Video & Transcript Research : 'claim process'
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AR
Arkansas 2026 Regular Session
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE Mar 18th, 2026
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE
Transcript Highlights:
- So that process usually kicks off in late December, early January.
- We are towards the final end of that process.
- 20% of those large claims.
- It has to do with the money coming in to cover the claims.
- It was no longer really covering only catastrophic claims; it was covering a large portion of the claims
Summary:
The committee received an update from Grant Wallace on the rebid and possible decoupling of the state’s Medicare Advantage retiree coverage. He said the state is exploring splitting medical and pharmacy benefits for post-65 retirees, with UnitedHealthcare as the incumbent vendor, and that preliminary estimates suggested savings of about $100 to $200 per participant per month. He outlined the expected timeline for final CMS rate announcements in April 2026, with contract amendments likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance.
Representatives from Segal Consulting then reviewed the history and current structure of the Medicare Advantage prescription drug plan, explaining that the plan was adopted after a 2021 recommendation and launched in 2023 alongside the existing Med-Sup option. They said the Medicare Advantage option has produced substantial savings, including a lower monthly rate than the Med-Sup plan and about $40 million in savings from initial enrollment, while also restoring pharmacy benefits for some retirees. The presenters then explained recent federal changes under the Inflation Reduction Act, including major changes to Part D funding, the direct subsidy, and risk-score methodology, which they said have made risk adjustment much more important and are driving interest in separating medical and pharmacy contracts.
In response to questions from senators, the presenters said the Medicare Advantage plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. They also explained that the new Part D structure has reduced out-of-pocket costs for members, with a $2,000 annual cap and lower average member spending to reach it, while shifting more cost to the plan. No votes were taken and no formal action was reported; the committee simply received the update and was told to expect further information after the April rate notice. The meeting adjourned with the committee scheduled to return on May 13.
NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs (05/21/2025)
Transcript Highlights:
- So, this one I know a little bit about. to claims analysis or claims management to claims analysis or
- If they run out of claims.
- So it just improves the claim processing efficiency overall.
- So it just improves<02:19:44.719>
the <02:19:45.040>claim <02:19:45.359>processing - c><02:19:45.920>
efficiency improves the claim processing efficiency improves the claim processing - c><02:19:45.920>
Summary:
The subcommittee continued work on Senate Bill 297 and a new amendment dealing with pooled risk management programs and whether they should be regulated under the insurance department. Lisa Duket, executive director of SchoolCare, testified at length that the draft language could allow co-mingling of public entity risk funds, could trigger producer-licensing requirements for staff who are not actually brokers, and may not fit public entity risk pools because they are not insurance companies. She also raised concerns about the March 1 reporting deadline, the proposed uniform accounting language, aggregate excess insurance, examination costs being charged to the program, and confidentiality provisions that she argued may conflict with right-to-know principles for public entities. She urged the committee to slow down and consider a study committee or more time for review, saying the regulated entities were not adequately involved in drafting the proposal.
Chairman Hunt and the department responded that the bill is intended to create a licensure-based regulatory model, similar to other licensed industries, and that the pooled risk management program would be exempt from producer licensing while anyone else selling or negotiating such coverage would need a producer license. The department said failure to comply would be handled through an administrative licensing process, with denial or nonrenewal of a license and appeal through the department process. On the reporting deadline, the department said March 1 is a standard filing date used for financial analysis and that the filing can be the most recent annual report, regardless of fiscal year end. They also explained that the confidentiality language was taken from existing RSA 5B, that aggregate excess insurance was included as a solvency measure, and that the draft was intended to preserve familiar language while adapting it for pooled risk programs.
The discussion did not include a final vote or formal action on the bill in the portion provided. The committee appeared to be compiling follow-up questions for the insurance department and considering whether additional revisions or a slower process would be needed before moving the bill forward.
TX
Transcript Highlights:
- So there is not a problem right now, and you're just asking for a process in the future?
- Our basis was a state law claim, and...
- **General Paxton**: So, our basis for this claim was a state law claim.
- It's an easy claim for us to review.
