Video & Transcript : 'payment reimbursement' :

Page 95 of 500
LA

Louisiana 2026 Regular Session

Appropriations Mar 2nd, 2026

Appropriations

Transcript Highlights:
  • Depositing it to the Budget Stabilization Fund is 25% that's required, and then payment of the state
  • mentioned: $144.3 million for the Budget Stabilization Fund, $144.3 million for the UAL liability payments
  • So, you know, reimbursement rates, what they choose to do with SNAP over time, what we've seen initially
  • But as it relates to what percentage of reimbursement they will fund to the states is what we're going
  • For the homeless shelter, yeah, for the majority we've received a reimbursement for what qualified.
Summary: The committee began a series of House Appropriations budget hearings focused on the fiscal year 2026-2027 executive budget, the preamble, and the executive department. Staff presented revenue and spending trends showing projected declines in revenues alongside increasing expenditures, with members emphasizing the need for a standstill budget and additional efficiencies. The House Fiscal Division also reviewed the FY25 surplus and FY26 excess, the constitutional uses of surplus funds, and the overall FY27 budget structure, including the distinction between discretionary and non-discretionary spending. The commissioner of administration described the administration’s use of one-time money, efficiency reviews, and budget reductions, while members asked about revenue forecasts, the motor vehicle sales tax dedication, corporate tax changes, and the impact of federal policy changes on state costs, especially SNAP and Medicaid administration. The committee then moved through several executive department agencies. The Division of Administration presentation covered its budget, vacancies, debt service, and reductions tied to statewide adjustments and efficiency measures. GOSEP’s functions were described as transferred into the Department of Military Affairs under Act 262 of 2025, and military officials outlined the new combined structure, emergency response duties, overseas deployments, youth programs, and concerns about future federal funding. The Coastal Protection and Restoration Authority reviewed its largely dedicated funding and explained that large apparent balances reflect long-term project planning and multi-year capital work. The Office of the State Inspector General presented a budget increase for consulting services tied to the governor’s DOGE-style efficiency initiative, and the inspector general said the effort had identified nearly $1 billion in savings across the executive branch, largely through eligibility reviews in Medicaid and SNAP and implementation of prior audit recommendations. Members raised questions throughout about how budget figures were calculated, why some totals appeared to rise while state general fund support fell, and how federal changes would affect state agencies. There were also questions about the transition of GOSEP into Military Affairs, the status of school safety centers, and whether the new structure would change local emergency responsibilities. No formal votes or amendments were taken during the portion provided; the meeting consisted of presentations, explanations, and member questions.
CA
Transcript Highlights:
  • Costs until reimbursement by the Producer Responsibility Organization.
  • State Parks will have to come up with for the FEMA reimbursements.
  • And we will be able to also estimate FEMA's reimbursement rate and out year costs.
  • FEMA will only do a partial reimbursement for those, so those numbers are also unknown right now.
  • collect those February payments from the state's perspective.
Keywords: 988, house, all
NH

New Hampshire 2025 Regular Session

Senate Health and Human Services (02/18/2025)

Health and Human Services

Transcript Highlights:
  • </c> participation prospective payments participation prospective payments provid<02:10:37.760><c> providers
  • would receive payments provid providers would receive payments upfront<02:10:40.280><c> encouraging<
  • </c> eligibility and prospective payments eligibility and prospective payments currently<02:21:29.800
  • payments ahead of the the scholarship payments ahead of the Care<02:23:06.280><c> BR</c><02:23:06.720
  • </c> can wait up to a month for payments can wait up to a month for payments often<02:25:49.279><c> leaving
Keywords: 1191, senate, all
MN

Minnesota 2025-2026 Regular Session

House Education Finance Committee 2/11/25

Education Finance

Transcript Highlights:
  • So the cleanup payment is what you would see in fiscal year 27.
  • at a 95% rate cost would be reimbursed at a 95% rate rather<00:36:39.079><c> than</c><00:36:39.599><
  • and then for formula for reimbursement and then for fiscal<00:37:04.520><c> years</c><00:37:05.000><
  • There are the alignment of federal reimbursement for administrative costs, administrative ability to
  • </c> how would that affect the reimbursement how would that affect the reimbursement and<01:44:45.719
Keywords: 1183, house
MO

