Video & Transcript Research : 'premium stabilization'
Page 62 of 345
MN
Transcript Highlights:
- The premium was established in the 2023 enacting legislation, had a first-year premium rate of 7% for
- The premium was established in the 2023 enacting legislation, had a first-year premium rate of 7% for
- The premium was established in the 2023 enacting legislation, had a first-year premium rate of 7% for
- The premium was established in the 2023 enacting legislation, had a first-year premium rate of 7% for
- The premium was established in the 2023 enacting legislation, had a first-year premium rate of 7% for
Bills:
HF3
NH
New Hampshire 2025 Regular Session
House Finance Division III (03/28/2025)
Transcript Highlights:
- the home and community based stabilize the home and community based care<02:18:08.399>
environment - they were they had stability they were they had stability particularly<02:33:19.520>
with - <02:33:39.680>
uh <02:33:39.840>is <02:33:40.319>constantly that stabilization - uh is constantly that stabilization uh is constantly challenged<02:33:41.359>
by <02:33:41.600 - contributions for some of the uh premium contributions for some of the populations<02:35:35.280>
Summary:
The Division 3 work session focused largely on amendment 1176 to HB 2, which would have incorporated the substance of HB 548FN, a House-passed bill creating a direct-pay or membership-based model for health care facilities. Representative Mlan described the proposal as a way to increase competition in health care by extending the direct-care model used in primary care to facilities, arguing it could encourage innovation and that concerns about widespread harm to critical access hospitals were overstated. He pointed to Oklahoma’s long-standing Surgical Center model as evidence that the approach had not spread broadly or displaced hospitals there.
Several members and witnesses raised concerns. Representative Stringham questioned whether the model would shift profitable services and patients away from existing hospitals, potentially worsening their finances and affecting Medicaid-related funding. David Ross, speaking for county nursing homes, opposed the language because it also removed moratoriums on nursing home, skilled nursing, inpatient rehabilitation, and self-pay beds, warning that it could increase pressure on Medicaid rates and undermine community-based care. Ben Bradley of the New Hampshire Hospital Association said the proposal appeared to create a separate regulatory framework for direct-pay facilities and raised concerns about patient safety, CMS participation rules, and a separate patient bill of rights.
The chair concluded that, because HB 548 was already moving through the Senate, the HB 2 process was not the best vehicle for the policy and that the issue should be left to the Senate’s more deliberative committee process. Representative Ferski moved to not accept or remove amendment 1176 from the agenda, and the committee approved the motion by roll call, 9-0, withdrawing the item from HB 2.
NM
Transcript Highlights:
- So everybody who gets insurance pays a premium.
- New Mexico's defense costs were 65 cents per premium.
- The PCF versus open market premiums. Next slide.
- And I’m looking, Madam Superintendent, at your premiums here on page eight, and the premium for the open
- And the premium for the open insurance market is much higher with the And the premium for the open insurance
Keywords:
sexual crimes, statute of limitations, criminal justice, victim rights, child abuse, procurement, contracting, small business, local government, disaster recovery, emergency procurement, certification, public spending, juvenile justice, delinquency, rehabilitation, community corrections, risk assessment, public safety, health regulations
NH
New Hampshire 2025 Regular Session
House Resources, Recreation and Development (02/05/2025)
Transcript Highlights:
- very expensive market to get coverage, or not only will they be renewed, but they’ll have a lower premium
- very expensive market to get coverage, or not only will they be renewed, but they’ll have a lower premium
- <01:46:18.159>
they're <01:46:18.360>seeing premiums they're seeing premiums they're seeing - they be renewed but they'll have a will they be renewed but they'll have a lower<01:47:41.560>
premium - quoted to them than they lower premium quoted to them than they had<01:47:43.719>
before <01:47
Summary:
The committee first discussed scheduling and notice for upcoming executive sessions on a larger slate of bills, including plans to take up eight bills in the morning and possibly the last three bills in the afternoon, with caucus time provided if needed. The chair emphasized advance notice, publication, and flexibility if more bills are added later. The hearing then opened with the Pledge of Allegiance and proceeded to HB 568, a bill allowing local planning boards to request water supply studies for subdivisions to ensure water adequacy as housing density increases.
