Video & Transcript : 'captive insurers' :

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ID

Idaho 2026 Regular Session

Agenda Jan 27th, 2026

Transcript Highlights:
  • Your Health Idaho is Idaho's health insurance marketplace.
  • and five dental insurance companies.
  • Your Health Idaho is Idaho's health insurance marketplace.
  • and five dental insurance companies.
  • Our assessment fee for plan year 2025 is $11.75 for health insurance and 75 cents for dental plans.
Summary: The committee reviewed several Idaho Department of Health and Welfare rule dockets under zero-based rule review. For the Idaho Reportable Disease Rules, department staff said the revisions mainly reduce duplication and shorten the chapter, while adding viral hemorrhagic fevers and lowering the lead-poisoning reporting threshold from 5 to 3.5 micrograms per deciliter. Members questioned whether stricken language on records access, daycare restrictions, inspection authority, and reporting duties changed policy; staff and the state epidemiologist said the edits were mostly consolidations or removals of language already covered by statute or federal law, and that no substantive reporting requirements were intended to change. Concerns were also raised about limited time to review the large docket, public notice, and trust in the department’s explanations. The committee approved the radiation control rules, which were described as being reduced by about 70 percent, with incorporation by reference removed and a new requirement that out-of-state licensees register within 30 days. It also approved the docket on use and disclosure of department records, which staff said simply removes repeated references to the Idaho Public Records Act, HIPAA, and other governing authorities without changing what records are protected. The reportable disease docket drew the most discussion; after debate over whether the rule changes were merely cosmetic and how statutory changes affect rules, a substitute motion to hold the docket for one week was adopted on a 5-9 roll call vote, with the docket set for reconsideration on February 3. Later in the meeting, the committee received Your Health Idaho’s annual report. Executive Director Pat Kelly said the exchange remained financially self-sustaining, had no state funding, and continued to post record enrollment, with more than 144,000 Idahoans selecting plans during open enrollment 2026. He said most enrollees receive tax credits, but the expiration of enhanced premium tax credits drove affordability concerns, increased disenrollment, and shifted many consumers into lower-cost bronze plans. Members asked about plan changes, enrollment math, assessment fee revenue, and the effect of premium increases versus the loss of enhanced subsidies. Kelly said the exchange’s net premium increases were driven mostly by the subsidy expiration, and the committee adjourned after the report.
FL

Florida 2026 Regular Session

Health Policy Mar 25th, 2025

Health Policy

Transcript Highlights:
  • So we handle patient requests, continuing care requests, insurance payer requests, life insurance requests
  • So we handle patient requests, continuing care requests, insurance payer requests, life insurance requests
  • , attorney request. ...care requests, insurance payer requests, life insurance requests, attorney requests
  • Are you in network with this patient's insurance? Yes or no?
  • You know, patients themselves can take their insurance information, go to their insurance provider's
Summary: The committee took up a large health policy agenda. SB 1568 on electronic prescribing was explained as a federal conformity measure, but members raised concerns about preserving patients’ ability to obtain paper prescriptions and about exemptions for emergency, hospice, and other situations. Emergency physicians testified in support of e-prescribing but asked for flexibility, and the bill was reported favorably despite Senator Harrell’s opposition. SB 1606 on patient access to records sought to standardize record-production timelines and require electronic delivery when available; after an amendment correcting a drafting error, the bill drew concerns about HIPAA, behavioral health confidentiality, and the distinction between personal and legal representatives, and it was reported unfavorably as a committee substitute. The committee then approved SB 1346 on fentanyl testing, with a technical amendment, to require hospitals and campus emergency departments to test for fentanyl in urine testing for suspected overdose or poisoning. SB 1224 on administration of controlled substances by paramedics was amended to clarify language and reported favorably. SB 656 on health care billing and collection activities was substantially revised by strike-all amendment to allow sale of medical debt to third parties under new limits, including no interest or fees and return of debt if charity care applies; it was reported favorably as a committee substitute. SB 68 expanded health facilities authority financing to include not-for-profit LLCs and parent companies, and SB 524 added Duchenne muscular dystrophy to the newborn screening panel; both were reported favorably. Later, the committee approved SB 1842 on out-of-network referrals after multiple amendments, requiring providers to verify network participation at the point of service and notify patients in writing, though several members and physicians warned it could burden providers and increase workload. The committee also advanced proposed committee bill SB 7028, which revises the Casey DeSantis Cancer Research Program, adds oversight and reporting requirements, creates a pediatric cancer research incubator, and establishes the Bascom-Palmer VisionGen initiative; cancer center representatives testified in strong support, and the bill was reported favorably as a committee bill. SB 172 on specialty titles and designations was amended to clarify enforcement and was reported favorably after supporters said it would prevent misleading use of specialist titles, while opponents argued it could confuse practitioners’ titles. Finally, SB 1690 on surrendered infants was reported favorably after supporters said it would codify and expand safe-haven baby box procedures and opponents raised safety concerns about the devices. The committee also noted SB 1606 remained pending for reconsideration next week before adjourning.
MA
Transcript Highlights:
  • insurers is that the home care agency providing services is licensed. ...of the insurers is that the
  • Our insurance...
  • She got she set up an LLC, she got insurance, she got workers' compensation insurance, and she paid the
  • They have insurance. They are protecting your money.
  • before you can offer that you're in health insurance and you should purchase that health insurance.
Keywords: 995, all
Summary: The Joint Committee on Aging and Independence held a hearing on several bills, led by Chair Tom Stanley and Senate Chair Patricia Jehlen. The committee first heard testimony on H. 765/S. 487, an act relative to councils on aging, which would update outdated statutory language and allow directors of councils on aging to make staffing decisions when a council is structured as an advisory body. Representative Donahue and Betsy Connell of the Massachusetts Association of Councils on Aging said the change reflects how most councils now operate and would resolve conflicts like the one that arose in Sherborn. Members asked about whether the bill would affect town managers, volunteer roles, and whether the language should more clearly exempt informal volunteer help; supporters said the bill is aimed at municipal staffing structures, not unpaid volunteer assistance. The committee then took extensive testimony on H. 789/S. 470, an act to improve Massachusetts home care, which would create a statewide licensure system for non-medical home care agencies and entities. Julie Watt, Jay Krillovich, Betsy Krimmins, Lisa Gargoni, Tim Foley, and several providers and advocates supported the bill, arguing that licensure would establish baseline standards for background checks, training, service plans, insurance, complaint procedures, and labor-law compliance, while helping consumers identify legitimate providers and reducing fraud and abuse. Several witnesses described problems with unlicensed or poorly supervised providers, and family members and dementia advocates emphasized the need for dementia-specific training and better oversight for vulnerable clients. Tim Foley also raised concerns about private equity’s growing role in home care and said stronger regulation is needed to protect consumers and workers. Committee members focused on practical questions about the bill’s scope, including whether it would reach informal paid helpers, volunteers, or people doing occasional household tasks, and what agency would enforce the rules. Supporters said the bill is intended to cover entities advertising home care services, not unpaid volunteer help, though they acknowledged regulators would need to work out details. John Sneeth of Tribute Home Care offered a more cautious view, saying licensure should not unduly burden smaller providers or reduce competition, and that enforcement would be key. The hearing also included testimony from the Alzheimer’s Association and family caregivers, who strongly supported the bill’s dementia-training provisions and described how trained caregivers improved safety and quality of life for people living with Alzheimer’s and dementia. At the end of the hearing, the committee also heard support for H. 778/S. 473, regarding the Commission on LGBTQ Aging, with Lisa Krinsky urging funding for a full-time director and continued support for the commission’s strategic plan. After public testimony concluded, the committee adjourned the hearing by motion and voice vote.
MO

