Video & Transcript Research : 'replacement fees'
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KY
Kentucky 2026 Regular Session
Medicaid Oversight and Advisory Board - (6-24-26) - Reupload
Transcript Highlights:
- who replaces Representative Marzen. who replaces Representative Marzen.
- Looking at 1997 fees, 75% of 1997 fees, it is extraordinarily, um, we are extraordinarily grateful and
- , 75% of 1997 um the looking at 1997 fees, 75% of 1997 fees,<01:02:16.160>
it <01:02:16.400> - uh in their fee schedules and their<01:02:54.799>
fee <01:02:55.040>structures, <01:02: - :53:32.320>
expertise <01:53:33.040>in simply replace decades of expertise in simply replace
Keywords:
During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used.
The lost footage was recovered from backup, and the other issues corrected in post production editing.
1. 00:00:41 Call to Order
2. 00:01:02 Roll Call
3. 00:02:54 Approval of Minutes
4. 00:05:06 Statutory Reports and Data Requests
5. 00:35:14 2025 and 2026 Session Update
6. 01:03:10 Board Structure Updates and Subcommittees
7. 01:05:20 Public Comment
8. 02:23:14 Adjournment, 958, all
Summary:
The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions.
On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year.
Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available.
Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.
TX
Transcript Highlights:
- It's not replace it. We would all love to replace it. Yeah, wouldn't we?
- I’m sure you heard Senator Hinojosa’s questions regarding the IOLTA fees and the reduction in those fees
- If somebody's indigent, of course, there wouldn't be a fee from that.
- A court where filing fees are paid.
- We also get a little fee from lawyers in terms of their licensing, and then there is a fee on surety
Bills:
SB 1
Keywords:
campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards
Summary:
The Senate Finance Committee convened for its first hearing of the 89th regular session, confirmed a quorum, adopted committee rules by a 15-0 vote, and began review of Senate Bill 1, the state budget for fiscal years 2026-27. Chair Huffman outlined the committee’s organization, introduced staff, and described the budget as conservative and focused on one-time investments. She highlighted major SB 1 priorities including property tax relief, full funding for public education formulas, teacher pay, school safety, border security, Medicaid growth, dementia research, energy and water infrastructure, transportation, wildfire suppression, and other capital and public safety needs.
Comptroller Glenn Hager presented the biennial revenue estimate, saying the state has $194.6 billion available for general-purpose spending in 2026-27, with a projected $23.8 billion ending balance from the current biennium. He cautioned that revenue growth is returning to more normal levels and that lawmakers should avoid committing short-term surpluses to ongoing expenses. He also explained that the Economic Stabilization Fund is projected to hit its constitutional cap, meaning an estimated $5.6 billion in severance tax and related revenue would remain in general revenue in the upcoming biennium rather than flow into the fund. Senators discussed whether to raise or rename the fund and the implications of keeping more severance-tax revenue in general revenue.
The Legislative Budget Board then gave an overview of SB 1 and the budget’s major funding changes. LBB staff explained that the bill is essentially flat at $332.9 billion in all funds, but includes large method-of-finance shifts and major property tax relief. They detailed how prior property tax relief enacted in the 88th Legislature grew from an estimated $18 billion to $22.7 billion because of higher property values and hold-harmless provisions, and said SB 1 continues that relief with a total of $51 billion in ongoing and new property tax support. Members asked extensive questions about the automatic growth in school tax compression, the constitutional homestead exemption, COVID-era federal funding, Medicaid assumptions, and the sunset of the non-homestead circuit breaker. No additional votes or final budget actions were taken beyond adoption of the committee rules.
NM
New Mexico 2025 Regular Session
IC - Investments and Pensions Oversight Jul 18th, 2025
Investments & Pensions Oversight Committee
Transcript Highlights:
- Fees can often take up a significant amount of funding from the funds.
- The amount of fees will depend on what sector the manager is in.
- We are sensitive to fees. Again, our target is that net return. we know fees reduce that.
- Madam Chair, if I could go back to fees, one more comment.
- One of the ways we need to mitigate fees is through internal management.
TX
Transcript Highlights:
- These fees result in a double discount.
- This bill eliminates these hidden transaction fees, ensuring that providers receive the full payment
- And we can't pass those fees on to the client, but we're getting those fees passed on to us, which further
- They're reducing your fee by 3.5% because of how they're paying you. Correct?
- Because they can't be replaced.
