Video & Transcript Research : 'pay'

Page 72 of 500
KY
Transcript Highlights:
  • Our hospitals pay a provider the state.
  • <01:32:23.760> significantly bordering states paying significantly bordering states paying
  • We're paying 27 cents an hour an hour.
  • <01:43:26.719> thousands listen I am I am paying thousands listen I am I am paying thousands
  • everyone and paying able to pay people everyone and paying able to pay people outside<01:43:37.119
Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.
MN

Minnesota 2025 1st Special Session

Committee on Taxes - 01/28/25

Taxes

Transcript Highlights:
  • <00:25:19.080> both paying they're going to be paying both paying they're going to be paying
  • Also, that is now 80% of all of our Social Security recipients pay no taxes on their benefits.
  • Also, that is now 80% of all of our Social Security recipients pay no taxes on their benefits.
  • charge that to the consumer how to pay charge that to the consumer how to pay that<01:15:06.040>
  • withhold on your income so you can pay withhold on your income so you can pay that<01:39:14.119>
Keywords: 1187, senate, all
Summary: The committee met to hear a presentation from the Commissioner of Revenue on Governor Walz and Lieutenant Governor Flanagan’s tax proposal, with members told no public testimony would be taken because bill language was not yet available. The commissioner said the proposal would lower the statewide sales tax rate by 0.75 percentage points while expanding sales tax to selected professional services such as legal, brokerage, banking, and accounting, with several carve-outs. He emphasized that the plan would not add business-to-business sales taxes, arguing that taxing business inputs leads to tax pyramiding and higher hidden consumer costs. The commissioner said the rate cut would be the first sales tax rate cut in state history and estimated it at about $95 million annually, while the service expansions would raise about $203 million to $205 million annually, for a net increase of roughly $110 million per year. He said the proposal is part of the governor’s broader budget, which he described as addressing long-term structural deficits and funding other priorities such as an R&D credit, an expanded sustainable aviation fuel credit, fraud prevention, and service-member retention bonuses. He also said the carve-outs and exemptions would be reflected in the revenue estimate. Members questioned whether the proposal was truly a tax cut or instead a tax increase, and several asked for a revenue-neutral rate if all or more services were taxed. One member raised concerns about how pro bono legal work with a fee would be treated, and another asked about possible streamlining issues and whether fees are treated as taxes in statute. The commissioner said a fee would be taxable depending on the arrangement and that the department would review the language carefully once drafted. He also said the department would provide more detailed estimates later, including what the rate would be if the tax were made revenue neutral. No votes or formal actions were taken.
NH

New Hampshire 2025 Regular Session

House Finance Division II (03/05/2025)

Transcript Highlights:
  • <01:11:33.400> for 2938 2938 is Debt Service it pays for 2938 2938 is Debt Service it pays
  • keep adding new loans as fast as we pay keep adding new loans as fast as we pay the<01:12:36.040
  • new capital projects s so you're paying new capital projects s so you're paying for<01:12:56.840
  • $49, they pay $400.
  • $49 they pay $400 and for a lot paying $49 they pay $400 and for a lot of<05:16:50.040> those
Keywords: 928, house, all
Summary: The committee met with New Hampshire DOT Commissioner Bill Cass and Finance Director Danielle Shandra to review the agency’s FY 2026 budget. Cass gave a high-level overview of DOT’s mission, organization, funding structure, and staffing trends, noting the agency has about 650 employees across five divisions. He said the Governor’s recommended FY 2026 budget totals $95.99 million, essentially flat from FY 2025, with funding primarily from Turnpike funds, Highway funds, federal sources, and a small General Fund share for non-highway units. Members asked about how Turnpike and Highway funds are treated in state accounting, and DOT explained that while they are enterprise funds restricted to their purposes, they are considered unrestricted from the statewide perspective and are appropriated through the budget process. A major topic was staffing and budget targets. DOT said its full-time staffing level has remained relatively flat since 2014 even as vehicle miles traveled increased and vacancies rose. To meet budget targets, the department unfunded seven permanent positions and nine temporary full-time positions, and later noted additional reductions in Finance, including the elimination of two full-time positions, reduced print shop equipment purchases, and deeper cuts to overtime, temporary help, equipment, and supplies in FY 2027. DOT also explained that it shifted funding for one unmanned aerial system position from General Funds to Highway Funds, saying the change was workable because the position supports highway-related work and federal-aid-eligible activities. Members asked for clarification on the state transit operating match, and DOT explained that the Legislature had previously provided about $1.8 million annually in General Funds to help local transit agencies meet federal match requirements, but that funding was not included in this budget. DOT said that could reduce the ability to draw down some federal transit funds, though the impact may not be immediate because those funds can be used over several years. The department also described its unmanned aerial system program, saying it has been used for about five years for mapping, survey work, construction oversight, and storm damage assessment, and that it now has about five drones and two full-time positions supporting the program. DOT said it is expanding cross-training so more employees can operate drones without adding positions. No votes or formal actions were taken in the portion provided.
ND

