Video & Transcript : 'payment system' :
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MN
Minnesota 2025-2026 Regular Session
Conference Committee on SF2298 5/8/25
Transcript Highlights:
- It's a systems problem that requires system solutions.
- :30:12.640><c> system</c> systems problem that requires system systems problem that requires system solutions
- </c><00:31:50.559><c> assistance</c> home buyer down payment assistance home buyer down payment assistance
- </c><00:59:21.359><c> assistance</c> community down payment assistance community down payment assistance
- We're seeing larger down payment assistance needed and layering of multiple programs.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - Part 2 - 03/17/26
Health and Human Services
Transcript Highlights:
- It is an important system, and it is complementary with the other vaccine safety systems that exist.
- </c> vaccine safety systems that exist. vaccine safety systems that exist.
- </c> online systems.
- And as those systems online systems.
- . system. system.
Committee:
Senate Health and Human Services
FL
Florida 2025 Regular Session
December 10, 2025 - 01:00 PM
Transcript Highlights:
- IN THE SYSTEM BILL, IT WAS A MATTER OF ADDING THE ADDITIONAL REQUIREMENTS FOR NURSING HOMES.
- ASSISTED DEVELOPMENT WE STARTED OUR SYSTEM DEVELOPMENT AND PLANNING WITH OUR IT STAFF RIGHT AFTER THE
- ONCE THE MODULE IS COMPLETE BY THE END OF THIS YEAR, THE NURSING HOMES CAN START REGISTERING FOR SYSTEM
- LASTLY WE HAVE OUR HOSPITAL DIRECTED PAYMENT PROGRAM.
- WHICH COULD INCLUDE SYSTEMIC ISSUES WHEN THE PLANS DO NOT UPDATE PAYMENT AMOUNT OR CODES CAUSING PAYMENT
FL
Florida 2025 Regular Session
March 4, 2025 - 04:00 PM
Transcript Highlights:
- This particular finding related to payment to one particular vendor.
- This particular finding related to payment to one particular vendor.
- to a similar subgroup to kind of equalize the payments.
- Our original test: we tested 30 vendor payments.
- Are the teacher salaries in the state of Florida university system public record?
Summary:
The Higher Education Budget Subcommittee met to hear a presentation from the Florida Auditor General’s office on recent operational audits of four universities and to discuss how audit findings are handled. The Auditor General explained that financial audits occur annually and operational audits at least every three years, with universities required to respond in writing to findings; the office generally follows up in the next audit cycle, though it can audit sooner if needed. Members asked about accountability, whether findings are referred to other bodies, and how internal university audit functions interact with the state audit process. The chair emphasized the committee’s oversight role in ensuring public funds are used appropriately.
The audit findings highlighted issues at New College of Florida, Florida A&M University, the University of Florida, and Florida Atlantic University. At New College, auditors cited invoice/payment errors, delinquent student account collection delays, prohibited extra compensation, exceeding state remuneration limits for certain employees, weak purchasing card controls, construction management cost documentation issues, and subcontractor licensing documentation gaps. At FAMU, auditors found investment accounting classification issues, delayed bank reconciliations, late vendor payments, and incomplete annual employee evaluations. At UF, auditors reported concerns over a $6.4 million consulting contract, event and catering spending, president’s office hiring and salary practices, bonus and relocation payments, continued high compensation after the president transitioned to another role, travel expenses including charter flights, and remote work agreements. At FAU, auditors found distance learning fee revenue exceeded allowable costs by about $2.8 million, carry forward funds were underreported by about $77 million, and credit card controls needed improvement.
Members pressed the Auditor General on whether overpayments were refunded, whether any findings involved statutory violations, and what enforcement exists beyond the audit report. The auditor said some issues were corrected by the universities, such as New College recovering excess compensation from foundation funds, but others would be revisited in future audits; if potential fraud were identified, it would be referred to the state attorney’s office. The chair closed by noting that accountability for public spending rests with the Legislature and the committee, and the meeting adjourned without any vote or formal action beyond receiving the presentation.
