Video & Transcript : 'uncompensated care' :

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OK
Transcript Highlights:
  • Representative Dempsey, do you care to vote? Declare the vote.
  • Representative Fugate, representing Rogeriller, y'all care to vote?
  • Harris, Representative Leak, you care to vote?
  • Representative Bayshore, care to vote.
  • Representative Stairs, care to vote.
MN

Minnesota 2025-2026 Regular Session

Committee on Education Policy - 01/22/25

Education Policy

Transcript Highlights:
  • Our employees heard all that huge investment in public education was funding we could use to take care
  • In short, I don't want you to hear that Rochester and business managers are against taking care of our
  • of the tasks that we need to take care of.
  • So be careful what you put out into the universe.
  • My door is always open. so be careful what you put out into the so be careful what you put out into the
NM

New Mexico 2026 Regular Session

House - Health and Human Services Jan 26th, 2026 at 09:05 am

House Health & Human Services

Transcript Highlights:
  • will forego coverage, leading to uncompensated care, unmet health needs, and higher costs across the
  • foster care and treatment foster care cannot provide.
  • care.
  • with treatment foster care.
  • Family foster care or in-home settings with treatment foster care.
MO

Missouri 2026 Regular Session

Health and Mental Health Feb 5th, 2026 at 08:00 am

Health and Mental Health

Transcript Highlights:
  • It's all health care professions. And there is a lot of overlap in health care.
  • They are recognized across the gamut of health care as highly qualified health care providers.
  • care transformation, at least what's intended in the health care.
  • We want access to health care.
  • We want access to health care.
MO

Missouri 2026 Regular Session

Health and Mental Health Feb 5th, 2026

Health and Mental Health

Transcript Highlights:
  • It's all health care professions. And there is a lot of overlap in health care.
  • They are recognized across the gamut of health care as highly qualified health care providers.
  • The other is you mentioned the health care transformation, the real health care transformation.
  • health care transformation, at least what's intended in the health care.
  • We want access to health care.
Summary: The committee first heard House Bills 2365, 2490, and 2249, a bipartisan version of Elijah’s Law, which would require child care facilities to receive training and guidance on recognizing and responding to food allergies and anaphylaxis. Sponsors described the bill as a response to the death of Elijah, whose daycare did not administer epinephrine quickly enough after a food exposure. Witnesses in support, including a parent and food allergy advocate, said the measure would improve preparedness and save lives. Committee members asked about whether the bill should use broader epinephrine terminology, whether the requirements could also be handled through child care licensing rules, and whether the bill was already included in a larger measure. No opposition was presented, and the hearing on those bills was closed. The committee then heard House Bill 1965, which would require insurers to reimburse athletic trainers for covered services and add athletic trainers to the practitioner definition for billing purposes. The sponsor and athletic training witnesses said the bill would recognize athletic trainers as licensed health care providers, improve access in rural and underserved areas, and allow reimbursement when trainers work in clinics, hospitals, or other non-school settings. Committee members raised repeated questions about the difference between athletic trainers and physical therapists, whether school-based services were already paid through contracts, whether the bill would increase costs or create double payment, and how diagnosis and billing would work under the current scope of practice. Opponents from Blue Cross and Blue Shield of Kansas City and the Missouri Insurance Coalition argued the bill would create a mandate, increase costs, and expand billing before clarifying the underlying scope of practice. No vote was taken in public hearing. The committee then moved into executive session and voted several bills do pass. A substitute was adopted for House Bill 1826 and the committee substitute for House Bills 1826, 2560, 2349, and 2194 passed 17-0. House Bill 1783 also passed 17-0. House Bill 2372, which incorporated multiple related provisions including changes to epinephrine terminology and other committee items, passed 17-1 after a substitute and amendment were adopted. House Bill 1827, the occupational therapy bill related to disabled placards and license plates, passed 18-0. The committee then returned to public hearing and heard House Bills 1941 and 2279, which would prohibit copay accumulator programs for fully insured plans so that third-party assistance counts toward a patient’s deductible and out-of-pocket maximum. Sponsors and a rheumatologist testified that the bills would prevent patients with serious illnesses from being forced to pay the same deductible twice and said similar laws have been enacted in many other states. Opponents from America’s Health Insurance Plans argued the measure would affect only a minority of plans, raise costs in the individual and small-group market, and could worsen affordability for remaining enrollees. The hearing ended without a vote on those bills.
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Jul 22nd, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • And by the time they do get care, they're going to need critical care.
  • And so there were metrics developed that look at access to care and timeliness to access to care.
  • We added later three measures related to access to care.
  • Again, from four decades working with managed care organizations, I can tell you most managed care Organizations
  • , outpatient care, remote care, and pharmaceuticals in combination.
OR
Transcript Highlights:
  • CARE Oregon has employed CARE Oregon to be the administrator of their behavioral health benefit.
  • immediate care centers.
  • Also, coverage losses increase uncompensated care and place further strain on provider systems.
  • Older people tend to use more care. Older people tend to need more expensive care.
  • like, I don't know, average care, like needed care versus, like, maybe some extras that we've deemed
Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.
LA

