Video & Transcript Research : 'noncontracting providers'

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TX

Texas 89th Regular

Insurance Mar 19th, 2025

Insurance

Transcript Highlights:
  • At times, it's important to ensure that coverage... is provided.
  • Since Representative Paul brought up, it provides the benefit as well.
  • the potential benefit is to providing those coverage to the health care.
  • It would just provide additional information if you wanted it.
  • Claims that the providers have. turn to us that we pay them.
Bills: HB138, HB335, HB388, HB138
TX

Texas 89th Regular

Insurance Mar 19th, 2025

Insurance

Transcript Highlights:
  • This bill aligns with with what the AP ECD is was intended to do is to provide better information to
  • Do you do that mandate by the providers? No, I think we're having...
  • Uh, and administrative cost apply both to the plans and to the physician. and health care providers.
  • We have Texans who, for example, are covered by Medicaid and Medicare. care so this will just provide
  • That way, when it comes to billing, the providers know, okay, we're going to talk to...
Bills: HB138, HB335, HB388, HB138
AZ

Arizona 2026 Regular Session

03/25/2026 - Senate Health and Human Services

Health and Human Services

Transcript Highlights:
  • or bearing any identifying mark of the provider.
  • for laboratory services provided to a member if the member was referred by a contracting provider.
  • referrals, and from reimbursing a non-contracting provider at a rate exceeding contracting provider
  • Providers in Arizona are charged with providing the best possible care for patients, but instead we are
  • of contracting providers for AHCCCS members.
Summary: The committee heard a presentation from the University of Arizona College of Medicine Phoenix on its new tuition-free, three-year regional medical school branch in Yuma, which is intended to address Arizona’s primary care shortage by training students in a rural setting and linking them to rural residency opportunities. Members asked about who could apply, whether out-of-state applicants were eligible, and whether graduates would be required to remain in rural Arizona; the presenter said there is no post-graduation practice commitment, but the program is designed to encourage retention through rural training and residency placement. The committee then considered several child welfare and behavioral health bills. HB 2923 would expand judicial review procedures for court-ordered mental health treatment, adding timelines, notice, counsel protections, and a clear-and-convincing standard for continued treatment; the sponsor and a retired judge said it fills gaps in a 1974 statute. HB 2035 would expand kinship foster care to extended family members, require more notice and written findings when kin placement is denied, and strengthen presumptions favoring placement with relatives or other significant adults; DCS said the bill largely reflects current policy but raised a timing concern about a required report before preliminary protective hearings. HB 2611 would create a Youth Safety Rights and Mental Health Protection Act for foster youth and group homes, adding rights related to immediate and unbiased health care, anti-bullying protections, retaliation safeguards, drug screening, and safety rules; foster youth and former foster youth testified strongly in support, while DCS was neutral and noted possible implementation and fiscal impacts. The committee also heard HB 4004, which would require DCS to investigate credible abuse or neglect reports even when one parent is considered protective, and to take protective action when warranted. Several parents testified that DCS had previously closed or minimized cases because a protective parent existed, leaving children exposed to abuse; DCS did not testify against the bill, and members later said the agency should not use the presence of a safe parent as a reason not to investigate. The committee also considered pharmacy and AHCCCS-related bills: HB 2434 would revise the controlled substances prescription monitoring program and reporting requirements; HB 2732 would continue the State Board of Pharmacy; HB 2733 would make several pharmacy regulation changes including delivery, continuing education, and change-of-ownership rules; and HB 2932 would require AHCCCS contractors to reimburse noncontracting labs referred by contracting providers, which health plans opposed as undermining managed care tools while a lab provider argued it would improve fair payment and competition. On the floor, the committee also took up HB 2086, which would prohibit government and business mask and vaccination mandates, HB 2830, which would require instruction on fetal and prenatal development and bar abortion-related curriculum materials, and HB 2035, HB 2434, HB 2611, HB 2732, HB 2733, HB 2923, HB 2932, and HB 4004. Amendments were adopted on several bills, including HB 2086, HB 2611, HB 2830, and HB 2932. Final committee votes gave HB 2035, HB 2086, HB 2434, HB 2611, HB 2732, HB 2733, HB 2830, HB 2923, HB 2932, and HB 4004 do-pass recommendations, with HB 2086, HB 2611, HB 2830, and HB 2932 reported as amended.
AZ