- **Josh**: It's an easy claim for us to review, and it's an easy claim for us to get in and out the door
Bills:
SB 1
Keywords:
campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, Attorney General, budget recommendations, funding swaps, salary increases, Landowner's Compensation Program, public testimony, law enforcement
Summary:
The meeting focused on the budget recommendations for the Office of the Attorney General (OAG), where key issues included the proposed decrease of $163.9 million for the 2024-25 biennium and various methodology swaps for funding. Attorney General Paxton discussed ongoing litigation expenditures and emphasized the need for continued investments in agency staffing to address rising demands within law enforcement. Notably, he requested a 6% salary increase for 2026 and 2027 to retain talented personnel amidst competitive job markets. Public testimony highlighted community awareness challenges regarding the Landowner's Compensation Program, indicating a need for enhanced outreach efforts.
MN
Transcript Highlights:
- pays out in terms of submitting a claim.
- Um, and then either the claim is denied or it moves along and the assessment's taken and the process
- Representative Burkel: The fence claims and the crop damage that a herd of elk can do in a short time
- Um once the claim forms are happens.
- <00:14:37.040>
happens and and the uh pro the process happens and and the uh pro the process
Bills:
HF601
Keywords:
agriculture, depredation compensation, livestock, crop damage, elk, wolves, wildlife management, 1183, house
TX
Transcript Highlights:
- against the defendant to add negligent repair, negligent loading, or another similar claim.
- This bill is again a result of a similar process.
- Yeah, Represent Flores, if you want to work with Johnny on a claim that'd be fine.
- It's just a clear and clarifying the process by which you actually pursue these claims.
- Uh, process in most prosecuting attorney offices.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Sep 12th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- And that's a work in process. Okay.
- So you've got claims data and non-claims data. Really, you're looking at costs.
- claims.
- The All-Payer Claims Database, Madam Chair, members of the committee, tracks very detailed claims data
- data to the All-Payer Claims Database.
MN
Minnesota 2025-2026 Regular Session
Minnesota Management and Budget Press Conference 2/27/26
Transcript Highlights:
- is the denial prepayment review process is the denial of<00:27:00.960>
claims <00:27:01.360>- In this process,<00:27:06.799>
claims <00:27:07.200>for <00:27:07.520>the <00:27:- 07.760>
impacted process, claims for the impacted process, claims for the impacted benefits<00- claims that they flagged. claims that they flagged.
- So claims can't get paid review claims.
- In this process,<00:27:06.799>
Summary:
Minnesota Management and Budget officials presented the February 2026 budget and economic forecast, saying the state remains in a strong financial position but faces continued structural imbalance and significant uncertainty. Commissioner Aaron Campbell said the FY 2026-27 balance is now projected at more than $3.7 billion, up about $1.3 billion from November, and the FY 2028-29 planning period is projected to end with a $377 million positive balance. He emphasized that the improvement comes largely from higher projected revenues, especially individual income and corporate franchise taxes, but warned that the state is increasingly reliant on more volatile sources such as capital gains, interest income, and corporate profits.
State Economist Dr. Anthony Becker said the national outlook improved slightly, with stronger projected GDP, consumer spending, and investment, but weaker payroll growth and ongoing trade-policy uncertainty. He noted that the forecast was complicated by missing federal data because of the federal shutdown, and that tariffs, immigration policy, equity markets, and possible AI-related shifts all present risks. Revenue projections were raised for the current biennium, including individual income tax receipts, sales tax revenue, corporate franchise tax revenue, and other revenues, while Becker stressed that federal funding threats, especially involving Medicaid and other entitlement programs, could materially alter the outlook.
State Budget Director Anna Mingi said general fund spending in the current biennium is projected to be $68 million lower than previously estimated, but planning-year spending is up $152 million. The biggest spending changes came from education, where special education costs rose sharply after updated local spending data, and from human services, where a new prepayment review process for certain Medicaid benefits reduced projected spending by $133 million this biennium and $105 million in the next. She also said discretionary inflation is now estimated at $1.04 billion, up $104 million from November.
Campbell closed by saying the state’s reserve remains at a record $3.8 billion and that Minnesota’s AAA bond rating and reserve policy help protect against downturns. He cautioned, however, that the long-term structural imbalance remains about $3.4 billion in the planning years, or $2.3 billion excluding discretionary inflation, and urged policymakers to offset any new spending with reductions. No votes or formal actions were taken; the meeting was a presentation and question-and-answer session on the forecast.
TX
Transcript Highlights:
- Well, the insurance company denies that claim.
- So now that process review starts all over again. He wins that one.
- It will drive attorneys back into the process on both sides of the docket.
- You want them to be able to bring a workers' comp claim if they have to.
- Many other legal claims have much longer deadlines.
