Video & Transcript Research : 'payment transparency'

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VA
Transcript Highlights:
  • And then additional bills targeted convenience fees and payment portal charges.
  • So this aims to increase some of the accounting transparency.
  • So total price transparency ensures that a unit Total price transparency ensures that a unit advertised
  • Let's go on to payment and portal fees. Okay.
  • Moving on to transparency, we've... ...and that they can ultimately afford, right?
KY
Transcript Highlights:
  • Those are some of the five payments.
  • , provider taxes, and state payments, provider taxes, and state directed<00:16:10.480> payments,
  • have limits on state directed payments. have limits on state directed payments.
  • 27:52.960> to additional payments that states make to additional payments that states make to
  • in state directed payments.
Keywords: 958, all
Summary: The committee met and approved the minutes from its August 27 meeting. It then received a presentation from Katherine Castanza of the National Conference of State Legislators on the Medicaid provisions in the 2025 budget reconciliation bill, referred to as HR1. She explained that the bill is estimated by CBO to save the federal government $911 billion over 10 years, with more than 20 Medicaid-specific provisions, most of the savings concentrated in five policies and largely backloaded into 2030-2034. She emphasized that the bill’s effects will vary by state, but that expansion states and hospitals are expected to be most affected, in part because of changes to eligibility, provider taxes, and state-directed payments. Castanza highlighted several new funding and flexibility provisions, including a $50 billion Rural Health Transformation Fund for 2026-2030 and a new home- and community-based services waiver option effective July 1, 2028, with $100 million in grants in fiscal year 2027. She also outlined major eligibility changes for Medicaid expansion adults: work or community engagement requirements effective January 1, 2027; twice-yearly redeterminations for the expansion population effective the same date; and new cost sharing for certain expansion adults effective October 1, 2028. She noted that Kentucky, as an expansion state, would be subject to these changes and that state agencies would face significant implementation demands, especially because federal guidance and timelines are tight. A substantial portion of the presentation focused on financing changes. Castanza described new limits on provider taxes, including a 0% safe harbor for new taxes and a phased reduction for existing taxes in expansion states beginning in 2028, while nursing facilities and intermediate care facilities are exempt from the reduction if already taxed. She also explained that state-directed payments will be capped and phased down over time, with existing arrangements grandfathered only briefly; she said Kentucky has 11 approved state-directed payments and could see significant fiscal effects. She added that the bill also bars Medicaid payments to Planned Parenthood or similarly situated providers for one year, changes immigrant eligibility rules effective October 1, 2026, lowers the federal match for certain emergency services, and expands the scope of the federal erroneous payment recoupment provision effective October 1, 2029. Throughout, she stressed that federal savings may translate into state cost shifts and that implementation timing will be critical.
FL

Florida 2025 Regular Session

February 5, 2025 - 03:00 PM

Transcript Highlights:
  • We need better transparency in that.
  • Well, there's quarterly payments that are made.
  • For instance, if in between the October and November payment, if we do get a student payment file in,
  • payment file.
  • They're making quarterly payments to schools for a reason.
Summary: The Pre-K through 12 Budget Subcommittee met to review how Florida’s Education Finance Program (FEFP) works, receive an update from the Department of Education on the October 2024 FTE survey and third FEFP calculation, and hear from three county superintendents about forecasting enrollment and reconciling scholarship students. The chair explained that FEFP is funded by both state and local dollars, is recalculated multiple times during the year, and is now closely tied to school choice policy. Department staff said the third calculation was still being rerun but should be completed soon, and described the forecasting process as collaborative among districts, DOE, and the Education Estimating Conference. Superintendents from Polk, St. Lucie, and Hendry counties said enrollment shifts, especially students moving to Family Empowerment Scholarships, homeschooling, or private schools, make budgeting and staffing difficult. They said districts often must hold back funds to protect against midyear losses, which affects collective bargaining, staffing, transportation, and classroom organization. Several members raised concerns about duplicate counting, transparency, and whether students receiving scholarship funds can also remain in district classrooms. DOE said districts can access scholarship information through a secure portal and that scholarship funding organizations are paid quarterly, with a new process requiring certification and possible future payment adjustments to reduce duplication. The superintendents urged better real-time tracking of students through a statewide ID or student information system and suggested scholarship students should be funded separately from district FEFP calculations. Members also discussed whether more frequent or daily attendance-based calculations would improve accuracy, though some warned that daily attendance could create new problems for high-poverty districts. The committee also briefly discussed categoricals, including mental health and ESE funding, with DOE saying it evaluates programs through studies, reporting requirements, and legislative direction. No votes were taken; the meeting ended with a motion to rise and adjourn.
TX

