Video & Transcript : 'Alabama Department of Insurance' :
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MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 11:00 am
Joint Committee on Financial Services
Transcript Highlights:
- We do thousands of these a year, and when it comes to insurers and securities firms, we do a lot of it
- We litigate the insurance rate cases administratively in the Division of Insurance in front of the commissioner
- Representing the Mass Association of Insurance Agents.
- I'm the president of the Mass Association of Public Insurance Adjusters.
- We represent the insured in the negotiation of property insurance claims.
Committee:
Joint Joint Committee on Financial Services
Summary:
The committee held an informational opening hearing for the Financial Services Committee, with Chair Murphy and Senator Feeney introducing new and returning members and explaining that no bills were being heard that day beyond brief introductory testimony. Commissioner of Banks Mary Gallagher thanked the committee for last session’s money transmission modernization law, and several members echoed appreciation for her office’s work. The hearing then featured a long series of stakeholder introductions and overviews of their priorities for the session.
Testimony covered a wide range of financial, insurance, housing, health care, and consumer issues. Banking and mortgage groups discussed housing affordability, foreclosure delinquencies, flood insurance, regulatory changes, and the impact of federal policy shifts. Insurance representatives raised concerns about auto and homeowners market pressures, labor rates, tariffs, rebates, e-titling, third-party litigation funding, and public adjuster restrictions. Consumer and advocacy groups highlighted debt collection reform, earned wage access, retirement savings access, public banking, and consumer protections in financial services. Several speakers also emphasized the need for committee expertise and offered themselves as resources for future bills.
Health-related organizations focused on insurance mandates, prior authorization, behavioral health access, pharmacy benefit manager reform, community health center funding, maternal health and midwifery reimbursement, and anesthesia reimbursement parity. Other groups, including credit unions, retailers, auto dealers, dental and medical associations, and behavioral health providers, described their roles in the Commonwealth and previewed legislation or policy areas they expect to follow this session. No votes were taken; the meeting was informational and ended after testimony from the sign-up list and a few late additions.
NH
New Hampshire 2025 Regular Session
Senate Health and Human Services (02/12/2025)
Health and Human Services
Transcript Highlights:
- Actuarial study, which the Department of Insurance, working with many EMS agencies and the Department
- of Insurance.
- of Insurance, we should add the Department of Safety.
- of insurance you bring in the department of insurance you know<03:33:41.439><c> the</c><03:33:41.560
- should</c> the department of insurance we should the department of insurance we should add<03:33:48.920
Committee:
Senate Health and Human Services
NH
Transcript Highlights:
- these to be managed by the insurance department, where they have expertise rather than Secretary of
- these to be managed by the insurance department, where they have expertise, rather than Secretary of
- Is it the Department of State? Is it the insurance departments? >> I do.
- So, they're not under the Secretary of State. They're not under the insurance department.
- Is it the insurance of State? Is it the insurance departments? departments? departments?
Committee:
Senate Finance
FL
Transcript Highlights:
- It allows the Department of Transportation to fund a portion of vertiport project costs, similar to what
- Personal Insurance Federation of Florida. Yes, hi. Thank you, Chair.
- And again, I represent the Personal Insurance Federation of Florida.
- So we write a vast majority of the auto insurance in this state.
- Christine Ashburn of the National Association of Mutual Insurance Companies waved against.
Committee:
Senate Transportation
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Aug 19th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- But I think that all of this is for the stability of the patient, of the provider, of the insurers.
- One of the recommendations that we've repeated over and over, especially from the Department of Health
- There's a New Mexico Department of Health recommendation, and of course some of the things that can be
- I know of a person in the Department of Health who is working specifically on heat and health issues.
- One, it raises really the question of the utility of private insurance companies and calls into question
AZ
Arizona 2026 Regular Session
03/23/2026 - House Health & Human Services
House Health & Human Services Committee of Reference
Transcript Highlights:
- We do have a lot of bills affecting Access and the Department of Child Services.
- But the Department of Defense, one of the primary responsibilities of the things that push down to the
- I called the Department of Health and found out I'm not allowed to put any kind of hyperbaric oxygen
- Madam Chair, members, Senate Bill 1628 establishes the reporting requirements for the Department of Insurance
- regulators for different types of insurance plans.
