Video & Transcript Research : 'coverage transparency'
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MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 2/18/26
Commerce Finance and Policy
DE
Delaware 2025-2026 Regular Session
House Health & Human Development Committee Meeting Jun 18th, 2026
Health & Human Development
Transcript Highlights:
- It provides a transparent process for the state-operated programs, which are included in the draft list
- Covered facilities must carry at least $1 million per claim and $3 million in total coverage for both
- The policies must also include coverage for abuse and molestation claims.
- The bill helps ensure that coverage is maintained and that the department is informed if it is not.
- At its core, this bill is about accountability, transparency, and ensuring consistent standards for care
Keywords:
Delaware Health Fund, healthcare access, preventive care, tobacco settlement, public health initiatives, grant program
Summary:
The House Health and Human Development Committee met and considered a series of health, human services, and related bills. The committee heard and advanced House Substitute 1 for Senate Bill 13, which standardizes hospital charity care and financial assistance statewide, and Senate Bill 296 with Senate Amendment 1, which restructures the Delaware Health Fund grant process with a more formal, transparent competitive rubric. Both measures received supportive testimony from DHSS, the Delaware Healthcare Association, and the Delaware Nurses Association, and both were released by committee on roll-call votes.
The committee also released Senate Bill 313 with Senate Amendment 1, which places a temporary moratorium on acquisitions of nonprofit acute care hospitals by for-profit entities and expands notice/review requirements for sales of hospital real estate; Senate Bill 340 with Senate Amendment 1, which requires long-term care facilities to carry specified liability insurance, with questions raised about the exemption for state-owned facilities; Senate Joint Resolution 20, which directs DHSS to study independent assessment tools for Medicaid home- and community-based services; and Senate Bill 341, which updates Delaware Health Information Network law and formally recognizes DIN as the state’s health data utility. Testimony on these bills was generally supportive, with some discussion on constitutional concerns, insurance coverage, and the rationale for the state exemption in SB 340.
Later, the committee advanced Senate Bill 257, which requires new animal shelters to be licensed and inspected before operating and removes a prior exception for certain rescue organizations; and Senate Substitute 1 for Senate Bill 278 with House Amendment 1, which allows earlier pre-authorization for summer child care enrollment and lowers copays for half-day care. Public testimony on these measures came from animal welfare advocates, YMCA representatives, and other stakeholders, all largely in support. Each bill was released by committee, with several votes walked for absent members, and the meeting adjourned after all agenda items were addressed.
WI
Wisconsin 2026 1st Special Session
Assembly Committee on Environment May 12th, 2026
Assembly Committee on Environment
Transcript Highlights:
- Since 2007, Wisconsin I has filmed countless hours of state Capitol coverage to provide invaluable access
- to government actions. ...of state Capitol coverage to provide invaluable access to government actions
- Without Wisconsin-I, Wisconsinites would lose an important source of transparent and unbiased accounts
- Your donation is critical in supporting transparent and unbiased accounts of public policy and politics
- Without Wisconsin-I, Wisconsinites would lose an important source of transparent and unbiased accounts
FL
Florida 2025 Regular Session
Appropriations Committee on Agriculture, Environment, and General Government Mar 5th, 2025
Transcript Highlights:
- COVERAGE FOR DIAGNOSTIC AND SUPPLEMENTAL BREAST EXAMINATIONS.
- YOU ARE RECOGNIZED EXPLAIN THE BILL. >> Vice Chair Berman: SB 932 COVERAGE FOR DIAGNOSTIC AND SUPPLEMENTAL
- THE LEGISLATION DOESN'T SEEK TO CREATE A NEW COVERAGE MANDATE AND OR SERVICE.
- IT HAS A TON OF GOOD DIRECTION AND A LOT OF GOOD TRANSPARENCY THAT WE NEED AND I AM HOPEFUL EVERYONE
- THERE'S A LOTTA STUFF GOING ON IN HERE AND THE ENTIRETY IS ABOUT ACCOUNTABILITY AND TRANSPARENCY.
CA
California 2025-2026 Regular Session
Assembly Floor Session May 21st, 2026
California House Floor Meeting
Transcript Highlights:
- While also requiring strong record-keeping to ensure transparency and accountability.
- Assembly Bill 1906 by Assembly Member Aguiar-Curry and act relating to health care coverage.
- Assembly Bill 1906 by Assembly Member Aguiar-Curry and relating to health care coverage.
- No one should have to wait to access coverage during such a critical time.