Representative Kat McGee, the prime sponsor, said HB 568 was developed after constituent concerns about private wells being affected by nearby development. She described the bill as narrowly tailored, non-mandatory, and intended to preserve local control while clarifying that planning boards may request studies under local regulations. She noted bipartisan support, an exclusion for community water systems and larger groundwater withdrawals regulated elsewhere, and said the bill would help prevent water shortages and related problems for new and existing homes. Questions from members focused on whether the bill should specify that it applies to subdivisions of four or more lots, since that language had been in an earlier version.
Testimony on HB 568 was mixed. Bob Quinn of the New Hampshire Association of Realtors opposed the bill, arguing it lacked a definition of “water supply study,” could lead to expensive hydrology studies, and might raise housing costs; he suggested more work with DES or a study committee. DES administrator Brandon Kernin said the department had worked from a 2010 groundwater commission report, that such problems arise only intermittently in certain areas, and that the bill would make explicit local authority to adopt such ordinances. He also said DES data and homeowner surveys can help identify problem areas and that more robust wells could be considered in the long term. The committee noted 10 online submissions in favor and 3 opposed, plus blue-sheet testimony of 2 in favor and 1 neutral, and then closed the hearing on HB 568.
The committee immediately opened HB 582, a bill on safety requirements for operation of personal watercraft. Representative Darby, the sponsor, said the bill responds to the speed and maneuverability of modern personal watercraft, which he described as more like motorcycles on water than traditional boats, and cited a fatal accident on Lake Monomonac as an example of the risks. He said the bill is not intended to restrict ordinary recreation or wake surfing, but to update safety standards for a newer class of larger, quieter three-person PWCs. The hearing began with Darby’s presentation, and no vote or final action was taken in the portion provided.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Telecommunications, Utilities and Energy Jun 21st, 2026 at 01:00 pm
Joint Committee on Telecommunications, Utilities and Energy
Transcript Highlights:
- And I would just invite, if I may, our director of the Office of Housing Stability, who has responses
- As winter approaches and with many people facing higher insurance premiums and cutoffs in federal support
- As winter approaches and with many people facing higher insurance premiums and cutoffs in federal support
Summary:
The hearing focused on several climate and utility-related bills, especially H. 3449/S. 2292 to expand the municipal fossil fuel-free building demonstration program from 10 to 20 communities and related home rule petitions for Somerville and other municipalities. Witnesses from Somerville, Salem, Worcester, Cambridge, Newton, Arlington, Wellesley, Watertown, and the Massachusetts Municipal Association argued that local governments should be allowed to opt into fossil fuel-free or net-zero building standards, citing climate goals, environmental justice concerns, housing production, and data showing all-electric construction can cost about the same as or less than mixed-fuel construction. Committee members repeatedly pressed witnesses for cost data and asked for written follow-up, while also discussing whether strong environmental standards affect housing supply; witnesses responded that the main housing constraints are financing and that they would provide more data from local projects and state studies.
A second major topic was H. 3564, which would require gas companies to provide municipalities with detailed multi-year pipe replacement plans, allow local review and objections, and limit reimbursement for projects not previously disclosed except in emergencies. Municipal leaders and advocates said the bill would improve coordination of street work, reduce disruption and costs, and help cities plan for electrification, network geothermal, and non-pipeline alternatives. Testimony from Wellesley, Cambridge, Arlington, Newton, and others emphasized repeated problems with last-minute gas main work, the need for advance notice, and the value of municipal participation in planning gas system retirement and alternatives.
The committee also heard testimony on the “tactical transition” bills, S. 2249/H. 3539, aimed at managing the gas-to-clean-energy transition. Supporters from Gas Transition Allies, Rewiring America, and 350 Mass said the bills would require joint gas-electric planning, create an advisory council, eliminate subsidies for new gas hookups, shift investment toward repairs and clean alternatives, protect workers through retraining, and make utility plans more transparent. They argued these changes would reduce ratepayer costs, avoid stranded gas assets, and support orderly decarbonization. In addition, HEET testified on H. 3541, which would update greenhouse gas accounting to better reflect methane’s short-term climate impact, and H. 3543, which would establish a framework for managing shared thermal resources and thermal energy networks; committee members asked several questions about the meaning, ownership, and consumer-cost implications of the proposed “thermal commons.” No votes were taken during the hearing.
