Transcript Highlights:

• The MassHealth bundled payment provides CBHCs some flexibility to direct some of the reimbursement toward
• The only remedy, as a consumer, is to file an appeal upon denial of a reimbursement request.
• As a consumer, the only remedy is to file an appeal upon denial of a reimbursement request.
• The payment system we have now is just that unfair.
• The bill calls for bundled payment for a package of services.

Committee: Joint Joint Committee on Financial Services

Keywords: 995, all

Summary: The committee held a hearing on a large group of behavioral health and insurance-related bills. Topics included expanding access to mental health services by allowing physician assistants to authorize Section 12 emergency holds and be recognized as licensed mental health professionals (H. 1131/S. 773); improving coverage for community behavioral health centers so commercial insurance matches MassHealth’s bundled outpatient and crisis services (H. 1276/S. 703); eliminating cost sharing for certain behavioral health services (S. 718); extending detox and clinical stabilization coverage from 14 to 30 days and adding transitional support services (H. 1319/S. 772); requiring coverage for dual-diagnosis treatment in psychiatric facilities (H. 1277/S. 771); and preserving access to treatment for serious mental illness through coverage of coordinated specialty care and assertive community treatment (H. 1135/S. 709). The committee also heard bills on preventive behavioral health services for children (H. 1228/S. 802) and post-pregnancy mental health care, including postpartum depression and pregnancy loss-related care (H. 1314/S. 823).

Transcript Highlights:

• They control pricing, reimbursement, and access. They do it behind a curtain.
• , to require the Louisiana Department of Health to establish a minimum trip and mileage reimbursement
• House Bill 1185 by Chairman Miller concerns payment methodologies for hospitals.
• It includes legislative findings, definitions, reimbursements and directed payments for rural hospitals
• Amendments wanting to relate to clarifying statements relative to the payment of funds.

Committee: House Health and Welfare

Summary: The House Committee on Health and Welfare met on April 23 and first disposed of several items without hearing them, including HB 1093 and HB 1145, and voluntarily deferring HB 946. The committee then quickly reported HB 1095 favorably without objection. That bill would require nursing facilities to have fuel or another alternative power generation source to maintain power, and supporters said it preserves existing backup-power safety requirements while giving facilities more flexibility as technology changes. The committee then took up HB 926, which concerns vaccination status and admission to public buildings and seeks to prohibit medical mandates. After adopting an amendment set and additional changes clarifying exclusions for licensed health care providers and facilities, medical masks, and child welfare/school-related provisions, the committee heard testimony both for and against the bill. Supporters framed it as a civil-liberties measure limiting vaccine-card requirements for public buildings, while opponents warned it could interfere with public health measures, school immunization rules, and the ability of health care facilities to protect patients. The bill was reported favorably on an 8-4 vote. HB 1220, a cleanup bill for the Louisiana State Board of Medical Examiners, was then reported favorably after a technical amendment set. HB 1227, which would require complaints involving medical judgment to be reviewed by a three-physician panel before formal disciplinary action, drew extensive testimony from a physician sponsor, a doctor describing his disciplinary experience, and the board’s executive director, who said the board already uses practicing physicians, nurses, and experts in its process and warned the proposed panel system could be impractical because physicians are difficult to recruit for such reviews. At the sponsor’s request, the committee voluntarily deferred HB 1227 for further work. Finally, the committee reported HB 1217 favorably with amendments to a pharmacy benefit manager transparency bill, after supporters said it would expose hidden pricing and rebate practices and opponents argued some provisions were duplicative or unnecessary. HB 1028, setting minimum Medicaid reimbursement rates for non-emergency medical transportation, was reported favorably and referred to Appropriations after supporters described the need for higher rates and members discussed funding. The committee also reported HB 1185 favorably, with amendments preserving the existing Rural Hospital Preservation Act while extending similar protections to additional rural-lookalike hospitals, and adopted HCR 76 to continue the Health Inequities and Disparities in Rural Areas Task Force for another year.

Transcript Highlights:

• So while half of that is expected to be offset by federal reimbursement, we also need the other half;
• When we think about federal reimbursement, we do assume an average federal Reimbursement of about 35%
• We have processed about $2 million on average each week in payments.
• Is it like a monthly payment? Is it an annual payment? Just a little bit more.
• I think I heard that the United Way facilities... payments in an earlier testimony.

