Video & Transcript Research : 'actuarial study'

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MN

Minnesota 2025 1st Special Session

Task Force on Homeowners and Commercial Property Insurance 10/1/25

Minnesota House Floor Meeting

Transcript Highlights:
  • I forgot to mention that there is that study that has come out about Alabama.
  • forgot to um that there is that study forgot to um that there is that study that<00:45:35.359>
  • most qualified, I mean, to do actuarial most qualified, I mean, to do actuarial science<01:12:46.480
  • And it gets interesting to study. >> Yeah.
  • interesting to study. interesting to study.
Keywords: 1183, house
VA
Transcript Highlights:
  • and SB 1056, that similarly increased the weekly benefit amount by $52 and included a work group to study
  • for the first year from the general fund to the Commission on Unemployment Compensation to hire actuarial
  • So all that to say, the work group in September discussed the goal of further study of this issue, but
  • So all that to say, the work group in September discussed the goal of further study of this issue, but
  • The Commonwealth's budget already granted this commission funding for actuarial services to start some
Summary: The Commission on Unemployment Compensation met, established a quorum, and elected Delegate Destiny LeVere Bolling as chair and Senator Mike Jones as vice chair. The commission also adopted its electronic meeting policy and heard introductions from new members, staff, and officials from the Secretary of Labor’s office and the Virginia Employment Commission (VEC). Secretary Jessica Lumen outlined the administration’s workforce and labor priorities, including supporting workers, employers, and program transparency, while members raised concerns about business climate, job losses, labor participation, and the implementation of paid family and medical leave. Staff provided legislative updates on recent unemployment-related bills. These included increases to the weekly unemployment benefit amount enacted in 2025 and 2026, a bill on labor dispute disqualification that changed how lockouts are treated for benefit eligibility, and a budget item providing $75,000 for actuarial support to the commission. The commission also discussed the 2025 work group on annual adjustments to weekly benefit amounts; staff reported that the work group did not complete its charge, and members agreed to revisit whether to reconstitute it at a future meeting. Delegate Martinez expressed support for continuing the work, and the chair said the issue would be taken up at the next meeting. Deputy Commissioner Joanna Darkus gave a detailed presentation on Virginia’s unemployment insurance system, including current claims data, eligibility rules, employer tax structure, benefit levels, trust fund solvency, fraud prevention, and customer service operations. She reported that Virginia’s unemployment rate remains low, weekly claims are modest, the current weekly benefit range is $160 to $478, and the trust fund balance factor is projected at 50.9 percent, near the threshold for additional employer charges. Members asked about the taxable wage base, trust fund solvency, the effect of benefit increases, fraud controls, and the planned paid family and medical leave program. VEC said it is implementing that program through regulations, staffing, IT procurement, public listening sessions, and consultation with other states. A public commenter from the Virginia Poverty Law Center urged the commission to strengthen state investment in unemployment insurance and warned that federal support is uncertain. The commission then adjourned without taking further action.
NH
Transcript Highlights:
  • I mean, yes, it goes into the calculation, and the actuaries have fun deciding what it is, but if we
  • But if they didn't do the actuary with that in there, then that would make the actuary incorrect, maybe
  • that's why the actuary is different than what you think it is. years of creditable service that part
  • incorrect maybe that's why the actuary incorrect maybe that's why the actuary<00:33:10.960> is
  • <00:35:34.320> are different that but if the actuaries are different that but if the actuaries
Keywords: 928, house, all
Summary: The committee reviewed selected House Bill 2 provisions, focusing first on the group two pension reform language and whether it matched prior legislation and the fiscal note. Members discussed two main issues: the treatment of extra and special duty pay in the pension calculation for employees hired before 2011, and the annuity multiplier after 15 years of creditable service. Several members said the HB 2 language was intended to restore prior law and protect against pension “spiking,” while others worried the draft and fiscal note may not have fully reflected current law, potentially affecting the cost estimate. The discussion repeatedly emphasized the need to avoid underfunding or double counting and to make sure Finance had the correct actuarial assumptions. No vote was taken; the committee agreed to flag the issues for Finance and to clarify the fiscal note. Members also discussed the vested-rights language, which was described as an explicit definition of vesting and a restriction on future legislative changes to compensation calculations after three years of service. Some viewed it as a policy protection with no immediate fiscal impact, while others noted it had been included in prior legislation and should be clearly understood before the bill moved forward. The committee also briefly referenced prior pension legislation, including House Bill 436 and House Bill 727, and noted that HB 2 was being used to carry forward related pension repair provisions. The committee then turned to an OPLC-related section transferring building, plumbing, electrical, and fuel gas inspector positions from OPLC to the Department of Safety’s Fire Marshal’s office. Testimony explained that the nine inspector positions are funded from the licensing fund, and that the move was justified as a public-safety function better aligned with the Fire Marshal’s mission because the inspections are statewide code-enforcement work rather than facility-specific licensing work. The discussion ended with a note that the remaining HB 2 changes run through 2034 and a brief announcement about memorial arrangements for C.J. Gerard.
NH

