase in in-contract administrative support costs for alternative payment agencies, reversion of prospective-pay implementation funding after a federal rule change, a one-time allocation to cover the first quarter of Cost of Care Plus payments in the next fiscal year, reappropriation for existing infrastructure grant closeout work, and estimates of unspent child care funds. The department also outlined trailer bill language on a single rate structure, site safety and emergency procedures, CalWORKs child care data sharing, and child care oversight.
The LAO recommended that the Legislature seek more justification for shifting reductions from General Child Care to the Alternative Payment Program, noting that CAP reductions affect more slots and that General Child Care has had significant unspent funds. It supported removing prospective-pay funding, but recommended rejecting the administrative cost shift to a percentage-based rate because it could create future General Fund pressure. It also suggested the Legislature review alignment between the disaster grants and the child care infrastructure program. Senators and members pressed the administration on why the budget would reduce child care slots and COLA percentages while the state still has waitlists and unspent funds, and questioned the need for early funding of Cost of Care Plus payments and the move from a flat administrative amount to a percentage. Public commenters, including providers, advocates, county offices, and infrastructure partners, urged full COLA funding, preservation of child care slots, support for prospective pay, and continued investment in child care access and facilities.
After a short recess, the committee moved to Part B on health and heard the Department of State Hospitals. DSH presented a May Revision budget of $3.2 billion and described proposals for a central utility plant replacement at Metropolitan State Hospital, an electronic health record implementation, reduced county bed billing authority due to phased-in LPS bed capacity, limited contract exemption authority for online clinical subscriptions, reversion of prior-year unspent operating funds, and a workforce development proposal shifting some costs to Behavioral Health Services Act funds, including support for an additional psychiatric training cohort at Napa. The department also outlined IST-related savings and a trailer bill to remove the sunset on the independent placement panel program.
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:
- payment withholds. payment withholds.
- The last recovering overp payments.
- national average in improper payment national average in improper payment rates.<00:48:10.480>
stopped payment on? That would be great. stopped payment on? That would be great. - benefits and provider payment. benefits and provider payment.
ND
North Dakota 2026 1st Special Session
Budget Section Human Resources Division Jun 24th, 2026 at 01:00 pm
Transcript Highlights:
- The payment error rate is not a measure of fraud.
- We did receive our final payment error rate for this year.
- So we do now know that our 2025 payment error rate is 9.89. Okay.
- That can lead to spikes in the payment error rate.
- So how are they involved in the payment error rate discussions?
Summary:
The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027.
The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics.
Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.
KY
Kentucky 2026 Regular Session
House Standing Committee on Veterans, Military Affairs, and Public Protection (2-3-26)
Veterans, Military Affairs, & Public Protection
Transcript Highlights:
- , can't make their car payment, utility payments, those types of things, USA Cares will step in if they
- , payment, can't make their car payment, payment, can't make their car payment, utility<00:25:20.000
- utility payments, those types of things. utility payments, those types of things.
- They do not payments on their behalf.
- the payments and those types of things. the payments and those types of things.
Summary:
The committee heard House Bill 369, which would add post-traumatic stress disorder to an existing 2018 hyperbaric oxygen therapy-related law for veterans. Representative Scott Sharp and HBOT for KY Vets representatives testified that PTSD and traumatic brain injury often overlap, that veterans are frequently misdiagnosed, and that hyperbaric oxygen therapy has shown benefits in clinical trials and in Kentucky’s own funded program. Members asked whether the bill would require insurance coverage; the sponsors said it would not, and noted they are seeking broader approval through medical and congressional channels. The committee voted favorably on HB 369, with members expressing support based on personal experience and the needs of veterans and their families.
The committee then considered House Bill 419, for which a committee substitute was adopted before testimony. Representative Suzanne Miles and Kentucky Fire Commission/KCTCS representatives explained that the bill would expand the fire commission board from 14 to 18 members, clarify that KCTCS’s 5% administrative fee applies collectively to all funds rather than separately to each fund, and allow excess funds to help cover out-of-pocket cancer screening costs for volunteer and paid firefighters. A question about board staggering was answered by explaining that staggered terms were originally used to avoid all terms ending at once and were expected to continue. The committee passed HB 419 with favorable expression.