Bills: HF2436 , HF470 , HF2643 , HF2456 , HF102 , HF1367

Committee: House Children and Families Finance and Policy

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, early education, scholarships, funding, children, families, Minnesota education, child care licensing, family child care, child care center, Minnesota Department of Children, Youth, and Families, correction order, conditional license, fix-it ticket, documented technical assistance, license suspension

Transcript Highlights:

• North Louisiana for the payment of those.
• The insurance companies and leaders have talked about stopping that payment.
• Department of Veterans Affairs for patient and reimbursement care.
• He said he cannot speak to the process or the reimbursement. that the reimbursement and stuff is just
• I can't speak to the process or the reimbursement.

Committee: House Appropriations

Summary: The committee heard a budget presentation for the Department of State. House Fiscal Division said the FY27 recommended budget is $128.6 million and 367 positions, with elections making up the largest share. Secretary of State Nancy Landry said the office is implementing Louisiana’s first closed party primary, continuing voter education efforts, and moving toward procurement of a new voting system that would produce a voter-verifiable paper ballot and support risk-limiting audits. Members asked about polling place confusion, machine replacement costs, election commissioner pay, and the cost of educating voters about the new primary system. Landry said polling places are not changing because of the new primary law, the new system is expected to cost about $100 million total, and a bill this session would raise election commissioner pay by $100 per day. Fiscal staff also estimated the closed primary law will add about $31.5 million in costs over five years, mostly from converting local elections to statewide elections and voter outreach. The committee then reviewed the Department of Veterans Affairs budget, which was presented at about $105.2 million with a mix of federal, state, self-generated, and interagency funds. The department said most costs are tied to personnel and veterans’ homes, and that the homes are funded largely by federal dollars plus self-generated revenue. Members focused heavily on delays in processing National Guard disability claims and payments to veterans. Representatives said constituents had waited about a year for claims to be resolved, while the department said it had increased staffing and was processing a backlog of more than 400 claims, but still had about $950,000 in approved claims awaiting funding. The department said the payout program is governed by statute and that additional supplemental funding has been requested. Members also discussed veterans’ home care, including how service-connected disability status affects eligibility and costs, and whether chronic wound care and related complications could increase long-term costs. The department said veterans with higher service-connected ratings receive care with federal support, while others pay fees. Several members urged the department to provide clearer timelines and better communication to claimants, and one member suggested a separate oversight hearing to address the disability claim process and any needed statutory changes. The committee adjourned after the presentations and questions.

Transcript Highlights:

• They will provide needed funds to ensure that hospitals and providers can receive timely payment and
• These sections require that any federal reimbursements received be deposited back into the General Fund
• through June, is any of this current payment going back to pay that loan that we took out just a month
• So you're saying because of the trends that we're seeing right now and the increase in payments that
• through June, is any of this current payment going back to pay that loan that we took out just a month

Summary: The Assembly Budget Committee held an informational hearing on SB 100/AB 100, the early action budget bills, with a focus on Medi-Cal funding, wildfire recovery, and several smaller budget adjustments. The Department of Finance explained that the bill would add $2.8 billion General Fund and $8.3 billion federal funds for Medi-Cal, along with other items including wildfire-related local assistance for Los Angeles County, property tax backfills for fire-damaged local agencies, Cal OES wildfire monitoring authority, nonprofit security grants, the Property Tax Postponement Fund, FARMER and Clean Cars for All funding, foster family home insurance claims, Proposition 98 technical assistance for LA wildfire-impacted schools, teacher credentialing authority, and Proposition 4 climate bond appropriations for wildfire and forest resilience projects. Much of the member discussion centered on rising Medi-Cal costs, the recent $3.4 billion cash-flow loan, and whether the new appropriation would cover payments through June. Finance said the new funds were for program costs and cash flow, not repayment of the loan, and that no additional loan authority remained. Members also debated the causes of higher Medi-Cal spending, including expanded eligibility, higher enrollment, pharmacy costs, and federal policy changes. The LAO noted that forecasting errors are not unusual but that current revisions are somewhat higher than typical, though not unprecedented. Several members emphasized that Medi-Cal supports access to care and hospital stability, while others raised concerns about sustainability and future federal cuts. Public commenters largely supported the bill, especially the Medi-Cal funding and wildfire-related provisions. Health and labor advocates argued that the program is functioning as intended by covering more low-income Californians and preventing uncompensated care. Representatives of special districts and the Altadena Library District supported the property tax backfill provisions tied to the Eaton fire. The hearing ended without a vote, with the chair noting that the committee would adjourn for floor session and that the Assembly would vote on one of the early action bills later that morning.

