Video & Transcript : 'actuarial valuation' :

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VT

Vermont 2025-2026 Regular Session

House Session - 2026-05-28 - 4:15PM

Vermont House Floor Meeting

Transcript Highlights:
  • consultants, temporary employees, and other providers of research, scientific, financial, economic, actuarial
  • research, scientific, financial, of research, scientific, financial, economic,<00:08:55.600><c> actuarial
  • ,</c><00:08:56.400><c> accounting,</c><00:08:57.000><c> or</c> economic, actuarial, accounting, or economic
  • , actuarial, accounting, or engineering<00:08:57.760><c> services.
FL

Florida 2025 Regular Session

Banking and Insurance Mar 10th, 2025

Banking and Insurance

Transcript Highlights:
  • ever heard of an insurance company lowering the premium as it relates to a condo building because actuarial
  • ... ...lowering the premium as it relates to a condo building because actuarially speaking, this reduces
  • Is there actually, on an actuarial basis that you know, an actual reduction in an... ...actuarial basis
Summary: The committee heard and acted on six bills. SB 480, by Senator DeSigley, would allow a narrowly tailored nonprofit agricultural organization to offer health coverage to its members, especially farmers and ranchers, outside the Florida Insurance Code; supporters said it would improve affordable access in rural areas, while the American Cancer Society Cancer Action Network warned the plans would not have to cover preexisting conditions or comply with ACA protections. An amendment aligning the bill with the statute for nonprofit religious organizations was adopted, and the bill passed as amended. SB 1226, also by Senator DeSigley, would create a regulatory framework for pet insurance and wellness programs; it drew no opposition and was reported favorably. SB 988, by Senator Truenow, would revise securities exemption and filing requirements under Florida’s Invest Local exemption law; a strike-all amendment clarifying terms, fingerprinting, and related compliance provisions was adopted, and the bill was reported favorably with the committee substitute. SB 944, by Senator Davis, would correct an omission in the law governing insurance overpayment claims so the 12-month limit applies to psychologists and HMO claims, with an effective date tied to January 1, 2026; the Florida Psychological Association supported the measure, and it was reported favorably with committee substitute after an amendment. SB 756, by Senator Burton, would remove the age-8 diagnosis cutoff and age cap for mandated insurance coverage for autism services, update the autism definition to the current DSM, and also repeal age caps for Down syndrome diagnosis; disability advocates and provider groups supported the bill, and it passed as amended. SB 1078, introduced on behalf of Senator McLean, would streamline permitting and inspection procedures for certain fire alarm and sprinkler projects, set deadlines for local agencies, limit extra documentation demands, and restrict enforcement of local ordinances not properly submitted; fire industry representatives supported the compromise amendment, some senators questioned local flexibility and permitting delays, and the bill was reported favorably after the amendment was adopted. The committee also approved a motion allowing staff to make technical and conforming changes and then adjourned.
AR

Arkansas 2026 Regular Session

LEGISLATIVE JOINT AUDITING Jun 5th, 2026

LEGISLATIVE JOINT AUDITING

Transcript Highlights:
  • assumptions increasing the assumed life... ...the actuarial assumptions increasing the assumed life
  • So actuarial assumptions, as I think we all know, are based off of statistical averages. ...as I think
  • the other thing I would just add to that is similar to the pension accounting, you know, there is actuarial
  • Just add to that is similar to the pension accounting, you know, there is actuarial liability and then
  • Who's the actuary on this, is it? Again, the big Workers' Compensation Commission question.
KY
Transcript Highlights:
  • And then we're paying this particular rate, which I'm imagining you've gone through an actuarial or some
  • does an actuarial study on the trips.
  • If I could just add onto that, on the NEMT we do have a contract with our actuarial company, Melman,
  • and Melman does an actuarial study on the trips.
  • does an actuarial study on the trips.
Summary: The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations. Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed. Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.
CA

