Video & Transcript Research : 'claims process'

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KY
Transcript Highlights:
  • /c> discuss the processing of UI claims as discuss the processing of UI claims as well<00:27:25.559><
  • So talk a little bit about the claims process.
  • So talk a little bit about the claims process.
  • to 21 days to uh process to 21 days to uh process claims<00:38:46.640> uh<00:38:46.920>
  • they processing these uh pandemic<00:45:43.920> claims<00:45:44.319> in pandemic claims
Keywords: 958, all
Summary: The House Budget Review Subcommittee on Primary and Secondary Education and Workforce Development received a presentation from Kentucky Department of Education officials on the final SEEK estimate for fiscal year 2025. Commissioner Robbie Fletcher, Matt Ross, and Chay Ritter explained that SEEK is developed through a consensus process with the Office of the State Budget Director using multiple models and district-level inputs, and that the estimate is a projection made well before actual data are available. They emphasized that the discussion was separate from the pending education-funding lawsuit and described SEEK as one part of a much larger K-12 budget picture. The presenters said the current SEEK estimate shows a statutory shortfall of about $14.7 million, or roughly 0.53% of the appropriation, with additional optional items that could bring the total to about $40.5 million if funds are available. They noted that prior years have sometimes produced excess funds, which are redirected according to budget language rather than automatically flowing back through SEEK. They also reviewed the main drivers of the estimate, including property assessments, average daily attendance, free lunch counts, exceptional child counts, home hospital, and limited English proficiency, and said property assessments have been especially volatile while exceptional child counts and ELL populations are difficult to predict. Members asked about why the estimate missed on some categories, especially special education and ELL, and whether district-level changes were being monitored closely enough. The presenters said KDE does monitor special education counts and will review larger districts and districts with unusual growth, and they acknowledged that exceptional child growth has been hard to forecast. Representative Bojanowski asked about the Cloverport virtual school, and staff said its growth was much larger than projected and accounted for a significant portion of the shortfall. Members also discussed the impact of property value growth, population shifts, illness, and legislative changes on SEEK projections. No vote or formal action was taken, and the meeting ended after questions and discussion.
CA
Transcript Highlights:
  • But there is no way that they can possibly process claims faster than we can.
  • process.
  • The younger veteran population is also ...and other parts of the claim process.
  • to those first claims that were approved... ...charges, if any claims related to those first claims that
  • What happens in that situation, then, if they made the claim, the claim sharks made the claim, but they
Summary: The joint informational hearing focused on the role of County Veterans Service Officers (CVSOs), CalVet’s support for them, and the growing problem of for-profit, unaccredited claims companies. Committee leaders and witnesses emphasized that CVSOs are often the first point of contact for veterans and their families, helping with disability claims, education benefits, survivor benefits, housing, health care, and other wraparound services. Testimony highlighted the return on investment from CVSO work, with witnesses citing hundreds of millions in new federal benefits secured for California veterans and arguing that current state funding is too low relative to the workload and need. County representatives from Nevada, Los Angeles, and San Luis Obispo described local models of service. Los Angeles County highlighted a “no wrong door” approach, peer navigators, suicide review work, justice-involved veteran services, and homelessness coordination, while San Luis Obispo described rural outreach, mental health partnerships, and high suicide rates in its county. Nevada County stressed that smaller counties can be disadvantaged by workload-based formulas and that additional funding would expand access, especially in rural areas. Several witnesses said veterans often need more than claims help and should be connected to mental health, employment, food, and family supports. Much of the discussion centered on predatory claims consultants, which witnesses said charge veterans for services that accredited CVSOs provide free. Members and witnesses described cases involving requests for VA and banking logins, misleading advertising, and contracts that can take a percentage of veterans’ benefits. Committee members expressed support for legislation to curb these practices and for increased funding for CVSOs, including the Legislature’s intent to fund 50% of county veterans’ services operations. A CalVet deputy secretary also testified that California’s accreditation and training system improves claim quality and appeal outcomes, and that CalVet works with CVSOs through training, district offices, and appeals representation.
FL

