Video & Transcript DataContr Research : 'reimbursement'

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TX

Texas 2025 - 89th Regular

Insurance Apr 17th, 2025 at 10:04 am

House Insurance Committee

Transcript Highlights:
  • The Big Three PBMs control over 80% of the market for prescription drug reimbursements in the country
  • Just to underscore what that means, the PBMs set reimbursements for our local pharmacies that are struggling
  • reasonable protections against midterm adverse material changes such as those that would reduce reimbursement
  • data-time="1926"> to these contracts, meaning ones that increase administrative costs or reduce reimbursement
  • This bill does not reduce EMS reimbursements but instead places the burden of negotiations between insurers
Summary: The meeting was characterized by detailed discussions surrounding several key bills, including HB1464, HB4012, and SB916. Representative Tallarico provided an overview of HB1464, which establishes a state drug purchasing pool aimed at reducing prescription costs for Texas consumers. Multiple stakeholders offered testimony, emphasizing the potential savings and expressing support for the bill. On the other hand, the discussion around HB4012 elicited differing opinions, particularly related to its implications for fraud enforcement in private insurance, with opponents warning against government overreach in private business dealings. Senator Spillers presented SB916, focusing on consumer protections against surprise billing from emergency medical services, indicating collaborative efforts with various health plans to strengthen patient protections without imposing financial burdens on them. Throughout the meeting, representatives and witnesses engaged in constructive dialogue about healthcare costs, insurance reforms, and consumer protection measures. The committee concluded with several bills left pending for future consideration, indicating ongoing concerns and a commitment to further deliberation on these important legislative matters.
TX

Texas 2025 - 89th Regular

Jurisprudence Apr 16th, 2025

Senate Jurisprudence Committee

Transcript Highlights:
  • span marker="316" data-time="1890"> To explain the substitute, the file bill required the state to reimburse
  • Just as a reminder, this is the traveling probate judge reimbursement bill.
  • "319" data-time="1908"> However, the substitute clarifies that the probate judge can order the reimbursement
Summary: The meeting included significant discussions surrounding several bills focusing on children's welfare, particularly regarding foster care and supportive decision-making agreements. Notably, Senate Bill 2165 was presented, which addresses the issue of foster children who go missing and the legal implications of dismissing their cases while they are unaccounted for. The bill aims to ensure that courts retain jurisdiction over these cases to provide continuous support and monitoring until the children reach adulthood. Several witnesses, including legal experts and advocates, expressed fervent support for the bill, highlighting the vulnerabilities of youth in the foster care system and the risks of human trafficking associated with missing children. The importance of maintaining oversight and support for these youth was a common sentiment throughout the testimony.
TX

Texas 2025 - 89th Regular

Finance May 23rd, 2025

Transcript Highlights:
  • reimbursement-based grants for the development and construction
  • The reason why I was in the supplemental is because this is a reimbursement program.
  • It's time to reimburse these school districts for these services
  • Just to clarify, those were federal reimbursements, and the feds changed the rules.
  • But it was the feds that were reimbursing the school districts for these medical needs.
Summary: The meeting of the Senate Committee featured extensive discussions surrounding several important bills, notably House Bills 500, 4486, and 3010. Chair Huffman presented HB500, a supplemental budget addressing vital state services, in which $2.5 billion was allocated for water infrastructure projects. The committee approved the bill unanimously, showcasing bipartisan support for its critical provisions including enhancements to Texas's cybersecurity and disaster response capabilities. Discussions also revolved around HB4486, which was substituted and subsequently reported back to the full Senate, indicating ongoing legislative refinement and collaboration among members. Additionally, HB3010, aimed at facilitating disaster recovery for rural infrastructure, was brought forward by Senator Nichols, emphasizing the state's commitment to assisting communities impacted by natural calamities.
TX