MN
Minnesota 2025-2026 Regular Session
House Judiciary Finance and Civil Law Committee 1/23/25
Judiciary Finance and Civil Law
Transcript Highlights:
- assignments in some areas of the state, thereby delaying crucial decisions regarding child safety and stability
- To fund mainly an increase in compensation and unavoidable health insurance premium increases, an increase
- compensation and unavoidable health compensation and unavoidable health insurance<00:09:52.720>
premium
Summary:
The House Judiciary Finance and Civil Law Committee approved the January 21 minutes and then reviewed committee rules, emphasizing deadlines for handouts, testimony notices, and substantive amendments, along with a warning that disruptive signs, noise, or demonstrations could lead to removal from the hearing room. The chair said the rules would be shared with the full House and noted the committee would operate with quorum and not tolerate chaos.
The committee then heard a presentation from Tammy Baker Olson, the state program administrator for the Guardian ad Litem Board, on the program’s structure and budget request. She explained that guardians ad litem are independent voices for children’s best interests in child protection and family court cases, not attorneys or direct service providers. She said the program operates statewide, with 243 employees, and in 2024 advocated for more than 12,000 children, attended over 30,000 court proceedings, and filed reports in over 16,000 hearings. She also described specialized Family Court and Indian Child Welfare divisions, efforts to address racial disparities, and training requirements for guardians.
Members asked about mileage and travel demands, the distinction between a child’s attorney and a guardian ad litem, caseloads, re-entry outcomes, the move from contractor/volunteer models to employee-based staffing, and the role of volunteers. Olson said most guardians use personal vehicles and mileage reimbursement, average caseloads are about 24, and the program has not seen a statewide increase in cases but does face staffing vacancies and turnover in some areas. She said the board believes the employee model improved advocacy and supervision, while the program is rebuilding a modest volunteer pool. She also said the program supports Indian Family Preservation Act-related work and has a formal process for handling conflicts of interest, which should be raised immediately to a supervisor rather than waiting for a complaint process.
TX
Transcript Highlights:
- And again, that efficiency would tell us if we're actually stabilizing and reappointing the same judges
- And so, we looked at the premium per census, which has gone up by 112 percent. ...the premium per FTE
- The insurance premiums for doctors, for malpractice went up. No, I'm talking about the consumer.
- We marketed that bill as it would lower the cost of premiums for doctors and hospitals, and as a result
- But they control the premiums.
Bills:
HB4011, HB2680, HB4325, HB4327, HB4944, HB1761, HB4688, HB3453, HB40, HB1707, HB4749, HB2322, HB3647, HB4139, HB4081, HB2203, HB2100, HB4170, HB3104, HB4623, HB40
Keywords:
partition, heirs' property, real estate, co-ownership, family property, non-heir cotenant, right of first refusal, pilot services, liability limitation, maritime commerce, Matagorda Bay, Lavaca Bay, transportation code, maritime industry, civil liability, barratry, penalties, legal actions, damages, wrongful death
FL
Florida 2026 Regular Session
Governmental Oversight and Accountability Feb 11th, 2026
Governmental Oversight and Accountability
Transcript Highlights:
- It advances fiscal responsibility, workforce stability, and the long-term strength of Florida's public
- Our families, our coworkers, and most importantly, our students deserve stability and support.
- If this bill is ratified, my premiums and out-of-pocket maximums and prescription costs are going to
Keywords:
public records, public meetings, property rights, transcripts, settlement negotiations, Veterans Day, K-12 schools, holiday observance, education, Florida statutes, cybersecurity, local government, grant program, data-sharing, Florida Digital Service, ransomware protection, county administrators, city managers, exemption, privacy
Summary:
The committee first heard a committee substitute for SB 332, which creates a narrow public meetings and public records exemption for certain pre-suit settlement communications in Bert Harris claims involving local governments and private property rights. The sponsor said the change is intended to allow confidential legal strategy and negotiation during the 90-day pre-suit period while keeping settlements and outcomes public. The strike-all amendment was adopted, supportive testimony was waived in, and the bill was reported favorably.