Florida 2025 Regular Session

October 7, 2025 - 12:30 PM

Transcript Highlights:
  • DIFFERENCES IN HOW THE CLAIMS ARE PROCESSED IN DIFFERENCES IN TERMINOLOGY CAN MAKE IT VERY CHALLENGING
  • THERE ARE SOME CIRCUMSTANCES WHERE AI COULD BE DEVELOPED TO ASSIST IN THE CLAIMS PROCESS TO ADJUDICATE
  • HAVING GONE THROUGH THAT PROCESS WITH THE PREVIOUS EMPLOYER YOU ARE TALKING ABOUT THOUSANDS OF CLAIMS
  • AT THE END OF THE DAY, WHO IS RESPONSIBLE IN THE CLAIMS HANDLING PROCESS?
  • TO THE EXTENT THAT WE ARE STARTING TO SEE AN INCREASE IN AI USE IN THE CLAIMS REVIEW, CLAIMS DENIAL PROCESS
WA

Washington 2025-2026 Regular Session

Senate Law & Justice Jun 4th, 2025

Transcript Highlights:
  • If we look at Connecticut, Connecticut has a claims commissioner who has to look at all claims before
  • The blue bar represents all claims, and what we see is the claims also climbing.
  • processes.
  • Of the 36 claims, 14 claims were deemed eligible.
  • And then the court process itself.
Summary: The committee held a work session on tort liability and parole, with the chair explaining that the topics were linked because criminal justice reform and state liability often intersect, especially in cases involving child welfare and corrections. Staff first outlined Washington’s tort liability framework, including the state’s broad waiver of sovereign immunity, statutes governing mandatory reporting and investigation of abuse, the childhood sexual abuse statute of limitations, and the lack of caps on non-economic damages. Staff and presenters also compared Washington to other states and noted that Washington remains among the broadest states for state liability and childhood sexual abuse claims. Presenters from the Attorney General’s office, Washington State Association for Justice, DCYF, DSHS, and DOC discussed how tort exposure has grown, especially in claims involving DCYF, historical child abuse, juvenile rehabilitation, vulnerable adults, employment discrimination, medical negligence, and negligent supervision. DCYF and AG staff said claims and payouts are rising, with many claims tied to older abuse and new theories of liability, while defense counsel emphasized the human harm behind the claims and argued that tort cases have historically driven accountability and reform. Agency witnesses said they face large volumes of old claims with limited records, rising verdicts and settlements, and staffing and systems challenges, and they highlighted efforts such as early resolution programs, electronic health records, medication-assisted treatment, and improved incident review processes. The committee then shifted to parole. Sentencing experts reviewed Washington’s move from indeterminate sentencing to the current determinate sentencing system under the Sentencing Reform Act, and explained how parole could be integrated with sentencing guidelines through different models used in other states. They also summarized Criminal Sentencing Task Force recommendations related to a determinate-plus approach for three-strikes and persistent offender laws and a second-chance review process, noting there was no consensus on those ideas. Judges from the Minority and Justice Commission and the Superior Court Judges Association said a parole system could support rehabilitation and reduce disparities if it includes data collection, fairness, transparency, due process, and meaningful judicial review; they also pointed to research suggesting parole and structured reentry can reduce recidivism and costs, while warning that access and outcomes can vary by geography and other factors.
CA
Transcript Highlights:
  • In doing a fully developed claim, our average claim packet may be 50, 60 pages long.
  • process to ensure that when we're working with the veteran, they are submitting the best claim possible
  • In doing a fully developed claim, our average claim packet may be 50 or 60 pages long.
  • process to ensure that when we're working with the veteran, they are submitting the best claim possible
  • So when claims are filed, it resembles the veterans submitting a claim, right?
Summary: The Assembly Committee on Military and Veterans Affairs met with a quorum and first approved its consent calendar, which included AJR 15, SB 56, SB 296, and SB 855, with the roll left open for absent members. The committee then heard SB 694 by Senator Archuleta, a bill aimed at protecting veterans from unaccredited claims representatives and other for-profit entities that charge fees to assist with VA disability claims. The author and supporters, including county veterans service officers and veterans organizations, argued the measure would curb predatory practices, restore accountability, and steer veterans toward free, accredited assistance through CVSOs and other authorized representatives. Testimony in support emphasized that veterans are often targeted online and may pay large fees for services that are available for free, while supporters said unaccredited firms lack transparency and can exploit vulnerable veterans. Opposition witnesses, including representatives of claims-assistance companies and individual veterans, argued the bill would eliminate choice and that some contingency-based firms provide useful services, better outcomes, and faster claims processing. Committee members debated whether the bill would unlawfully bar legitimate assistance or whether it was needed to stop illegal business practices, with several members noting the issue is also being litigated in federal court and that an accreditation process already exists through the VA. After discussion, the committee voted to pass SB 694 and refer it to the Committee on Judiciary. The final vote was 6 ayes, with some members not voting. The committee then completed the consent calendar vote, which passed with eight votes, and adjourned.
OK
Transcript Highlights:
  • Speaker, these amendments just streamline the court collection process for fees, fines, and costs and
  • Members, Senate Bill 1277 simply codifies the current process over at OESC, putting it in the statute
  • , making sure there's clarity of process and not that it's just in administrative rules.
  • The Senate amendments to House Bill 2153 ensure transparency in the decision-making process as OSSAA
  • So OSSAA is already in complete control of this process.
OK
Transcript Highlights:
  • Through the review process, it was determined there was a pretty sizable cost to the citizens of Oklahoma
  • I appreciate all of your patience with this process as we're working through This new range process that
  • We made a change in the CCR process where we're adding a transparency for landowners, and it's in Section
  • So, think about the grant process. And I haven't seen the application.
  • The little bit of time that we did have together was able to instill some thought process within her
CA

