Transcript Highlights:

• They do have a process. They do have a process. Not been auditing whether they actually do it.
• process, in order to make that a viable... ...alternative to a protracted litigation process.
• process works.
• Insurers bring claims against utilities on behalf of their policyholders to recover the insurance claim
• Have their insurance claims settled.

Keywords: 988, house, all

Summary: The Assembly Committee on Utilities and Energy held a hearing on the California Earthquake Authority’s SB 254 report and possible reforms to California’s utility wildfire recovery system. The chair framed the discussion around the Palisades and Eaton fires, the high and growing wildfire-related costs on utility bills, and the need to weigh tradeoffs among survivors, ratepayers, utilities, insurers, and taxpayers. The chair emphasized that the SB 254 report is an inventory of policy pathways rather than recommendations, and that the Legislature’s role is to evaluate the options publicly. The first panel featured wildfire survivors William Abrams and Joy Chen, who described severe ongoing displacement, housing insecurity, delayed compensation, and frustration with what they characterized as opaque and unfair compensation structures. They argued for greater transparency, clearer accountability for utilities, stronger oversight of wildfire mitigation spending, and incentives tied to safety performance. They also urged faster survivor payments, but only if they are full, fair, and not financed by shifting more costs to taxpayers or ratepayers. Committee members asked about gaps in the SB 254 report, the meaning of “full” compensation, and how a fast-pay facility might work. The second panel included the California Earthquake Authority, RAND, PG&E, LADWP, Consumer Attorneys of California, and the Public Advocates Office. Tom Welsh of CEA explained the report’s process and the current wildfire fund structure, including that utilities remain liable, the fund reimburses eligible claims, and prudency reviews can require reimbursement to the fund. RAND’s Lloyd Dixon outlined how roughly $38 billion has been paid to survivors, insurers, and public entities since 2017, and noted substantial litigation costs and cost-shifting among stakeholders. Utility representatives supported reforms that preserve financial stability and reduce risk, while consumer and public-interest advocates opposed shifting more costs to ratepayers and stressed accountability, audits, and safety-linked recovery. No votes or formal actions were taken in the hearing.

Transcript Highlights:

• So there might be a claim, a few claims, or the administrator did issue an... decisions.
• fund process. One is formulaic, right? fund process. One is formulaic, right?
• > claims.
• . process. process.
• issues on that process. issues on that process.

Keywords: 1189, house, all

Summary: The committee first adopted the September 5 minutes and then approved the remaining consent calendar items after removing several bills for separate consideration, including 25-252, 25-248, 25-251, and 25-253. The committee then took up 25-252 from the Department of Natural and Cultural Resources, where members asked about the arts tax credit program, staffing, and volunteer coordination. Department representatives said the program had recently been authorized, forms had been finalized, three of six laid-off staff had been rehired through a federal grant, and the agency was now trying to recruit participants. Members also discussed whether tax-credit-raised funds could count as federal match; the department said they could not, because federal rules require state dollars. The item was adopted. The committee next considered 25-248 from the Department of Safety, which was described as a technical correction moving funds from equipment to hardware and software after consultation with the Department of Administrative Services. A member asked about “buy American” waivers, and the department said it would follow up with more information. The item was adopted. The committee then approved 25-251 from the Department of Administrative Services, which included discussion of ongoing problems with Anthem’s retiree health plan mail-order pharmacy. Department staff said many issues were tied to implementation changes and prescription renewal rules, that some complaints were being resolved through the vendor and the retiree health office, and that the contract would be rebid in the coming year, likely causing further changes. On 25-253 from the Department of Health and Human Services, members questioned the department’s September 5 health alert and whether it diverged from CDC guidance. DHHS said the alert was an annual evidence-based guideline for respiratory virus season and immunizations, largely aligned with CDC recommendations, and that some differences reflected timing and population-specific guidance. The item was adopted. The committee then heard 25-237 from the Department of Justice on the annual litigation fund request. Attorney General John Formela said the request was about $4.3 million, roughly 40% below last year and below the five-year average, with major costs tied to YDC civil and criminal litigation and some DHHS class actions. A member criticized the large increase over the budgeted $350,000 and said the budgeting approach should be corrected in the next cycle. Another member asked about YDC settlement reductions; the attorney general said confidentiality limited specifics, but explained that under the new statute the office had accepted well over half of administrator awards, rejected some, and negotiated lower amounts in others while still resolving most cases. The item remained under discussion at the end of the excerpt.