California 2025-2026 Regular Session

Senate Labor, Public Employment and Retirement Committee Jun 10th, 2026

Labor, Public Employment and Retirement

Transcript Highlights:
  • will note very quickly that the County of Sonoma, who would be given the opportunity to work with an actuary
  • That is on an actuarial smoothed basis, meaning that we smooth investment earnings over five years.
  • That is on an actuarial smoothed basis, meaning that we smooth investment earnings over five years.
  • Finally, the bill does have to have an actuarial study, or the COLA, excuse me, before it is granted.
  • s actuary produced four cost studies. Those options range from $30 million to $366 million.
FL

Florida 2026 4th Special Session

February 26, 2026 - 03:30 PM

Commerce Committee

Transcript Highlights:
  • encompassed some of the insurance companies' computations and abilities to do underwriting and create actuarially
  • , and then it revises the order in which assessments could occur if the plan becomes actuarially unsound
  • . ...which assessments could occur if the plan becomes actuarially unsound.
  • There are actuarial soundness issues with this plan.
  • So that is a key provision in this amendment: if there is an issue with the plan being unsound actuarially
Summary: The committee first considered CS/HB 1263 on the Office of Insurance Regulation. The sponsor said the bill would strengthen OIR’s tools to oversee property insurance, including market conduct and solvency exams, claims handling oversight, mandatory discounts for certain mitigation measures, storage of mitigation inspection forms, and clearer authority over pharmacy benefit managers. An amendment narrowing fingerprinting requirements was adopted, and the bill passed favorably after supportive testimony from OIR and others. Members then heard CS/HB 527, which would require a human review before an insurance claim can be denied or reduced when artificial intelligence or automated systems are used. After an amendment removing the term “algorithm” was adopted, the bill drew opposition from several insurance industry groups, while consumer and labor witnesses supported it. The sponsor argued the measure was needed after reports of AI-driven claim denials, and the bill passed favorably. The committee also approved CS/HB 637 on farm equipment “lemon law” protections, with an amendment clarifying who qualifies as a consumer, refund rights, repair timelines, and an effective date. The committee next took up CS/HB 1007 on data centers, which would create a regulatory framework for siting and operating large data centers, limit NDAs in some circumstances, set PSC tariff requirements, and restrict certain locations near homes and schools. After an amendment narrowing the five-mile buffer to data centers over 50 megawatts and adding noise-study requirements, the bill drew mixed testimony from business, consumer, and local-government groups, with supporters emphasizing guardrails and opponents warning about competitiveness and site restrictions. The bill passed favorably despite several no votes. Later, the committee approved CS/HB 1291 on the NICA birth-related neurological injury compensation program after a strike-all amendment revised reimbursement and assessment provisions; testimony included support from NICA and concerns from the Florida Justice Association and a family affected by the program. The committee also passed CS/HB 185 on a sales tax exemption for home-hardening products, CS/HB 425 on a historic African-American cemetery preservation program, CS/CS/CS/HB 1177 on Space Florida and spaceport operations, CS/CS/CS/HB 657 on community associations and HOA/condo reforms, and CS/CS/HB 1221, the DFS agency package. The final bill discussed was CS/HB 1001, which would restrict county and municipal DEI-related actions and contracting; the sponsor explained the strike-all, and members began questioning its definitions and exceptions, but the transcript cuts off before the bill’s final disposition.
CA

