Video & Transcript Research : 'primary payer'
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AL
Alabama 2025 Regular Session
Alabama Senate Banking and Insurance Committee Mar 19th, 2025
Banking and Insurance
NM
New Mexico 2025 Regular Session
IC - Radioactive and Hazardous Materials Dec 8th, 2025 at 09:45 am
Radioactive & Hazardous Materials Committee
Transcript Highlights:
- Chair, I'm concerned that that might increase the cost to rate payers in that area.
- My team is focused on legacy cleanup, and we have four primary pillars that we're focused on.
- That will continue to be one of our primary focus areas, but we are also going to focus on a couple of
- But it's actually pretty easy to distill their primary recommendations into five key areas.
- They actually had two primary recommendations.
TX
Transcript Highlights:
- wholesale level and at the retail level, which is something to consider, but is maybe not what the PUC's primary
- wholesale level and at the retail level, which is something to consider, but is maybe not what the PUC's primary
- making sure that the heavy users—industrial users, data centers, whatever—are paying their fair share. payers
- And it's just, I think it's an interesting note that even in the non-Ercot areas, 4CP is the primary
AZ
Transcript Highlights:
- On every regular primary and general election day, schools operated by a school district must be closed
- His post-mortem toxicology identified mitragynine, the primary alkaloid in kratom leaf.
- certain conditions, including persons who have experienced the death of a spouse, domestic partner, or primary
- Counties have historically been the payer of last resort for the courts.
Bills:
SB1067, SB1234, SB1285, SB1295, SB1392, SB1413, SB1436, SB1470, SB1476, SB1489, SB1512, SB1535, SB1540, SB1556, SB1568, SB1569, SB1570, SB1573, SB1585, SB1609, SB1627, SB1634, SB1635, SB1644, SB1647, SB1648, SB1650, SB1653, SB1654, SB1655, SB1656, SB1657, SB1658, SB1661, SB1662, SB1664, SB1666, SB1667, SB1669, SB1709, SB1720, SB1723, SB1725, SB1743, SB1746, SB1748, SB1755, SB1786, SB1820, SB1822, SB1829, SCR1027, SCR1040, SCR1048
Keywords:
tax lien, property tax lien, real property tax lien, foreclosure, right of redemption, redeem, excess proceeds, county abatement lien, abatement lien, lien priority, assessment lien, easement, county treasurer, certificate of purchase, tax delinquency, delinquent property taxes, property owner equity, judgment foreclosure, title report, Arizona Revised Statutes
MO
Transcript Highlights:
- I mean, as I recall, one of the General Assembly's primary asks for phase one in the budget was that,
- are appropriations throughout OA's budget that have other agency funds, employee benefits being a primary
- They have discounts that they get at the federal level that we can't get as a commercial payer.
- I called my primary and I said, I don't know what to do. He said, can you drive?
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Monday, March 31, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- Because the Democratic primary in South Carolina was a private club, white only, private club.
- primary elections.
- IN LOUISIANA, WE HAD SOMETHING CALLED ALL-WHITE PRIMARIES.
- WHICH MEANS BLACKS COULD NOT EVEN VOTE IN PRIMARY ELECTIONS.
- Allwright, when they outlawed all-white primaries.
MN
Minnesota 2025 1st Special Session
House Commerce Finance and Policy Committee 2/19/25
Commerce Finance and Policy
Transcript Highlights:
- This means people may lose health insurance coverage, fewer Minnesotans will receive primary care, and
- receive primary care and more<00:04:37.919>
people <00:04:38.160>will <00:04:38.639> - There were three primary clinics that were providing health care: St.
- There were three primary clinics that were providing health care: St.
- area there were three clinics primary area there were three clinics primary clinics<01:24:48.440
VT
Vermont 2025-2026 Regular Session
Senate Session - 2026-05-22 - 10:00AM
Vermont Senate Floor Meeting
Transcript Highlights:
- She helped us as we worked our way through the proposals for single-payer health care and setting up
- Our way through the proposals for single-payer health care and setting up the Catamount system and various
- program that<02:00:54.880>
we <02:00:55.080>have <02:00:55.400>in <02:00:55.520>primary - <02:00:56.120>
care That we have in primary care for quality improvement, care management,
NM
New Mexico 2026 Regular Session
IC - Legislative Finance Apr 27th, 2026
Transcript Highlights:
- already funding a universal preschool program So there's definitely gaps in available coverage, if not payer
- and engagement, and it was based on the law as written, a shift in focus to having schools be the primary
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Jul 23rd, 2025
Transcript Highlights:
- That's the primary focus of that bureau in our division.
