Video & Transcript Research : 'claim processing'
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MN
Minnesota 2025-2026 Regular Session
Vets Committee Meeting - 2025-03-19
Veterans and Military Affairs Division
Transcript Highlights:
- You don't have to be a member to get help on processing a claim or asking that question.
- We provide specially trained case managers to guide veterans through the claims process, but we do not
- I have the ability to message, monitor, and track a claim through the the whole process.
- I did every single piece of processing paper. I expedited the claim.
- The claim would be processed by the end of the month. The claim was processed 14 days later.
AR
Arkansas 2026 1st Special Session
ALC-CLAIMS REVIEW/LITIGATION REPORTS OVERSIGHT Mar 16th, 2026
ALC-CLAIMS REVIEW/LITIGATION REPORTS OVERSIGHT
Transcript Highlights:
- , and they have to maintain that name for this claim while they're winding up the process of the claims
- While they're winding up the process of the claims that went through that bankruptcy.
- There's just a claim process for them to be able to claim that.
- If we go through, if this body goes through the process of doing a claims appropriation, would then the
- Hoggard would be paid $30 outside the appropriation bill process, and the claim would be closed.
Summary:
The committee first reviewed litigation reports from the Department of Labor and Licensing involving wage claims brought under the Arkansas Minimum Wage Act. Members questioned the department’s authority, jurisdiction, use of attorney fees and costs, and whether defendants had to be licensed. The department explained it has long enforced wage and overtime laws, that the claims were small-dollar cases handled by investigators and counsel, and that one case had been paid and dismissed while others were unresolved or had service issues. The committee voted to review or batch-file the labor cases after discussion.
The University of Arkansas System then reported three pending lawsuits: an age- and race-discrimination claim by a tenured professor that was resolved early; an ADA/FMLA retaliation claim by a former employee that survived in part on a motion to dismiss and was moving into discovery; and a Section 1983 claim against a UAMS sergeant arising from a parking-ticket dispute, with the university explaining that only punitive damages could create personal exposure for the officer. The committee reviewed each report and voted to accept them.
The Department of Finance and Administration presented a proposed tax settlement reducing a sales-and-use tax assessment from about $48,000 to $20,000 and waiving interest and penalties, which the committee approved for review. The Claims Commission then presented several claims: an unpaid salary differential for a Department of Health employee, reissued warrants, unpaid DHS bills, and multiple negotiated settlements involving ATRS, UAMS, Arkansas State Police, and ARDOT. Members approved or affirmed most of these items, including a $65,000 settlement in the Tetronics/ATRS matter, a $150,000 medical-negligence settlement, and several vehicle-accident settlements.
The most extended debate involved a tax-delinquent property sale claim by Sharon Greer and relatives. The claimant argued they were not properly notified and sought the $4,200 excess from the 2009 sale. Land Commissioner counsel explained the excess had escheated to the county after the statutory claim period expired, while members debated sovereign immunity, standing, heirs, and whether the committee could or should award money anyway. The committee ultimately chose to hold the matter over for further review in a future joint session rather than decide it immediately. The committee also heard appeals from dismissed claims, including a UAMS medical-negligence claim, a land-sale notice claim, a pothole claim against ARDOT, and a judicial-immunity claim against the Court of Appeals; most dismissals were affirmed, and the Simpson matter was held over for additional review after the claimant testified.
AR
Arkansas 2026 1st Special Session
ALC-CLAIMS REVIEW/LITIGATION REPORTS OVERSIGHT Mar 16th, 2026
ALC-CLAIMS REVIEW/LITIGATION REPORTS OVERSIGHT
Transcript Highlights:
- , and they have to maintain that name for this claim while they're winding up the process of the claims
- There's just a claim process for them to be able to claim that.
- “If we go through, if this body goes through the process of doing a claims appropriation, would then
- The nature of the claim, this claim is...
- Hoggard would be paid $30 outside the appropriation bill process, and the claim would be closed.
