Video & Transcript : 'payment system' :
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WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Jan 14th, 2026 at 01:30 pm
Health Care & Wellness
Transcript Highlights:
- And what it taught us was that strong local systems are what carry us through crisis.
- While we've received cost-based payment under Medicare and Medicaid, our financial viability depends
- on receiving adequate payment from commercial insurers.
- This bill would ensure the payment that was agreed upon and on which we depend is honored through the
- One example for you is Premera had to initiate a payment policy that banned the provider practice of
Committee:
House Health Care & Wellness
Keywords:
animal welfare, cats, declawing, animal rights, pet care, healthcare, contract modifications, provider notifications, insurance carriers, health facilities, HB 2211, medically tailored meals, medical nutrition therapy, medical assistance, Medicaid, Health Care Authority, Department of Social and Health Services, nutrition support, chronic disease, dietary accommodations
CA
California 2025-2026 Regular Session
Joint Hearing Senate Labor, Public Employment and Retirement and Assembly Public Employment and Retirement Mar 4th, 2026
Transcript Highlights:
- We use that rate to discount future benefit payments.
- So then this way, it's smooth. ...way to the payment.
- Thanks to them, our systems are in a much healthier place now.
- Our systems are in a much healthier place now.
- When they retire, they should have the The system that makes California work.
Summary:
The Assembly Committee on Public Employment and Retirement and the Senate Committee on Labor, Public Employment, and Retirement held a joint hearing required by law to receive an independent report from the California Actuarial Advisory Panel on CalPERS. Chair McKinnor and Senator Smallwood-Cuevas opened by emphasizing CalPERS’ importance to retirement security for public employees and to the state budget. Scott Tarando, CalPERS Chief Actuary and a CAP member, presented on the statutory disclosure requirements in Government Code Section 2029, including the use of CalPERS’ 6.8% discount rate and the need to show how changes in investment return assumptions and amortization periods affect liabilities, contribution rates, and budgets.
Tarando explained that lower investment returns increase contribution rates and unfunded liabilities, while higher returns reduce them. He also described CalPERS’ 20-year amortization period for new unfunded liabilities, comparing it to a mortgage and noting that shorter periods raise near-term costs but reduce long-term interest costs. He said the CAP has recommended a 15- to 20-year range and that CalPERS’ current approach is intended to smooth volatility for a large, ongoing plan. Members asked about the meaning of average service lifetime, the timing of valuation data, whether more current data could be used, the effect of AI and workforce changes on assumptions, and whether contribution changes affect retiree benefits. Tarando said retiree benefits do not change with annual valuations, that CalPERS uses audited year-end data because it is the most reliable basis for rates, and that AI impacts are being monitored but are too early to quantify.
Committee members also discussed CalPERS’ funded status, with Tarando saying it had improved from the mid-60% range about 10 years ago to around 79% at fiscal year-end and over 80% more recently, reducing pressure on employers and the state budget. Michael Cohen, CalPERS’ investment operations chief, said CalPERS had complied with federal information requests and that its annual audits are publicly available, but no formal federal review had been released. In public comment, a representative of the California State Association of Counties praised the improved funded status and the role of PEPRA reforms. The chairs closed by reaffirming CalPERS’ fiduciary duty and the goal of protecting retirement security for public workers; no votes were taken.
OK
Oklahoma 2026 Regular Session
Appr/Sub-Health and Human Services Feb 4th, 2026
Transcript Highlights:
- The STARS system that AFS administers is actually one of our newer systems.
- It'll vary with these systems, but of that. It'll vary with these systems, but yes.
- That's for just the standard payment.
- That was how they manage the system.
- That was how they manage the system.
