Video & Transcript : 'captive insurers' :
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US
US Federal 2025-2026 Regular Session
Organizational business meeting to consider an original resolution authorizing expenditures by the committee during the 119th Congress; to be immediately followed by hearings to examine the real impacts of debanking in America. Feb 5th, 2025 at 09:00 am
Banking, Housing, and Urban Affairs Committee
Transcript Highlights:
- Why should any federally insured bank or credit union not be required to offer a best practice account
- What you pay for your FDIC insurance goes up.
- He had a relationship with a couple of agents, insurance agents, and when they had damage that was not
- They've been denied insurance policies and they've been denied the ability to renew coverage.
- But if you're going to discriminate against large industries, should you be able to be insured by the
FL
Florida 2025 Regular Session
January 15, 2025 - 03:30 PM
Transcript Highlights:
- Our jurisdictions include health care facility regulation, commercial health insurance coverage, the
- state employee group health plan, and the operation of the state Medicaid and children's health insurance
- for Health Care Administration, often referred to as AHCA, who will hear from today; the Office of Insurance
- Florida Healthy Kids Corporation; and the Department of Management Services, Division of State Group Insurance
- We do not qualify for Medicaid, and we pay the full cost for Matea's secondary insurance through Florida
Summary:
The subcommittee held its first meeting of the 2025-2026 term, took attendance, confirmed a quorum, and heard introductory remarks from members and staff. Chair Anderson outlined the subcommittee’s jurisdiction over access and affordability issues, including health facility regulation, insurance, Medicaid, CHIP, and state employee health coverage. The main agenda item was an update on implementation of HB 391, which created a family home health aide program for medically fragile children. Representative Tramont, the bill sponsor, explained that the law was intended to let trained family caregivers be paid through Medicaid to care for their children, reduce reliance on private duty nursing, and relieve families. He and several members expressed frustration that implementation had taken nearly two years and that families still faced barriers.
Deputy Secretary Brian Meyer of AHCA and Bridget Royce of DCF said the program was implemented October 1, 2024, with billing available, but no home health agencies had yet launched the required 80-hour training program and no claims had been paid. They described the program’s requirements, including agency employment, background screening, training, a $25-per-hour Medicaid rate paid to the agency, and an annual assessment report. A major issue discussed was that income earned by family caregivers counts toward Medicaid eligibility and could cause families to lose coverage. AHCA and DCF outlined two possible fixes that would require CMS approval: disregarding the income for eligibility purposes or treating the child as a family of one. Members and public witnesses strongly urged changes to avoid forcing families to choose between income and coverage. Several providers said they had begun preparing training programs, but asked for clearer approval processes and more patient-specific training requirements.
The committee then heard extensive public testimony from parents and caregivers of medically fragile children, who described the financial, emotional, and logistical strain of caring for children with severe disabilities and argued that the bill should be expanded to include Florida KidCare families and others in the coverage gap. They also raised concerns about the eight-hour-per-day limit, low pay, and the need for simpler rules and direct support. Home health providers and associations supported the concept but asked for modifications, including more targeted training and clearer implementation guidance. The meeting then shifted to a second agenda item on the Andrew John Anderson Rapid Whole Genome Sequencing Program, which was funded in the 2023 budget. Deputy Secretary Meyer said the program has been implemented since January 1, 2024, but utilization has been lower than expected, with only about 60 claims paid and many denials occurring through managed care. Public testimony from a lab, a hospital, and a pediatric rare disease expert said the program is clinically valuable and cost-saving, but managed care billing barriers, prior authorization issues, and DRG-related denials are limiting access; they urged direct billing to Medicaid and possible expansion to all newborns.
MN
Minnesota 2025-2026 Regular Session
Senate Leadership's Plans for Session / Online Sports Betting Testimony / November Budget Forecast Jan 14th, 2025
Minnesota Senate Floor Meeting
Transcript Highlights:
- you know, they talk a lot about feeling like things are a little out of control, like the health insurance
- 12.480><c> health</c> a little out of control like the health a little out of control like the health insurance
- 14.239><c> um</c><00:04:14.400><c> is</c><00:04:14.560><c> denying</c><00:04:15.000><c> care</c> insurance
- industry um is denying care insurance industry um is denying care and<00:04:15.360><c> they're</c><00
- We have started exploring the ways in which the health insurance industry, in particular, but other likely
AR
Arkansas 2026 Regular Session
ALZHEIMER'S DISEASE AND DEMENTIA ADVISORY COUNCIL Jul 9th, 2026
ALZHEIMER'S DISEASE AND DEMENTIA ADVISORY COUNCIL
Transcript Highlights:
- But what the problem is, is are we sure that everybody has access to that in terms of insurance?