Missouri 2026 Regular Session

Local Government Apr 8th, 2026

Local Government, Elections and Pensions

Transcript Highlights:
  • company has fidelity insurance.
  • and that the management company is insured as well.
  • Well, that's D&O insurance.
  • So, yeah, they should have D&O insurance as well, but fidelity insurance is really to protect... ...insurance
  • So, yeah, they should have D&O insurance as well, but fidelity insurance is really to protect the funds
Summary: The Committee on Local Government heard testimony on House Bill 3176, which would create a statutory framework for homeowners associations. Sponsor Rep. Koslow said the bill addresses quorum problems, allows defunct associations to revive, sets deadlines for election and covenant challenges, requires fidelity insurance, and expands recordkeeping and disclosure to members. Supporters said Missouri HOAs currently operate under a patchwork of outdated documents and laws, while opponents from the home builders and bankers groups warned the bill could interfere with development interests, create burdens, and increase risk or fees. Committee members raised concerns about fairness, homeowner rights, and whether the bill would override stricter local subdivision standards; no action was taken on the bill during the hearing. The committee also heard House Bill 3277, a local public safety tax measure for Northwoods. Rep. Fountain Henderson said the city needs the tax to upgrade police equipment and support public safety, and members noted the city’s retail center and voter approval requirement. The hearing then moved to House Bill 3143, which would allow counties to place a quarter-cent sales tax on the ballot for senior services. Rep. Parker and supporters from senior services organizations said the measure would help fund Meals on Wheels, transportation, nutrition centers, in-home care, and other aging services, especially in rural areas with limited funding and transportation. Some members questioned the breadth of spending authority, oversight, and whether a sales tax would shift costs onto seniors, but the bill drew supportive testimony overall. In executive session, the committee voted House Bill 2732 do pass by 13-1 and House Bill 3028 do pass unanimously. It then took up House Bill 2431, a package of local tax authorization measures, adopted a substitute and amendment adding several city and county proposals, and voted the House Committee Substitute do pass by 13-1. The committee then adjourned.
AZ