Transcript Highlights:

• It moves Arizona from a closed-network procurement system and a post-payment recovery system to a proof-before-payment
• Does it mean that Access will reimburse that billed rate?
• They will reimburse whatever the current Access reimbursement rate is, between 21 and 36 percent.
• the reimbursement can do so.
• the reimbursement can do so.

Bills: HB2775 , HB2874 , HB2940 , HB4014 , HB4067 , HB4115 , HCM2010 , HCR2051

Committee: House Federalism, Military Affairs & Elections

Keywords: international organizations, government resources, public institutions, Arizona Board of Regents, foreign adversaries, campaign finance, contributions, termination statements, reporting, penalties, electoral processes, healthcare, public benefits, eligibility verification, fraud prevention, Medicaid, SNAP, transparency, accountability, state land

Transcript Highlights:

• </c> limitation on the state reimbursement limitation on the state reimbursement which<00:14:46.000><
• </c> special education aid uh reimbursement. special education aid uh reimbursement.
• ,</c> talking about Medicaid reimbursement, talking about Medicaid reimbursement, the<00:42:09.119><c
• </c> the state doesn't guarantee the payment. the state doesn't guarantee the payment.
• </c> Nessus system to the state for payment. Nessus system to the state for payment.

Keywords: 928, house, all

Summary: The subcommittee opened its second meeting on House Bill 742, which would require catastrophic special education aid to be drawn from the education trust fund, and discussed whether to also examine differentiated aid within the adequacy formula. The chair said the committee had previously heard from HHS/Medicaid officials and now wanted to hear from local special education directors about how the aid system works in practice, including billing, training, data collection, and whether districts handle claims consistently. Members also referenced Arkansas as a possible comparison state and said they hoped to develop ideas by November to address the current funding process. Committee members focused on the current special education aid thresholds and the impact of proration. The chair described the existing formula as requiring districts to absorb costs up to 3.5 times the state average per student, with the state paying 80% from 3.5 times through 10 times and paying above that, and said FY25 appropriated about $34 million while actual claims were about $50.1 million, leaving roughly a $16 million shortfall that caused proration. Members also raised the possibility of lowering the threshold to 2.5 times and asked how that would affect the number of eligible students and costs. Another member asked about how districts decide whether services are education-related or medical-related and how Medicaid or private insurance reimbursement affects later state aid claims. District representatives from Boothby Therapy Services, Bedford, and Guilford introduced themselves and described their roles. Guilford’s director said the district tracks students with paraprofessional support, nurses, transportation, or specialized programming, uses a data system to log every service touchpoint, and tries to maximize both Medicaid and special education aid; she said a lower threshold would likely capture all students with paras or nurses and that rising staffing and service costs would increase the number of students over the cap. Bedford’s assistant director said the district uses a different system, tracks roughly 60 to 80 students a year, and pursues Medicaid and special education aid simultaneously but does not pursue private insurance if it would affect FAPE; she said reducing the threshold to 2.5 times would likely double the number of qualifying students. Members asked follow-up questions about software, data entry, and how districts decide whether to bill Medicaid or seek state catastrophic aid, and the directors explained that their systems log services by staff type and student, with some districts using the same data for both Medicaid and state reimbursement claims.

Transcript Highlights:

• It's a reimbursement arrangement.
• They're going to have to apply for the reimbursement, and the state then will be able to reimburse them
• >> Oh, they get reimbursed. >> They will get reimbursed. >> Okay, that's what I was getting at.
• Um, so there is a method for payment.
• </c> fees charged for electronic payment fees charged for electronic payment transaction<01:30:57.520

Keywords: MS Senate Floor - 25 February, 2026; 10:00 AM, 925, all

Transcript Highlights:

• So then we get down to payments during appeal.
• So then we get down to payments during appeal.
• Another part of it is the amount of payment.
• I know that the way statute is written right now, it allows for installment payments.
• And it's also on page eight at the bottom is the payment of property taxes.

