Video & Transcript Research : 'actuarial study'

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WY

Wyoming 2026 Regular Session

Joint Transportation, Highways & Military Affairs Committee, May 4, 2026 - PM

Transportation, Highways & Military Affairs

Transcript Highlights:
  • a lot of the, you know, um actuarial a lot of the, you know, um actuarial literature<02:30:36.480
  • We had the actuaries look at it.
  • We had industries actuaries actuaries actuaries say say say "Well,<03:27:44.080> here's<03:27:
  • And we studied and studied for 6 months.
  • studied for 6 And uh we studied and studied for 6 months.<03:33:53.600> Finally<03:33:54.000>
Keywords: 916, all
LA

Louisiana 2026 Regular Session

House of Representatives May 25th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • SCR 75 by Senator Cloud to direct the Department of Culture, Recreation, and Tourism to conduct a study
  • Resolution 310 by Representative Bro. to urge and request the Department of Conservation and Energy to study
  • 314 by Representative Robbie Carter to urge and request the Department of Conservation and Energy to study
  • 314 by Representative Robbie Carter to urge and request the Department of Conservation and Energy to study
  • AgCenter, in coordination with the Southern Ag Center, Department of Agriculture and Forestry, to study
Summary: The House met with a quorum, opened with prayer and the Pledge of Allegiance, and then received a series of Senate messages, conference committee appointments, and enrolled bill reports. The chamber also noted Senate concurrence in several House concurrent resolutions and the adoption of conference reports, while multiple Senate bills and resolutions were signed by the Senate President. Senate Bill 480, dealing with butterfly bottom nets and vessel use/anchorage, was referred to the Natural Resources Committee without objection. Members introduced several House resolutions, including measures to commend Arsenal Football Club, recognize Pope Leo XIV and 4-H honoree Margaret Mimi Stoker, study forensic medical exam protocols for domestic violence survivors, create a task force on second-degree murder sentencing, review miscarriage and pregnancy-loss terminology, commemorate the 250th anniversary of New Orleans, and support the National Guard Youth Challenge Program. Committee reports also moved forward bills on child welfare, water quality, scenic rivers, orphan wells, gravel mining reclamation, groundwater conservation, agricultural production, railroad hazards, and retirement system merger feasibility, along with resolutions on Pope Leo XIV and the LaMelle family. The House took up numerous Senate bills returned from the Legislative Bureau, adopting amendments and advancing many to third reading, including bills on health and welfare, education, insurance, and criminal justice. The chamber also reported favorably on resolutions condemning political violence and honoring public figures and organizations, and it scheduled several committee meetings for the following day, including Health and Welfare, Appropriations, Natural Resources, Civil Law, Transportation, and Ways and Means. The session ended with announcements about upcoming committee agendas and delegation meetings, and the House adjourned on motion to reconvene at 1:00 p.m. the next day.
TX

Texas 89th 2nd C.S.

Insurance Jun 4th, 2026

Insurance

Transcript Highlights:
  • I want to begin by thanking Speaker Burrows for issuing our committee important charges to study this
  • This division includes actuaries that review premium rates, compliance analysts that review contract
  • We have internal and external actuaries. We use our own claims experience to set our premiums.
  • That’s like a second or third study to engage in, but it’s real and it does exist.
  • Massachusetts just did a research study on this.
Keywords: 1184, house, all
FL

Florida 2025 Regular Session

December 10, 2025 - 01:00 PM

Transcript Highlights:
  • I think if you look up there, the one that looks scary is the actuary, because we always like to have
  • actuaries filled.
  • We just reclassified it right before December to an actuary.
  • So hasn't been a vacant actuary, but it does not restart the clock.
  • This allows us to build a study pipeline of candidates rather than waiting for a vacancy to occur before
AR

