Video & Transcript : 'claims adjustment' :

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LA

Louisiana 2026 Regular Session

House of Representatives Apr 8th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • Speaker, this bill simply adjusts the necessary threshold for quorum for the Louisiana Commission on
  • and instead take whatever revenue would have been lost by getting rid of a brake tag and make an adjustment
Summary: The House met with a quorum, opened with prayer and the pledge, and received several Senate messages and enrolled resolutions. The chamber also recognized visiting groups and guests, including a guest minister, the Joe Burrow Foundation, Youth Legislature participants, children’s advocacy center representatives, Alzheimer’s advocates, Delta Sigma Theta members, Kappa Alpha Psi members, Big Brothers Big Sisters, and City Year AmeriCorps. The House adopted a series of commemorative and awareness resolutions, including measures for Sanfilippo Syndrome Awareness Day, Alzheimer’s and Related Dementia Awareness Day, Knock Knock Children’s Museum Day, Big Brothers Big Sisters Day, Delta Sigma Theta Sorority Day, Kappa Alpha Psi Fraternity Day, My Sister’s Keeper Day, Youth Legislature recognition, and several commendations and condolences. It also concurred in SCR 25 and received Senate resolutions and bills, including measures on commercial driver’s licenses, Medicaid eligibility during redetermination, postsecondary support fund use, juvenile traffic violations, background checks, and explosives regulation. The House then considered and advanced a long list of bills, largely on criminal justice, education, public safety, transportation, and administrative procedure. Notable measures included bills on parole and probation alternatives, supervised release venue for sex-offender violations, jail-credit limits on consecutive sentences, medical parole notice, juvenile parole eligibility cleanup, teacher and school employee battery penalties, inmate workforce cleanup, re-entry programming for female parolees, extradition costs for probation/parole violators, and a bill allowing public postsecondary institutions to permit self-defense chemical sprays. Other bills addressed protected personal information for certain public officials, the M.J. Foster Promise Program eligibility age, scholarships for spouses of firefighters and police officers, compensation for parish board commissioners, paid family leave insurance as a voluntary private-market product, insurance referral practices, and vehicle inspection sticker requirements. Several bills were amended and passed, often with strong or unanimous support, while a few were recommitted or returned to the calendar. The House passed HB 504 on parole violations as alternatives to revocation by a vote of 88-0; HB 73 on electronic voting in public meetings by 88-0; HB 125 on supervised release venue by 91-0; HB 67 on protected information records by 98-1; HB 133 on assault and battery penalties for teachers by 96-0; HB 158 on probation technical violations by 92-3; HB 168 on a female parolee re-entry program by 95-0; HB 169 on extradition costs by 92-3; HB 191 on overlapping jail credit by 88-5; HB 195 on self-defense chemical sprays on campus by 93-0; HB 245 on medical parole notice by 95-0; HB 280 on juvenile parole eligibility cleanup by 93-0; HB 283 on sick leave and discipline rules for attacked school employees by 97-1; HB 296 repealing inactive inmate workforce provisions by 88-5; HB 319 on civic education commission quorum by 98-0; HB 339 on protected information for police officers and retired judges by 97-0; HB 407 on the M.J. Foster Promise Program age reset to 21 by 94-2; HB 448 on scholarships for spouses of firefighters and police officers by 95-0; HB 550 increasing parish board commissioner pay from $50 to $100 per day by 91-2; HB 591 creating a voluntary paid family leave insurance product by 95-0; and HB 826 modernizing insurance referral rules by 93-0. HB 1085, a major proposal to eliminate traditional vehicle inspection stickers and replace them with a new sticker/QR-code system tied to registration, drew extensive questioning about costs, enforcement, local parish programs, and where the fee revenue would go; the debate was ongoing in the portion provided.
CA

