Video & Transcript : 'payment suspension' :

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NH

New Hampshire 2025 Regular Session

House Finance Division I (03/21/2025)

Transcript Highlights:
  • So, whatever is transferred to payments.
  • </c><00:27:06.159><c> So</c> for provider payments legal service.
  • So for provider payments legal service.
  • Um, it's $10,000 a year to the payments.
  • So, it's not an insignificant payments.
Summary: The committee worked through several HB 2 budget amendments, focusing first on energy-related transfers and then on judicial funding. For the energy item, members discussed moving remaining money from the renewable energy fund into the general fund for the biennium, with later-year amounts going to the general fund rather than ratepayers. They noted the proposal was based on prior House Bill 111 language, that the exact amount was still being worked out with the Department of Energy, and that some language about “incentive payments” was being removed or clarified. Amendment 1211H was moved and adopted on a 5-4 vote. The committee then considered amendment 1040 on the governor’s scholarship fund, which would eliminate the program and sweep uncommitted funds. Members supporting the program argued it helps New Hampshire students afford in-state college and should be reworked rather than repealed; opponents said the remaining balance was limited and the program should be ended. Amendment 1040 was defeated 4-5. The committee then turned to a judicial council request tied to a Franklin Pierce criminal justice clinic that had previously used ARPA funds. Supporters said the clinic cleared 323 cases in nine months, provided training for future attorneys, and could reduce more expensive assigned-counsel costs by helping the public defender system handle cases more efficiently. The amendment would add $100,000 to the judicial council line for that purpose. There was some confusion over the line item and whether the request should be attributed to the judicial branch or judicial council, which was corrected during discussion. Members also discussed a larger issue: the judicial council’s budget request appeared lower than intended because of a possible clerical error in how prior-year funding was calculated, especially after the last budget combined HB 1 and HB 2 funding. The committee compared the public defender line and assigned counsel line, noting that if public defender funding is cut, more cases would shift to assigned counsel, which is more expensive. No final vote on the judicial council amendment is shown in the excerpt.
HI

Hawaii 2026 Regular Session

CPC Public Hearing - Tue Mar 24, 2026 @ 2:00 PM HST

Consumer Protection & Commerce

Transcript Highlights:
  • And they've actively refused and gone out of their way to block direct provider payment.
  • for non-par um substance use payments for non-par um substance use disorder<00:23:01.360><c> facilities
  • and in supporting our members payments and in supporting our members to<00:23:28.200><c> not</c><00:
  • Why wouldn't HMSA honor an agreement by its member to assign its benefits, or assign the payment to a
  • Why wouldn't HMSA honor an agreement by its member to assign its benefits, or assign the payment to a
Summary: The committee heard testimony on SB 2433 SD1 relating to condominiums, which would direct the condominium education trust fund toward educational resources for unit owners and require the Real Estate Commission to ensure owners’ interests are represented in funded activities and related rulemaking. Supporters, including the Hawaii Real Estate Commission and a condominium owner advocate, said owners need a seat at the table in condo governance and education efforts. Committee discussion focused on whether the bill was necessary, with the Real Estate Commission indicating it could already use the trust fund for owner education and that owners are already considered stakeholders, though not through a specific commission seat. No vote was taken during the excerpted discussion. The committee then took up SB 2047 SD2 HD1 on pharmacy benefit managers, which would set requirements for maximum allowable cost reimbursement, allow reverse-and-rebill claims after successful appeals, and authorize fines for violations. The Insurance Division offered comments, the Hawaii Pharmacists Association supported the measure with amendments and suggested future PBM reform funding, and Kaiser Permanente requested a technical amendment. A committee question raised whether the staffing and resource request for implementation was too large for a bill focused only on MAC pricing, and the witness said he would provide more data to the next committee. No final action was shown. Next was SB 2425 SD2 HD1 on health insurance and substance use disorder treatment, requiring insurers to honor written assignments of benefits to SUD providers and prohibiting anti-assignment clauses. Supporters described patients being unable to access treatment because of high out-of-pocket costs and said direct payment would reduce harm for people in recovery. HMSA opposed the bill but said it would begin direct payments to non-participating SUD facilities effective March 27, while continuing to object to the assignment-of-benefits portion because of fraud and balance-billing concerns; the Hawaii Association of Health Plans also opposed. Members questioned HMSA about reimbursement mechanics and why the bill was needed if coverage policies were already changing. Finally, the committee heard SB 3045 SD1 HD1, which would require coverage of continuous glucose monitors and related supplies, including for Medicaid managed care, under certain conditions. DHS and the Insurance Division offered comments, while SHPDA, Hilo Benioff Medical Center Foundation, and others supported the bill, citing inconsistent access and a case in which a woman allegedly died after being denied a CGM. HMSA said it already covers medically necessary CGMs and had updated its policy in 2025 for type 1 and insulin-dependent patients, but it raised concerns about expanding mandated coverage to type 2 and gestational diabetes and about supply impacts. The committee also discussed whether the bill duplicated existing coverage standards and why it had been introduced repeatedly. No votes or final dispositions were included in the excerpt.
TX

