Video & Transcript Research : 'claims processing'
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NH
New Hampshire 2025 Regular Session
House Finance Division I (02/27/2025)
Transcript Highlights:
- I'm general counsel for Administrator Brri and the claims administration process.
- <05:02:30.000>
process in participating with the claims process in participating with the - Administrator Bradrick oversees the claims process itself to see when a claim comes in and verifies
- process itself to see when a when claims process itself to see when a when a<05:15:04.120>
claim< - statutory process and built the claims statutory process and built the claims process<05:20:36.160
Summary:
The committee held a work session on the Department of Business and Economic Affairs’ budget, with testimony from division leadership on staffing, funding sources, and program changes. Early discussion focused on vacant positions in the agency, including a senior planner tied to FEMA requirements, a federally funded program assistant, a program specialist to be reclassified during a planning reorganization, and two Housing Champions positions that were authorized but not funded in the current biennium and are requested for 2026-27. The witnesses also explained that temporary welcome center positions are filled as funds allow, and that the agency’s requested general fund increase is driven largely by the Division of Travel and Tourism Development and its formula-based funding.
Members then reviewed rest areas, welcome centers, outdoor recreation, economic development, procurement, and workforce opportunity lines. The department said there are 12 rest areas, with 5.8 million foot counts in FY 24, and that welcome centers are generally open year-round, though Sutton is currently closed and staffing relies on a mix of full-time and temporary employees. The outdoor recreation position is federally funded through USDA and supports business outreach, trade shows, and industry promotion. In economic development, the agency said increased dues reflect participation in the Northern Borders Regional Commission, and that a marketing line item is intended to support recruitment and promotion of growth industries such as advanced manufacturing and life sciences. The Apex Accelerator Program was described as a state-federal partnership requiring a state match and providing government contracting assistance to businesses, while the Office of Workforce Opportunity was explained as a federally funded WIOA-related effort administered through multiple agencies and subrecipients.
A major point of discussion was the proposed reduction to the Small Business Development Center, which members said had generated significant public concern. The department described SBDC as a highly effective technical assistance program for new and small businesses, but said the cut was one of the few places it felt it had room to reduce funding. Members asked about federal support and matching requirements for various programs, and the department said less than half of its overall budget is generally funded by the state and that some programs require state match. The committee also discussed travel and tourism marketing and the Joint Promotional Program, with the department saying those funds support broader advertising campaigns and grants to chambers and trade associations for events such as Bike Week, Restaurant Week, and the Seafood Festival. No votes were taken during the work session.
AR
Arkansas 2026 1st Special Session
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE Jun 17th, 2026
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE
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.
- not going in and out with particular adjusting firms that are overseeing the claims process. ...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. 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 1st Special Session
Committee on Commerce and Consumer Protection - 01/30/25
Commerce and Consumer Protection
Transcript Highlights:
- The money passes through health plans because we're the ones processing the medical claims.
- The money passes through health plans because we're the ones processing the medical claims.
- The money passes through health plans because we're the ones processing the medical claims.
- The money passes through health plans because we're the ones processing the medical claims.
- The money passes through health plans because we're the ones processing the medical claims.
Summary:
The committee heard a reinsurance overview from Deputy Commissioner Julia Dryer of the Minnesota Department of Commerce on the Minnesota Premium Security Plan. She explained that reinsurance helps stabilize premiums in the individual market by reimbursing insurers for high-cost claims, and said Minnesota’s program has lowered premiums, preserved carrier participation, and helped maintain consumer choice. She warned that without continued funding, the program would be depleted and individual-market premiums could rise by about 25%, with potential losses in coverage and access to care. She also described the program’s structure under a federal 1332 waiver, the role of MCHA in administering the program, and the state’s receipt of more than $650 million in federal pass-through funds to date.
Dryer said the current program is funded through the end of 2025, though the federal waiver authority runs through 2027. The governor’s proposal would create a new assessment on insurers, estimated at roughly 2% to 3%, to fund the state share of the program and avoid another full waiver submission. She noted that the proposal assumes MinnesotaCare funding would be held harmless and that the program would be reduced if federal basic health plan funding were negatively affected. She also said projected costs changed because individual-market enrollment has grown and enhanced federal subsidies were removed from the estimate.
