Video & Transcript : 'provider network' :
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CA
California 2025-2026 Regular Session
Joint Hearing Budget Subcommittee No. 2 on Human Services and Budget Subcommittee No. 3 on Education Finance Apr 8th, 2026
Transcript Highlights:
- To close this compensation gap, the state could provide additional funding to providers.
- was provided and trained more than 5,000 providers.
- And that includes not only providing the local planning councils to providing that report that they provide
- care provider.
- providers.
Summary:
The hearing was a joint budget discussion focused first on California preschool and child care, then on universal transitional kindergarten (TK), with later movement toward a reading-difficulties screener item. Members emphasized the need for a coordinated early childhood system that better serves families’ real schedules and needs, rather than forcing families to fit existing program structures. The preschool panel reviewed access, quality, workforce, facilities, and information systems, with repeated concern about whether current funding and program design are sufficient for infants, toddlers, three-year-olds, and full-day/full-year care.
Witnesses from the Learning Policy Institute, CDSS, CDE, and community providers described major growth in preschool and child care enrollment, especially for two- and three-year-olds, but also noted persistent gaps, waitlists, workforce shortages, low reimbursement rates, and the need for more stable funding. Several witnesses urged expansion or permanence of two-year-old eligibility in CSPP, more support for mixed-delivery systems, facility conversion and renovation grants, better statewide enrollment and referral systems, and continued funding for one-time grants such as UPK coordinators and planning/implementation supports. Provider and parent testimony stressed that rate reform, enrollment-based reimbursement, and continued hold-harmless protections are needed to keep programs open and accessible.
The TK panel reviewed the Governor’s budget proposal for full implementation of universal TK, including Proposition 98 funding for expansion and lower adult-to-child ratios, plus a multilingual learner screening implementation budget change proposal. LPI and CDE reported that TK enrollment has grown rapidly but uptake is now a little over half of eligible four-year-olds, with families citing lack of awareness, preference for other care, and logistical barriers such as location and hours. CDE and providers said the UPK planning and implementation grant, mixed-delivery planning grants, and UPK coordinators have been critical, but these one-time funds are set to sunset. Members pressed for more information on eligible population projections, full-day/full-year demand, teacher credential data, and how administrative credential programs are preparing leaders for early childhood settings. The committee held the issues open and requested follow-up data from the departments.
ID
Idaho 2026 Regular Session
Agenda Feb 2nd, 2026
Transcript Highlights:
- So they’re on our network. We’re not piggybacking on the county network.
- Network is a problem for us, and we just released an RFP. We're about to award it.
- We said firewall network is your priority because we've got to protect it.
- So I was just kind of curious how much that costs us annually to provide those services.
- It also provides a good resource from a legal standpoint.
Summary:
The committee heard budget presentations for the Office of Information Technology Services (ITS) and the Idaho State Tax Commission. For ITS, the analyst and administrator described the agency’s role in statewide IT policy, cybersecurity, telecommunications, and consolidation of IT staff from other agencies. The discussion focused on the agency’s growing FTP count as more IT functions are centralized, the treatment of continuously appropriated cash used for hardware and services purchased on behalf of other agencies, and a proposed policy change to separate that cash into a distinct fund. ITS also outlined its fiscal year 2027 requests, including funding for enterprise security/firewall upgrades, a federal E-CORE grant for a statewide data repository using AI, a supplemental for Chinden Campus furnishings, and the next phase of Health and Welfare consolidation. The administrator emphasized the volume of cyberattacks, the need for security investments, and the agency’s efforts to reduce costs through redesign and consolidation.
Members asked about the E-CORE grant, the basis for the governor’s 3% holdback, whether Health and Welfare’s budget would be reduced when IT staff move to ITS, and why some equipment and furnishings were being requested instead of simply transferring assets. The administrator said the firewall request was critical, that delaying it could cost about $3 million more later, and that the 58 FTP transfer from Health and Welfare was the final consolidation phase, with some equipment being transferred and some new furnishings still needed. Questions also addressed cybersecurity threats, procurement speed, software review delays, and the use of AI. ITS said it processes over 82,000 tickets annually, works with federal and law enforcement partners on cyber threats, and is trying to improve efficiency while maintaining security.