California 2025-2026 Regular Session

Senate Insurance Committee Apr 22nd, 2026

Insurance

Transcript Highlights:
  • deductible, claims made that the insurer did not pay for, claims not covered by the policy, to name
  • Claim inquiries and unpaid claims may still reflect increased risk, property condition issues, and loss
  • I never made a claim.
  • that Policyholders from appealing or enforcing their rights, and rotating adjusters that reset claim
  • You spend hours, You spend hours each week working on your claim with an adjuster.
Keywords: 987, senate, all
CA
Transcript Highlights:
  • I'm a former claims adjuster myself.
  • As a former claims adjuster, I handled approximately 200 litigated cases, and that was a full 40-hour
  • I'm a former claims adjuster myself.
  • As a former claims adjuster, There's just no way that someone can handle that many cases.
  • As a former claims adjuster, I handled approximately 200 litigated cases, and that was a full 40-hour
Summary: The Budget Subcommittee on State Administration heard presentations on the Department of Industrial Relations’ labor-related budget items, with the main focus on proposed trailer bill language to reform the Subsequent Injury Benefits Trust Fund (SIBTF) and a related budget change proposal for staffing. DIR said SIBTF has grown far beyond its original purpose, citing the 2020 Todd decision, expanded eligibility based on chronic or asymptomatic conditions, and a backlog that has grown to more than 30,000 pending cases. The administration argued the reforms would restore guardrails, reduce liabilities and employer assessments, and speed processing for severely injured workers; the LAO said the proposal was largely consistent with its prior recommendations. Members raised concerns about using trailer bill language for major policy changes, the retroactive application to open cases, and the impact on workers already in the queue, while supporters from employer groups and public agencies backed the proposal as necessary to control costs and restore sustainability. Public comment was split, with injured-worker advocates opposing the retroactive changes and business/public employer representatives supporting the reforms. The committee then heard the SIBTF workload request, which would phase in 177 positions over five years at a cost of $36.5 million, including staff for the Division of Workers’ Compensation, the Office of the Director Legal Unit, and administrative support. DIR said the additional staffing is intended to address very high caseloads and reduce processing times, but emphasized that the request assumes the reform package is adopted; LAO agreed the staffing increase made sense if paired with reforms. Members asked about vacancy rates, current staffing, and whether the workload request would become the new normal, and DIR said it would monitor caseload trends and adjust future requests as needed. Finally, the committee received an update on the California Workplace Outreach Program (CWOP), which DIR described as a partnership with community-based organizations to educate workers and help employers comply with labor laws. DIR reported that CWOP has reached 1.75 million workers and employers and made 8 million touchpoints since 2020, with the current round awarding $50.7 million to 87 partners for a two-year period through June 2027. Members and public commenters highlighted the program’s role in reaching immigrant, farmworker, janitorial, nail salon, and other vulnerable communities, and several speakers urged continued funding at $30 million per year for five years. No votes were taken during the hearing.
FL

Florida 2026 4th Special Session

January 14, 2026 - 04:00 PM

Transcript Highlights:
  • Civil Justice in Claims Subcommittee will come to order. Zoe, please call the roll.
  • Yes, yes, we'll set the fees in this bill and then it'll automatically adjust.
  • We're not recalculating or adjusting the fees.
  • House Bill 6515 is an uncontested local claims bill against the City of St.
  • Thank you for bringing this claims bill.
CA

