Video & Transcript Research : 'copay'
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TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part I) Apr 9th, 2025
Health & Human Services
Transcript Highlights:
- The facility may not waive copay, deductible, or coinsurance.
- that sometimes we see from out-of-network kind of bad actors out there is the kickback of waiving a copay
Bills:
SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069
Keywords:
school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity
OK
Oklahoma 2026 Regular Session
Health and Human Services REVISED Apr 20th, 2026 at 02:00 pm
Health and Human Services
Transcript Highlights:
- And secondly, it raises the cap on the subsidy of copays from 7% to 10%.
Bills:
HB1979, HB1225, HB3931, HB4454, HB3849, HB1746, HB3720, HB4275, HB4300, HB3586, HB2268, HB3755, HB4117, HB4294, HB3650, HB4298
Keywords:
early childhood education, task force, governance structure, healthcare access, stakeholder engagement, quality services, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity, X marker, transgender, vital statistics, State Department of Health, State Commissioner of Health
OK
Transcript Highlights:
- front and center in every doctor-patient relationship because we must necessarily now focus on the copays
Keywords:
licensure, criminal history, public safety, occupational certification, rehabilitation, state regulations, insurance, regulations, certification, long-term care, mergers, consumer protection, property safety, vision insurance, optometry, reimbursement, healthcare policy, ophthalmic materials, provider agreements, captive insurance
TX
Texas 89th Regular
Pensions, Investments & Financial Services Apr 28th, 2025
Pensions, Investments & Financial Services
Transcript Highlights:
- So, insurance-driven clinics, for example, you come in, pay your copay, and they ask you all kinds of
Keywords:
healthcare, direct primary care, insurance deductibles, Texas Health Benefit Plans, telemedicine, police retirement, disability pension, municipalities, law enforcement, retirement benefits, retirement, beneficiary, Employees Retirement System of Texas, divorce decree, beneficiary designation, Veterans' Land Board, general obligation bonds, constitutional amendment, veterans, housing assistance
AL
Keywords:
salvage title, salvage certificate of title, rebuilt title, flood vehicle, junk vehicle, total loss, motor vehicle title, vehicle branding, insurance claim, insurance company, Department of Revenue, vehicle inspection, rebuilder, automotive dismantler, parts recycler, secondary metals recycler, junkyard, vehicle identification number, VIN, stolen vehicle
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:00 am
Joint Committee on Financial Services
Transcript Highlights:
- act ensuring prompt access to health care, which would include several critical conditions without copay
- But under copay accumulator practices, the insurance companies accept...
- But under copay accumulator practices, the insurance companies accept the financial assistance, do not
Summary:
The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health.
Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.
NH
New Hampshire 2025 Regular Session
House Finance (02/14/2025)
Transcript Highlights:
- state<00:51:48.280>
for <00:51:48.480>doing <00:51:49.280>um <00:51:49.640>copay - <00:51:50.280>
for the state for doing um copay for the state for doing um copay for Medicaid
Summary:
The Finance Committee heard a briefing from the governor on her recommended fiscal years 2026-2027 budget. She described it as a “recalibration” that reduces general fund spending by about $150 million from the prior budget, avoids tax increases, and aims to protect vulnerable residents while supporting the economy. She said the proposal addresses a projected current-biennium deficit, cites lower-than-expected revenues and off-budget spending, and includes a hiring freeze and other spending reductions. The governor also said the budget is built on current revenue estimates developed with the Department of Revenue Administration and the state’s chief economist.
Major policy areas discussed included education, public safety, health and human services, housing, and workforce development. The governor said the budget increases spending on public education and special education, expands Education Freedom Accounts to public school students, funds a cell-phone-free classroom grant program, continues the community college tuition freeze, and supports workforce training. She also highlighted investments in the Group II retirement system for first responders, Northern Border Alliance and drug interdiction efforts, child advocacy and victim services, mental health services, developmental disability services with no wait list, and a streamlined housing permitting process with a 60-day review target.
Committee members raised questions about the fiscal assumptions, the impact of possible federal funding changes, the Education Freedom Account expansion, dam infrastructure funding, and workforce issues such as state employee pay and vacant positions. The governor said the budget continues funding for federal programs currently assumed, and that she would advocate for block grants and other federal flexibility. On dams, administration officials said the budget includes about $13 million in capital funding, with possible fee increases under consideration. On staffing, the governor said the budget funds the previously bargained 12% state employee increase, includes eight position reductions tied to program changes, and would allow those employees to be rehired if openings arise. No votes or formal committee actions were taken during the briefing.
