Video & Transcript : 'payment reimbursement' :
Page 67 of 500
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Apr 27th, 2026
Oklahoma Senate Floor Meeting
Transcript Highlights:
- I'm looking at 15 through 19, and it says that they shall be required to reimburse, but it doesn't say
- Just for clarity, it speaks of the employees shall be required to reimburse the payer entity for the
- Payments are made at service milestones to promote long-term commitments.
- After five years, if they continue to stay, that's the milestone payment.
- After five years, if they continue to stay, that's the milestone payment.
Bills:
SJR50 , SJR51 , SJR52 , SJR53 , SJR54 , SJR39 , SB1290 , HB4028 , HB4029 , HB4073 , HB4074 , HB4075 , HB4076 , HB4077 , HB4078 , HB1250 , HB2951 , HB2961 , HB3151 , HB3581 , HB3705 , HB3970 , HB3972 , HB3980 , HB3981
Keywords:
Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, healthcare regulations, Oklahoma Health Care Authority, permanent rules, joint resolution, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs
Summary:
The Senate convened with a quorum, prayer, pledges, and several floor recognitions, including the Doctor of the Day, Psychologist of the Day, and Nurse of the Day. Members also honored the OSBI Cold Case Team for its work on unsolved cases, recognized the 75th anniversary of the American College of Obstetricians and Gynecologists, and welcomed guests for the Prague-Kolache Festival. The chamber then moved into floor action on multiple measures and conference motions.
The most significant item was Senate Joint Resolution 39, a property tax constitutional amendment. After extensive debate over the impact on homeowners, seniors, farmers, schools, local governments, and future revenue, the Senate adopted House amendments by a 27-19 roll call and then passed the resolution 40-8. However, the motion to order a special election failed 26-20, so the measure did not advance to a special election call. Senators also rejected House amendments to Senate Bill 2 and Senate Bill 215 and requested conference on both.
The Senate passed Senate Bill 1290 unanimously as an emergency measure, and advanced or passed several House bills dealing with ARPA and funding reallocations: HB 4028, HB 4029, HB 4073, HB 4074, HB 4075, HB 4076, HB 4077, and HB 4078. Other approved measures included HB 1250 creating a Public Safety Technology Revolving Fund for local law enforcement grants, HB 2951 renaming Red Rock Prison as the Chief James Smith Correctional Center, HB 2961 creating a Gold Star Survivor tuition benefit, HB 3151 extending the school year to 173 days, and HB 3581 increasing penalties for riot-related offenses. The Senate also took up HB 3705, which would raise the Parental Choice tax credit cap from $250 million to $275 million, but the transcript cuts off during questioning on that bill.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 03/11/25
Health and Human Services
Transcript Highlights:
- They instead are reimbursed Medicaid.
- </c><00:04:04.480><c> rates</c> for more accurate reimbursement rates for more accurate reimbursement
- Even though the payment to the provider.
- No for-profit insurer is receiving reinsurance payments.
- No for-profit insurer is receiving reinsurance payments.
Committee:
Senate Health and Human Services
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Feb 3rd, 2026
Transcript Highlights:
- practitioners would be recognized as Indian health care providers, and their services should be reimbursed
- If we're going to recognize traditional health as part of a reimbursement by the federal government,
- Washington tribes and urban Indian health organizations have been asking for this reimbursement for years
- But how payment for these services is structured.
- One example is reimbursement.
Summary:
The House Health Care and Wellness Committee held public hearings on four bills and then took executive action on three measures. HB 2555 would require the Health Care Authority to apply for a Medicaid waiver to cover traditional health care practices provided through Indian Health Service, tribal, and urban Indian facilities. Supporters, including the prime sponsor, tribal health leaders, and the Health Care Authority, said the bill would recognize traditional medicine, expand access, and leverage federal funding, though HCA noted the July 1, 2026 waiver deadline and urban Indian reimbursement questions may be difficult to resolve. HB 2685 would codify tribal data sovereignty principles for state agencies, require reporting of notifiable conditions to tribal health jurisdictions, and exempt certain tribal data from public disclosure. Tribal representatives supported the bill as necessary for access, governance, and better public health planning, while the Washington Coalition for Open Government and HCA raised concerns about the breadth of the PRA exemption, undefined ownership interests, and implementation details.
