Transcript Highlights:

• Most claims are handled without them.
• to 36 months for mental health claims.
• The claim finally settled at $181,000, six times the value of the first claim and almost four times the
• I used a public adjuster for claim number two.
• I planned on receiving or claiming the depreciation on my claim.

Keywords: 995, all

Summary: The Joint Committee on Financial Services heard testimony on a wide range of insurance-related bills. Topics included public adjusters (H. 1100/S. 785), electronic cancellation notices (H. 1123/S. 701), insurance rebates and loss-mitigation devices (H. 1233), flood hazard determinations (H. 1087 and related flood bills), organ donor insurance protections (H. 1248/S. 727), mental health parity in disability policies (S. 780), motor vehicle service contracts (H. 1139/S. 812), modernization of business-to-business insurance transactions (H. 1105), and a bill changing the GIC withdrawal notice deadline (H. 1150). Committee chairs set a three-minute testimony limit and heard from legislators, industry representatives, advocates, and affected consumers. Testimony on public adjusters was sharply divided. Insurance agents and property-casualty industry representatives argued that bills barring insurers from prohibiting public adjusters would interfere with policy terms, while public adjusters and several consumers described cases where adjusters helped secure substantially higher settlements and said some surplus lines policies already contain anti-public-adjuster endorsements. On electronic notices, the insurance industry supported consumer opt-in email communications, while agents warned that email-only cancellation notices could cause consumers to miss cancellations. On rebates/loss mitigation, insurers supported allowing risk-mitigation devices outside the policy to encourage innovation, while agents opposed the bill as an improper inducement. Flood-related bills drew opposition from insurers who said flood determinations are complex and federally governed. The committee also heard strong support for organ donor protections from a kidney transplant recipient and the American Kidney Fund, who said the bill would prevent insurance discrimination against living donors and could encourage more donations. On disability parity, a disability insurance specialist opposed S. 780, arguing that mental health limitations are a consumer choice that helps keep coverage affordable, while the bill’s sponsor said it would prevent unequal limits on behavioral health claims. The committee also heard support for H. 1139/S. 812 from the service contract industry, and support for H. 1105 from APCIA as a modernization measure for specialty commercial lines. No votes were taken; after testimony concluded, the chairs closed the hearing.

Transcript Highlights:

• claims Administration process um and the claims Administration process um the<04:53:29.440> administrator
• He said the Claims Administrator oversees the claims process itself to see when a claim comes in and
• to see when a when claims process itself to see when a when a<05:15:04.120> claim<05:15:04.440
• The witness said there were about 25 law firms involved in the claims process.
• statutory process and built the claims statutory process and built the claims process<05:20:36.160

Keywords: 928, house, all

Summary: The committee held a work session on the Department of Business and Economic Affairs budget, with testimony from Chase Hegman and Kathy Frederickson. Early discussion focused on staffing and vacancies, including a senior planner position tied to FEMA requirements, a program assistant funded by federal ORID dollars, a program specialist being considered for reclassification, two Housing Champions positions to be funded in the next biennium, and temporary welcome center positions. Members also reviewed the commissioner’s office, indirect cost recoveries tied to federal program administration, and the structure and staffing of rest areas and welcome centers, including the Turnpike-funded locations and seasonal staffing patterns. Members then moved through economic development and federal grant-related accounts. Hegman explained that a large share of the agency’s funding is federal, with some programs requiring state match, including the Apex Accelerator, which supports government contracting assistance for businesses. He described Apex as a small team that helps businesses with DOD and other contracting opportunities through webinars, matchmaking, and one-on-one support. The Office of Workforce Opportunity was described as largely federally funded through Commerce-related workforce programs and subrecipients, with some general fund support for agency-wide needs. The Northern Borders Regional Commission dues and capacity grant were also discussed, with officials explaining the state’s required contribution and the federal funds used to administer the program. A major point of discussion was the proposed reduction to the Small Business Development Center, which officials said provides one-on-one technical assistance to new and small businesses and has a strong return on investment. Members questioned the cut, the federal funding sources, and whether there was a waiting list for services; officials said they would provide more detail on matching requirements and funding. The committee also reviewed travel and tourism accounts, including the joint promotional grant program and tourism advertising funds, both of which are proposed to increase. Officials said the tourism marketing formula is based on a percentage of meals and rooms tax revenue and argued that the spending generates significant visitor spending and tax revenue, citing an outside ROI study and examples of advertising in test markets. No votes were taken during the work session.

