Video & Transcript Research : 'claim process'

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CA

California 2025-2026 Regular Session

Senate Energy, Utilities and Communications Committee May 12th, 2026

Energy, Utilities and Communications

Transcript Highlights:
  • What was important to us was the process, a very inclusive process.
  • What was important to us was the process, a very inclusive process. I will talk about the process.
  • to the litigation process.
  • I think the PUC process ought to be looked at and see if we can have a process there that is going to
  • We go through a rigorous process. Mr.
Keywords: 987, senate, all
Summary: The committee held the first of several informational hearings on the SB 254 Natural Catastrophe Resiliency Study, focused on wildfire risk, utility liability, and how to finance catastrophic losses. Chair Allen opened by describing California’s recent utility-ignited wildfires, the creation of the wildfire fund under AB 1054, and SB 254’s extension of that fund and requirement for a study. The California Earthquake Authority, as wildfire fund administrator, presented the report’s process and findings, emphasizing that the study was intended to be neutral and broad, based on extensive stakeholder outreach, and that the status quo is not working well for survivors, communities, ratepayers, insurers, or utilities. CEA’s report organized recommendations into three policy pathways: continued mitigation investment, more equitable allocation of catastrophe burdens, and expanded state roles in catastrophe financing. For utilities, the report discussed options such as setting a binding risk-tolerance standard, preserving safety certificate accountability, tying executive compensation more directly to safety, creating confidential reporting with safe-harbor protections, reforming utility liability including possible changes to inverse condemnation, limiting damages, reducing insurance subrogation, and creating a fast-pay facility for survivors. The financing analysis compared a more durable wildfire fund, risk transfer/reinsurance, liability reforms, and state-backed mechanisms such as a state insurer, a state backstop, and broader funding for community wildfire mitigation. The CPUC said wildfire mitigation oversight has improved, but wildfire-related costs are driving electricity bills higher and creating an affordability crisis. The Office of Energy Infrastructure Safety highlighted its wildfire mitigation plan review and field inspections, and recommended stronger safety reporting and more safety-weighted executive compensation. In member discussion, senators and assemblymembers focused on the cost of the status quo, whether the burden should be shared by ratepayers, utilities, the state, or other parties, and whether California should consider broader disaster-financing approaches. Several members raised concerns about inverse condemnation, the pace of survivor compensation, local land-use responsibility, and the need for a more comprehensive statewide solution rather than piecemeal bills. No votes or formal actions were taken; the hearing was informational only.
MN

Minnesota 2025-2026 Regular Session

House Fraud Prevention and State Agency Oversight Policy Committee 2/23/26

Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:
  • :32.840> to Enhanced prepayment claims review to Enhanced prepayment claims review to catch<00
  • So, that work is analyze claims.
  • We do monitor claims such that the different edits in MMIS, our claims processing system, will reject
  • . claims. claims.
  • process of it. Thank you, Madam Chair. process of it. Thank you, Madam Chair.
Bills: HF3542
ND

North Dakota 2026 1st Special Session

Legislative Audit and Fiscal Review Committee Jun 17th, 2026 at 10:00 am

Legislative Audit and Fiscal Review Committee

Transcript Highlights:
  • So there is a process to it.
  • I have asked them if our processes stand distinct from or in harmony with the admissions processes at
  • claims for convenience alone.
  • in its claims handling practices.
  • , a 98.7% claim acceptance rate.
Keywords: 908, all
TX