Missouri 2026 Regular Session

Budget Feb 10th, 2026

Transcript Highlights:
  • Because their reimbursement rate isn't near what they're spending.
  • Those services will no longer be reimbursed. What is, yeah.
  • So this is the rate in which the federal government matches the Medicaid payments in our budget.
  • limit claim payment.
  • These are rem and board payments that are paid into the facility by the individual's benefits.
Summary: The Budget Committee heard the Department of Mental Health’s FY 2027 budget presentation, with Director Valerie Hoon outlining a $4.4 billion department budget, including $1.7 billion in general revenue, and describing the department’s roles in substance use, behavioral health, and developmental disabilities services. Early questioning focused on marijuana-related mental health impacts, but the main discussion centered on the department’s new decision items, funding sources, and expected wait lists. The director explained several increases tied to Medicaid growth, mental health youth services, outpatient competency restoration, crisis residential services, developmental disability waivers, and provider tax adjustments, along with offsets such as reduced wraparound funding at the Kansas City Assessment and Triage Center and cuts to some youth and self-directed DD services. A major portion of the hearing focused on competency restoration for people found unfit to stand trial and currently held in county jails. Members pressed the department on the cost, effectiveness, and legal implications of keeping people in jail while awaiting services, noting a reported wait list of roughly 524 to 538 individuals and average holds of about 14 months. The department said it currently has eight outpatient competency restoration beds in the community, is seeking funding for 50 additional outpatient slots, and also operates jail-based restoration for about 40 people at a time. Members repeatedly asked for breakdowns of violent versus nonviolent cases, success rates, cost per person, and the split between state and federal funding, while the department explained that Medicaid can cover only the treatment portion, not residential housing or other non-billable costs. The committee also discussed broader capacity constraints in state hospitals and developmental disability services. Hoon said Fulton, Center for Behavioral Medicine, and FTC North are full, with 183 vacancies across the department, and that the department is working on a new Kansas City hospital that would add 150 beds, though completion is now expected closer to 2029 or 2030. In the developmental disabilities section, the department warned that the governor’s recommendation would create wait lists for in-home waiver services and crisis residential services, and members questioned proposed reductions to self-directed services rates and other provider payments. No votes were taken, and the committee recessed before finishing the presentation.
MN

Minnesota 2025-2026 Regular Session

House State Government Finance and Policy Committee 3/27/25

State Government Finance and Policy

Transcript Highlights:
  • Section 7 is program payments related to fraud. That allows data sharing as well.
  • 7 is program payments related to fraud.<00:08:36.120><c> Uh</c><00:08:36.200><c> that</c><00:08:36.440
  • on those dollars. federal reimbursement on those dollars.
  • </c><00:15:08.320><c> is</c> Um and that federal reimbursement is Um and that federal reimbursement is
  • and the the net uh reimbursement and the the net uh reduction<00:15:18.680><c> to</c><00:15:18.800><
FL

Florida 2026 Regular Session

Appropriations Committee on Health and Human Services Jan 14th, 2026

Appropriations Committee on Health and Human Services

Transcript Highlights:
  • And then last under this category, $6.4 million to increase daily reimbursement rates under the statewide
  • and... $1.4 million to increase daily reimbursement rates under the statewide inpatient psychiatric
  • Being lower reimbursement rates.
  • The next item I want to highlight is $7.1 million to implement a new payment rate for private duty nursing
  • I did get a text message from somebody who's very involved in the premium payment programs, and they
Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed fiscal year 2026-2027 budget for the health and human services agencies. Kendall Kelly outlined the overall HHS budget at $48.5 billion, with AHCA accounting for the largest share, and agency heads then highlighted major proposals for Medicaid behavioral health redesign, APD waiver enrollment and facility needs, DCF child welfare, opioid, and mental health investments, DOEA funding for Alzheimer’s, home care, and community services, DOH funding for cancer research, public health initiatives, and lab capacity, and VA funding for facility improvements, cybersecurity, and medication management. Several members praised specific proposals, including increased reimbursement for private duty nursing, Alzheimer’s supports, and the Florida FIRST blood-in-ambulance initiative. Senators also questioned the proposed changes to the AIDS Drug Assistance Program (ADAP), with the Surgeon General explaining that the department expects a reduction in covered patients from about 30,000 to about 20,000 because of funding pressures tied to rebates, federal changes, and premium tax credit issues. Public testimony strongly criticized the ADAP changes, citing lack of transparency and warning that many patients could lose access to medications. Other questions focused on the Office of Minority Health and Health Equity, DCF’s substance abuse and mental health data dashboard, Kids Care/CHIP expansion implementation, APD bed and facility planning, and the FX Medicaid technology project. DCF said about $7 million is set aside for the dashboard system, and AHCA said the governor’s budget includes $124.4 million for FX maintenance and continued module development, with $13.5 million to begin claims processing work. The committee did not take a substantive vote on the budget presentations and adjourned after questions and public testimony.
FL