Bills:
HB345, HB721, HB2580, SB815, HB3057, HB4603, HB3233, SB495, HB3863, HB3914, HB4570, HB5099, HB5173, SB458
Keywords:
insurance, appraisal process, disputed losses, residential property, policyholder rights, insurer obligations, natural disasters, appraisal expenses, umpire selection, policyholder, insurer, umpire, claims management, health care, cost disclosure, benefit plan, administrators, traumatic brain injury, health benefit plans, insurance coverage
NM
New Mexico 2026 Regular Session
House - Taxation and Revenue Feb 9th, 2026 at 08:35 am
House Taxation & Revenue
Transcript Highlights:
- this by doing something very simple but very important: removes the dependency on federal law and replaces
- it with clear state-level definitions. ...removes the dependency on federal law and replaces it with
- It also diverts tax revenues to pay attorney and collection fees, meaning taxpayer...
- to the appropriate jurisdiction. of pennies, not just the remittance or payment of taxes and fees to
- So in the very slim chance that we pay attorney's fees, which is rare, we would like to be able to net
NM
New Mexico 2025 Regular Session
IC - Radioactive and Hazardous Materials Sep 2nd, 2025
Radioactive & Hazardous Materials Committee
Transcript Highlights:
- The chemical used, or they were the replacement to the chemical used.
- ton rather fee.
- So, we need to know what the appropriate fee is.
- Any more budget to do this before any fees have been collected?
- You know, we were talking about fees paying for this.
MN
Minnesota 2025-2026 Regular Session
Human Committee Meeting - 2026-04-14
Human Services Finance and Policy
Transcript Highlights:
- I would ask that 2026 finally be the year we replace Maxis.
- replacing Maxis. That was 24 years ago. replacing Maxis. That was 24 years ago.
- I ask for your year we replace Maxis.
- Wisconsin is talking about replacing their system right now, and they replaced theirs about two decades
- replacing their system right now and they<00:58:32.640>
replaced <00:58:32.960>theirs <
Keywords:
county cost share, economically distressed county, human services finance, substance use disorder treatment, SUD services, civil commitment, state aid, county levy, poverty threshold, tax-exempt acreage, property tax exemption, Minnesota human services, county fiscal relief, local government finance, chemical dependency, behavioral health, PACE, elderly, Medicaid, health services
CA
California 2025-2026 Regular Session
Assembly Environmental Safety and Toxic Materials Committee Mar 25th, 2025
Environmental Safety and Toxic Materials
Transcript Highlights:
- So I think it's just going to get replaced if I were Chanel. Thank you.
- because there's no basis for creating an entirely separate regulatory regime, including registration and fee
- And then I think just lastly, it imposes a fee on soap and body wash manufacturers to fund the regulations
- and then those fees will be passed down to consumers.
- I've been on this committee, but I've voted on bills where we've dealt with chemicals prior, and the fee
OK
Oklahoma 2026 Regular Session
Energy and Natural Resources Oversight Apr 13th, 2026 at 03:00 pm
Energy
Transcript Highlights:
- Just so I get this right, there is no fee increase for dairy farmers in the state of Oklahoma.
- Representative, under the current structure of the fees.
- Right now, they're paying $5 fee on that.
- So it's not an exorbitant fee, but there was a desire not to have that be increased in the dairy committee
- You know, we've got to collect this fee so we can cover the price of milk.
Bills:
SB3, SB1346, SB1509, SB1928, SB2028, SB2071, SB2110, SB2117, SB2127, SB2134, SB259, SB1191, SB1246, SB1314, SB1439, SB1613, SB1930, SB1976, SB330, SB2069, SB2095, SB3, SB1346, SB1509, SB1928, SB2028, SB2071, SB2110, SB2117, SB2127, SB2134, SB259, SB1191, SB1246, SB1314, SB1439, SB1613, SB1930, SB1976, SB330, SB2069, SB2095
Keywords:
industrial hemp, program licensing, agriculture, cannabinoids, state regulation, water infrastructure, wastewater, investment program, loans, local government, SB1509, groundwater, water wells, well spacing, water rights, Oklahoma Water Resources Board, OWRB, basin, subbasin, maximum annual yield
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 33 Apr 1st, 2026 at 01:30 pm
Oklahoma House Floor Meeting
Bills:
SB1636, SB1772, SB1221, SB1932, SB1687, SB1213, SB843, SB1410, SB1317, SB1338, SB1976, SB1314, SB1191, SB1613, SB1246, SB1439, SB1930, HR1044
Keywords:
cold case, unsolved homicide, violent crime, case file review, law enforcement, police records, victim family, immediate family member, designated person, forensic testing, witness reinterview, investigative leads, cold case unit, unsolved murder, public safety, Title 21, Oklahoma statutes, motor vehicle safety, headlamps, headlights
AL
Bills:
SB118, SB203, HB420, HB414, HB363, HB405, HB261, HB263, HB327, HB348, HB228, HB282, SB273, HB7, SB296, SB199, SB47, SB204, HB80, HB11, HB192
Keywords:
bail, offenses, constitutional amendment, criminal justice, law enforcement, public safety, dental insurance, medical loss ratio, premium regulation, insurance commissioner, rebate, consumer protection, Baldwin County, local bill, education funding, school tax, privilege license tax, county tax revenue, municipal school board, Baldwin County Board of Education
NH
Transcript Highlights:
- >> I not to correlate with impact fees. >> I not to correlate with impact fees.
