Video & Transcript : 'captive insurers' :
Page 207 of 500
MN
Transcript Highlights:
- And again, I've known I've had customers in my insurance agency in nursing homes.
- I've had customers in my insurance agency in nursing homes. I've known nursing home staff.
- I sell long-term care insurance in my insurance agency, and you hear over and over again about the baby
- Sections 1 and 13 are the changes to the long-term care insurance product known as the long-term care
- </c> the long-term care insurance the long-term care insurance product<00:37:03.480><c> known</c><00:
Committee:
Senate Human Services
WA
Washington 2025-2026 Regular Session
Senate Floor Session Feb 27th, 2026 at 09:00 am
Washington Senate Floor Meeting
Transcript Highlights:
- We're talking about telling insurance companies, based on the previous thing, do what we don't want to
- Are we drawing down all the insurance proceeds we can? Are there philanthropic resources?
- first, Medicaid, or regents or other private insurance for a service.
- Are we drawing down all the insurance proceeds we can? Are there philanthropic resources?
- , Medicaid, or regents or other private insurance for a service.
Bills:
SB6061 , SB6234 , SB6170 , SB6176 , SB6182 , SB6335 , SB5647 , SB6047 , HB2367 , HB2606 , SB5998 , SB6005 , SB6003 , SB6129 , SB6225 , SB6228 , SB6231
Summary:
The Senate met on February 23, 2026, opened with the usual roll call, pledge, prayer, and approval of the previous journal. Members then adopted Senate Resolution 8698 recognizing piano teachers, with several senators sharing personal remarks about their own teachers and the role of music education in families and communities. Guests from the Washington State Music Teachers Association and the National Guild of Piano Teachers were recognized in the gallery.
The chamber then moved into budget debate, considering a series of amendments to the operating budget. Several proposals focused on housing costs, local planning, utility rates, and state spending restraint. Amendment 0772, which would have created a housing-related task force and increased funding, was rejected after debate over housing affordability and regulatory costs. Amendment 0785, restoring growth management planning funding for local governments, was also rejected. Amendment 0791, directing the Department of Commerce to study the effects of climate and clean energy laws on utility costs, and Amendment 0769, related to grid capacity and clean energy investments, were both adopted.
Other amendments drew sharper partisan debate. Amendment 0798, which would have reduced the Supreme Court from nine justices to five and redirected savings to public defense, failed. Amendments 0794 and 0795, seeking funding for ballot measure costs tied to initiatives, also failed. Amendment 0799, intended to redirect Pacific Tower lease savings to developmental disability services, was rejected after discussion of the building’s current public uses. Amendment 0773, capping state spending growth and tying it to median wage growth, failed on a roll call vote, while Amendment 0777, addressing concurrent use of paid family and medical leave and sick leave by state employees, also failed after extended debate. Later, Amendment 0776 on tort liability reporting was adopted, as were Amendment 0758 creating a DSHS work group on community-based services for people with intellectual and developmental disabilities, and Amendment 0786 was introduced to reduce cash and food assistance work-related funding, with debate beginning before the transcript ends.
CA
California 2025-2026 Regular Session
Senate Floor Session Jan 27th, 2026
California Senate Floor Meeting
Transcript Highlights:
- It has passed the Insurance Committee, and we have worked diligently with stakeholders and the insurance
- Number one is requiring insurers provide notice to a policyholder if they request aerial images of the
- Right now, the biggest concern for a lot of Californians is maintaining their insurance.
- Just not on the insurance piece, but on the critical infrastructure piece, and I've discussed this with
- Just not on the insurance piece, but on the critical infrastructure piece, and I've discussed this with
HI
Transcript Highlights:
- Having more than one ticket on your abstract, you have to have a special insurance or you forfeit your
- I had to have an SR uh $1,000 uh every 3 months insurance coverage also could not drive.
- I had to have an SR uh $1,000 uh every 3 months insurance coverage also could not drive.
- </c> stabilization of our insurance rates. stabilization of our insurance rates.
