Video & Transcript Research : 'insurance programs'
Page 104 of 500
MN
Minnesota 2025 1st Special Session
House Human Services Finance and Policy Committee 1/23/25
Human Services Finance and Policy
Transcript Highlights:
- However, in the fully insured market, around 94% of the lives covered are through a nonprofit insurer
- Market insurers on Medicare supplement Market insurers on the<00:30:30.799>
fully <00:30:31.039 - fully insured Market are already the fully insured Market are already paying<00:30:32.360>
multiple - insurers insurers however<00:31:28.760>
in <00:31:28.840>the <00:31:28.919>fully - ><00:31:29.159>
insured <00:31:29.519>market however in the fully insured market however
Summary:
The House Committee on Human Services Finance and Policy met to approve prior minutes and then take public testimony on the governor’s budget recommendations for human services. The chair explained the hearing format and noted that DHS declined to testify. Much of the testimony focused on proposed reductions or caps affecting disability waiver services, nursing homes, and elderly waiver programs, as well as related fee and tax changes in the budget.
Representatives of ARM argued that the governor’s proposal would cap inflationary adjustments at 2%, limit rate exceptions, cap billable days, and restrict individualized home supports, which they said would worsen workforce shortages, reduce wages for direct support professionals, and destabilize disability services. They said the package would cut about $600 million over four years and could lead to group home closures, higher turnover, and families losing access to local homes and services. Committee members asked about real-world impacts and future rate adjustments, and ARM responded that providers have already planned around expected 2026 rates, so a cap would create immediate budget and staffing problems.
Long-Term Care Imperative testified against nursing home-related cuts, saying the budget would cap future rate increases, limit health insurance costs in rate setting, phase out closure-related agreements and incentives, and fail to fully fund the Nursing Home Workforce Standards Board. They estimated the nursing home provisions could amount to a $218 million cut over four years, or roughly $350 million when combined with other underfunding, and said every nursing home and bed in Minnesota would be affected. They also criticized the lack of an inflation factor in Elderly Waiver, a proposed 54% increase in assisted living fees, and possible changes to provider-assessed fine and penalty funds. Members asked about staffing and bed availability, and the testifiers said reduced funding would likely force more beds out of service.
A later testifier, Dan Andre of the Minnesota Council of Health Plans, raised concerns about the DHS budget’s proposed increase in the HMO surcharge and about carving pharmacy and non-emergency medical transportation benefits out of managed care. He argued the tax increase would raise premiums for fully insured and Medicare supplement enrollees and that managed care coordination helps members access care and medications. The hearing also included one unrelated, disruptive testimony about the Minnesota Sex Offender Program and other agencies, which the chair redirected back to the human services budget. No votes or formal actions were taken beyond approving the minutes and receiving testimony.
AR
Arkansas 2026 1st Special Session
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE Jun 17th, 2026
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE
Transcript Highlights:
- We will call the State Insurance Programs Oversight Subcommittee to order for June 17th.
- This is module one for the health insurance and medical management administration of our program.
- They would act as our subrogation firm for the property insurance program.
- This is our actuarial provider for the property insurance program.
- We had a good year, knock on wood, but where that would normally go to an insurance company, the program
Summary:
The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. The committee approved formulary changes for March and April that favored lower-cost generics, removed some new-to-market drugs from coverage pending more evidence, and made maintenance changes to migraine and diabetes medications. Members also approved a cell and gene therapy policy that would route those therapies through prior authorization rather than automatic coverage; officials said the process should not delay urgent cases and that no current members would be affected. The committee then reviewed a UAMS pharmacy benefit consultant contract amendment, but after extended discussion about the written scope and dollar amounts, the motion was approved with the understanding that any use of optional services would return to the committee for further review. The committee also reviewed the U.S. Able Mutual/Blue Advantage third-party administration contract and the CompSack employee assistance program contract, which officials said would reduce per-member costs and add services.