Texas 2025 - 89th Regular

Judiciary & Civil Jurisprudence May 7th, 2025 at 07:05 am

House Judiciary & Civil Jurisprudence Committee

Transcript Highlights:
  • ...makes reimbursement uncertain and will drive high-quality
  • I see it billed at times at what normal reimbursements are for example, MRI scans.
  • Another disturbing part of the bill is that Medicare reimbursement rates go down yearly, and they have
  • Medical providers are not being reimbursed 100% of the bill
  • It's unsustainably low reimbursement.
Bills: HB4806
Summary: The Judiciary and Civil Jurisprudence Committee meeting convened early to discuss several critical pieces of legislation, notably HB4806, which aims to reform aspects of civil justice, particularly surrounding personal injury claims. The committee faced strong public testimony both supporting and opposing the bill. Advocates argued that the bill would help mitigate excessive costs in litigation and enhance access to care for injured individuals, while opponents expressed deep concerns that it would drastically limit the ability of victims to receive fair compensation for their suffering. The testimony from families affected by injuries painted a poignant picture of the human impact of the legislation, highlighting the potential devaluation of their pain and trauma in court.
TX
Transcript Highlights:
  • It relates to reimbursement rates for child care providers
  • They must keep their rates affordable for their communities, and TWC cannot reimburse them beyond their
  • areas receive low reimbursements regardless of quality,
  • ">Generally, then, House Bill 2294 would provide workforce development boards the flexibility to reimburse
  • However, the current reimbursement model creates a gap in
Summary: The meeting conducted by the committee saw extensive discussion surrounding several key bills, including HB4749, SB621, and HB201. Notably, HB3133, which involves legislation regarding explicit deepfake content and social media, was presented and debated vigorously with a committee substitute being proposed to align it with federal standards following the recent federal 'Take It Down' Act. The committee moved to report several bills favorably, including HB1506, emphasizing support for updating laws concerning political contributions and expenditures. Public testimonies were held on various bills, allowing stakeholders to voice their perspectives, particularly on legislation concerning tactical medical professionals and their role during high-risk incidents. The committee concluded the meeting by laying out additional bills for further discussion in subsequent sessions, underscoring a commitment to thorough legislative review.
TX

Texas 2025 - 89th Regular

State Affairs (Part II) Mar 31st, 2025

Senate State Affairs Committee

Transcript Highlights:
  • What you're doing is you're creating a reimbursement system.
  • ...at this nuclear aspect of reimbursement.
  • reimbursement rate.
  • There isn't any sort of benchmark when it comes to reimbursement methodology.
  • What is your... have you seen reimbursement rates for what you've received?
Summary: The Senate Committee on State Affairs convened to discuss several critical pieces of legislation including SB30 and SB38. Senator Betancourt introduced a committee substitute for SB38 which underwent a smooth adoption process, moving it favorably toward the Senate. The meeting featured a mix of invited testimonies where both proponents and opponents took the floor. One notable highlight included a testimony from Melissa Casey, who criticized the current legal state as prone to fraud and detrimental to both insurers and the public at large, contending that it inflated insurance costs across the board. The discussions delved deeply into the implications of the bills on judicial processes and potential insurance ramifications, with spirited debates surrounding issues of non-economic damages and jury rights. The atmosphere remained engaged as committee members heard varied perspectives on the bills, showcasing a robust democratic process. The meeting underscored the importance of public testimony in shaping legislation, ensuring that multiple voices were considered as the committee pressed on towards making decisions that affect the legal landscape of Texas.
TX

Texas 2025 - 89th Regular

State Affairs Apr 28th, 2025 at 08:04 am

House State Affairs Committee

Transcript Highlights:
  • How successful have we been so far getting reimbursed by the feds?
  • I mean, a lot of this fiscal note relies primarily on us getting reimbursed, is that not correct?
  • And getting reimbursed over the last 10 or 15 years, have
  • If we do not get reimbursed, what would the cost to the
  • If we were not reimbursed, it would be based on the

