Video & Transcript Research : 'primary payer'

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NM

New Mexico 2025 Regular Session

IC - Water and Natural Resources Aug 19th, 2025

Water & Natural Resources Committee

Transcript Highlights:
  • The primary economic benefits of New Mexico State Parks that we analyzed are visitor spending and the
  • And when you're saying the primary source is federal funding for capital projects, do you have any projection
  • Or is that being funded by all of the other rate payers?
CA
Transcript Highlights:
  • Regional centers have a primary role in informing individuals and families in the community about respite
  • totally unintegrated into the community, if they've had to rely primarily on their parents for their primary
  • Adjustments to available Medicaid funding pose a risk, but also the fact that we are a payer of last
Keywords: 988, house, all
MN

Minnesota 2025 1st Special Session

Committee on Judiciary and Public Safety - Part 1 - 03/27/25

Judiciary and Public Safety

Transcript Highlights:
  • Her primary care provider referred us to a pediatric gastroenterologist, and they ruled out everything
  • And many of the other payers,<02:39:18.319> commercial<02:39:18.800> payers<02:39:19.359
  • > follow<02:39:19.680> the payers, commercial payers follow the payers, commercial payers
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

House Agriculture Finance and Policy Committee 3/5/25

Agriculture Finance and Policy

Transcript Highlights:
  • on<00:43:06.280> to<00:43:06.440> our<00:43:06.680> rate<00:43:06.920> payers
  • c><00:43:07.440> or<00:43:07.800> you<00:43:07.920> know push on to our rate payers
  • or you know push on to our rate payers or you know is<00:43:08.359> the<00:43:08.640> contractor
  • I also had a mismarked power line, a primary that would feed power to the entire cul-de-sac.
  • we would have caused damage to multiple homes or multiple gas services and probably taken out the primary
Bills: HF47, HF434, HF1503, HF1702
MN

Minnesota 2025-2026 Regular Session

Committee on Energy, Utilities, Environment, and Climate - 01/22/25

Energy, Utilities, Environment, and Climate

Transcript Highlights:
  • top um on top of the grid that other on top um on top of the grid that other rate<00:21:04.400> payers
  • c> supporting<00:21:05.159> but<00:21:05.280> what<00:21:05.360> is rate payers
  • are supporting but what is rate payers are supporting but what is the<00:21:05.640> total<00:
  • MRES is in the process—actually, we have hired a rate consultant because one of our primary concerns
  • MRES is in the process—actually, we have hired a rate consultant because one of our primary concerns
Keywords: 1187, senate, all
HI
Transcript Highlights:
  • But there's many different contracts that a hospital would have with payers, including CMS.
  • Not just OB-GYNs, but primary care physicians, surgeons, and it limits access, especially in an already
  • <00:48:04.880> care Not just OBGYn, but primary care Not just OBGYn, but primary care physicians
  • <00:49:48.800> care,<00:49:49.119> preventative all care, primary care, preventative
  • all care, primary care, preventative care,<00:49:50.480> um<00:49:50.720> I<00:49:50.960
Summary: The joint hearing covered House Bill 251, which would require hospitals to report costs associated with Medicare and uninsured patients, and House Bill 1875, which would expand protections for gender-affirming health care services. On HB 251, the Department of Health said it supported the intent but described the bill as complicated and potentially impractical as drafted because the department lacks the expertise to produce the required analyses without outside help. Hawaii Health Systems Corporation echoed those concerns, while the Queen’s Health System said it was willing to work with the department to provide the information. In committee discussion, officials explained that hospital support in Hawaii includes public hospital appropriations and the provider tax program, which uses hospital and nursing home contributions to draw federal matching funds; a department witness estimated the net benefit at about $150 million for hospitals and $20 million for nursing facilities, though exact figures would be provided later. On HB 1875, the Insurance Division testified with concerns that the bill’s language on prohibited actions by malpractice insurers was broad and vague, and that a rate-increase prohibition could conflict with actuarially based insurance pricing. The division also noted it was not the primary enforcement agency for the statute. In contrast, many testifiers strongly supported the bill, including the Hawaii State Commission on the Status of Women, the Hawaii State LGBTQ+ Commission, the Hawaii Public Health Institute, PFLAG Oahu, the ACLU of Hawaii, the Drug Policy Forum of Hawaii, the Hawaii County Democratic Party, and others. Supporters argued that gender-affirming care is medically necessary, evidence-based, and protected by privacy and bodily autonomy principles, and that the bill would protect patients and providers from outside political interference. No votes or final committee actions were taken during the portion of the hearing provided.
KY