The subcommittee approved proposed 2027 rates for state employees and public employees, with a 9.8% increase for state employees and a 4.9% increase for public school employees. Officials also reported that the UnitedHealthcare rebid was in its final negotiation stage and would return in August, with medical and pharmacy coverage split as previously recommended. In response to questions, the director said the division was considering broader preventive-care offerings, including weight-loss drug coverage, but would proceed cautiously and with strong utilization controls and holistic support if such a program were adopted.
On the property risk side, the committee reviewed permanent rules making prior temporary rules permanent, a contingency-fee subrogation contract, and renewals for claims management, actuarial services, and investment management. Members raised concerns about Sedgwick’s claim-adjustment timeliness and communication with school districts after severe weather events; officials said performance guarantees and communication expectations had been strengthened, but the renewal was kept at three years for continuity. Finally, the committee approved 2026-27 captive insurance program rates, which included no change to minimum deductibles, a 10% overall rate reduction, and bucketed rate changes by entity type. Officials said the captive program was working as intended, with improved actuarial support and claims experience, and the meeting adjourned after the approvals.
FL
Florida 2026 5th Special Session
Rules Feb 24th, 2026
Transcript Highlights:
- cell captive insurers or protected cell companies.
- cell captive insurers or protected cell companies.
- Rather than pool its insured risk, a PCC may keep a separate underwriting account for each insured participant
- Program.
- Program.
Summary:
The committee first confirmed six appointees on a single roll-call vote, then took up a series of bills, many of them on land use, housing, public safety, child welfare, education, and professional licensing. Early debate centered on CS/SB 208, which would require development fees to better reflect review costs and impose objective compatibility findings for residential projects. An amendment folded in additional housing-related provisions, including manufactured housing and a study of urban development boundaries, prompting extended discussion about Miami-Dade’s Everglades protection area and local control. A late-filed rural-boundary amendment was withdrawn. The bill was reported favorably after support from business, housing, and advocacy groups, with some senators voicing district-specific concerns.
The committee then approved CS/CS/SB 686 on agricultural enclaves after amendments added conservation easement, wildlife corridor, and critical state concern protections, plus a further Everglades-related amendment. Members discussed balancing smart growth, infrastructure costs, and protecting environmentally sensitive areas. Other land-use and growth bills also advanced, including CS/SB 1434 on infill redevelopment, CS/SB 1138 on qualified contractor pre-application review, and SB 218 limiting the reach of prior hurricane recovery zoning protections in counties not affected by the 2024 storms. SB 1474 on biosolids management was amended to reduce the distance threshold for land application restrictions and delay the effective date, and SB 1708 on veterinary licensure by endorsement removed a three-year recent-practice requirement to address shortages.
Several public safety, health, and family-related measures also passed. CS/CS/SB 436 expanded felony battery enhancement to include resisting an officer with violence and certain law-enforcement battery offenses. SB 830 extended public-records protections to county and city administrators and related family information. CS/CS/CS/SB 600 revised bail bond rules, and an amendment preserved the current treatment of charitable bail funds and nonprofits; the committee heard testimony from The Bail Project and others on both sides. CS/SB 914 expanded dry-needling supervision options for occupational therapists, CS/SB 1092 clarified podiatric use of certain cellular/tissue products, and SB 1504 and SB 1718 updated insurance licensing and educator certification pathways. On the education side, CS/CS/SB 7038 made broad postsecondary changes, including tuition waivers, residency clarification, and licensure rules, while CS/SB 186 required seizure-response training and action plans in schools.
The committee also advanced multiple child welfare and health bills. CS/CS/CS/SB 560 streamlined psychotropic medication procedures for children in state custody and added youth-voice and insurance-review provisions. CS/CS/CS/SB 902 combined several Department of Health changes, including medical marijuana distance rules, autism microcredential eligibility, a neurofibromatosis grant program, and NICU nutrition information. SB 1002 expanded child welfare definitions to address parental drug abuse and neglect, and SB 1708 eased endorsement licensure for out-of-state veterinarians. Most bills were reported favorably on roll-call votes, with several amendments adopted along the way and limited opposition or abstentions noted on some measures.