Texas 89th Regular

Judiciary & Civil Jurisprudence Apr 2nd, 2025

Judiciary & Civil Jurisprudence

Transcript Highlights:
  • The letter of protection guarantees payment, does it not?
  • When you say it doesn't guarantee a payment.
  • But if the case falls through or doesn't settle, then there's no guarantee of payment for that.
  • So a lot of the letter protections are not a guarantee. payment. Can you accept those? Yes.
  • Why do you accept it if it's not a guaranteed payment?
KY
Transcript Highlights:
  • We do work with them to make a payment arrangement, whether we are deducting from what their CCAP payment
  • is to them to recoup some of those funds or if they're going to set up a long-term payment.
  • </c><00:26:05.520><c> arrangement</c> with them to make a payment arrangement with them to make a payment
  • </c> set up a long-term payment set up a long-term payment so<00:26:18.480><c> okay</c><00:26:18.720>
  • </c><00:31:55.159><c> is</c> wants to lend me the down payment is wants to lend me the down payment is
Summary: The committee met with a quorum, approved the minutes, and then reviewed a long agenda of administrative regulations, most of which were advanced with staff-suggested amendments and no objection. Early items included the Kentucky Public Pension Authority’s 105 KAR 1:451, which updates reporting language and adds the contractor wizard for certain employers, and a large package of Board of Veterinary Examiners regulations that revise fees, facility and AHP registration requirements, continuing education, liability, and practice rules. The Board of Speech-Language Pathology and Audiology’s compact-related regulation and the Board of Licensed Professional Counselors’ complaint and compact rules were also reviewed and approved with amendments, along with fish and wildlife rules affecting elk hunting, youth deer season length, bear-dog approvals, and foxhound enclosure permits. The committee also approved transportation, education, workplace standards, horse racing, and several health and human services regulations, including Medicaid waiver reimbursement updates and a child care regulation that sends certain large claims to the Office of Inspector General for review. Several agencies briefly explained their regulations when members asked questions. Fish and Wildlife said the elk population is strong and the baiting change is intended to support harvest monitoring and fair chase, while the longer youth deer season was meant to give young hunters more opportunity. The Department of Community-Based Services said the $10,000 and $5,000 claim thresholds were meant to clarify rare cases involving possible fraud or unresolved recoupment issues. The Department of Financial Institutions’ 808 KAR 5:305 drew the most discussion: it would allow certain state-chartered credit unions with a low-income designation to participate in federal programs, including limited non-member deposits and supplemental capital, but the regulation was deferred again amid continued discussions. The Kentucky Bankers Association testified against the credit union regulation, arguing that allowing non-member deposits conflicts with existing statute limiting credit union deposits to members and other credit unions, and that an administrative regulation cannot override that statutory restriction. Committee members heard the agency’s explanation that the proposal is intended to help underserved communities and that the non-member deposit authority would be limited, but no final action was taken because the item was deferred. The meeting otherwise concluded with the remaining regulations being called, discussed briefly, and approved or advanced without objection.
OK
Transcript Highlights:
  • It simply adds digital peer-to-peer payment networks and digital peer-to-peer payment networks and digital
  • Digital peer-to-peer payment networks and digital payment networks to the ways that you can add money
Summary: The committee heard and advanced several education-related bills. Senate Bill 1360, expanding the state’s math proficiency efforts through a specialized Office of Math Instruction and related funding, drew questions about vendor involvement and budget implications. The author said the focus is on evidence-based teacher professional development, screening, and implementation support, and noted the bill’s funding increased from a $5 million request to $10 million. It passed 7-1. Senate Bill 1204, providing three days of paid bereavement leave for educators and support personnel, was presented as a way to support school employees during difficult times. The fiscal note was discussed, but the author said SDE could absorb the cost using carryover maternity leave funds, so no additional budget appropriation was needed. The bill passed 7-0. Senate Bill 1989, which adds digital peer-to-peer payment networks as an option for contributing to college savings accounts, also passed unanimously. The committee then approved Senate Bill 1189, continuing the $50 million school resource officer and school safety funding plan, with discussion noting it could support officers and other safety improvements. Senate Bill 1481, adding 20 minutes of recess for full-day kindergarten, prompted questions about flexibility for disruptive students, schedule impacts, half-day programs, and enforcement; the author said schools would retain some discretion and that compliance could be handled through accreditation. It also passed 7-0. The meeting ended with notice that the committee was likely to meet again on Wednesday afternoon.
NH