AR
Arkansas 2026 Regular Session
PUBLIC HEALTH WELFARE AND LABOR COMMITTEE - SENATE AND HOUSE Aug 5th, 2026
Transcript Highlights:
- We have been piloting with certain providers the systems to make sure that the The providers.
- systems.
- After they approved that system, they worked with us on the messaging to make sure that it reflected
- But that is what that number is reflective of: additional payments to hospitals. All right.
- And that establishes the guideline with which our capitation payments must remain below. Okay.
Summary:
The committee reviewed a series of Arkansas Department of Human Services and Department of Health rules, with most items receiving no objection. DHS Medical Services presented a rule to restore continuous glucose monitors to Medicaid durable medical equipment and pharmacy benefits after addressing provider concerns, and another rule to allow hospitals to bill at a rehabilitation level of care when patients are receiving only rehab services in an acute-care setting, while also moving Medicaid utilization management review from day 4 to day 7 for most hospitals and day 10 for rehab hospitals. Members questioned whether the rehab rule could lead to children being sent out of state, but DHS said the intent was to keep patients in-state and reimburse appropriately; the rule was reviewed without objection. DHS also presented PACE program updates to align with federal requirements and Act 144, and a separate personal care manual rewrite that would replace the Arkansas Independent Assessment with a claims-based medical eligibility review by Optum, clarify hourly service flexibility, and comply with Acts 625 and 853; both were reviewed without objection.
The committee then heard a Medicaid eligibility rule from DHS County Operations that excludes foster care/adoption subsidy income for certain eligibility groups, clarifies treatment of 529 accounts, tax refund interest, and independence accounts for workers with disabilities, and carries an estimated fiscal impact of $485,000 in year one and $586,000 in year two. Members asked about account limits and how the independence accounts work; DHS explained they must be established while the person is in the workers-with-disabilities category and can continue to be excluded in other Medicaid categories, with no cap on deposits. The committee also reviewed a permanent DHS mental health rule allowing general or medical-surgical hospitals to operate adolescent substance abuse units and bill Medicaid, following an emergency rule approved in June. DHS said the first such unit had opened at Unity in Searcy, with no other hospitals currently in the pipeline, and members discussed follow-up care, grant support, and the use of existing hospital infrastructure.
Finally, the Department of Health presented an annual update to the controlled substances list, adding substances tied to Act 934 of 2025 on intoxicating hemp and other DEA/Arkansas concerns, with no public comments received. Health also proposed repealing the separate synthetic marijuana products rule because those substances are already covered by the controlled substances list. Both Health items were reviewed without objection, and the committee adjourned after completing its agenda.
CA
California 2025-2026 Regular Session
Joint Hearing Senate Health Committee and Assembly Health Committee Mar 10th, 2026
Transcript Highlights:
- systems.
- systems.
- The system is already so fragile.
- The system is already so fragile.
- The system ought to be too.
Summary:
The joint informational hearing focused on the cost of uncertainty in California health care, especially the effects of federal policy changes on coverage, access, and affordability. Opening remarks from committee leaders and members emphasized that California’s uninsured rate had fallen to historic lows under the Affordable Care Act and state policies, but that the expiration of enhanced federal subsidies, H.R. 1, and other federal regulatory changes could reverse those gains. Members repeatedly cited rising premiums, skipped care, medical debt, and the strain on low-wage workers, families, clinics, hospitals, and public programs.
The first panel reviewed the federal landscape and state response. A federal policy analyst described the ACA’s coverage gains and consumer protections, then outlined current threats: H.R. 1’s Medicaid and marketplace cuts, the end of enhanced premium tax credits, shorter open enrollment, more verification requirements, and changes affecting preventive services and vaccines. Covered California reported that the loss of subsidies is expected to nearly double average monthly premiums, reduce enrollment, and push more consumers into bronze plans with higher deductibles; it also noted that California’s $190 million affordability fund is helping the lowest-income enrollees. HCAI’s Office of Health Care Affordability explained its work on spending targets, market consolidation review, and primary care investment, saying the goal is to slow spending growth rather than impose price caps.
