Video & Transcript : 'claims adjustment' :
Page 40 of 500
MN
Transcript Highlights:
- </c><00:26:49.360><c> to</c><00:26:49.600><c> claim</c> services other than those claim to claim services
- other than those claim to claim the<00:26:50.000><c> working</c><00:26:50.320><c> family</c><00:26:50.640
- Adjusted for our rate, we have one of the least robust sales taxes in the country.
- Adjusted for our rate, we broader base.
- </c><00:56:43.680><c> their</c> have more wiggle room to adjust their have more wiggle room to adjust
FL
Florida 2025 Regular Session
October 15, 2025 - 08:00 AM
Transcript Highlights:
- BASED UPON CLAIMS DATA THE LARGEST PERCENTAGE OF CLIENTS ATTEND ADT BETWEEN 16 AND 20 DAYS PER BASED
- THESE ADJUSTMENTS ARE APPLIED IN THE PREVIOUS MODEL AND WILL CONTINUE TO BE REFINED.
- I NEED TO KNOW THE WHAT I APPLY A WAGE ADJUSTMENT TO SALARY AND FRINGE.
- I'M ADJUSTING EVERYONE'S SALARY AND FRINGE.
- I WAS TRYING TO DO THE ADJUSTMENTS ALIGN WITH OTHER TRENDS IN THE CHILD WELFARE SYSTEM.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 7 on Accountability and Oversight Apr 23rd, 2025
Transcript Highlights:
- We weren't, our report doesn't debate whether these are legit claims or not legit claims, whether we
- So it's an uninsured claim in its entirety.
- It's really not about the retroactive claims, but about future claims.
- At this point in time, claims, while there was a deadline to file claims that only applied to certain
- So, we have settled a portion of the claims to date.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Aug 19th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- We will start with an analysis of the medical claims and billing system in New Mexico.
- Our analysis of the medical claims and billing system in New Mexico.
- Coding and claims process.
- Adjusting only for inflation, the cost is estimated at $3.1 billion.
- Providers are limited to 90 days to submit a claim for patient care.
ID
Transcript Highlights:
- at that across all four of the three universities in Lewis and Clark, and we look at that and we adjust
- In Lewis and Clark, and we look at that and we adjust it up or down, almost always up because they're
- We would have had an adjustment on enrollment this year, would a total about $6 million for this across
- an exemption, if you've claimed an exemption, is the address that's used.
- When an individual submits their claim for the exemption, they're attesting to the fact that they don't
Summary:
The House Revenue and Taxation Committee approved minutes from March 6, 11, 12, and 13, 2026, after correcting an earlier procedural issue with the March 6 approval. The committee then heard House Bill 861, which would allow universities to apply for grants from the state’s hotel bed tax marketing fund. Representative Monks argued the bill would simply let universities compete for existing grant dollars without taking money directly from anyone, while opponents including the Idaho Outfitters and Guides Association said the fund is dedicated to tourism promotion and should not be diverted from chambers, travel groups, and rural outdoor businesses. After debate over whether the money would be reduced for current recipients and whether universities would actually benefit, the committee voted down the motion to send HB 861 to the floor with a due pass recommendation.
The committee next heard House Bill 885, which clarifies and tightens homestead exemption eligibility and documentation requirements, including requiring proof that a claimant does not have a similar homestead exemption in another state and allowing an Idaho income tax return as alternate proof of residency. Representative Raybould said the bill codifies existing law, helps ensure only Idaho residents receive the exemption and related property tax relief, and aligns homestead status with voting and candidate residency rules. Ron Nate of the Idaho Freedom Foundation opposed the bill, arguing it could retroactively affect candidates, create unequal exceptions, and impose an impractical multi-state verification burden. Despite concerns about retroactivity and implementation, the committee approved HB 885 and sent it to the floor with a due pass recommendation, with several members recording no votes.
Finally, the committee considered Senate Bill 1345, which would allow the Idaho Tax Commission to communicate with taxpayers by email or other secure electronic means on an opt-in basis instead of only by mail. Chairman Cannon said the bill would improve efficiency and save an estimated $300,000, and that the Tax Commission was comfortable with the July 1, 2026 implementation date. The committee had no testimony on the bill and passed the motion to send SB 1345 to the floor with a due pass recommendation.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 5 on Corrections, Public Safety, Judiciary, Labor and Transportation Apr 16th, 2026
Transcript Highlights:
- Without someone bringing an RJA claim before the court, no relief can be had, no matter how righteous
- the claim.