Florida 2026 Regular Session

Appropriations Committee on Health and Human Services Jan 14th, 2026

Appropriations Committee on Health and Human Services

Transcript Highlights:
  • And then last under this category, $6.4 million to increase daily reimbursement rates under the statewide
  • and... $1.4 million to increase daily reimbursement rates under the statewide inpatient psychiatric
  • Being lower reimbursement rates.
  • The next item I want to highlight is $7.1 million to implement a new payment rate for private duty nursing
  • And we have had a huge issue with payment and under the fee-for-service program for the private duty
Keywords: 999, senate, all
Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed FY 26-27 budget for the health and human services silo, which totals $48.5 billion within a $117.4 billion state budget. Agency leaders outlined major spending priorities, including AHCA’s behavioral health redesign, APD waiver enrollment and facility needs, DCF’s integrity and self-sufficiency systems, opioid response, community-based care and mental health bed expansion, DOEA’s Alzheimer’s, home care, and community care programs, DOH’s cancer research, public health, EMS blood-transfusion initiative, and lab feasibility study, and the Department of Veterans’ Affairs’ facility, cybersecurity, and medication-management investments. Members generally praised several proposals, especially increased reimbursement for private duty nursing, behavioral health funding, Alzheimer’s support, and the EMS blood program. Senator Sharief raised concerns about the AIDS Drug Assistance Program (ADAP), warning that changes could leave many Floridians without coverage for HIV medications and asking whether manufacturers could provide rebates directly to patients. Surgeon General Ladapo said the issue was driven largely by funding and federal changes, not a legal barrier, and said the department had explored alternatives but could not fill the gap with current resources. Senator Rouson asked about the Office of Minority Health and Health Equity, and DCF said its budget includes about $7 million for the substance abuse and mental health data dashboard required by prior legislation. Public testimony focused heavily on ADAP. Former program leaders and advocates said the proposed changes would reduce enrollment and remove key drugs and insurance-premium support, calling the situation a crisis and criticizing the department for lack of transparency and stakeholder engagement. They urged a pause and collaborative review of the program’s finances. The committee also discussed KidsCare implementation, with AHCA saying federal conditions and litigation have delayed the expansion. The meeting ended after the chair noted the budget would still need to be adjusted for updated Medicaid caseload estimates, and the committee adjourned without taking any formal votes or other action on the budget items.
LA