California 2025-2026 Regular Session

Assembly Appropriations Committee Jul 9th, 2025

Transcript Highlights:
  • I think it's appropriate that the finance department has a process to review the claims, and if checks
  • to verify claims, legitimize the claims, make sure they're legitimate, but then process them more expeditiously
  • claim for another payment.
  • to verify claims, legitimize the claims, make sure they're legitimate, but then process them more expeditiously
  • That limits the number of claims that need to wait for the next claims bill, and as a result we have.
Summary: The Assembly Appropriations Committee met on July 9, 2025, with a quorum present and opened by taking up its consent and suspense calendars. Several Senate bills were moved on consent, including SB 255, 361, 385, 387, 428, 602, 648, 652, and 693, along with SB 78 on a separate due-pass motion. The suspense calendar was then deemed approved without further discussion. The committee next heard AB 1533, a claims bill authorizing a General Fund appropriation of $672 million to pay state claims, including $600 to the Franchise Tax Board and $72 million to the DMV for stale claims. Assemblymember Wicks presented the bill as one of the annual claims measures, and the Department of Finance and Department of General Services both supported it. Assemblymember Dixon raised concerns about the age of claims, the cost and efficiency of the process, and whether the state could improve how it verifies and pays claims more quickly. After brief public comment was invited, the committee held a roll call vote on AB 1533 and the bill was moved out of committee. The meeting then adjourned after a late-arriving member was added to the roll call for the consent calendar and AB 1533.
CA
Transcript Highlights:
  • Our wage claim process is broken.
  • So in looking at the previous slide, understand that 72% of the employers in the wage claim process pay
  • Please help us make the process of filing wage claims at the Labor Commission faster, clearer, and more
  • process.
  • process.
Summary: The Assembly Committee on Labor and Employment held a review hearing on SB 588, focused on wage theft enforcement and whether the law’s tools are working as intended. Committee members emphasized that wage theft is a major and under-enforced form of theft in California, citing large backlogs in wage claims and long delays that can leave workers waiting years for payment. The hearing was framed as oversight of the Labor Commissioner’s enforcement authority and a discussion of whether additional tools or funding are needed to improve collections and deter bad actors. Witnesses from UCLA, worker advocacy organizations, and legal aid described SB 588’s main enforcement mechanisms, including liens, levies, stop-work orders, successor and individual liability, and the ability to pursue upstream entities in fissured industries. They argued these tools have improved settlement leverage and recovery rates, especially in janitorial and property services cases, and gave examples involving Tesla, Cheesecake Factory, Optum, and grocery and care-home employers. At the same time, they said the law is less effective in industries like residential care, where employers often transfer assets or change ownership before judgments are collected, and they urged changes such as broader prejudgment lien authority, more license-revocation power, and additional staffing for the Judgment Enforcement Unit. Worker testimony highlighted the human impact of delayed or unpaid wages. A care worker described being underpaid, denied pay for breaks and off-the-clock work, and facing intimidation when filing claims. Marta Lepe Martinez said she was owed more than $300,000, waited more than three years for a hearing, and still had not recovered any money despite a judgment and a lien on property. Another worker advocate explained that SB 588 helped identify responsible individuals and businesses earlier, increasing the chance of recovery, but said more resources and faster enforcement are still needed. Labor Commissioner Lilia Garcia-Brower said SB 588 has significantly improved collections, reporting that the Judgment Enforcement Unit has recovered $125 million since enactment and that first-year recovery rates have risen from 17% to 46%. She said the agency is using liens, levies, stop orders, and individual liability more aggressively, but acknowledged that the tools are limited when employers are undercapitalized, hide assets, or transfer property before judgment. She supported the need for more staff and continued legislative investment. Public comment from SEIU California also backed SB 588’s framework and encouraged focusing enforcement on bad actors and expanding the law’s reach.
AZ

