Video & Transcript Research : 'premium classification'
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AZ
Transcript Highlights:
- regulation; HB 4018, sheriff exclusive authority auxiliary; HB 4109, safety school procedures criminal classification
- regulation HB 4018 sheriff exclusive authority auxiliary HB 4109 safety school procedures criminal classification
Summary:
The Senate convened with prayer and the Pledge of Allegiance, approved the journal, recorded attendance, and recognized several guests and proclamations, including Arizona Health Workforce Well-Being Day of Awareness, the Doctor of the Day, educators visiting the Capitol, and student guests. The chamber also announced temporary committee replacements and received House messages and bill referrals before moving to floor action.
On third reading, the Senate passed SB 1014 on health insurance, SB 1016 on employment practices, SB 1050 on state parks board/veterans park access, SB 1054 on referendum power and emergency measures, SB 1177 on public monies and gender-affirming care, SB 1194 on health care services and vaccination-related treatment issues, SB 1398 on AHCCCS, SB 1751 on capital punishment, and SCR 1049, a constitutional amendment proposal related to capital punishment. Several members explained votes, with supporters emphasizing veterans’ benefits, limits on emergency measure abuse, health care access, and policy changes on capital punishment, while opponents raised concerns about worker protections, local government authority, discrimination against transgender people, and the death penalty. Each measure passed by recorded vote and was transmitted to the House.
The Senate also noted upcoming committee meetings, including Health and Human Services the next day, and then adjourned until Thursday, March 19, 2026, at 10 a.m.
AR
Transcript Highlights:
- their plan to provide lump sum bonus awards up to five thousand dollars for employees in the classifications
- their plan to provide lump sum bonus awards up to five thousand dollars for employees in the classifications
Summary:
The committee first took up several personnel and compensation requests. It approved a Department of Parks, Heritage and Tourism reclassification that would trade three administrative coordinator positions for one park superintendent, one maintenance supervisor, and one park manager. It also approved one-time bonus and recruitment plans for the Department of Commerce and Department of Veterans Affairs, including up to $5,000 bonuses tied to the unemployment insurance modernization project and $2,000 bonuses for certified nursing assistants at the state veterans homes. A Department of Health request to reinstate a previously frozen fiscal support manager position for the State Medical Board was also approved; members were told the position was already authorized and would not increase total positions.
The committee then reviewed a Department of Commerce reduction in force affecting the Division of Workforce Services for the Blind and Employment and Training divisions. Secretary Hugh McDonald and Workforce Connections Director Cody Waits explained that the cuts were driven by over-obligated federal funds, a prior realignment, and what they described as long-standing fiscal mismanagement in the Division of Services for the Blind. They said 56 employees remained furloughed, five employees in a separate grant group were still working, and 17 positions were on the permanent RIF list. Senators questioned the division’s accountability structure, the role of the independent board, and whether the layoffs were being handled fairly, including a request for racial composition data on the workforce and the RIF group.
Members also discussed quarterly employment and overtime reports. Staff explained that the reports cover average staffing levels over each quarter, and members focused on overtime spending, especially in DHS, the Department of Correction, and the Department of Transportation. OPM said overtime is being reviewed, direct care positions remain exempt from the hiring freeze, and agencies have been hiring more staff since the new pay plan took effect. The committee asked for additional reporting on overtime trends, and the meeting adjourned without further action.
HI
Hawaii 2025 Regular Session
HOU-LBT, HOU DEFER, WTL-HOU, HOU, HOU Public Hearings 03-18-2025
Transcript Highlights:
- The soil classifications referenced in this bill also are based on pineapple and sugar, right?
