Video & Transcript : 'creditor claims' :
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NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Oct 7th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- Everyone I know thinks that a malpractice claim, a paid claim, is like a lightning strike.
- mean payout per claim.
- So, one paid claim in the last five years— we have data only on paid claims.
- On average, the claims are sending a signal. On average, these are not bad claims.
- filed claim.
KY
Kentucky 2026 Regular Session
House Standing Committee on Banking and Insurance. (2-18-26)
Banking & Insurance
Transcript Highlights:
- Our claims adjusters adjust claims with monetary value.
- </c> adjusting a claim. adjusting a claim.
- claim A than claim be paying more for a claim A than claim B<00:46:56.240><c> with</c><00:46:56.400>
- </c> claim with contractor. claim with contractor.
- </c> You get more claims. You get more claims.
CA
California 2025-2026 Regular Session
Assembly Appropriations Committee Jul 9th, 2025
Transcript Highlights:
- These claims, although the claims date back to payments that were issued or that were owed earlier, the
- claim for another payment.
- program these claims although the claims date back to payments that were issued or that were that were
- That limits the number of claims that need to wait for the next claims bill, and as a result we have.
- .. ...of claims that need to wait for the next claims bill, and as a result we have actually had fewer
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
California 2025-2026 Regular Session
Assembly Insurance Committee May 28th, 2025
Transcript Highlights:
- Because you have to kind of estimate how much you're going to pay in your claims, how many of your claims
- Claims, how many of your claims you're going to pay in 90 days, so we know we're going to have money,
- We've closed more than half the claims already, so over 3,000 of the claims are closed.
- We can pay on those claims.
- It depends on the claim, 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
February 4, 2025 - 12:30 PM
Transcript Highlights:
- For Debbie, we had about 3,07 claims, and again, this was as of January 7, 3,77 claims, and we paid out
- For instance, a claim may have been withdrawn. It may have been a duplicate claim.
- claims filed.
- the 76,000, or about 31% of the claims closed without payment and 14% of all the claims filed so far
- and pay claims promptly.
Summary:
The Insurance and Banking Subcommittee received a lengthy presentation from Citizens Property Insurance Corporation CEO Tim Serio, with Insurance Commissioner Michael Yaworski also answering questions. Serio reviewed Citizens’ role as Florida’s insurer of last resort, its statutory funding structure, eligibility rules, depopulation program, reinsurance obligations, and the surcharge/emergency assessment mechanisms that can be used if Citizens runs a deficit. He emphasized that recent legislative reforms, combined with lower litigation and improved market conditions, have helped the private market recover and reduced Citizens’ policy count from a peak of about 1.41 million in 2023 to 936,182 at the end of 2024, with a projected drop to about 771,000 by the end of 2025. He also said the reforms reduced Citizens’ rate need and helped avoid an emergency assessment after the 2024 storms.
Members asked about Citizens’ rate increases, why Citizens still seeks higher rates despite lower litigation, how the 20% eligibility threshold works, whether Citizens should be wind-only, and whether the state or federal government could help with deficits. Serio explained that Citizens is still charging below actuarially sound rates in most areas, that rate filings reflect reduced litigation and lower reinsurance exposure, and that assessments on all Florida property policyholders are the reason Citizens tries to build surplus and depopulate. He said the depopulation program is working better than in the past, with less than 2% of takeout policies returning to Citizens, and that the Office of Insurance Regulation has been vetting takeout companies more carefully.
A substantial portion of the discussion focused on claims handling after Debby, Helene, and Milton, including flood-versus-wind disputes and Citizens’ use of the Division of Administrative Hearings for some claim disputes. Serio said Citizens had received 76,625 claims from the three storms and had paid nearly $823 million in indemnity and expenses as of January 7, 2025. He said many closed-without-payment claims were either below deductible, withdrawn, duplicate, or flood-only, and that Citizens had asked its internal audit function to independently review the claims data and denials. He also described Citizens’ storm outreach, catastrophe response centers, managed-repair program, and claim review process, and said the corporation remains focused on paying valid claims while minimizing the risk of assessments on the broader Florida market.
