Video & Transcript Research : 'fee phaseout'

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MN

Minnesota 2025-2026 Regular Session

Health Committee Meeting - 2025-04-02

Health Finance and Policy

Transcript Highlights:
  • Again, with a $0 dispensing fee for his service. The math just does not work.
  • So unlike the fee-for-service carve-out where 340B pricing ceiling pricing is not available and would
  • So you got in the fee-for-service model over here, you can take rebates in the 340B claims.
  • The offset to that would be the dispensing fees would increase to the fee-for-service dispensing fee.
  • So the fee-for-service program will still continue to pay at the lower ceiling price estimate.
FL
Transcript Highlights:
  • These penalties include denial of future application for licensure and an administrative fee not to exceed
  • Committee Substitute for Senate Bill 800 imposes progressively higher fees for subsequent offenses of
  • Committee Substitute for Senate Bill 800 imposes progressively higher fees for subsequent offenses of
  • The program will be funded through engineering licensure fees and fines, and that is the bill, Mr.
  • These changes include clarifying that the network or exchange fees paid by DFS must not exceed fees that
Summary: The Appropriations Committee on Agriculture, Environment, and General Government heard and reported favorably several bills. CS/SB 800 would increase penalties for repeated unlicensed engineering practice and create an engineering student loan assistance program funded by licensure fees and fines; Senator Sharif asked about restitution for victims, and the sponsor said the bill does not create a reimbursement mechanism. CS/SB 576 would create a local government cybersecurity protection program administered by Florida Digital Service, with state purchasing support, grant access, and data-sharing requirements; local government and cybersecurity groups waived in support. CS/SB 1078 would establish transition procedures between gubernatorial administrations, including liaisons, briefing books, office space, IT access, and access to agency records under a signed confidentiality agreement. The committee also reported favorably CS/SB 314 on payment stablecoin issuers, CS/SB 530 updating lottery operations and security rules, CS/SB 1614 giving JAC/LAC-related audit findings more enforcement effect for local governments seeking state funds, SB 990 authorizing protective cell captive insurance companies, SB 1588 beginning implementation of the prior gold-and-silver legal tender law, CS/SB 1440 adding cybersecurity-related exemptions and reporting provisions for financial institutions, and CS/SB 1568 creating a stablecoin pilot program for DFS fee payments. Several bills had support testimony from state agencies and industry groups, and some included technical or guardrail amendments that were adopted without objection. The committee also received a budget overview highlighting major funding items, including more than $350 million for Florida Forever, $738 million for Everglades restoration, more than $500 million for water quality projects outside the Everglades, $60 million for Farmers Feeding Florida, and more than $250 million for citrus recovery. Members asked questions about school lunch funding, state park improvements, land acquisition, water quality funding, gaming enforcement offices, and staffing for PERC. After the bills and budget discussion, members recorded a few affirmative votes on selected tabs, and the committee adjourned.
MO

Missouri 2026 Regular Session

2026 Legislative Session - Day Sixty Eight - Tuesday, May 12

Missouri House Floor Meeting

Transcript Highlights:
  • The fees are based on the level of emissions that they put out.
  • Those are swept into the general Accounts are funded by permit fees.
  • Importantly, companies that pay environmental fees today would continue to pay the same fees they're
  • So that we don't have to raise the fees.
  • So is there a cap on that fee, or does that go back to their program?
Summary: The House convened with prayer, the Pledge of Allegiance, and approval of the previous day’s journal by a 129-0 vote. Members then spent considerable time on points of personal privilege and introductions, including remarks recognizing law enforcement wellness, personal health updates, legislative service and family sacrifices, interns, visiting students, and special guests such as a St. Louis entrepreneur honored with a House resolution and a visiting governor from Samarkand, Uzbekistan. The chamber then received Senate messages and committee reports before moving to conference requests on Senate Bills 835 and 1111 and Senate Bill 1020, both of which were approved for conference committees. The House also passed Senate Bills 977 and 1011, a measure barring international organizations or foreign law from exercising authority in Missouri or being used to deny “fundamental rights,” after debate over its scope and concerns about foreign-law venue rules and its practical effect; the final vote was 99-45. Senate Bill 1470, dealing with legislative research and statutory publication procedures, was amended and passed 148-1 after debate over reducing committee size, shifting publication to a primarily web-based format, and preserving printed archival copies. The House then adopted and finally passed Senate Bill 1940, the public notices/newspaper bill, by 142-1, with discussion focused on modernizing notice publication rules and election-related deadlines. It also took up Senate Bill 1871, which included county clerk and election administration provisions and a Senate amendment incorporating campaign finance language; debate emphasized ballot testing timelines and election transparency. The transcript ends during discussion of that bill, before a final vote is shown.
AL