- Insurance coverage is important because, for housing projects, each component is expected to have coverage
Summary:
The Assembly met on May 7, 2026, after an initial delay caused by the absence of a quorum, then proceeded with prayer, a moment of silence for victims of a hate-motivated attack at the Islamic Center in San Diego, and the Pledge of Allegiance. The Speaker pro tempore then moved through the daily file, repeatedly urging members to be on time and at their desks as the House of Origin deadline approached. Procedural actions included dispensing with the journal, deferring some items, and moving AB 1667 to the inactive file.
The bulk of the session was devoted to floor consideration of many bills, most of which passed with little or no opposition. Measures approved included bills on artificial intelligence provenance information (AB 2713), community college trustee compensation (AB 2528), transit camera enforcement and privacy (AB 1837), excess proceeds claims in taxation (AB 2705), HOA technical cleanup (AB 1892), hepatitis C treatment access (AB 1843), child care planning in local general plans (AB 1914), greenhouse energy code flexibility (AB 2200), rent-now-pay-later consumer protections (AB 2350), housing cleanup and density bonus measures (including AB 2390, AB 2480, AB 1567, AB 1751, and others), spay/neuter access (AB 2010), workforce housing financing tools (AB 2110), supportive housing and homelessness-related changes (AB 2146), mental health and health plan notification measures (AB 1598, AB 2613), student aid and education bills (AB 1534, AB 1636, AB 1669, AB 1728, AB 1784, AB 1871), public safety and criminal justice bills (AB 1546, AB 1572, AB 1872, AB 1877, AB 1932), and several health and social services measures (AB 1602, AB 1628, AB 1680, AB 1825, AB 1845, AB 1906, AB 1907, AB 1925). Most bills were described as support measures, often with bipartisan backing and no opposition, and passed by wide margins.
A few bills drew more discussion, especially AB 1751, a housing/townhome bill that sparked extended debate over wages, prevailing wage, stakeholder engagement, and whether the measure could depress pay for construction trades; despite concerns and an opposition speech, it ultimately passed 44-0. AB 1793, which would allow symmetrical rounding of cash transactions to the nearest nickel in light of the penny’s phaseout, also drew light debate and passed 47-1. AB 1932, an urgency measure expanding community-based crisis response, passed with one no vote on both the urgency and the bill. Several urgency or 54-vote bills, including AB 1534 and AB 1932, required later roll calls or calls to be lifted, but all measures described in the transcript were ultimately approved.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Health Care Financing Jun 21st, 2026 at 10:00 am
Joint Committee on Health Care Financing
Transcript Highlights:
- Given time constraints, I'll focus on ABA coverage today and submit extensive written testimony.
- Joe should have his own insurance coverage for his medical diagnosis.
- What they do is require transparency in how rates get calculated.
- When rate setting is transparent, Workforce shortage through better process, not politics.
- When rate setting is transparent and considers actual costs, we can offer competitive wages.
Summary:
The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services.
Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance.
For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Tuesday, September 16, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- Any use of the closed-captioned coverage of the House proceedings for political or commercial purposes
- PICKING -- KICKING 15 MILLION PEOPLE OFF THEIR COVERAGE ALTOGETHER.
- PROVIDING FOR CONSIDERATION-THE LIL H.R. 3062, TO ESTABLISH A MORE UNIFORM, TRANSPARENT AND MODERN P
- While this administration is gutting legal protections, they are slashing transparency, too.
- WHILE THIS ADMINISTRATION IS GUTTING LEGAL PROTECTIONS, THEY ARE SLASHING TRANSPARENCY, TOO.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Jun 21st, 2026 at 11:00 am
Joint Committee on Ways and Means
Transcript Highlights:
- GLP-1 coverage for weight loss only: so if you're a MassHealth member, you'll continue to have access
- Our baseline forecast is that about 300,000 Massachusetts residents will lose coverage by 2030.
- safety-net coverage.
- keep that coverage.
- It's due to kind of the optional nature of this coverage.
Summary:
The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs.
EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle.
MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.
FL
Florida 2026 5th Special Session
Health Policy Feb 11th, 2026
Transcript Highlights:
- My priorities were improving financial accountability, increasing transparency, implementing enhanced
- As it relates to improved financial transparency and accountability, we implemented stronger internal
- We've prioritized data transparency.
- We are on Tab 19, which is health care coverage. Senate Bill 697.
- And so that same level of transparency is present for both PSNs and HMOs.
Summary:
The committee first heard Senate Bill 1414 by Sen. Polsky on congenital cytomegalovirus (CMV) education. The bill would require the Department of Health, working with medical experts, to create and distribute CMV educational materials to expectant and new parents or caregivers through hospitals, birth centers, and OB/GYN practices. An amendment removed a section that would have required instruction for medical professionals, and the amended bill was reported favorably as a committee substitute.