Transcript Highlights:

• Then the Tort Claims Act itself and our offices role. than the Tort Claims Act itself and our offices
• roll under the Tort Claims Act.
• , a claims board that handled the claims.
• a claim, right?
• Bars claims like yours.

Keywords: 1184, house, all

Transcript Highlights:

• And finally, I will close with a real sort of in-depth dive into our claims processes.
• I am going to get into the claims process.
• This is the actual sort of flow chart of how these claims are processed by Citizens.
• claims filed.
• And as Tim has indicated through the process, the claims process is supposed to be iterative.

Summary: The Insurance and Banking Subcommittee received a lengthy presentation from Citizens Property Insurance Corporation CEO Tim Serio, with Insurance Commissioner Michael Yaworski also answering questions. Serio reviewed Citizens’ role as Florida’s insurer of last resort, its statutory funding structure, eligibility rules, depopulation program, reinsurance obligations, and the surcharge/emergency assessment mechanisms that can be used if Citizens runs a deficit. He emphasized that recent legislative reforms, combined with lower litigation and improved market conditions, have helped the private market recover and reduced Citizens’ policy count from a peak of about 1.41 million in 2023 to 936,182 at the end of 2024, with a projected drop to about 771,000 by the end of 2025. He also said the reforms reduced Citizens’ rate need and helped avoid an emergency assessment after the 2024 storms. Members asked about Citizens’ rate increases, why Citizens still seeks higher rates despite lower litigation, how the 20% eligibility threshold works, whether Citizens should be wind-only, and whether the state or federal government could help with deficits. Serio explained that Citizens is still charging below actuarially sound rates in most areas, that rate filings reflect reduced litigation and lower reinsurance exposure, and that assessments on all Florida property policyholders are the reason Citizens tries to build surplus and depopulate. He said the depopulation program is working better than in the past, with less than 2% of takeout policies returning to Citizens, and that the Office of Insurance Regulation has been vetting takeout companies more carefully. A substantial portion of the discussion focused on claims handling after Debby, Helene, and Milton, including flood-versus-wind disputes and Citizens’ use of the Division of Administrative Hearings for some claim disputes. Serio said Citizens had received 76,625 claims from the three storms and had paid nearly $823 million in indemnity and expenses as of January 7, 2025. He said many closed-without-payment claims were either below deductible, withdrawn, duplicate, or flood-only, and that Citizens had asked its internal audit function to independently review the claims data and denials. He also described Citizens’ storm outreach, catastrophe response centers, managed-repair program, and claim review process, and said the corporation remains focused on paying valid claims while minimizing the risk of assessments on the broader Florida market.

Transcript Highlights:

• process.
• Guidance claims.
• Third-party claims, first-party claims. Erie doesn't do that.
• handling process and we are not cutting off the lawsuit process and the defense of claims. and we are
• not cutting off the lawsuit process and the defense of claims.