Summary:
The committee heard several bills related to radiation protection in cardiac catheterization labs and later a stem cell/regenerative therapy bill. On SB 1121, which would allow hospitals with radiation protection systems to let clinicians forgo lead aprons if they work in the designated safety area and use real-time dosimetry, testimony was largely supportive or neutral after a late amendment gave radiation safety officers discretion to require protective gear if exposures approach thresholds. The committee adopted the amendment and passed SB 1121 on a 9-1 vote. SB 1120, a more prescriptive bill requiring at least 50% of cath lab rooms in hospitals to be equipped with the radiation protection system, drew divided testimony: sponsors and several physicians argued it would reduce orthopedic injury and radiation exposure and improve recruitment and retention, while hospital and radiology groups objected to the mandate, cost, limited vendor pool, and lack of clarity in the bill’s definitions. After adopting an amendment excluding children’s hospitals, the committee deadlocked 6-6 and SB 1120 failed to pass.
The committee then considered SB 1118, which would appropriate $3 million to help rural hospitals install radiation protection systems in cath lab rooms. The sponsor said the funding would help rural facilities meet the same safety goals, and the committee passed the bill 6-5. The committee also heard SB 1214, a “guardrails” bill regulating non-FDA-approved stem cell and regenerative therapies, requiring informed consent, sourcing and reporting standards, advertising limits, and civil penalties for violations. Supporters said it would protect patients while allowing access to promising therapies; some members raised concerns about evidence and commercialization, but after adopting a technical amendment, the bill passed 9-3. The transcript ended as the committee moved on to SB 1630, which would seek federal approval for a home- and community-based service benefit for adults with serious mental illness; the sponsor described it as a capped, Medicaid-based community care option, and Access testified neutral while estimating a fiscal impact, but no final action on SB 1630 appears in the excerpt.
MN
Minnesota 2025-2026 Regular Session
House Floor Session 4/29/25 - Part 2
Minnesota House Floor Meeting
Transcript Highlights:
- The departments, both the Department of Veterans Affairs and the Department of Military Affairs, wanted
- of insurance.
- </c> insurance to look at the rising cost of insurance to look at the rising cost of insurance.<02:41
- > of</c> state and the Minnesota Department of state and the Minnesota Department of Commerce<02:48:52.399
- </c><03:55:53.279><c> of</c> And that's why the Department of And that's why the Department of Education
NH
Transcript Highlights:
- of the insurance company and how we manage that.
- We work with the Department of Insurance and the insurers themselves to be able to create this pool and
- Seeing none, the motion is ought to pass. with the Department of Insurance and and with the Department
- of Insurance and and the<00:34:37.639><c> insurers</c><00:34:38.159><c> themselves</c><00:34:38.879>
- </c><00:40:53.240><c> of</c><00:40:53.280><c> Health</c> Officer with the Department of Health Officer
Committee:
Senate Finance
WA
Washington 2025-2026 Regular Session
Senate Health & Long-Term Care Jan 15th, 2026
Transcript Highlights:
- I worked for a couple of insurance companies, so I have that side of me.
- I worked for a couple of insurance companies. So I have that side of me.
- The purpose of this bill is to provide more flexibility for the Department of Health to develop recommendations
- That's the nature and the purpose of health insurance.
- Kennedy Jr., now head of the Department of Health and Human Services, stood on the steps of this Capitol
Summary:
The Senate Health and Long-Term Care Committee opened its 2026 session with a work session focused on the committee’s priorities of access, quality, and affordability. Health Care Authority staff Michelle Needham and Ross Florey reviewed the Health Care Cost Transparency Board’s work, noting Washington’s uninsured rate has fallen from 15% in 2010 to 5%, but health care spending growth remains above the benchmark. They said 2023 spending grew 6.2% versus a 3.2% target, with prescription drugs, hospital outpatient care, professional services, and non-claims spending driving growth. They highlighted ongoing work on market transparency, hospital spending, primary care, and federal policy changes that could reduce coverage and increase uncompensated care. Dr. Drew Oliva of the Washington Health Alliance added quality and safety data, saying many measures remain below top national performance, primary care attachment is weak, hospital pricing varies widely, and behavioral health data are limited. He urged stronger primary care investment, more transparency, and better patient safety oversight. Committee members then introduced themselves and staff before moving to public hearings.