Texas 89th Regular

89th Legislative Session May 10th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • Senator Kitzman emphasized the need for more transparency in the funding process.
  • Is that what, what do you, how do you define transparency?
  • Now we're talking about the area of transparency. What does that student need?
  • Lastly, to protect consumers with transparency.
  • water and sewer services by limiting late payment fees.
MN

Minnesota 2025 1st Special Session

House Commerce Finance and Policy Committee 2/19/25

Commerce Finance and Policy

Transcript Highlights:
  • This includes breakdowns on reinsurance payments by health plan and product.
  • This includes breakdowns on reinsurance payments by health plan and product.
  • This includes breakdowns on reinsurance payments by health plan and product.
  • This includes breakdowns on reinsurance payments by health plan and product.
  • Provider, even though that payment is retrospective.
Keywords: 1183, house
MN
Transcript Highlights:
  • payment was made originally. originally. originally.
  • Some were clawbacks from payments back as far as 2021.
  • recoupment payments sometimes as much as recoupment payments sometimes as much as four<00:18:15.160><
  • ,<00:24:17.520> accountability, care, transparency, accountability, care, transparency, accountability
  • ,<00:25:42.120> and responsive, transparent, and responsive, transparent, and person-centered
Keywords: 919, house, all
Summary: The committee took up House File 729, an omnibus policy bill, and walked through a series of amendments before moving the bill forward. Early amendments addressed adult maltreatment accountability, senior nutrition flexibility, MA provider enrollment and fraud prevention, Direct Care and Treatment data and staffing provisions, disability and aging policy changes, technical corrections from DHS, behavioral health language, and MDH policy updates. Most amendments were adopted without public opposition, and several members and testifiers described them as clarifications or technical fixes to existing policy. Testimony focused on the practical effects of the bill’s provisions. Direct Care and Treatment representatives said the changes would help with data sharing, governance, staffing, patient care, and longer return stays for certain patients. Several witnesses from the substance use disorder and health care provider community supported changes to discharge summary deadlines and claims recoupment rules, arguing that business-day timelines and limits on late clawbacks would reduce administrative burden and financial uncertainty. A disability advocate also urged passage of the bill, saying services for people with disabilities were at risk if it did not advance. After public testimony and member discussion, the committee adopted the DE2 amendment as amended and then approved the bill as amended. Chair Noor renewed the motion to re-refer House File 729 to the Committee on Ways and Means, and that motion passed.
MN
Transcript Highlights:
  • Senate File 1714, an act relating to state government, requiring payment transparency in public contracts
  • Um, members, this is a payment transparency bill.
  • Um, members, this is a payment transparency bill.
  • Members, what it does basically is this: if a contractor asks for payment information in writing, the
  • Members, what it does basically is this: if a contractor asks for payment information in writing, the
Keywords: 919, house, all
Summary: The House took up Senate File 1714, a bill on state government and payment transparency in public contracts. Representative Scott explained that the measure is intended to help Minnesota contractors and subcontractors know when public project payments have been made by requiring public owners, upon written request, to provide pay application and payment information within seven days at no cost. He said the bill had bipartisan support and backing from stakeholder groups, including trade associations and public entities, and that it would improve transparency for small businesses and workers waiting to be paid. The bill was amended with a technical change adding a missing word, and the amendment was adopted without opposition. During floor discussion, Representative Cleborn supported the bill, while Representative Berg asked whether trade unions supported it and noted that unions already have collective bargaining rights. Representative Sexton responded that IBEW and several trade unions had reached out and were very supportive. Scott later said he had received a text from Berg indicating support as well. After discussion ended, the House took a roll call vote. The bill passed as amended by a vote of 133 ayes and 0 nays.
ND