Committee members pressed witnesses on the practical effects of bronze plans, administrative burdens, immigration-related disenrollment, provider taxes, uncompensated care, and whether California can sustain current coverage levels without new revenue. Witnesses said bronze plans preserve essential benefits but shift more costs to consumers, and that H.R. 1’s verification and auto-renewal changes will likely reduce enrollment. They also said provider tax reductions could significantly weaken state financing over time, and that higher uninsured rates may increase uncompensated care and pressure premiums elsewhere in the system. The second panel, featuring UC Berkeley Labor Center and California Health Care Foundation experts, highlighted broader affordability problems across job-based coverage and Medi-Cal, citing medical debt, skipped care, and the role of underlying system costs, administrative waste, and lack of competition. They pointed to medical debt relief efforts such as Los Angeles County’s program as a short-term mitigation strategy while the Legislature considers longer-term policy and budget responses.
MO
Missouri 2026 Regular Session
Special Committee on Property Tax Reform Feb 26th, 2026
Special Committee on Property Tax Reform
Transcript Highlights:
- So then we get down to payments during appeal.
- So then we get down to payments during appeal.
- Another part of it is the amount of payment.
- And it's also on page eight at the bottom is the payment of property taxes.
- If one person's gaming the system, the way that our system works, someone else is making up the difference
Summary:
The Special Committee on Property Tax Reform heard public testimony on House Bills 3253 and 3254, presented by Representatives Steinhoff and Jobe. The bills would expand assessor training and continuing education requirements, require physical inspections for large assessment increases on commercial property as well as residential property, allow greater use of technology and remote imagery in assessments, create optional electronic notices and communications for taxpayers, and move toward setting property tax levies by subclass with a small-parcel exception. The bill also included provisions to raise the per-parcel reimbursement floor for assessors, reimburse local governments for revenue losses tied to SB 190 and SB 3, provide payment options during appeals, and require counties to offer installment payment options for property taxes.
The sponsors said the proposal was built from bipartisan committee discussions and statewide listening sessions, and they emphasized assessor professionalism, taxpayer flexibility, and fairness in the assessment process. Committee members asked about assessor training, the fiscal note, the parcel reimbursement formula, and how the subclass levy system would work in small jurisdictions. Witnesses from the Missouri Special Districts Association and school administrators generally supported the concepts of better assessor training, more resources, and taxpayer payment flexibility, while also warning about implementation burdens and the fiscal impact of state backfill for SB 190 and SB 3.
Testimony also focused on the accuracy of ratio studies and the fairness of moving to subclass-based levies. Some members argued the current system can shift tax burdens unfairly between residential, commercial, and agricultural property owners, while others cautioned that the new structure could create winners and losers depending on local assessment practices. A representative from the State Tax Commission clarified that commissioners do receive training, corrected the parcel reimbursement discussion to note the first 20,000 parcels are treated differently under current law, and said the commission already provides assessor training. No votes were taken, and the committee adjourned after public testimony.
CA
California 2025-2026 Regular Session
Joint Hearing Senate Health Committee and Assembly Health Committee Mar 10th, 2026
Transcript Highlights:
- What we're looking at in this system is to make sure we're hearing What we're looking at in this system
- They're part of that same system.
- The system ought to be, too.
- The system ought to be two. the system on a budget. Every Californian is on a budget.
- The system ought to be two.
TX
Texas 89th Regular
Senate Committee on Business and Commerce (Part I) Apr 3rd, 2025
Business & Commerce
Transcript Highlights:
- the electronic payment system.
- There have been three major court cases on point about the electronic… ...payment system and MasterCard
- It would essentially, again, kind of take Texas out of the global payment system.
- Small businesses rely upon a secure, simple, and predictable payment system that we have today.
- system.
Bills:
SB231 , SB584 , SB600 , SB668 , SB841 , SB986 , SB1003 , SB1244 , SB1625 , SB1960 , SB1963 , SB1964 , SB2026 , SB2056 , SB2368
Committee:
Senate Business & Commerce
NM
New Mexico 2025 Regular Session
IC - Federal Funding Stabilization Subcommittee Jul 2nd, 2025
Federal Funding Stabilization Subcommittee
Transcript Highlights:
- We all know about the payments to state governments.