The committee first heard Senate Bill 5877, a technical fix expanding the physician health program surcharge to certified anesthesiologist assistants so they can participate in the Washington Physicians Health Program and related educational resources. The bill sponsor and witnesses from the Washington Medical Commission, the Washington Academy of Anesthesiologist Assistants, and the Washington Physicians Health Program all supported the measure, describing it as a consistency and access fix for a newly licensed profession. The bill drew 12 pro, 2 con, and 0 other sign-ins.
The committee then heard Senate Bill 5967, which would preserve access to preventive services by allowing the Department of Health to issue immunization recommendations based on multiple expert sources and by freezing state insurance coverage protections for preventive services and vaccines as of mid-2025, with OIC rulemaking authority to keep coverage at least as favorable. The sponsor, Insurance Commissioner Patty Kuderer, Secretary of Health Dennis Worsham, and Governor’s office staff said the bill is intended to protect existing coverage, not create new vaccine mandates, and to keep recommendations grounded in science amid federal uncertainty. Supporters included Dr. Helen Chu, Dr. Beth Harvey, Dr. Maria Huang, Dr. J. Miller, and Dr. Matt LaGalbo, who emphasized vaccine safety, rising vaccine-preventable diseases, and the importance of no-cost preventive care. Opponents, including Bob Runnels and Natalie Chavez, argued the bill politicizes vaccines, reduces transparency, and expands state authority without adequate fiscal detail. The hearing continued with additional testimony after the excerpt ended.
ID
Transcript Highlights:
- So I went to work on it, asked a lot of questions, talked to our Department of Insurance here in the
- So I asked around, talked to the Department of Insurance, talked to Mrs.
- So I asked around, talked to the Department of Insurance, talked to Mrs.
- First, it shows our support for the director of the Department of Insurance and his efforts to help stabilize
- First, it shows our support for the director of the Department of Insurance and his efforts to help stabilize
Summary:
The House convened with prayer, the Pledge of Allegiance, and approval of the journal, then received several Senate messages and committee reports. A number of bills were introduced or advanced, including measures on health care, elections, schools, water districts, crime victims, and animal protection, along with several resolutions and memorials. The House also took up a constitutional resolution on parental rights in education, but House Joint Resolution 9 failed because it did not receive the required two-thirds vote, finishing at 44 ayes and 25 nays.
The chamber then considered and passed several bills on third reading. House Bill 585 would impose a 48-hour deadline for mechanical, electrical, and plumbing inspections and allow refunds and third-party inspections if the deadline is missed; members disclosed Rule 80 conflicts because of permit-related businesses, and the bill passed 69-1. House Bill 736 lowered the voter threshold for ballot rotation requirements to expand rotation to more elections and passed 68-1. House Bill 626 changed county impact-fee language from “may” to “shall,” House Bill 749 addressed annexation-related septic system costs, House Bill 650 affirmed federalism principles, House Bill 788 created a pilot incentive for medical preceptors, House Bill 738 added an LLC filing option using a commercial registered agent address, House Bill 685 added a sentencing enhancement for crimes committed while masked, House Bill 696 updated prison sexual-contact language, House Bill 686 created a narrow nepotism exception for small towns, House Bill 670 clarified urban renewal/fire district opt-out rules, House Bill 734 fixed a wind/geothermal tax distribution formula, and House Bill 570 increased penalties for reckless driving in active construction zones. Most of these bills passed with comfortable majorities, though House Bill 685 passed narrowly at 38-31 and House Bill 570 passed 68-1.
Later, the House passed House Bill 561 on flag displays by government entities, despite debate that it was aimed at restricting certain local flags; it passed 58-11. The House also passed House Bill 692 on foster-care court proceedings and House Bill 575 on centralized civil asset forfeiture reporting, both after debate about transparency and court procedure. Additional bills passed included House Bill 562, extending the notice period for insurance nonrenewals to 60 days; House Bill 810, setting residency requirements for legislative candidates with exemptions for military service and missions; House Bill 593, repealing obsolete waste-management and Big Payette Lake provisions; House Bill 714, updating hazardous waste siting law; and House Bill 507, revising Idaho National Guard military justice procedures to restore non-judicial punishment authority. The House recessed and later returned to continue business, with several bills transmitted to the Senate after passage and no title corrections on the measures considered.
MN
Minnesota 2025-2026 Regular Session
Cmte on Rules - Subcommittee on the Federal Impact on Minnesotans and Economic Stability - 01/15/26
Transcript Highlights:
- </c><00:10:37.440><c> I'm</c> Minnesota Department of Health. I'm Minnesota Department of Health.