California 2025-2026 Regular Session

Senate Health Committee Mar 25th, 2026

Transcript Highlights:
  • These were from 61 pregnancy claims dating from January... From past claims.
  • These were from 61 pregnancy claims dating from January 2023 to January 2025.
  • Upon this discovery, our biller immediately fixed the claims and sent them back.
  • The resubmitted claims were...
  • My biller has then spent over 100 hours fighting each of these claims.
Summary: The Senate Committee on Health heard several health-related bills, with extensive public testimony and multiple roll-call votes. SB 895, by Senator Wiener, would create the California Foundation for Science and Health Research and place a bond measure on the November 2026 ballot to support science and health research in California amid federal funding cuts. The author and UC researchers argued the measure would protect jobs, public health, and the state’s research leadership; many universities, labor groups, and patient advocates testified in support, and there was no opposition. The committee members praised the bill, and it passed 6-0 to the Committee on Natural Resources and Water. SB 944, also by Senator Wiener, would make acupuncture a permanent Medi-Cal benefit regardless of federal matching funds. Supporters, including acupuncturists, patients, community organizations, and health access advocates, described acupuncture as effective, low-cost, and culturally important care; there was no opposition. The committee discussed access for API communities and Medi-Cal patients, and the bill passed 6-0 to the Committee on Appropriations. SB 987, by Senator Wiener, would create a California Health Access Fund to capture state savings if federal Medicaid changes cause Medi-Cal enrollment losses, with the goal of redirecting those savings to care for affected patients and providers. Support came from disability, consumer, family physician, emergency physician, psychiatric, medical, and safety-net hospital groups. Committee members discussed prioritizing indigent care, prevention, and other vulnerable populations if savings materialize. The bill passed 8-0 to Appropriations. SB 964, by Senator Smallwood-Cuevas, would limit prior authorization barriers by allowing certain dose or frequency adjustments for covered medications without repeated authorization, up to two clinically appropriate changes. The bill was supported by a Crohn’s and colitis patient and sponsor testimony describing delays in care, while health plans and insurers opposed it over safety, FDA-labeling, and cost concerns. Committee members raised questions about off-label use and clinical standards, but the author said the bill was intended to reduce delays and avoid emergency care; it passed 11-0 to Appropriations. SB 1099, by Senator Reyes, would clarify local governments’ authority to provide state and local public benefits to all residents under PRWORA-related exemptions, to reduce legal uncertainty for local safety-net programs. County counsel and city attorney representatives said the bill would preserve local flexibility to provide services such as health care, shelter, crisis response, and food distribution without unnecessary eligibility barriers; there was no opposition, and the bill passed 11-0 to the Committee on Human Services. SB 1033, by Senator Padilla, would require manufacturers of protein products to test for heavy metals and disclose results. Supporters cited Consumer Reports findings of lead, cadmium, arsenic, and mercury in protein powders and beverages, while opponents asked for narrower scope and raised concerns about naturally occurring metals and over-warning consumers. The committee discussed narrowing the bill and the need for transparency, and it passed 11-0 to the Committee on Environmental Quality. Finally, SB 1049, by Senator Weber-Pearson, would give providers a fair opportunity to correct certain claim errors after a health plan action, rather than being barred by original filing deadlines. An OBGYN testified that a missing diagnostic code led to large clawbacks and delayed payments despite appropriate care; the bill was presented as a limited fix for honest mistakes. The transcript ends during testimony on SB 1049, before a final vote is shown.
CA