- We currently represent the four lead cases with RJA claims before the California Supreme Court.
- Chief Justice and adjust your May revision numbers based upon that hearing.
- That has not been adjusted for the budget.
Summary:
The Senate Budget Subcommittee on Corrections, Public Safety, Judiciary, Labor, and Transportation heard presentations on the Office of the State Public Defender, civil legal aid funding, and Judicial Branch operations. The State Public Defender requested permanent funding for positions that had been temporarily funded to implement the Racial Justice Act, explaining that the workload has grown substantially through retroactive capital-case briefing, habeas proceedings, data requests, and related statistical analysis. She also presented findings from a public defense workload and staffing report showing that California’s county-based public defense system is under-resourced, with too few attorneys, investigators, and support staff, especially in rural counties, and that statewide standards and funding are lacking. Committee members asked about the scope of racial bias claims, the impact of collaborative courts and Prop. 36, and the need for statewide cost estimates and phased funding options.
The committee then heard from legal aid advocates and a Los Angeles Superior Court judge in support of increased civil legal aid funding. Witnesses described the Equal Access Fund, homelessness prevention services, health care access, and immigration detention defense as cost-effective ways to prevent evictions, stabilize families, and reduce downstream public costs. They requested a $50 million increase to the Equal Access Fund, $20 million to restart homelessness prevention services, and $10 million for health care access work, along with additional targeted investments from the California Access to Justice Commission. Testimony emphasized the severe shortage of legal aid attorneys, the high demand for immigration representation, and the role of legal aid in domestic violence, housing, and family law matters. Senators asked for more information on service locations, outreach, funding losses, and how the requested amounts were calculated.
In the Judicial Branch overview, Judicial Council and trial court representatives supported the Governor’s proposed budget, including a $70 million increase for trial court operations, $21.7 million for employee health and retirement costs, and funding for appellate counsel and case processing. They said the money is needed to offset inflation, supply chain costs, and staffing pressures, and to preserve access to justice. Senators pressed the branch and Department of Finance on interpreter shortages, midyear funding flexibility, courthouse facilities needs, and judgeship needs in inland counties. Finance officials said they were aware of the broader facilities backlog, and the committee requested follow-up information on the full capital and maintenance needs, interpreter funding, and updated judgeship and workload data. No formal votes were taken during the hearing.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 5 on Corrections, Public Safety, Judiciary, Labor and Transportation Apr 16th, 2026
Transcript Highlights:
- the claim.
- can go up to 200 pages in the capital. claims.
- We currently represent the four lead cases with RJA claims before the California Supreme Court.
- Chief Justice and adjust your May revision numbers based upon that hearing.
- That has not been adjusted for the budget.
MN
Transcript Highlights:
- You take adjustments to gross income and then get AGI, adjusted gross income.
- ><c> income</c><00:02:55.120><c> and</c> take adjustments to gross income and take adjustments to gross
- </c> then get AGI adjusted gross income. then get AGI adjusted gross income.
- </c><00:05:13.680><c> gross</c> definition of Minnesota adjusted gross definition of Minnesota adjusted
- </c> law also specifies that they can't claim law also specifies that they can't claim a<00:12:38.000
Keywords:
January 6 insurrection, pardon, law enforcement, violent crimes, public safety, justice system, political accountability, Blaine, local sales tax, special tax, restaurant tax, lodging tax, admissions tax, amusement tax, hotel tax, redevelopment, capital improvements, municipal finance, bonding authority, tourism tax
WA
Washington 2025-2026 Regular Session
House Civil Rights & Judiciary Feb 24th, 2026
Transcript Highlights:
- There are requirements for presenting a claim under current law.
- In order to file an actionable claim, the claimant must make certain factual assertions in that claim
- meets the criteria for submitting a claim.
- Because if somebody has both a civil claim and a WCPA claim, under the civil case, they will get some—the
- And then finally, the line amendment adjusts slightly the new language in the...
Summary:
The committee heard Substitute Senate Bill 5520, which revises Washington’s wrongful conviction compensation law. Staff said the bill changes the proof standard for filing claims, expands treatment of Alford pleas, requires the Attorney General to concede qualifying claims in most cases, includes civil detention in compensation calculations, changes attorney fee provisions, and extends filing deadlines. The prime sponsor and supporters from the Washington Innocence Project and exonerees said the bill would reduce unnecessary relitigation and improve access to compensation, while one witness argued it would broaden eligibility and state costs. The bill was not acted on in the excerpt, but testimony was taken and questions focused on the term “actually innocent.”
