Video & Transcript Research : 'premium structure'
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MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Health Jun 21st, 2026 at 09:00 am
Joint Committee on Public Health
Transcript Highlights:
- It also means that there's a premium on hearing space room, so we sometimes have more limited time and
- that acknowledges the serious public health threat of racism and works to root out systemic and structural
- And structural barriers to better health.
- ConnectorCare plans deliver lower monthly premiums, in some cases no premiums, reduced co-pays, and eliminate
- For the small businesses we serve this year, we also created the premium value plan designation.
Summary:
The Joint Committee on Public Health held an introductory informational hearing for the new session, with Chairs Marjorie Decker and Senator Michael Driscoll outlining the committee’s scope and emphasizing the impact of the federal landscape on Massachusetts public health. They noted the hearing would focus on testimony from agencies and advocates, with short testimony limits due to the hybrid format. No votes were taken; the meeting was for briefing and discussion of priorities.
Commissioner Robbie Goldstein of the Department of Public Health described the department’s budget and federal funding, warning that recent CDC grant terminations could cut nearly $100 million and affect lab testing, surveillance, vaccines, and community engagement. He highlighted DPH priorities including racial equity, maternal health, substance use and child welfare coordination, emergency preparedness, data transparency, and public hospital quality. MassHealth Assistant Secretary Michael Levine discussed MassHealth’s role covering about 2 million residents and its priorities in health equity, behavioral health, primary care, member independence, and customer service, while noting the agency relies heavily on federal Medicaid dollars and would face major strain from federal cuts.
Several advocacy and provider groups focused on reproductive health and maternal health. Planned Parenthood warned of threats to Title X, 340B savings, and other federal funding, and supported a bill to eliminate parental consent and judicial bypass for abortion care for young people. Reproductive Equity Now urged stronger shield-law protections and changes to Massachusetts’ later-abortion framework. Dr. Indyamaka Anugaka called for full implementation of the maternal health law, better reimbursement for doulas and midwives, stronger data collection, and support for full-spectrum pregnancy care coverage. The Health Policy Commission said new maternal health and primary care task forces would begin work soon.
Mental health and health system access were also major themes. The Mass Medical Society urged action on vaccine hesitancy, removal of non-medical school vaccine exemptions, and primary care reform. The Massachusetts Association for Mental Health and the Children’s Mental Health Campaign opposed proposed cuts to DMH and substance use services, called for more school-based supports, and raised concerns about inpatient capacity, including a unit serving LGBTQ youth. The Massachusetts Nurses Association and 1199 SEIU warned that staffing shortages, low wages, workplace violence, hospital closures, and possible Medicaid cuts threaten patient care and the health care workforce. The Betsy Lehman Center also urged investment in automated patient-safety monitoring to reduce harm and costs.
ND
North Dakota 2025-2026 Regular Session
Senate Floor Session Apr 2nd, 2025 at 12:30 pm
North Dakota Senate Floor Meeting
Transcript Highlights:
- Recently, many, if not all, have incurred increases in auto insurance premiums.
- Auto insurance companies are paying out $1.10 for every dollar in premium they're collecting.
- So, auto premiums have increased. If they continue to lose money, auto premiums have increased.
- Obviously, bad driving records should and would cause your auto premiums to increase.
- Obviously, bad driving records should and would cause your auto premiums to increase more than those
Summary:
The Senate convened with prayer, pledge, roll call, and a quorum present, then approved a motion to lay over House Bill 1525 for one legislative day. It also voted not to concur with House amendments on Senate Bills 2294, 2297, 2070, 4017, and 2262, appointing conference committees for each. The chamber then took up a series of House bill amendments and final-passage votes.