New Hampshire 2025 Regular Session

Senate Health and Human Services (01/15/2025)

Health and Human Services

Transcript Highlights:
  • long-term care issues and studied long-term care issues and supports<00:35:03.640> increasing
  • The department states that insurers employ precise actuarial methods to estimate premium costs based
  • Another handout is a Vantiv study, an independent study showing what this bill, this concept, would do
  • <01:28:00.840> that inflation there are recent studies that inflation there are recent studies
  • So they studied what happened with generic drugs and brand-name drugs.
Keywords: 1191, senate, all
FL

Florida 2026 Regular Session

Senate in Special Session E May 29th, 2026

Florida Senate Floor Meeting

Transcript Highlights:
  • I expect it will attract the best and brightest from across the country and Florida who wish to study
  • Um, battery disposal study. I had a feeling.
  • the time of the study?
  • I believe this is in your silo, but I have a question about a battery disposal study.
  • We're going to move on from the battery disposal study. Nothing to see here, folks.
Summary: The Senate convened with prayer and the Pledge of Allegiance, then moved to the conference report on House Bill 501E, the General Appropriations Act for fiscal year 2026-27. Budget chairs presented the major spending areas, describing a $114.5 billion overall budget that they said was fiscally responsible and below the prior year’s spending. Highlights included pay increases and retirement adjustments for public safety employees, education funding for K-12, higher education, health and human services, criminal justice, transportation, environmental programs, and agriculture/regulatory agencies. Members then questioned chairs on several items. In education, senators discussed K-12 declining enrollment funding, teacher salary set-asides, private school scholarship spending, mental health funding, preeminence funding for universities, the Hamilton Center at UF, and charter school PICO funding. In health and human services, questions focused on the iBudget waiver waitlist, provider rates, ADAP/HIV funding and the return of Biktarvy to the formulary, KidCare, rural health funding, SNAP-related IT and error reduction efforts, and the IDD managed care program. In criminal justice, senators asked about correctional officer pay, prison staffing and infrastructure, air conditioning in prisons, juvenile justice facilities, law enforcement recruitment, and court system funding. Environmental and transportation questions covered Florida Forever, water quality, state parks, water projects, housing, elections funding, and emergency management. Several specific actions and explanations were given during debate: the budget includes $8.8 million for state attorney competitive area differentials but no funding for public defender CAD requests; assistant state attorneys will start at $70,000 and assistant public defenders at $65,000; the battery disposal issue was described as a temporary study/preemption approach; and the Senate said the budget does not fund Medicaid expansion, preeminence funding, or the SunBucks Summer EBT state share. Senators also noted that some proposals discussed in committee did not make it into the final budget. The transcript ends with debate statements from members praising the budget process and Chair Hooper, while also expressing concerns about public schools, health care access, affordability, and the lack of funding for certain priorities.
LA