Arkansas 2026 Regular Session

LEGISLATIVE JOINT AUDITING Jun 5th, 2026

LEGISLATIVE JOINT AUDITING

Transcript Highlights:
  • So a couple years ago, we did the Arkansas Forward Study, and so that brought to light that as a state
  • So a couple years ago, we did the Arkansas Forward Study, and so that brought to light that as a state
  • So actuarial assumptions as... ...much as you might have expected.
  • So we're not depleting that liability, that actuarial liability, as quickly as we could.
  • Who's the actuary on this? Is it again the big Workers' Compensation Commission question?
Summary: The Legislative Joint Auditing Committee met on June 5 and first adopted prior minutes and several committee reports. The executive committee report noted adoption of its minutes, staff updates on scheduled audits, approval of an annual financial audit for the City of Horseshoe Bend, and an update on the intern program. The Counties and Municipalities report covered delinquent private water and sewer audits, compliance follow-up with towns including Denning, Gum Springs, Omer, Fargo, Jericho, and Haynes, and review of current and deferred reports; the committee filed most current reports but deferred several and referred some matters to prosecutors and the Attorney General. The Educational Institutions report said 103 education audits were reviewed, most with no findings, while several school districts had findings and one Booneville School District finding was referred to law enforcement. The State Agencies report included findings at the Department of Finance and Administration and a deferred Department of Health report, and the committee filed 13 reports. The committee then received lengthy presentations on the State of Arkansas annual comprehensive financial report and the state single audit for fiscal year ended June 30, 2025. Legislative Audit issued unmodified opinions on the state financial statements, but identified two material weaknesses: insufficient internal controls at the Office of State Technology to monitor threats and unauthorized access, and improper methodology changes and documentation issues at the Division of Workforce Services affecting year-end estimates for unemployment-related accounts. The single audit covered $12.4 billion in federal awards across 469 programs, with 16 major programs reviewed. Auditors reported 33 findings overall, including 31 federal findings, $12.9 million in outstanding questioned costs, and qualified opinions for the Summer Electronic Benefit Transfer program, the Coronavirus Capital Projects Fund, and the Child Care Development Fund cluster. Committee members questioned DHS, the broadband office, OST, DFA, Education, and Workforce Services about the findings, corrective actions, cyber protections, federal drawdowns, child care reporting, and accounting methodology changes. Several agencies described corrective steps. DHS said it had changed how it draws Summer EBT funds, addressed provider revalidation and incarceration-related Medicaid issues, and updated internal processes and staffing. The broadband office said the questioned costs reflected invoice documentation disputes rather than missing payments and expected Treasury review to resolve the issue. OST said it was expanding logging, endpoint detection, and enterprise monitoring, and described broader cybersecurity investments, training, and a roadmap. DFA and Workforce Services addressed the workers’ compensation and unemployment accounting issues, with Workforce Services saying it had updated its policy and submitted the methodology to DFA. After discussion, the committee voted to hold the two statewide audit reports over until the August meeting, with members asked to submit specific questions in advance so only needed agencies would return. The final item was a special report on the Hot Spring County Solid Waste Authority for January 1, 2023 through June 30, 2025. The audit reviewed compliance with laws, board procedures, bidding, payroll, permits, inspections, and cash handling. It noted prior private audit findings on segregation of duties, that recent private audit reports had not been obtained for 2023 through 2025, and that the current administrator said prior office staff and bookkeeping contractors resigned when he was hired. The authority’s operations and revenue sources were described, and the report was presented for committee review.
WY

Wyoming 2026 Regular Session

Senate Education Committee, February 16, 2026

Education

Transcript Highlights:
  • Uh, there has not been a study that has done the actuarial analysis on having all school districts participate
  • Uh, there has not been a study that has done the actuarial analysis on having all school districts participate
  • That would put us in a better situation for the study with our actuarial.
  • While consolidation may look efficient on paper, this proposal is not supported by an actuarial study
  • While consolidation may look efficient on paper, this proposal is not supported by an actuarial study
Bills: SF0059, SF0053
AL

Alabama 2026 1st Special Session

Alabama House Insurance Committee Mar 4th, 2026

Insurance

Transcript Highlights:
  • It must employ or enter into a contract with a qualified and experienced actuary who was approved by
  • contract with a qualified qualified qualified and<00:10:26.880> experienced<00:10:27.440> actuary
  • ><00:10:28.000> who<00:10:28.240> was<00:10:28.320> approved and experienced actuary
  • who was approved and experienced actuary who was approved by<00:10:28.800> the<00:10:28.959><
  • And it must submit a feasibility study or other.
Bills: HB415, HB419, SB219, SB170
NM

New Mexico 2025 Regular Session

House - Health and Human Services Jan 27th, 2025

House Health & Human Services

Transcript Highlights:
  • I may have to study that more to make sure I can reiterate that to my constituents.
  • Have any actuarial studies been done to determine if this fund will be solvent over time, or is that
  • I need to look for that and study that.
  • Earlier, you talked about the actuarial being available. I've searched for it online.
  • I'm not one to read actuarial theory. That would put me to sleep, though that might be an idea.
AL