Kentucky 2026 Regular Session

Interim Joint Committee on Families and Children.(6-17-26)

Families & Children

Transcript Highlights:
  • providers take Medicaid and commercial insurance patients and face the same challenges from both payers
  • This calculation should instead account for all payers with whom a provider is in-network and distribute
  • For example, if a provider is in-network with six payers, they are only available roughly 15 to 20% for
  • And so, the goals of Kentucky ABRY, one of the primary tasks that we've been given, is to provide an
Keywords: 958, all
TX

Texas 89th Regular

89th Legislative Session May 8th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • But I'd like, if there are savings with this process, that the savings go to the rate payers, to the
  • So that if there's a savings, the rate payers share in the savings, and it doesn't just go to their company
  • Rate payers should get a part of the savings, and I move for adoption.
  • My primary motivation for bringing this bill forward are my constituents.
Bills: SB17, SB1569, SB2420, HB5138, HJR161, HB1937, HB3334, HB5444, HB5137, HB361, HB321, HB5447, HB464, HB678, HB2294, HB4172, HB3225, HB1769, HB5394, HB1837, HB1787, HB2271, HB2440, HB5134, HB5149, HB2151, HB2073, HB2186, HB2025, HB1936, HB1777, HB1663, HB 1306, HB 1290, HB1527, HB4802, HB3462, HB2963, HB2462, HB2560, HB644, HB2725, HB2621, HB2588, HB1443, HB1403, HB3032, HB1557, HB1664, HB2811, HB2088, HB2598, HB3062, HB3134, HB3940, HB4027, HB4097, HB4862, HB4170, HB4157, HB4205, HB4279, HB4377, HB4838, HB5424, HB5294, HB4870, HB4763, HB5639, HB4112, HB2275, HB1677, HB5014, HB3848, HB3797, HB3727, HB3709, HB3177, HB3057, HB4176, HB4202, HB2180, HB3528, HB3658, HCR76, HCR127, SB906, SB1229, SB855, SB703, SB1025, SB888, SB1119, SB1080, SB929, SB1355, SB2231, SB1877, SB1998, SB552, SB17, SB1569, SB2420, HB2697, HB3801, HB3488, HB3477, HB3466, HB3469, HB2594, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB 1181, HB3963, HB5111, HB2785, HB1661, HB200, HB1803, HB249, HB721, HB851, HB 1128, HB1904, HB30, HB1916, HB541, HB5560, HB3071, HB5627, HB5435, HB2688, HB3045, HB3483, HB4213, HB4226, HB783, HB175, HB4735, HB5155, HB5057, HB4813, HB5339, HB5196, HB5033, HB3486, HB4211, HB74, HB4730, HB4743, HB4463, HB4139, HB4752, HB4486, HB4437, HB4426, HB4396, HB4263, HB3487, HB3418, HB2266, HB2229, HB2189, HB5224, HB5195, HB3947, HB3358, HB3370, HB3745, HB3697, HB2001, HB1968, HB3371, HB3909, HB4944, HB2284, HB4506, HB3317, HB4166, HB3913, HB1768, HB4603, HB2494, HB3099, HJR138, HB133, HB3832, HB1988, HCR34, HB3421, HB3892, HB5138, HJR161, HB1937, HB3334, HB5444, HB5137, HB361, HB321, HB5447, HB464, HB678, HB2294, HB4172, HB3225, HB1769, HB5394, HB1837, HB1787, HB2271, HB2440, HB5134, HB5149, HB2151, HB2073, HB2186, HB2025, HB1936, HB1777, HB1663, HB 1306, HB 1290, HB1527, HB4802, HB3462, HB2963, HB2462, HB2560, HB644, HB2725, HB2621, HB2588, HB1443, HB1403, HB3032, HB1557, HB1664, HB2811, HB2088, HB2598, HB3062, HB3134, HB3940, HB4027, HB4097, HB4862, HB4170, HB4157, HB4205, HB4279, HB4377, HB4838, HB5424, HB5294, HB4870, HB4763, HB5639, HB4112, HB2275, HB1677, HB5014, HB3848, HB3797, HB3727, HB3709, HB3177, HB3057, HB4176, HB4202, HB2180, HB3528, HB3658, HCR76, HCR127
MN