Louisiana 2026 Regular Session

House of Representatives May 12th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • So you mentioned a workload study. What year was that workload study released? It was released.
  • Statewide study. Okay. Yeah. And... ...every parish and every statewide study.
  • So from the information in the study, the study is accurate.
  • Okay, so I'm asking you what the study says. You're telling me what the study intended.
  • , structural studies, mechanical studies, electrical studies, or plumbing studies."
Bills: HR265, HR266, HR267, HR268, HR269, HR270, HR271, HR272, HR273, HCR107, HCR108, HCR109, HCR110, HCR111, HR257, HR258, HR259, HR260, HR261, HR262, HR263, HCR105, HCR106, SCR30, SB57, SB157, SB202, SB237, SB276, SB450, SB465, SB501, SB525, HR3, HR80, HR197, HR243, SCR5, SCR35, HB4, HB623, HB944, HB986, HB1098, HB1222, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, SB398, HB646, HR84, HR188, HR205, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, SCR24, HCR6, HB301, HB359, HB657, HB675, HB680, HB727, HB302, HB819, HB1257, HB1258, SB8, SB10, SB11, SB12, SB13, SB14, SB16, SB17, SB18, SB20, SB21, SB22, SB40, SB48, SB55, SB69, SB75, SB77, SB78, SB85, SB102, SB115, SB133, SB140, SB148, SB151, SB165, SB169, SB170, SB185, SB197, SB200, SB217, SB235, SB278, SB280, SB291, SB300, SB303, SB315, SB324, SB330, SB411, SB416, SB420, SB436, SB438, SB449, SB455, SB456, SB477, SB489, SB521, SB45, SB58, SB71, SB81, SB92, SB100, SB109, SB141, SB156, SB181, SB203, SB204, SB205, SB207, SB213, SB214, SB216, SB229, SB257, SB274, SB290, SB304, SB374, SB379, SB396, SB410, SB425, SB427, SB429, SB479, SB522, HCR72, HB633, HB603, HB940, HB251, HB775, HB998, HB1191, HB625, HB1255, HB901, HR20, HR74, HCR65, HCR71, HB284, HB306, HB341, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB258, HB842, SB149, SB382, SB441
Summary: The House convened with prayer, the pledge, roll call, and several personal privileges recognizing visitors and special observances, including Transportation Day and a day without child care at the Capitol. Members also honored the Southern University Laboratory School track teams, early childhood educators, and later offered condolences and tributes, including a memorial resolution for Derek Butler’s family and birthday recognitions for members and staff. The chamber received Senate messages, committee reports, and introduced or adopted several resolutions and bills throughout the day. A major portion of the floor was devoted to retirement-system cleanup and funding bills, including Senate Bills 8, 10, 11, 13, 14, 16, 17, 18, 20, and 21. Members and authors explained these measures as technical changes to simplify contribution formulas, separate funding for COLAs and benefit increases from debt paydown, and update reemployment or benefit rules for retirees in various systems. Most of these bills passed with large margins after brief questions about whether they would affect automatic debt reduction; authors repeatedly said they would not stop debt paydown. Other measures passed on topics such as emergency vehicle procedures, international driving reciprocity with Ireland, seat belt use, port commission appointments, GOHSEP cybersecurity authority, storage facility rental rules, biomarker testing coverage, DNA sample collection procedures, and a law-institute bill on movable-property leases. The House also adopted HCR 72, the Jonas A. Feeley Act, which memorializes Congress to expedite research and treatment development for acute myeloid leukemia in honor of a deceased veteran, and H.B. 1258, which directs the Department of Wildlife and Fisheries on handling unlawfully possessed sick, injured, or orphaned wildlife. Another notable bill, Senate Bill 200, created a process for expropriating property tied to foreign adversaries near military bases, with amendments allowing voluntary divestment before expropriation. Most measures were adopted by wide margins, with co-author votes taken on some resolutions and bills tabled or returned to the calendar when requested. The most extended debate centered on Senate Bill 217, which would reduce the number of judges in Orleans Parish courts based on a statewide workload study. Supporters said the National Center for State Courts study showed Orleans had more judges than comparable parishes and that the bill would right-size the courts and save about $2.1 million. Opponents questioned the study’s methodology, the lack of Orleans delegation involvement, the counting of cases, the absence of uniform statewide clerk-of-court standards, and whether reducing criminal judges made sense given crime concerns. Despite the criticism, the bill was advanced after lengthy questioning, while the chamber continued to move other bills and resolutions forward.
OK
Transcript Highlights:
  • and the Actuarial predictions have been pretty spot on.
  • So, the actuaries come to us, they give us a range of estimates.
  • Because the actuaries had new claims data that had come through in December and provided updated numbers
  • So, the closer we get to the next fiscal year beginning, the newer claims data that the actuaries have
  • I can give you historical and actuarial evidence that will support a 10.1 or a 22.2 utilization growth
Keywords: 914, all
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 4/8/26

Health Finance and Policy

Transcript Highlights:
  • Um, and that is what I study every day.
  • Um, and that is what I study every day.
  • Um, and that is what I study every day.
  • believe there was a um actuarial believe there was a um actuarial analysis<00:39:25.040> from
  • Because we are required to keep those rates actuarially sound.
Bills: HF4609, HF4401
TX