The Tax Commission presentation covered its five programs, its roughly $55 million budget, and its role in collecting and distributing state revenues. The analyst highlighted the agency’s dedicated funds, continuous appropriations for tax rebates and distributions, and fiscal year 2027 requests for property tax education funding, GenTax automation, use of dedicated funds for a chief operating officer, replacement items, and the governor’s holdback. The chairman said the agency returns more than $7.8 billion in revenue and costs less than one penny to collect each dollar, but warned it is at a “tipping point” where further cuts would reduce service and delay revenue processing. He also discussed the Multi-State Tax Compact, the need for more staffing in the call center, and the challenges of implementing tax conformity changes tied to the federal One Big Beautiful Bill Act, which could require substantial software and form updates on a compressed timeline.
Members asked about the sustainability of dedicated fund increases, the reduction of two FTP tied to a completed rebate program, customer service delays, vehicle replacements, tax gap enforcement, and the parental choice tax credit. The chairman said the tax credit program was designed with income priority, electronic-only applications, audit and contest procedures, and criminal penalties for fraud. He also explained that the commission had received seven of ten requested staff for the tax credit, and that the new chief operating officer role was intended to provide continuity and operational management. No formal votes or bill actions were taken in the portion provided; the meeting concluded with thanks to the agencies and adjournment until the next day.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Mar 26th, 2026
Transcript Highlights:
- There’s how many providers are in the network.
- This $311 million cut would leave $517 million in federal funds on the table, decimate the provider network
- California spent years rebuilding its dental network after prior underpayment caused provider participation
- California spent years rebuilding its dental network after prior underpayment caused provider participation
- California spent years rebuilding its dental network after prior underpayment caused provider participation
Summary:
The subcommittee heard an overview of the Department of Health Care Services’ proposed budget, including a $229.1 billion total-funds budget and projected Medi-Cal enrollment decline as redeterminations continue. Members focused heavily on the fiscal and programmatic effects of prior budget solutions and federal changes, especially the elimination of General Fund-supported Prop. 56 dental supplemental payments beginning July 1, 2026, the hospice utilization-management change, and the impact of reduced caseloads alongside rising health care costs. DHCS said it is still completing required access and rate-reduction analyses for the dental cuts and has been engaging stakeholders, but could not yet quantify the real-world effect on utilization or provider participation. The committee also reviewed the November 2025 Medi-Cal local assistance estimate, which shows higher General Fund spending despite lower enrollment, driven by managed care rate growth, Medicare cost growth, state-only claiming, and federal policy changes.
The hearing then turned to provider taxes and federal H.R. 1 constraints, with extensive discussion of the MCO tax, the hospital quality assurance fee, and other health care-related taxes. DHCS explained that H.R. 1 phases down allowable tax levels and tightens “generally redistributive” rules, making the current MCO tax structure and the proposed higher hospital fee levels difficult or impossible to renew as originally designed. Staff and the LAO described the tradeoff between preserving Medi-Cal funding and avoiding higher costs on private providers and consumers. Members asked about options for preserving revenue, including possible amendments to Prop. 35 or returning to voters, and were told the department is still evaluating approaches while federal guidance remains in flux. The committee also reviewed hospital payment increases already implemented through state-directed payments, with DHCS noting that H.R. 1 will force those payments down to Medicare levels over time.
Several budget change proposals were discussed and left open, including requests tied to the managed care final rule, managed care operations, hospital value strategy, long-term care payment transparency, and interoperability requirements. The committee also heard about a one-year trailer bill extension for skilled nursing facility financing, including continuation of the SNF workforce standards program, the SNF quality assurance fee, and annual rate growth, while the department develops a longer-term financing redesign for 2027-28. Members expressed skepticism about repeated rate reform efforts and questioned whether a one-year extension of the eliminated workforce quality incentive program should be restored during the transition. Finally, Covered California presented its budget and enrollment update, reporting that the expiration of the federal enhanced premium tax credit is expected to reduce affordability significantly, with average premiums roughly doubling for many enrollees and as many as 400,000 Californians potentially losing marketplace coverage over time. The exchange said California’s $190 million subsidy program is helping lower-income enrollees, but not enough to offset the federal loss, and it is also implementing a new gender-affirming care benefit and awaiting federal action on benchmark plan changes.
TX
Transcript Highlights:
- That's correct, as well as providing additional savings.
- This isn't just a bonus that we're providing for our teachers.
- What exactly is the Texas Impact Network?
- PAC Network is dedicated to turning good policy into practice.
- So that makes it really hard to provide additional raises outside of what's provided in this bill, but
Keywords:
teacher compensation, education funding, public school educators, teacher retention, teacher designation, SB 26, Texas Property Code, colonia, colonias, Spanish translation, bilingual contract, real estate contract, executory contract, residential property, border county, international border, economically distressed area, consumer protection, language access, translator certified in Spanish
TX
Transcript Highlights:
- on your last question, the definition of the grid equipment includes the routable connectivity, so network-to-network
- Those tools have been provided and can be provided to anyone that asks us for them as well.