Louisiana 2026 Regular Session

House of Representatives May 5th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • And all other payments. That's transparency and that's accountability.
  • Semastagney, Rural Health Clinics, provides relative to Medicaid reimbursement rates of rural health
  • Members, this bill equalizes the Medicaid reimbursement between rural health clinics, independent, and
  • And we are working with LDH to come up with a long-term plan to incrementally bring the reimbursement
  • There were also some concerns about payment that we're just going to scratch out. Rep.
Bills: HR223 , HR224 , HR225 , HR226 , HR227 , HR228 , HR229 , HR230 , HR231 , HR232 , HR233 , HR234 , HR235 , HR236 , HR237 , HR238 , HR239 , HR240 , HR241 , HR242 , HR243 , HCR94 , HCR95 , HCR96 , HCR97 , HCR98 , HCR99 , HCR100 , HR218 , HR219 , HR220 , HR221 , HR222 , HCR91 , HCR92 , HCR93 , SCR41 , SCR42 , SCR43 , SCR44 , SCR45 , SCR46 , SCR47 , SCR48 , SCR49 , SCR50 , SCR51 , SCR52 , SB259 , SB347 , SB398 , SB469 , SB483 , SB518 , HR37 , HCR64 , SCR11 , SCR22 , HB89 , HB341 , HB451 , HB456 , HB541 , HB579 , HB595 , HB621 , HB818 , HB841 , HB1064 , HB1101 , HB1165 , HB1191 , SB1 , SB23 , SB32 , SB42 , SB43 , SB46 , SB51 , SB110 , SB113 , SB150 , SB154 , SB161 , SB218 , SB220 , SB221 , SB253 , SB289 , SB310 , SB351 , SB399 , SB404 , SB502 , SB123 , SB125 , SB387 , SB401 , HB730 , HCR41 , HCR76 , HCR77 , HCR63 , HCR69 , HCR86 , HR171 , HCR49 , HCR65 , HCR72 , SCR19 , SCR3 , SCR6 , SCR18 , HB64 , HB68 , HB92 , HB130 , HB175 , HB198 , HB437 , HB457 , HB488 , HB646 , HB763 , HB909 , HB971 , HB981 , HB1066 , HB1089 , HB1125 , HB1154 , HB1231 , HB1246 , HB1248 , HB1249 , HB276 , HB508 , HB512 , HB599 , HB632 , HB656 , HB998 , HB1052 , HB1084 , HB1171 , HB1193 , HB1194 , HB1204 , HB1209 , HB1250 , SB47 , SB82 , SB106 , SB206 , SB210 , SB248 , SB305 , SB376 , SB397 , SB441 , SB2 , SB19 , SB24 , SB50 , SB70 , SB96 , SB101 , SB103 , SB104 , SB114 , SB122 , SB159 , SB160 , SB173 , SB180 , SB182 , SB260 , SB412 , SB418 , SB424 , SB442 , SB460 , SB476 , HCR32 , HB911 , HB1223 , HB798 , HB824 , HB989 , HB1140 , HB1166 , HB1244 , HB459 , HB617 , HB804 , HB926 , HB225 , HB955 , HB901 , HB79 , HR20 , HR74 , HB59 , HB284 , HB306 , HB366 , HB393 , HB458 , HB577 , HB582 , HB605 , HB614 , HB682 , HB733 , HB752 , HB773 , HB996 , HB1035 , HB1069 , HB1113 , HB1180 , HB1203 , HB1234 , HB1240 , SB89
Summary: The House convened with a quorum, prayer, pledge, and a series of personal privileges recognizing visitors and honorees, including Northside High students, the YMCA’s 175th anniversary, Literacy Day, Special Olympics Louisiana, a 75th wedding anniversary, police jurors, Young Marine Sergeant Valerie Uitt, Elmer’s, and other community guests. The chamber also received Senate messages, including refusal to concur in House amendments to SB 149, concurrence in several House measures, adoption of Senate resolutions, and passage of multiple Senate bills. House resolutions were introduced and many were adopted without objection, including measures honoring local events, organizations, and individuals, as well as resolutions on literacy, municipal day, firefighters appreciation, and sports-related commendations. Committee reports moved numerous House and Senate bills and resolutions forward, and members were urged to monitor the Senate calendar to ensure House bills had Senate sponsors before being returned late in session. Several bills were debated and passed. HB 175 created a Veterans Service Grant Fund funded by $500,000 annually from Louisiana Lottery net proceeds, overseen by a board within the Department of Veterans Affairs to award grants to eligible veteran-serving nonprofits, colleges, JROTC programs, veteran courts, and local governments; it passed after questions about the use of lottery proceeds and the role of nonprofits. HB 198 authorized ambulatory surgical centers to perform certain procedures and be reimbursed at Medicare rates, and HB 437 restricted expert witnesses from receiving contingency-style compensation tied to case outcomes after debate over ethics and whether the bill was necessary. HB 488 created the Bell Chase Bridge Merit-Based Special Fund to support the bridge toll buyback effort. HB 763 required a centralized public database of government settlement agreements and consent decrees, with confidentiality protections preserved, and passed after questions about sensitive cases. HB 989 required commercial health coverage for behavioral health crisis services, HB 971 addressed Medicaid reimbursement parity for rural health clinics, HB 981 created a law enforcement recruitment/retention incentive stipend for campus police at public postsecondary institutions, HB 1066 clarified that campus police are not eligible for state supplemental pay, and HB 1089 established care accounts for future medical expense awards, with amendments limiting certain case types and providing for reversion of unused funds. The House also reconsidered and defeated HB 225, a constitutional amendment to impose a lifetime gubernatorial term limit, and HB 730, concerning airport authority regulation of automatic dependent surveillance broadcast systems. Several resolutions were adopted, including HCR 76 continuing a health inequities task force, HJR 77 urging federal action on H-2B seasonal employer designation for the crawfish industry, HJR 67 creating a task force on military drivers without civilian licenses, and HCR 69 urging DOTD to study Interstate 12 safety improvements. The chamber adopted numerous additional commemorative resolutions and concurred in Senate resolutions recognizing sports figures, Mental Health Awareness Month, state observances, and school achievements. Overall, the day featured a mix of ceremonial recognitions, committee reporting, and floor action on veterans, health care, transparency, labor, transportation, law enforcement, and court-related legislation.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Consumer Protection and Professional Licensure Jun 21st, 2026 at 10:00 am