ND
North Dakota 2025-2026 Regular Session
HB 1248 Conference Committee Apr 14th, 2025 at 04:00 pm
Transcript Highlights:
- So they kept the PERS pilot program intact. So that process remains the same. They did.
- It did remain as a two-year pilot program.
- The other. pilot program detail as part of that.
- So at the start of the pilot program, there's a cost-benefit analysis done.
- So the insurance... Based upon recommendations from the insurance commissioner.
Summary:
The conference committee on HB 1248 met to review differences between the House and Senate versions of the bill, which concerns the PERS pilot program and insurance mandate process. Rebecca Frickie, executive director of PERS, explained that the Senate version removed the House provisions repealing the insurance mandate process, kept the two-year PERS pilot intact, and preserved the requirement for a report at the end of the pilot while removing language that would have required PERS to submit a bill to expand coverage to the commercial market.
Members discussed the bill’s cost-benefit analysis requirements. Frickie said the current law triggers a cost-benefit analysis at the start of the pilot and again when a bill is introduced to roll coverage out commercially, but the Senate draft would change that to only one analysis at the end of the pilot if a rollout bill is introduced. Legislative Council indicated that if the committee wants that simplified approach, additional conforming changes are needed elsewhere in the code. Senators also asked about the purpose of the initial analysis and whether it is used beyond being attached to the bill packet; Frickie said PERS relies primarily on its own actuary and was not aware of broader use.
The committee discussed whether the revised process would still require legislative sponsorship for any future rollout, and Frickie confirmed that a legislator or other sponsor would need to introduce such a bill. Examples mentioned included insulin caps and breast exams as possible future pilot items. The committee agreed to request Legislative Council draft the needed language changes and planned to reconvene after receiving the updated draft; no final vote was taken and the meeting was adjourned.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Environment and Natural Resources Jun 21st, 2026 at 01:00 pm
Joint Committee on Environment and Natural Resources
Transcript Highlights:
- Insure is a nonprofit innovation hub focused on reimagining catastrophe insurance so that it works for
- Insure stands ready to assist communities in the state to promote a more insurable Massachusetts.
- Insurable Massachusetts. Thank you.
- I love the MVP program.
- All of our fantastic programs we have for that work, like the MVP program you've heard about, DER's culvert
Summary:
The committee hearing focused on a broad set of climate, energy, and environmental justice proposals. Early testimony strongly supported the Climate Change Superfund or “Polluter Pays” bill (H.1014/S.58), which would assess the largest fossil fuel emitters for a one-time fee based on historic emissions to fund climate adaptation. Sponsors argued the bill is modeled on Superfund cleanup principles, would target only the largest multinational polluters, would not be passed on to consumers, and would direct a significant share of funds to environmental justice communities. Committee members asked about the number of companies covered, consumer impacts, and whether the bill would address other forms of environmental destruction; sponsors said it was limited to major fossil fuel companies with a Massachusetts footprint and did not cover other pollution sources.
The committee also heard testimony on a fusion energy compact proposal (S.673) that would direct the administration to develop a framework for a New England regional compact to accelerate fusion research, workforce development, and supply-chain growth. Supporters from MIT and the Association of Independent Colleges and Universities said fusion could become a major clean-energy and economic opportunity, but acknowledged the technology is not yet commercially viable and still has unresolved technical, cost, and waste-management questions. Members pressed on environmental impacts, siting, waste, costs, and whether the bill would create a compact or only a framework; sponsors said it would only create the framework and that the administration would need to negotiate with other states.
Another major topic was a pilot program for nature-based climate solutions (H.971/S.??), backed by legislators, Boston Harbor Now, and UMass Boston’s Stone Living Lab. Witnesses said the bill would help speed permits for research and demonstration projects such as living shorelines, marsh restoration, and hybrid “green-to-gray” flood protections, while maintaining safeguards and protecting Indigenous and historic resources. Committee members asked how the proposal would interact with other permitting reforms and whether it could conflict with housing or wetland-related streamlining; supporters said it was complementary and aimed at making projects faster, more affordable, and more data-driven.