- The network of business opportunities and communication networks that come together is essentially what
- There is a sole U.S. supplier which provides medium-grade GOES, which is costlier and provides no material
- provides 40 percent of the grid's power or more.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Mar 26th, 2026
Transcript Highlights:
- There's how many providers are in the network, and then of those providers that are participating, how
- to provide The member asked about analysis of the impact of providing the increase to provider rates,
- providers or field-based providers.
- This $311 million cut would leave $517 million in federal funds on the table, decimate the provider network
- California spent years rebuilding its dental network after prior underpayment caused provider participation
Summary:
The subcommittee heard a lengthy Department of Health Care Services presentation on the governor’s Medi-Cal budget, including a $229.1 billion total-funds proposal, projected Medi-Cal enrollment declines as redeterminations continue, and several major cost drivers such as managed care growth, Medicare-related costs, pharmacy spending, and changes tied to federal policy. Members focused heavily on the elimination of Prop. 56 dental supplemental payments beginning July 1, 2026, questioning the likely impact on provider participation and utilization. DHCS said it is completing the required rate reduction/access analysis for CMS, has been holding stakeholder meetings and issuing provider bulletins, but could not yet quantify the real-world effect. The committee also discussed a $50 million savings proposal tied to new hospice utilization management authority and asked about possible effects on emergency dental care and provider participation.
The hearing then moved through the November 2025 family health estimate and several county and program administration issues, including CCS, GHPP, and Every Woman Counts. DHCS said family health costs are rising despite slight caseload declines because of higher utilization and medical costs, and members raised concerns about CCS website accessibility, county administrative funding, and the transition of youth aging out of CCS. The department said most CCS beneficiaries are also on Medi-Cal, that counties have long raised funding concerns, and that it had clarified use of maintenance-and-operations dollars to address some county workload issues. Members also asked about Every Woman Counts potentially seeing higher demand as Medi-Cal changes take effect; DHCS said that is possible and that the program has multiple funding sources including General Fund.
A major portion of the hearing focused on provider taxes and federal changes under H.R. 1, especially the Medi-Cal managed care organization tax and the hospital quality assurance fee. DHCS explained that H.R. 1 restricts new or increased health care-related taxes, phases down allowable tax levels over time, and tightens “generally redistributive” rules, which could sharply reduce the state’s ability to use the MCO tax for Medi-Cal financing. Members asked whether the Legislature could amend Prop. 35 or whether voters would need to act; DHCS said a three-fourths legislative amendment may be possible if it aligns with the measure’s purpose, but the department is still evaluating options. The committee also discussed hospital financing, with DHCS describing recent increases in state-directed payments and the effect of H.R. 1 in capping those payments at Medicare levels, and the LAO noting the tradeoff between preserving provider taxes and maintaining Medi-Cal funding.
The subcommittee also reviewed a series of DHCS budget change proposals and trailer bill items, including managed care final-rule implementation, managed care operations, a hospital value strategy, a one-year extension of skilled nursing facility financing, long-term care payment transparency, and interoperability/prior authorization requirements. Members repeatedly questioned the use of limited-term versus permanent positions, the overlap among proposals, and the timing of new financing reforms. DHCS said the SNF extension would preserve current workforce standards, sanctions, growth limits, and the SNF quality assurance fee while the department develops a broader 2027-28 redesign. No votes were taken; items were repeatedly held open for later action.
Covered California then presented on the expiration of the federal enhanced premium tax credit and the resulting affordability crisis. The agency said Californians will lose about $2.5 billion in premium assistance for 2026, average premiums could nearly double for many enrollees, and as many as 400,000 people could eventually leave marketplace coverage. Open enrollment ended with 1.9 million sign-ups, down 3% from the prior year, with especially steep declines among middle-income consumers and increased movement into bronze plans. Covered California said the state’s $190 million affordability subsidy is helping lower-income enrollees retain coverage, but cannot fully replace the lost federal assistance. Members also asked about the Health Care Affordability Reserve Fund, repayment of loans from that fund, the status of federal review of California’s essential health benefits benchmark, and implementation of the new gender-affirming care benefit under AB 144.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Mar 26th, 2026
Transcript Highlights:
- There's how many providers are in the network, and then of those providers that are participating, how
- to provide analysis of what the impact were of providing the increase to provider rates if in fact you
- medicine providers or field-based providers.
- -based provider.
- California spent years rebuilding its dental network after prior underpayment caused provider participation
TX
Transcript Highlights:
- Is that something you can provide to us if it hasn't been provided already?