New Hampshire 2026 Regular Session

House Education Funding (01/22/2026)

Education Funding

Transcript Highlights:
  • And adequacy payments are next year.
  • </c><02:08:33.920><c> is</c> knows what their adequacy payment is knows what their adequacy payment is
  • Um, you could send those bills directly to the state for payment, have a payment center at the Department
  • payment.
  • </c> special education payments special education payments reimbursements.<02:29:25.120><c> House</c>
NH

New Hampshire 2025 Regular Session

House Finance Division I (02/05/2025)

Transcript Highlights:
  • rather than general fund payment.
  • </c> incarceration on the Medicaid payments incarceration on the Medicaid payments to<04:09:34.720><c
  • </c> payment rather than general fund payment payment rather than general fund payment I<04:09:55.239
  • </c> stay those are not eligible for payment stay those are not eligible for payment under<04:10:12.920
  • </c><04:34:52.719><c> to</c> drug line and medical payments to drug line and medical payments to Providers
Summary: The committee heard an overview from the Agriculture Commissioner on the department’s major divisions and staffing. He described the Office of the Commissioner, Agricultural Development, Pesticides, Regulatory Services, Weights and Measures, Animal Industry, Plant Industry, and Soil Conservation, noting that many programs are federally funded or supported by dedicated fees and fines. He said the department has 44 full-time positions plus one DoIT employee shared with other agencies, and that HR services are now contracted through Administrative Services. He also explained that Soil Conservation is administratively attached to the department and funded through Moose Plate grants and county contributions, not direct state funding. Members asked about specific program functions and issues, including weights and measures inspections, animal health, bird flu response, internships, invasive species, and the Big E/New Hampshire building. The commissioner said weights and measures covers nearly all commercial measuring devices and products sold by weight, and that inspectors are currently part-time police officers, though the department is discussing removing that requirement. He said the department is actively involved in bird flu monitoring, including regular calls with USDA and the state veterinarian and collecting milk samples from dairy farms. On invasive species, he focused on Japanese knotweed and bittersweet, saying the department has only one staff person working on the issue, mainly as a coordinator with DOT and towns, and that eradication is extremely difficult. He also said the department does not run student internships and refers inquiries to UNH Cooperative Extension. The committee discussed budget and revenue issues, including three new general fund positions, one of which is the assistant commissioner and another a biological scientist for invasive species. The commissioner said the department had been in “triage mode,” that an assistant commissioner was needed because of workload, and that the department is a net positive to the General Fund each year. He said some fees and fines have not been updated in decades and would require legislation to change, including a proposed $5 fee for each animal database certificate to help fund a system that costs about $250,000 annually to maintain. In response to questions about budget reductions, he said the department protected personnel, reduced the cost-of-care fund, fair grants, and land preservation funding to about $25,000 each, and did not plan to buy new vehicles or computers. He also said he could not support including the $50,000 Conservation District resilience grant program in his budget under the current reduction targets, though he remained hopeful it might be funded another way.
MO