- rates</c><01:11:17.880><c> have</c> And as the insurance rates have And as the insurance rates have skyrocketed
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Working Group 1/15/25
Minnesota House Floor Meeting
Transcript Highlights:
- </c><00:18:21.240><c> coverage</c> other um health insurance coverage other um health insurance coverage
- Mure is, of course, the state’s health insurance exchange. It’s governed by a board of directors.
- One of those is to assist individuals in obtaining individual market insurance through MNsure.
- One of those is to assist individuals in obtaining individual market insurance through MNsure.
- It licenses health maintenance organizations and regulates their fully insured health plans.
NH
New Hampshire 2026 Regular Session
House Criminal Justice and Public Safety (01/22/2026)
Criminal Justice and Public Safety
Transcript Highlights:
- and the insurance companies pass it on to us.
- and the insurance companies pass it on to us.
- and the insurance companies pass it on to us.
- and the insurance companies pass it on to us.
- and the insurance companies pass it on to us.
Committee:
House Criminal Justice and Public Safety
Summary:
The hearing focused primarily on House Bill 1087 and House Bill 123, both related to firearms. HB 1087 was introduced as a Second Amendment measure, but after questions from the chair and discussion with law enforcement, the sponsor agreed it should be set aside and referred to a study committee for further review, rather than advanced as written. The New Hampshire Chiefs of Police Association testified in opposition to the bill as written, while also indicating support for the sponsor’s proposed amendment or a study approach.
The bulk of the discussion centered on HB 123, which would require the return of firearms after a not guilty verdict or dismissal. The sponsor and several members described the bill’s purpose as speeding up the return of property, but law enforcement and judicial branch witnesses raised concerns about federal law, the need to ensure a person is still legally eligible to possess firearms, and the bill’s 24-hour return requirement. Witnesses from the State Police and judicial branch explained the current process, including background checks through the state police gun line, and said the existing procedure already aims to return firearms promptly while allowing time to verify disqualifying information.
Members and witnesses discussed possible amendments, including removing language that would bar background checks and instead tying return of firearms to completion of the check within a set time frame. Judicial branch and State Police witnesses said a process that requires a background check and return within a reasonable period, with notice if there is a delay or denial, would better address safety and legal concerns. The hearing ended without a vote; the committee closed the public hearing and indicated it would continue working on the language before executive session.
WA
Washington 2025-2026 Regular Session
House Appropriations Mar 9th, 2026
Transcript Highlights:
- million from the abortion access funds and is now creating a permanent assessment on Washington insurance
- million from the abortion access funds and is now creating a permanent assessment on Washington insurance
- no on this bill, this is an unprecedented mandate that forces every Washingtonian who buys health insurance
- I just want to make clear to the committee that currently there is an assessment at all health insurance
- There are several assessments and there are several other mandates on all of the insurance programs in
Summary:
The House Appropriations Committee met in executive session on three bills. For Second Substitute Senate Bill 6182, staff explained it would create an abortion savings program funded by a new assessment on health carriers to support grants for abortion clinical care access. Representative Marshall offered amendments to limit grants to Washington residents, expand eligibility to IVF and fertility providers, prioritize medically underserved areas, and add a 2031 sunset; all were rejected or withdrawn. The committee then voted 18-10 to report the bill out with a do pass recommendation.
For Engrossed Substitute Senate Bill 6260, staff briefed a striking amendment that would reduce savings in K-12 spending by changing local effort assistance and Running Start limits, prioritizing some transition-to-kindergarten funding, and eliminating inflation increases for National Board bonuses. Members debated a series of amendments on bus depreciation, charter school LEA payments, transition-to-kindergarten funding, and Running Start. Some amendments were adopted, including a bus depreciation change and a Running Start adjustment, while others were rejected. The committee then adopted the striker as amended and reported the bill out 17-12 with a due pass recommendation.
For Substitute Senate Bill 6355, which would establish the Washington Electric Transmission Authority and related board and advisory structures, members considered amendments on rural land-use expertise, eastern Washington board representation, corridor review standards, tribal workgroup removal, and payments in lieu of taxes for transmission facilities. One amendment was withdrawn and the others were rejected except for a landowner/rural expertise amendment that passed. The committee then reported the bill out 18-11 with a due pass recommendation. At the end of the meeting, members exchanged closing remarks thanking staff and colleagues, and the committee adjourned.