- And that's what we're providing.
- It would provide flood safety, provide at a water supply, and even possibly hydropower.
- Specific to natural disasters, the initial stations in the network were in. installed to provide better
- of networks.
HI
Transcript Highlights:
- </c> innovation network manager last year. innovation network manager last year.
- </c> Hawaii uh provide statute. Hawaii uh provide statute.
- . provided. provided.
- Network. Um, just to keep it short, we Network.
- </c> Network in support. Network in support.
Bills:
HB1977, HB1764, HB1934, HB2533, HB1790, HB2181, HB1870, HB2140, HB2468, HB2358, HB1588, HB1688, HB1986, HB2030, HB2195, HB1949, HB1695, HB1950, HB2094, HB2115, HB2297, HB2336, HB2416, HB2049
Keywords:
maternal health, infant health, mobile application, Medicaid, healthcare access, state programs, music education, public concerts, Hawaii State Library, cultural collaboration, music accessibility, libraries, education, reading programs, early childhood, nonprofit, community engagement, teacher retention, Hawaiian language education, special needs schools
NM
Transcript Highlights:
- We can also provide training free of charge, and you know AEDs.
- content for the news network.
- They do not provide direct operational support for the radio station.
- They're providing programming for rural, unserved, or underserved areas.
- to provide stable leadership.
FL
Transcript Highlights:
- So there's two options that the provider has.
- your transportation providers?
- Are your providers brought on by way of an RFP?
- Are your providers brought on by way of an RFP?
- Amtrak is basically the one provider.
Summary:
The Senate Transportation Committee met, took roll, and heard introductory remarks from members about their districts and transportation priorities, with several senators noting congestion and mobility challenges in their regions. The committee then received a presentation from the Florida Transportation Commission on its oversight role for FDOT, including annual and quarterly performance reviews, review of the five-year work program, and monitoring of tolling and transit authorities. Members asked whether the commission gets involved in project prioritization; the answer was no, because it is statutorily limited to high-level oversight rather than day-to-day project decisions.
The committee next heard two reports related to transportation disadvantaged and paratransit services. FDOT’s Melissa Smith described the statewide Transportation Disadvantaged program, its governance structure, service models, and challenges such as fragmented administration, cost, inconsistent reporting, and rural service limitations. She outlined recommendations including better use of technology, regional partnerships, improved training, and alternative delivery models like microtransit and TNC partnerships. A University of South Florida researcher, Martin Katala, discussed best practices for paratransit and demand-response service, emphasizing route optimization software, dynamic dispatching, service standards, vendor accountability, and the use of TNCs and mobility management to improve efficiency and reduce travel times. A later presentation from UF’s I-Street program focused on emerging technologies for transit, including in-cabin monitoring, automatic restraints, accessible booking and tracking tools, and the need for statewide safety standards and better driver interfaces.
Finally, FDOT Secretary Jared Perdue and District 5 Secretary John Tyler provided an update on the transition of SunRail local entities. They explained the differences among commuter rail, intercity rail, and light rail, and said SunRail’s financial transition to local partners was completed on January 1, with operational transition to follow over up to three years. They contrasted that with Tri-Rail, where FDOT still funds operations and discussions about a future transition are ongoing. Members asked about the differences between SunRail, Tri-Rail, Amtrak, and Brightline, and the presenters explained that commuter rail serves regional daily commuters while intercity rail connects regions. The committee concluded without taking any formal votes or other legislative action.
MO
Missouri 2026 Regular Session
Commerce Feb 4th, 2026
Commerce, Consumer Protection, Energy and the Environment
Transcript Highlights:
- We have great providers.
- out-of-network coverage.
- Out-of-network coverages traditionally drop down to 50%.
- They do not want to pay when there's a review process and a network provider.
- The largest online auction provider did 10,200 sales in Missouri.
Summary:
The committee first went into executive session on House Bill 2099, adopting a House committee substitute and an amendment clarifying language about non-private, non-commercial property and authorized agents, including executors, administrators, trustees, and verified heirs. Members discussed the amendment as a way to prevent people from exploiting recent obituaries to occupy property without authorization. The committee then voted unanimously to do pass the House committee substitute for HB 2099.
The main public hearing was on House Bill 1791, which would set deadlines for political subdivisions to act on building permit applications and reduce fees if deadlines are missed. The sponsor and supporters, including the Missouri Municipal League’s critics from the construction industry, argued the bill would reduce costly delays, improve predictability, and help housing and business development. Opponents from municipal groups said the bill could create liability concerns, impose one-size-fits-all mandates on cities of different sizes, and interfere with local inspection and safety processes. Several witnesses said they were willing to work on the bill’s definitions and timelines, but no vote was taken in the transcript.