Missouri 2026 Regular Session

Children and Families Apr 28th, 2026

Children and Families

Transcript Highlights:
  • year when they get out of prison to try to get their life together before they have to begin the payments
  • Since we mirrored it after that payment and doing it through the clerk's office, I think it would, but
  • I think that's why we have the maintenance, the payments set up through the, unlike child support, because
  • case was sentenced to 10 years at 100%, and he will have one year after release to start making payments
  • case was sentenced to 10 years at 100%, and he will have one year after release to start making payments
Summary: The committee heard Senate Bill 1135, “Bentley and Mason’s Law,” which would require a person convicted of driving drunk or otherwise impaired and causing the death of a parent or parents to pay child support-like maintenance to the victim’s children until age 18, or 21 if in college. The sponsor explained that the amount would be determined through a clerk and court process similar to child support, based on the offender’s finances and the children’s prior standard of living. The bill also includes a provision intended to avoid “double dipping” by barring the maintenance claim if the family has already pursued a civil case against the insurance company, and it allows a one-year grace period after release from prison before payments begin. Committee members asked about the amount, whether health care or FAFSA would be affected, and whether penalties would apply for nonpayment; the sponsor said those issues were not fully specified and could be strengthened later. Members also raised concerns about enforceability and bankruptcy, while others supported the bill but suggested possible amendments. Public testimony was strongly in favor. Brooke Stewart described how her husband was killed by a drunk driver in Tennessee and said Bentley’s Law has provided her children with restitution that will help support them through adulthood, including college. She said the offender had prior DUI-related arrests and that the law gave her family relief and accountability. Heather Elder of Mothers Against Drunk Driving testified for the bill and said Missouri should pass it without amendment, noting that similar laws exist in other states and territories. She said the bill was created in response to Cecilia Williams’ family tragedy and that Bentley and Mason, the children named in the bill, have been attending hearings and understand what the legislation means. Witnesses also referenced related impaired-driving and social-host bills as broader prevention efforts. No one testified in opposition, and the committee took no vote, ending the hearing after the public testimony.
HI
Transcript Highlights:
  • However, we understand that this bill is to aid payments to non-participating providers. Right?
  • </c><00:48:54.720><c> under</c><00:48:54.960><c> the</c> states that um payment under the states that
  • um payment under the subsection<00:48:56.240><c> uh</c><00:48:56.559><c> needs</c><00:48:56.800><c>
  • to aid payments to non-participating providers.<00:49:29.760><c> Right?
  • </c> if a hospital sues a patient for payment if a hospital sues a patient for payment or<01:41:12.560
Committee: House Health
Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.
AR