On amendments, the Senate adopted changes to House Bill 1229 on fleeing law enforcement and driving-record transparency after debate over insurance impacts and public safety; House Bill 1510 on teacher retention, on-site child care, and licensure study language; House Bill 1160 to restrict student personal electronic devices during instructional time; House Bill 1429 to address drone harassment and stalking of animals; House Bill 1203 to harmonize medical marijuana provisions; House Bill 1600 to create a UND immigration clinic with reporting requirements; House Bill 1130 to broaden K-12 funding formula changes and reduce state fiscal impact; House Bill 1279 to modify the coal conversion tax exemption; House Bill 1442 to adjust membership and scope of a state task force; and House Bill 1464 to convert a maternal care services proposal into a study and remove the appropriation. The Senate rejected an amendment to House Bill 1022 concerning the Retirement and Investment Office bonus program, then passed the bill. It also passed House Bill 1234 on a $90 million transfer to reduce PERS liability, while rejecting a floor amendment to it.
On final passage, the Senate passed House Bills 1008 (Public Service Commission budget), 1218 (temporary moratorium and study on economic analysis for drain projects), 1234 (PERS funding transfer), 1146 (PERS defined contribution cleanup and emergency clause), 1355 (expanded notice for administrative rulemaking), 1470 (Game and Fish fee changes and guide/outfitter updates), 1029 (Capital Grounds Planning Commission duties), 1017 (Game and Fish budget), 1374 (township supervisor open-meeting exemption for on-site inspections), and 1064 (NC-SARA membership and distance education regulation). It defeated House Bill 1583 on false political advertisements with civil-action language and House Bill 1393 on earned wage access provider regulation. The transcript ends as the Senate begins consideration of House Bill 1326 on self-defense and unlawful firearm possession by felons.
AL
Alabama 2025 Regular Session
Alabama Senate Banking and Insurance Committee Apr 2nd, 2025
Banking and Insurance
Transcript Highlights:
- The 85% minimum loss ratio will drive up premiums; that has been well documented in other states.
- Higher premiums mean fewer employees will contribute, and fewer individuals will be able to afford the
- Different insurers have the ability right now to structure their rollover plans to fit their specific
- The context you're talking about, your typical health premium is about $500 for an individual.
- Our age dental premium was $26, so 15% of $500...
CA
Transcript Highlights:
- Each month for health insurance premiums, all of us are doing the same thing.
- Even charging a $1 premium likely would have some effect on enrollment.
- We do face a structural deficit problem where we are...
- We oppose any premiums because we know payments of any amount cause people to lose coverage.
- LCHC opposes the proposed Medi-Cal freezes and the $30 premium.
MN
Minnesota 2025-2026 Regular Session
House Workforce, Labor, and Economic Development Finance and Policy Committee 2/24/26
Workforce, Labor, and Economic Development Finance and Policy
Transcript Highlights:
- Uh, paid leave is funded by premiums Uh, paid leave is funded by premiums that<00:03:16.800>
are small employers pay a reduced premium small employers pay a reduced premium for<00:07:53.039>- The premium leave lines of coverage.
- effective premium rate is 66%.
- system for wage detail and premium system for wage detail and premium reporting<00:39:48.320>
CA
California 2025-2026 Regular Session
Assembly Budget Committee Jun 29th, 2026
Transcript Highlights:
- very proud that the product we are delivering today is going to make significant progress on our structural
- surgical budget actions, and I’m proud that we are going to make real progress on those out-year structural
- In addition, the budget reduces the out-year structural deficits that were identified in the Governor's
- Delivery system effective January 1, 2027, implementing $50 monthly premiums for adults age 19 to 59
- The Legislature and the administration to ensure this structure is not dismantled.
Summary:
The Assembly Budget Committee met to consider the final three-party agreement for the 2026-27 state budget and 19 implementing bills, including two budget bill juniors and 17 trailer bills. Committee leadership and administration officials described the budget as a balanced plan that reduces out-year structural deficits, maintains large reserves, and makes major investments in health care, education, housing, child care, public safety, and other core services while also responding to expected federal cuts and fiscal uncertainty. The Department of Finance outlined the package’s major components, including Medi-Cal adjustments, education funding increases, higher education changes, child care and human services updates, housing and homelessness funding, energy and transportation provisions, and tax and general government changes.
