Video & Transcript Research : 'premium structure'

Page 28 of 476
NH

New Hampshire 2026 Regular Session

Senate Health and Human Services (03/04/2026)

Health and Human Services

Transcript Highlights:
  • So we did not have a law by which to ground the structure of this.
  • <00:33:29.279> So to ground the structure of this. So to ground the structure of this.
  • So it was originally structured as a captive because that's how Texas had structured their law, and that's
  • Well, you know, there's this premiums.
  • And structured way to think through it.
Keywords: 1191, senate, all
WY
Transcript Highlights:
  • <00:42:48.920> close Alaska was able to drop premiums close Alaska was able to drop premiums
  • <00:42:56.320> about program was able to drop premiums about program was able to drop premiums
  • Insurance and it is funded by a premium Insurance and it is funded by a premium tax<00:43:09.440
  • around what drives premiums. around what drives premiums.
  • Health care premiums follow around.
Keywords: 916, all
Summary: The committee opened by explaining it would work through a long list of interim topics one at a time and asked members to complete a selection form at the end. The first topic, long-term care, drew testimony from AARP Wyoming and the Wyoming Long-Term Care Association. AARP emphasized Wyoming’s aging population, the state’s roughly $200 million annual Medicaid spending on long-term care, and the need to examine whether more support for home-based care could reduce nursing home use and costs. The association agreed with supporting people at home as long as possible, but asked that any study also consider increased support for nursing homes and assisted living when home care is no longer feasible. Committee discussion also touched on adult day care and PACE-like services, with Mr. Laycock noting prior Department of Health discussion and limited adult day availability due to reimbursement concerns. The committee then heard proposals for neonatal intensive care unit family leave, expanded midwifery scope, and a modification to workers’ compensation law. The NICU leave idea, presented by the Wyoming Women’s Foundation, would explore leave options for families with premature infants in intensive care, potentially paid or unpaid, while considering business size and the burden on families who may need out-of-state care. The midwifery topic was framed as a way to address rural maternity and women’s health gaps by allowing midwives to practice to the full extent of their training. On workers’ compensation, the Wyoming Association of Municipalities sought to classify dispatch personnel as first responders so they could receive mental health coverage under workers’ compensation; the Department of Workforce Services explained that current law covers dispatchers under workers’ compensation generally, but the first responder mental health provision added in 2018 applies to law enforcement and firefighters and does not currently include dispatchers. Other topics included problematic gaming and program funding, breast cancer diagnostic and supplemental exams, prescription drug coverage for advanced metastatic cancer, SNAP education, behavioral health workforce clinical training site shortages, CPR in schools, and broader midwifery oversight. The behavioral health workforce proposal, brought by a WICHE commissioner, focused on increasing psychology internship slots in Wyoming, noting that the state currently has only three and that expanding placements could improve recruitment and retention. The CPR in schools topic drew strong support from the American Heart Association, which argued that CPR training in high school could improve bystander response in a rural state with long EMS response times; committee members asked about cost and curriculum fit, and the witnesses said hands-only CPR could be taught by school staff rather than requiring expensive certification. The midwifery discussion later broadened into concerns about oversight and standards after a representative described a constituent’s pregnancy loss and said complaints involving midwifery practice and staffing delays in investigations warranted a deeper review. No votes were taken during the portion provided, and most topics were simply introduced, discussed, and left open for further testimony or later committee selection.
FL