- Now, the hospitals just got their first quarterly payment.
- a year of those increased payments.
- No supplemental payment system that's eliminating uncompensated care for the large part.
- You know, they haven't even had a full year's payment.
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 2/19/25
Commerce Finance and Policy
Transcript Highlights:
- This includes breakdowns on reinsurance payments by health plan and product.
- This includes breakdowns on reinsurance payments by health plan and product.
- This includes breakdowns on reinsurance payments by health plan and product.
- This includes breakdowns on reinsurance payments by health plan and product.
- Provider, even though that payment is retrospective.
Committee:
House Commerce Finance and Policy
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:00 am
Joint Committee on Financial Services
Transcript Highlights:
- But at some point, they said a payment was late and they said the deal was off.
- It's almost as if they said, oh, okay, we're not getting payments, you know.
- ...getting payments, you know. How about these late fees?
- Here's a payment plan you can afford, $50 a month. Guess what that does? Nothing.
- The Mortgage Registration System cannot fix it.
Committee:
Joint Joint Committee on Financial Services
Summary:
The Committee on Financial Services heard testimony on several bills focused on consumer debt, mortgage regulation, credit unions, and foreclosure prevention. The Attorney General’s Office strongly supported the Debt Collection Fairness Act (S. 735/H. 1275), saying it would curb abusive debt collection, prevent stale claims, limit civil arrest warrants, modernize wage garnishment rules, and reduce judgment interest rates. Senator Eldridge and legal aid advocates echoed that support, while the Massachusetts Bankers Association and the Massachusetts Mortgage Bankers Association supported bills on credit union mission/competition, consumer privacy in mortgage applications, subprime loan definitions, UCC updates, and protections for vulnerable adults, but opposed foreclosure mediation proposals and several credit union expansion measures, arguing they would distort competition and add unnecessary burdens.
A large portion of the hearing focused on foreclosure prevention bills (S. 765/H. 1090), with testimony from homeowners, housing organizers, and legal advocates describing predatory lending, confusing servicing practices, health harms, and displacement caused by foreclosure. Supporters said a statewide pre-foreclosure mediation program would give borrowers and lenders a chance to reach alternatives such as loan modifications or repayment plans, and cited local experience in Lynn where mediation reportedly produced high rates of foreclosure alternatives. Opponents from the banking industry argued Massachusetts already has strong foreclosure protections and that a new mandatory process could delay resolution without added benefit, though they also noted a 2024 pilot should be evaluated first.
The committee also heard strong support for H. 1282/S. 684, which would update the Massachusetts Uniform Commercial Code. State Street and a bankruptcy attorney said the changes are needed to keep commercial law current with electronic transactions, tokenized assets, and blockchain technology, and to maintain competitiveness with other states. The hearing concluded after public testimony, with no bill votes taken during the session; the chair thanked speakers and the committee voted to adjourn.
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 4/2/25 - Part 1
Health Finance and Policy
Transcript Highlights:
- </c> the required payments the section three. the required payments the section three.
- ,</c><00:10:38.640><c> basically</c> epinephrine delivery system, basically epinephrine delivery system
- Let's drop the middlemen in our system and go to a system where we just pay for care.
- Subsection 8 talks about payments.
- We expanded payment, commercial market.
Committee:
House Health Finance and Policy
KY
Kentucky 2025 Regular Session
Senate Standing Committee on Appropriations and Revenue (3-5-25)
Transcript Highlights:
- , was in a period of strained liquidity on the health side of the retirement system.
- </c><00:13:14.360><c> I</c> in Public Employee benefit systems I in Public Employee benefit systems I
- </c> it all the way up to a pre-funded system it all the way up to a pre-funded system from<00:16:15.880
- The state would be out of the business of doing the medical insurance payments, put all your payments
- </c><00:21:44.159><c> put</c> doing the medical insurance payments put doing the medical insurance payments
Summary:
The committee met with a quorum and first took up House Bill 545, a routine claims bill. Representative Tim Truett explained it as a measure to pay debts the Commonwealth owes. The bill received a motion, a second, and a roll call vote, and passed with favorable expression and no nay votes.