Later, USA Cares presented an update on how it has used prior state funding. The organization described its grant-based assistance for veterans and military families facing housing, vehicle, and utility crises, as well as career transition and housing-related support programs. Testimony emphasized that the aid helps prevent homelessness and reduce suicide risk, and the group reported it had used nearly all of the $2 million awarded in the last budget cycle to assist 364 families and more than 500 dependents. No vote was taken on the USA Cares presentation.
FL
Florida 2025 Regular Session
October 8, 2025 - 01:00 PM
Transcript Highlights:
- THE NURSING FACILITY PAYMENT INCREASE HAD A TARGET DATE OF OCTOBER 1. THIS WAS INCLUDED.
- THE SAME OF THE SUPPLEMENTAL PAYMENTS FOR THE CANCER HOSPITALS ALL THESE SUPPLEMENTAL PAYMENTS ALSO HAVE
- THE CHILDREN SPECIALTY HOSPITAL SUPPLEMENTAL PAYMENTS ARE TO PAYMENTS HERE. ONE FOR GE.
- THE KICK PAYMENT WOULD BE BASED PAYMENT PLUS A PERCENTAGE OF COST THAT THE PLANS HAVE INCURRED FOR THOSE
- WE ARE STILL UNDER OUR UPPER PAYMENT LIMIT THAT IS NOT AN ISSUE OR CONCERN.
AR
Arkansas 2026 Regular Session
LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES Feb 12th, 2026
LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES
Transcript Highlights:
- Because, of course, I did check the actual payments.
- In cash and didn't adequately document those payments.
- two extra payments each year.
- a year to 26 payments a year.
- The October interest payment was...
Summary:
The committee began with approval of the prior meeting minutes and then received updates on delinquent private water and sewer reports. Staff reported that 19 of 43 original entities for the 2022 reporting year had had turnback reinstated, while 24 remained in escrow; for the 2023 reporting year, 59 of 64 entities had filed, leaving five still outstanding. The committee also heard that Adona had come into substantial compliance with municipal accounting law, and it voted to file that report and discontinue withholding turnback. It then voted to start the 60-day clock and file the report for Gum Springs after hearing repeated findings involving budgeting, disbursements, payroll, and Act 833 funds, with city officials saying they had begun correcting records and were seeking help from the Municipal League and a city attorney. Fargo was deferred because the mayor was absent due to illness.
The committee next considered Denning, where staff described repeated and serious accounting problems over 2022-2024, including unauthorized payments, missing documentation, weak payroll controls, and improper handling of funds. The mayor and recorder-treasurer said prior records were disorganized and that they were now working with an attorney, CPA help, and new software; the committee voted to start the 60-day clock and file the report. Green Forest’s report, involving a fixed-asset listing issue after the mayor’s death, was filed. Several private water and sewer reports were either filed or deferred depending on whether responses had been received, and the committee announced its March meeting would be held in Room 149 because of renovations.
The committee then reviewed a series of referred reports involving alleged financial irregularities. In Elaine, the fire chief’s questionable purchases were referred and filed. In Strong, staff described undeposited garbage-bag receipts, improper payments for private dumpster service and other expenditures, payroll tax penalties, and deficit fund balances; the mayor said controls had been improved, but the committee deferred the report to March. The Faulkner County Fair Association report found undocumented cash withdrawals, questionable disbursements, and inadequately documented cash payments to a carnival vendor; the committee filed it. Brooklyn’s report involved a fraudulent direct-deposit change, and Mineral Springs’ report involved transfers from the cemetery fund, employee loans, overpayments, and travel reimbursement issues; both were filed.