Minnesota 2025 1st Special Session

Senate Floor Session - 05/14/25

Minnesota Senate Floor Meeting

Transcript Highlights:
  • The concern I have with this is because it sounds like this is dealing with a, uh, is effectively a payer
  • So, this is not a payer mandate. It just says that you can't kick people off their medications.
  • of people or a lot of companies out of of people or a lot of companies out of the<02:21:10.399> payer
  • 12.000> now<02:21:12.160> we're<02:21:12.399> looking<02:21:12.560> at the payer
  • And now we're looking at the payer mix.
Keywords: 1187, senate, all
NH

New Hampshire 2026 Regular Session

House Finance Division I (05/04/2026)

Transcript Highlights:
  • :15:29.520> as<00:15:29.640> residential<00:15:30.080> rate<00:15:30.280> payers
  • <00:15:30.720> So I as residential rate payers have.
  • So I as residential rate payers have.
Keywords: 1189, house, all
Summary: The committee first took up Senate Bill 408 FN, which expands prosthetic device insurance coverage from children to individuals over 19, with limits on activity-specific devices and one device every five years. Members noted an indeterminate fiscal impact beginning in fiscal year 2028, but speakers said the bill addressed a gap in current coverage and had already been supported unanimously in policy. The committee voted 9-0 to recommend ought to pass. Next, Senate Bill 534 FN, dealing with compliance with foreign influence and funding restrictions for political expenditures and contributions, was discussed and then approved. Supporters said it clarifies that the restrictions apply to local elections and constitutional amendment questions as well as state and federal elections, and that enforcement costs would be minimal absent violations. The committee voted 9-0 to recommend ought to pass. The committee then considered Senate Bill 538, extending net metering eligibility terms for municipal energy projects. Members discussed a proposed amendment to align the bill with related conference committee language in HB 221 and to address projects already in the pipeline, but the amendment failed on a 4-5 vote. The underlying bill was then recommended ought to pass on a 9-0 vote. The committee also heard extensive testimony on Senate Bill 541 FNA, which reallocates existing capital funds for regional drinking water infrastructure in southern New Hampshire, including PFAS-related work and the southern regional waterline project; after discussion of funding sources and project impacts, it was approved 9-0. Finally, the committee began work on Senate Bill 557 FN, which would prohibit liquor commission licensees from selling or allowing certain kratom products. Representative Sweeney offered an amendment intended to narrow the bill to target semi-synthetic and synthetic kratom products while preserving lawful natural products, and members discussed enforcement scope and fiscal impact. The transcript ends during that discussion, before a final vote on the amendment or bill.
NH

New Hampshire 2025 Regular Session

Senate Energy and Natural Resources (06/10/2025)

Energy and Natural Resources

Transcript Highlights:
  • ><00:16:59.680> expect<00:17:00.000> our<00:17:00.800> rate<00:17:01.120> payers
  • <00:17:01.519> to<00:17:01.680> to we really expect our rate payers to to we really
  • expect our rate payers to to to<00:17:02.399> bear<00:17:02.720> that?
Keywords: 1191, senate, all
NH

New Hampshire 2025 Regular Session

Senate Energy and Natural Resources (04/29/2025)

Energy and Natural Resources

Transcript Highlights:
  • asssure that New Hampshire's Hampshire's Hampshire's uh<00:36:50.000> rate<00:36:50.320> payers
  • not<00:36:51.839> pay<00:36:52.079> for<00:36:52.240> public uh rate payers
  • do not pay for public uh rate payers do not pay for public policy<00:36:52.800> initiative<00
Keywords: 1191, senate, all
CA

