Video & Transcript Research : 'copay accumulator adjustment'
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LA
Louisiana 2026 Regular Session
Senate and Governmental Affairs May 6th, 2026
Senate & Governmental Affairs
Keywords:
Senate rules, Louisiana Senate, Senate Chamber, smart glasses, recording eyewear, audio recording, video recording, wearable technology, covert recording, legislative security, media access, chamber decorum, Senate President, internal rules, public access, lobbyists, official journal, public notices, competitive bid, Louisiana legislation
MN
Transcript Highlights:
- It contains the K-12 forecast adjustments.
- Um I want to just point this adjustment.
- 07:29.560><c> the</c><00:07:29.680><c> forecast</c> uh adjustments happen with the forecast uh adjustments
- So, it's certainly has adjusted that up.
- The A2 amendment was adopted. adjusting So when we had this bill up in adjusting So when we had this
Keywords:
education finance, school funding, K-12, prekindergarten, pre-K, early childhood education, general education aid, special education, literacy aid, school meals, free school meals, school breakfast, school lunch, charter school lease aid, charter schools, nonpublic pupil aid, private school aid, transportation aid, desegregation aid, integration aid
NM
Keywords:
special education, office of special education, deputy secretary, public education department, IEP, individualized education program, students with disabilities, IDEA, Individuals with Disabilities Education Act, dyslexia, dyslexia screening, structured literacy, reading intervention, multilayered system of supports, MTSS, student assistance team, free appropriate public education, FAPE, special education compliance, charter schools
WA
Washington 2025-2026 Regular Session
Senate Labor & Commerce Jan 27th, 2026 at 10:30 am
Labor & Commerce
Transcript Highlights:
- Instead, you accumulate plaques around your heart, Instead, you accumulate plaques around your heart
- And today, we have one... the next bill is Senate Bill 5927, Workers’ Comp Adjustments.
- The cost of living adjustment is based on the change in the average monthly wage.
- The COLA's The cost of living adjustment is based on the change in the average monthly wage.
- It preserves annual adjustments, but sets responsible guardrails over the year growth.
Keywords:
interest arbitration, parks and recreation, public employees, labor relations, employee rights, laid-off employees act, WARN notice, mass layoff, business closure, plant closing, worker adjustment and retraining notification, employment security department, employee notice, layoff notice, worker protections, job loss, employment loss, public records exemption, privacy, employee names and addresses
AL
Alabama 2025 Regular Session
Alabama House Baldwin County Legislation Committee Feb 25th, 2025
Baldwin County Legislation
Keywords:
HB236, Baldwin County, Board of Equalization, per diem, supplemental compensation, county board, ad valorem tax, property tax appeal, tax assessment, mileage reimbursement, Consumer Price Index, CPI adjustment, local legislation, equalization board, taxpayer protests, property inspection, county revenue, education appropriations, supplemental appropriation, Education Trust Fund
AL
Alabama 2025 Regular Session
Alabama Senate Banking and Insurance Committee Mar 19th, 2025
Banking and Insurance
Transcript Highlights:
- You received your discount plus a moderate fee of $345, and the patient paid a $5 copay. ...$345, and
- the patient paid a $5 copay.
- the effective date until an agreed-upon time, which would allow our companies the opportunity to adjust
- their operations accordingly and... ...adjust their operations accordingly and that you remove the new
HI
Hawaii 2025 Regular Session
HSH Public Hearing - Tue Feb 4, 2025 @ 9:30 AM HST
Human Services & Homelessness
Transcript Highlights:
- It allows the department to be able to implement a copay if needed, but it also gives the department
- It allows the department to be able to implement a copay if needed, but it also gives the department
- the ability to not have to implement a copay.
- the ability to not have to implement a copay.
- the ability to not have to implement a copay.