Arizona 2026 Regular Session

01/29/2026 - Senate Health and Human Services

Health and Human Services

Transcript Highlights:
  • their claims so they can get paid. ...successful both in terms of processing their claims so they can
  • We needed to reduce the turnaround times both for prior authorization as well as for our claims processing
  • Bringing on an external claims vendor to help process claims was an important piece to help us get through
  • The next step is for training, and so we hope that they will be able to actually start processing claims
  • So on January 3rd, 2025, claims using code S9480 were subject to a prepayment review process.
Keywords: 1182, all
Summary: The Senate Committee on Health and Human Services held a fourth hearing in its ongoing review of alleged fraud, waste, and abuse involving AHCCCS/Access and DHS, with a major focus on Medicaid eligibility verification for the aged, blind, and disabled (ABD) population, behavioral health and sober living oversight, and payment delays to providers. Senator Shamp presented findings she said showed major gaps in ABD asset verification, including claims that only a fraction of enrollees were checked and that many ineligible members may remain on the rolls. She urged referrals to law enforcement, tighter verification requirements, better PARIS data sharing, and legislative changes to close what she described as a compliance and taxpayer-risk gap. Reva Stewart also testified that patient brokering and fraudulent recruitment of vulnerable people, including Native Americans, continues through social media and other channels, and she called for stronger enforcement and transparency. Heather Dukes, representing behavioral health and sober living operators, argued that the state’s response to fraud has become overly punitive toward legitimate providers. She said ADHS often sends technical paperwork deficiencies straight to enforcement instead of allowing plans of correction, that zoning approvals are being questioned despite not being within ADHS authority, and that long Access approval timelines are creating licensing and billing delays. ADHS Deputy Assistant Director Tiffany Slater said the department has seen a large volume of unlicensed complaints, that it is trying to improve staffing and data systems, and that some enforcement tools have been expanded for sober living homes. She also said many sober living operators are in recovery themselves and provide low-cost housing and support rather than direct billing to Access. Access Director Virginia Roundtree said the agency is trying to balance fraud prevention with support for legitimate providers. She reported steps such as daily internal huddles, live dashboards, added project management support, an outside review of the Division of Fee-for-Service Management, and a new external claims vendor to help reduce backlogs. Senators pressed her on a specific provider’s long-delayed payments and prepayment review, and she said the agency would provide answers early the following week. Access staff also described provider resolution roundtables and said unadjudicated claims had been reduced to zero, though members questioned whether that was due to denials rather than resolution. The hearing ended with the chair announcing legislation to preserve the American Indian Health Plan as a fee-for-service option while requiring Access to contract administrative and care management functions to another entity, citing structural failures in Access’s ability to operate the plan safely and effectively.
NH