Alabama 2026 1st Special Session

Alabama House Ways and Means General Fund Committee Mar 18th, 2026

Ways and Means General Fund

Transcript Highlights:
  • We're on a study group with doctors, with Dr.
  • We're on a study group with disagree.
  • We're on a study group with doctors<00:14:18.959> with<00:14:19.199> Dr.
  • They have to pay their actuarially early fees.
  • have to pay their actuary early uh fees. have to pay their actuary early uh fees.
CA
Transcript Highlights:
  • study concluded in 2022, we have seen liability projections grow by over 280%.
  • So the RAND study that was conducted utilized actuarial analysis and had a full team of researchers,
  • I want to continue studying.
  • And so I did look back at the studies at LAO and the conversations we had.
  • actuary of the workers' compensation insurance authority, WCRB, sorry.
Summary: The Budget Subcommittee on State Administration heard presentations on the Department of Industrial Relations’ labor-related budget items, with the main focus on proposed trailer bill language to reform the Subsequent Injury Benefits Trust Fund (SIBTF) and a related budget change proposal for staffing. DIR said SIBTF has grown far beyond its original purpose, citing the 2020 Todd decision, expanded eligibility based on chronic or asymptomatic conditions, and a backlog that has grown to more than 30,000 pending cases. The administration argued the reforms would restore guardrails, reduce liabilities and employer assessments, and speed processing for severely injured workers; the LAO said the proposal was largely consistent with its prior recommendations. Members raised concerns about using trailer bill language for major policy changes, the retroactive application to open cases, and the impact on workers already in the queue, while supporters from employer groups and public agencies backed the proposal as necessary to control costs and restore sustainability. Public comment was split, with injured-worker advocates opposing the retroactive changes and business/public employer representatives supporting the reforms. The committee then heard the SIBTF workload request, which would phase in 177 positions over five years at a cost of $36.5 million, including staff for the Division of Workers’ Compensation, the Office of the Director Legal Unit, and administrative support. DIR said the additional staffing is intended to address very high caseloads and reduce processing times, but emphasized that the request assumes the reform package is adopted; LAO agreed the staffing increase made sense if paired with reforms. Members asked about vacancy rates, current staffing, and whether the workload request would become the new normal, and DIR said it would monitor caseload trends and adjust future requests as needed. Finally, the committee received an update on the California Workplace Outreach Program (CWOP), which DIR described as a partnership with community-based organizations to educate workers and help employers comply with labor laws. DIR reported that CWOP has reached 1.75 million workers and employers and made 8 million touchpoints since 2020, with the current round awarding $50.7 million to 87 partners for a two-year period through June 2027. Members and public commenters highlighted the program’s role in reaching immigrant, farmworker, janitorial, nail salon, and other vulnerable communities, and several speakers urged continued funding at $30 million per year for five years. No votes were taken during the hearing.
FL

