Video & Transcript Research : 'claims processing'

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CA

California 2025-2026 Regular Session

Assembly Appropriations Committee Jul 9th, 2025

Transcript Highlights:
  • I think it's appropriate that the finance department has a process to review the claims, and if checks
  • to verify claims, legitimize the claims, make sure they're legitimate, but then process them more expeditiously
  • claim for another payment.
  • to verify claims, legitimize the claims, make sure they're legitimate, but then process them more expeditiously
  • That limits the number of claims that need to wait for the next claims bill, and as a result we have.
Summary: The Assembly Appropriations Committee met on July 9, 2025, with a quorum present and opened by taking up its consent and suspense calendars. Several Senate bills were moved on consent, including SB 255, 361, 385, 387, 428, 602, 648, 652, and 693, along with SB 78 on a separate due-pass motion. The suspense calendar was then deemed approved without further discussion. The committee next heard AB 1533, a claims bill authorizing a General Fund appropriation of $672 million to pay state claims, including $600 to the Franchise Tax Board and $72 million to the DMV for stale claims. Assemblymember Wicks presented the bill as one of the annual claims measures, and the Department of Finance and Department of General Services both supported it. Assemblymember Dixon raised concerns about the age of claims, the cost and efficiency of the process, and whether the state could improve how it verifies and pays claims more quickly. After brief public comment was invited, the committee held a roll call vote on AB 1533 and the bill was moved out of committee. The meeting then adjourned after a late-arriving member was added to the roll call for the consent calendar and AB 1533.
NH

New Hampshire 2025 Regular Session

Fiscal Committee (01/30/2025)

Transcript Highlights:
  • She said she can certainly address how quickly the claims are moving in the settlement process, but with
  • process.
  • process.
  • moving in the how quickly um the claims moving in the settlement<00:33:58.880> process<00:33:
  • mounting claim mounting claim process<00:35:15.680> uh<00:35:15.880> thank<00:35:16.040
Keywords: 928, house, all
Summary: The Fiscal Committee met on January 30, 2025, and first organized itself by electing Senator Jim Gray as vice chair, electing Representative F as clerk, appointing Michael Caine as legislative budget assistant, and adopting the committee’s rules and procedures. The committee also adopted an amendment to the rules allowing audits to be automatically released to the public once placed on the Fiscal Committee agenda, with members discussing that the change would improve transparency and reduce paper handling. The minutes from the November 15, 2024 meeting were approved, with members who were absent abstaining. The committee then worked through a consent calendar and several individual items. It removed or noted withdrawals on a few items, including item 25004 for further discussion, item 25016 withdrawn by the Department of Education, item 257 removed by Representative F, and item 25001 removed under Tab 4. Item 25004, concerning the newborn screening program, prompted testimony from the Department of Health and Human Services explaining that the program is mandatory with an opt-out provision; officials said 99.2% of newborns were screened in 2023, meaning the opt-out rate was under 1%. The committee also approved item 25007, related to DHHS community health workers and telework policy, after hearing that the workers are not placed in schools and that DHHS follows statewide telework policy. On the regular calendar, the committee approved a Department of Administrative Services request to extend the release date for fiscal year 2024 numbers to March 31, and approved a Department of Fish and Game item. It also approved winter maintenance funding for the Department of Transportation after hearing that the $5.7 million request might not last through the winter if additional storms occur; DOT said even a small storm can cost more than $1 million and that crews are dispatched based on road conditions and supervisory judgment. The committee then approved items for the Judicial Council and the Office of Legislative Budget Assistant. The final discussion focused on the Health and Human Services dashboard and the Youth Development Center claims. DHHS acknowledged a data error in the APS client line and said Community Mental Health Center caseload data is still not fully accurate because two centers are undergoing EHR conversions. Members also asked about the low census at the Sununu Youth Development Center and about the process for managing future claims related to the YDC settlement fund. Witnesses from the Attorney General’s office said the fund is handled through a unique arrangement involving DOJ appropriations and judicial branch staff, that current judicial budget cuts are not yet affecting the litigation pace, and that the average resolution so far has been about $500,000, though future claims may vary. No votes were taken on the discussion items beyond the approvals noted above.
AZ