New Hampshire 2025 Regular Session

Fiscal Committee (01/30/2025)

Transcript Highlights:
  • She said she can certainly address how quickly the claims are moving in the settlement process, but with
  • process.
  • process.
  • moving in the how quickly um the claims moving in the settlement<00:33:58.880> process<00:33:
  • mounting claim mounting claim process<00:35:15.680> uh<00:35:15.880> thank<00:35:16.040
Keywords: 928, house, all
Summary: The Fiscal Committee met on January 30, 2025, and first organized itself by electing Senator Jim Gray as vice chair, electing Representative F as clerk, appointing Michael Caine as legislative budget assistant, and adopting the committee’s rules and procedures. The committee also adopted an amendment to the rules allowing audits to be automatically released to the public once placed on the Fiscal Committee agenda, with members discussing that the change would improve transparency and reduce paper handling. The minutes from the November 15, 2024 meeting were approved, with members who were absent abstaining. The committee then worked through a consent calendar and several individual items. It removed or noted withdrawals on a few items, including item 25004 for further discussion, item 25016 withdrawn by the Department of Education, item 257 removed by Representative F, and item 25001 removed under Tab 4. Item 25004, concerning the newborn screening program, prompted testimony from the Department of Health and Human Services explaining that the program is mandatory with an opt-out provision; officials said 99.2% of newborns were screened in 2023, meaning the opt-out rate was under 1%. The committee also approved item 25007, related to DHHS community health workers and telework policy, after hearing that the workers are not placed in schools and that DHHS follows statewide telework policy. On the regular calendar, the committee approved a Department of Administrative Services request to extend the release date for fiscal year 2024 numbers to March 31, and approved a Department of Fish and Game item. It also approved winter maintenance funding for the Department of Transportation after hearing that the $5.7 million request might not last through the winter if additional storms occur; DOT said even a small storm can cost more than $1 million and that crews are dispatched based on road conditions and supervisory judgment. The committee then approved items for the Judicial Council and the Office of Legislative Budget Assistant. The final discussion focused on the Health and Human Services dashboard and the Youth Development Center claims. DHHS acknowledged a data error in the APS client line and said Community Mental Health Center caseload data is still not fully accurate because two centers are undergoing EHR conversions. Members also asked about the low census at the Sununu Youth Development Center and about the process for managing future claims related to the YDC settlement fund. Witnesses from the Attorney General’s office said the fund is handled through a unique arrangement involving DOJ appropriations and judicial branch staff, that current judicial budget cuts are not yet affecting the litigation pace, and that the average resolution so far has been about $500,000, though future claims may vary. No votes were taken on the discussion items beyond the approvals noted above.
CA