Alabama 2026 Regular Session

Alabama House County and Municipal Government Committee Feb 4th, 2026

County and Municipal Government

Transcript Highlights:
  • Thank you. compare rates, fewer fees because fewer compare rates, fewer fees because fewer fees<00:14
  • <00:43:44.800> Are fees? You talking about interest? Are fees?
  • They do not pay mortgage recording fee taxes back to the cities and the counties.
  • Is there a fee for being a member? I believe it.
  • Is there a fee for being a member? I believe it.
Keywords: 1136, house, all
NH

New Hampshire 2025 Regular Session

Senate Finance (04/29/2025)

Finance

Transcript Highlights:
  • We actually are looking at the wildlife habitat fee, the fishing habitat fee, and the game management
  • fee all increasing.
  • fee all increasing.
  • wildlife habitat fee are in statute. wildlife habitat fee are in statute.
  • you'd have to raise your fees even more? you'd have to raise your fees even more?
Keywords: 1191, senate, all
NH
Transcript Highlights:
  • It also increases the fees, establishes a fee for a PBN process.
  • It also increases the fees, establishes a fee for a PBN process.
  • It also increases the fees, establishes a fee for a PBN process.
  • current fees.
  • <03:23:58.640> Yes, fees. Thank you. Yes, fees. Thank you.
Keywords: 928, house, all
Summary: The committee heard testimony on SB 27FN, which would change how improvements to dwellings over water are handled and align those projects more closely with the state building code. The bill was presented by Trisha Milo on behalf of Senator Lang, and attorney John Cronin explained that it arose from a specific New Hampshire Supreme Court case involving the Newcombs’ lakeside property, but that it could affect a small number of older waterfront homes statewide. He said the intent was to give the Department of Environmental Services (DES) limited waiver authority for improvements that do not harm water quality, plant life, or fish, while still requiring DES review and local permits. Committee members asked several questions about the scope of the bill, including whether it was tied to one case, how many properties might be affected, what counts as “living space,” and whether the language could allow larger decks or other expansions. Cronin said the bill was meant to be narrow, focused on access and egress and not on creating new living space, and that DES would still be able to deny unreasonable requests. He also described the Newcombs’ project as a rehabilitation of an older structure that had been approved locally and later challenged by DES, leading to the current dispute. Darlene Forst, the Wetlands Bureau administrator at DES, testified in opposition. She said the department was surprised the bill was being heard because it believed the Senate had sent it to interim study, and she argued the language was unclear and could have broader statewide effects than intended. Forst also said the underlying case was still active and should not be effectively re-litigated through this bill. No vote or final committee action was taken during the portion of the hearing provided.
MA
Transcript Highlights:
  • We have fees and fines. These include licensing and permit fees, fines, and penalties.
  • And finally, this final box in the green section, it's community impact fees.
  • These fees also flow into local budgets and go to local spending.
  • From FY 2018 to FY 2025, cities and towns collected about $120 million in these fees.
  • So since 2022, the collection of these fees has drastically declined for cities and towns.
Keywords: 995, all
Summary: The Special Joint Committee on Initiative Petitions held a public hearing on Initiative Petition 25-10, House Bill 5002, titled “An Act to Restore a Sensible Marijuana Policy,” which would repeal Massachusetts’ adult-use cannabis legalization framework. Chairs Brendan Crighton and Kate Hogan outlined the Article 48 initiative process and explained that the committee is gathering testimony for a report to the legislature. The hearing was organized into expert, proponent, opponent, and public testimony, with written testimony accepted through March 27. The first witness, Jessica Trow of MassBudget, testified in opposition to repeal and focused on cannabis-related revenue and social equity. She said legalization has generated nearly $2 billion statewide since adult-use sales began, with revenue flowing through the Marijuana Regulation Fund, the state sales tax, and