North Dakota 2026 1st Special Session

Health Care Committee Feb 12th, 2026 at 09:30 am

Transcript Highlights:
  • And then finally, self-pay and cash pay.
  • or a cash pay option.
  • Do they expect that I'm paying my premiums, I'm paying my co-pays, I'm paying my co-insurance, I should
  • Do they expect that I'm paying my premiums? I'm paying my co-pays. I'm paying my co-insurance.
  • And when we say free, we do pay for premiums. Everybody's paying for premiums.
Keywords: 908, all
Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.
NM

New Mexico 2025 Regular Session

House - Chamber Meeting Mar 21st, 2025

Transcript Highlights:
  • test and then 148 million is to pay for the structured literacy, right?
  • So one of them you would require to pay Davis Bacon.
  • So who is paying that tax levy on real property, Mr. Speaker and gentle lady? Mr.
  • And would you be, uh, amenable to paying taxes for this change? Mr.
  • , they have to put taxes on the consumer who has to pay them at the end of the day.
MN
Transcript Highlights:
  • I pay for all my tickets.
  • <00:43:01.119> for J BL Sunday I seen Billy eish I pay for J BL Sunday I seen Billy eish I
  • pay for all<00:43:01.440> my<00:43:01.640> tickets<00:43:02.520> I<00:43:02.760
  • Pay for the debt service for this one project, or do we look at the entire state of Minnesota and all
  • to pay for it through<00:51:55.520> a<00:51:55.640> local<00:51:55.920> option<
Keywords: 1183, house
LA

Louisiana 2026 Regular Session

Judiciary B May 14th, 2026

Judiciary B

Transcript Highlights:
  • It's just a notice when somebody that's on a monitoring system does not pay. And...
  • And so from a vendor perspective, if they didn't pay vendor A, Because they're unable to pay.
  • So who's paying for that? Whether it's the federal government or the state, is that?
  • So who's paying for that? Whether it's the federal government or the state, is that?
  • Plus, the offender is going to also pay for this.
Keywords: 974, senate, all
NM

New Mexico 2026 Regular Session

Senate - Tax, Business and Transportation Feb 10th, 2026 at 04:43 pm

Senate Tax, Business & Transportation

Transcript Highlights:
  • I'm glad we have the funding to pay for this.
  • And Medicaid pays for most of them.
  • Medicaid will pay for it.
  • And Medicaid pays for most of them.
  • Medicaid will pay for it.
Bills: SB20, SB21, SB166, SB177, SB181, SB189, SM6
OK
Transcript Highlights:
  • Just in case we can't ever lead and pay, we would love to lead and pay.
  • They'll use that, and we also pay the Allana Rothfield money to pay for our major crimes conference that
  • And then, that would pay for that.
  • But I do believe that you do deserve a pay increase.
  • They continue paying that salary and come do the work.
Keywords: 914, all
OK
Transcript Highlights:
  • We're paying twice as much as we used to pay for IT. And that's all I've got.
  • Really, we generally pay the federal rate, which is 70 cents.
  • So, I didn't go from the approach of leaving 150 short and letting's pay troopers overtime pay.
  • Their cadet status throughout the academy at a pay rate.
  • I can pull the pay rate up for you, but it's a lower pay rate if you already have law enforcement experience
Keywords: 914, all
FL