Keywords:
workers' compensation, municipal construction, bidding requirements, small municipalities, contracting policies, first responders, PTSD, mental health, emergency services, medical expenses, injury claims, insurance carriers, opportunity youth, workforce development, employment, education, federal funds, employment discrimination, immunity waiver, public employees
TX
Transcript Highlights:
- Is that how that process works? Yes, sir.
- product claims, and it is not for death cases.
- Cases, the extra claims that might come in.
- All of those claims arose out of a single business transaction.
- There are fraud claims, statutory claims, you know, a whole variety of things, but they all arose out
Keywords:
digital court reporting, court reporting, court reporter, electronic recording, audio recording, video recording, transcription, verbatim record, judicial administration, Office of Court Administration, Texas Judicial System, courts, depositions, grand jury, referee, court commissioner, court technology, courtroom technology, access to justice, accuracy
NH
New Hampshire 2025 Regular Session
House Labor, Industrial and Rehabilitative Services (01/28/2025)
Labor, Industrial and Rehabilitative Services
Transcript Highlights:
- could um enter a workman's comp claim could um enter a workman's comp claim but<02:05:35.360>
- that<02:11:48.400>
was process interview process if that was process interview process if - claim.
- He files his claim. Maybe it's a $1,000 claim.
- Okay, thank you. legal counsel to fight this claim so in legal counsel to fight this claim so in many
VA
Virginia 2026 Regular Session
Commission on Unemployment Compensation Jul 9th, 2026
Transcript Highlights:
- The data that came out yesterday show initial weekly claims of 2,369 for last week and continued claims
- during the pandemic. 2020, we're looking at more than a million claims.
- So we monitor continuing claims and how long people might need support.
- We are also seeing continued claims, so slightly longer duration.
- Claim volume and other factors that we need to be mindful of as we proceed.
KY
Kentucky 2026 Regular Session
House Standing Committee on Veterans, Military Affairs, and Public Protection (2-10-26)
Veterans, Military Affairs, & Public Protection
Transcript Highlights:
- I was very, very pleased with how the process went.
- I was very, very pleased with how the process went.
- initial claims. initial claims.
- This is a normal process we've had day.
- process at the VA for them to follow. process at the VA for them to follow.
Summary:
The committee met with a quorum and opened with the pledge and prayer before taking up House Joint Resolution 44 and House Bill 508, both related to veterans’ benefits assistance and accreditation. Rep. Cook said the resolution urges Congress, specifically Rep. Jack Bergman, to create an accreditation program for private companies that help veterans with claims. The resolution was framed as a response to concerns about bad actors while preserving veterans’ choice in who helps them. It passed the committee with favorable expression after a roll call vote.
The committee then heard House Bill 508, which would regulate third-party, for-profit veterans’ claims assistance by requiring disclosures, limiting fees, barring certain practices like international call centers and direct access to personal information, and requiring reporting to the Kentucky Department of Veterans Affairs. Rep. Cook emphasized that the bill would not affect accredited VSOs or attorneys and said it was meant to provide guardrails without eliminating free services. Supportive testimony came from representatives of private veterans-benefits organizations, who argued that veterans need more options and that the bill protects choice while targeting bad actors.
Opposition testimony came from Daryl Casey of JACVO, who said the bill should instead require VA accreditation for any for-profit company assisting veterans and argued the fee structure could take veterans’ benefits. Committee members questioned both sides about whether third-party vendors are operating now and whether accreditation is feasible. Several members said the bill was a step in the right direction, and Rep. Moore and others noted they might support an amendment tied to future federal accreditation. House Bill 508 passed the committee with favorable expression.
After Rep. McCool stepped out, the committee began House Bill 335, a separate measure allowing schools and other government facilities to have anti-choking devices and limiting liability to align with Good Samaritan protections. Sponsor Rep. Massaroni described it as a simple bill, and Lauren McCubbins testified emotionally in support, recounting the death of her 8-year-old son Landon after he choked at school and saying the bill could help prevent similar tragedies.
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Appropriations and Revenue (11-5-25)
Transcript Highlights:
- These are just the pharmacy and medical claims, which represent the vast majority of claims paid out
- These are just the pharmacy and medical claims, which represent the vast majority of claims paid out
- obviously there's running claims obviously there's running claims rejudication<00:10:38.720>
- There are more claims coming into the plan that are ultimately adjudicated as correct claims.