Arizona 2026 Regular Session

01/29/2026 - Senate Health and Human Services

Health and Human Services

Transcript Highlights:
  • their claims so they can get paid. ...successful both in terms of processing their claims so they can
  • We needed to reduce the turnaround times both for prior authorization as well as for our claims processing
  • Bringing on an external claims vendor to help process claims was an important piece to help us get through
  • The next step is for training, and so we hope that they will be able to actually start processing claims
  • So on January 3rd, 2025, claims using code S9480 were subject to a prepayment review process.
Keywords: 1182, all
Summary: The Senate Committee on Health and Human Services held a fourth hearing in its ongoing review of alleged fraud, waste, and abuse involving AHCCCS/Access and DHS, with a major focus on Medicaid eligibility verification for the aged, blind, and disabled (ABD) population, behavioral health and sober living oversight, and payment delays to providers. Senator Shamp presented findings she said showed major gaps in ABD asset verification, including claims that only a fraction of enrollees were checked and that many ineligible members may remain on the rolls. She urged referrals to law enforcement, tighter verification requirements, better PARIS data sharing, and legislative changes to close what she described as a compliance and taxpayer-risk gap. Reva Stewart also testified that patient brokering and fraudulent recruitment of vulnerable people, including Native Americans, continues through social media and other channels, and she called for stronger enforcement and transparency. Heather Dukes, representing behavioral health and sober living operators, argued that the state’s response to fraud has become overly punitive toward legitimate providers. She said ADHS often sends technical paperwork deficiencies straight to enforcement instead of allowing plans of correction, that zoning approvals are being questioned despite not being within ADHS authority, and that long Access approval timelines are creating licensing and billing delays. ADHS Deputy Assistant Director Tiffany Slater said the department has seen a large volume of unlicensed complaints, that it is trying to improve staffing and data systems, and that some enforcement tools have been expanded for sober living homes. She also said many sober living operators are in recovery themselves and provide low-cost housing and support rather than direct billing to Access. Access Director Virginia Roundtree said the agency is trying to balance fraud prevention with support for legitimate providers. She reported steps such as daily internal huddles, live dashboards, added project management support, an outside review of the Division of Fee-for-Service Management, and a new external claims vendor to help reduce backlogs. Senators pressed her on a specific provider’s long-delayed payments and prepayment review, and she said the agency would provide answers early the following week. Access staff also described provider resolution roundtables and said unadjudicated claims had been reduced to zero, though members questioned whether that was due to denials rather than resolution. The hearing ended with the chair announcing legislation to preserve the American Indian Health Plan as a fee-for-service option while requiring Access to contract administrative and care management functions to another entity, citing structural failures in Access’s ability to operate the plan safely and effectively.
FL

Florida 2025 Regular Session

November 18, 2025 - 03:30 PM

Transcript Highlights:
  • There is a claims kind of adjudication process where they're allowed to dispute the denial of the claim
  • And that process, although it's arduous, is a process that I believe we need in managed care so that
  • and taps claim paid?
  • compared to a clean claim. >> And with so you're asking what the percentage of clean claims that are
  • Remember, getting a care versus the claim coming in when the claim being paid because we have standard
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 01/28/26

Human Services

Transcript Highlights:
  • > processing<00:40:27.680> uh<00:40:28.000> that is in the claims processing uh
  • It was a pause in, or a suspension in, the processing of claims to start the process. review the claims
  • approximately how many claims have gone through that process?
  • process, approximately how many claims process, approximately how many claims have<01:05:40.160>
  • Um that pause in in claims processing.
Keywords: 1187, senate, all
AR

Arkansas 2026 1st Special Session

JBC-CLAIMS Apr 14th, 2026

JBC-CLAIMS

Transcript Highlights:
  • This is a denied and dismissed claim from the Claims Commission that was appealed by the claimants.
  • motion, finding that the Claims Commission... ...and moved to dismiss the claim, and the Claims Commission
  • So the date that they could have claimed those excess proceeds. And claim excess proceeds.
  • Commission as to this claim.
  • Why is the state not acting on its own behalf, saying, set these proceeds aside in a claims process at
Summary: The Joint Budget Committee’s Claims Review and Litigation Oversight Subcommittee met to consider two proposed litigation settlements from the Department of Corrections and one appealed claim from the Claims Commission. In the first settlement, Caroline Arnett v. Larry Norris, et al., members asked about the underlying sexual assault allegations, whether policies had changed, and whether PREA audits and other safeguards were in place. The department said audits were underway and that steps had been taken to prevent similar conduct. The committee approved the settlement by voice vote. In the second settlement, Latasha Ridgel v. Arkansas Department of Corrections, members raised concerns about the length of the case and the fact that it involved similar allegations. The department cited attorney turnover, COVID-related delays, and scheduling difficulties; the settlement was approved by voice vote. The committee then reviewed Sharon Greer and Deanna Hayes v. Commissioner of State Lands, an appeal of a Claims Commission dismissal involving a 2009 tax sale of family property in Crittenden County. The claimants said they did not learn of the sale or the $4,200 in excess proceeds until 2025, and argued that notice was inadequate and that the overage should not have gone to the county. The Commissioner of State Lands’ office responded that notice was sent to addresses on file, certified mail receipts were returned, and a post-sale notice explained the process for contesting the sale and claiming excess proceeds. The office also argued the claim was untimely, that the commission lacked jurisdiction, and that state law bars monetary damages against the commissioner for actions related to tax-delinquent land sales. Members discussed broader concerns about the tax-sale and excess-proceeds process, including whether excess proceeds should be held longer or routed differently, but noted those issues would require legislative changes rather than action in this case. The committee then voted to affirm the Claims Commission’s dismissal of the claim. The meeting adjourned after the motion passed.
FL