Keywords: 994, senate, all

Summary: The Senate Banking and Insurance Committee met with a quorum present and first approved the March 4, 2026 minutes. It then took up Engrossed Committee Substitute for House Bill 55, a workers’ compensation cleanup bill from the Insurance Commissioner’s office. Counsel explained that the bill modernizes outdated code after privatization of the workers’ compensation system, repeals obsolete provisions, updates references to the Insurance Commissioner, reduces the Workers’ Compensation Board of Review from five members to three, and makes related technical changes. The committee adopted a strike-and-insert amendment and a title amendment, and then reported the bill to the full Senate with the recommendation that it do pass. The Insurance Commissioner and a senior senator both spoke in support, describing the bill as part of the long-term cleanup of the privatized system and noting the reduced caseload on the Board of Review. The committee next considered Engrossed House Bill 5463, which would lower the required insurance coverage for county boards of education from $1.25 million to $1 million per occurrence and eliminate the separate $5 million excess coverage requirement. BRIM’s executive director testified that the agency had difficulty finding a market partner for the excess coverage and that the premium cost exceeded $5 million, creating a burden for county boards. Some senators raised concerns that reducing coverage could limit recovery for victims in serious claims and that the change might reduce protections for school systems. When the motion to report the bill was put to a vote, the result was tied, and the chair declared the bill not passed. The committee then approved Engrossed Committee Substitute for House Bill 4869, which creates guaranteed issue rights for Medicare supplement policies in West Virginia. Counsel explained that the bill allows certain policyholders to replace a Medicare supplement policy during an annual birthday period without medical underwriting, and also grants a guaranteed issue right for certain individuals losing Medicaid eligibility. The bill also requires annual reporting on premium trends and gives the Insurance Commissioner rulemaking authority. The motion to report the bill to the full Senate with the recommendation that it do pass was adopted. Finally, the committee considered Engrossed Committee Substitute for House Bill 5462 on mine subsidence insurance. Counsel explained that the bill would allow the mine subsidence fund to reduce payments by amounts already received by a policyholder and, as introduced, would bar actions against insurers for claims reported to the board. A proposed strike-and-insert amendment would have replaced the blanket bar with a 90-day pre-suit notice requirement and limits on damages, but after discussion from senators, counsel, BRIM, and the Insurance Federation, the committee rejected the strike-and-insert and also rejected a separate amendment to strike the setoff language. The committee then reported the bill to the full Senate with the recommendation that it do pass, and adjourned.

Transcript Highlights:

• With the average claim bringing in around $7,300 toward past due child support, each additional claim
• With the average claim bringing in around $7,300 towards past due child support, each additional claim
• and then audit a sample of claims to make sure all eligible claims were reported as required.
• To enforce when DSHS informs it of a claim or a pattern of claims that are not being reported, and seeking
• Are we talking about any insurance claim?

Summary: At the June 4, 2025 JLARC I-900 Subcommittee hearing, the State Auditor’s Office presented a performance audit on Washington’s child support insurance intercept law. The audit reviewed the mandatory reporting system for insurance claims tied to past-due child support, noting that collections increased after the law took effect in 2022, but that some eligible claims still are not being reported. Auditors said DCS learns about roughly 1 in 10 claims through other channels, and that insurers may miss reporting because they are unaware of the law, make administrative errors, or misunderstand the $500 threshold and timing requirements. The audit recommended that the Office of the Insurance Commissioner help educate insurers by adding information to its website and sharing insurer contact contacts with DCS, and also recommended that the Legislature amend the law to create monitoring and enforcement authority. The auditor said neither DCS nor OIC currently has authority to monitor compliance or take action against noncompliant insurers, though other states use insurance regulators or market conduct exams for this purpose. Committee members asked about possible coordinated enforcement between DSHS and OIC, which the auditor said was beyond the scope of the audit but could be considered by the Legislature. An OIC representative said the commissioner is willing to help educate insurers, post information on the OIC website, and share contact information with DSHS, and that the agency is open to further discussion. No public testimony was offered, and no votes or formal committee actions were taken at the hearing.

Transcript Highlights:

• Claims Act.
• the claims.
• the claims.
• the claims.
• Benefits or processing claims, things of that nature with respect to its program, and it is solely fee-for-service

Keywords: 1183, house

Summary: The committee met on March 2 and approved the February 23 minutes after a quorum was reached. The main presentation was from the Department of Human Services on non-emergency medical transportation (NEMT), a federally required Medicaid benefit that helps Minnesota Health Care Program enrollees get to medically necessary appointments. DHS said the program served more than 250,000 people in 2025 at a cost of $127 million, with participation up about 14% over five years, and described the seven transportation modes, provider enrollment requirements, STS certification, background checks, prior authorization rules, and planned transitions to a single administrator for parts of the program in 2026 and 2027. DHS officials emphasized fraud prevention efforts, saying NEMT is one of the agency’s high-risk Medicaid services. They described enhanced prepayment review, provider revalidation and site visits, removal of inactive providers, and a provider moratorium in metro counties. Inspector General James Clark said the governor’s anti-fraud proposal would add pre-enrollment risk assessments, more staffing and technology, and electronic visit verification. He also noted that about 80% of NEMT spending is in managed care and that managed care organizations have their own compliance and special investigations units. Committee members raised concerns about fraud, oversight, and privatization. Chair Robbins questioned DHS about the absence of the commissioner and the program’s use of brokers, citing past concerns and asking about the vendor MTM’s history; DHS said the RFP for the new broker had closed and the vendor selection was still underway. Representative Pinto questioned why oversight is outsourced to managed care organizations and suggested bringing more oversight back in house. MTM representative Phil Stahlberger defended the company’s record, said the Missouri dispute was about contract terms from about 15 years ago, and said MTM currently works in Minnesota counties and many other states, with on-site reviews, trip verification, and complaint review processes. No further votes or final actions on the NEMT policy were taken in the portion provided.