- But if you don't have access to them by insurance, then what use are they?
- Making sure we're addressing FDA-approved diagnostics and treatments, making sure there's insurance coverage
MA
Massachusetts 2025-2026 Regular Session
Status of Persons with Disabilities Jun 21st, 2026 at 12:00 pm
Transcript Highlights:
- So states can support retention and productivity by strengthening insurance coverage and parity for mental
- grants to establish programs, facilitate connections between employers, health care providers, and insurers
- period injured workers' wages for light duty or transitional work are eligible for reimbursement for insured
Summary:
The Disability Employment Subcommittee met with roll call, approved prior meeting minutes, and shared an inspirational quote from Jane Goodall about the importance of every individual. Members then introduced themselves and their roles, including state disability advocates, providers, and commission members, before hearing a presentation from Katia Alpanis and Dina Klumkina of the State Exchange on Employment and Disability (SEED). SEED described its role as a technical assistance and policy resource for states, focused on sharing best practices and examples from other states to expand employment opportunities for people with disabilities.
The presentation outlined SEED’s seven policy areas: career readiness and work-based learning, behavioral health and work, stay-at-work/return-to-work supports, employer recruitment and retention tools, entrepreneurship and disability-owned business development, interagency coordination, and state government as a model employer. Examples from other states included scholarship and transition supports in Kentucky and Virginia, stay-at-work programs in Alaska and Washington, accommodation funds in Minnesota, procurement and small business initiatives in New Jersey and Virginia, and model employer efforts in Colorado, New York, and Tennessee. Members also asked about digital accessibility and PEAT; SEED said PEAT has been refunded and that SEED can help with policy-level questions and peer examples, but not implementation of accessibility requirements.
Discussion then shifted to possible Massachusetts projects. Members raised concerns about upcoming Medicaid work or civic engagement requirements and how people with disabilities might fall through the cracks, and they asked whether SEED could help Massachusetts use existing documentation, such as IEPs, to reduce barriers. The group identified two main areas for follow-up: a Massachusetts “state as a model employer” roadmap and a youth/young adult employment and volunteer pipeline, potentially linked to transition services and apprenticeship opportunities. SEED agreed to provide Massachusetts-specific analysis and two briefs, one on career readiness policies and one on state-as-model-employer strategies, and the subcommittee planned an offline follow-up meeting to narrow priorities and develop a scope of work.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Consumer Protection and Professional Licensure Jun 21st, 2026 at 10:00 am
Joint Committee on Consumer Protection and Professional Licensure
Transcript Highlights:
- Liquor liability insurance was extremely difficult to buy and was very expensive.
- Many providers of liquor liability insurance stopped selling in the Massachusetts market, and the industry
- These days, liquor liability insurance is relatively manageable to purchase.
Summary:
The Joint Committee on Consumer Protection and Professional Licensure held a hearing on alcohol licensing, sales, and consumption issues affecting bars, restaurants, package stores, and local communities. The chair outlined hybrid hearing procedures, including three-minute testimony limits and instructions for written testimony. The committee heard a local bill for Milford, H. 4169, authorizing an additional off-premises all-alcohol license for Charlie’s Mini Mart, with the understanding that the existing wine and malt license would be surrendered if the new license is granted.
A major topic was the long-running debate over happy hour. The Massachusetts Restaurant Association opposed bills such as S. 217, H. 349, and H. 443, arguing that discounted alcohol would intensify competition, create pressure on restaurants to participate, and potentially raise liquor liability and insurance costs. In contrast, Senator Julian Cyr testified in support of repealing the happy hour ban through a local-option framework, saying the bill includes safeguards such as no discounts after 10 p.m., fixed pricing during promotions, and advance posting requirements, and that it could help downtowns and seasonal businesses without creating a public health risk.
