Video & Transcript Research : 'claim processing'
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CA
California 2025-2026 Regular Session
Assembly Insurance Committee May 28th, 2025
Transcript Highlights:
- claims.
- We can pay on those claims.
- So we had daily webinars with brokers to help them understand the claims process, answer any questions
- That disbursement process works exactly the same as the assessment process, right?
- That disbursement process works exactly the same as the assessment process, right?
Summary:
The Assembly Insurance Committee held an oversight hearing on the California Fair Plan, focused on the plan’s rapid growth, its financial stability after the January Southern California wildfires, and its role as the insurer of last resort. Fair Plan officials explained that the plan was created in 1968, is a not-for-profit involuntary association of licensed property insurers, and is intended to be a temporary safety net until policyholders can return to the admitted market. They emphasized that the plan is not a state agency or taxpayer-funded, but is regulated by the Department of Insurance and supported by member-company assessments if claims exceed available funds.
Victoria Roach and Armand Feliciano said the Fair Plan has grown sharply since 2018 and especially after market pullbacks by major insurers, reaching about 575,000 policies and roughly $600 billion in exposure by spring 2025. They noted that growth is increasingly occurring in lower wildfire-risk areas, where the plan can sometimes be cheaper than the voluntary market, and said this undermines depopulation back into the private market. They also discussed recent policy expansions, including coverage for farms, higher residential and commercial limits, and pending or proposed changes such as AB 290, SB 525, and AB 226, which would add tools like a line of credit and bond access.
A major portion of the hearing addressed the January wildfire losses and the plan’s financial response. Fair Plan officials said they assessed member insurers for $1 billion after determining claims and cash flow would exceed available resources, and that the process was approved quickly and paid smoothly, with more than 80% of the assessment collected within 10 days. They also described the reinsurance tower, the plan’s limited surplus, and the need for actuarially sound rates to reduce future reliance on assessments. On claims handling, they said the plan has received over 5,500 claims from the fires, has paid more than $2.9 billion so far, expects total payments near $4 billion, and has focused on advancing payments quickly for total losses and other urgent needs.
Members questioned the plan’s solvency, the growth in non-wildfire areas, claim denials, smoke-loss coverage, and how depopulation works. Roach said most closed claims without payment were duplicates rather than denials, and that smoke claims require direct physical loss under the policy, with coverage determined case by case. Public commenters from the California Building Industry Association and the Independent Insurance Agents and Brokers of California said the Fair Plan’s growth reflects a weak voluntary market, inadequate rates, and insurer fear of future assessments, and urged support for rate increases and AB 226. The hearing concluded with no vote, but with a commitment from Fair Plan officials to follow up on unanswered questions and continue providing more transparency through public data and website disclosures.
FL
Florida 2025 Regular Session
December 9, 2025 - 12:30 PM
Transcript Highlights:
- INCREASING USE OF ALGORITHMS AND ARTIFICIAL INTELLIGENCE IN THE CLAIMS HANDLING PROCESS.
- IT EXPLICITLY ALLOWS INSURERS TO USE AI TO ASSIST ANY CLAIMS PROCESSING AND REMOVES THE WORD JUST TO
- BUT THE SECTION REALLY DEALS WITH JUST HOW AI IS IMPLEMENTED IN THE CLAIM DECISION PROCESS.
- THE CONCERNS THAT THE REQUIREMENT HAD THE EFFECT OF SLOWING DOWN CLAIMS PROCESSING AND INCREASED COST
- FLORIDA CLAIMS PROCESSING AND EFFICIENCY LEADS TO INCREASED CLAIM COST.
NM
New Mexico 2026 Regular Session
Senate - Health and Public Affairs Feb 11th, 2026 at 05:14 pm
Senate Health & Public Affairs
Transcript Highlights:
- I mean, the same claims exist, but the value of those claims has gone up exponentially.
- Right now, we assign claims and assign values to each of our claims.
- In CYFD, any claim, we have 2,600 claims, totally an estimated claim right now of $400 million.
- bring a claim.
- of processing the kits.
Keywords:
massage therapy, licensure, health and safety standards, continuing education, establishment licensing, civil rights, sovereign immunity, damages, public body, lawsuit limitations, legal notice, child welfare, computing infrastructure, data management, Department of Health, appropriation, foster care, Indian children, cultural competency, training services
CA
California 2025-2026 Regular Session
Assembly Judiciary Committee Jul 8th, 2025
Transcript Highlights:
- The very burdensome and bureaucratic process of forming a fully developed claim is what gave birth to
- Claims process and apply. So there's training that's required of accredited folks.
- These folks are rated on their ability to process these claims and their success rate.
- for PTSD, doesn't understand the situation, doesn't understand the claims process, right?