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Thirty Two - Wednesday, March 4 - Morning Session
Missouri House Floor Meeting
Transcript Highlights:
- On my right and your left, on the top gallery, is the group from Missouri, the independent insurance
- The group includes independent insurance agents who help families, farms, businesses, and small towns
- On my, why, and your left on the top gallery is the Drupe, Missouri, the Georgia, Georgia, the insured
- The Druke, Webergen, Independent, Insurance Agent, Atro, or Tate.
- is the Missouri Association of Insurance Agents Lobbying Day at the Capitol.
Summary:
The Missouri House met with prayer and the Pledge of Allegiance, then approved the House Journal for March 3, 2026 by a 122-0 roll call vote. The chamber also spent a long portion of the morning recognizing special guests, including Special Olympics athletes, occupational therapy and social work students and professionals, teachers, civic leaders, and other visitors in the gallery.
On legislation, the House perfected and printed House Committee Substitute for House Bill 2974, which would codify telehealth access within Missouri’s licensed reciprocity law. Supporters said it would help seniors and rural residents access care and ensure reciprocity licensees can provide telehealth services. The House also perfected and printed House Bill 2934, a bipartisan St. Louis convention-center governance bill that would merge existing entities, create a new board with city, county, and state appointments, and clarify funding and tax authority for the convention district. An amendment narrowing governor appointments to two city, two county, and one at-large member was adopted before final approval.
The House likewise perfected and printed House Committee Substitute for House Bill 2057, a technical fix allowing Osage Beach to create an entertainment district; supporters said it would promote tourism and economic development and align the city with similar districts elsewhere in Missouri. The most contentious debate was on House Committee Substitute for House Bills 1839, 2921, and 3515, which require age verification for pornographic websites. Supporters framed the measure as child protection and cited the Supreme Court’s Texas decision and the Attorney General’s enforcement rule; opponents raised privacy concerns, questioned effectiveness, and argued it could push users toward less scrupulous sites. A proposed amendment to extend the bill to firearms and ammunition websites was ruled not germane, the previous question was ordered 92-44, and the substitute was adopted. The combined bill package was then perfected and printed by a 104-16 vote with 20 present, and the House recessed until 2 p.m.
WA
Washington 2025-2026 Regular Session
House Technology, Economic Development, & Veterans Jan 27th, 2026
Transcript Highlights:
- And lastly, it modifies the exemption relating to insurers by specifying that the chapter does not apply
- to any insurer regulated under Title 48 or any high-risk AI system developed or acquired and deployed
- by an insurer.
- Insurance Portability and Accountability Act.
- He said he had incorporated valuable feedback from the Secretary of State, as well as the insurance industry
Summary:
The Technology, Economic Development, and Veterans Committee first met in executive session on House Bills 2157, 2351, 2365, 2357, and 2446. Staff briefed proposed substitutes and amendments for each bill. HB 2157, concerning high-risk AI systems, was amended to exempt activities regulated by the Fair Credit Reporting Act and covered entities under HIPAA; members discussed balancing consumer protections with flexibility for developers and deployers. HB 2351, addressing protections for emergency responders and emergency operations, was described as clarifying definitions and procedures, including a mental health crisis defense and changes to emergency operation zone notifications; some members raised concerns about deconfliction and implementation details. HB 2365, on digital equity, was amended with several definitional and data-sharing proposals, though some amendments were rejected over fiscal concerns. HB 2357, creating the Washington Division of Civil Air Patrol within the Military Department, passed without amendment. HB 2446, on developing a quantum technology industry strategy, was amended to extend the strategy deadline, broaden who Commerce may contract with, and correct terminology; members noted concerns about industry involvement in the strategic plan and fiscal impacts. All five bills were reported out of committee with do pass recommendations, with recorded votes of 8-5 on HB 2157, HB 2351, and HB 2365, unanimous support for HB 2357, and 12-1 for HB 2446.