AR
Arkansas 2026 Regular Session
ALC-CLAIMS REVIEW/LITIGATION REPORTS OVERSIGHT Mar 16th, 2026
ALC-CLAIMS REVIEW/LITIGATION REPORTS OVERSIGHT
Transcript Highlights:
- The claim that was filed with the Claims Commission by Tetronics is a claim for damages and transfer
- , and they have to maintain that name for this claim while they're winding up the process of the claims
- There's just a claim process for them to be able to claim that.
- If we go through, if this body goes through the process of doing a claims appropriation, within the county
- Hoggard would be paid $30 outside the appropriation bill process, and the claim would be closed.
Summary:
The committee first reviewed several wage-claim and labor-related litigation reports from the Department of Labor and Licensing. Members questioned the department’s authority and jurisdiction, whether it was acting like a court, and why it sought attorney’s fees and costs. Department staff explained that the claims arose under the Arkansas Minimum Wage Act and related labor statutes, that the department investigates small wage claims and can file suit when informal resolution fails, and that filing fees are waived by statute though service costs may be incurred. The committee reviewed individual cases, including one where the employer had not proven cash payments, another that had already been paid and dismissed, and a third where service could not yet be completed. The committee then voted to review or batch-file the labor items.
The University of Arkansas System then reported on three pending lawsuits under the litigation-notification statute. One case involving a tenured professor alleging age and race discrimination had already been resolved and dismissed after the university re-engaged in discussions about a position. A second case involving a former employee alleging ADA and FMLA retaliation was moving forward after partial dismissal and an answer denying liability. A third case involved a former vendor employee alleging retaliation tied to a parking ticket; members asked about individual-capacity exposure for a university police sergeant, and counsel explained that punitive damages could potentially create personal exposure. The committee reviewed each report.
The Department of Finance and Administration presented a proposed tax settlement reducing a sales-and-use tax assessment from about $48,000 to $20,000, with interest and penalties waived, and the committee approved it. The Claims Commission then presented several claims and settlements, including an unpaid salary differential for the Department of Health, reissued warrants, unpaid bills for DHS, and multiple negotiated settlements involving UAMS, Arkansas State Police, and ARDOT; these were generally approved or batched for approval. The most extensive discussion involved a settlement between the Teacher Retirement System and Tetronics International Limited in liquidation, arising from losses tied to the failed Blue Oak project; members questioned the company’s liquidation status, the prior investment loss, and why the matter was settling for $65,000, and the committee ultimately affirmed the settlement.
The committee also heard a disputed tax-sale claim involving the Commissioner of State Lands, where a claimant argued that excess proceeds from a 2009 tax sale should have gone to her family rather than escheating to the county. After testimony from the claimant and counsel, members debated sovereign immunity, heirship, and whether the committee could or should award the $4,200 overage. The motion was amended and then replaced with a motion to hold the matter over for further review in a future joint session, which passed. Finally, the committee considered an appeal by Andrew Simpson challenging dismissal of his claim against the Arkansas Court of Appeals; after Simpson and court staff explained the underlying dispute, the committee reviewed the dismissal and the matter was held over for further consideration.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 2/25/26
Human Services Finance and Policy
Transcript Highlights:
- I should note there were claims edits in the system MMIS, our claims processing system, ahead of this
- I should note there were claims process.
- uh edits in the system MMIS our claims uh edits in the system MMIS our claims processing<00:10:59.040
- around the time when we paused claims on December 23rd to implement this process.
- if<00:14:29.680>
they're process, then those claims, if they're process, then those claims
Bills:
HF3378
Keywords:
human services, Optum reports, data privacy, transparency, legislative oversight, 1183, house
MN
Minnesota 2025-2026 Regular Session
Agriculture, Veterans, Broadband, and Rural Development - Subcommittee on Veterans - 03/03/25
Agriculture, Veterans, Broadband, and Rural Development - Subcommittee on Veterans
Transcript Highlights:
- process and unable to assist veterans with anything during the claims process.