The committee then heard Senate Bill 5536 on property division in dissolution and legal separation cases, which would direct courts to consider real-estate sale costs, homelessness risk, and housing needs when dividing property and liabilities, and would clarify enforcement of real property orders. The sponsor said the bill is meant to make property divisions more equitable when one spouse must keep and later sell the family home. No public testimony was taken on the bill in the excerpt.
In executive session, the committee considered Engrossed Substitute Senate Bill 5925 on Attorney General civil investigative demands. Members debated and voted on many amendments; most Republican-sponsored amendments were rejected, but Amendment 279, limiting use by the Criminal Justice Division, and Amendment 273, requiring consultation with local law enforcement in matters that may involve criminal violations, were adopted. The committee then passed the bill out with a do pass as amended recommendation by a 7-5 vote. The committee also heard and advanced Engrossed Substitute Senate Bill 6002 on automated license plate readers, adopting a striker and then passing the bill out 7-5 as amended, with members emphasizing privacy protections, retention limits, and limited law-enforcement uses while some members urged broader operational flexibility.
Later, the committee took brief public testimony on Gross Substitute Senate Bill 6086, which would let Administrative Office of the Courts security staff conduct threat assessments and expand Supreme Court bailiff authority; witnesses described rising threats to judges and court personnel. It also heard Senate Bill 5868 to add one superior court judge each in Skagit and Yakima counties, with local officials citing caseload growth and budget strain. Senate Joint Memorial 8006, urging restoration and expansion of the limited license legal technician program, drew support from a paralegal and victim advocate who said it would improve access to justice for domestic violence survivors. Finally, the committee considered Engrossed Second Substitute Senate Bill 5993 on medical debt interest rates, which would lower the interest cap on new medical debt and prohibit interest in certain circumstances; the bill was moved out of committee with a do pass recommendation in the excerpt.
NH
New Hampshire 2026 Regular Session
House Executive Departments and Administration (03/18/2026)
Executive Departments and Administration
Transcript Highlights:
- It's, um, handling or adjusting claims.
- </c> adjusting workers compensation claims. adjusting workers compensation claims.
- </c><03:45:54.560><c> It</c> It's um handling or adjusting claims.
- It It's um handling or adjusting claims.
- </c> I I think someone who is a claims I I think someone who is a claims adjuster,<03:47:29.600><c> for
Summary:
The committee first held a public hearing and then an executive session on Senate Bill 401, which DHHS described as a cleanup bill. Testimony from the department explained that the bill would repeal obsolete reporting requirements tied to a repealed municipal reimbursement program and to the now-repealed commission on demographic trends. No one testified in opposition, and the committee voted 12-0 ought to pass, placing the bill on the consent calendar.
The committee then heard Senate Bill 402, which would eliminate certain non-compete agreements for physician associates going forward. Senator Gray introduced the bill, and a representative of the New Hampshire Society of Physician Associates said it would improve workforce recruitment and access to care without changing scope of practice or affecting existing agreements. Committee members asked about the length of current restrictions and whether the change would make New Hampshire more attractive to PAs. The committee voted 12-0 ought to pass and sent the bill to the consent calendar.
Next, the committee took up Senate Bill 426, which would repeal the permissible fireworks committee. Senator Uler and the deputy state fire marshal said the committee’s original purpose had been overtaken by later changes adopting federal fireworks standards, and that the fire marshal now has the necessary authority. The committee voted 12-0 ought to pass and placed the bill on the consent calendar.
Finally, the committee began hearing Senate Bill 469, a DMV modernization bill allowing electronic signatures in place of wet signatures for certain motor vehicle title and registration processes. Senator Lang, Carvana, the New Hampshire Auto Dealers Association, Copart, and DMV staff all supported the measure, saying it would reduce delays, errors, and paperwork burdens. Members asked about AI, consumer protections, costs, and how electronic signatures would work in practice, including in cases involving deceased owners. The transcript cuts off during that hearing before any committee action on SB 469.
US
US Federal 2025-2026 Regular Session
Hearings to examine reducing waste, fraud and abuse through innovation, focusing on how AI and data can improve government efficiency. Apr 9th, 2025 at 01:30 pm
Joint Economic Committee
Transcript Highlights:
- You get risk-adjusted capitated payment or a population-based payment with the risk adjustment from diagnosis
- AI can swiftly identify fraudulent claims while speeding service to legitimate beneficiaries.