Florida 2025 Regular Session

November 5, 2025 - 10:00 AM

Transcript Highlights:
  • You've heard me talk about the claims bill process, how it could be in a textbook in a business school
  • I've been involved with claims bills in this process for many, many years. solution that actually does
  • I've been involved with claims bills in this process for many, many years, and so I understand.
  • Last two points very quickly, Madam Chairman, is we do believe the claims bill process works.
  • I think having special masters look... ...is we do believe the claims bill process works.
Summary: The Civil Justice and Claims Subcommittee considered HB 145, by Rep. McFarland, which would raise Florida’s sovereign immunity caps from $200,000 per person and $300,000 per incident to $500,000 and $1 million, with a future inflation-based increase, extend the time to bring claims, and allow local governments to settle claims above the cap without a claims bill. McFarland argued the bill modernizes an outdated system and helps injured people obtain compensation more fairly and efficiently, while preserving sovereign immunity. Several members spoke in support during debate, saying the bill better balances government accountability and victims’ rights and that current caps have not kept pace with inflation and damages. Public testimony was largely in opposition. Local governments, counties, cities, insurance groups, and school-related organizations warned the bill would significantly increase liability exposure, insurance premiums, and taxpayer costs, especially for small and rural governments and school districts. Opponents also objected to the provision allowing settlements above the cap without legislative action, saying it would weaken the cap and increase litigation and costs. Supporters countered that injured people often wait years for claims bills and that governments should be able to resolve meritorious claims directly. After debate, the committee voted 16-1 to report HB 145 favorably, with Rep. Lopez voting no. The meeting then adjourned.
CA

California 2025-2026 Regular Session

Assembly Insurance Committee May 28th, 2025

Transcript Highlights:
  • claims.
  • We can pay on those claims.
  • So we had daily webinars with brokers to help them understand the claims process, answer any questions
  • That disbursement process works exactly the same as the assessment process, right?
  • That disbursement process works exactly the same as the assessment process, right?
Summary: The Assembly Insurance Committee held an oversight hearing on the California Fair Plan, focused on the plan’s rapid growth, its financial stability after the January Southern California wildfires, and its role as the insurer of last resort. Fair Plan officials explained that the plan was created in 1968, is a not-for-profit involuntary association of licensed property insurers, and is intended to be a temporary safety net until policyholders can return to the admitted market. They emphasized that the plan is not a state agency or taxpayer-funded, but is regulated by the Department of Insurance and supported by member-company assessments if claims exceed available funds. Victoria Roach and Armand Feliciano said the Fair Plan has grown sharply since 2018 and especially after market pullbacks by major insurers, reaching about 575,000 policies and roughly $600 billion in exposure by spring 2025. They noted that growth is increasingly occurring in lower wildfire-risk areas, where the plan can sometimes be cheaper than the voluntary market, and said this undermines depopulation back into the private market. They also discussed recent policy expansions, including coverage for farms, higher residential and commercial limits, and pending or proposed changes such as AB 290, SB 525, and AB 226, which would add tools like a line of credit and bond access. A major portion of the hearing addressed the January wildfire losses and the plan’s financial response. Fair Plan officials said they assessed member insurers for $1 billion after determining claims and cash flow would exceed available resources, and that the process was approved quickly and paid smoothly, with more than 80% of the assessment collected within 10 days. They also described the reinsurance tower, the plan’s limited surplus, and the need for actuarially sound rates to reduce future reliance on assessments. On claims handling, they said the plan has received over 5,500 claims from the fires, has paid more than $2.9 billion so far, expects total payments near $4 billion, and has focused on advancing payments quickly for total losses and other urgent needs. Members questioned the plan’s solvency, the growth in non-wildfire areas, claim denials, smoke-loss coverage, and how depopulation works. Roach said most closed claims without payment were duplicates rather than denials, and that smoke claims require direct physical loss under the policy, with coverage determined case by case. Public commenters from the California Building Industry Association and the Independent Insurance Agents and Brokers of California said the Fair Plan’s growth reflects a weak voluntary market, inadequate rates, and insurer fear of future assessments, and urged support for rate increases and AB 226. The hearing concluded with no vote, but with a commitment from Fair Plan officials to follow up on unanswered questions and continue providing more transparency through public data and website disclosures.
FL

Florida 2025 Regular Session

December 9, 2025 - 12:30 PM

Transcript Highlights:
  • INCREASING USE OF ALGORITHMS AND ARTIFICIAL INTELLIGENCE IN THE CLAIMS HANDLING PROCESS.
  • IT EXPLICITLY ALLOWS INSURERS TO USE AI TO ASSIST ANY CLAIMS PROCESSING AND REMOVES THE WORD JUST TO
  • BUT THE SECTION REALLY DEALS WITH JUST HOW AI IS IMPLEMENTED IN THE CLAIM DECISION PROCESS.
  • THE CONCERNS THAT THE REQUIREMENT HAD THE EFFECT OF SLOWING DOWN CLAIMS PROCESSING AND INCREASED COST
  • FLORIDA CLAIMS PROCESSING AND EFFICIENCY LEADS TO INCREASED CLAIM COST.
NM