- for PTSD, doesn't understand the situation, doesn't understand the claims process, right?
Summary:
The committee heard several bills, with most drawing support after amendments or ongoing stakeholder negotiations. SB 29, by Senator Laird, would extend a sunset on the law allowing pain-and-suffering claims to survive a plaintiff’s death; supporters, including a family member describing a medical negligence case, labor groups, consumer advocates, and disability and elder organizations, argued it prevents defendants from running out the clock, while hospitals, medical groups, and business organizations warned of higher costs and added liability. After extensive debate about data collection, settlement reporting, and the impact on health care access, the bill passed to Appropriations on a divided vote.
SB 294, by Senator Reyes and presented by Senator Laird, would require employers to notify a worker’s emergency contact if the worker is arrested or detained and would create a template to inform employees of state and federal labor rights. Labor and worker advocates said the bill would help workers understand and enforce their rights amid weakened federal enforcement; there was no opposition on file, and the bill passed unanimously to Appropriations. SB 697 would modernize water-rights adjudication by allowing the State Water Board to use technology instead of requiring in-person field investigations; with no opposition, it also passed unanimously.
The committee also advanced SB 37 on attorney advertising, SB 645 on peremptory challenges in civil cases, SB 303 on bias-mitigation trainings in public workplaces, and SB 464 on expanding pay-data reporting for specified state workers. SB 37 drew support from consumer and legal groups but concerns from Walker Advertising about joint advertising; members said negotiations were ongoing, and the bill passed. SB 645 would extend anti-bias jury-selection rules to certain civil rights cases; criminal-defense and defense groups said they were close to agreement, and the bill passed. SB 303 and SB 464 were both amended to narrow scope and moved forward after several opponents shifted to neutral or removed opposition. The committee also approved a consent calendar of additional bills, all sent to Appropriations.
FL
Florida 2025 Regular Session
January 14, 2025 - 01:00 PM
Transcript Highlights:
- process.
- They're also knee-deep right now today in the claims process with their carriers.
- How has it affected you and your policy and your claims and that process you've gone through?
- We had the flood claim and we had the hurricane claims.
- We had the flood claim and we had the hurricane claims.
Summary:
The subcommittee held its first meeting on homeowners property insurance, with members from both parties introducing themselves and repeatedly noting that insurance affordability, roof condition, claims handling, and storm recovery are top concerns for their districts. Chair Yeager said the meeting was intended as an educational discussion rather than a legislative debate, and introduced a panel that included Insurance Commissioner Mike Yaworski, consumer Chad Carr, agent Mary Catherine Lawler, insurer executive Melissa Burt DeVries, and policyholder attorney Chip Merlin.
The panel and members discussed major cost drivers in Florida homeowners insurance, including inflation, home age, roof age, mitigation features, claims history, litigation costs, reinsurance, and the Florida Hurricane Catastrophe Fund. Commissioner Yaworski said underwriting has become more sophisticated and that litigation costs, reinsurance, and replacement-cost inflation all affect premiums; he also said litigation is down about 30% and average requested rate increases have fallen from about 22.1% in 2022 to 0.8% today. DeVries said age of home, replacement cost, roof age, and coverage choices can materially change premiums, and explained that reinsurance is a major expense passed through to consumers. Merlin emphasized transparency concerns, argued that insurers are increasingly individualizing risk, and said consumers often struggle with coverage limits, deductibles, and claim denials.
Members asked about flood coverage, hurricane deductibles, managed repair programs, mitigation credits, new insurer capitalization, and whether savings from reforms are reaching consumers. Yaworski explained that flood is generally excluded from homeowners policies and covered separately, that hurricane deductibles are mandatory in Florida and usually around 5%, and that the office tracks savings from reforms through rate filings and insurer discussions. He said the state is updating mitigation discounts and monitoring new entrants closely for solvency and market conduct. Several members and panelists said recent reforms have helped reduce some abuses and litigation, but many consumers are still seeing higher premiums because replacement costs and reinsurance remain elevated. No votes or formal actions were taken.
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Nov 20th, 2025
Transcript Highlights:
- and pay those claims.
- future medical claims.
- medical claims.
- So that's the claim payments.
- Through that process, we ensure that the Cabinet Secretary is aware of the claims that are coming to
FL
Florida 2025 Regular Session
March 20, 2025 - 11:30 AM
Transcript Highlights:
- Is there any—does DMS have any oversight on the claims process with regard to screenings... ...on the
- claims process with regard to screenings or the claims process in general.
- And we are more than happy to discuss the claims bill process.