HB 2658 would require health carriers to submit standardized public data on behavioral health and other coverage and access metrics, with the Insurance Commissioner posting the information on a public dashboard. Supporters said the bill would improve transparency about mental health parity and help families, employers, and policymakers compare plans; opponents argued it duplicates or complicates recent parity reforms and could be misinterpreted. HB 2683 would shorten carrier credentialing timelines from 90 days to 30 days and require carriers to post billing and coverage information online. Supporters said it would reduce delays for providers and patients, while opponents warned the shorter timeline could be hard to meet and that posting information without login protections could raise privacy concerns.
In executive session, the committee adopted two amendments to HB 2168, which concerns overdose mapping data, then reported the substitute bill out with a due pass recommendation by a vote of 16-1. It rejected an amendment to HB 2196 that would have extended PANDAS/PANS coverage to public and school employee plans, then advanced the substitute bill with a due pass recommendation by a vote of 15-2. Finally, the committee passed HB 2545, which would allow ambulatory surgical facilities to perform elective percutaneous coronary interventions, by a vote of 13-4, after members discussed safety, access, and cost savings.
CA
Transcript Highlights:
- We are taking steps to expedite the timeline for making what are called state-directed payments.
- So what you said about expediting payments really makes a fundamental difference.
- And so what you said about expediting payments really makes a fundamental difference.
- How do we fix the reimbursement rate for Medi-Cal providers so that they continue to take care of the
- rates in state-directed payments to not exceed Medicare.
Committee:
Senate Rules
ND
North Dakota 2026 1st Special Session
Tribal and State Relations Committee May 13th, 2026
Tribal and State Relations Committee
Transcript Highlights:
- Now, in general, for federal lands, the United States is doing payments in lieu of taxes.
- Other services the individual might need do not have a payment source.
- We've increased payments for residential services by over 1,700% and payments for outpatient services
- We've increased payments for residential services by over 1,700% and payments for outpatient services
- So awards will be issued on a reimbursement basis.
Committee:
Joint Tribal and State Relations Committee
Summary:
The committee met at Spirit Lake Tribe and heard an extended discussion with Spirit Lake tribal leaders and program directors about government-to-government relations with the state. Chairwoman Street and others outlined a number of concerns and requests, including taxation of tribal and trust lands, state school support for non-beneficiary students, homelessness services, Indian-managed health care, gaming/e-tabs, the Feather Alert system, industrial farming near waterways, tourism and cultural issues, and the need for more consistent tribal consultation. Committee members responded that many of these issues had previously been passed along without direct action, and several members emphasized the committee’s role in education, communication, and preparing possible legislation or resolutions for the next session. Tribal representatives also offered to provide training on treaties, IHS 638, and compact services to help legislators better understand tribal jurisdiction and billing issues.
A major portion of the meeting focused on Spirit Lake Fish and Wildlife concerns, especially jurisdictional “gray areas” around hunting and fishing on the reservation, recognition of tribal licenses, and the boundary of the reservation around Spirit Lake/Devils Lake. Tribal officials said they wanted a co-stewardship agreement or MOU with the state to clarify jurisdiction, improve cooperation, and address invasive species and aquatic nuisance species. Committee members discussed whether to draft legislation or a resolution directing the executive branch and state agencies to negotiate such an agreement, and they asked for further input from the North Dakota Game and Fish Department at a future meeting. The committee also discussed county involvement in land status changes and trust land issues, with Spirit Lake leaders describing a past Benson County resolution that tried to block fee-to-trust transfers and saying it was later rescinded.
The committee then heard from Benson County tax equalization director Randy Thompson, who explained how the county values land and handles tax-exempt, inundated, and fee-to-trust parcels. Members asked about the impact of tax-exempt lands on county services and discussed prior legislation that helped counties with large tax-exempt bases. The committee also received a presentation from Dr. Steven Smith of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, including support for non-beneficiary students and workforce training. Members asked about expanding tribal college education into correctional settings, and Smith said the idea was worth exploring through the tribal college system. Finally, HHS interim medical services director Christoph Framing presented remotely on 1115 Medicaid waivers and the IMD exclusion, explaining current state funding mechanisms for inpatient and residential behavioral health services and the bill draft directing HHS to pursue a waiver for IMD payments.