- Um the the soil classifications<01:55:29.280>
referenced <01:55:29.599>in <01:55:29.679> this <01:55:29.840>bill classifications referenced in this bill classifications referenced- you develop land like lands of lost when you develop land like lands of soy<01:55:38.880>
classifications - of C or D um even soy classifications of C or D um even though<01:55:41.119>
they're <01:55:41.360
Summary:
The committees heard several housing-related bills and resolutions. HB 1298 HD3 would create a government employee housing revolving fund and a government employee 99-year leasehold rent-to-own program; testimony was generally supportive from HHFDC, labor groups, and the Maui Chamber, with the Tax Foundation and Budget and Finance raising concerns about the revolving fund. The committees recommended passage with non-substantive amendments for clarity and consistency, and the motion was adopted. HB 741 H2, which would exempt certain affordable housing projects financed by a certified nonprofit CDFI from prevailing wage requirements, drew support from housing advocates and opposition from several construction unions; the chairs said they were concerned about the labor objections and deferred the measure, with the labor committee agreeing to defer it as well.
The housing committee then took up HB 417 HD1, which creates a housing efficiency and innovation subaccount in the rental housing revolving fund and allows HHFDC to transfer funds between the subaccount and the main fund without legislative approval. Testimony was largely supportive. The chair described a series of amendments, including changing the funding-efficiency standard, adding perpetual affordability language, allowing any land tenure type, broadening eligible financing tools, adding priority criteria for mixed-income projects and government-employee projects, and inserting blank appropriations tied to a requested $75 million per year and a $75 million subaccount appropriation for the HCDA 99-year leasehold project. The committee recommended passage with amendments, and the recommendation was adopted.
HB 422 HD1, which would repeal school impact fees and move remaining balances to the school facilities special fund, drew broad support from housing and taxpayer groups and opposition from the Department of Education and some individuals. The School Facilities Authority and DOE argued the current system had not produced enough usable land or school sites and suggested narrowing the exemption to government housing projects’ construction costs instead of repealing the fee entirely. Members pressed DOE and SFA on how much land had actually been obtained and whether the fee had been effective; the discussion highlighted concerns about unused balances, school overcrowding, and the role of the Land Use Commission and county zoning in securing school sites. The committee did not take final action on the bill in the portion shown. The committee also heard STR 60/SR 45, urging HHFDC to develop a plan to meet housing demand, and STR 77/SR 60, addressing continued eligibility for housing credits for certain projects after repeal of Act 31; both sets of resolutions had HHFDC support, with DHHL supporting STR 77/SR 60 and Johnny May Perry opposing both.
NM
Transcript Highlights:
- The premium effects... Oh, that's very important.
- There will be increases in premium.
- Their average premium for homeowners is about $1,700.
- It's about a third of the cost in your total premium.
- And it's something... ...year that you've paid that premium.
Keywords:
insurance, wildfire, flood damage, natural disasters, property coverage, water projects, appropriation, New Mexico, finance authority, infrastructure, New Mexico Finance Authority, funding, SB193, acequia, community ditch, irrigation works construction fund, water infrastructure, ditch infrastructure, irrigation, New Mexico water law
FL
Florida 2026 Regular Session
Appropriations Committee on Health and Human Services Mar 18th, 2025
Appropriations Committee on Health and Human Services
Transcript Highlights:
- In fact, in 2013, our facility premium was $3.6 million.
- The reason is physicians can't afford those premiums, and if they practice, they go bare.
- And my clients are currently facing the highest medical malpractice premiums in the United States.
- And my clients are currently facing the highest medical malpractice premiums in the United States.
- or to justify other premiums is wrong.
Summary:
The committee met with a quorum and considered several health-related bills. SB 398, by Senator Burgess, would create a statewide Alzheimer’s and dementia awareness campaign through the Department of Elder Affairs, focused on early detection, brain health, risk reduction, clinical trial access, and community resources. Supporters said Florida has a large and growing Alzheimer’s population and that the campaign would help families and vulnerable communities; the bill was reported favorably after a roll call vote. The committee also adopted an amendment to SB 714, by Senator Burton, which would create non-opioid advanced directives and add liability protections for providers in medical emergencies involving opioids. Supporters framed it as a patient-choice measure, while opponents argued it was vague and could interfere with appropriate pain treatment; the amended bill was then reported favorably.