- claims process they are veterans in a VA claims process they are doing<00:13:49.600>
not <00:13 - > himself VA claims process and found himself VA claims process and found himself working<00:14:24.480
by expedite claims through the process by expedite claims through the process by non<01:10:27.040- claim that's going through the process claim that's going through the process they<01:10:41.320>
AR
Arkansas 2026 Regular Session
JBC-CLAIMS Apr 14th, 2026
JBC-CLAIMS REVIEW/LITIGATION REPORTS OVERSIGHT SUBCOMMITTEE
Transcript Highlights:
- Commission as to this claim.
- Claims Commission.
- The process worked.
- Why is the state not acting on its own behalf, saying set these proceeds aside in a claims process at
- not necessarily specified, and so the Claims Commission... ...this process and clean it up.
Summary:
The Joint Budget Committee’s Claims Review and Litigation Reports Oversight Subcommittee met to consider two proposed Department of Corrections litigation settlements and one appealed claim from the Claims Commission. The first settlement, Caroline Arnett v. Larry Norris et al., involved allegations of long-term sexual abuse by a corrections employee. Committee members asked about PREA audits, facility practices, and whether the inmate had been placed at the proper facility. The department said audits and other safeguards were underway, and the committee approved the settlement. The second settlement, Latasha Ridgel v. Arkansas Department of Corrections, also involved sexual harassment/assault allegations. Members questioned the seven-year delay in the case and whether the issue was systemic; the department cited attorney turnover, COVID delays, and legislative changes making inmate exposure a felony. The committee approved that settlement as well.
The committee then heard an appeal in Sharon Greer and Deanna Hayes v. Commissioner of State Lands, a denied and dismissed claim involving a tax-delinquent sale of family property in Crittenden County. Staff and the Commissioner of State Lands’ office said the property was certified in 2000, sold in 2009 after notice was sent, and that excess proceeds were available for a limited period before escheating to the county. The claimants argued they were not properly notified of the sale or the excess proceeds and only learned of the matter in 2025 after receiving the deed at a family funeral. Committee members discussed the notice process, statute of limitations, and the handling of excess proceeds, with several noting the issue may call for legislative review rather than relief in this case.
After debate, the committee voted to affirm the Claims Commission’s dismissal of the Greer/Hayes claim. Members also discussed broader concerns about how excess proceeds from tax sales are handled and whether the current statutory process should be revisited in future legislation.
KY
Kentucky 2025 Regular Session
House Standing Committee BR Sub. on Primary & Secondary Education & Workforce Dev (2-11-25)
Transcript Highlights:
- /c> discuss the processing of UI claims as discuss the processing of UI claims as well<00:27:25.559><
- So talk a little bit about the claims process.
- So talk a little bit about the claims process.
- to 21 days to uh process to 21 days to uh process claims<00:38:46.640>
uh <00:38:46.920>- they processing these uh pandemic<00:45:43.920>
claims <00:45:44.319>in pandemic claims - they processing these uh pandemic<00:45:43.920>
Summary:
The House Budget Review Subcommittee on Primary and Secondary Education and Workforce Development received a presentation from Kentucky Department of Education officials on the final SEEK estimate for fiscal year 2025. Commissioner Robbie Fletcher, Matt Ross, and Chay Ritter explained that SEEK is developed through a consensus process with the Office of the State Budget Director using multiple models and district-level inputs, and that the estimate is a projection made well before actual data are available. They emphasized that the discussion was separate from the pending education-funding lawsuit and described SEEK as one part of a much larger K-12 budget picture.
The presenters said the current SEEK estimate shows a statutory shortfall of about $14.7 million, or roughly 0.53% of the appropriation, with additional optional items that could bring the total to about $40.5 million if funds are available. They noted that prior years have sometimes produced excess funds, which are redirected according to budget language rather than automatically flowing back through SEEK. They also reviewed the main drivers of the estimate, including property assessments, average daily attendance, free lunch counts, exceptional child counts, home hospital, and limited English proficiency, and said property assessments have been especially volatile while exceptional child counts and ELL populations are difficult to predict.