Committee: House Special Committee on Property Tax Reform

Keywords: 959, house, all

Transcript Highlights:

• As a state accepting payments through digital assets.
• This bill simply allows a fair payment methodology when they go to an ASC.
• get reimbursed.
• through the standardized prospective payment model.
• Provider-based hospital-owned clinics can elect an alternative payment methodology that reimburses them

Committee: House Appropriations

Summary: The House Appropriations Committee met on April 27 and first took up House Bill 175 and its companion House Bill 165, both dealing with lottery proceeds for veterans. HB 175 was amended to create a Veterans Service Grant Board within the Department of Veterans Affairs and direct $500,000 annually from Louisiana Lottery net proceeds into a Veterans Service Grant Fund, with unused money returned to the lottery proceeds fund that supports the MFP. Supporters, including the bill sponsor, The Boot Louisiana, LDVA Secretary Charlton McGinley, and Bastion Veterans Organization, argued the grants would help veteran services, workforce placement, mental health, housing, entrepreneurship, and retention of veterans in Louisiana. Members raised concerns about drawing from lottery proceeds that traditionally support education, but the committee adopted amendments and reported HB 175 favorably as amended. HB 165, the constitutional amendment companion, was also amended for technical and ballot-language changes and then reported favorably as amended for voter consideration. The committee then considered House Bill 457, which would authorize the Louisiana Department of Health and the State Fire Marshal to set minimum housing standards for homeless shelters, group homes, and halfway homes. The sponsor said the bill responded to a state auditor recommendation and to unsafe conditions in some facilities; he also explained an amendment changing the Fire Marshal’s duties from mandatory to permissive to reduce fiscal impact and allow agencies flexibility. Some members questioned whether local standards already existed and how enforcement and funding would work, while others supported the need for statewide minimum standards for human housing. The committee adopted the amendment and reported HB 457 favorably as amended. House Bill 488, by Representative Brough, sought to create a Belle Chasse Bridge Merit-Based Special Fund using recurring severance tax revenues from Plaquemines Parish to help buy out the Belle Chasse toll bridge and end what the sponsor described as excessive tolls and fees. He and several local witnesses, including business owners, a YMCA representative, and a parish council member, testified that the tolling arrangement had harmed access, businesses, and quality of life. The committee adopted a technical amendment clarifying the revenue source and then reported HB 488 favorably as amended. House Bill 566, which would prohibit state funds from supporting net-zero greenhouse gas initiatives tied to the 2022 Louisiana Climate Action Plan, drew significant debate over whether it would interfere with agency funding and economic development efforts; the sponsor argued the plan lacked legislative approval and should be repudiated, while members urged caution and suggested hearing from affected agencies. The sponsor agreed to consider deferring the bill, and the committee did not advance it at that time. House Bill 603, a constitutional amendment authorizing investment of state funds in digital assets and precious metals, was discussed as a way to hedge inflation and preserve value; members asked about limits and safeguards, and the bill was reported favorably. The committee then began hearing House Bill 763, a transparency measure creating a public database for settlement agreements involving state agencies.

Transcript Highlights:

• Fee reimbursement.
• Is that not a similar to a voucher program where they are reimbursed with taxpayer dollars?
• Is that through the reimbursement? So that is the existing.

Bills: SB1543 , HB1933 , HJR1088 , HJR1090 , HJR1091 , HJR1092 , HJR1093 , HJR1095 , SB1859 , HB2988 , HB3016 , SB237 , SB2065 , HB3418 , HCR1027 , SB1641 , SB1589 , SB44 , SB563 , SB1403 , HB1979 , HB3075 , SB2045 , SB1653 , SB1655 , SB2030 , HB2951 , SB2028 , SB2071 , SB206 , SB1849 , HB3755 , SB1509 , SB1314 , SB1561 , SB1217 , SB1618 , HJR1096 , HJR1099 , HJR1100

Keywords: driving under the influence, felony offense, ignition interlock device, community service, criminal assessment, nitrous oxide, Maddix Bias Act, intoxication, underage sale, misdemeanor, drug paraphernalia, enforcement, education rules, administrative rules, joint resolution, Oklahoma State Department of Education, higher education, State Regents for Higher Education, Teachers' Retirement System, charter schools

Transcript Highlights:

• certification pathways described in Section A of the section shall be eligible for tuition or course fee reimbursement
• Is that not similar to a voucher program where they are reimbursed taxpayer dollars?
• We already have in place the Grow Your Own theory of reimbursement, so that is existing.