Florida 2026 4th Special Session

January 21, 2026 - 04:00 PM

Transcript Highlights:
  • US HEALTHCARE MARKET ISN'T STRUCTURED TO ACCOMMODATE THE PROPOSAL OF HB 697 AS DESIGNED FOR FLORIDA.
  • AND WE HAVE ACTUARIAL REPORTS THAT SHOW THE SAVINGS THAT GET THERE, ALMOST $1000 PER PATIENT AND PREMIUMS
  • THEY'RE DOING THAT PART OF THE SYSTEM HOW IT IS APPLIED IN SOME WAY TO COUNTER INSURANCE PLANS OR PREMIUMS
  • I DON'T WANT TO SEE CONSUMERS PAY FOR THIS ON THE BACK AND ARE THEY HAVE INCREASED CO-PAYS AND PREMIUMS
  • TRANSPARENCY AND STRENGTHENING OVERSIGHT IT ENSURES SAVINGS IN THE SYSTEM ARE REFLECTED IN LOWER PREMIUMS
MN
Transcript Highlights:
  • Um, structural challenges in this bill.
  • um the way this bill is structured. um the way this bill is structured.
  • > we<00:21:54.880> found Another structural issue that we found Another structural issue
  • of their premium that they pay?" of their premium that they pay?"
  • All these get upper our premiums raised.
Keywords: 919, house, all
Summary: The committee took up House File 4466, the sub health supplemental budget bill, and moved it to the Ways and Means Committee after a walkthrough of the fiscal spreadsheet and the DE1 amendment. Nonpartisan staff explained that the bill produces general fund savings of about $2.4 million in FY27 for the 2026-27 biennium and about $97.7 million in the next biennium, with most savings tied to HR1-related Medical Assistance changes affecting adults without children. The Department of Health provisions were described as largely cost-neutral, with some increases for implementation, data, and IT work. Staff then reviewed the DE1, which combines several bills into four articles. The bill includes health licensing board changes, Department of Health provisions such as all-payer claims database fees, newborn screening fee exceptions, loan forgiveness and scholarship program extensions, workforce shortage grant changes, and reciprocal licensure and mortuary science provisions. The federal conformity article makes changes related to MA work and community engagement requirements, six-month renewals, retroactive eligibility limits, contact information updates, cost sharing for MA expansion enrollees, and related provider tax and disability-notice provisions. Article 4 and Article 5 were described as forecast adjustments for DHS and the Department of Children, Youth, and Families. Public testimony focused largely on the federal conformity and eligibility provisions. Legal aid testified that the work requirements and retroactive eligibility changes would be confusing, could expand requirements beyond intended groups, and would increase uncompensated care. The Minnesota Hospital Association said shortening retroactive eligibility would increase uncompensated care and strain hospital finances, and Unidos Minnesota criticized the immigrant eligibility changes as harmful to lawfully present immigrants and Native communities. Blood Cancer United supported the all-payer claims database provisions and urged attention to fertility coverage. Representative Elkins offered an amendment to add $55,000 for the Department of Health to include denied-claims data in the all-payer claims database; Department of Health staff said the idea was useful and provided a one-time setup cost, but the amendment was not acted on in the portion of the transcript provided.
MN

Minnesota 2025-2026 Regular Session

House Floor Session: 2025 First Special Session - part 1 Jun 9th, 2025

Minnesota House Floor Meeting

Transcript Highlights:
  • The people on MinnesotaCare are still paying premiums. still paying copays just like everybody else.
  • And higher premiums. And that's not a world I want to go back to.
  • "Can we increase premiums?" No, because we heard over and over again, it's a money issue.
  • They buy the insurance just like anyone else and pay the same premiums and co-pays as everyone else.
  • Those are upwards of 90 to 100%, a doubling in premiums.
MS

Mississippi 2026 Regular Session

MS Senate Floor - 25 February, 2026; 10:00 AM

Mississippi Senate Floor Meeting

Transcript Highlights:
  • With annual premiums that can increase and are difficult to predict, as many of you know who operate
  • for individual health insurance premiums for individual health insurance premiums and<00:43:06.560
  • barriers when offering health structural barriers when offering health benefits<00:43:50.079> to<
  • When with annual premiums that volatile.
  • This means the employer is using ICRA as its health benefit structure rather than a group policy.
Summary: The Senate convened with a quorum, opened with prayer by Reverend Max Smith of Jesus Name Tabernacle in Florence, and then led the Pledge of Allegiance. The chamber quickly dispensed with the reading of the journal and committee reports, and then spent much of the morning recognizing guests, including multiple FFA groups, the Mississippi FFA state officer team, the Mississippi Food Bank Collaborative, optometrists visiting for Optometry Day, and representatives from engineering and fire service organizations. On the calendar, the Senate took up several finance-related bills. Senate Bill 2824, extending deadlines related to renewable energy fee-in-lieu agreements and construction start dates, was explained and adopted, then passed by use of the morning roll call with three no votes and one present. Senate Bill 2867, revising the income tax credit for employer-provided dependent child care or child care stipends, was explained as a targeted, capped credit for actual employer spending on licensed child care; it was adopted and passed by morning roll call. Senate Bill 3109, clarifying that a nonprofit leasing and managing LaFleur’s Bluff State Park land is not subject to ad valorem taxes on state-owned park land, was adopted and passed by morning roll call with one no vote. The Senate also considered Senate Bill 2840, which would provide a 75% rebate or sales tax credit related to inventory taxes and eliminate local privilege taxes. After extended discussion, the committee substitute was adopted, a reverse repealer amendment was added, and the bill passed by morning roll call with one no vote. Senators discussed the burden of inventory taxes on retailers and the need for more data before fully implementing the proposal. Finally, Senate Bill 2868, creating a tax credit tied to employer contributions for individual coverage health reimbursement arrangements (ICHRAs), was introduced and explained as a way to encourage employer-supported health coverage for small and midsize businesses; the transcript cuts off during the explanation before final action on that bill.
ND

