Video & Transcript : 'captive insurers' :
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NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs (05/27/2025)
Transcript Highlights:
- Risk pooling is not insurance. reserves. Risk pooling is not insurance.
- </c> insurers.
- The Department of Insurance insurers.
- . insurance. insurance.
- Thank you. insurance company. These pools are not insurance company.
Summary:
The committee first took up SB 297 and a new amendment, 2462, which combined the original Senate bill with the Carson amendment and added a proposed alternative regulatory system, RSA 420R. The chair and members discussed that the amendment was intended to give the Senate what it had asked for while also creating a dual system for public entity risk pools. Members asked whether the new structure would affect ownership or governance of health trusts, and the chair explained that 420R would be a separate regulatory statute while existing 420J-style arrangements could remain in place. The committee also noted that a paragraph had been accidentally deleted from the amendment and that another amendment would be prepared to correct it, with the subcommittee recessed while that was done.
Public testimony focused on School Care, represented by Executive Director Lisa Ducette, who opposed the shift to Department of Insurance oversight under 420R. She argued that public entity risk pools are not insurance companies, that they are accountable to member entities and taxpayers, and that the proposed dual regulation would add unnecessary costs through examinations, higher reserves, and additional accounting requirements. She said the change could threaten tax-exempt status and create an uneven playing field, and she urged the committee to support SB 297 with the Carson amendment instead of moving to 420R. Committee members questioned whether the amendment would actually affect pools that stayed under the Secretary of State model, and one member cited support from the New Hampshire Municipal Association for the dual system.
The discussion then shifted to amendment 245 on ambulance reimbursement and contracting timelines. Members reviewed a provision giving insurers 45 days and ambulance providers 60 days in the contracting process, and one member suggested making both periods 60 days. The chair and others said the current language was intentional and part of a broader compromise aimed at ending balance billing and forcing insurers to establish reimbursement rates. Members noted that the measure was unusual and that its effects would be reviewed over the next two years, with one member saying the bill would likely be difficult to roll back later. No final vote was taken in the portion provided.
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 2/18/26
Commerce Finance and Policy
Transcript Highlights:
- Health insurance, housing, homeowners' insurance, auto insurance, and grocery bills are all places where
- for-profit insurance.<00:37:44.400><c> Um,</c> insurance.
- Um, insurance.
- </c> just dropped their insurance? just dropped their insurance?
- Um, and fully insured and self-insured.
NM
Transcript Highlights:
- For individuals purchasing insurance through the state's health insurance exchange, the requested rate
- insurance.
- And not being able to afford insurance.
- We need a lot more people on commercial insurance.
- We had companies that had commercial insurance.
LA
Transcript Highlights:
- Referrals could be made directly to a direct insurer.
- To pay family leave insurance, to provide for definitions, to establish guidelines for pay leave insurance
- The bill affords insurers the... to pay family leave insurance, to provide for definitions, to establish
- The bill affords insurers the Private market options.
- The bill affords insurers the option to offer paid family leave coverage.
Summary:
The House Insurance Committee met on Tuesday, March 31, with 11 members present for a quorum. The committee first took up House Bill 826, which would modernize insurance referral rules to allow referrals by website or email address rather than only by name or phone number. After adopting a technical amendment set, the bill’s sponsor’s representative said the measure had been worked out with independent agents and that prior concerns had been addressed; the committee reported HB 826 as amended without objection.
The committee then considered House Bill 591, a bill creating a voluntary private-market paid family leave insurance product. The sponsor explained it would not create a state program or use taxpayer dollars, but would allow insurers to offer coverage for wage replacement tied to birth, adoption, caregiving, or military-related leave. The committee adopted a technical amendment and then a second amendment clarifying that benefit payments are not wages in lieu of workers’ compensation and do not interrupt claim prescription; after that, HB 591 was reported with amendments without objection.
Before adjourning, the committee announced that House Bill 625 would be voluntarily deferred to the following week, and House Bills 751 and 771 would also be deferred until next week or possibly the next day if the sponsor provided notice. The meeting then adjourned.
WA
Washington 2025-2026 Regular Session
House Consumer Protection & Business Feb 18th, 2026 at 01:30 pm
Consumer Protection & Business
Transcript Highlights:
- benefits are assigned or transferred from the insured to another person.
- However, they're not insurance professionals.
- been pressured to sign documents before contacting their insurance company.
- You won't have to worry about anything with the insurance company.
- litigation against their own insurance companies for over a decade.