Transcript Highlights:

• Transition is that process, one that really has no specified end when service personnel begin the process
• a potential claimant, filing claims, or having them file their own claims on their own behalf.
• a potential claim, by filing claims or having them file their own claims on their own behalf.
• VA for processing.
• Disability claim into the VA for processing. We don't do that. We also don't act as an agent.

Keywords: 995, all

Summary: The Joint Committee on Veterans and Federal Affairs held its second public hearing of the 2025–26 session, with opening remarks from Chairs John Velis and Joe McGonagle outlining testimony on 20 House bills and 18 Senate bills. The hearing covered a wide range of veterans issues, including municipal veterans assistance funds, pension equity, expanding the Office of the Veterans Advocate, veterans service officer staffing, disability benefits eligibility, service dogs, POW tax relief, courtesy parking spaces, women veterans and motherhood, and workforce-related licensing and employment measures. Chairs emphasized the hybrid format, three-minute testimony limit, and written testimony process. Several bills drew support focused on expanding services and access. Representative Arena-DeRosa spoke for bills to broaden municipal veterans assistance funds to cover housing and legal expenses and to study enhanced pension equity for veterans, citing burn pit exposure and shorter life expectancy among veterans. Senator Fattman, Representative Peas, and Veterans Advocate Bob Notch supported bills expanding the Office of the Veterans Advocate to include active-duty service members and their families, arguing it would improve transition support, coordination with state agencies, and retention of military talent in Massachusetts. Representative Arriaga backed a bill to incentivize municipalities to provide full-time or regional veterans service officers and another to study the impact of combat on women veterans and motherhood. Representative Moulton/another sponsor also sought to exempt veterans’ disability payments from income calculations for other state benefits, and Representative Hong and Senator Scanlan supported a state service dog program, POW income tax relief, and courtesy retail parking spaces for veterans. Testimony also focused on workforce and claims-assistance issues. The Military Officers Association of America and James Keene urged passage of bills waiving duplicative education requirements so qualified veterans and military medics can become licensed practical nurses, arguing it would help address health care shortages and recognize military training. Brave Veterans Inc. called for a Veterans Research Trust Fund to protect data and program evaluation work during budget cuts. On claims assistance, one witness supported criminal penalties for unaccredited agents who charge veterans for VA claims help, while a private consulting firm opposed the bill, arguing it would restrict lawful speech and veterans’ choice and that existing federal and HERO Act safeguards already address abuses. The VFW strongly opposed paid claims consulting, said its accredited service officers provide free help statewide, and urged more public awareness of existing free services. No votes or final committee actions were taken during the hearing.

Transcript Highlights:

• and claims adjusting expense?
• and claims adjusting expense?
• What I will tell you is that in 20, Claims and claims adjusting expense.
• So 93 cents of every dollar was directly paid out on claims and claims adjusting expense.
• And that's why due process is really important and that every single claim is looked at individually

Keywords: 959, house, all

Transcript Highlights:

• process.
• processing time and decrease claims accuracy.
• Access to free legal assistance for veterans in the claims process increases a veteran's chance of having
• process, including with initial claims.
• process, all of which will mitigate the damage of the decline in claims accuracy and the increased wait