The hearing also covered climate-safe buildings and climate adaptation funding bills. Supporters of H.1004/S.583 said current building codes do not adequately account for future flooding, heat, and wind, and the bill would add climate expertise to the building board, allow stretch resilience codes, expand floodplain standards, and create a retrofit program. Related testimony backed H.938/S.572, which would create a dedicated climate and community resilience fund financed by a small fee on property insurance premiums; advocates said it would provide stable long-term revenue for adaptation, especially in environmental justice communities, and help replace unreliable federal funding. One witness from CLF supported the climate-safe buildings and funding bills but opposed S.560/H.939 as too broad. The committee also heard testimony on airport air-quality legislation (H.997) calling for more monitoring and mitigation of ultra-fine particulate pollution around Logan Airport and Massport communities. No votes were taken during the hearing.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 02/26/25
Health and Human Services
Transcript Highlights:
- for those who rely on coverage in the state-regulated, fully insured market.
- and the state regulated fully insured and the state regulated fully insured Market<00:25:07.919>
- premium to subsidize low public program premium to subsidize low public program rates<00:25:52.600
- that if we are if we enter the program that if we are if we enter the program we<00:38:47.160>
<01:47:23.719>we the psychiatric residency program we the psychiatric residency program we
NY
New York 2025-2026 Regular Session
2026 Joint Budget Subcommittee on Environment/ Agriculture/ Housing - 03/17/2026
Transcript Highlights:
- successful program.
- The crop insurance program that exists does not work for New York farmers.
- And when you look at the insurance programs, only about 11% of New York farms are covered.
- THE CROP INSURANCE PROGRAM THAT EXISTS DOES NOT WORK FOR NEW YORK FARMERS.
- AND WHEN YOU LOOK AT THE INSURANCE PROGRAMS, ONLY ABOUT 11% OF NEW YORK FARMS ARE COVERED IN THE DAKOTAS
Summary:
The Joint Conference Committee on Environment, Agriculture and Housing opened budget negotiations for the 2026-2027 enacted budget, with Senate and Assembly leaders outlining their one-house proposals and committee members giving brief remarks. The discussion covered environment, agriculture, housing, parks, and energy, with repeated emphasis on affordability, climate resilience, and support for rural and urban communities. Senate and Assembly chairs described the process and noted the agencies present, while minority members criticized the overall size of the budgets and urged more attention to housing affordability, building stakeholders, and energy costs.
On the environment and energy side, the Senate highlighted proposals for $138 million in additional clean water infrastructure funding, a $75 million increase to the Environmental Protection Fund, $95 million in restored parks capital, $200 million for the Energy Affordability Program, and $1 billion for Sustainable Futures 2.0, including a proposed revival of the NY STUN program. The Assembly said it increased the EPF to $500 million, raised clean water infrastructure funding to $800 million, and included targeted amounts for cities, rural housing-related water projects, Cornell Ag Tech, and the Center for Sustainable Materials Management. Democrats argued that high utility bills are driven by natural gas costs rather than clean energy, while Senate and Assembly Republicans said the CLCPA and other energy mandates are increasing costs and should be reconsidered.
Agriculture remarks focused on research, farm support, and resilience. Senator Hinchey described funding for Cornell’s COWS program, Farm to School amendments, $7 million for farm worker housing, and a new $20 million Farm Weather Resiliency Grant Program. Chair Lupardo said the Assembly added $16 million over the Governor’s proposal for educational research and outreach, restored support for beginning and disadvantaged farmers, and backed dairy, livestock, hemp fiber, and natural fibers initiatives, while also accepting $30 million in farmer tariff relief if guidelines are set. Minority Assembly Member Tague supported dairy infrastructure funding but criticized the farm labor overtime phase-down and the CLCPA’s impacts on farms.