Arizona 2026 Regular Session

02/18/2026 - House Federalism, Military Affairs & Elections

House Federalism, Military Affairs & Elections Committee of Reference

Transcript Highlights:
  • If they can prove solvency, there are requirements to be an insurance vendor.
  • They could certainly outbid some of the larger insurance providers. That's true.
  • That brings the insurance providers that are the subject matter experts in the room.
  • insurance company.
  • We'll provide you health care insurance cheaper than XYZ. Oh, okay. I think I get that.
Summary: The committee met with all members present, temporarily replacing Vice Chair Keshel with Representative Taylor, and held HB 4014 at the sponsor’s request. It then heard HB 415, which would extend existing state rules on paid petition circulators and initiative/referendum disclosures to municipal and county measures, require paid circulators to display identifying information, and require local measures to disclose expenditures and revenue sources. The sponsor and supporters, including the Arizona Chamber of Commerce, argued the bill would improve transparency and keep initiatives driven by Arizona residents; the bill passed 5-2. The committee also heard the mirror resolution, HCR 2051, which passed 4-3. The committee next considered HCM 2010, urging Congress to propose a constitutional amendment repealing the Seventeenth Amendment and returning selection of U.S. senators to state legislatures. The sponsor argued it would restore state sovereignty and accountability, while opponents raised concerns about direct democracy and the practical problems that led to the Seventeenth Amendment. The motion initially appeared to pass 4-3, but after a vote correction and a present vote, the measure ultimately failed. The committee then took up HB 2940, a complex AHCCCS/DES bill aimed at tightening eligibility verification, expanding competition in managed care contracting, and creating a unified eligibility rules engine. The sponsor said it would improve fiscal discipline and competition; AHCCCS and health plan representatives said many verification steps already exist, some provisions would add cost or duplicate federal/state processes, and the bill would significantly alter the managed care model. Despite those concerns, HB 2940 passed 4-3. Later, HB 2874 passed unanimously 7-0. That bill would ease termination requirements and penalties for candidate committees, PACs, or parties that never received contributions and later file termination statements. The committee then heard HB 467, which would require county recorders to display certain voter status information in precinct registers, signature rosters, or electronic poll books; after testimony from county officials and the Association of Counties, the committee adopted a verbal amendment changing “shall” to “may” and passed the bill 5-2. Finally, HB 2775, as amended, passed 4-3. The bill would bar state and local governments from using state resources to implement or enforce rules or policies of international organizations, and the amendment added restrictions on Arizona public universities’ dealings with certain foreign entities, with ABOR given review authority. Supporters framed it as a sovereignty and anti-foreign-influence measure, while the amendment’s removal of rulemaking authority was cited as important to the vote in favor.
TX

Texas 89th 2nd C.S.

Trade, Workforce & Economic Development Apr 2nd, 2025

Trade, Workforce & Economic Development

Transcript Highlights:
  • , keeping in mind that renter's flood insurance is normally different than renters insurance.
  • Current... ...unemployment insurance system was tested in ways it never had been before.
  • claim. ...to a request for information related to an unemployment insurance claim.
  • And third, it will create a more solvent unemployment insurance trust fund.
  • I work with the Texas Workforce Commission as Employment Insurance Director.
Bills: HB112 , HB199 , HCR9
Summary: The Committee on Trade, Workforce and Economic Development met with a quorum and moved quickly through a long agenda, hearing testimony and taking recorded votes on several bills. Early in the meeting, HB 2214 was laid out to exempt certain short-term residential leases and leaseback arrangements from flood-disclosure requirements; Texas Realtors supported the change, and the bill was left pending. The committee then voted out a series of pending measures, including HB 46, HB 186 (with a committee substitute), HB 431, HB 1147, HB 1154, HB 2468, HB 2488, HB 2788 (with a substitute), HB 2791 (with a substitute), HB 3260, and HCR 90, all reported favorably to the full House, with HB 1147 receiving two nays and the others passing unanimously or nearly so. A major portion of the hearing focused on HB 112, which would create a Texas Science Park district and commission to support advanced manufacturing and innovation sites. The bill’s author and supporters, including Samsung Austin Semiconductor, the Texas Association of Business, and the Governor’s economic development office, argued it would strengthen supply chains, attract investment, and support national security and workforce development. Testimony described interest from semiconductor and advanced manufacturing companies and referenced the model of foreign science parks such as Sinshu in Taiwan. HB 112 was left pending after testimony. The committee also heard HB 3698 and HB 3699, both related to unemployment insurance administration. HB 3698 would expand eligibility for the Reemployment Services and Eligibility Assessment program using federal funds, while HB 3699 would tighten the definition of “last work” to help the Texas Workforce Commission investigate UI fraud. Both bills were discussed with TWC resource witnesses and left pending after the committee withdrew the substitutes. HB 1349, which would extend HOA transparency and property-rights provisions to condominiums and refine HOA rules, and HB 621, which would require HOA meeting spaces to be available for residents to reserve for qualified political candidates or elected officials, were also heard and left pending. Finally, the committee heard HCR 9 to designate the first Saturday of each month as Small Business Saturday, HB 199 to index unemployment benefit duration to the state unemployment rate, and HB 3466 to exempt certain cancelable service contracts from Texas’s in-home sales cooling-off law; each drew supportive and opposing testimony and was left pending before adjournment.
NM

New Mexico 2025 Regular Session

House - Health and Human Services Mar 5th, 2025

House Health & Human Services

Transcript Highlights:
  • House Bill 527 addresses insurance coverage for medical cannabis costs.
  • Health insurance insurers currently have no model for reimbursement for these products.
  • We're discussing the downstream impact of such insurance mandates. Mandates.
  • As a result, our insurance premiums become more expensive.
  • It's already approved for insurance for... Workers' compensation.
LA