The Massachusetts Package Stores Association testified on a broad package of bills, opposing measures to reinstate happy hour, allow supplier control over retail shelf space (H. 350), impose a transfer fee on licenses (H. 351), authorize alcohol coupons or discounts (H. 381 and S. 219), and permit Thanksgiving alcohol sales (H. 428). It supported bills requiring beverage alcohol training for off-premise licensees (H. 344), restricting self-checkout for alcohol (H. 366), changing Section 15 grocery-store license rules (S. 213), and several other regulatory changes. The Distilled Spirits Council supported H. 350 on private label spirits, while acknowledging concerns about disclosure and preferential treatment; package store witnesses defended private labels as lawful products they create with manufacturers, and the council argued the bill should address consumer confusion and unfair competitive advantages. The hearing concluded with Chair Chan announcing committee poll results on other bills, including a number of favorable reports and study orders, and the committee then voted to close the hearing.
LA
Transcript Highlights:
- It's an act to amend Title 22 relative to health insurance to establish requirements for formulary placement
- committee report on House Bill 1117 by Representative Furman is an act in Title 22 relative to certain insurer
- Thank you. ...certain insurer contractual payments to provide for prescriptive periods.
Bills:
SCR12 , HB221 , HB509 , HCR58 , SB78 , SB25 , SB80 , SB132 , SB155 , SB157 , SB202 , SB228 , SB250 , SB414 , SB433 , SB479 , SB513 , SCR9 , SCR58 , SB65 , SB215 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , SB514 , HCR32 , HB17 , HB41 , HB73 , HB223 , HB244 , HB759 , HB906 , HB966 , HB1006 , HB1009 , HB1086 , HB1107 , HB1112 , HB1215 , HB1242 , SB217 , SB283 , SB469 , HB36 , HB42 , HB74 , HB119 , HB159 , HB259 , HB302 , HB414 , HB459 , HB776 , HB848 , HB956 , HB1017 , HB1028 , HB1095 , SB208 , SB312 , SB382 , SB389 , HB210 , HB258 , HB359 , HB368 , HB468 , HB552 , HB732 , HB784 , HB870 , HB953 , HB1117 , HB1236
Keywords:
logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, Ascension Parish, state capitol, economic development, community partnership, celebration day
OK
Oklahoma 2026 Regular Session
Health and Human Services REVISED Apr 30th, 2026
Health and Human Services
Transcript Highlights:
- And you guys are basically the insurance company for Medicaid.
- to argue until the day I leave this building that giving someone a piece of paper and calling it insurance
- to argue until the day I leave this building that giving someone a piece of paper and calling it insurance
Committee:
Senate Health and Human Services
Summary:
The Senate Health and Human Services Committee met to consider a series of gubernatorial nominations, first for several boards and commissions and then for key health-related executive positions. Early confirmations included Michael Vaughn to the Board of Licensed Alcohol and Drug Counselors, Tina Frazier to the State Board of Licensed Social Workers, Dr. Kanya Martin and Dr. Edgar Boyd to the Board of Examiners for Speech-Language Pathology and Audiology, Dr. Christopher Thurman to the Health Care Workforce Training Commission, Samuel Haubrick and Robert Wipp Jr. to the Committee of Home Inspector Examiners, and Dr. Gabriel Pittman to the State Board of Health. Each nominee briefly described their background and qualifications, and committee members generally emphasized professional experience, public service, and rural health needs. All of these nominations advanced on unanimous or near-unanimous votes.
The committee then considered Clayton Bullard for two roles: Cabinet Secretary of Health and Mental Health and Administrator of the Oklahoma Health Care Authority. Senators focused heavily on Medicaid managed care, provider payment delays, MCO oversight, and the short timeline before a new administration. Bullard said his priority would be stabilizing the agency, building a balanced budget, monitoring contractors and managed care organizations, and ensuring claims are paid promptly; he reported high rates of clean-claim payment within 14 days and said the agency would continue fining MCOs for noncompliance. Members also pressed him on legislative oversight and the need to keep lawmakers informed about policy changes. Both nominations were approved and sent to the full Senate.
Sharon Schell Millington was then nominated to lead the Office of Juvenile Affairs. Senators asked about security concerns, staff safety, de-escalation training, pay for direct care staff, and coordination with local law enforcement. Millington said the agency had increased staff pay, adopted nationally recognized restraint/de-escalation training, and was working to improve communication with law enforcement. Her nomination also passed and moved to the Senate floor. At the end of the meeting, the chair answered a question about board membership requirements, clarified that the statute limits how many members may reside in one congressional district but does not require every district to be represented, and thanked committee staff for their work as the committee’s final HHS meeting of the session.