Joint Committee on Consumer Protection and Professional Licensure

Transcript Highlights:
  • And while dealers advocate for mandated payments from manufacturers who are already paying dealers four
  • We oppose any mandate requiring payment for time not actually spent repairing vehicles, especially when
  • Toyota and Lexus dealers are already generously reimbursed for warranty repairs, yet this bill, as it's
  • Toyota and Lexus dealers are already generously reimbursed for warranty repairs, yet this bill, as it's
  • Warranty reimbursement. But what about the other provisions of the bill?
Keywords: 995, all
Summary: The Joint Committee on Consumer Protection and Professional Licensure heard testimony on a wide range of bills involving consumer protection, auto regulation, alcohol licenses, and professional licensure. A major focus was legislation to require a one-hour domestic violence awareness training for salon and cosmetology licensees (H.323/S.200), supported by District Attorney Marion Ryan, law enforcement, and a salon industry witness who described the program’s value in identifying and helping victims. The committee also heard strong support from the Attorney General’s office for auto consumer protection legislation (S.228/H.379) that would expand used-car warranty protections, extend the Lemon Law return period to seven days after receipt of the vehicle, raise the mileage cap to 200,000 miles, and increase dealer surety bonds to $50,000. Independent dealers opposed those changes, arguing they would burden small businesses and that dealer education, not expanded liability, was the better solution. The committee also took testimony on bills related to vehicle financial products and repair information. A trade association supported GAP waiver legislation (H.4188/S.281), saying it would create clear consumer protections and standard disclosures. On right-to-repair and heavy-duty vehicle service information (S.266), engine and truck manufacturers supported an exemption for commercial vehicles, while others argued that releasing service data to the general public could create safety, cybersecurity, and emissions risks. The committee then heard extensive testimony on auto dealer franchise and warranty reimbursement legislation (S.201/H.406), with dealer groups supporting changes to warranty labor reimbursement and manufacturer groups opposing them as costly and unnecessary. Manufacturers from GM, Volvo, Toyota, Hyundai, Mazda, and others said their current time-study and appeals processes already compensate dealers fairly and that the bill would raise costs for consumers. In addition, the committee heard testimony on H.333, which would move auto damage appraiser licensing from the Division of Insurance to the Division of Occupational Licensure. Collision repair advocates supported the change, saying the current board structure leads to repeated dismissals of complaints and lacks accountability, while emphasizing that the bill is intended to protect consumers and ensure proper repair reimbursement. The hearing also included testimony in support of a local alcohol license petition for Westwood and a separate local alcohol measure for a town grant license. At the end of the hearing, the chairs announced that all docketed bills had been heard, noted that a joint poll would be held on H.4184, and the committee voted to adjourn by voice vote.
WA