Texas 89th Regular

Judiciary & Civil Jurisprudence Apr 9th, 2025

Judiciary & Civil Jurisprudence

Transcript Highlights:
  • Frivolous claims.
  • Tort Claims Act.
  • claim against everyone.
  • Isn't that a gross negligence claim, not just a simple negligence claim?
  • Most claims?
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Aug 19th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • Our analysis of the medical claims and billing system in New Mexico.
  • process?
  • process.
  • Coding and claims process.
  • One issue that was raised here a lot is denials, which are claims that are processed into denied based
MN
Transcript Highlights:
  • paper claims and adding documentation. paper claims and adding documentation.
  • predatory unacredited claim sharks. predatory unacredited claim sharks.
  • take on their claim. Same with the VFW. take on their claim. Same with the VFW.
  • claims agent.
  • So, there is a process claims agent.
Keywords: 918, senate, all
Summary: The subcommittee opened its first meeting of the session with member introductions and a statement from the chair that veterans issues would remain distinct and receive separate attention. The first item was an update on the Minnesota Military and Veterans Museum at Camp Ripley from Executive Director Randall Dietrich. He said the museum has operated for nearly 50 years, has outgrown its current space, and is building a new 40,000-square-foot facility with $32 million in state support plus several million more in private funding. He described construction progress, planned exhibits including restored military artifacts and the USS Ward gun, and said the museum is scheduled to open on September 12. In response to Senator Kunish, Dietrich said the museum is actively incorporating stories and flags representing women, tribal nations, and other underrepresented groups, including 11 tribal flags at the entrance, and is working to integrate those stories throughout the galleries rather than isolating them. The committee then received an update from the Minnesota Department of Veterans Affairs on the veterans suicide prevention plan from Rachel Johnson, Veterans Committee Health Director, with John Kelly later answering questions on department impacts. Johnson said the plan is a coordinated statewide framework built with legislative support, expanding regional coordinators, veteran health navigators, data analytics, and community partnerships, including a suicide mortality review pilot in Hennepin County. She said Minnesota loses about 100 veterans a year to suicide, that firearms remain the primary mechanism, and that prevention must address community connection, economic stability, and access to care, not just clinical treatment. She also said the plan aligns with state and federal strategies and is intended as a living roadmap. In response to questions, Johnson said the department is exploring data-sharing policy issues, has not seen a direct financial impact from federal VA staffing changes, and is tracking federal proposals affecting VA advisory groups. She also said 988 data is available in general but more Minnesota-specific data on the veteran option is still being gathered. Members asked follow-up questions about trends in veteran suicide, the role of families in identifying warning signs, and the Hennepin County mortality review pilot. Johnson said the annual number has remained around 100 for about 15 years, with a dip in 2024 and a return to that level in 2025, and that the Hennepin County pilot was chosen because it offers a manageable geography and existing coalition work, with an initial review expected by May or June. The final item began a presentation from the Minnesota Association of County Veteran Service Officers. Legislative chair Larry Fonder said the group’s priorities are protecting veterans from fraud and modernizing the property tax benefit for disabled veterans, but the presentation would focus on educating the committee about the role, training, certification, and accountability of county veteran service officers. President Tom Anderson, the Winona County VSO and a Navy veteran, began describing his background and office staffing when the transcript ended.
HI

