Video & Transcript DataContr Research : 'reimbursement claims'

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TX

Texas 2025 - 89th Regular

Insurance Apr 30th, 2025 at 08:04 am

House Insurance Committee

Transcript Highlights:
  • Without insurance, it would have cost her $22 when we process the claim through...
  • That's a $119 difference just because of the way the claim was processed.
  • ...laboratory testing reimbursement.
  • Utilization review that we created under this bill is for laboratory claim reviewers.
  • That can be flagged by a computer; you know, that can be a claims edit.
Summary: The meeting of the House Committee on Insurance focused on several significant bills, including HB854, which aims to reform insurance payment structures to improve accessibility for homeowners needing urgent repairs. Representative Garcia-Hernandez strongly advocated for this bill, highlighting the struggles faced by constituents unable to cover upfront repair costs. Additionally, HB4092 was discussed, which seeks to clarify regulations surrounding pre-suit notices in insurance claims, emphasizing the importance of protecting policyholders' rights. The meeting included various testimonies, with both supporters and opponents voicing their concerns about how these bills could impact consumers and the insurance industry.
TX

Texas 2025 - 89th Regular

Insurance Apr 30th, 2025 at 10:04 am

House Insurance Committee

Summary: The meeting focused on House Bill 1642, which aims to establish an expedited credentialing process for chiropractors to help ensure patients receive timely treatment. Representative Cain presented the bill and emphasized that the lengthy credentialing delays harm patients seeking prompt care. Witnesses, including representatives from the Texas Chiropractic Association, voiced support for the bill, reiterating how essential it is for chiropractors to have the same expedited process available as other healthcare providers. The discussions highlighted the impact of delays in credentialing on patient care, particularly for those in pain, and proposed that the bill would alleviate these issues by enabling faster access to care for chiropractic patients. The meeting also included public testimony, where individuals expressed their concerns about current delays and the financial burden on patients. Representative Cain responded to queries and emphasized the importance of passing the bill to prevent unnecessary suffering and provide patients with timely access to chiropractic services. Ultimately, HB 1642 was left pending, allowing for further consideration, and the meeting concluded with appreciation for the witnesses and attendees present.
TX

Texas 2025 - 89th Regular

Health and Human Services Apr 30th, 2025

Senate Health & Human Services Committee

Transcript Highlights:
  • This bill will offer Medicaid reimbursement.
  • And secondly, it allows groups to bundle these claims so that we can reduce the number of claims that
  • Then you've got to make a decision on a claim that is less.
  • The majority of claims are settled before you get to an arbitration award.
  • and sets a reimbursement floor of 95%.
Summary: The meeting of the Senate Committee on Health and Human Services covered multiple bills focusing on healthcare, education, and child welfare. A key highlight was the presentation of Senate Bill 3001, which aims to add medical nutrition counseling as a Medicaid service for patients with chronic conditions. Chairman Korkhorst emphasized the importance of this bill in addressing healthcare needs in low-income communities. Public testimony was gathered, with several professionals supporting the inclusion of nutrition services to improve health outcomes for Texans, particularly those battling chronic diseases. Another notable discussion revolved around Senate Bill 425, designed to enhance the accuracy of investigations into child and adult protective services. Members raised concerns regarding the need for transparency and improved protocols in these sensitive areas.
TX

Texas 2025 - 89th Regular

Public Health Apr 14th, 2025 at 02:04 pm

House Public Health Committee

Transcript Highlights:
  • Thank goodness, we've never had any malpractice claims.
  • This is a physician professional claim element.
  • their systems without adjudicating erroneous claims denials.
  • That's a professional claim component.
  • and whether or not there is enough information on the claim form for those claims to be linked up and
Summary: The meeting convened to discuss various health-related bills, with significant emphasis placed on addressing substance abuse and the associated healthcare challenges in Texas. Notable discussions revolved around HB5342, which aims to sustain 988 operations to aid individuals in crisis, while HB4454 focuses on updating laws to combat unethical patient brokering within substance use treatment programs. Various witnesses, including healthcare professionals, provided testimony supporting these initiatives, highlighting the impact of substance abuse on public health and the necessity for legislative backing in these areas. The committee heard from several members who articulated the urgency of implementing effective measures to address substance abuse, especially with the rising concerns around opioid-related deaths and treatment accessibility in underserved areas.
TX