- </c> public sources of health insurance. public sources of health insurance.
- </c> Minnesota Department of Health as well.
- </c> MHA has been working with the Department MHA has been working with the Department of<01:10:01.840
- to the Department of Human Services.
Summary:
The Select Subcommittee first took up adoption of three previously prepared nonpartisan committee summary reports dated October 15, November 13, and November 21. Senator Rasmusson objected to the lack of advance notice about the day’s testifiers and criticized the practice of having nonpartisan staff summarize what he described as a partisan agenda. The chair responded that the committee’s purpose is to gather information, not hear bills, and that the summaries were intended as neutral resources for the Senate. Senator Coopek moved adoption, the motion was opposed by Rasmusson and another member, and the motion passed.
The committee then turned to the day’s hearing on federal impacts on Minnesota, with the chair focusing on federal funding threats and the effect of congressional budget actions on health care, especially in greater Minnesota. The first presentation came from the Minnesota Department of Health on the state’s rural health transformation work. Assistant Commissioner Carol Broom introduced the team and described the rural hospital transformation program as a major opportunity to invest in rural health, while acknowledging longstanding challenges such as demographics, transportation barriers, and the financing of care. Nitha Moibi outlined the state’s rural health chart book and data showing an aging population, workforce shortages, and many health professional shortage areas, and described proposed strategies including workforce pipelines, bridge payments for low-volume birth hospitals, telehealth access points, mental health urgent care, and chronic disease prevention.
Acting Assistant Commissioner Anna Ashby of the Minnesota Management and Budget office explained the state’s application to CMS for the Rural Health Transformation Program, which was created in federal law and awarded Minnesota just over $193 million for federal fiscal year 2026. She said the application was shaped by public comments, stakeholder meetings, and legislative outreach, and included initiatives on preventive care, workforce, care access, behavioral health, and provider financial stability. She also reviewed implementation constraints, including a January 30 revised budget deadline, limits on administrative spending, restrictions on using funds to offset Medicaid losses, and the need to show measurable progress to remain eligible for future funding. The presentation noted that most year-one funding would go to rural hospitals, with additional support for federally qualified health centers, community mental health centers, tribal partners, and technical assistance.
WA
Washington 2025-2026 Regular Session
Senate Health & Long-Term Care Dec 4th, 2025
Transcript Highlights:
- Rector, our Assistant Secretary of Home and Community Living Administration with the Department of Social
- For the Employment Security Department, as of October of this year, SNF vacancy rates were at 11%.
- For the employment security department, as of October of this year, SNF vacancy rates were at 11%.
- David Mancuso, Director of Research and Analytics with the Washington State Department of Social and
- It allows our State Department of Health to oversee and enforce some of those provisions.
Summary:
The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only.
The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit.
The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.
WA
Washington 2025-2026 Regular Session
Senate Law & Justice Feb 23rd, 2026
Transcript Highlights:
- It is a gross misdemeanor, and upon conviction of this reckless endangerment the Department of Licensing
- The Department of Licensing shall suspend the driver's...
- Chief Boyle of Yakima, Washington Bikes, insurance companies, the Office of the Insurance Commissioner
- Chief Boyle of Yakma, Washington Bikes, insurance companies in the Office of the Insurance Commissioner
- He was a knowledgeable and highly valued staff member of the Washington State Department of Health.
Summary:
The committee began by waiving the five-day notice rule for engrossed substitute House Bill 2095 so it could be heard that day. It then took public testimony on House Bill 2248, a technical cleanup bill affecting Secretary of State corporate and nonprofit filings, trademarks, foreign entities, and apostille procedures. The prime sponsor said the bill makes no policy changes or fee increases, while the Secretary of State’s office supported it as a clarification measure. One testifier raised concerns about multiple LLCs and transparency in manufactured home communities, asking for stronger oversight and verification. The committee then heard engrossed substitute House Bill 2508, which expands the Office of Independent Investigations’ jurisdiction over deadly-force and related non-deadly-force incidents, broadens notification and records access requirements, and exempts certain records from disclosure. The sponsor and OII testified in support, emphasizing that the bill clarifies authority and procedures; members asked about how far back investigations could go, and staff confirmed there was no time limit for deadly-force cases under the bill.
