Video & Transcript Research : 'secondary payer'
Page 1 of 208
TX
Transcript Highlights:
- It uses existing data from All-Payer Claim Database to generate reports.
- The Center already collects this data at the all payers claim. Center already...
- And it's the all claims payer data. base. That is correct. That is correct.
- It's from the payers. I would make this statement about any single source.
- There's a second component, which is the administrative costs, which is a secondary.
Keywords:
health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers
TX
Transcript Highlights:
- I want to touch a couple of things, one with regard to the All-Payer Claims Database.
- And I think there's some confusion amongst stakeholders as to whether or not the all-payer claims. database
- us to make that decision that we're just... legislators well no I mean the whole purpose of the all-payer
- So, all we're saying is, to the extent that the All-Payer Claims Database can look at potential administrative
- any new mandates for services like that. there's no that cost is already captured in the all claims payer
Keywords:
health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers
TX
Bills:
HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744
Keywords:
rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388
Summary:
The committee first reopened testimony on House Bill 2216, which would strengthen child welfare requirements by expanding “active efforts” to help families avoid removal and support reunification, while also raising standards related to removals and terminations. Supporters from child welfare and family defense groups said the bill would better protect families and align Texas more closely with ICWA-style principles, but several warned it would require significant new funding, staffing, and community services such as mental health care, housing, child care, and substance use treatment. The committee then left HB 2216 pending.
The committee next heard Senate Bill 1782, aimed at boarding and group homes. Senator Miles said the bill closes enforcement gaps left by prior law by requiring retention of background-check records and creating misdemeanor penalties for failing to conduct or keep them, or for knowingly hiring people with serious convictions. Harris County sheriff’s investigators testified in support, describing illegal boarding homes, operators who evade permits and background checks, and exploitation of vulnerable residents; the bill was left pending. The committee also took up Senate Bill 481 on emergency preparedness for nursing facilities and assisted living facilities, adopted a new committee substitute that softened some requirements and removed the fiscal note, and left the bill pending.
The committee then heard House Bill 388, which would require the Texas Department of Insurance to create a single standardized coordination-of-benefits form for dual health plans to reduce errors and surprise bills; it was left pending. Senate Bill 1590 would move paternity registry searches for adoptions to an electronic process with a 10-day target, and House Bill 2809 would track child suicide attempts in managing conservatorship and require related reporting and parental notice; both were left pending. The committee also heard Senate Bill 1887, which would prohibit administering mRNA-containing products for immunization for 10 years, with exceptions for cancer and genetic disorders. Supporters argued the bill was needed for safety, informed consent, and medical freedom, while opponents from the medical, research, and public health communities said mRNA vaccines are well-studied, save lives, and that the bill would harm access, research, and Texas’s biotech economy. The bill remained under discussion as testimony concluded.
TX
Transcript Highlights:
- But the other issue is the payer mix.
- So payer mix and volume.
Bills:
HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744
Keywords:
rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388
Summary:
The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions.
The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending.
Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.
AL
Alabama 2025 Regular Session
Alabama Senate Finance and Taxation Education Committee Feb 26th, 2025
Finance and Taxation Education
Keywords:
aircraft, tax exemption, sales tax, lease tax, maintenance, Alabama, health insurance, Medicare, retirees, public education, contracts, education, high school, community college, dual enrollment, secondary credit, Move on When Ready, parental leave, state employees, local education agencies
KY
Kentucky 2026 Regular Session
Interim Joint Committee on Appropriations & Revenue. (7-1-26)
Appropriations & Revenue
Transcript Highlights:
- , state leaders at the secondary, state leaders at the secondary, postsecondary,<01:36:37.000>
- So, as we said, you've got the 85% that goes to both secondary and post-secondary.