Members asked about why the estimate missed on some categories, especially special education and ELL, and whether district-level changes were being monitored closely enough. The presenters said KDE does monitor special education counts and will review larger districts and districts with unusual growth, and they acknowledged that exceptional child growth has been hard to forecast. Representative Bojanowski asked about the Cloverport virtual school, and staff said its growth was much larger than projected and accounted for a significant portion of the shortfall. Members also discussed the impact of property value growth, population shifts, illness, and legislative changes on SEEK projections. No vote or formal action was taken, and the meeting ended after questions and discussion.
CA
California 2025-2026 Regular Session
Joint Hearing Assembly Military and Veterans Affairs and Senate Military and Veterans Affairs May 12th, 2025
Transcript Highlights:
- But there is no way that they can possibly process claims faster than we can.
- process.
- The younger veteran population is also ...and other parts of the claim process.
- to those first claims that were approved... ...charges, if any claims related to those first claims that
- What happens in that situation, then, if they made the claim, the claim sharks made the claim, but they
Summary:
The joint informational hearing focused on the role of County Veterans Service Officers (CVSOs), CalVet’s support for them, and the growing problem of for-profit, unaccredited claims companies. Committee leaders and witnesses emphasized that CVSOs are often the first point of contact for veterans and their families, helping with disability claims, education benefits, survivor benefits, housing, health care, and other wraparound services. Testimony highlighted the return on investment from CVSO work, with witnesses citing hundreds of millions in new federal benefits secured for California veterans and arguing that current state funding is too low relative to the workload and need.
County representatives from Nevada, Los Angeles, and San Luis Obispo described local models of service. Los Angeles County highlighted a “no wrong door” approach, peer navigators, suicide review work, justice-involved veteran services, and homelessness coordination, while San Luis Obispo described rural outreach, mental health partnerships, and high suicide rates in its county. Nevada County stressed that smaller counties can be disadvantaged by workload-based formulas and that additional funding would expand access, especially in rural areas. Several witnesses said veterans often need more than claims help and should be connected to mental health, employment, food, and family supports.
Much of the discussion centered on predatory claims consultants, which witnesses said charge veterans for services that accredited CVSOs provide free. Members and witnesses described cases involving requests for VA and banking logins, misleading advertising, and contracts that can take a percentage of veterans’ benefits. Committee members expressed support for legislation to curb these practices and for increased funding for CVSOs, including the Legislature’s intent to fund 50% of county veterans’ services operations. A CalVet deputy secretary also testified that California’s accreditation and training system improves claim quality and appeal outcomes, and that CalVet works with CVSOs through training, district offices, and appeals representation.
FL
Florida 2025 Regular Session
October 7, 2025 - 12:30 PM
Transcript Highlights:
- DIFFERENCES IN HOW THE CLAIMS ARE PROCESSED IN DIFFERENCES IN TERMINOLOGY CAN MAKE IT VERY CHALLENGING
- THERE ARE SOME CIRCUMSTANCES WHERE AI COULD BE DEVELOPED TO ASSIST IN THE CLAIMS PROCESS TO ADJUDICATE
- HAVING GONE THROUGH THAT PROCESS WITH THE PREVIOUS EMPLOYER YOU ARE TALKING ABOUT THOUSANDS OF CLAIMS
- AT THE END OF THE DAY, WHO IS RESPONSIBLE IN THE CLAIMS HANDLING PROCESS?
- TO THE EXTENT THAT WE ARE STARTING TO SEE AN INCREASE IN AI USE IN THE CLAIMS REVIEW, CLAIMS DENIAL PROCESS
WA
Washington 2025-2026 Regular Session
Senate Law & Justice Jun 4th, 2025
Transcript Highlights:
- If we look at Connecticut, Connecticut has a claims commissioner who has to look at all claims before
- The blue bar represents all claims, and what we see is the claims also climbing.