North Dakota 2026 1st Special Session

Budget Section Jun 24th, 2026 at 10:00 am

Budget Section

Transcript Highlights:
  • We are hearing that, too, that in certain markets there is a premium, not a discount, for North Dakota
  • We are hearing that, too, that in certain markets, there is a premium. perspective.
  • We are hearing that, too, that in certain markets, there is a premium, not a discount of premium for
  • How do we compare to other states in that tax structure with natural gas production?
  • These are just irregular salary payments, so they don’t fit the normal structure of our salary payments
Keywords: 908, all
NM

New Mexico 2026 Regular Session

Senate - Health and Public Affairs Feb 16th, 2026 at 02:54 pm

Senate Health & Public Affairs

Transcript Highlights:
  • So what the bill does do is it shifts the cost from co-pays Co-insurance, co-deductibles to premiums,
  • This is a major cost saver for your premium. Thank you. Thank you. Any questions, Senator Pope?
  • Senator, could you compare, for example, the liability premiums position with that of a pharmacist?
  • Their annual premiums tend to be on the lower side. in a few thousand dollars a year.
  • I assumed they were part of the structure here to help you. But they're not. Okay, this is awkward.
Keywords: 996, all
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Dec 4th, 2025

Transcript Highlights:
  • Yeah, my understanding of that issue about the increase in medical premiums relates to the policies that
  • OIC, we had to do a budget proviso this last session related to insurance and the costs of premiums and
  • They're going to always set our premium at a rate that they can make a profit on.
  • Installation of log structures and reconnecting this floodplain have increased flow and improved bull
  • The determination letter would be aimed at looking at the resulting plan structure and making sure that
Summary: The Ways and Means Committee held a work session covering the state revenue outlook, caseload forecasts, wildfire costs, budget balance, tort liability, water supply, and pension policy. The Economic and Revenue Forecast Council reported modest near-term U.S. growth, no near-term Washington employment growth in 2026, continued personal income growth, and elevated inflation, with tariffs and federal policy cited as major risks. Revenue forecasts were slightly improved for the current biennium by about $105 million but down about $185 million for the next biennium. Members asked about income inequality and housing permits; staff said personal income is an aggregate measure and housing production remains below long-term needs. The Caseload Forecast Council then reported that most forecasts were unchanged or only slightly changed, but several programs increased, including Washington College Grant, Working Connections, aged/blind/disabled cash grants, nursing homes, home and community services, and developmental disabilities personal care. The largest policy-driven change was in Medicaid low-income adult caseloads, where federal H.R. 1 was projected to reduce coverage substantially through narrower eligibility, community engagement requirements, and shorter eligibility periods. The committee also heard a wildfire funding update and a 2025 fire season review. Staff explained that the state budgets $93 million annually for suppression and uses supplemental appropriations for costs above that level, with an estimated state supplemental need of about $139 million for the current year. Department of Natural Resources officials said 2025 fire activity remained below the 10-year average in acres burned, but fires were more complex and closer to communities, contributing to higher residence loss. They described expanded use of aircraft, firefighters from other states, corrections crews, and the Arcadia 20 hand crew, and said the state did not need National Guard ground support this year. A budget preview then showed that the near general fund outlook had worsened after vetoes, lapses, and forecast changes, and that maintenance-level costs alone would leave a projected negative balance by fiscal year 2027 and about $4.3 billion by fiscal year 2029, before any policy decisions. Jason Seams, the state risk manager, reported a sharp rise in tort claim costs, with indemnity expenses nearly doubling from fiscal year 2023 to 2025 and DCYF accounting for most of the increase. He said the state self-insurance liability account has run deficits for four straight biennia and is now facing nearly $600 million in deficits, driven largely by a surge in DCYF claims, especially juvenile rehabilitation and long-running sex abuse cases. Members asked about the role of old claims, comparisons with other states, excess insurance, and whether more Attorney General staff could reduce special assistant attorney general costs. The committee then shifted to water policy, hearing from tribal leaders, Ecology, and the Washington Water Trust. Tribal witnesses emphasized overappropriation, declining flows, climate impacts, and the need for legislative oversight and tribal participation in water policy. Ecology described major projects in the Odessa sub-area, Yakima Basin, and Dungeness, along with the need for storage, recharge, conservation, and policy changes to support water supply development. The Washington Water Trust argued that climate change is reducing summer flows and that the state needs more funding, enforcement, and long-term commitment to restore instream flows. The final item was a pension update on LEOFF 1 surplus assets; staff reviewed two 2025 bills that would have merged or restructured the plan and used surplus assets, but neither passed, and instead the budget directed the Select Committee on Pension Policy to study the issue and report back.
MN