NH
New Hampshire 2025 Regular Session
House Health, Human Services and Elderly Affairs (02/12/2025)
Health, Human Services & Elderly Affairs
Transcript Highlights:
- So, um, we heard... reimbursement uh and a a a particular reimbursement uh and a a a particular entity
- </c> other states do or how the reimbursement other states do or how the reimbursement process<02:54:
- payment payment so<03:34:58.279><c> the</c><03:34:58.520><c> legislation</c><03:34:59.239><c> is</c>
- </c> have to spend resources on reimbursement have to spend resources on reimbursement negotiations<03
- </c> removes the third party pay payment removes the third party pay payment system<04:10:29.159><c>
MN
Transcript Highlights:
- And when I say reimbursement, that means they must go expend some funds, and then we will reimburse them
- And when I say reimbursement, that means they must go expend some funds, and then we will reimburse them
- And when I say reimbursement, that means they must go expend some funds, and then we will reimburse them
- And when I say reimbursement, that means they must go expend some funds, and then we will reimburse them
- uh and when I say reimbursement uh and when I say reimbursement<00:43:34.000><c> that</c><00:43:34.119
Committee:
Senate Capital Investment
MO
Transcript Highlights:
- We have not reimbursed to date, but there's plans to by the end of the fiscal year.
- We can help reimburse for those funds. Not all federal programs could, but we can.
- We can help reimburse for those funds. Not all federal programs could, but we can.
- So April, May, and June, we require proof of performance and proof of payment before we reimburse those
- And before we, we ...of payment before we reimburse those DMO partners and before we can pay our own
Committee:
House Budget
MN
Minnesota 2025-2026 Regular Session
Committee on Environment, Climate and Legacy - 02/27/25
Environment, Climate, and Legacy
Transcript Highlights:
- to tribal nations in accordance with treaties and payments to counties for payment in lieu of taxes.
- There's a reimbursement portal that we have to seek reimbursement through the EPA, and it just appeared
- There's a reimbursement portal that we have to seek reimbursement through the EPA, and it just appeared
- :15:31.440><c> for</c> a a reimbursement system and so for a a reimbursement system and so for example
- Are you planning on reimbursing them? Thank you, Mr. Chair. We do plan on reimbursing them.
Committee:
Senate Environment, Climate, and Legacy
NM
New Mexico 2025 Regular Session
IC - Mortgage Finance Authority Act Oversight Jul 21st, 2025
Mortgage Finance Authority Act Oversight Committee
Transcript Highlights:
- And then to down payment assistance, $8 million.
- About down payment assistance. Is it still, Madam Chair, available, the down payment assistance?
- I'll say we have two different down payment assistance programs.
- You guys are a reimbursement. Would it be a loan? It's a reimbursement.
- If not, then they don't have to make any payments on it.
KY
Kentucky 2025 Regular Session
Budget Review Subcommittee on Health and Family Service (11-5-25)
Transcript Highlights:
- reimbursement rates, subcontractor reimbursement rates, conduct<00:09:47.200><c> vehicle</c><00:09:47.760
- </c><00:14:55.279><c> rates,</c> coverage updates, reimbursement rates, coverage updates, reimbursement
- </c> higher payout, the capitated payment higher payout, the capitated payment system,<00:22:52.880><
- So So what the the payment structure is.
- </c><00:34:51.119><c> or</c> were uh lacking in finan in payments or were uh lacking in finan in payments
Summary:
The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys.
The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis.
Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.
TX
Transcript Highlights:
- The doctor never intended to seek full payment.
- , no payments, whatever; it's a horrible thing to get in that situation.
- The doctors and the hospitals also have to accept that as full payment.
- reimbursement rate.
- When reimbursements don't cover costs, doctors stop taking these cases.
Bills:
SB 30 , SB 517 , SB 1313 , SB 1314 , SB 1316 , SB 1541 , SB 1698 , SB 1845 , SB 1860 , SB 2420 , SB 2429
Committee:
Senate State Affairs
Keywords:
gambling, criminal offenses, penalties, defense, electronic devices, tobacco advertising, youth protection, public health, criminal offense, retailer regulation, e-cigarettes, nicotine products, health, public safety, regulation, advertising restrictions, health and safety, elections, election audit, county elections
Summary:
The Senate Committee on State Affairs convened to discuss several critical pieces of legislation including SB30 and SB38. Senator Betancourt introduced a committee substitute for SB38 which underwent a smooth adoption process, moving it favorably toward the Senate. The meeting featured a mix of invited testimonies where both proponents and opponents took the floor. One notable highlight included a testimony from Melissa Casey, who criticized the current legal state as prone to fraud and detrimental to both insurers and the public at large, contending that it inflated insurance costs across the board. The discussions delved deeply into the implications of the bills on judicial processes and potential insurance ramifications, with spirited debates surrounding issues of non-economic damages and jury rights.