Arizona 2026 Regular Session

02/11/2026 - Senate Health and Human Services

Health and Human Services

Transcript Highlights:
  • for laboratory services provided to a member if the member was referred by a contracting provider.
  • for laboratory services provided to a member if the member was referred by a contracting provider.
  • Providers will need to show that the care was provided and that it is helping people stay...
  • They would not have to provide it to the provider, and... ...they would not have to provide it to the
  • So there was a provider...
Summary: The committee first approved the February 4 minutes and then heard Senate Bill 1086, which would require AHCCCS contractors to reimburse non-contracting providers for certain laboratory services when a member was referred by a contracting provider, and would bar prior authorization for diagnostic services and retaliation tied to such referrals. AHCCCS testified neutral but warned the prior-authorization ban could increase utilization and create fiscal and federal compliance concerns. The committee adopted the Warner amendment limiting non-contracting reimbursement to no more than contracting-provider rates, then passed SB 1086 as amended on a 4-2 vote. The committee next took up Senate Bill 1611, an emergency measure to require AHCCCS to contract with an administrative services organization for program integrity and case management functions for the American Indian Health Plan, while keeping AHCCCS ultimately responsible. The chair’s amendment expanded the ASO’s duties to include provider support, quality improvement, and data analytics, removed AHCCCS claims payment authority, added more tribal observers, and exempted IHS and tribal facilities. Testimony strongly supported reforming the system after fraud and overcorrection harmed Native members and providers, but AHCCCS raised concerns about the fast timeline, possible duplication of fraud-fighting functions, and the need for 45 days of tribal consultation. The committee adopted the amendment and passed SB 1611 as amended on a 5-2 vote. Senate Bill 1630 would create a Medicaid-funded home and community-based services program for adults with serious mental illness, capped initially at 250 members under the Angius amendment, with semiannual reporting and a process for future expansion only if costs are reduced or neutral. Supporters said the bill would help the sickest SMI patients avoid repeated hospitalizations, jail, and homelessness, and could save the state general fund by shifting costs to federal Medicaid funding; AHCCCS was neutral and said it was finalizing the fiscal estimate. The committee adopted the amendment and passed SB 1630 unanimously. The committee also passed SB 1193, protecting emergency medical care technician personal information from disclosure; SB 1318, repealing an outdated state dense-breast notification requirement to align with FDA language; and SB 1345, restricting anonymous complaints against health care institutions, though AHCCCS warned that federal law may still require investigation of complaints from any source and that the bill could reduce reporting and invite litigation.
AZ