- <00:20:02.240>
you those individuals that have claims you those individuals that have claims
Keywords:
Meeting Start 00:00:00
State Health Insurance Plans 00:00:03
Executive Branch Salary Schedule Adjustments 00:29:15
Nutrition Program for the Elderly 00:34:52
Update on DORIS 01:05:38, 958, all
Summary:
The committee met on November 5, 2025, and first approved the minutes after a moment of silence for the UPS airport tragedy. The main presentation was from the Personnel Cabinet on the state health insurance plans and executive branch salary schedule adjustments. Officials said the health plan covers roughly 265,000 active members and up to about 300,000 across all benefit offerings, including school board employees, retirees, and other eligible groups. They described rising claims and expenditures, especially from high-cost claimants and pharmacy spending, and said recent premium and benefit changes were intended to balance costs while preserving recruitment and retention efforts. They also explained that employee premiums had not increased for several years, while employer contributions rose sharply in recent years, and projected a 10% employer increase and 3% employee increase going forward based on actuarial analysis. Committee members asked about deductibles, GLP-1 drug costs, claims validation, and the causes of cost growth; officials said the plan uses multiple payment-integrity vendors and that the increases reflect utilization, drug trends, and high-cost cases rather than a change in coverage.
The committee also discussed executive branch salary schedule adjustments. Personnel and budget officials explained that when the legislature approves annual pay increases, the salary schedule is adjusted by the same percentage through executive order so the minimum and midpoint stay aligned with approved compensation levels. They said the 2025 adjustment was a 3% match effective September 16 and that the change was costless because salaries had already been increased. Members raised concerns about salary compression, noting that new hires can sometimes be paid near the level of long-serving employees. Officials said the adjustment helps prevent compression from worsening but does not solve it, and they acknowledged prior RFP efforts to address the issue were unsuccessful because no qualified bidder met the requirements.
After the health plan and salary discussions, the committee began a presentation from the Cabinet for Health and Family Services on Kentucky’s senior meal program. Secretary Stack explained that the program is a federal-state-local partnership under the Older Americans Act, with area development districts helping deliver services. He outlined eligibility rules, noting that congregate meals at senior centers are available to people age 60 and older, with a spouse of any age allowed to join, and that home-delivered meals have additional homebound and assistance requirements. Members asked whether there was any means test for congregate meals, and the secretary said there is not; the only threshold is age for the center-based meals, while the home-delivered program has additional criteria.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 03/03/26
Health and Human Services
Transcript Highlights:
- but the highest was among those claims but the highest was among those claims that<00:17:52.240>
- Prepayment review process.
- And that process utilizes analytics to detect abnormalities in claims.
- that were billed to the state during the prepayment review process, that we saw fewer claims submitted
- <00:32:31.919>
where is seen when you have a process where is seen when you have a process
MN
Transcript Highlights:
- So, there's a process first of going through an administrative process with the board, and then from
- So, there there's a process attorney.
- <00:27:10.280>
cuz that discovery process cuz that discovery process cuz they<00:27:11.200 - that profit off of this entire process. that profit off of this entire process.
- <00:32:25.120>
to <00:32:25.200>be they claim to be they claim to be collecting<00:
NH
Transcript Highlights:
- claims.
- file claims themselves. they settle. file claims themselves. they settle.
- And the vast majority of these claims are not statutory cap claims.
- The second section deals with a process in which the small claims court district court, circuit court
- is the standard for most civil claims. is the standard for most civil claims.
HI
Hawaii 2025 Regular Session
CPC Public Hearing- Thu Jan 30, 2025 @ 2:00 PM HST
Consumer Protection & Commerce
Transcript Highlights:
- Small claims court is one that has informal processes, right?
- if small claims court allows it?
- if small claims court allows it?
- Claims court and represent the association if small claims court allows it.
- So, in my opinion, the consent-to-rate process is not the problem. It's a very quick process.
Summary:
The committee on Consumer Protection and Commerce met on January 30, 2025, and heard testimony on several condominium-related bills, beginning with HB 70. HB 70 would require a budget summary disclosure for condominiums. Supporters, including Community Associations Institute, a real estate broker, and several condominium owners, said the bill would improve consumer protection by giving owners and buyers a clearer, more understandable snapshot of an association’s financial health and reserve compliance. One supporter noted the bill should help reduce confusion caused by lengthy reserve studies and emphasized the importance of accurate disclosure. A testifier also urged the committee to hear other condominium bills quickly, including measures related to an ombudsman, managing agents, parliamentarians, and attorney’s fees.