Members then approved several other measures, including SB 464 requiring K-12 schools to formally observe Veterans Day as a school holiday; SB 984 on firefighter cancer benefits and prevention, which was amended to add a statement of important state interest and reported favorably after testimony from firefighters both supporting the bill and urging a longer benefit window; SB 576 on local government cybersecurity, which was amended to route the program through the Florida Digital Service and strengthen state-local coordination; SB 964 clarifying how certain gift and honoraria disclosures are filed with the Commission on Ethics; SB 1612 requiring local governments to accept electronic payments with a delayed effective date; SB 830 creating public records exemptions for certain local government administrators and their families; SB 1096 clarifying the filing deadline for employment discrimination complaints; and SB 1656 designating the SS American Victory as Florida’s official state flagship. All were reported favorably.
The committee also considered a slate of appointments, including a separate vote on Jeffrey Aaron to the Public Employees Relations Commission, which was recommended favorably after Senator Polsky objected to the appointment and cited concerns about political ties and prior work. The remaining appointees on tabs 12 through 30 were also recommended favorably. After a recess, the committee took up SB 1296 on the Public Employees Relations Commission, as substituted by a committee PCS. The PCS would change union certification and recertification rules, require stronger showing-of-interest and voting thresholds, limit paid union leave in some cases, require equal access to employer communication spaces, and speed up impasse procedures for state-funded salary increases. The bill drew extensive testimony, with supporters arguing it would improve accountability, transparency, and taxpayer fairness, and opponents—many of them teachers, bus drivers, and other public employees—saying it would weaken collective bargaining, burden workers, and function as union busting. Members raised constitutional concerns about the single-subject rule and collective bargaining protections, and debate was ongoing at the end of the transcript.
AZ
Transcript Highlights:
- the day, we're trying to give small business big business buying power in the market: flexibility, stability
- Unemployment insurance provides stability for individuals, their families, and local communities.
- It costs the system more, and it costs more in premiums and so on, and reduces wages worldwide and globally
Keywords:
digital goods, advertising, ownership, license, consumer protection, refund policies, streaming services, minors, content creators, online platforms, compensation, trust accounts, child protection, video content, privacy, employment, mobile homes, recreational vehicles, landlord tenant laws, tenant rights
CA
California 2025-2026 Regular Session
Assembly Arts, Entertainment, Sports, and Tourism Committee Aug 20th, 2025
Transcript Highlights:
- Just to put it in perspective, you'll note on the slide that it takes 2,000 pounds of premium citrus
- Hopefully the rhetoric, the chaos, calms down a little bit, and we stabilize some.
- in that regard, because we are such a vital part of the economy, and then looking at ways to help stabilize
Summary:
The Assembly Committee on Arts, Entertainment, Sports, and Tourism held an informational hearing on the state of California tourism amid declining international visitation and broader economic and political headwinds. Visit California CEO Caroline Betetta said the industry remains a major economic driver, with 2024 visitor spending of $157 billion, 1.2 million jobs supported, and $12.7 billion in state and local tax revenue, but warned that 2025 forecasts show the first post-pandemic decline in visitation, driven largely by a projected 9.2% drop in international travel. She cited concerns about the strong dollar, visa wait times, border and immigration rhetoric, and a proposed federal visa integrity fee, while emphasizing Visit California’s marketing campaigns and the importance of upcoming mega-events like the World Cup and 2028 Olympics.
A second panel of destination leaders described local impacts and strategies. Visit Sacramento’s Mike Testa said the city has diversified beyond conventions into music festivals, sports, and food events, but noted that international apprehension is affecting events like Terra Madre Americas and that California should do more to incentivize major festivals to stay in-state. Santa Monica Travel and Tourism’s Lauren Salisbury said the city is seeing lower international visitation, especially from Canada, Australia, and Europe, and that wildfire coverage and later federal troop presence in Los Angeles hurt local sentiment and caused cancellations. Yosemite Sierra Visitors Bureau’s Rhonda Salisbury reported steep drops in international visitation to the gateway region, ongoing concerns about wildfire, reservations, insurance costs, and park access, and praised a new federal requirement for quarterly meetings between national parks and gateway communities.