California 2025-2026 Regular Session

Senate Health Committee Apr 15th, 2026

Health

Transcript Highlights:
  • I think that's basic actuarial information that we all know on a common-sense basis day to day.
  • We are asking regulators to do more than just check proposed rate increases for actuarial soundness.
  • They have to be actuarially sound. And give me a little bit more of that.
  • accounting, you would, as an actuary—and I'm not an actuary, so I'm just kind of pretending here to be
  • and accounting, you would, as an actuary, and I'm not an actuary, so I'm just kind of pretending here
Committee: Senate Health
Summary: The committee first took up SB 1377, a bill on medical exemptions for school immunizations. The author and supporters said the measure was a narrow reform to restore physician discretion and reduce what they described as chilling effects from audits and license discipline; opponents from pediatric, medical, public health, and school groups argued the current system already works, protects against fraudulent exemptions, and should not be weakened. Committee members debated the data, the number of exemptions reviewed or revoked, and the effect of the proposed amendments. The bill was amended in committee, but because there was no quorum it was not formally voted on at that time. The committee then heard SB 995, the Masuma Khan Justice Act, which would create a statewide inspection and compliance framework for large private detention facilities. The author and supporters described severe conditions in immigration detention, including denial of medication, unsafe food and water, and lack of oversight, and the bill was presented as a response to those abuses. The California Hospital Association raised concerns about duplicative regulation and overlapping standards, but said it was continuing to work on a solution. The committee discussed constitutional and jurisdictional issues, and the bill was moved on a do-pass motion to the Committee on Judiciary with a 5-0 vote placed on call. Next, SB 1089 was heard, proposing expanded access through CalPERS and CalRX to GLP-1 medications for chronic weight disease and diabetes prevention. The author and supporters from the American Diabetes Association and medical groups argued the drugs are effective tools to prevent type 2 diabetes, reduce long-term costs, and improve health equity, while the author also shared personal experience with weight loss and medication access barriers. There was no opposition testimony. The bill was moved on a do-pass motion to the Committee on Labor, Public Employment, and Retirement with a 5-0 vote placed on call. Finally, the committee heard SB 1221, dealing with Murphy conservatorships for people found not guilty by reason of insanity or otherwise under criminal-mental health conservatorship. Supporters, including prosecutors and psychiatrists, said the bill addresses a gap created by a court decision and would improve public safety and placement decisions for a small population of high-risk individuals. Opponents from county behavioral health and disability rights groups warned it would turn a civil process into a quasi-criminal one, expand district attorney involvement, and disrupt bed prioritization and least-restrictive-placement principles. The discussion centered on the scope of the bill and its amendments, but no final vote was taken in the portion provided.
HI

Hawaii 2025 Regular Session

CPC-CPN Informational Briefing 01-27-2025

Hawaii Senate Floor Meeting

Transcript Highlights:
  • The request was revised downward and is now less than 20%, which is significantly under the actuarial
  • The HPIA board is committed to doing an annual actuarial analysis to look at rate need going forward.
  • The HPIA board is committed to doing an annual actuarial analysis to look at rate need going forward.
  • The HPIA board is committed to doing an annual actuarial analysis to look at rate need going forward.
  • It's on them to agree to the rates that our actuaries decide.
MA

