Video & Transcript : 'cash payment' :
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ID
Idaho 2026 Regular Session
Jan 22nd, 2026
Transcript Highlights:
- limit, or UPL, supplemental payment.
- You can think of this as their claims payment system.
- limit or state-directed payments.
- House Bill 345 directs us to transition upper payment limits to state-directed payments once we stand
- State-directed payment is just the term that's used for upper payment limits in managed care.
Summary:
The committee heard a budget presentation on the Division of Medicaid within the Department of Health and Welfare, including an overview of the division’s five programs, staffing, spending trends, and the large share of the budget that goes to trust and benefit payments. Ms. Williamson explained the difference between ongoing and one-time enhancements, the role of population forecast adjustments, and why the fiscal year 2026 and 2027 numbers change significantly. Members asked about the growth in the budget, the FMAP match rate, the impact of provider rate changes, and the shift of some positions into Medicaid from other divisions after last year’s reorganization.
A major topic was House Bill 345 and related budget changes, including the hospital assessment fund alignment, the 4% provider rate reduction, and the effect on Medicaid expansion and other populations. The committee discussed the decline in expansion enrollment, rising costs in traditional Medicaid populations, and the governor’s recommendation to offset part of the 2027 increase with additional reductions. Members raised concerns about access to care, especially for dental, behavioral health, developmental disability, and home- and community-based services, while the deputy director said the department is trying to contain costs through prior authorization, fraud and abuse work, and policy changes.
The committee also focused on the MMIS replacement project, which is in year four of a five-year procurement and is funded through dedicated and federal dollars tied to milestones. Another significant item was estate recovery, where the department requested funding to replace an outdated case management system and add contractor support to address a backlog of roughly 20,000 cases; members questioned the return on investment and asked for more detail on the software and staffing split. The deputy director also explained the federally qualified health center reconciliation issue, saying the state had not been properly paying change-in-scope amounts and is now using a new process with interim payments and later reconciliation.
In addition, lawmakers asked about program integrity staffing, the use of AI, and whether the department could better target fraud, waste, and abuse investigations. The deputy director said the department is reviewing AI use cautiously and sees opportunities for it in claims review and anomaly detection, but emphasized that the current request is for dedicated receipt authority rather than general funds. No formal votes were taken in the excerpt, but the committee received the presentation, asked extensive questions, and was told that some follow-up information would be provided later.
TX
Transcript Highlights:
- It affects judges who have a cash balance.
- The returns that we have here are net of our payments.
- Because really, we've been a lot of cash transfers already.
- We get quarterly payments. So we just today received quarterly payments.
- We get quarterly payments. So we just today received quarterly payments.
Committee:
Senate Finance
MN
Transcript Highlights:
- </c><00:07:31.560><c> withhold</c> services a result of a payment withhold services a result of a payment
- </c> business So, when we suspend payments business So, when we suspend payments to<00:26:03.600><c>
- Oh, payment suspensions. Okay, fine.
- </c> cash living leaving MSP. cash living leaving MSP.
- </c> The resident notification of a payment The resident notification of a payment hold<01:08:45.960>
Committee:
Senate Human Services
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Dec 10th, 2025 at 01:45 pm
Transcript Highlights:
- I don't have the specific numbers until we know do have a cash balance.
- So I think that we're in the right place with our cash balance, maybe slightly short but not bad.
- Reserves: We have $5.8 million in our cash balance. That's for operating costs. Thank you, Mr.
- of my negative equity, and then I want to make my new car payment on the new loan."
- Payment on the new loan is absorbed.
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Nov 17th, 2025
Transcript Highlights:
- You know, $250 a month can be a car payment.
- About payment error rates.
- The first is the SNAP payment error rate.
- It's really clear that it's not for payment rates.
- To address the payment error rate.
TX
Texas 89th Regular
Senate Committee on Health and Human Services Apr 8th, 2026
Health & Human Services
Transcript Highlights:
- CMS makes the payment. For most services, Medicaid also makes payments.