FL
Florida 2025 Regular Session
December 9, 2025 - 12:30 PM
Transcript Highlights:
- WHAT ABOUT – WHAT ABOUT OVERPAYMENTS OF CLAIMS OR INAPPROPRIATE PAYMENTS OF CLAIMS.
- THE PARTIAL DENIAL OF CLAIMS OR THE DECISION TO REDUCE A CLAIM.
- FOR EXAMPLE WOULD YOU TOOLS THAT ARE USED TO SCHEDULE FUEL INSPECTIONS, PROPERTY CLAIMS OR SIGNED CLAIMS
- FLORIDA CLAIMS PROCESSING AND EFFICIENCY LEADS TO INCREASED CLAIM COST.
- THE CLAIMS FILES KEEP RECORDS WHAT IS GOING ON IN THE CLAIM.
FL
Florida 2025 Regular Session
November 5, 2025 - 10:00 AM
Transcript Highlights:
- Not because of necessarily high claims or new claims, but because the risk environment just simply keeps
- to come forward as claims bills.
- to require the passage of a claims bill in order to pay out a claim.
- We all voted on that claims bill last year.
- We all voted on that claims bill last year.
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.
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.
- Twenty-two of those claims were dismissed by the court because the claimant either abandoned their claim
- Of the 36 claims, 14 claims were deemed eligible.
- Three of the claims were contested.
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.
NM
New Mexico 2026 Regular Session
Senate - Health and Public Affairs Feb 11th, 2026
Transcript Highlights:
- And those are estimated claims.
- 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.
- for each claim, both what has actually gone out the door and what we value the claim to be.
- In CYFD, any claim, we have 2,600 claims, totally an estimated claim right now of $400 million.
Summary:
The committee first heard Senate Bill 246, which would require licensure and inspections for massage therapy establishments. The sponsor and Regulation and Licensing Department said the bill is intended to close a gap in oversight, improve sanitation and public safety, and help address human trafficking and prostitution concerns. Supporters from the massage therapy profession and industry groups said establishment licensing would create accountability and protect legitimate practitioners, while AMTA took a neutral position but supported the rulemaking process. Several senators raised concerns about privacy, home-based businesses, and whether mobile or traveling therapists would be affected; the department said the bill would apply to establishments, not individual therapists, and that home inspections would be governed by rules. The committee voted 8-0 to give SB 246 a do pass recommendation.
The committee then took up Senate Bill 300, an appropriation for CYFD computer hardware and software to improve compatibility with the national child welfare management system. The sponsor said the goal was to reduce delays and improve data sharing, especially in child welfare and ICWA-related cases. Members asked about the current system and how the funding would help, and the sponsor said the bill was aimed at better interoperability. The committee voted 8-0 to send SB 300 forward with a do pass recommendation.
Finally, the committee considered Senate Bill 146, which would amend the New Mexico Civil Rights Act. The bill and committee substitute would align the legal standard more closely with federal deliberate indifference language, reduce damages caps, shorten the statute of limitations, require 90 days’ notice, and bar double recovery under both the Civil Rights Act and Tort Claims Act. Supporters, including county and city representatives, law enforcement, AFSCME, and risk management officials, argued the changes were needed to control rapidly rising claims costs and protect public budgets. Opponents from the ACLU, civil rights, poverty, immigrant, and LGBTQ advocacy groups said the bill would weaken accountability, reintroduce qualified immunity-like protections, and make it harder for people harmed by government actors to seek justice. After a failed motion to table and a 5-5 vote on the committee substitute, the bill remained in committee and did not advance.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration Feb 24th, 2026
Transcript Highlights:
- as automatically, we call them a clean claim, a claim that can go through the automated process without
- of automatically, we call them a clean claim, a claim that can go through the automated process without
- claim.
- Now, 83% of PFL claims are filed online.