The committee then held a public hearing on HB 2523, which would make the community reinvestment program ongoing, require periodic updates and reporting, and direct a study of fund distribution and use. Testifiers from workforce boards, tribal programs, reentry services, community organizations, and Commerce described successful uses of the program for job training, reentry, small business support, legal services, and economic mobility, and urged the bill’s passage. Some suggested strengthening accountability, reporting, and access for new organizations. Commerce staff said the program has served more than 190,000 people and supported over 400 organizations, and asked for technical adjustments to keep administrative costs low. The bill was then closed for hearing.
The committee also heard HB 2606, which would revise the Office of Privacy and Data Protection’s duties and performance measures, remove some reporting requirements, and add review of agency AI projects. The prime sponsor described it as a “stay-in-your-lane” cleanup bill responding to JLARC recommendations, and the state chief privacy officer testified in support, saying the office could implement the changes within existing resources. After questions about local government support and public resources, the hearing on HB 2606 was closed and the committee adjourned.
NM
New Mexico 2025 Regular Session
IC - Economic and Rural Development Dec 8th, 2025 at 01:04 pm
Economic & Rural Development & Policy Committee
Transcript Highlights:
- Property crime, vandalism, shoplifting, and open drug activity impose real economic costs: higher insurance
- Malpractice insurance costs are rising rapidly.
- expansion of liabilities under the state's malpractice statutes have driven dramatic increases in insurance
- areas of our state where doctor and other provider recruitment is hampered by medical malpractice insurance
- Hampered by medical malpractice insurance costs, which are nearly double those of our neighboring states
FL
Florida 2026 Regular Session
Senate Organization Session Nov 19th, 2024
Florida Senate Floor Meeting
Transcript Highlights:
- It's their insurance company.
- Floridians have been paying faithfully their insurance premiums for years, faithfully their insurance
- premiums for years, sometimes decades, and now they expect their insurance company to keep up its end
- I want to make sure that impacted Floridians and insurance companies hear me loudly and clearly.
- We've made changes that insurance companies said they needed to improve competition and stabilize rates
Summary:
The Florida Senate convened for its organizational session with prayer, presentation of colors, the Pledge of Allegiance, and the national anthem, followed by a moment of silence for the mother of Senator Fine. The chamber then received special guests and administered oaths to newly elected senators after reading certificates of election from the Secretary of State. Tracy Campbell Cantella was nominated and unanimously elected Secretary of the Senate, then sworn in. Ben Albritton was nominated, seconded, and elected as President of the Senate for the 2024–2026 term, and Jason Brodeur was later nominated, seconded, and elected President Pro Tempore. Both leaders were sworn in and delivered extended remarks about faith, service, Florida’s economy and education, hurricane recovery, insurance, rural communities, agriculture, water quality, Israel, veterans, and the need for data-driven, accountable government.
After the leadership elections, the Senate adopted its rules for the new term and authorized the Secretary to make technical and conforming changes. The chamber also adopted Senate Concurrent Resolution 2-O-RG, which establishes the joint rules of the Florida Legislature for 2024–26. A committee was appointed to notify the House that the Senate had convened for organization, and the committee later reported back that the House had been informed. The Senate then received a communication from the Democratic caucus certifying that Senator Jason Pizzo was elected Democratic leader and Senator Tracie Davis Democratic leader pro tempore for the term.
The session included additional remarks recognizing Senate staff and security personnel, as well as tributes to the late John Pasidomo and a moment of silence for him. The meeting concluded with a performance of “Amazing Grace,” brief closing comments, and an attempted motion to adjourn sine die that was briefly tabled until the House confirmed it was convened and ready to transact business. The Senate then adjourned sine die.
ND
North Dakota 2025-2026 Regular Session
Information Technology Committee Jul 8th, 2026
Transcript Highlights:
- if they're being insured through Enderf, so there's some incentive there.
- if they're being insured through Enderf, so there's some incentive there.
- Four percent, I believe, of their general liability insurance that they carried with Enderf.
- But I like the end—I like the insurance app from that Representative War he brought up.
- Also made mention through Enderf that entities can receive that 4% insurance premium discount.