Louisiana 2026 Regular Session

Administration of Criminal Justice Apr 14th, 2026

Administration of Criminal Justice

Transcript Highlights:
  • We are under self-insured status of all the cities.
  • We are under self-insured status of all the cities.
  • cities, our life insurance is through the cities.
  • Tell me, and you're insured—the city of Bojure insures you? Yes, ma'am.
  • They insure us, as well as health insurance.
Summary: The Committee on Criminal Justice met on April 14, 2026, and first handled several voluntary deferrals, including HB 343, HB 491, HB 523, HB 426, HB 439, HB 378, and later HB 1025. HB 676 by Rep. Spell, which creates the crime of fraudulent patient referrals or “body brokering,” was amended and reported favorably. Testimony from Louisiana Blue, Odyssey House, and others described the practice as exploiting vulnerable addiction and mental health patients for profit, while supporters said the bill targets organized fraud and protects patients, families, and insurers. The committee also reported HB 394 by Rep. Chenevert, which extends the conditional parole period from nine months to 24 months for offenders who must complete programming before release. Supporters, including the Louisiana Parole Project, said the change gives the parole board more flexibility and does not create new parole eligibility, while the bill was amended to remove some language tied to rehabilitation programming review. HB 622 by Rep. Coates, dealing with confidentiality and handling of criminal history records, was reported favorably after testimony that it is needed to align state law with federal FBI/CJIS requirements and tighten safeguards on background-check information. HB 396 by Rep. McMakin, concerning admissibility of autopsy photographs, was amended to apply to criminal proceedings generally and then reported favorably. HB 772 by Rep. Martinez, which modernizes notice requirements for arrest warrants by allowing electronic notice and clarifying mailing procedures, was also reported favorably despite concerns from Orleans Parish prosecutors about costs and surety liability. HB 1038 by Rep. Boyer, addressing marshal authority to issue deputy commissions and related liability/insurance issues, drew substantial testimony from marshals, city officials, and local government groups; after amendments requiring insurance coverage and clarifying funding and applicability, it was reported favorably on an 8-2 vote. HB 1025, which would have created an exception allowing reconciliation after a protective-order violation, drew strong opposition from domestic violence advocates and prosecutors and was voluntarily deferred by the author.
LA

Louisiana 2026 Regular Session

Insurance Apr 1st, 2026

Insurance

Transcript Highlights:
  • Today is April 1st, and this is a hearing of the House Insurance Committee.
  • This has been the type of insurance we've had in our state for a while.
  • That stands for National Association of Benefits and Insurance Professionals.
  • And that number is set by the insurance company or by the PBM.
  • And we speak on behalf of them because we’re the largest insurer in the state that offers fully insured
Committee: House Insurance
Summary: The House Insurance Committee met on April 1 with a quorum present and first took up House Bill 938 by Rep. Turner, which would overhaul pharmacy benefit manager (PBM) regulation by setting a flat administration fee, requiring dispensing fees and NADAC-based reimbursement, mandating rebate pass-through, giving the Department of Insurance access to PBM data, and creating a reverse-auction process for PBM procurement. Turner said the bill is intended to level the playing field for independent pharmacies, improve transparency, and reduce hidden PBM practices. The committee adopted amendment set 1444 without objection, and Turner said additional conceptual amendments were still being worked on. Supporters included independent pharmacies and the PBM Accountability Project; opponents included union plan representatives, benefits consultants, and PBM/insurance industry witnesses who warned of higher costs, ERISA preemption problems, and likely litigation. After extended questioning on cost, preemption, and vertical integration, the committee reported HB 938 with amendments. The committee then considered House Bill 870, also by Rep. Turner, dealing with formulary placement and cost-sharing for generic drugs and biosimilars and limiting certain utilization management practices. Amendment set 1540 was adopted, revising and tightening technical definitions. Turner and a representative of the Association for Accessible Medicines argued the bill would help lower-cost generics and biosimilars gain market share and reduce patient costs, citing examples such as insulin and Humira biosimilars. Opponents from Louisiana Blue said the bill would force coverage based on wholesale acquisition cost rather than net cost, would raise premiums for fully insured members, and would mandate coverage of drugs that are not always the lowest net-cost option. Rep. Jordan again raised ERISA and preemption concerns, and committee members discussed whether the bill would interfere with tiering and plan design. After closing comments and a motion by Rep. Glorioso, HB 870 was reported with amendments, and the committee adjourned.
MO