Members raised concerns about the proposal’s impact on premiums and the history of the fund. Senator Rasmusson argued the new assessment amounts to a large tax increase on health insurance and questioned who would be assessed and whether the surcharge would be capped. Dryer responded that the assessment would be based on annual claims experience and market conditions, with final amounts determined at the end of each year, not monthly. Senator Duckworth and Senator Frentz supported reinsurance as a way to keep premiums lower, while also questioning how the program should be financed. Senator Green asked about the mechanics of the assessment and the role of the department in setting it, and Senator H questioned why the fiscal note assumed 12% annual growth for program costs when general premium growth was lower. No vote or formal action was taken in the meeting.
CA
Transcript Highlights:
- This tactic removes the policyholder from the claims process, puts the repair shop in the driver's seat
- process.
- process.
- for claim numbers and such.
- process.
Summary:
The committee heard several bills, beginning with SB 99, which would require courts and law enforcement to better recognize military protective orders in domestic violence cases and allow civilian judges to consider those orders when reviewing restraining order requests. Supporters, including the Department of Defense and military-related organizations, said the bill would close jurisdictional gaps that leave military families vulnerable off base. The bill drew no opposition and was approved on a unanimous vote, with members also expressing support for the author’s request to be added as coauthors.
Members then heard SB 1237, a pay equity reporting enforcement bill that would increase penalties for repeat noncompliance with California’s employer pay-data reporting requirements. The author and supporters from Power California Action and HOPE argued that stronger penalties are needed because the state is still missing pay data for hundreds of thousands of workers and wage gaps persist, especially for women of color. There was no opposition testimony, but one member voted no; the bill passed to Appropriations and was placed on call. SB 1387 followed, proposing to allow Jewish identity to be reported as an ethnic category in state demographic data collection. Supporters said the change would improve data accuracy and help identify discrimination, while opponents from Jewish Voice for Peace and other Jewish speakers argued the bill was unworkable, unnecessary, and could be harmful or exceptionalizing. The committee approved the bill on a unanimous vote to Privacy.
The committee also approved SB 932, which would require assignees filing civil actions to identify the original party in the case caption, after testimony that the change would improve transparency and help courts, the public, and journalists track assigned claims. SB 988, an auto glass industry bill, drew the most extensive debate: the author and the National Insurance Crime Bureau said it would curb fraud, restrict certain assignment-of-benefits practices, and improve consumer safety, while independent glass shops and their associations warned it could restrict consumer choice and favor insurers or large networks. Despite those concerns, the bill passed to Appropriations. SB 1296, requiring landlords to disclose pet policies before collecting application fees, also passed after supporters described the bill as a narrow transparency measure and opponents raised concerns about pet addenda and eviction procedures. Finally, SB 747, the “No Kings Act,” would create a state cause of action for constitutional violations by federal officers; supporters cited abuses by ICE and Border Patrol and the need for accountability, while law enforcement groups warned about uncertainty around qualified immunity and retroactivity. The bill was supported by several members, but the transcript ends before a final committee vote is shown.
NH
MN
Minnesota 2025 1st Special Session
House Press Conference 3/19/25
Transcript Highlights:
- Department of Veterans Affairs claims Department of Veterans Affairs claims representatives<00:07
- <00:08:19.199>
We on claims. But that is simply false. We on claims. - pay an attorney or a claims pay an attorney or a claims representative<00:10:45.519>
for < - If it is illegal for these companies to claim that they can process VA benefits when they can't, am I
- companies to claim that they can<00:19:54.240>
process <00:19:54.720>VA <00:19:55.039><
NH
Transcript Highlights:
- Just for a point of clarification and by way of process, a wage claim is an action filed by an employee
- Just for a point of clarification and by way of process, a wage claim is an action filed by an employee
- <01:08:52.000>
a <01:08:52.400>action way of process, a wage claim is a action way - of process, a wage claim is a action filed<01:08:53.359>
by <01:08:53.759>an <01:08:54.000 - And I’ll note, not every single wage claim results in an employee initiating the hearing process.