local taxes and fees. She emphasized that funds support public health, the Cannabis Control Commission’s social equity work, the Cannabis Social Equity Fund, and municipal budgets, and argued that legalization has created pathways for communities harmed by prohibition. The petition’s spokesperson, Wendy Wakeman, argued in favor of repeal, saying legalization has worsened public health, safety, and quality of life, citing higher potency, addiction, youth use, impaired driving, workplace positives, and black-market concerns. Committee members questioned her about the data sources, the will of the voters, the role of paid signature gatherers, and the petition’s funding, including out-of-state and dark-money concerns. Opponents of the initiative then testified that repeal would harm a regulated industry that has created jobs, tax revenue, and social equity opportunities. Caroline Pino of STEM, Kristen Rogers of Levia, Judith Ledbetter of Project De-Stigmatized Healthcare, and Armani White of Firehouse Dispensary/EON described their businesses, community investments, and personal reliance on cannabis, and warned that repeal would push consumers back to the illicit market and undermine equity programs. In public testimony, Lucas Thayer of the Massachusetts Cannabis Reform Coalition and Jeff Rawson, a chemist and consumer protection advocate, also opposed the measure, arguing that regulated cannabis is safer than unregulated products and that repeal would damage investments and public safety. The hearing ended after the public testimony, and the committee voted to close the hearing.
CA
Transcript Highlights:
  • These companies charge a fee for their service equal to five times the increase in the veterans' monthly
  • Filing the claim, and a consulting company might charge as much as a one-time fee of $19,000.
  • representatives; prohibits any person from soliciting, charging, contracting for, or receiving any fee
  • Prohibits any person from soliciting, charging, contracting for, or receiving any fee for compensation
  • Additionally, the measure reinforces existing fee caps on services.
Summary: The Assembly Committee on Military and Veterans Affairs met with a quorum and first approved its consent calendar, which included AJR 15, SB 56, SB 296, and SB 855, with the roll left open for absent members. The committee then heard SB 694 by Senator Archuleta, a bill aimed at protecting veterans from unaccredited claims representatives and other for-profit entities that charge fees to assist with VA disability claims. The author and supporters, including county veterans service officers and veterans organizations, argued the measure would curb predatory practices, restore accountability, and steer veterans toward free, accredited assistance through CVSOs and other authorized representatives. Testimony in support emphasized that veterans are often targeted online and may pay large fees for services that are available for free, while supporters said unaccredited firms lack transparency and can exploit vulnerable veterans. Opposition witnesses, including representatives of claims-assistance companies and individual veterans, argued the bill would eliminate choice and that some contingency-based firms provide useful services, better outcomes, and faster claims processing. Committee members debated whether the bill would unlawfully bar legitimate assistance or whether it was needed to stop illegal business practices, with several members noting the issue is also being litigated in federal court and that an accreditation process already exists through the VA. After discussion, the committee voted to pass SB 694 and refer it to the Committee on Judiciary. The final vote was 6 ayes, with some members not voting. The committee then completed the consent calendar vote, which passed with eight votes, and adjourned.
MN

Minnesota 2025-2026 Regular Session

Elect Committee Meeting - 2025-04-02

Elections Finance and Government Operations

Transcript Highlights:
  • The consequence of that, as was discussed in the last legislative session, was that attorneys' fees have
  • The bill regarding those attorneys' fees is about to come due.
  • from those defendants who are seeking $754,234.15 plus additional costs incurred in pursuing these fees
  • My understanding is the court is still considering and there are motions about fees.
  • The judgment on attorney's fees has not yet come into being, but the judgment on the merits has come
FL