Massachusetts 2025-2026 Regular Session

Informal House Session 22 Mar 9th, 2026

Massachusetts House Floor Meeting

Transcript Highlights:
  • roads in the city of Gloucester, local approval received; House Bill 3006, an act relative to the valuation
  • maintenance of private roads in the city of Gloucester, Senate Bill 2596; an act relative to the valuation
Summary: The House opened with the Pledge of Allegiance and then took up several Committee on Rules reports. It adopted resolutions congratulating Auburn on the 100th anniversary of the first liquid-fueled rocket launch and welcoming Boston’s new National Women’s Soccer League team, the Boston Legacy. The House also adopted orders extending the reporting deadlines for the Committee on Revenue on certain House documents into 2026. The chamber then suspended joint rules to allow several petitions to be referred to committees, including a proposal to regulate social media accounts for children under 16, a sick leave bank for a Department of Children and Families employee, creditable service for a probation employee, taxation of certain foreign government pension benefits, and a bill naming the American Lobster the official crustacean of the Commonwealth. The Steering, Policy and Scheduling Committee reported a slate of bills for House consideration, including measures on private road maintenance in Gloucester, property valuation and tax assessment fairness, municipal tax collectors, historic resources in community preservation funds, and Salem alcohol license changes; the House suspended Rule 7A and ordered these bills to a third reading. The House then passed to be enacted several local bills, including legislation for Revere, Wellesley, and Hopkinton, and passed to be engrossed a bill directing the Boston Police Department to waive the maximum age requirement for a named applicant. The session also included a moment of silent tribute to Adrian Dolan of South Boston, a former correction officer and special state police officer. Finally, the House adopted an adjournment order and recessed until Thursday at 11 a.m. in informal session.
CA
Transcript Highlights:
  • decreases, Community challenges, property valuation decreases, lost revenue to our school districts
  • They are doing that for San Francisco in our valuation case that is under Public Utilities Code Section
  • So, like, for example, this is a statement from the CPUC's decision and the valuation proceeding around
  • have to be protected in terms of how... ...valuation proceeding, saying that the remaining customers
  • Again, what we're proposing is not presupposing what the result will be, what the valuation will be,
Summary: The committee heard several energy, water, and utility bills, with extensive testimony on cost, ratepayer impacts, and climate or reliability goals. SB 919 by Senator Grayson would extend the biomethane monetary incentive program through 2030 and support renewable natural gas development by reducing interconnection cost barriers. Supporters said RNG helps methane reduction and organic waste diversion, while opponents, including TURN and environmental groups, argued the bill could shift costs to ratepayers and subsidize combustion-based fuels, especially dairy digesters. The author said committee amendments removed the rate-basing provisions and instead urged the CPUC to act quickly on its pending decision; the bill was left for a later vote. SB 931 by Senator Laird would reauthorize the Diablo Canyon Community Impact Mitigation Program through 2030. Supporters said San Luis Obispo County and local schools rely on the funding for emergency preparedness and public safety, while TURN argued the extension would add about $47 million in statewide ratepayer costs and should instead be paid from existing PG&E deal revenues. Members discussed the bill as a continuation of the 2022 Diablo Canyon agreement, and the author said the measure simply restores the five years omitted from that deal. The committee also heard SB 1215 by Senator Cortese, which would direct the CPUC to set deployment targets for EV charging in multifamily housing. Supporters said renters and apartment residents are largely shut out of home charging, and that prior utility programs showed the model can be cost-effective and beneficial to ratepayers. The bill was amended to address affordability, ratepayer benefits, and limits on major system upgrades. SB 1295 by Senator Stern would create a framework for using distributed batteries and other local resources to solve grid constraints more cheaply than traditional infrastructure. Supporters said it could improve reliability and reduce costs by targeting batteries where they provide the most grid value, while utilities said they were open to continued discussion. SB 1359, also by Senator Stern, would require the CPUC to more carefully evaluate major gas infrastructure investments and alternatives such as electrification before approving new spending. Environmental groups supported the bill as a guardrail against stranded assets, while gas utilities opposed it, warning it could undermine the obligation to serve, create safety and reliability risks, and retroactively change the rules for approved investments. On water policy, SB 1125 by Senator Menjivar would create a statewide low-income water rate assistance program upon appropriation. Supporters said about 1.6 million households have water debt and that affordability is a statewide issue, not just a problem for disadvantaged communities. Some members raised concerns that the bill lacked a funding source and that state mandates, such as chromium-6 treatment requirements, already strain local water agencies; the author and supporters responded that the bill includes administrative caps and transparency measures and is intended to work alongside future funding. The committee then heard SB 1098 by Senator Pérez, which would restrict the use of utility memorandum and balancing accounts by requiring exceptional circumstances, adding sunset dates, and creating cost-sharing or lower-return rules for certain spending. TURN and other supporters said the accounts allow utilities to recover costs after the fact with too little discipline, while Edison and PG&E opposed the bill, arguing that some costs are unpredictable and that the CPUC already has a formal review process. SB 1125 was moved to Appropriations with a roll call, and the roll was left open for additional votes; the other measures were discussed with no final committee actions announced in the excerpt.
MO
Transcript Highlights:
  • Personal property taxes, or valuations, are included with new construction, which are outside of Hancock