San Diego Tourism Authority COO Carrie Verbeck-Cappich said tourism is the region’s second-largest sector, but 2025 is softer than 2024, with spending down despite modest visitation growth. She pointed to weaker Canadian and Asian travel, government-related meeting cancellations, and the need for more support to bid on and host major events; she also highlighted border-crossing delays, insufficient federal staffing at ports of entry, and the Tijuana River sewage crisis as major regional issues. Committee members discussed the effects of federal rhetoric, infrastructure, and cross-border conditions on tourism, and several witnesses urged continued support for Visit California, Brand USA, event incentives, and efforts to present California as welcoming and open. Public comment then opened, beginning with testimony from the California Attractions and Parks Association.
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Working Group 1/15/25
Minnesota House Floor Meeting
Transcript Highlights:
- On the spreadsheet, you also, it's worth noting, there's the gross premium tax.
- They must pay a 1% tax of gross premiums to be deposited into the account.
- As for premiums and cost sharing, there aren't any under MA.
- They're per-person monthly premiums, and they're based on a sliding scale.
- <00:19:47.840>
tax those uh increased Federal Premium tax those uh increased Federal Premium
Summary:
The meeting was an informational walkthrough for the Health Finance and Policy Working Group, focused on committee structure, budget basics, and major health-related accounts and programs. Staff explained the roles of House Research and House Fiscal, then reviewed key funds used by the committee, including the general fund, government special revenue fund, federal funds, the health care access fund, remediation account, and drinking water revolving fund. They also outlined the committee’s main budget areas, noting that medical assistance is the largest general fund item and that the Department of Health is a substantial agency funded by a mix of federal, general fund, and special revenue dollars.
A major portion of the presentation covered subsidized health coverage programs. Staff described Medical Assistance (Minnesota’s Medicaid program) as an entitlement for eligible Minnesotans, with no premiums or cost sharing, and explained its managed care and fee-for-service delivery systems. MinnesotaCare was presented as a separate federal-state basic health program for people who are not eligible for MA, with income limits, premiums for adults age 21 and older, and cost-sharing requirements; staff noted that federal premium tax credit changes affect MinnesotaCare premium ranges. The presentation also summarized MNsure’s role in the individual market and in determining eligibility for premium tax credits, cost-sharing reductions, MinnesotaCare, and MA.
The committee also received an overview of health-related licensing boards and occupational regulation. Staff said Minnesota has 16 health-related licensing boards, funded mainly through the state government special revenue fund and subject to legislative appropriation, and explained that health occupations may be regulated by the Department of Health, the Office of Emergency Medical Services, or the boards under chapter 214. Interstate licensure compacts were briefly noted as a way to ease practice across states. No bills were debated and no votes or formal actions were taken during the meeting.
ND
North Dakota 2026 1st Special Session
Employee Benefits Programs Committee May 7th, 2026 at 10:00 am
Employee Benefits Programs Committee
Transcript Highlights:
- Can you imagine a $5 health insurance premium? Five-dollar health insurance premium back then.
- Cost to the premium side.
- There's no premium to it.
- the monthly premium of that enhanced coverage option, once that's determined, and the monthly premium
- the monthly premium of that enhanced coverage option, once that's determined, and the monthly premium
FL
Florida 2026 5th Special Session
FL House Floor Session - 2025-04-29 (10:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- that it will only, the condominium association can only use it if it will result in an insurance premium
- basically They can, the condominium association can only use it if it will result in an insurance premium
- I would like an answer about whether you are going to require an insurance premium credit, because that
- The amendment allows a designated facility that has received a stabilized patient from a hospital to
- The amendment allows a designated facility that has received a stabilized patient from a hospital to
Summary:
The Senate convened with a quorum, opened with prayer and the Pledge of Allegiance, and heard several member introductions before taking up the special order calendar. The chamber first postponed CS/SB 80 on state land management, then moved through a series of bills, often substituting House companions when identical or nearly identical. Early actions included unanimous passage of HB 295 on a comprehensive waste reduction and recycling plan, which directs DEP to develop a recycling and waste-diversion roadmap, and passage of CS/CS/SB 492 on land development and mitigation banking after amendments addressing out-of-service credits and former phosphate mine lands; that bill passed 35-3 after debate over possible constitutional concerns. The Senate also passed HB 255 on aggravated animal cruelty, adding a sentencing multiplier and a searchable FDLE database of convicted animal abusers, and HB 711 establishing the Spectrum Alert for missing children with autism, with $190,000 in nonrecurring implementation funds and a July 1, 2026 implementation date.