Additional reports included Rondo, where the recorder-treasurer explained missing computers and fuel purchases tied to personal vehicles, and the committee filed the report; Waldo, where the mayor had been overpaid due to extra biweekly payments, which was filed; Columbia County, where a floodplain management contract lacked an authorizing ordinance, which was filed; and several private water-system reports, some filed and others deferred for lack of responses. Carlisle’s report showed large but improving misstatements in financial records, and the committee filed it after hearing that new software and training had reduced prior problems. Caddo Valley’s report prompted a lengthy discussion about CDs and interest recognition; staff explained that principal balances should be reflected as city assets and interest should be recorded when earned or reported by the bank, and the report was filed. Prairie County’s budget overrun and road-fund issues were discussed at length, with the judge explaining equipment and weather-related costs and staff clarifying the distinction between road funds and locally approved sales-tax uses; the report was filed. Finally, the committee deferred a Cross County Rural Water Association matter after learning it had not filed with Legislative Audit since 2002-2003 despite receiving significant state funding, and members expressed concern about the long gap in filings.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 04/15/26
Health and Human Services
Transcript Highlights:
- payment methodology. payment methodology.
- 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>
program, - <01:01:49.680>
heard, <01:01:50.040>is payment program, as you've heard, is payment
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Health Care Financing Jun 21st, 2026 at 11:00 am
Joint Committee on Health Care Financing
Transcript Highlights:
- Senator Friedman: So, upper payment limit gets the PBMs out of the picture, right?
- So, upper payment limit gets the PBMs out of the picture, right?
- I don't believe that the upper payment does get the PBMs out of the picture.
- So we'll adjust in that upper payment limit.
- So that is all factors that we look at. payment limit language.
Summary:
The Joint Committee on Health Care Financing held a public hearing on a broad set of health care bills focused on cost, market oversight, pharmaceutical access, transparency, hospital closures, and pharmacy access. Chairs John Lawn and Cindy Friedman opened by emphasizing recent health care reforms and the need for further action on the drug supply chain, PBMs, private equity, and affordability. The committee heard testimony on several measures, including a Betsy Lehman Center bill to make technical changes and create a permanent trust account for federal and private funding, and bills on hospital profits and fairness, hospital closures and health planning, pharmacy deserts, and health care market oversight and pharmaceutical access. No votes were taken during the hearing.
On the hospital profits bill, physicians and labor advocates strongly supported capping hospital CEO compensation at 50 times the lowest-paid worker, requiring greater financial transparency, and directing penalties from high-margin public hospitals into a Medicaid reimbursement fund. Testifiers argued that executive pay is excessive while frontline staff and safety-net services are under strain. Committee members raised concerns about unintended consequences, including whether hospitals might shift workers to contract status or lose executive talent, and whether the bill would actually direct money to the safety net. Supporters responded that the measure is one piece of a larger effort and that the bill’s Medicaid reimbursement provisions would help underserved hospitals.
Testimony on market oversight and pharmaceutical access centered on rising health care and drug costs, PBM practices, and the proposal to give the Health Policy Commission authority to set upper payment limits for certain drugs. Consumer advocates, disability advocates, an independent pharmacist, the Attorney General’s office, and others supported stronger oversight, citing premium increases, affordability problems, and the impact of high drug prices on patients and community pharmacies. Pharma and some industry witnesses opposed parts of the bill, warning that upper payment limits could disrupt access, create legal issues, and fail to address the broader supply chain. The committee also heard support for stronger hospital closure notice and public hearing requirements, and for a pharmacy deserts bill aimed at identifying and addressing closures like the one in Roxbury that affected thousands of patients.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Aug 18th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- So, over that decade, we're looking at a lot of reduced payments.
- This will be based on their payment error rate.
- On slide nine, here is a brief overview of the SNAP payment error rate.
- Currently, on slide 10, our payment error rate is almost 15%.
- That contributed negatively to the payment error rate.
NH
New Hampshire 2025 Regular Session
Fiscal Committee (11/21/2025)
Transcript Highlights:
- Is there any kind of payment they pay, any sort of payment you get from people that have been defended
- Is there any kind of payment they pay, any sort of payment you get from people that have been defended
- Is there any kind of payment they pay, any sort of payment you get from people that have been defended
- Is there any kind of payment they pay, any sort of payment you get from people that have been defended
- Is there any kind of payment they pay, any sort of payment you get from people that have been defended
Summary:
The Fiscal Committee met on Friday, November 21st and first approved the October 17th minutes, with one member abstaining because she was not present. The committee then adopted the remainder of the consent calendar after removing two items for separate consideration. On tab four, members discussed item 25282 with the Commissioner of Administrative Services and Public Works staff; the project had been delayed after testing revealed design errors and flaws, and the committee was told the work would restart with test piles the following week and was projected for completion in fall 2027. The item was approved.
