Transcript Highlights:

• For example, it would be better to have people who know something about actuarial studies and risk assessment
• I will say one thing about actuaries.
• So would you agree that preceding your time, even though we had actuarial studies and reports, they were
• So again, back to the actuaries.
• study to fund.

Keywords: 996, all

Transcript Highlights:

• Next, SCR 32, requesting the establishment of a marine life conservation district carrying capacity study

Bills: SCR173, SCR78, SCR114, SCR162, SCR48, SCR160, SCR87, SCR28, SCR74, SCR20, SCR32, SCR55, SCR69

Keywords: ticket scalping, task force, consumer protection, event accessibility, local economy, menstrual health, menstrual cycle, period education, period poverty, menstrual products, menstrual dignity, health education, sexual health curriculum, DOE, Department of Education, public schools, school health, reproductive health, puberty education, hygiene education

Transcript Highlights:

• Section 11 also relates to human services background studies and is from the policy bill.
• and the most comprehensive study in the U.S. plans to prevent and end homelessness.
• So the Minnesota Homeless Study and companion Reservation Homeless Study are the most comprehensive data
• the Reservation Homeless Study.
• At this point, without significant support, we will likely have to sunset the study.

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• > for background study requirements for background study requirements for housing<00:21:15.280>
• The Minnesota Homeless Study and Companion Reservation Homeless Study are the most comprehensive data
• the Reservation Homeless Study.
• Study and the Reservation<00:30:57.120> Homeless<00:30:57.600> Study.
• About half were the study in 1991.

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• Do you want to explain it in more actuarial terms than I can? Yes, Mr.
• Can I refer to my actuary to talk about that?
• I understand actuaries well, as I was on the board for eight years.
• And I'm seeing nodding from our actuary who's here.
• to be an actuary.

Transcript Highlights:

• I'm a principal and consulting actuary with Milliman in San Francisco.
• It might be helpful, but there's no actuarial or scientific studies that we can point to.
• The study reinforces these principles and provides additional pathways The study reinforces these principles
• We have study after study that says people need the help.
• We're carefully studying the recommendations.

Keywords: 987, senate, all

Summary: The Senate Committee on Insurance held an informational hearing on how climate change, wildfire risk, and related catastrophes are affecting California’s insurance market, affordability, and availability. Chair and members framed the issue as a statewide challenge tied to resiliency, land use, utilities, legal liability, and the FAIR Plan. Senator Becker noted the hearing was connected to SB 254 and its recent report, while the Vice Chair emphasized that the state’s current regulatory framework limits flexibility and that industry testimony would also have been useful. Amy Bach of United Policyholders described worsening availability and affordability, driven by climate impacts, insurtech/risk scoring, inflation, and the growth of surplus lines coverage. She said the Sustainable Insurance Strategy is beginning to show progress, but the FAIR Plan remains too large and non-admitted carriers create concerns because they are less regulated and do not share FAIR Plan or guaranty fund obligations. She stressed that mitigation incentives, grants, and voluntary insurer rewards for wildfire-hardening are important, but that many households cannot afford the needed improvements. In response to questions, she said underinsurance remains a major problem, especially after recent fires, and suggested stronger insurer responsibility for replacement-cost estimates or broader replacement-cost endorsements. Actuary Nancy Watkins and Stanford’s Michael Wara argued that California must both reduce wildfire risk and allow actuarially sound pricing if it wants a healthier market. Watkins compared the market to a household with rising expenses and said the state needs a mitigation framework focused on the highest-risk communities, especially older neighborhoods and homes near the wildland-urban interface. Wara said premiums must roughly equal expected claims plus expenses, and that California is “burning down too many houses,” which drives both availability problems and higher rates. He highlighted the role of structure-to-structure spread, older housing stock, utility ignitions, and the need to focus on community hardening, not just vegetation management. Both speakers said mitigation should be targeted, science-based, and sustained rather than one-time or scattered. Frank Freebalt of Cal Poly and Michael Gullner of UC Berkeley continued the discussion on fire modeling and risk reduction. Freebalt said the problem is best understood as a structure ignition and urban conflagration problem, requiring integrated land-use, utility, and community mitigation, with evidence-based priorities and better analytics. He emphasized that the state should focus on the highest-risk intersections first and that targeted mitigation can multiply the effectiveness of suppression and evacuation resources. No votes or formal actions were taken; the hearing was informational and focused on testimony, questions, and policy discussion.

Transcript Highlights:

• If you could help us by maybe, there's a study out there that shows how much people earn after, whether
• But I can definitely work on trying to see if there's a study or data out there, because, like you said
• As the legislature agrees, we have been studying this issue since the 84th legislative session.
• The bill only relates to already existing study abroad programs that these universities offer.
• It does not require a university to develop and implement a study abroad program.