Arkansas 2026 Regular Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Aug 17th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • Under H.R. 1, the OBRA limit, or the upper payment limit, is Medicare.
  • Currently, in traditional fee for service, we have what's called an upper payment limit payment for hospitals
  • Traditional fee for service has what's called an upper payment limit payment for hospitals, and that
  • is a payment designed to help them bridge the gap between Medicaid and Medicare.
  • There were several other legality changes to the upper payment limit and provider taxes that we are having
Summary: The subcommittee met to hear from DHS Secretary Janet Mann and Mary Franklin on Arkansas’s upcoming Medicaid community engagement/work requirements for the Our Home expansion population. DHS said the federal changes, tied to the 2025 budget bill, are being soft-launched now, with full implementation set for January 1, 2027, and a shorter six-month renewal cycle for most adults. They outlined who would be exempt or excluded, including certain parents/caretakers, pregnant and postpartum individuals, former foster youth, people with disabilities or serious medical conditions, SNAP/TANF participants, inmates and recent releasees, and some others. They also explained compliance standards such as 80 hours per month of work, community service, work programs, or education, and discussed how income, student status, and caregiver hours would be counted. Members asked about the fairness of the income threshold, how part-time and non-credit education would be verified, how disability exemptions would be documented, and whether appeals would be available. DHS said notices include appeal rights and that it is using ex parte data checks, provider forms, and claims data to identify exemptions. A major theme was implementation capacity and outreach. DHS said it is preparing a customer service center and outbound verification system to contact beneficiaries by text, email, phone, and mail, and is using notices, social media, town halls, and a web page to inform recipients. Members raised concerns about manpower, low-tech access for people without internet, and whether beneficiaries could be connected to workforce or education opportunities rather than simply being screened for compliance. DHS said it is also expanding use of AI tools to automate routine eligibility tasks, while keeping a human in the loop, and that the new call center contract will include AI and closed-loop referrals. Members also asked about the interaction with SNAP/TANF work rules and whether local offices could connect clients to workforce and training resources; DHS said it is already doing some of that through SNAP E&T, TANF, and notices, and is discussing broader partnerships with Workforce Connections and local initiatives. The committee then shifted to Arkansas Medicaid expansion and the state’s waiver renewal. Secretary Mann said CMS has changed its budget neutrality rules, and Arkansas believes its current waiver will not meet the new standard. DHS has asked for a two-year extension and said it is optimistic coverage will continue on January 1 while a new delivery system is worked out. Members asked about possible alternatives, and DHS said it is considering fee-for-service and managed care options, including different managed care structures, but is not considering ending coverage for the expansion population. Questions also focused on possible effects on private insurance, hospitals, premium tax revenue, and state costs if the expansion population were moved off the current model. DHS said it is still modeling those impacts with actuaries and the Insurance Department. At the end, DHS also provided a brief update on assisted living reimbursement rate work, saying the cost report is out for public comment and a recommendation will follow. The chair closed by reviewing committee timelines, noting the DHS report is due in January and the workforce report is due to ALC on October 1, with a possible request for a short extension.
DE
Transcript Highlights:
  • On the first page, Section 1 appropriates funding to government units for the county seat, or the payment
  • Section 18 details the various steps that the state treasurer can take to issue total payments at the
  • , and if approved, it can implement it using federal and matching funds, while making clear that payments
  • Section 32 would not allow the University of Delaware to make payments for utility bills and building
  • Section 32 would not allow the University of Delaware to make payments for utility bills and building
Committee: Joint Finance
WV
Transcript Highlights:
  • Once they stopped the weight loss drug payment, they did adjustments on that, which was really red, but
  • Hope Scholarship requires payments early in August to all the people and schools. So our cash flow.
  • The admin is a 50-50 payment. So those rules are changing October 1. Payment.
  • find the error... ...application or somebody goes in and audits and they find the errors on these payments
  • So it's got seven steps to the formula, plus it's got their PIA payments, got local share, it's got their
Committee: Senate Finance
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on the Judiciary Jun 21st, 2026 at 01:00 pm

Joint Committee on the Judiciary

Transcript Highlights:
  • emotional consequences that survivors face, and to pay the person that you survived from alimony payments
  • Senate Bill 1236 would help survivors by giving the courts the authority to determine alimony payments
  • regular order it's Senate number 1236 an act to protect survivors of spousal abuse from alimony payments
  • Senate Bill 1236 would help survivors by giving the courts the authority to determine alimony payments
  • New Jersey has also passed this legislation. ...prevent these alimony payments.
Summary: The Joint Committee on the Judiciary held a hearing on a wide range of state, probate, and family bills, with chairs Edwards and Day outlining strict testimony limits and accepting written testimony. Early testimony focused on H. 1911/S. 1138, which would clarify that a durable power of attorney may create a trust if that authority is expressly granted; sponsors and elder law advocates said the bill would resolve uncertainty created by the Barbetti decision and align Massachusetts with other states. A major portion of the hearing centered on S. 1102, a proposal to establish medical panels in Probate and Family Court. Supporters, including attorneys, parents, physicians, and advocates, said neutral three-doctor panels would help judges resolve disputed medical issues in guardianship and custody cases involving children, elders, and people with disabilities. Testifiers described cases where medical treatment was blocked or contested by one parent or guardian, arguing the panels would provide impartial expertise and protect vulnerable people. The committee also heard support for bills addressing disability discrimination in family court, military parents’ custody rights, and a shared parenting bill, H. 1710, which drew strong opposition from domestic violence advocates and others who said a 50-50 presumption could harm survivors and children. The committee also took testimony on several probate and court-administration measures. Senator Lovely supported a bill on nominee trust partition, and Senator Comerford and probate officials backed legislation to codify additional registry staff positions and modernize registry operations. Other bills discussed included foster care liability insurance, with providers warning that rising premiums and loss of coverage could force program closures; health care proxy storage and activation; access to decedents’ email accounts; uniform trust decanting; the Uniform Voidable Transactions Act; heirs’ property partition protections; a constitutional right to health care; alimony-related reforms; child-centered family law; and a right of disposition for funeral arrangements. No votes were taken during the hearing, and the committee repeatedly invited written testimony and follow-up questions.
LA