- The low limits provide no need for accountability, and the claims bill process currently in place is
- And we have heard stories of folks who have been in the claims process and they have died and not receiving
Summary:
The Budget Committee met with a quorum and took up several bills. HB 677, relating to state-covered fertility preservation for employees undergoing cancer treatment, was introduced as coverage for egg and sperm preservation for up to three years, with an estimated fiscal impact of about $813,000. After brief questions and no public testimony or amendments, the bill passed unanimously and was reported favorably. The committee then considered CS/HB 59, which would reform Florida’s wrongful incarceration compensation process by extending the filing deadline from 90 days to two years, removing the clean-hands requirement, and allowing exonerees to choose between the state compensation process and a civil lawsuit; it was supported by the City of Flagler Beach and passed unanimously. CS/HB 1313, which recreates the Resilient Florida Trust Fund in the Department of Environmental Protection before its scheduled termination in 2025, also passed unanimously after supportive testimony from advocacy groups.
The committee received a lengthy presentation from the Department of Management Services on the State Group Insurance Program and the recent Revenue Estimating Conference. The presentation covered enrollment, revenues and expenditures, rising medical and pharmacy costs, emergency room utilization, GLP-1 drug spending, and options for tighter formulary and utilization management. Members asked about ER cost growth, GLP-1 coverage and copays, PBM oversight and potential conflicts, avoidable ER visits, cancer screening claims, dental and vision costs, specialty drug biosimilars, and possible savings from more restrictive pharmacy models. DMS said it would follow up on several questions and noted ongoing work on cancer coordination, preventive screening, biomarker testing, and a proposed member-facing benefits platform.
The committee also heard extensive testimony on HB 301, which would raise sovereign immunity caps from $200,000 per person and $300,000 per incident to $1 million and $3 million, align limitations periods with private claims, and allow government entities to settle above the caps without a claims bill. Local governments, school-related entities, and county and city associations opposed the bill, warning of major fiscal impacts, higher insurance costs, and pressure on services; several speakers urged smaller increases or a tiered approach. Proponents, including families affected by catastrophic injury or death, argued the current caps are too low and the claims bill process is inefficient and unfair. After debate, the bill passed on a recorded vote, with some members voting no, and was reported favorably.
FL
Florida 2025 Regular Session
March 19, 2025 - 10:30 AM
Transcript Highlights:
- Now claims, we last year received 16,384 claims in total.
- Hurricane E.N. claims and Hurricane Adalia claims, which are all now closed.
- We're going to send claims, claim forms. We're going to send claims forms to the claimants.
- While we're recovering the assets, we are also beginning the claims process.
- While we're recovering the assets, we're also beginning the claims process.
Summary:
The subcommittee heard presentations from the Department of Financial Services and the Department of Business and Professional Regulation, then returned to its ongoing budget workshop with the Department of Management Services. DFS’s Division of Risk Management described its role as the state self-insurance fund, covering about 200,000 employees and 27,000 vehicles, paying roughly $150 million in claims last year, and managing a pilot ETS treatment program for veterans and first responders that had 49 patients and 804 treatments as of the latest report. The Division of State Fire Marshal outlined its fire prevention, training, emergency response, and grant programs, including hurricane deployments, the Florida State Fire College, and several capital and grant requests for roof, courtyard, memorial, and equipment needs. The Division of Rehabilitation and Liquidation explained how it handles insolvent insurers under Chapter 631, currently administering 14 estates with $1.2 billion in assets and $3.7 billion in liabilities, and said no new receiverships had been opened since February 2023. Members asked about grant backlogs, fire truck procurement delays, memorial repairs, and whether affiliate transfers were occurring in insurer liquidations.
Secretary Griffin then updated the committee on DBPR’s implementation of House Bill 1021 on community associations. He said the department had used the new authority to expand education, complaint handling, and ombudsman services, including 10 free standardized courses, a new condo website, and a four-hour board certification course that had already drawn more than 12,000 attendees. He reported that outreach to condominium communities had increased by more than 60%, that complaint filings were up 39% while jurisdictional dismissals dropped to 11%, and that about 81% to 82% of the 65 new positions had been filled. Members pressed him on whether the department had enough authority and funding, how condominium counts are determined, how self-reported structural integrity reserve study data is verified, and whether more public-facing complaint tracking and better reporting from local governments or developers would improve the system.
The committee then resumed questioning Secretary Allende of DMS about outstanding budget and operations issues. Members focused on the delayed People First contract extension required by statute, with the secretary saying the delay involved technical and contractual complexity in moving a legacy hard-coded system to the cloud. They also revisited the state data team and data catalog project, asking why a statutory 2022 deadline had not been met, how the four-person team and broader data staff were organized, how many applicants were considered for key positions, and what each role was doing. The secretary said the catalog work was being simplified into six metadata fields and supported by a broader community of practice, but no firm completion date was given during the exchange.