Summary: The Assembly Committee on Military and Veteran Affairs held an informational hearing focused on the effects of federal budget cuts and policy changes on veterans, military readiness, and California’s veteran support systems. The chair and members emphasized that federal reductions to the VA, Medicaid/Medi-Cal, SNAP, and the federal workforce are disproportionately harming veterans by threatening health care, employment, housing, crisis lines, and suicide prevention services. The chair also highlighted California’s progress on veteran homelessness and the importance of preserving state programs that leverage federal dollars. Major General Matthew Beavers of the California Military Department described the department’s structure, its response to the Los Angeles fire emergency, and concerns that federal cuts could reduce readiness through less training, older equipment, and fewer resources. He also discussed state programs such as Work for Warriors, STARBASE, youth and community schools, and the counterdrug task force, saying they are valuable but vulnerable if funding is redirected away from readiness. Members asked about the impact of federal changes on the Guard and how the Legislature could help, and Beavers said the state should advocate for recapitalized equipment and continued support for key programs. A second panel focused on veterans’ benefits and claims support. CalVet, Los Angeles County, and Swords to Plowshares testified that county veteran service officers, legal aid, and community-based partnerships are essential to helping veterans access VA benefits, especially after the PACT Act expanded eligibility and increased claims volume. Witnesses said these services bring substantial federal dollars back to California, but county offices and legal providers are underfunded and overburdened. Members discussed data sharing, staffing shortages, and the need for more resources to reach veterans who are not connected to VA care. In the final panel on mental health and suicide prevention, CalVet and nonprofit providers described state-funded programs such as the Veterans Support Self-Reliance program and the California Veterans Health Initiative, which place services in permanent supportive housing and provide no-cost counseling statewide. Witnesses said these programs are showing measurable improvements in health, medication adherence, and emergency room use, but they depend on sustained funding and are vulnerable to step-down grants and federal instability. Committee members expressed support for the programs and raised questions about access, staffing, and the role of non-veteran family members in Vet Center services.

Transcript Highlights:

• Our wage claim process is broken. And my dad's story is not unique.
• This measure will encourage employers to actually participate in the wage claim process by authorizing
• Our wage claim process is broken. And my dad's story is not unique.
• This measure will encourage employers to actually participate in the wage claim process by authorizing
• The wage claim process is meant to be a low-cost, informal way to resolve wage claims, and we want to

Summary: The committee heard a series of labor-related bills, with most measures focused on worker training, privacy, wages, and safety. AB 296 would require schools or districts to host apprenticeship fairs at least once a year, with flexibility on how they are run and whether programs outside the county can participate. Supporters said it would help connect students to skilled trades and address workforce shortages; school administrators opposed the bill as an unfunded mandate that could be impractical for elementary schools. The bill was later moved on call, with the committee noting it could not vote until quorum was established. AB 1221 and AB 1331 both addressed workplace surveillance. AB 1221 would restrict invasive monitoring tools, require notice to workers, limit the use and sharing of worker data, and require human review before discipline based on surveillance outputs. Labor groups supported the bill as a response to AI-driven monitoring, while business groups raised concerns about broad definitions, security cameras, investigations, and data-access provisions. AB 1331 focused more narrowly on privacy in off-duty and private spaces, limiting surveillance in places like restrooms, break areas, vehicles, and homes; hospitals and business groups opposed it as too broad and potentially disruptive to safety, cybersecurity, and facility monitoring. Both bills were advanced by committee vote. The committee also heard AB 1181, which would require firefighter turnout gear to be free of cancer-causing chemicals such as PFAS by 2027, and AB 1198, which would require prevailing wage rates on public works to reflect the wage in effect when the work is performed rather than when the project was first advertised. Firefighter representatives strongly supported AB 1181, while the chemical industry asked to continue working on scope and timelines. AB 1198 drew support from labor and contractor groups but opposition from local governments and housing groups concerned about mid-project cost increases; it was passed to Appropriations after a roll-call vote. Other measures approved included AB 1235 on skilled-and-trained workers for CSU construction, AB 1251 on ghost job postings, AB 552 on locating the Agricultural Labor Relations Board office outside Sacramento, AB 1110 on updating Cal/OSHA workplace posters, AB 1136 on expanding high road training partnerships, and AB 1234 on wage claim enforcement. AB 692, which would ban employer debt agreements that require workers to repay training or other costs if they leave a job, drew strong support from nurses and labor advocates and opposition from business and health care groups; it was also passed on a roll-call vote.