Florida 2026 Regular Session

Banking and Insurance Feb 4th, 2025

Banking and Insurance

Transcript Highlights:
  • The statute does allow companies to submit their own actuarial indication to the office of what they
  • This 900-page windstorm loss study yielded some great data.
  • We were appropriated funds to update the study. We've done that.
  • And again, it's designed to maximize, in an actuarially sound way, the overall amount of risk that a
  • as it relates to what the $750,000 was partially to be used for in commissioning that study.
Summary: The Banking and Insurance Committee heard a series of presentations focused on mitigation, flood and wind resilience, and insurance discounts. Kevin Guthrie of the Florida Division of Emergency Management outlined several funding streams for mitigation, including federal Hazard Mitigation Grant Program dollars, BRIC grants, flood mitigation assistance, and the state hurricane loss mitigation program. He emphasized the new Elevate Florida initiative, which will use about $400 million initially to elevate or reconstruct flood-prone homes, starting with National Flood Insurance Program properties and severe repetitive-loss homes, with no current per-home cap. Guthrie said the state will contract directly with licensed vendors and aims to reduce future flood losses, lower insurance costs, and keep properties on the tax rolls rather than relying on buyouts. Insurance Commissioner Mike Yaworski described Florida’s windstorm mitigation discount program, explaining that the 1802 inspection form is used to assess a home’s overall “envelope” and determine statutory discounts. He said the office is updating the program based on a new wind loss study, with likely changes including greater recognition of roof types such as metal roofs and possible territorial risk adjustments. He also said the Legislature now requires the office to revisit the study every five years. Stephen Fielder of the Department of Financial Services reported on My Safe Florida Home, noting that the program offers inspections and grants for roof and opening protections, has completed more than 100,000 inspections, and has reimbursed hundreds of millions of dollars. He said the department has validated its discount calculations with insurers and that the program is intended to help homeowners reduce premiums through verified mitigation work. Michael Newman of the Insurance Institute for Business and Home Safety said Florida’s building code is nationally leading and that post-Ian surveys found no wind-driven structural damage in buildings built after adoption of the code. He argued that mitigation should be treated as a system, not isolated upgrades, and suggested adding Fortified designation to the state’s mitigation form to better document verified resilience improvements. Bill Truex, a county commissioner and builder, stressed the need to educate homeowners about floodproofing and roof choices, citing examples where flood panels prevented damage and noting that asphalt shingles often do not last as long in Florida as their marketing suggests. In panel discussion, senators asked about program eligibility, outreach to elderly and digitally challenged residents, contractor vetting, roof-life disclosures, and whether flood insurance should be more broadly required. Officials said outreach will include call centers and in-person assistance, and several participants urged better consumer disclosure and more data-driven guidance on roof and mitigation choices.
CA
Transcript Highlights:
  • DHCS worked with Milliman, a national actuarial firm, to prepare this study, and the final report was
  • Wyman, an actuarial firm.
  • , there are steps that must be taken in the short term and that do not require additional studies.
  • And most recently, in our statewide study of people experiencing homelessness, 48%...
  • We don't have access to the complexity of the actuarial-style capitated rate analysis.
Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.
MN

Minnesota 2025 1st Special Session

House DFL Press Conference 3/27/25

Transcript Highlights:
  • So the study that is cited on the handout, I think you're looking at, is drawn from a study done by Consumer
  • So the study that is cited on the handout, I think you're looking at, is drawn from a study done by Consumer
  • So the study that is cited on the handout, I think you're looking at, is drawn from a study done by Consumer
  • So the study that is cited on the handout, I think you're looking at, is drawn from a study done by Consumer
  • The study that is cited on the handout, I think you're looking at, is drawn from a study done by Consumer
Keywords: 1183, house
HI
Transcript Highlights:
  • Typically, the rates are determined by what's actuarially sound.
  • A 2022 study from Stanford University found that transgender individuals who access gender-affirming
  • Uh, I am somebody who studied in a red state for my medical school training.
  • Um, so the actuary will take into account all risks when determining what a new rate would be.
  • sound actuarial principles. Period. sound actuarial principles. Period.
Summary: The joint hearing covered House Bill 251, which would require hospitals to report costs associated with Medicare and uninsured patients, and House Bill 1875, which would expand protections for gender-affirming health care services. On HB 251, the Department of Health said it supported the intent but described the bill as complicated and potentially impractical as drafted because the department lacks the expertise to produce the required analyses without outside help. Hawaii Health Systems Corporation echoed those concerns, while the Queen’s Health System said it was willing to work with the department to provide the information. In committee discussion, officials explained that hospital support in Hawaii includes public hospital appropriations and the provider tax program, which uses hospital and nursing home contributions to draw federal matching funds; a department witness estimated the net benefit at about $150 million for hospitals and $20 million for nursing facilities, though exact figures would be provided later. On HB 1875, the Insurance Division testified with concerns that the bill’s language on prohibited actions by malpractice insurers was broad and vague, and that a rate-increase prohibition could conflict with actuarially based insurance pricing. The division also noted it was not the primary enforcement agency for the statute. In contrast, many testifiers strongly supported the bill, including the Hawaii State Commission on the Status of Women, the Hawaii State LGBTQ+ Commission, the Hawaii Public Health Institute, PFLAG Oahu, the ACLU of Hawaii, the Drug Policy Forum of Hawaii, the Hawaii County Democratic Party, and others. Supporters argued that gender-affirming care is medically necessary, evidence-based, and protected by privacy and bodily autonomy principles, and that the bill would protect patients and providers from outside political interference. No votes or final committee actions were taken during the portion of the hearing provided.
HI
Transcript Highlights:
  • > in<00:16:38.560> the recent ACS study published in the recent ACS study published in
  • And anybody that would like to studies.
  • studies and this particular field of expertise.
  • studies and this particular field of expertise.
  • The resources and expertise in actuarial studies and this particular field of expertise.
Keywords: 910, house, all
Summary: The joint hearing opened with House Bill 1969, which would provide state funding for colorectal cancer screenings for uninsured and underinsured residents. The Department of Human Services said it supports the goal of early screening but would need new administrative capacity, including a program manager and claim pre-screening, to run the program. The Department of Health supported the measure and cited low screening rates in Hawaii, noting an educational campaign to encourage screening. The Insurance Division raised concerns about reliance on federal FAQs, warning that guidance can change and may create state cost exposure. Supporters including the American Cancer Society Cancer Action Network and the Hawaii Medical Association argued the bill would close a preventive-care gap, reduce late-stage diagnoses, and save long-term costs; the committee also discussed implementation costs, estimated by DHS at roughly $1.4 million to $2 million annually plus administrative expenses, and a 6-month to 1-year timeline to establish the program. The committee then took up House Bill 1965, which would require health carriers to spend at least 6% of total medical expenditures on primary care providers. The Insurance Division said several provisions raise technical and legal concerns, including the premium freeze, the medical loss ratio language, the lack of an existing external review process for downcoding claims, and a new mandate for medically necessary inter-island transportation that could trigger an ACA defrayal. The Department of Human Services supported the intent but suggested broader language to include primary care supports and services, and noted that QUEST integration plans already invested at least 9% of total medical expenditures in primary care in 2024, with additional spending on supports and low-value care reductions. State health planning officials strongly supported the bill as an investment in primary care, saying it could improve outcomes and lower long-term costs, though they acknowledged a possible temporary premium increase during the transition. Testimony in support emphasized Hawaii’s physician shortage, especially on Maui, the Big Island, and other neighbor islands, and warned that clinics are under financial strain and may close without higher primary care reimbursement. The Hawaii Healthcare Task Force, AARP Hawaii, and other supporters said the bill would help retain providers, improve access for Medicare and Medicaid patients, and prevent downstream costs from emergency room use and avoidable hospitalizations. No votes or final committee action were taken in the portion of the hearing provided.
LA