Summary:
The committee approved the March 26 minutes and then received a quarterly update on major IT projects from NDIT. Staff reported the portfolio included 116 major projects totaling about $546 million, with the overall portfolio under budget but slightly behind schedule. They reviewed projects over the 20% variance threshold, including an Industrial Commission grants management system and DOT’s roadway pre-construction replacement, and then heard startup and closeout reports from HHS, OMB, DPI, and DOT. Several previously troubled projects were closed, including HHS bed management, vital records modernization, and DOT roadway capital planning; some projects finished under budget and ahead of schedule, while others were significantly behind schedule or over budget but were now closed or being remediated.
The committee also reviewed NDIT’s annual report, including service-fund financials, peer-state rate comparisons, records management, and customer satisfaction efforts. Members asked about how service-fund revenue and grant administrative charges are accounted for, how chargebacks work, and whether NDIT tracks customer satisfaction scores. NDIT said it does track CSAT-type measures in some service areas and has survey data, but it is not planning another customer survey this summer. Members encouraged more regular reporting of customer satisfaction, service-level metrics, and performance data to help guide future improvements.
A major portion of the meeting focused on the state’s mainframe modernization effort. NDIT said the overall effort is still targeting about 2030, with multiple HHS and DOT projects underway and a $15 million tech-debt appropriation already removing some components. Staff described the main obstacles as data cleanup, complex integrations, limited staff capacity, retirements, and vendor constraints, and said they are seeking a vendor with modernization support in the next contract cycle. Members pressed for clearer accountability and faster progress, and NDIT and HHS emphasized that they are working jointly but need continued support and better tools.
The committee then heard a cybersecurity update on NDIT’s statewide services and maturity assessments. NDIT explained that it provides vulnerability scanning, endpoint protection, security awareness training, threat briefings, and penetration testing, and that these services are tied to a cybersecurity maturity assessment based on CIS controls. Members questioned the sharp drop in participation since 2020 and whether the self-assessment should be mandatory or tied more strongly to StageNet access or insurance incentives. NDIT said participation is voluntary, but Enderf is now requiring annual assessments to keep a 4% insurance discount, and members discussed whether stronger requirements or audit authority may be needed. The meeting ended as the committee began a follow-up discussion on BEAD broadband connection costs and why some locations are much more expensive to connect than others.
AZ
Arizona 2026 Regular Session
02/11/2026 - Senate Regulatory Affairs and Government Efficiency
Transcript Highlights:
- Madam Chair, Senator Payne, the bill requires that the private permitting provider obtain insurance,
- Arizona families already are under pressure from rising housing, energy, insurance, and everyday costs
- How much insurance do they have to cover?
- They are with the Registrar of Contractors, and so they already have that liability insurance, and there
- The bill requires a referral agency to procure both commercial liability insurance in an amount of at
Summary:
The committee first considered the reappointment of Troy L. Campbell to the Arizona State Liquor Board. Campbell described his nearly 10 years of service, his role as chair since 2019, and his focus on fairness, public safety, and applying the law consistently. He answered questions about the board’s workload and authority, noting it hears roughly 40 to 50 cases a year and does not issue fines. With no public testimony, the committee voted 6-0 to recommend his confirmation to the full Senate.
The committee then heard several liquor and consumer-related bills. SB 1478, an annual liquor-policy cleanup bill, made technical changes to liquor statutes, including conforming the definition of cider to federal tax law and clarifying other terminology. The bill drew support from industry stakeholders and neutral testimony from the Department of Liquor Licenses and Control; the committee adopted a clarifying amendment and recommended the bill do pass as amended. SB 1108 would require Swedish rounding of cash transactions when pennies are unavailable, with signage and enforcement provisions; an amendment removed an individual-item exemption and clarified tax calculations, and the bill passed as amended with support from business groups. SB 1205 would regulate private-property vehicle booting by setting signage, notice, fee, and recordkeeping requirements and making violations a misdemeanor; members raised concerns about appeals and signage on non-parking property, but the committee adopted a technical amendment and recommended the bill do pass as amended.