- One thing they looked at was that secondary post-secondary split to make sure that it still reflected
- 01:47:51.920>
split <01:47:52.200>to that secondary post-secondary split to that secondary - <01:49:03.240>
and <01:49:03.440>post-secondary basically secondary and post-secondary
Keywords:
Meeting Start 00:00:00
Budget Process 00:02:28
Allotment Process 00:10:30
School Facilities Construction Commission 00:29:10
Role of KDE in School Facilities Funding 00:47:00
Kentucky School Boards Association 01:13:25
Elementary and Secondary School Construction 01:20:40
Perkins V Funding 01:35:32, 958, all
AZ
Arizona 2026 Regular Session
02/05/2026 - House Rural Economic Development
Rural Economic Development
Transcript Highlights:
- And so first, you know, the reason why we think it's bad tax policy is the LIHTC model creates a secondary
- And so first, you know, the reason why we think it's bad tax policy is the LIHTC model creates a secondary
- And so first, you know, the reason why we think it's bad tax policy is the LIHTC model creates a secondary
- The LIHTC model creates a secondary market to monetize tax credits.
Keywords:
HB2388, Arizona Commerce Authority, ACA, small modular reactor, SMR, nuclear energy, advanced nuclear, data center, data centers, economic development, study, appropriation, general fund, jobs, wages, tax revenue, broadband, infrastructure, secondary businesses, tertiary businesses
Summary:
The committee began with short presentations highlighting historic sites in Prescott, including the Arizona Pioneer Home and the First Territorial Governor’s Mansion/Charlotte Hall Museum, framed as ways to showcase rural districts and Arizona history. Members discussed the importance of using committee time to feature district-specific projects and tourism assets before moving to legislation.
The main action was on HB 2804, a bill creating a state rural development and housing tax credit tied to the federal low-income housing tax credit for projects in counties under 800,000 population. Supporters, including the sponsor, the mayor of Flagstaff, housing developers, and other local officials, argued the credit would help finance affordable housing for seniors, veterans, and low-income residents in rural areas where projects are otherwise not feasible. Opponents, including the Arizona Free Enterprise Club, argued the program is inefficient, difficult to police, and disproportionately benefits intermediaries and developers. After extended questioning and debate about whether the bill truly helps veterans and seniors, the committee passed HB 2804 on a 7-0 vote.
The committee then heard HB 2388, which directs the Arizona Commerce Authority to study the economic benefits of small modular reactors and data centers and report findings to the governor and legislature. The sponsor described it as a data-gathering measure to inform future policy, while supporters said it could help assess energy and job impacts, especially for Hispanic workers. One member suggested adding information on utility-rate impacts and waste/storage issues through amendment. The bill passed on a 6-1 vote, and the committee adjourned.
MN
Transcript Highlights:
- heard from young people and secondary heard from young people and secondary school<00:46:21.119>
- <00:54:08.079>
attainment <00:54:08.400>and <00:54:08.640>career post-secondary - Uh, we believe that concurrent enrollment and PSO are a viable part of what happens at the secondary
- Uh, we believe that concurrent enrollment and PSO are a viable part of what happens at the secondary
- Uh, we believe that concurrent enrollment and PSO are a viable part of what happens at the secondary
Keywords:
student career pathways, education framework, experiential learning, employer engagement, career technical education, career and technical education, CTE, postsecondary scholarship, postsecondary grant, school district funding, cooperative unit, Minnesota high school, apprenticeship, certificate program, tuition assistance, workforce training, military transition, education finance, student aid, career pathways
OK
Transcript Highlights:
- But this board, what we're trying to do is to do the all-payers claim database.