Texas 89th Regular

Nominations Apr 14th, 2025

Nominations

Transcript Highlights:
  • And I think it's one of those things where you can study it and keep studying it and nothing happens,
  • or you can study it and...
  • You can study it and keep studying it and nothing happens, or you can study it and communicate and work
  • We've studied it enough. Let's get going. With regard to those impaired streams, many...
  • You know, we’ve got to have an actuarial lease. I got, I, trustee Cisney just retired.
Summary: The Senate Committee on Nominations met to consider several gubernatorial nominees and first approved a slate of nominees left pending from the March 31 agenda. The committee voted 5-0 to favorably report those nominees to the full Senate for confirmation. Public testimony was then opened and later closed, with some listed witnesses not appearing. The committee heard testimony on Jerry K. Weldon II for the Brazos River Authority Board of Directors. Senators focused on stewardship of the Brazos River, the authority’s relationship to the legislature and the public, Sunset review, water quality and nutrient runoff, impaired waterways, and possible uses of constructed wetlands for aggregate mine reclamation. Weldon emphasized collaboration, transparency, and keeping the citizens of Texas as the authority’s primary customer. Commissioner Robert Vaughn was considered for reappointment to the Texas Transportation Commission. Discussion centered on TxDOT’s management, rural funding, population growth, project delivery, and the commissioner’s role on the audit committee. Doug McCreakin was considered for the Texas Tech University Board of Regents, with questions about legislative priorities, compliance with DEI-related state law, workforce development, rural medical education, and university partnerships. Jody Giles was considered for reappointment to the University of Texas Board of Regents, and Bernadette Carrasco Coleman for reappointment to the Texas Woman’s University Board of Regents; both discussed higher education priorities, PUF funding, compliance with state law, and student support programs. John Rutherford was considered for reappointment to the Teachers Retirement System Board of Trustees, with questions about fiduciary oversight, investment understanding, and keeping the retirement system solvent. Brigadier General Michael Boyd was also considered for appointment to the Texas Military Preparedness Commission, where discussion focused on military retention, child care, spouse licensing, base infrastructure, and grant funding for Texas installations. The committee did not take final votes on these later nominees during the hearing and left them pending subject to the call of the chair.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Tuesday, June 9, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • He went on to spend nearly two decades working in education, serving as a social studies teacher and
  • teacher and counselor at social studies teacher and counselor at the<00:51:40.079> Shauny<00:
  • Take a look at the Social Security actuary report of the suppression of working people's wages because
  • Take a look at the<02:49:52.240> Social<02:49:52.479> Security<02:49:52.800> actuary
  • Security actuary report of the<02:49:54.319> suppression<02:49:54.720> of<02:49:54.960
NH

New Hampshire 2025 Regular Session

House Finance Division I (03/14/2025)