California 2025-2026 Regular Session

Assembly Labor and Employment Committee Apr 29th, 2026

Labor and Employment

Transcript Highlights:
  • Our wage claim process is broken.
  • Understand that 72% of the employers in the wage claim process pay at some point, right?
  • Please help us make the process of filing wage claims at the Labor Commission faster, clearer, and more
  • It has proven an incredibly effective and essential part of the wage claim process.
  • process the remaining 28% of employers who failed to resolve the claim and order to pay which is then
Keywords: 988, house, all
Summary: The Assembly Committee on Labor and Employment held a review hearing on SB 588, the 2015 wage theft enforcement law, focusing on whether its tools are working and what additional authority or resources may be needed. Committee members emphasized that wage theft is a major and under-enforced form of theft in California, citing large backlogs in wage claims and long delays that often leave workers unpaid even after winning judgments. Panelists from UCLA, worker advocacy organizations, and legal aid described SB 588’s enforcement tools, including liens, levies, stop orders, successor and individual liability, and priority in bankruptcy. They said the law has improved collections and settlement leverage, especially in industries like janitorial services and property services, where client companies and contractors can be held jointly responsible. Several examples were discussed, including cases involving Tesla, Cheesecake Factory, Optum, and Winko Foods, where the law helped secure payments or settlements for workers. At the same time, advocates argued that the prejudgment lien provisions are too limited, that care home cases remain especially difficult, and that more staffing and broader authority would improve recovery. Workers testified about unpaid wages, long delays, retaliation fears, and the difficulty of collecting even after obtaining judgments. A home care worker described waiting years for a hearing and still not recovering money because assets had been moved or hidden. A residential care worker said caregivers are often underpaid, denied breaks, and left with little practical recourse. The Labor Commissioner reported that the agency has recovered more wages since SB 588, including through mail levies, liens, and stop orders, but said many cases involve judgment-proof employers and require intensive investigation. Public comment from a SEIU representative supported SB 588 and urged continued focus on bad actors and targeted enforcement. No vote or formal action was taken at the hearing.
FL

Florida 2025 Regular Session

November 18, 2025 - 03:30 PM

Transcript Highlights:
  • There is a claims kind of adjudication process where they're allowed to dispute the denial of the claim
  • And that process, although it's arduous, is a process that I believe we need in managed care so that
  • and taps claim paid?
  • compared to a clean claim. >> And with so you're asking what the percentage of clean claims that are
  • Remember, getting a care versus the claim coming in when the claim being paid because we have standard
AR

Arkansas 2026 1st Special Session

JBC-CLAIMS Apr 14th, 2026

JBC-CLAIMS

Transcript Highlights:
  • This is a denied and dismissed claim from the Claims Commission that was appealed by the claimants.
  • motion, finding that the Claims Commission... ...and moved to dismiss the claim, and the Claims Commission
  • So the date that they could have claimed those excess proceeds. And claim excess proceeds.
  • Commission as to this claim.
  • Why is the state not acting on its own behalf, saying, set these proceeds aside in a claims process at
Summary: The Joint Budget Committee’s Claims Review and Litigation Oversight Subcommittee met to consider two proposed litigation settlements from the Department of Corrections and one appealed claim from the Claims Commission. In the first settlement, Caroline Arnett v. Larry Norris, et al., members asked about the underlying sexual assault allegations, whether policies had changed, and whether PREA audits and other safeguards were in place. The department said audits were underway and that steps had been taken to prevent similar conduct. The committee approved the settlement by voice vote. In the second settlement, Latasha Ridgel v. Arkansas Department of Corrections, members raised concerns about the length of the case and the fact that it involved similar allegations. The department cited attorney turnover, COVID-related delays, and scheduling difficulties; the settlement was approved by voice vote. The committee then reviewed Sharon Greer and Deanna Hayes v. Commissioner of State Lands, an appeal of a Claims Commission dismissal involving a 2009 tax sale of family property in Crittenden County. The claimants said they did not learn of the sale or the $4,200 in excess proceeds until 2025, and argued that notice was inadequate and that the overage should not have gone to the county. The Commissioner of State Lands’ office responded that notice was sent to addresses on file, certified mail receipts were returned, and a post-sale notice explained the process for contesting the sale and claiming excess proceeds. The office also argued the claim was untimely, that the commission lacked jurisdiction, and that state law bars monetary damages against the commissioner for actions related to tax-delinquent land sales. Members discussed broader concerns about the tax-sale and excess-proceeds process, including whether excess proceeds should be held longer or routed differently, but noted those issues would require legislative changes rather than action in this case. The committee then voted to affirm the Claims Commission’s dismissal of the claim. The meeting adjourned after the motion passed.
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 01/28/26

Human Services

Transcript Highlights:
  • > processing<00:40:27.680> uh<00:40:28.000> that is in the claims processing uh
  • It was a pause in, or a suspension in, the processing of claims to start the process. review the claims
  • approximately how many claims have gone through that process?
  • process, approximately how many claims process, approximately how many claims have<01:05:40.160>
  • Um that pause in in claims processing.
Keywords: 1187, senate, all
FL