Transcript Highlights:

• We are towards the final end of that process.
• So instead of paying 80% of those large claims, they're paying around 20% of those large claims.
• So instead of paying 80% of those large claims, they're paying around 20% of those large claims.
• So it's all the money coming in to cover the claims.
• So it's all the money coming in to cover the claims.

Summary: The committee received an update from Grant Wallace on the state employee Medicare Advantage group plan and the ongoing rebid with UnitedHealthcare. Wallace said the agency is exploring “decoupling” the medical and pharmacy portions of the plan, and that preliminary estimates suggested potential savings of about $100 to $200 per participant per month. He said the final CMS rate-setting process would conclude in April, with a revised contract amendment likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. He also clarified that the plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. Representatives from Segal Consulting then gave a broader presentation on Medicare Advantage and Part D market trends, reviewing Arkansas’s prior decision to adopt a Medicare Advantage prescription drug plan and the savings generated since the 2023 RFP. They explained that the Inflation Reduction Act significantly changed Part D financing by shifting more federal support into a direct subsidy tied to risk scores, which makes accurate risk adjustment more important and creates a larger difference between Medicare Advantage prescription drug plans and standalone Part D plans. They said this has led to a growing divergence in funding, especially for standalone Part D, and is the main reason decoupling medical and pharmacy coverage is being considered. Committee members asked about how the risk-score changes affect costs and members. Segal said the new structure has reduced member out-of-pocket costs, with the annual cap now at $2,000 and many members reaching it after roughly $600 to $800 in spending, but that the plan absorbs more of the cost. They also said the market appears to be adjusting through annual bids, and that a decoupled structure could allow the state to capture more favorable funding on the Part D side. No votes were taken, and the committee adjourned after being told to expect further information once the April rate notice and renewal proposal are available.

Transcript Highlights:

• These systems are processing claims in as little as 1.2 seconds per claim, making it impossible for any
• This bill doesn't ban AI from the claims process.
• Insurers can still use claims process.
• <04:20:27.279> claims technology to process claims technology to process claims efficiently
• about claims processing. about claims processing.

Keywords: 1189, house, all

Transcript Highlights:

• regarding the rules process. regarding the rules process.
• One, how the process works, but process.
• Representative McKenzie said he had given members a sheet that shows the process for how claims are filed
• and the the way that claims are filed and the way<04:05:45.840> they're<04:05:46.160> processed
• So there's this whole process of vetting this out. a whole process for how long because a whole process

Keywords: 1189, house, all

Transcript Highlights:

• To the people who were processing claims, to the levels of management that were processing claims.
• Along the way, I learned that the technology that supported the claims processing effort needed to be
• I can't get my claim processed. I can't get an appointment scheduled.
• Do you think increased use of technology and artificial intelligence in claims processing is a good idea
• That will be one of the key critical factors they focus on, which is processing claims in a timely and

Keywords: veterans affairs, VA modernization, employee layoffs, mental health, suicide prevention, transparency, senate committee, bipartisan support, oversight

Summary: The meeting involved detailed discussions on various veterans' issues, particularly focusing on the challenges faced by the Department of Veterans Affairs (VA) amidst a backdrop of significant staffing changes. Members expressed deep concerns over the recent layoffs of over 1,000 VA employees, emphasizing the crucial nature of these positions in the context of mental health support for veterans, particularly amid rising suicide rates. Senators articulated the need for transparency and effective communication between the VA and Congress to avoid further breakdowns in services. The session also spotlighted the ongoing modernization of VA systems and the urgent need to streamline processes to benefit veterans effectively.

Transcript Highlights:

• The data that came out yesterday show initial weekly claims of 2,369 for last week and continued claims
• So that you can see the magnitude of the claim volume during the pandemic.
• In 2020, we're looking at more than a million claims.
• So we monitor continuing claims and how long people might need support.
• We're also seeing continued claims, so slightly longer duration.