New Mexico 2026 Regular Session

Senate - Health and Public Affairs Feb 11th, 2026 at 05:14 pm

Senate Health & Public Affairs

Transcript Highlights:
  • I mean, the same claims exist, but the value of those claims has gone up exponentially.
  • Right now, we assign claims and assign values to each of our claims.
  • In CYFD, any claim, we have 2,600 claims, totally an estimated claim right now of $400 million.
  • bring a claim.
  • of processing the kits.
CA

California 2025-2026 Regular Session

Assembly Judiciary Committee Jul 8th, 2025

Transcript Highlights:
  • The very burdensome and bureaucratic process of forming a fully developed claim is what gave birth to
  • Claims process and apply. So there's training that's required of accredited folks.
  • These folks are rated on their ability to process these claims and their success rate.
  • for PTSD, doesn't understand the situation, doesn't understand the claims process, right?
  • for PTSD, doesn't understand the situation, doesn't understand the claims process, right?
Summary: The committee heard several bills, with most drawing support after amendments or ongoing stakeholder negotiations. SB 29, by Senator Laird, would extend a sunset on the law allowing pain-and-suffering claims to survive a plaintiff’s death; supporters, including a family member describing a medical negligence case, labor groups, consumer advocates, and disability and elder organizations, argued it prevents defendants from running out the clock, while hospitals, medical groups, and business organizations warned of higher costs and added liability. After extensive debate about data collection, settlement reporting, and the impact on health care access, the bill passed to Appropriations on a divided vote. SB 294, by Senator Reyes and presented by Senator Laird, would require employers to notify a worker’s emergency contact if the worker is arrested or detained and would create a template to inform employees of state and federal labor rights. Labor and worker advocates said the bill would help workers understand and enforce their rights amid weakened federal enforcement; there was no opposition on file, and the bill passed unanimously to Appropriations. SB 697 would modernize water-rights adjudication by allowing the State Water Board to use technology instead of requiring in-person field investigations; with no opposition, it also passed unanimously. The committee also advanced SB 37 on attorney advertising, SB 645 on peremptory challenges in civil cases, SB 303 on bias-mitigation trainings in public workplaces, and SB 464 on expanding pay-data reporting for specified state workers. SB 37 drew support from consumer and legal groups but concerns from Walker Advertising about joint advertising; members said negotiations were ongoing, and the bill passed. SB 645 would extend anti-bias jury-selection rules to certain civil rights cases; criminal-defense and defense groups said they were close to agreement, and the bill passed. SB 303 and SB 464 were both amended to narrow scope and moved forward after several opponents shifted to neutral or removed opposition. The committee also approved a consent calendar of additional bills, all sent to Appropriations.
FL

Florida 2025 Regular Session

January 14, 2025 - 01:00 PM

Transcript Highlights:
  • process.
  • They're also knee-deep right now today in the claims process with their carriers.
  • How has it affected you and your policy and your claims and that process you've gone through?
  • We had the flood claim and we had the hurricane claims.
  • We had the flood claim and we had the hurricane claims.
Summary: The subcommittee held its first meeting on homeowners property insurance, with members from both parties introducing themselves and repeatedly noting that insurance affordability, roof condition, claims handling, and storm recovery are top concerns for their districts. Chair Yeager said the meeting was intended as an educational discussion rather than a legislative debate, and introduced a panel that included Insurance Commissioner Mike Yaworski, consumer Chad Carr, agent Mary Catherine Lawler, insurer executive Melissa Burt DeVries, and policyholder attorney Chip Merlin. The panel and members discussed major cost drivers in Florida homeowners insurance, including inflation, home age, roof age, mitigation features, claims history, litigation costs, reinsurance, and the Florida Hurricane Catastrophe Fund. Commissioner Yaworski said underwriting has become more sophisticated and that litigation costs, reinsurance, and replacement-cost inflation all affect premiums; he also said litigation is down about 30% and average requested rate increases have fallen from about 22.1% in 2022 to 0.8% today. DeVries said age of home, replacement cost, roof age, and coverage choices can materially change premiums, and explained that reinsurance is a major expense passed through to consumers. Merlin emphasized transparency concerns, argued that insurers are increasingly individualizing risk, and said consumers often struggle with coverage limits, deductibles, and claim denials. Members asked about flood coverage, hurricane deductibles, managed repair programs, mitigation credits, new insurer capitalization, and whether savings from reforms are reaching consumers. Yaworski explained that flood is generally excluded from homeowners policies and covered separately, that hurricane deductibles are mandatory in Florida and usually around 5%, and that the office tracks savings from reforms through rate filings and insurer discussions. He said the state is updating mitigation discounts and monitoring new entrants closely for solvency and market conduct. Several members and panelists said recent reforms have helped reduce some abuses and litigation, but many consumers are still seeing higher premiums because replacement costs and reinsurance remain elevated. No votes or formal actions were taken.
NM

