Video & Transcript Research : 'copay accumulator adjustment'
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MN
Minnesota 2025-2026 Regular Session
HF702 heard in House Human Services Finance and Policy Committee 3/6/25
Human Services Finance and Policy
Keywords:
mental health, behavioral health, psychiatric care, collaborative care model, healthcare funding, service dog, service animal, service dog in training, assistance dog, guide dog, disability rights, housing accommodations, fair housing, landlord, rental housing, homeowners association, HOA, Minnesota human services, accessible housing, reasonable accommodation
MN
Transcript Highlights:
- We would encourage the committee to consider slight adjustments to the bill that bring clarification
- We would encourage the committee to consider slight adjustments to the bill that bring clarification
- We would encourage the committee to consider slight adjustments to the bill that bring clarification
- Representative Kisha, House File 780 is the annual forecast adjustment bill.
- The November forecast had initial adjustments, as you can see from the bill.
Keywords:
HF56, Minnesota bonding bill, capital investment, state bonds, bond proceeds fund, Hutchinson Area Transportation Services, Hutchinson, McLeod County, transportation facility, vehicle storage, equipment storage, fueling facility, temperate storage, local infrastructure, public works, general obligation bonds, education finance, school funding, state aid, appropriations
TX
Texas 89th 2nd C.S.
Pensions, Investments & Financial Services Apr 28th, 2025
Pensions, Investments & Financial Services
Transcript Highlights:
- So there's no copays, there's no deductibles or anything else like that.
- So, insurance-driven clinics, for example, um, you come in, you pay your copay, they ask you all kinds
- Uh, so, um, you know, a regular clinic, OK, they take your copay, that's the heart, referral to cardiology
- So we avoid a visit, avoid copays. So on the handout, there's a couple there.
- Well, is there, would, would this clearly satisfy your initial, what, what do you call it, copay for
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Dec 9th, 2025 at 01:24 pm
Transcript Highlights:
- Next, we're going to talk about copays on page 8.
- , copays should be no more than 7% of a family's income.
- And then a copay kicked in. Kicked in. And we eliminated the copay a few years ago for— okay.
- So the system can build in a copay if we wanted to say, let's make a copay for people who make half a
- Let's make a copay for people who make significant money.
NM
New Mexico 2025 Regular Session
IC - Revenue Stabilization and Tax Policy Sep 30th, 2025
Revenue Stabilization & Tax Policy Committee
Transcript Highlights:
- So, back to those legislative adjustments on Slide 25, it was.
- Is there any large sums that we are anticipating for large adjustments?
- This is a model of payment in contrast to a copay.
- copay—that you're responsible for paying.
- However, if it were a copay, it is temporarily deductible, essentially until 2028.
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Sep 23rd, 2025
Transcript Highlights:
- It's the accumulation of all the output in the economy.
- The rate on the inflationary adjustment, right?
- The rate of growth adjusted by inflation...
- Adjusted by inflation and given that projection... Maybe 2020 on the inflationary route, right?
- Regardless of income, with no copay, and it's tied to a $21 an hour minimum wage.
AZ
Arizona 2026 Regular Session
03/18/2026 - Senate Regulatory Affairs and Government Efficiency
Regulatory Affairs and Government Efficiency
Transcript Highlights:
- Go right ahead, ma'am, and you can adjust... ...the table and a microphone so you're comfortable there
- State your name for the record after you adjust the table.
- So again, go ahead and adjust the table to the height you like.
- , you would not be able to participate in that... ...officer or on a board of adjustment, you would not
- Madam Chair and members, adjust the table for yourself there, go ahead.