Missouri 2026 Regular Session

Commerce Feb 4th, 2026

Commerce, Consumer Protection, Energy and the Environment

Transcript Highlights:
  • Health insurance is crazy expensive.
  • It allows somebody whose company doesn't ...health insurance.
  • We went on COBRA insurance. And then I started trying to investigate getting an insurance plan.
  • They'll lose their health insurance with their employer.
  • It is insurance companies, right, wrong, or indifferent.
Summary: The committee first went into executive session on House Bill 2099, adopting a House committee substitute and an amendment clarifying language about non-private, non-commercial property and authorized agents, including executors, administrators, trustees, and verified heirs. Members discussed the amendment as a way to prevent people from exploiting recent obituaries to occupy property without authorization. The committee then voted unanimously to do pass the House committee substitute for HB 2099. The main public hearing was on House Bill 1791, which would set deadlines for political subdivisions to act on building permit applications and reduce fees if deadlines are missed. The sponsor and supporters, including the Missouri Municipal League’s critics from the construction industry, argued the bill would reduce costly delays, improve predictability, and help housing and business development. Opponents from municipal groups said the bill could create liability concerns, impose one-size-fits-all mandates on cities of different sizes, and interfere with local inspection and safety processes. Several witnesses said they were willing to work on the bill’s definitions and timelines, but no vote was taken in the transcript. The committee also heard House Bill 2465, which would let sole proprietors and single-member businesses obtain group health coverage outside the ACA framework and would revise the employee-count threshold from two to one, with discussion about whether the upper limit should remain 50 or be changed. Supporters said the bill would help small businesses, especially family-run firms, access more affordable and flexible coverage, including out-of-network options; one witness described personal difficulty obtaining coverage for a spouse who works in the business. Members raised questions about federal implications and the impact of changing the 50-employee cap, but the hearing ended without a recorded vote. Finally, the committee heard House Bill 2717, a storage-unit and public notice bill that would modernize notice requirements by reducing reliance on newspaper advertisements, allow electronic delivery of rental agreements, shorten certain notice periods, and address storage units being used as housing. Supporters said the bill reflects current business practices and improves communication and efficiency, while opponents focused on preserving newspaper notice and raised concerns about public awareness and process. The sponsor said the bill had been repeatedly introduced in prior sessions and was intended to update the industry’s rules; the hearing concluded without final action in the transcript.
MN
Transcript Highlights:
  • Insurance reflects the legislature's participation in the state employee group insurance program, or
  • </c><00:01:59.520><c> program</c> state employee group insurance program state employee group insurance
  • ><c> Minnesota</c> The insurance chapter under Minnesota The insurance chapter under Minnesota statute
  • insurance coverage that adopted the insurance coverage that became<00:02:45.040><c> effective</c><00
  • ><c> are</c> insurance provisions themselves are insurance provisions themselves are generally<00:03:
Keywords: 918, senate, all
Summary: The Senate Committee on Rules and Administration met virtually on January 6, 2026, and took up four administrative policy items. Darren Hoff, Senate Human Resources Director, presented updates to the Legislative Coordinating Commission benefit book, including insurance changes tied to SEGIP, mental health and substance use office visit cost sharing, dental plan updates, dependent eligibility clarifications, a new voluntary legal services benefit, a 17% increase in Medicare premiums, and multiple leave-policy revisions to conform with the new paid leave law and other employment rules. Senator Pappas moved adoption of the benefit book with the LCC’s November 10, 2025 changes and staff technical corrections, and the motion passed. Secretary Tom Bern described a proposed Senate Policy 1.56 allowing written rules of conduct for visitors in Senate spaces, aimed at setting clear expectations for behavior such as not blocking hallways or using shouting and profanity, while being developed with consultation to address First Amendment concerns. Senator Marty moved adoption, and the committee approved the policy. Council Lexi Stangle then presented a change to Senate Policy 2.47 on severe weather emergencies that would allow employees who work remotely on severe weather days to accrue compensatory time with supervisor approval; Senator Johnson moved adoption, and the motion passed. The committee also considered a modernization of the Senate information systems policy. Secretary Bern and staff explained that the policy had not been substantially updated in about 20 years and was being condensed and updated to reflect current technology and practices. The revisions reduced the policy from 29 pages to 10, removed obsolete references, added a purpose statement, clarified email inspection and hardware/software procedures, updated website rules and accessibility guidance, and removed the secondary member page option. Senator Coleman moved adoption of the Senate information systems update, and it was approved. After the Rules Committee adjourned, the Subcommittee on Committees met and approved two appointments: one public member to the Legislative Citizen Commission on Minnesota Resources through December 31, 2030, and Senator Gustafson to the Financial Crimes Advisory Board Task Force. Members asked about the task force’s scope and the public appointee’s background; staff explained the task force advises on identity theft and financial crimes, and identified the public appointee as Sha Lang of Preston, Minnesota. Senator Pappas moved adoption of the appointment list, and the subcommittee approved it before adjourning.
NM

New Mexico 2025 Regular Session

IC - Revenue Stabilization and Tax Policy Dec 15th, 2025 at 01:04 pm

Revenue Stabilization & Tax Policy Committee

Transcript Highlights:
  • And we've had fewer and fewer insurance.
  • they have a much higher private insurance group.
  • And with the looming pressures, including the Medicaid and... insurance pressures, private insurance
  • We closed the coal mine, which had commercial insurance. Insurance.
  • insurance.
Keywords: 996, all
TX