Summary: The Commission on Unemployment Compensation met, established a quorum, and elected Delegate Destiny LeVere Bolling as chair and Senator Mike Jones as vice chair. The commission also adopted its electronic meeting policy and heard introductions from new members, staff, and officials from the Secretary of Labor’s office and the Virginia Employment Commission (VEC). Secretary Jessica Lumen outlined the administration’s workforce and labor priorities, including supporting workers, employers, and program transparency, while members raised concerns about business climate, job losses, labor participation, and the implementation of paid family and medical leave. Staff provided legislative updates on recent unemployment-related bills. These included increases to the weekly unemployment benefit amount enacted in 2025 and 2026, a bill on labor dispute disqualification that changed how lockouts are treated for benefit eligibility, and a budget item providing $75,000 for actuarial support to the commission. The commission also discussed the 2025 work group on annual adjustments to weekly benefit amounts; staff reported that the work group did not complete its charge, and members agreed to revisit whether to reconstitute it at a future meeting. Delegate Martinez expressed support for continuing the work, and the chair said the issue would be taken up at the next meeting. Deputy Commissioner Joanna Darkus gave a detailed presentation on Virginia’s unemployment insurance system, including current claims data, eligibility rules, employer tax structure, benefit levels, trust fund solvency, fraud prevention, and customer service operations. She reported that Virginia’s unemployment rate remains low, weekly claims are modest, the current weekly benefit range is $160 to $478, and the trust fund balance factor is projected at 50.9 percent, near the threshold for additional employer charges. Members asked about the taxable wage base, trust fund solvency, the effect of benefit increases, fraud controls, and the planned paid family and medical leave program. VEC said it is implementing that program through regulations, staffing, IT procurement, public listening sessions, and consultation with other states. A public commenter from the Virginia Poverty Law Center urged the commission to strengthen state investment in unemployment insurance and warned that federal support is uncertain. The commission then adjourned without taking further action.

Transcript Highlights:

• They do have a process. They do have a process. Not been auditing whether they actually do it.
• pay process, in order to make that a viable alternative to a protracted litigation process?
• process works.
• Insurers bring claims against utilities on behalf of their policyholders to recover the insurance claim
• So I'm talking about utility claims there.

Summary: The Assembly Committee on Utilities and Energy held a hearing on the California Earthquake Authority’s SB 254 report and broader options for reforming California’s utility wildfire recovery system. The chair framed the discussion around the Palisades and Eaton fires, the scale of wildfire-related costs on utility bills, and the need to weigh trade-offs among survivors, ratepayers, utilities, insurers, and taxpayers. The first panel featured wildfire survivors William Abrams and Joy Chen, who described long delays in compensation, housing insecurity, and what they viewed as a system that protects utility shareholders more than victims. They urged greater transparency, clearer accountability for utility spending and safety performance, faster and fuller compensation for survivors, and reforms such as independent audits and better alignment of utility incentives with wildfire prevention and restitution. The second panel began with Tom Welsh of the California Earthquake Authority, who explained that the SB 254 report was intended as a broad inventory of policy pathways rather than recommendations. He described the report’s process, including stakeholder submissions, workstreams, and a convergence process, and outlined the current wildfire fund structure: utilities remain liable, the fund reimburses eligible claims after a covered wildfire, and the CPUC later determines prudency and possible reimbursement back to the fund. RAND’s Lloyd Dixon summarized compensation data, saying utilities paid about $38 billion between 2017 and 2024, with major shares going to injured parties, insurers, and public entities, while litigation costs and survivors’ own losses remain substantial. He noted that legal fees and delays reduce the amount survivors ultimately receive. Utility and public-interest witnesses offered differing views on the report’s pathways. PG&E’s Tyson Smith said the report shows inaction is the worst outcome and argued for community wildfire risk reduction, equitable allocation of catastrophe costs, and state-led resilience tools. LADWP’s Fernando Valero emphasized the vulnerability of municipal utilities and cities, and supported inverse condemnation reform, a state-sponsored liability insurance framework, damages and subrogation limits, and stronger insurance access. Consumer Attorneys of California’s John Fisk argued that IOU-caused fires are not natural disasters but the result of negligence and sometimes criminal conduct, and opposed reducing utility liability while supporting stronger oversight and audits. The Public Advocates Office’s Nathaniel Skinner focused on affordability, saying ratepayers already bear large and growing wildfire costs and warning against shifting more costs onto bills without measurable risk reduction and tighter accountability. Committee members then began questioning witnesses about what counts as measurable mitigation, how to define full and fair compensation, and how any fast-pay process should work.

Transcript Highlights:

• No claims. I, you know, no claims, but I understand how it works. It's claims all over the place.
• No claims. I, you know, no claims, but I understand how it works. It's claims all over the place.
• No claims. I, you know, no claims, but I understand how it works. It's claims all over the place.
• No claims. I you know, no >> No claims. No claims.
• try to bring these claims costs down? try to bring these claims costs down?