Summary:
The committee heard several Human Services measures focused on Medicaid access, long-term care benefits, home health reimbursement, SNAP administration, trauma-informed child welfare, and child abuse reporting. HP 702 would increase funding for Medicaid in-home services if federal matching funds are secured, and testimony from disability advocates supported the measure as needed to help people with disabilities cover medical expenses. HB 1477, described as a correction to a prior session’s mistake, would clarify that the monthly needs allowance for certain long-term care residents does not replace state supplemental payments and would raise the ceiling by $25 to fix the prior issue and by an additional $20 as a new benefit; DHS supported it with amendments, and the committee indicated it would amend accordingly. HB 713 would fund a DHS rate study for home health services, with the Healthcare Association of Hawaii strongly supporting it and describing rising labor costs, losses on Medicaid patients, and access concerns if agencies cannot keep serving Medicaid clients. HB 1099 would appropriate emergency funds to DHS after a USDA penalty tied to SNAP response times, with supporters including Catholic Charities Hawaii, Hawaii Public Health Institute, and others arguing the money should be reinvested in staffing and systems to improve access and avoid further penalties. HB 1079 would direct the Office of Wellness and Resilience and DHS to create trauma-informed assessments and training for Child Welfare Services staff; testimony from state offices and advocacy groups supported it, citing the Mālama ʻOhana Working Group, staff burnout, and the need for a sustainable train-the-trainer model. Finally, HB 239 would narrow when failure to provide a child’s needs constitutes abuse or neglect, but DHS raised concerns that the current wording could broaden abuse findings and leave families in poverty without a clear safety net, while the Honolulu prosecutor’s office opposed it, warning it could weaken mandatory reporting and hinder investigations of child abuse. No formal votes were taken in the portion provided, though the chair said HB 1477 would be amended and several measures were left open for further questions and testimony.
NM
New Mexico 2025 Regular Session
IC - Revenue Stabilization and Tax Policy Dec 16th, 2025 at 09:08 am
Revenue Stabilization & Tax Policy Committee
Transcript Highlights:
- Is co-insurance right as it is distinguished from a copay or a deduction?
- So the copay is the amount the patient pays when they go to visit the doctor. It's a fixed.
- Amount and in our current law, it refers to a copay, a fixed amount.
- give us a whole the whole spectrum Lastly, Madam Chair, what data do you have to show that if we adjust
- To adjust these numbers. So I just find it very interesting.
WA
Transcript Highlights:
- projects requiring pre-design is increased from $10 million to $15 million, and OFM is required to adjust
- There is a fiscal note in the bill, and OFM indicates that it would incorporate the inflationary adjustment
- So I hope I'm incorrect, but my understanding is it just adjusts... ...school district.
- So I hope I'm incorrect, but my understanding is it just adjusts the eligibility for SCAP programs in
Keywords:
HB2470, school construction assistance, capital budget, school facilities, on-base schools, military base schools, military installations, public school construction, school plant projects, state funding assistance, superintendent of public instruction, OSPI, school capital funding, instructional space, school district construction, alternative learning experience, ALE, free and reduced-price meals, special housing burden, district growth
AL
Alabama 2026 Regular Session
Alabama House Financial Services Committee Jan 28th, 2026
Financial Services
Keywords:
income tax credit, tax incentive, recruitment, remote work, remote worker, recruited worker, rural counties, small counties, county population tiers, opportunity zone, teacher recruitment, nurse recruitment, law enforcement recruitment, workforce development, economic development, relocation incentive, Alabama Department of Revenue, nonrefundable tax credit, tax carryforward, state income tax
WA
Washington 2025-2026 Regular Session
House Community Safety Jan 27th, 2026 at 04:00 pm
Community Safety
Transcript Highlights:
- And remember that question that had been asked about whether we might need to adjust the language where
- So usually the way that that would be handled is you'd have to go back and adjust the Constitution.
Keywords:
elected sheriff, sheriff accountability, recall election, peace officer certification, certified peace officer, law enforcement authority, Washington RCW, criminal justice training commission, special election, public official recall, decertification, sheriff removal, voter accountability, county sheriff, police powers, extraordinary medical placement, compassionate release, medical parole, terminal illness, serious medical condition
TX
Transcript Highlights:
- This is a Harris County specific issue, and the bill is adjusted to reflect that.