Florida 2025 Regular Session

November 5, 2025 - 10:00 AM

Transcript Highlights:
  • You've heard me talk about the claims bill process, how it could be in a textbook in a business school
  • I've been involved with claims bills in this process for many, many years. solution that actually does
  • I've been involved with claims bills in this process for many, many years, and so I understand.
  • Last two points very quickly, Madam Chairman, is we do believe the claims bill process works.
  • I think having special masters look... ...is we do believe the claims bill process works.
Summary: The Civil Justice and Claims Subcommittee considered HB 145, by Rep. McFarland, which would raise Florida’s sovereign immunity caps from $200,000 per person and $300,000 per incident to $500,000 and $1 million, with a future inflation-based increase, extend the time to bring claims, and allow local governments to settle claims above the cap without a claims bill. McFarland argued the bill modernizes an outdated system and helps injured people obtain compensation more fairly and efficiently, while preserving sovereign immunity. Several members spoke in support during debate, saying the bill better balances government accountability and victims’ rights and that current caps have not kept pace with inflation and damages. Public testimony was largely in opposition. Local governments, counties, cities, insurance groups, and school-related organizations warned the bill would significantly increase liability exposure, insurance premiums, and taxpayer costs, especially for small and rural governments and school districts. Opponents also objected to the provision allowing settlements above the cap without legislative action, saying it would weaken the cap and increase litigation and costs. Supporters countered that injured people often wait years for claims bills and that governments should be able to resolve meritorious claims directly. After debate, the committee voted 16-1 to report HB 145 favorably, with Rep. Lopez voting no. The meeting then adjourned.
CA

California 2025-2026 Regular Session

Assembly Insurance Committee May 28th, 2025

Transcript Highlights:
  • claims.
  • We can pay on those claims.
  • So we had daily webinars with brokers to help them understand the claims process, answer any questions
  • That disbursement process works exactly the same as the assessment process, right?
  • That disbursement process works exactly the same as the assessment process, right?
Summary: The Assembly Insurance Committee held an oversight hearing on the California Fair Plan, focused on the plan’s rapid growth, its financial stability after the January Southern California wildfires, and its role as the insurer of last resort. Fair Plan officials explained that the plan was created in 1968, is a not-for-profit involuntary association of licensed property insurers, and is intended to be a temporary safety net until policyholders can return to the admitted market. They emphasized that the plan is not a state agency or taxpayer-funded, but is regulated by the Department of Insurance and supported by member-company assessments if claims exceed available funds. Victoria Roach and Armand Feliciano said the Fair Plan has grown sharply since 2018 and especially after market pullbacks by major insurers, reaching about 575,000 policies and roughly $600 billion in exposure by spring 2025. They noted that growth is increasingly occurring in lower wildfire-risk areas, where the plan can sometimes be cheaper than the voluntary market, and said this undermines depopulation back into the private market. They also discussed recent policy expansions, including coverage for farms, higher residential and commercial limits, and pending or proposed changes such as AB 290, SB 525, and AB 226, which would add tools like a line of credit and bond access. A major portion of the hearing addressed the January wildfire losses and the plan’s financial response. Fair Plan officials said they assessed member insurers for $1 billion after determining claims and cash flow would exceed available resources, and that the process was approved quickly and paid smoothly, with more than 80% of the assessment collected within 10 days. They also described the reinsurance tower, the plan’s limited surplus, and the need for actuarially sound rates to reduce future reliance on assessments. On claims handling, they said the plan has received over 5,500 claims from the fires, has paid more than $2.9 billion so far, expects total payments near $4 billion, and has focused on advancing payments quickly for total losses and other urgent needs. Members questioned the plan’s solvency, the growth in non-wildfire areas, claim denials, smoke-loss coverage, and how depopulation works. Roach said most closed claims without payment were duplicates rather than denials, and that smoke claims require direct physical loss under the policy, with coverage determined case by case. Public commenters from the California Building Industry Association and the Independent Insurance Agents and Brokers of California said the Fair Plan’s growth reflects a weak voluntary market, inadequate rates, and insurer fear of future assessments, and urged support for rate increases and AB 226. The hearing concluded with no vote, but with a commitment from Fair Plan officials to follow up on unanswered questions and continue providing more transparency through public data and website disclosures.
FL