MS
Mississippi 2026 Regular Session
Public Health and Welfare - Room 216, 3 March, 2026; 3:00 PM
Public Health and Welfare
Transcript Highlights:
- one of the things that it talks about in here is the cost of if a prescription is only $10 and the copay
- is only<01:07:52.000>
$10 <01:07:53.400>and <01:07:53.520>the <01:07:53.600>copay - is<01:07:54.120>
25, <01:07:55.200>then <01:07:55.360>the only $10 and the copay - is 25, then the only $10 and the copay is 25, then the patient<01:07:55.920>
would <01:07:56.120
Summary:
The committee first took up House Bill 1622, a strike-all amendment to create a pilot program for certain small-community hospitals to receive limited certificate-of-need exemptions. The bill would allow qualifying hospitals to open a geriatric psychiatric unit without a CON, permit each hospital one additional CON exemption for a service otherwise requiring one, cap dialysis-unit exemptions at eight hospitals, continue existing moratoriums with periodic Department of Health review, allow facilities in Issaquena or Humphreys Counties under limited conditions, and add a loser-pays rule for unsuccessful CON court challenges. Technical corrections were made, the strike-all amendment was adopted, and the bill was reported do pass as amended by voice vote. The committee then moved to House Bill 942, where Senator McMahan offered an amendment to allow a Lee County chiropractor to advertise as a neurologic chiropractor and list related credentials. Members questioned whether chiropractic neurology is recognized in Mississippi and raised concerns about the practitioner’s prior discipline by the board, but the chair ruled the amendment germane. The amendment failed on voice vote, and the bill itself then passed and was reported to the floor.
The committee next considered House Bill 1034, but no amendment was offered. It then took House Bill 479 off the table. That bill extends the temporary licensing period for psychology and marriage-and-family-therapy boards from 30 to 60 days to allow more time for criminal background checks. Senator Blackwell offered a clarifying amendment to make clear that temporary licenses must be revoked if required background checks or other licensure requirements are insufficient, and that the temporary license does not replace the underlying education, training, and examination requirements. The amendment was adopted and the bill was reported do pass as amended.
Finally, the committee heard House Bill 1067, the Rural Health Transformation Program. Senator Hickman explained that the bill would require procurement procedures and reporting for the state’s rural health transformation funds, prioritize projects tied to the original application, and direct funds toward rural and underserved areas such as health professional shortage areas, low-income counties, and places without hospitals. Senators questioned whether the added state rules would layer on top of existing federal requirements and whether the bill could slow distribution or invite litigation, but supporters said it was meant to add transparency and guardrails rather than change the federal program. The bill was discussed at length, but the transcript ends before a final vote on HB 1067.
TX
Texas 89th 2nd C.S.
Senate Committee on Health and Human Services May 27th, 2026
Health & Human Services
Transcript Highlights:
- So you have a specialist copay. It costs you $50 to go to see a specialist.
- But the reality is the insurance company pays that excess amount over their copay.
- x-rays, I can get cash price for $50 or $60, whereas I had one of my patients spend $110 just on the copay
- I gave that X-ray example, where it's twice as much, the copay."
- "I gave that X-ray example, where it's twice as much, the copay, wherein you get MRIs, bigger numbers
AZ
Transcript Highlights:
- For students who qualify for reduced-price meals, there is still a copay, and I've seen firsthand how
- the position of having to offer a student a cold meal option because they did not have the reduced copay
- When the reduced copay is covered, participation increases, stigma decreases, and schools can focus on
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health May 19th, 2025
NH
New Hampshire 2025 Regular Session
House Finance Division III (02/27/2025)
Transcript Highlights:
- So I guess the conversation again on the Medicaid changes to both the prescription copays doubling and
- talk a little bit about how someone who doesn’t have coverage or can’t afford their pharmaceutical copay
- doesn't have coverage or can't afford uh their<04:55:24.280>
pharmaceutical <04:55:25.120>copay - <04:55:25.638>
would <04:55:25.798>be <04:55:25.920>able their pharmaceutical copay - would be able their pharmaceutical copay would be able to<04:55:26.440>
access <04:55:26.878><
Summary:
The House Finance Committee’s Division 3 held a public work session on the Behavioral Health budget on February 27, 2025. The chair opened by explaining the schedule, materials, and deadlines for the budget process, and noted there would be no motions or votes in the division that day. Division of Behavioral Health Director Ktia Fox and DHHS CFO Nathan White then walked the committee through the division’s mission, structure, and budget materials, describing the division’s four bureaus: Mental Health Services, Children’s Behavioral Health, Drug and Alcohol Services, and Homeless Services, along with the policy unit. They emphasized the division’s role in oversight, technical assistance, quality assurance, contracting, and the continuum of care from prevention and early intervention through crisis and residential services.