Texas 89th Regular

89th Legislative Session Apr 30th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • Okay, so what if they have insurance?
  • That person would still be insured. Okay, good.
  • Patient, then they charge an insured patient.
  • Senator Frank, isn't it true that whether you're insured or you're not insured, whatever injury you have
  • ways that we could bring down the cost of insurance.
Bills: HB24 , HB45 , HB15 , HB35 , HB38 , HB47 , HB318 , HB349 , HB554 , HB1359 , HB1373 , HB1647 , HB2254 , HB2259 , HB2853 , HB3073 , HB3088 , HB353 , HB355 , HB786 , HB762 , HB705 , HB932 , HB849 , HB 1160 , HB 1119 , HB1612 , HB3041 , HB713 , HB3104 , HB3970 , HB3962 , HB5061 , HB4042 , HB4115 , HB4490 , HB1731 , HB1705 , HB2607 , HB3556 , HB138 , HB3689 , HB1788 , HB1887 , HB1914 , HB2402 , HB2306 , HB1809 , HB2350 , HB3000 , HB3237 , HB3326 , HB3211 , HB 1056 , HB2081 , HB2187 , HB3092 , HB3308 , HB3526 , HB3750 , HB3527 , HB4219 , HB4230 , HB4290 , HB5238 , HB4804 , HB4749 , HCR6 , HCR12 , HCR34 , HCR50 , HCR55 , HCR58 , HCR70 , HCR71 , HCR72 , HCR74 , HCR75 , HCR78 , HCR80 , HCR93 , HCR100 , HCR107 , HCR116 , HCR117 , HCR90 , SB1806 , SB783 , SB1271 , SB326 , SB1637 , SB769 , SB897 , SB1035 , SB1706 , SB1185 , SB1194 , SB384 , SB1426 , SB1468 , SB1215 , SB1066 , SB599 , SB1930 , SB2065 , SB767 , SB1619 , SB1738 , HB1500 , HB718 , HB23 , HB34 , HB 119 , HB 128 , HB 130 , HB132 , HB2756 , HB166 , HB406 , HB186 , HB331 , HB380 , HB1583 , HB1584 , HB621 , HB303 , HB552 , HB366 , HB463 , HB 1211 , HB1327 , HB1461 , HB923 , HB1760 , HB2467 , HB5333 , HB1592 , HB1576 , HB1552 , HB2018 , HB3511 , HB1781 , HB2013 , HB2340 , HB2508 , HB2970 , HB865 , HB2851 , HB3385 , HB3336 , HB3309 , HB 1127 , HB 1232 , HB1397 , HB4236 , HB4041 , HB1965 , HB2730 , HB3698 , HB3699 , HB163 , HB201 , HB272 , HB405 , HB519 , HB654 , HB694 , HB791 , HB 1136 , HB 1240 , HB 1266 , HB 1275 , HB1437 , HB1532 , HB1675 , HB1842 , HB1868 , HB1894 , HB1943 , HB1990 , HB2029 , HB2061 , HB2286 , HB2523 , HB2622 , HB2652 , HB2692 , HB2842 , HB2885 , HB3016 , HB3096 , HB3248 , HB3255 , HB3479 , HB3611 , HB3623 , HB3803 , HB3804 , HB3805 , HB3806 , HB3810 , HB3816 , HB4129 , HB4163 , HB4187 , HB4238 , HB4454 , HB4588 , HB4643 , HB4738 , HB4739 , HB4945 , HB5015 , HB5616 , HB1749 , HB1775 , HB 118 , HB1762 , HB2520 , HB24 , HB45 , HB15 , HB35 , HB38 , HB47 , HB318 , HB349 , HB554 , HB1359 , HB1373 , HB1647 , HB2254 , HB2259 , HB2853 , HB3073 , HB3088 , HB353 , HB355 , HB786 , HB762 , HB705 , HB932 , HB849 , HB 1160 , HB 1119 , HB1612 , HB3041 , HB713 , HB3104 , HB3970 , HB3962 , HB5061 , HB4042 , HB4115 , HB4490 , HB1731 , HB1705 , HB2607 , HB3556 , HB138 , HB3689 , HB1788 , HB1887 , HB1914 , HB2402 , HB2306 , HB1809 , HB2350 , HB3000 , HB3237 , HB3326 , HB3211 , HB 1056 , HB2081 , HB2187 , HB3092 , HB3308 , HB3526 , HB3750 , HB3527 , HB4219 , HB4230 , HB4290 , HB5238 , HB4804 , HB4749 , HCR6 , HCR12 , HCR34 , HCR50 , HCR55 , HCR58 , HCR70 , HCR71 , HCR72 , HCR74 , HCR75 , HCR78 , HCR80 , HCR93 , HCR100 , HCR107 , HCR116 , HCR117 , HCR90
FL

Florida 2025 Regular Session

March 31, 2025 - 04:00 PM

Transcript Highlights:
  • You check the insurance website and give the referral to the patient.
  • Because the issue is that when I could sever my ties with health insurance company A, but the insurance
  • the insurance company doesn't necessarily put that But the insurance company doesn't necessarily put
  • What that does is it requires insurance. Federal government in 2021.
  • ask you for your insurance card, and they will tell you, I'm sorry, we're not part of that insurance
Summary: The committee took up a large health and human services agenda and first approved HB 711, the Spectrum Alert bill, which would create a statewide alert system for missing autistic children and require FDLE to coordinate training with state and local agencies. The measure drew a supportive waiver from the Florida Smart Justice Alliance and passed unanimously, 24-0, reported favorably. Members then considered CS for HB 229 on health facilities, which modernizes the Health Facilities Authority Act to allow additional nonprofit health system structures to use tax-exempt financing. Two amendments were adopted: one requiring advance notice, public hearings, and stakeholder notifications before a nonprofit hospital closure, and another removing a property tax exemption for a nonprofit hospital that closes and fails to maintain emergency services for 120 days, applied retroactively to January 1, 2025. The Florida Hospital Association opposed the amendments, citing workforce and nonprofit-status concerns, but the bill as amended passed 24-0. The committee also approved CS for HB 1405 on juvenile justice status offenders, expanding early truancy intervention, parent involvement, and shelter placement review timelines; it passed 24-0. CS for HB 27, joining the Social Work Licensure Interstate Compact, and its linked public records bill CS for HB 29 both passed unanimously after supportive testimony from several advocacy and business groups. The committee then debated HB 111 on out-of-network referrals and HB 1083 on patient access to records. HB 111 would require referring practitioners to inform patients in writing when a referral is out of network and to apply out-of-network payments to deductibles; it drew opposition from medical groups over administrative burden and patient-care concerns, but passed 17-8. HB 1083 would shorten the time for producing medical records to 14 working days and standardize access rules, with amendments clarifying portal access and delaying the effective date to January 1, 2026; despite opposition from some health information and provider groups over HIPAA and access concerns, it passed 19-7 as amended. Later, the committee approved HB 883, allowing autonomous practice for psychiatric nurse practitioners with the required credentials, after strong support from nurse practitioner groups and opposition from psychiatric and medical associations; it passed 23-3. HB 1297, which aligns Florida’s electronic prescribing exceptions with federal law and removes several state exemptions, passed 19-7 despite opposition from hospice, emergency physician, rheumatology, and medical groups concerned about paper prescriptions in emergencies and hard-to-find medications. HB 1353 on home health care services and CS for HB 989 on foster home licensure transfers both passed unanimously after supportive amendments. The committee also heard HB 1505 on parental rights, which would require written parental consent for many health care services, surveys, and biofeedback devices for minors and expand parental access to records; the bill drew extensive support testimony but also questions and concerns about confidentiality, abuse reporting, and existing exceptions, and the transcript ended before a final vote on that bill.
HI