California 2025-2026 Regular Session

Assembly Transportation Committee Jul 14th, 2025

Transcript Highlights:
  • We will allow two minutes each for two primary witnesses in support and opposition of the bill.
  • As a reminder, primary witnesses in support must be those accompanying the author or otherwise registered
  • Primary witnesses in opposition must have their opposition registered with the committee.
  • functions, and historical exhibitions, on display, maintenance, and preservation, and is not used for primary
  • lots of amendments that would not only be taken... to be potentially putting new costs on our rate payers
Summary: The committee first took up SB 712, which would expand California’s smog-check exemption for classic vehicles by adding model years 1976 through 1986 in phases, with a sunset in 2032. The author and supporters, including lowrider advocates and the Specialty Equipment Market Association, argued the bill would preserve car culture, support a small class of rarely driven collector vehicles, and reduce burdens on owners who struggle to find equipment for older smog tests. Opponents, including air district officials, the American Lung Association, and other environmental groups, warned the bill would weaken an important emissions-control program and increase pollution. After discussion, the committee adopted the motion to do pass as amended to Appropriations on a roll call vote of 10-0, with the roll held open for additional votes. The committee then heard SB 800, which requires Caltrans, working with local governments, to assess mitigation measures for suicide prevention on locally owned overpasses crossing state highways. The bill was presented as a response to recent tragedies in Rancho Cucamonga and was supported by local officials, health organizations, and suicide-prevention advocates, who said the measure would help identify high-risk locations and lead to life-saving interventions. There was no registered opposition. The committee members expressed support, and SB 800 was passed to Appropriations on a unanimous roll call vote, with the roll held open. Next, the committee considered SB 30, which would prohibit California public entities from selling, donating, or transferring decommissioned diesel locomotives and railroad equipment with Tier 1 or older engines unless the engine is removed, while allowing Tier 2 and newer transfers under certain conditions. The author and supporters framed the bill as a climate and public-health measure to prevent older, dirtier locomotives from continuing to pollute elsewhere, while transit agencies opposed it, arguing it could limit useful transfers of equipment that still supports passenger service and could be better handled through case-by-case air-quality review. After debate, the committee voted 6-4 to pass SB 30 as amended to Appropriations, with the roll held open for later additions. The committee also heard SB 791, which replaces the flat dealer document processing charge cap with a 1% fee capped at $350, along with new disclosure requirements. Dealers and industry groups supported the bill as a way to recover costs and improve transparency, while consumer advocates opposed it as an unjustified increase that would burden buyers. The committee approved SB 791 on a 8-? roll call vote and held the roll open. The meeting then moved on to SB 34, a port-air-quality bill presented by Senator Richardson, but the transcript ends during testimony and debate on that measure.
MO

Missouri 2026 Regular Session

Utilities Jan 14th, 2026 at 09:15 am

Utilities

Transcript Highlights:
  • But the idea that they would pay the debt off, I mean, that's a benefit to the existing rate payers of
  • their balance seat, which would turn around and obviously reduce the rates for the existing rate payers
Keywords: 959, house, all
FL