Hawaii 2026 Regular Session

EDU Informational Briefing 01-23-2026

Hawaii Senate Floor Meeting

Transcript Highlights:
  • processing.
  • process unless the direct service claiming is continued.
  • This was due to claiming processing.
  • disallows the administrative claiming disallows the administrative claiming process<02:26:33.840
  • unless the direct service process unless the direct service claiming<02:26:36.640> um<02:26:36.880
Keywords: 912, senate, all
KY
Transcript Highlights:
  • <00:02:20.720> of actually would investigate claims of actually would investigate claims of
  • I believe the incident there was actually some individuals that work there were processing claims but
  • at which these claims are adjudicated.
  • there and and and it's a whole process there and and and it's a whole process so<00:08:17.479>
  • <00:10:02.839> are these claims are these claims are adjudicated<00:10:04.959> Brown
Summary: The committee first took up Senate Bill 162, a measure on unemployment insurance fraud. The sponsor said the bill would create a clearer process for state unemployment staff to refer suspected fraud cases, especially smaller-dollar cases that may not draw federal attention, and would help protect employers and the integrity of the unemployment system. Testimony from Brian Sikma supported the bill as a common-sense anti-fraud proposal, but several senators raised concerns that suspending benefits during an investigation could unfairly burden claimants, especially if the claim later proves legitimate. The sponsor and witness said the bill was intended to allow quick adjudication and that benefits could be reinstated after review, and the sponsor noted the referral process would include identifying information and details about the suspected fraud. The committee then voted on the bill; it passed with favorable expression, 8-1, and was sent to the floor. The committee then returned to Senate Bill 1, which would create a Kentucky Film Office and Film Commission and fund the office with a portion of the state transit tax and production-related fees. Senator Wheeler and invited guests described the bill as an economic development and tourism measure meant to expand Kentucky’s film industry, attract productions statewide, and build on existing tax credits. Witnesses, including Mary K. Po... and Misty Wrigley Miller, said a state film office would help market locations, provide a searchable database for producers, and make it easier for rural communities to compete for productions. They cited an economic impact study showing about $200 million in film-related economic activity in 2022, with additional ripple effects and tax revenue, and argued the office would help create jobs and workforce opportunities for Kentuckians. Members generally praised the concept of Senate Bill 1 and compared Kentucky’s potential to Georgia’s film industry growth. Witnesses said Kentucky already has strong incentives but needs a dedicated office and commission to better promote the state and coordinate production activity. The discussion emphasized that the commission would help ensure a return on investment and that local crews and businesses would benefit from more productions. The transcript ends during continued discussion of the bill and questions from senators, with no final vote on Senate Bill 1 shown in the excerpt.
TX
Transcript Highlights:
  • The claims the DOJ are making are simply wrong.
  • One would think the claims are not even close.
  • That process at that stage.
  • It has always claimed to be sad.
  • This process is not honest.
Summary: The Senate Special Committee on Congressional Redistricting held its first regional hearing, focused on South and Central Texas, including Bexar County, Travis County, and the Rio Grande Valley. After establishing a quorum, the committee adopted its rules on a 6-3 roll-call vote, with Senators Alvarado and Miles voting no. Chair Phil King explained the regional-hearing format, the use of 2020 census data, the online testimony process, and the availability of written comments and future hearings. Several members then gave opening remarks, with Republicans emphasizing public input and Democrats arguing the special session and mid-decade redistricting were unnecessary and aimed at minority districts. A major procedural issue arose over whether the committee should invite or subpoena the DOJ attorney who authored the July 7 letter that prompted the redistricting discussion. Senator Miles moved to subpoena the attorney; the motion was seconded but then set aside after the chair said the committee could not take formal action on a non-procedural matter during a regional hearing under the adopted rules. The chair said he would consult legal counsel about issuing an invitation, and members discussed the August 7 deadline referenced in the DOJ letter. The committee then moved on to public testimony. Witnesses, including Congresswoman Sylvia Garcia, law professor Ellen Katz, and Texas NAACP president Gary Bledsoe, argued that the DOJ letter misread the law and that the targeted districts were lawful opportunity or coalition districts. They said the Fifth Circuit’s Pettway decision was limited to Section 2 of the Voting Rights Act and did not declare coalition districts unconstitutional, and they cited Bartlett v. Strickland as warning against intentionally dismantling effective minority districts. Garcia and Bledsoe said the hearing was politically motivated and would harm Black and Latino representation; Katz said Texas would act illegally if it followed the DOJ letter’s instructions. Members asked questions about the legal status of coalition districts, the 2021 map-drawing process, and the difference between opportunity, coalition, and crossover districts. The hearing continued with additional public witnesses, including labor representative Emily Amps, who said workers and communities of color were being harmed by the proposed redistricting effort.
CA