Summary: The committee meeting focused on several pressing legislative issues, with a significant emphasis on immigration-related bills such as HB256 and HB253. Witnesses provided differing perspectives on the implications of these bills, particularly concerning privacy and familial integrity in the context of immigration law. Notably, there were arguments against the invasive DNA testing proposed in HB256, highlighting concerns about accuracy and the potential consequences of errors leading to wrongful separations of families. This discussion revealed a palpable tension between security measures and the preservation of individual rights, prompting the committee to consider the ethical ramifications of such legislation. Additionally, House Bill 4552 was introduced, aimed at ensuring equal treatment in government contracting, which spurred further debate on the balance of meritocracy and social equity in public sectors.
TX

Texas 2025 - 89th Regular

89th Legislative Session Mar 17th, 2025 at 02:00 pm

Texas House Floor Meeting

Transcript Highlights:
  • span> On transportation, HB2428 by Canales relates to certain reimbursements
  • HB2531 by Meza relates to reimbursement for [details

  • HB2531 by Meza relates to the reimbursement rate for meals
  • span>

    HB2573 by Wally relates to Medicaid coverage and reimbursement

Summary: The committee meeting extended over a range of proposed legislation, heavily focusing on various constitutional amendments and significant bills affecting education, public safety, and local governance. A notable discussion included H.J.R. 123, which proposed establishing an independent redistricting commission—a move that stirred considerable debate among members. Additionally, H.A.R. 124 aimed at creating a state school health and safety fund, receiving full support from the committee members present. Multiple public testimonies were provided, emphasizing the anticipated impact these resolutions would have on community welfare.
TX

Texas 2025 - 89th Regular

Agriculture & Livestock Apr 8th, 2025 at 02:00 pm

House Agriculture & Livestock Committee

Transcript Highlights:
  • Cities tried to get them to reimburse me for loss of crops, right-of-way mowings, and even as far as
  • I want the cities to start reimbursing everyone.
  • Not one city has reimbursed landowners, farmers, or ranchers
  • Now, you know, the next one is going to be, how do you start making the cities reimburse?
Bills: HB2013, HB4163, HB4810
Summary: The meeting of the Agriculture and Livestock Committee mainly centered around discussions regarding three bills: HB4810, HB2013, and HB4163. Notable emphasis was placed on HB4810, which seeks to renew the Trade Agriculture Inspection Grant Program due to its critical role in ensuring the efficient flow of agricultural goods between Texas and Mexico. Testimonies from various stakeholders highlighted the importance of cross-border trade and the economic impact of agricultural imports, which supports thousands of jobs and ensures a reliable food supply. The committee members engaged in thoughtful deliberations about the necessity of maintaining and expanding the program to accommodate rising trade volumes and local agricultural needs.
TX

Texas 2025 - 89th Regular

Appropriations - S/C on Articles I, IV, & V Feb 27th, 2025 at 08:00 am

House Appropriations - S/C on Articles I, IV, & V

Transcript Highlights:
  • marker="40" data-time="234"> Page eight discusses recommendations to modify Rider Seven, mileage reimbursements
  • marker="40" data-time="234"> Page eight discusses recommendations to modify Rider Seven, mileage reimbursements
Summary: The meeting of the committee centered around various crucial topics, with notable discussions on funding for the Texas Forensic Science Commission and considerations for improving specialty court case management systems. Specific attention was given to the challenges posed by inconsistency in reporting systems that hinder the agency's ability to deliver best practices. Various members expressed concerns regarding the agency's funding requests and the implications of potential fee increases for court reporters. Public testimonies brought forward contrasting views on the efficacy of current systems and necessary reforms.
TX

Texas 2025 - 89th Regular

Appropriations Feb 18th, 2025 at 08:00 am

House Appropriations Committee

Transcript Highlights:
  • Are there reimbursements for families who, if they have financial difficulties and they're trying to
  • Reimbursed by the federal government since it's a...
  • And also, is there a place where we can locate that information for reimbursement rates today based off
  • We are providing reimbursement for the level of services that we expect, and then there is a <
  • They will be starting to receive reimbursements under this new rate structure.
Summary: The meeting primarily focused on reviewing the proposed budget for the upcoming biennium, with substantial discussions around House Bill 1 and its implications for public education, healthcare, and border security. The Comptroller presented a revenue overview indicating a total of $194.6 billion available for general purpose spending, which reflects a slight decrease compared to previous years due to fluctuating economic conditions. Members raised questions regarding spending limits and the impact of federal funding on state programs, highlighting concerns about the sustainability of funding in light of potential changes at the federal level.
TX