- The effort known as the Integrated Claims Management System will make it easier to manage claims, share
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Nov 20th, 2025
Transcript Highlights:
- It is then set up as a claim where we track that claim and tell it either goes to a judgment or a settlement
- So that's the claim payments.
- The number of claims shows how the claims have increased over the years in a 10-year period from FY13
- What's the artwork claims? Are we losing art? What happened? We have... ...27 artwork claims.
- I wonder what those claims are. You get the dollar amounts for the claims on the Rail Runner. Mr.
WA
Washington 2025-2026 Regular Session
Senate Law & Justice Jan 27th, 2026
Transcript Highlights:
- And when someone has a tort claim against the state, they must first submit the claim to the Office of
- , that that will help us control claims that are being brought and that we're only paying out on claims
- As you've heard me testify in the past, often cities settle claims, regardless of the merit of the claim
- , number of claims, or description of claims.
- We bring federal 1983 claims along with state claims and we demand juries.
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.
MO
Missouri 2026 Regular Session
Judiciary Apr 8th, 2026
Judiciary and Civil and Criminal Jurisprudence
Transcript Highlights:
- It preserves those claims.
- This includes preserving consumer protection claims and Anti-Spill Act claims, environmental claims,
- all those types of claims.
- And the idea would be that making this more clear will get rid of frivolous claims or claims that the
- Those types of claims, this doesn't touch any of those types of claims.
Summary:
The committee first met in executive session and took up House Bill 3443, relating to court costs. Members adopted House Committee Amendment 1, which changed a January reference to July, updated language regarding the Department of Labor or its successors, and removed round-up numbers. The committee then rolled the amendment into a House Committee substitute and voted the substitute do pass by a roll call of 11 ayes and 1 no. House Bill 3304, concerning the offense of keeping a dangerous dog, was then amended to restore prior-bite language and narrow the injury definition to serious physical injury; the committee adopted the amendment, adopted a substitute, and voted the bill do pass 11-1. House Bill 2865, dealing with attorney’s fees and expenses in civil actions and agency proceedings, was approved do pass 12-0. House Bill 2255 was announced as not being taken up that day.
The committee then held public hearings on several bills. House Bill 2777, the Public Nuisance Reform Act, was presented as a measure to narrow public nuisance claims, limit suits involving lawful products and regulated activities, strengthen causation requirements, and restrict who may sue and what damages may be recovered. Supporters from consumer reform, insurance, and civil justice groups said it would curb abusive litigation while preserving traditional nuisance claims; no opposition testimony was offered. House Bill 2667, the Eliminate Criminal Profiteering Act, would bar negligence claims arising from a person’s own wrongful conduct, limit negligent security liability, require apportionment of fault in some cases, and restrict certain recoveries by unauthorized aliens in auto cases. The sponsor and supporters said it would prevent criminals from profiting from their wrongdoing and protect businesses, while committee members raised questions about scope, premises liability, and sovereign immunity.
Finally, the committee heard House Bill 2666, an anti-SLAPP bill intended to provide a faster dismissal process for lawsuits that are meant to chill speech or petitioning activity. The sponsor and supporters said it would protect free expression and align Missouri with other states, while still preserving claims for genuinely harmed parties. No opposition testimony was presented on either House Bill 2667 or House Bill 2666, and the hearing concluded without any votes on the public hearing bills.
MO
Transcript Highlights:
- This includes preserving consumer protection claims, anti-spill act claims, and environmental claims.
- They've brought them under other kinds of claims.
- And the idea would be that making this more clear will get rid of frivolous claims or claims that the
- Those types of claims, this doesn't touch any of those types of claims.
- Trespassers can't bring negligent security claims.
NM
New Mexico 2026 Regular Session
Senate - Health and Public Affairs Feb 11th, 2026 at 05:14 pm
Senate Health & Public Affairs
Transcript Highlights:
- And those are estimated claims.
- 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.
Keywords:
massage therapy, licensure, health and safety standards, continuing education, establishment licensing, civil rights, sovereign immunity, damages, public body, lawsuit limitations, legal notice, child welfare, computing infrastructure, data management, Department of Health, appropriation, foster care, Indian children, cultural competency, training services
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration Feb 24th, 2026
Transcript Highlights:
- In essence, you know, do you contest the nature of the claim for any reason? submitted this claim?