The committee also heard House Bill 2465, which would let sole proprietors and single-member businesses obtain group health coverage outside the ACA framework and would revise the employee-count threshold from two to one, with discussion about whether the upper limit should remain 50 or be changed. Supporters said the bill would help small businesses, especially family-run firms, access more affordable and flexible coverage, including out-of-network options; one witness described personal difficulty obtaining coverage for a spouse who works in the business. Members raised questions about federal implications and the impact of changing the 50-employee cap, but the hearing ended without a recorded vote.
Finally, the committee heard House Bill 2717, a storage-unit and public notice bill that would modernize notice requirements by reducing reliance on newspaper advertisements, allow electronic delivery of rental agreements, shorten certain notice periods, and address storage units being used as housing. Supporters said the bill reflects current business practices and improves communication and efficiency, while opponents focused on preserving newspaper notice and raised concerns about public awareness and process. The sponsor said the bill had been repeatedly introduced in prior sessions and was intended to update the industry’s rules; the hearing concluded without final action in the transcript.
ID
Idaho 2026 Regular Session
Agenda Jan 29th, 2026
Transcript Highlights:
- , and I am the only home provider to do so.
- But when you bring 10 providers together, one of them might be a home provider like Laura, another might
- be a provider with 30 employees.
- A lot of states are able to provide it 100% free to child care providers.
- Some of the providers provide child care to families who receive ICCP.
Summary:
The committee met to hear presentations on proposed uses of temporary Millennium Fund money for youth- and family-focused prevention programs. The chair opened by emphasizing that the funds are one-time and not ongoing, and that the committee would not make decisions at this meeting. Minutes from the prior meeting were approved before testimony began.
Roger Sherman of the Idaho Children's Trust Fund described the fund’s statutory role in preventing child abuse and neglect and requested $682,000 for mid-sized grants to community organizations for child sexual abuse prevention, abusive head trauma education, parenting programs, family resource centers, and school-based family supports. Royal Lockhart of The Children’s Bridge proposed $3.5 million over four years for a shared-services model to stabilize child care businesses through software, coaching, bookkeeping, purchasing, and benefits access, arguing that stronger child care infrastructure supports prevention and family stability. Nancy Windmill of the Idaho Safety Assessment Center Coalition requested $1 million for 12 youth assessment centers, citing diversion and early intervention outcomes for youth facing substance use, behavioral, or mental health crises. Sonia Howerton of the Idaho Network of Children’s Advocacy Centers asked for $3 million in bridge funding for 10 children’s advocacy centers, explaining that declining federal funds and prior one-time state support created a sustainability gap.
Ross Edmunds of the Department of Health and Welfare requested $150,000 for a 10th recovery community center, the Upper River Youth Leadership Council in Kamiah, noting that the department now serves as the pass-through and accountability entity for existing recovery centers under prior intent language. Representative Jordan Redmond also presented a proposed $5 million statewide drug-use awareness campaign through the Office of Drug Policy, with research, survey work, and multi-platform media buys to test and refine messaging. Members asked about grant criteria, referral networks, sustainability, oversight, and coordination with state agencies; presenters generally described extensive application processes, multidisciplinary collaboration, and plans to transition toward earned revenue or state oversight. The chair closed by reiterating that the Governor’s recommendation already includes $150,000 for recovery centers and that the Governor has proposed $25 million from the Millennium Fund, limiting available funds, and said the committee would reconvene later for further discussion.
CA
Transcript Highlights:
- I can provide you with a myriad of examples, but I'll just give you one.
- I can provide you with a myriad of examples, but I'll just give you one.
- Hi, I'm Joy Chen, an Eaton Fire survivor with Every Fire Survivor's Network.
- I mean, that insurance provider would not have survived, right?
- If there were a bill to bring forward to say people in Altadena, for insurance providers who are providing
Summary:
The committee heard testimony on several insurance-related bills. SB 1209 by Senator Allen, sponsored by Insurance Commissioner Ricardo Lara, would give the Department of Insurance stronger enforcement tools when insurers fail to implement corrective actions identified in market conduct or financial examinations. Supporters said the bill would close gaps that allow repeated violations, improve solvency oversight, and protect policyholders; opponents argued CDI already has broad authority and raised concerns about duplicative penalties, due process, and the bill’s scope. Members discussed amendments to limit the bill to legal violations rather than recommendations, apply penalties per exam rather than per policy, and clarify accounting language. The committee voted to send SB 1209 to Appropriations, with the bill placed on call after a roll vote that included one no vote from Senator Niello.