Keywords:
mortgage modification, uniform regulations, homeowners, financial stability, foreclosure prevention, SB6178, property insurance, insurance claims, assignment of benefits, AOB, post-loss assignment, post-loss benefits, homeowners insurance, policyholder, insured, restoration contractor, mitigation contractor, public adjuster, insurance commissioner, claims handling
FL
Transcript Highlights:
- This bill covers the Office of Insurance Regulation.
- It updates outdated reciprocal insurance statutes.
- Senate Bill 1740 is a pro-consumer insurance bill with a goal of bringing down insurance premiums, decreasing
- the likelihood that an insurer will go insolvent, and holding insurers accountable for prior poor decisions
- made by insurance companies.
Summary:
The committee heard and advanced several insurance, financial regulation, and public safety bills. The most extensive discussion centered on SB 1656, a major Office of Insurance Regulation bill covering reciprocal insurers, rate transparency, data calls, cybersecurity notification, and stronger oversight of continuing care retirement communities (CCRCs). The sponsor and OIR described the bill as aimed at transparency and preventing insolvencies, especially after recent CCRC failures. CCRC residents and industry representatives testified both in support and in opposition, with supporters emphasizing resident protection and opponents warning about liens, reserve requirements, management-company regulation, and higher costs. After debate and assurances that problematic provisions would be refined, the committee adopted a delete-all amendment and then reported the bill favorably.
The committee also passed SB 1658, which creates a public records framework for the uniform mitigation verification of inspection form database while protecting policyholders’ personal information; a clarifying amendment was adopted before the bill was reported favorably. SB 1612 on financial institutions was approved after a substitute amendment restored current limits on credit union investments and kept only reimbursement, not salary, authority for certain board members and officers. SB 1740, an insurance bill intended to reduce premiums and insurer insolvency risk, was amended to prioritize rate-decrease filings and prohibit claim denials based solely on AI, then reported favorably.
Two public-safety bills also moved forward. SB 1212 on firefighter health and safety would update OSHA-related protections, address toxic exposure in gear, encourage safer replacement equipment, and support best practices and mental health resources; an amendment refined terminology and added related provisions, and the bill was reported favorably. SB 1184 on residual market insurers was amended to preserve existing consumer protections and disclosure rules for excess and surplus lines and to clarify Citizens-related appointment requirements before being reported favorably. Throughout the meeting, members repeatedly noted ongoing stakeholder negotiations and intent to refine several bills further in later committee stops.
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 4/9/26
Commerce Finance and Policy
Transcript Highlights:
- Without fertility insurance, families must pay out of pocket for care that insurers have the ability
- c> health</c><00:08:30.639><c> outcomes</c> insurance covers IVF, health outcomes insurance covers IVF
- </c> which would expand infertility insurance which would expand infertility insurance coverage<00:14
- Were they covered by insurance?
- </c> insurance. They can't afford it at all. insurance. They can't afford it at all.
Keywords:
infertility, health insurance, fertility preservation, medical assistance, MinnesotaCare, prediction markets, sports betting, online wagering, event contracts, election betting, political betting, sportsbook, gambling regulation, lawful gambling license, Gambling Control Board, unauthorized gaming, esports betting, financial technology, payment processor, advertising restrictions
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Health Care Financing Jun 21st, 2026 at 01:00 pm
Joint Committee on Health Care Financing
Transcript Highlights:
- Patients rack up insurance premiums, co-pays, co-insurance, travel, and other out-of-pocket costs.
- self-insured.
- You've got to insure fair treatment by the commercial insurers with that. That's an easy win.
- You've got to insure fair treatment by the commercial insurers with that.
- , and private insurance.
Summary:
The Joint Committee on Health Care Financing held a public hearing on a large docket focused on primary care, workforce development, and medical debt. Chairs Cindy Friedman and John Lawn outlined hearing procedures and noted that testimony would be taken on 17 matters. The committee first heard testimony on bills to establish a community health center nurse practitioner residency program and to strengthen mental health centers. Senator Keenan, Rep. Keefe, and health center leaders described the Worcester nurse practitioner residency as a successful pipeline and retention strategy, citing workforce shortages, training needs in community health centers, and the cost of the program. Rep. O’Day also supported the mental health centers bill, saying it would raise payment rates, improve reimbursement for behavioral health services, and help clinics retain staff and expand access.