California 2025-2026 Regular Session

Assembly Judiciary Committee Apr 22nd, 2025

Transcript Highlights:
  • Our wage claim process is broken.
  • process. employers to participate in the state's wage claim process.
  • Our wage claim process is broken.
  • This measure will encourage employers to actually participate in the wage claim process by authorizing
  • I have seen firsthand how the delays in the process and the employer's ability to ignore claims leave
Summary: The committee heard several bills, beginning with AB 1521, the Judiciary Committee’s civil law omnibus measure. The bill makes a number of minor, mostly clarifying changes, including repealing obsolete Government Code provisions, allowing juvenile courts to hear petitions to establish records of birth, death, or marriage, requiring notice of probate petitions to the Department of Child Support Services, and correcting typos in existing law. It had no opposition and was moved on a do-pass basis to Appropriations, though it was later placed on call pending additional votes. Members then heard AB 57, which would reserve at least 10% of California’s Home Purchase Assistance Program funds for descendants of formerly enslaved people. The author and supporters framed it as a reparative, race-neutral-by-lineage effort to address historic housing discrimination and the racial wealth gap, while opponents argued it was an unconstitutional racial proxy and should instead be based on individual injury. The bill drew strong support and opposition testimony, was amended, and was approved on a do-pass as amended vote to Appropriations, then placed on call. AB 495, the Family Preparedness Plan Act, was heard next. The bill would expand and standardize caregiving and guardianship tools for families facing immigration-related separation, including broader use of caregiver authorization affidavits, recognition of non-relative extended family caregivers, and a new short-term guardianship process that preserves parental rights. Supporters said it would reduce trauma and help children remain with trusted caregivers; there was no opposition testimony. The committee approved it on a do-pass to Human Services vote and placed it on call. The committee also heard AB 392, which would address non-consensual sharing of sexually explicit media by requiring uploader consent certifications, faster takedown procedures, and civil remedies against uploaders and hosting sites. A survivor testified in support, and members discussed implementation details and possible amendments; the bill was moved on a do-pass as amended basis to Appropriations and placed on call. AB 692, which would prohibit employer “stay-or-pay” debt agreements that require workers to repay training or other costs if they leave or are terminated, also advanced despite opposition from business and industry groups concerned about impacts on signing bonuses and voluntary training programs. It was sent to Appropriations on a do-pass as amended vote and placed on call, along with AB 1234, a wage-claim enforcement bill aimed at reducing Labor Commissioner delays and adding consequences for employers who fail to participate in the process. The committee also heard AB 394, which expands protections for transit workers and allows transit agencies to seek restraining orders against violent riders; it received broad support, some concern about system-wide bans, and was discussed with amendments that preserved judicial discretion.
WA