The committee then took up a block of confirmations. Appointees on tabs 2 through 7 were recommended favorably in one vote, and Chavon Harris was separately confirmed as Secretary of the Agency for Health Care Administration after extensive questioning. Senators praised her leadership and experience, while others raised concerns about Medicaid redeterminations, the state’s CORE modernization project, Hope Florida, and a DCF anti-marijuana ad campaign; Harris said she would follow up on some issues and defended the agency’s work on transparency, managed care oversight, and access to care. Her confirmation was recommended favorably, with Sen. Berman noting opposition.
Several health-related bills were then heard and advanced. SB 186 by Sen. Garcia expanded epilepsy training requirements for school personnel, including charter school bus drivers, and was reported favorably. SB 902 by Sen. Garcia, after amendments narrowing dental workforce provisions and allowing certain seizure rescue medication delegation to family home health aides, was reported favorably; testimony focused on medical marijuana regulation, practitioner accountability, and concerns about park and child-care proximity restrictions. SB 196 by Sen. Sharif created a uterine fibroid research database with privacy protections and was reported favorably after emotional testimony from a patient and supporters. SB 688 by Sen. Rodriguez would reestablish licensure of naturopathic doctors; it drew both support and skepticism about diagnosis and treatment boundaries, but was reported favorably. SB 1574, Maddie’s Law, would add biliary atresia screening to newborn screening and was strongly supported by parents describing a delayed diagnosis; it was reported favorably. SB 878 on clinical laboratory personnel, SB 1092 on podiatric medicine and certain cellular/tissue-based products, and SB 1032 on medical marijuana registry timelines and veteran fee waivers were also reported favorably, while SB 1032 drew debate over longer renewal/supply periods. The committee then began SB 1760 on Medicaid oversight and program transparency, with the sponsor describing the bill’s creation of a joint legislative oversight committee and a legislative actuary.
ND
North Dakota 2026 1st Special Session
Health Care Committee Feb 12th, 2026 at 09:30 am
Transcript Highlights:
- PERS was also no longer required to introduce a bill to continue the coverage and extend coverage to
- Health Insurance Coverage Mandates.
- We are providing the coverage.
- , so it's expanding the coverage with the monthly cap, but it's not new coverage.
- , expanding coverage, changing coverage, than we experienced previously.
Summary:
The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options.
Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process.
PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.
CA
Transcript Highlights:
- Are they transparent? Is there accountability? Who gets the dollars? Who doesn't get the dollars?
- We need to make sure when these funds are allocated, there's accountability and transparency.
- I should be transparent about that. I think we put together a very strong two-party agreement.
- And so our investments in increasing physician access, increasing coverage, Investments in increasing
- We look forward to engaging with you all on the continued work ahead to mitigate the coverage losses
NH
New Hampshire 2026 Regular Session
Senate Health and Human Services (03/11/2026)
Health and Human Services
Transcript Highlights:
- <01:07:29.599>
transparently <01:07:30.160>for transparency transparently for transparency - coverage.
- ensure these plans can fill coverage ensure these plans can fill coverage gaps<01:30:14.880>
- bill without any type of coverage. bill without any type of coverage.
- c> Comprehensive coverage remains available Comprehensive coverage remains available to<01:31:06.800>
CA
Transcript Highlights:
- Additionally, gaps in the current recall process, such as the lack of transparency around paid signature
- These bills have increased visibility into outside spending groups and have led to a more transparent
- We fully support transparency and ensuring voters know who is behind political messaging, but some of
- We fully support transparency and ensuring voters know who is behind political messaging, but some of
- It maintains transparency while improving readability by allowing the use of standard abbreviations,
MN
Minnesota 2025-2026 Regular Session
Committee on Rules and Administration with Subcommittee on Committees Following - 01/06/26
Transcript Highlights:
- Because the legislature purchases insurance coverage through SEGIP, the LCC adopted the insurance coverage
- <00:02:35.040>
for for establishing insurance coverage for for establishing insurance coverage - through SEAP, the LCC insurance coverage through SEAP, the LCC adopted<00:02:43.280>
the <00:02 - :43.519>
insurance <00:02:43.840>coverage <00:02:44.239>that adopted the insurance - coverage that adopted the insurance coverage that became<00:02:45.040>
effective <00:02:45.920
Summary:
The Senate Committee on Rules and Administration met virtually on January 6, 2026, and took up four administrative policy items. Darren Hoff, Senate Human Resources Director, presented updates to the Legislative Coordinating Commission benefit book, including insurance changes tied to SEGIP, mental health and substance use office visit cost sharing, dental plan updates, dependent eligibility clarifications, a new voluntary legal services benefit, a 17% increase in Medicare premiums, and multiple leave-policy revisions to conform with the new paid leave law and other employment rules. Senator Pappas moved adoption of the benefit book with the LCC’s November 10, 2025 changes and staff technical corrections, and the motion passed.