New Mexico 2025 Regular Session

IC - Legislative Finance Nov 20th, 2025

Transcript Highlights:
  • and pay those claims.
  • future medical claims.
  • medical claims.
  • So that's the claim payments.
  • Through that process, we ensure that the Cabinet Secretary is aware of the claims that are coming to
FL

Florida 2025 Regular Session

March 20, 2025 - 11:30 AM

Transcript Highlights:
  • Is there any—does DMS have any oversight on the claims process with regard to screenings... ...on the
  • claims process with regard to screenings or the claims process in general.
  • And we are more than happy to discuss the claims bill process.
  • The low limits provide no need for accountability, and the claims bill process currently in place is
  • And we have heard stories of folks who have been in the claims process and they have died and not receiving
Summary: The Budget Committee met with a quorum and took up several bills. HB 677, relating to state-covered fertility preservation for employees undergoing cancer treatment, was introduced as coverage for egg and sperm preservation for up to three years, with an estimated fiscal impact of about $813,000. After brief questions and no public testimony or amendments, the bill passed unanimously and was reported favorably. The committee then considered CS/HB 59, which would reform Florida’s wrongful incarceration compensation process by extending the filing deadline from 90 days to two years, removing the clean-hands requirement, and allowing exonerees to choose between the state compensation process and a civil lawsuit; it was supported by the City of Flagler Beach and passed unanimously. CS/HB 1313, which recreates the Resilient Florida Trust Fund in the Department of Environmental Protection before its scheduled termination in 2025, also passed unanimously after supportive testimony from advocacy groups. The committee received a lengthy presentation from the Department of Management Services on the State Group Insurance Program and the recent Revenue Estimating Conference. The presentation covered enrollment, revenues and expenditures, rising medical and pharmacy costs, emergency room utilization, GLP-1 drug spending, and options for tighter formulary and utilization management. Members asked about ER cost growth, GLP-1 coverage and copays, PBM oversight and potential conflicts, avoidable ER visits, cancer screening claims, dental and vision costs, specialty drug biosimilars, and possible savings from more restrictive pharmacy models. DMS said it would follow up on several questions and noted ongoing work on cancer coordination, preventive screening, biomarker testing, and a proposed member-facing benefits platform. The committee also heard extensive testimony on HB 301, which would raise sovereign immunity caps from $200,000 per person and $300,000 per incident to $1 million and $3 million, align limitations periods with private claims, and allow government entities to settle above the caps without a claims bill. Local governments, school-related entities, and county and city associations opposed the bill, warning of major fiscal impacts, higher insurance costs, and pressure on services; several speakers urged smaller increases or a tiered approach. Proponents, including families affected by catastrophic injury or death, argued the current caps are too low and the claims bill process is inefficient and unfair. After debate, the bill passed on a recorded vote, with some members voting no, and was reported favorably.
FL

Florida 2025 Regular Session

March 19, 2025 - 10:30 AM

Transcript Highlights:
  • Now claims, we last year received 16,384 claims in total.
  • Hurricane E.N. claims and Hurricane Adalia claims, which are all now closed.
  • We're going to send claims, claim forms. We're going to send claims forms to the claimants.
  • While we're recovering the assets, we are also beginning the claims process.
  • While we're recovering the assets, we're also beginning the claims process.
Summary: The subcommittee heard presentations from the Department of Financial Services and the Department of Business and Professional Regulation, then returned to its ongoing budget workshop with the Department of Management Services. DFS’s Division of Risk Management described its role as the state self-insurance fund, covering about 200,000 employees and 27,000 vehicles, paying roughly $150 million in claims last year, and managing a pilot ETS treatment program for veterans and first responders that had 49 patients and 804 treatments as of the latest report. The Division of State Fire Marshal outlined its fire prevention, training, emergency response, and grant programs, including hurricane deployments, the Florida State Fire College, and several capital and grant requests for roof, courtyard, memorial, and equipment needs. The Division of Rehabilitation and Liquidation explained how it handles insolvent insurers under Chapter 631, currently administering 14 estates with $1.2 billion in assets and $3.7 billion in liabilities, and said no new receiverships had been opened since February 2023. Members asked about grant backlogs, fire truck procurement delays, memorial repairs, and whether affiliate transfers were occurring in insurer liquidations. Secretary Griffin then updated the committee on DBPR’s implementation of House Bill 1021 on community associations. He said the department had used the new authority to expand education, complaint handling, and ombudsman services, including 10 free standardized courses, a new condo website, and a four-hour board certification course that had already drawn more than 12,000 attendees. He reported that outreach to condominium communities had increased by more than 60%, that complaint filings were up 39% while jurisdictional dismissals dropped to 11%, and that about 81% to 82% of the 65 new positions had been filled. Members pressed him on whether the department had enough authority and funding, how condominium counts are determined, how self-reported structural integrity reserve study data is verified, and whether more public-facing complaint tracking and better reporting from local governments or developers would improve the system. The committee then resumed questioning Secretary Allende of DMS about outstanding budget and operations issues. Members focused on the delayed People First contract extension required by statute, with the secretary saying the delay involved technical and contractual complexity in moving a legacy hard-coded system to the cloud. They also revisited the state data team and data catalog project, asking why a statutory 2022 deadline had not been met, how the four-person team and broader data staff were organized, how many applicants were considered for key positions, and what each role was doing. The secretary said the catalog work was being simplified into six metadata fields and supported by a broader community of practice, but no firm completion date was given during the exchange.
CA