Keywords: 1183, house

Transcript Highlights:

• those fraudulent claims.
• those fraudulent claims.
• those legitimate claims faster.
• those legitimate claims faster.
• We want to make sure that all claims are legitimate, that everyone that is deserving of a claim gets

Summary: The Commerce and Tourism Committee first heard SB 410, which would add current and former licensed private investigators, and their spouses and children, to the list of people whose home address, phone number, date of birth, photographs, and related family information are exempt from public records disclosure. Sponsor Senator Trunow said the exemption is meant to protect investigators who work on sensitive matters such as fraud, missing persons, human trafficking, and abuse cases and may face retaliation. After a technical amendment was adopted, the committee heard testimony from a private investigator describing threats and safety concerns, then voted to report the bill favorably as CS/SB 410. The committee then took up SB 216 on reemployment assistance eligibility verification. Senator McClain said the bill is intended to combat unemployment fraud by requiring claimants to contact five prospective employers per week, appear for scheduled interviews, and undergo regular identity, immigration, employment, and incarceration checks, with fraud information shared among agencies and published annually. Opponents, including labor advocates and representatives of construction and rural workers, argued the bill would add barriers for legitimate claimants, worsen Florida’s already low recipiency rate, and create problems for seasonal, rural, and transportation-limited workers. Supporters said the system needs stronger fraud controls and that employers and taxpayers bear real costs from noncompliance. The committee reported SB 216 favorably after debate. In routine open-government sunset review business, the committee approved two committee bills. SPB 7014 extends for five years a public records exemption tied to Department of Legal Affairs investigations of a social media standards law, with staff noting the exemption has not been used because of ongoing constitutional litigation. SPB 7016 preserves a public records exemption for certain financial information held by an economic development agency when administering state or federally funded small business loan programs; supporters said the exemption protects applicants from fraud and harassment, while Senator Smith said he would vote no to remain consistent with his prior opposition. Both measures were submitted as committee bills and reported favorably, and the committee adjourned.

Transcript Highlights:

• <00:26:36.760> of want to emphasize that due process of want to emphasize that due process
• ensure that exemption and refund claim ensure that exemption and refund claim are<01:21:25.000><
• They're going to be almost exclusively held to processing these refund claims.
• um that doax notes that refund claims um that doax notes that refund claims under<01:22:13.199><
• limitation so if you're filing a claim limitation so if you're filing a claim more<01:24:54.600>

Keywords: 910, house, all

Summary: The committee on Economic Development and Technology met on March 12, 2025, and heard testimony on several measures. On SB 9, the Hawaii Food Industry Association, the Chamber of Commerce, and the Hawaii Technology Development Corporation testified in support, and there were no questions or objections. On SB 148, the Department of Commerce and Consumer Affairs offered comments, and a member of the public testified in support of combining boxing and MMA oversight into a single combat sports commission, with amendments to preserve safety standards and separate or distinct treatment for the two sports. Committee discussion focused on whether proposed requirements were primarily safety-related or cost-related, how to handle smaller events, and whether a one-year implementation delay was necessary; the department said many safety provisions already exist in the MMA program, that it was open to continued discussion on costs, and that it needed time to combine rules and appoint new commissioners. The chair suggested possible amendments to account for event size and to reduce burdens on smaller events. The committee then heard SB 816, which drew extensive testimony on providing legal representation for immigrants in immigration proceedings. Supporters included the Hawaii State LGBTQ+ Commission, ACU Hawaii, the Refugee and Immigration Law Clinic, the Legal Clinic, Hawaii Friends of Civil Rights, the Hawaiʻi Coalition for Immigrant Rights, Pride at Work Hawaii, and others. Supporters argued that immigration cases can be as serious as criminal cases, that counsel is essential for due process, and that representation improves outcomes; several also emphasized the economic importance of immigrants to Hawaii. One supporter noted a suggested amendment to include training for attorneys and partners doing deportation defense and asylum work. Opposition came from a Navy veteran who argued the bill would use state resources for a federal issue, create inequities, and impose fiscal burdens. The chair noted 69 testimonies in support and 44 in opposition, and later an additional supporter brought the total to 70 in support. No vote was taken in the portion of the meeting provided. The committee also heard SB 125, with the Department of Economic Development, the Agreed Business Development Corporation, and the Hawaii Food Industry Association in support, and the Tax Foundation of Hawaii offering technical comments about complicated nested definitions in the bill. Testimony on SB 125 focused on updating the Enterprise Zone Program so local manufacturers selling directly to retail could qualify, along with value-added products and certain health-related sectors. Finally, on SB 732, the State of Hawaii Creative Industries testified with comments, raising concerns about county permit-fee waivers, implementation timing, and the bill’s lack of a carry-forward provision for the film tax credit. The witness said uncertainty in the credit was already causing productions to delay coming to Hawaii and urged stability to support the industry and local workers. The committee then moved on to additional testimony on the measure.