- We should have prepayment claims editing in Medicare and Medicaid to prevent that from happening.
- But we have multiple bills about moving AI and clean claims and those automations.
- Okay, so that'd be different than a true clean claims model. Claims model.
Keywords:
artificial intelligence, waste reduction, fraud prevention, government efficiency, improper payments, data reliability, oversight
Summary:
The meeting was chaired by Chairman Schweikert and involved a comprehensive discussion on how to utilize artificial intelligence (AI) for reducing waste, fraud, and improper payments within federal programs. Key witnesses, including Mr. Andrew Canarsa from the Council of the Inspectors General, provided insights on the potential of AI in enhancing government efficiency. The committee emphasized the importance of reliable data and thorough examination of AI application to avoid unintended consequences while addressing the estimated $162 billion in improper payments reported by the federal government. Concerns were raised regarding the recent firing of inspectors general and the impacts that could have on oversight and accountability processes.
LA
Transcript Highlights:
- It also seeks to implement a new cost-of-living adjustment, approximately 4%, effective July 1, 2026,
- Lastly, it includes a cost-of-living adjustment for 2027 at 2.1%.
- It's subject to the availability adjustment for 2027 at 2.1%.
- They currently pay their PBM like $5 per claim per month.
- So that makes the processing of that claim economical. You're underwater at this point.
Summary:
The Senate Finance Committee met with eight members present and deferred HB 127. It then considered a series of bills, most of which were reported favorably without opposition. HB 22 revised COLA rules for the clerks of court retirement system, allowing more frequent COLAs when the system is better funded; HB 324 made judicial stipends permanent and added future COLAs subject to available funding; HB 233 increased jury mileage reimbursement; HB 47 reorganized assessor retirement COLA statutes; HB 533 allowed St. Tammany Parish to transfer unused witness-fee account balances to the 22nd Judicial District Court; HB 980 adjusted eligibility for the Firemen’s Supplemental Pay Board; HCR 45 urged Congress to clarify ARPA deadlines for water projects; HB 559 increased court costs in the 4th Judicial District; HB 290 recreated the Department of Treasury and related entities in statute; and HB 382 addressed Joint Legislative Committee on the Budget review authority over Group Benefits plans. The committee also reported HB 1157 favorably, creating a financing bank mechanism for infrastructure projects, and HB 575 favorably, giving youth aging out of foster care preferred access to surplus state vehicles through the Louisiana Property Assistance Agency.
Several measures drew more discussion. HB 1236, dealing with pharmacy benefit managers and professional dispensing fees, prompted extensive testimony from the sponsor, the Legislative Fiscal Office, the Department of Insurance, independent pharmacies, and PBM representatives. Supporters said it clarifies and strengthens enforcement of existing PBM law and protects independent pharmacies; opponents argued the bill’s requirement that PBMs bear dispensing-fee costs would be difficult to implement and could raise premiums. The sponsor said he would work on amendments, including clarifying language and a delayed effective date, and the bill was nevertheless moved favorably. SB 25, on registrar of voters compensation, was amended to a revised pay structure and then reported favorably. HB 47 and HB 533 were also presented as funding and administrative cleanups for retirement and court-related accounts, with local support noted.
The committee also heard HB 233 on jury duty mileage reimbursement, which the sponsor said updates a 1961 rate and would be funded locally at an estimated average increase of about $4,000 per judicial district. HB 324 on judicial salaries was described as self-funded by the judiciary and subject to available funding, with no budget impact. HB 575 on foster youth transportation was presented as a non-appropriation measure aimed at helping youth aging out of foster care by giving them preferred access to surplus vehicles. HB 382, which concerns the Joint Legislative Committee on the Budget’s role in approving Group Benefits plans, was reported favorably with little discussion. The meeting ended after a motion to adjourn.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 2 on Human Services May 21st, 2025
Transcript Highlights:
- The average provider who claims overtime works 55 hours a week.
- So this is just a technical adjustment.
- Our adjustments are really technical adjustments.
- The next item is a federal fund authority adjustment.
- adjustment to the Federal Trust Fund, and that's all I have. ...setting net-zero adjustment to the Federal
Summary:
The hearing began with opening remarks on the Governor’s May Revision for child care and human services, with committee members and advocates stressing that the budget should not be balanced on the backs of low-income families, children, and providers. Legislative members and public witnesses strongly opposed the proposed suspension of the child care COLA, reductions to the Emergency Child Care Bridge Program, and the lack of codified rate reform tied to the alternative methodology. Several speakers also urged more support for providers affected by the Eaton fire and other disasters, and called for child care to be funded at the true cost of care and for additional slots to be restored.