Florida 2026 Regular Session

Ethics and Elections Mar 10th, 2025

Ethics and Elections

Transcript Highlights:
  • They have to pay certain expenses now under current law.
  • pay certain expenses now under current law.
  • The initiative sponsor would pay. Senator Polsky. Thank you.
  • We will see the marijuana ballot again because they will pay what they need to pay to get it on.
  • We will see gambling…” “We will see gambling because the companies will pay what they need to pay to
Summary: The Senate Committee on Ethics and Elections met to consider SPB 7016, a major bill revising Florida’s constitutional initiative petition process. Senator Grall presented it as a fraud-prevention and ballot-integrity measure that would add sponsor training, stricter circulator rules, more voter identification information, faster submission deadlines, notice to voters whose signatures are verified, and additional civil and criminal penalties. The committee also considered several amendments, including a $1 million bond requirement, font and page limits for petition forms, restrictions on incentive-based circulator pay, removal of a criminal-conviction prerequisite for certain fines, deposit and reimbursement procedures for supervisors of elections, invalidation of petitions gathered by ineligible circulators, mandatory circulator training, and a prohibition on public funds being used to advocate for or against constitutional amendments. All of the amendments were adopted, with some roll-call votes recorded and most passing on party-line or near party-line splits. The bill drew extensive questioning from senators, especially about the practical effects of the new requirements. Senator Polsky and Senator Rouson raised concerns about disenfranchising voters, burdening grassroots volunteers, the cost of bonds and deposits, the 10-day return deadline, and whether voters would be notified if a petition they signed was later invalidated. Grall said the measures were intended to protect the constitutionally significant initiative process, reduce fraud, and ensure sponsors—not taxpayers—bear administrative costs. Dave Ramba, speaking for supervisors of elections, supported the deposit and reimbursement concepts but warned that the bill’s implementation would be operationally difficult and that software vendors might not be ready for the changes by the effective date. He also said the process should avoid subsidizing petition drives with county taxpayer money. Public testimony was overwhelmingly opposed, with speakers from Common Cause Florida, the League of Women Voters, the NAACP Florida State Conference, Florida Rising, Equal Ground, Voices of Florida, and other civic groups arguing the bill would suppress direct democracy, criminalize volunteer activity, impose excessive costs, and create confusion and litigation risk. One speaker from the Florida Chamber of Commerce supported the bill, saying the initiative process should be protected from fraud and outside interests. During debate, Senator Polsky argued the Legislature has steadily made the initiative process harder after recent citizen-led amendments succeeded, while supporters framed the bill as a necessary integrity measure. The committee had not yet taken final action on the bill itself by the end of the transcript.
MN

Minnesota 2025-2026 Regular Session

House Taxes Committee 2/25/26

Taxes

Transcript Highlights:
  • <00:08:21.919> for 529 accounts was allowed to pay for 529 accounts was allowed to pay for
  • reported for purposes of uh paying reported for purposes of uh paying income<00:36:33.280> tax
  • But that was and pay tax on that income.
  • <00:43:27.359> the um they can elect to file and pay the um they can elect to file and pay
  • <01:14:34.560> for to uh continue to sustain and pay for to uh continue to sustain and pay
Bills: HR1, HF387
NH

New Hampshire 2025 Regular Session

House Finance Division I (03/05/2025)