Washington 2025-2026 Regular Session

Senate Human Services Jan 14th, 2026

Transcript Highlights:
  • And the HIR of Senate Bill 5211, authorizing payments for parental caregivers of minor children with
  • This bill has to do with DCYF utilizing a person in their care's Social Security benefits to reimburse
  • Under this bill, effective January 1, 2027, DCYF may not apply any Social Security benefits or payment
  • Whatever money the state is making by taking these payments is far outweighed by what it's costing when
  • The enacting legislation does not provide any of the usual language for reimbursement, but currently.
Summary: The Senate Human Services Committee held a work session focused on housing and services for youth and young adults, especially those exiting public systems of care. DCYF Assistant Secretary Vicki Ibarra described existing supports, including family reconciliation services and the youth and young adult housing response team, which coordinates with other agencies to help young people ages 12 to 24 avoid homelessness. Office of Homeless Youth Director Casey Hannawer Sutton outlined the office’s role in reducing youth homelessness, citing a 40% reduction since 2016, expansion of services to 37 counties, and ongoing work on prevention and “functional zero” efforts. Treehouse and the Mockingbird Society testified about education, transition, and housing barriers for foster youth and young adults, including funding cuts to Treehouse’s Graduation Success program, eligibility gaps, and the need for peer supports, financial literacy, and housing stability. A health impact review from the State Board of Health on a prior version of the extended foster care housing proposal found the bill would likely improve housing stability, health outcomes, and equity for some young adults in extended foster care. The committee then heard public testimony on Senate Bill 5911, which would stop DCYF from using Social Security benefits of young adults in extended foster care to reimburse the state for care costs. Sponsor Sen. Emily Alvarado said the bill would protect federal benefits that belong to the young person and help them meet basic needs; supporters from Partners for Our Children, TeamChild, Mockingbird Society, and a former foster youth testified that the current practice harms housing, education, and stability and urged the state to end it. Members discussed the need for financial literacy and the federal government’s recent direction discouraging the practice. The committee also heard Senate Bill 5940, a two-year extended foster care housing pilot that would provide rental assistance for up to 50 eligible youth in extended foster care who are homeless or at risk of homelessness, with transition planning required before age 21. Sen. Wilson said the bill is intended to keep young people in care from having to choose between foster care support and housing assistance. Testimony from Mockingbird Society, current and former foster youth, and Communities in Schools supported the bill as a way to reduce homelessness and improve educational and health outcomes. The committee briefly heard Senate Bill 5942, which would rename the DCYF Oversight Board as the DCYF Accountability Board and shift its reporting structure while keeping its oversight role, and Senate Bill 5957, which would expand the Office of Homeless Youth Advisory Committee to include additional members with lived experience and representation from disproportionately affected communities.
FL

Florida 2026 Regular Session

Health Policy Feb 4th, 2025

Health Policy

Transcript Highlights:
  • Okay, so for workforce, Senate Bill 7016, Sections 1 and 2 provided, address the Florida Reimbursement
  • We received 282 applications and we have issued $6.7 million in payments for the TEACH program.
  • and normal newborn service lines across service level lines to target and associate increase in payments
  • three payments to be issued later this spring of 2025, quarter four later in the summer of 2025.
  • The DRG, as well as all the other provider reimbursement system updates, were made.
Summary: The Senate Health Policy Committee received updates from the Agency for Health Care Administration and the Department of Health on implementation of 2024 health care laws. AHCA reviewed progress on workforce and reimbursement measures in Senate Bill 7016 and related bills, including FRAME and TEACH funding, graduate medical education reporting, behavioral health teaching hospitals, acute hospital care at home, advanced birth centers, non-emergent care access plans, and rural emergency hospitals. Agency officials said several programs are already operational or have begun payments, while others are still in rulemaking, federal approval, or report-preparation stages. Senators asked about timing, funding reversion concerns, and whether appropriated dollars would be spent on schedule, especially for behavioral health teaching hospitals and the new birth center category. The Department of Health then reported on practitioner licensure and public health programs. MQA described implementation of the Interstate Medical Licensure Compact, the Mobile Act licensure pathway, massage therapy enforcement changes, background screening expansion, liposuction safety requirements, pharmacist HIV post-exposure prophylaxis authority, and chiropractic dry needling. Public health staff updated the committee on FRAME and dental loan repayment, the Sinati screening grant program, the cancer research and innovation changes, the health care innovation council and loan program, the pediatric rare disease grant program, telehealth maternity care expansion, newborn screening for congenital CMV, the sickle cell registry and grants, and the swimming lesson voucher program. Members focused questions on how practitioners were being recruited to underserved areas, the pace of licensure approvals, and whether new programs were on track to use appropriated funds. The committee also heard a lengthy update from the Office of Medical Marijuana Use. The director reported more than 900,000 qualified patients, real-time seed-to-sale tracking now integrated across most dispensaries and labs, and ongoing compliance work on product testing, advertising, diversion, and patient safety. Senators questioned the decline in qualified physicians, how THC potency is labeled and verified, and what the agency can do about diversion to non-patients. The director said the office relies on complaints, inspections, lab audits, and coordination with law enforcement, and that patients can be suspended if violations are confirmed.
WA