The committee also heard Substitute House Bill 2203, creating the offense of reckless interference with emergency operations for driving around closures on hazardous roadways. The sponsor described it as a response to flood and disaster rescues, and fire chiefs supported it as a safety and accountability measure. Defense attorneys opposed it as unnecessary and disproportionate, warning of criminal penalties, license suspensions, restitution, and fiscal costs for conduct they viewed as more appropriately handled civilly. Next, Second Substitute House Bill 1909 proposed a Court Unification Task Force to study inefficiencies and inequities in Washington’s fragmented court system; the sponsor and a legal aid attorney supported it as an access-to-justice reform, while the committee noted a large number of signed-in opponents. Finally, engrossed substitute House Bill 2095 would create a rebuttable presumption of negligence for drivers who injure or kill vulnerable road users in designated areas, along with education requirements and damages provisions. Supporters, including a widow, bicycling advocates, and a bike commuter, said it would improve accountability and help injured people who cannot easily prove fault; opponents from cities, trucking, and defense groups argued it would expand litigation, create liability and fee-shifting problems, and go beyond existing negligence law.
After public hearings, the committee moved into executive session and advanced several bills. Substitute House Bill 2158 received a do pass recommendation. Substitute House Bill 2239, concerning family burial grounds on private property, was amended to increase a setback from public rights-of-way and easements and then received a do pass recommendation as amended. Substitute House Bill 2178 on court rules and procedures also received a do pass recommendation. House Bill 2543 on county clerk fees was advanced despite concerns about fee increases. Engrossed Substitute House Bill 2165 on false identification as a peace officer was amended to clarify intent and then passed out of committee. The committee also adopted an amendment to Engrossed Substitute House Bill 2320 on firearm manufacturing, including a change allowing certain digital code and manufacturing activity for repair purposes, and discussed another amendment removing some possession prohibitions for personal use.
CA
California 2025-2026 Regular Session
Assembly Environmental Safety and Toxic Materials Committee Apr 14th, 2026
Environmental Safety and Toxic Materials
Transcript Highlights:
- We have never in the department seen smoke damage of this magnitude in an urban setting.
- This is not an insurance issue for us. We at the department are not the expert here.
- inconsistent insurer practices or paying out of pocket just to prove their homes are unsafe.
- I'm Allison 80 here on behalf of the Personal Insurance Federation of California in respectful opposition
- Tony Signorelli, Deputy Commissioner, Consumer Services for the Department of Insurance.
WA
Washington 2025-2026 Regular Session
Senate Transportation Feb 3rd, 2026
Transcript Highlights:
- This is literally about the record of a request to the Department of Health or the Department of Licensing
- …record of a request to the Department of Health or the Department of Licensing to change the gender
- to an insurance company as part of an insurance settlement.
- So, in way of background... ...vehicle as part of an insurance settlement.
- of interest form provided by the Department of Licensing.
Summary:
The Senate Transportation Committee held public hearings on several measures. ESHB 1980 would allow private employer shuttle services to use certain BAT lanes in King County under a two-year pilot, with local authority and transit-agency approval, performance standards, fee-for-use requirements, labor input, annual reporting, and a 10-year sunset. Supporters from Bellevue, transit employers, and business groups said it would improve commute options, reduce congestion, and support the upcoming RapidRide K Line; staff noted the bill differs from prior versions by adding the pilot, labor representation, vehicle markings, and reporting. The committee then heard SB 6252, which would extend the transit support grant program’s zero-fare requirement to degree- and certificate-seeking community and technical college students. Supporters said it would improve access to education and transit, especially for older and rural students, while transit groups raised concerns about fare revenue losses and implementation costs; staff estimated no state cost but significant local revenue impacts. The committee also heard SB 6081, a privacy bill that would restrict public disclosure of sex designation change records in Department of Licensing and Department of Health records, limit sharing with other jurisdictions, and keep updated credentials from showing that a change occurred. The sponsor and many supporters framed it as a safety measure for transgender Washingtonians, while opponents argued it would undermine accurate records; staff said the Department of Licensing would face about $1 million in implementation costs over four years, with other agencies expecting minimal impacts. Finally, SB 6265 would allow electronic, non-notarized signatures and printed copies for documents transferring a totaled salvage vehicle to an insurer; the sponsor and salvage-industry witnesses said it would modernize the process and reduce hardship, and staff reported no fiscal impact. No votes or executive actions were taken; the committee closed each public hearing and adjourned after a reminder about amendment deadlines for upcoming executive session bills.