Florida 2026 Regular Session

Regulated Industries Mar 4th, 2025

Regulated Industries

Transcript Highlights:
  • And so, you know, From the payers, from the customers themselves.
  • expenditures, but not looking at really the prudency of the plan, cost-benefit, big picture for your rate payers
Summary: The committee met to hear invited presentations on storm recovery and storm protection from the Florida Public Service Commission, Florida Power & Light, Duke Energy, Tampa Electric, Chesapeake Utilities, and the Office of Public Counsel. The PSC reviewed the history of storm restoration financing and utility hardening efforts after major storms such as Hurricane Andrew, the 2004-05 hurricane seasons, Irma, and Michael, explaining storm reserve funds, storm recovery bonds, and the current three-year storm protection plan process. The commission’s role in approving plans and later reviewing prudence of actual costs was emphasized, along with the types of work included in the plans such as vegetation management, pole replacement, undergrounding, feeder hardening, and substation flood protection. The utilities described their own storm-hardening investments and recent storm performance. FPL said it has spent about $4.9 billion on storm protection and recovery-related efforts, highlighted improved restoration times during Helene and Milton, and said it is expanding undergrounding, feeder hardening, and smart-grid technology. Duke Energy reported more than 40,000 hardened poles and structures since 2021, major gains from self-healing grid technology, and faster restoration during recent storms. Tampa Electric described a roughly $200 million annual storm protection effort, including vegetation management, undergrounding, substation hardening, and new storm surge protections, and Chesapeake Utilities discussed its smaller-scale hardening program, vegetation work, pole replacement, and rapid restoration after Helene in Nassau County. Committee members asked about how utilities prioritize neighborhoods for lateral hardening, whether maps of planned projects could be shared, how much each utility has spent on undergrounding and hardening, and how reliability comparisons are normalized against the national average. Public Counsel Walt Trierweiler argued that storm recovery and hardening costs fall too heavily on investor-owned utility customers, said the current framework lacks a meaningful cost-benefit or prudence check at the planning stage, and urged broader sharing of storm costs because the benefits extend to the whole state. Senators also discussed whether the commission can review the reasonableness of approved programs and whether future reports or recommendations from Public Counsel would be helpful. No votes or formal actions were taken.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Education Jun 21st, 2026 at 11:00 am

Joint Committee on Education

Transcript Highlights:
  • What is going on with their children while they are in a primary school.
  • And if the state sets up a surcharge to the private payers, who will save a lot of money since parents
  • In my house, I've sort of taken the role as the primary meal provider, so I tend to think a lot about
  • Parents are the primary...
  • Parents are the primary people responsible for guiding all of their children's needs.
Keywords: 995, all
Summary: The Joint Committee on Education held a public hearing on a large slate of bills, with the chairs emphasizing time limits, written testimony, and grouping similar measures together. Early testimony focused on opioid use disorder education in schools (S.382), with Senator Keenan arguing that students should be taught about the risks of substance use disorder and naloxone use as part of health curricula. Representative DeCost also briefly introduced H.551, a narrow bill concerning parent rights for children in third grade and younger. Several bills were then closed without testimony, including measures on type 1 diabetes informational materials and other diabetes-related proposals. A major portion of the hearing centered on school health and emergency response bills. Supporters of H.652/S.342 on diabetes management in schools described inconsistent district practices and urged clearer standards so students can receive care in classrooms rather than being sent out of instruction. Bills on epinephrine access and seizure disorders drew extensive testimony: advocates for stock epinephrine in schools argued that unassigned epinephrine can save lives and should be funded in a cost-neutral way, while a pediatrician opposed one version as an unfunded mandate. For seizure-safe schools (S.422/H.635), students, parents, educators, and advocates described missed or delayed responses to seizures, stigma, and the need for staff training, seizure action plans, and emergency medication protocols. A separate bill, H.645, allowing anti-seizure medication on school buses, was supported by a parent and student who said current law forces costly and restrictive transportation arrangements. The committee also heard testimony on youth skin health bills (S.334/H.600/H.619), which would let students carry and apply sunscreen at school and camp without a physician’s note. Supporters from melanoma prevention, dermatology, and industry groups said the bills would remove unnecessary barriers and promote sun-safe habits, while one witness cautioned about drafting details and unintended consequences. The hearing then moved to CPR/AED education for graduation (S.456), where Senator Tarr, a student advocate, and the Red Cross all supported requiring hands-on CPR certification for high school students. Finally, the committee took testimony on healthy school lunches (H.539/S.401): supporters from the Healthy School Lunch Coalition and school food directors backed stronger nutrition standards and a standing advisory council, while Consumer Brands Association witnesses opposed the bill as too vague and potentially disruptive. A nutrition scientist also warned about unintended restrictions on medically necessary or innovative foods. The chairs closed the hearing on the healthy lunch bills and then opened testimony on universal school meals for virtual schools (H.700), with Superintendent Patrick Latuka supporting access for students in Commonwealth virtual schools who currently receive no meal support.
CA