Housing discussion centered on major capital and assistance programs. The Assembly proposed $200 million more for the Housing Access Voucher Program, $100 million for Mitchell-Lama and NYCHA, $50 million for down payment assistance, $4 million for fair housing testing, land banks, and $40 million for the Homeowner Protection Program. The Senate outlined similar priorities, including $500 million for NYCHA, $100 million for Mitchell-Lama preservation, $250 million total for HAVP, and additional funding for mixed-income rental development, vacant rentals, senior housing, and block-by-block infill. Chair Rosenthal said rent stabilization was not being changed in the budget, while Republican members argued that affordability requires lower taxes, lower utility costs, and fewer regulatory burdens. No votes were taken; the meeting was an opening round of budget negotiations and ended with closing remarks from both sides.
MN
Minnesota 2025-2026 Regular Session
House Judiciary Finance and Civil Law Committee 4/8/25
Judiciary Finance and Civil Law
Transcript Highlights:
- million annual increase for insurance million annual increase for insurance and<00:03:59.120>
- <00:04:11.040>
and <00:04:11.360>compensation, insurance and compensation, insurance and - And so their insurance and still hiring.
- <00:08:06.000>
of insurance and compensation increase of insurance and compensation increase - The remainder of the article programs.
Bills:
HF2300
NV
Nevada 2025 Regular Session
Senate Floor Session May 29th, 2025 at 11:00 am
Nevada Senate Floor Meeting
Transcript Highlights:
- Assembly Bill 555 prohibits certain private health insurers from imposing a deductible, co-payment, co-insurance
- Prohibit certain private health insurers from imposing a deductible, co-payment, co-insurance, or other
- under the Children's Health Insurance Program and government employees and their dependents.
- Revises provisions relating to insurance.
- It's time to fully fund this program.
AZ
Arizona 2026 Regular Session
02/16/2026 - House Health & Human Services #2
Transcript Highlights:
- Madam Chair, members, House Bill 2433 requires insurers that offer Medicare supplement insurance to individuals
- Goodness of your heart not to burden insurance companies and insurance policyholders?
- Most of the individual insurers do, though.
- Arizona's got a comprehensive program.
- I think they started the first Pharm.D. program.
Summary:
The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote.
The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote.
House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1.
Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.
NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs (01/07/2025)
Transcript Highlights:
- um start in on the insurance um start in on the insurance department<00:27:41.919>
and <00 - <00:27:44.880>
commissioner the insurance commissioner the insurance commissioner here<00: - so the New Hampshire insurance so the New Hampshire insurance department<00:31:04.840>
was - <00:45:18.960>
insurance talking about health insurance insurance talking about health insurance - Page 44 talks about our programs.
Summary:
The meeting began with introductory remarks for new and returning members of the House Commerce Committee, led by Chairman John Hunt. Members briefly introduced themselves and their backgrounds, and several noted the committee’s bipartisan, collegial tone. Hunt explained the committee’s structure and traditions, including the division into three subcommittees: banking and business, consumer protection, and liquor commission matters, with insurance now handled as a single area. He also reviewed basic hearing procedures, including decorum, questions for information only, and the committee’s practice of moving bills through subcommittees before full committee executive sessions.
The committee then heard an overview from the New Hampshire Insurance Department, led by Commissioner DJ Bettencourt and staff. The department described its mission as promoting a safe and competitive insurance marketplace and emphasized consumer protection, market competition, and affordability. Officials outlined the department’s responsibilities, including licensing insurers, producers, adjusters, and TPAs; reviewing insurance forms; regulating companies and market conduct; overseeing financial solvency; and investigating insurance fraud. They also noted that the department is self-funded through assessments on insurers, collects premium taxes and fees for the state, and returned more than $2.7 million to companies in fiscal year 2024 due to underspending.