- The best place where we can get the database for the payers and then the last one was that we were striking
Keywords:
licensure, criminal history, public safety, occupational certification, rehabilitation, state regulations, insurance, regulations, certification, long-term care, mergers, consumer protection, property safety, vision insurance, optometry, reimbursement, healthcare policy, ophthalmic materials, provider agreements, captive insurance
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part II) May 7th, 2025
Health & Human Services
Bills:
HB18, HB37, HB116, HB18, HB37, HB116, HB388, HB879, HB913, HB1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744
Keywords:
HB 18, Texas Legislature, quorum break, quorum-busting, legislative walkout, absent legislators, political contributions, campaign finance, political expenditures, legislative caucus, specific-purpose committee, Texas Ethics Commission, civil penalty, show cause order, district court, Fifteenth Court of Appeals, session fundraising, travel lodging food expenses, legislative session, compelled attendance
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part I) May 7th, 2025
Health & Human Services
Transcript Highlights:
- But the other issue is the payer mix.
- So payer mix and volume are important.
Bills:
HB18, HB37, HB116, HB388, HB879, HB913, HB1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744, HB18, HB37, HB116
Keywords:
rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388
MN
Transcript Highlights:
- of the task force to review dual enrollment funding formulas, analyze cost variations among post-secondary
- cost funding formulas, analyze cost variations<00:57:00.559>
among <00:57:00.960>post-secondary - variations among post-secondary variations among post-secondary institutions,<00:57:02.960>
examine - It saves students time and money on post-secondary education, and it also continues to close achievement
Keywords:
foster care, child welfare, enrollment priority, education programs, child care assistance, education, school board, elections, local governance, school district, site-governed schools, education reform, local control, autonomy, interchange, bond issuance, transportation, infrastructure funding, Sherburne County, student eligibility
AL
Alabama 2026 1st Special Session
Alabama House Economic Development and Tourism Committee Mar 4th, 2026
Economic Development and Tourism
Keywords:
decentralized nonprofit association, unincorporated nonprofit association, blockchain, distributed ledger technology, smart contract, digital asset, crypto, web3, DAO, decentralized autonomous organization, nonprofit governance, digital membership, consensus mechanism, ledger, Alabama nonprofit law, entity formation, liability protection, service of process, real property, winding up
NM
Keywords:
teacher residency, Teacher Residency Act, public schools, teacher preparation, educator pipeline, teacher recruitment, teacher retention, student teachers, apprenticeship, co-teaching, mentor teachers, residency stipend, teacher salary, level one teacher, charter schools, school districts, New Mexico education, teacher workforce, principal stipend, cohort model
NM
Keywords:
teacher residency, Teacher Residency Act, public schools, teacher preparation, educator pipeline, teacher recruitment, teacher retention, student teachers, apprenticeship, co-teaching, mentor teachers, residency stipend, teacher salary, level one teacher, charter schools, school districts, New Mexico education, teacher workforce, principal stipend, cohort model
KY
Kentucky 2026 Regular Session
House Budget Review Subcommittee on Postsecondary Education (2-9-23)
Keywords:
KY LRC YouTube, https://www.youtube.com/watch?v=PZXkj_Cxflw, 2026-06-21T07:17:02+00:00, 2.2.24, Data collected via generic collector engine, MEETING START 00:00
ROLL CALL 00:00
DISCUSSION WITH KY COUNCIL ON POST SECONDARY EDUCATION, PRESIDENT AARON THOMPSON, VICE PRESIDENT, TRAVIS POWELL, AND EXECUTIVE DIRECTOR OF HEALTHCARE PROGRAMS. DISCUSSING KEY PROGRESS, INITIATIVES, ENROLLMENT TRENDS, DEGREE & CREDENTIAL PRODUCTION, DEVELOPMENTS, NEW P-12 POLICIES AND PROGRAMS, HEALTHCARE WORKFORCE COLLABORATIVE, INCREASED ENROLLMENT IN HEALTHCARE RELATED FIELDS INCLUDING BEHAVIORAL HEALTH, BUCKS FOR BRAINS PROGRAM, AND DISTRIBUTION OF FUNDS. 00:03, 958, all, 2.2.42, 2.1.47
LA
Transcript Highlights:
- institutions... ...to increase collaboration among the public and private post-secondary institutions
- institutions, to increase collaboration among the public and private post-secondary institutions, maximize
- It provides for training to prevent human trafficking at public elementary and secondary schools, and