NM
New Mexico 2025 Regular Session
IC - Radioactive and Hazardous Materials May 29th, 2025
Radioactive & Hazardous Materials Committee
Transcript Highlights:
- Um, is another, uh, claim we are pursuing.
- Um, we are in the process of putting together a trustee.
- Um, this claim was initiated in 2008.
- What, what is the process now? Mr.
- That process, I, I forget the number of the slide, but you know, I laid out what the nerd process is,
MN
Minnesota 2025-2026 Regular Session
Consumer Protection Restitution Account update 2/18/26
Minnesota House Floor Meeting
Transcript Highlights:
- So we initiated a claims process a few months ago to try and identify eligible claimants.
- <00:08:41.839>
process <00:08:42.719>um <00:08:42.959>a So, we initiated a claims - process um a So, we initiated a claims process um a few<00:08:43.279>
months <00:08:43.519> - So, the claims, we gave folks a couple months to get the claims in.
- So, we got the claims going. Claims took a couple months.
Summary:
The committee heard an update on the Consumer Protection Restitution Account, also called SPRA, from the Minnesota Attorney General’s office and AARP Minnesota. AARP described the fund as a first-of-its-kind consumer fraud restitution program that should encourage scam reporting, give the AG’s office more incentive to pursue cases, and provide financial recovery to victims, especially older adults. The AG’s office explained that the fund is financed by 50% of consumer enforcement recoveries up to $5 million per year, plus unclaimed or undistributable restitution, and said about $4.6 million had been deposited since July 1, 2025, largely from a Johnson & Johnson settlement.
Jessica Whitney outlined how claims are processed: consumers file complaints, the office obtains a court order, then determines whether defendants have collectible assets before distributing funds in chronological order based on the date of the court order. She said the first major case is Woodbury Dental Arts, a defunct dental clinic whose patients filed more than 300 claims; the office estimates about 75% are likely valid, is reviewing them, and hopes to issue checks within a month. She also described upcoming cases involving High Road Builders and another home remodeling contractor, along with more than 100 individual fraud complaints, including nine claims totaling more than $5.2 million.
Committee members raised concerns about delays, communication with constituents, and whether victims know if their cases are being processed. Whitney said the office is trying to improve outreach through press releases, community visits, senior centers, AARP, and Commerce senior outreach. She also flagged two possible legislative issues: restitution that cannot be distributed may not be subject to the $5 million cap, and the statute’s prohibition on pro rata payments may need reconsideration because available funds appear insufficient to pay all claims in full. The office said it would provide a fuller report in October and continue processing claims this fiscal year.
HI
Hawaii 2025 Regular Session
CPC/JHA Joint Public Hearing - Thu Feb 13, 2025 @ 10:00 AM HST
Transcript Highlights:
- In California, utility customers are paying for claims from past fires, claims from past and future fires
- <00:14:23.199>
from customers are paying for claims from customers are paying for claims from - finalize the settlement of the claims finalize the settlement of the claims and<00:24:51.600>
- claims in civil court.
- >
civil <00:48:26.520>court other claims in civil court other claims in civil court it<
Summary:
The joint committees heard testimony on HB 982 HD1, a wildfire-related measure aimed at creating a wildfire recovery fund and a financing structure to address future catastrophic wildfire liability. The Department of Commerce and Consumer Affairs, the Division of Consumer Advocacy, and the Public Utilities Commission submitted comments and were available for questions. Supporters included IBW Local 1260, Kauai Island Utility Cooperative, Clearway Energy Group, Hawaiian Electric, Par Hawaii, and others, while Charter Communications and the Hawaii Association for Justice opposed or raised concerns. Life of the Land supported the bill but urged changes to the definition of a catastrophic wildfire and noted concerns about prudency review language. IBW Local 1260 asked to restore language from the original draft, and Charter warned the bill could impair existing contract and indemnity rights unless amended.