California 2025-2026 Regular Session

Assembly Insurance Committee Jul 2nd, 2025

Transcript Highlights:
  • These claims, you know, Watchdog claims to speak for consumers, but their own records publicly should
  • These claims, you know, Watchdog claims to speak for consumers, but their own records publicly show they
  • And we're also now at a different stage in the claims process for these fires.
  • We have to take our time to get to this part of the entire claims process.
  • claims paid, totally more than 17.
Summary: The Assembly Insurance Committee held its fifth oversight hearing on the California Department of Insurance’s Sustainable Insurance Strategy (SIS), with Commissioner Ricardo Lara providing an update on implementation. Lara said the department has finalized major reforms, including new catastrophe modeling tools, faster rate review procedures, use of forward-looking data tied to mitigation, and modernization of the FAIR Plan. He argued the strategy is intended to improve insurance availability in wildfire-prone areas, increase transparency, and stabilize the market, while also criticizing consumer intervenor groups and saying the department will tighten rules on intervener compensation and relevance. Members questioned Lara about when the SIS would begin producing visible market changes, how long rate filings would take to approve, and what the FAIR Plan modernization would mean for consumers’ costs. Lara said catastrophe model approvals should be completed by the end of the month, insurers are expected to begin submitting SIS filings in the coming weeks, and rate reviews have already been reduced from 281 days to 71 days. He also discussed a new market conduct investigation into State Farm’s handling of wildfire claims, ongoing complaints about smoke-damage claims, and a newly created smoke claims and remediation task force to develop standards. Lara said the department has helped more than 12,000 wildfire survivors, with over 38,000 claims filed and more than $17 billion paid, and that it is also working with other western states on underinsurance issues. Public commenters from the insurance industry, homebuilding, and insurance brokerage sectors largely supported the SIS and the department’s efforts, saying the reforms are needed to restore availability and stability. They emphasized the importance of timely rate approvals, FAIR Plan solvency, and greater transparency, and several noted that member companies are preparing to use the new filing process. The hearing ended without a vote or formal action, though members and the commissioner discussed ongoing legislative needs, including AB 226 and possible future FAIR Plan transparency measures.
CA
Transcript Highlights:
  • It is simply not possible to increase staffing alone to timely process claims given the exponential growth
  • So there are folks that have applications and open cases, and the process of an SIBTF claim has many
  • In the process of an SIBTF claim, there are many different steps.
  • This can include navigating the complaint and claim processes within the state, as well as helping them
  • systems and implementation of the modernized claim processing capabilities, with the contract award
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.
CA
Transcript Highlights:
  • Many bad actors delay the claims process by up to 12 months to increase their payout, since they can
  • may charge a fee to assist, process, prepare, and present a veteran's claim.
  • The VA benefits claims process is adversarial.
  • claim, but they decided to do the claim on their own because they kind of saw the process.
  • Having overseas call centers and processing claims in foreign countries, we could legislate against that
Summary: The Assembly Committee on Military and Veterans Affairs met as a subcommittee because a quorum was initially lacking, and heard six bills. AB 81 by Assemblymember Ta would require CalVet to study the mental health needs of women veterans; supporters from county veterans service officers, veterans organizations, and behavioral health groups said women veterans face higher rates of military sexual trauma, PTSD, depression, and suicide, while no opposition appeared. The bill was later passed 7-0 and re-referred to Appropriations. AB 826 by Assemblymember Gonzalez would prohibit unaccredited individuals or businesses from charging veterans fees to file or assist with VA benefits claims, impose a civil penalty, and direct penalty revenue to veterans services and district attorneys. Supporters argued the bill would curb predatory “claim sharks” and protect veterans from exploitation, while opponents from private claims consulting firms and several veterans said the measure could restrict access to legitimate help and should be narrowed to target bad actors instead of banning paid assistance broadly. After extensive testimony and discussion about federal law, accreditation, and possible amendments, the committee passed the bill 8-0 and re-referred it to Judiciary. AB 556 by Assemblymember Patterson would clarify that campus-level mandatory fees are covered under the CalVet fee waiver for dependents of certain veterans and Medal of Honor recipients. Supporters said the bill would fulfill the state’s promise to veterans’ families, while concerns were raised about fiscal impacts on CSU campuses and the need for more precise cost estimates. The bill was passed 6-0 and sent to Appropriations. The committee also adopted its rules 7-0 and approved the consent calendar, which included AB 264, AB 1508, and AB 1509, all re-referred to Appropriations.
AL