AZ
Transcript Highlights:
- Well, what it will do is raise the insurance rates for physicians in Arizona.
- Physicians in Arizona already pay exorbitant amounts of malpractice insurance.
- comments from Assistant Leader Gutierrez, we heard that this bill could actually end up increasing insurance
Summary:
The House convened with prayer, the Pledge of Allegiance, approval of the prior journal, and several points of personal privilege recognizing guests, including a newly graduated Army servicemember, the Doctor of the Day, and members of Delta Sigma Theta visiting for Delta Day at the Capitol. The chamber also adopted a proclamation designating April 10, 2026, as Founders Day in the City of Tolleson, with remarks highlighting the city’s history and the Whoopi Days Festival. The House then appointed a conference committee on HB 2874 after voting not to concur in Senate amendments.
The House considered several bills in Committee of the Whole. On SB 1058, a floor amendment offered by Rep. Gutierrez to address gun trafficking, merchant codes, and related enforcement tools failed by a vote of 17-32, and the bill was then recommended do pass. SB 1094, dealing with civil liability related to gender transition procedures for minors, drew extended debate over constitutionality, medical liability, and impacts on physicians and patients, and it was also recommended do pass. SB 1136, SB 1422, and SB 1663 (with a Blackman floor amendment adopted) each received do pass recommendations.
Later, the House adopted Committee of the Whole reports placing SB 1075 and SB 1202 on third reading, retaining SB 1419 on the calendar, and advancing SCM 1004 and SCM 1007. On third reading, the House passed SB 1024, SB 1148, SB 1232, SB 1293, and SB 1586, with members explaining votes on issues including vehicle registration, Supreme Court administration, outdoor advertising and zoning, GPLET tax policy, and state agency matters. The chamber then recessed briefly for announcements and personal privilege remarks, and finally adjourned until 10:00 a.m. on Thursday, April 9, 2026.
AZ
Transcript Highlights:
- Well, what it will do is raise the insurance rates for physicians in Arizona.
- They already pay exorbitant amounts of malpractice insurance.
- comments from Assistant Leader Gutierrez, we heard that this bill could actually end up increasing insurance
AZ
Arizona 2026 Regular Session
03/31/2026 - House Democratic Caucus Calendar #14
Transcript Highlights:
- Madam Chair, members, SB 1212, health insurance reimbursement rates for vaccines, passed out on...
- Madam Chair, member, Senate Bill 1494, now health insurance patient searing prohibition, passed out of
- Madam Chair, members, Senate Bill 1206, now storm-related insurance claims adjusters, passed committee
Summary:
The meeting was a caucus review of a large calendar of Senate bills, with members mainly hearing short titles, committee vote counts, and whether bills were on consent or pulled for further discussion. Many measures were reported out on party-line or split votes and several were flagged to be removed from consent, especially bills involving artificial intelligence content verification, public benefits eligibility, gender transition procedures liability, health insurance reimbursement for vaccines, light rail feasibility review, public employees merit hiring, public records fees, virtual currency payments, tax conformity, undocumented immigrants and financial services, central bank digital currency, and public monies investment in trust currency.
The caucus also discussed a number of education, public safety, child welfare, health, and regulatory bills. These included measures on school communications, bullying liability, AED training, classroom management, school safety reporting, DCS procedures, fingerprinting at behavioral health facilities, probation conditions, missing children reporting, sex offender monitoring, crimes against children probation monitoring, and domestic violence release conditions. Several members raised objections or concerns about specific bills, including mandatory sentencing, religious sectarian law language, concealed weapons notice repeal, and a bill on death sentence by firing squad, with some members asking to pull those bills from consent.
A final topic was a blue-sheet Senate amendment to HB 2874 on campaign committee termination statements and penalties. Rhonda explained the Senate changes would void penalties for committees with no contributions or expenditures, retroactive to December 2021, but noted the Senate did not secure enough votes for the emergency clause. Members asked about the rationale, the Secretary of State’s position, and the amount of outstanding penalties. The chair later announced that the Senate amendment was being refused, so the bill would not receive final passage that day and would instead be sent back for further action or conference.
