Video & Transcript Research : 'primary payer'
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NE
Nebraska 2025-2026 Regular Session
Legislative Morning Session Apr 17th, 2026
Nebraska Unicameral Floor Meeting
Transcript Highlights:
- And the reality for some Medicaid recipients is that a $25 copay could deter them from seeking primary
- Those people who participate in both Medicare and Medicaid, because Medicaid is always the payer of last
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (6-25-25)
Transcript Highlights:
- We employ about 6,500 team members, and Medicaid is one of our largest payers. insurance through most
- There are two primary functions of this board. One is to educate and also to provide oversight.
Keywords:
Call to Order and Roll Call – 00:00:00
Introduction of Board Members – 00:02:04
Overview of the Purpose and Goals of the Medicaid Oversight and Advisory Board – 00:12:46
Medicaid Legislative Update - 00:20:26
Discussion of Next Steps and Future Meeting Dates – 01:04:06
Adjournment – 01:06:37, 958, all
Summary:
The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do.
Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board.
Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.
NH
New Hampshire 2026 Regular Session
House Commerce and Consumer Affairs (02/04/2026)
Commerce and Consumer Affairs
Transcript Highlights:
- Patients go out including primary care.
- <01:34:14.400>
for facilities, including primary care. for facilities, including primary care - 45:35.280>
who Unlike primary insurance providers who Unlike primary insurance providers who tailor - which are being passed down to primary which are being passed down to primary insurers<01:54:52.560
- <01:57:16.159>
insurers for primary insurers for primary insurers um<01:57:18.320>providing
NH
New Hampshire 2025 Regular Session
House Finance Division III (02/27/2025)
Transcript Highlights:
- We have a contract with Headrest, which is our primary lead for our Lifeline for the 988 number that
- 29.199>
our contract with headrest which is our our contract with headrest which is our our primary - <00:12:29.920>
lead <00:12:30.480>for <00:12:30.920>our primary lead for our primary - We have many PCPs who will identify that, so primary care physicians.
- <04:15:50.159>
Prevention health or other um primary Prevention health or other um primary
Summary:
The House Finance Committee’s Division 3 held a public work session on the Behavioral Health budget on February 27, 2025. The chair opened by explaining the schedule, materials, and deadlines for the budget process, and noted there would be no motions or votes in the division that day. Division of Behavioral Health Director Ktia Fox and DHHS CFO Nathan White then walked the committee through the division’s mission, structure, and budget materials, describing the division’s four bureaus: Mental Health Services, Children’s Behavioral Health, Drug and Alcohol Services, and Homeless Services, along with the policy unit. They emphasized the division’s role in oversight, technical assistance, quality assurance, contracting, and the continuum of care from prevention and early intervention through crisis and residential services.
Much of the discussion focused on major programs and funding lines, including the 988 Lifeline contract with Headrest, a technical assistance contract with UNH, Medicaid pass-through payments to New Hampshire Hospital and Glencliff, crisis response services, cold-weather homeless responses, housing supports, and the children’s system of care. Members asked about the UNH contract, the 988 program, crisis stabilization centers, and the peer certification program; Fox explained that the peer certification is a training-and-credentialing pathway for people with lived experience to enter community-based behavioral health work, not a volunteer program. The committee also discussed the “Choose Love” program, which Fox said was created after the Sandy Hook tragedy to build resilience and strength-based emotional regulation in schools and communities.
On the children’s side, Fox described the system of care account as the place where many contracted services are budgeted, including community mental health centers, care management entities, rapid response services, and residential programs. Members asked about temporary staffing, and Fox said roughly $500,000 in temporary staff costs shown in the current year would not be spent next year because the money came from a nonlapsing appropriation in HB 1573 for oversight of children’s residential services. She also said provider rate increases were a prioritized need but were not funded in the governor’s current budget, and that the Children’s Behavioral Health Resource Center was not funded, resulting in about a $1 million reduction. The session ended while the division was still moving through the children’s behavioral health slides, including questions about the Fast Forward high-fidelity wraparound program and medication management.
NH
Transcript Highlights:
- This is a primary effort, six years of work to find methodologies through data usage platform that we
- What it does is it gives residential<02:34:40.080>
rate <02:34:40.399>payers <02:34:41.120 - >
freedom residential rate payers freedom residential rate payers freedom to<02:34:42.960>
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services May 7th, 2026
Transcript Highlights:
- districts need every tool to maintain, preserve, and expand access to care through the state Office of Primary
- Those are the primary budget adjustments in the agenda today.
- So those are the primary budget adjustments in the agenda today.