Washington 2025-2026 Regular Session

Senate Human Services Jan 21st, 2026 at 08:00 am

Human Services

Transcript Highlights:
  • DOC may, but is not required to, obtain payment for delivery.
  • Because we're not having an expectation of receiving a payment. Is that what that is?
  • So there is a payment that is occurring. This strips away. No, that's in the bill.
  • Senate Bill 5917 authorizes distribution with or without payment.
  • Senate Bill 5917 authorizes distribution with or without payment.
MS

Mississippi 2026 Regular Session

Public Health and Welfare - Room 216, 3 March, 2026; 3:00 PM

Public Health and Welfare

Transcript Highlights:
  • .<00:41:22.240><c> So,</c> payment.
  • So, payment.
  • ,</c> steering and provides for reimbursement, steering and provides for reimbursement, correct?
  • </c> the greater of the total reimbursement the greater of the total reimbursement paid<01:12:58.560>
  • </c> affiliate or the total reimbursement affiliate or the total reimbursement paid<01:13:02.080><c>
AZ

Arizona 2026 Regular Session

03/23/2026 - Senate Federalism and Family Law

Senate Federalism and Family Law Committee of Reference

Transcript Highlights:
  • Representative Wilson, can you tell me what the process for reimbursement is?
  • Because I believe what we're talking about is reimbursement, not real-time payments, unless, of course
  • Is it reimbursement? Is there anything that you've contemplated along with that?
  • Now, there are questions about reimbursement.
  • This is about reimbursing a woman. This is about reimbursing a woman for the cost of her pregnancy.
Summary: The committee first heard HB 2793, which would let cities and towns expedite annexations when 100% of the affected property owners request it, and would modernize notice requirements by allowing electronic newspaper publication and a single on-site notice for small single-parcel annexations. Buckeye supported the bill as a way to streamline uncontested annexations and reduce delay and cost, while a senator raised concerns based on a recent contentious Tucson annexation and the speed of public notice. The committee voted 4-3 to give HB 2793 a do pass recommendation. Members then considered HB 2041, which would prohibit a parent, guardian, or custodian from being found to have abused or neglected a child solely because poverty prevented them from providing supervision, clothing, food, shelter, or medical care. Child welfare advocates supported the bill as a step toward decriminalizing poverty, while another witness argued it did not go far enough because it still allowed investigations based on poverty. Several members said they supported the concept but wanted further changes, and the bill passed 4-3. The committee also approved HB 2239, creating a child care grant program and infrastructure fund at DES to expand access in underserved areas; testimony from child care providers and parents emphasized shortages, workforce challenges, and the need for facilities, and the committee adopted an amendment adding tax credit language and eligible applicants before passing the bill 6-0 with one not voting. HB 2321, requiring DCS to place a credit freeze on a child’s credit report when the child enters care, passed 7-0 without testimony. HB 2371, allowing consenting divorcing parties without minor children to use AI-assisted arbitration and adding an amendment on therapeutic interventions and expert testimony in parenting cases, drew concerns about using AI for binding family-law decisions and about the amendment’s relevance; it passed 4-3. HB 2594, strengthening protections for participants in the address confidentiality program in family-law matters and sealing related voter records, received strong support from a witness describing repeated attempts by an ex-partner to obtain a protected address and passed 7-0 after amendment. HB 2661, requiring DCS to inform parents under investigation that they may delegate temporary guardianship and, as amended, limiting additional documentation requirements, passed 4-3 despite concerns that it gave too much discretion to parents accused of abuse or neglect.
TX

Texas 89th 2nd C.S.