Transcript Highlights:
  • The Department of Safety has since done a recruitment and retention study, in which they specifically
  • in which they specifically uh study in which they specifically highlighted<03:32:25.560> these
  • So, HB 2, 2023: what we ask the actuary to do is give us a number that would have a neutral effect on
  • So, HB 2, 2023: what we ask the actuary to do is give us a number that would have a neutral effect on
  • There were other actuarial factors that...
Keywords: 1189, house, all
Summary: The committee first took up House Bill 187, which would allow parents or guardians to seek restraining orders on behalf of a minor child even when the alleged perpetrator is not a family or household member. Tracy Sirles testified that the bill was prompted by her family’s experience after being told by state police to seek a restraining order, only to learn the current law did not allow it because the offender was the child’s best friend’s father. Members agreed the change was straightforward, noted the fiscal note reflected only a small indeterminate cost to the judicial branch, and moved House Bill 187 ought to pass; the motion was approved unanimously. The committee then discussed House Bill 66, a Right-to-Know bill that removes “citizen” language in favor of “person” in some provisions and allows certain New Hampshire-connected requesters to seek records electronically if the records already exist in that format. Members reviewed concerns about defining “member of the media,” the scope of electronic requests, and a sentence stating appeals would have no filing fee or search charge. After debate, the committee voted to amend the bill by removing that fee-waiver sentence, then recommended House Bill 66 ought to pass as amended. The vote was 6-3. Next, the committee heard from the Environment and Agriculture chair about several solid-waste-related bills being folded into trailer bill language, including House Bill 215 and House Bill 171, with discussion of a possible three-year landfill moratorium and the need to address DEES staffing and funding concerns. DEES later clarified that the revised approach would not require new positions or create a fiscal impact because the new solid waste commission would be self-funded through filing fees. The committee voted unanimously to retain House Bill 215. Finally, the committee considered House Bill 566, which requires landfill permit applications to include a detailed leachate management plan and more information about disposal contracts. The sponsor said the bill was developed with DEES to address leachate problems and improve safety oversight. DEES testified that the bill largely reflects current practice and would have no specific fiscal impact, with existing staff able to absorb any review workload. The committee moved House Bill 566 ought to pass, and the motion was approved unanimously. The committee also briefly discussed House Bill 624, a grant program for local river management advisory committees, but no vote was taken in the portion provided.
KY
Transcript Highlights:
  • <00:10:18.720> analysis actuarial analysis actuarial analysis um<00:10:20.880> where<00
  • <00:31:06.399> This actuarial analysis of negligible.
  • This actuarial analysis of negligible.
  • will say, is there an actuarial will say, is there an actuarial calculation<00:37:04.720> of<
  • > determined And additionally, the actuary determined And additionally, the actuary determined
Summary: The committee heard testimony from Rep. Ashley Tackett Laferty on a bill to extend minimum line-of-duty hazardous duty retirement benefits to certain CERS and KERS non-hazardous members who are injured in the line of duty and cannot return to that work. She used a video and examples from Eastern Kentucky first responders, including a deputy who lost a leg and an emergency management director who lost an eye, to argue that some injured officers and responders fall through the cracks because their employers did not elect hazardous-duty coverage. She said the proposal would provide 25% of pay to the disabled officer, plus 10% for dependent children and minimal health benefits, and noted estimated actuarial costs of about $2.9 million for CERS and $0.542 million for KERS, funded through small employer-rate increases. Members asked how far back the bill would reach, how many people might qualify, and whether the benefit would apply only to active employees or also to past injuries. Laferty said the bill would include a five-year window for recent situations and could potentially cover a total of 3,333 positions statewide that could be certified as hazardous, though benefits would only apply if the person was injured in the line of duty and disabled from returning to that work. Questions also focused on whether a non-hazardous employee could qualify if injured in a hazardous situation; Laferty said yes, if the position could be certified as hazardous, but only for the bill’s minimum benefits. Rep. Josh Calloway and others noted that local governments choose whether to pay the higher hazardous-duty contribution rates, which they said often drives the coverage decision. The committee then heard Rep. Daniel Gberg present a separate bill revising school leave rules so teachers and school employees may use accumulated sick leave to observe religious holidays not on the school calendar, with a required personal statement and advance notice. He said the change would address a longstanding inconsistency for teachers who observe non-Christian holidays and currently may have to choose between unpaid leave or improperly using sick days, and he said prior concerns about retirement service credit and maternity leave were reduced by other policy changes. The discussion ended without a vote, with members indicating they had the relevant materials and that the bill would be revisited later.
LA

Louisiana 2026 Regular Session

House of Representatives May 20th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • House Resolution by Representative Coates to charge the House Committee on Natural Resources to study
  • A study on the potential direct and indirect costs of mixing various streams of carbon capture.
  • I bring to you House Resolution No. 179, which is a study commission where we're going to study the effectiveness
  • A simple resolution to look at trash collection and study in Washington Parish.
  • So I'm just asking to study if there's really science behind this. I'd appreciate your support.
Summary: The House convened with prayer, pledge, and a quorum, then spent much of the day on recognitions and commemorative resolutions. Members honored coach Jeffrey Craig Whittington, tourism and the Louisiana Oil Makers Association, Motorcycle Safety Awareness Month, the Tangipahoa Parish Fair, Washington Parish festivals, ACOG’s 75th anniversary, Louisiana Tech women’s basketball, and Memorial Day. A major Memorial Day presentation commended Lane Frenchy Boudreau for helping recover the body of Army Sgt. First Class James H. Moore in Vietnam; the House observed a moment of silence and presented a flag to Moore’s family. The chamber also received Senate messages, enrolled bills, and committee reports, and introduced several new resolutions on topics including Pope Leo XIV, orphan wells, scenic rivers, Teche water quality, and the LaMelle family’s pilgrimage to Rome. The House then took up numerous resolutions and bills, often adopting them without objection. Among the measures adopted or advanced were studies on neighborhood crime prevention districts, parish solid waste and disaster resiliency in Washington Parish, the Louisiana Climate Action Plan, the Louisiana Maneuvers museum/trail, cash-rounding practices after penny production ends, residential construction costs and inspection practices, roundabout education, Taiwan relations, TSA worker loan assistance in Shreveport, human growth and development standards, and the state income tax credit for water utility customers. The chamber also adopted or concurred in several Senate amendments on bills dealing with financial disclosure, video voyeurism, personal information protections, online child safety, STEM advisory council changes, dual enrollment tuition, fleet vehicle registration, menhaden fishing rules, recording fees, amusement ride insurance, drone footage authentication, garbage and trash contracts, insurance prescription periods, retirement system changes, juror qualifications, fireworks, inspection stickers, employment discrimination, and inactive boards and commissions. Several measures drew discussion or division. H.B. 1199, requiring coverage for genetic testing and treatment for SCN2A-associated disorders, passed 94-0 after being discharged from Appropriations. H.B. 302, which would prohibit vape sales within 300 feet of schools, passed 86-4. H.B. 84, encouraging an interest-free loan program for TSA workers at Shreveport Regional Airport, passed 64-27. H.B. 1054 on self-authentication of law enforcement drone footage passed 78-12, and H.B. 1137 limiting employment discrimination protections to state employees passed 71-23. The House rejected Senate amendments on H.B. 468 (residential real property wholesaling), H.B. 1117 (insurance contractual payments and prescriptive periods), H.B. 956 (fireworks dates), and H.B. 74 (Spectrum Alert for missing children with autism), while concurring in or adopting amendments on many other bills. The session ended amid continued consideration of Senate Bill 56 on the West Bank/Lafitte levee governance structure, including an adopted amendment to ensure Lafitte-area representation on the board, with extended remarks about the history and accomplishments of the existing levee authority.
AR