Secretary Tom Bern described a proposed Senate Policy 1.56 allowing written rules of conduct for visitors in Senate spaces, aimed at setting clear expectations for behavior such as not blocking hallways or using shouting and profanity, while being developed with consultation to address First Amendment concerns. Senator Marty moved adoption, and the committee approved the policy. Council Lexi Stangle then presented a change to Senate Policy 2.47 on severe weather emergencies that would allow employees who work remotely on severe weather days to accrue compensatory time with supervisor approval; Senator Johnson moved adoption, and the motion passed.
The committee also considered a modernization of the Senate information systems policy. Secretary Bern and staff explained that the policy had not been substantially updated in about 20 years and was being condensed and updated to reflect current technology and practices. The revisions reduced the policy from 29 pages to 10, removed obsolete references, added a purpose statement, clarified email inspection and hardware/software procedures, updated website rules and accessibility guidance, and removed the secondary member page option. Senator Coleman moved adoption of the Senate information systems update, and it was approved.
After the Rules Committee adjourned, the Subcommittee on Committees met and approved two appointments: one public member to the Legislative Citizen Commission on Minnesota Resources through December 31, 2030, and Senator Gustafson to the Financial Crimes Advisory Board Task Force. Members asked about the task force’s scope and the public appointee’s background; staff explained the task force advises on identity theft and financial crimes, and identified the public appointee as Sha Lang of Preston, Minnesota. Senator Pappas moved adoption of the appointment list, and the subcommittee approved it before adjourning.
FL
Florida 2026 Regular Session
Appropriations Committee on Agriculture, Environment, and General Government Feb 4th, 2026
Appropriations Committee on Agriculture, Environment, and General Government
Transcript Highlights:
- House has acted as a final check to make sure risk qualified for Citizens' coverage only after private
- They do not have to disclose what the new premium might be, what new terms of coverage might be, what
- That bill, ironically, while it seemed to have codified various aspects of comparable coverage in the
- It improves public transparency. This is Senate Bill 546.
- And it also revises procurement requirements for requests for quotes to increase transparency.
Bills:
S0302, S0394, S0480, S0546, S0636, S0774, S0796, S1028, S1050, S1066, S1120, S1230, S1288, S1682
Keywords:
cybersecurity, information technology, data management, local government compliance, cloud services, state agency oversight, integrated governance, conservation lands, land exchange, state-owned land, Acquisition and Restoration Council, Florida water management, environmental protection, beach management, beach erosion, beach nourishment, coastal resilience, shoreline protection, critical erosion, critically eroded beach
Summary:
The committee heard and advanced several bills, beginning with CS/SB 796, which would create Veterinary Professional Associates as a new supervised veterinary role, expand telehealth prescription timeframes, and set training and scope limits. Supporters said it would improve access to care, lower costs, and create a career path, while opponents argued the proposal lacked a clear regulatory framework, could create liability and federal-law conflicts, and would not address the real shortage in rural large-animal practice. After debate, the committee reported the bill favorably.
Members also heard and favorably reported SB 1682 on local authority over derelict and abandoned vessels, CS/SB 1028 on a commercial Citizens clearinghouse for property insurance, SB 394 on exempting certain reinsurance underwriting managers from licensing, SB 636 on beach management and erosion designations, CS/SB 546 on public notice for conservation land sales or exchanges, CS/SB 302 on Biscayne Bay nature-based solutions and related coastal resiliency provisions, SB 1050 on pharmacy choice for pet medications, and SB 774 extending workers’ compensation benefits to 911 public safety telecommunicators for mental and nervous injuries. Testimony on these bills generally focused on access, regulatory clarity, environmental protection, or workforce support, with some concerns raised on insurance consumer protections and beach-management language.