Louisiana 2026 Regular Session

Insurance Apr 29th, 2026

Insurance

Transcript Highlights:
  • , to provide for payment of dental insurance claims to a provider, to provide for applicability, to provide
  • pay the dentist by a credit card, which may have a fee involved, the dentist has to opt into that payment
  • refines the definition of express acceptance to clarify that the agreement pertains to a selected payment
  • Amendment number two removes the language requiring that the dental plan's communication of the payment
  • Amendment number two removes the language requiring that the dental plan's communication of the payment
Committee: House Insurance
Summary: The House Insurance Committee met on April 29 with a quorum present and took up several insurance and health care-related bills. SB 192, a dental reimbursement bill, was amended to allow dentists to opt in electronically to credit-card payment methods and to clarify applicability and effective date; it was reported as amended. SB 84 would require prostate cancer screening coverage for men over 40 under current clinical guidelines and prohibit cost-sharing; supporters from the American Cancer Society said Louisiana has a high incidence of prostate cancer and that out-of-pocket costs deter early screening. The committee adopted amendments and reported the bill as amended. SB 275, dealing with reimbursement and network participation for certified registered nurse anesthetists, drew support from nursing and hospital groups and was reported favorably. SB 169, a cleanup bill on biomarker testing, was also amended and reported. The committee spent substantial time on SB 401, which creates a temporary prescription drug affordability board to review pricing data on selected drugs and report findings to the legislature. Supporters said the board would improve transparency and help lawmakers understand drug pricing trends; opponents raised concerns about confidentiality, market effects, and the lack of a defined policy outcome beyond reporting. Amendments narrowed the scope, added confidentiality protections, and removed opposition cards, and the bill was reported as amended. SB 387, a major PBM reform bill tied to SB 401, would change PBM compensation, rebate handling, formulary practices, audits, and appeals, while excluding ERISA plans after discussion and amendment. Supporters argued it would curb spread pricing and other practices that raise costs, while opponents from the Pelican Institute and PCMA warned it would interfere with private contracts, reduce flexibility, and could raise premiums or disrupt city, school board, and small-group plans. After extensive debate and a roll call, SB 387 was reported with amendments by a 10-4 vote. The committee also considered SB 241, which requires certain insurance adjusters and public adjusters to include license numbers in written communications. After amendments limiting the requirement to individual licenses and removing one statutory reference, the bill was reported as amended. Throughout the meeting, members and witnesses repeatedly discussed the need for transparency in drug pricing and PBM practices, the role of ERISA and non-ERISA plans, and potential impacts on public employers and consumers.
CA

California 2025-2026 Regular Session

Senate Insurance Committee Apr 8th, 2026

Transcript Highlights:
  • Faster, fair claim payments.
  • 30 days, replacement cost benefits within 30 days of documentation, and interest on late payments.
  • It also helps with faster payments and clear communications, not to destabilize markets.
  • home, they should not have to fight their insurer, navigate a maze of adjusters, wait months for payments
  • SB 876 also converts certain coverages into automatic payments by requiring 100% of contents coverage
Summary: The committee first heard SB 1315, the “Drive My Car Act,” from Senator Cabaldon. The author explained that the bill was intended to address the overlap between autonomous features and human driving, with a focus on preventing software updates from disabling a purchaser’s ability to drive a vehicle they bought for that purpose. He said the bill would be redirected to the Transportation Committee and amended to remove insurance provisions. Members broadly supported the concept as a forward-looking issue, and the committee voted due pass to Transportation on a roll call vote, with the bill held on call until all members were recorded. The committee then took up SB 876, the Disaster Recovery Reform Act, presented by the Insurance Commissioner and the committee chair. The bill would make a broad set of changes to disaster claims handling and coverage after declared wildfires, including stronger replacement-cost and contents coverage, higher additional living expense limits, building code upgrade coverage, faster claim payment timelines, adjuster status updates, insurer emergency response plans, and stronger penalties and restitution for unfair claims practices. Supporters, including United Policyholders, California Environmental Voters, the Los Angeles Mayor’s office, AARP California, and the Consumer Federation of California, said the measure would help wildfire survivors avoid underinsurance, delays, and repeated trauma in the claims process. Opposition came from insurance industry and related groups, including APCIA, the Personal Insurance Federation of California, the Pacific Association of Domestic Insurance Companies, the Civil Justice Association of California, and the California Building Industry Association. They argued the bill remained too broad even after amendments, would raise premiums, increase claim severity, reduce flexibility, and potentially worsen availability in an already fragile market. Committee members questioned several provisions, especially the cost and feasibility of mandatory coverage expansions and faster timelines. The commissioner and author said the bill was about disaster recovery rather than rates, that many provisions were optional or limited to declared disasters, and that any cost impacts could be reflected in future rate filings. The committee ultimately passed SB 876 as amended to Judiciary on a due pass vote, with one member absent and the bill held open briefly for additional votes.
MN