- as possible—what we call a clean claim, a claim that can go through the automated process without having
- claim.
- Now, 83% of PFL claims are filed online.
- The effort, known as the Integrated Claims Management System, will make it easier to manage claims, share
Summary:
The Budget Subcommittee on State Administration held an informational hearing on whether the Employment Development Department is ready for the next recession, with a focus on EDD Next, the department’s long-running technology modernization effort. The Legislative Analyst’s Office reviewed EDD’s major benefit programs, the history of prior modernization attempts, the current Integrated Claims Management System work, and the department’s remaining risks, including continued reliance on a COBOL-era mainframe and the challenge of adapting quickly to future federal or state policy changes during a downturn. The LAO also explained that most pandemic-era fraud was tied to temporary federal unemployment programs rather than California’s core UI system, and that the state’s UI loan repayment is not largely attributable to fraud. Members raised concerns about the cost of repeated modernization efforts, paper versus online claims, appeal overturn rates, WARN notices, and legislative oversight of the project.
EDD’s panel said the department has made substantial customer-service and processing improvements, including online self-service tools, improved call center features, identity verification, fraud controls, language access upgrades, and a new document management system. Officials reported that as of early 2026, about 83% to 85% of claims across programs were being processed timely within two weeks, and said paid family leave delays in 2024 were tied to the transition into the disability insurance online platform and seasonal workload patterns. They also said EDD is working with the Department of Technology on EDD Next and that the project will proceed in phases, with paid family leave and disability insurance first and unemployment insurance later.
Members pressed EDD on persistent paid family leave backlogs, the share of paper applications, response times for constituents, and whether the department tracks long-running cases and WARN notice trends. EDD said its service standard is generally immediate response through phone, chat, or callback tools, while more complex cases can take longer because the department may be waiting on claimants or medical providers. The department also said it tracks call outcomes and outstanding cases, and that it can provide additional data on WARN notices. No votes were taken, and the hearing ended with plans to continue discussing EDD Next and paid family leave at a later March 10 budget hearing.
WV
West Virginia 2026 Regular Session
WV Senate Banking and Insurance Committee in Session Mar 11th, 2026 at 02:34 pm
Transcript Highlights:
- insurance is not handling the claim correctly or wrongfully denied a claim.
- Erie has an obligation to submit the claim to BRIM.
- So the obligation on Erie is to submit the claim.
- Third-party claims, first-party claims. Erie doesn't do that.
- Under law, we are not adjusting the claims.' Under law, we are... ...are not adjusting the claims.
Summary:
The Senate Banking and Insurance Committee met with a quorum present and approved the March 4, 2026 minutes by voice vote. The committee first considered House Bill 55, which updates and modernizes workers’ compensation statutes to reflect the privatized system, remove obsolete provisions, and adjust the Workers’ Compensation Board of Review from five members to three. The Insurance Commissioner testified that the bill is part of the cleanup from privatization and would give the governor more flexibility in appointments. After adopting a strike-and-insert amendment and a title amendment, the committee reported HB 55 to the full Senate with a recommendation that it do pass.
The committee then took up House Bill 5463, which would reduce BRIM’s required liability coverage for county boards of education from $1.25 million to $1 million per occurrence and eliminate the separate $5 million excess coverage requirement. BRIM’s director testified that the excess market was difficult to access and costly, but several senators raised concerns that lowering coverage could reduce protection for victims and school-related claims. After a divided vote, the motion to report the bill failed, and HB 5463 was not passed by the committee.
Next, the committee considered House Bill 4869, creating guaranteed issue rights for Medicare supplement policies, including annual birthday replacement rights and a special right for certain Medicaid recipients losing eligibility. Counsel said the bill would prohibit underwriting barriers during the guaranteed issue periods and require an annual report on premium trends. With no amendments offered, the committee reported HB 4869 to the full Senate with a recommendation that it do pass.