The presentation also covered the broader regulatory framework for insurance, including the role of the National Association of Insurance Commissioners in promoting uniform standards across states and territories. Officials said New Hampshire licenses about 1,200 insurance companies and roughly 245,000 producers and adjusters, and that the department’s financial examinations are part of an accreditation system used nationwide. No votes or formal committee actions were taken in the portion provided; the session was primarily organizational and informational, with the insurance department presentation beginning the committee’s substantive work for the term.
AR
Arkansas 2026 1st Special Session
ARKANSAS LEGISLATIVE COUNCIL (ALC) Jun 19th, 2026
ARKANSAS LEGISLATIVE COUNCIL (ALC)
Transcript Highlights:
- And whereas in her roles as program manager and program administrator at the Department of Human Services
- program, as presented by Stevens Insurance Per Night.
- Programs Oversight Committees.
- The State Insurance Programs Oversight Subcommittee met on Wednesday, June 17th.
- rates, OPR rules concerning Arkansas school districts and the state captive insurance program, OPR contracts
Summary:
The Arkansas Legislative Council met and first adopted the previous meeting minutes, then honored Lori McDonald of the Department of Human Services for nearly 28 years of state service. Members read a resolution recognizing her legislative, constituent, and leadership work at DHS, and the council adopted it unanimously. McDonald thanked members for their support, and the Senate also presented her with a citation, a flag flown over the Capitol, and a commemorative coin.
The council then received the May 2026 revenue report, which showed gross adjusted collections of $7.76 billion year-to-date, up 4.4% from the prior year, and net available for distribution of $6.36 billion. The Bureau of Legislative Research noted collections were running above last year and that the updated forecast reflected a surplus. The Executive Subcommittee report was adopted after members were told it had approved captive insurance premiums and deductibles, a claims administration contract, emergency DHS rules, waiver requests, committee fund allocations, and the cancellation of the regular July ALC meeting in favor of only meeting for urgent matters.
Several subcommittee reports were then adopted, including Administrative Rules, Game and Fish and State Police, Hospital/Medicaid/Developmental Disabilities, Lottery Oversight, Occupational Licensing Review, Peer Review, Review, State Insurance Programs Oversight, and Personnel. During the Administrative Rules discussion, members questioned the Department of Education about delays and vendor performance under the ClassWallet contract; department officials said they were meeting regularly with the vendor, keeping expense review in-house, and would consider other options if needed. In Personnel, the Department of Commerce clarified that a reallocation request was part of a broader departmental realignment and shared services move, not the Arkansas Workforce Connection waiver. The council also reviewed and took action on several communications, including filing retirement system investment summaries as reviewed, approving rural community grant funding, giving favorable advice for state park acquisitions/expansion, approving special maintenance funding for state parks, and filing proposed Office of State Technology service rates as reviewed before adjourning.
MS
Mississippi 2026 Regular Session
Public Health and Welfare - Room 216, 3 March, 2026; 3:00 PM
Public Health and Welfare
Transcript Highlights:
- um training programs. It even says 300 um training programs.
- our insurance costs us. our insurance costs us.
- probably insurance is going to increase. probably insurance is going to increase.
- My bill set up a grant program.
- <01:32:04.640>
on insurance on insurance on this<01:32:06.160>reform.
Summary:
The committee first took up House Bill 1622, a strike-all amendment to create a pilot program for certain small-community hospitals to receive limited certificate-of-need exemptions. The bill would allow qualifying hospitals to open a geriatric psychiatric unit without a CON, permit each hospital one additional CON exemption for a service otherwise requiring one, cap dialysis-unit exemptions at eight hospitals, continue existing moratoriums with periodic Department of Health review, allow facilities in Issaquena or Humphreys Counties under limited conditions, and add a loser-pays rule for unsuccessful CON court challenges. Technical corrections were made, the strike-all amendment was adopted, and the bill was reported do pass as amended by voice vote. The committee then moved to House Bill 942, where Senator McMahan offered an amendment to allow a Lee County chiropractor to advertise as a neurologic chiropractor and list related credentials. Members questioned whether chiropractic neurology is recognized in Mississippi and raised concerns about the practitioner’s prior discipline by the board, but the chair ruled the amendment germane. The amendment failed on voice vote, and the bill itself then passed and was reported to the floor.
