Video & Transcript Research : 'underpayment'

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NH

New Hampshire 2025 Regular Session

House Ways and Means (04/29/2025)

Transcript Highlights:
  • Health System, about the scope of uncompensated care that the system provides and the scope of underpayments
  • and the scope that the system provides and the scope of<02:26:49.840> um<02:26:50.240> underpayments
  • <02:26:50.960> from<02:26:51.200> Medicaid<02:26:51.920> that of um underpayments
  • from Medicaid that of um underpayments from Medicaid that that<02:26:53.439> you're<02:26:53.760
Keywords: 928, house, all
Summary: The Ways and Means Committee held a public hearing on Senate Bill 291, which would update religious land-use and property tax exemption rules for church-owned parsonages, parish houses, and similar properties. Senator Tim Lang, speaking for the sponsor, said the bill was intended to address situations where former parsonages are no longer occupied by clergy and are instead used for church-related purposes such as housing staff, religious education, or congregate living tied to ministry, including addiction recovery. He emphasized that the bill was not meant to create commercial rental housing and that it also preserves reasonable zoning and environmental regulations. Committee members pressed the sponsor on how the bill would be applied, especially the meaning of “religious purposes,” the six-unit limit, the “same lot” language, and whether churches could use the exemption to rent units for revenue. The sponsor said the six-unit cap was added to prevent large-scale commercial rental use, that congregate housing would be limited and defined, and that the bill was meant to cover uses like substance abuse recovery, homes for unwed mothers, and religious education, but not apartments converted for ordinary rental. He also said churches would still file annual exemption paperwork and towns could challenge claims they believed were commercial. Questions also raised concerns about whether the bill treated religious and nonreligious housing trusts differently; the sponsor responded that the bill was aimed at church-owned property used in pursuit of a religious mission. Several witnesses testified in support. Representative Mark Pearson, an active clergyman, said the bill would not remove additional property from the tax rolls because clergy housing allowances typically lead clergy to buy taxable homes elsewhere, while the church-owned parsonage remains exempt. Nick Taylor of Housing Action New Hampshire supported the bill as a modest expansion that could help create more attainable housing by allowing better use of existing religious land and structures, though he noted his organization would support even broader use. The hearing ended without a vote or final action, and the chair closed questions after the testimony.
OK

Oklahoma 2026 Regular Session

Appropriations and Budget Jan 28th, 2026 at 01:30 pm

Appropriations and Budget

Transcript Highlights:
  • And just to clarify, error rates are overpayment or underpayment, correct? So, that's in error.
Keywords: 914, all
OK
Transcript Highlights:
  • They might owe us $4 million in underpayment, and now it's $30 million in interest.
Keywords: 914, all
WA

Washington 2025-2026 Regular Session

House Finance Dec 4th, 2025

Transcript Highlights:
  • That includes the substantial underpayment penalty, the unregistered penalty, and up to 29% in the late
Summary: The House Finance Committee held a work session that began with welcoming new member Rep. Janice Zahn, who introduced herself as representing the 41st Legislative District. The Department of Revenue then gave an update on the Antio-related legislation following the Washington Supreme Court decision and the 2025 session changes. DOR explained its voluntary disclosure program and the new expanded voluntary disclosure agreement for taxpayers with unreported investment income, including broader eligibility and interest/penalty relief, but said utilization has been minimal so far because additional implementation questions remain unresolved. The committee next received the annual update on the Working Families Tax Credit. DOR reported record participation in 2025, with about $205 million refunded through October and a major increase in applications after TurboTax added the credit to its filing software. Officials said most dollars went to households with children, outreach efforts remained important, and community partners and state agencies helped increase uptake. Members focused heavily on fraud concerns, especially tax preparers allegedly filing claims without applicants’ knowledge or diverting refunds; DOR said it is using fraud detection tools, training preparers, and trying to make applicants whole, but current law does not provide direct penalties against preparers. The final portion covered implementation of engrossed substitute Senate Bill 5814, which expanded sales tax to certain services. DOR described the new tax framework, its guidance process, and the large volume of ruling requests and outreach since the law took effect October 1. Committee members asked about fiscal assumptions, the scope of taxable services, and whether the department had revised its implementation estimates; DOR said the fiscal note assumed broad application absent explicit exemptions and that no expenditure revision had been made. In stakeholder testimony, Expedia and T-Mobile argued the law creates complexity and competitive disadvantages for Washington businesses, while a construction training provider said the tax raises tuition for workers seeking required certifications. School and nonprofit representatives said the tax will increase costs for special education services, arts programming, and other public-facing activities, and urged exemptions or further legislative fixes. The chair closed by noting the committee would revisit 5814 in the next session and then adjourned the meeting.
FL