  • So since 2020, the increase in valuation in personal property tax has been nearly 30% over that period
  • Because you are receiving increases in the tax levies on the value from the valuations, and then when
  • they establish the levy, this higher levy is being applied to those valuations after you do the assessed
  • valuation.
Summary: The House first established a quorum after introductions of special guests, then moved to bills for perfection. House Bill 2016, concerning anti-Semitism in Missouri schools, colleges, and universities, drew extensive debate. The sponsor said the bill would require educational institutions to adopt non-discriminatory policies protecting Jewish students from harassment and intimidation, use the IHRA definition as a guide, and preserve First Amendment rights. A Pulaski County member offered and secured adoption of an amendment clarifying that protected political, religious, and expressive speech would not be reported, cataloged, or used to create records. Supporters said the bill was needed because of rising anti-Semitic incidents and student safety concerns; opponents argued it singled out one group, could chill discussion of Israel and Palestine, and created a reporting hierarchy. The chamber ultimately adopted the amendment and then ordered the bill perfected and printed. House Bill 2384, a housing and building-code measure, was then taken up. The sponsor said it was aimed at reducing housing costs by rolling back energy-code mandates to 2009 standards, setting clearer permitting timelines, and allowing certain multifamily buildings to use a single staircase. Supporters framed it as a response to Missouri’s housing shortage and rising home prices, while opponents criticized the bill as preempting local control, especially in Kansas City and other municipalities that had adopted newer codes. A Pulaski County amendment was adopted to reduce the number of required hard copies of municipal ordinance books when ordinances are available online. After debate over energy efficiency, safety, and local authority, the House moved the previous question, then adopted the committee substitute and ordered the bill perfected and printed. House Bill 1766, dealing with personal property tax and Hancock limitations, was also perfected and printed. The sponsor said the bill would treat personal property tax growth more like real property under Hancock-style limits, arguing that rapid increases in vehicle values had created windfalls for political subdivisions. Members questioned whether the change would reduce local revenue needed for schools and other services, while supporters said it would protect taxpayers and still allow growth. The House then took up House Joint Resolution 154, which would place a Medicaid work requirement in the Missouri Constitution by mirroring federal policy. The sponsor said it would require able-bodied adults ages 19 to 64 to work, volunteer, attend school, or participate in a work program for 80 hours a month to remain eligible. Opponents raised concerns about administrative burden, documentation requirements, and the impact on vulnerable recipients, while supporters argued the measure should be made permanent through the constitution. The transcript cuts off during that debate, before final action on the resolution is shown.
MO
Transcript Highlights:
  • And personal property taxes are valuation, shall I say, are included with new construction, which are
  • So since 2020, the increase in valuation in personal property tax has been nearly 30% over that period
  • Hancock also because you are receiving increases in the tax levies on, well, in the value from the valuations
  • , and then when they establish the levy, this higher levy is being applied to those valuations after
  • you do the assessed valuation.
Summary: The House first established a quorum after several members were absent, then moved into bills for perfection. House Bill 261, dealing with anti-Semitism in public schools and higher education, drew extensive debate. The sponsor described rising anti-Jewish incidents and said the bill would require educational institutions to adopt nondiscriminatory policies, use the IHRA definition as a guide, and treat failures to address harassment as Title VI issues. An amendment from the gentleman from Pulaski was adopted to clarify that protected First Amendment speech, religious expression, and political viewpoints would not be reported or cataloged. Supporters said the bill was needed to protect Jewish students; opponents argued it singled out one group, could chill speech about Israel and Palestine, and created unequal reporting requirements. The House ultimately ordered the bill perfected and printed as amended. The chamber then took up House Bill 2384 on housing affordability and building codes. The sponsor said the bill would lower housing costs by rolling back energy-code mandates to 2009 standards, setting clearer permitting timelines, and allowing certain multifamily buildings to use a single staircase. Supporters argued current codes raise costs, discourage builders, and contribute to Missouri’s housing shortage. Opponents raised concerns about local control, preemption of municipal energy standards, and public safety, especially the single-stair provision; the sponsor responded that the design has been used safely in other states and cities. A Pulaski amendment requiring municipalities with online ordinances to keep only one hard copy available was adopted, and after debate the previous question was moved and approved. The House then adopted the committee substitute and ordered the bill perfected and printed. House Bill 1766, addressing personal property tax, was also perfected and printed. The sponsor said the bill would apply Hancock/CPI-style tax limitations to personal property tax growth, arguing that rapidly rising vehicle values had created a windfall for political subdivisions and unfairly increased taxpayer burdens. Supporters said the bill would slow growth without eliminating it, while opponents argued local governments need revenue to keep up with inflation and that the measure would reduce resources for schools and other services. Finally, the House began consideration of House Joint Resolution 154, which would place into the Missouri Constitution a Medicaid work requirement mirroring federal policy. The sponsor said adults ages 19 to 64 would need to work, volunteer, participate in a work program, or attend school for 80 hours a month to remain eligible, and the discussion began with questions about whether the constitutional change was necessary and how documentation requirements would work.
NH