- So they're not only getting the payment for the nursing home service, they're also getting payment for
- For your second question... ...related to supplemental payments, our opinion of supplemental payments
- Real quick, the 4% diminished Medicare payments.
- So there are different tiers of payments.
Committee:
Senate Health & Human Services
MN
Transcript Highlights:
- </c> is the payment delay. is the payment delay.
- payments and seek recovery.
- payments and seek recovery.
- payments and seek recovery.
- </c> payment withhold to request an appeal. payment withhold to request an appeal.
Committee:
Senate Finance
NH
New Hampshire 2025 Regular Session
House Education Funding (02/12/2025)
Transcript Highlights:
- minus SWP state cash.
- </c><00:53:56.480><c> cash</c><00:53:56.960><c> just</c><00:53:57.079><c> in</c> receive zero State cash
- cash just in receive zero State cash cash just in this<00:53:57.400><c> hypothetical</c><00:53:58.200
- Make sure that they're not so it's a rolling cash flow, yeah.
- Make sure that they're not so it's a rolling cash flow, yeah.
Summary:
The committee held a work session focused on school funding formulas, adequacy aid, and special education aid, with the chair outlining a schedule for the next several Tuesdays and noting that the committee would likely need multiple executive sessions to narrow down the bills. Members discussed the FY 26 formula, including base cost, differentiated aid, extraordinary needs grants, hold harmless provisions, and the roughly $28 million in excess statewide education property tax (SWP) funds that are not currently returned to the state under the existing formula.
The first bill discussed was HB 137, which would allow excess SWP funds to remain with the local municipality for school and municipal purposes. Representative Spilsbury argued the issue is fundamental and suggested the state should require excess funds to be remitted back to the state, while Representative Damon said the bill appears to codify current practice and may be unnecessary, especially given possible court action. The discussion then shifted to a related bill from Representative Fellas that would redefine SWP as local money rather than state money and keep the current adequacy aid numbers revenue-neutral for now.
Representative Fellas explained that SWP was created in 1999 after the Claremont lawsuit as part of the state’s effort to show increased school aid, but that it effectively labeled part of the local property tax as state money without changing property tax bills. She argued the state should not be tapping local property tax revenue and said her bill would preserve the current distribution while removing the SWP tax label, with future work possible on a different measure of local capacity such as income, home values, or poverty rate. Members also referenced prior discussions of fiscal capacity aid, relief aid, and other formula changes as part of the broader effort to restructure school funding.
OK
Oklahoma 2026 Regular Session
Senate Legislative Session May 5th, 2026 at 09:30 am
Oklahoma Senate Floor Meeting
Transcript Highlights:
- House Bill 3466 eliminates the petty cash fund and the finance department of the Corporation Commissioner
- What was the threshold of the petty cash fund and why has it been eliminated?
- It's $500, and the petty cash fund is being eliminated because everything's digital now.
- Line nine, it's removing potential overlapping incentive payments.
- fund, county services fund, or other condition in lieu of payment if available.
Bills:
SR44 , HCR1027 , SJR50 , SJR52 , SJR53 , HB1185 , HB1937 , HB2035 , HB2137 , HB2166 , HB3148 , HB3323 , HB3466 , HB3498 , HB3661 , HB3678 , HB3710 , HB3977 , HB3986 , HB4104 , HB4108 , HB4142 , HB4191 , HB4274 , HB4275 , HB4322 , HB4336 , HB4484 , HB3880 , HB1687 , HB3673 , HB1170 , HB2959 , HB3718 , HB3021 , HB3443 , HB3501 , HB4143 , HB4326 , HB2992 , HB3660 , SB171 , SB1325 , SB1980 , SB2045 , HB4422 , HB4423
WA
Transcript Highlights:
- make several changes to the foreclosure prevention fee, including changes related to the exemptions, payment
- make several changes to the foreclosure prevention fee including changes related to the exemptions payment
- Regarding payment options, the option for the fee to be paid from a borrower cash contribution at the
- Importantly, it prevents home buyers using layered financing, such as down payment assistance, from being
Committee:
House Housing
NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs Afternoon Subcommittee Work Session (02/12/2025)
Transcript Highlights:
- just can't happen and they keep payments just can't happen and they keep dangling<00:14:00.279><c> this
- The insurance company pays $200, maybe less, and if you pay cash it might be less than that.