Minnesota 2025-2026 Regular Session

Committee on Energy, Utilities, Environment and Climate - 03/23/26

Energy, Utilities, Environment, and Climate

Transcript Highlights:
  • They pass subsidies to help you pay your higher health insurance premiums.
  • We have a system, a structure that works very, very well.
  • Um, and it is targeted, it's efficient, proven in structure, urgently needed.
  • We have a system, a structure that works very, very well.
  • Um, and it is targeted, it's efficient, proven in structure, urgently needed.
Keywords: 1187, senate, all
TX

Texas 89th Regular

Insurance Mar 19th, 2025

Insurance

Transcript Highlights:
  • budget cycle alone, ERS and TRS collectively needed an infusion of a billion dollars in order to keep premium
  • It would give you a total picture of what you're trying to get at in terms of- of premium cost but also
  • Iena. um you know who's in solo practice in east texas his cost structure might look like might look
  • And I would imagine, you know, utilization and the cost of those benefits drive. premium cost so.
Bills: HB138, HB335, HB388, HB138
OK

Oklahoma 2026 Regular Session

Senate Legislative Session Mar 26th, 2026 at 12:10 pm

Oklahoma Senate Floor Meeting

Transcript Highlights:
  • Credit unions are member-driven, so it's a different structure, different tax structure.
  • During that time frame, your workforce structure is different.
  • Their analysis showed that it reduced or mitigated Premium increases.
  • Premium increases and lowered patient cost sharing.
  • Consumers' money, yet drug costs and premiums keep rising.
AZ

Arizona 2026 Regular Session

02/05/2026 - House Rural Economic Development

Rural Economic Development

Transcript Highlights:
  • That reflects the high transaction costs and the finance complexity that's baked into the structure of
  • I think that the way that the program is structured is devised in a way that most of those benefits go
  • I think that the way that the program is structured is devised in a way that most of those benefits go
  • So adaptive reuse of old historic structures is a great way to... ...permits.
  • So adaptive reuse of old historic structures is a great way to create some new affordable housing, and
Bills: HB2388, HB2804, HB2926
Summary: The committee began with short presentations highlighting historic sites in Prescott, including the Arizona Pioneer Home and the First Territorial Governor’s Mansion/Charlotte Hall Museum, framed as ways to showcase rural districts and Arizona history. Members discussed the importance of using committee time to feature district-specific projects and tourism assets before moving to legislation. The main action was on HB 2804, a bill creating a state rural development and housing tax credit tied to the federal low-income housing tax credit for projects in counties under 800,000 population. Supporters, including the sponsor, the mayor of Flagstaff, housing developers, and other local officials, argued the credit would help finance affordable housing for seniors, veterans, and low-income residents in rural areas where projects are otherwise not feasible. Opponents, including the Arizona Free Enterprise Club, argued the program is inefficient, difficult to police, and disproportionately benefits intermediaries and developers. After extended questioning and debate about whether the bill truly helps veterans and seniors, the committee passed HB 2804 on a 7-0 vote. The committee then heard HB 2388, which directs the Arizona Commerce Authority to study the economic benefits of small modular reactors and data centers and report findings to the governor and legislature. The sponsor described it as a data-gathering measure to inform future policy, while supporters said it could help assess energy and job impacts, especially for Hispanic workers. One member suggested adding information on utility-rate impacts and waste/storage issues through amendment. The bill passed on a 6-1 vote, and the committee adjourned.
KY

