Transcript Highlights:

• However, the insurance claim processed by a middleman company, the PBM, showed his pharmacy would be
• However, the insurance claim processed by a middleman company, the PBM, showed his pharmacy would be
• 500,000 claims a year or about 30%. 500,000 claims a year or about 30%.
• it's a 340B claim by claim basis, if it's a 340B claim,<01:19:40.159> the<01:19:40.400> state
• claim, the state cannot take rebates. claim, the state cannot take rebates.

Keywords: 1183, house

Transcript Highlights:

• I made a claim in small claims court. It took our small claims court 60 days to serve the person.
• I made a claim in small claims court. It took our small claims court 60 days to serve the person.
• Chair. claim in small claims court. It took our claim in small claims court.
• reason and and the status of the claim. reason and and the status of the claim.
• into this process? into this process?

Keywords: 1189, house, all

Transcript Highlights:

• Uh it talks about withdrawal management services and updates to the claims adjustment process and that
• services and updates to the claims services and updates to the claims adjustment<00:08:46.400>
• > are adjustment process and that there are adjustment process and that there are testifiers<00
• to recoup payments sometimes as much as four to seven years later, after claims have been processed
• and after claims have been processed and after claims have been processed and paid,<00:18:19.320

Keywords: 919, house, all

Summary: The committee took up House File 729, an omnibus policy bill, and walked through a series of amendments before moving the bill forward. Early amendments addressed adult maltreatment accountability, senior nutrition flexibility, MA provider enrollment and fraud prevention, Direct Care and Treatment data and staffing provisions, disability and aging policy changes, technical corrections from DHS, behavioral health language, and MDH policy updates. Most amendments were adopted without public opposition, and several members and testifiers described them as clarifications or technical fixes to existing policy. Testimony focused on the practical effects of the bill’s provisions. Direct Care and Treatment representatives said the changes would help with data sharing, governance, staffing, patient care, and longer return stays for certain patients. Several witnesses from the substance use disorder and health care provider community supported changes to discharge summary deadlines and claims recoupment rules, arguing that business-day timelines and limits on late clawbacks would reduce administrative burden and financial uncertainty. A disability advocate also urged passage of the bill, saying services for people with disabilities were at risk if it did not advance. After public testimony and member discussion, the committee adopted the DE2 amendment as amended and then approved the bill as amended. Chair Noor renewed the motion to re-refer House File 729 to the Committee on Ways and Means, and that motion passed.

Transcript Highlights:

• claims from the previous calendar year. claims from the previous calendar year.
• House file 400 is a win-win claim.
• claims when I get really old. claims when I get really old.
• The money passes through health plans because we are the ones processing and paying the medical claims
• . claims. claims.

Bills: HF3388, HF400

Keywords: HF3388, Minnesota premium security plan, reinsurance, health insurance, group health carriers, MCHA, MNsure, individual market, premium stabilization, carrier assessment, health insurance assessment, premium security plan account, state innovation waiver, high-risk pool, reinsurance payments, healthcare premiums, insurance carriers, deferral of assessment, financially impaired condition, HF400

Summary: The committee approved the minutes from the prior day and then heard House File 400, a bill described as a defrayal measure for health insurance mandates. Representative Perryman said the bill would not block future mandates, but would require the state to pay the added costs of any new mandated benefits so those costs would not be shifted to premium payers. She and supporters framed the bill as a way to protect affordability for Minnesota employers, workers, and families, especially in the fully insured market. Testimony in support came from the Minnesota Chamber of Commerce and the Minnesota Council of Health Plans. They argued that Minnesota has a high number of mandated benefits, that each new mandate adds cost to premiums, and that businesses—especially small and midsize employers—are already struggling with rising health insurance costs. The health plans representative said the bill would use the existing Commerce defrayal process to reimburse plans for eligible mandate-related claims, allowing those costs to be removed from premium rates. Several members echoed support, saying the bill would improve transparency by showing the fiscal impact of proposed mandates and help prevent people from being priced out of coverage. Members also explored how mandates apply in the market and how premiums are set. Deputy Commissioner Julia Dryer explained that, unless otherwise specified, mandates generally apply to the individual, small group, and fully insured large group markets, while self-insured ERISA plans and other markets are generally outside that scope. Representative Elkins noted that the affected market is relatively small and said small businesses are increasingly moving to self-insured plans because of cost. He and others raised concerns about affordability, while Representative Smith argued that mandates often ensure needed care and that the bill shifts costs to taxpayers rather than insurers. Representative Bacham added a personal example from tribal self-insurance, saying preventive physicals had saved lives and asking whether other factors besides mandates are driving insurer costs. No amendments were offered, and the bill was laid over for possible future consideration.