The committee also approved CS/SB 756, which removes the current age-eight diagnosis requirement for autism-related insurance coverage and extends coverage beyond age 18 for those diagnosed with autism. Senator Burton said the bill would help families whose children are diagnosed later or whose needs continue into adulthood. There was brief discussion about existing lifetime benefit caps, but the sponsor said the bill did not change those limits. The committee then took up SB 734, a proposal by Senator Yarbrough to repeal Florida’s wrongful death exception that bars certain parents and adult children from recovering non-economic damages in medical negligence cases. The sponsor and supporters described the current law as discriminatory and unjust, especially for families of older adults and disabled individuals, while opponents warned it would raise malpractice costs, increase premiums, and worsen provider shortages. The bill drew extensive public testimony from both grieving family members and health care/insurance representatives, and members debated whether caps or other safeguards should be added. No final action on SB 734 is reflected in the transcript excerpt.
NH
New Hampshire 2025 Regular Session
House Judiciary (02/19/2025)
Transcript Highlights:
- You can't have a binary classification system with more than two configurations, even if they are the
- classifications do exist XX<01:04:28.680>
XY <01:04:29.799>xxy <01:04:30.799>xxy - <01:54:39.440>
is provided for this classification is provided for this classification is - This bill focuses on three situational classifications, but I'll be just addressing bathrooms.
- This bill focuses on three situational classifications, but I'll be just addressing bathrooms.
Summary:
The House Judiciary Committee opened a hearing on House Bill 148, with the chair limiting testimony to two minutes and asking for no outbursts so the committee could get through eight bills that day. Representative Kofalt, the prime sponsor, said HB 148 was the same as last year’s HB 396, which passed both chambers but was vetoed by the governor. He explained the bill would allow, but not require, separation by biological sex in bathrooms, locker rooms, houses of correction, and certain athletic competitions, leaving local school boards and administrators discretion to set policies. He argued the bill was meant to address safety and privacy concerns and cited a Milford incident and concerns in several school districts as examples of why local flexibility was needed.
Committee members questioned the lack of a definition of “biological sex” and how the bill would be applied. Kofalt said he did not think a definition was necessary because males and females are generally understood, and he said the bill would give local policymakers latitude to make practical rules. He also said the bill was intended to address situations where people might misuse transgender claims to access spaces inappropriately. In response to questions, he said he was aware of issues in Kearsarge, Milford, and Mascoma school districts and had heard of discomfort in the State House, though he did not know all the details.
Several opponents testified that the bill would discriminate against transgender and non-binary people and create enforcement problems. Executive Councilor Karen Hill said the bill would roll back New Hampshire’s anti-discrimination protections and conflict with the state’s Live Free or Die values. Alice Wade, a trans woman, said she had used women’s restrooms without incident and argued the bill would invite invasive enforcement and harassment. Representative La Selig said the bill was discriminatory and that bathroom concerns were being confused with unrelated harassment by cisgender males. Betsy Harrington supported the bill, citing a girls’ soccer game at Kearsarge that she said was disrupted by a boy playing on a girls’ team. Rosie Emer and her child testified against the bill, saying bathroom restrictions would increase anxiety and risk for trans and non-binary children. Stephen Scaer and Wendy Stallings supported the bill, arguing sex is biologically fixed and that excluding males from female spaces should not require genital inspections. No vote or final committee action was taken in the portion of the hearing provided.
NH
Transcript Highlights:
- <00:02:36.640>
of <00:02:36.959>individuals permitting classification of individuals - permitting classification of individuals based<00:02:37.920>
on <00:02:38.160>biological - Allowing classification is not the same as authorizing discriminatory messaging.
- This bill creates broad classifications classifications classifications affecting<02:30:56.399>
access - <03:39:24.239>
based uh specifying that classifications based uh specifying that classifications
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health May 19th, 2026
Transcript Highlights:
- Moving on to the next proposal: the $1 premium subsidy program.
- Moving on to the next proposal, the $1 premium subsidy program.
- We have the state premium subsidy program.
- Some people have much higher premiums, and people have lower premiums.
- Premium tax on the commercial markets is a vastly different animal.