Texas 2025 - 89th Regular

Public Health Apr 14th, 2025 at 08:04 am

House Public Health Committee

Transcript Highlights:
  • With this bill, we will establish a method for reimbursement, and hopefully, they will...
  • So that the services that are provided appropriately when they need to be can be reimbursed.
  • Question about reimbursement.

  • I am not claiming to be a physician.
  • And so once you go past four patients per physician, then the reimbursement drops.
Summary: The meeting of the Committee on Public Health addressed a range of health-related bills, with significant discussions surrounding House Bill 3717, aimed at establishing a grant program for clinical trials related to Ibogaine as a treatment for opioid use disorder. Representative Harris presented the bill, which received unanimous support from the committee. Other bills, such as House Bill 3800, which seeks to create an advisory group for local workforce partnerships in education and health care, were also approved with committee substitutes, reflecting clarifications made for better implementation. The overall atmosphere was positive with members actively engaging in voting and discussion.
TX

Texas 2025 - 89th Regular

Human Services Apr 29th, 2025 at 08:04 am

House Human Services Committee

Transcript Highlights:
  • This prolonged lack of reimbursement strains nursing facilities and can jeopardize the care provided
  • I reject that claim. I think that's a little inaccurate.
  • It improves the claims process transparency, protects the right to submit claims, applies insurance code
  • We have 95 days to file a clean claim, yet they have a two-year window or more to claw back, and the
  • Another MCO I was pushing for three years on correcting an error in the claim processing by them for
Summary: The meeting was organized to address several key bills affecting health care and public assistance programs. A significant portion of the time was dedicated to discussing HB4585, which seeks to streamline claims processing for Medicaid providers by instituting strict payment timelines and limiting the use of artificial intelligence in utilization reviews. Representative Spiller and various stakeholders provided testimonies highlighting the frustrations of rural health care providers regarding payment delays. Concerns were raised about preserving patient access to necessary services amid administrative burdens. Another important discussion revolved around HB2734, which aims to combat fraud in public assistance programs, a topic that sparked heated testimonies reflecting the complexities faced by low-income families in navigating application processes. Critics expressed worries that the bill could mistakenly criminalize innocent mistakes in applications.
TX

Texas 2025 - 89th Regular

Criminal Justice May 20th, 2025

Senate Criminal Justice Committee

Transcript Highlights:
  • When the defendant does not reimburse the true costs of warrant service, the burden falls directly on
  • Local governments are forced to dip into property tax revenues to fund services that should be reimbursed
  • Court costs are supposed to be reimbursements, not punitive taxes, unlike fines.
  • Currently, clerks cannot distinguish which type of disqualification an individual claims.
  • These include reimbursement for medical expenses related to exposure to contagious diseases, access to
Summary: The Senate Committee on Criminal Justice convened to discuss a wide range of bills, focusing particularly on topics related to sexual assault, victim compensation, and oversight of parole violators. The meeting was characterized by a series of bills being introduced, each accompanied by testimonies from experts and public advocates. Notably, HB2355, which aims to enhance protections for victims of crime, saw extensive discussion, highlighting how the proposed changes intend to close existing loopholes in current law, ensuring that necessary records are kept confidential and victims' details are handled with the utmost privacy. Other significant bills included HB305, which addresses competency restoration for defendants, and HB47, an omnibus bill centered around sexual assault survivors' protections.
TX