Finally, the committee considered House Bill 5462 on mine subsidence insurance. The bill would allow the mine subsidence fund to offset payments by amounts received from other sources and limit lawsuits over claims reported to BRIM. Members debated a proposed strike-and-insert amendment that would have softened the litigation limits and added notice and remedy provisions, but the amendment was rejected. The committee then reported HB 5462 to the full Senate with a recommendation that it do pass, and the meeting adjourned.
WV
West Virginia 2026 Regular Session
WV Senate Banking and Insurance Committee in Session Mar 11th, 2026 at 02:34 pm
Banking and Insurance
Transcript Highlights:
- Guidance claims.
- insurance is not handling the claim correctly or wrongfully denied a claim.
- No, this should not be claimed.
- Third-party claims, first-party claims. Erie doesn't do that.
- We under the statute are not adjusting the claims. Under law, we are not adjusting the claims.
KY
Kentucky 2025 Regular Session
House Standing Committee BR Sub. on Primary & Secondary Education & Workforce Dev (2-11-25)
Transcript Highlights:
- When they file that claim, they have to address some questions in order to complete that claim.
- The balance of the claims may have issues that are varied, could be multiple issues on any one claim,
- The balance of the claims may have issues that are varied, could be multiple issues on any one claim,
- </c><00:32:42.880><c> being</c> of claims being of claims being received<00:32:45.000><c> fast</c><00
- </c> that as I mentioned earlier each claim that as I mentioned earlier each claim can<00:34:46.720><
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.
FL
Florida 2025 Regular Session
March 20, 2025 - 11:30 AM
Transcript Highlights:
- This has increased from $612 per claim in 2020.
- with emergency room claims rose 15%.
- claims process with regard to screenings or the claims process in general.
- leading to rushed decisions or inadequate claim evaluations.
- It's those kinds of cases, but all of these claims are negligence claims.
Summary:
The Budget Committee met with a quorum and took up several bills. HB 677, relating to state-covered fertility preservation for employees undergoing cancer treatment, was introduced as coverage for egg and sperm preservation for up to three years, with an estimated fiscal impact of about $813,000. After brief questions and no public testimony or amendments, the bill passed unanimously and was reported favorably. The committee then considered CS/HB 59, which would reform Florida’s wrongful incarceration compensation process by extending the filing deadline from 90 days to two years, removing the clean-hands requirement, and allowing exonerees to choose between the state compensation process and a civil lawsuit; it was supported by the City of Flagler Beach and passed unanimously. CS/HB 1313, which recreates the Resilient Florida Trust Fund in the Department of Environmental Protection before its scheduled termination in 2025, also passed unanimously after supportive testimony from advocacy groups.
The committee received a lengthy presentation from the Department of Management Services on the State Group Insurance Program and the recent Revenue Estimating Conference. The presentation covered enrollment, revenues and expenditures, rising medical and pharmacy costs, emergency room utilization, GLP-1 drug spending, and options for tighter formulary and utilization management. Members asked about ER cost growth, GLP-1 coverage and copays, PBM oversight and potential conflicts, avoidable ER visits, cancer screening claims, dental and vision costs, specialty drug biosimilars, and possible savings from more restrictive pharmacy models. DMS said it would follow up on several questions and noted ongoing work on cancer coordination, preventive screening, biomarker testing, and a proposed member-facing benefits platform.
The committee also heard extensive testimony on HB 301, which would raise sovereign immunity caps from $200,000 per person and $300,000 per incident to $1 million and $3 million, align limitations periods with private claims, and allow government entities to settle above the caps without a claims bill. Local governments, school-related entities, and county and city associations opposed the bill, warning of major fiscal impacts, higher insurance costs, and pressure on services; several speakers urged smaller increases or a tiered approach. Proponents, including families affected by catastrophic injury or death, argued the current caps are too low and the claims bill process is inefficient and unfair. After debate, the bill passed on a recorded vote, with some members voting no, and was reported favorably.