Transcript Highlights:

• General Order 66D provides a process for submitters to claim confidentiality over the information it
• If you can just walk us through that process. So the...
• As you know, when someone files an insurance claim, it's a very hard and arduous process to work that
• claim and you work through our insurance provider.
• And so a lot of incidents are still going through that claims process and so we don't have information

Keywords: 988, house, all

Transcript Highlights:

• It had all claims moved covered, all expenses.
• So that's that's the process Legislature has outlined.
• So take that process.
• And we do look at experience with claims handling.
• or from any insurance claims.

Transcript Highlights:

• <00:21:38.960> adjusting billing and collection claims adjusting billing and collection claims
• <00:32:02.919> and coverage to pay out all the claims and coverage to pay out all the claims
• What was the total payouts for claims?
• <01:12:59.840> of uh most recently we're in a process of uh most recently we're in a process
• Right now it's going through the process.

Keywords: 910, house, all

Transcript Highlights:

• CS for HB 213 addresses a vital need to strengthen our legal protections and streamline the process for
• H.B. 6523 is a settled claims bill that provides relief of $6.1 million for Darlene Engerville and her
• This is a settled claim bill for $200,000 by Eric Miles and Jennifer Miles.
• This is a settled claim bill for $200,000 by Eric Miles and Jennifer Miles.
• This claim is for an additional $400,000, which again the master found favorable finding.

Summary: The Judiciary Committee took up a long agenda of 20 bills, beginning with CS/HB 1173 on the Florida Trust Code, which clarified that the Florida Attorney General is the only public official with standing to enforce charitable trusts administered in Florida; it was amended and reported favorably. The committee also unanimously or near-unanimously approved several claims and relief bills, including HB 6507 for Marcus Button, HB 6523 for Darlene Engerville and J.R., HB 6525 for Eric and Jennifer Miles, HB 6529 for J.N., and HB 6519 for the estate of Beniel Hambier, all involving settlements or compensation for injuries or wrongful death. Other measures reported favorably included CS/HB 213 on commercial squatters, CS/HB 1447 on trespass at large-scale ticketed events, CS/HB 515 updating the Uniform Commercial Code for virtual currency and related technologies, CS/HB 1007 on gift card fraud, CS/HB 1049 on protection of court officials, CS/HB 1219 on non-compete and garden leave agreements, CS/HB 399 on stolen valor in the ethics code, CS/HB 57 on xylazine regulation, HB 901 on court-appointed psychologists, and CS/HB 265 on enforcing terrorism-related judgments against frozen assets. Most of these bills had support from industry, law enforcement, or affected parties and passed with little or no opposition. The most contested measure was CS/HB 1517, which would expand Florida’s wrongful death statute to include parents of unborn children as survivors. Supporters argued it would allow families to recover damages when negligence causes the loss of a pregnancy, while opponents—including the ACLU of Florida, Planned Parenthood affiliates, reproductive rights advocates, and some committee members—warned it could be used to advance fetal personhood, chill medical care, and empower abusive partners or others to sue over abortion-related conduct. The sponsor said the bill remained within the wrongful death framework and included protections for mothers and lawful medical providers, but the committee still reported it favorably on a 14-6 vote. CS/HB 903, a corrections bill addressing inmate litigation, sentencing, execution methods, tracking devices, health services, and offender review appointments, also drew debate over a proposed tolling amendment and due process concerns; the amendment failed and the bill passed 16-5. CS/HB 57 on xylazine likewise saw debate over whether penalties should target users or traffickers, but the committee rejected a narrowing amendment and passed the bill 20-1. Several bills were amended in committee, often with technical or clarifying changes, including CS/HB 1219, HB 1351 on sexual offender and predator registration, and HB 901. Public testimony was generally supportive on the non-controversial bills, especially from law enforcement, business groups, and affected claimants. At the end of the meeting, Rep. Gottlieb offered a personal correction, acknowledging he had wrongly criticized FOP in a prior meeting after learning the organization had, in fact, contacted him. The committee then adjourned after completing the full agenda.