North Dakota 2025-2026 Regular Session

House Human Services Apr 9th, 2025 at 10:00 am

Human Services

Transcript Highlights:
  • and Medicare payments, examples of subsidized services, and hospital... ...Medicare payments, examples
  • Number four, disclose rebates, price protection payments, discounts, and other similar remunerations
  • Number five, disclose rebates, price protection payments, discounts, and other similar remunerations
  • Just want to mention, in terms of the transparency for hospitals, that's something we support.
  • So I think if you bring in the other... ...transparency, hospitals are just a piece of the pie.
Keywords: 908, all
Summary: The committee first addressed Senate Bill 2387, which had previously included language expanding the definition of a sexual assault victim advocate to include advocates from organizations serving victims of sexual trafficking or other sexual violence. After concerns were raised that the language could broaden participation in forensic interviews beyond appropriately credentialed organizations, the parties agreed to remove that added language. The committee then reconsidered its prior action, adopted the amendment striking the new language, and passed SB 2387 as amended on a 12-0-1 roll call vote. The bulk of the meeting focused on Representative Nelson’s proposed changes to a 340B-related bill, centered on expanding reporting and transparency requirements. His draft would require hospitals to report how 340B savings are used, and would also add reporting by drug manufacturers, pharmacy benefit managers, and health insurers on rebates, pricing, ownership interests, 340B savings, premiums, claims, and related data. Nelson argued the reporting was needed to give lawmakers better information about how the 340B program affects hospitals, insurers, pharmacies, and public costs, and noted the Department of Corrections also benefits from the program. Testimony was mixed but generally supportive of more transparency. Sanford Health Plan said it needed more time to review carrier impacts and had concerns about employer-related language and rebate reporting. The North Dakota Hospital Association supported hospital transparency and said the broader approach was appropriate because hospitals are only one part of the 340B system. Several members raised procedural concerns about the scope of the proposal and the lack of a drafted LC amendment. The committee decided not to take final action on the 340B proposal that day, instead forming a subcommittee led by Representative Hendricks, with Representatives Dobervich and Bolinske, to work with LC and return with drafted language for further review on Monday.
TX

Texas 89th 2nd C.S.

Energy Resources Apr 14th, 2025

Energy Resources

Transcript Highlights:
  • Um, I Look at this as a transparency bill.
  • Um, and now imagine that those payments just stop and you have not received any notification, the payment
  • It's about transparency.
  • So I think they're pretty transparent as it is.
  • The payments still need to be made.
TX

Texas 89th 2nd C.S.

Health Care Affordability, Select May 1st, 2026

Health Care Affordability, Select

Transcript Highlights:
  • and instead move toward value-based payments, population-based payments, and episodes of care.
  • Value-based payments, population-based payments, and episodes of care are designed to incentivize quality
  • They only want to do value-based payment.
  • There's no transparent pricing, and there's no competition.
  • get a bonus payment.
Keywords: 1184, house, all
LA

Louisiana 2026 Regular Session

Insurance Apr 29th, 2026

Insurance

Transcript Highlights:
  • And I'm for transparency.
  • And I'm for transparency.
  • So if we're going to have transparency, again, I am all for transparency, but all the way through the
  • You know, we're fine with transparency.
  • Excuse me, it reduces competition and transparency.
Summary: The House Insurance Committee met on April 29 with a quorum present and took up several insurance and health care-related bills. SB 192, a dental reimbursement bill, was amended to allow dentists to opt in electronically to credit-card payment methods and to clarify applicability and effective date; it was reported as amended. SB 84 would require prostate cancer screening coverage for men over 40 under current clinical guidelines and prohibit cost-sharing; supporters from the American Cancer Society said Louisiana has a high incidence of prostate cancer and that out-of-pocket costs deter early screening. The committee adopted amendments and reported the bill as amended. SB 275, dealing with reimbursement and network participation for certified registered nurse anesthetists, drew support from nursing and hospital groups and was reported favorably. SB 169, a cleanup bill on biomarker testing, was also amended and reported. The committee spent substantial time on SB 401, which creates a temporary prescription drug affordability board to review pricing data on selected drugs and report findings to the legislature. Supporters said the board would improve transparency and help lawmakers understand drug pricing trends; opponents raised concerns about confidentiality, market effects, and the lack of a defined policy outcome beyond reporting. Amendments narrowed the scope, added confidentiality protections, and removed opposition cards, and the bill was reported as amended. SB 387, a major PBM reform bill tied to SB 401, would change PBM compensation, rebate handling, formulary practices, audits, and appeals, while excluding ERISA plans after discussion and amendment. Supporters argued it would curb spread pricing and other practices that raise costs, while opponents from the Pelican Institute and PCMA warned it would interfere with private contracts, reduce flexibility, and could raise premiums or disrupt city, school board, and small-group plans. After extensive debate and a roll call, SB 387 was reported with amendments by a 10-4 vote. The committee also considered SB 241, which requires certain insurance adjusters and public adjusters to include license numbers in written communications. After amendments limiting the requirement to individual licenses and removing one statutory reference, the bill was reported as amended. Throughout the meeting, members and witnesses repeatedly discussed the need for transparency in drug pricing and PBM practices, the role of ERISA and non-ERISA plans, and potential impacts on public employers and consumers.
KY
Transcript Highlights:
  • <00:05:11.199> for budget Cycles projected payments for budget Cycles projected payments for
  • account accountability and transparency account accountability and transparency this<00:15:00.880
  • reporting requirements for transpar reporting requirements for transpar transparency<00:15:10.079
  • transparent transparent which<00:15:29.800> leads<00:15:30.079> to<00:15:30.600> accountability
  • there's also some additional payments there's also some additional payments that<00:30:31.320>
Summary: The Senate Standing Committee on State and Local Government first took up Senate Bill 193, a simple measure described as restoring wallet cards for jailers to carry when they are outside the jail. The sponsor noted the fiscal impact was essentially zero, there were no questions, and the committee approved the bill 9-0 for passage to the Senate floor. The committee then heard Senate Bill 9, sponsored by Senator Higdon, which would change how the Teachers Retirement System (TRS) treats sick leave, personal leave, and annual leave in retirement calculations. The sponsor argued the bill is intended to address TRS’s financial challenges by standardizing leave rules statewide, limiting TRS retirement credit to 10 sick days and 2 personal days per year, preventing annual leave from being rolled into sick leave, requiring districts to pay the actuarial cost for any leave beyond the cap, and adding reporting and oversight requirements for participating agencies. He also said the bill would add 30 days of maternity leave, allow voluntary district contributions for tier four teachers, and direct the state auditor to audit TRS and report on agencies. Committee members asked about how overages would be audited and billed, the cost of a sick day, and how the bill would interact with local leave policies, including paid parental leave in some districts. The sponsor clarified that existing accumulated leave would not be affected, that the bill applies going forward, and that districts could still offer more leave but would bear the added cost. Members also discussed whether the maternity leave language set a cap or a minimum, and one senator noted the bill was intended to preserve personal days while stopping annual leave from being converted into pension credit. No vote on Senate Bill 9 was shown in the transcript excerpt.
TX