Much of the discussion focused on major programs and funding lines, including the 988 Lifeline contract with Headrest, a technical assistance contract with UNH, Medicaid pass-through payments to New Hampshire Hospital and Glencliff, crisis response services, cold-weather homeless responses, housing supports, and the children’s system of care. Members asked about the UNH contract, the 988 program, crisis stabilization centers, and the peer certification program; Fox explained that the peer certification is a training-and-credentialing pathway for people with lived experience to enter community-based behavioral health work, not a volunteer program. The committee also discussed the “Choose Love” program, which Fox said was created after the Sandy Hook tragedy to build resilience and strength-based emotional regulation in schools and communities.
On the children’s side, Fox described the system of care account as the place where many contracted services are budgeted, including community mental health centers, care management entities, rapid response services, and residential programs. Members asked about temporary staffing, and Fox said roughly $500,000 in temporary staff costs shown in the current year would not be spent next year because the money came from a nonlapsing appropriation in HB 1573 for oversight of children’s residential services. She also said provider rate increases were a prioritized need but were not funded in the governor’s current budget, and that the Children’s Behavioral Health Resource Center was not funded, resulting in about a $1 million reduction. The session ended while the division was still moving through the children’s behavioral health slides, including questions about the Fast Forward high-fidelity wraparound program and medication management.
WY
Wyoming 2026 Regular Session
Health Insurance Affordability Task Force, June 17, 2026 - AM
Health Insurance Affordability Task Force
Transcript Highlights:
- So their copay for the drug is the same, but the plan is saving the money by having that rebate give
- So their copay for the drug is the same, but the plan is saving the money by having that rebate give
- So their copay for the drug is the same, but the plan is saving the money by having that rebate give
- And it's going to cost you $10 if your insurer, your plan, has unwisely chosen to keep the same copay
- for both these keep the same copay for both these drugs.<01:23:52.240>
Um drugs.
AZ
Arizona 2026 Regular Session
02/09/2026 - Senate Military Affairs and Border Security
Military Affairs and Border Security
Transcript Highlights:
- So your experience in the past, is that because they couldn't have the copay, because they just didn't
- Your experience in the past, is that because they couldn't have the copay, because they just didn't want
Keywords:
outdoor advertising, military compatibility, zoning, electronic signage, permitting, undocumented immigrants, financial services, identification requirements, loans, foreign remittances, transitional housing, military, veterans, grant program, supportive services, SB1511, commercial driver license, CDL, nondomiciled CDL, nondomiciled commercial driver license
AL
Alabama 2026 Regular Session
Alabama Senate County and Municipal Government Committee Jan 14th, 2026
County and Municipal Government
Bills:
HB117, HB17, HB22, HB153, HB140, HB117, HB17, HB22, HB153, HB140, SB12, SB42, SB93, SB28, SB35, SB134, SB12, SB42, SB93, SB28, SB35, SB134
Keywords:
procurement, county commission, administrative savings, public services, government efficiency, HB17, municipal audits, municipal audit clarification act, municipal finance, local government, city council, mayor, city manager, Department of Examiners of Public Accounts, independent public accountant, annual audit, biennial audit, annual report, financial accountability, public records
NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs (04/23/2025)
Transcript Highlights:
- been having conversation that we've been having include<01:56:44.960>
the <01:56:45.119>copay - <01:56:45.760>
charging <01:56:46.320>extra <01:56:46.639>copay include the - copay charging extra copay include the copay charging extra copay uh<01:56:48.080>
for <01:56:48.239 - <01:56:52.080>
under <01:56:52.320>the yes I think about the copay under the yes I - think about the copay under the current<01:56:53.440>
way <01:56:53.760>it's <01:56:54.080
Summary:
The committee first heard Senate Bill 47, sponsored by Sen. Regina Birdsell at the request of the Insurance Department. The bill would codify the department’s interpretation that a birth mother’s health insurance is the primary coverage for a newborn, unless the mother has no insurance or coverage under an employer-sponsored plan. Birdsell and Insurance Commissioner DJ Benton Court said the measure is a clarification of existing practice and intended to protect vulnerable newborns; a question from Rep. Miles clarified that if a young woman is on her parents’ policy, the newborn would generally be covered under that family coverage. The hearing on SB 47 was then closed.