The committee also considered SB 1301, which would require more detailed non-renewal notices for residential property insurance, give policyholders time and information to address correctable issues, and restrict certain non-renewal reasons such as claims below deductible or not covered by the policy. Support came from homeowners, fire survivors, and consumer groups who said notices are often vague and leave families unable to keep coverage; insurers opposed the bill, warning that California’s notice period is already among the longest in the country and that the bill could worsen availability and add burdensome reporting requirements. The author said he was willing to reduce the notice period from 180 days to about three months and work on a mitigation-based process. The committee passed the bill to Appropriations, with Senator Niello voting no and the item placed on call.
SB 1026 by Senator Gonzalez would tighten regulation of bail fugitive recovery agents by allowing the Department of Insurance to suspend or revoke licenses without a criminal conviction, adding conduct restrictions, and requiring continuous liability coverage and proper appointment notices. Supporters, including Commissioner Lara, said the bill addresses serious misconduct and loopholes that have led to unsafe conduct and weak oversight. Bail industry representatives and crime victims’ advocates opposed the measure, arguing that the required insurance coverage is unavailable or unlawful as written, that the bill would be hard to comply with, and that it could reduce the number of recovery agents and delay justice. The committee moved SB 1026 to Appropriations, with Senator Niello voting no and the bill placed on call.
The committee then heard SB 982 by Senator Wiener, the Affordable Insurance and Recovery Act, which would authorize the Attorney General to sue fossil fuel companies to recover costs tied to climate disasters and insurance losses, with supporters framing it as a way to shift some climate-related costs away from policyholders and taxpayers. The author said amendments would remove retroactivity and delay liability until 2032, while supporters from flood and wildfire survivor groups and climate organizations said the bill would help fund recovery and stabilize insurance costs. Opponents from industry and building trades argued the bill was legally vulnerable, would create a de facto tax or liability scheme, and could harm jobs, energy production, and affordability. Testimony on SB 982 was extensive, but the transcript ends before any committee vote or final action on that bill.
NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs (02/12/2025)
Transcript Highlights:
- </c> should be and don't actually provide should be and don't actually provide meaningful<00:19:32.880
- This practice of an uninterested party coming into a lawsuit to provide...
- And we're clear the funds we provide the consumer cannot be used to fund the litigation.
- </c><00:46:56.680><c> the</c> and we're clear the funds we provide the and we're clear the funds we provide
- Great. updating our Network adequacy rules updating our Network adequacy rules right<01:20:25.840><c>
Summary:
The committee held a public hearing on HB 733-FN, a bill on third-party litigation financing (TPLF). Representative Cole, the prime sponsor, described TPLF as outside investors financing lawsuits in which they have no personal stake, arguing that the practice is largely unregulated, can involve foreign entities, and contributes to litigation abuse, higher insurance costs, and what he called a “tort tax.” He said the bill is modeled on an NCOIL proposal and would require disclosure of TPLF agreements, with specific references to foreign-entity restrictions, consumer-protection guardrails, and reporting requirements. He also noted a few technical fixes to the draft, including adding the word “knowingly” and restoring a section that had been omitted.
Committee members questioned how the bill’s foreign-entity language would work, including whether a governor or the Department of Safety would designate countries of concern, and whether the bill would bar foreign parties from using litigation funding. Cole and others clarified that the bill was intended as a reporting measure, not a ban on litigation funding itself, and that the goal was to disclose who is funding lawsuits and to what extent. Representative Sal asked whether the bill would prevent a litigant from getting outside financing; Cole answered no, emphasizing disclosure rather than prohibition.
Brandon Grat of the Attorney General’s Consumer Protection and Antitrust Bureau testified that the bill’s enforcement provisions were too limited. He said the draft appears to give the Attorney General only a civil-penalty remedy, likely too small to deter violations, and not the broader Consumer Protection Act tools such as injunctions, restitution, or investigation authority. He also raised concerns about whether the Attorney General or Insurance Department would have proper jurisdiction, given that the product may be financial or insurance-related. Insurance Commissioner DJ Benton Court said the department sees possible benefits from transparency because disclosure of litigation funding could help insurers assess risk, improve underwriting, and potentially ease hard-market pressures, especially for nonprofits and child care providers. He also said the bill’s language likely needs further work to clarify agency authority and suggested involving the Attorney General, Insurance Department, and banking regulators.