- Our understanding is that regional centers, as a payer of last resort, would have an obligation to provide
MN
Transcript Highlights:
- This reduces the burden on the state Aeronautics Fund and local property tax payers in communities where
- year<00:26:49.080>
um <00:26:49.480>I'll <00:26:49.679>get <00:26:49.919>primary - <00:26:51.039>
but year um I'll get primary but year um I'll get primary but kind<00:26:54.120
MN
Minnesota 2025-2026 Regular Session
House Workforce, Labor, and Economic Development Finance and Policy Committee 4/1/25
Workforce, Labor, and Economic Development Finance and Policy
Transcript Highlights:
- your<00:48:13.119>
work <00:48:13.520>uh <00:48:13.640>Tyra <00:48:14.040>payer - c><00:48:14.440>
welcome <00:48:14.680>to <00:48:14.800>the your work uh Tyra payer - welcome to the your work uh Tyra payer welcome to the committee<00:48:15.240>
if <00:48:15.319
Keywords:
child care, grants, appropriation, workforce development, families, YWCA Minneapolis, job training, child development, economic assistance, WomenVenture, economic development, entrepreneurship, women entrepreneurs, business training, financial support, youth programs, funding, employment, Minnesota, American Indian
MN
Minnesota 2025 1st Special Session
House Energy Finance and Policy Committee 2/20/25
Energy Finance and Policy
Transcript Highlights:
- Minnesota but also to make sure that our Minnesota but also to make sure that our rate<00:01:54.680>
payers - > not<00:01:55.520>
overpaying <00:01:56.520>one <00:01:56.759>more rate payers - are not overpaying one more rate payers are not overpaying one more Penny<00:01:57.439>
than <
Bills:
HF845
Keywords:
net metering, distributed generation, solar energy, rooftop solar, renewable energy, utility rates, electric cooperatives, municipal utilities, public utilities, Public Utilities Commission, net billing, bill credits, cost of service study, standby charge, qualifying facility, energy policy, clean energy, customer generation, interconnection, Minnesota Statutes 216B.164
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 2/18/25
Human Services Finance and Policy
MN
Transcript Highlights:
- you you rely on you or through your but you you rely on you or through your taxfree<00:11:20.600>
payer - software<00:11:21.639>
vendor <00:11:22.240>to <00:11:22.440>file taxfree payer - or software vendor to file taxfree payer or software vendor to file your<00:11:23.279>
taxes <
NH
Transcript Highlights:
- employer cost downshifted to property employer cost downshifted to property tax<00:41:35.400>
payers - 37.079>
even <00:41:37.680>for <00:41:37.880>the <00:41:38.119>public tax payers - is not even for the public tax payers is not even for the public Workforce<00:41:39.839>
new <
HI
Hawaii 2025 Regular Session
ACT 310, SLH 2025 Nonprofit Grants Program Info Briefing - Thu Oct 30, 2025 @ 9:00 AM HST
Hawaii House Floor Meeting
Transcript Highlights:
- We do not discriminate with any payers. We go see people in homeless shelters and medical respite.
- But our primary care is of most importance at this time to be sure we continue to allow for access to
- primary care to keep us healthy.
- primary care to keep us healthy.
- primary care to keep us healthy.
Summary:
This joint informational briefing on Act 310 grants and aid focused on organizations describing how federal funding cuts, Medicaid/SNAP changes, and related policy shifts are affecting their services and budgets. Committee members explained there would be no Q&A, testimony would be limited to one minute, and in-person participants would be heard before Zoom callers. Members repeatedly asked testifiers to identify the amount of federal funding lost or at risk.
Testimony came from a wide range of nonprofits and community providers, including Aloha Care, Hawaii Bicycling League, Hawaii Literacy, Hawaii Youth Symphony, Healthy Mothers Healthy Babies Coalition of Hawaii, the Tsunami Museum, The Kohala Center, West Hawaii Community Health Center, West Hawaii Region Hospital Foundation, Sounding Joy Music Therapy, Big Brothers Big Sisters Hawaii, Dynamic Community Solutions, Feeding Hawaii Together, Girl Scouts of Hawaii, Hawaii Disability Rights Center, Hawaii Youth Services Network, Hawaiian Lending and Investments, Homana, Honolulu Theatre for the Youth, Kids Hurt Too Hawaii, and Kokua Kalihi Valley. Most described reduced or threatened federal support and requested state funding to maintain services such as health care access, food security, disaster preparedness, literacy and digital inclusion, youth mentoring, arts education, housing, and climate or agricultural resilience.
Several speakers emphasized direct impacts on vulnerable populations, including kūpuna, low-income families, immigrants, homeless youth, and people with disabilities. Requests ranged from relatively small planning or program grants to multi-million-dollar stabilization asks, with some organizations citing specific losses such as reduced Medicaid or USDA funding, canceled EPA or FEMA support, or expiring federal grants. No votes or formal committee actions were taken during the briefing.
TX
Transcript Highlights:
- But what it does is it's not their primary duties to conduct a behavior threat assessment.
- It's not their primary duties to conduct the behavior threat assessment.
- The ESPEC's primary focus is the safety and welfare of our students in Texas.
- We are the biggest payer of recapture of any school district.
- Because as primary stakeholders, students deserve a seat at the table.
NH
New Hampshire 2026 Regular Session
Senate Health and Human Services (01/21/2026)
Health and Human Services
Transcript Highlights:
- Education in this topic is also critical for our medical field, where 40% of primary care physicians
- I made an appointment with my primary care doctor, who told me I was functioning at a high level, but
- care doctor who respected have a primary care doctor who respected my<01:31:21.280>
concerns < - I didn't speak with N.H.S.A. police, but among the treatment providers that was not a primary concern
- <02:33:23.359>
Um, one of the the primary ones. Um, one of the the primary ones.