Members asked questions about several provisions, including CSU enrollment targets and turnaround plans, the Prop. 98 settle-up mechanism, the plastics market development payment program, housing accountability measures, NextGen 9-1-1 implementation, and veteran services. Staff and administration witnesses explained that the higher education language is intended to improve campus-by-campus reporting and oversight, that Prop. 98 settle-up would be finalized later through the statutory certification process, and that NextGen 9-1-1 now includes one-time funding, quarterly reporting, an independent technical review, and a state audit. Members also discussed the HAP homelessness funding increase to $900 million and the balance between accountability and timely distribution of funds.
The most extended exchange centered on comparisons between funding for veterans and Medi-Cal/immigrant health coverage. Republican members argued the budget spends far more on undocumented immigrant services than on veterans, while Democratic members and Finance staff responded that the comparison was misleading because many veterans’ services are federally funded and the state budget also includes dedicated veteran support. The chair and other members emphasized that the budget reflects difficult tradeoffs and that the package protects vulnerable populations, preserves health care access, and advances affordability. No final vote was described in the excerpt, but members indicated support for the overall package and said they would support it on the floor.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/26/25
Human Services Finance and Policy
CA
California 2025-2026 Regular Session
Senate Energy, Utilities and Communications Committee May 12th, 2026
Energy, Utilities and Communications
Transcript Highlights:
- But you’re going to pay a premium for that risk transfer, $3 to $4 billion a year.
- We look at the structure.
- So we call that out. ...structure, irrespective of inverse.
- We believe wildfire liability, the structure that we have, is in fact working as it should.
- And I would just advise the committee to think about those bottom line incentive structures.
Summary:
The committee held the first of several informational hearings on the SB 254 Natural Catastrophe Resiliency Study, focused on wildfire risk, utility liability, and how to finance catastrophic losses. Chair Allen opened by describing California’s recent utility-ignited wildfires, the creation of the wildfire fund under AB 1054, and SB 254’s extension of that fund and requirement for a study. The California Earthquake Authority, as wildfire fund administrator, presented the report’s process and findings, emphasizing that the study was intended to be neutral and broad, based on extensive stakeholder outreach, and that the status quo is not working well for survivors, communities, ratepayers, insurers, or utilities.
CEA’s report organized recommendations into three policy pathways: continued mitigation investment, more equitable allocation of catastrophe burdens, and expanded state roles in catastrophe financing. For utilities, the report discussed options such as setting a binding risk-tolerance standard, preserving safety certificate accountability, tying executive compensation more directly to safety, creating confidential reporting with safe-harbor protections, reforming utility liability including possible changes to inverse condemnation, limiting damages, reducing insurance subrogation, and creating a fast-pay facility for survivors. The financing analysis compared a more durable wildfire fund, risk transfer/reinsurance, liability reforms, and state-backed mechanisms such as a state insurer, a state backstop, and broader funding for community wildfire mitigation.
The CPUC said wildfire mitigation oversight has improved, but wildfire-related costs are driving electricity bills higher and creating an affordability crisis. The Office of Energy Infrastructure Safety highlighted its wildfire mitigation plan review and field inspections, and recommended stronger safety reporting and more safety-weighted executive compensation. In member discussion, senators and assemblymembers focused on the cost of the status quo, whether the burden should be shared by ratepayers, utilities, the state, or other parties, and whether California should consider broader disaster-financing approaches. Several members raised concerns about inverse condemnation, the pace of survivor compensation, local land-use responsibility, and the need for a more comprehensive statewide solution rather than piecemeal bills. No votes or formal actions were taken; the hearing was informational only.