Arkansas 2026 1st Special Session

ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE Jun 17th, 2026

ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Transcript Highlights:
  • We do have Public Consulting Group as our actuary, so the format's a little bit different than what Milliman
  • Okay, this is for the actuarial advantage.
  • This is our actuarial provider for the property insurance program.
  • What we were finding when we worked with the actuarial advantage is that there was no actuarial base
  • Now you can all take comfort that there is that very transparent, very solid actuarial foundation to
Keywords: 1204, all
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. Grant Wallace presented March and April formulary changes, including moving to lower-cost generic and preferred drugs, leaving several new-to-market drugs not covered, and adjusting migraine and diabetes medications; the committee approved those recommendations. The subcommittee also approved a cell and gene therapy policy that excludes automatic coverage for those therapies so they can undergo prior authorization and review, with members emphasizing that the policy was intended to create review, not an absolute denial, and that expedited appeals would remain available. Members spent significant time discussing the UAMS pharmacy benefit consultant amendment. Wallace explained that the contract included both basic services and optional services related to coupon and rebate management and prior authorization support, but the written materials created confusion over the dollar amount. After questions about whether the committee was approving a higher amount than the base contract and whether the optional services duplicated work already being done by Navitus, the committee agreed to review the item with a contingency that any use of the optional services would return to the committee for approval. The committee also reviewed and approved the U.S. Able Mutual/Blue Advantage third-party administrator contract, the CompSack employee assistance program contract, and the proposed 2027 employee and public employee rates, which call for a 9.8% increase for state employees and a 4.9% increase for public school employees. On the property risk side, the committee reviewed permanent rules for the property insurance program, a contingency-fee subrogation contract with Denenberg-Tuffley, and renewals for Sedgwick claims management, Actuarial Advantage, and Stevens Capital Management. Wallace said Sedgwick had faced delays after a major winter storm and other weather events, but performance guarantees and communication expectations were being added; members discussed whether a shorter renewal term would be preferable, but the item was reviewed. The committee also approved the 2026-27 captive insurance program rates, which Wallace said would lower the overall rate by 10% while keeping minimum deductibles unchanged. He noted the program had stabilized after a difficult first year and that the rate structure was now based on a more transparent actuarial foundation. The meeting ended with an update that the UnitedHealthcare rebid was nearing completion and would return in August, and the committee adjourned after approving the remaining items.
MN

Minnesota 2025-2026 Regular Session

Committee on Commerce and Consumer Protection - 03/26/26

Commerce and Consumer Protection

Transcript Highlights:
  • Is there been any studies or is there any kind of plan within this bill to do some kind of a study so
  • Is there been any studies or is there any kind of plan within this bill to do some kind of a study so
  • Is there been any studies or is there any kind of plan within this bill to do some kind of a study so
  • <01:17:51.640> And by an independent actuarial firm.
  • And by an independent actuarial firm.
Keywords: 1187, senate, all
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Oct 7th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • I have studied Texas very closely.
  • And another study found that.
  • I'm happy to follow up with specific citations for the studies that I noted.
  • Paper, which needs more insight for me to study than a slide.
  • Kasla, for your research study.
FL