Texas 2025 - 89th Regular

Culture, Recreation & Tourism May 1st, 2025 at 10:05 am

House Culture, Recreation & Tourism Committee

Transcript Highlights:
  • eligibility of the South by Southwest Conference and Festivals for funding under the Major Events Reimbursement
  • for funding under the Major Events Reimbursement Program.
  • for another annual event of the National Rifle Association for funding under the Major Events Reimbursement
Summary: The meeting of the Culture, Recreation, and Tourism Committee centered on several important bills primarily aimed at enhancing Texas's wildlife management and cultural initiatives. One of the standout discussions was around HB5259, which advocates for the development of a wildlife corridor action plan by the Texas Parks and Wildlife Department. The bill aims to address the high number of animal-vehicle collisions in Texas, proposing to set up designated areas to connect wildlife populations and habitats. Witnesses, including wildlife conservationists, testified in support of this bill, stressing its potential to significantly reduce accidents and protect endangered species like ocelots. The committee also deliberated on multiple Senate Bills aimed at streamlining hunting licenses and supporting state historical initiatives.
TX
Transcript Highlights:
  • eligibility of the South by Southwest Conference and Festivals for funding under a major events reimbursement
  • > Grand Prix of Arlington for funding under the Major Events Reimbursement
  • the National Rifle Association's annual meeting and exhibits for funding under the major events reimbursement
Summary: The meeting of the committee centered around significant legislative measures, including several bills aimed at enhancing wildlife safety through the establishment of wildlife corridors and licenses for outdoor activities. Key discussions highlighted House Bill 5259, led by Vice Chair Flores, which proposes a wildlife corridor action plan to reduce animal-vehicle collisions in Texas. This bill is crucial given Texas's alarming rate of wildlife-vehicle accidents, and testimonies from supporting members emphasized the need for action to protect both wildlife and public safety. Furthermore, Senate Bill 1247 was brought forward, simplifying the non-resident hunting license system to improve compliance and conservation funding. The committee also addressed multiple concurrent resolutions recognizing towns for their cultural significance, reflecting a broader commitment to community identity and heritage.
TX

Texas 2025 - 89th Regular

Health and Human Services (Part I) May 7th, 2025

Senate Health & Human Services Committee

Transcript Highlights:
  • House Bill 18 will enhance the Medicaid reimbursement

  • and re-registration for rural hospitals, directing HHSC to reimburse the rural hospitals based on their
  • And in Medicaid, the only place that we really reimburse 100%
  • Our Medicaid managed care reimbursement was also $1.1 million.
  • Full-cost reimbursement would stabilize us and let us focus
Summary: The meeting of the committee included extensive discussions around several key bills focused on child welfare and health care initiatives. Notably, Senate Bill 577 addressed the management of Social Security benefits for foster children, with multiple testimonies highlighting the importance of ensuring these benefits directly support the children's needs rather than offsetting departmental costs. Senator West passionately argued for better stewardship of these funds, citing the high number of foster youth in financial hardship and emphasizing the bill's potential to improve outcomes for these vulnerable populations. Public testimonies both supported and raised concerns, particularly regarding the potential implications of the bill on children's welfare and parental rights.
TX

Texas 2025 - 89th Regular

Human Services Apr 8th, 2025 at 08:00 am

House Human Services Committee

Transcript Highlights:
  • department to the Department of Family Services to be reimbursed
  • financial burden on DFPS, House Bill 3748 would allow the department to use existing resources to reimburse
  • Right now we do not have the authority to reimburse