ND
North Dakota 2026 1st Special Session
Employee Benefits Programs Committee May 7th, 2026 at 10:00 am
Employee Benefits Programs Committee
Transcript Highlights:
- With that, 10:05, presentation from PERS regarding the history, benefits, contracts, and premium structures
- Can you imagine a $5 health insurance premium? Five-dollar health insurance premium back then.
- Cost to the premium side.
- There's no premium to it.
- the monthly premium of that enhanced coverage option, once that's determined, and the monthly premium
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Banking and Insurance (9-16-25)
Transcript Highlights:
- <00:13:47.360>
integrity um and keep their structural integrity um and keep their structural - <00:29:20.320>
in decrease health benefit plan premiums in decrease health benefit plan premiums - And then we get into the premium impact calculation.
- ratio to gross that up to a premium ratio to gross that up to a premium impact<00:43:05.280>
- I've decrease the cost of your premium.
Keywords:
Meeting Start 00:00:00
Call to Order and Roll Call 00:00:23
Kentucky Bankers Association 00:02:32
How to Read and Understand KRS 6.948 Health Mandate and Federal Cost Defrayal Impact Statements 00:25:40
Proposed Amendments to Kentucky's Essential Health Benefit-Benchmark Plan 00:50:18
Proposed Health Insurance Legislation for the 2026 Session 01:04:22
Reimbursement for Covered Benefits Delivered Through the Psychiatric Collaborative Care Model 01:01:46
Coverage of Eating or Feeding Disorders 01:18:47
Coverage of Hearing Loss 01:25:31, 958, all
Summary:
The Interim Joint Committee on Banking and Insurance met for its first interim meeting, established a quorum, approved routine opening items, and welcomed a new committee assistant and a legislative intern. The committee first heard a Kentucky Bankers Association presentation from Tim Shank and John Cooper focused on the state’s housing shortage, which they described as affecting all 120 counties and especially low- and moderate-income and workforce housing. They urged support for a proposed $20 million banker-backed revolving fund, paired with tax credits, to finance new housing construction; they said the program would be flexible, could support alternatives such as manufactured housing, and would use below-market loans with tax credits vesting over five years only after units are completed. They also asked for extension of the historical tax credit carryforward from five to seven years and for continued support of new market tax credits, arguing that supply-chain delays make the longer period necessary for historic rehabilitation projects.
The bankers also raised concerns about credit unions, arguing that because credit unions do not pay the same taxes as banks, they should not be allowed to acquire healthy state-chartered banks or hold state and local deposits. They cited the recent purchase of First State Bank of Middlesborough as an example, saying the transaction would reduce state, county, and city tax revenue and weaken local tax bases. In response to committee questions, the presenters said local regulations, zoning, parking, sidewalk, and utility easement issues can significantly delay housing projects, and they emphasized that state policy and infrastructure support are needed to help address affordability and development barriers.
The committee then shifted to a Department of Insurance presentation by Commissioner Sharon Clark on how to read KRS 6.948 health mandate and federal cost defrayal impact statements. Clark explained that the mandate statements were created in 1998 so legislators would have actuarial estimates of how proposed health insurance mandates would affect administrative costs, premiums, and total costs, and she noted that later legislation added federal cost-defrayal analysis. She also reviewed the background of the Affordable Care Act’s essential health benefits framework and said the department’s statements are intended to help lawmakers make informed decisions on proposed health coverage mandates. No votes or formal actions were taken during the portion of the meeting provided.
CA
Transcript Highlights:
- It reduces the structural deficit by more than half, so we refuse to kick the can down the road.
- immigration status, so that the May Revision proposed increasing that premium to $50 from $30.
- Additionally, the Legislature's budget reduces the out-year structural...
- It delays the imposition of increased Medi-Cal premiums.
- It seeks to retain and ensure our underinsured... ...position of increased Medi-Cal premiums.