- And we should force that if we don't have enough payers in that particular community to make that system
NH
Transcript Highlights:
- rebated to all uh retail<00:08:49.200>
electric <00:08:49.600>rate <00:08:49.839>payers - <00:08:50.560>
We retail electric rate payers etc. We retail electric rate payers etc. - directly<00:20:14.400>
to <00:20:14.480>the <00:20:14.640>rate <00:20:14.880>payers - <00:20:15.360>
not <00:20:15.679>do <00:20:15.840>a directly to the rate payers - and not do a directly to the rate payers and not do a handoff<00:20:16.400>
to <00:20:16.559><
NH
New Hampshire 2025 Regular Session
House Finance Division III (03/05/2025)
Transcript Highlights:
- We do have third-party liability activities to make sure that Medicaid is the payer of last resort.
- We do have third-party liability activities to make sure that Medicaid is the payer of last resort.
- We do have third-party liability activities to make sure that Medicaid is the payer of last resort.
- We do have third-party liability activities to make sure that Medicaid is the payer of last resort.
- We do have third-party liability activities to make sure that Medicaid is the payer of last resort.
Summary:
The House Finance Division 3 work session continued its review of the Department of Health and Human Services’ Medicaid budget and related policy issues, with CFO Nathan White and Medicaid Director Henry Litman presenting updated materials. The discussion focused on a crosswalk between the adjusted FY 2025 Medicaid budget and the governor’s FY 2026 recommendation, plus handouts showing service additions, eligibility changes, dental rates, and other Medicaid changes since 2019. The department also said it would provide a clearer breakdown of the pharmacy cost-sharing item by general, federal, and other funds.
Members asked detailed questions about the Medicaid enhancement tax, the 80% plan, and how funds are allocated between hospital payments, directed payments, and DSH uncompensated care. The department explained that the MET is being used more toward rates and directed payments to better align with federal matching rules, while DSH remains important for uncompensated care. They also noted that a pending Senate Bill 249 would keep the 80% structure and move to Senate Finance. On the trigger law, the department identified the governing provision as Chapter 342:12, Laws of 2018, and explained that if the federal match for Medicaid expansion falls below 90%, the state must notify legislative leaders and participants and the program would sunset after 180 days unless the legislature acts.
The committee also reviewed current Medicaid expansion enrollment and program trends. Officials said enrollment was just under 59,000 as of March 3, with about 87,000 people enrolled over the past year and more than a quarter-million residents having used the program over its lifetime. They said enrollment has fallen from a post-pandemic high of nearly 97,000 and may eventually settle in the low 50,000s. Finally, the department discussed federal DSH funding risk, saying New Hampshire could face a significant reduction if Congress does not extend current protections, which is part of why the state has shifted more funding toward payment rates and directed payments.
AZ
Transcript Highlights:
- Right now, Arizona rate payers are struggling.
- I'm a no on this bill for many reasons, but my primary no vote is that this bill now includes an emergency
- parents have joint or sole decision-making, which parent will have the exclusive right to designate the primary
- residence of the child, and ...which parent will have the exclusive right to designate the primary residence
- restriction on the geographic area in which a sole or joint decision-maker may designate the child's primary
OK
Oklahoma 2026 Regular Session
Business and Insurance 2ND REVISED Feb 12th, 2026 at 09:30 am
Business and Insurance
Transcript Highlights:
- have to charge what the insurers have set, regardless of if they are receiving reimbursement from the payer
Bills:
SB1732, SB1217, SB1443, SB1455, SB1457, SB1459, SB1465, SB1944, SB1946, SB1218, SB1942, SB1352, SB2132, SB1920, SB1285, SB1304, SB1305, SB1326, SB1590, SB1767
Keywords:
professional licensing, licensing fees, home inspection, home inspector, Construction Industries Board, CIB, contractor license, journeyman license, apprentice registration, alarm endorsement, code inspector, electrical license, plumbing license, mechanical license, permit fees, renewal fee, reciprocity, poultry house contractor, poultry house wiring, environmentally controlled poultry house
FL
Florida 2026 Regular Session
Joint Committee on Public Counsel Oversight Jan 13th, 2025
Transcript Highlights:
- . like that lead to some type of predictive and stable environment long term for the for the rate payers
Summary:
The joint committee met with a quorum present and first received an overview of its jurisdiction and duties related to appointing the Florida Public Counsel. Staff explained the committee’s authority under joint rules and state law, noted that the current Public Counsel’s term expires February 28, 2025, and that applications for the next four-year term were open with a February 6, 2025 deadline. The committee then heard an extensive update from Public Counsel Walt Truerweiler on the Office of Public Counsel’s work representing utility ratepayers before the Public Service Commission and in appeals.