On tab five, item 25279 concerned a Health and Human Services facility project and a federally required element added late in the process. Commissioners explained that the project had originally been funded at $21 million, later required additional financing, and that the legislature had recently lifted a restriction so non-ARPA funds could be used. They also said the sale of the existing Manchester property would not be needed to complete the build, that a broker RFP was about to be issued, and that any sale would require further approvals. The committee approved the item.
The committee then approved item 25280 after a brief exchange about rainy day fund estimates and prior budget assumptions, and approved item 25278 without discussion. Item 25272 drew questions about the consumer advocate’s RFP for outside utility-rate-case assistance; the office said it eliminated proposals focused only on return on equity work after the Eversource decision, selected a Michigan firm for spreadsheet and operating-cost analysis, and noted there were no in-state firms doing this specialized work. The committee approved the item, with one member recorded in opposition.
On tab nine, item 25261 concerned a new judicial council budget obligation tied to legislation and public defense staffing needs. The presenter said the request reflected a late-added obligation from the judicial branch, that more requests may still be needed, and that public defense staffing was strained by vacancies and competition from Massachusetts. The committee approved the item. Under informational items, members received an update on 529 plan distributions and on interest and dividends tax refunds, with Revenue Administration saying roughly $21 million more in refunds remained and that the repeal-related refunds were nearly finished. The committee also noted an environmental services item for which questions would be submitted separately. The next meeting was set for December 19th at 11:00 a.m., and the committee adjourned.
NH
New Hampshire 2025 Regular Session
House Ways and Means (05/27/2025)
Transcript Highlights:
- In terms of the hospitals, it has an enhanced payment to them satisfactorily to the level where they're
- Um, what we're utilizing in this agreement is a form of payment called directed payments, which reflect
- and it had a uh across the payments and it had a uh across the board<00:15:56.320>
50% <00:15: - On these direct payments instead of the 50, 65...
- <00:18:00.559>
instead German on these direct payments instead German on these direct payments
Summary:
The committee first went into executive session on SB 83, which concerns an elderly, disabled, blind, and deaf property tax exemption reimbursement fund, lottery-related changes, and a voluntary statewide self-exclusion database. Representative Ulery moved to retain the bill, saying more work was needed to make the bill clear. The motion passed 17-0 with three members absent, and SB 83 was retained in committee.
The committee then took up SB 249FN, a bill relative to the uncompensated care and Medicaid fund. Representative Ulery offered House Amendment 2025-2465H, which was described as incorporating a recent agreement between the state and hospital parties into state law and setting the stage for future action. Medicaid Director Henry Litman explained that the agreement keeps the Medicaid enhancement tax at 5.4%, uses directed payments rather than traditional DSH payments, and is intended to be budget-neutral for the state while increasing hospital payments through a higher federal match. He also said critical access hospitals would continue under the existing directed-payment approach, and that the agreement includes a mechanism to revisit the arrangement if federal law changes substantially. New Hampshire Hospital Association President Steve Hearn said the association supports the amendment and the bill as amended, calling the settlement fair and beneficial to hospitals and the Medicaid program. The amendment and the subsequent ought-to-pass-as-amended motion both passed 18-0.
At the end of the meeting, the chair said the committee had now gone through all of its bills and had retained nine in total, with a future meeting planned in September or October to review retained bills. Members briefly discussed possible future committee of conference work and noted there would be no House session that Thursday. The meeting then adjourned.
TX
Transcript Highlights:
- 1999, the total amounts deposited into the judicial fund by statutory probate courts and the total payments
- ...the total amounts deposited into the judicial fund by statutory probate courts and the total payments
- If you attempted to pay and the landlord... of the landlord refusing to accept the payment.
- And that's what Harold is alluded to: what if they don't want to take the payment?