Arizona 2026 Regular Session

02/10/2026 - House Natural Resources, Energy & Water

Natural Resources, Energy & Water

Transcript Highlights:
  • It's a function of our organization, a division of our organization, and it helps provide water providers
  • So we have unmet demand in designated providers. That's undeniable.
  • I'm not proposing a bill to change the system on designated providers.
  • And it provides economic development... Google search. Why?
  • This has to do with the wells and getting money to provide them.
Summary: The committee on Natural Resources, Energy and Water heard and advanced several bills and memorials focused on water policy, mining, environmental regulation, and professional licensing. HB 2260, a veterinary board measure, HB 2986, an ADEQ cleanup/omnibus bill, and HB 2827, which extends Pinal AMA groundwater fee authority and related fund deadlines, all received due pass recommendations on unanimous 10-0 votes. HB 2078, clarifying that public notice for new aggregate mine reclamation plans applies only to new plans and can be satisfied by certain local notices, also passed 9-1 after testimony from the sponsor and mining industry representatives. HCM 2009, urging Congress to amend the Antiquities Act, address split estate mineral rights, and streamline mining permits, passed 5-4 along party lines and drew support from mining interests and opposition from members concerned about federal land protection and monuments. HCR 2038, supporting a seven-state Colorado River agreement, passed 9-1 with testimony emphasizing the importance of a negotiated river settlement to Arizona’s economy, food supply, and national security. The committee then took up a series of water-management bills that generated more extensive debate. HB 2026, which narrows how ADWR evaluates water availability by focusing on proposed dedicated supplies even if commingled in delivery systems, passed 6-4 despite concerns that it echoed previously vetoed language and could weaken water security. HB 2027, as amended, would limit application of Pinal AMA-style rules in the Phoenix AMA and alter physical-availability review for applicants enrolled in the Central Arizona Groundwater Replenishment District; it passed 6-4 after strong opposition from CAP, municipal water users, and ADWR, who warned it could undermine assured water supply designations and CAGRD obligations, while home builders argued it was a fairness issue for development. HB 2028, removing ADWR’s exemption from appealable administrative-completeness determinations, passed 6-4 over agency concerns that it would turn deficiency letters into formal appeals and add workload, while supporters said it would give applicants the same legal rights as other regulated parties. The committee also approved HB 2031, an emergency measure setting a deadline for filing grandfathered groundwater rights in the Wilcox AMA, on a 5-4 vote, and HB 2094, which would require ADWR to re-review certain assured water supply determinations and retroactively validate some applications using specified models, also on a 5-4 vote; both were described as similar to previously vetoed measures. The transcript ends as the committee begins HB 2095, which would expand the factors ADWR considers in determining groundwater depth and physical availability for assured water supply applications, with an amendment being explained but no final action captured in the excerpt.
WY

Wyoming 2026 Regular Session

Senate Labor, Health & Social Services Committee, February 18, 2026

Labor, Health & Social Services

Transcript Highlights:
  • Madam Chair, I’ll— areas without altering provider roles. areas without altering provider roles.
  • <00:07:14.639> this and they say we're going to provide this and they say we're going to provide
  • provide that. provide that. You<00:07:28.319> can't.
  • your strategy to provide that care? your strategy to provide that care?
  • <00:59:33.200> more know, I'd love to see us provide more know, I'd love to see us provide
Bills: HB0143, HB0129
WY

Wyoming 2026 Regular Session

House Labor, Health & Social Services Committee, February 18, 2026

Labor, Health & Social Services

Transcript Highlights:
  • choice and your provider. choice and your provider.
  • Um and what it says is uh providing Um and what it says is uh providing misinformation<00:26:29.840
  • Uh one of the issues that providers.
  • to Wyoming because we know we have this provider shortage.
  • And I really we are a provider desert.
Bills: HB0143, HB0129
WY

Wyoming 2026 Regular Session

Senate Travel, Recreation, Wildlife & Cultural Resources, February 12, 2026

Travel, Recreation, Wildlife & Cultural Resources

Transcript Highlights:
  • They can certainly provide their perspective, but I think that it's soundly embedded in there, and it
  • We've had both Utah and Colorado provide us information on their investment in outdoor recreation.
  • We've had both Utah and Colorado provide us information on their investment in outdoor recreation.
  • We've had both Utah and Colorado provide us information on their investment in outdoor recreation.
  • any input, but very happy to to provide any input, but very happy to answer<00:13:24.800> any
Bills: HB0015, HB0017, HB0019
WY

Wyoming 2026 Regular Session

House Travel, Recreation, Wildlife & Cultural Resources, February 12, 2026

Travel, Recreation, Wildlife & Cultural Resources

Transcript Highlights:
  • You have to provide notice already. It's already in there. You don't need to change anything.
  • You have to provide<00:31:59.760> notice<00:32:00.080> already.
  • It's already in provide notice already.
  • would be very available or not provided would be very helpful. helpful. helpful.
  • of land owners would be happy to provide of land owners would be happy to provide a<00:59:19.359
Bills: HB0015, HB0017, HB0019
WY