Minnesota 2025-2026 Regular Session

Extending aspects of the state's reinsurance program 3/5/26

Minnesota House Floor Meeting

Transcript Highlights:
  • Once these claims are verified and the matching federal funds are received, the state makes payments
  • Even though the payment is retrospective, since health plans know the subsidy is coming, they're able
  • Once these claims are verified and the matching federal funds are received, the state makes payments
  • Reinsurance payments go directly towards covering high-cost claims.
  • Reinsurance payments go this market.
ID

Idaho 2026 Regular Session

Feb 2nd, 2026

Transcript Highlights:
  • And so those pass-through payments that they're getting from other agencies to buy that hardware come
  • over as a trustee and benefit payment when we're looking at the accounting data.
  • And so those pass-through payments that they're getting from other agencies to buy that hardware comes
  • over as a trustee and benefit payment when we're looking at the accounting data.
  • those dedicated fund payments.
Summary: The committee first heard a budget presentation for the Office of Information Technology Services (ITS), which is in the middle of a multi-year consolidation of IT staff and functions from other agencies. The analyst and administrator explained that ITS now has 243 authorized FTP, with more growth expected as Health and Welfare IT staff move over, and that much of ITS’s budget is driven by personnel, security, and pass-through technology purchases funded through dedicated revenues. The agency’s main 2027 requests included a personnel cash transfer to move costs off general fund and onto dedicated funds, $2.7 million for enterprise firewall/security upgrades, continued access to a federal E-CORE grant for an AI/data repository project, and funding for the Health and Welfare modernization/consolidation. Members asked about the grant, the 3% holdback, whether Health and Welfare’s budget would be reduced, the cost of delaying security upgrades, and why the agency’s FTP count has grown while overall IT costs are being centralized. ITS Administrator Alberto Gonzalez emphasized that the agency is defending against more than 100 million cyberattacks per month, with only a small fraction getting through, and said the firewall request was a critical security need. He said consolidation has produced efficiencies and a net reduction in IT personnel statewide, while also improving security and service delivery. He also explained that the agency is working on a possible policy change to separate continuously appropriated cash into a different fund for cleaner accounting. Questions from members focused on cybersecurity, bandwidth pressures from video/body-cam traffic, procurement speed, AI uses, and the rationale for office furnishings and equipment requests tied to the Health and Welfare move. The committee then moved to the Idaho State Tax Commission budget, another roughly $55 million portfolio with five programs and 447 authorized FTP. The analyst noted that the commission’s budget is heavily general-fund supported, but it also has several dedicated funds and large continuously appropriated flows tied to tax distributions and rebates. For fiscal year 2027, the commission requested additional dedicated-fund support for property tax outreach, $400,000 for GenTax automation, use of dedicated funds for the chief operating officer, replacement items, and the governor’s rescission. Chairman Jeff McRae said the agency returns more than $7.8 billion in revenue for about $55 million in spending, but warned the commission is at a “tipping point” where further cuts would reduce its ability to process revenue and serve taxpayers. Members questioned the commission about phone wait times, staffing levels, the multi-state tax compact, conformity work tied to the federal “One Big Beautiful Bill Act,” and the parental choice tax credit program. McRae said the call center would need about 45 staff to meet standard service levels but currently has about seven, and that conformity changes would require significant software, form, and testing work, likely with overtime and possible taxpayer filing delays. He also explained that the tax credit program was designed with electronic-only applications, income prioritization, audits, and criminal penalties to reduce fraud. No votes or final actions were taken in the portion provided; the meeting consisted of budget presentations, member questions, and agency responses.
WA