Florida 2026 5th Special Session

Health Policy Feb 11th, 2026

Transcript Highlights:
  • of people tell me that a naturopath uses IV vitamin C to treat cancer, and there's no statistical studies
  • And for that reason, the bill also allows the Legislature to maintain its own actuary.
  • Our actuary may very well reach the same conclusion that's being said by the actuaries over at ACCA or
  • But as those who write the checks, it would be really nice to have our own backup actuary.
Summary: The committee first heard Senate Bill 1414 by Sen. Polsky on congenital cytomegalovirus (CMV) education. The bill would require the Department of Health, working with medical experts, to create and distribute CMV educational materials to expectant and new parents or caregivers through hospitals, birth centers, and OB/GYN practices. An amendment removed a section that would have required instruction for medical professionals, and the amended bill was reported favorably as a committee substitute. The committee then took up a block of confirmations. Appointees on tabs 2 through 7 were recommended favorably in one vote, and Chavon Harris was separately confirmed as Secretary of the Agency for Health Care Administration after extensive questioning. Senators praised her leadership and experience, while others raised concerns about Medicaid redeterminations, the state’s CORE modernization project, Hope Florida, and a DCF anti-marijuana ad campaign; Harris said she would follow up on some issues and defended the agency’s work on transparency, managed care oversight, and access to care. Her confirmation was recommended favorably, with Sen. Berman noting opposition. Several health-related bills were then heard and advanced. SB 186 by Sen. Garcia expanded epilepsy training requirements for school personnel, including charter school bus drivers, and was reported favorably. SB 902 by Sen. Garcia, after amendments narrowing dental workforce provisions and allowing certain seizure rescue medication delegation to family home health aides, was reported favorably; testimony focused on medical marijuana regulation, practitioner accountability, and concerns about park and child-care proximity restrictions. SB 196 by Sen. Sharif created a uterine fibroid research database with privacy protections and was reported favorably after emotional testimony from a patient and supporters. SB 688 by Sen. Rodriguez would reestablish licensure of naturopathic doctors; it drew both support and skepticism about diagnosis and treatment boundaries, but was reported favorably. SB 1574, Maddie’s Law, would add biliary atresia screening to newborn screening and was strongly supported by parents describing a delayed diagnosis; it was reported favorably. SB 878 on clinical laboratory personnel, SB 1092 on podiatric medicine and certain cellular/tissue-based products, and SB 1032 on medical marijuana registry timelines and veteran fee waivers were also reported favorably, while SB 1032 drew debate over longer renewal/supply periods. The committee then began SB 1760 on Medicaid oversight and program transparency, with the sponsor describing the bill’s creation of a joint legislative oversight committee and a legislative actuary.
FL

Florida 2026 Regular Session

Health Policy Feb 11th, 2026

Health Policy

Transcript Highlights:
  • And there's no statistical studies to show that that's effective.
  • And for that reason, the bill also allows the legislature to maintain its own actuary.
  • Our actuary may very well reach the same conclusion that's being said by the actuaries over at ACCA or
  • But as those who write the checks, it would be really nice to have our own backup actuary.
Summary: The committee took up several health-related bills and confirmations. It first heard SB 1414 on congenital cytomegalovirus education, which would require the Department of Health to develop and distribute educational materials to expectant and new parents through maternity, prenatal, newborn, and OB-GYN settings; an amendment removed a section on required instruction for medical professionals, and the bill was reported favorably as a committee substitute. The committee then approved a block of appointees on tabs 2 through 7 and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after her testimony on Medicaid accountability, transparency, managed care oversight, rural health, behavioral health, and the state’s technology modernization efforts. Senators asked Harris about Hope Florida, Medicaid redeterminations, the CORE project, an anti-marijuana ad campaign at DCF, and compliance with a federal Medicaid-related court order; she said she would follow up on some issues. The confirmation was recommended favorably, with Senator Berman voting no. The committee next passed SB 186 on student health and safety, which expands epilepsy and seizure-disorder training requirements to more school personnel, including bus drivers and charter school staff, and requires seizure-first-aid posters and updated Department of Health education efforts. It also approved SB 902 on Department of Health issues after amendments narrowed the bill’s scope and added provisions on medical marijuana regulation, early childhood intervention, practitioner accountability, and autism workforce development; one speaker raised concerns about marijuana dispensary location restrictions and low-THC ratios. SB 196 creating a uterine fibroid research database was also reported favorably after an amendment protecting patient privacy; the bill drew emotional testimony from a patient describing severe symptoms and the need for more research. SB 688 on naturopathic medicine was approved after committee discussion about scope of practice, referral obligations, and whether naturopathic care should be adjunctive to conventional medicine; supporters described complementary care and access issues, while opponents worried about delayed treatment for serious disease. Later, the committee passed SB 1574, “Maddie’s Law,” to add biliary atresia screening to newborn screening using the same blood specimen already collected at birth and to launch an education campaign; parents of a child affected by the disease testified that earlier screening could have prevented severe harm. SB 878 on clinical laboratory personnel was reported favorably to address staffing shortages by allowing Florida to rely more directly on federal CLIA standards for qualified lab workers. SB 1092 on podiatric medicine was approved after an amendment narrowed it to cellular/tissue-based products and podiatrists’ use of certain therapies; the bill also addresses continuing education, informed consent, and advertising disclosures. SB 1032 on medical marijuana was amended and passed, aligning physician certification and card renewal timelines, setting 70-day and 35-day supply limits, and reducing the fee for honorably discharged veterans while preserving funding for FAMU; Senator Harrell opposed it, saying the longer timeframes were too much of an expansion. The committee also heard SB 1760 on Medicaid coverage transparency from Senator Brodeur, who said the bill focuses on accountability and fiscal responsibility, but the transcript cuts off before further discussion or action on that measure.
LA