Summary:
The Assembly Budget Subcommittee on Health heard presentations on several May Revision proposals, beginning with an overview from the Legislative Analyst’s Office and the Department of Finance on the state’s budget condition and the administration’s efforts to reduce out-year deficits through a mix of revenue measures, fund shifts, and program reductions. The chair expressed support for some administration proposals, such as added health IT funding, county administration support, a delay in Medi-Cal cuts for some immigrants, and additional Covered California subsidy backfill, but also criticized proposed Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other cuts affecting counties, workforce, and rural access. The LAO said the budget still relies heavily on reserves and borrowing and urged more reserves and caution on new commitments.
The Department of State Hospitals presented several proposals, including reduced county bed billing authority, limited contract exemption authority for online clinical subscriptions, reversion of unspent prior-year funds, additional lease revenue authority for the Metro Central Utility Plant replacement, funding for electronic health record implementation, and a shift of workforce development costs to Behavioral Health Services Act funds. The department also described savings and realignments in its IST and CONREP programs, including making the Independent Placement Panel permanent and adjusting funding for jail-based competency treatment and conditional release services. Members questioned the BHSA workforce funding swap, and the administration said it was part of a broader General Fund offset strategy.
The Emergency Medical Services Authority requested funding for statewide behavioral health crisis response guidance and for continued operation of its enterprise systems, and the Department of Managed Health Care sought funds to modernize its complaint system and claims settlement data systems. The largest debate centered on the administration’s proposed use of Behavioral Health Services Act revenues to offset General Fund spending and fund state-directed behavioral health programs. The Department of Finance said the proposal would support population-based prevention, workforce programs, mobile crisis services, and other state-directed uses, while the LAO said it was still reviewing whether the uses comply with Proposition 1 and whether the non-supplement and eligible-use requirements are met.
The Commission for Behavioral Health strongly opposed proposed cuts to its Innovation Partnership Fund and community advocacy grants, arguing that both programs are central to community voice, culturally responsive services, and statewide innovation. Commissioners and many public commenters said the cuts would reduce grants to community-based organizations, tribal groups, veterans, LGBTQ communities, youth, and other underserved populations, and that the advocacy program helps communities participate in local planning and access services. The Department of Finance defended the reductions as a way to prioritize direct services and said the programs fit within Proposition 1, but members criticized the proposal as a midstream shift that would weaken community engagement and redirect funds away from prevention and advocacy.
AR
Arkansas 2026 1st Special Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 16th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- An Arkansas insurance premium, paid for by an employer and an employee sharing, right, it's almost the
- So if your premiums are the same and what insurance companies measure is risk, then you have a risk tax
- every time your premium is increased because the hospital cost is pretty much the same.
- And if commercial payers are taking in about the same number of premiums in our state as they are in
- ... ...it would allow the hospitals to control those premiums and those costs and to make sure they're
MN
Minnesota 2025 1st Special Session
Committee on Judiciary and Public Safety - 03/19/25
Judiciary and Public Safety
Transcript Highlights:
- The reason I raise this is the definitions used here for data classification.
- The reason I raise this is the definitions used here for data classification.
- Definitions used here for data classification.
- confidentiality uh classification of confidentiality uh classification of data<01:43:00.639>
as - Usually there's a reference to the data classification at least prior to that.
HI
Hawaii 2025 Regular Session
PBS Info Briefing - Mon Feb 3, 2025 @ 9:00 AM HST
Hawaii House Floor Meeting
Transcript Highlights:
- We have the inmate classification office.
- So that's how we move inmates through the system through the classification process.
- We have the inmate classification office.
- We have the inmate classification office.
- Inmates move down the classification system through sequential phasing.
MN
Minnesota 2025-2026 Regular Session
Task Force on Homeowners and Commercial Property Insurance 9/10/25
Minnesota House Floor Meeting
Transcript Highlights:
- And you can see that carriers are paying out more in claims than they are bringing in premiums.
- In terms of premiums, they're up approximately $600 since 2014.
- So they may be keeping their premiums lower or steady but purchasing a product that may not be quite
- In terms of uh premiums, um they're up In terms of uh premiums, um they're up approximately<00:24:52.480
- Um but also paired premium increases.