California 2025-2026 Regular Session

Assembly Insurance Committee May 28th, 2025

Transcript Highlights:
  • We do send an adjuster, an independent adjuster, out to the home to look when there's a claim.
  • We've closed more than half the claims already, so over 3,000 of the claims are closed.
  • them were desk adjusters—people who are taking in the claims and working the claims from their desk.
  • We can pay on those claims.
  • It depends on the claim, right?
Summary: The Assembly Insurance Committee held an oversight hearing on the California Fair Plan, focused on the plan’s rapid growth, its financial stability after the January Southern California wildfires, and its role as the insurer of last resort. Fair Plan officials explained that the plan was created in 1968, is a not-for-profit involuntary association of licensed property insurers, and is intended to be a temporary safety net until policyholders can return to the admitted market. They emphasized that the plan is not a state agency or taxpayer-funded, but is regulated by the Department of Insurance and supported by member-company assessments if claims exceed available funds. Victoria Roach and Armand Feliciano said the Fair Plan has grown sharply since 2018 and especially after market pullbacks by major insurers, reaching about 575,000 policies and roughly $600 billion in exposure by spring 2025. They noted that growth is increasingly occurring in lower wildfire-risk areas, where the plan can sometimes be cheaper than the voluntary market, and said this undermines depopulation back into the private market. They also discussed recent policy expansions, including coverage for farms, higher residential and commercial limits, and pending or proposed changes such as AB 290, SB 525, and AB 226, which would add tools like a line of credit and bond access. A major portion of the hearing addressed the January wildfire losses and the plan’s financial response. Fair Plan officials said they assessed member insurers for $1 billion after determining claims and cash flow would exceed available resources, and that the process was approved quickly and paid smoothly, with more than 80% of the assessment collected within 10 days. They also described the reinsurance tower, the plan’s limited surplus, and the need for actuarially sound rates to reduce future reliance on assessments. On claims handling, they said the plan has received over 5,500 claims from the fires, has paid more than $2.9 billion so far, expects total payments near $4 billion, and has focused on advancing payments quickly for total losses and other urgent needs. Members questioned the plan’s solvency, the growth in non-wildfire areas, claim denials, smoke-loss coverage, and how depopulation works. Roach said most closed claims without payment were duplicates rather than denials, and that smoke claims require direct physical loss under the policy, with coverage determined case by case. Public commenters from the California Building Industry Association and the Independent Insurance Agents and Brokers of California said the Fair Plan’s growth reflects a weak voluntary market, inadequate rates, and insurer fear of future assessments, and urged support for rate increases and AB 226. The hearing concluded with no vote, but with a commitment from Fair Plan officials to follow up on unanswered questions and continue providing more transparency through public data and website disclosures.
CA
Transcript Highlights:
  • To make some adjustments.
  • adjustment.
  • adjustment.
  • adjustment.
  • “Let’s make some adjustments.
Keywords: 987, senate, all
TX
Transcript Highlights:
  • In total, there were 92 positions affected by these adjustments.
  • So our basis was state law claims. **Chair**: The high-profile case of Pfizer.
  • So our basis was state law claims.
  • It's an easy claim for us to review, and it's an easy claim for us to get in and out the door very quickly
  • Have you seen any other significant changes in the status of claims or delays?
Bills: SB 1
CA
Transcript Highlights:
  • While the adjustment reflects a reduced amount, this is consistent with previous adjustments, as the
  • No, our claims have increased year over year. There has been an increase in claims.
  • Our claims have increased year over year. There has been an increase in claims.
  • These would process advocacy claims.
  • Again, when BCG did do their work in this area, we had them review and analyze claims across all claim
Summary: Assembly Budget Subcommittee No. 6 heard the Governor’s May Revision proposals for the judicial branch, the Board of State and Community Corrections, the Department of Justice, and the California Department of Corrections and Rehabilitation. The Legislative Analyst’s Office opened with a warning that the state budget remains structurally imbalanced and urged the Legislature to avoid new ongoing spending unless offset by reductions elsewhere. In the judicial branch discussion, the Judicial Council highlighted language access funding, appellate court security, a backfill for the state court facilities construction fund, and an extension of the lactation room mandate; Finance supported most items but suggested reporting language on interpreter costs and reducing the General Fund backfill. Members raised concerns about judicial vacancies, long-term salary freezes, remote hearings, and the lack of progress on court staffing in some counties. For the Board of State and Community Corrections, the administration proposed $10 million one-time each for the Missing and Murdered Indigenous People grant program and a human trafficking vertical prosecution grant program. The LAO said both should be weighed against other priorities and suggested the Legislature consider whether the Tribal Nations Grant Fund could support MMIP work, while Finance said it preferred General Fund support and wanted more review before any fund swap. Members strongly supported MMIP funding and asked whether ongoing support would be considered. On the human trafficking grant, Finance said BSC was a good fit because of its grant administration experience and prior vertical prosecution work, while legislators asked why the program was not placed with the Office of Emergency Services as originally contemplated in prior legislation. The Department of Justice presented antitrust litigation funding, Medi-Cal Fraud and Elder Abuse staffing, completion of organized retail criminal enterprise cases, and trailer bill language for a continuous appropriation from the Victims of Consumer Fraud Restitution Fund. The LAO supported the antitrust account use but questioned the Unfair Competition Law Fund’s ability to cover the full request without General Fund repayment, and recommended against a continuous appropriation for the restitution fund in favor of a more limited mechanism with legislative oversight. Finance said the fund would remain solvent and defended the continuous appropriation as necessary to pay victims promptly. In the CDCR portion, the largest discussion centered on the Boston Consulting Group efficiency review and sharply reduced savings estimates; LAO said the department had not fully explained the proposed position eliminations or future $100 million savings target, while Finance said the work reflected deeper analysis and ongoing efforts to find savings. Members repeatedly pressed CDCR and Finance on the gap between earlier promised savings and the revised figures. CDCR also outlined population projections showing continued declines in prison and parole populations, while LAO again urged the state to close an additional prison to save ongoing costs. The department then walked through several May Revision items, including workers’ compensation funding, a Corcoran honor housing dorm, incarcerated firefighter pay implementation, an incarcerated menopause program, mental health receiver staffing, mental health resource teams and crisis intervention teams, medical classification staffing changes, and AI note-taking for the electronic health record. LAO generally recommended limiting-term funding and more reporting for many of these proposals, while Finance defended them as necessary ongoing investments or court-ordered obligations. Members questioned the cost of workers’ compensation, the need for more prison closures, the lack of funding for women’s facility violence prevention, and the timing and transparency of the BCG savings process. No votes were taken.
LA