Keywords:
AHCCCS, lactation care, breastfeeding, health services, healthcare access, HB2324, fire code, fire marshal, state fire marshal, municipalities, cities and towns, county-owned buildings, county buildings, intergovernmental agreement, IGA, fire inspection, occupancy certificate, building inventory, local government, county government
WA
Transcript Highlights:
- House Bill 2334 relates to adjusting the price of a cash transaction to eliminate the need for pennies
Keywords:
timberland, real estate, excise tax, governmental entities, property taxation, land bank, land banking authority, affordable housing, housing crisis, housing supply, public corporation, public housing authority, nonprofit housing, tax-foreclosed property, blight remediation, redevelopment, anti-displacement, equity, redlining, racial segregation
MN
Transcript Highlights:
- When you pass bills like this, you're doing more than just adjusting a tax policy; you're giving families
- a tax policy you're giving adjusting a tax policy you're giving families<00:16:02.880><c> like</c><00
- The threshold for other filers is unchanged at $31,950, and the amounts would be annually adjusted for
- for inflation with a statutory adjusted for inflation with a statutory year<00:23:49.559><c> of</c><
- wage adjustments and higher costs<00:45:33.800><c> of</c><00:45:34.079><c> all</c><00:45:34.240><c>
Keywords:
HF2254, Minnesota child credit, baby bonus, child tax credit, income tax, individual income tax, tax relief, newborn, birth credit, family tax credit, tax refund, advance payment, Department of Revenue, taxable year, parenting, families with children, child credit, state regulations, families, taxation
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Feb 16th, 2026 at 10:48 pm
House Appropriations & Finance
Transcript Highlights:
- Thank you, Representative And then I see that there was some change around the wording around copays.
- Will the billionaire pay a copay? Mr.
- So yes, billionaires again, if the factor was triggered, they would pay a copay. Thank you, Mr.
- Separately of this, so what's contemplated in this amendment: the copays, whatever money is raised from
- the copays, would likely.
Keywords:
SB132, DOIT, Department of Information Technology, software replacement, equipment replacement, technology funding, revolving fund, capital equipment, enterprise services, state IT budgeting, software budgeting, amortization, depreciation, State Treasurer, Department of Finance and Administration, New Mexico, information technology, IT infrastructure, fund accounting, legislative appropriation
MN
Minnesota 2025-2026 Regular Session
Committee on Commerce and Consumer Protection - 03/11/25
Commerce and Consumer Protection
Transcript Highlights:
- Um, and maybe it's not enough notice for them to be able to make the adjustments, or maybe if they got
- So low copay rebate or low formulary—pick your poison—to bring down the price of drugs.
- So low copay rebate or low formulary—pick your poison—to bring down the price of drugs.
- </c> Savings in the in the way of a low copay Savings in the in the way of a low copay so<00:53:38.000
- ><c> low</c><00:53:39.839><c> formulary</c> so low copay rebate or low formulary so low copay rebate
MN
Minnesota 2025-2026 Regular Session
Conference Committee on SF 3472: Extending health care premium reinsurance program - 03/28/33
Transcript Highlights:
- carriers who offer individual or small group health plans to include a pre-deductible flat dollar copay
- health plans to include a pre-deductible flat<00:21:34.640><c> dollar</c> flat dollar flat dollar copay
- amount prescription drug benefit copay amount prescription drug benefit and<00:21:38.080><c> at</c><
- It adjusts the dates, assuming that the reinsurance program will operate in plan year 2023.
- the dates assuming that the it adjusts the dates assuming that the free<00:23:12.720><c> insurance</
Summary:
The committee reviewed a side-by-side comparison and fiscal analysis of Senate File 3472, a reinsurance-related bill affecting the premium security plan account, MinnesotaCare, and related health care funding. Staff explained the Senate and House versions of the bill, including how the Senate proposal extends reinsurance for five years and uses a projected $1.087 billion general fund transfer to fully fund claims and administrative costs through fiscal year 2028, while the House version conditions continuation of the program on federal approval of the state innovation waiver. The fiscal presentation also covered appropriations for MNsure, a mental health parity and substance abuse office, and House provisions for delivery reform and a public option study, along with a House transfer of $110.674 million to the health care access fund.
Members debated the budget horizon and whether costs should be forecast beyond fiscal year 2025. Representative Schultz argued that the spreadsheet understated the broader fiscal impact of reinsurance and warned about future funding cliffs for MinnesotaCare and other health programs, while other members and staff noted that the state’s standard forecast ends in fiscal year 2025 and that the fiscal note only estimated reinsurance costs through the five-year extension. Supporters said reinsurance was the best available option to reduce premium increases, especially in rural areas, and some pointed to a public option as a longer-term alternative. Opponents argued reinsurance does not address underlying health care costs or deductibles and urged consideration of other reforms.
House Research then walked through the policy differences. House-only provisions would change Minnesota Comprehensive Health Association board membership, require platinum plans in certain markets, expand postnatal coverage, require a prescription drug benefit in some plans, set a minimum actuarial value for MinnesotaCare, create an Office of Mental Health Parity and Substance Abuse Accountability, and direct reports on delivery reform and a public option. The shared provisions would extend the premium security program to 2027 and delay the transfer of remaining premium security plan funds to the health care access fund until 2029, with the House language again contingent on federal waiver approval. No formal vote was taken in the excerpt; the chair closed discussion after hearing no further questions and indicated members would be contacted about next steps.