Senator Harrell’s bills were also taken up and reported favorably: CS/SB 480, a major overhaul of state IT governance creating DIGIT and new procurement, reporting, and workforce structures; CS/SB 1230, restricting PFAS-containing firefighting foam and adding testing, inventory, and disposal requirements; and CS/SB 1288, a naming bill designating the Andrew Red Harris Shoal and requiring markers. Finally, the committee heard extensive testimony on SB 1066 regarding restoration of the Oklawaha/Rodman system, with supporters emphasizing ecological restoration, flood-risk reduction, and economic benefits, and opponents warning about local impacts, water quality, and the loss of a world-class fishery. The transcript ends during testimony on that bill, before final action is shown.
WY
Transcript Highlights:
- But if we're going to call for transparency, let's call for transparency for all political donors and
- ><01:13:46.400>
call <01:13:46.640>for transparency, let's call for transparency, let's - c><01:13:49.120>
donors transparency for all political donors transparency for all political donors - But then requiring the transparency transparency transparency uh<01:17:02.080>
in <01:17:02.239 - So, we think been more transparent.
Keywords:
education, cell phones, smart devices, school policy, student conduct, school property, rental fees, youth activities, education policy, Wyoming legislature, teacher licensure, teacher mobility, interstate compact, education compact, licensure reciprocity, reciprocal certification, teacher certification, professional teaching standards board, out-of-state teachers, military spouse
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Jul 22nd, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- And I guess in all transparency, Maggie and I serve together on the synchronous board.
- Madam Chair, I think our Medicaid coverage is about between 60 and 70 percent of our clients.
- So not unlike many states and other parts of the country, you've passed the transparency bills and PBM
- A number of states have dropped coverage for them, and counterintuitively, they still cover bariatric
- So I want to go back specifically to the Transparency Bill.
CT
Connecticut 2026 Regular Session
Medical Assistance Program Oversight Council Complex Care Committee May 21st Meeting May 21st, 2026
Transcript Highlights:
- Everything we can as transparent as we can in an effort to do that.
- And my goal is to make those dollars transparent so the conversation can happen.
- Keep in mind that we are transparency first, but we acknowledge... So I hear you.
- Keep in mind that we are transparency first, but we acknowledge, right, so I'm a data transparency program
- Okay, so on our OHS data transparency website, which will soon be an OPM transparency website, we have
Summary:
The Complex Care Committee meeting focused first on a new Diabetes Caucus launched at the Capitol. Rep. Johnson described the caucus as a forum to educate people about type 1 and type 2 diabetes, genetic risk, early testing, pregnancy-related diabetes, and ways Medicaid policy might improve prevention and lower long-term costs. Members agreed the caucus could intersect with care management, and Carolyn Grandell of CHNCT offered to share information about current diabetes-related care management services at a future meeting.
The committee then heard a detailed presentation from Alex Rigger of the Office of Health Strategy, who is moving to the Office of Policy and Management. He reviewed Connecticut health care benchmark data, including total health care expenditures, medical spending, and market-by-market trends. He said 2023 to 2024 per-capita spending grew more than 8.5% statewide and 14% in Medicaid, with long-term care accounting for about 46% of Medicaid spending and retail pharmacy also identified as a major cost driver. Members asked about enrollment changes, dual-eligible populations, Medicare Savings Program members, 340B drug pricing, and value-based payment models. Rigger explained that his office tracks alternate payment models and quality benchmarks, but does not separately capture 340B data.
Discussion then shifted to Medicare Advantage, dual eligibles, and hospital discharge planning. Members said they want better data on how many Medicaid members are in Medicare Advantage plans and whether those plans shift costs back to Medicaid or affect access to care, especially for complex-care patients. Staff noted DSS does have some Medicare Advantage indicators and that CMS is developing encounter-data rules for states. Kathy Holt and others raised concerns about denials, nursing home stays, and the need to compare Medicaid spending for dual eligibles in Medicare Advantage versus traditional Medicare. The meeting ended with plans for follow-up data sharing, including Alex Rigger’s slides, the diabetes caucus materials, and a future discussion with DSS and other agencies; no formal votes were taken.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 03/10/26
Health and Human Services
Transcript Highlights:
- <00:02:46.160>
and is the lack of transparency and is the lack of transparency and accountability - Couple years people to switch coverage.
- <00:42:57.599>
is of accountability or transparency is of accountability or transparency is - We talk about health coverage a lot.
- , need to um get at u more transparency, need to um get at u more transparency, more<01:31:59.199
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Apr 7th, 2025
Transcript Highlights:
- Coverage for 85% of Medi-Cal members.
- So they will have an option to launch coverage in July.
- Mandatory coverage for eligible members with behavioral health needs will take effect in January 2026
- This will give them a little bit of runway before July's optional coverage implementation.
- The process must be open and transparent. Commissioners have decision-making authority.