Washington 2025-2026 Regular Session

House Transportation Dec 4th, 2025

Transcript Highlights:
  • then go through the RFP bidding process.
  • When you process the claims and look at the claims, is there a mechanism within your risk management
  • When you process the claims and look at the claims, is there a mechanism within your risk management
  • in design, processes, or warnings.
  • process.
Summary: The committee received a detailed staff presentation on Washington State Ferries’ capital needs, current fleet status, and long-range funding outlook. Staff described the current service pattern, ridership recovery since the pandemic, the aging fleet, and the state’s plan to add three new hybrid-electric Olympic-class vessels under the 2025 budget, with delivery expected around 2030-2032. Members also heard that the fleet is operating with no reserve vessel, that preservation time is below the desired level, and that terminal electrification and vessel conversion plans face timing, cost, and procurement risks. Questions focused on ridership trends, biofuel supply, design-risk allocation in vessel contracts, sequencing of terminal electrification with new vessel delivery, and the cost and feasibility of restoring international Sidney service, which would require a SOLAS-certified vessel. Staff then outlined ferry capital funding, saying recent spending and programmed needs are far above regular ferry-specific revenues and that the system relies on a mix of dedicated accounts, transportation package money, federal grants, and transfers. They said the near-term budget is balanced through 2027-29, but the longer-term capital outlook shows a shortfall of roughly $250 million to $300 million per biennium, with broader unmet needs much higher. The presentation estimated costs for future vessels, life extensions, terminal electrification, and additional Jumbo Mark II conversions, and noted that the current enacted plan does not fully fund fleet replacement, full electrification, or life extension of older vessels. Members asked for follow-up information on terminal seismic/environmental issues, contract options for additional vessels, and the timing and cost of alternative vessel designs. The committee then shifted to WSDOT maintenance and preservation. Pascoe Focktich described maintenance operations, including winter response, guardrail repair, facilities, equipment, and the effects of underfunding and inflation. He said most of the maintenance budget is fixed cost and labor, that material prices have risen sharply, and that many facilities are in poor condition with asbestos issues and deferred upkeep. He also noted growing guardrail damage, increasing pavement claims, and the burden of maintaining aging bridges and facilities. Members asked about prior planning for these needs, the role of asbestos, and whether more proactive sequencing could help budget decisions. Troy Suing then presented the highway preservation program, saying WSDOT is in the early stages of critical failure and has stretched preservation dollars as far as possible. He explained the distinction between pavement, bridge, and other highway asset preservation, said the department is largely reactive, and estimated that delaying work can make it three to five times more expensive later. He said about 40% of roadways are currently due or overdue for preservation, bridge conditions are nearing the federal poor-bridge threshold, and the department’s 10-year preservation need is about $8 billion. Members asked about the cost of deferring work, whether the department could do more if funded, how priorities are set, and whether other states face similar problems. Finally, Evan Grimm and Mike Fay briefed the committee on bridge strikes by overheight vehicles. They described recent incidents on I-90 near Cle Elum and SR 410 near White River, the damage and closures caused, and possible countermeasures such as public outreach, improved trip-planning tools, and a pilot warning system with sensors and flashing beacons. Fay explained the state’s financial recovery process for third-party damage, saying WSDOT recovers roughly $20 million per biennium and about 78% to 80% of billed damages, with money going to the motor vehicle fund. Members asked about prevention, insurance recovery, and whether the state uses claim data to inform future design or safety changes.
FL

Florida 2025 Regular Session

December 3, 2025 - 08:30 AM

Transcript Highlights:
  • This audit process is based on international consulting standards.
  • The major one was a transition to standardized claims-based reporting.
  • Validating claims for each service encounter was recommended.
  • Additionally, the claims, the new claims system, will have edits and audits to ensure we're adequately
  • rejecting those claims... ...to ensure we're adequately rejecting those claims short of getting additional
Summary: The subcommittee heard two Department of Children and Families implementation updates on measures passed in prior sessions. First, DCF reviewed House Bill 633, which increased oversight of behavioral health managing entities through biennial independent audits, standardized claims-based reporting, and new monthly outcome dashboards. The department said it had awarded the inaugural audit to Ernst & Young, found no significant waste, fraud, or abuse, but identified process risks involving financial controls, claims validation, data access, and system access controls. DCF also described its transition to standardized behavioral health coding and said the new public dashboard of 11 measures is posted on its website, though members asked for easier access and for hard copies of the audit report. Members asked about how the department distinguishes Medicaid-covered services from department-funded services, how duplicate payment risks are being addressed, and whether the new reporting and audit requirements would improve oversight without disrupting services. DCF said it is the payer of last resort for uninsured or underinsured individuals, that some overlap with Medicaid is expected because Medicaid does not cover all behavioral health services, and that new claims edits and cross-checks are being built into the system. The department also said it had not found significant negative feedback from providers and that the new requirements are intended to improve transparency and accountability. DCF then updated the committee on Senate Bill 7012, covering human trafficking data collection, domestic violence center certification, limited background-screening exemptions, expanded recruitment for child welfare staff, subcontractor liability protections, a four-year treatment foster care pilot, case management efficiency recommendations, and a statewide study of residential bed capacity for child victims of commercial sexual exploitation. The department said several items are already complete or underway, including limited exemptions in the screening clearinghouse, while others are in procurement or rulemaking. It identified Circuits 4 and 12 as the treatment foster care pilot sites and said the pilot will launch in January 2026. Members questioned recruitment metrics, pilot timing, and report deadlines; the department said final reports are expected by January and that some dates were flexible because of procurement and implementation timelines. The meeting ended after the presentations and questions, and the subcommittee adjourned.
ND