Louisiana 2026 Regular Session

Senate May 6th, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • never ending and calls and emails come and come, remind them that your line is never busy and you care
  • House Bill 1089 by Representative Bamberg is an act to amend Title 6 relative to care accounts to provide
  • for the establishment of care accounts.
  • , to provide for health care coverage for certain medically necessary dental procedures.
  • data-driven decision-making to the workers' compensation medical system while protecting access to care
Bills: SR110 , SR109 , SCR58 , SCR59 , SCR12 , HB198 , HB225 , HB508 , HB512 , HB599 , HB632 , HB763 , HB909 , HB971 , HB989 , HB1066 , HB1171 , HB1204 , HB1231 , HB1246 , HB1248 , HB1250 , HB221 , HCR41 , HCR63 , HCR76 , HCR77 , HCR86 , HCR92 , HCR93 , HCR58 , SB83 , SB135 , SB143 , SB155 , SB157 , SB202 , SB237 , SB261 , SB276 , SB295 , SB388 , SB450 , SB465 , HB17 , HB21 , HB42 , HB45 , HB51 , HB55 , HB74 , HB106 , HB108 , HB133 , HB140 , HB159 , HB168 , HB215 , HB226 , HB263 , HB296 , HB299 , HB322 , HB324 , HB364 , HB519 , HB535 , HB538 , HB568 , HB571 , HB622 , HB635 , HB676 , HB772 , HB784 , HB821 , HB823 , HB1006 , HB1018 , HB1033 , HB1034 , HB1043 , HB1070 , HB1134 , HB1237 , HB1239 , SB162 , SB382 , SR93 , SCR40 , SCR30 , SB35 , SB65 , SB215 , SB228 , SB246 , SB249 , SB268 , SB269 , SB282 , SB283 , SB296 , SB323 , SB338 , SB363 , SB369 , SB408 , SB431 , SB474 , SB484 , SB490 , SB492 , SB500 , SB501 , SB513 , HCR6 , HCR31 , HB297 , HB305 , HB336 , HB337 , HB351 , HB436 , HB594 , HB789 , HB956 , HB957 , HB995 , HB1040 , HB50 , HB117 , HB120 , HB122 , HB139 , HB148 , HB149 , HB185 , HB247 , HB271 , HB286 , HB301 , HB358 , HB359 , HB384 , HB413 , HB428 , HB450 , HB462 , HB547 , HB613 , HB631 , HB657 , HB669 , HB675 , HB680 , HB691 , HB712 , HB716 , HB720 , HB723 , HB727 , HB728 , HB735 , HB747 , HB759 , HB825 , HB842 , HB845 , HB846 , HB903 , HB904 , HB907 , HB923 , HB929 , HB941 , HB962 , HB965 , HB1036 , HB287 , HB370 , HB515 , HB521 , HB570 , HB1200 , HB29 , HB39 , HB58 , HB67 , HB73 , HB76 , HB77 , HB82 , HB112 , HB121 , HB125 , HB132 , HB134 , HB151 , HB154 , HB155 , HB161 , HB166 , HB187 , HB191 , HB207 , HB211 , HB224 , HB238 , HB241 , HB242 , HB250 , HB260 , HB265 , HB275 , HB300 , HB320 , HB338 , HB339 , HB349 , HB379 , HB399 , HB427 , HB463 , HB464 , HB468 , HB545 , HB550 , HB551 , HB565 , HB588 , HB639 , HB725 , HB782 , HB805 , HB808 , HB834 , HB847 , HB853 , HB858 , HB861 , HB883 , HB916 , HB937 , HB977 , HB1012 , HB1027 , HB1044 , HB1054 , HB1091 , HB1117 , HB90 , HB127 , HB138 , HB150 , HB201 , HB268 , HB273 , HB285 , HB315 , HB354 , HB355 , HB360 , HB376 , HB445 , HB506 , HB606 , HB649 , HB665 , HB681 , HB721 , HB746 , HB757 , HB781 , HB835 , HB844 , HB857 , HB872 , HB886 , HB889 , HB892 , HB972 , HB982 , HB987 , HB1037 , HB1068 , HB1072 , HB1078 , HB1085 , HB1132 , HB1137 , HB1167 , HB1174 , HB1232 , HB1238 , HB36 , HB119 , HB126 , HB129 , HB245 , HB280 , HB677 , HB726 , HB850 , HB966 , SB68 , SB149
TX
Transcript Highlights:
  • Senator Nichols has already taken care of the most obvious one, but we are still kind of in dialogue.
  • What that means is we're building an uncompensated call option for the rest of the market.
  • evaluate the following essential areas: emergency services, communications, water and sewer, health care
  • Security Commission will evaluate municipal resilience in terms of several vital systems, including care
  • It's a big job to take care of all the threats that come at us, and we ought to focus on all of them.
NY