TX
Transcript Highlights:
- There was a copay... ...a plant that's being repurposed, looking at trying to utilize certain aspects
- And if you don't, and they accumulate and they're unclaimed, hand them over to the state of Texas.
- The problem here is, how do you adjust the rights of the oil and gas operator who has oil, gas, and other
- In my experience, NARO was always willing to sit and talk and figure out if there's a way to adjust the
- need $3 million just to re-label some of these critical infrastructure areas based on seasonal adjustments
Keywords:
surface estate, well plugging, Railroad Commission, landowner rights, liability, strategic reserve, gas supply, petroleum products, disaster response, Railroad Commission of Texas, energy security, emergency planning, oil and gas waste, environmental regulation, waste management, mining pits, groundwater monitoring, regulation, commercial disposal facilities, environmental standards
MN
Minnesota 2025-2026 Regular Session
Judiciary Committee Meeting - 2025-04-03
Judiciary Finance and Civil Law
Transcript Highlights:
- I'm sure they accumulate the different things over time, but there's just so much going on in that office
- The automatic cost of living adjustment (COLA) for maintenance and child support orders in Minnesota
- The cost of living adjustment is one way to make sure that orders are adjusted on a routine basis, but
- just for you, one example that we might see is that in, I think it was 2023, the cost of living adjustment
- Formula that makes the cost of living adjustment less relevant because it doesn't take into consideration
Bills:
HF2233, HF1524, HF1893, HF1396, HF2456, HF2959, HF2300, HF2412, HF3022, HF2825, HF1862, HF1373, HF1039, HF3070
Keywords:
Uniform Special Deposits Act, special deposit, banking law, financial institutions, escrow, escrow account, trust account, security deposit, beneficiary, depositor, creditor process, garnishment, attachment, levy, setoff, recoupment, financial market infrastructure, retirement benefits, compensation, earnest money
MN
Minnesota 2025-2026 Regular Session
House Judiciary Finance and Civil Law Committee 4/3/25 - Part 2
Judiciary Finance and Civil Law
Bills:
HF2233, HF1524, HF1893, HF1396, HF2456, HF2959, HF2300, HF2412, HF3022, HF2825, HF1862, HF1373, HF1039, HF3070
Keywords:
Uniform Special Deposits Act, special deposit, banking law, financial institutions, escrow, escrow account, trust account, security deposit, beneficiary, depositor, creditor process, garnishment, attachment, levy, setoff, recoupment, financial market infrastructure, retirement benefits, compensation, earnest money
MN
Minnesota 2025-2026 Regular Session
House Judiciary Finance and Civil Law Committee 4/3/25 - Part 1
Judiciary Finance and Civil Law
Transcript Highlights:
- sure they accumulate the different things<00:48:29.720><c> over</c><00:48:30.079><c> time</c><00:48:
- is one way to make sure that orders are adjusted on a routine basis, but it's not the best way to do
- For example, in 2023 the cost-of-living adjustment on child support orders was 14%, and I don't know
- is one way to make sure that orders are adjusted on a routine basis, but it's not the best way to do
- </c> operates and cost of living adjustment operates and cost of living adjustment is<00:51:28.359><c
Bills:
HF2233, HF1524, HF1893, HF1396, HF2456, HF2959, HF2300, HF2412, HF3022, HF2825, HF1862, HF1373, HF1039, HF3070
Keywords:
Uniform Special Deposits Act, special deposit, banking law, financial institutions, escrow, escrow account, trust account, security deposit, beneficiary, depositor, creditor process, garnishment, attachment, levy, setoff, recoupment, financial market infrastructure, retirement benefits, compensation, earnest money
WA
Transcript Highlights:
- Such adjustments include adequate investment for tribes and overburdened communities and revising allowable
- It would also... ...require OFM to adjust the threshold on an annual basis for inflation.
Keywords:
capital budget, funding, infrastructure, state projects, budget allocation, HB 2353, predesign thresholds, capital construction, major capital projects, Office of Financial Management, OFM, Washington state, state agencies, infrastructure planning, construction costs, inflation adjustment, capital facilities, project review, allotments, lease approval
TX
Texas 89th 2nd C.S.