ID
Transcript Highlights:
- somebody that's a friend of mine that sold their company for millions of dollars, wanted to get insurance
- because his company had insurance.
- He now doesn't have insurance. He went to get on the exchange.
ID
Transcript Highlights:
- And the reason for that is because of the insurance potential claims that we may have.
- The reason for that is because of the insurance potential claims that we may have.
- So if you have an insurance, a settlement outlay of capital and you've got that, they want to be able
Committee:
Senate State Affairs
OK
Oklahoma 2026 Regular Session
Energy and Natural Resources Oversight Mar 4th, 2026 at 09:00 am
Energy
Transcript Highlights:
- devastation and catastrophe out there, those utilities pay 100% of the costs of liability out there, the insurance
- We are still having negotiations and This particular amendment was not a suggestion of the insurance
- There are insurance companies that are national that I'm not really concerned about pleasing.
Bills:
HB4246 , HB4230 , HB3617 , HB3657 , HB2976 , HB3391 , HB4459 , HB4128 , HB3989 , HB2989 , HB4060 , HB3145 , HB2992 , HB3464 , HB4246 , HB4230 , HB3617 , HB3657 , HB2976 , HB3391 , HB4459 , HB4128 , HB3989 , HB2989 , HB4060 , HB3145 , HB2992 , HB3464
Committees:
House Energy , House Energy and Natural Resources Oversight
Keywords:
HB4246, water rights, rural water, wastewater, drinking water, environmental quality, DEQ, Oklahoma Department of Environmental Quality, Oklahoma Rural Water Association, technical assistance, water infrastructure, small systems, utility operators, emergency water response, nonprofit contractors, vendor qualification, competitive bidding, best value procurement, central purchasing act, rural utilities
WA
Transcript Highlights:
- prosecuting attorney, to the news media in response to a Public Records Act request, or to a title insurer
- , title insurance agents, or an affiliate or independent contractor of such title insurer.
Committee:
Senate Law & Justice
ID
Transcript Highlights:
- House Bill 530 by the Health and Welfare Committee, relating to insurance.
- House Bill 530 by the Health and Welfare Committee, relating to insurance.
- list of private polling locations that would then be covered under the Secretary of State's self-insured
WA
Washington 2025-2026 Regular Session
Senate Floor Session Feb 11th, 2026 at 06:30 pm
Washington Senate Floor Meeting
Transcript Highlights:
- An act relating to travel insurance, amending RCW 48. Last line. Effect January 1, 2027.
- Travel insurance has become much more common in recent years, and this bill sets up a framework to bring
- If we could pass this, please, since I'd be able to buy my travel insurance for tonight. Thank you.
Bills:
SB5223 , SB5928 , SB6071 , SB5995 , SB5966 , SB5841 , SB6061 , SB5944 , SB5520 , SB6087 , SB6076 , SB5916 , SB6016 , SB6137 , SB6009 , SB5833 , SB6161 , SB5890 , SB5973 , SJM8015 , SB5816 , SB5053 , SB5249 , SB5536 , SB5834 , SB5837 , SB5872 , SB5879 , SB5899 , SB5925 , SB6019 , SB6148 , SB6190 , SB6237 , SB6086 , SB5574 , SB5873 , SB5992 , SB5924 , SB6134 , SB6263 , SB5395 , SB6282 , SB5905 , SB6302 , SB5950 , SB6074 , SB6096 , SB5970 , SB5609 , SB5827 , SB5838 , SB5845 , SB5862 , SB5880 , SB5901 , SB5922 , SB5943 , SB5971 , SB5975 , SB5981 , SB5982 , SB5984 , SB5988 , SB5994 , SB6034 , SB6035 , SB6070 , SB6097 , SB6110 , SB6246 , SB6248 , SB6278 , SJM8016 , SB5496 , SB6054 , SB5835 , SB5907 , SB6031 , SB6155 , SB6158 , SB6227 , SB5947 , SB6247 , SB6085 , SB6234 , SB6274 , SB6194 , SB5909 , SB5868 , SB6026 , SB5974 , SB6044 , SB5906 , SB6081 , SB6239 , SB5923 , SB6323 , SB6210 , SB6045 , SB6106 , SB5346 , SB6089 , SB6170 , SB5954 , SB5968
Keywords:
criminal offense, fingerprinting, law enforcement, state regulations, public safety, wildfire risk, disclosure, safety, environmental policy, risk assessment, overpayment recovery, modernization, health care, legislation, zero emission, cargo handling, port district, environmental impact, grant allocation, healthcare
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Eighteen - Tuesday, February 10 -Afternoon Session-
Missouri House Floor Meeting
Transcript Highlights:
- If safety inspections were effective, we would expect auto insurers to adjust premiums accordingly, offering
- Instead, states without inspections often enjoy slightly lower auto insurance rates than the national
- So there is a very realistic situation or scenario where the private market insurance companies specifically
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Eighteen - Tuesday, February 10 -Afternoon Session-
Missouri House Floor Meeting
Transcript Highlights:
- If safety inspections were effective, we would expect auto insurers to adjust premiums accordingly, offering
- Instead, states without inspections often enjoy slightly lower auto insurance rates than the national
- So there is a very realistic situation or scenario where the private market insurance companies specifically
Summary:
The House first established a quorum, then took up a package of House Committee Substitutes for House Bills 1838, 1692, 1695, 1983, 2036, 2662, and 2743. The bills were described as eliminating mandatory vehicle safety inspections in Missouri, with supporters arguing the inspections are outdated, costly, inconvenient, and not clearly linked to fewer crashes or fatalities. They cited studies and examples from other states, and several members emphasized the burden on rural drivers and mechanics. Opponents argued inspections help catch tire, brake, and other equipment problems, and warned that removing them could increase risks to children, highway workers, and other motorists.
Members debated specific provisions in the merged bill, including exemptions and requirements for street rods, custom vehicles, agricultural vehicles, interstate commerce vehicles, and vehicles involved in accidents or salvage situations. An amendment was offered to correct a drafting error involving commercial vehicles and was adopted. The sponsor repeatedly clarified that the bill would not make inspections illegal, only remove the state mandate, while opponents questioned the studies cited and raised concerns about fatality impacts and unsafe vehicles. The House then adopted the committee substitute as amended and perfected and printed the bill package.
After the bill action, members made announcements, including a birthday recognition and committee meeting notices. The House was then adjourned until February 11, 2026.
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Feb 4th, 2026
Transcript Highlights:
- First, it requires that for fully insured health plans, a carrier must provide the following information
- carriers, and that way they'll be more encouraged to continue to provide and continue to accept insurance
- It would also bring health insurance and retirement savings options that I haven't had in almost 16 years
Summary:
The House Health Care and Wellness Committee met at policy cutoff and first took up executive session on four bills. It considered a proposed substitute for HB 1589 on health carrier contracting practices, which would require carriers to provide providers advance notice and clean copies of contract changes and payment methodologies, and would also add notice requirements for significant payer contract modifications. The committee also considered HB 2402 on phthalates in IV solution containers and tubing, with a substitute delaying implementation dates and creating shortage and FDA-related exemptions. HB 2555, concerning Medicaid coverage of traditional health care practices, and HB 2685, concerning tribal data and disease reporting to tribal health jurisdictions, were also before the committee. HB 2599 was deferred. The committee reported HB 1589, HB 2402, HB 2555, and HB 2685 out of committee with do pass recommendations, with recorded votes showing some members voting no or no without recommendation on the more contested bills.
The committee then held a work session on private duty nursing in the Medically Intensive Children’s Program. Health Care Authority and DSHS staff described how the program serves children with complex medical needs through managed care and fee-for-service pathways, the role of prior authorization and medical necessity review, and the ongoing shortage of nursing staff. They said many approved hours are not filled, especially in rural areas, and that family members often provide unpaid care to fill gaps. Committee members asked about the structure of the children’s and adult PDN programs and about how many authorized hours are actually being served.
The committee also heard testimony from a home care agency representative and a parent caregiver, both of whom described severe staffing shortages and the burden on families when nursing shifts go unfilled. They supported models that would allow trusted family caregivers to be paid for some of the skilled care they already provide. The committee then heard examples from Montana and Massachusetts of similar family caregiver or complex care assistant programs. Montana described its pediatric complex care assistant model as a gap-filling service with prior authorization and a set hourly rate, while Massachusetts outlined its complex care assistant program, including training, supervision, wage pass-through requirements, and early growth in participation. The meeting concluded after the work session.