Florida 2025 Regular Session

April 3, 2025 - 08:30 AM

Transcript Highlights:
  • And it also exempts from the fee, the $75 fee, all veterans.
  • And it also exempts from the fee, the $75 fee, all veterans.
  • And it's another, as you said, $75 fee, which you already had to pay close to 200 to see the doctor.
  • Fee, which you already had to pay close to 200 to see the doctor. So this is an incredible bill.
  • authorizing the Department of Health to conduct examinations, register trainees, collect applicable fees
Summary: The Health Professions and Program Subcommittee met with a quorum and heard six bills. HB 1617 on stem cell therapy was presented as a way to expand access to biotherapy options through informed consent, sourcing standards, and required disclosures; an amendment clarifying definitions was adopted, supportive testimony was heard, and the bill passed 16-0. PCS for HB 1399 would give the legislature authority to terminate or refuse to extend a declared public health emergency; members raised a concern about what happens if the emergency prevents the legislature from meeting, but the sponsor said she was working on a fix, and the bill passed 16-0. PCS for HB 555 would change medical marijuana card renewals from annual to every two years and exempt veterans from the $75 fee; members described it as reducing barriers and helping seniors and veterans, and it passed 16-0. PCS for HB 1487 would strengthen licensure for volunteer-based EMS providers such as Hatzalah South Florida; testimony and debate emphasized the value of these zero-cost, volunteer emergency services, and the bill passed 14-0. HB 115 on clinical laboratory personnel addressed workforce shortages by aligning Florida licensure more closely with federal CLIA standards and allowing qualified applicants with relevant bachelor’s degrees and federal training to work with on-the-job training; a strike-all amendment was adopted, industry witnesses supported the bill, and it passed 15-0 as amended. HB 1513 would require health care practitioners to refund patient overpayments within 30 days of learning of the overpayment, excluding insurer and HMO overpayments; it drew supportive debate and passed 15-0. The meeting then adjourned.
FL

Florida 2025 Regular Session

November 18, 2025 - 03:30 PM

Transcript Highlights:
  • This bill clarifies that the towing and storage operators may charge a daily administrative fee, but
  • been only 232 fires nationally since 2013, and argued that charging any damaged hybrid EV or EV these fees
  • He added that counties can already set fees, so the bill is effectively mandating a fee structure up
  • warned that premiums could rise for EV drivers or that vehicle owners could face significant storage fees
  • that burden on the tow truck drivers and allows enough revenue to be generated through the towing fees
Summary: The Intergovernmental Affairs Subcommittee heard four bills. HB 37 by Rep. Nix addressed the removal, storage, and cleanup of damaged electric vehicles, allowing towing and storage operators to charge an administrative fee when EVs are stored under enhanced safety standards such as a 50-foot separation or protective barrier. The sponsor and towing industry witnesses described post-crash battery fire risks, while Tesla and Enterprise Mobility raised concerns that the bill was too broad and could lead to triple storage charges even when battery damage is not present. Members largely supported the concept, though some urged further narrowing; the bill was reported favorably after debate. HB 401 by Rep. Tant would cap inmate health care compensation at 110% of the Medicare reimbursement rate for Jefferson County, with the sponsor and Sheriff Matt McNeil saying the measure would help a fiscally constrained county control rising outside medical costs and encourage providers to contract in advance. With no opposition or debate, the bill was reported favorably. The committee also considered HB 4003 by Rep. Benaroch, a local bill for Marco Island that creates a special-election process for council vacancies when the council fails to act; an amendment extended the election window to 130 days and required the governor to call the election if the council does not do so within 30 days. The amendment was adopted and the bill was then reported favorably. Finally, HB 407 by Rep. Snyder would modernize the Martin County Health Care Fund and define indigency criteria for county-funded indigent care, including residency, income, asset, and Medicaid eligibility limits. County and hospital representatives supported the measure, and one member suggested comparing the bill’s indigency definition with existing criminal indigency standards for consistency. The bill also was reported favorably, and the meeting adjourned after all agenda items were completed.
WA