Wyoming 2026 Regular Session

House Transportation, Highways & Military Affairs Committee, February 17, 2026

Transportation, Highways & Military Affairs

Transcript Highlights:
  • We could spell it out in statute if we want, of what they would need to provide to you guys.
  • Please just provide your name and title, and the floor is yours. Mr.
  • This bill provides clarity to the 145.
  • They aren't providing the best sine wave power quality to the system.
  • electrical current onto the providing electrical current onto the system. system. system.
Bills: SF0095, SF0107, SF0112
MN

Minnesota 2025-2026 Regular Session

House Taxes Committee 4/8/26

Taxes

Transcript Highlights:
  • <00:19:37.760> extra of SAF production and provide extra of SAF production and provide extra
  • um we have to provide um we have to provide certainty<00:52:36.880> for<00:52:37.200>
  • 19 different provider classes.
  • have 19 different provider classes.
  • Chiropractors are the only providers Chiropractors are the only providers paying<01:20:25.040>
NM

New Mexico 2026 Regular Session

House - Judiciary Feb 13th, 2026 at 05:37 pm

House Judiciary

Transcript Highlights:
  • House Bill 195 provides protections for physicians' personal assets, House Bill 195 provides protections
  • The definition of independent provider is different from the definition of independent provider in the
  • You said it provides personal... oh, that a provider, right?
  • However, the provider information is. So it's a significant breach of security for the provider.
  • I'm curious, what data is provided now? You gave a list earlier of the data that was provided.
MN

Minnesota 2025-2026 Regular Session

Human Committee Meeting - 2026-04-09

Human Services Finance and Policy

Transcript Highlights:
  • affect counties and providers? affect counties and providers?
  • to 3400 providers from 2200 providers to 3400 providers with<01:07:36.480> licensed<01:07:36.960
  • Another requirement for any provider before they start providing any services.
  • their providers, and now each provider their providers, and now each provider is<01:36:55.480>
  • not everybody should be a provider. not everybody should be a provider.
Summary: The Human Services Finance and Policy Committee approved the April 8, 2026 minutes and then heard House File 1767, as amended by the DE4 amendment. Representative Garande explained that the bill, originally intended to codify Integrated Community Supports (ICS), was being redirected because of concerns about fraud vulnerability and program integrity. The DE4 would create a smaller legislative study group to redesign ICS, pause DHS changes for about six months while the group develops a transition plan, continue DHS fraud investigations and enforcement, and ultimately terminate ICS as currently structured. Testimony in support came from Mr. Buck and Zania Harut of the Residential Providers Association of Minnesota, both of whom argued that ICS is unstable, inconsistently implemented, and in need of a new statutory foundation. They said the current system mixes different service models under one rate framework, lacks clear codification, and has shifting policy guidance that creates compliance problems for providers and risks to people receiving services. They emphasized that the bill would preserve oversight and enforcement while allowing time to build a replacement service with clearer rules, documentation standards, and guardrails. Members asked about effects on counties, providers, data, audits, and fraud enforcement. Representative Curran and Mr. Berg said the bill would not change funding structures or DHS’s existing authority to audit, request documentation, investigate fraud, or sanction bad actors, and that the study group would use existing data to identify where problems are concentrated. Vice Chair Gillman supported the study-group approach as a bipartisan, public process and raised concerns about whether the bill would prevent DHS from acting on known fraud; Curran responded that the language was intended to preserve those enforcement actions. The discussion ended without a final vote on the bill in the portion provided, beyond adoption of the DE4 amendment.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 3/17/26

Human Services Finance and Policy

Transcript Highlights:
  • about the services our members provide. about the services our members provide.
  • providing service. providing service.
  • But they have done extremely poor at<00:37:46.760> providing at providing at providing the<00:
  • Um, we had individual providers. We had provider associations.
  • Um, we had individual providers. We had provider associations.
WY