The committee then took testimony on bills to address medical debt through hospital financial assistance reform. The Attorney General’s Office, Health Care for All, Health Law Advocates, the Leukemia and Lymphoma Society, and individual patients supported the measure, arguing that hospital financial assistance policies are inconsistent, hard to find, and difficult to navigate. Witnesses said the bill would standardize eligibility criteria, create a uniform application, improve notice requirements, and expand access to discounted care up to 400% of the federal poverty level. Several personal stories described medical bills being sent to collections, confusion over insurance billing, and the burden of debt on low-income and chronically ill patients. Committee members asked about hospital concerns, the role of the health safety net, and whether the bill addressed root causes of medical debt; testimony emphasized that the proposal was meant to improve transparency and access rather than replace broader insurance reforms.
The hearing also focused heavily on “Primary Care for You” legislation, H. 1370 and S. 867, which would increase primary care investment and create a new payment model. Rep. Haggerty, physicians, a patient, community health center leaders, and the Massachusetts League of Community Health Centers described a primary care crisis marked by low reimbursement, staffing shortages, long waits, burnout, and difficulty recruiting clinicians. Supporters said the bills would shift spending toward preventive, team-based care, improve access and equity, and reduce long-term costs. The Massachusetts Association of Health Plans said it was directionally supportive of increased primary care investment but warned that any new spending must stay within the cost growth benchmark and preserve existing contracting structures. The hearing ended with additional testimony on a community health center workforce and loan repayment grant bill from Rep. Stanley, and with further discussion from Dr. Alan Garo about the need for payment reform in primary care.
MN
Minnesota 2025-2026 Regular Session
Committee on Commerce and Consumer Protection - 03/25/25
Commerce and Consumer Protection
Transcript Highlights:
- <00:30:14.039><c> here</c><00:30:14.159><c> in</c> Insurance here in Insurance here in Minnesota<00:30
- </c> who want to buy a supplemental insurance who want to buy a supplemental insurance in<00:31:13.159
- </c> individual states regulate Insurance individual states regulate Insurance products<00:49:39.760>
- </c> leave the market the result is insurers leave the market the result is insurers are<01:07:09.279
- </c><01:46:23.639><c> these</c> Insurance to auto insurance to these Insurance to auto insurance to these
WV
West Virginia 2026 Regular Session
WV Senate Finance Committee in Session Mar 11th, 2026 at 04:01 pm
Finance
Transcript Highlights:
- to fingerprinting requirements for applicants for an insurance producer license or insurance adjuster
- The next is the Insurance Commissioner to promulgate a legislative rule regarding insurance adjusters
- The next one also the insurance commissioner about advertisement of accident and sickness insurance insurance
- The next is the insurance commissioner to promulgate a legislative rule regarding insurance adjusters
- insurance holding company systems.
ID
Idaho 2026 Regular Session
Agenda Mar 10th, 2026
Transcript Highlights:
- That's the Department of Insurance.
- So it could be disability insurance, health insurance, income replacement, life insurance, retirement
- , and unemployment insurance.
- So it could be disability insurance, health insurance, income replacement, life insurance, retirement
- , and unemployment insurance.
Summary:
The Senate Commerce Committee first approved the minutes from February 26, 2026 by voice vote. It then heard House Bill 738, which would allow an additional option for LLC organizers to list a commercial registered agent’s address instead of a residential/home address on the Secretary of State’s website, with the stated goal of improving privacy and safety for home-based businesses while preserving existing LLC formation options. Representative Dygert said the bill was developed with input from the Secretary of State’s office and that other states use similar approaches. After questions about the definition and use of commercial registered agents, the committee voted to send HB 738 to the Senate floor with a do pass recommendation.
The committee then took up House Bill 645, a proposal to create voluntary portable benefits accounts for independent contractors and other 1099 workers. Majority Leader Den Hartog and a supporting witness described the bill as a way for contractors and hiring entities to contribute to worker-owned accounts that could be used for benefits such as health, disability, life, retirement, income replacement, and unemployment insurance, with administration by approved third-party providers under Department of Insurance oversight. Supporters argued the bill would expand flexibility and access to benefits without changing worker classification, and noted similar laws in other states. Opponents, including the Idaho AFL-CIO, warned the bill could worsen worker misclassification, blur the line between employees and contractors, and create concerns about immigration verification, workers’ compensation, and tax treatment.
Committee members raised repeated questions about whether the bill could affect the right-to-control test, workers’ compensation, federal classification rules, and whether the accounts might be used without health coverage. The sponsor and witness responded that the bill would not alter existing classification law, would not create an employer-employee relationship, and would remain subject to federal law. After closing debate, the committee approved HB 645 on a 5-4 roll call vote and sent it to the Senate floor with a do pass recommendation. The committee then adjourned after completing its agenda.