- processes.
- Of the 36 claims, 14 claims were deemed eligible.
- And then the court process itself.
Summary:
The committee held a work session on tort liability and parole, with the chair explaining that the topics were linked because criminal justice reform and state liability often intersect, especially in cases involving child welfare and corrections. Staff first outlined Washington’s tort liability framework, including the state’s broad waiver of sovereign immunity, statutes governing mandatory reporting and investigation of abuse, the childhood sexual abuse statute of limitations, and the lack of caps on non-economic damages. Staff and presenters also compared Washington to other states and noted that Washington remains among the broadest states for state liability and childhood sexual abuse claims.
Presenters from the Attorney General’s office, Washington State Association for Justice, DCYF, DSHS, and DOC discussed how tort exposure has grown, especially in claims involving DCYF, historical child abuse, juvenile rehabilitation, vulnerable adults, employment discrimination, medical negligence, and negligent supervision. DCYF and AG staff said claims and payouts are rising, with many claims tied to older abuse and new theories of liability, while defense counsel emphasized the human harm behind the claims and argued that tort cases have historically driven accountability and reform. Agency witnesses said they face large volumes of old claims with limited records, rising verdicts and settlements, and staffing and systems challenges, and they highlighted efforts such as early resolution programs, electronic health records, medication-assisted treatment, and improved incident review processes.
The committee then shifted to parole. Sentencing experts reviewed Washington’s move from indeterminate sentencing to the current determinate sentencing system under the Sentencing Reform Act, and explained how parole could be integrated with sentencing guidelines through different models used in other states. They also summarized Criminal Sentencing Task Force recommendations related to a determinate-plus approach for three-strikes and persistent offender laws and a second-chance review process, noting there was no consensus on those ideas. Judges from the Minority and Justice Commission and the Superior Court Judges Association said a parole system could support rehabilitation and reduce disparities if it includes data collection, fairness, transparency, due process, and meaningful judicial review; they also pointed to research suggesting parole and structured reentry can reduce recidivism and costs, while warning that access and outcomes can vary by geography and other factors.
CA
California 2025-2026 Regular Session
Assembly Military and Veterans Affairs Committee Jul 1st, 2025
Transcript Highlights:
- In doing a fully developed claim, our average claim packet may be 50, 60 pages long.
- process to ensure that when we're working with the veteran, they are submitting the best claim possible
- In doing a fully developed claim, our average claim packet may be 50 or 60 pages long.
- process to ensure that when we're working with the veteran, they are submitting the best claim possible
- So when claims are filed, it resembles the veterans submitting a claim, right?
Summary:
The Assembly Committee on Military and Veterans Affairs met with a quorum and first approved its consent calendar, which included AJR 15, SB 56, SB 296, and SB 855, with the roll left open for absent members. The committee then heard SB 694 by Senator Archuleta, a bill aimed at protecting veterans from unaccredited claims representatives and other for-profit entities that charge fees to assist with VA disability claims. The author and supporters, including county veterans service officers and veterans organizations, argued the measure would curb predatory practices, restore accountability, and steer veterans toward free, accredited assistance through CVSOs and other authorized representatives.
Testimony in support emphasized that veterans are often targeted online and may pay large fees for services that are available for free, while supporters said unaccredited firms lack transparency and can exploit vulnerable veterans. Opposition witnesses, including representatives of claims-assistance companies and individual veterans, argued the bill would eliminate choice and that some contingency-based firms provide useful services, better outcomes, and faster claims processing. Committee members debated whether the bill would unlawfully bar legitimate assistance or whether it was needed to stop illegal business practices, with several members noting the issue is also being litigated in federal court and that an accreditation process already exists through the VA.
After discussion, the committee voted to pass SB 694 and refer it to the Committee on Judiciary. The final vote was 6 ayes, with some members not voting. The committee then completed the consent calendar vote, which passed with eight votes, and adjourned.