  • And so the bill would allow reimbursement for that damage
Summary: The meeting focused primarily on several key bills pertaining to the accountability and operational continuity of single-source continuum contractors within the Department of Family and Protective Services (DFPS). Representative Davis presented three related bills: HB4129, HB4130, and HB4131, which were designed to strengthen DFPS's enforcement mechanisms, clarify contract termination timelines, and enable swift action in cases of non-compliance by services providers. Each bill was discussed in detail, highlighting their importance for ensuring services for children and families remain uninterrupted and meet quality standards. Witnesses from various stakeholders provided testimony both in support and in critique of the proposed legislation, indicating the significant impact these bills could have on service delivery across the state. A notable moment during the meeting was when the discussion surrounding HB4130 revealed concerns regarding current 60-day notice requirements for contract terminations, which were deemed insufficient. The proposed extension to 180 days is aimed at ensuring a seamless transition without service disruption. The meeting concluded with the decision to leave the bills pending further consideration, demonstrating a commitment to address the pressing issues raised by the lawmakers and community members involved.
TX

Texas 2025 - 89th Regular

State Affairs Mar 26th, 2025 at 08:00 am

House State Affairs Committee

Transcript Highlights:
  • I believe that we need to be reimbursed for these expenditures.
  • passing a bill from the legislature, by the legislature, would make it more likely that we will get reimbursed
  • If we are a sovereign state and a functional republic, it's incumbent upon the federal system to reimburse
  • marker="721" data-time="4320"> Lutely, strongly, but I think we're at the point where we should get reimbursed
  • program may also receive support through gifts, grants, and donations, including federal grants and reimbursements
Summary: The committee meeting focused on several important bills aimed at providing support and protections for agricultural producers affected by border-related crimes. Notable discussions centered around HB246, which proposed an expanded compensation program for damages, including not just real property, but also crops, livestock, and the necessary funds for soil restoration due to pollutions from such crimes. Representative Ginn led the conversations, emphasizing the critical role agricultural landowners play in the state’s economy and their need for fair compensation. Witnesses, including stakeholders from agricultural organizations, provided testimonies highlighting the inadequacies of the current framework and the urgency for legislative action.
TX

Texas 2025 - 89th Regular

Senate Session May 31st, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • This replaces the reimbursement model in favor of a grant system that delivers upfront, reliable funding
  • > when these major metropolitan counties that are getting reimbursed
  • I would certainly hope that we do get reimbursed for some of the expenses of Operation Lone Star and
  • They should get properly reimbursed and compensated

  • as well for the costs that they incur that we're not reimbursed by either the federal government or
Bills: SB27, SB1494, SB2121, SB2373, SB2431, SB1, SB8, SB12, SB13, SB15, SB30, SB37, SB260, SB268, SB331, SB379, SB441, SB447, SB457, SB568, SB650, SB763, SB1405, SB1506, SB1540, SB1566, SB1610, SB1637, SB1660, SB2018, SB2024, SB2217, SB2308, SB2337, SB2601, SB2753, SB2878, SB2900, SB2972, SB3059, HB4, HB40, HB46, HB119, HB145, HB300, HB493, HB705, HB1545, HB2011, HB2017, HB2067, HB2516, HB2885, HB2963, HB2974, HB3071, HB3372, HB3556, HB3595, HB3642, HB3909, HB5138, HB5246, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3045, SB3071, HB796, HB1523, HB5294, HB748, HB3395, HB180, HB3171, HB146, HB5596, HB5694, HB1135, HB3225, HB186, HB1449, HB3793, HB112, HB104, HB3336, HB3520, HB3320, HB5663, HB2399, HB111, HB3483, HB4580, HB3748, HB632, HB4730, HB5690, HB5689, HB3385, HB4359, HB5381, HB123, HB5606, HB1057, HB3664, HCR141, HCR40, HCR59, SR634, SR687, SR703, SR709, SR715, SB1494, SB2121, SB2373, SB2431, HB46, SB1, SB8, SB12, SB13, SB15, SB37, SB260, SB331, SB379, SB441, SB447, SB457, SB568, SB763, SB1405, SB1540, SB1566, SB2018, SB2308, SB2337, SB2878, SB3059, HB705, HB2017, HB2067, HB3071, HB3372, HB3556, HB3595, HB3909, HB5246
Summary: The meeting focused on the discussions concerning Senate Bill 2308, aimed at advancing clinical trials related to Ibogaine treatment. Senator Parker highlighted the necessity of implementing detailed regulatory frameworks to ensure the safety and efficacy of the trials. The bill underwent substantial refinements, addressing eligibility criteria, funding oversight, and establishing fiscal safeguards before the Senate adopted it unanimously. Additionally, the conference committee reported on various other bills, including budget allocations for mental health and special education funding, emphasizing a commitment to fiscal responsibility while addressing critical community needs. The meeting was characterized by collaborative efforts among committee members to refine and support legislation that directly impacts Texan citizens.
TX