MO
Transcript Highlights:
- They had to split their general insurance policy from the umbrella, go to two different insurance companies
- policy and got the Department of Insurance.
- policy and got the Department of Insurance.
- It's a little different than an insurance type.
- I suppose they could still get some private insurance, maybe umbrella type of insurance, but that they
Summary:
The Committee on Children and Families heard public testimony on House Bills 1839, 2921, and 3015, all aimed at requiring age verification for access to online pornography. The sponsors argued the bills are needed to protect children from early exposure, exploitation, sextortion, and related harms, and said the measures mirror laws in other states and recent Texas litigation. Supporters, including the Missouri Children’s Trust Fund, pediatric sexual assault nurse examiners, child advocacy groups, the Missouri Catholic Conference, and the Attorney General’s office, testified that pornography contributes to child sexual abuse risk, addiction, and unhealthy sexual development. Committee members asked about privacy protections, enforcement, penalties, and whether third-party verification or website-based verification would be used; the Attorney General’s office said identifying information should not be retained and that enforcement would occur through court action. No one testified in opposition, and the hearing concluded with the bills remaining under consideration, with a committee substitute to follow for one portion of the legislation.
The committee then heard House Bill 2610, which would use the state legal expense fund to cover claims and judgments involving foster care, case management, and residential service providers under contract with the state. Representative Murphy and supporters said the private insurance market for these providers has become unstable and unaffordable, with some agencies facing large premium increases, repeated denials, or inability to find coverage at all. Testimony from the Missouri Coalition for Children, Missouri Alliance for Children and Families, Family Forward, and the Attorney General’s office described the issue as a market failure that could force providers to close and disrupt services for foster children. The Attorney General’s office explained how legal expense fund coverage would work, noted that it can cover negligence and intentional acts for covered entities, and said the bill would shift risk to the state in the absence of adequate private insurance. No opposition was offered.
Finally, Representative Terry briefly presented House Bill 24, describing it as the same as Representative Dolan’s grandparents’ bill and emphasizing that grandparents should have first consideration for custody if a child’s parents are unable to care for them. No testimony was offered on the bill. The committee then moved into executive session and voted do pass on House Committee Substitute for House Bill 1696, House Committee Substitute for House Bills 2505 and 24, and House Bill 1772, each by unanimous 14-0 votes. The meeting then adjourned.
LA
Louisiana 2026 Regular Session
Commerce Apr 21st, 2026
Commerce, Consumer Protection, and International Affairs
Transcript Highlights:
- claim on behalf of the insured.
- I'm also a licensed adjuster, and I own an insurance agency called Red Stick Insurance Agency, right
- There was an insurance company, I guess I can name insurance companies, right?
- They're chasing insurance claims.
- They're there for the insurance, and they're there to make money off of insurance.
Summary:
The committee first heard House Bill 267, which would change the membership rules for the Louisiana State Board of Home Inspectors by adjusting appointment qualifications, term limits, and nomination procedures. Vice Chair Thomas explained the bill was meant to address the lack of nominations from existing entities and to allow the governor more flexibility, especially in smaller districts. After adopting a technical amendment, the committee reported HB 267 favorably.
The committee then considered House Bill 478 on utility overcharge reimbursements. The bill, as amended, requires utilities to clearly label reimbursements on customer bills and sets a deadline for issuing refunds. After discussion with the Public Service Commission and utility representatives, the committee changed the reimbursement timeline from 45 days to 90 days and clarified that the bill would not interfere with larger settlement or regulatory credits. HB 478 was then reported favorably as amended.
The longest discussion centered on House Bill 924, a consumer protection measure aimed at contractors who solicit residential property owners after declared disasters. The author said the bill was intended to curb predatory storm-chasing and fraudulent insurance-related practices, while still allowing emergency mitigation work. The committee adopted technical amendments and then a conceptual amendment shortening the catastrophe response period from six months to 30 days. Testimony was split: the Insurance Commissioner and some roofing industry witnesses supported the bill as a way to deter fraud, while other contractors argued it would hurt small businesses, limit legitimate door-to-door work, and not solve enforcement problems. The bill remained under consideration after extensive testimony and public comment.
OK
Oklahoma 2026 Regular Session
Business and Insurance 2ND REVISED Mar 5th, 2026
Business and Insurance
Transcript Highlights:
- I'd like to call this meeting of Business and Insurance to order.