Summary:
The Assembly Budget Committee met to consider the 2026 Budget Act, which leaders described as the compromise budget expected to move to the floor later that evening. Opening remarks emphasized that the plan balances the budget over two years, reduces the structural deficit, and builds reserves, while also protecting core programs from federal cuts. Jason Sisney outlined the legislative budget plan, saying it uses higher-than-expected revenues and reserve balances to reject some proposed reductions and fund temporary restorations and new spending in areas such as education, child care, health care, housing, homelessness, and public safety. Department of Finance representatives said the administration appreciated the two-year balanced framework and the effort to address out-year deficits, while noting the plan includes additional spending and revenue changes. Sisney also previewed floor bills including AB 109, SB 110, SB 122, and SB 125, with SB 122 described as a modification to the tax credit proposal and SB 125 as the managed care organization tax proposal.
Subcommittee chairs then described the major policy choices in their areas. Health chair Addis said the budget responds to federal health care rollbacks by protecting Medi-Cal, clinics, hospitals, dental care, and other safety-net services, while also supporting reproductive care, gender-affirming care, and county health systems. Education chair Alvarez highlighted increased school funding, expanded learning, special education, teacher support, community colleges, and a change to Cal Grant eligibility for older community college students. Other chairs emphasized child care expansions, homelessness and housing funding, prison closure and criminal justice savings, wildfire mitigation, county support for Medi-Cal and CalFresh administration, and accountability measures tied to homelessness and corrections spending. Several members also raised concerns or priorities, including the impact of the MCO tax on providers, the need for more support for local journalism, transit and climate funding, biotech and R&D incentives, and continued work on Prop 98 and long-term revenue solutions.
No formal votes were taken in the portion provided, but members broadly expressed support for the budget framework and the need to continue negotiations with the administration before final passage. The committee discussion repeatedly framed the budget as a response to federal policy changes and a choice to protect vulnerable Californians while maintaining fiscal responsibility. The vice chair, citing LAO warnings about future volatility and limited reserves, pressed Finance on whether the budget represented a record-sized state budget and whether revenues were also at record levels, underscoring concerns about the state’s preparedness for a downturn.
HI
Hawaii 2026 Regular Session
CPC-CPN Joint Info Briefing - Tue Jan 13, 2026 @ 9:00 AM HST
Hawaii House Floor Meeting
Transcript Highlights:
- <00:37:36.120>
structural structural review. Okay. structural structural review. - it's structured it's structured the<00:43:09.240>
RBC <00:43:09.600>analysis <00:43 - >
alters <01:21:10.760>how Any structural change that alters how Any structural change - difficult to unwind even if premiums difficult to unwind even if premiums rise<01:31:40.240>
- expecting our premiums to go up. expecting our premiums to go up.
FL
Florida 2026 Regular Session
Appropriations Committee on Health and Human Services Mar 18th, 2025
Appropriations Committee on Health and Human Services
Transcript Highlights:
- I sent out my complaint form as an example of how to structure...
- In fact, in 2013, our facility premium was $3.6 million.
- The reason is physicians can't afford those premiums, and if they practice, they go bare.
- And my clients are currently facing the highest medical malpractice premiums in the United States.
- or to justify other premiums is wrong.
Summary:
The committee met with a quorum and considered several health-related bills. SB 398, by Senator Burgess, would create a statewide Alzheimer’s and dementia awareness campaign through the Department of Elder Affairs, focused on early detection, brain health, risk reduction, clinical trial access, and community resources. Supporters said Florida has a large and growing Alzheimer’s population and that the campaign would help families and vulnerable communities; the bill was reported favorably after a roll call vote. The committee also adopted an amendment to SB 714, by Senator Burton, which would create non-opioid advanced directives and add liability protections for providers in medical emergencies involving opioids. Supporters framed it as a patient-choice measure, while opponents argued it was vague and could interfere with appropriate pain treatment; the amended bill was then reported favorably.