Members then considered House Joint Resolution 54, which related to the Kentucky State Fair Board’s expansion plan. The chair explained that the resolution simply acknowledged receipt and approval of the plan so previously appropriated funds could be released. The resolution passed by roll call with no nay votes and was reported favorably to the floor.
The main discussion centered on House Bill 694, concerning the Kentucky Teachers Retirement System medical insurance fund and the 2010 “shared responsibility” agreement. The bill would redirect employer contributions from local districts from the health side to the pension side once the plan reaches 100% funded. The chair and Senator Givens argued the bill was a continuation of the state’s long-term commitment to TRS and taxpayer responsibility, while Senator Neal raised concerns about fairness, the timing of the change, and whether the original agreement and statutory trigger for TRS board recommendations had been honored. Testimony from KEA President Eddie Campbell and former Jefferson County Teachers Association president Brent McMahan supported the 2010 agreement but urged the committee to pause the bill, saying the parties should return to the table and that the current proposal could conflict with the original understanding, create actuarial and legal issues, and potentially affect school district finances and bond ratings. Despite those concerns, the committee voted 8-1 to pass House Bill 694 with favorable expression, with Senator Neal voting no and explaining his objection as a process and good-faith concern.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 03/05/25
Health and Human Services
Transcript Highlights:
- How much was in the direct payment portion? Oh, that's only from the direct payment portion.
- from the direct payment portion only from the direct payment portion well<00:36:28.880><c> the</c><00
- Our health care system is broken.
- Our health care system is broken.
- ><c> the</c><01:09:02.040><c> system</c><01:09:02.520><c> is</c> is a systemic problem the system is
Committee:
Senate Health and Human Services
FL
Florida 2025 Regular Session
February 5, 2025 - 12:30 PM
Transcript Highlights:
- . ...payers do also fund and support those beds in the system.
- So affordable housing in general is hitting our system doubly hard.
- Sometimes it's a system glitch.
- They have the entire system.
- We have contractual claims payment timeframes with our contracts.
Summary:
The Health Care Budget Subcommittee held a panel discussion on Florida’s mental health and substance abuse system, with representatives from DCF, AHCA, two managing entities, and two providers describing how the state’s behavioral health network is funded and operated. Members focused on the implementation of prior legislative investments, especially the $50 million in recurring funding from Representative Maney’s bill and the earlier $126 million community behavioral health appropriation. Witnesses said the newer funds were used mainly for crisis beds, discharge planning, outpatient services, regional collaboratives, and a USF Marchman Act report, while the larger behavioral health appropriation supported CAT, FACT, FIT, forensic teams, residential and outpatient services, and crisis care, with most dollars going directly to services and only a small share to administration.
A major theme was access to crisis care and the role of mobile response teams, 988, and central receiving facilities in diverting people from Baker Act admissions and reducing readmissions. DCF and providers said mobile response teams have expanded, are being used to de-escalate crises and connect people to care, and have shown strong diversion results and reductions in Baker Acts in some regions. Members also asked about waitlists, children in crisis, and how to handle people without housing or support; providers said discharge planning is individualized but often constrained by homelessness, transportation, and a lack of safe placements, and several witnesses identified housing as one of the biggest barriers to recovery and stability.
The committee also examined provider sustainability, reimbursement, and funding gaps. Witnesses described delays caused by contract timing, cost allocation rules, and Medicaid reimbursement rates that do not always keep pace with labor and operating costs, especially for smaller providers and rural networks. DCF and AHCA said managing entities can provide advances, retroactive rate adjustments, and technical assistance, and that Medicaid managed care plans have network standards and complaint/dispute processes. Members raised concerns about a reported $7 million loss in federal non-sustainable funds, provider closures, and whether there is a formal ombudsman process for disputes; DCF said the federal reductions were known and tied to one-time funds, and that the department generally handles provider issues informally while working with managing entities to preserve continuity of care.