CA
California 2025-2026 Regular Session
Assembly Appropriations Committee Jul 9th, 2025
Transcript Highlights:
- I think it's appropriate that the finance department has a process to review the claims, and if checks
- to verify claims, legitimize the claims, make sure they're legitimate, but then process them more expeditiously
- claim for another payment.
- to verify claims, legitimize the claims, make sure they're legitimate, but then process them more expeditiously
- That limits the number of claims that need to wait for the next claims bill, and as a result we have.
Summary:
The Assembly Appropriations Committee met on July 9, 2025, with a quorum present and opened by taking up its consent and suspense calendars. Several Senate bills were moved on consent, including SB 255, 361, 385, 387, 428, 602, 648, 652, and 693, along with SB 78 on a separate due-pass motion. The suspense calendar was then deemed approved without further discussion.
The committee next heard AB 1533, a claims bill authorizing a General Fund appropriation of $672 million to pay state claims, including $600 to the Franchise Tax Board and $72 million to the DMV for stale claims. Assemblymember Wicks presented the bill as one of the annual claims measures, and the Department of Finance and Department of General Services both supported it. Assemblymember Dixon raised concerns about the age of claims, the cost and efficiency of the process, and whether the state could improve how it verifies and pays claims more quickly.
After brief public comment was invited, the committee held a roll call vote on AB 1533 and the bill was moved out of committee. The meeting then adjourned after a late-arriving member was added to the roll call for the consent calendar and AB 1533.
NH
New Hampshire 2025 Regular Session
Fiscal Committee (01/30/2025)
Transcript Highlights:
- She said she can certainly address how quickly the claims are moving in the settlement process, but with
- process.
- process.
- moving in the how quickly um the claims moving in the settlement<00:33:58.880>
process <00:33: - mounting claim mounting claim process<00:35:15.680>
uh <00:35:15.880>thank <00:35:16.040
Summary:
The Fiscal Committee met on January 30, 2025, and first organized itself by electing Senator Jim Gray as vice chair, electing Representative F as clerk, appointing Michael Caine as legislative budget assistant, and adopting the committee’s rules and procedures. The committee also adopted an amendment to the rules allowing audits to be automatically released to the public once placed on the Fiscal Committee agenda, with members discussing that the change would improve transparency and reduce paper handling. The minutes from the November 15, 2024 meeting were approved, with members who were absent abstaining.
The committee then worked through a consent calendar and several individual items. It removed or noted withdrawals on a few items, including item 25004 for further discussion, item 25016 withdrawn by the Department of Education, item 257 removed by Representative F, and item 25001 removed under Tab 4. Item 25004, concerning the newborn screening program, prompted testimony from the Department of Health and Human Services explaining that the program is mandatory with an opt-out provision; officials said 99.2% of newborns were screened in 2023, meaning the opt-out rate was under 1%. The committee also approved item 25007, related to DHHS community health workers and telework policy, after hearing that the workers are not placed in schools and that DHHS follows statewide telework policy.
On the regular calendar, the committee approved a Department of Administrative Services request to extend the release date for fiscal year 2024 numbers to March 31, and approved a Department of Fish and Game item. It also approved winter maintenance funding for the Department of Transportation after hearing that the $5.7 million request might not last through the winter if additional storms occur; DOT said even a small storm can cost more than $1 million and that crews are dispatched based on road conditions and supervisory judgment. The committee then approved items for the Judicial Council and the Office of Legislative Budget Assistant.
The final discussion focused on the Health and Human Services dashboard and the Youth Development Center claims. DHHS acknowledged a data error in the APS client line and said Community Mental Health Center caseload data is still not fully accurate because two centers are undergoing EHR conversions. Members also asked about the low census at the Sununu Youth Development Center and about the process for managing future claims related to the YDC settlement fund. Witnesses from the Attorney General’s office said the fund is handled through a unique arrangement involving DOJ appropriations and judicial branch staff, that current judicial budget cuts are not yet affecting the litigation pace, and that the average resolution so far has been about $500,000, though future claims may vary. No votes were taken on the discussion items beyond the approvals noted above.