- I have been working with all parties on this with the insurance department, insurance carriers, insurance
- So we talked earlier about insurance, and so businesses can get insurance, can't they?
- and property, the insurance company, basically, you're paying for the insurance company to have two
- The insurance company, basically, you're paying for the insurance company to have two things: to be able
Keywords:
ticket sales, resale, consumer protection, fraud, bots, transparency, refunds, event tickets, medical marijuana, cannabis, marijuana license, commercial grower, grow operation, bond requirement, land reclamation fee, revolving fund, environmental remediation, redevelopment, Oklahoma Medical Marijuana Authority, OMMA
Summary:
The Business and Insurance Committee considered a series of bills focused on credit card interchange fees, insurance regulation, alcohol licensing, utility contractor authority, medical marijuana bonding, and business liability. Senators Thompson’s SB 2102 and SB 1940 sought to limit swipe fees on large financial institutions and on taxes and tips, respectively; both passed after questions about the asset thresholds and their impact on merchants and banks. SB 1625, by Senator Fricks, would let the Oklahoma Insurance Department prepare impact analyses on health benefit plan legislation, and passed unanimously. SB 1442, by Senator Dossett, lowered distiller licensing fees, created a microdistillery license, and restored a liability insurance proof requirement through an amendment; it passed 11-0. SB 1623, by Floor Leader Daniels, would revise the state credit union charter and passed 11-0. SB 1242, by Senator Hamilton, increased the bond required for medical marijuana grows from $50,000 to $100,000 and passed 10-0.
The committee also heard SB 1949 from Senator Logan, which would allow utility contractors to work closer to buildings on private property, up to five feet from structures, instead of stopping at the property line. The bill drew extended questioning from Senator Brooks about permitting, training, liability, and the relationship between utility contractors and plumbers; an industry representative testified that utility contractors already do much of the work under licensed plumbers and that the bill would reduce costs and speed projects, especially in rural areas. SB 1949 passed 8-2. Senator Reinhardt’s SB 1592 and SB 1913, both insurance-related committee substitutes, were described as ongoing negotiations aimed at homeowner insurance transparency and consumer protections; members were told the bills were still being refined, but both passed, 9-1 and 10-0, respectively.
Additional measures included SB 592, which would let distributors issue credits to retailers after repeated product replacements, aimed at reducing losses from poor inventory control at large retailers; it passed 9-0. SB 992 would provide civil liability protection for businesses and property owners when violent criminal acts occur on their premises, except in cases of gross negligence; it prompted debate over gun-free zones, security, insurance, and whether the bill would reduce incentives for safety measures, but passed 5-3. Finally, SB 1241 created the Oklahoma Fraud and Ticketing Accountability Act to address fake tickets, bots, deceptive resale websites, and venue liability in the live-event market; supporters included arts venues, and the bill passed 8-0. The committee adjourned after completing its agenda.
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Feb 10th, 2026 at 07:02 pm
House Appropriations & Finance
Transcript Highlights:
- . $10 a month for commercial health insurance.
- And are any of these individuals being insured through the high-risk insurance pool?
- other people with private insurance will get a surtax?
- It ups my insurance so that I can pay... ...get a surtax.
- But my insurance is higher. Mr.
Keywords:
child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level
MN
Minnesota 2025-2026 Regular Session
House Education Finance Committee hears HF2210 3/20/25
Transcript Highlights:
- I'm very grateful for the unemployment insurance for hourly workers.
- </c> by funding the unemployment insurance by funding the unemployment insurance benefit<00:04:18.959
- </c><00:04:53.919><c> for</c> for the unemployment insurance for for the unemployment insurance for hourly
- </c> service laws like unemployment insurance service laws like unemployment insurance earned<00:19:38.440
- </c> eligible for unemployment insurance eligible for unemployment insurance they're<00:21:17.279><c>
CA
California 2025-2026 Regular Session
Senate Privacy, Digital Technologies, and Consumer Protection Committee Jun 29th, 2026
Transcript Highlights:
- And that when insurers are doing medically underwritten policies with the insured's consent, the insured
- the leadership of Insurance Commissioner Ricardo Lara.
- Legislative Director for the Department of Insurance, under the leadership of Insurance Commissioner
- A prediction is the basis of insurance. Prediction is the basis of insurance.
- Are they going to be excluded from health insurance?