CA
California 2025-2026 Regular Session
Assembly Insurance Committee Jul 2nd, 2025
Transcript Highlights:
- These claims, you know, Watchdog claims to speak for consumers, but their own records publicly should
- These claims, you know, Watchdog claims to speak for consumers, but their own records publicly show they
- And we're also now at a different stage in the claims process for these fires.
- We have to take our time to get to this part of the entire claims process.
- claims paid, totally more than 17.
Summary:
The Assembly Insurance Committee held its fifth oversight hearing on the California Department of Insurance’s Sustainable Insurance Strategy (SIS), with Commissioner Ricardo Lara providing an update on implementation. Lara said the department has finalized major reforms, including new catastrophe modeling tools, faster rate review procedures, use of forward-looking data tied to mitigation, and modernization of the FAIR Plan. He argued the strategy is intended to improve insurance availability in wildfire-prone areas, increase transparency, and stabilize the market, while also criticizing consumer intervenor groups and saying the department will tighten rules on intervener compensation and relevance.
Members questioned Lara about when the SIS would begin producing visible market changes, how long rate filings would take to approve, and what the FAIR Plan modernization would mean for consumers’ costs. Lara said catastrophe model approvals should be completed by the end of the month, insurers are expected to begin submitting SIS filings in the coming weeks, and rate reviews have already been reduced from 281 days to 71 days. He also discussed a new market conduct investigation into State Farm’s handling of wildfire claims, ongoing complaints about smoke-damage claims, and a newly created smoke claims and remediation task force to develop standards. Lara said the department has helped more than 12,000 wildfire survivors, with over 38,000 claims filed and more than $17 billion paid, and that it is also working with other western states on underinsurance issues.
Public commenters from the insurance industry, homebuilding, and insurance brokerage sectors largely supported the SIS and the department’s efforts, saying the reforms are needed to restore availability and stability. They emphasized the importance of timely rate approvals, FAIR Plan solvency, and greater transparency, and several noted that member companies are preparing to use the new filing process. The hearing ended without a vote or formal action, though members and the commissioner discussed ongoing legislative needs, including AB 226 and possible future FAIR Plan transparency measures.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration Mar 10th, 2026
Transcript Highlights:
- It is simply not possible to increase staffing alone to timely process claims given the exponential growth
- So there are folks that have applications and open cases, and the process of an SIBTF claim has many
- In the process of an SIBTF claim, there are many different steps.
- This can include navigating the complaint and claim processes within the state, as well as helping them
- systems and implementation of the modernized claim processing capabilities, with the contract award
Summary:
The Budget Subcommittee on State Administration heard presentations on the Department of Industrial Relations’ labor-related budget items, with the main focus on proposed trailer bill language to reform the Subsequent Injury Benefits Trust Fund (SIBTF) and a related budget change proposal for staffing. DIR said SIBTF has grown far beyond its original purpose, citing the 2020 Todd decision, expanded eligibility based on chronic or asymptomatic conditions, and a backlog that has grown to more than 30,000 pending cases. The administration argued the reforms would restore guardrails, reduce liabilities and employer assessments, and speed processing for severely injured workers; the LAO said the proposal was largely consistent with its prior recommendations. Members raised concerns about using trailer bill language for major policy changes, the retroactive application to open cases, and the impact on workers already in the queue, while supporters from employer groups and public agencies backed the proposal as necessary to control costs and restore sustainability. Public comment was split, with injured-worker advocates opposing the retroactive changes and business/public employer representatives supporting the reforms.
The committee then heard the SIBTF workload request, which would phase in 177 positions over five years at a cost of $36.5 million, including staff for the Division of Workers’ Compensation, the Office of the Director Legal Unit, and administrative support. DIR said the additional staffing is intended to address very high caseloads and reduce processing times, but emphasized that the request assumes the reform package is adopted; LAO agreed the staffing increase made sense if paired with reforms. Members asked about vacancy rates, current staffing, and whether the workload request would become the new normal, and DIR said it would monitor caseload trends and adjust future requests as needed.
Finally, the committee received an update on the California Workplace Outreach Program (CWOP), which DIR described as a partnership with community-based organizations to educate workers and help employers comply with labor laws. DIR reported that CWOP has reached 1.75 million workers and employers and made 8 million touchpoints since 2020, with the current round awarding $50.7 million to 87 partners for a two-year period through June 2027. Members and public commenters highlighted the program’s role in reaching immigrant, farmworker, janitorial, nail salon, and other vulnerable communities, and several speakers urged continued funding at $30 million per year for five years. No votes were taken during the hearing.
CA
California 2025-2026 Regular Session
Assembly Military and Veterans Affairs Committee Apr 8th, 2025
Transcript Highlights:
- Many bad actors delay the claims process by up to 12 months to increase their payout, since they can
- may charge a fee to assist, process, prepare, and present a veteran's claim.