The committee also took up SB 1241, which would allow private permitting providers to conduct plan reviews and inspections for single-trade residential projects without municipal or county approval. Supporters argued it would reduce delays and costs for homeowners and help cities focus on higher-priority work, while cities and counties opposed the bill on public-safety and local-control grounds, warning about private incentives and inspection quality. After adopting an amendment granting immunity to municipalities that rely on private providers, the committee recommended the bill do pass as amended by a 5-2 vote, with some members explaining their votes and asking for further stakeholder work.
Finally, the committee heard SB 1366, which creates a Public Property Towing and Impound Practices Study Committee to review towing fees, standards, insurance, background checks, and related DPS policies, and to report recommendations by the end of 2026. Supporters said the study would help address inconsistent standards and consumer concerns before permanent changes are made. Some members objected that the study committee did not include minority-party appointments, but the sponsor said that could be addressed later. The committee adopted a strike-everything amendment and recommended the bill do pass as amended. The committee then began SB 1431, a housing-design bill limiting municipal design standards and restrictions on certain shared features, but the transcript cuts off during extended debate and no final action on that bill is shown.
HI
Hawaii 2026 Regular Session
HHS, HHS DEFER Public Hearings 02-06-2026
Transcript Highlights:
- with the insurance commissioner and not under...
- The health insurance coverage, rates, benefits, affordability, etc., should remain with the insurance
- Next, State of Hawaii Insurance Division providing comments.
- Justin Chu from the Insurance Division. DCC and stands on his written testimony right now.
- But as before, I know this bill has been out what at least three years for private insurance as well.
Summary:
The Committee on Health and Human Services heard several health-related measures. SB 3132 on syndromic surveillance drew support from the Department of Health, healthcare organizations, and others, with DOH explaining the bill would formalize a surveillance program that has helped with real-time flu tracking and response to events like the Maui fires. A member raised privacy concerns from opponents, and DOH responded that the data are deidentified and do not include Social Security numbers or dates of birth. No votes were taken on the bill in the portion provided.
SB 3134 on emergency medical systems of care received broad support from SHIPA, DOH, military and EMS representatives, and others, who said it would modernize the EMS system. SB 3136 on lead materials and water infrastructure was also supported by DOH and SHIPA; members asked whether the bill would allow Hawaii to keep stronger standards if federal drinking water rules were weakened, and DOH said the state would not have to follow weaker federal standards as long as Hawaii remained as stringent or more stringent. SB 3138 on independent audits of deposit beverage distribution drew support from DOH and several industry groups, but with amendments to reduce burdens on small businesses, raise the audit threshold, and modernize reporting; opponents also testified. DOH later clarified that the measure would affect a limited number of distributors and said it is working on an electronic submission system, though not yet for audit filings.
SB 3139 concerning SHIPA was supported by SHIPA and the Grassroots Institute of Hawaii, while HMSA suggested one provision should remain under the insurance commissioner’s purview. SHIPA said the bill is about collaboration and a broader health vision, not regulation, and members indicated they were comfortable with removing the disputed portion. SB 3207 on background checks drew support from healthcare providers but opposition from the Attorney General and DOH. Supporters argued the FBI fingerprinting requirement is costly, duplicative, and difficult to schedule, while opponents said the bill would improperly shift fingerprint collection authority to hospitals and other facilities and could conflict with federal law. The committee engaged in extended questioning about costs, federal requirements, and whether the mandate would be passed on to patients; no final action is reflected in the excerpt. The committee then began SB 2271 on hospital licensing, with support from SHIPA, the Developmental Disabilities council, healthcare groups, Kaiser Permanente, and DOH, and commenters said the bill would allow hospitals to demonstrate compliance through CMS-recognized accreditation, with a suggested wording change to “approved” accrediting organization.
MO
Transcript Highlights:
- The gentleman from the insurance or the insulation industry had suggested that the homebuilders were
- And many times, if a business had insurance, they might look to their insurance if it was allowed to
- have the insurance pay.
- If insurance, they might look to their insurance if it was allowed to have the insurance pay, but a lot
- of times when you have a claim, insurance rates will go up.