Transcript Highlights:

• So there is a process to it.
• I have asked them if our processes stand distinct from or in harmony with the admissions processes at
• claims for convenience alone.
• in its claims handling practices.
• , a 98.7% claim acceptance rate.

Summary: The committee was called to order, the Pledge of Allegiance and prayer were offered, and the minutes from the previous meeting were approved. Members then received a memo summarizing major audit items and began hearing audit presentations from the State Auditor’s Office and private auditors on a range of state agencies and organizations. Several audits were reported as clean, including the Bank of North Dakota, the North Dakota Guaranteed Student Loan Program, the Office of the Governor, the Office of the State Treasurer, the Office of Management and Budget, the Department of Transportation’s flexible transportation fund, Lake Region State College, and the Department of Environmental Quality. The North Dakota Stockmen’s Association also received an unmodified opinion, though repeat findings were noted for limited segregation of duties and financial statement preparation due to its small staff. The Council on the Arts audit found two findings: payroll charged to federal awards without adequate timekeeping records, and unallowable expenditures from a restricted cultural endowment fund. The Department of Public Instruction audit identified unsupported scholarship applications in the paraprofessional-to-teacher program, though additional testing showed the funds were used for their intended purpose. The most extensive discussion centered on the North Dakota Racing Commission audit, which identified four findings: overspending the promotion fund’s 25% operating limit, grant conditions not being met, improper Breeders Fund awards, and improper procurement for advertising services. Racing Commission director Bruce Johnson acknowledged complacency and weak controls, said the agency would tighten procedures, and explained that the commission had since worked with procurement and would follow the rules more closely. Auditors also explained that the commission would now be audited every two years because of the findings. Another major discussion involved the University of North Dakota School of Law, where auditors found a lack of documentation supporting admissions decisions for post-baccalaureate programs. UND officials said they remain in good standing with the American Bar Association but agreed better documentation and tools are needed; the committee pressed for more transparency and follow-up on admissions criteria. The committee also received an update on Dakota College at Bottineau, where Minot State University reported that bank reconciliations had been brought current after a significant backlog and would now be maintained through shared services. Members requested a written follow-up report on the issues and corrective actions. Finally, the North Dakota Fair Association explained that its foundation has been dissolved and remaining funds were transferred to another nonprofit for continued support of the state fair, and the Department of Public Instruction provided an update on school meal debt, saying the reported amount was about $1.1 million from a partial district survey and that debt remains a local issue, though it could be revisited if school meal funding changes.

Transcript Highlights:

• Auto Claims Specialists are licensed in over 26 states.
• The average difference on total loss claims was $3,800.
• You heard about the stakeholder process from Mr.
• Again, $5300 on repair claims and $3800 on total loss claims, and that largely tracks the TDI study.
• They found a difference of $2100 to $5900 on auto claims.

Transcript Highlights:

• It was in the process of being built. The whole process was very bad. It's ruined my life.
• The patient claimed my needle was 21 millimeters.
• $1,000, and he has filed open records claims. trooper, claiming he's not doing his job.
• Those are the losers in this process.
• The claim was settled at mediation in 2020 for $331,200. Our retention for this claim was $250,000.