Alabama 2025 Regular Session

Alabama Senate Apr 10th, 2025

Alabama Senate Floor Meeting

Transcript Highlights:
  • trying to get budgets together that... based on trying to get budgets together that this may be a process
  • Then that somewhere in this process, we should be bumping up schools because they lost the student, they
  • And how that could affect us in our budgeting... ...could affect us in our budgeting process?
  • So, this is more the online process of the community college. ...online process of the community college
  • everybody on the Alabama State Senate, men and the women, for being able to go through the budget process
Bills: SCR 22, SB 53, SB 204, SB 266, SB 268, SB 291, SB 292, SB 296, SB 304, SB 305, SB 413, SB 447, SB 455, SB 462, SB 493, SB 504, SB 519, SB 522, SB 532, SB 541, SB 667, SB 670, SB 673, SB 681, SB 687, SB 711, SB 746, SB 765, SB 783, SB 827, SB 850, SB 860, SB 888, SB 897, SB 901, SB 927, SB 955, SB 963, SB 984, SB 989, SB 993, SB 996, SB 1023, SB 1033, SB 1058, SB 1062, SB 1101, SB 1119, SB 1172, SB 1173, SB 1215, SB 1220, SB 1227, SB 1228, SB 1229, SB 1238, SB 1239, SB 1245, SB 1248, SB 1254, SB 1259, SB 1273, SB 1277, SB 1302, SB 1332, SB 1341, SB 1346, SB 1350, SB 1352, SB 1353, SB 1355, SB 1358, SB 1370, SB 1371, SB 1378, SB 1403, SB 1404, SB 1415, SB 1437, SB 1448, SB 1450, SB 1464, SB 1493, SB 1494, SB 1537, SB 1566, SB 1569, SB 1589, SB 1598, SB 1644, SB 1709, SB 1719, SB 1729, SB 1733, SB 1744, SB 1772, SB 1810, SB 1841, SB 1895, SB 1930, SB 2039, SB 2289, SB 2312, SCR 1, SCR 6, SCR 27, SCR 32, SB 2232, SJR 4, SJR 27, SJR 40, SB 22, SB 33, SB 36, SB 37, SB 38, SB 95, SB 209, SB 249, SB 311, SB 365, SB 605, SB 618, SB 619, SB 732, SB 745, SB 760, SB 762, SB 779, SB 783, SB 785, SB 819, SB 871, SB 883, SB 1057, SB 1059, SB 1067, SB 1080, SB 1171, SB 1210, SB 1255, SB 1265, SB 1271, SB 1313, SB 1314, SB 1316, SB 1318, SB 1320, SB 1332, SB 1365, SB 1426, SB 1470, SB 1494, SB 1541, SB 1559, SB 1567, SB 1592, SB 1596, SB 1598, SB 1677, SB 1706, SB 1750, SB 1758, SB 1786, SB 1791, SB 1810, SB 1818, SB 1841, SB 1851, SB 1871, SB 1967, SB 2024, SB 2077, SB 2148, SB 2321, SB 2365, SB 2420, SB 2425, SJR 36, SJR 50, SJR 4, SJR 40, SJR 27, SJR 39, SCR 22, SCR 12, SCR 39, SCR 38, SCR 37, SCR 1, SCR 27, SCR 32, SCR 42, SCR 6, SB 779, SB 1470, SB 765, SB 62, SB 666, SB 888, SB 687, SB 847, SB 1248, SB 504, SB 305, SB 296, SB 284, SB 304, SB 1023, SB 204, SB 670, SB 850, SB 854, SB 413, SB 1346, SB 1033, SB 1220, SB 1073, SB 810, SB 1539, SB 447, SB 1119, SB 1505, SB 1215, SB 1302, SB 583, SB 673, SB 681, SB 1172, SB 955, SB 957, SB 541, SB 266, SB 1415, SB 53, SB 1352, SB 785, SB 1450, SB 1502, SB 1566, SB 1062, SB 711, SB 746, SB 1404, SB 1448, SB 507, SB 1026, SB 1349, SB 1355, SB 1433, SB 1434, SB 1596, SB 1403, SB 667, SB 1059, SB 1567, SB 310, SB 311, SB 505, SB 1210, SB 264, SB 1358, SB 1364, SB 1569, SB 1376, SB 1228, SB 519, SB 1350, SB 462, SB 827, SB 1585, SB 1273, SB 927, SB 1227, SB 1229, SB 1353, SB 1464, SB 1709, SB 1729, SB 1733, SB 1744, SB 1772, SB 1841, SB 2016, SB 1173, SB 1163, SB 996, SB 1370, SB 1101, SB 860, SB 993, SB 1537, SB 1332, SB 963, SB 493, SB 984, SB 619, SB 1122, SB 455, SB 522, SB 1057, SB 1239, SB 1254, SB 1255, SB 