Hawaii 2025 Regular Session

CPC Public Hearing - Thu Mar 20, 2025 @ 2:00 PM HST

Consumer Protection & Commerce

Transcript Highlights:
  • I went to the insurance agent.
  • I went to the insurance attorneys. I went to the insurance agent. agent. agent.
  • </c> or um associations of insurance or um associations of insurance commissioners<00:28:04.159><c> or
  • What if an insurer, maybe somebody who's already licensed to sell property insurance to buildings in
  • so property insurance property insurance so property insurance they<00:29:59.760><c> have</c><00:29:
Keywords: 910, house, all
Summary: The Committee on Consumer Protection and Commerce heard three resolutions focused on condominium management, insurance, and landlord-tenant issues. For HCR 24/HR 23, which sought a follow-up Sunrise review of condominium association managers, Hawaii Realtors and the Real Estate Commission supported the measure, while several condo owners and advocates described alleged embezzlement, misconduct, and lack of accountability in association management. The Real Estate Commission suggested using a more current bill, HB 1312, as the basis for the review. In decision-making, the committee adopted an HD1 to direct the auditor to conduct a Sunrise analysis on HB 1312 instead of the older cited bills, and the measure passed with amendments by unanimous votes, with one member excused. For HCR 85/HR 79, which asked the Insurance Commissioner to study alternative insurance models for condominium associations and unit owners, the acting insurance commissioner said the division supported the concept but warned the study could be costly and time-sensitive, estimating roughly $1.5 million based on the breadth of the requested work. A committee member and the commissioner discussed whether the scope could be narrowed, and the commissioner said a narrower study could reduce costs. The committee ultimately deferred the measure for possible revision and future discussion. For HCR 158/HR 153, which proposed an Attorney General-led working group to improve landlord-tenant code provisions, the Attorney General’s office said another agency with housing expertise would be better suited to convene the group and suggested LRB for legal research support. Hawaii Realtors supported the idea but said the chairing agency could be changed, while Maui Tenants and Workers Association urged stronger tenant representation and warned against framing the effort in a way that favors investors over tenants. A mediator also noted procedural gaps in court filing requirements for tenants and landlords. In decision-making, the committee adopted an HD1 to shift the convening role from the Attorney General to the judiciary, narrow the scope, and make technical changes; the amended resolution passed unanimously, with one member excused.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Community Development and Small Businesses Jun 21st, 2026 at 10:00 am

Joint Committee on Community Development and Small Businesses

Transcript Highlights:
  • So, higher than folks are paying for insurance.
  • What type of insurance, I guess? From what I understand, it's... ...for what type of insurance?
  • issues, small business health insurance fairness, labor costs, payroll costs, unemployment insurance
  • and health insurance and health care costs.
  • They want to offer health insurance.
Keywords: 995, all
Summary: The Joint Committee on Community Development and Small Business held an informational hearing focused on the conditions facing small and micro businesses in Massachusetts and the state programs intended to support them. Chairs Andy Vargas and Adam Gomez opened by emphasizing equitable economic development, the importance of CDFIs, and the need to help underserved entrepreneurs, especially women, minorities, veterans, immigrants, and other groups facing barriers. Committee members noted the hearing would not take up bills, and testimony was limited to 10 minutes per organization. State and quasi-public agency witnesses described current programs and funding. Dico Gibral of the Executive Office of Economic Development highlighted the Business Front Door, multilingual access, small business office hours in Gateway Cities, and funding in the Mass Leads Act, including support for CDFIs, small business technology, and capital grants. Tom Hooper of Commonwealth Corporation described workforce training programs such as the Workforce Training Fund, Workforce Competitiveness Trust Fund, and Career Technical Initiative, saying they help small businesses train workers, fill labor shortages, and support returning citizens and people with disabilities. Committee members asked about federal funding uncertainty, workforce migration, training schedules, and program uptake. Business and advocacy groups focused on cost pressures and regulatory burdens. The Massachusetts Restaurant Association urged continuation of outdoor dining and takeout alcohol sales, and pressed for relief from high credit card swipe fees, support for surcharging, and streamlining municipal licensing. The Retailers Association of Massachusetts cited survey results showing inflation, utility costs, payroll taxes, health insurance, and interchange fees as major concerns, and said many members might sell or close within five years; it also backed ending the state prohibition on surcharging and creating an Office of Main Streets Massachusetts. MACDC, BECKMA, and the Coalition for an Equitable Economy emphasized the need for more technical assistance, CDFI and small business funding, and protections against rising costs, tariffs, supply chain disruptions, and immigration enforcement impacts on immigrant-heavy business districts. No votes were taken.
UT