- You've been paying your rent timely, and then you missed a payment. You were late.
Keywords:
statutory probate courts, probate court fees, judicial fund, county reimbursement, comptroller, Texas Government Code, Local Government Code, court fees, fee allocation, excess contributions, judicial education and support fund, presiding judge salary, county finance, court administration, Texas judiciary, revenue distribution, SB 2933, elder abuse, neglect, judicial training
Summary:
The Committee on Judiciary and Civil Jurisprudence heard testimony on Senate Bill 1015, which would clarify that the comptroller is responsible for distributing excess judicial fund payments back to statutory probate courts. Judge Guy Herman testified in support, saying the bill would help ensure probate courts receive funding they are entitled to, while Ed Heimlich testified against the bill with broad criticism of probate courts and judicial practices. The committee then heard Senate Bill 2933, which would add elder abuse training to required judicial education for several categories of judges and judicial officers; Dr. Bruce Hargrave supported the bill, citing the prevalence and underreporting of elder abuse and the need for judges to recognize warning signs. No votes were taken on either of those bills, and SB 2933 was left pending.
The committee then reconsidered Senate Bill 38, an eviction-related bill, and Vice Chair Hayes described two agreed floor amendments: one limiting the summary disposition procedure to forcible entry and detainer cases involving squatters, and another requiring a notice to pay rent or vacate for tenants who had been timely payers but missed a payment. After discussion, the committee voted 6-4 to report SB 38 without amendments. The committee also adopted or advanced a series of other bills and resolutions, including SB 293, SB 1141, SB 1448, SB 1536, SB 1558, SB 1838, SB 1940, SB 2127, SB 53, SB 251, SB 311, SB 387, SB 441 (with a substitute), SB 1164, SB 1335, SB 1574 (with a substitute), SB 1719, SB 1760, SB 1839, SB 1923 (with a substitute), SB 2807, and SJR 27 (with a substitute).
Most measures were reported favorably on largely party-line or near-unanimous votes, with a few close votes on SB 942, SB 311, SB 2807, and SJR 27. SB 942, relating to retroactive child support beginning at conception, initially failed 5-5 but was reconsidered and then passed 6-5. The committee adjourned after completing its agenda.
MN
Minnesota 2025-2026 Regular Session
Consumer Protection Restitution Account update 2/18/26
Minnesota House Floor Meeting
Transcript Highlights:
- pro rata payments.
- pro rata payments.
- pro rata payments.
- pro rata payments.
- Payments and making and not allowing pro rata payments.
Summary:
The committee heard an update on the Consumer Protection Restitution Account, also called SPRA, from the Minnesota Attorney General’s office and AARP Minnesota. AARP described the fund as a first-of-its-kind consumer fraud restitution program that should encourage scam reporting, give the AG’s office more incentive to pursue cases, and provide financial recovery to victims, especially older adults. The AG’s office explained that the fund is financed by 50% of consumer enforcement recoveries up to $5 million per year, plus unclaimed or undistributable restitution, and said about $4.6 million had been deposited since July 1, 2025, largely from a Johnson & Johnson settlement.
Jessica Whitney outlined how claims are processed: consumers file complaints, the office obtains a court order, then determines whether defendants have collectible assets before distributing funds in chronological order based on the date of the court order. She said the first major case is Woodbury Dental Arts, a defunct dental clinic whose patients filed more than 300 claims; the office estimates about 75% are likely valid, is reviewing them, and hopes to issue checks within a month. She also described upcoming cases involving High Road Builders and another home remodeling contractor, along with more than 100 individual fraud complaints, including nine claims totaling more than $5.2 million.
Committee members raised concerns about delays, communication with constituents, and whether victims know if their cases are being processed. Whitney said the office is trying to improve outreach through press releases, community visits, senior centers, AARP, and Commerce senior outreach. She also flagged two possible legislative issues: restitution that cannot be distributed may not be subject to the $5 million cap, and the statute’s prohibition on pro rata payments may need reconsideration because available funds appear insufficient to pay all claims in full. The office said it would provide a fuller report in October and continue processing claims this fiscal year.