Administration, LAO, and Department of Education staff described the child care proposal as maintaining existing funding levels while adding administrative resources to prepare for federally required prospective payment changes and single-rate reform. The administration said the May Revision would suspend the 2025–26 COLA and reduce Bridge Program funding to align with utilization, while the LAO raised questions about the size and purpose of the proposed rate-reform and prospective-payment funding and recommended rejecting a Department of Technology exemption. CDE supported continued early education investments but said it would need additional resources if prospective pay were extended to state preschool, and it objected to a proposed reallocation of preschool funds for inclusive education grants.
The committee then moved to the IHSS portion of the May Revision. DSS outlined five major proposals: capping provider work hours at 50 per week, eliminating IHSS for undocumented adults age 19 and older, shifting certain Community First Choice reassessment penalties to counties, reinstating the Medi-Cal asset test as a conforming IHSS reduction, and automating the termination of IHSS when Medi-Cal eligibility ends. DSS also discussed funding to implement a federal HCBS access rule and a separate reassessment of IHSS administrative methodology that found counties would need additional administrative funding. Finance said the proposals were intended to slow program growth and improve sustainability, while the LAO said it was still analyzing the package and raised concerns about implementation, county workload, and the potential loss of services.
Committee members and public commenters criticized the IHSS cuts, especially the overtime cap and the elimination of services for undocumented adults and people affected by the asset test. Advocates argued that IHSS workers and recipients depend on these services, that county administration is already underfunded, and that the proposals could destabilize vulnerable consumers. The chair closed by saying the committee would continue to fight for child care and would not pause on child care, and the meeting recessed before moving on to the remaining May Revision items.
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 2/18/26
Commerce Finance and Policy
MN
Transcript Highlights:
- claims.
- And when DHS reviews those flagged claims, how does DHS define a potentially fraudulent claim?
- </c> claims that need further investigation. claims that need further investigation.
- We pause payments for 13 claims.
- </c> more than 70 claims out of the hundred. more than 70 claims out of the hundred.
HI
Hawaii 2025 Regular Session
CPC/CPN Joint Info Briefing - Wed Dec 17, 2025 @ 9:30 AM HST
Hawaii House Floor Meeting
Transcript Highlights:
- <00:32:28.559><c> rather</c><00:32:28.880><c> than</c> adjustment rather than adjustment rather than
- So, this collection, and claims.
- </c> Um we also allow for online claim Um we also allow for online claim reporting.<00:37:57.760><c>
- </c> a lot of the claims to the 806. a lot of the claims to the 806.
- </c> people for single claim. people for single claim. >> Yes. >> Yes. >> Yes.
Summary:
The joint committees held an informational briefing on efforts to expand insurance capacity in Hawaii’s property market, especially for condominium and homeowners coverage. The Insurance Commissioner reviewed the background: a legislative task force, the governor’s emergency proclamation in August 2024, and Senate Bill 1044 in May 2025 led to new condo insurance products. He said the work over the past two and a half years was producing positive results and introduced representatives from HPIA and HHRF/HHR to provide updates.
HPIA’s board chair and its administrator described the organization’s history, structure, and current products. HPIA said it was created in 1991 as a residual market for homeowners insurance, now writing four residential products: HO2 homeowners, renters, HO6 condo unit owners, and dwelling fire. They reported policy counts have grown again as admitted-market carriers tightened underwriting, and they discussed financial pressure from reinsurance costs, though those costs had declined in 2025 after different purchasing decisions. They also said the market has become more favorable overall, with some capacity returning and deductibles beginning to ease.
Members focused much of their questioning on HPIA’s proposed higher dwelling limits. HPIA explained that the current $450,000 limit for homeowners and dwelling fire was set in 2023, but agents are now asking for a higher limit in the $650,000 to $750,000 range because construction costs have risen and many policies are not being submitted when the limit is too low. HPIA said it has the authority to raise the limit through a filing with the Insurance Division and expects more submissions if the cap increases. They also discussed the shift in the book of business from roughly 70% lava-zone coverage to closer to a 50/50 split between lava and non-lava risks.