Truerweiler described the office’s caseload and priorities, including electric, gas, water, and wastewater rate cases; storm recovery dockets; cost-recovery clauses; rulemakings; and customer service hearings. He emphasized that the office seeks to challenge unsupported or imprudent costs, find value for customers, and use expert analysis and customer testimony to shape outcomes. He highlighted recent and ongoing matters, including major Duke, TECO, Sunshine water/wastewater, and hurricane recovery proceedings, and said the office had fully litigated four of its last five rate cases, while also achieving a major settlement in Duke that reduced a requested increase and imposed cost controls on solar projects.
Members praised the office’s work and asked about the benefits of settlements, staffing and compensation, and how the office decides when to fully intervene versus provide guidance or monitor a case. Truerweiler said settlements can create predictability, reduce uncertainty and expense, and produce tangible value for both customers and utilities. He also acknowledged recruitment challenges, including lower pay than comparable agencies and difficulty attracting attorneys who do not want in-person litigation work. The committee took no substantive action beyond receiving the presentations, and adjourned after a motion was adopted.
WY
Wyoming 2026 Regular Session
Select Committee on Tribal Relations, June 16, 2026
Select Committee on Tribal Relations
Transcript Highlights:
- But, I mean, the reality is it's a primary care clinic, but it's also a pseudo urgent care clinic.
- We are billing where we're able to, which would be Medicaid is a large payer source for these clinics
- We are billing where we're able to, which would be Medicaid is a large payer source for these clinics
- We'll be providing some pediatric primary care, adult primary care, and then we'll have a pharmacy for
- <00:31:02.280>
care, uh you know, pediatric primary care, uh you know, pediatric primary care
HI
Transcript Highlights:
- which is we serve a large percentage of Medicaid, Quest, and uninsured patients for government-type payers
- We're at about 74% or 75% in Medicare in terms of our payer mix.
- thing that has just kind of been looming and has come to me, and that is that Medicare as a federal payer
- > me and that is that medic care as a me and that is that medic care as a federal<02:33:21.920>
payer - payer um is is um<02:33:25.840>
underfunding <02:33:26.680>this <02:33:26.840>state
Summary:
The joint Ways and Means and Health and Human Services committees heard Hawaii Health Systems Corporation’s biennium budget request, with testimony from HHSC leadership on the Hilo/Big Island region (HTH 212) and the Oahu region (HTH 215), plus discussion of capital improvement projects and systemwide partnerships. HHSC described its role as the rural healthcare safety net, serving a high share of Medicare, Medicaid/Quest, and uninsured patients, and said its costs are elevated by state employee fringe benefits, which it said are about 64% compared with roughly 30% in the private sector. HHSC also said pandemic-era federal aid, including relief funds and PPP loans totaling about $100 million, reduced the need for general fund support in prior years.
For HTH 212, HHSC said its general fund request for fiscal years 2026 and 2027 was higher than the governor’s recommendation because of rising insurance, pharmaceutical, and contractor labor costs, and because it includes $13.2 million in FY 2026 and $2.3 million in FY 2027 for Epic electronic medical record implementation in East Hawaii. For HTH 215, HHSC said the requested general funds were aligned with the governor’s recommendation, in part because of increased Medicaid reimbursement rates for long-term care facilities under prior legislation. HHSC also said it was restoring a special fund ceiling so the region could spend its cash collections on operations.