New York 2025-2026 Regular Session

New York State Senate Session - 06/04/2026

New York Senate Floor Meeting

Transcript Highlights:
  • The nanny who cares for a child before going to school, the home care worker helping a senior age with
  • Because care is work, and care workers deserve rights.
  • THE NANNY WHO CARES FOR A CHILD BEFORE GOING TO SCHOOL, THE HOME CARE WORKER HELPING A SENIOR AGE WITH
  • BECAUSE, CARE WORK, BECAUSE CARE IS WORK AND CARE WORKERS DESERVE RIGHTS.
  • Take care of each other. Take care of each other. Look out for each other.
Summary: The Senate met on June 3, 2026, approved the prior day’s journal, and then moved through a long list of discharge motions and substitutions to place many bills on the third reading calendar. The chamber also adopted Resolution J.2314 honoring the New York chapter of the National Domestic Workers Alliance, with remarks emphasizing domestic workers’ role in care work, labor organizing, and protections such as paid sick leave and family leave. Another adopted resolution, J.2298, mourned labor and social justice advocate Minerva Solla, with senators highlighting her work with 1199, the Young Lords, Puerto Rican solidarity efforts, and women’s organizing. A third resolution recognized Olympic curler Daniel Casper for representing the United States at the 2026 Winter Games. The Senate then confirmed a large slate of judicial and executive nominations. It accepted the Judiciary Committee report and confirmed four interim Supreme Court justices, seven Court of Claims judges, and 21 reappointments/extensions by a vote of 44-12. The Finance Committee report was also accepted, and the Senate confirmed a broad set of appointments to state boards and authorities, including the MTA, State Commission of Correction, Power Authority, NYSERDA, Financial Control Board, public health councils, SUNY and Cornell boards, gaming and bridge authorities, and others. One notable confirmation was Alexander Dockery to the State Commission of Correction; supporters called it the first time a formerly incarcerated person had been confirmed to that commission, while Senator Murray criticized the practice of voting on large nomination blocks rather than individually. The chamber then took up and passed many bills, mostly by wide margins, covering labor, health, education, transportation, public service, criminal justice, municipal, tax, insurance, and environmental topics. Several members explained their votes on major measures: Senator Ramos supported a bill modernizing temporary disability benefits and another protecting construction workers from lost pay when jobs are canceled; Senator Baskin spoke about a correction bill tied to the death of India Cummings; Senator Skoufis described a family-court custody bill intended to prioritize child safety; Senator Mayer backed a proposal to reimburse parents of medically fragile children for providing care; and Senator Hinchey defended a bill requiring employers to report AI-related job impacts, while Senator Borrello opposed it as burdensome. Most bills were passed, some were laid aside, and the session concluded with multiple roll-call votes and confirmations before adjournment-related business.
MN