Summary:
The task force held its first meeting on the insurance affordability crisis affecting single-family housing, common interest communities, and multifamily rental housing. Members and staff introduced themselves, including representatives from insurers, the Department of Commerce, housing advocates, affordable housing developers, and HOA/community association interests. Representative Steve Elkins was elected chair by roll call vote with 10 members in favor, after discussion that the Senate appointee’s formal appointment had not yet arrived; the group noted the intent to later move to co-chair leadership once that appointment is finalized.
Staff reviewed the task force’s enabling statute and open meeting law requirements. The task force is charged with studying homeowners and commercial property insurance, property resilience and risk mitigation, liability laws and possible tort reform, notice and oversight issues, public reporting, and the state-supported insurance program, including possible expansion to a catastrophic reinsurance fund or self-insured pool. The final report is due February 15 and will go to the commissioners of commerce, housing finance, and employment and economic development, as well as relevant legislative committees. Members were also briefed on meeting logistics, a draft charter to be voted on at the second meeting, a resource page for shared materials, and the schedule of future meetings.
The Department of Commerce then gave an overview of Minnesota’s property and casualty insurance market. Commerce described its regulatory role, the state’s competitiveness test, and how homeowners insurance is often filed under a “file and use” process rather than prior approval. The presentation emphasized that homeowners coverage has been under pressure for years: insurers have lost money in many recent years, premiums have risen, some consumers are taking on more risk through higher deductibles or reduced coverage, and some are moving into the surplus market. Commerce also highlighted the impact of severe weather losses, the growth in premiums since 2014, and gaps in oversight for homeowners associations and related policies.
The meeting then shifted to brainstorming the problems the task force should address. Early discussion focused on climate and construction-related resilience, including hail and wind-driven rain damage, discontinued building materials, and whether stronger materials are reflected in insurance pricing. Members also raised the need to study programs like Alabama’s fortified roof model and Minnesota’s own Strengthen Minnesota Homes effort, along with questions about whether the construction industry is prepared to support broader resilience measures. No additional votes were taken during the discussion segment.
NM
New Mexico 2026 Regular Session
House - Transportation and Public Works Feb 12th, 2026 at 09:12 am
Transcript Highlights:
- construction projects, provided for a contribution rate of zero for non-apprenticeship trade classifications
- So right now there are currently four classifications for the prevailing wage: Type A, Type B, Type C
- it says that if you pay zero, if there is no proof of apprenticeship and training program, per classification
- If there is no proof of apprenticeship and training program, per classification apparently.
Summary:
The committee first took up HB 322, which would create a transportation trust fund and transportation program fund. The sponsor offered and the committee adopted an amendment striking the section that would have imposed a 1% gross receipts tax on electricity sales. After a recap of the bill’s remaining provisions, including a $400 million seed amount and future transfers from motor vehicle excise tax revenue, the committee heard brief support from Associated Contractors of New Mexico and the Asphalt Pavement Association and no opposition. The amended bill then passed on a roll-call vote.
The committee then heard HB 270, a public works/apprenticeship bill that would require contributions to approved apprenticeship and training programs or to the Public Works Apprentice and Training Fund for public works construction projects, while eliminating an exemption for certain road, highway, utility, and maintenance work. Supporters, including union carpenters, electrical workers, the building trades council, and apprenticeship advocates, argued the bill would expand training, help address labor shortages, and provide a return on public investment. Opponents from utility contractors, highway contractors, and Associated Contractors of New Mexico said they already operate federally approved in-house training programs, warned the bill would raise project costs, and argued some trades have no accessible approved programs.
Members questioned how the bill would interact with existing in-house programs, whether rural contractors and nonunion firms would be affected, and whether the state-approved fund and federal highway training requirements could conflict. A proposed amendment to exempt projects of $50 million or less was introduced but tabled. After extensive debate, the committee voted 6-5 to pass HB 270. The meeting also included discussion of a prior procedural error in which HB 270 had been heard before being properly assigned, which the chair said rendered that earlier action void. At the end of the meeting, the committee received a brief New Mexico Department of Transportation District 3 presentation on district projects, budget, and construction status.