Transcript Highlights:

• Chair, I'm concerned because that would mean that we processed about 25% of the applications or the claims
• Chair, I'm concerned because that would mean that we processed about 25% of the applications or the claims
• Chair, I'm concerned because that would mean that we processed about 25% of the applications or the claims
• claims.
• claims.

Keywords: 1187, senate, all

Transcript Highlights:

• And so I went through the process.
• and public nuisance claims.
• You could claim it under that as well.
• He said there were many other unlawful activities and claims, including DTPA claims and defective products
• So you're hoping that Lieutenant Gabber would move your process forward rather than others' process forward

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.

Transcript Highlights:

• The claims process is heavily regulated. I mean, we have an entire department of insurance.
• Um the claims process<00:46:12.200> is<00:46:12.480> heavily<00:46:12.800> regulated
• adjusting a claim. adjusting a claim.
• claim A than claim be paying more for a claim A than claim B<00:46:56.240> with<00:46:56.400>
• They use what's called a ghost claims process.

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:11 Discussion HB 527 00:02:29 Vote HB 527 00:08:02 Discussion HB 627 00:09:09 Vote HB 627 00:24:29 Discussion HB 355 00:25:59 Vote HB 355 00:34:28 Discussion HB 568 00:35:18 Vote HB 568 01:12:10, 958, all

Summary: The committee first took up House Bill 527, a cleanup bill related to insurance matters and the Strengthen Kentucky Homes program. The committee substitute removed language that would have repealed the workers’ compensation deductible range, added a one-time grant/reimbursement provision for contractor fortified-roofing certifications, and added an emergency clause. The Department of Insurance said the bill also updates licensing language, addresses issues with unlicensed pharmacy benefit managers, and supports contractor training tied to the roof grant program. The commissioner noted the program is set to go live March 1 and asked members to inform constituents about possible roof grants of up to $10,000. House Bill 527 received a favorable report after the committee adopted the substitute and title amendment by voice vote and then approved the bill on a roll call vote. The committee then heard House Bill 627, a PIP reform bill. The sponsor and State Farm’s legislative agent said the substitute clarified language so the Attorney General can prosecute insurance fraud and reflected negotiations with hospitals, the Kentucky Hospital Association, the Kentucky Justice Association, chiropractors, and physical therapists. The bill would apply the workers’ comp fee schedule to most PIP claims, require bills within 180 days, prohibit balance billing and credit impairment, raise funeral benefits to $5,000 and weekly wage benefits to $500, require an annual fraud report, and give the Attorney General concurrent jurisdiction over insurance fraud cases. A physician testifying in opposition argued the bill would cut reimbursement for non-hospital providers, shift costs to hospitals and other payers, reduce access to care, and create an uneven playing field that favors hospitals. Committee members asked about the lack of a PIP fee schedule and the effect of the workers’ comp schedule relative to Medicare and commercial insurance. After debate, the committee adopted the substitute and then passed House Bill 627 with favorable expression on a roll call vote, with one member voting no. The committee also considered House Bill 355 on real estate appraisers. The sponsor said the bill would restore an independent board, allow evaluations under federal guidelines, and move Kentucky from a voluntary to a mandatory appraisal state. Testimony from insurance and appraisal representatives said the bill would require licensure for real property damage appraisers, exempt insurance agents and claims adjusters licensed under the insurance code, and create clearer standards and oversight. Members asked about the cost of an executive director and whether the board could sustain itself through fees; the sponsor said the board had historically been self-sustaining. The committee adopted the substitute and then gave House Bill 355 a favorable report by roll call vote. Finally, the committee began House Bill 568, which would prohibit new public adjuster licenses while allowing current licensees to renew. The sponsor said the bill responds to ongoing complaints and investigations in the industry and noted that most licensed public adjusters in Kentucky are not residents of the state. The transcript cuts off as the bill’s presentation was beginning.