Bills: SB1543 , HB1933 , HJR1088 , HJR1090 , HJR1091 , HJR1092 , HJR1093 , HJR1095 , SB1859 , HB2988 , HB3016 , SB237 , SB2065 , HB3418 , HCR1027 , SB1641 , SB1589 , SB44 , SB563 , SB1403 , HB1979 , HB3075 , SB2045 , SB1653 , SB1655 , SB2030 , HB2951 , SB2028 , SB2071 , SB206 , SB1849 , HB3755 , SB1509 , SB1314 , SB1561 , SB1217 , SB1618 , HJR1096 , HJR1099 , HJR1100

Keywords: driving under the influence, felony offense, ignition interlock device, community service, criminal assessment, nitrous oxide, Maddix Bias Act, intoxication, underage sale, misdemeanor, drug paraphernalia, enforcement, education rules, administrative rules, joint resolution, Oklahoma State Department of Education, higher education, State Regents for Higher Education, Teachers' Retirement System, charter schools

Summary: The House convened with prayer, the Pledge of Allegiance, and several recognitions, including Veteran of the Week Colonel Stanley L. Evans, Oklahoma City Young Professionals, state contest winners for America’s 250th anniversary, and a long series of page introductions. The chamber then moved into floor action on a large number of measures, many of them Senate bills and House joint resolutions dealing with administrative rules and agency oversight, public safety, education, health, agriculture, business, and tax policy. Among the major bills discussed were SB 1543 on aggregating multiple DUI charges within one year into a single felony case, HB 1933 on nitrous oxide violations, SB 1859 creating an OSBI Cybercrimes and Fraud Unit, SB 237 on ad valorem tax NAICS code changes, SB 2065 designating pollinator-related state symbols, SB 44 extending nonprofit sales tax exemptions to contractors, SB 2030 updating automated expungement procedures, SB 2045 expanding the Grow Your Own education program, and several water and agriculture measures including SB 1509, SB 1314, and SB 2071. Members also considered multiple joint resolutions approving permanent administrative rules for education, energy and agriculture, business and commerce, health agencies, and building code rules, with Kendricks explaining that some major rules were separated out for transparency and, in one case, a cost mitigation agreement had been reached. Testimony and debate were generally brief and focused on clarifying amendments. Several authors explained that amendments were added to address constitutionality, remove outdated or incorrect language, or reflect negotiated changes with agencies and stakeholders. Notable discussion included concerns about forum shopping in SB 1543, questions about the scope of the Grow Your Own program in SB 2045, and clarification that SB 1618’s pretrial report language had been changed to a public safety report agreed to by sheriffs and district attorneys. The House adopted numerous amendments without objection and passed the bills by wide margins, including some unanimous or near-unanimous votes, while a few measures drew more opposition, such as SB 1403, SB 1509, SB 2071, and SB 1618. The House also adopted HCR 1027 setting sine die adjournment for Thursday, May 14, and adjourned until the next day, May 5, 2026, at 9:30 a.m.

Transcript Highlights:

• They're not going to see any reimbursement.
• I have lived it as a county commissioner of the state of Nebraska, stiffing us for the jail reimbursement
• . ...of the state of Nebraska, stiffing us for the jail reimbursements.