Summary:
The subcommittee heard budget presentations and questions from several health and human services agencies, with members repeatedly emphasizing that agency numbers had been posted since October and that questioning should stay focused and brief. The Office of Juvenile Affairs said its $5.45 million request would support 162 employees receiving a pay adjustment, and members asked about juvenile care conditions and staffing. The Department of Human Services discussed major changes to child care subsidy funding, including a reduced subsidy request, a $11.5 million child care teacher recruitment/retention request, and planned eligibility and reimbursement changes; it also reviewed SNAP administrative cost shifts under federal law, the state’s SNAP error rate, and the risk of large future state costs if the error rate is not reduced. DHS also addressed TANF reserves, the DDS waiver wait list, the Greer Center buildout, the Advantage waiver supplemental, and meal service options for waiver members. OCCY described a largely personnel-driven budget, requests for more oversight staff, and workload pressures in juvenile competency evaluations. The Office of Disability Concerns reported a flat budget and said it relies mainly on mediation and informal resolution rather than enforcement. OSU Medical Authority said its Tulsa expansion, VA skybridge, and c-section suites remain on schedule, that psychiatric residency funding is being phased in over several years, and that it is working to reduce contract labor and evaluate service lines. J.D. McCarty Center reported its new ABA outpatient clinic is on time and on budget and is nearing full capacity. OMMA said its lab is following required standards, its FTE count is below budgeted levels because hiring depends on lab accreditation and other unknowns, and dispensary numbers continue to decline as the market matures. Oklahoma Rehabilitation Services said it needs about $1.4 million to avoid a maintenance-of-effort penalty and discussed aging campus capital needs and staffing vacancies. The Oklahoma Health Care Authority then outlined a very large budget requirement driven by utilization growth and the shift to value-based care, saying FY26 is currently stable but FY27 would likely require additional appropriations if the request is not fully funded.
NV
Transcript Highlights:
- It just happens through that top-down system. Thank you.
- A lot of states offer payment plans... ...that do this.
- They get the full payment for a 12-month registration.
- Obviously, that's a... ...payment payments. And I appreciate that.
- , the sentencing management system, into NOTIS, which is our Nevada Offender Tracking Information System
Bills:
AB49 , AB169 , AB188 , AB284 , AB296 , AB306 , AB356 , AB366 , AB467 , AB499 , AB515 , AB540 , AB542 , AB595
Committee:
Senate Finance
MN
Minnesota 2025-2026 Regular Session
Committee on Housing and Homelessness Prevention - 04/01/25
Housing and Homelessness Prevention
Transcript Highlights:
- Section 9 amends the appropriation for the community-based first-generation home buyers down payment
- </c> Corporation to develop a down payment Corporation to develop a down payment assistance<00:18:51.840
- assistance program removing the payment assistance program removing the requirement<00:19:12.320><c>
- assistance are less buyer down payment assistance are less than<00:23:02.799><c> $1</c><00:23:02.960
- We hope this can system is crucial.
Committee:
Senate Housing and Homelessness Prevention
MN
Transcript Highlights:
- Number three, provide immediate relief measures that bring predictability to the payment system and reduce
- Number three, provide immediate relief measures that bring predictability to the payment system and reduce
- Number three, provide immediate relief measures that bring predictability to the payment system and reduce
- Number three, provide immediate relief measures that bring predictability to the payment system and reduce
- Number three, provide immediate relief measures that bring predictability to the payment system and reduce
Committee:
Senate Human Services
MN
Transcript Highlights:
- </c><00:04:17.920><c> on</c> interest, taxes and insurance payment on interest, taxes and insurance payment
- </c><00:04:46.120><c> and</c> Saving money for a down payment and Saving money for a down payment and
- It's been 25 years since we've had any systemic changes to our property tax system.
- changes to our property tax any systemic changes to our property tax system.<00:51:45.600><c> Uh</c>
- </c> reserves between receipt of payments. reserves between receipt of payments.
Committee:
House Taxes
Keywords:
HF2715, homestead credit refund, property tax refund, property tax relief, homeowner tax relief, homestead credit, co-pay reduction, Minnesota property taxes, tax rebate, state refund, income thresholds, inflation adjustment, property tax circuit breaker, housing affordability, elderly homeowners, fixed income, taxation, Minnesota Statutes 290A.04, renters credit, income tax
NM
New Mexico 2025 Regular Session
IC - Investments and Pensions Oversight Oct 8th, 2025
Investments & Pensions Oversight Committee
Transcript Highlights:
- Several retirement systems have an ad hoc COLA.
- systems.
- What that costs the retirement system.
- In 2020, 2021, and 2022, we made those 13 payments—those 13th check payments—with no additional COLA.
- These assumptions about our retirement systems do vary pretty significantly among retirement systems
MN
Minnesota 2025-2026 Regular Session
House Children and Families Finance and Policy Committee 2/25/26
Children and Families Finance and Policy
Transcript Highlights:
- </c> payment error rate.