Transcript Highlights:
  • forget to give it to us they could pay forget to give it to us they could pay one%<00:49:35.160>
  • now pay for it most group twos they pay now pay for it most group twos they pay for<00:59:16.280
  • <03:52:44.199> the change was right and you would pay the change was right and you would pay
  • <05:10:46.200> your $50 and if you don't pay your $50 and if you don't pay your certificate
  • <05:31:18.878> New property uh in New Hampshire pays New property uh in New Hampshire pays
Keywords: 928, house, all
Summary: The committee took up House Bill 2 retirement provisions, focusing on Group Two/Tier B changes in pages 25-39. Jan Goodwin of the New Hampshire Retirement System and deputy chief counsel Mark Kavanaugh explained that the 2025 bill is largely similar to prior versions, but it restores certain pre-2011 benefit rules for Tier B members, including changes to average final compensation and earnable compensation, and it also addresses the annuity multiplier for years of service. Members discussed the tier structure, with Tier A referring to vested members, Tier B to those hired before 11/1/12 who were not vested, and Tier C to later hires. Several members expressed concern that the bill’s purpose was to restore Tier B benefits, not to change Tier A rules or create broader changes affecting newer hires. The retirement system flagged two likely drafting problems. First, it said a provision appears to omit a special-duty/earnable-compensation limitation in the Group Two section, which they believed was a scrivener’s error caused by moving language out of the Group One definition without adding it back for Group Two. Second, they noted the bill’s multiplier language overlaps with changes already enacted in HB 1647, which increased the multiplier for service beyond 15 years for Group Two and carried an estimated $26 million cost. The committee discussed that HB 1647 was originally broader in the House, but the Senate narrowed it to Tier B only. The actuary’s comparison of the 2023 and 2025 HB 2 versions showed the bills are close, but the 2025 version differs in funding and timing. Staff said the 2025 bill appropriates $2.5 million more per year for 10 years, and that, together with updated actuarial assumptions and a larger share of the affected tier having already retired or otherwise left service, results in a larger reduction in unfunded liability than the 2023 bill: about $98.2 million versus $68.5 million. Employer contribution impacts were described as small overall, though the 2025 bill was said to be somewhat more favorable than the 2023 version. Members also questioned why House Bill 1 only funds $5 million in the first year, and staff said that was tied to the governor’s revenue estimate and that the full funding does not begin immediately. No votes were taken in the portion provided; the committee mainly received testimony, asked clarifying questions, and noted that some issues would be addressed in the fiscal note worksheet.
CA

California 2025-2026 Regular Session

Senate Revenue and Taxation Committee Apr 22nd, 2026

Revenue and Taxation

Transcript Highlights:
  • I know not only can they pay it, but they would be happy to do so, as would many other people.
  • , and we're asking, in this fee, people that didn't cause this problem to pay for it.
  • So they're already paying into that process.
  • When you pay for a fee, which is why our friends from Howard Jarvis are here, they don't always trust
  • I think the current design is, if your county's paying in, you do get it. ...but you might say that's
Summary: The committee heard several bills focused on public health, wildfire recovery, local government finance, transportation, and rural health care. SB 1124 by Senator Archuleta would require the California Department of Public Health to create and post lung cancer screening eligibility signage at tobacco retail locations. The author and a physician witness argued the bill would raise awareness of a highly underused screening that can save lives, while retailers and fuel/convenience groups raised implementation concerns about signage size, notice, and penalties. The bill passed to the Health Committee on a 4-0 vote after the committee later took up the on-call item. SB 1352 by Senator Valadao and Senator Allen would clarify that wildfire victims can rebuild homes up to 110% of the original size without triggering reassessment, so long as the property was destroyed in a governor-declared disaster. Supporters, including the L.A. County Assessor, the California Assessors Association, Realtors, and taxpayers groups, said the bill would reduce uncertainty and help families rebuild without higher property taxes. It passed to Appropriations on a 5-0 vote. SB 1343, presented by Senator Allen on behalf of Senator Dodd, would provide a $4,000 income tax credit for sales tax paid on furniture and appliances purchased to furnish a primary residence after a disaster; it drew one opposition witness from the California Teachers Association but otherwise had no public opposition and passed 5-0 to Appropriations. SB 1172 by Senator Hurtado would place caps and transparency requirements on consultant compensation in local tax-sharing agreements, responding to cases in Shafter and Dinuba where revenue was allegedly diverted to consultants. Local government and business groups supported the measure as a guardrail, while some members expressed concern about Sacramento limiting local control; it passed 4-0 to Appropriations. SB 1408 by Senator Arreguín would authorize the Contra Costa Transportation Authority to place a countywide sales tax measure of up to 1% on the ballot to continue transportation funding; transit agencies and local officials supported it, while taxpayer groups opposed it, and it passed 4-1. SB 1404 by Senator Stern would restore a fee on property owners in state responsibility areas to fund Cal Fire wildfire prevention and suppression, with supporters arguing the fee would broaden funding and opponents calling it an unfair tax on rural and wildfire-prone residents; it passed 4-1 to Appropriations. Finally, SB 1102 by Senator Dodd would create a $2,000 tax credit for frontline nurses working in rural hospitals; supporters said it would help recruit and retain nurses in underserved areas, and the bill passed 5-0 as amended to Appropriations.
AZ