Florida 2025 Regular Session

December 9, 2025 - 12:30 PM

Transcript Highlights:
  • INCREASING USE OF ALGORITHMS AND ARTIFICIAL INTELLIGENCE IN THE CLAIMS HANDLING PROCESS.
  • IT EXPLICITLY ALLOWS INSURERS TO USE AI TO ASSIST ANY CLAIMS PROCESSING AND REMOVES THE WORD JUST TO
  • BUT THE SECTION REALLY DEALS WITH JUST HOW AI IS IMPLEMENTED IN THE CLAIM DECISION PROCESS.
  • THE CONCERNS THAT THE REQUIREMENT HAD THE EFFECT OF SLOWING DOWN CLAIMS PROCESSING AND INCREASED COST
  • FLORIDA CLAIMS PROCESSING AND EFFICIENCY LEADS TO INCREASED CLAIM COST.
NM

New Mexico 2026 Regular Session

Senate - Health and Public Affairs Feb 11th, 2026 at 05:14 pm

Senate Health & Public Affairs

Transcript Highlights:
  • I mean, the same claims exist, but the value of those claims has gone up exponentially.
  • Right now, we assign claims and assign values to each of our claims.
  • In CYFD, any claim, we have 2,600 claims, totally an estimated claim right now of $400 million.
  • bring a claim.
  • of processing the kits.
CA

California 2025-2026 Regular Session

Assembly Judiciary Committee Jul 8th, 2025

Transcript Highlights:
  • The very burdensome and bureaucratic process of forming a fully developed claim is what gave birth to
  • Claims process and apply. So there's training that's required of accredited folks.
  • These folks are rated on their ability to process these claims and their success rate.
  • for PTSD, doesn't understand the situation, doesn't understand the claims process, right?
  • for PTSD, doesn't understand the situation, doesn't understand the claims process, right?
Summary: The committee heard several bills, with most drawing support after amendments or ongoing stakeholder negotiations. SB 29, by Senator Laird, would extend a sunset on the law allowing pain-and-suffering claims to survive a plaintiff’s death; supporters, including a family member describing a medical negligence case, labor groups, consumer advocates, and disability and elder organizations, argued it prevents defendants from running out the clock, while hospitals, medical groups, and business organizations warned of higher costs and added liability. After extensive debate about data collection, settlement reporting, and the impact on health care access, the bill passed to Appropriations on a divided vote. SB 294, by Senator Reyes and presented by Senator Laird, would require employers to notify a worker’s emergency contact if the worker is arrested or detained and would create a template to inform employees of state and federal labor rights. Labor and worker advocates said the bill would help workers understand and enforce their rights amid weakened federal enforcement; there was no opposition on file, and the bill passed unanimously to Appropriations. SB 697 would modernize water-rights adjudication by allowing the State Water Board to use technology instead of requiring in-person field investigations; with no opposition, it also passed unanimously. The committee also advanced SB 37 on attorney advertising, SB 645 on peremptory challenges in civil cases, SB 303 on bias-mitigation trainings in public workplaces, and SB 464 on expanding pay-data reporting for specified state workers. SB 37 drew support from consumer and legal groups but concerns from Walker Advertising about joint advertising; members said negotiations were ongoing, and the bill passed. SB 645 would extend anti-bias jury-selection rules to certain civil rights cases; criminal-defense and defense groups said they were close to agreement, and the bill passed. SB 303 and SB 464 were both amended to narrow scope and moved forward after several opponents shifted to neutral or removed opposition. The committee also approved a consent calendar of additional bills, all sent to Appropriations.