- So the payment error payment error rate.
- </c> to the risk of the payment error rate. to the risk of the payment error rate.
- </c><00:30:26.399><c> When</c> navigate a complicated system. When navigate a complicated system.
- </c> and maintaining low payment error rates. and maintaining low payment error rates.
Keywords:
HF45, Lake Benton, capital investment, bonding bill, state bonds, bond proceeds fund, Public Facilities Authority, public infrastructure, sanitary sewer, water main, storm sewer, utility replacement, U.S. Highway 75, road reconstruction, municipal infrastructure, local government grant, Minnesota bonding, capital appropriation, food insecurity, prepared meals
CA
California 2025-2026 Regular Session
Assembly Privacy and Consumer Protection Committee Feb 17th, 2026
Transcript Highlights:
- With this new system, the registry seeks to shift from paper filings and paper checks to an online system
- systems.
- Improve payment systems.
- And so that's not a good system. Nobody wants that system.
- And that is because they have modern electronic systems.
Summary:
The Assembly held its first-ever outcome review hearing, focused on AB 488, Assemblymember Irwin’s 2021 law regulating charitable fundraising platforms and platform charities. Chair Bauer-Kahan and Irwin described the hearing as part of a new oversight process meant to evaluate whether enacted laws are working as intended and to identify implementation problems. Irwin reviewed the bill’s purpose: updating California’s charitable solicitation rules for online fundraising, requiring platform registration and reporting, setting disclosure and conduct rules, and creating protections for charities and donors.
The Attorney General’s office said the implementing regulations took effect in stages in 2024 and 2025 after extensive rulemaking, and argued the law was needed because online fundraising had outgrown older solicitation laws. The office highlighted enforcement concerns, including unregistered platforms, delayed remittances, and unauthorized fundraising pages, and said the new online filing system should improve processing and compliance. Nonprofit representatives and platforms generally supported the law’s transparency goals but said implementation has created major burdens, especially around “good standing” determinations, slow registry response times, and disruptions to fundraising when charities are flagged as delinquent. PayPal Giving Fund and GoFundMe both said they complied with the law but urged changes to better fit platform operations, reduce delays, and ease requirements for small or micro-donations.
Committee members pressed the witnesses on donor protection, due process, and whether California should shorten the time to resolve good-standing issues. Several members said the law has helped stop misleading or unauthorized fundraising practices, while also acknowledging unintended consequences for nonprofits. Irwin said she is preparing follow-up legislation to address implementation problems and balance the interests of charities, platforms, donors, and the Attorney General’s office. During public comment, Candid praised the review and the DOJ’s efforts to improve the process, and a PG&E representative described an unintended consequence in employee giving where donations were redirected because recipient charities were not in good standing.
MN
Minnesota 2025-2026 Regular Session
House state government committee hears Gov. Walz's anti-fraud package 3/20/25
Transcript Highlights:
- </c> and expanded authority to stop payments and expanded authority to stop payments and<00:04:04.959
- </c><00:04:08.319><c> from</c> agencies to withhold payments from agencies to withhold payments from
- This gives us an earlier intervention that we can use before payment. Withholds challenge it.
- This gives us an earlier intervention that we can use before payment.
- They are using that inability to share data to exploit the system.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 4/7/26
Human Services Finance and Policy
Transcript Highlights:
- </c> human services system. human services system.
- </c> to navigate the system. to navigate the system.
- </c> establish a comprehensive pre-payment establish a comprehensive pre-payment pre-payment<00:34:46.520
- </c><00:35:00.120><c> review,</c><00:35:00.560><c> post-payment</c> inform pre-payment review, post-payment
- . system. system.
Committee:
House Human Services Finance and Policy
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Jan 27th, 2026
Transcript Highlights:
- reports on system performance and quality measures.
- our trauma system.
- Emergency cardiac and stroke systems of care...
- This puts vulnerable communities at risk and undermines our health care system.
- Where does the stipend and the payment for the drug testing and the program costs?