- The VA benefits claims process is adversarial.
- claim, but they decided to do the claim on their own because they kind of saw the process.
- Having overseas call centers and processing claims in foreign countries, we could legislate against that
Summary:
The Assembly Committee on Military and Veterans Affairs met as a subcommittee because a quorum was initially lacking, and heard six bills. AB 81 by Assemblymember Ta would require CalVet to study the mental health needs of women veterans; supporters from county veterans service officers, veterans organizations, and behavioral health groups said women veterans face higher rates of military sexual trauma, PTSD, depression, and suicide, while no opposition appeared. The bill was later passed 7-0 and re-referred to Appropriations.
AB 826 by Assemblymember Gonzalez would prohibit unaccredited individuals or businesses from charging veterans fees to file or assist with VA benefits claims, impose a civil penalty, and direct penalty revenue to veterans services and district attorneys. Supporters argued the bill would curb predatory “claim sharks” and protect veterans from exploitation, while opponents from private claims consulting firms and several veterans said the measure could restrict access to legitimate help and should be narrowed to target bad actors instead of banning paid assistance broadly. After extensive testimony and discussion about federal law, accreditation, and possible amendments, the committee passed the bill 8-0 and re-referred it to Judiciary.
AB 556 by Assemblymember Patterson would clarify that campus-level mandatory fees are covered under the CalVet fee waiver for dependents of certain veterans and Medal of Honor recipients. Supporters said the bill would fulfill the state’s promise to veterans’ families, while concerns were raised about fiscal impacts on CSU campuses and the need for more precise cost estimates. The bill was passed 6-0 and sent to Appropriations. The committee also adopted its rules 7-0 and approved the consent calendar, which included AB 264, AB 1508, and AB 1509, all re-referred to Appropriations.
NM
New Mexico 2025 Regular Session
IC - Courts, Corrections and Justice Sep 23rd, 2025
Courts, Corrections & Justice Committee
Transcript Highlights:
- civil claims, Tort Claims Act, or Civil Rights Act claims.
- the individual, would be a Section 1983 claim for whatever you believe it probably process would be,
- 1983 federal claims, Civil Rights Act claims, or any other type of claim that's brought against somebody
- On such a claim.
- The Federal Tort Claims Act and/or Section 1983 claims that you could bring against that person.
FL
Florida 2025 Regular Session
March 27, 2025 - 09:00 AM
Transcript Highlights:
- process?
- So that is a part of the claim process.
- claim or something like that.
- Claim denied, and then they send them again, and you failed to respond, claim denied.
- We have a claim.
Summary:
The committee met with a quorum and heard several insurance- and trust-related bills. CS/HB 265, relating to post-judgment execution proceedings involving terrorism, was presented as a measure to help victims enforce long-standing judgments against terrorist assets; it received no opposition in testimony and was reported favorably. CS/HB 1173, concerning the Florida Trust Code, clarified that the Florida Attorney General is the only public official with standing to enforce charitable trusts administered in Florida; members discussed that it was intended to resolve ambiguity identified by a court decision, and it also passed favorably.
The committee then took up PCS/HB 643 on residual market insurers. The bill would remove the “diligent effort” requirement for surplus lines placements, revise surplus lines eligibility, and let Citizens policyholders elect arbitration through DOAH or the courts at renewal or issuance. The sponsor argued the changes would reduce red tape and give consumers more options, while an opponent from the Florida Justice Association warned that removing diligent-search protections could push more policyholders into higher-cost, less-regulated surplus lines coverage and that arbitration could favor insurers. Committee members raised concerns about the lack of premium credits for arbitration, the effect on Citizens, and the loss of consumer protections, but the bill was reported favorably.
Finally, PCS/HB 1047 on insurance regulation generated extensive debate. The bill would reduce pre-licensure hours for general lines agents from 200 to 60, clarify restrictions on public adjuster conduct, require claims-handling manuals only for active residential property insurers, and define “sufficient evidence” for bad-faith claims with examples and a 10-day objection/response process. Supporters said it would streamline claims handling and clarify timelines; opponents and several members argued it could burden policyholders, especially after disasters, and might make it easier for insurers to delay or deny claims. There was also concern about the reduced training hours for new agents and the lack of detail on what constitutes sufficient evidence or a specific objection. After a divided debate, the bill was reported favorably by a 12-6 vote. The meeting then adjourned.
FL
Florida 2026 5th Special Session
Banking and Insurance Feb 4th, 2026
Transcript Highlights:
- So there is a state process right now, and because there is a state process in place right now, the providers
- cannot use the federal process.
- They are prohibited from using the federal process because we have a state process.
- So somebody might send the claim up to be handled through the federal process and then just be told,
- paid, and claims denials.