HPIA outlined strategic initiatives: a new policy administration system that went live October 1 and now allows online payments, online claims reporting, and electronic notices; a filed request to raise the homeowners and dwelling fire limit to $650,000 effective March 1 for new business and April 1 for renewals; an increase in the HO6 condo unit owners limit from $5,000 to $100,000; and a planned commercial property all-other-perils-excluding-hurricane condo product targeted for filing by January 31. No votes were taken, and the meeting was informational only.
LA
Transcript Highlights:
- Do you know if the Department of Insurance keeps track of these type of claims?
- And so they've continued to bring these claims.
- And so they've continued to bring these claims. statute.
- And so they've continued to bring these claims.
- adjusters, limited licensees, and insurance consultants.
LA
Transcript Highlights:
- But, Representative, you probably don't know this, but I've been an insurance claims adjuster, a property
- claims adjuster, for over 20 years.
- And the last thing I'll say when it comes to property claims: when I got into the adjusting business,
- claim denials...
- The insurance department regulates insurance businesses, agents, companies, and claims adjusters.
FL
Florida 2025 Regular Session
February 11, 2025 - 03:30 PM
Transcript Highlights:
- And then on top of that, we try to provide an easy system for them to file claims and get claims resolved
- With the recent rollout, there's this concept in managed care of claims runout and claims lag, in which
- providers have perhaps up to six months to submit a claim for reimbursement.
- plan, once they pay that, they in turn submit that claim as an informational claim to the agency as
- The able-bodied patients could shift, adjust, and make it work. But me?
Summary:
The Health and Human Services Committee received an overview of Florida’s intellectual and developmental disabilities (IDD) managed care pilot, created by legislation in 2023 to test whether a managed care model could integrate Medicaid medical services with iBudget waiver home- and community-based services for adults in pre-enrollment categories. AHCA explained the existing system, the pilot’s scope in Regions D and I, and the rollout timeline, including federal approval, contract execution with Florida Community Care, and the October 2024 go-live. Officials reported that, as of early February, 370 individuals had been sent for onboarding and 168 more were in queue, with about $35.8 million of the appropriation remaining. APD also clarified the difference between the pre-enrollment categories and the waiver waitlist, and noted that crisis cases can be enrolled more quickly depending on eligibility and funding.
Florida Community Care described the pilot as a comprehensive managed care model offering medical, long-term care, and iBudget services, plus enhanced benefits such as bed-hold days, caregiver transportation, and help with legal guardianship costs. The plan said it uses one care coordinator, a 1:18 coordinator ratio, a face-to-face assessment within five days of enrollment, and 180 days of continuity of care for existing providers. The company emphasized that it is recruiting providers by offering higher rates than some iBudget rates, lower administrative burden, and network adequacy incentives, while APD said it continues to monitor provider supply and demand and recruit across service types and regions. Members repeatedly questioned whether the pilot’s costs, provider rates, and service levels were truly comparable to the iBudget system, and AHCA and APD said it was too early to draw firm conclusions because claims data are still lagging.
Committee members also raised concerns about communication, enrollment delays, provider shortages, and whether the pilot could scale statewide. APD said it has used letters, phone calls, texts, emails, and community meetings to reach eligible individuals, and that some delays stem from required assessments, Medicaid eligibility checks, and level-of-care determinations. Several members asked for more detailed comparisons of costs and provider reimbursement between the pilot and iBudget, and APD said it would provide additional data. Public testimony at the end was strongly critical of managed care, with a participant and his mother describing poor service, transportation failures, and loss of control under prior managed care arrangements, and urging the committee not to expand such a model without safeguards. No votes or formal committee action were taken before adjournment.
WA
Washington 2025-2026 Regular Session
House Labor & Workplace Standards Feb 20th, 2026 at 10:30 am
Labor & Workplace Standards
Transcript Highlights:
- costs by claim type and hours worked.
- L&I has used this reserve to keep premium rate increases lower than the actual expected costs of claims
- But an employer is prohibited from claiming undue hardship for certain accommodations, including the
- It’s no secret that that’s being driven in part by the PTSD presumptive claims in the department.”
- Yeah, so long story, but I got hurt at the dam and filed an L&I claim.
Keywords:
workers' compensation, industrial insurance, premium rates, rate transparency, actuarial rates, contingency reserves, Department of Labor and Industries, L&I, risk classifications, employer premiums, insurance regulation, rate setting, premium increase limits, workers' compensation advisory committee, retrospective rating, state insurance fund, accident and medical aid funds, SB 6188, asbestos, asbestos training