Texas 2025 - 89th Regular

S/C on Defense & Veterans' Affairs Mar 31st, 2025 at 11:03 am

House S/C on Defense & Veterans' Affairs

Summary: The committee meeting was centered on discussions related to several House Bills concerning veterans' issues and public safety. A pivotal moment was the consideration of HB101, which aimed to establish a State Guard Professionalization Task Force. This initiative was intended to support the Texas Military Department by modernizing the Texas State Guard's capabilities amid evolving disaster response needs. Witness testimonies provided insights into the critical nature of this legislation, emphasizing the need for strategic improvements. Furthermore, HB2193 called for a comprehensive study on the state of claims benefit advisors for veterans, aiming to assess their effective placement across Texas. Members expressed enthusiasm and concern about ensuring veterans receive adequate benefits, showcasing the committee's commitment to advancing these issues.
TX

Texas 2025 - 89th Regular

Insurance Apr 23rd, 2025 at 10:04 am

House Insurance Committee

Transcript Highlights:
  • We show you registered as an auto claims specialist.
  • Auto claims specialists are licensed in over 26 states.
  • The average difference on total loss claims was $3,800.
  • We looked at 1,200 claims files, and we found that...
  • and $3,800 on total loss claims.
Summary: The committee meeting primarily focused on discussions surrounding SB458 and its companion bill HB4570, which address appraisal provisions in insurance policies. Chairman Dean emphasized the importance of preserving consumer rights regarding appraisals in dispute resolution and thanked stakeholders for their involvement. Testimonies were presented by various experts who supported the bill, highlighting how it could help consumers by providing a more efficient alternative to litigation in settling claims and potentially leading to higher awards for policyholders. The bill aims to streamline the appraisal process and ensure timely resolutions for insurance claims related to both personal and auto insurance.
TX

Texas 2025 - 89th Regular

Culture, Recreation & Tourism Apr 15th, 2025 at 08:04 am

House Culture, Recreation & Tourism Committee

Transcript Highlights:
  • The major bench reimbursement program serves to help

  • under the Major Events Reimbursement Program (MERP).
  • The event would have qualified for enhanced funding under the Major Events Reimbursement Program.
  • If the event is selected, it can be reimbursed.
  • by reimbursing eligible costs needed to put on a major event.
Summary: The meeting convened by Chair Metcalfe was characterized by the passage of multiple bills aimed at designating various regions in Texas for specific cultural or recreational significance, such as HCR 71 establishing LaSalle County as the Wild Hog Capital and HCR 86 naming Denton as the Halloween Capital of Texas. All bills discussed received unanimous support in the committee, signaling a cooperative atmosphere among committee members. Representative Flores brought forth House Bill 3883 which focuses on an important economic tool to spur Texas' competitive edge in hosting major events. The committee's voting process was efficient, as all motions to report the bills favorably passed without any opposition.
TX