Kentucky 2026 Regular Session

Interim Joint Committee on Appropriations & Revenue. (7-1-26)

Appropriations & Revenue

Transcript Highlights:
  • increases due to workers' compensation premiums, and then state fire and tornado insurance premiums.
  • /c><00:05:02.200> premiums.
  • tornado insurance premiums. tornado insurance premiums.
  • structure.
  • <00:15:02.160> of the org structure Department of the org structure Department of Agriculture
TX
Transcript Highlights:
  • Last year, our premium volume was more than $290 billion.
  • And our goal is to compare past premiums, losses, and expenses to future premiums, losses, and expenses
  • As I mentioned earlier, $290 billion in premiums, over 2500 insurance companies riding in the state of
  • So when you have an increased value of something, your rate in the premium that you pay is going to be
  • Um, after you've already paid all of your premiums, they may have never submitted a claim to them in
NH

New Hampshire 2026 Regular Session

Senate Energy and Natural Resources (02/10/2026)

Energy and Natural Resources

Transcript Highlights:
  • We talk about various structures.
  • We talk about various structures.
  • <00:21:39.760> actually know, or is the risk premium actually know, or is the risk premium
  • rate structure in New Hampshire.
  • larger planning structure. larger planning structure. um<01:49:18.239> this<01:49:18.800>
Keywords: 1191, senate, all
TX

Texas 89th Regular

Senate Session Apr 9th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • Senator Middleton replied that not necessarily; the bill does not change current fee structures.
  • And so this would set a cap on the subsequent year's premium if an insurer received an appraisal that
  • Is that what you're trying to do, limit the increase on our constituents' premiums, annual increase?
  • They'll tell you, well, you had a claim on your house, and we're going to raise your premiums by 25%.
  • pay the next premium for the following year?
Summary: The Senate convened with a quorum, heard an invocation, recognized a Karnes County Day delegation and the Texas Association of Museums, received a governor’s message on Texas Diabetes Council appointments, and introduced the Doctor of the Day. The chamber then took up several resolutions, including SR 388 honoring the Texas Association of Museums, and adopted SRs 380, 382, and 387 by voice vote. Senator King was excused due to a family death, and the journal reading was dispensed with. The Senate then moved through a series of bills, most of them on expedited suspension of the regular order and three-day rule. Measures passed included SB 868 on Rural Volunteer Fire Department Assistance Program funding for high-wildfire-risk areas; SB 264 exempting certain family motor-vehicle transfers from tax; SB 2112 on oyster mariculture penalties; SB 1484 on catfish labeling and marketing; SB 660 on bollards near hospital emergency rooms; SB 1809 creating offenses for gift card fraud; SB 32 and SJR 81 providing business personal property tax relief and a related constitutional amendment; SB 1267 modernizing boat titling and adding disclosure for hidden hull damage; SB 1470 allowing DPS data sharing for voter list maintenance; SB 2406 and SB 2407 implementing Sunset recommendations for the Sabine River Authority and Lower Neches Valley River Authority; SB 609 on school district compliance with legally required policies; SB 921 on ex parte Medicaid eligibility renewals; SB 2320 increasing DWI penalties; SB 1822 requiring disclosure and oversight of AI-based utilization review algorithms; SB 693 on notaries public and deed theft prevention; and SB 664 setting statewide qualifications and oversight for magistrates and related judicial officers. One of the most contested items was SB 779 on common law public nuisance claims, which drew extended debate over whether the bill would limit lawsuits against lawful, regulated activities and whether it would preserve private nuisance and other existing remedies. Despite objections, the Senate suspended the rules and passed the bill to engrossment by a 17-12 vote, holding it there. Another debated measure was SB 1008 on state and local authority over the food service industry; after a perfecting amendment, it was passed to engrossment and then to final passage. Several bills were adopted or passed with near-unanimous support, while others, including SB 1267, SB 1470, SB 1822, and SB 2320, saw some opposition but still cleared the chamber.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am