A major focus of the hearing was Hawaiian Electric’s position on the HD1 version. Hawaiian Electric strongly supported the original bill but objected to the HD1 requirement for an additional $500 million shareholder contribution, arguing it was not feasible and could delay or prevent the fund from operating. The company said the bill would help protect customers and improve credit ratings by creating a dedicated revenue stream and a bankruptcy-remote financing structure, which it said would lower borrowing costs over time. Members questioned how the $1 billion securitization amount was chosen, whether credit rating agencies had indicated it was sufficient, and how the bill would work in bankruptcy; Hawaiian Electric said the amount was a balance among interests, not based on a specific agency directive, and that it would follow up on bankruptcy questions.
Opponents and skeptics raised concerns about liability caps, the new claims process, and unclear language on damages above the fund’s limits. The Hawaii Association for Justice argued the bill limits victims’ remedies and gives too much authority to the new entity without clear guardrails. Committee members also pressed Hawaiian Electric on comparisons to California, the feasibility of the shareholder contribution, and whether alternative capital-raising or divestiture options had been considered. No vote or final action was taken in the portion of the hearing provided; testimony and questioning continued with follow-up information requested from Hawaiian Electric and others.
US
US Federal 2025-2026 Regular Session
Hearings to examine S.124, to amend title 38, United States Code, to provide for disciplinary procedures for supervisors and managers at the Department of Veterans Affairs and to modify the procedures of personnel actions against employees of the Dep Mar 11th, 2025 at 09:30 am
Senate Veterans' Affairs
Transcript Highlights:
- staff who process PACT Act claims, we can't ignore the ongoing ship sinking right before us.
- these claims.
- Our claims processing time has increased. Our accuracy has decreased. So we've hired about 48,000.
- I think you contended that VBA... claims processing times have gone up since the PAC Act.
- process.
Keywords:
Department of Veterans Affairs, disciplinary procedures, accountability, personnel actions, whistleblower protection, cancer, military, aircrew, veterans, health study, toxins, morbidity, mortality, service members, mental health, community care, accessibility, treatment programs, substance abuse, appointments
Summary:
During the meeting, various members engaged in extensive discussions surrounding 15 proposed bills related to veterans' affairs. Notably, concerns regarding recent VA workforce changes sparked debates, particularly about potential cuts and their implications for veterans' care and benefits. Chairman Moran emphasized the need for thoughtful reforms and coordination with stakeholders, urging responsible measures to prevent negatively impacting service delivery. The meeting highlighted a significant bipartisan effort to enhance veterans' access to essential health services, particularly in light of recent challenges faced by the VA workforce. Senator Blumenthal's assertions about the urgent plight of veterans due to cuts in personnel drew strong reactions, showcasing the deep concern among committee members regarding the current state of veteran services.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Apr 7th, 2025
Transcript Highlights:
- in the process. ...program.
- For those LEAs that have already submitted claims, each has only submitted a small number of claims to
- through this program will grow quickly as LEAs become more and more familiar with the claiming process
- , they have submitted claims and have been paid for those claims.
- How does that evaluation process happen?
Summary:
The hearing opened with remarks from the chair and members about recent federal cuts to public health, mental health, family planning, and Title X funding, with strong concern about the impact on California programs and providers. The committee then turned to the Department of State Hospitals, which presented its 2025-26 budget proposal of $3.4 billion, including new positions, capital improvements, and funding tied to increased patient costs and incompetent-to-stand-trial services. DSH reported major progress in reducing the IST waitlist and wait times, said it had met the court’s 28-day treatment benchmark for those without extenuating circumstances, and described workforce recruitment and retention efforts such as residency programs, fellowships, outreach, and hiring streamlining. Members asked about future IST referral trends, SB 1323’s effect on diversion and community treatment, and workforce lessons in high-cost regions; public comment urged reconsideration of county IST growth cap methodology in light of new criminal justice initiatives.
The committee next received an informational overview of Proposition 1 and its changes to behavioral health funding and governance. The Legislative Analyst’s Office explained that Prop. 1 restructured county MHSA funding buckets, expanded the Commission for Behavioral Health, shifted prevention and early intervention responsibilities, and authorized a $6.4 billion bond, including $4.4 billion for behavioral health facilities through BHCIP. DHCS said it had released guidance for county integrated plans and was receiving extensive public comment. Members focused on BHCIP application requirements, especially letters of support and tribal projects, and raised concerns about whether DHCS’s implementation matched statutory intent. DHCS said it had authority to set application requirements and that tribal entities were treated differently because of sovereignty and funding structure.