Opposition testimony came from the New Hampshire Trial Lawyers Association. Marissa Chase and Samantha Hering argued the bill is one-sided because it requires disclosure only on the plaintiff side and not from defendants or insurers. They said New Hampshire already has court rules and discovery procedures that cover relevant disclosures, making the bill unnecessary, and questioned whether the existence of a funding contract is even relevant in litigation. The hearing ended with the committee continuing to discuss possible revisions and enforcement options, but no vote or final action was taken in the transcript.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Apr 20th, 2026
Transcript Highlights:
- Scott Christman with HCAI, happy to provide that update.
- We provided that to CMS at the end of January.
- So the second part of that was a cap on provider payments.
- To that end, CMA is working with other impacted providers to provide feedback on the language and looks
- To that end, CMA is working with other impacted providers to provide feedback on the language and look
OK
Oklahoma 2026 Regular Session
Joint Committee on Appropriations and Budget Feb 17th, 2026
Joint Committee on Appropriations and Budget
Transcript Highlights:
- After the 2024 expansion, OPCN's established providers were not allowed to submit bids because they were
- Once approved, providers are closely monitored.
- Client and counselor signatures are verified, performances reviewed monthly, and each provider receives
- Is the Oklahoma Pregnancy Care Network a state agency? No, it is a pass-through.
- Is the Oklahoma Pregnancy Care Network a 501(c)(3), and do they access private dollars?
Keywords:
mental health, substance abuse, appropriation, state funding, emergency declaration, healthcare, State Department of Health, childbirth program, emergency funding
Summary:
The committee first considered House Bill 2786, with Representative Stinson presenting a PCS as the working draft. He explained the bill as supplemental funding for the Department of Mental Health to close out its 2025 budget and pay obligations the department had fallen short on. The committee moved quickly to a do pass vote, and the bill was reported out 31-0 with no nays.
The committee then took up House Bill 2787, with Representative West presenting a PCS as the working draft. She described the bill as a one-time $2 million supplemental for previously established costs tied to the Choosing Childbirth Program, saying the funding was needed to avoid a lapse in services for nearly 4,000 mothers and babies until the Oklahoma Pregnancy Care Network can re-enter bidding in 2028. She emphasized oversight and transparency measures, including provider vetting, invoice review, annual evaluations, and a reported 97% of expenses going to client services.
Members raised concerns about accountability, transparency, and why the funding should come from state general revenue rather than private sources, noting prior audits and news reports. Representative West said the network is a 501(c)(3), uses private dollars as well, and that the program is a public-private partnership already established by law. She also said she would share the 2025 tax return information with the committee. The committee then voted to report HB 2787 out do pass by a vote of 26-5, and adjourned.
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Feb 25th, 2026
Transcript Highlights:
- limits on hospitals or providers.
- networks, modify benefit structures, withdraw from rating areas, or add rating areas.
- It also prohibits the exchange from. differentials and network adequacy measures.
- networks, modify benefit structures, withdraw from rating areas or add rating areas.
- in our state are provided.
Summary:
The Health Care and Wellness Committee heard executive action on seven bills, with discussion focused on prior authorization, the 340B drug pricing program, biosimilars, HIV drug coverage, exchange certification criteria, and hearing/speech board authority. Members also considered several amendments, including a date change to prior authorization reporting in SB 5395, a large striking amendment and multiple policy amendments on SB 5981, and market-criteria amendments on SB 6210. Testimony and debate centered on transparency, administrative costs, rural access, patient care spending, market stability, and the balance between state authority and federal law.
SB 5395 on prior authorization received Amendment 247, which moved the carrier reporting deadline to the Office of Insurance Commissioner from January 1, 2027 to October 1, 2026, and was then reported out with a due pass recommendation. SB 5981 on 340B drug pricing adopted a striking amendment creating reporting and fee structures, but rejected amendments that would have removed filing fees, required 90% of revenues to go to direct patient care, limited additional contract pharmacies to rural or underserved areas, or delayed the bill’s effective date; the bill then passed out of committee 11-7. Supporters emphasized transparency and safety-net funding, while opponents raised concerns about federal preemption, litigation, costs, and administrative burden.
SB 5594 on biosimilar substitution, SB 5877 on certified anesthesiology assistants and the physician health program, and SB 6183 on coverage of FDA-approved HIV antiviral drugs without utilization management all advanced with broad support and due pass recommendations. SB 6210 on health benefit exchange market factor criteria adopted a striking amendment but rejected amendments that would have limited updates to every two years, narrowly defined “meaningfully different,” or changed implementation timelines; it also passed 11-7. SB 6226 on the Board of Speech and Hearing adopted Amendment 313 to expand standards-of-care authority for hearing aid fitting and dispensing, then passed 17-1 after debate about patient safety, tele-audiology, and access to care.