North Dakota 2026 1st Special Session

Legislative Audit and Fiscal Review Committee Jun 17th, 2026

Legislative Audit and Fiscal Review Committee

Transcript Highlights:
  • So there is a process to it.
  • I have asked them if our processes stand distinct from or in harmony with the admissions processes at
  • claims for convenience alone.
  • Year-end numbers show that NDIRF provided coverage on 1,821 claims, which is a 98.7% claim acceptance
  • in its claims handling practices.
Summary: The committee convened, approved the prior meeting minutes, and received a memo summarizing major audit items. The State Auditor’s office and outside auditors then presented a series of audits, many of which were clean with unmodified opinions and no findings, including the Bank of North Dakota, the Guaranteed Student Loan Program, the Office of the Governor, the State Treasurer, the Office of Management and Budget, the Department of Transportation, the Department of Environmental Quality, Lake Region State College, and the Office of the Governor. The North Dakota Stockmen’s Association audit was also clean overall, but it repeated findings about limited segregation of duties and auditor assistance in preparing financial statements, which the auditor said were expected to continue because of the organization’s small size. Committee members asked about out-of-state board addresses, and the association explained those members were North Dakota residents using South Dakota mailing addresses. Several audits did include findings. The Council on the Arts audit identified two issues: payroll charged to federal awards without supporting time records, and $12,825 in Cultural Endowment Fund spending that was not allowable under state law, including staff training, retreats, and executive director candidate travel. The Department of Public Instruction audit found unsupported scholarship applications in the paraprofessional-to-teacher program, but additional testing confirmed the funds were credited properly and students completed required school district work, so no improper payments were identified. The University of North Dakota audit found a lack of documentation and transparency in School of Law admissions decisions; the auditor said the law school used a holistic process but did not keep notes or evaluation tools to show why applicants were admitted, waitlisted, or denied. UND leadership said the school is in good standing with the American Bar Association and agreed better documentation is needed, and the auditor said the issue was the missing documentation, not ABA accreditation itself. The most extensive discussion centered on the North Dakota Racing Commission audit, which found four findings: overspending the promotion fund’s 25% operating cap, grant conditions not being met, improper breeder fund awards, and improper procurement. The auditor said promotion fund spending exceeded the cap by $327,447 and the fund balance dropped sharply over the audit period. Racing Commission director Bruce Johnson said the agency had become complacent, that grant requests were treated as routine, and that controls and documentation need to be tightened. He also explained that the breeder fund overpayments involved two horses whose ownership transfers were not properly documented before racing, and that the procurement issue stemmed from an advertising contract that proceeded without proper written procurement procedures after a misunderstanding with the State Procurement Office. The auditor said the Racing Commission will now be audited every two years because of the findings. The committee also received updates on Dakota College at Bottineau’s bank reconciliations, which Minot State University said had been brought current after an 18-month backlog, with only one account still needing cleanup; members asked for a written report on the corrective actions. The North Dakota Fair Foundation was reported to have dissolved, with remaining funds transferred to another nonprofit account for continued support of the state fair. Finally, the Department of Public Instruction provided an update on school meal debt, revising the earlier estimate to about $1.1 million based on incomplete district survey responses, and said the Anti-Lunch Shaming law likely increased meal debt because schools must feed students regardless of account balance. Members discussed the need for a more accurate year-end debt figure and possible future reporting at a later committee meeting.
CA