Florida 2025 Regular Session

February 4, 2025 - 03:00 PM

Transcript Highlights:
  • We have an anomaly detector for duplicate payments, triple payments, overpayments, underpayments that
Summary: The Economic Development Budget Subcommittee received a lengthy presentation from Kevin Guthrie, Executive Director of the Florida Division of Emergency Management, on disaster costs, recovery operations, sheltering, and major capital projects. He reviewed the 2024 hurricane season impacts from Debby, Helene, and Milton, explaining how FEMA public assistance and state reimbursement work, how cost shares can shift from 75/25 to 90/10 after a federal threshold is reached, and how Florida uses prior storm data and inflation to estimate recovery costs. He also described the state’s faster reimbursement timelines, crediting legislative investments in technology and digital field documentation, and said the division is working to reduce disaster closeout timelines from decades to about seven years. Members asked about debris removal, FEMA de-obligations, local preparedness, and whether regional shelters or co-located emergency operations centers could be used more efficiently. Guthrie said debris assistance is complicated and should generally remain tied to local contracts and planning, though the state will help fiscally constrained communities when needed. He explained de-obligations as FEMA clawing back previously approved funds after later review, and said Florida’s FROC program is helping local governments reduce those risks through standardized documentation, procurement review, and training. He also urged more mandatory emergency-management training for local and state officials and cautioned against weakening the FEMA 50% rule for rebuilding damaged structures. Guthrie provided updates on the new central Florida warehouse in Auburndale and the new State Emergency Operations Center in Tallahassee. He said the warehouse will improve logistics, include cold and ultra-cold storage, and be run by a private vendor with virtual inventory tracking, while the new EOC is designed for Category 5 conditions and expanded partner capacity. He acknowledged budget pressures that reduced the size of the EOC project and said an additional IT request was needed because those costs were not originally included. The meeting ended with praise for FDEM’s work and no votes or formal actions beyond adjournment.
MN

Minnesota 2025 1st Special Session

Committee on Health and Human Services - 03/18/25

Health and Human Services

Transcript Highlights:
  • Medicare and Medicaid underpayments drive more than $180 million in losses on an annual basis.
  • Medicare and Medicaid underpayments drive more than $180 million in losses on an annual basis.
  • Medicare and Medicaid underpayments drive more than $180 million in losses on an annual basis.
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

House Floor Session: 2025 First Special Session - part 1 Jun 9th, 2025

Minnesota House Floor Meeting

Transcript Highlights:
  • Right now, they have 1.6 billion dollars of Medicaid underpayment, which we have to address with the
  • There is $1.4 billion of Medicaid underpayment, and the other side of the aisle added, which we were
NM
Transcript Highlights:
  • Representative Terrazas, it's about 14%, I think was the most recent, and that Was based on over- and underpayment
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Oct 16th, 2025