KY
Kentucky 2026 Regular Session
House Budget Review Sub. on Economic Development, Pub. Protection, Tourism, and Energy (1-14-26)
Transcript Highlights:
- Chairman, once that classification is made, we go through these screening criteria, and there's some
- overlap in them for sure, but I think probably the biggest one of all on the dam hazard classification
- <00:03:31.840>
chairman And once that classification is made, we go through these screening - some overlap in them for sure, but I think probably the biggest one of all on the dam hazard classification
Keywords:
00:02 EEC – State-Owned Dams
21:07 EEC – Grid Resilience Grant Funds
37:24 Adjournment, 958, all
Summary:
The committee heard presentations from the Department for Environmental Protection and the Office of Energy Policy on Kentucky’s state-owned dam repair program and the electric grid resilience program. Commissioner Tony Hatton explained how state dams are defined and classified under Kentucky law, the criteria used to prioritize repairs or decommissioning, and the status of several projects funded in the last biennium. He said the department is using a design-bid-build process, with major work planned or underway at Willisburg Lake, Big Bone Lick State Park Dam, Clemens Lake Dam, Marion County Sportsman’s Dam, Chinoa Lake Creek/Canning Creek Dam, and Lake Malone, and that $0.5 million is reserved for routine repairs. He also described the timeline and cost pressures, noting that construction seasons and bid uncertainty can affect schedules and estimates.
Members asked several questions about whether the estimates were current, how accurate the bids tend to be, why the process takes so long, and whether it would be better to fund design separately before construction. Hatton said the estimates are the best current engineering estimates, that costs often stay within about 10% but can vary, and that the overall process is usually closer to two years than four, though delays can occur. He also said all of the allocated dam funds must be available before bids can be let. The committee discussed whether design work can become stale if construction is delayed.
Kenya Stump then updated the committee on Kentucky’s electric grid resilience program under federal Infrastructure Investment and Jobs Act funding. She said Kentucky has received years one through three of the five-year program and has allocated funds to state park electric systems and municipal utilities, with years four and five not yet received. She identified Ken Lake State Park and Kentucky Dam Village as the two state park projects in progress, and Owensboro, Princeton, Williamstown, and Hopkinsville as the municipal projects selected through a competitive process. She said the projects are under contract or in final negotiations, with municipal construction expected to begin in the first quarter of 2026 and finish by the end of 2026, and explained that the work includes line, pole, transformer, meter, and outage-management upgrades. Members asked about the relationship between this program and prior park appropriations, the timing of agreements with Parks, and whether the park systems could eventually be transferred to the local electric cooperative; Stump said the park agreements are imminent and that the upgrades are intended to bring the systems up to code so the cooperative can maintain them. No votes were taken, and the chair adjourned the committee until the following Wednesday, with a possible time change to avoid a scheduling conflict.
WA
Washington 2025-2026 Regular Session
Joint Select Committee on Health Care and Behavioral Health Oversight Dec 3rd, 2025
Joint Select Committee on Health Care and Behavioral Health Oversight
Transcript Highlights:
- And to put a pin in that, that means the enhanced premium tax credits.
- One is called premium alignment, otherwise known as silver loading.
- Also, thank you for Cascade Care Savings, our state premium assistance program.
- This is by simply just not paying their January premiums.
- Ingrid mentioned the end of the enhanced premium tax credits.
Summary:
The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners.
The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings.
The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps.
In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 03/03/26
Health and Human Services
Transcript Highlights:
- partially offset by lower gross premium partially offset by lower gross premium tax<00:42:06.960
- <00:43:04.319>
colle partially offset by lower premium colle partially offset by lower premium - <00:43:07.200>
of uh premium searchcharge collections of uh premium searchcharge collections - You can and gross premium tax revenue.
- The disposition of gross premium taxes differ on the status of the HMO.