Washington 2025-2026 Regular Session

Senate Floor Debate — April 26 Apr 26th, 2025

Transcript Highlights:
  • rate of 3.1% for credit card processing activities, and then allows a B&O tax deduction for certain fees
  • In act, relating to concession fees by duty-free sales enterprises, amending RCW 43.3.384.
  • of that fee into tourism promotion and the development of sustainable aviation fuel.
  • These proceeds of that fee into tourism promotion and the development of sustainable aviation fuel.
  • I just want to be really clear that this bill does not increase the fee on the plastic bags.
Summary: The Senate opened with a moment of silence for Senator Chris Gildon and his family after the death of his wife, Autumn. It then took up several bills on final passage, beginning with Substitute House Bill 2020, which establishes a 3.1% B&O tax rate for payment card processing activities and allows a deduction for certain related fees. Supporters said it resolves a long-running dispute with the Department of Revenue; it passed 47-0. The chamber also passed House Bill 2039, delaying the child support pass-through expansion from 2026 to 2029, and House Bill 2040, delaying the elimination of recoveries from the Aged, Blind, and Disabled Assistance Program from October 2025 to October 2028. Supporters framed both as timing changes, while opponents argued they would postpone benefits for families and vulnerable people. Both bills passed 25-22. Substitute House Bill 2051, dealing with payment to acute care hospitals for difficult-to-discharge patients, passed 27-20 after several proposed amendments were withdrawn. Supporters said the bill helps hospitals care for patients who have nowhere else to go, while opponents argued the state should not delay payment support for these patients. The Senate also passed In Gross Substitute House Bill 2061, imposing a 10% concession fee on duty-free sales to fund tourism promotion and sustainable aviation fuel, over objections that it was a tax increase passed on to consumers. Finally, Substitute House Bill 2077, which taxes certain business activities related to zero-emission vehicle credits, passed 28-19 after an amendment to remove or narrow parts of the tax was rejected. Supporters said the measure would encourage spending of credits and support clean transportation goals, while opponents called it a targeted tax on Tesla and warned it could raise EV prices. The Senate then concurred in amended Engrossed Substitute House Bill 1293, a litter and plastic bag measure that increases litter penalties and keeps the planned bag-thickness increase from taking effect, and passed it 27-20. The Senate adjourned until April 27, 2025.
FL

Florida 2026 Regular Session

Appropriations Committee on Higher Education Mar 5th, 2025

Appropriations Committee on Higher Education

Transcript Highlights:
  • But it's also a repository for various student fees, such as an activity and service fee, technology
  • fee, concessions, etc.
  • But it's also a repository for various student fees, such as an activity and service fee, technology
  • fee, concessions, etc.
  • So on to tuition and fees.
Summary: The Appropriations Committee on Higher Education received a presentation from Tim Jones, Senior Vice Chancellor and CFO for the State University System of Florida, on the system’s funding methodology, budget structure, tuition, and performance-based funding. He outlined the system’s scale, including 12 universities, more than 430,000 students taking classes, about 78,000 employees, and a roughly $20 billion operating budget. He also reviewed tuition levels, noting Florida’s low resident undergraduate tuition, the lack of tuition increases since 2013, and the distinction between state-set resident tuition and Board of Governors authority over other tuition categories. Jones described several funding components, including performance funding, preeminence funding, faculty recruitment and retention programs, universities of distinction, nursing pipeline and matching programs, and operational enhancements. He explained that performance funding is based on a 100-point model tied to retention, graduation, employment, and other metrics, with student success plans required if scores decline or fall below 70 points. He said the current performance funding allocation is $350 million and the legislative budget request seeks $400 million. He also said the new SUS 30 strategic plan will lead to updates in the performance metrics and benchmarks, with some changes possibly phased in over time. Senators asked questions about how the new strategic plan will affect future scoring, how long universities have to improve after declining scores, and how out-of-state enrollment and tuition are handled. Jones said universities will be evaluated on the current metrics for the upcoming budget cycle, while the new plan’s changes will be developed later and may include glide paths. He also said there is no statutory cap on nonresident students, though the Board of Governors has a 10% systemwide guideline under discussion, and that graduate out-of-state tuition varies by program and requires institutional and Board of Governors approval. No votes were taken, no public testimony was offered, and the committee adjourned.
LA