KY
Kentucky 2025 Regular Session
Government Contract Review Committee (1-14-25)
Transcript Highlights:
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- </c> familiar with our project in the network familiar with our project in the network so<00:30:25.000
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- For example, if we have a shortage of providers, how do we get those providers into the state?
Summary:
The committee first reorganized by electing Representative Hart as House co-chair and Senator Douglas as Senate co-chair by acclamation, then approved the December 10 minutes. It then took up deferred and routine contract items, beginning with a Council on Postsecondary Education item that was withdrawn after staff explained the contract had been canceled and should not have come before the committee because the granting authority, not CPE, was issuing it.
The committee next reviewed a Department for Local Government contract tied to an Eastern Kentucky flood recovery housing project in Jackson. Members questioned the high per-unit cost and whether renovation was more expensive than new construction. Staff explained the cost included acquisition of an existing downtown building and needed water and sewer infrastructure upgrades, and said developable land was limited in the area. With no motion to object, the contract was allowed to move forward.
The committee then considered Kentucky Transportation Cabinet professional services contracts for highway design work. Members asked about the size of the contracts and how much of the available funding is typically used; staff said the contracts are two-year agreements, that the prior cycle reached close to $2 million per contract, and that this year’s limits were reduced because less money is available in the Highway Plan. The committee also approved a PSC amendment contract for the Bridging Kentucky program after staff explained the $150 hourly loaded rate was within the normal range for consultants. Both Transportation Cabinet items were approved without objection.
Finally, the committee heard a Kentucky Communications Network Authority contract for an $85,000 study of the dark fiber market. Members asked what dark fiber is, why the study was needed, whether there was coordination with the Office of Broadband Development, and whether existing service meant there was already a market. KCNA said dark fiber is unused fiber that local providers can light to deliver service, that the study was needed because the contractor said no market existed while ISPs said demand exists, and that the report would help both KCNA oversight and broadband development planning. The contract was reviewed without objection.
CA
California 2025-2026 Regular Session
Assembly Select Committee on Electric Vehicles and Charging Infrastructure Nov 20th, 2025
Transcript Highlights:
- This extensive network is not static.
- This extensive network is not static.
- You provide the incentives, people utilize them.
- training providers like LACEY.
- It also creates funding to incentivize truck purchases, and it provides certainty for charging providers
Summary:
The joint informational hearing of the Select Committee on Electric Vehicles and Charging Infrastructure focused on California’s EV market, charging infrastructure, and the effects of recent federal actions. The chair opened by emphasizing California’s progress on EV adoption and charging reliability, but also noted ongoing challenges with affordability, access, interoperability, heavy-duty electrification, and federal headwinds. She highlighted interest in technologies such as inductive charging and thanked host organizations and staff before moving to the first panel.
State agency witnesses from Go-Biz, CARB, and the California Energy Commission described current programs and priorities. Go-Biz outlined its role in coordinating agencies, supporting permitting, and advancing the state’s ZEV market development strategy and equity action plan. CARB discussed federal attacks on its clean vehicle regulations, litigation to defend waiver authority, and the importance of incentives and regulatory programs such as Advanced Clean Trucks, Advanced Clean Fleets, Clean Truck Check, HVIP, and Clean Cars for All. The CEC detailed its funding and regulatory work on charging and fueling infrastructure, charger reliability, payment methods, roaming, and statewide planning, while stressing the need for more charging in multifamily housing and more public DC fast charging. All three agencies said federal rollbacks and permitting delays are major obstacles, but that California remains committed to expanding ZEV adoption.
The second panel featured advocates, local government, utility, and research perspectives. CalETC urged continuous state funding through the Greenhouse Gas Reduction Fund and emphasized the low-carbon fuel standard, multifamily charging, and managed charging. An EV advocacy group proposed a conquest-style state incentive for new and used EV buyers and argued that multifamily housing is a major untapped market, while also favoring Level 2 charging over Level 1 for most home and apartment settings. Los Angeles County and LADWP described large-scale local deployment of chargers, fleet electrification, workforce training, and the need for sustained funding, agency coordination, and streamlined permitting and grid interconnection. UCS recommended prioritizing replacement of older high-emitting vehicles, using fuel policy revenues to support cleaner cars, and expanding bidirectional charging. The chair closed by asking for more discussion on Level 1 versus Level 2 charging and noted the importance of education, affordability, and practical deployment strategies.