Arizona 2026 Regular Session

03/10/2026 - Senate Appropriations, Transportation and Technology

Appropriations, Transportation and Technology

Transcript Highlights:
  • And at that front desk, I have to pay.
  • The solution for billing is pay your fee.
  • They just won't pay them.
  • These pilots who turn off their stuff, they don't want to pay their fees.
  • They just won't pay them.
Summary: The committee heard House Bill 2003, which would lower the instruction-permit age for Class D, G, and M licenses from 15 and a half to 15, while increasing supervised practice requirements for minors: 50 hours for Class G with 20 at night, 50 hours for Class M, and a nine-month permit holding period before licensure. The sponsor argued the bill builds on Arizona’s graduated driver licensing system and is intended to improve teen safety, citing other states with longer permit periods and lower teen fatality rates. Questions focused on who certifies the supervised hours, with staff explaining that a parent, legal guardian, or custodial parent signs off, though driver education remains an alternative. The bill received a do-pass recommendation by a 9-1 vote. House Bill 2063, which appropriates $1.5 million from the General Fund in FY 2027 to the Corrections Oversight Fund, drew emotional testimony in support from a mother whose son died after a prison suicide, and from advocates who said the oversight office is needed given prison health care problems and federal receivership. The sponsor said the funding would support prison oversight and transparency. The committee then approved the bill unanimously, 10-0. The committee also passed House Bill 2116, appropriating $1 million to the Colorado River litigation fund, after the sponsor said the money would help Arizona prepare for possible litigation over Colorado River cuts and that the issue affects nearly every district in the state. Members discussed whether the funding should come from the WIFA fund instead of the General Fund, but the bill received an 8-0 do-pass recommendation with two not voting. The committee also considered House Bill 2210, which would prohibit the state, local governments, and private entities from using ADS-B aircraft surveillance data to calculate, generate, or collect aircraft fees. Supporters, including pilots and the Arizona Pilots Association, argued the technology was intended for safety and should not be used for billing, warning that fee collection could discourage pilots from keeping the system on. Opponents, including the Arizona Airports Association and the City of Phoenix, said airports should retain local control over fee collection methods and that the bill was a solution in search of a problem. After extensive debate about federal requirements, safety, and billing practices, the bill received a tied 4-4 do-pass recommendation. Finally, HCM 2007, a memorial urging renaming sections of State Route 69 to honor veterans of several wars, passed 5-4. The committee also briefly noted that some bills were being held at members’ request.
CA

California 2025-2026 Regular Session

Assembly Floor Session Jun 13th, 2025

California House Floor Meeting

Transcript Highlights:
  • They're going to pay the price again.
  • It's paying for the child care of 8,000 children.
  • It's paying a year's worth of tuition for every single freshman at UCLA.
  • Assembly Member Tong Pai, you are recognized. Thank you, Mr.
  • Pay rent, and just get by every day. Thirty seconds. This does not help them. Thank you.
Summary: The Assembly convened after a quorum call and proceeded to floor business, with the main item being SB 101, the state budget bill. Before debate on the bill, Assembly Member Sanchez offered amendments to redirect funding toward Proposition 36 implementation, wildfire prevention, Medi-Cal provider reimbursement, developmental services, and other priorities; the majority moved to lay those amendments on the table, and the motion passed 43-18. The chamber then took up SB 101 as the budget bill for immediate effect. Debate on the budget was extensive and sharply divided. Supporters, including Assembly Member Gabriel and several committee chairs, described the budget as a difficult but responsible compromise that protects Medi-Cal, IHSS, child care, housing, wildfire prevention, and other safety-net programs while responding to a projected deficit and federal uncertainty. Opponents criticized the budget as fiscally unsound and argued it relied on accounting gimmicks, did not adequately fund Proposition 36 or wildfire prevention, and continued spending on high-speed rail and Medi-Cal coverage for undocumented immigrants. Several members also raised concerns about gas taxes, provider reimbursement, probation funding, and the impact on vulnerable Californians. After debate, the Assembly voted on SB 101 and passed it 57-19. The measure was sent immediately to the Senate. The body then announced upcoming session schedules, with no floor or check-in sessions on June 14 and 15, and a floor session set for June 16 at 1 p.m., before adjourning.
NM

