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.

Transcript Highlights:

• To make some adjustments.
• adjustment.
• adjustment.
• adjustment.
• “Let’s make some adjustments.

Keywords: 987, senate, all

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

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

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

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

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.

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

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

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

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

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.

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.

Transcript Highlights:

• claim.
• That has created a perverse incentive for public adjusters to backdate claims to dates prior to a catastrophe
• The bill will also prohibit a public adjuster from negotiating a claim.
• . adjusters. adjusters.
• </c><00:53:40.160><c> dates</c> adjusters to backdate claims to dates adjusters to backdate claims to

Keywords: This version of the House chambers was retrieved from back up and uploaded. The original live stream contained issues where audio and video got out of sync., 958, all

Summary: The House convened with an invocation and pledge, established a quorum, approved the prior journal, and received committee reports on several bills. Reported measures included House Bills 1 and 2 from Appropriations and Revenue, along with bills on animal control officers, emergency services revenue, postsecondary education, proactive postsecondary admission, vehicle lights, motor vehicle operation, motor vehicle dealers, and machine gun conversion devices. The chamber also took up Senate Bills 52 and 124 for concurrence, and House Bill 1 was moved from rules to the orders of the day for immediate action. The House then considered House Bill 568, which would regulate public adjusters by prohibiting new licenses, allowing renewals for current licensees, imposing conflict-of-interest and contract requirements, capping fees at 5%, and barring adjusters from negotiating claims. Supporters described it as a consumer-protection measure responding to complaints and investigations, especially after recent storm-related exploitation. The bill passed overwhelmingly, 95-1. The House next debated House Bill 1, which would opt Kentucky into the federal education freedom tax credit program and authorize the Secretary of State to administer the state’s participation without using state general funds. Supporters argued it would bring federal scholarship dollars into Kentucky for K-12 students, including public school students, and could generate significant private donations for scholarship-granting organizations. Opponents raised concerns about shifting resources away from public education, the speed of the process, and a proposed waiver of Eleventh Amendment immunity. A motion to table the bill failed by a wide margin, and members continued debating the bill and its implications for public schools and state sovereignty.

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.

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.

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.

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

Keywords: 988, house, all

Transcript Highlights:

• Um, we've received over 320 claims from consumers and are in the process of sending out a first wave
• Um, we've received over 320 claims work.
• claims would be reimbursed under this proposal.
• And so any claim um I think up to 100%.
• </c><00:09:00.959><c> or</c> a willingness to make an adjustment or a willingness to make an adjustment

Keywords: 1183, house

Summary: The committee heard House File 4867, a bill from Representative Lee to make changes to the Consumer Protection Restitution Account created the prior year to help victims of fraud. The Attorney General’s Office testified that the fund has already received more than $4.5 million and is beginning its first distributions, including payments to victims of the closure of Woodbury Dental. The office said the bill would remove the current $5 million annual deposit cap and establish a more equitable distribution formula so large claims would not exhaust the fund and prevent other victims from receiving restitution. Public testimony strongly supported the bill. A Woodbury Dental victim described paying $25,000 upfront, losing her dental work when the clinic abruptly closed, and having to start over with another dentist; she said reimbursement would help her recover from the loss. An AARP Minnesota representative also supported the measure as a cleanup bill that improves the new restitution program. Members asked about how the bill would handle large claims, whether the Attorney General could still pursue defendants for additional recovery, and whether restitution payments would be taxable. The Attorney General’s Office said it would continue collection efforts and reimburse the fund if later recoveries are made, and Representative Lee said the bill includes a provision making payments non-taxable. The chair then moved that House File 4867 be laid over, and the bill was laid over without a vote on passage.

Transcript Highlights:

• Adjust the dose or frequency of a drug.
• An adjustment in their dose. So we will continue to work with the opposition.
• These were from 61 pregnancy claims dating from January...
• My biller has then spent over 100 hours fighting each of these claims.
• Currently, we have 31 outstanding claims.

Keywords: 987, senate, all

Transcript Highlights:

• I will say that of the Medicaid claims, about a million dollars of that would be Medicaid claims.
• Next is the nursing home adjustment.
• So here we have the managed care adjustment. The MCO adjustment is decreasing as a whole.
• It includes a productivity adjustment as well as a medical inflation adjustment as well as a policy adjustment
• It includes a productivity adjustment as well as a medical inflation adjustment as well as a policy adjustment

Keywords: 965, house, all