The chamber then approved HB 1089 to add Duchenne muscular dystrophy to newborn screening, and HB 393 revising the My Safe Florida Condominium Pilot Program to expand eligible mitigation projects, lower the approval threshold, and clarify ownership and reimbursement issues. Members discussed funding levels and whether insurance premium credits would be required, but the bill passed unanimously. The Senate also passed HB 1145 on workforce education, HB 827 on a statewide study of automation and workforce impact, and HB 181 on parole guidelines, all without recorded opposition. CS/CS/SB 976 on court-appointed psychologists also passed unanimously, as did HB 1451 on sexual cyber harassment, which broadened protections against non-consensual and digitally forged intimate images.
Later, the Senate approved HB 1156 creating the Home Health Aid for Medically Fragile Children Program, after clarifying training requirements and hearing support that the measure would help families keep medically fragile children at home while compensating trained parents. The chamber also passed HB 1091 on substance abuse and mental health care, with an amendment allowing designated facilities to retain stabilized patients who still meet involuntary examination criteria. Throughout the day, senators used questions and debate to probe charter school governance in CS/CS/SB 822, which was substituted with HB 443 and amended to expand charter autonomy over conduct codes, enrollment, reporting, and facility use while maintaining sponsor oversight; that bill was placed on the calendar for third reading rather than voted on in the excerpt. Several other measures, including SB 716, SB 76, and the final SB 1252 item, were postponed or not reached before the transcript ended.
FL
Transcript Highlights:
- bill, it says that the condominium association can only use it if it will result in an insurance premium
- I would like an answer about if you are going to require an insurance premium credit, because that might
- I would like an answer about if you are going to require an insurance premium credit, because that might
- It allows a designated facility that has received a stabilized patient from a hospital to retain that
- It allows a designated facility that has received a stabilized patient from a hospital to retain that
Summary:
The Senate convened with a quorum, opened with prayer and the Pledge, and heard several member introductions and recognitions. The Rules Chair moved CS/CS/SB 622 to the end of the special order calendar, which was adopted without objection. SB 80 on state land management was temporarily postponed, as were later bills SB 716 and CS/CS/CS/SB 1348.
The chamber then took up a series of bills, often substituting House companions and adopting amendments before final passage. Measures approved included a comprehensive waste reduction and recycling plan (HB 295, 38-0), mitigation banking and land development changes with a phosphate mining lands amendment (CS/CS/SB 492, 35-3), aggravated animal cruelty with a searchable FDLE database and sentencing multiplier (HB 255, 37-0), the Spectrum Alert for missing children with autism and related training/funding (HB 711, 37-0), newborn screening for Duchenne muscular dystrophy (CS/CS/HB 1089, 36-0), and revisions to the My Safe Florida Condominium Pilot Program to expand eligible mitigation projects and adjust approval thresholds (CS/CS/HB 393, 37-0).
The Senate also passed workforce education legislation allowing charter schools access to grant funding and expanding money-back guarantees (HB 1145, 37-0), a statewide study on automation and workforce impact (HB 827, 35-0), parole guideline revisions (HB 181, 37-0), court-appointed psychologist procedures in family law cases (HB 901, 37-0), sexual cyber harassment protections covering digitally forged intimate images (HB 1451, 37-0), a home health aide program for medically fragile children with training and reimbursement provisions (CS/CS/SB 1156, 37-0), substance abuse and mental health care changes including 988 oversight and involuntary examination procedures (HB 1091, 37-0), a feasibility study for a statewide pond data database (HB 1359, 37-0), and Department of Law Enforcement housekeeping changes and retired police dog reimbursements (HB 1053, 37-0). The most extensive debate centered on the charter schools bill (HB 443), which expanded charter autonomy, reporting parity, enrollment flexibility, and governance rules; after a delete-all amendment and a friendly amendment, it was placed on the third-reading calendar rather than immediately voted on. Several bills were briefly discussed with concerns about transparency, accountability, funding, and constitutional issues, but all bills brought to a vote during this segment passed.