Joint Committee on Financial Services

Transcript Highlights:
  • Against workers' compensation premium fraud.
  • Nationwide workers' compensation premium fraud costs about $5 billion every year.
  • Those losses also drive up premiums for honest businesses, in some cases as much as eight times higher
  • This included being responsible for paying one's own insurance premiums, which amount to over 15% of
  • The structure of my lab is similar to those in industry.
Keywords: 995, all
Summary: The Joint Committee on Financial Services held a public hearing with about 43 witnesses and a 1:00 p.m. hard stop, and the chair repeatedly asked speakers to keep testimony to three minutes. Much of the hearing focused on S. 747/H. 1336, which would extend paid family and medical leave and unemployment insurance to graduate student workers. Supporters included legislators, union leaders, graduate workers from MIT, Harvard, BU, WPI, UMass Lowell, and others, and legal advocates. They argued graduate workers perform full-time teaching and research work, pay taxes, and should not be excluded from basic safety-net benefits; several witnesses described personal hardships involving childbirth, serious illness, mental health crises, funding cuts, or fear of losing income. Testifiers also said the change would be revenue-neutral or revenue-generating and would not create major administrative burdens for universities, which already provide similar benefits to other employees. The committee also heard testimony on insurance-related bills. Christopher Stock of the Massachusetts Insurance Federation supported H. 1113 on public adjusters and H. 1345/S. 753 on flood-zone notifications for homebuyers, but opposed H. 4112, which would add a $2 surcharge on home insurance policies to fund fire cistern programs. The Metropolitan Area Planning Council strongly supported H. 1345, saying flood disclosure is needed because Massachusetts lacks statewide flood-notification requirements and flooding risks are increasing. Karen Alvarado supported H. 4352 on travel insurance, and John Fielding supported H. 1186 on pet insurance; both said the bills would create uniform regulatory frameworks and consumer protections. Rep. LeBoeuf testified for H. 4061 on workers’ compensation premium fraud, describing the bill as a transparency measure to combat fraud in construction by creating a public certificate-of-insurance database and QR-code verification system. Joe Bright of the carpenters’ union also supported H. 4061, citing fraud, misclassification, and the harm to injured workers. The hearing also included testimony on H. 4112, a bill to create a statewide fire suppression water resource fund and cistern program. Rep. Hogan and a Stowe fire chief described drought, brush fires, and the need for dedicated cisterns in communities without municipal water systems, saying the tanks provide reliable water for firefighting and are relatively low-tech once installed. Committee members asked questions about tank capacity, siting, maintenance, and funding. No votes or formal actions were taken during the hearing.
TX

Texas 89th Regular

Trade, Workforce & Economic Development Apr 30th, 2025

Trade, Workforce & Economic Development

Transcript Highlights:
  • Premiums for state-sponsored insurance policies are often affected by market fluctuations and events
  • outside the state's control, resulting in higher premiums and less coverage.
  • The insurance company lowers your premium because you're assuming more responsibility.
  • They're no longer cutting down trees or trying to demolish structures.
  • This kind of structure of notice and opportunity to remedy.
NM

New Mexico 2026 Regular Session

Senate - Judiciary Feb 11th, 2026 at 05:25 pm

Senate Judiciary

Transcript Highlights:
  • So everybody who gets insurance pays a premium.
  • New Mexico's defense costs were 65 cents per premium.
  • The PCF versus open market premiums. Next slide.
  • And I’m looking, Madam Superintendent, at your premiums here on page eight, and the premium for the open
  • And the premium for the open insurance market is much higher with the And the premium for the open insurance
Bills: SB41, SB153, SB165, SB261, SB264