1259, SB 1341, SB 1877, SB 1277, SB 732, SB 731, SB 268, SB 1589, SB 397, SB 1058, SB 1930, SB 532, SB 508, SB 292, SB 291, SB 901, SB 1333, SB 1436, SB 1494, SB 964, SB 1378, SB 2312, SB 1719, SB 287, SB 2143, SB 1245, SB 261, SB 1247, SB 1882, SB 618, SB 38, SB 393, SB 1371, SB 1365, SB 2243, SB 2226, SB 2039, SB 1919, SB 1895, SB 1598, SB 1493, SB 1810, SB 1791, SB 1706, SB 1644, SB 1238, SB 783, SB 22, SB 651, SB 897, SB 1080, SB 745, SB 826, SB 989, SB 1320, SB 1437, SB 2289, SB 1171, SB 1079, SB 1243, SB 1504, SB 1851, SB 1879, SB 2237, SB 1257, SB 2034, SB 1522, SB 883, SB 249, SB 1318, SB 1151, SB 596, SB 1191, SB 226, SB 570, SB 870, SB 991, SB 60, SB 365, SB 1067, SB 1786, SB 326, SB 1401, SB 1592, SB 1728, SB 1265, SB 586, SB 529, SB 217, SB 209, SB 1923, SB 1559, SB 1839, SB 387, SB 1874, SB 1872, SB 1873, SB 1921, SB 1883, SB 1677, SB 95, SB 1620, SB 1838, SB 2024, SB 2429, SB 1999, SB 511, SB 2309, SB 2166, SB 871, SB 510, SB 33, SB 2420, SB 1860, SB 1541, SB 1316, SB 1314, SB 1313, SB 1426, SB 1398, SB 1869, SB 1750, SB 1871, SB 36, SB 855, SB 1233, SB 760, SB 2425, SB 2037, SB 1758, SB 1759, SB 2365, SB 1924, SB 762, SB 1271, SB 1818, SB 605, SB 1405, SB 1762, SB 1968, SB 1977, SB 2077, SB 2148, SB 2321, SB 1967, SB 1662, SB 1663, SB 2124, SB 2204, SB 1855, SB 863, SB 37, SB 2232, SB 819, SB 2078, SB 2252, SB 1962, SB 2253, SB 825, SB 1577, SB 1184, SB 2018, SB 2206, SB 1901, SB 1030, SB 2368, SB 1963, SB 1960, SB 1643, SB 1625, SB 1299, SB 841, SB 668, SB 584, SB 231, SB 2411, SB 1085, SB 2431, SB 2231, SB 1490, SB 530, SB 34, SB 1261, SB 552, SB 1099, SB 1646, SB 2180, SB 1804, SB 1937, SB 1936, SB 2569, SB 1372, SB 1208, SB 1124, SB 1506, SB 1806, SB 1868, SB 2361, SB 2314, SB 769, SB 1409, SB 2122, SB 434, SB 1214, SB 1951, SB 2183, SB 2046, SB 1667, SB 1870, SB 1727, SB 2405, SB 2127, SB 1975, SB 1760, SB 1734, SB 1335, SB 2066, SB 2129, SB 2246, SB 2439, SJR 4, SJR 40, SB 36, SB 249, SB 311, SB 365, SB 745, SB 785, SB 871, SB 1057, SB 1067, SB 1171, SB 1255, SB 1265, SB 1271, SB 1313, SB 1316, SB 1318, SB 1365, SB 1426, SB 1559, SB 1592, SB 1677, SB 1706, SB 1786, SB 1871, SB 1967, SB 2148, SB 38, SB 95, SB 760, SB 883, SB 1059, SB 1210, SR 384, SR 385, SR 389, SB 38, SB 95, SB 760, SB 779, SB 883, SB 1059, SB 1210, SB 1470, SCR 1, SCR 6, SCR 22, SCR 27, SCR 32, SB 53, SB 204, SB 266, SB 268, SB 291, SB 292, SB 296, SB 304, SB 305, SB 413, SB 447, SB 455, SB 462, SB 493, SB 504, SB 519, SB 522, SB 532, SB 541, SB 667, SB 670, SB 673, SB 681, SB 687, SB 711, SB 746, SB 765, SB 783, SB 827, SB 850, SB 860, SB 888, SB 897, SB 901, SB 927, SB 955, SB 963, SB 984, SB 989, SB 993, SB 996, SB 1023, SB 1033, SB 1058, SB 1062, SB 1101, SB 1119, SB 1172, SB 1173, SB 1215, SB 1220, SB 1227, SB 1228, SB 1229, SB 1238, SB 1239, SB 1245, SB 1248, SB 1254, SB 1259, SB 1273, SB 1277, SB 1302, SB 1332, SB 1341, SB 1346, SB 1350, SB 1352, SB 1353, SB 1355, SB 1358, SB 1370, SB 1371, SB 1378, SB 1403, SB 1404, SB 1415, SB 1437, SB 1448, SB 1450, SB 1464, SB 1493, SB 1494, SB 1537, SB 1566, SB 1569, SB 1589, SB 1598, SB 1644, SB 1709, SB 1719, SB 1729, SB 1733, SB 1744, SB 1841, SB 1895, SB 1930, SB 2039, SB 2232, SB 2289, SB 2312, SB 1772, SB 1810, SB 1540, SB 2660, SB 1540, SB 2660