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 2/27/25
Commerce Finance and Policy
Transcript Highlights:
- So all of those costs are calculated into their premiums.
- I'm concerned that as the insurance premium rise, did the individual market premium rise?
- /c> Care uh premiums Healthcare spending and Care uh premiums Healthcare spending and decisions<00:51
- consequences that come from premium consequences that come from premium increases<01:05:03.279><
- such dramatic increases in premiums such dramatic increases in premiums include<01:20:46.000>
ND
North Dakota 2025-2026 Regular Session
Employee Benefits Programs Committee May 7th, 2026
Transcript Highlights:
- Can you imagine a $5 health insurance premium? Five-dollar health insurance premium back then.
- The cost of that program was 0.14% of premium.
- Cost to the premium side.
- There's no premium to it.
- the monthly premium of that enhanced coverage option, once that's determined, and the monthly premium
Summary:
The Employee Benefits Committee met to approve prior minutes, hear presentations on state employee health insurance, compensation, leave, and related policy issues, and then recess for lunch. PERS reviewed the history and structure of the state health plan, noting the long-standing state-paid family coverage, cost-control measures, wellness incentives, the current grandfathered PPO and high-deductible options, and the effects of recent benefit mandates such as insulin caps, prosthetic coverage, medication management, prescription copay changes, and ambulance balance-billing limits. Committee members questioned the fiscal impact of adding benefits and the possible cost of moving to a non-grandfathered plan, while PERS and HRMS emphasized that health insurance remains the top-ranked employee benefit and that any major plan changes should be considered carefully. HRMS also presented compensation comparisons showing state pay generally below private-market benchmarks, discussed targeted market equity adjustments, identified ongoing recruitment and retention concerns in fields like nursing, IT, engineering, and attorneys, and reviewed leave policies, tuition reimbursement, and family leave comparisons with neighboring states. Job Service provided labor market data showing low unemployment, high labor force participation, and wage growth that still trails some neighboring markets, and OMB explained that prevailing wage requirements apply to federally funded projects under Davis-Bacon, not to ordinary state contracts.
After lunch, the committee took up the required process for health insurance mandate bills and adopted an amendment to Joint Rule 211. The amendment clarified that the deadline for submitting mandate measures is intended to allow time for all required reports, including both the cost-benefit analysis and any Employee Benefits Committee actuarial report, while leaving the existing deadline unchanged. The amendment was adopted on a roll call vote, with several members voting yes and a few no votes recorded. The committee then moved into its jurisdiction review of bill drafts, beginning with a bill that would automatically renew pre-tax dental and vision elections; members debated whether it had any actuarial or administrative impact on PERS or the state, and the chair explained that the committee’s role was only to decide whether further analysis was needed before later testimony and recommendations.
TX
Transcript Highlights:
- That's the only one we estimated the costs on actual current premiums.
- These policies come with a premium, literally.
- These higher premiums are non-negotiable.
- And then you mentioned, I have on your current premiums.
- The premiums were last year, March 1st, I believe, right at $815,000.
Summary:
The Committee on Education K-16 heard testimony on SB 1635, which would give certain coastal, recapture-paying school districts a credit against recapture payments for mandatory windstorm and hail insurance costs. Senator Hinojosa said the bill is intended to offset unusually high insurance expenses for districts in Tier 1 or Tier 2 coastal zones, and he estimated about a $12 million impact to state revenue. Witnesses from Port Aransas ISD and Gregory-Portland ISD described sharp premium increases, reduced coverage, higher deductibles, and the effect on teacher pay and classroom spending. Senators asked about the number of affected districts, the accuracy of the fiscal estimate, and whether the bill might encourage districts to maintain coverage. Public testimony was closed and SB 1635 was left pending.
The committee then took up several other bills and committee substitutes, adopting and reporting favorably SB 2786, SB 2623, SB 646, SB 843, SB 2392, SB 1998, SB 1418, SB 2788, and SB 2076, with most votes unanimous or near-unanimous. SB 2392 was amended to add improper relationship between educator and student to mandatory reporting offenses and to authorize an attorney general civil penalty for failure to report. SB 2623 was revised to clarify duties and exemptions related to the Safe Schools and Neighborhood Task Force and school proximity restrictions. SB 843 would create a TEA database of school district bonds and related projects, and SB 2788 would exempt certain PSAT scorers from the Texas Success Initiative assessment.