Texas 2025 - 89th Regular

Judiciary & Civil Jurisprudence May 7th, 2025 at 10:05 am

House Judiciary & Civil Jurisprudence Committee

Transcript Highlights:
  • ...Medicare reimbursement is.
  • know what their contracted rates are with insurance compared to that bill, same as what Medicare reimburses
  • You can send discovery for reimbursement rates. We've heard about this since seven in the morning.
  • Do they accept less through a reimbursement scheme

  • The median insurance reimbursement rate is $50,000.
Bills: HB4806
Summary: The meeting addressed several bills, primarily focusing on HB4806, which aims to reform the legal framework surrounding medical expenses and personal injury claims. The discussions included strong opinions from both advocates and opponents of the bill. Advocates argued that the bill is essential to ensure fairness by allowing juries to see comprehensive evidence regarding medical costs and preventing abuses in the system. Senators and committee members expressed the need for transparency in the medical billing process while addressing concerns that the changes may adversely impact injured plaintiffs seeking justice.
TX
Transcript Highlights:
  • span marker="19" data-time="108">Members, this bill establishes a direct care ratio of Medicaid reimbursements
  • specifically on nursing facility reimbursement for over 30
  • It's the reimbursement rate that nursing facilities receive
  • But in general speaking, your actual costs are $30 more than what you're getting reimbursed.
  • The cost cannot be inflated for related party reimbursement. I get it.
Summary: The meeting of the committee primarily focused on several significant bills aimed at enhancing accountability and transparency within Texas's Medicaid and long-term care systems. Notably, SB457 seeks to ensure that a substantial portion of Medicaid funds is allocated directly to patient care in nursing facilities, addressing concerns about the misuse of taxpayer dollars. Various testimonies were provided from key stakeholders, highlighting the ongoing challenges faced by nursing homes and the pressing need for reform. Notably, AARP Texas endorsed SB457, emphasizing the critical need for improvements in care quality, especially in light of staffing shortages and neglect issues prevalent in some facilities.
TX

Texas 2025 - 89th Regular

Finance (Part I) Jan 28th, 2025

Transcript Highlights:
  • Is that why it was not reimbursed?
  • I believe there's statute limitations on how much money we can pay for funerals and for other reimbursements
  • I believe there's statute limitations on how much money we can pay for funerals and for other reimbursements
  • a little bit, and we can have a conversation about that offline because the number of days for reimbursement
  • believe there are statute limitations on how much money we can pay for funerals and for other reimbursements
Summary: The meeting of the committee primarily focused on the Office of the Attorney General, where General Ken Paxton and his staff presented budget recommendations, highlighting a proposed decrease of $163.9 million from the 2024-25 biennium budget. Discussions included essential service funding such as the Crime Victims Compensation Program, which is facing challenges due to revenue shortfalls and increased demand. The committee raised concerns regarding the method of finance swaps that impacted the overall budget, leading to a $38 million cut that the Attorney General’s office deemed an error. Representatives from the LBB were also questioned about the implications of these funding changes.

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