Louisiana 2026 Regular Session

Judiciary A May 12th, 2026

Judiciary A

Transcript Highlights:
  • We're not here to worry about filing fees.
  • The filing fee for an eviction in city court is around $254.
  • , or we might be talking 1,500 filing fees a year.
  • or we might be talking 1,500 filing fees a year.
  • We are strictly asking, and were discussing, the filing fees.
Keywords: 974, senate, all
NM
Transcript Highlights:
  • To just more fees, more fines, higher prices, adding uninsured motorists.
  • He can either go online and pay a fee, not a fine. There's no taxes.
  • It incentivizes definitely to purchase insurance. instead of paying this fee.
  • Vehicle registration fees at 17 and motor excise tax at 11 Those are the major sources.
  • Secretary, is there a fee for non-commercial traffic to come across? Mr.
FL

Florida 2026 5th Special Session

Senate in Session Apr 23rd, 2025

Florida Senate Floor Meeting

Transcript Highlights:
  • care status, establishing that colleges and universities are responsible for verifying tuition and fee
  • care status, establishing that colleges and universities are responsible for verifying tuition and fee
  • The bill addresses several critical areas of agricultural enclaves, school mitigation fees, impact fee
  • The bill protects homeowners and developers from unverified school mitigation fees.
  • The bill protects homeowners and developers from unverified school mitigation fees.
Summary: The Senate convened with prayer, the Pledge of Allegiance, and a series of introductions and moments of silence recognizing recent tragedies and public figures, including students affected by the FSU shooting, John Thrasher, Coach Amir Abdur-Rahim, and conservation and youth groups visiting the chamber. The body also adopted Senate Resolution 1878 honoring Coach Abdur-Rahim and Senate Resolution 1892 recognizing Florida Wildlife Corridor Week. The chamber then moved through a long special-order calendar, passing several bills with little or no opposition. Measures approved included child care and early learning provider regulation updates (SB 738, 37-0), false reporting/swatting penalties and cost recovery (SB 726, 38-0), health care billing and collection protections/medical debt (SB 656, 38-0), hazardous walking conditions for schoolchildren (SB 650, 38-0), young adult housing support for foster and homeless students (SB 584, 38-0), the Family Empowerment Scholarship Program disclosure bill (SB 508, 37-1), trust fund interest for court-approved purposes after a debated amendment (SB 498, 28-10), transportation and traffic-safety changes including school bus camera hearings and micromobility rules (SB 462, 37-0), public records exemptions for AHCA investigators and JQC/appellate court clerks (SB 342, 34-4; SB 302, 35-3; SB 300, 35-3), municipal water and sewer utility rate fairness for Miami Gardens/North Miami Beach (SB 202/HB 11, 36-2), motor vehicle offenses involving obscured plates and impersonation (SB 44/HB 253, 36-0), trespass at large-scale ticketed events and law-enforcement-controlled sites (SB 1828/HB 1447, 35-1), patient refund of overpayments (SB 1808, 37-0), stem cell therapy standards (SB 1768, 37-0), insulin administration by direct support professionals and relatives (SB 1736/HB 1567, 38-0), and pre-arranged transportation services/rideshare impersonation (SB 1696/HB 1525, 37-0). Several bills were temporarily postponed, including cardiac emergencies, chemicals and consumer products, motor vehicle manufacturers and franchise dealers, and education. Debate centered most heavily on the trust fund interest bill, with supporters arguing it would stabilize funding and better reflect market rates, and opponents warning it would sharply reduce legal aid funding and hurt access to justice. The transportation bill also drew extensive questions and amendments, including removal of a speed-limit increase, changes to school bus infraction hearing procedures, micromobility regulation, and flood-wake enforcement. The municipal water bill prompted constitutional and fairness concerns, while the public records bills were defended as necessary to protect investigators and court personnel from doxing and harassment. Most measures ultimately passed with strong bipartisan support, though the scholarship disclosure bill and trust fund interest bill drew the most visible dissent.
DE