Members asked about the 64% fringe rate, and HHSC explained the difference was mainly due to defined-benefit pension and retiree health insurance costs, which private hospitals generally do not bear at the same level. Members also asked about the Daniel K. Akaka State Veterans Home, and HHSC said operations would be funded through the general fund corporation for the home when it opens, with management by Ohana Pacific, but no additional legislative operating funds were being requested at that time. Other questions focused on staffing and vacancies, including an abolished procurement position and an ongoing IT help desk recruitment need.
HHSC highlighted several capital and partnership projects, including a $25 million state CIP request matched by $25 million from the Benioff family for the Benioff Health Center, an ER expansion and reconfiguration at Corner Community Hospital, and $7.5 million in each fiscal year for Kauai EMR capital funds to join the Epic platform. Testimony also described collaborations with Queen’s, the University of California San Francisco, Hawaii Pacific Health, the Hawaii Cancer Consortium, the Department of Health, and the state hospital to improve specialty access, clinical trials, behavioral health, and patient placement across the system.
NH
Transcript Highlights:
- She added you online 10, 11, yeah, yeah, and public utility rate payer shall be adversely affected by
- cost to bring drinking water to any community through any project funded by... ...public utility rate payer
- saying<02:01:40.679>
no <02:01:41.239>current <02:01:41.679>rate <02:01:42.119>payer - <02:01:42.599>
will <02:01:42.800>be saying no current rate payer will be saying no - current rate payer will be directly<02:01:44.199>
or directly or directly or indirectly<02:01
MN
Transcript Highlights:
- ><00:48:50.400>
tax Every single Minnesota property tax Every single Minnesota property tax payer - <00:48:51.800>
of <00:48:52.000>a <00:48:52.440>residential payer of a residential - payer of a residential style<00:48:55.840>
and <00:48:56.160>farms style and farms style
Summary:
The House convened with prayer, the Pledge of Allegiance, roll call, and approval of the previous day’s journal. The chamber received Senate messages announcing a joint convention for the governor’s message and transmitting Senate Files 1251, 3769, and 3868. The House also introduced House Files 4868 through 4933 and adopted committee reports and comparison report motions without objection. The Rules Committee placed several bills on the calendar and required pre-filing of amendments for specified measures.
On the calendar, the House passed Senate File 3602, which enacts the Uniform Electronic Estate Planning Documents Act and expands electronic signing to estate planning documents beyond wills. Supporters said it would help people who are homebound, hospitalized, or in rural areas and reduce uncertainty for banks and hospitals about electronically signed powers of attorney and health care directives. The bill passed 134-0. The House also passed House File 3516, a Board of Dentistry policy bill that updates licensure language, allows retired dentists to serve low-income uninsured patients, and increases the number of dental hygienists a dentist may collaborate with from four to eight; it passed 134-0.
The House then passed House File 3528, a technical barbering bill that reduces training and retesting burdens, gives the board more testing flexibility, repeals duplicative rules, clarifies that waxing is not barbering, and makes other fee and registration changes; it passed 134-0. House File 3718, updating veterinary medicine and veterinary technology statutes, was amended to restore board seal language and then passed 134-0 as amended. Supporters said it modernizes definitions and standards, recognizes licensed veterinary technicians, and may help address veterinary shortages, especially in greater Minnesota.
Finally, the House passed Senate File 3402, which broadens who may serve as a medical consultant for Community Health Boards to include additional licensed professionals such as DOs, physician assistants, and advanced practice registered nurses; it passed 134-0. The chamber also considered several motions to move bills between committees, including referrals involving veterans, education, health, and psilocybin-related legislation. A motion to suspend the rules for House File 4487 was presented, and the bill was described as providing a one-time $1 billion property tax rebate or credit, but the transcript cuts off during extended debate on that motion before any final disposition is shown.
NH
New Hampshire 2026 Regular Session
Senate Executive Departments and Administration (02/11/2026)
Executive Departments and Administration
Transcript Highlights:
- 41.840>
rate be in the interest of residential rate be in the interest of residential rate payers - 45.039>
line <00:33:46.159>for <00:33:47.039>did <00:33:47.360>delete payers - uh if that line for did delete payers uh if that line for did delete professional<00:33:48.559>
engineer