Bills: LB878 , LB958 , LB958A , LB762 , LB1187 , LB966 , LB929 , LB962 , LB1209 , LB937A , LB962A , LB1050 , LB1050A , LB965 , LB1022 , LB753 , LB788 , LB913 , LB1055 , LB1195 , LB429 , LB721 , LB722 , LB727 , LB745 , LB749 , LB778 , LR293 , LR296 , LR422 , LR495 , LR496 , LR497 , LR498 , LR499 , LR500 , LR501 , LR502 , LR503 , LR504

Keywords: paid parental leave, state employees, workplace benefits, family support, economic impact, Medicaid, Medical Assistance Act, home and community-based services waiver, HCBS waiver, waiver participant, assessment tool, clinical interviewing, service tier, retroactive coverage, doula, doula reimbursement, maternal health, prenatal care, pregnancy, birth outcomes

Transcript Highlights:

• So AM 3128 is my bill that was introduced last year, LB 701, which is for doula reimbursement.
• It does not mandate the reimbursement.
• So I did not dictate what reimbursement looks like. Doula pilots are already happening.
• Correct, which is the technical piece of just the reimbursement process with CMS.
• So I get the school wants to be reimbursed for those.

Bills: LB878 , LB958 , LB958A , LB762 , LB1187 , LB966 , LB929 , LB962 , LB1209 , LB937A , LB962A , LB1050 , LB1050A , LB965 , LB1022 , LB753 , LB788 , LB913 , LB1055 , LB1195 , LB429 , LB721 , LB722 , LB727 , LB745 , LB749 , LB778 , LR293 , LR296 , LR422 , LR495 , LR496 , LR497 , LR498 , LR499 , LR500 , LR501 , LR502 , LR503 , LR504

Keywords: paid parental leave, state employees, workplace benefits, family support, economic impact, Medicaid, Medical Assistance Act, home and community-based services waiver, HCBS waiver, waiver participant, assessment tool, clinical interviewing, service tier, retroactive coverage, doula, doula reimbursement, maternal health, prenatal care, pregnancy, birth outcomes

Transcript Highlights:

• So there's also the issue—it's not only cost, but it's payments.
• And private insurance in general does tend to reimburse better.
• The second reason why doctors are leaving our state is because of the low Medicaid reimbursement.
• Lump sum payment?
• And they contribute quite a bit of money in tax payments. a bit of money in tax payments—162 billion—because

Committee: Joint Revenue Stabilization & Tax Policy Committee

Keywords: 996, all

Transcript Highlights:

• For right now, the reimbursement rate for adult residential is 29,333 a year.
• That are doing this, and they're not getting reimbursed now at the same level.
• So the reimbursement...
• A specific memory care unit, what kind of rate are they reimbursed at then?
• And this is really a huge part of our per-pupil payment. Very, very important.

Committee: House Appropriations

Keywords: 908, all

Summary: The committee first heard Senate Bill 2271, which would formally place adult residential facilities in code and rebase their Medicaid reimbursement rates. Sponsor Chairman Ruby and HHS staff explained that these facilities, often serving people with dementia or acquired brain injury, are reimbursed at a much lower rate than skilled nursing care and help reduce bottlenecks in higher-level facilities. Members questioned how the program differs from basic care and nursing facility memory care, and the bill was referred to the HR section for deeper review before possible action on Monday. The committee then took up Senate Bill 2396, as amended, which would authorize an independent third-party performance audit of the Department of Commerce and the North Dakota Development Fund, with findings shared with the state auditor. Sponsors said the proposal was prompted by concerns raised in testimony and that a private audit could begin faster than a state audit. The committee adopted an amendment adding an emergency clause and directing the report to the Legislative Audit and Fiscal Review Committee, then passed the bill 20-0 with 3 absent. Next, Representative Clemine presented Senate Bills 2226, 2036, and 2037. SB 2226 would presume an incarcerated person indigent at initial appearance so counsel can be provided at that critical stage; the commission said the appropriation would fund contract attorney hours, and the bill was sent to HR for further review. SB 2036 would create procedures for determining juvenile fitness to proceed in delinquency cases, with a $500,000 appropriation for mental health evaluations, and SB 2037 would begin a juvenile criminal code framework and include a $300,000 appropriation for fitness-to-proceed evaluations; both were also referred to HR, with some concern raised about staffing and overlapping functions. After a short break, the committee heard education-related appropriations bills. SB 2234 would replace expired ESSER funding for Choice Ready grants, but members noted the program was not included in the K-12 budget and sent it to E&E for comparison with existing appropriations. SB 2286, a University of North Dakota request for a new nursing school facility, drew extensive discussion about the age and condition of the current building and the size and scope of the project; the committee ultimately adopted a do-not-pass motion 22-0. SB 2213, the “science of mathematics” bill modeled on the science of reading initiative, would fund math professional development and implementation; it was also referred to E&E for further review. The committee then briefly passed the Racing Commission budget, SB 2023, and began discussion of the Trust Lands budget, SB 2013, including a proposed retention increase for investment-related positions.