DHCS then updated the committee on BHCIP, the Behavioral Health Bridge Housing Program, and related bond implementation. The department said BHCIP had awarded about $1.7 billion across five rounds, with more than 130 projects and 223 distinct facilities funded, and that it was preparing to award the new bond funds after receiving nearly $8 billion in applications. The LAO’s assessment found that more than half of awards served at least 80% Medi-Cal enrollees, but also raised concerns that the regional allocation model could reinforce inequities, that the program had not sufficiently addressed the highest-need regions such as the southern San Joaquin Valley, and that smaller counties and less launch-ready applicants faced barriers. For bridge housing, DHCS said more than $1.1 billion had been awarded, serving over 5,000 people and supporting more than 2,000 operational beds, but the Governor’s budget proposes to eliminate Round 4 funding as the administration weighs other statewide investments and Proposition 1 implementation workload. Public commenters and members urged more accountability, better regional equity, stronger labor and community involvement, and caution about funding for for-profit psychiatric facilities.
Finally, the committee heard on the Children and Youth Behavioral Health Initiative. CalHHS and DHCS described CYBHI as a broad prevention- and equity-focused effort with more than 1,300 organizations funded, over $2.1 billion awarded, and multiple work streams spanning schools, community programs, workforce, and digital supports. DHCS highlighted school-based services, the fee schedule rollout, and digital platforms BrightLife Kids and Soluna, which it said are reaching users statewide and providing low-barrier access to coaching and support. Members and public commenters raised concerns about delays in school fee schedule implementation, the large share of funding going to digital tools, the need for more in-person services, and whether the initiative is sufficiently tracking outcomes and equity impacts. No formal votes were taken during the hearing.
FL
Florida 2026 5th Special Session
Judiciary Feb 3rd, 2026
Transcript Highlights:
- Chair, for hearing this claims bill.
- Chair, for hearing this claims bill.
- This is a settled claim by DCF, which the department has Thank you for hearing this claims bill.
- This is a special claims bill.
- And so there are similarities between the process. That process does not exist today.
Summary:
The Judiciary Committee heard a long agenda of bills, beginning with several probate, civil rights, and claims measures. Senators Burgess’s SB 326 on curators of estates was explained as a modernization of probate law; an amendment narrowing the bill was adopted, and the committee reported the bill favorably 10-0 after limited public testimony, including opposition from Ray Contreras. Burgess’s SB 1096, clarifying filing deadlines under the Florida Civil Rights Act, also passed unanimously 11-0. The committee then approved several claims bills, including SB 28 for Reginald Jackson against the City of Lakeland, SB 6 for a child injured after DCF’s handling of abuse allegations, SB 18 for the estate of McKenzie Navarre against the Broward County Sheriff’s Office, SB 26 for the estate of Mark Legata against FDOT, and SB 2 for the estate of Daniel Maudsley against DHSMV, with votes ranging from 10-1 to 11-0 and mostly no debate or opposition.
The committee also took up trust and family-law related bills. Leader Berman’s SB 786 created a nonjudicial process for closing uncontested trusts and discharging trustees; after a technical amendment and testimony from Ray Contreras raising notice concerns, it passed 11-0. President Gates’s SB 50 expanded veterans’ courts statewide, drew broad support from veterans’ groups and advocacy organizations, and was reported favorably 11-0. Senator Simon’s SB 538 standardized extracurricular participation rules for public, private, virtual, and homeschool students; after multiple amendments on homeschool eligibility, fees, and coach compensation, it passed 11-0 with support and opposition from education-related groups. President Gates’s SB 1004, aimed at consumer protections in the sale of dogs and cats, also passed unanimously after testimony from humane organizations.