The committee also approved CS/SB 756, which removes the current age-eight diagnosis requirement for autism-related insurance coverage and extends coverage beyond age 18 for those diagnosed with autism. Senator Burton said the bill would help families whose children are diagnosed later or whose needs continue into adulthood. There was brief discussion about existing lifetime benefit caps, but the sponsor said the bill did not change those limits. The committee then took up SB 734, a proposal by Senator Yarbrough to repeal Florida’s wrongful death exception that bars certain parents and adult children from recovering non-economic damages in medical negligence cases. The sponsor and supporters described the current law as discriminatory and unjust, especially for families of older adults and disabled individuals, while opponents warned it would raise malpractice costs, increase premiums, and worsen provider shortages. The bill drew extensive public testimony from both grieving family members and health care/insurance representatives, and members debated whether caps or other safeguards should be added. No final action on SB 734 is reflected in the transcript excerpt.
ND
North Dakota 2025-2026 Regular Session
Employee Benefits Programs Committee May 7th, 2026
Transcript Highlights:
- With that, at 10:05, presentation from PERS regarding the history, benefits, contracts, and premium structures
- Can you imagine a $5 health insurance premium? Five-dollar health insurance premium back then.
- Cost to the premium side.
- There's no premium to it.
- the monthly premium of that enhanced coverage option, once that's determined, and the monthly premium
Summary:
The Employee Benefits Committee met to approve prior minutes, hear presentations on state employee health insurance, compensation, leave, and related policy issues, and then recess for lunch. PERS reviewed the history and structure of the state health plan, noting the long-standing state-paid family coverage, cost-control measures, wellness incentives, the current grandfathered PPO and high-deductible options, and the effects of recent benefit mandates such as insulin caps, prosthetic coverage, medication management, prescription copay changes, and ambulance balance-billing limits. Committee members questioned the fiscal impact of adding benefits and the possible cost of moving to a non-grandfathered plan, while PERS and HRMS emphasized that health insurance remains the top-ranked employee benefit and that any major plan changes should be considered carefully. HRMS also presented compensation comparisons showing state pay generally below private-market benchmarks, discussed targeted market equity adjustments, identified ongoing recruitment and retention concerns in fields like nursing, IT, engineering, and attorneys, and reviewed leave policies, tuition reimbursement, and family leave comparisons with neighboring states. Job Service provided labor market data showing low unemployment, high labor force participation, and wage growth that still trails some neighboring markets, and OMB explained that prevailing wage requirements apply to federally funded projects under Davis-Bacon, not to ordinary state contracts.
After lunch, the committee took up the required process for health insurance mandate bills and adopted an amendment to Joint Rule 211. The amendment clarified that the deadline for submitting mandate measures is intended to allow time for all required reports, including both the cost-benefit analysis and any Employee Benefits Committee actuarial report, while leaving the existing deadline unchanged. The amendment was adopted on a roll call vote, with several members voting yes and a few no votes recorded. The committee then moved into its jurisdiction review of bill drafts, beginning with a bill that would automatically renew pre-tax dental and vision elections; members debated whether it had any actuarial or administrative impact on PERS or the state, and the chair explained that the committee’s role was only to decide whether further analysis was needed before later testimony and recommendations.
NM
New Mexico 2025 Regular Session
House - Appropriations and Finance Jan 23rd, 2025
House Appropriations & Finance
Transcript Highlights:
- What that funds is roughly a 10% premium increase.
- Line 88: structured literacy implementation.
- Required to implement some support structures for those students.
- Is it district by district that the premiums that the teachers are paying vary?
- , or is that something that can be fixed within the organizational structure?
CA
California 2025-2026 Regular Session
Senate Revenue and Taxation Committee May 6th, 2026
Revenue and Taxation
Transcript Highlights:
- We also have a looming threat of a 38% increase in Fair Plan premiums in 2026.
- We also have a looming threat of a 38% increase in Fair Plan premiums in 2026.
- And when losses are lower, pressure on premiums and state-backed insurance programs is reduced.