- fund fund and finally the replacement fund fund and the<01:38:22.239>
replacement <01:38:22.560 - <01:54:32.159>
fund to do is control the replacement fund to do is control the replacement - <01:55:20.800>
fund of the repairs in the replacement fund of the repairs in the replacement - <02:00:45.280>
projects the from previous replacement projects the from previous replacement
MN
Transcript Highlights:
- Uh, it is a late fee or civil...
- <00:04:09.120>
or the CFB from waving any fees or the CFB from waving any fees or penalties - I did grab a report of late fees and civil penalties applied in fiscal year 25.
- <00:10:44.000>
and did grab a report of of late fees and did grab a report of of late fees - And now we want them all to but um, newspapers are being replaced. but um, newspapers are being replaced
NM
New Mexico 2025 Regular Session
IC - Legislative Finance May 13th, 2025
Transcript Highlights:
- we need to make sure we're only paying for people that uh need it is because we're, if they were on fee
- Fee for service is where we are directly contracting between Medicaid and a provider and paying for that
- If they need a doctor's visit, we'll pay for the doctor's visit according to like a fee schedule that
- That's why I caution folks when we say, well, why can't you afford to just replace $1.1 billion?
- Is it worth replacing?
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance Mar 4th, 2025
Transcript Highlights:
- it, UC financial aid is based on the total cost of attendance, which includes not just tuition and fees
- That includes State University Grant, fee waivers, and scholarships funded by the CSU.
- , with 758,000 students receiving a fee waiver valued at $654 million.
- Additionally, the formula only considers CCPG fee waiver data, despite massive growth in all financial
- So you've done no repair and replacement in either of the prior two years?
NH
Transcript Highlights:
- >> A fee will be collected.
- don't think we need to mandate a fee. don't think we need to mandate a fee.
- It's my understanding this is a user fee and not a tax. We pay tolls. It's a user fee.
- It's a user fee. It's not a tax. tolls. It's a user fee. It's not a tax.
- So, it's a user fee. You buy the paint, you pay the fee.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Tuesday, February 10, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- Because of that work, we're delivering $6 million to replace the Cascade Bridge in Burlington, improving
- But most importantly, we're replacing this historic landmark, a very much community-desired project.
- But most importantly, we're replacing this historic landmark, a very much community-desired project.
- We're replacing this historic landmark, a very much community-desired project.
- Replace our distrustful attitudes with a growing reliance on you, and Deepen our faith that we would
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am
Joint Committee on Financial Services
Transcript Highlights:
- Ruben Fishman said they are struggling to find the funding to replace the devices.
- Patients First allows a patient to request a fee for a procedure.
- Obtaining fees by phone, my staff can spend 45 minutes to an hour, even longer, on hold.
- At the end, the agent tells my staff that quoted fees may or may not be the reimbursed fee at the time
- I know that in 10 to 20 years, I'm going to have to replace what work has already been done.
Summary:
The Joint Committee on Financial Services held a lengthy public hearing with more than 70 people signed up to testify, focusing mainly on health insurance and health care access bills. Early testimony centered on H.1257/S.712, which would require insurance coverage for medically necessary treatment of genetic craniofacial conditions. Supporters included legislators, dentists, and medical experts who said these conditions are not cosmetic, can severely affect eating, speech, pain, and social functioning, and often create major financial hardship because insurers deny coverage. A related dental bill, H.1262/S.676, drew technical testimony from the Life Insurance Association of Massachusetts about implementation issues with the 2022 dental loss-ratio law, while the Massachusetts Dental Society supported H.1306/S.696 on transparency in dental network leasing and opposed H.1262. Representative Gentile also testified for H.4013, which would ban for-profit acute care hospitals and for-profit health insurers in Massachusetts, arguing that profit incentives undermine patient care.