KY
Kentucky 2025 Regular Session
House Standing Committee BR Sub. on Health & Family Services (2-12-25)
Transcript Highlights:
- of the children in Kentucky are served by the Medicaid Program or the Kentucky Children's Health Insurance
- live at or below the poverty level and therefore are enrolled in Medicaid and the Children's Health Insurance
- </c> the Kentucky children's health insurance the Kentucky children's health insurance program<00:03:
- in Medicaid in the<00:03:27.799><c> children's</c><00:03:28.200><c> health</c><00:03:28.400><c> insurance
- </c><00:03:28.840><c> program</c> the children's health insurance program the children's health insurance
Summary:
The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations.
Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed.
Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.
HI
Hawaii 2025 Regular Session
Opening Day Floor Session 01-15-2025 10:00am
Hawaii Senate Floor Meeting
Transcript Highlights:
- And we are here to tell you that insurance is a big problem facing our community.
- We are here to tell you that insurance is a big problem facing our community, but as it's been highlighted
- premiums that are so high that insurance premiums that are so high that we<00:36:02.160><c> can</c><
- We represent all of the people who are covered by health insurance but still can't afford to go to the
- but still can't afford health insurance but still can't afford to<01:07:24.279><c> go</c><01:07:24.359
NH
New Hampshire 2025 Regular Session
House Transportation (02/11/2025)
Transcript Highlights:
- New Hampshire currently doesn't allow auto insurance; we don't mandate it.
- </c> those States requiring auto insurance those States requiring auto insurance thank<04:08:19.479><
- It doesn't require auto insurance unless you have been in an auto accident.
- </c><04:24:45.479><c> that's</c> doesn't require auto insurance that's doesn't require auto insurance
- </c> annual inspection the insurance annual inspection the insurance companies<04:31:08.680><c> sure<
Summary:
The Transportation Committee held a public hearing on HB 249, which would allow bicycles, and in the bill’s language human-powered vehicles and e-bikes, to treat stop signs as yield signs and red lights as stop signs when safe. The bill sponsor, Rep. Seth Miller, said the measure is intended to improve cyclist safety and traffic flow at no cost to the state, citing Idaho and Delaware as examples where similar laws were associated with fewer crashes or injuries. He emphasized that the bill would remain optional, would not let cyclists ignore cross traffic, and would help riders avoid the unstable “wobble” that comes from repeatedly stopping and starting, especially on cargo bikes or other heavier bicycles.
Committee members raised concerns about predictability, liability, and whether the proposal creates a special class of vehicle. Rep. Crawford asked why the bill also addresses left turns on red for one-way streets; Miller said that provision is meant to address situations where bicycles do not trigger signal equipment and could otherwise be stranded at a light. Rep. Gannon questioned the lack of explicit liability language, and Miller said he did not know of a separate provision but would be open to an amendment if the committee wanted clearer language. Rep. Hill and Rep. Emble expressed concern that other drivers would not know what cyclists intend to do and that the bill could create special rules; Miller responded that cyclists would still be required to yield and that the law would not change right-of-way rules.
Several witnesses testified in support. Michael Frank, a Spofford cyclist and League cycling instructor, said the bill would help him safely commute and carry heavy groceries by reducing the effort and exposure involved in restarting after a full stop. Tim Blagden, former head of the Bike Walk Alliance of New Hampshire, said the bill reflects how many people already ride, saves energy and time, and would still require cyclists to stop at red lights unless the intersection is clear. He also noted that traffic signals often do not detect bicycles. No vote was taken during the hearing.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Health Jun 21st, 2026 at 10:00 am
Joint Committee on Public Health
Transcript Highlights:
- It is a trifecta for patients, insurance companies, and health care providers.
- Our community-based practices are not owned by hospitals nor insurance companies.
- Insurance companies do their due diligence and obviously see how harmless this practice is.
- year for my insurance.
- The amount of insurance that I pay as a holistic healer is $300 a year.
Committee:
Joint Joint Committee on Public Health
Summary:
The Joint Committee on Public Health held a hearing to take testimony on a wide range of bills involving professional licensure, clinical practice, and public health-related workforce issues. The chair explained that no votes would be taken at the hearing and that the purpose was to gather public input. Early testimony focused on Marnie’s Law, with supporters describing the bill as a no-cost, preventive measure to require nursing education on inflammatory breast cancer after a family tragedy and arguing it could reduce misdiagnosis and save lives.