California 2025-2026 Regular Session

Assembly Judiciary Committee Jul 15th, 2025

Transcript Highlights:
  • toolbox from the PBM's perspective in order to reduce the cost of drugs, which has an impact on the payers
  • And we have the payers, the health plans. And then right in the middle of everything are the PBMs.
  • That's my primary concern. Okay, thank you. All right. As somebody Mara Barrakehan.
  • And as a primary care physician, I've ushered many of my own patients through the assisted dying process
Summary: The committee heard testimony on several bills, beginning with SB 41 by Senator Wiener, which would regulate pharmacy benefit managers by increasing transparency, banning patient steering and spread pricing, and requiring full pass-through of rebates. Supporters, including independent pharmacists and health advocates, said PBM practices are driving up drug costs and closing neighborhood pharmacies. Opponents from PBM and health plan groups argued the bill overlaps with recently enacted licensing and reporting requirements, would not lower consumer prices, and may be preempted by ERISA. Members discussed confidentiality issues, consumer savings, and the relationship between SB 41 and the new budget trailer bill; the author asked for an aye vote. The committee then took up SB 378, also by Senator Wiener, aimed at online marketplaces that advertise illegal intoxicating hemp and unlicensed cannabis products. Supporters from labor, public health, and the licensed cannabis industry said online sales are undermining regulated businesses and exposing children to unsafe products. Opponents from tech and hemp industry groups warned the bill is overbroad, could sweep in general-purpose platforms and lawful hemp wellness products, and raises Dormant Commerce Clause and First Amendment concerns. The author said he would narrow the bill, remove industrial hemp references, and address strict liability and standing issues; members largely focused on how to target illegal products without capturing lawful marketplaces. SB 243 by Senator Padilla addressed AI companion chatbots, with supporters including Common Sense Media and transparency advocates warning that these systems can be addictive, manipulative, and dangerous for minors and vulnerable users, citing studies and the death of a Florida teenager. The bill would require disclosures, anti-addiction design limits, self-harm protocols, audits, reporting, and a private right of action. Tech and business groups opposed the measure as overly broad and said its definitions could sweep in general-purpose AI tools; several members supported the goal but questioned the breadth of the definitions and the private right of action. Finally, SB 522 by Senator Wahab would extend just-cause eviction protections to rental units that were previously covered by the Tenant Protection Act but were destroyed in disasters and later rebuilt. Supporters, including Los Angeles city officials and tenant advocates, said the bill would help keep displaced renters housed after wildfires and other disasters. Apartment and realtor groups opposed it, arguing it would remove a key exemption needed to finance rebuilding and could discourage post-disaster reconstruction. Members expressed support for tenant protections in disaster areas, and the author asked for an aye vote.
MN

Minnesota 2025-2026 Regular Session

Committee on Environment, Climate and Legacy - 04/07/26

Environment, Climate, and Legacy

Transcript Highlights:
  • And I think people are aware if you have a well, you're probably told by your primary care provider to
  • /c><00:57:54.120> by<00:57:54.320> your probably told by your probably told by your primary
  • care provider to make sure to primary care provider to make sure to use<00:57:58.160> bottled
  • 01:04:17.280> would<01:04:17.480> impact<01:04:17.920> rate<01:04:18.120> payers
  • <01:04:19.040> uh only really would impact rate payers uh only really would impact rate payers
Keywords: 1187, senate, all
NH

New Hampshire 2025 Regular Session

House Session (03/26/2025)

New Hampshire House Floor Meeting

Transcript Highlights:
  • If I know that many of us would like to hear debate on the issue of an August primary, then would I press
  • Um,<01:58:11.360> one<01:58:11.599> of<01:58:11.679> the<01:58:12.000> primary
  • changes that this Um, one of the primary changes that this bill<01:58:13.920> made<01:58:14.719
  • <05:49:38.160> language<05:49:38.558> is<05:49:38.798> not primary language is not
  • primary language is not English.<05:49:40.558> These<05:49:40.878> are<05:49:41.040>
Keywords: 1189, house, all