WY
Wyoming 2026 Regular Session
Labor, Health & Social Services Interim Topics Meeting, March 4, 2026
Transcript Highlights:
- Department of Health a >> Um and the the Department of Health a couple<00:04:13.880><c> years<
- the Department of Workforce with the Department of Workforce Services<00:09:30.200><c> that</c><00:09
- </c><00:43:05.840><c> of</c> housed within the Department of housed within the Department of Insurance
- </c> of Department of Health. of Department of Health.
- So, the Department of Health has no position on the merits of any of these.
Summary:
The committee opened by explaining it would work through a long list of interim topics one at a time and asked members to complete a selection form at the end. The first topic, long-term care, drew testimony from AARP Wyoming and the Wyoming Long-Term Care Association. AARP emphasized Wyoming’s aging population, the state’s roughly $200 million annual Medicaid spending on long-term care, and the need to examine whether more support for home-based care could reduce nursing home use and costs. The association agreed with supporting people at home as long as possible, but asked that any study also consider increased support for nursing homes and assisted living when home care is no longer feasible. Committee discussion also touched on adult day care and PACE-like services, with Mr. Laycock noting prior Department of Health discussion and limited adult day availability due to reimbursement concerns.
The committee then heard proposals for neonatal intensive care unit family leave, expanded midwifery scope, and a modification to workers’ compensation law. The NICU leave idea, presented by the Wyoming Women’s Foundation, would explore leave options for families with premature infants in intensive care, potentially paid or unpaid, while considering business size and the burden on families who may need out-of-state care. The midwifery topic was framed as a way to address rural maternity and women’s health gaps by allowing midwives to practice to the full extent of their training. On workers’ compensation, the Wyoming Association of Municipalities sought to classify dispatch personnel as first responders so they could receive mental health coverage under workers’ compensation; the Department of Workforce Services explained that current law covers dispatchers under workers’ compensation generally, but the first responder mental health provision added in 2018 applies to law enforcement and firefighters and does not currently include dispatchers.
Other topics included problematic gaming and program funding, breast cancer diagnostic and supplemental exams, prescription drug coverage for advanced metastatic cancer, SNAP education, behavioral health workforce clinical training site shortages, CPR in schools, and broader midwifery oversight. The behavioral health workforce proposal, brought by a WICHE commissioner, focused on increasing psychology internship slots in Wyoming, noting that the state currently has only three and that expanding placements could improve recruitment and retention. The CPR in schools topic drew strong support from the American Heart Association, which argued that CPR training in high school could improve bystander response in a rural state with long EMS response times; committee members asked about cost and curriculum fit, and the witnesses said hands-only CPR could be taught by school staff rather than requiring expensive certification. The midwifery discussion later broadened into concerns about oversight and standards after a representative described a constituent’s pregnancy loss and said complaints involving midwifery practice and staffing delays in investigations warranted a deeper review. No votes were taken during the portion provided, and most topics were simply introduced, discussed, and left open for further testimony or later committee selection.
FL
Transcript Highlights:
- Of the 36 states allowing captive insurers, 21 allow some form of PCC.
- The bill strengthens the Department of Health's education program also for the care and treatment of
- of the Department of Children and Families, which is a very complex and duplicative process.
- Tab 25, CS for CS for SB 902 on the Department of Health.
- Bell, Department of Health, waves in support. Any debate?
Committee:
Senate Rules
WY
Wyoming 2026 Regular Session
House Labor, Health & Social Services Committee, February 27, 2026
Labor, Health & Social Services
Transcript Highlights:
- </c><00:43:32.480><c> the</c> Department of Health to monitor the Department of Health to monitor the
- </c><00:50:04.480><c> after</c> insurance a lot of what they pay after insurance a lot of what they pay
- My name is France Fuches, Deputy Director of the Department of Health.
- </c><00:55:31.440><c> of</c> three states that the department of three states that the department of
- </c><01:17:14.080><c> the</c> health insurance and of course in the health insurance and of course in
Committee:
House Labor, Health & Social Services
WA
Washington 2025-2026 Regular Session
Senate Law & Justice Jan 27th, 2026
Transcript Highlights:
- Risk Management in the Department of Enterprise Services.
- One of them, One of them looked at medical malpractice claim data submitted by insurers, and another
- I am also a consultant with the State of Tennessee's Department of Human Services.
- being supervised by the Department of Corrections.
- to and supervised by the Department of Corrections.