The committee next considered House Bill 1034, but no amendment was offered. It then took House Bill 479 off the table. That bill extends the temporary licensing period for psychology and marriage-and-family-therapy boards from 30 to 60 days to allow more time for criminal background checks. Senator Blackwell offered a clarifying amendment to make clear that temporary licenses must be revoked if required background checks or other licensure requirements are insufficient, and that the temporary license does not replace the underlying education, training, and examination requirements. The amendment was adopted and the bill was reported do pass as amended.
Finally, the committee heard House Bill 1067, the Rural Health Transformation Program. Senator Hickman explained that the bill would require procurement procedures and reporting for the state’s rural health transformation funds, prioritize projects tied to the original application, and direct funds toward rural and underserved areas such as health professional shortage areas, low-income counties, and places without hospitals. Senators questioned whether the added state rules would layer on top of existing federal requirements and whether the bill could slow distribution or invite litigation, but supporters said it was meant to add transparency and guardrails rather than change the federal program. The bill was discussed at length, but the transcript ends before a final vote on HB 1067.
AL
Alabama 2026 Regular Session
Alabama House Ways and Means General Fund Committee Mar 11th, 2026
Ways and Means General Fund
Transcript Highlights:
- He explained that each would create its own program, and some programs could pay people to move here
- or each program could be applications or each program could be slightly<00:14:42.000>
different. - it is a modest program.
- it is a modest program.
- . program. program.
Keywords:
campus chaplain, chaplain, school chaplain, volunteer chaplain, public schools, public K-12 education, public charter schools, local control, teacher support, student support services, religious volunteer, faith-based support, church-state separation, background check, sex offender registry, school volunteer, education policy, district attorney, compensation, constitutional amendment
AZ
Transcript Highlights:
- The bill details information each person who supports a school district self-insurance program must provide
- Finally, Senate Bill 1497 excludes a school district that participates in specified self-insurance programs
- A fully insured product where the insurance company gets all the risk.
- program.
- I think that it should apply whether you have a self-insurance program or are fully insured, and it looks
NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs (05/27/2025)
Transcript Highlights:
- Risk pooling is not insurance. reserves. Risk pooling is not insurance.
- insurers.
- The Department of Insurance insurers.
- . insurance. insurance.
- These are programs used by towns, school districts, and other public entities to provide insurance-like
Summary:
The committee first took up SB 297 and a new amendment, 2462, which combined the original Senate bill with the Carson amendment and added a proposed alternative regulatory system, RSA 420R. The chair and members discussed that the amendment was intended to give the Senate what it had asked for while also creating a dual system for public entity risk pools. Members asked whether the new structure would affect ownership or governance of health trusts, and the chair explained that 420R would be a separate regulatory statute while existing 420J-style arrangements could remain in place. The committee also noted that a paragraph had been accidentally deleted from the amendment and that another amendment would be prepared to correct it, with the subcommittee recessed while that was done.
Public testimony focused on School Care, represented by Executive Director Lisa Ducette, who opposed the shift to Department of Insurance oversight under 420R. She argued that public entity risk pools are not insurance companies, that they are accountable to member entities and taxpayers, and that the proposed dual regulation would add unnecessary costs through examinations, higher reserves, and additional accounting requirements. She said the change could threaten tax-exempt status and create an uneven playing field, and she urged the committee to support SB 297 with the Carson amendment instead of moving to 420R. Committee members questioned whether the amendment would actually affect pools that stayed under the Secretary of State model, and one member cited support from the New Hampshire Municipal Association for the dual system.