Louisiana 2026 Regular Session

Insurance Mar 18th, 2026

Insurance

Transcript Highlights:
  • For instance, if someone who's a licensed attorney adjusts a claim or holds himself out to be an adjuster
  • So if we've got an attorney practicing as a claims adjuster, public adjuster, appraiser, umpire, agent
  • So if we've got an attorney practicing as a claims adjuster, public adjuster, appraiser, umpire, agent
  • Claim on a homeowner's policy.
  • And so we had to take that claim on us.
Keywords: 965, house, all
MN

Minnesota 2025-2026 Regular Session

Task Force on Homeowners and Commercial Property Insurance 9/10/25

Minnesota House Floor Meeting

Transcript Highlights:
  • Things like public adjuster fees, management company fees that are being added onto the claim.
  • Things like public adjuster fees, management company fees that are being added onto the claim.
  • Things like public adjuster fees, management company fees that are being added onto the claim.
  • Things like public adjuster fees, management company fees that are being added onto the claim.
  • Things like public adjuster fees, management company fees that are being added onto the claim.
Keywords: 1183, house
LA

Louisiana 2026 Regular Session

Insurance Apr 14th, 2026

Insurance

Transcript Highlights:
  • lien that's ...support and we settle a claim.
  • lien that's support and we settle a claim.
  • How does DCF know that there's a claim...
  • This instrument provides relative to the payment and adjustment of insurance claims to require insurance
  • We'll adjust that. If staff would put that together, we'll adjust that between here and the floor.
Keywords: 965, house, all
WY

Wyoming 2026 Regular Session

Joint Appropriations Committee, June 23, 2026

Appropriations

Transcript Highlights:
  • They can't get adjusted during that time.
  • Chairman, the claims are going up.
  • It's just the claims engine.
  • It's that's the... ...claims.
  • Those are the high-dollar claims that...
Keywords: 916, all
LA