- Because, you know, obviously the medical system is surviving with the insurance company payment to them
- </c><00:17:55.000><c> it</c> maybe maybe less and if you pay cash it maybe maybe less and if you pay
- cash it might<00:17:55.320><c> be</c><00:17:55.480><c> less</c><00:17:55.679><c> than</c><00:17:55.880
Summary:
The subcommittee discussed three ambulance reimbursement bills and tried to distinguish their approaches. House Bill 185 would require insurers to pay the full amount billed by an ambulance provider when there is no contract rate, with no balance billing to the patient; the Insurance Department clarified that emergency ambulance services are already covered under the benchmark plan, so the bill’s reference to policies without ambulance coverage is effectively meaningless. House Bill 725 would set reimbursement at 325% of the Medicare rate for non-contract ambulance services and prohibit balance billing. House Bill 316 was described as addressing the broader problem that Medicare/Medicaid rates are low and that current balance billing shifts costs to patients or municipalities; its sponsor said the bill would require insurers to pay a rate that gives providers a fighting chance to remain in business, and he viewed 325% of Medicare as the most logical option.
Members debated whether insurers should pay the billed amount, a negotiated in-network rate, or a regulated percentage of Medicare. Some argued that out-of-network ambulance providers are underpaid and that in-network rates are often too low to sustain service, especially for emergency providers who cannot steer patients. Others said ambulance companies should not be able to bill whatever they want and questioned the fairness of charging insured patients or insurers more than the service is worth. There was also discussion of whether rate schedules should be reviewed by an oversight body and whether different costs in rural areas justify different reimbursement levels.
A recurring issue was balance billing and who ultimately bears the shortfall. Several members said balance billing harms patients and often does not get paid, leaving cities and towns or property taxpayers to cover the difference for municipal ambulance services. Others argued that shifting the cost to insurance premiums would spread the burden more fairly, though it could raise premiums by a few dollars per person per month. No vote or final action was taken in the excerpt; the discussion focused on clarifying the bills and weighing their policy tradeoffs.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Jun 21st, 2026 at 11:00 am
Joint Committee on Ways and Means
Transcript Highlights:
- We also are disbursing over $43 million in annuity payments to more than 19,000 disabled veterans, both
- And that's a 2000 annual payment, which has been increased to the work the legislature was done.
- One of the concerns I have is the proposal in this budget to roll back the cash assistance programs,
- Most cash assistance programs fall under HHS.
- Most cash assistance programs fall under HHS. And at the federal. Programs fall under HHS.
Committee:
Joint Joint Committee on Ways and Means
Summary:
The hearing opened with remarks from Senate Chair Robyn Kennedy and House Chair Chynah Tyler, who emphasized that the fiscal year 2026 hearing was focused on the Health and Human Services budget, asked members to keep questions budget-related, and noted that no public testimony would be taken. They also highlighted the choice of Doherty Memorial High School as the venue to showcase Worcester’s investment in career and technical education. Committee members then introduced themselves before the first panel, the Executive Office of Veterans Services and the state veterans homes, began testimony.
Secretary John Santiago said the governor’s FY26 proposal would support implementation of the HERO Act, which he said is now about 95% implemented, including higher disabled veteran annuities, expanded behavioral health benefits, and other service expansions. He described efforts to reduce veteran homelessness, including nearly $20 million in ARPA-funded housing and outreach initiatives, and said the agency has delivered more than 100,000 supportive services to nearly 8,500 veterans. Leaders from the Chelsea and Holyoke veterans homes reported on staffing, quality measures, electronic medical records, and major construction projects at both facilities, including a new Chelsea campus and the new Holyoke home. Members asked about funding transfers, geographic equity in access to the homes, outreach to women veterans and veterans of color, suicide prevention, Gold Star family support, and the impact of federal uncertainty; Santiago said the homes are now licensed and certified, that the current budget is sufficient, and that the agency is expanding engagement and data collection.