Bills: SB 30, SB 517, SB 1313, SB 1314, SB 1316, SB 1541, SB 1698, SB 1845, SB 1860, SB 2420, SB 2429

Keywords: gambling, criminal offenses, penalties, defense, electronic devices, tobacco advertising, youth protection, public health, criminal offense, retailer regulation, e-cigarettes, nicotine products, health, public safety, regulation, advertising restrictions, health and safety, elections, election audit, county elections

Summary: The Senate Committee on State Affairs convened to discuss several critical pieces of legislation including SB30 and SB38. Senator Betancourt introduced a committee substitute for SB38 which underwent a smooth adoption process, moving it favorably toward the Senate. The meeting featured a mix of invited testimonies where both proponents and opponents took the floor. One notable highlight included a testimony from Melissa Casey, who criticized the current legal state as prone to fraud and detrimental to both insurers and the public at large, contending that it inflated insurance costs across the board. The discussions delved deeply into the implications of the bills on judicial processes and potential insurance ramifications, with spirited debates surrounding issues of non-economic damages and jury rights. The atmosphere remained engaged as committee members heard varied perspectives on the bills, showcasing a robust democratic process. The meeting underscored the importance of public testimony in shaping legislation, ensuring that multiple voices were considered as the committee pressed on towards making decisions that affect the legal landscape of Texas.

Transcript Highlights:

• In other words, it creates a fairer starting point without removing due process.
• Employers and insurers may still challenge claims, but the burden of proof shifts away from the officer
• . ...or insurers to try to challenge claims, but the burden of proof shifts away from the officer.
• And that would mean not just a report of an accident, but actual claims, excuse me, processed through
• That's... ...mode rather than just responding to claims.

Keywords: 996, all

Summary: The committee met with a quorum and took up its only bill, House Bill 132, which would create workers’ compensation presumptions for police officers for certain conditions, including noise-induced hearing loss/tinnitus, PTSD, and heart injury or stroke occurring within 24 hours of responding to or returning from a call or emergency. The sponsor described the bill as a bipartisan effort developed with input from workers’ compensation officials, PERA, and the Albuquerque Police Department, aimed at easing the burden on officers to prove causation while still allowing employers to rebut claims. An amendment was adopted first, refining definitions and adding language that preserves an officer’s ability to prove causation even when the presumption does not apply, and tying the heart/stroke presumption to the existence of a physical training program and medical screening requirements. Supporters included representatives of the Albuquerque Police Officers Association, the Workers’ Compensation Administration, New Mexico State Police, AFSCME/NMFL, and a workers’ compensation attorney. They argued the bill recognizes the cumulative physical and psychological toll of law enforcement, could improve treatment and retention, and would reduce disputes over causation while remaining balanced. One supporter asked the sponsor to consider changing the 20-year requirement tied to PTSD coverage so officers in smaller departments could access benefits earlier. Committee discussion focused on the amendment’s physical training and medical screening condition for the heart/stroke presumption, with questions about whether all departments have such programs and whether the language could limit coverage. Workers’ compensation staff testified that, from 2016 through 2025, there were 75 statewide claims potentially covered by the bill’s provisions before amendment, including about 20 hearing-loss claims, 11 heart-related claims, and about 44 mental-injury claims. A medical witness said research supports a correlation between law enforcement work and these conditions, though no New Mexico-specific study was available yet. After discussion, the committee voted to give House Bill 132, as amended, a do-pass recommendation, with no opposition recorded.

Transcript Highlights:

• We show you registered as an auto claims specialist.
• Auto claims specialists are licensed in over 26 states.
• We looked at 1,200 claims files, and we found that...
• on total loss claims.
• And that process can... ...can take some time? Yes.

Bills: HB345, HB721, HB2580, SB815, HB3057, HB4603, HB3233, SB495, HB3863, HB3914, HB4570, HB5099, HB5173, SB458

Keywords: insurance, appraisal process, disputed losses, residential property, policyholder rights, insurer obligations, natural disasters, appraisal expenses, umpire selection, policyholder, insurer, umpire, claims management, health care, cost disclosure, benefit plan, administrators, traumatic brain injury, health benefit plans, insurance coverage

Transcript Highlights:

• So, this one I know a little bit about. to claims analysis or claims management to claims analysis or
• If they run out of claims.
• So it just improves the claim processing efficiency overall.
• So it just improves<02:19:44.719> the<02:19:45.040> claim<02:19:45.359> processing
• c><02:19:45.920> efficiency improves the claim processing efficiency improves the claim processing