Summary:
The House Health Care & Wellness Committee held public hearings on several bills. House Bill 2232 would create a Department of Health-operated time-sensitive emergency data repository covering trauma, cardiac, and stroke events, with quality improvement reporting and support for rural facilities; it drew strong support from emergency physicians, nurses, and the Department of Health, while the Washington State Hospital Association said hospitals support the goal but lack the resources to absorb the added requirements. House Bill 1812, as a proposed substitute, would bar insurers and public plans from imposing anesthesia time limits or related reimbursement caps; the sponsor and anesthesia providers said it protects patient safety and fair payment, and the Washington State Society of Anesthesiologists asked for a clarifying amendment on physical status modifiers. House Bill 2250 would limit hospital charity care to Washington residents, while preserving emergency care access; supporters from rural hospitals and the Washington State Hospital Association said the change would help border hospitals facing rising nonresident charity care, and opponents from legal aid, patient advocacy, and LGBTQ groups warned it would create barriers, chill access for immigrants and other vulnerable patients, and conflict with Washington’s safety-net values.
The committee also heard House Bill 2340, which would extend existing substance-use monitoring program protections and stipend eligibility to nursing assistants under the Board of Nursing’s CARES program. The sponsor described it as a simple equity measure, and the Board of Nursing supported it, saying it would improve access and reduce stigma; members asked where the stipend funding comes from, and staff and the board said it is currently general-fund supported at about $25,000 annually. House Bill 2577 would change hospital inspection law by requiring acute care hospital inspections every 18 months rather than on average, allowing some accredited inspections to satisfy the requirement every 36 months, and clarifying fire-protection reinspection standards; the sponsor and Department of Health said it responds to a JLARC audit and provides needed clarity, while DOH said it is still working to catch up from inspection delays caused by the public health emergency. The meeting ended after public testimony on the bills was closed and the committee adjourned.
LA
Transcript Highlights:
- The changes include an $83,604 increase in other charges for an automated clearing house payment system
- In fiscal year 25, they also refinanced... $67 million in debt service payments.
- Across every public school and charter school system in the state.
- So improvements in the payment process are really appreciated.
- The new minimum receive payment for that.
Committee:
House Appropriations
CA
California 2025-2026 Regular Session
Assembly Health Committee Aug 4th, 2026
Transcript Highlights:
- So it also gets people access into the system more quickly.
- So it also gets people access into the system more quickly.
- The importance of having systems invest...
- Telehealth is essential to a modern, patient-centered health care system.
- Telehealth is essential to a modern, patient-centered health care system.
Summary:
The committee held an outcomes review hearing on AB 744 and AB 32, two telehealth bills authored by Majority Leader Aguiar-Curry. Members and witnesses discussed how AB 744 established payment parity for telehealth in the commercial market and how AB 32 expanded Medi-Cal access to audio-only telehealth in appropriate circumstances, especially for patients facing broadband, transportation, language, and other access barriers. The hearing framed telehealth as a permanent part of California’s health care system rather than a temporary pandemic measure, while noting that disparities and implementation gaps remain.
First-panel testimony from the California Health Care Foundation and the Center for Connected Health Policy reviewed telehealth trends, evidence of patient satisfaction, and the effectiveness of telehealth for behavioral health, chronic care, and e-consults. Witnesses said audio-only care remains important for patients without reliable internet, but Medi-Cal still has gaps in asynchronous care, FQHC/RHC billing, and remote-only provider participation. Committee members asked about reimbursement, data collection, clinical safeguards, broadband access, language access, and whether telehealth is being used to speed up appointments or reduce disparities.
A second panel of providers and advocates described how telehealth has changed practice. A family physician said parity allowed his health system to invest in staffing and scheduling, and that virtual visits help seniors, working patients, and those with mobility or transportation barriers, while still allowing escalation to in-person care or emergency services when needed. Planned Parenthood said telehealth is essential for sensitive sexual and reproductive health services and urged broader Medi-Cal coverage for asynchronous care. A behavioral health clinician from Shasta County said telehealth has been critical for rural patients, though broadband and affordability remain barriers. Public comment from hospital, telemedicine, and consumer groups generally supported telehealth expansion while urging fixes to remaining Medi-Cal gaps and continued access to in-person care.