Louisiana 2026 Regular Session

House of Representatives Mar 25th, 2026

Louisiana House Floor Meeting

AR

Arkansas 2026 1st Special Session

LEGISLATIVE JOINT AUDITING Jun 5th, 2026

LEGISLATIVE JOINT AUDITING

Transcript Highlights:
  • So a couple years ago, we did the Arkansas Forward study, and so that brought to light that as a state
  • assumptions increasing the assumed life... ...the actuarial assumptions increasing the assumed life
  • So actuarial assumptions, as I think we all know, are based off of statistical averages. ...as I think
  • Just add to that is similar to the pension accounting, you know, there is actuarial liability and then
  • Who's the actuary on this, is it? Again, the big Workers' Compensation Commission question.
Keywords: 1204, all
Summary: The Legislative Joint Auditing Committee met on June 5 and first adopted the March 2026 minutes, then approved reports from the executive committee and the standing committees on counties and municipalities, educational institutions, and state agencies. The counties and municipalities report noted progress on delinquent private water and sewer audits, compliance improvements by Denning and Gum Springs, and a 60-day compliance window for Omer and Fargo; several reports were deferred, while others were referred to prosecutors, the Attorney General, or the Government Bonding Board. The educational institutions committee filed 103 audit reports, including findings for several school districts, and one Booneville School District finding was referred to law enforcement. The state agencies committee filed 13 reports and deferred one Department of Health report to August. The committee then reviewed the State of Arkansas annual comprehensive financial report and single audit for fiscal year 2025. Legislative Audit reported clean opinions on the state’s financial statements, but identified two material weaknesses: insufficient internal controls at the Office of State Technology over threat monitoring and unauthorized access, and problems at the Division of Workforce Services with changes to year-end accounting estimates and documentation for unemployment-related receivables and payables. The single audit covered $12.4 billion in federal awards across 469 programs, with 16 major programs reviewed; auditors reported 33 findings, including 31 federal findings, $12.9 million in outstanding questioned costs, and qualified opinions for the Summer EBT program, the Coronavirus Capital Projects Fund, and the Child Care Development Fund cluster. Findings included improper advance draws and reporting issues in Summer EBT, documentation problems in broadband projects, and reporting/reconciliation issues in child care funding. Members questioned agency officials from DHS, the Office of State Technology, the Department of Finance and Administration, the Department of Education, and Workforce Services about the findings and corrective actions. DHS said the Summer EBT issue involved drawing funds in advance and that procedures had been changed for the 2026 cycle; it also explained several repeat findings as timing or provider-enrollment issues. OST officials said they were expanding logging, endpoint detection, and enterprise monitoring, and described cybersecurity as a moving target requiring more investment and training. DFA and Workers’ Compensation officials discussed the workers’ comp fund’s actuarial position and said it should be monitored but did not require immediate action. Education officials said the child care reconciliation problems stemmed from a former employee’s failure to reconcile reports, that staffing and checks had been strengthened, and that the federal funding cut affecting child care was a separate issue. The committee voted to hold the two major state financial reports over until the August meeting, with members asked to submit specific questions in advance, and then received a special report on the Hot Spring County Solid Waste Authority review.
MN