The committee then heard HB 106, which would change the process for condominium fines and disputes. Phil Nery of CAI and other supporters said the bill would strengthen due process by requiring clearer notice, allowing an internal board appeal, and then permitting small claims court review without attorney’s fees unless the fine is upheld. They argued this would prevent fines from escalating into costly legal disputes and provide a more linear, fair process. Some supporters suggested amendments, including clarifying that the statute controls over association documents and refining refund language. During questioning, members raised concerns about small claims limits and whether associations would be represented by volunteers or attorneys. One testifier initially in support later said he would not support the bill as written after hearing HPD’s concerns.
HB 224, relating to property rights, drew opposition from the Department of the Attorney General and the Honolulu Police Department. Both agencies said the bill would improperly push law enforcement into a quasi-judicial role and could short-circuit existing due process procedures for occupants of residences. A realtor who had initially been listed in support changed his position after hearing the opposition testimony. The committee also heard emotional testimony from a resident describing a long-running squatter and utility theft problem at a neighboring property, which he said took years of court action and police involvement to resolve. No votes or final committee actions were taken during the portion of the meeting reflected in the transcript.
AZ
Arizona 2026 Regular Session
03/25/2026 - House Federalism, Military Affairs & Elections
Federalism, Military Affairs & Elections
Transcript Highlights:
- Through the process, we will have two veterans who've gone through the process testifying after me.
- It will be a long process.
- All I can speak to is the process.
- What the certification process is at its best, what it should be, is a process in which the board identifies
- The same process should apply.
Bills:
SB1003, SB1060, SB1134, SB1275, SB1327, SB1429, SB1618, SB1634, SB1654, SB1803, SCR1002, SCR1005, SCR1023, SCR1027
Keywords:
election, canvass, certification, ballot tabulation, write-in candidates, registration, voting procedures, voter registration, temporary absence, absentee voting, residency, military voters, overseas voters, election law, Arizona Revised Statutes, political signs, campaign materials, public safety, municipal regulation, veterans
Summary:
The committee first heard a lengthy presentation and discussion focused on Arizona State University’s foreign research ties, especially collaborations and funding connected to China and Chinese military-affiliated institutions. The presenter argued that ASU and the Arizona Board of Regents had not been transparent about foreign gifts, contracts, and research partnerships, citing federal reporting forms, the Wolf Amendment, export-control concerns, and alleged links to dual-use technologies such as quantum systems, AI, robotics, microelectronics, and biosecurity. A witness from American Global Strategies testified in support, saying the bill would help protect U.S. research security and national security by imposing state-level guardrails on sensitive collaborations. After questions, the committee considered a strike-everything amendment to SB 1060 that would bar public universities from entering into or continuing certain loans, gifts, contracts, research partnerships, or sponsored projects involving the PRC, the CCP, and listed Chinese military-linked universities, require ABOR review and approval, and impose reporting and budget penalties. The amendment was withdrawn, and the committee instead took up SB 1327, which directs ABOR to require university research security policies and to report annually on those policies and on foreign contributions over $250,000; SB 1327 received a 4-2 do-pass recommendation, with Del Santos, Hernandez, and Márquez voting no and Kolodin, Powell, Keshel, and Gillette voting yes. The committee then heard SB 1803, a veterans bill regulating unrecognized persons who assist with VA disability claims. The sponsor and industry witnesses said the bill would protect veterans from bad actors by requiring disclosures, capping fees, banning certain practices, and filing service agreements with the Attorney General, while opponents argued it could restrict consumer choice, resemble a price ceiling, and still allow non-attorneys to engage in the unauthorized practice of law. After extensive debate over contingent fees, legal ethics, and whether the bill was too favorable to one company, the committee continued the hearing with additional testimony and questions.
TX
Transcript Highlights:
- This process is still ongoing.
- When companies expect more claims, they build the expected costs of paying those claims into rates, and
- when claims are due.
- Claims, they build the expected costs of paying those claims into rates, and that increases premiums.
- when claims are due.
CA
Transcript Highlights:
- there's another claim that may go back to that they have not been improperly cashed and then claimed
- to verify claims, legitimize the claims, make sure they are legitimate. but then process them more expeditiously
- , the claims themselves are fairly recent.
- DGS and reserved for the next claims bill.
- That limits the number of claims that need to wait for the next claims bill.