Transcript Highlights:

• Outlined specific requirements for the process, including a clear and conspicuous notice of the process
• Because I know that the process that your bill, It's groups as well, because I know that the process
• I think for the very reason that you just said, you could have your claim, there's multiple claims that
• And as to what the claim is being made for, instead of having a mismatch of, I'm claiming this or I'm
• claiming that or I'm claiming this.

Summary: The committee heard several bills on commerce, tourism, labor, technology, and public safety. SB 1666, by Senator Graal, would adopt Florida’s version of UCC Article 12 to address commercial transactions involving digital assets such as cryptocurrency, blockchain, smart contracts, and NFTs; after a technical amendment, it was reported favorably. CS/SB 480, by Senator DiCeglie, would create affordable health coverage options for farmers and ranchers through a nonprofit agricultural organization model similar to Tennessee’s; supporters said it would expand access in rural areas, while opponents and some senators raised concerns about ACA protections, preexisting conditions, and state fiscal impacts. The committee also approved CS/SB 1172, which expands business development incentives for veterans and military spouses, including procurement preferences, fee waivers, tax exemptions, and an entrepreneurship program, after an amendment expanding hiring preferences for military spouses was adopted. The committee then took up SB 1400, which creates a process for removing nonconsensual AI-generated sexual deepfakes from covered online platforms within 24 to 48 hours and subjects noncompliant platforms to penalties under Florida’s deceptive trade practices law; an amendment carved out internet service providers, and the bill was reported favorably. SM 1488, a memorial urging Congress to create a sovereign wealth fund, drew opposition from a public school teacher who questioned its necessity and constitutionality, but it still passed. CS/SB 922, dealing with employment agreements, would strengthen enforcement of certain non-compete and garden leave agreements for employees with access to sensitive information; critics argued it would restrict workers and innovation, while supporters said it protects trade secrets and high-paying jobs. After an amendment, it was reported favorably. The committee also approved SB 1252, which would create a statewide system for sharing pawn and secondhand dealer data among law enforcement agencies, with an initial feasibility study cost estimated at $250,000 and questions raised about enforcement if agencies do not participate. Finally, CS/SB 1776, under the Whistleblower’s Act, would require advance notice and an opportunity to cure alleged violations, narrow retaliation and disclosure definitions, and limit claims when another statutory remedy exists; members questioned whether the changes could reduce employee protections or allow employers time to destroy evidence, but the bill was still under debate as the transcript ended.

Transcript Highlights:

• , the restructuring process, the restructuring process, >> I<01:05:49.680> believe.
• expedited process. expedited process. >> Okay.<01:06:06.240> Fantastic.
• It's part of the hiring process and part of our training process. Um, thank you.
• <03:42:18.960> process.
• of our training process. of our training process.

Keywords: 1189, house, all

Transcript Highlights:

• Uh, you need to increase in claims.
• claims, which is really really tight. claims, which is really really tight.
• Chairman. satisfy the claims that they are satisfy the claims that they are providing<00:50:57.680>
• <01:09:58.159> set claims process works, how they set claims process works, how they set rates
• So, we need to do current process.