- It requires the State Board of Elementary and Secondary Education and the Department of Education, in
- Senate Bill 501 by Senator Jackson Andrews requires public post-secondary education institutions to post
Keywords:
artificial intelligence, AI, BESE, State Board of Elementary and Secondary Education, content standards, K-12 education, public schools, curriculum, digital literacy, computer science, STEM, technology education, student privacy, ethical AI, workforce development, future-ready workforce, instructional resources, education policy, school standards, Louisiana education
AZ
Keywords:
funding, auditor general, county treasurer, procedural reviews, state appropriations, HB2388, Arizona Commerce Authority, ACA, small modular reactor, SMR, nuclear energy, advanced nuclear, data center, data centers, economic development, study, appropriation, general fund, jobs, wages
Summary:
The committee first heard HB 2584, which would prohibit public funds from being used for genetic sequencing equipment made by companies owned or controlled by entities domiciled in a foreign adversary. The sponsor said the bill is intended to prevent sensitive genetic data from being sold or used against the United States. There was little public testimony, and the committee approved the bill on a 13-5 vote for a do pass recommendation.
Members then considered HB 2804, a rural development and housing tax credit bill that would let the Department of Housing allocate up to $2 million per year in credits for qualifying rural affordable housing projects, with the program set to expire in 2037. Supporters, including the sponsor, the mayor of Flagstaff, and housing investors and developers, said the credit would leverage federal LIHTC dollars, attract private capital, and help finance affordable housing for seniors, veterans, and low-income residents in rural Arizona. Opponents from the Arizona Free Enterprise Club argued state LIHTC programs are inefficient, costly, and hard to oversee. The committee passed the bill 13-4.
The committee also heard HB 2388, as amended, which appropriates $100,000 to the Arizona Commerce Authority to study the economic benefits of small modular reactors and data centers, with a report due by June 30, 2027. Supporters said the study could help Arizona plan for future energy and data-center growth, while opponents argued the agency already has other funding sources and should not receive additional money for the study. The amended bill passed 10-7.
After a presentation from Auditor General Lindsay Perry on county treasurer procedural reviews and the Santa Cruz County embezzlement case, the committee approved HB 2352, which provides $2,385,900 in FY 2029 for the Auditor General to continue county treasurer reviews, on an 11-7 vote. The committee then unanimously approved HB 2418, as amended, which directs $600,000 to be evenly distributed among five major incident task force counties and codifies the longstanding distribution practice. Finally, the committee took up HB 2499, the first of two ESA administration bills, which would appropriate $2.6 million and 12 FTEs to the Department of Education for ESA administration and oversight beginning in FY 2027; the bill drew extended debate about ESA growth, accountability, testing, and spending oversight, but the transcript cuts off before the final vote.
TX
Transcript Highlights:
- While it is clear that the state understands the positive impacts of post-secondary education, I feel
- any higher education institution can create what is called a comprehensive transition. and post-secondary
- I discovered the Paths program at Texas A&M, a post-secondary program specifically designed for adults
- He's been an advocate for inclusive post-secondary education. We know it, in turn, doesn't help us.
- And just a note, today is, of all days, May 1st, which is International Post-Secondary Education Day,
Keywords:
tuition exemption, paramedics, higher education, public institutions, laboratory fees, education code, financial aid, education, student support, scholarships, nontraditional education, student enrollment, financial assistance, Texas students, foreign adversaries, trade secrets, research integrity, security measures, international agreements, student privacy
MN
Keywords:
wastewater, infrastructure, funding, Litchfield, economic development, environmental compliance, Hastings, water treatment, PFAS, nitrates, bonds, capital investment, public health, HF212, Round Lake-Brewster, Independent School District No. 2907, school construction, school building, sales tax exemption, use tax exemption