Transcript Highlights:

• INDEPENDENT DISPUTE RESOLUTION PROCESS AND IT WAS NEGLIGIBLE FROM THE FEDERAL PROCESS.
• SHOULD GO TO THE STATE MECHANISM AND SELF-INSURANCE CLAIMS PLACE THAN THE COMMERCIAL CLAIM SHOULD GO
• WE ARE CONCERNED THIS IS AN EFFORT TO SEND MORE OF THESE CLAIMS TO THE FEDERAL PROCESS WHICH HEALTH PLAN
• AS EXAMPLES NEARLY 40 PERCENT FEDERAL DISPUTE PROCESS DID NOT QUALIFY FOR THE PROCESS BUT THEY STILL
• WE HAVE AN INCENTIVE TO PAY LARGE CLAIMS, UNCOVERED CLAIMS TO KEEP PROVIDERS SENDING MORE DISPUTES THEIR

Transcript Highlights:

• This tactic removes the policyholder from the claims process, puts the repair shop in the driver's seat
• process.
• Independent shops report claim... A claim number or referral number.
• process.
• process is handled by Safelite.

Summary: The committee heard several bills focused on domestic violence protections, pay equity enforcement, Jewish demographic data collection, court transparency, auto glass insurance practices, pet policy disclosure for renters, and civil rights accountability for federal officers. SB 99 would require courts and law enforcement to better recognize military protective orders in domestic violence cases; supporters from the Department of Defense and military organizations said it would close jurisdictional gaps for military families, and the bill passed to Public Safety. SB 1237 would increase penalties for repeat noncompliance with California pay data reporting laws; supporters said stronger enforcement is needed to address persistent wage gaps, and the bill passed to Appropriations. SB 1387 would allow Jewish identity to be reported as an ethnic category in state demographic data; supporters said better data would improve policy and anti-discrimination efforts, while opponents argued the bill was unnecessary or divisive, and it passed to Privacy. SB 932 would require assignees filing civil actions to identify the original party in the case caption; supporters framed it as a transparency measure, and it passed to Judiciary/Appropriations on call. The committee also took up SB 98, which would regulate auto glass insurance claims by restricting assignment of benefits, requiring clearer estimates and invoices, and limiting inducements to consumers. The sponsor and NICB said the bill would curb fraud and unsafe repairs, while independent glass shops and industry groups argued it could reduce consumer choice and favor insurer-aligned networks; the bill passed to Appropriations. SB 1296 would require landlords to disclose pet policies before collecting application fees and provide refunds if nondisclosure materially affected an applicant’s decision; supporters said it would save renters time and money, while rental housing representatives objected to a provision limiting eviction based solely on failure to sign a pet addendum. The bill passed to Appropriations. Finally, SB 747, the No Kings Act, would create a California cause of action allowing people to sue federal officers for constitutional violations using standards similar to Section 1983. Senator Wiener and a witness who said he was unlawfully detained by Border Patrol argued the bill is needed because federal officers currently lack comparable accountability after the Supreme Court narrowed Bivens remedies. Law enforcement groups opposed the bill, warning that the qualified immunity language is unclear, could create a separate California standard, and might expose officers and governments to retroactive litigation; members discussed possible amendments on qualified immunity and retroactivity, and the bill was moved forward with an urgency amendment while negotiations continued.

Transcript Highlights:

• Claims volume is expected to grow quickly. Currently, 10 LEAs are able to submit claims.
• Behavioral health is providing step-by-step resolution support during the claim submission process to
• They shared at that webinar that seven LEAs have filed claims, 18 claims, two of those claims came from
• And really, that's a matter of the providers submitting 837P claims and EDI claims.
• This process is still under development, and we will be mirroring current processes that are allowed

Keywords: 988, house, all

Transcript Highlights:

• They claim that this is a red flag bill, which is and they claim that it denies due process.
• They claim that this is a red flag bill, which is and they claim that it denies due process.
• They claim that this is a red flag bill, which is and they claim that it denies due process.
• They claim that this is a red flag bill, which is and they claim that it denies due process.
• They claim that this is a red flag bill, which is and they claim that it denies due process.

Keywords: 1189, house, all

Transcript Highlights:

• process.
• AB 1795 creates consistent claims handling.
• It does not mandate testing for every claim.
• Smoke claims are a complicated issue.
• But the bill has gaps that, left unfixed, will be exploited in the claims process.