California 2025-2026 Regular Session

Assembly Utilities and Energy Committee May 13th, 2026

Utilities and Energy

Transcript Highlights:
  • They do have a process. They do have a process. Not been auditing whether they actually do it.
  • process, in order to make that a viable... ...alternative to a protracted litigation process.
  • process works.
  • Insurers bring claims against utilities on behalf of their policyholders to recover the insurance claim
  • Have their insurance claims settled.
Keywords: 988, house, all
Summary: The Assembly Committee on Utilities and Energy held a hearing on the California Earthquake Authority’s SB 254 report and possible reforms to California’s utility wildfire recovery system. The chair framed the discussion around the Palisades and Eaton fires, the high and growing wildfire-related costs on utility bills, and the need to weigh tradeoffs among survivors, ratepayers, utilities, insurers, and taxpayers. The chair emphasized that the SB 254 report is an inventory of policy pathways rather than recommendations, and that the Legislature’s role is to evaluate the options publicly. The first panel featured wildfire survivors William Abrams and Joy Chen, who described severe ongoing displacement, housing insecurity, delayed compensation, and frustration with what they characterized as opaque and unfair compensation structures. They argued for greater transparency, clearer accountability for utilities, stronger oversight of wildfire mitigation spending, and incentives tied to safety performance. They also urged faster survivor payments, but only if they are full, fair, and not financed by shifting more costs to taxpayers or ratepayers. Committee members asked about gaps in the SB 254 report, the meaning of “full” compensation, and how a fast-pay facility might work. The second panel included the California Earthquake Authority, RAND, PG&E, LADWP, Consumer Attorneys of California, and the Public Advocates Office. Tom Welsh of CEA explained the report’s process and the current wildfire fund structure, including that utilities remain liable, the fund reimburses eligible claims, and prudency reviews can require reimbursement to the fund. RAND’s Lloyd Dixon outlined how roughly $38 billion has been paid to survivors, insurers, and public entities since 2017, and noted substantial litigation costs and cost-shifting among stakeholders. Utility representatives supported reforms that preserve financial stability and reduce risk, while consumer and public-interest advocates opposed shifting more costs to ratepayers and stressed accountability, audits, and safety-linked recovery. No votes or formal actions were taken in the hearing.
NH

New Hampshire 2025 Regular Session

Fiscal Committee (10/17/2025)

Transcript Highlights:
  • So there might be a claim, a few claims, or the administrator did issue an... decisions.
  • fund process. One is formulaic, right? fund process. One is formulaic, right?
  • > claims.
  • . process. process.
  • issues on that process. issues on that process.
Keywords: 1189, house, all
Summary: The committee first adopted the September 5 minutes and then approved the remaining consent calendar items after removing several bills for separate consideration, including 25-252, 25-248, 25-251, and 25-253. The committee then took up 25-252 from the Department of Natural and Cultural Resources, where members asked about the arts tax credit program, staffing, and volunteer coordination. Department representatives said the program had recently been authorized, forms had been finalized, three of six laid-off staff had been rehired through a federal grant, and the agency was now trying to recruit participants. Members also discussed whether tax-credit-raised funds could count as federal match; the department said they could not, because federal rules require state dollars. The item was adopted. The committee next considered 25-248 from the Department of Safety, which was described as a technical correction moving funds from equipment to hardware and software after consultation with the Department of Administrative Services. A member asked about “buy American” waivers, and the department said it would follow up with more information. The item was adopted. The committee then approved 25-251 from the Department of Administrative Services, which included discussion of ongoing problems with Anthem’s retiree health plan mail-order pharmacy. Department staff said many issues were tied to implementation changes and prescription renewal rules, that some complaints were being resolved through the vendor and the retiree health office, and that the contract would be rebid in the coming year, likely causing further changes. On 25-253 from the Department of Health and Human Services, members questioned the department’s September 5 health alert and whether it diverged from CDC guidance. DHHS said the alert was an annual evidence-based guideline for respiratory virus season and immunizations, largely aligned with CDC recommendations, and that some differences reflected timing and population-specific guidance. The item was adopted. The committee then heard 25-237 from the Department of Justice on the annual litigation fund request. Attorney General John Formela said the request was about $4.3 million, roughly 40% below last year and below the five-year average, with major costs tied to YDC civil and criminal litigation and some DHHS class actions. A member criticized the large increase over the budgeted $350,000 and said the budgeting approach should be corrected in the next cycle. Another member asked about YDC settlement reductions; the attorney general said confidentiality limited specifics, but explained that under the new statute the office had accepted well over half of administrator awards, rejected some, and negotiated lower amounts in others while still resolving most cases. The item remained under discussion at the end of the excerpt.
AR