New Hampshire 2025 Regular Session

House Ways and Means (04/01/2025)

Transcript Highlights:
  • Uh, when this occurs, this supposed change, does the valuation of the town property go down?
  • The building has a value; that's the assessed valuation.
  • The building has a value; that's the assessed valuation.
  • </c> probably 95% of the time that valuation probably 95% of the time that valuation is<01:22:05.600>
  • but the manufacturing assessed valuation but the manufacturing process<01:22:28.560><c> does</c><01:
Summary: The committee held a work session on HB 302, which would add precious metals and digital assets as potential investment options. State Treasurer Monica Misipelli said she took no position on the bill and did not see an immediate fiscal impact or operational problem, but explained that the state’s operating funds and rainy day fund require liquidity and stability, so they would not be suitable for volatile assets like precious metals or digital assets. She said the only funds that might potentially use such investments would be certain trust funds held in perpetuity, which are managed by an outside investment advisor under a contract and investment policy. Members asked about the treasurer’s current investment practices, including the types of funds managed, the role and discretion of the investment advisor, the state’s risk profile, and whether the bill would affect existing authority. Misipelli said the office follows RSA 11 and related statutes, with different objectives ranging from conservative to aggressive depending on the fund, and that the advisor meets with the office regularly, with formal performance reviews on a quarterly basis. She also said the office recently centralized management of about 40 trust accounts totaling roughly $60 million into five combined portfolios under a five-year contract with an RFP-selected vendor. When asked whether precious metals or digital assets are already indirectly available through mutual funds, she said that was possible for some mutual funds, but she was not certain about digital assets. Representative Ammon, the bill’s sponsor, said similar legislation had passed the Oklahoma House, the Texas House and Senate, and had advanced in Arizona. He argued the bill was intended to give the treasurer more tools to help balance portfolios and hedge inflation, noting concerns about federal debt and inflation. No vote was taken in the excerpt, and the chair ended the questioning after thanking the treasurer and asking her to remain available in case further questions arose.
CA

California 2025-2026 Regular Session

Senate Labor, Public Employment and Retirement Committee Jun 24th, 2026

Labor, Public Employment and Retirement

Transcript Highlights:
  • that the DROP program created by this legislation must be cost-neutral, completely transparent, actuarially
  • This bill had an actuarial analysis in the Assembly before it was introduced.
  • Every five years it has to be actuarially sound.
KY
Transcript Highlights:
  • Those rates are decided by an actuarial service that we contract with.
  • Those are verified, making sure they're actuarially sound.
  • So CMS has to approve that actuarial rate and those calculations before we're able to use them.
  • Um those rates are uh decided by an<00:13:38.079><c> actuarial</c><00:13:38.720><c> service</c><00:13
  • They're adjusted for actuarial rate.
Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys. The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis. Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.
OK