Delaware 2025-2026 Regular Session

Senate Legislative Session - Session 2 - 42nd Legislative Day Jun 30th, 2026 at 02:00 pm

Delaware Senate Floor Meeting

Transcript Highlights:
  • That would be probation, paying all their fines and fees. ...levels of incarceration.
  • That would be probation, paying all their fines and fees.
  • . ...but I don't, I have in my notes that they have to pay the fines and fees.
  • We are currently already experiencing a number of these fees being waived.
  • Again, remember, this is not a waiver of all fines and fees.
Keywords: 1064, all
KY

Kentucky 2026 Regular Session

House Legislative Session Day 43 (3-10-26)

Kentucky House Floor Meeting

Transcript Highlights:
  • The regulatory license fee is a local fee paid to local entities.
  • Speaker, House Bill 774 is called the Cost, Fines, and Fees Reporting Act.
  • ,<01:18:33.720> and sprawling system of fines, fees, and sprawling system of fines, fees,
  • fees interest, late payments. fees interest, late payments.
  • <01:21:37.440> associated of all costs, fines, fees associated of all costs, fines, fees associated
Keywords: 958, all
KY
Transcript Highlights:
  • They also fee-for-service population.
  • Some of them do pay the fee-for-service rate.
  • Some pay uh more fee-for-service rate.
  • rate,<00:46:41.480> depending than the fee-for-service rate, depending than the fee-for-service
  • > managed We have fee-for-service versus managed We have fee-for-service versus managed care<00
Keywords: 958, all
Summary: The Medicaid Oversight and Advisory Board met on January 12, 2026, to approve the December 10, 2025 minutes and continue finalizing its findings and recommendations. Members reviewed findings on administrative inefficiencies, Medicaid and workforce participation under HR 1, Medicaid budget growth, rural health transformation fund development, and provider tax/state-directed payment changes. The board approved a motion to change “pilot” to “partnership” in the workforce-related recommendation, and also adopted a technical amendment clarifying overlapping HCBS services by removing reference to adult daycare waiver services and revising the language to focus on reducing duplication, simplifying provider contracting, and standardizing processes across programs. A separate technical correction was noted to change “DMS” to “DPH” in the rural health transformation finding, to be handled in the final edits. Several findings drew discussion but no final substantive vote during the meeting. On the rural health transformation fund, Dr. Berg said Kentucky had done well in federal funding and noted limits on what could be shared publicly, while Commissioner Lee said a public website had been created and recommended the department reference be changed to the Department for Public Health. Finding five prompted extended discussion about provider taxes, state-directed payment reductions under HR 1, and whether the board should address the relationship between actuarial studies, MCO payments, and actual provider reimbursement more directly. Senator Meredith and others argued for a broader, more transparent baseline review of rates across provider groups, while Commissioner Lee said CMS will require certain fee schedule comparisons to Medicare beginning July 1, 2026, and that quarterly expenditure reports already go to LRC. The board did not finish resolving finding five during the meeting and agreed to return to it after staff prepared more explicit language. Members also discussed the possibility of an all-payers claims database as a better way to understand what is being paid across payers and services. No final vote on the full findings package was taken in the portion of the meeting provided, but the board did adopt the noted amendments and continued working through the remaining language.
AZ

Arizona 2026 Regular Session

03/23/2026 - House Health & Human Services

Health & Human Services

Transcript Highlights:
  • to provide him even basic. extended stay hotels, legal fees.
  • And if we need to pay a higher fee, we're happy to pay a higher fee.
  • Because all those positions are funded by licensing fees.
  • Um, you pay licensing fees.
  • the fees to account for hiring the necessary surveyors.