- So this is about more than protecting structures.
- But every month, that premium came out of our tight budget.
Summary:
The Revenue and Taxation Committee heard a long agenda of tax and housing measures, beginning with SB 1329 on solar property tax assessment. The author and solar industry witnesses argued the bill would create a uniform, predictable statewide method as the current solar property tax exclusion sunsets, while county assessors and local county representatives opposed it as a departure from market-based valuation that would reduce assessed values and local revenue. The committee also heard SB 1406, which would target the so-called Montana loophole used to avoid California vehicle taxes and fees; it drew support from CTA and no formal opposition. Both bills were moved to Appropriations and placed on call after committee votes. The consent calendar was also adopted and placed on call.
The committee then took up several tax relief and wildfire-related measures. SB 984 would conform California law to the federal tipped-income deduction; restaurant, taxpayer, and enrolled agent representatives supported it, and the committee approved it 3-0 to Appropriations, on call. SB 1084 would create a fire-safe home tax credit for home hardening and defensible space improvements; supporters included the Town of Truckee and the California Association of Realtors, while members raised questions about cost and interaction with Prop. 98, and the bill passed 3-0 to Appropriations, on call. SB 1118 would provide a tax credit for backup generators or solar battery systems in high fire-threat areas; the author and supporters framed it as a resilience measure, but committee members questioned the use of taxpayer funds, diesel generators, and the benefit relative to cost. The bill was not advanced in the portion of the transcript provided.
Later, the committee heard SB 1249, a narrowly targeted senior deduction for taxpayers ages 86 to 90, supported by LeadingAge California and the California Senior Legislature; it passed 4-0 to Appropriations, on call. SB 1424 would extend a partial sales and use tax exemption to zero-emission vehicle refueling equipment, including charging and hydrogen stations; it received support from hydrogen and electric transportation groups and passed 4-0 to Appropriations, on call. SB 1113 would conform California tax law to the federal tonnage tax regime for U.S.-flag international shipping companies; maritime industry witnesses supported it as a competitiveness and national security measure, while ILWU opposed it over the estimated general fund impact, and the bill passed 4-0 to Appropriations, on call. SB 1137 would expand the medical expense deduction for lower-income taxpayers, and SB 1415 would extend a partial welfare property tax exemption to mixed-income housing; both were presented with support from advocacy and local government witnesses, with assessors and housing stakeholders seeking amendments on SB 1415. The transcript ends before final action on SB 1415 is completed.
NH
Transcript Highlights:
- And of insurance and insurance premiums.
- ,<00:27:22.400>
safer see is lower insurance premiums, safer see is lower insurance premiums - Um, and um, you asserted that this will lower premiums.
- will say that lowering the premiums will say that lowering the premiums obviously<00:32:40.799><
- <01:37:24.719>
of respects the cooperative structure of respects the cooperative structure
CA
California 2025-2026 Regular Session
Senate Floor Session Jun 18th, 2026
California Senate Floor Meeting
Transcript Highlights:
- That is our highly unusual structural deficit.
- That's why we'll have a structural deficit.
- So together we are actually, with these bills, affecting the structural deficit.
- It's... ...affecting the structural deficit. That was brought up.
- prior MCO structure to remain.
FL
Florida 2025 Regular Session
February 4, 2025 - 03:00 PM
Transcript Highlights:
- For Medicaid, there is no monthly premium.
- The monthly premium contribution also correspondingly increased.
- So here we are: we've created the new tiers and the premiums.
- There's no payment of premium in Medicaid. Okay. All right.
- And as directed by statute, monthly premiums are collected.