Texas 2025 - 89th Regular

89th Legislative Session May 7th, 2025 at 10:05 am

Texas House Floor Meeting

Transcript Highlights:
  • and claim the Texas Christian Athletic Fellowship 2025 state
  • and reimbursement for childhood cranial remolding orthosis
  • At any particular point in time, the State of Texas may have outstanding claims and judgments against
  • an appropriation, and claims older than eight years.
  • Members, House Bill 4396 adds to the major event fund reimbursement program, American Rodeo.
Bills: HB200, HB541, HB1803, HB30, HB175, HB249, HB721, HB851, HB897, HB1128, HB1904, HB1916, HB5560, HB3071, HB5627, HB5435, HB3913, HB2921, HB2695, HB2688, HB3045, HB3483, HB3673, HB4213, HB4226, HB783, HB4373, HB4735, HB5155, HB5057, HB4984, HB4944, HB4813, HB5339, HB5196, HB5033, HB4853, HB3486, HB4211, HB74, HB4670, HB4730, HB4743, HB4603, HB4463, HB3892, HB4139, HB4752, HB4520, HB4517, HB4486, HB4437, HB4426, HB4396, HB4263, HB3487, HB3418, HB2284, HB2266, HB2229, HB4912, HB2189, HB4506, HB5269, HB5224, HB5195, HB3317, HB4166, HB3947, HB3358, HB3370, HB4438, HB3745, HB3602, HB3697, HB2001, HB1968, HB3371, HB3909, HCR7, SB1744, SB1364, SB1316, HB2026, HB3302, HB3368, HB1639, HB5652, HB4655, HB5654, HB5658, HB5656, HB4894, HB4996, HB5088, HB5650, HB4464, HB3751, HB5665, HB5661, HB1237, HB2802, HB5437, HB2703, HB5666, HB5667, HCR113, HCR86, SB2196, SB463, SB856, SB1245, SB1169, SB509, SB985, SB305, SB552, HB1535, HB123, HB1804, HB426, HB1773, HB1871, HB2035, HB2492, HB1411, HB4753, HB4666, HB4529, HB1499, HB1610, HB2028, HB1506, HB886, HB3546, HB796, HB223, HB3556, HB2448, HB4638, HB111, HB180, HB1027, HB1178, HB610, HB1277, HB1615, HB1620, HB5342, HB4885, HB4751, HB4530, HB4488, HB2149, HB2071, HB2282, HB2248, HB2243, HB2522, HB2310, HB2513, HB2300, HB1902, HB1813, HB3719, HB4284, HB3743, HB3778, HB5153, HB5147, HB4877, HB4850, HB3261, HB3005, HB3033, HB2849, HB2967, HB3531, HB1768, HB333, HB2914, HB2613, HB3717, HB3704, HB2697, HB3801, HB3099, HB3488, HB3477, HB3466, HB3396, HB3469, HB2594, HB2776, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB5111, HB5446, HB1181, HB3963, HB2785, HB1661, HB2460, HB200, HB541, HB1803, HB30, HB175, HB249, HB721, HB851, HB897, HB1128, HB1904, HB1916, HB5560, HB3071, HB5627, HB5435, HB3913, HB2921, HB2695, HB2688, HB3045, HB3483, HB3673, HB4213, HB4226, HB783, HB4373, HB4735, HB5155, HB5057, HB4984, HB4944, HB4813, HB5339, HB5196, HB5033, HB4853, HB3486, HB4211, HB74, HB4670, HB4730, HB4743, HB4603, HB4463, HB3892, HB4139, HB4752, HB4520, HB4517, HB4486, HB4437, HB4426, HB4396, HB4263, HB3487, HB3418, HB2284, HB2266, HB2229, HB4912, HB2189, HB4506, HB5269, HB5224, HB5195, HB3317, HB4166, HB3947, HB3358, HB3370, HB4438, HB3745, HB3602, HB3697, HB2001, HB1968, HB3371, HB3909, HCR98, HCR92, HCR126, HCR7
Summary: The committee meeting focused on the passage of multiple bills with significant discussions surrounding digital content authenticity, mental health treatments, and veterans' recognition. One of the notable moments was the passing of HB4437, which establishes requirements for the Department of Information Resources to authenticate digital media to combat misinformation through AI technologies. Representative Capriglione emphasized its importance in addressing the rise of synthetic media, which generated unanimous support among lawmakers. The meeting also included the passage of HB4014, concerning research on utilizing psychedelic therapies to treat mental health conditions. Lawmakers expressed enthusiasm about advancing innovative healthcare solutions in Texas.
TX

Texas 2025 - 89th Regular

Jurisprudence (Part I) Apr 9th, 2025

Senate Jurisprudence Committee

Transcript Highlights:
  • span marker="47" data-time="459"> Chairman and members, Senate Bill 302, Traveling Probate Judge Reimbursement
  • data-time="699"> I dismiss the suit unless the information in the affidavit is adequate to support the claim
  • Property owners can often face expensive legal fees just to clear these fraudulent claims.
Summary: In this meeting of the committee, significant discussions were held regarding various bills, particularly focusing on the issue of deed fraud, as highlighted by Senate Bill 1734. Senator Hughes advocated for this legislation as a self-help solution for property owners affected by fraudulent deeds, underscoring its timely relevance given the recent uptick in such incidents. Public testimony included supportive statements from a Texas title industry representative, explaining how the bill would streamline the process for victims to clear their titles in a cost-effective manner. The meeting also addressed Senate Bill 1975, which seeks to protect Texas contractors from unfavorable litigation practices imposed by out-of-state general contractors; however, no public testimony was provided on this bill.
TX