Minnesota 2025-2026 Regular Session

House Floor Session 5/11/26 - Part 3

Minnesota House Floor Meeting

Transcript Highlights:
  • </c> would be able to receive that care would be able to receive that care through<00:38:02.400><c> that
  • care.
  • care.
  • </c> have both in mind. taking care of our have both in mind. taking care of our people<01:09:11.120>
  • </c> the area of taking care of our people. the area of taking care of our people.
NH

New Hampshire 2026 Regular Session

Senate Health and Human Services (02/04/2026)

Health and Human Services

Transcript Highlights:
  • of care.
  • </c> the health care system. the health care system.
  • care.
  • eye care.
  • </c> primary medical care. primary medical care.
LA

Louisiana 2026 Regular Session

Administration of Criminal Justice May 12th, 2026

Administration of Criminal Justice

Transcript Highlights:
  • where we hold predispositioned children that have been accused of crimes, and it also does shelter care
  • We have facilities there for shelter care for their abused and neglected children.
  • We have facilities there for shelter care for other abused and neglected children.
  • So I'll probably tell you more than you care to know about it.
  • They aren't given the money to maintain the health care. So this bill was to counter that.
Bills: HB75 , SB134 , SB201 , SB258 , SB288 , SB313 , SB320 , SB321 , SB325 , SB339 , SB345 , SB393 , SB422 , SB440 , SB470 , SB487 , SB523
NM

New Mexico 2026 Regular Session

Senate - Finance Feb 14th, 2026 at 10:07 am

Senate Finance

Transcript Highlights:
  • And then how about the child care?
  • The child care is kind of set up to come out of the trust fund, but we don't know.
  • Health care costs are the biggest cost.
  • So I feel like we're taking very good care of these.
  • You're going to add universal child care onto that.
Bills: SB151 , HB8 , SB177
NM

New Mexico 2026 Regular Session

Senate - Finance Feb 13th, 2026 at 03:43 pm

Senate Finance

Transcript Highlights:
  • Employee health care, the 80-20 that we picked up last year.
  • million a year, for a total of $1.6 billion over the last four years for pay increases and health care
  • And so 1% just did not make sense with what we had to do with child care and everything else.
  • In health care benefits and pension. So there's a lot of money spent on our state employees.
  • We've taken care of them very well.
Bills: SB151 , HB8 , SB177
AL

Alabama 2026 Regular Session

Alabama House Public Safety and Homeland Security Committee Feb 4th, 2026

Public Safety and Homeland Security

Transcript Highlights:
  • 29.360><c> we</c> teachers uh and down the road because we teachers uh and down the road because we care
  • 10:30.320><c> every</c><00:10:30.560><c> one</c><00:10:30.720><c> of</c><00:10:30.800><c> these</c> care
  • and love about every one of these care and love about every one of these people<00:10:31.200><c> in<
  • Every day<00:20:03.919><c> care</c><00:20:04.160><c> center</c><00:20:04.480><c> shall</c><00:20:04.799
  • ><c> issue</c><00:20:05.120><c> a</c> day care center shall issue a day care center shall issue a certificate
Bills: HB88 , HB314 , SB46 , HB332 , HB86 , HB363 , HB88 , HB314 , SB46 , HB332 , HB86 , HB363
TX

Texas 89th Regular

Trade, Workforce & Economic Development May 14th, 2025

Trade, Workforce & Economic Development

Transcript Highlights:
  • Florida, Arizona, and Utah have passed similar legislation that provided exemptions for clinical care
  • You know, the longstanding informed consent process for research and patient care in medicine revolves
  • have a opted legislation have acknowledged these complexities and have given exceptions for clinical care
  • That's how we care for DNA that's not working the way it should. Don't worry, I'm not harming you.
  • or at least delay her care.
Bills: SB315 , SB584 , SB1228 , SB1484 , SB1860 , SB1802
TX

Texas 89th Regular

Judiciary & Civil Jurisprudence Apr 30th, 2025

Judiciary & Civil Jurisprudence

Transcript Highlights:
  • Freestanding emergency departments were intended to enhance access to medical care.
  • tort reform in 2003 with House Bill 4, it did not include licensed freestanding emergency medical care
  • This change aims to ensure that the standard of care expected from hospital emergency departments also
  • applies to freestanding emergency medical care facilities.
  • This is simply a measure that brings parity among our providers of emergency care.