Wyoming 2026 Regular Session

House Transportation, Highways & Military Affairs Committee, February 26, 2026

Transportation, Highways & Military Affairs

Transcript Highlights:
  • > be<00:10:09.440> trained Um thirdparty providers would be trained Um thirdparty providers
  • <00:10:24.240> cost would allow uh this would provide cost would allow uh this would provide
  • able to provide services. Um and Mr. Mr. able to provide services. Um and Mr. Mr.
  • <00:30:54.159> And and the consistency it provides. And and the consistency it provides.
  • Um I have provided the this system.
KY
Transcript Highlights:
  • one from our existing service provider one from our existing service provider and<00:24:25.520><
  • <00:24:34.559> uh the existing uh service provider uh the existing uh service provider uh
  • provider? Oh, uh, months if not years. provider?
  • , able to spin up a wholesale provider, able to spin up a wholesale provider, you<00:54:49.520>
  • So uh under provide them services.
Summary: The committee first approved the July 9 minutes without objection and heard from Jay Hartz and Jonathan Harris of the Legislative Research Commission. Members asked about Capitol and legislator security in light of recent targeted shootings in other states. Hartz said LRC had removed members’ home addresses from its website, was reviewing other state-government records for similar information, and was working with the Speaker, Senate President, Kentucky State Police, and outside security experts on broader safety measures. He also said LRC is exploring commercial products to help block personal contact information from public view, but declined to name vendors publicly. Harris added that driver’s license scans at the Capitol are handled by Kentucky State Police, while LRC has a process for flagging high-volume or concerning contacts for police review. The LRC also reported that redistricting work has already begun, with census coordination underway, evaluation of redistricting software including Mapitude and open-source tools, and plans to make the same tools available to the public in the LRC library. The committee then heard from Kentucky Wired Operations Company CEO Robert Morphonius, COO Tom Snyder, and counsel Patrick Hughes about the Kentucky Wired network. They explained the corporate structure: Kentucky Wired Operations Company is a private for-profit special purpose entity that designs, builds, operates, and maintains the network; Kentucky Wired Infrastructure Company is a nonprofit instrumentality used for financing; and Open Fiber Kentucky handles commercialization of excess capacity under a wholesale agreement. They said Kentucky Wired Operations is in the operations and maintenance phase, with those obligations continuing until 2045, and that technical changes to the network generally require KCNA approval through formal change-order processes. They also said the company conducted a market test in June 2023 under Schedule 19 of its contract, considered proposals including Open Fiber and the incumbent service provider, and retained the existing provider. Members asked about KCNA’s role, procurement, network customers, and revenue. The witnesses said Quac operates outside normal state procurement because its process is governed by contract, while KCNA acts as the Commonwealth’s oversight authority and filter for changes. They identified current network users as including AOC, KCTCS, postsecondary education, and other Commonwealth agencies, with all requests routed through KCNA; they also said a separate change process for Exceliccom is in litigation. On funding, they said the operation is paid through monthly appropriations, with roughly a million dollars a month for the service provider and a couple hundred thousand for Quac’s oversight, not including debt service, which is bundled into the availability payment. The discussion ended as members began asking about responsibility for damage-related costs such as squirrel-related outages.
TX
Summary: The Senate Committee on State Affairs met to consider several pending measures and adopted committee substitutes on multiple bills before voting them out. Senate Bill 2403, Senate Bill 1888 (jury wheel procedures in certain counties), Senate Bill 2417 (Attorney General actions under the Free Enterprise and Antitrust Act), Senate Bill 2459 (personal identifying information for judiciary employees), and Senate Bill 2943 (discrimination involving occupational licenses) were each reported favorably to the full Senate, with most passing unanimously and SB 2943 passing on a 10-1 vote. The committee also certified SB 1888, SB 2417, and SB 2459 for the local and uncontested calendars, and later did the same for SB 2943. The committee then considered House Joint Resolution 98, the Convention of States resolution, which was reported favorably to the full Senate on an 8-3 vote. House Bill 1393, dealing with daylight saving time and keeping the state on daylight saving time year-round, was also reported favorably, with the committee noting it heard the House bill rather than a Senate companion. House Bill 2884, concerning financial relationship disclosures for defense contractors, was likewise reported favorably, with the final tally announced as 11 ayes and 1 nay. No testimony was taken in the excerpt, and no substantive debate was recorded beyond brief clarifications about the bills and their companions. After completing the votes and calendar motions, the committee recessed.