The committee also heard SB 2929, which would allow referees and other officials at school athletic events to immediately eject disruptive spectators. The Texas Association of Sports Officials testified in support, citing abusive spectator behavior and a shortage of officials. SB 2929 was left pending. Finally, the committee heard a substitute for SB 2927 on 1882 partnerships and a substitute for SB 2619, which would require more transparency and accountability for failing school districts, superintendent hiring, trustee training, and takeover timelines. Testimony on SB 2619 was mixed, with one witness from Texas 2036 supporting parts of the bill’s accountability provisions. The committee adopted the substitute for SB 2619, left it pending, and then recessed subject to the call of the chair.
NH
New Hampshire 2025 Regular Session
Senate Health and Human Services (01/15/2025)
Health and Human Services
Transcript Highlights:
- Sensitive to premium pressure, and yes, the department did say there would be upward pressure on premium
- it's it's putting pressure on premium it's it's putting pressure on premium for<01:13:58.080>
- The reason we're concerned about higher-priced premiums is the higher those premiums go, the more likely
- <01:41:01.040>
uh it ends up being paid by the premiums uh it ends up being paid by the premiums - concerned about higher priced premiums concerned about higher priced premiums is<01:41:08.840>
ND
North Dakota 2026 1st Special Session
Employee Benefits Programs Committee May 7th, 2026
Employee Benefits Programs Committee
Transcript Highlights:
- Can you imagine a $5 health insurance premium? Five-dollar health insurance premium back then.
- The cost of that program was 0.14% of premium.
- There's no premium to it.
- the monthly premium of that enhanced coverage option, once that's determined, and the monthly premium
- the monthly premium of that enhanced coverage option, once that's determined, and the monthly premium
Summary:
The Employee Benefits Committee met to hear presentations on state employee health insurance, compensation, leave policies, labor market conditions, and prevailing wage issues, then later took up committee rules and bill-draft jurisdiction. PERS reviewed the history and structure of the state health plan, noting the state has paid the full family premium since 1979, described cost-control and benefit-enhancement changes over time, and explained current plan options, wellness incentives, employer wellness discounts, and the upcoming bid process for the 2027-29 contract. HRMS then presented compensation comparisons showing state classified pay generally trails private and regional markets, with larger gaps at higher-level jobs, and reviewed benefits and leave policies, including the new enhanced annual leave and new-hire leave, the state’s unpaid family leave structure, and varying tuition reimbursement practices. Job Service reported on labor force trends, low unemployment, high labor force participation, job openings, and wage growth, and OMB said there are no state prevailing-wage requirements beyond federal Davis-Bacon rules for federally funded projects.
The committee then considered a proposed amendment to Joint Rule 211 to better align the health insurance mandate review process with recent statutory changes. Members discussed how the rule should reference both the committee’s required actuarial reports and the Legislative Council cost-benefit analysis, and the amendment was adopted on a roll call vote. The committee also discussed how its jurisdiction decisions affect whether a bill draft receives actuarial analysis, with staff explaining that a decision not to take jurisdiction means the bill is not treated as impacting the relevant retirement or health plans for purposes of that analysis.
After that, the committee began reviewing bill drafts for jurisdiction. The first draft, bill draft 33, would automatically renew pre-tax elections for dental and vision coverage during open enrollment instead of requiring annual re-election. Members debated whether it had any actuarial impact, noting the state does not pay those premiums directly, and the discussion was still underway when the transcript ended.
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Jan 26th, 2026 at 01:39 pm
House Appropriations & Finance
Transcript Highlights:
- We continued the Housing Stability Employment Services Program that began with ARPA funding, and it's
- Next question is, Secretary Nair, 144 families enrolled in the Family Stabilization Program since 1/1
- Chair, Representative Duncan, the Family Stabilization Program is funded through the Public Education
- The Family Stabilization Program is a continuation of a pilot that started at APS, and we've expanded
- That creates housing stability, which we need.