Keywords: 928, house, all

Summary: The subcommittee continued work on Senate Bill 297 and a new amendment dealing with pooled risk management programs and whether they should be regulated under the insurance department. Lisa Duket, executive director of SchoolCare, testified at length that the draft language could allow co-mingling of public entity risk funds, could trigger producer-licensing requirements for staff who are not actually brokers, and may not fit public entity risk pools because they are not insurance companies. She also raised concerns about the March 1 reporting deadline, the proposed uniform accounting language, aggregate excess insurance, examination costs being charged to the program, and confidentiality provisions that she argued may conflict with right-to-know principles for public entities. She urged the committee to slow down and consider a study committee or more time for review, saying the regulated entities were not adequately involved in drafting the proposal. Chairman Hunt and the department responded that the bill is intended to create a licensure-based regulatory model, similar to other licensed industries, and that the pooled risk management program would be exempt from producer licensing while anyone else selling or negotiating such coverage would need a producer license. The department said failure to comply would be handled through an administrative licensing process, with denial or nonrenewal of a license and appeal through the department process. On the reporting deadline, the department said March 1 is a standard filing date used for financial analysis and that the filing can be the most recent annual report, regardless of fiscal year end. They also explained that the confidentiality language was taken from existing RSA 5B, that aggregate excess insurance was included as a solvency measure, and that the draft was intended to preserve familiar language while adapting it for pooled risk programs. The discussion did not include a final vote or formal action on the bill in the portion provided. The committee appeared to be compiling follow-up questions for the insurance department and considering whether additional revisions or a slower process would be needed before moving the bill forward.

Transcript Highlights:

• So that process usually kicks off in late December, early January.
• We are towards the final end of that process.
• 20% of those large claims.
• It has to do with the money coming in to cover the claims.
• It was no longer really covering only catastrophic claims; it was covering a large portion of the claims

Summary: The committee received an update from Grant Wallace on the rebid and possible decoupling of the state’s Medicare Advantage retiree coverage. He said the state is exploring splitting medical and pharmacy benefits for post-65 retirees, with UnitedHealthcare as the incumbent vendor, and that preliminary estimates suggested savings of about $100 to $200 per participant per month. He outlined the expected timeline for final CMS rate announcements in April 2026, with contract amendments likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. Representatives from Segal Consulting then reviewed the history and current structure of the Medicare Advantage prescription drug plan, explaining that the plan was adopted after a 2021 recommendation and launched in 2023 alongside the existing Med-Sup option. They said the Medicare Advantage option has produced substantial savings, including a lower monthly rate than the Med-Sup plan and about $40 million in savings from initial enrollment, while also restoring pharmacy benefits for some retirees. The presenters then explained recent federal changes under the Inflation Reduction Act, including major changes to Part D funding, the direct subsidy, and risk-score methodology, which they said have made risk adjustment much more important and are driving interest in separating medical and pharmacy contracts. In response to questions from senators, the presenters said the Medicare Advantage plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. They also explained that the new Part D structure has reduced out-of-pocket costs for members, with a $2,000 annual cap and lower average member spending to reach it, while shifting more cost to the plan. No votes were taken and no formal action was reported; the committee simply received the update and was told to expect further information after the April rate notice. The meeting adjourned with the committee scheduled to return on May 13.

Transcript Highlights:

• So there is not a problem right now, and you're just asking for a process in the future?
• Our basis was a state law claim, and...
• **General Paxton**: So, our basis for this claim was a state law claim.
• It's an easy claim for us to review.
• **Josh**: It's an easy claim for us to review, and it's an easy claim for us to get in and out the door

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, Attorney General, budget recommendations, funding swaps, salary increases, Landowner's Compensation Program, public testimony, law enforcement

Summary: The meeting focused on the budget recommendations for the Office of the Attorney General (OAG), where key issues included the proposed decrease of $163.9 million for the 2024-25 biennium and various methodology swaps for funding. Attorney General Paxton discussed ongoing litigation expenditures and emphasized the need for continued investments in agency staffing to address rising demands within law enforcement. Notably, he requested a 6% salary increase for 2026 and 2027 to retain talented personnel amidst competitive job markets. Public testimony highlighted community awareness challenges regarding the Landowner's Compensation Program, indicating a need for enhanced outreach efforts.

Transcript Highlights:

• pays out in terms of submitting a claim.
• Um, and then either the claim is denied or it moves along and the assessment's taken and the process
• Representative Burkel: The fence claims and the crop damage that a herd of elk can do in a short time
• Um once the claim forms are happens.
• <00:14:37.040> happens and and the uh pro the process happens and and the uh pro the process

Bills: HF601

Keywords: agriculture, depredation compensation, livestock, crop damage, elk, wolves, wildlife management, 1183, house