AZ
Arizona 2026 Regular Session
01/29/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- their claims so they can get paid. ...successful both in terms of processing their claims so they can
- We needed to reduce the turnaround times both for prior authorization as well as for our claims processing
- Bringing on an external claims vendor to help process claims was an important piece to help us get through
- The next step is for training, and so we hope that they will be able to actually start processing claims
- So on January 3rd, 2025, claims using code S9480 were subject to a prepayment review process.
Summary:
The Senate Committee on Health and Human Services held a fourth hearing in its ongoing review of alleged fraud, waste, and abuse involving AHCCCS/Access and DHS, with a major focus on Medicaid eligibility verification for the aged, blind, and disabled (ABD) population, behavioral health and sober living oversight, and payment delays to providers. Senator Shamp presented findings she said showed major gaps in ABD asset verification, including claims that only a fraction of enrollees were checked and that many ineligible members may remain on the rolls. She urged referrals to law enforcement, tighter verification requirements, better PARIS data sharing, and legislative changes to close what she described as a compliance and taxpayer-risk gap. Reva Stewart also testified that patient brokering and fraudulent recruitment of vulnerable people, including Native Americans, continues through social media and other channels, and she called for stronger enforcement and transparency.
Heather Dukes, representing behavioral health and sober living operators, argued that the state’s response to fraud has become overly punitive toward legitimate providers. She said ADHS often sends technical paperwork deficiencies straight to enforcement instead of allowing plans of correction, that zoning approvals are being questioned despite not being within ADHS authority, and that long Access approval timelines are creating licensing and billing delays. ADHS Deputy Assistant Director Tiffany Slater said the department has seen a large volume of unlicensed complaints, that it is trying to improve staffing and data systems, and that some enforcement tools have been expanded for sober living homes. She also said many sober living operators are in recovery themselves and provide low-cost housing and support rather than direct billing to Access.
Access Director Virginia Roundtree said the agency is trying to balance fraud prevention with support for legitimate providers. She reported steps such as daily internal huddles, live dashboards, added project management support, an outside review of the Division of Fee-for-Service Management, and a new external claims vendor to help reduce backlogs. Senators pressed her on a specific provider’s long-delayed payments and prepayment review, and she said the agency would provide answers early the following week. Access staff also described provider resolution roundtables and said unadjudicated claims had been reduced to zero, though members questioned whether that was due to denials rather than resolution. The hearing ended with the chair announcing legislation to preserve the American Indian Health Plan as a fee-for-service option while requiring Access to contract administrative and care management functions to another entity, citing structural failures in Access’s ability to operate the plan safely and effectively.
FL
Florida 2025 Regular Session
November 18, 2025 - 03:30 PM
Transcript Highlights:
- There is a claims kind of adjudication process where they're allowed to dispute the denial of the claim
- And that process, although it's arduous, is a process that I believe we need in managed care so that
- and taps claim paid?
- compared to a clean claim. >> And with so you're asking what the percentage of clean claims that are
- Remember, getting a care versus the claim coming in when the claim being paid because we have standard
MN
Transcript Highlights:
- >
processing <00:40:27.680>uh <00:40:28.000>that is in the claims processing uh - It was a pause in, or a suspension in, the processing of claims to start the process. review the claims
- approximately how many claims have gone through that process?
- process, approximately how many claims process, approximately how many claims have<01:05:40.160>
- Um that pause in in claims processing.
AR
Transcript Highlights:
- This is a denied and dismissed claim from the Claims Commission that was appealed by the claimants.
- motion, finding that the Claims Commission... ...and moved to dismiss the claim, and the Claims Commission
- So the date that they could have claimed those excess proceeds. And claim excess proceeds.
- Commission as to this claim.