89th Legislative Session - Second Called Session Aug 25th, 2025
Texas House Floor Meeting
Keywords:
property tax, school funding, enrollment changes, inflation adjustment, tax rate notice, judicial administration, court reform, juvenile diversion, court security, mental health services, drug offenses, constitutional amendments, property tax exemption, ad valorem tax, Texas Tax Code, nonprofit corporation, charitable organization, educational nonprofit, scientific nonprofit, agriculture support
Summary:
The House convened, received a message from the Senate, and the chair announced the signing of HB 4 in the presence of the House. The clerk then read a large number of first-reading measures and referred them to committees. Among the notable bills, SB 1 by Senator Perry on campground and youth camp safety was referred to the Committee on Disaster Preparedness and Flooding. Several House resolutions dealing with House rules, quorum, attendance, and penalties for members who missed sessions or broke quorum were referred to the Committee on House Administration, including HR 5, HR 17, HR 18, HR 34, HR 41, and HR 58.
The House also referred a broad slate of resolutions to the Committee on Local and Consent Calendars, including measures by Riddell, Craddick, Toth, Leo Wilson, Schofield, Gehan, Bella Montgomery, Hinojosa, Schoolcraft, Little, Meyer, Luhan, Orr, Johnson, Harris Davila, Lopez, Cameron, Gonzalez of El Paso, Wharton, Flores, Dyson, and Harless. These referrals covered many individual House resolutions and concurrent resolutions, but no debate or votes were recorded in the transcript.
At the end of the proceedings, the House recessed until noon pursuant to a previously adopted motion.
NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs (04/23/2025)
Transcript Highlights:
- And then there is that adjustment made.
- </c> vastly addressed by that one adjustment vastly addressed by that one adjustment to<00:42:04.000>
- That was the conversation that we've been having: include the copay charging extra copay for the patient
- copay charging extra copay include the copay charging extra copay uh<01:56:48.080><c> for</c><01:56:48.239
- </c> adjustments that may be necessary. adjustments that may be necessary.
Summary:
The committee first heard Senate Bill 47, sponsored by Senator Regina Birdsell at the request of the Insurance Department. The bill would clarify that a birth mother’s health insurance is the primary policy for a newborn’s care unless the mother has no coverage or no employer-sponsored coverage. Birdsell and Insurance Commissioner DJ Benton Court said the measure simply codifies the department’s long-standing interpretation of existing law. Representative Miles asked whether the coverage would extend to a grandchild if a young woman on her parents’ plan had a baby, and Birdsell said it would. The hearing on SB 47 was then closed.
The committee next heard Senate Bill 121, introduced by Grant Bosi for Senator Kevin Avard. The bill requires insurers to notify the Insurance Department when they stop writing an entire line of business or, in some cases, when they change Medicare Advantage offerings. Benton Court said the bill was prompted by disruption in the Medicare Advantage market, where consumers and the department were confused by carriers exiting, changing plans, or narrowing offerings. He said the department does not regulate Medicare Advantage itself, but does license the carriers, and the notice requirement would help the department advise consumers; he also said noncompliance could affect a carrier’s license and could lead to fines. Members discussed the notice period, and the department and AHIP indicated support for changing it from 120 days to 90 days to align with federal timing. The hearing was closed with plans to work on an amendment in subcommittee.
Finally, the committee heard Senate Bill 247, introduced by Representative Brian Cole, which would prohibit network exclusion for pharmacies that refuse to dispense prescriptions when PBM reimbursement is below acquisition cost. Cole said the bill is meant to stop pharmacies from being forced to sell at a loss. Members questioned whether pharmacies voluntarily enter PBM contracts, whether the bill would raise consumer prices, and whether it would mainly affect independent pharmacies. Cole and others said the issue has changed over time because PBMs now control a much larger share of the market, and that the bill would let pharmacies refuse loss-making fills and direct patients to mail order instead. The discussion also noted that the bill excludes Medicare and Medicaid and that the current proposal does not create a middle-ground option for patients to pay a premium at the counter.
AL
Alabama 2025 Regular Session
Alabama Senate Banking and Insurance Committee Mar 19th, 2025
Banking and Insurance
Transcript Highlights:
- You received your discount plus a moderate fee of $345, and the patient paid a $5 copay. ...$345, and
- the patient paid a $5 copay.
- the effective date until an agreed-upon time, which would allow our companies the opportunity to adjust
- their operations accordingly and... ...adjust their operations accordingly and that you remove the new