The atmosphere remained engaged as committee members heard varied perspectives on the bills, showcasing a robust democratic process. The meeting underscored the importance of public testimony in shaping legislation, ensuring that multiple voices were considered as the committee pressed on towards making decisions that affect the legal landscape of Texas.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Mar 20th, 2026
Joint Committee on Ways and Means
Transcript Highlights:
- But the interpreter payments are still per hour, three dollars.
- And H2 provides $56.3 million to support these payments.
- Payment errors are not the same as fraud.
- What we are changing some policy on is to lower that payment error rate.
- But it's not our only effort to try and reduce that payment error rate.
Committee:
Joint Joint Committee on Ways and Means
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:
- Do we just stop making payments for people who need medication for diabetes, medication for MS?
- , than my son can access PCA or AOC payments easily.
- This makes it unclear why these provider payment rates often do not adjust in sync with key economic
- Current MassHealth reimbursement does not reflect the actual cost.
- Retention incentives include bonuses, travel reimbursement, mileage, and gas cards; payroll expenses,
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.
WA
Transcript Highlights:
- A provider may claim a monthly payment for the full number of days in which a child is authorized if
- In July 2026, provider payment will transition from a retroactive attendance-based reimbursement system
- Substitute House Bill 2689 modifies the attendance-based reimbursement.
- Second, the cancellation of the upcoming enrollment-based payment transition is estimated to generate
- Second, the cancellation of the upcoming enrollment-based payment transition is estimated to generate
Bills:
HB2487
Committee:
Senate Ways & Means
MN
Minnesota 2025-2026 Regular Session
Working Group on Omnibus Human Services Appropriations - 05/22/25
Minnesota Senate Floor Meeting
Transcript Highlights:
- </c> nursing facility payment system changes. nursing facility payment system changes.
- </c><00:07:48.800><c> cap</c> item and the 4% operating payment cap item and the 4% operating payment
- </c><00:30:54.080><c> methodology</c> there's a a payment methodology there's a a payment methodology
- </c> would be a contingent reimbursement would be a contingent reimbursement reduction<00:31:25.440><
- </c><00:37:31.440><c> methodology</c> the ental nutrition payment methodology the ental nutrition payment
MN
Minnesota 2025-2026 Regular Session
Committee on Agriculture, Veterans, Broadband and Rural Development - 02/17/25
Agriculture, Veterans, Broadband, and Rural Development
Transcript Highlights:
- So we've been able to make payments on the things that we can make payments on, but we also have to be
- So we've been able to make payments on the things that we can make payments on, but we also have to be
- So we've been able to make payments on the things that we can make payments on, but we also have to be
- So we've been able to make payments on the things that we can make payments on, but we also have to be
- be reimbursed, so this is obviously devastating.
TX
Transcript Highlights:
- The lump sum payment this fiscal year is $611,136. John Posey: ...
- The returns that we have here are net of our payments.
- We get quarterly payments. So we just today received quarterly payments.
- We get quarterly payments. So we just today received quarterly payments.
- And that's the calculation to give them reimbursement.
Committee:
Senate Finance
TX
Transcript Highlights:
- How can we get those payments moved a lot quicker?
- reimbursed by the federal government since it's a...
- Now, these are, of course, national-level aggregate data, but over. 95% of Medicaid payment payments
- were improper payments at the federal level.
- It still makes, still helps you make your car payment.
Committee:
House Appropriations
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (11-12-25) - Part 2
Transcript Highlights:
- </c> payment, the MCO covers the difference. payment, the MCO covers the difference.
- Mandating Medicaid reimbursement not exceed 100% of Medicare, excuse me, Medicare reimbursement.
- Changing outpatient reimbursement from Changing outpatient reimbursement from percent<00:41:39.920><
- . reimbursement. reimbursement.
- </c> payments shut down. payments shut down.
Summary:
The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant.
Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care.
Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1.
Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.