New Mexico 2025 Regular Session

Senate Chamber Mar 21st, 2025

New Mexico Senate Floor Meeting

Transcript Highlights:
  • They can afford to pay prevailing wage. Otherwise they're paying minimum wage.
  • Uh, I'm glad to hear from Senator Scott that all these jobs are high paying, so if they're all high paying
  • I look at those pay scales.
  • We pay prevailing wage that's in the law right now.
  • And then third is industry and industry is accept to pay is supposed to pay its own way with regard to
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Health Care Financing Jun 21st, 2026 at 11:00 am

Joint Committee on Health Care Financing

Transcript Highlights:
  • That is a formidable amount to be paying out of pocket.
  • So that's a formidable dollar amount to be paying out-of-pocket.
  • That remaining... ...and transplant-related care, but it only pays 80% of the costs.
  • For many patients, that's an impossible choice: pay for care, or pay for rent, or pay for your groceries
  • pay for rent or pay for your groceries here's the problem under current Massachusetts law residents
Keywords: 995, all
Summary: The Joint Committee on Health Care Financing held a public hearing on several health care bills focused primarily on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman opened by outlining hearing procedures, testimony rules, and filing deadlines, and noted the hearing would be recorded and written testimony accepted. They said the day’s topics included affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable populations, and MassHealth eligibility asset exemptions. A major portion of the hearing concerned House Bill 4623, which would add board-certified assistant behavior analysts (BCABAs) as a recognized mid-level supervisory role in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field, actuaries, clinicians, and autism service providers testified that the current two-tier model limits workforce capacity, contributes to long delays, and leaves families waiting months for care. Supporters said the bill could expand access, improve retention, and potentially reduce MassHealth costs, while also helping providers meet growing demand and new administrative requirements. The committee also heard testimony on House Bill 4425 and Senate Bill 2737, which would allow Massachusetts residents under 65 with end-stage renal disease to purchase Medigap coverage. Legislators, dialysis advocates, and patients described high out-of-pocket costs under Medicare, barriers to kidney transplant eligibility without secondary insurance, and the financial strain on patients and families. Testifiers said the change would affect about 846 residents, could modestly increase premiums, and might reduce Medicaid spending by preventing asset spend-downs. Senator Gomez and others spoke from personal experience with dialysis and transplant care. Finally, the committee heard testimony on House Bill 4353 and Senate Bill 2587, which would require regular data-driven review of MassHealth ABA reimbursement rates. Providers and association representatives argued that reimbursement has not kept pace with inflation, workforce shortages, accreditation costs, and new 2026 MassHealth policy requirements, and said the bills would improve transparency and ensure rates reflect the true cost of care. No votes were taken; the hearing concluded with the chairs thanking participants, inviting additional written testimony, and adjourning the meeting.
AR

Arkansas 2026 1st Special Session

ALC-PEER Jun 16th, 2026

ALC-PEER

Transcript Highlights:
  • It's to pay claims for the Crime Victims Reparations Program.
  • It's to pay overtime worked by State Police driving track personnel.
  • It is to pay three new extra help attorneys.
  • It is to pay three new extra help attorneys. Mr.
  • This is to pay for 12 narcotic detection canines.
Keywords: 1204, all
CA

California 2025-2026 Regular Session

Assembly Committee on Economic Development, Growth, and Household Impact Aug 15th, 2025

Economic Development, Growth, and Household Impact

Transcript Highlights:
  • Or in jobs that pay low wages.
  • County and were working for pay and were over 18.
  • this on-campus job that's definitely going to pay me, in spite of the fact that it's going to benefit
  • We're also working in the spirit of California Jobs First, by targeting sectors that are high paying
  • But even those that have enough financial aid still have to pay for their living costs, and that then
Keywords: 988, house, all