Utah 2025 Regular Session

Health and Human Services Interim Committee - November 19, 2025

Health and Human Services Interim Committee

Transcript Highlights:
  • I've been working with national experts, been talking to our insurance community.
  • respond to these requests from insurers because we need their input.
  • And from a policy perspective, I just decided it's better to allow the insurance...
  • Two-thirds of our population are insured.
  • Mike Sontag with the Utah Health Insurance Association.
Keywords: 985, all
CA

California 2025-2026 Regular Session

Assembly Health Committee Mar 24th, 2026

Transcript Highlights:
  • The Department of Insurance estimates it will have zero fiscal cost to the state.
  • leadership of Insurance Commissioner Ricardo O'Lara.
  • Soon after, the insurance industry filed a complaint challenging the 2024 final rule. Thank you.
  • About one in five of those patients has no insurance.
  • Illness doesn't ask for your insurance card.
Summary: The Assembly Health Committee heard several bills focused on workforce access, consumer protection, behavioral health parity, and public health safety. AB 1591 by Assembly Member Michelle Rodriguez would create a podiatric medicine pipeline program to address shortages of podiatrists, especially in rural and underserved counties; it drew strong support from podiatrists and medical groups and no opposition. AB 2011 by Assembly Member Hart would codify federal mental health and substance use disorder parity standards into state law; supporters argued it would preserve access if federal enforcement weakens, while health plans and insurers opposed it as premature and potentially confusing. The bill was moved on a due pass motion to Appropriations and remained on call after a roll vote with several ayes and some noes. The committee also considered AB 2311 by Assembly Member Chiavo, which would allow public health care district hospitals to directly employ physicians. Supporters said the change would help district hospitals recruit and retain doctors and stabilize care in underserved communities, while CMA and emergency physicians warned it could weaken the corporate practice of medicine protections and physician autonomy. Members raised concerns about guardrails, but the author said the bill would continue to be refined; it passed on a due pass motion to the Business and Professions Committee. AB 2030 by Assembly Member Lowenthal would prohibit sales of over-the-counter diet pills and weight-loss or muscle-building supplements to minors, with supporters citing eating disorder risks and opponents objecting to scope, age-verification, and retail requirements. The bill passed on a due pass motion to the Judiciary Committee. AB 1864 by Assembly Member Berman would require screening of gene synthesis orders to prevent misuse for bioterrorism and would authorize enforcement penalties for noncompliance. Supporters from Stanford, Encode, and the medical community said the measure would align California with federal best practices and address growing biosecurity risks, while life sciences representatives raised concerns about operational burdens and supply-chain impacts. Members discussed whether the bill should include an urgency clause and how to keep the standards current; it passed to the Judiciary Committee. AB 2457 by Assembly Member Connolly would standardize and speed up Medi-Cal managed care credentialing for physicians, and it passed to Appropriations with broad support. Finally, AB 2302, presented on behalf of Assembly Member Celeste Rodriguez, would require infant formula manufacturers to test for toxic elements such as lead and arsenic and post results publicly; pediatric and disability advocates supported the measure as a transparency and infant safety bill.
HI

Hawaii 2026 Regular Session

JHA Public Hearing - Tue Mar 24, 2026 @ 2:00 PM HST

Judiciary & Hawaiian Affairs

Transcript Highlights:
  • </c><01:24:45.600><c> This</c> relating to insurance fraud. This relating to insurance fraud.
  • </c> insurance claims. insurance claims.
  • disaster-related insurance establishes disaster-related insurance fraud<01:24:58.080><c> offenses.
  • </c> had they committed the insurance fraud. had they committed the insurance fraud.
  • </c> Insurance Crime Bureau. Insurance Crime Bureau.
Keywords: 910, house, all
Summary: The committee heard testimony on SB 83, which would require hotel keepers to give adequate notice of service disruptions to guests and third-party vendors. The Department of Commerce and Consumer Affairs Office of Consumer Protection supported the bill but asked for amendments to restore remedies and add a nonwaiver provision, arguing that without penalties the measure would lack consequences and that consumers should not be able to waive the notice rights. Supporters, including Unite Here Local 5 and individual testifiers, said guests deserve transparency and meaningful recourse when disruptions occur, especially for labor disputes, construction, or other service interruptions that affect the experience they paid for. Hotel industry representatives, including the American Hotel and Lodging Association, the Hawaii Hotel Alliance, and hotel workers/testifiers, opposed the bill in its current form while offering amendments. They said the measure was too broad, difficult to implement, and could interfere with collective bargaining, third-party booking systems, and existing contracts. They also argued that some disruptions are not easily known in advance and that the bill unfairly singles out hotels compared with other industries. One testifier emphasized that notice should be required only for actual, known disruptions rather than potential events, and another raised concerns about applying the bill to properties not directly involved in a labor dispute. After the SB 83 testimony, the committee moved on to SB 2798, which would make permanent and expand statewide the agricultural enforcement pilot program created in 2025 and rename it the agricultural enforcement program. The chair introduced the measure and called on the Hawaii Department of Agriculture and Biosecurity as the first testifier, but the transcript excerpt ends before testimony or any vote on SB 2798.