Washington 2025-2026 Regular Session

Senate Law & Justice Jan 19th, 2026 at 10:30 am

Law & Justice

Transcript Highlights:
  • By way of background, medical debt is defined as an obligation for the payment of money arising out of
  • An execution is a process for enforcing a court judgment for the payment of money or property.
  • that prohibiting interest charges on new and unpaid medical debt would significantly disincentivize payment
  • Interest allows health care providers to offer payment plans instead of payment in full at the time of
  • Every day, dentists work directly with patients to set up payment plans so care isn't delayed and patients
Bills: SB5720 , SB5833 , SB5936 , SB5993 , SB5735
FL

Florida 2026 Regular Session

Children, Families, and Elder Affairs Jan 12th, 2026

Children, Families, and Elder Affairs

Transcript Highlights:
  • If desired, policy decisions can be made to apply a minimum or maximum payment structure to each group
  • Tier 3 of this model is based on child months, which drives the payments to the CBCs.
  • We have about six types of payments that are really just cost reimbursement that flow through the CBCs
  • We have about six types of payments that are really just cost reimbursement that flow through the CBCs
  • “Right now, if a CBC was to say that 5% of my residential group care payments are high acuity, I’m not
Bills: S0042 , S0578 , S0624 , S7018
Summary: The committee met with a quorum and first heard SB 624, which would codify DCF’s current practice of allowing batterers intervention programs to offer supplemental faith-based activities so long as participation is voluntary. The bill drew support from faith-based and family organizations, which argued it would restore access to effective rehabilitation options and remove discriminatory barriers. SB 624 was reported favorably after a roll call vote. The committee then heard SB 42, which would require child protective investigators and child protection teams to rely on qualified medical professionals when a child has a documented pre-existing diagnosis or when a parent requests an exam, and would require clearer notice to parents and custodians at the start of an investigation. Testimony overwhelmingly came from parents, advocates, and disability rights representatives describing cases in which medically complex children were allegedly misdiagnosed as abuse victims and families were separated unnecessarily. Members expressed sympathy and support, and SB 42 was reported favorably. Next, the committee considered CS/SB 578, creating an Alzheimer’s disease awareness initiative within the Department of Elder Affairs to promote early detection, brain health education, research updates, and clinical trial awareness, with outreach focused on older adults and at-risk populations. An amendment was adopted to place the campaign within the Alzheimer’s Disease Initiative. A caregiver testified about the need for public education and early diagnosis, and the bill was reported favorably. The committee also took up SPB 7018, a committee bill on child welfare that would extend the definition of “visitor” for foster homes to reduce repeated background checks, make the Step Into Success foster youth workforce pilot permanent and statewide, and create a program through the Florida Institute for Child Welfare to catalog best practices among community-based care lead agencies. The bill was approved as a committee bill and reported favorably. Finally, the Department of Children and Families presented its 2025-26 final funding methodology and rates report for community-based care. Members questioned the proposed tiered model, including insurance costs, risk corridors, prevention funding, performance measures, and regional funding disparities. No vote was taken on the presentation, but members discussed the possible need for follow-up legislation and additional stakeholder input.
FL

Florida 2026 Regular Session

Children, Families, and Elder Affairs Jan 12th, 2026

Children, Families, and Elder Affairs

Transcript Highlights:
  • If desired, policy decisions can be made to apply a minimum or maximum payment structure to each group
  • Tier 3 of this model is based on child months, which drives the payments to the CBCs.
  • Another example is the third column from the end, which is maintenance adoption subsidy payments, which
  • We have about six types of payments that are really just cost reimbursement that flow through the CBCs
  • Right now, if a CBC was to say that 5% of my residential group care payments are high acuity, I'm not
Bills: S0042 , S0578 , S0624 , S7018