- Last year, I asked our financial team to adjust that for inflation.
- These adjustments would be crucial for informing residents on how their tax dollars are being spent and
- Taken together, these adjustments would make HB 46 a strong measure to rein in local government excesses
- He can adjust the rate. It's about the income.
Keywords:
HB26, law enforcement contracts, sheriff, constable, county commissioners court, commissioners court, private security, special law enforcement district, property owners association, POA, municipal utility district, school district, junior college district, local government, contract policing, supplemental police services, large counties, population over 3.3 million, Texas Local Government Code, Harris County
MD
Transcript Highlights:
- in this program that are receiving child care, that the copay is $1 to $3 per week.
- So, the copay, it's anywhere from...
- House Bill 1321, child care scholarship program enrollment and copays alterations.
- Allows the State Department of Education to set a minimum copay.
- Repeals the presumptive copay. Repeals the presumptive eligibility<01:36:43.960><c> policy.
Summary:
The House convened with 124 members present, offered a prayer, and recognized foster youth visiting the chamber. Members then adopted two House resolutions honoring Dr. Sonja Santelises for 10 years as CEO of Baltimore City Public Schools and recognizing Sigma Gamma Rho Sorority, Incorporated, for 104 years of service, scholarship, and sisterhood. The House also received Senate bills and began taking up committee reports.
Several bills were reported favorably and advanced to third reading, including measures on higher education grants, public safety pay restrictions, retirement and pension system work group extensions and cost-of-living adjustments, synthetic turf and aquaculture studies, rail crew requirements, Howard County speed limits, election address confidentiality, IT investment fund uses, ethics financial disclosures, Public Information Act divorce records, aging-in-place grants, judicial assignments, clerk and register salaries, and firearm literature distribution. House Bill 428, concerning temporary assignment of former judges, was special ordered until the next day after the minority whip requested time for an amendment.
The chamber also considered and adopted amendments on several bills. House Bill 437, the Transportation and Climate Alignment Act of 2026, was amended to exempt the Chesapeake Bay Bridge project and then special ordered after questions about greenhouse gas impacts on major highway expansion projects. House Bill 457 on menstrual hygiene products at higher education institutions, House Bill 538 on student enrollment disclosures, House Bill 561 on child care credential funding, House Bill 720 on a veterans scholarship, and House Bill 212 on out-of-state vehicle registration all received amendments and favorable reports as amended. HB 212 drew extended debate about Maryland residents using out-of-state tags, with supporters saying it would help enforce registration laws and opponents raising concerns about legislative вмешательство in vehicle regulation and enforcement discretion.
CA
California 2025-2026 Regular Session
Joint Hearing Assembly Health Committee and Senate Health Committee Mar 10th, 2026
Transcript Highlights:
- be accumulating?
- And have a variety of needs as they live and adjust to a new environment.
- There's a time for adjustments down the road, but at this point, it shouldn't be no; it should be how
- There's a time for adjustments down the road, but at this point, it shouldn't be no, it should be how
- I know people with MS who have skipped diagnostic tests due to not being able to afford a copay.
TX
Transcript Highlights:
- This is a proactive measure to ensure that, um, insurance adjusters are better equipped with the essential
- This vulnerability is evident when considering that on average, auto insurance adjuster estimates are
- Ultimately, this bill is designed to address this issue of adjusters using unclear practices that leave
- My insurance claim adjuster came out and told me my car was a total loss upon looking at it.
- An insurance adjuster from Progressive reached out with a settlement offer of just over $2000.
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part I) May 7th, 2025
Health & Human Services
Transcript Highlights:
- want quality healthcare all the way around, but I do think in rural Texas we've always learned to adjust
- You don't have to pay a copay, but it's meant to be truly what they believe to be evidence-based, cost-effective
- These benefits might not seem like much, but accumulated over 10 years, they could have made a tremendous
Bills:
HB18, HB37, HB116, HB388, HB879, HB913, HB1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744, HB18, HB37, HB116
Keywords:
rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388
CA
California 2025-2026 Regular Session
Joint Hearing Assembly Health Committee and Senate Health Committee Mar 10th, 2026
Transcript Highlights:
- We're tracking cost, but are we doing... ...anything to track accumulating medical debt that people might
- be accumulating?