Texas 2025 - 89th Regular

Jurisprudence (Part II)Audio only. Apr 9th, 2025

Senate Jurisprudence Committee

Summary: The Committee on Jurisprudence convened to discuss multiple pending bills aimed at improving various aspects of legal and property matters. Notably, several bills were reported favorably to the full Senate with unanimous support, including SB1335, which addresses issues involving decedents' affairs, and SB1734, focusing on property title documentation. Senator Zaffirini and Senator Johnson were instrumental in moving these bills forward, ensuring the committee maintained a swift pace in considering legislation. Furthermore, the chair highlighted the importance of guardianship for incapacitated persons in upcoming discussions around SB1760, indicating a commitment to addressing vulnerable populations in legislative changes.
TX

Texas 2025 - 89th Regular

Jurisprudence Apr 9th, 2025

Senate Jurisprudence Committee

Transcript Highlights:
  • Senate Bill 302 relates to travel reimbursement for rural counties.
  • be required to dismiss the suit unless the information in the affidavit is adequate to support the claim
  • 2970">Providing a streamlined expert approach will help rightful property owners clear fraudulent claims
  • Property owners can incur expensive legal fees just to clear these fraudulent claims.
Summary: The Committee meeting involved significant discussions around several bills concerning property law and contractor protections. Notably, Senate Bill 1975 and Senate Bill 1734 were at the forefront, where SB1975 focused on protecting Texas contractors from being forced to litigate in foreign jurisdictions, ensuring local disputes are resolved within Texas. The testimony highlighted the need for such protections due to the previous challenges encountered by local contractors when large out-of-state entities imposed unfavorable contractual terms. The bill passed without any opposition during the committee session, highlighting its urgent importance for the local construction community. In addition, the committee addressed Senate Bill 1734, which aims to provide property owners with a systematic approach to remedy deed fraud. This discussion included public testimonies shedding light on the recent rise in fraudulent deeds, emphasizing the need for legislative measures to streamline the rectification process. The public's input, especially from those in the title insurance industry, offered critical insights into the practical implications of the bill. The committee's deliberations were comprehensive and featured no substantial challenges to any of the bills, leading to a productive session overall.
TX

Texas 2025 - 89th Regular

Insurance Mar 19th, 2025 at 10:30 am

House Insurance Committee

Transcript Highlights:
  • I want to touch on a couple of things, one with regard to the All-Payer Claims Database.
  • Only information that includes the claims data that's in the APCD.
  • I mean, the whole purpose of the All-Payer Claims Database was to help inform you.
  • I'm not sure, and again, it would be a question for the APCD staff, whether they could use claims data
  • There's no... that cost is already captured in the All-Payer Claims Database, that's correct, great,
Bills: HB138, HB335, HB388
Summary: The meeting of the committee focused significantly on discussions surrounding HB138 and HB388. Representative Harris-DeVille presented HB388, which aims to standardize the coordination of benefits questionnaires used by health benefit plan issuers and healthcare providers. This discussion highlighted the issues of patient billing complexities and the potential for reduced errors in healthcare coverage. Various stakeholders provided testimony in support of the bill, emphasizing its importance in streamlining the process for patients who have dual coverage, such as Medicaid and Medicare. There was considerable backing for the functionality that HB388 would bring in clearing up confusion in billing practices across different insurance plans.
TX