Louisiana 2026 Regular Session

Appropriations Mar 4th, 2026

Appropriations

Transcript Highlights:
  • That is comprised mostly of standard statewide adjustments at $1.3 million.
  • This is due to standard statewide adjustments and professional services.
  • Some of those claims can take up to a week to verify.
  • Representative Knox also asked for the approximate time on the claims.
  • The witness said the claims amount was statutorily provided and not their figure.
Summary: The committee heard a budget presentation for the Department of State. House Fiscal Division said the FY27 recommended budget is $128.6 million and 367 positions, with elections making up the largest share. Secretary of State Nancy Landry said the office is implementing Louisiana’s first closed party primary, continuing voter education efforts, and moving toward procurement of a new voting system that would produce a voter-verifiable paper ballot and support risk-limiting audits. Members asked about polling place confusion, machine replacement costs, election commissioner pay, and the cost of educating voters about the new primary system. Landry said polling places are not changing because of the new primary law, the new system is expected to cost about $100 million total, and a bill this session would raise election commissioner pay by $100 per day. Fiscal staff also estimated the closed primary law will add about $31.5 million in costs over five years, mostly from converting local elections to statewide elections and voter outreach. The committee then reviewed the Department of Veterans Affairs budget, which was presented at about $105.2 million with a mix of federal, state, self-generated, and interagency funds. The department said most costs are tied to personnel and veterans’ homes, and that the homes are funded largely by federal dollars plus self-generated revenue. Members focused heavily on delays in processing National Guard disability claims and payments to veterans. Representatives said constituents had waited about a year for claims to be resolved, while the department said it had increased staffing and was processing a backlog of more than 400 claims, but still had about $950,000 in approved claims awaiting funding. The department said the payout program is governed by statute and that additional supplemental funding has been requested. Members also discussed veterans’ home care, including how service-connected disability status affects eligibility and costs, and whether chronic wound care and related complications could increase long-term costs. The department said veterans with higher service-connected ratings receive care with federal support, while others pay fees. Several members urged the department to provide clearer timelines and better communication to claimants, and one member suggested a separate oversight hearing to address the disability claim process and any needed statutory changes. The committee adjourned after the presentations and questions.
NH

New Hampshire 2026 Regular Session

House Executive Departments and Administration (03/18/2026)

Executive Departments and Administration

Transcript Highlights:
  • It's, um, handling or adjusting claims.
  • It's, um, handling or adjusting claims.
  • It's, um, handling or adjusting claims.
  • It's, um, handling or adjusting claims.
  • It's, um, handling or adjusting claims.
Keywords: 1189, house, all
FL

Florida 2026 5th Special Session

Banking and Insurance Jan 13th, 2026

Transcript Highlights:
  • Yeah, but I don't work for the company, and I don't deal with the claims every day.
  • Next, we'll take up Tab 1, Senate Bill 266 on public adjuster contracts, by Senator Burton.
  • The behavior does not distinguish between catastrophic and non-catastrophic claims.
  • It does not create any new penalties or causes of action against a public adjuster.
  • I myself have been a victim of an insurance claim. I've been through the process myself. I know it.
Summary: The Committee on Banking and Insurance met with a quorum present and took up several bills, beginning with SB 834 on health care sharing ministries and insurance agents. Senator Yarbrough presented the bill to repeal a recent restriction on licensed insurance agents marketing or selling faith-based health care sharing programs. Supporters argued the change restores free speech and consumer education while preserving existing consumer protections; opponents said the bill was unnecessary and could increase confusion or misuse of agents and brokers. The committee adopted a title amendment and then reported the bill favorably after debate, with Senator Pizzo raising concerns about consumer reliance and lack of guaranteed coverage. The committee then approved SB 642 on foreign and alien bail bond insurers, SB 394 on reinsurance intermediary managers, and SB 266 on public adjuster contracts. SB 266 would let vulnerable adults rescind public adjuster contracts at any time without penalty; it drew support from consumer and industry groups, with some discussion about estimates and claim work product. The committee also passed SB 832 on residential property insurance transparency, which requires rate transparency reports and a consumer resource center at OIR, and adds a provision excluding land value from homeowners coverage calculations in most cases. Testimony on SB 832 was generally supportive of the transparency goal, though insurers said some of the required cost breakdowns may be difficult to produce as written. The committee next considered SB 1028 on Citizens Property Insurance Corporation, which would create a commercial lines clearinghouse to move eligible policyholders into the private market and reduce Citizens’ commercial exposure. Supporters said it would lower taxpayer risk and improve competition; a speaker suggested additional changes to deductibles, water-damage caps, and repair practices. The bill was reported favorably after a delete-all amendment and supportive debate from Senator Boyd. Finally, the committee passed SB 540 on the Office of Financial Regulation, which adds cybersecurity requirements for certain licensees, updates oversight of investment advisers and money service businesses, adjusts some charter and meeting rules for financial institutions and credit unions, and includes amendments clarifying repossession/deficiency claims, family office exemptions, and virtual credit union meetings. The meeting ended with all of the considered bills reported favorably and the committee adjourned.
TX

Texas 89th 2nd C.S.