Public Health Apr 21st, 2025

Public Health

Transcript Highlights:
  • , that is a reimbursement model played at scale.
  • Those payments typically do not cover the full cost of care.
  • Those payments typically do not cover the full cost of care.
  • rate for those. those payments. hospital setting and Medicaid has a reimbursement rate for those.
  • Those payments typically do not cover the full cost of care.
Bills: HB216
Committee: House Public Health
Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.
KY

Kentucky 2026 Regular Session

Senate Legislative Session Day 49 (3-18-26)

Kentucky Senate Floor Meeting

Transcript Highlights:
  • </c><00:34:06.880><c> for</c><00:34:07.000><c> non-public</c> permit reimbursement for non-public permit
  • reimbursement for non-public schools. schools. schools.
  • </c> language requiring a report on payments language requiring a report on payments timeliness<00:38
  • We also increased general fund by $13 million each year to support a one-time supplemental payment to
  • We also do a 2% increase in incentive payments for qualified firefighters as well as a 2% increase for
Keywords: 958, all
HI

Hawaii 2026 Regular Session

RM 309 Conference PM - Wed Apr 22, 2026

Hawaii House Floor Meeting

Transcript Highlights:
  • A good example is the Medicaid reimbursement that was left on the table.
  • :19.400><c> was</c><00:14:19.480><c> left</c><00:14:19.600><c> on</c><00:14:19.720><c> the</c> reimbursement
  • that was left on the reimbursement that was left on the table. table. table.
  • That is $20,000 that these families could put towards the down payment of a new home or towards a new
  • family of four living in Kalihi could save $4,118, and that amount is equivalent to one typical rent payment
FL
Transcript Highlights:
  • It also gets FEMA reimbursements, but we're only showing the General Revenue portion up in our table.
  • ...gets FEMA reimbursements, but we're only showing the General Revenue portion up in our table.
  • Federal law requires that state Medicaid programs make DSH payments to qualifying hospitals, and this
  • Currently, the department does not have sufficient authority in the maintenance and repair reimbursement
  • Currently, the Department does not have sufficient authority in the maintenance and repair reimbursement
Summary: The Legislative Budget Commission met with a quorum present to hear the constitutionally required Long-Range Financial Outlook and consider a series of budget amendments. Amy Baker of the Office of Economic and Demographic Research presented the outlook, describing Florida’s continued population growth, strong wage growth, an aging population, housing-market softening, and low consumer sentiment. She said the general revenue forecast was largely unchanged from March, but the state’s funds available had improved because of legislative actions in 2025 that increased the balance forward. She also noted strong reserves, a projected current-year Medicaid deficit of about $125 million, and a three-year outlook that remains positive in the first year but turns negative in years two and three. She highlighted the risk of co-occurring catastrophic events, using a normalized Great Miami Hurricane scenario to illustrate potential state losses. The outlook was adopted after brief comments from House and Senate members emphasizing fiscal restraint and efficiency. The commission then approved multiple budget amendments, mostly without objection. The Agency for Health Care Administration received amendments to realign funding for Florida KidCare based on estimating conference results, to provide $85 million in budget authority for disproportionate share hospital payments, and to adjust Medicaid and long-term care appropriations, including placing surplus funds into reserve. The Department of Health received $6.3 million in additional authority for newborn screening. The Department of Corrections and the Department of Management Services each received $2.2 million in Private Inmate Welfare Trust Fund authority for repair invoices and pending projects. The Department of State was authorized to release $2.5 million in nonrecurring general revenue for cultural and museum grants and America 250 commemorative grants. The Department of Transportation received approval for a project roll-forward and for work program changes, including advancing I-95 widening in Duval County and the I-4 corridor in Polk and Osceola counties. The meeting ended with a motion to adjourn.
WA

Washington 2025-2026 Regular Session

House Floor Session Mar 9th, 2026 at 05:40 pm

Washington House Floor Meeting

Transcript Highlights:
  • And their utilities, $300 or $400, and their car payment...
  • And their utilities, $300 or $400, and their car payment.
  • It aligns with estimated tax payments, due dates.
  • We're going to have estimated payments being made.
  • Those are tax payments, estimated tax payments. Those are not credits.