Louisiana 2026 Regular Session

Senate May 5th, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • to create a task force composed of relevant state entities, to be referred to as a tiger team, to study
  • Members, we studied safety responses for our schools all over the state of Louisiana for the past year
  • So I have a study on Lafourche, but if you're telling me it needs to be removed, it needs to be removed
  • We have to go back to study the root cause of this whole nursing home issue.
  • It lies over. ...to initiate a formal study to evaluate how land use changes and habitat loss affect
Bills: SB524, SR108, SR109, SCR56, SCR57, SCR12, HB227, HB398, HB689, HB897, HB1029, HB1107, HB1217, HB221, HCR58, HB136, SB162, SB382, SCR33, SCR30, SB112, SB194, SB307, SB341, SB346, SB363, SB495, SB503, SB507, SB509, SB513, SB408, SB131, SB145, SB333, SB464, SB466, SB500, SB283, SB338, SB488, SB35, SB65, SB215, SB228, SB246, SB249, SB268, SB269, SB282, SB296, SB312, SB319, SB323, SB369, SB431, SB474, SB484, SB490, SB492, SB501, HCR14, HB537, HB652, HB653, HB661, HB726, HB756, HB851, HB964, HB966, HB34, HB35, HB48, HB474, HB553, HB758, HB852, HB10, HB16, HB36, HB44, HB46, HB52, HB61, HB78, HB98, HB102, HB124, HB126, HB131, HB135, HB141, HB142, HB164, HB170, HB171, HB179, HB194, HB231, HB245, HB280, HB292, HB294, HB297, HB305, HB336, HB337, HB351, HB436, HB594, HB789, HB956, HB957, HB995, HB1040, HB50, HB117, HB120, HB122, HB139, HB148, HB149, HB185, HB199, HB247, HB271, HB286, HB301, HB358, HB359, HB384, HB413, HB428, HB450, HB462, HB547, HB613, HB631, HB657, HB669, HB675, HB680, HB691, HB712, HB716, HB720, HB723, HB727, HB728, HB735, HB747, HB759, HB825, HB842, HB845, HB846, HB903, HB904, HB907, HB923, HB929, HB941, HB962, HB965, HB1036, HB287, HB370, HB515, HB521, HB570, HB1200, HB29, HB39, HB58, HB67, HB73, HB76, HB77, HB82, HB112, HB121, HB125, HB132, HB134, HB151, HB154, HB155, HB161, HB166, HB187, HB191, HB207, HB211, HB224, HB238, HB241, HB242, HB250, HB260, HB265, HB275, HB300, HB320, HB338, HB339, HB349, HB379, HB399, HB427, HB463, HB464, HB468, HB545, HB550, HB551, HB565, HB588, HB639, HB725, HB782, HB805, HB808, HB834, HB847, HB853, HB858, HB861, HB883, HB916, HB937, HB977, HB1012, HB1027, HB1044, HB1054, HB1071, HB1091, HB1117, HB119, HB129, HB677, HB850, SB68, SB149
KY
Transcript Highlights:
  • > the<00:21:20.559> ability<00:21:20.960> to national study on MAT, the ability
  • to national study on MAT, the ability to engage<00:21:21.600> and<00:21:21.840> retain<
  • Speaking of cost, studies show that integrated pain programs cut the average number of emergency room
  • do a feasibility study do a feasibility study with<00:47:52.640> the<00:47:52.800> report
  • A recent actuarial analysis utilization.
Keywords: 958, all
Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.