Summary:
The committee first heard Senate Bill 6239, which would require civil arbitration for tort claims against the state and its subdivisions before trial. Staff explained current tort-claim procedures and said the bill would apply arbitration to claims of any dollar amount, with a fiscal note pending. The sponsor said Washington’s liability exposure is unusually high and argued the bill would promote early resolution without limiting jury trials, damage caps, or attorney fees. Members asked who pays for arbitration and whether trial rights are preserved; staff said costs are generally split and the bill preserves a jury trial de novo.
Testimony on SB 6239 was sharply divided. Counties, cities, school districts, risk pools, and some public-safety groups supported the bill, saying rising liability and insurance costs are straining budgets and threatening core services. Opponents included trial lawyers, legal aid groups, victim advocates, journalists, and survivors of abuse, who argued the bill would create barriers to justice, delay relief, increase costs for claimants, reduce transparency, and retraumatize survivors by forcing private arbitration before a public trial. Several witnesses said the bill was too broad because it would cover employment, contract, and other claims, not just torts involving abuse or negligence. After public testimony closed, the committee noted the large number of sign-ins, with far more in opposition than in support.
The committee then took up Senate Bill 6074, which would reinstate parole for certain felony offenses committed on or after July 1, 2027, allow eligible incarcerated people to petition the Indeterminate Sentence Review Board after serving 60% of their sentence, and create a parole implementation work group. Supporters said it would recognize rehabilitation and improve reentry, while some witnesses raised concerns about the bill’s prospective-only application, the 60% threshold, and the need to address racial disparities and parole criteria more fully. The sponsor said the parole bill was paired with tort-liability reform because criminal justice reform advocates have said liability changes are needed to restore parole in Washington.
FL
Florida 2025 Regular Session
February 12, 2025 - 03:30 PM
Transcript Highlights:
- Zengali, the head of our Department of Revenue, to approach.
- We do a lot of insurance fraud and insurance investigations, so they have to learn about the insurance
- We do a lot of insurance fraud and insurance investigations, so they have to learn about the insurance
- So now we'll move on to the Office of Insurance Regulation. The Office of Insurance Regulation...
- The Office of Insurance Regulation had the assistance of the Department of Management Services to do
Summary:
The subcommittee met to review agency vacancy reports and agency-requested budget reductions, with Chair Lopez framing the discussion around stewardship of taxpayer dollars, agency efficiency, and whether long-vacant positions should be cut or repurposed. Members were given vacancy summaries and asked to focus on how agencies are functioning with current staffing, which positions are mission critical, and whether some vacancies reflect market pay issues, re-engineering of work, or true excess capacity. The chair also noted that agency heads had been asked to provide follow-up information on current openings, average vacancy duration, mission-critical roles, and reasons for vacancies.
The Department of Revenue was the first major agency reviewed because it had the largest number of vacancies. Its leadership said vacancies had improved from pandemic-era highs due to market pay adjustments, but that some areas—especially general tax and audit—still had long-term openings. The department explained that some positions are intentionally frozen while work is restructured, that it hires above minimum salary in some cases to stay competitive, and that it is using automation and process changes to reduce backlogs. Members raised concerns about vacancies outside Leon County, out-of-state auditor positions, salary compression, and whether the department should provide a list of frozen positions and the salaries actually needed to recruit.
The Department of Financial Services said its long vacancies were concentrated in risk management, law enforcement, and the general counsel’s office, where salaries and competition from private employers and other agencies make hiring difficult. DFS said it was using outside vendors in some areas, had reduced vacancies in its general counsel office significantly, and was willing to identify positions that could be cut, including some from treasury and OAT. The Department of Business and Professional Regulation reported progress in lowering vacancies through statewide recruiting, centralized legal hiring, automation in service operations, and leadership changes in alcoholic beverages and tobacco; it said one recommended cut could be achieved by combining two half-time positions. The Florida Lottery reported a low vacancy rate, said all positions were critical, and explained its longer onboarding time due to extensive background checks; members discussed sales reps, incentives, and the agency’s field-office structure. The Office of Financial Regulation said many of its vacancies were already in the hiring pipeline, with recent vacancies tied to promotions, a death, and internal moves, and noted that it often serves as a training ground for federal agencies. The Office of Insurance Regulation, which had a high vacancy rate concentrated in Leon County, said it had been reducing vacancies from a much higher level and was still working through hiring and administrative constraints.