PA
Pennsylvania 2025-2026 Regular Session
Senate Session (Jun 25 2026)
Pennsylvania Senate Floor Meeting
Transcript Highlights:
- That's just one example of a thing that can be done now that will directly impact rate payers.
Summary:
The Senate returned from recess and first handled routine calendar matters, laying several bills on the table or over in their order without objection. The chamber then took up Senate Bill 1400, which addresses sentencing for second-degree murder in response to the Pennsylvania Supreme Court’s Commonwealth v. Lee decision. Senator Street offered an amendment to replace mandatory life without parole with parole eligibility after 25 years and individualized review, but the Senate tabled the amendment by a 26-24 roll call. The bill then advanced to final passage after extended debate over whether it adequately met the court’s constitutional ruling and how it would affect victims, culpability, and retroactivity. It initially passed 31-19, then after reconsideration and a correction to one member’s vote, passed 30-20 and was sent to the House.
The Senate next considered Senate Bill 1212, which tightens the handling of sexual assault evidence kits by removing discretionary language that had contributed to inconsistent testing practices. Supporters said it would improve statewide consistency, preserve a survivor’s right to decline testing, and help reduce the rape kit backlog. The bill passed unanimously, 50-0, and was sent to the House. The chamber then moved through additional calendar items, including re-referrals of several House bills to Appropriations and multiple bills being passed over.
Later, the Senate took up House Bill 1667 on a supplemental calendar after suspending the rules. The bill became the vehicle for several amendments tied to affordability and tax policy. Senators adopted a back-to-school sales tax holiday amendment, a data-center tax exemption repeal amendment, and a school-choice-related amendment transferring EITC provisions and increasing scholarships by $25 million. Other proposed amendments, including a digital advertising tax and a combined reporting corporate tax reform, were tabled. After further debate on the bill’s impact on electric bills, data centers, and the state budget, House Bill 1667 was agreed to as amended and the Senate recessed.
CA
California 2025-2026 Regular Session
Senate Business, Professions and Economic Development Committee Jun 15th, 2026
Business, Professions and Economic Development
LA
Louisiana 2026 Regular Session
Human Trafficking in Emergency Departments Task Force May 15th, 2026
Transcript Highlights:
- The victim of violent crimes fund can be used if the patient has no other payer source.
Summary:
The first meeting of the Human Trafficking and Emergency Department Task Force focused on implementing Act 267, which created the body to develop a statewide human trafficking protocol to be incorporated into Louisiana’s sexual assault response plans. Chair Rep. Kelly Hennessy Dickerson and Office of Human Trafficking Prevention Director Mary Kate Andropont emphasized that the goal is a practical, transferable, survivor-centered protocol that can be adapted across regions and health systems. The task force also noted its timeline: use today’s presentations and member feedback to draft a protocol before the next meeting, then refine it into a final version.
Presenters from hospitals, SANE programs, and advocacy organizations described current practices and gaps. Ochsner LSU Health Shreveport’s Operation Rahab and FMOLHS’s human trafficking policies highlighted staff education, badge buddies, anonymous admissions, hotline and law enforcement reporting, and coordination with community partners. SANE and forensic nursing presenters described red-dot privacy alerts, trauma-informed interviewing, and the need to train all hospital staff, not just ED clinicians, because trafficking victims may present repeatedly or in non-ED settings. LaFASA described statewide advocacy and legal support, while Unbound Now and BCFS/Common Thread explained Louisiana’s juvenile trafficking response under Act 662, including 24/7 crisis response, relational advocacy, and care coordination for minors.
Members repeatedly raised the lack of safe housing, transportation, and placement options after identification, especially for adults, male survivors, and adults with special needs. Several presenters said that identifying victims is only the first step and that Louisiana still lacks enough resources for discharge and long-term stabilization. The task force also discussed the need for broader training across emergency departments, residency programs, nursing, housekeeping, maintenance, student health, mental health, and law enforcement, with members stressing that protocols should be clear, trauma-informed, and usable statewide. No votes were taken; the main action was to gather testimony, identify gaps, and begin drafting the statewide protocol.
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 4/15/26
Commerce Finance and Policy
Transcript Highlights:
- It's going to impact rate payers the and so I'll turn it of answer, you know, maybe not.
Keywords:
healthcare, insurance, regulation, financial institutions, prescription drug affordability, consumer protection, restitution account, financial compensation, attorney general, distributions, property insurance, homeowners insurance, fire and allied lines, hail insurance, appraisal clause, loss adjustment, alternative dispute resolution, insurance claims, claim valuation, actual cash value
NM
Transcript Highlights:
- That data is available in other sources like the All-Payer Claims database, though, and that would remain
Keywords:
medical malpractice, judgments, independent providers, insurance, personal assets, settlements, healthcare, healthcare privacy, electronic medical records, reproductive health, gender-affirming care, data protection, location tracking, confidentiality, SB30, induced abortion, abortion reporting, vital statistics, public health reporting, medical records