Transcript Highlights:
  • So an underpayment is an error and an overpayment is an error.
Summary: The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly. Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility. The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.
TX
Transcript Highlights:
  • It's our job to look for overpayments and underpayments...” “...in the mistakes and billing process.
  • Now, all of that recovery piece, as far as the overpayment, underpayment, we have two years to go after
  • It could be an overpayment or an underpayment of benefits.
Keywords: 1185, senate, all
AZ
Transcript Highlights:
  • That underpayment can be anywhere from 10% to 30%, 40% for certain law enforcement agencies.
Keywords: 1182, all
Summary: The committee heard several public safety measures. HCR 2059, a resolution reaffirming support for county sheriffs and recognizing their constitutional authority, drew debate over language describing sheriffs’ authority as “supreme” or “supreme constitutional.” Supporters said it was a tribute to sheriffs’ work, especially in rural areas, while opponents objected to the phrasing as tied to fringe legal theories. The resolution passed with a do-pass recommendation, 8-3. HB 2811 was presented as closing a gap in Arizona law by making interference with a lawful arrest involving violence or threats of violence a felony under obstructing governmental operations. Supporters said it would clarify the law and align it more closely with federal standards; opponents argued the conduct was already covered by existing resisting-arrest and hindering statutes and that the bill was duplicative and confusing. The bill received a do-pass recommendation, 8-4. HB 4129 would create a Department of Public Safety mental health and wellness program for law enforcement officers and appropriate $15 million for confidential counseling, peer support, family counseling, telehealth, and related services, with some funding reserved for smaller agencies. The sponsor and supporters emphasized officer trauma and suicide prevention, while opponents said similar services already exist and raised cost concerns. Before a final vote, the sponsor requested the bill be held for further work, and the committee agreed. The committee also advanced HB 2270, which expands protections for county seals, logos, insignia, and related identifiers and gives sheriffs exclusive authority over naming and dissolving posses. Sheriffs and county officials said the bill was needed after disputes over posse names and branding; critics warned the language was too broad and could raise First Amendment and due process concerns. The bill passed 12-1. HB 2416, appropriating $20 million for local border support and law enforcement costs related to drug trafficking, smuggling, prosecution, detention, and equipment, also passed after testimony both for and against the funding, 7-5. HB 4018, a strike-everything amendment clarifying sheriffs’ authority over volunteer posses and reserves, passed 10-0 after testimony from sheriffs’ office staff and a member of the public who opposed expanded use of armed volunteers. HB 2253, barring retaliation against employees who testify in law-enforcement disciplinary appeal proceedings, passed unanimously after an amendment removed language voiding restrictive policies. The committee then began hearing HB 4044, which would create a Public Safety Parity Fund using investment earnings from the state rainy day fund to pay DPS and corrections salaries, with the sponsor saying he intended to remove the forfeiture component before floor consideration.
OK
Transcript Highlights:
  • rate dollars are going to be overpayments, but the state is also penalized on our error rate for underpayments
Keywords: 914, all
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Aug 18th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • In New Mexico, this is the big driver; our errors are mostly due to overpayments, with very few underpayments
NM

New Mexico 2025 Regular Session

IC - Federal Funding Stabilization Subcommittee Jul 1st, 2025

Federal Funding Stabilization Subcommittee

Transcript Highlights:
  • Our underpayment rate is less than 1%.
TX

Texas 89th Regular

Public Education Mar 4th, 2025

Public Education

WA
Transcript Highlights:
  • a short period of time is something called the payment error rate, which is the overpayment or underpayment
Summary: The House Agriculture and Natural Resources Committee held a work session on food systems and food security, with no public testimony. The first panel focused on household food security and data. Marie Spiker of the University of Washington explained what food insecurity means, its health impacts, and the importance of reliable measurement, warning that the federal Census food security data is being terminated and that there is no true replacement. She described Washington’s WaFOOD surveys as a useful complement, not a substitute, and noted that they show food insecurity affects households at a range of income levels. Katie Raines of WSDA described the state’s food systems work, the need for shared data and dashboards, and the role of agriculture in both food production and the hunger safety net. Committee members asked about the $2.2 million state food assistance allocation, the scale of the SNAP gap, and how household size, housing costs, and other factors intersect with food insecurity. The committee then heard from Tracy Roof of the University of Richmond on the history of SNAP and its relationship to agriculture. She traced the program from Depression-era commodity distribution through the modern farm bill, emphasizing that food assistance has long functioned both as anti-hunger policy and as an agricultural and economic stabilizer. She highlighted how SNAP expands during recessions, supports retailers and farmers, and has become more important since the Great Recession because participation stayed high even as the economy recovered. Roof also noted that Washington has relatively high SNAP participation and low payment error rates, but that recent federal changes could reduce eligibility and shift more costs to states. Members asked how Washington compares to other states and why the program is structured as it is. A later panel featured the Washington State Food Policy Forum and a joint systems presentation from the Washington Farm Bureau, Washington Retail Association, and Washington Food Industry Association. The Food Policy Forum described its consensus-based recommendations on food insecurity, climate and water, regional food infrastructure, farmland protection, and farm viability, including more support for producer purchasing, water planning, and farmland conservation. The industry groups presented a systems map showing how agriculture, processing, retail, and transportation are interconnected, and argued that rising costs, regulations, labor and fuel expenses, retail theft, and thin margins make it harder to keep farms and stores viable. They said food security depends on store viability and local agricultural profitability, and promised to provide a more detailed list of policy recommendations. The final panel included state agency staff from DSHS, DOH, and WSDA. Bryce Montgomery said the Basic Food program serves about 920,000 Washingtonians monthly and warned that H.R. 1 could require Washington to pay up to 15% of SNAP benefits, broaden work requirements, and restrict immigrant eligibility. Karen Mullen described DOH nutrition programs, including WIC, farmers market nutrition benefits, fruit and vegetable incentives, and a fruit-and-vegetable prescription program, while noting funding instability and the end of SNAP-Ed. WSDA’s Katie Raines began describing ongoing food assistance and farmer support challenges, including farmer mental health and the need to address food insecurity across both producers and consumers.
NH