The second panel, the Office of the Veteran Advocate, testified that its FY26 request is about $3.3 million, up from the current $2 million, to cover staffing, a larger office, and higher technology costs. Veteran Advocate Bob Notch said the office is a new independent oversight agency created in 2022 to examine systems, coordinate with local veteran service officers, and investigate fatalities or serious harm involving veterans in state care. He said the office’s work depends on research, data, and collaboration with other agencies, and that current funding is only enough for minimum operations. In response to questions, Notch and Deputy Commissioner David O’Callaghan discussed the difficulty of tracking veteran suicides, the need for better data across agencies, and the office’s role as an oversight body rather than a direct service provider. No votes or formal actions were taken during the hearing.
TX
Transcript Highlights:
- We are a significantly... ...a cash flow negative business.
- But gold and silver coin are tender and payment of debt.
- And trade it in for cash at any time if we want. Thank you, Ms. Castillo.
- Some of them took their 401k and cashed it in for gold.
- on a tender in the payment of debts. A little bit easier to understand, I believe.
Bills:
HB246 , HB796 , HB 1056 , HB1544 , HB1846 , HB2001 , HB2618 , HB2625 , HB2869 , HB2898 , HB3069 , HB3114 , HB3157 , HB3228 , HJR98 , HB246
Committee:
House State Affairs
LA
Transcript Highlights:
- And there has to be some guidelines on how the payments are made so that the pool, and I think I'm right
- Because the people are older, because the cash value has increased, which would be the premium on the
- And a 1035, if I'm not mistaken, you transfer all the cash value to the new policy.
Committee:
House Insurance
Summary:
The House Insurance Committee met on May 12 with a quorum present and first took up Senate Bill 341, which would expand the Louisiana churches and nonprofit religious organizations self-insured fund from property-only coverage to broader commercial coverage, including liability, contents, wind and hail, and loss-of-use protections. The sponsor and Department of Insurance said the bill was the product of agreement among the parties and was intended to help churches and nonprofits, including smaller congregations, obtain affordable coverage. After adopting technical amendments, the committee reported SB 341 as amended without objection.
The committee then considered Senate Bill 509 on bank-owned life insurance (BOLI), which would clarify insurable interest and allow exchanges of underperforming policies. The sponsor, industry representatives, and the Department of Insurance discussed how banks use these policies for employee benefit funding, the role of 1035 exchanges, consent requirements, and concerns about federal tax issues and state insurable-interest language. Because the parties were still working toward a solution, the committee adopted a technical amendment but voluntarily deferred SB 509 until the following week.
Finally, the committee heard Senate Bill 464 on coverage for severe obesity treatment, which would create a framework for partially implementing the bariatric surgery mandate based on available appropriations. The sponsor and the Department of Insurance said the bill would let the state cover a proportional share of expected surgeries if only part of the required funding is provided. The committee reported SB 464 favorably without objection, and then adjourned.
LA
Transcript Highlights:
- And there has to be some guidelines on how the payments are made so that the pool, and I think I'm right
- Because the people are older, because the cash value has increased, which would be the premium on the
- And a 1035, if I'm not mistaken, you transfer all the cash value to the new policy.
Committee:
House Insurance
MN
Minnesota 2025-2026 Regular Session
House Children and Families Finance and Policy Committee 4/1/25
Children and Families Finance and Policy
Transcript Highlights:
- </c> addition to reducing fam's co-payment addition to reducing fam's co-payment the<00:04:15.879><c>
- </c><00:16:23.279><c> are</c> star Compensation Program payments are star Compensation Program payments
- Is it like a monthly payment? Is it an annual payment?