Summary:
The Senate Committee on Banking and Insurance met with a quorum present and heard a full agenda of bills, most of which were reported favorably. Early in the meeting, SB 1000 on trust fund interest for attorney trust accounts was explained as setting a floor and ceiling tied to the Wall Street Journal prime rate and passed without objection after supportive testimony from banking and credit union groups. The committee then took up CS/SB 1082 on a statewide provider and health plan claim dispute resolution program; the sponsor described it as a way to move emergency out-of-network payment disputes away from costly litigation and into an independent dispute resolution process modeled on the federal No Surprises Act. A proposed amendment drew significant questions from senators and concerns from the Florida Insurance Council about confusion over state versus federal eligibility and possible effects on contracted rates, and the sponsor ultimately withdrew the amendment. The underlying bill was then supported by health care and insurance stakeholders and reported favorably. SB 684 on electronic signatures for total loss vehicles and vessels also passed, with Progressive Insurance waiving in support.
The committee next approved CS/SB 158 on pet insurance, which requires continuing education for agents, clearer consumer disclosures, and annual reporting to OIR; the amendment was technical and adopted. SB 1494 on breast cancer screening coverage was presented as expanding required coverage for mammograms and supplemental screenings for certain insurance products, and it passed with support from cancer and radiology groups. CS/SB 314 on digital asset issuers was amended to create a Florida framework for payment stablecoin issuers consistent with the federal GENIUS Act, allowing state-level regulation as an alternative to federal supervision, and was reported favorably. SB 1500 on uncontested probate proceedings, including higher small-estate thresholds and clearer authority for personal representatives, also passed after a banking-related amendment requiring letters of administration for safe deposit box access was adopted.
Later, the committee approved CS/SB 618 on workers’ compensation insurance, which raises the consent-to-rate cap for workers’ comp policies from 10% to 20% and adjusts the Florida Workers’ Compensation Guarantee Association board membership; a carrier representative testified that the change would help keep more high-risk accounts in the voluntary market. CS/SB 1568 on a Florida Stable Coin Pilot Program was amended to remove authority for DFS to create a Florida coin, limit the pilot to existing stablecoins with at least $1 billion market capitalization, and require qualified public deposit handling; it then passed. CS/SB 838 on electronic payments for retail installment contracts clarified that convenience fees for electronic payments are permissible while preserving a fee-free option, and it was reported favorably after questions about consumer access to free payment methods. SB 1452, the Department of Financial Services agency bill, made a wide range of administrative changes affecting My Safe Florida Home, unclaimed property, licensing, bail bonds, and other DFS functions; a late-filed amendment on title insurer appointments was adopted, and the bill passed. The committee also approved SB 1706 on the My Safe Florida Condominium Pilot Program, targeting condo hardening assistance to owner-occupied units meeting income and occupancy criteria, and SB 990 on protected cell captive insurance companies, which the sponsor and industry witnesses said would modernize Florida law and promote insurance competition and economic activity. The meeting ended with all bills on the agenda reported favorably and the committee adjourning without objection.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 7 on Accountability and Oversight Apr 23rd, 2025
Transcript Highlights:
- The legislative process.
- , or the process year.
- So it's an underinsured claim, or it's an uninsured claim in its entirety.
- It's really not about the retroactive claims, but about future claims.
- We are still working on settlement of additional claims. Amen. Of the claims to date.
Summary:
The Assembly Budget Subcommittee on Accountability and Transparency held a hearing focused on three issues: federal funding cuts and delays, possible state revenue impacts from reduced IRS enforcement, and the fiscal effects of AB 218 on local governments. The Franchise Tax Board described how state and federal tax systems are closely linked, how most returns are filed electronically through software, and how FTB relies on IRS information sharing for compliance, fraud prevention, offsets, and nonfiler work. Members raised concerns that federal staffing cuts at the IRS could weaken audits of large corporations and reduce California revenue, and asked about VITA and ITIN filers; FTB said it was not aware of VITA reductions, noted ITIN returns are processed the same as other returns, and said ITIN filing appeared slightly down this year. The Department of Finance said it is monitoring federal developments, summarized the continuing resolution and reconciliation process, and noted that California lost nearly $940 million in earmarked federal projects under the CR, while major federal budget decisions remain uncertain until the President’s budget and later congressional action.
The University of California reported substantial federal pressure on research, student aid, and health care. UC said hundreds of millions of dollars in federal awards have already been canceled, with additional threats to NIH and DOE facilities-and-administration rates, graduate fellowships, student loan repayment plans, international student visas, Pell Grants, and Medicaid/Medi-Cal funding. Committee members pressed UC on the effects of DEIA-related federal restrictions, the loss of clinical trials and research staff, and the impact on low-income students and patients. UC said it is pursuing litigation with the Attorney General and other institutions, but emphasized that court action is only a temporary solution and that sustained state and private support may be needed.