A major portion of the hearing was devoted to H.1261/S.799, a bill to protect patients from surprise ambulance bills. Municipal fire chiefs, Boston EMS, nonprofit ambulance providers, and the bill’s Senate sponsor said the measure would require insurers to pay ambulance providers directly and promptly, cap patient out-of-pocket costs, and reduce confusion caused by out-of-network billing. Witnesses described ambulance services as essential public health infrastructure and said current billing practices can discourage people from calling 911 or leave municipalities and nonprofits unable to recover costs. Committee members asked about unpaid debt, municipal billing burdens, and how the bill would affect rates and reimbursement. No votes were taken during the hearing.
The committee also heard extensive testimony on H.1249/S.805, which would require screening for PANS/PANDAS in medical and clinical settings. Legislators, clinicians, parents, a teen with the condition, and educators described PANS/PANDAS as an infection-triggered inflammatory illness that can present as sudden psychiatric symptoms and is often misdiagnosed as a mental health disorder. Supporters said routine screening at well visits, emergency rooms, and other clinical settings would help identify children earlier, reduce unnecessary psychiatric treatment and hospitalizations, and improve outcomes. Testifiers repeatedly urged favorable action, emphasizing the personal and financial toll on families and the potential for early treatment to prevent long-term harm. The hearing concluded with continued testimony on these bills; no committee action or votes were announced.
NV
Nevada 2025 Regular Session
Senate Floor Session Jun 2nd, 2025 at 12:00 pm
Nevada Senate Floor Meeting
Transcript Highlights:
- It clarifies and expands the eligibility for the NSHE system fee waivers for Native American students
- of the bill charge candidates more than $10,000 in fees and costs.
- The amendment replaces a definition. Any further remarks on the motion?
- I'm troubled that Section 1, subsection 5, conflicts with federal law by allowing a fee of up to 15%
- Moreover, I recognize that this 15% fee could result in an APR as high...
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Bonding, Capital Expenditures and State Assets Jun 21st, 2026 at 01:00 pm
Joint Committee on Bonding, Capital Expenditures and State Assets
Transcript Highlights:
- It includes $200 million to upgrade and replace culverts, a $500 million authorization for the road and
- to help offset the significant costs that communities are going to have to be dealing with as they replace
- to help offset the significant costs that communities are going to have to be dealing with as they replace
- So there is an existing CTF credit that is with the gas tax and the RMV fees that's supporting a whole
- So there is an existing CTF credit that is with the gas tax and the RMV fees that's supporting a whole
Summary:
The Joint Committee on Bonding, State Assets, and Capital Expenditures held its first public hearing on House Bill 4257, a transportation bonding bill. The administration testified in support, describing the bill as a $1.185 billion authorization: $300 million for Chapter 90 municipal road funding and $885 million for statewide transportation capital programs. Officials said the bill would increase municipal aid by 50%, with $200 million distributed under the traditional Chapter 90 formula and $100 million based solely on road mileage to better help rural communities. They also highlighted $500 million for bridge and pavement lifecycle asset management, $200 million for culverts and small bridges, and $185 million for congestion, safety, ADA, sidewalk, and multimodal improvements. Committee members asked about how municipalities would apply, how the road-mile formula would affect rural towns, and how the bill would interact with federal funding uncertainty and debt financing. Administration witnesses explained that projects would be administered through MassDOT district offices and Grant Central, that the bill would not backfill rescinded federal funds, and that the proposal would likely use special obligation bonds backed by Fair Share revenues to reduce pressure on the Commonwealth’s general obligation debt limit.
Members also pressed the administration on the shift from general obligation to special obligation financing and on whether the Chapter 90 increase keeps pace with inflation. Administration officials said the special obligation structure would be credit-rated separately and was intended to expand available capital without affecting the GO bond cap, while acknowledging that the Commonwealth’s debt portfolio would grow. They said the Chapter 90 increase would roughly restore purchasing power lost since 2012, though construction inflation has outpaced general inflation. Several members and witnesses emphasized the importance of the road-mile formula for rural communities and the need for technical assistance for small towns.
The Massachusetts Municipal Association testified in strong support of the bill, calling Chapter 90 and the new infrastructure authorizations critical for cities and towns facing federal uncertainty and rising costs. The Massachusetts Aggregate and Asphalt Pavement Association also supported the bill, citing the importance of the funding for road and bridge work, the construction season, and the industry’s economic impact. A committee member asked about asphalt price inflation, and the witness said liquid asphalt costs rose sharply after COVID, including increases of around 20% in some years. At the end of the hearing, the chair said members would receive a poll by email to move the bill out quickly, and the committee then voted to adjourn.