Texas 2025 - 89th Regular

Insurance Mar 19th, 2025 at 08:00 am

House Insurance Committee

Transcript Highlights:
  • All-Payers Claim Database.
  • We administer a claims warehouse where we have all of our medical and pharmacy claims.
  • We do support the claims database.
  • ERS's claims, TRS's claims, and Medicaid's claims sit over in that All-Payer Claims Database.
  • I mean, this is claims data—claims that the providers have turned in to us that we pay them.
Bills: HB138, HB335, HB388
Summary: The House Committee on Insurance convened a meeting focusing on critical legislative objectives aimed at insurance reform. Noteworthy discussions emerged around HB138, which aims to address cost reduction in health insurance and increase transparency in the reporting of private insurance costs. The committee members emphasized the need to identify cost drivers and cut unnecessary regulations while also working on effective methods to deliver insurance benefits efficiently. There were extensive remarks made regarding the implications of insurance mandates on overall costs, bring forth a call for a thorough evaluation and revision of existing mandates that may result in unintended consequences.
TX

Texas 2025 - 89th Regular

Insurance Apr 23rd, 2025 at 08:04 am

House Insurance Committee

Transcript Highlights:
  • Then there's the adjudication of the claims.
  • Roughly 25% of the cases exceeded one year after the claim was submitted.
  • This will address claims effectively.
  • ...law, we can batch claims.
  • ...to add multiple claims, we have to do each claim unless
Summary: The House Committee on Insurance meeting covered multiple bills focused on healthcare regulations and patient accessibility. Notably, House Bill 3057 was highlighted in testimony from citizens advocating for expanded access to CAR T-cell therapy, which has shown effectiveness for blood cancers. Testimonies were given by affected individuals, emphasizing the need for local treatment options without the burden of travel to distant medical facilities. Similarly, House Bill 4603 was laid out with the intent to align arbitration options and ensure that consumers receive timely resolutions in disputed medical charges. Overall, the committee demonstrated an active engagement with the public and various stakeholders while navigating key issues affecting health insurance and patient care in Texas.
TX

Texas 2025 - 89th Regular

Business and Commerce Apr 24th, 2025

Senate Business & Commerce Committee

Summary: The meeting of the Senate Business and Commerce Committee was marked by discussions on several significant bills, with a keen emphasis on legislative updates and committee substitutes. Notably, Senator Blanco presented a new committee substitute for SB2610, which modifies the employee cap from 100 to 250 and extends the update timeline for cyber security programs for small businesses. This substitute was adopted unanimously, reflecting a collaborative agreement among the committee members. Additionally, there were discussions surrounding SB1856 as Senator Crayton provided insights into how stakeholder feedback influenced the bill's committee substitute. The committee ultimately voted in favor, pushing it towards the local and contested calendar, indicating the bill's progression through legislative channels.
TX

Texas 2025 - 89th Regular

S/C on Disease Prevention & Women's & Children's Health Apr 17th, 2025 at 09:04 am

House S/C on Disease Prevention & Women's & Children's Health

Transcript Highlights:
  • Reimburse for PHP or IOP, creating a costly gap in our care
  • It also requires reimbursement for diabetes prevention programs.
  • It ensures that they will be properly reimbursed. I want to thank you for hearing this bill.
  • ...the kid won't reimburse for them.
  • They only reimburse for master's level clinicians.
Summary: The committee meeting engaged in comprehensive discussions surrounding various health-focused bills aimed at improving community services and mental health care access. Notably, House Bill 475 was refiled by Representative Johnson, highlighting the deficiencies in Texas Medicaid regarding community-based care for youth at risk for criminal behavior. The committee examined the merits of the bill, emphasizing the need for evidence-based intervention programs. Meanwhile, House Bill 2060 received attention for its focus on ensuring automatic Medicaid coverage for infants, addressing gaps in access highlighted by a report indicating a significant number of newborns missed enrollment at birth. Members expressed strong support for this initiative, delineating the critical nature of health coverage for Texas’ youngest citizens.

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