MN
Transcript Highlights:
- That means all of the systems, the eligibility systems, the claims systems that supports over a million
- systems</c> eligibility systems, the claims systems eligibility systems, the claims systems that<00:07
- </c> equitable, and effective system. equitable, and effective system.
- Thank you. that system. We want have to have a that system.
- </c><00:41:40.160><c> in</c> payments to enhance payment integrity in payments to enhance payment integrity
Committee:
Senate Human Services
CA
California 2025-2026 Regular Session
Senate Rules Committee Jan 21st, 2026
Transcript Highlights:
- We are taking steps to expedite the timeline for making what are called state-directed payments.
- And so what you said about expediting payments really makes a fundamental difference.
- And so what you said about expediting payments really makes a fundamental difference.
- We represent the 17 public hospitals and health systems.
- We represent the 17 public hospitals and health systems.
Summary:
The Senate Rules Committee established quorum and first approved several non-appearing gubernatorial appointees and procedural items on unanimous 5-0 votes, including Hampus Eitsiter to the Boating and Waterways Commission, Peter Stern to the California Horse Racing Board, Dean White to the State Mining and Geology Board, references of bills to committees, and floor acknowledgements. The committee then heard testimony on Tyler Sadwith’s appointment as Chief Deputy Director of Healthcare Programs at the Department of Health Care Services. Sadwith emphasized protecting Medi-Cal access and equity, continuing CalAIM and behavioral health transformation, and drawing on personal experience with family members needing care. Senators focused heavily on hospital financial distress, rural access, eligibility redeterminations, fraud oversight, provider reimbursement, dental access, labor and delivery closures, and the impact of federal changes; Sadwith said the department is working on expedited payments, monitoring distressed hospitals, county technical assistance, and strategies to reduce disenrollments and improve program integrity. Public commenters from county, hospital, and care organizations supported his confirmation, and the committee advanced his nomination to the full Senate on a 5-0 vote.
The committee next considered Chris Thayer, PhD, for Director of the Office of Environmental Health Hazard Assessment. Thayer described OEHHA’s role as providing transparent, scientifically rigorous health assessments and supporting tools such as Prop 65, CalEnviroScreen, and risk communication. Senators pressed him on the use of models versus real-world data, fenceline monitoring, PFAS, wildfire health impacts, and whether OEHHA’s work adequately reflects lived experience and local conditions. Thayer responded that the office often must rely on the best available evidence, including animal, human, and alternative methods, while continuing to improve communication and community engagement; he also discussed EnviroScreen updates, Prop 65 warning reforms, and research gaps. Public testimony in support highlighted OEHHA’s scientific role and the importance of biomonitoring and PFAS work. The committee approved Thayer’s nomination to the full Senate on a 3-1 vote, with Senator Grove voting no and Senator Jones not voting.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Children, Families and Persons with Disabilities Jul 1st, 2026
Joint Committee on Children, Families and Persons with Disabilities
Transcript Highlights:
- Far too often in our child welfare system, poverty is conflated with neglect.
- of payments made for former recipients of TAFDC.
- because of longstanding systemic inequities and wealth gaps.
- , a student loan payment, or go directly into their savings.
- Public systems.
Keywords:
poverty alleviation, family support, economic mobility, youth transition, financial education, matched savings, community programs, Department of Children and Families, DCF, child abuse investigation, child neglect, pediatrician, advanced practice registered nurse, medical misdiagnosis, rickets, Ehlers-Danlos syndrome, osteogenesis imperfecta, vitamin D deficiency, bone fragility, child welfare
KY
Kentucky 2026 Regular Session
House Standing Committee on State Government (2-12-26)
State Government
Transcript Highlights:
- to store uh information like and we run everything through the state system.
- </c><00:27:01.039><c> At</c><00:27:01.279><c> that</c> Through the state system.
- Is that where we payment effectively. Is that where we are?
- or does it just seem to be slow payment or does it just seem to be administrative?
- And sometimes lack of prompt payment.
Committee:
House State Government