Summary: The Assembly Insurance Committee met as a subcommittee at first because a quorum was not initially present, then later established a quorum and heard several bills. The main special-order item was AB 1795 (Gibson), which would create statewide standards for testing, inspection, and remediation of wildfire smoke damage in homes, with CalEPA and public health agencies developing science-based standards and insurers required to follow new claims-handling timelines. Supporters, including Insurance Commissioner Ricardo Lara and wildfire survivors, said the bill would bring consistency and safety; insurers and consumer groups generally supported the concept but sought further amendments on scope, standards, and claim handling. The committee voted do pass as amended and refer AB 1795 to Appropriations, with the roll held open for later additions. The committee also considered AB 1576 (Ortega) on the Subsequent Injury Benefit Trust Fund, which would make changes intended to reduce litigation and employer assessments while preserving the program’s purpose of encouraging hiring of workers with prior disabilities. Labor-side witnesses supported the bill as a reform step, while business, public entity, and insurance groups opposed it, arguing it did not address the core structural problems and that a trailer bill was a better vehicle for broader reform. AB 1576 was voted do pass to Appropriations, with the roll held open. AB 1931 (Papan) would create an optional limited-lines license for utilities to offer home protection products for repairs to appliances and utility service lines. Support came from HomeServe, utilities, and industry groups, who said the bill would clarify current law and add consumer protections such as training, disclosures, and a free-look period; there was no opposition in the room. The committee passed AB 1931 to Appropriations. AB 2361 (Pacheco) would limit vicarious liability for peer-to-peer vehicle-sharing platforms like Turo while preserving insurance coverage requirements; supporters said it would align California with other states, while consumer attorneys opposed it as reducing accountability and consumer recovery. The committee passed AB 2361 as amended to Appropriations. AB 2098 (Kalra), heard later, would require employers to allow leave for workers to attend treatment for occupational injuries during work hours, subject to notice and business-necessity limits; labor groups supported it and business and insurance groups sought narrower standards. It was also voted do pass to Appropriations. The committee then completed roll-call add-ons and adjourned.

Transcript Highlights:

• So how slow is it going to slow that process? Thank you. It should not slow the process down any.
• There's an appeal process.
• time that all claims would be settled in.
• not going in and out with particular adjusting firms that are overseeing the claims process.
• the claim, and ending the claim is important for the integrity of the program, and that we're not having

Summary: The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. The committee approved formulary changes for March and April that favored lower-cost generics, removed some new-to-market drugs from coverage pending more evidence, and made maintenance changes to migraine and diabetes medications. Members also approved a cell and gene therapy policy that would route those therapies through prior authorization rather than automatic coverage; officials said the process should not delay urgent cases and that no current members would be affected. The committee then reviewed a UAMS pharmacy benefit consultant contract amendment, but after extended discussion about the written scope and dollar amounts, the motion was approved with the understanding that any use of optional services would return to the committee for further review. The committee also reviewed the U.S. Able Mutual/Blue Advantage third-party administration contract and the CompSack employee assistance program contract, which officials said would reduce per-member costs and add services. The subcommittee approved proposed 2027 rates for state employees and public employees, with a 9.8% increase for state employees and a 4.9% increase for public school employees. Officials also reported that the UnitedHealthcare rebid was in its final negotiation stage and would return in August, with medical and pharmacy coverage split as previously recommended. In response to questions, the director said the division was considering broader preventive-care offerings, including weight-loss drug coverage, but would proceed cautiously and with strong utilization controls and holistic support if such a program were adopted. On the property risk side, the committee reviewed permanent rules making prior temporary rules permanent, a contingency-fee subrogation contract, and renewals for claims management, actuarial services, and investment management. Members raised concerns about Sedgwick’s claim-adjustment timeliness and communication with school districts after severe weather events; officials said performance guarantees and communication expectations had been strengthened, but the renewal was kept at three years for continuity. Finally, the committee approved 2026-27 captive insurance program rates, which included no change to minimum deductibles, a 10% overall rate reduction, and bucketed rate changes by entity type. Officials said the captive program was working as intended, with improved actuarial support and claims experience, and the meeting adjourned after the approvals.