Summary:
The committee received a briefing from AHCA Deputy Secretary Brian Meyer and Florida Healthy Kids CMO Ashley Carr on implementation of HB 121, which was enacted in 2023 to expand Florida’s KidCare/CHIP eligibility from 200% to 300% of the federal poverty level and replace the sharp premium “benefits cliff” with a tiered premium glide path. Sponsor Rep. Bartleman described the bill as a bipartisan effort to help working families keep children insured while moving toward economic self-sufficiency. The presenters explained that the program remains a joint federal-state structure, with Medicaid unchanged and the bill affecting only the CHIP-related portions of KidCare.
AHCA said implementation has been delayed by federal CMS actions. The agency reported that CMS first rejected a state plan amendment approach, then required revisions to the premium tiers under a new maintenance-of-effort interpretation, and later issued a new interpretation of continuous 12-month eligibility that would prevent disenrollment for nonpayment of premiums. AHCA said it submitted an 1115 waiver, but negotiations over special terms and conditions reached an impasse, and the state has filed litigation challenging CMS’s interpretation. Members asked about the cost of litigation, the effect on future bills, the review process for CMS documents, disenrollment and reenrollment rules, and whether any additional legislative action is needed; AHCA said no further state action is needed at this time and that the key issue is the pending federal litigation.
Several members and the sponsor emphasized the need for immediate implementation and asked about possible interim relief. AHCA said current coverage remains in place under the preexisting program, that there is a 30-day grace period for premium payment, and that reenrollment does not require a penalty or back payment, though coverage is not active during lapsed periods. The committee also heard public comment from Nicholas Hessing of the Children’s Services Council of Broward County and the Florida Alliance of Children’s Councils and Trusts, who supported HB 121 and said the expansion could make about 17,600 additional children eligible in Broward County alone. The meeting ended with Rep. Bartleman thanking staff and expressing hope that the new federal administration would allow the program to move forward, and the chair adjourned the meeting.
ND
North Dakota 2025-2026 Regular Session
Senate Floor Session Apr 11th, 2025 at 12:30 pm
North Dakota Senate Floor Meeting
Transcript Highlights:
- It also has structural issues, Madam President.
- We're facing a 15% biennial increase of our health insurance premiums for our state employees.
- We're facing a 15% biennial increase in our health insurance premiums for our state employees.
- But so is this continual increase of health insurance premiums across all of this state.
- So I really... ...health insurance premiums across all of this state.
Summary:
The Senate opened with prayer, the Pledge of Allegiance, and a quorum call showing 46 members present. It then took up multiple House messages and amendments, appointing conference committees on several measures, including SB 2007, SCR 4007, SB 2374, SB 233, and House bills 1029, 1218, and 1022. The chamber also considered a series of House bills on the sixth and 14th orders, often adopting committee amendments before final passage or, in some cases, rejecting the bill outright.
Among the major policy items, the Senate passed HB 1524 on regional planning council grants, HB 1143 increasing a food bank appropriation to $10 million, HB 1126 modernizing cosmetology licensing and inspections, HB 1542 making student applications for admission exempt records, HB 1613 regulating law enforcement use of robots, HB 1582 directing a study on false reports and accusations, HB 1214 revising school transportation funding, HB 1448 creating a study on advanced technologies, HB 1280 on drainage project voting rules, HB 1499 protecting records related to federal judges, and several Senate bills returned from the House, including SB 2221, SB 2117, SB 2198, SB 2120, and SB 2214. The Senate also adopted amendments to HB 1541 on septic systems before rejecting it on final passage.
Several high-profile bills failed after debate. HB 1566, dealing with kratom regulation, saw an amendment to convert it to a study fail on a 21-25 vote, after which the chamber laid the bill over for one legislative day rather than take final action. HB 1283, which would have eliminated cost-sharing for diagnostic and supplemental breast exams in the state employee plan, was defeated 22-24 after extensive debate over cost, precedent, and insurance impacts. HB 1527, requiring Holocaust education in statute, also failed 22-24, with supporters emphasizing the importance of the subject and opponents arguing curriculum belongs in standards rather than statute. The Senate adjourned after announcements, scheduling its next meeting for Monday, April 14, 2025.