The committee then took up Senate Bill 121, introduced by Grant Bosi for Sen. Kevin Avard, which would require insurers to notify the Insurance Department when they stop writing an entire line of business or, in some cases, Medicare Advantage plans. Commissioner Benton Court said the bill arose from disruption in the Medicare Advantage market, where consumers, brokers, and the department were confused by carriers changing or ending offerings; he said the department wanted a simple notification requirement so it could better advise consumers. Members discussed network adequacy, county-based service areas, and the fact that the bill would make notice a condition of licensure, with possible fines or license action for noncompliance. Witness Paula Rogers of AHIP said her group supported the bill if amended, and the department indicated it would support a change from a 120-day notice period to 90 days to align with state rules; the committee planned to work on an amendment in subcommittee.
Finally, the committee heard Senate Bill 247, introduced by Rep. Brian Cole, which would prohibit network exclusion of pharmacies that refuse to dispense prescriptions when PBM reimbursement is below acquisition cost. Cole argued the bill is meant to stop pharmacies from being forced to sell drugs at a loss, describing PBMs as middlemen and saying the measure is a compromise that protects local pharmacies. Members questioned whether consumers would pay more and whether pharmacies voluntarily enter PBM contracts; Cole responded that the bill would let pharmacies refuse unprofitable fills while consumers could still obtain the drug through mail order or other channels. He also said the issue has changed over time because the practice now affects a much larger share of generics and is concentrated among a few PBMs. The hearing remained open as questions continued, with no vote taken in the excerpt.
KY
Kentucky 2026 Regular Session
House Legislative Session Day 36 (2-27-26)
Kentucky House Floor Meeting
Transcript Highlights:
- Now, for a healthy individual, a copay might sound like a small amount, but for a Kentuckian who's battling
- 28:24.320>
healthy <00:28:24.720>individual, <00:28:25.760>a <00:28:25.919>copay - <00:28:26.320>
might for a healthy individual, a copay might for a healthy individual, a copay
Summary:
The House convened with an invocation and Pledge of Allegiance, established a quorum, excused absent members, suspended rules to allow co-sponsorships and vote modifications, and approved the journal from February 26, 2026. The clerk then reported several bills on second reading, including measures on state personnel, domestic violence, fish and wildlife resources, open records, workforce investment, data centers, guardians ad litem and domestic relations, along with Senate Concurrent Resolution 9 on a Medicaid pilot feasibility study and Senate Joint Resolution 23 declaring Kentucky a “food is medicine” state.
The main floor business was House Bill 2, the Medicaid reform and appropriation bill. The sponsor described it as a response to rising Medicaid costs and federal changes, saying it would improve transparency, oversight, fraud prevention, and program operations. He said the bill would apply mainly to the Medicaid expansion population and include community engagement, cost-sharing, eligibility safeguards, stronger managed care oversight, transportation and dental delivery changes, waiver program prioritization, greater legislative access to CHFS data, a transparency dashboard, periodic auditor review, and limits on certain weight-management drug coverage. A House committee substitute was adopted, and a floor amendment on phasing in a marginal medical loss ratio requirement over four years was offered as a friendly amendment and adopted.
The House then debated House Floor Amendment 1, which would have removed state-mandated co-payments and limited cost sharing to the federal minimum, while also prohibiting reporting medical debt to credit agencies. Supporters argued the amendment would protect low-income Kentuckians from barriers to care and prevent medical debt from worsening poverty. Opponents said the bill’s co-pays were intended to encourage appropriate use of care, especially to reduce non-emergency emergency room visits, and noted that providers and MCOs could waive or work around some charges. After a roll call vote, the amendment failed 20-39.
After the amendment vote, the House continued discussion of the bill, with the sponsor defending the co-payment structure as a way to promote personal responsibility and sustainability while preserving access to primary care. The transcript ends during further debate on House Bill 2, and no final passage vote is shown in the provided excerpt.
NM
New Mexico 2025 Regular Session
House - Health and Human Services Oct 2nd, 2025
House Health & Human Services
Transcript Highlights:
- Health insurance plans would not be able to process those claims with a $0 copay to those. members right
FL
Florida 2025 Regular Session
January 14, 2025 - 01:00 PM
Transcript Highlights:
- mother responsible for 40% of all medical and dental expenses, including glasses, braces, physician copays
TX