- Why is the state not acting on its own behalf, saying, set these proceeds aside in a claims process at
Summary:
The Joint Budget Committee’s Claims Review and Litigation Oversight Subcommittee met to consider two proposed litigation settlements from the Department of Corrections and one appealed claim from the Claims Commission. In the first settlement, Caroline Arnett v. Larry Norris, et al., members asked about the underlying sexual assault allegations, whether policies had changed, and whether PREA audits and other safeguards were in place. The department said audits were underway and that steps had been taken to prevent similar conduct. The committee approved the settlement by voice vote. In the second settlement, Latasha Ridgel v. Arkansas Department of Corrections, members raised concerns about the length of the case and the fact that it involved similar allegations. The department cited attorney turnover, COVID-related delays, and scheduling difficulties; the settlement was approved by voice vote.
The committee then reviewed Sharon Greer and Deanna Hayes v. Commissioner of State Lands, an appeal of a Claims Commission dismissal involving a 2009 tax sale of family property in Crittenden County. The claimants said they did not learn of the sale or the $4,200 in excess proceeds until 2025, and argued that notice was inadequate and that the overage should not have gone to the county. The Commissioner of State Lands’ office responded that notice was sent to addresses on file, certified mail receipts were returned, and a post-sale notice explained the process for contesting the sale and claiming excess proceeds. The office also argued the claim was untimely, that the commission lacked jurisdiction, and that state law bars monetary damages against the commissioner for actions related to tax-delinquent land sales.
Members discussed broader concerns about the tax-sale and excess-proceeds process, including whether excess proceeds should be held longer or routed differently, but noted those issues would require legislative changes rather than action in this case. The committee then voted to affirm the Claims Commission’s dismissal of the claim. The meeting adjourned after the motion passed.
FL
Florida 2025 Regular Session
November 5, 2025 - 10:00 AM
Transcript Highlights:
- You've heard me talk about the claims bill process, how it could be in a textbook in a business school
- I've been involved with claims bills in this process for many, many years. solution that actually does
- I've been involved with claims bills in this process for many, many years, and so I understand.
- Last two points very quickly, Madam Chairman, is we do believe the claims bill process works.
- I think having special masters look... ...is we do believe the claims bill process works.
Summary:
The Civil Justice and Claims Subcommittee considered HB 145, by Rep. McFarland, which would raise Florida’s sovereign immunity caps from $200,000 per person and $300,000 per incident to $500,000 and $1 million, with a future inflation-based increase, extend the time to bring claims, and allow local governments to settle claims above the cap without a claims bill. McFarland argued the bill modernizes an outdated system and helps injured people obtain compensation more fairly and efficiently, while preserving sovereign immunity. Several members spoke in support during debate, saying the bill better balances government accountability and victims’ rights and that current caps have not kept pace with inflation and damages.
Public testimony was largely in opposition. Local governments, counties, cities, insurance groups, and school-related organizations warned the bill would significantly increase liability exposure, insurance premiums, and taxpayer costs, especially for small and rural governments and school districts. Opponents also objected to the provision allowing settlements above the cap without legislative action, saying it would weaken the cap and increase litigation and costs. Supporters countered that injured people often wait years for claims bills and that governments should be able to resolve meritorious claims directly.
After debate, the committee voted 16-1 to report HB 145 favorably, with Rep. Lopez voting no. The meeting then adjourned.
LA
Transcript Highlights:
- They can deny your entire claim.
- Is that a consequence of the initial claim or is that now a new claim that's been brought out against
- But I think the idea that you're filing the claim, and I don't know the process for how long do you have
- They can controvert the claim under the 1002 process.
- Do they look at claims cost in this process? Do they look at claims cost in this process?
Keywords:
employment discrimination, criminal history, rehabilitation, hiring process, human rights, gender identity, sexual orientation, workplace equality, labor rights, domestic abuse, unpaid leave, employee rights, workplace protection, mental health, survivor support, workers' compensation, employment benefits, claims process, fraud prevention, legal petition