The committee then considered broader policy bills. President Pro Tem Brodeur’s SB 1366 on claims against the government proposed raising sovereign immunity caps and adding CPI adjustments; local government, hospital, and school representatives supported the Senate’s lower-cap approach while warning against the House version, and the bill was reported favorably 11-0. Senator Jones’s SB 178 on athletics in public K-12 schools, as amended, would let head coaches provide limited personal support to student-athletes and require reporting of assistance; it passed 10-0. Senator Grohl’s SB 1178 on foreign influence and foreign countries of concern drew extensive supportive testimony from national security witnesses and was reported favorably 11-0 after a technical amendment and withdrawal of another amendment. Finally, SB 1632 on ideologies inconsistent with American principles prompted substantial debate and public testimony over domestic terrorism designations, Sharia law references, due process, and free speech concerns; the committee had not yet completed final action on that bill when the transcript ended.
AR
Arkansas 2026 Regular Session
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE Jun 17th, 2026
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE
Transcript Highlights:
- So how slow is it going to slow that process down? It should not slow the process down any.
- “There’s an appeal process.
- Okay, this is the Seduit Claims Management Service.
- by which all claims would be settled.
- Wallace said the consistency of the claims process matters because the state can cancel the contract
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, explaining that the updates favored lower-cost generics, re-tiered some drugs, left several new-to-market drugs uncovered pending more evidence, and added quantity limits in some cases. The committee approved those formulary recommendations. The subcommittee also approved a cell and gene therapy policy that would exclude automatic coverage of those therapies and route them through prior authorization and review, with members noting the process should not delay urgent cases and that appeals remain available.
Members then discussed a UAMS professional consultant services contract amendment for pharmacy benefit consulting. The discussion focused on confusion over the dollar amount and scope, with Wallace clarifying that the committee was being asked to approve up to $2.596 million, including optional services related to coupon and rebate management that could be used later without returning for another approval. Several members raised concerns about matching the written contract to the approval amount and about the relationship to the current pharmacy benefit manager, but the committee ultimately approved the item with the understanding that any use of the optional services would return to the committee. The committee also reviewed, without objection, a Blue Cross/Blue Advantage third-party administrator contract, a CompSack employee assistance program contract, and approved proposed 2027 employee and public school health plan rates of 9.8% and 4.9% increases, respectively. Wallace also said the UnitedHealthcare rebid was in final negotiation and would return in August.
On the property risk side, the committee reviewed permanent rules for the property insurance program, a contingency-fee subrogation contract with Denenberg-Tuffly, and extensions for Sedgwick Claims Management, Actuarial Advantage, and Stevens Capital Management. Members asked about claim-adjustment delays after a major winter storm, and Wallace said performance guarantees and communication requirements had been added, with claims still expected to vary by case. The committee also approved 2026-27 captive insurance program rates, which included no change to minimum deductibles, lower rates for K-12 and higher education, a higher rate for state agencies, and an overall 10% reduction. Wallace said the reductions reflected improved actuarial foundations, better claims management, and the program’s first-year performance. The meeting adjourned after approving the rate item.
NM
New Mexico 2025 Regular Session
IC - Courts, Corrections and Justice Nov 6th, 2025
Courts, Corrections & Justice Committee
Transcript Highlights:
- The claim count is low and the claims are immature.
- Chair, I was looking at where you were talking about the 22 claims in 2017 and the 22 claims in 2025.
- I would say that the claim frequency and the claim severity, at least for that first layer, is higher
- frequency and claim amounts.
- It's claims-made.
NH
New Hampshire 2026 Regular Session
House Finance Division II (03/09/2026)
Transcript Highlights:
- So, under current law, we don't do an auditing process. We review all claims.
- We review all claims. So if one process. We review all claims.
- Students with claims? Students with claims?
- If there are errors made in the process of submitting claims, is it more likely that the errors are sort
- an acceptable claim." an acceptable claim."
Summary:
The committee took up HB 1563, a special education aid formula bill, after a brief recess. Members reviewed a replace-all amendment that would keep the current reimbursement lag structure but make the bill effective July 1, 2028, with districts beginning to collect the new data in the next biennium. The amendment changes the reimbursement tiers from a dollar-based system to one tied to average per-pupil spending: districts would pay 100% below 2.5 times average per-pupil spending, 85% from 2.5 to 3.5 times, 20% from 3.5 to 10 times, and 10% above 10 times, with the state covering the remainder. Speakers emphasized that the bill is intended as an incremental step to gather better data before any larger expansion of state participation.