- </c> develop uh processing their payments develop uh processing their payments between<01:16:02.600><
- </c> the third party payment the third party payment provider<01:16:45.679><c> and</c><01:16:45.760><
NM
New Mexico 2025 Regular Session
IC - Economic and Rural Development Sep 4th, 2025
Economic & Rural Development & Policy Committee
Transcript Highlights:
- We also asked about the top costs, so essentially how survivors would use the cash they need.
- For example, there are times when utility payments or rent payments or other things have not been considered
- Often, that type of program can also assist with utility payments.
- Well, the accommodations, now we have to put up a bulletproof barrier in front of every cash register
- Now, our total cash receipts for all agriculture is almost $4 billion.
CA
California 2025-2026 Regular Session
Assembly Business and Professions Committee Jul 1st, 2025
Transcript Highlights:
- In terms of the payment platforms, the Venmos and cash apps of the world, and then also we want to make
- implementation and agree with the comments that were pointed out in the analysis about online marketplaces and cash
- So when you're talking about the Venmos and cash apps of the world, it's one thing; when you start getting
Summary:
The Assembly Business and Professions Committee heard several measures, including SB 402 by Senator Valadares, which would move existing qualification requirements for qualified autism service providers and related professionals from the Health and Safety Code and Insurance Code into the Business and Professions Code without changing the standards. Supporters said it was a technical cleanup that would improve consistency and legislative oversight, while an opponent argued the bill was unnecessary and could create access issues; another witness urged inclusion of the QABA credentialing board. The committee approved SB 402 on a due pass motion to the Committee on Health.
The committee also heard SB 378 by Senator Wiener, aimed at online platforms that facilitate sales of illicit cannabis and intoxicating hemp products. Supporters, including labor, local government, and cannabis industry representatives, said the bill would help protect consumers, minors, legal businesses, and tax revenue by creating accountability for online marketplaces. Opponents from the hemp industry and TechNet argued the bill was overly broad, could sweep in legitimate platforms and payment services, and should better distinguish bad actors from compliant hemp businesses; members discussed implementation, enforcement through a private right of action, and coordination with AB 8. The committee passed SB 378 to the Committee on Privacy and Consumer Protection.
Senator Arreguín presented SB 779, which would establish minimum enforcement fines for Contractors State License Board citations where minimums are currently very low or absent, and would raise the board’s reserve cap from six months to 12 months. The sponsor said the changes would better match penalties to violations and help support consumer protection and board operations during economic downturns. There was no opposition, and the committee approved SB 779 as amended to the Committee on Appropriations.
The committee also approved the consent calendar, which included SB 344 and AB 652, both sent to Appropriations. SB 508 was not heard because it had been pulled by the author.
AL
Alabama 2025 Regular Session
Alabama House Fiscal Responsibility Committee Mar 19th, 2025
Fiscal Responsibility
Transcript Highlights:
- But instead of serving, they paid the money back in cash.
- What percentage was that cashed out or paid back? What percentage was that cashed out or paid back?
- We receive applications from those payments for victims involved in the crime.
Committee:
House Fiscal Responsibility
Keywords:
business regulation, nonprofit entities, electronic filing, merger agreements, limited liability companies, partnerships, property transfer, termination fees, HB140, private sewer systems, wastewater utilities, Public Service Commission, PSC jurisdiction, utility regulation, rate setting, rate consolidation, affiliated systems, common ownership, private utilities, sewer rates
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Tuesday, January 20, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- This package forms a key down payment on delivering meaningful health cost reduction for all Americans
- This package forms a key down payment on delivering meaningful health cost reduction for all Americans
- This package forms a key down payment on delivering meaningful health cost reduction for all Americans
- This package forms a key down payment on delivering meaningful health cost reduction for all Americans
- This package forms a key down payment on delivering meaningful health cost reduction for all Americans