The second panel addressed the fiscal consequences of AB 218, which extended the statute of limitations for childhood sexual abuse claims against public agencies. FCMAT presented a report with 22 recommendations, including better statewide data collection, financing mechanisms, a possible victims compensation fund, and prevention measures. Los Angeles County described a tentative $4 billion settlement tied to AB 218 claims, saying it will require reserves, borrowing, and long-term annual payments through 2050, while also forcing curtailments and cuts to vacant positions to preserve services. Members discussed insurance pools, retroactive premiums, unidentified future claims, and the need for a compensation fund or other financing tools. No formal votes were taken; the hearing concluded with public comment, including testimony from local health officials about nearly $400 million in terminated federal public health grants and the resulting layoffs and service impacts.
CA
California 2025-2026 Regular Session
Assembly Insurance Committee Mar 19th, 2025
Transcript Highlights:
- For too many, unfortunately, navigating the claims process is overwhelming, and they seek help from public
- To make sure consumers get all of their claim and that they're not, you know, unnecessarily giving claim
- Survivors have filed more than 37,000 claims, and over 27,000 of these claims have already received partial
- claims fairly, fully, and quickly, requiring the Fair Plan... ...the necessary staff to process claims
- I do not want to lose it over process.
Summary:
The committee first heard AB 597, a bill to strengthen consumer protections for disaster survivors who use public adjusters. The author and the Department of Insurance said the measure would cap public adjuster fees at 15% for claims tied to declared disasters, require clearer contracts, prohibit solicitation during emergency conditions, and allow consumers to rescind contracts that were solicited during prohibited periods. Insurance industry groups supported the bill, while public adjuster representatives opposed it as written but said they were willing to work on revisions. The committee approved the bill and re-referred it to Appropriations; the roll call was ultimately recorded as 16-0.
The committee then held its fourth oversight hearing on the Department of Insurance’s Sustainable Insurance Strategy, with Commissioner Ricardo Lara giving an extensive update on wildfire-related market reforms and consumer protections. He said the recent Southern California wildfires had not derailed the strategy and described actions including advance claim payments, a one-year moratorium on residential non-renewals in affected areas, a new fraud strike team, smoke-damage claim guidance, additional living expense protections, and a consumer claims tracker. He reported more than $12.1 billion in claims paid, over 37,000 claims filed, and more than 7,000 survivors assisted directly. He also discussed related bills and reforms, including AB 597, SB 495, SB 547, SB 429, SB 616, AB 888, and AB 2026.
Members questioned the commissioner about the Fair Plan’s growing exposure, the $1 billion assessment, rate increases, non-renewals, underinsurance, and whether the reforms would actually stabilize the market. Lara said the assessment was already approved, that policyholders would not be hit with one large bill because insurers have two years to recover costs, and that the department was pushing insurers to use catastrophe modeling and reinsurance tools in exchange for commitments to write more policies in wildfire-distressed areas. He said the department expects to see market stabilization by 2026, though he emphasized the timeline depends on insurer participation, implementation of the new regulations, and future disaster activity. Members generally expressed support for the goals of the strategy while pressing for clearer expectations for consumers and faster action on mitigation and market reform.
CA
California 2025-2026 Regular Session
Assembly Judiciary Committee Mar 25th, 2025
Transcript Highlights:
- And while the law currently does allow an application process for leave to file a late claim, that process
- The tort claims process exists in part to provide public entities with notice of a potential claim and
- Delaying the start of the claim process puts evidence that is necessary to defend a potential claim or
- To address late claims, the Government Claims Act outlines a process to file late claims within a year
- Looking back at the history of the development of the claims process and the initial recommendation by
Summary:
The committee heard several bills, with the most detailed discussion focused on AB 316, AB 251, AB 474, AB 1201, AB 464, and AB 614. AB 316 would prevent AI developers or deployers from arguing in civil cases that an AI system’s alleged autonomy absolves them of responsibility. Supporters framed it as a narrow guardrail to protect families, especially children, from harms like dangerous chatbots and deepfakes; opponents, including TechNet and the Chamber of Progress, raised concerns about possible strict-liability implications. The bill was moved out of committee to Privacy and Consumer Protection.
AB 251 would let judges lower the burden of proof in elder abuse cases when a skilled nursing facility or RCFE intentionally destroys evidence. Supporters said the measure is needed because elder abuse victims are often unable to testify and records are vulnerable to spoliation, while opponents argued existing sanctions are sufficient and warned of more litigation. The bill passed, with committee members emphasizing the vulnerability of elder abuse victims. AB 474 sought to expand nonprofit home-sharing programs, including tax incentives for low-income homeowners and changes to housing law and lodger rules. Supporters said it would help older adults and low-income Californians avoid homelessness, but several members and the California Apartment Association raised concerns about removing lodger-law protections for homeowners; the author committed to keep working on the issue. The bill passed to Human Services.