Keywords: 928, house, all

Summary: The committee took up several insurance-related bills. Senate Bill 47, concerning health insurance policies related to the birth of the mother, was moved ought to pass with no amendments and was approved on a 6-0 vote. Senate Bill 121, dealing with Medicare Advantage plan notice requirements, was amended to reduce the required notice from 120 days to 90 days and to remove a federal citation; the department said the change was to avoid conflict with federal notice rules. After discussion about the stress caused when carriers leave the Medicare Advantage market, the committee voted ought to pass as amended, 7-0. The committee then heard a detailed explanation of the continuing care retirement communities bill, described by the Insurance Department as a rewrite of a 1989 law to modernize oversight, require quarterly financial reporting as an early warning system, create a bill of rights for residents, and clarify issues such as entrance fees and removal of dangerous residents. A member recalled the bill’s original purpose as protecting solvency because residents pay substantial upfront fees. The bill was moved ought to pass and approved unanimously, 7-0. The final major discussion concerned a pooled risk organizations bill. Members debated whether oversight should remain with the Secretary of State or be moved to the Insurance Department. Supporters of moving it argued the issue is solvency, citing concerns about reserve levels, prior insolvencies, and the Insurance Department’s expertise. Opponents said the Secretary of State’s office had historically overseen the entities and that the bill would fundamentally change how they operate. A straw vote favored an amendment, but the committee ultimately voted to retain the bill for further work, with plans to revisit it later in the session.

Transcript Highlights:

• claim unless you come to the table and capitulate to our demands.
• He was audited for a claim of insulin for a fragile diabetic patient.
• Uh, it's been through this process before and hopefully we can get through this time.
• amount remaining on their claim.
• We think there's a lot of value in not having a claim, uh, to the consumer as well.

Transcript Highlights:

• largest employers, and we are already accepting and processing those claims ahead of the January 1st
• <00:06:02.479> the processing those claims ahead of the processing those claims ahead of the
• . process. process.
• rebut the claim? rebut the claim?
• integrity in the process. integrity in the process. >> Thank<00:47:29.359> you.

Keywords: 1183, house

Transcript Highlights:

• wolf claim area.
• wolf claim area.
• depredation claims. depredation claims.
• It's also worth noting that our experience is that the process of verifying claims is very extensive
• that process of verifying claims<00:57:47.480> is<00:57:47.760> very<00:57:48.680>

Keywords: 1187, senate, all

Transcript Highlights:

• So we don't want to replace process.
• compliance process. compliance process. >> Thank<00:46:56.960> you.
• However, the claim is submitted.
• definition of claim is very specific. definition of claim is very specific.
• that the claim is submitted by implies that the claim is submitted by the<00:49:18.160> individual

Bills: HB1853, HB1591, HB1961, HB1854, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Transcript Highlights:

• Outline specific requirements for the process, including a clear and conspicuous notice of the process
• Institutes process for advance.
• There's there's multiple claims that could be made.
• is being made for instead of we, you know, haven't mismatch of them claim in this room claiming that
• claim in this.

Keywords: 999, senate, all

Transcript Highlights:

• So that's part of the process of operating the program.
• And basically, they can lock in those claiming percentages for four years.
• claiming percentages.
• They have to make sure they check their direct certification process.
• You only get to claim, you get to, you get to, you get That's the threshold.

Keywords: 908, all

Transcript Highlights:

• That is a slow process. That is curse. That is a slow process.
• workers comp, we don't avoid the claim. workers comp, we don't avoid the claim.
• <01:54:08.960> each filing a claim um a weekly claim each filing a claim um a weekly claim
• They can their unemployment claim.
• So, if filing your weekly claim.

Keywords: 1189, house, all

Transcript Highlights:

• deed process.
• through the quick claim deed process. through the quick claim deed process. um<00:34:02.480>
• Um, a lot of states have adopted quick claim deed language in the law so that a quick claim deed can
• <00:40:38.400> deed states have adopted quick claim deed states have adopted quick claim deed
• So, I see that the study committee is about quick claim deeds, but a quick claim deed is just possibly

Keywords: 1191, senate, all

Transcript Highlights:

• They also change companies in the middle of this process.
• So these folks are all still in process, right?
• March, you're recognized in the process. Thank you.
• And certainly companies can claim is a trade secret.
• I think because we have that same process apply.