MN
Transcript Highlights:
- It's not just public lands; there's a lot of lakeshore land, and the payment in lieu of tax payments
- The bill also requires payments to townships of 10% for the payment received for other lakeshore land
- </c><00:37:05.760><c> are</c><00:37:06.079><c> the</c> payment in lie of tax payments are the payment
- :58.800><c> to</c> comparing these PILT payments to comparing these PILT payments to potential<00:47:
- </c> so my question is how do PILt payments so my question is how do PILt payments maybe<00:49:56.079
Committee:
Senate Taxes
VT
Vermont 2025-2026 Regular Session
Senate Session - 2026-04-30 - 11:00AM
Vermont Senate Floor Meeting
Transcript Highlights:
- ,</c><00:23:16.040><c> we</c><00:23:16.200><c> are</c> property tax system, we are property tax system
- </c> buyers come up with a down payment. buyers come up with a down payment.
- And we wanted to get a payment in lieu And we wanted to get a payment in lieu of taxes.
- I think around the pilot payments.
- And that split was the pilot payment. payment. payment.
NH
New Hampshire 2026 Regular Session
House Labor, Industrial and Rehabilitative Services (01/29/2026)
Labor, Industrial and Rehabilitative Services
Transcript Highlights:
- </c> be a 30% increase in benefit payments. be a 30% increase in benefit payments.
- </c> >> But otherwise it's a great system. >> But otherwise it's a great system.
- </c><01:12:55.440><c> itself</c> the system itself the system itself >> like<01:12:56.880><c> I
- and the likelihood of the system and the likelihood of improper<01:16:12.640><c> payments</c><01:16:
- And we'd be sending you the payment, and you'd keep that payment.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Nov 7th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- This will have profound impacts on our natural systems, such as snowpack and rivers, and our human systems
- Systems that heat up sand.
- systems right here in New Mexico.
- , or denial of payments to clinicians.
- Delayed payments to the physicians.
KY
Kentucky 2025 Regular Session
House Standing Committee BR Sub. on Justice, Public Safety, & Judiciary (2-11-25)
Transcript Highlights:
- Some of those jails may just not be reporting or requesting the payments for it.
- <00:04:59.240><c> for</c><00:04:59.440><c> it</c> payments for it payments for it attendance<00:05:01.240
- The witness explained that each facility has an inmate account within the offender management system,
- and it manages and management system and it manages and keeps<00:14:06.120><c> up</c><00:14:06.399><
- is programmed to deduct that system is programmed to deduct that before<00:14:38.920><c> the</c><00:
Summary:
The Budget Review Subcommittee on Justice, Public Safety, and Judiciary heard an update from the Department of Corrections on Kentucky Correctional Industries (KCI), sentence-credit payments for program completion, and the expansion of the Little Sandy Correctional Complex. Department officials said KCI, the department’s long-running re-entry program, operates 15 industries in 11 institutions, employs more than 400 inmates and 37 staff, and had $5.8 million in expenditures against $6.8 million in revenues through January 31. Members asked about inmate pay, the role of the Prison Industries Enhancement Certification (PIE) program, and whether KCI generates profit; the department said it aims to break even while supporting state government, with PIE participants earning prevailing wages and some programs offering certificates tied to post-release employment opportunities.
The subcommittee also reviewed the budget-authorized sentence-credit program for county jails. Officials reported 37,300 program completions in fiscal year 2024 and, through January, $6.128 million paid for 90-day sentence credits and $1.6548 million for 60-day credits, with total county jail expenditures of $8.1 million and 67 jails participating. They said additional participation would require more funding and that they do not expect many more jails to join, though attendance and population levels can affect costs. Members asked how jails opt in, whether there are added costs, how inmate earnings are handled, and whether deductions are made for child support or victim compensation; the department said jails apply through an approved program matrix, inmate earnings are tracked in individual accounts, and required deductions are made when ordered.
Questions from members focused on re-entry outcomes and program structure. Officials said evidence-based programming and employment opportunities are major contributors to lowering recidivism, and they cited a recent recidivism rate of 30.8 percent, down about 1 percentage point, while noting they would provide additional trend and savings data later. The department also clarified that adult education and GED programming are separate from KCI and are handled by a different education division. For the Little Sandy expansion, officials said the project remains on schedule for completion on June 25, 2025, with inmate transfers expected to begin at about 50 per week and roughly 200 additional staff eventually needed; they said hiring is being phased in as inmate population increases. The committee asked for the total construction cost of the expansion, which the witnesses said they did not have at the meeting and would report back. The meeting adjourned with the next meeting set for February 18.