Insurance May 20th, 2025

Insurance

Transcript Highlights:
  • I'm not TDI, so I don't know how they do that adjustment.
  • Chair calls John Ben Brown, American Adjusters Association, itself.
  • cost carriers pay to examine and review Claims.
  • What about adjusters, public adjusters, other people that deal with TWIA? Any other questions?
  • What about adjusters, public adjusters, other people that deal with Tua. Any other questions?
Summary: The committee first took up several bills and voted them out favorably without amendment: SB 2857, relating to prescription drug purchasing proof for certain health benefit plan issuers and employers; SB 1307, relating to the biennial health coverage reference guide; and SB 527, relating to health benefit coverage for general anesthesia for certain pediatric dental services. Each of those motions passed on a 7-0 roll call. The main discussion centered on SB 1643, which would require prior approval from the Texas Department of Insurance for property and casualty rate changes above 10% from a previously filed rate. The chair framed it as a response to rate volatility and rising homeowners and auto premiums, while several members questioned whether it would slow a market that is already stabilizing and could encourage insurers to file repeated increases just under the threshold. Witnesses from consumer groups supported tighter oversight and argued for a lower threshold, while insurance industry representatives opposed the bill, saying Texas’s file-and-use system and competitive market work better and that the proposal could increase costs or create uncertainty. After testimony, SB 1643 was left pending. The committee then heard SB 1642, which would replace the single Texas Department of Insurance commissioner with a three-commissioner structure and an executive director. Supporters said it could improve accountability and transparency, while opponents argued the current single-commissioner model is more efficient and avoids confusion and added cost. Witnesses also raised concerns about open meetings issues, administrative expense, and the lack of a clear model from other states. SB 1642 was also left pending. Finally, the committee heard SB 2530, the Texas Windstorm Insurance Association omnibus bill. The bill would make a number of changes to TWIA’s governance and finances, including exempting TWIA from certain taxes, moving its headquarters to a coastal county, changing board composition and voting rules, and lowering the probable maximum loss standard from 1-in-100 to 1-in-50. Supporters said the bill would strengthen TWIA’s reserve funding and improve local relevance, while opponents warned it could increase assessments, reduce reinsurance protection, and create operational risks by relocating the headquarters to the coast. The bill was left pending, and the committee then adjourned.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 3/11/26