- There's a time for adjustments down the road, but at this point, it shouldn't be no; it should be how
- There's a time for adjustments down the road, but at this point, it shouldn't be no, it should be how
- I know people with MS who have skipped diagnostic tests due to not being able to afford a copay.
Summary:
The joint informational hearing of the Senate and Assembly Health Committees focused on the “cost of uncertainty” in health coverage, access, and affordability amid federal policy changes. Opening remarks from committee leaders and members emphasized that California’s gains under the Affordable Care Act and Health for All policies—high coverage rates, consumer protections, and lower uninsured rates—are now threatened by federal rollbacks, including the expiration of enhanced premium tax credits and H.R. 1. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk of coverage losses, especially for low-income Californians, workers, seniors, and immigrant communities.
The first panel featured federal policy and state implementation experts, including Don Joyce, Jessica Altman of Covered California, and Elizabeth Lansberg of HCAI’s Office of Health Care Affordability. Testimony described the ACA’s coverage expansions and the current federal threats: shorter open enrollment, more verification requirements, loss of enhanced subsidies, and changes affecting immigrants and preventive coverage. Covered California reported that average monthly premiums could nearly double without the subsidies, new enrollment is down sharply, and more consumers are shifting into bronze plans with higher deductibles. HCAI explained its affordability strategy through spending targets, consolidation review, and primary care investment, while members asked about the impact of federal cuts on provider taxes, uncompensated care, and whether California can sustain coverage without new revenue.
The second panel, with UC Berkeley Labor Center’s Miranda Dietz and California Health Care Foundation’s Christoph Stremikis, broadened the discussion to statewide cost drivers and consumer impacts. They highlighted that more than half of Californians under 65 rely on job-based coverage, yet premiums, deductibles, and out-of-pocket costs have risen faster than wages. They also pointed to medical debt, administrative waste, market consolidation, and underinvestment in primary care as major drivers of unaffordability. Members asked about the 25% of health spending that does not improve patient care, the role of fraud versus administrative friction, the effect of cost growth targets on workers, and the need for preventive care and possible revenue solutions. The hearing then moved to a third panel on human impacts, beginning with testimony from a Central Valley promotora describing how families are choosing lower-tier coverage, struggling with diabetes care, and facing higher premiums after subsidy losses.
CA
California 2025-2026 Regular Session
Joint Hearing Senate Health Committee and Assembly Health Committee Mar 10th, 2026
Transcript Highlights:
- We're tracking cost, but are we doing anything to track accumulating medical debt that people might be
- accumulating?
- There's a time for adjustments down the road, but at this point, it shouldn't be no; it should be how
- There's a time for adjustments down the road, but at this point, it shouldn't be no, it should be how
- I know people with MS who have skipped diagnostic tests due to not being able to afford a copay.
TX
Transcript Highlights:
- It was not, so we deviated and adjusted course based on this patient.
- So it's not $25, it's $25 plus, or whatever the copay is, plus time off work.
- ...and the copay situation is, right?
- And by copay, the facility fee on that person's insurance plan was 20%.
- But that was for a copay? That was for their personal. ...co-insurance.
Bills:
HB46, HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794
Keywords:
local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits
TX
Transcript Highlights:
- We have you registered as Ronald Cooper for Ronald Cooper Public Adjusting and Self.
- As a public adjuster, I will review 400 policies and assess surplus lines.
- We show you registered as Chess Bostic, Association of Public Insurance Adjusters.
- But we adjusted our. Our insurance offering to make sure that she continued on.
- Yeah, I think across the board in the years I've been here, we worked on copay accumulators to ensure
Keywords:
HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301