A major portion of the hearing centered on bills affecting clinical decision-making and licensure compacts. Supporters of the physician ownership/clinical autonomy bills argued they would protect independent practices from corporate interference after the Steward collapse, while supporters of EMS, dental, psychology, physical therapy, and physician assistant compacts said the measures would improve workforce mobility, reduce delays, and expand access to care, especially for rural patients, military families, and telehealth users. Several witnesses emphasized that the compacts would not reduce standards and would strengthen public protection through shared disciplinary databases and streamlined credentialing.
There was also testimony on bills to ensure safe medication administration and to protect the independence of complementary and alternative health care practitioners. Nursing representatives urged that only licensed professionals administer medications in hospitals, hospices, and home care settings, warning that delegation to unlicensed staff could endanger patients and nurses’ licenses. A complementary and alternative care witness supported consumer access with mandatory disclosures and limits on reserved medical acts. On the dental compact, witnesses were split: some supported portability and workforce flexibility, while others warned the compact lacked a hands-on skills exam and could weaken Massachusetts’ regulatory authority and patient safety. The hearing concluded with continued testimony on the psychology compact, physical therapy compact, and physician assistant bills, with most speakers favoring expanded interstate practice and reduced administrative barriers.
LA
Louisiana 2026 Regular Session
Commerce May 5th, 2026
Commerce, Consumer Protection, and International Affairs
Transcript Highlights:
- Assumed name by a legitimate FDIC-insured bank.
- So they have an attachment; it's called FIL 46... ...extra insurance.
- There's basically disclaimers and education that here's where your FDIC insurance is.
- There's basically disclaimers and education that here's where the FDIC insurance is.
- It increases insurance requirements from $100,000 to $500,000.
Summary:
The committee first deferred House Bill 1102 without hearing it. It then took up House Concurrent Resolution 66, which urges Louisiana Economic Development and other state agencies to continue studying rural parishes’ economic assets, infrastructure, workforce, and development opportunities. Representative Weible and Secretary Bougoir described the resolution as part of a broader effort to align state rural programs and create a strategic framework for rural development. Members emphasized infrastructure, workforce training, local coordination, and retaining young people in rural communities. An amendment requiring LED to report to the legislature by January 1, 2027 was adopted, and HCR 66 was reported favorably as amended.
The committee next considered Senate Bill 102, which would allow qualified trade associations for motor vehicle dealers to bring declaratory and injunctive actions against manufacturers on behalf of dealers. Senator Presley and the Louisiana Automobile Dealers Association said the bill would consolidate similar disputes into one action, reduce costs, and help smaller dealers avoid retaliation or uneven litigation. Questions focused on standing, the limited remedies, and whether the bill would affect nontraditional sales models. Technical amendments were adopted, and SB 102 was reported favorably as amended.
Senate Bill 521, concerning banks’ continued use of a non-surviving bank’s name after mergers or consolidations, drew the most debate. Senator Boudreau and former Senator Fred Mills said the bill would preserve community-bank identity while following FDIC guidance on clear disclosure and consumer notice. Several members raised concerns about codifying federal guidance, future changes to federal rules, and whether the bill should instead set a fixed transition period; an amendment to limit use of the old name to 24 months was adopted after discussion. Another proposed amendment tying the bill to 1998 FDIC branch-name guidance failed on a roll call vote. The bill, as amended, was then reported favorably.
The committee also advanced House Bill 387, which narrows the scope of incidental engineering work by architects and clarifies the state fire marshal’s authority to review plans under both architecture and engineering laws, and House Bill 1228, which updates hearing-aid dealer licensing and consumer-protection rules, including testing periods, cooling-off rights, and refund/cancellation procedures. Both bills were reported favorably with technical amendments. The transcript then shifted to additional measures, including House Bill 975 on Public Service Commission reconstitution and several Senate bills by Senator Abraham on self-storage facilities and contractor licensing, but the provided text cuts off before those items are fully concluded.