Minnesota 2025-2026 Regular Session

House Commerce Finance and Policy Committee 4/15/26

Commerce Finance and Policy

Transcript Highlights:
  • So the analytic capabilities that we have that are specific to our financial analysis and actuarial work
  • So the first study of this type of a program was from Alabama. that effects everybody's rate eventually
  • The law also gives insurers the ability to file their own actuarial numbers on what they come back with
  • that there aren't enough of these fortified homes in the market... yet to be able to make a real actuarial
  • doesn't make sense to the department because you don't see insurers making filings that tribute actuarial
NH
Transcript Highlights:
  • We heard that they weren't using an actuary to set their rates.
  • <00:30:36.240> to<00:30:36.399> set<00:30:36.640> their actuary to set their actuary
  • <00:59:43.520> to the study to oversee the cost study to the study to oversee the cost study
  • It includes a two-year independent cost study to get the real numbers on ambulance costs.
  • It includes a two-year independent cost study to get the real numbers on ambulance costs.
Keywords: 1189, house, all
Summary: The committee first took up SB 297 and a new amendment, 2462, which combined the original Senate bill with the Carson amendment and added a proposed alternative regulatory system, RSA 420R. The chair and members discussed that the amendment was intended to give the Senate what it had asked for while also creating a dual system for public entity risk pools. Members asked whether the new structure would affect ownership or governance of health trusts, and the chair explained that 420R would be a separate regulatory statute while existing 420J-style arrangements could remain in place. The committee also noted that a paragraph had been accidentally deleted from the amendment and that another amendment would be prepared to correct it, with the subcommittee recessed while that was done. Public testimony focused on School Care, represented by Executive Director Lisa Ducette, who opposed the shift to Department of Insurance oversight under 420R. She argued that public entity risk pools are not insurance companies, that they are accountable to member entities and taxpayers, and that the proposed dual regulation would add unnecessary costs through examinations, higher reserves, and additional accounting requirements. She said the change could threaten tax-exempt status and create an uneven playing field, and she urged the committee to support SB 297 with the Carson amendment instead of moving to 420R. Committee members questioned whether the amendment would actually affect pools that stayed under the Secretary of State model, and one member cited support from the New Hampshire Municipal Association for the dual system. The discussion then shifted to amendment 245 on ambulance reimbursement and contracting timelines. Members reviewed a provision giving insurers 45 days and ambulance providers 60 days in the contracting process, and one member suggested making both periods 60 days. The chair and others said the current language was intentional and part of a broader compromise aimed at ending balance billing and forcing insurers to establish reimbursement rates. Members noted that the measure was unusual and that its effects would be reviewed over the next two years, with one member saying the bill would likely be difficult to roll back later. No final vote was taken in the portion provided.
NH

New Hampshire 2025 Regular Session

Senate Health and Human Services (02/12/2025)

Health and Human Services

Transcript Highlights:
  • because there are a number of studies because there are a number of studies I'm<01:00:19.119>
  • Actuarial study, which the Department of Insurance, working with many EMS agencies and the Department
  • also provided similar studies.
  • cost study, so that the analysis is the same as that cost study.
  • who assisted in the cost the actuary who assisted in the cost study<03:13:29.359> so<03:13:29.600
Keywords: 1191, senate, all