Oklahoma 2026 Regular Session

Government Oversight REVISED - HB3852 -Added Mar 5th, 2026

Government Oversight

Transcript Highlights:
  • 360 firefighters in this position, and the number was dropping by the time we got it through the actuary
  • Can we get any clarity about why we always get that, why we struggle to get a good actuarial number from
  • our actuary?
  • So we typically send those off to the actuary in year one, get the response back, and figure out what
Summary: The committee opened with prayer, laid over House Bill 1784 as dead, and then heard a long series of measures, many related to pensions, retirement systems, elections, and state procurement/reporting. Early bills included HB 3588 on debtor-creditor law updates, HB 3748 on county partnerships with four-year institutions, HB 4303 extending the municipal ordinance publication deadline from 15 to 30 days, HB 4311 increasing the treasurer’s share of the unclaimed property administration fee from 4% to 6%, and HB 3028 allowing CareerTech to charge processing fees. All of these advanced on due pass votes, with some opposition on HB 3588, HB 4311, and HB 3028. A major block of the meeting focused on retirement and pension policy. The committee advanced HB 4428 and HB 4429 on proxy advisor transparency and fiduciary voting standards for retirement systems, with the author arguing they would improve transparency and keep pension decisions focused on financial returns rather than ESG/DEI considerations. Other pension-related bills that passed included HB 4132 creating a cybersecurity safe harbor for local governments, HB 1889 fixing a COLA gap for certain retired police officers and firefighters, HB 3265 defining “mental health specialist” for disability applications, HB 1739 reinstating a half-pay provision in the state law enforcement retirement system, HB 3313 changing the Retirement Freedom Act by raising contribution and match rates and eliminating vesting, HB 2116 expanding eligibility for State Fire Marshal officers, HB 2206 allowing newly hired school resource officers to join OLEERS, HB 3625 expanding school district investment options, and HB 3721 creating a survivor-benefit election for children of certain public safety officers. Most of these passed with little or no debate, though HB 1739 drew questions about actuarial “safe harbor” language and pension funding. The latter part of the meeting centered on a package of government contracting and transparency bills from Representative Strom. HB 3413, HB 3414, HB 3415, HB 3416, HB 3417, HB 3418, and HB 3420 would require more detailed reporting of contracts, subcontractors, consulting services, and post-contract assessments; create public posting and reporting requirements through OMES and Central Purchasing; revise bidding rules for state, county, and municipal entities; require vendor ownership disclosures; allow live-streamed bid openings; and add misdemeanor penalties for violations of Central Purchasing rules. Strom said the package was intended to improve accountability, documentation, and protection of taxpayer dollars. The committee also passed HB 3852 clarifying poll worker list requirements for county election boards, HB 4434 requiring gubernatorial notice when out of state, and HB 2939 removing fax-machine references from statute. Most measures were adopted with policy recommendations and passed on strong votes, and the meeting ended with Chairman West thanking members for their work and adjourned the committee.
AL

Alabama 2026 Regular Session

Alabama House Insurance Committee Mar 4th, 2026

Insurance

Transcript Highlights:
  • It must employ or enter into a contract with a qualified and experienced actuary who was approved by
  • contract with a qualified qualified qualified and<00:10:26.880><c> experienced</c><00:10:27.440><c> actuary
  • ><00:10:28.000><c> who</c><00:10:28.240><c> was</c><00:10:28.320><c> approved</c> and experienced actuary
  • who was approved and experienced actuary who was approved by<00:10:28.800><c> the</c><00:10:28.959><
Bills: HB415 , HB419 , SB219 , SB170 , HB415 , HB419 , SB219 , SB170
Committee: House Insurance
OK

Oklahoma 2026 Regular Session

Retirement and Government Resources Feb 10th, 2026 at 10:30 am

Retirement and Government Resources

Transcript Highlights:
  • We do have some actuarial data on this that shows it still is going to have a bit of a hit to the fund
  • Actuarials, as we did on the last one, because those actuarials were unacceptable to the standard of
  • We need to make sure we're looking at what those actuarials state.
Bills: SB1415 , SB1714 , SB1962 , SB26 , SB172
TX
Transcript Highlights:
  • This is the last remaining statewide pension system program that is not actuarially sound.
  • will change that in that it would provide a statutory framework for the. the state to provide an actuarially
  • Similar to the IRS pension reform in 2021, it would require the state to pay a layered, actuarially determined
  • It would also require the unfunded actuarial accrued liability to be depreciated.
Committee: Senate Finance