Texas 89th Regular

Senate Session Feb 24th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • Senate Bill 1058 by Parker relates to the exclusion of certain securities transaction payments from the
  • Senate Bill 1066 by Perry relates to requiring payment in performance bonds for certain public work contracts
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 2/19/26

Human Services Finance and Policy

Transcript Highlights:
  • <00:10:13.440> and addressing um improper payments and addressing um improper payments and
  • pointed out that, uh, not all payment pointed out that, uh, not all payment withholds<00:25:40.640
  • , create more transparency, create more transparency, um,<00:37:25.040> and<00:37:25.359><
  • create a couple week lag in payment create a couple week lag in payment within<00:47:36.800>
  • I agree more transparency the better. I agree more transparency the better.
Keywords: 1183, house
ND
Transcript Highlights:
  • And I said, you have transparency in that sense..." "...And I said, you have transparency in that 600
  • But for transparency issues, Do people really have an interest in this, but for transparency issues,
  • I'm all for transparency.
  • The payment would be received by February 15th.
  • So we will be shorted as far as that payment.
Keywords: 908, all
Summary: The subcommittee of the Tax Reform and Relief Committee met with a quorum to begin its study of whether the content of North Dakota real estate tax statements should be revised to improve transparency. Legislative Council staff reviewed the background for the study, including House Bill 1176, current statutory requirements for tax statements, and recent changes such as separate line items for bonded debt, primary residence credit, and legacy fund-related amounts. The Tax Department then explained the current statement format and noted that the form is prescribed and approved by the tax commissioner, with changes typically driven by statute and implemented collaboratively with counties and vendors. County officials from the North Dakota Association of Counties described the full annual process for preparing budgets, setting levies, calculating taxable values, and issuing notices and tax statements. They said counties spend significant time coordinating with taxing districts, neighboring counties, and software vendors, and that the new budget hearing notices and valuation notices have not generated much public response. Members raised concerns about the usefulness and clarity of certain line items, especially the legislative tax relief calculation and the primary residence credit, and discussed whether the current statement creates confusion rather than transparency. Testimony also addressed the 3% cap, mill levy worksheets, assessment cycles, and the role of county auditors and tax directors in maintaining accurate values. The committee also heard from software vendors CPT and Tyler Technologies about how legislative changes are programmed into tax systems and how online taxpayer portals can provide more detailed breakdowns of tax bills. Vendors said changes required by law are generally absorbed in contracts rather than billed directly to counties, and they demonstrated web tools and pie-chart style breakdowns that show where tax dollars go. NDACO presented a survey of eight counties estimating tax statement preparation and mailing costs, concluding that outsourced printing tends to be cheaper on average and that total statewide tax statement costs may be roughly $600,000, though the estimate was based on limited data. No votes were taken; the meeting was informational and focused on gathering testimony and identifying issues for possible future recommendations or bill drafts.
TX

Texas 89th 2nd C.S.

Health Care Affordability, Select Apr 30th, 2026

Health Care Affordability, Select

Transcript Highlights:
  • So this is—it needs to be transparent.
  • So we talk about price transparency.
  • , higher payment rates with payers.
  • State directive payments are another way that it can help.
  • And their practices generally are not transparent.
Keywords: 1184, house, all