A major new section would create a risk-based monitoring program for reimbursement claims. Instead of reviewing every claim individually, the department would review at least 20% of districts each year so every district is reviewed at least once every five years, with additional random or targeted reviews based on risk indicators, anomalies, prior findings, or other department criteria. Members discussed whether the audit sample should be district-based or student-based, and whether the bill should more specifically define the type of audit and the meaning of “other” criteria. Department witnesses said the current process already involves confidential information and that the new approach would not worsen privacy concerns; they also said the department would follow federal and state privacy laws and adopt rules to implement the process.
Several members supported the bill as a practical first step to improve data collection and eventually expand aid, noting that districts currently do not track lower-cost special education students well. Others raised concerns about the lack of a fiscal note, possible local costs, and whether the new monitoring language gives the department too much discretion. The discussion ended with no vote taken in the excerpt, and members indicated they may need more time to review the final amendment before proceeding.
TX
Texas 89th 2nd C.S.
S/C on Defense & Veterans' Affairs Apr 22nd, 2025
S/C on Defense & Veterans' Affairs
Transcript Highlights:
- process.
- process?
- claim or the appeal.
- So when a veteran does initial claim, there could be a bunch of issues on that claim, and they could
- do multiple claims, and we turn those in.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Apr 7th, 2025
Transcript Highlights:
- Yes, there are many processes in place for accountability, not only through the construction process,
- Us in delays in the process.
- will grow quickly as LEAs become more and more familiar with the claiming process.
- They have submitted claims and have been paid for those claims.
- claims by the end of the school year.
MN
Minnesota 2025-2026 Regular Session
Committee on Agriculture, Veterans, Broadband and Rural Development - 02/18/26
Agriculture, Veterans, Broadband, and Rural Development
MS
Mississippi 2026 Regular Session
Judiciary, Division A - Room 216, 29 January, 2026; 3:00 PM
Judiciary, Division A
Transcript Highlights:
- So that TOR claim that TOR claim act.
- governed by the TOR Claim Act. governed by the TOR Claim Act.
- can be governed by the TOR Claim Act. can be governed by the TOR Claim Act.
- <00:20:43.440>
So claims act. So claims act. - Claims Act. Claims Act.
Summary:
The committee met to discuss several bills, beginning with a block motion on Senate Bills 2138, 2697, 2707, 2717, and 2726. Those measures were described as code-section updates involving redrawn Supreme Court districts, youth court reforms, Administrative Office of Courts matters, replacement of the MyKids youth court computer system, and Mississippi opioid settlement commission procedures. The committee agreed to take them up together, and the motion to report them title sufficient and due pass carried without opposition.
The committee then considered Senate Bill 2890, dealing with the judicial operations fund. Members were told the fund no longer has sufficient revenue to cover court operations and requested judicial raises, and the proposed committee substitute would repeal the fund while conforming related code references. The substitute was adopted and the bill was reported title sufficient and due pass. Senate Bill 2730, granting immunity to nonprofits and churches that open during declared emergencies, was amended with a reverse repealer and then passed as amended.
Next, Senate Bill 2135 was explained as a change to jury summons procedures so clerks could use the SEMS active/inactive voter designation and summon only active voters, without removing anyone from the voter rolls. The bill drew no opposition and passed, though a reverse repealer was later requested on similar procedural grounds in other bills. Senate Bill 2360 would create a public registry of entities that, though appearing private, are covered by the Mississippi Tort Claims Act; members discussed whether such entities should also be required to identify themselves on websites and written materials, and an amendment to that effect was adopted. A reverse repealer was then added, and the bill passed as amended.
Finally, Senate Bill 2362 was presented as a proposal to create a private cause of action under the Unfair Trade Practices Act, allowing claimants to sue directly while still notifying the Attorney General. The sponsor said the bill would not add extra damages and noted similar laws in other states. The committee discussion was cut off in the transcript before a final vote on that bill is shown.