AB 1201 would give courts discretion to provide family reunification services to parents with certain violent felony convictions, rather than applying an automatic bypass. Supporters from Starting Over Inc. described personal experiences with permanent family separation and argued the bill would give parents a fair chance when the conviction is unrelated to child safety. Some members supported the measure but questioned whether domestic violence histories should be treated differently; the author said the bill still allows courts to deny services when reunification would endanger a child. The bill passed to Human Services. AB 464 addressed sexual abuse and retaliation in state prisons by extending reporting time after release, adding 90-day monitoring after reports, barring rehiring of confirmed abusers, and strengthening reporting and anti-retaliation rules. Survivors testified about abuse, retaliation, and failures in CDCR’s response; the bill passed to Appropriations.
AB 614 would standardize the Government Claims Act filing deadline at one year for all claims. The author and supporters argued the current six-month deadline for injury and wrongful death claims is too short for victims to learn the process, find counsel, and gather evidence, while businesses often get a full year. A civil rights attorney and a family member of a deceased jail detainee testified in support, describing how the current deadline can block meritorious claims. The bill was presented for committee consideration as the hearing continued.
NH
New Hampshire 2025 Regular Session
House Labor, Industrial and Rehabilitative Services (04/08/2025)
Labor, Industrial and Rehabilitative Services
Transcript Highlights:
- Uh, there is an appeal process built in. The provider has the opportunity to contest the claim.
- That process is a very those claims.
- <01:35:07.040>
paid claim was not processed and paid claim was not processed and paid accordingly - As providers, the process to appeal underpaid and incorrectly paid claims is very, very timely.
- As providers, the process to appeal underpaid and incorrectly paid claims is very, very timely.
WA
Washington 2025-2026 Regular Session
Senate Labor & Commerce Dec 5th, 2025
Transcript Highlights:
- I'll talk a little bit about claim processes and then move into discussion about our medical provider
- a claim.
- However, those claim managers do manage the everyday ongoing benefits in a claim.
- My husband's claim was a state fund claim.
- My husband's claim was a state fund claim.
Summary:
The committee first received an update from the Attorney General’s office on a new workers’ rights unit and two request bills. The office said the unit will focus on wage theft and civil rights enforcement, using existing resources for a small staff. It also described a bill to expand civil investigative demand authority for labor, wage theft, prevailing wage, and discrimination investigations, and an Immigrant Worker Protection Act that would require employer notice when federal immigration authorities request employee records, limit access to nonpublic work areas without a warrant, and restrict disclosure of employee data without proper legal process. Senators asked about costs, funding sources, and the scope of the proposed authority, and the office said it would follow up with more detail.
The committee then heard a detailed presentation on Washington’s workers’ compensation system from Labor and Industries, including how claims are filed, how the medical provider network works, and how treatment authorizations and utilization review are handled. L&I said the network was created to improve care quality and return workers to work, and explained that most routine care is automatically authorized while certain procedures require prior approval or review. A question from Senator Conway focused on the role of the medical director and the appeals process; L&I said decisions can be protested and reconsidered, with exceptions reviewed through a complex treatment unit and medical staff.
An experience panel followed with testimony from labor representatives, physicians, and an injured-worker attorney, who argued that the medical provider network and treatment guidelines can delay or deny needed care, especially in complex cases such as PTSD, brain injuries, and serious orthopedic injuries. They described long appeals, utilization review barriers, provider shortages, and the impact on injured workers and families, while L&I’s presentation emphasized the system’s structure and review safeguards. The committee then heard a report from the Underground Economy Task Force in the construction industry. L&I summarized the task force’s findings on worker misclassification, unregistered contractors, and unpaid taxes and premiums, and outlined consensus and majority recommendations, including better interagency communication, stronger penalties for repeat offenders, more authority to address successorship, possible contractor notice requirements, and further study of cash payments. The Attorney General’s office, labor, and business representatives generally supported the report’s goals but differed on some recommendations, especially those affecting independent contractors, contractor liability, and administrative burdens. The chair and Senator Conway thanked participants and said the report would inform future legislation.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 7 on Accountability and Oversight Apr 23rd, 2025
Transcript Highlights:
- What we try to focus on is we try to complete the tax return processing in the tax year, or the process
- We weren't, our report doesn't debate whether these are legit claims or not legit claims, whether we
- So it's an uninsured claim in its entirety.
- It's really not about the retroactive claims, but about future claims.
- At this point in time, claims, while there was a deadline to file claims that only applied to certain