Transcript Highlights:

• </c> child care or housing reimbursements? child care or housing reimbursements?
• Maybe the focus is just on the tuition reimbursements.
• Maybe the focus is just on the tuition reimbursements.
• Maybe the focus is just on the tuition reimbursements.
• </c> reimbursements or other support systems. reimbursements or other support systems.

Committee: Senate Agriculture, Veterans, Broadband, and Rural Development

Keywords: 1187, senate, all

Transcript Highlights:

• The reimbursement rate right now from Medicaid is $182.30.
• The vast reality is the current reimbursement certainly does not fully cover the cost.
• and I'm the plans that are currently reimbursing at a lower amount.
• In the state shall bear all costs associated with the reimbursement of under-reimbursed dispensing fees
• So, you know, for two-plus months now, we've been reimbursed grossly under our costs.

Committee: House Health and Welfare

Summary: The committee first adopted the minutes from several prior 2025 meetings, then took up HB 574 by Rep. Spell, which updates the names of two organizations on the Mental Health Advocacy Service Board of Trustees. Rep. Spell explained it as a technical cleanup bill to correct the names of the Louisiana Mental Health Association and the Louisiana State Medical Society so the board’s membership records match current organization names. With no objections, HB 574 was reported favorably. The committee then heard HB 486, also by Rep. Spell, to join the Psychology Interjurisdictional Compact (PsyPact) and allow Louisiana psychologists to provide telepsychology and temporary in-person services across state lines. Rep. Spell and PsyPact representatives said the compact would expand access to mental health care, especially in rural areas, while maintaining standards and disciplinary oversight. The committee adopted amendments on fees and the effective date, and HB 486 was reported favorably with amendments. HB 198 by Rep. Eccles proposed a Medicaid reimbursement methodology for ambulatory surgical centers, using a Medicare-based rate to improve access for Medicaid patients needing specialty procedures. Amendments were adopted to add ophthalmology-related services and to cap reimbursement at the lesser of the outpatient hospital rate or 100% of the Medicaid rate, along with a technical amendment to address the fiscal note. Supporters from GI and ASC groups said the bill would improve access and lower long-term costs, and the bill was reported favorably with amendments. The committee spent the most time on HB 182 by Rep. Travis Johnson, which would require hospitals to ensure access to sexual assault forensic exams and related training. Johnson, law enforcement witnesses, and the Attorney General’s office emphasized the need for timely evidence collection, especially in rural areas, and said the current system leaves victims traveling long distances or losing evidence. Hospital and coroner witnesses supported the goal but opposed the bill as written, arguing it could impose duties on hospitals without enough trained personnel, funding, or a workable statewide training and coordination system; they urged a statewide coordinator, mobile SANE units, and clearer implementation. The bill was not finally disposed of in the portion of the meeting provided, and members discussed continuing to work on amendments and timing before floor consideration.

Transcript Highlights:

• They release two notices regarding the payment policy.
• And this tells what they anticipate the MA rate funding will be, which is payments for every single county
• that final rate notice that comes out first Monday in April so that they will know what the final payment
• Before, most of it was coming in reimbursements on catastrophic claims; that was the bulk of the subsidy
• D plan so that we can take advantage of that differential on the Part D side so that we get more payment

Committee: All ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Keywords: 1204, all

Transcript Highlights:

• </c> reimbursed for them. reimbursed for them.
• </c> discounted 340B price, um but no payment discounted 340B price, um but no payment received.<00:09
• patients through co-pays or co-insurance, plus reimbursements from any payers or other cash payments,
• </c> operational costs, and reimbursements. operational costs, and reimbursements.
• </c><00:40:45.600><c> SNAP</c> and increased payment errors. SNAP and increased payment errors.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all