CA
California 2025-2026 Regular Session
Assembly Revenue and Taxation Committee Apr 21st, 2025
Transcript Highlights:
- These factors have led to a sharp increase in insurance premiums.
- minus the amount paid in premiums in 2023, the base of your premium, on residential property valued
- To remain insured and to defray costs of increased premiums,...
- Why should the state government profit from a 40% increase in premium?
- Because when a 40% increase in the premium goes up, our insurance tax goes up by 40% as well.
Summary:
The Assembly Committee on Revenue and Taxation met under suspense-file procedures, with the chair explaining limits on testimony, position letters, and that bills with fiscal impacts of $150,000 or more would generally be sent to suspense rather than voted on immediately. Several bills were pulled from hearing, and a consent calendar of committee bills later passed 4-0. AB 761 by Addis, the only item initially slated for a vote, was ultimately held over to the next hearing.
The committee heard testimony on a series of tax-related proposals. AB 232 would create catastrophe savings accounts for homeowners to save pre-tax money for wildfire, flood, or earthquake-related expenses; it drew support from the Department of Insurance and the California Bankers Association, but was sent to suspense. AB 1443 would exempt tips from state income tax for five years and was supported by the California Restaurant Association and a restaurant owner, but also went to suspense. AB 1435 would provide relief to businesses and property owners facing cleanup and security costs from unauthorized encampments and illegal dumping; it received broad support from business, real estate, trucking, retail, and local government representatives, and was referred to suspense.
The committee also heard AB 1428, which would create a California Affordable Child Care Fund financed by a 0.5% tax on income above $10 million; child care workers and SEIU-backed witnesses supported it, while taxpayer and business groups opposed it as harmful to competitiveness and affordability. AB 691 proposed a tax credit for adopting shelter pets and covering veterinary costs, AB 1219 proposed a middle- and low-income personal income tax cut, AB 1354 proposed a credit for increased homeowners insurance premiums, AB 19 proposed an education savings account/voucher-style program, and AB 567 proposed insurance rate stabilization and related tax/fund changes; each drew testimony for and against where present, but all were referred to suspense. The meeting ended with the committee adjourning after the held-over AB 761 item was postponed.
MN
Minnesota 2025 1st Special Session
House Commerce Finance and Policy Committee 2/12/25
Commerce Finance and Policy
Transcript Highlights:
- So the premium security plan, or the premium security account, is the name for the reinsurance program
- go too much into it so the premium go too much into it so the premium security<00:56:31.839>
- c> Security security plan or the premium Security security plan or the premium Security account<00
- >
by how much are we raising premiums by how much are we raising premiums by charging Charging - <01:00:39.920>
uh cleaning up leaky storage premium uh cleaning up leaky storage premium uh
FL
Florida 2025 Regular Session
December 2, 2025 - 01:00 PM
Transcript Highlights:
- SO THERE IS THE CONNECTION TO THE INSURANCE PREMIUM THAT HAPPENS WITH THIS INSPECTION.
- AND SO EVEN REMAINING, KEEPING A PREMIUM STABLE I WOULD SAY IS A SUCCESS BECAUSE IT DIDN'T GO UP.
- HERE YOU CAN SEE BROKEN DOWN BY CALENDAR YEAR THE AVERAGE PREMIUM REDUCTIONS.
- AND SO I THINK IT'S GOING TO BE VERY TELLING TO SEE WHAT HAPPENS TO THE PREMIUMS ON THIS ONE.
- SO I THINK THAT WILL ALSO BE TELLING TO SEE WHAT THE PREMIUM IMPACT THERE IS.
AR
Arkansas 2026 1st Special Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 16th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- Because in Arkansas insurance, ...an Arkansas insurance premium paid for by an employer and an employee
- every time your premium is increased because the hospital cost is pretty much the same, even though
- every time your premium is increased because the hospital cost is pretty much the time your premium
- And if commercial payers are taking in about the same number of premiums in our state as they are in
- And if commercial payers are taking in about the same number of premiums in our state as they are in
Summary:
The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures.
Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete.
A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation.
At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.