Human Services Finance and Policy

Transcript Highlights:
  • We update our projections based on updated claims.
  • We just pay the claims directly from our agency.
  • First, we adjusted for enrollment.
  • We also adjusted the impact of retroactive eligibility in the November forecast.
  • So this chart is adjusted for inflation.
Keywords: 1183, house
VA
Transcript Highlights:
  • The data that came out yesterday show initial weekly claims of 2,369 for last week and continued claims
  • So that you can see the magnitude of the claim volume during the pandemic.
  • In 2020, we're looking at more than a million claims.
  • So we monitor continuing claims and how long people might need support.
  • We're also seeing continued claims, so slightly longer duration.
Summary: The Commission on Unemployment Compensation met, established a quorum, and elected Delegate Destiny LeVere Bolling as chair and Senator Mike Jones as vice chair. The commission also adopted its electronic meeting policy and heard introductions from new members, staff, and officials from the Secretary of Labor’s office and the Virginia Employment Commission (VEC). Secretary Jessica Lumen outlined the administration’s workforce and labor priorities, including supporting workers, employers, and program transparency, while members raised concerns about business climate, job losses, labor participation, and the implementation of paid family and medical leave. Staff provided legislative updates on recent unemployment-related bills. These included increases to the weekly unemployment benefit amount enacted in 2025 and 2026, a bill on labor dispute disqualification that changed how lockouts are treated for benefit eligibility, and a budget item providing $75,000 for actuarial support to the commission. The commission also discussed the 2025 work group on annual adjustments to weekly benefit amounts; staff reported that the work group did not complete its charge, and members agreed to revisit whether to reconstitute it at a future meeting. Delegate Martinez expressed support for continuing the work, and the chair said the issue would be taken up at the next meeting. Deputy Commissioner Joanna Darkus gave a detailed presentation on Virginia’s unemployment insurance system, including current claims data, eligibility rules, employer tax structure, benefit levels, trust fund solvency, fraud prevention, and customer service operations. She reported that Virginia’s unemployment rate remains low, weekly claims are modest, the current weekly benefit range is $160 to $478, and the trust fund balance factor is projected at 50.9 percent, near the threshold for additional employer charges. Members asked about the taxable wage base, trust fund solvency, the effect of benefit increases, fraud controls, and the planned paid family and medical leave program. VEC said it is implementing that program through regulations, staffing, IT procurement, public listening sessions, and consultation with other states. A public commenter from the Virginia Poverty Law Center urged the commission to strengthen state investment in unemployment insurance and warned that federal support is uncertain. The commission then adjourned without taking further action.
FL

Florida 2025 Regular Session

March 19, 2025 - 01:00 PM

Transcript Highlights:
  • But I guess there's a possibility that we could make an adjustment.
  • And so that's an additional adjustment, which is a pretty substantial adjustment on the MLR calculation
  • At what point is encounter data so reliable as a metric to justify a rate adjustment?
  • And then there's a claims lag of six to 12 months after that?
  • And the annual one is the same thing, I believe, as a three-month claims lag.
Summary: The Health Care Budget Subcommittee took up two bills and then continued oversight discussions with APD and AHCA. CS/HB 27, the Social Work Licensure Interstate Compact, was presented as a way to let Florida social workers practice in other compact states and vice versa; AARP, the Florida Chamber, and NASW Florida supported it, and the bill passed favorably. HB 1127, a child welfare bill, would create a treatment foster care pilot for children with high behavioral needs, improve DCF data collection on commercially sexually exploited children, and expand recruitment for protective investigators and case managers; the bill also passed favorably after brief supportive testimony. The committee then questioned APD at length about the iBudget waiver waitlist, enrollment pace, spending projections, and provider capacity. APD said it had sent more than 1,100 interest letters in categories 3, 4, and 5, enrolled 1,124 people so far this year, and expects to spend about 96.4% of its waiver appropriation, leaving roughly $82 million unspent. Members pressed APD on why prior discussions suggested more reserve was needed, how long the SANS process takes, whether category 6 could be expanded, and whether the agency has enough waiver support coordinators and direct support providers. APD said it has about 1,061 waiver support coordinators statewide, adequate capacity for current enrollees, but would need further analysis if the legislature directed a much larger enrollment increase. Members also asked about outreach, annual maintenance of the waitlist, portability for military families, and whether communication efforts should be privatized. Finally, AHCA walked the committee through the 2023 Achieved Savings Rebate (ASR) report for Aetna and explained how the report is used for financial monitoring, rebate calculations, and transparency. AHCA said the ASR is separate from the medical loss ratio (MLR) calculation, though both are reviewed, and that Florida uses the ASR mechanism rather than an MLR remittance requirement to recover funds from plans. Members asked about related-party disclosures, CVS/Caremark relationships, expanded benefits, encounter data, network adequacy penalties, denials and appeals reporting, interest earned on capitation payments, and whether rate increases were reaching providers. AHCA and the outside auditors said they review the plans’ reported data, reconcile it to underlying records, and can assess liquidated damages for network adequacy violations; several members requested follow-up data on rebates, interest, provider capacity, and related-party reporting.