Arkansas 2026 1st Special Session

ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE Mar 18th, 2026

ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Transcript Highlights:
  • We are towards the final end of that process.
  • So instead of paying 80% of those large claims, they're paying around 20% of those large claims.
  • So instead of paying 80% of those large claims, they're paying around 20% of those large claims.
  • So it's all the money coming in to cover the claims.
  • So it's all the money coming in to cover the claims.
Summary: The committee received an update from Grant Wallace on the state employee Medicare Advantage group plan and the ongoing rebid with UnitedHealthcare. Wallace said the agency is exploring “decoupling” the medical and pharmacy portions of the plan, and that preliminary estimates suggested potential savings of about $100 to $200 per participant per month. He said the final CMS rate-setting process would conclude in April, with a revised contract amendment likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. He also clarified that the plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. Representatives from Segal Consulting then gave a broader presentation on Medicare Advantage and Part D market trends, reviewing Arkansas’s prior decision to adopt a Medicare Advantage prescription drug plan and the savings generated since the 2023 RFP. They explained that the Inflation Reduction Act significantly changed Part D financing by shifting more federal support into a direct subsidy tied to risk scores, which makes accurate risk adjustment more important and creates a larger difference between Medicare Advantage prescription drug plans and standalone Part D plans. They said this has led to a growing divergence in funding, especially for standalone Part D, and is the main reason decoupling medical and pharmacy coverage is being considered. Committee members asked about how the risk-score changes affect costs and members. Segal said the new structure has reduced member out-of-pocket costs, with the annual cap now at $2,000 and many members reaching it after roughly $600 to $800 in spending, but that the plan absorbs more of the cost. They also said the market appears to be adjusting through annual bids, and that a decoupled structure could allow the state to capture more favorable funding on the Part D side. No votes were taken, and the committee adjourned after being told to expect further information once the April rate notice and renewal proposal are available.
NH

New Hampshire 2026 Regular Session

House Commerce and Consumer Affairs (02/17/2026)

Commerce and Consumer Affairs

Transcript Highlights:
  • These systems are processing claims in as little as 1.2 seconds per claim, making it impossible for any
  • This bill doesn't ban AI from the claims process.
  • Insurers can still use claims process.
  • <04:20:27.279> claims technology to process claims technology to process claims efficiently
  • about claims processing. about claims processing.
Keywords: 1189, house, all
NH

New Hampshire 2026 Regular Session

House Labor, Industrial and Rehabilitative Services (01/13/2026)

Labor, Industrial and Rehabilitative Services

Transcript Highlights:
  • regarding the rules process. regarding the rules process.
  • One, how the process works, but process.
  • Representative McKenzie said he had given members a sheet that shows the process for how claims are filed
  • and the the way that claims are filed and the way<04:05:45.840> they're<04:05:46.160> processed
  • So there's this whole process of vetting this out. a whole process for how long because a whole process
Keywords: 1189, house, all
US
Transcript Highlights:
  • To the people who were processing claims, to the levels of management that were processing claims.
  • Along the way, I learned that the technology that supported the claims processing effort needed to be
  • I can't get my claim processed. I can't get an appointment scheduled.
  • Do you think increased use of technology and artificial intelligence in claims processing is a good idea
  • That will be one of the key critical factors they focus on, which is processing claims in a timely and
Summary: The meeting involved detailed discussions on various veterans' issues, particularly focusing on the challenges faced by the Department of Veterans Affairs (VA) amidst a backdrop of significant staffing changes. Members expressed deep concerns over the recent layoffs of over 1,000 VA employees, emphasizing the crucial nature of these positions in the context of mental health support for veterans, particularly amid rising suicide rates. Senators articulated the need for transparency and effective communication between the VA and Congress to avoid further breakdowns in services. The session also spotlighted the ongoing modernization of VA systems and the urgent need to streamline processes to benefit veterans effectively.
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.