The discussion then shifted to amendment 245 on ambulance reimbursement and contracting timelines. Members reviewed a provision giving insurers 45 days and ambulance providers 60 days in the contracting process, and one member suggested making both periods 60 days. The chair and others said the current language was intentional and part of a broader compromise aimed at ending balance billing and forcing insurers to establish reimbursement rates. Members noted that the measure was unusual and that its effects would be reviewed over the next two years, with one member saying the bill would likely be difficult to roll back later. No final vote was taken in the portion provided.
NM
Transcript Highlights:
- And so with that, who is carrying the employee insurance? Senator Figueroa, if you would please.
- Okay, so House Bill 47, School Employee Insurance Programs. Mr.
- I mean, that's just a fundamental rule of health insurance. It's like A, B, C. D.
- Chair and Senator, health insurance premiums are going to be...
- Chair, Senators, again that information is not reported to us for virtual programs.
NH
New Hampshire 2025 Regular Session
House Labor, Industrial and Rehabilitative Services (04/22/2025)
Labor, Industrial and Rehabilitative Services
AR
Arkansas 2026 Regular Session
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE Jun 17th, 2026
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE
Transcript Highlights:
- We will call the State Insurance Programs Oversight Subcommittee to order for June 17th.
- This is module one for the health insurance and medical management administration of our program.
- They would act as our subrogation firm for the property insurance program.
- This is our actuarial provider for the property insurance program.
- Moving on to the captive insurance programs rates for the '26-'27 year, we are proposing no change to
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am
Joint Committee on Financial Services
Transcript Highlights:
- program.
- My bills, including health insurance, vehicle insurance, dental insurance, and many others, are constant
- Such programs are effective.
- By creating the Massachusetts Secure Choice Savings Program, such programs are effective.
- with the program experience.
Summary:
The Joint Committee on Financial Services heard testimony on several bills focused on financial security, banking regulation, and payment-card fees. Treasurer Deborah Goldberg supported the Massachusetts baby bonds proposal (H. 48) and also endorsed bills on matched savings (H. 1158/S. 737) and retirement planning/Secure Choice (H. 1143/S. 722), arguing these measures would help address wealth inequality, build assets, and improve retirement readiness. Supporters of baby bonds included policy experts and health advocates from Children’s Health Watch and Boston Medical Center, who said early-life asset building could improve long-term economic and health outcomes for children in low-income families. AARP also urged passage of the retirement planning bill, citing the large share of private-sector workers without access to an employer retirement plan. Representative Donato testified for H. 1143, describing it as a voluntary retirement-savings opportunity for workers at small employers.
The committee also heard testimony on H. 3933, concerning the Massachusetts Credit Union Share Insurance Corporation, from former Bank Commissioner Mike Hanson, who defended the state’s full deposit insurance system for credit unions and savings institutions as a longstanding consumer-protection model. The Massachusetts Bankers Association raised concerns about the bill’s technical provisions and broader credit union/bank competitive issues, while the Cooperative Credit Union Association supported related legislation allowing modest compensation for credit union directors (S. 821/H. 1338) and flexibility for state financial institutions to grow through partnerships (S. 723). Bankers opposed those credit union bills, arguing they would upset a level playing field and blur long-standing distinctions between banks and credit unions.
A major portion of the hearing focused on H. 1259/S. 688, which would prohibit card interchange fees on the tax and gratuity portions of restaurant transactions. Restaurant owners and the Massachusetts Restaurant Association testified in favor, saying the fees are a significant and growing expense, especially as most customers now pay by card; they argued the bills would save restaurants money without affecting state revenue. Credit union, banking, and payments-industry representatives opposed the bills, saying interchange helps fund fraud protection and payment infrastructure, that the proposal would create compliance burdens and likely litigation, and that it would mainly affect Massachusetts-chartered institutions while national banks could be preempted. Committee members noted that a commission on payment-card fees is being established and said the issue would be studied further. The hearing also included support for a separate bill on virtual credit cards for dental providers, with dentists saying automatic virtual-card payments impose hidden processing fees and fraud risks.