Summary:
The Senate Committee on Privacy, Digital Technologies, and Consumer Protection heard several bills focused on privacy, AI, surveillance, and consumer protections. AB 302 would bar schools from excluding students from extracurricular activities because they do not use social media and would require schools to use at least one non-addictive means of contacting students and parents; it drew support from Common Sense Media and no opposition. AB 1705, the Reclaim Act, would require websites hosting non-consensual pornography to verify consent before upload; district attorneys and the Commission on the Status of Women supported it, while TechNet and CCIA opposed or raised concerns. AB 2007 would separate parental consent for a child’s image/likeness from general program enrollment forms in youth programs; educators supported it, while local government and parks groups raised implementation and penalty concerns. AB 2212 would update higher education sexual harassment definitions to include tech-facilitated harassment such as cyberbullying, doxing, and nudification-related abuse; students and advocacy groups strongly supported it, with no opposition. AB 1837 would extend transit agencies’ authority to use camera enforcement in bus-only lanes and at transit stops, with privacy retention limits and human review; transit agencies supported it, while some senators expressed concern about automated enforcement and surveillance, and the bill was placed on call after a split vote. AB 2392 would create an intersegmental higher education working group on generative AI training and procurement standards; it passed 5-0 after amendments removed prerequisites tying AI deployment to completion of the report. The consent calendar was also approved on call. Later, AB 1798 would prohibit life and disability insurers from using non-diagnostic genetic information in underwriting; supporters argued it protects privacy and encourages testing, while insurers opposed the bill as undermining risk-based underwriting, and it advanced on a 3-0 vote on call. Finally, AB 1883 would restrict workplace use of emotion-recognition and neural-data surveillance tools; labor and privacy advocates supported it, employers and local agencies raised safety and litigation concerns, and it passed 3-0 to Labor after narrowing amendments.
OR
Oregon 2026 Regular Session
House Interim Committee On Health Care 06/16/2026 2:30 PM
Transcript Highlights:
- We describe health insurance plans in terms of actuarial value.
- That's insurance.
- That's insurance.
- It covers a portion of their insurance premium every month.
- up to premiums of insurance in other states?
Summary:
The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits.
CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs.
The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.
ND
North Dakota 2025-2026 Regular Session
HB 1229 Conference Committee Apr 16th, 2025 at 03:30 pm
Transcript Highlights:
- There is no correlation that we have ever seen between what insurance companies do and insurance premiums
- Everybody's insurance premiums went up.
- Insurance companies get their money from premium.
- insurance.
- But we can't just say, oh, we're going to report all this to the insurance and have his own insurance
Summary:
The conference committee on House Bill 1229 met to try to resolve differences between the House and Senate versions of the bill, which deals with reporting certain traffic offenses to driving records and, by extension, insurance companies. House members argued that the House position was driven by concern that reporting lower-level offenses would unfairly raise insurance costs, while Senate members said they opposed removing reporting because they wanted transparency and believed people who break the law should face consequences. The discussion focused heavily on whether the bill should continue to exclude offenses at two points and below from reporting, or whether a narrower compromise such as one point and below might be acceptable.
Committee members and DOT Driver and Vehicle Director Brad Schaefer reviewed a color-coded list of offenses and how they are currently reported. Schaefer explained that salmon-shaded items automatically appear on driving records because they trigger suspension or revocation, green items are commercial-driver violations that also trigger suspension, and the remaining unshaded zero-, one-, and some two-point violations were the main subject of the conference discussion. Members debated whether some low-point items, such as equipment violations, no child restraint, distracted driving, and failure to use due care, should remain reportable, while acknowledging that serious offenses like fleeing and human trafficking would remain reportable regardless.
No final compromise was reached. Several members expressed interest in a possible middle ground limited to one-point-and-below offenses, but others worried the Senate would not accept it. The committee agreed to adjourn and reschedule after members had more time to review the list and consider possible amendments.
MN
Transcript Highlights:
- costs for special education paraprofessionals to the unemployment insurance account.
- Insurance costs for special education paraprofessionals to the unemployment insurance account, now that
- While we're also appreciative of funding for hourly school worker unemployment insurance, Insurance,
- And the last myth is that unemployment insurance doesn't help retain employees.
- So the unemployment insurance doesn't even help them have a middle-class job.
Bills:
HF1388
Keywords:
BARR Center, Building Assets, Reducing Risks, education finance, school funding, grant appropriation, evidence-based program, student achievement, social and emotional learning, school climate, teacher effectiveness, high school graduation, students in poverty, students of color, BIPOC, equity in education, Minnesota Department of Education, urban schools, suburban schools, rural schools, school coaching