New Hampshire 2026 Regular Session

House Health, Human Services and Elderly Affairs (02/25/2026)

Health, Human Services and Elderly Affairs

Transcript Highlights:
  • So, um, error rates, by the way, consist of both overpayments and underpayments.
  • error rates by the way consist of both overpayments<04:05:26.160> and<04:05:26.479> underpayments
  • <04:05:27.279> So<04:05:27.439> if overpayments and underpayments.
  • So if overpayments and underpayments.
Keywords: 1189, house, all
TX

Texas 89th 2nd C.S.

Health Care Affordability, Select Apr 30th, 2026

Health Care Affordability, Select

Transcript Highlights:
  • So it considers underpayments, if there are underpayments by Medicare and Medicaid.
Keywords: 1184, house, all
MS

Mississippi 2026 Regular Session

Public Health and Welfare - Room 216, 3 March, 2026; 3:00 PM

Public Health and Welfare

Transcript Highlights:
  • By the way, there's no more underpayment through spread pricing or below-cost reimbursement or retroactive
  • There's no more underpayment through spread pricing or below-cost reimbursement.
Summary: The committee first took up House Bill 1622, a strike-all amendment to create a pilot program for certain small-community hospitals to receive limited certificate-of-need exemptions. The bill would allow qualifying hospitals to open a geriatric psychiatric unit without a CON, permit each hospital one additional CON exemption for a service otherwise requiring one, cap dialysis-unit exemptions at eight hospitals, continue existing moratoriums with periodic Department of Health review, allow facilities in Issaquena or Humphreys Counties under limited conditions, and add a loser-pays rule for unsuccessful CON court challenges. Technical corrections were made, the strike-all amendment was adopted, and the bill was reported do pass as amended by voice vote. The committee then moved to House Bill 942, where Senator McMahan offered an amendment to allow a Lee County chiropractor to advertise as a neurologic chiropractor and list related credentials. Members questioned whether chiropractic neurology is recognized in Mississippi and raised concerns about the practitioner’s prior discipline by the board, but the chair ruled the amendment germane. The amendment failed on voice vote, and the bill itself then passed and was reported to the floor. The committee next considered House Bill 1034, but no amendment was offered. It then took House Bill 479 off the table. That bill extends the temporary licensing period for psychology and marriage-and-family-therapy boards from 30 to 60 days to allow more time for criminal background checks. Senator Blackwell offered a clarifying amendment to make clear that temporary licenses must be revoked if required background checks or other licensure requirements are insufficient, and that the temporary license does not replace the underlying education, training, and examination requirements. The amendment was adopted and the bill was reported do pass as amended. Finally, the committee heard House Bill 1067, the Rural Health Transformation Program. Senator Hickman explained that the bill would require procurement procedures and reporting for the state’s rural health transformation funds, prioritize projects tied to the original application, and direct funds toward rural and underserved areas such as health professional shortage areas, low-income counties, and places without hospitals. Senators questioned whether the added state rules would layer on top of existing federal requirements and whether the bill could slow distribution or invite litigation, but supporters said it was meant to add transparency and guardrails rather than change the federal program. The bill was discussed at length, but the transcript ends before a final vote on HB 1067.