Bills: SB530, SB757, SB769, SB1085, SB1241, SB1242, SB1409, SB1878, SB2138, SB2314, SB2231, SB2361, SB2431, SJR59

Keywords: accreditation, postsecondary education, Texas Higher Education Coordinating Board, baccalaureate degrees, junior colleges, program delivery, faculty recruitment, higher education, performance standards, student loan debt, degree programs, funding, students with disabilities, accessibility, enrollment, report, SB 1085, Sul Ross State University, Rio Grande College, Del Rio

Summary: The Senate Committee on Education K-16 met with a large agenda and repeatedly recessed for floor activity and other committee conflicts. The committee heard and left pending several higher education bills, including SB 2361 to transfer University of Houston-Victoria from the University of Houston System to the Texas A&M System and rename it Texas A&M University Victoria; testimony from university officials, local leaders, and industry representatives strongly supported the move as a way to better align degree programs with regional workforce needs in engineering, agriculture, and STEM. SB 530, which would align Texas accreditation statutes with federal rules allowing institutions to choose among nationally recognized accreditors, also received supportive testimony and was left pending. SB 1085, allowing Sul Ross satellite campuses to offer lower-division coursework toward bachelor’s degrees, was laid out and left pending as well. The committee also took up a series of education policy bills. SB 1241 would expand the standardized tests Texas public universities may accept for admission beyond the SAT and ACT, with supporters from the Classic Learning Test, homeschool advocates, and student-choice groups arguing it would increase access and competition; it was left pending. SB 769 would require a TEA/Higher Education Coordinating Board report on barriers faced by students with disabilities in higher education, and testimony from The Arc of Texas and others emphasized the need for better data and accessibility; the bill was left pending. SB 2231 would designate the second week of October as Free College Application Week, and SB 1878 would modernize terminology and support workforce-oriented programs at the Josie School; both were laid out and left pending. The committee reported several bills favorably after adopting committee substitutes. SB 605, concerning charter school expansion applications while under conservatorship or a management team, passed on a 9-0 vote. SB 1871, SB 1873, and SB 1874, all related to school discipline and teacher immunity/placement review provisions, were adopted and reported favorably, with members noting the need for further discussion on some language. SB 762, dealing with flag displays in public schools, passed on a 7-1 vote. SB 1962, relating to public school accountability and challenges to school system operations, passed 7-1 after a corrected vote. SB 1750, replacing a $60 million statewide charter facilities cap with an attendance-growth-based allotment, passed 7-1 with one member voting present not voting. SB 2252, supporting kindergarten readiness and early literacy/numeracy, SB 2253, concerning educator preparation and certification, SB 2365, on student use of wireless devices during instructional time, and SB 1924, restoring local peace officer citation authority for school offenses and adding reporting and parent-notification requirements, were also reported favorably. The committee additionally heard SB 37 on higher education governance and compliance oversight, which passed 7-1 after a substitute that refined curriculum review, governing board authority, faculty senate rules, and a new compliance office within the Higher Education Coordinating Board.

Transcript Highlights:

• I could not find a single study, whereas if you look. For Tylenol, there are thousands of studies.
• To this day, I looked recently, and I could only find one study where somebody overdosed on Ivermectin
• I've studied this to understand it better, just like in 1917. I want to thank both of you. Dr.
• If you could provide the information about the clinical studies, we will disseminate it to our office
• Two weeks ago, there was a JAMA network study published about pharmacy deserts, and in that study, it

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Transcript Highlights:

• They have a lot of experience in regards to doing actuary models across the country.
• So historical data from that CDC now there is with the actuaries a threshold.
• That's just an actuary term that they use.
• We discussed it with the actuaries removing those costs from the PC pm.
• All right. >> We've talked about a lot of very actuarially sound data that you're collecting.

Keywords: 999, senate, all

Transcript Highlights:

• actuaries does not relate to budget.
• So the actuaries are built to the actuarial practice, and work is to look at what the cost of the program
• Actuaries work very hard to not be budget-driven.
• So there's a Budget in actuarial science.
• But I do hope that you all, in the agency, your actuaries and the agency's actuaries, are trying to figure

Keywords: 907, all

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.

Transcript Highlights:

• So the future service benefit cost is 1.41% for the PAR members according to the actuarial study performed
• c> this the actuarial study performed by this the actuarial study performed by this group.<00:55:
• That um study is currently with our actuaries that we're looking at.
• That um study is currently with our actuaries that we're looking at.
• That um study is currently with<01:25:22.000> our<01:25:22.159> actuaries<01:25:22.719>

Keywords: 1187, senate, all

Transcript Highlights:

• To make our TRS system actuarially sound. this bill.
• Reflects this hit to the actuary actuarial action and he's presenting the You take an average of three
• So studying the history of Texas education.
• My opposition is really because of the longitudinal study.
• It took us a long time to get the system to actuarial soundness.

Bills: HB2, HB2

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, disaster preparedness, emergency management, flooding, mass fatality, mass casualty, fatality tracking, body recovery, autopsy, justice of the peace

Transcript Highlights:

• A 20 21 study obvious 20% gap.
• packets, everyone received this study packets, everyone received this study that<00:49:12.160>
• <01:10:48.480> acred smaller number than the actuarial acred smaller number than the actuarial
• actuarial acred liability. actuarial acred liability.
• Tensic. actuary describes why they consider 20 actuary describes why they consider 20 years<01:35:36.159

Keywords: 1187, senate, all

Transcript Highlights:

• We'll now go to our actuarial update from Michael Harbor. Thank you, Mr.
• Again, for the record, Michael Harbor, actuary for OSA.
• So a quick LEOFF 1 medical study update.
• So I think the question then is, Ken, is the actuary office prepared?
• Ken, is the actuary office prepared to move forward with the bill next session?

Summary: The Executive Committee of the State Committee on Pension Policy approved its June minutes and received updates from legal and actuarial staff. Counsel reported on two class-action matters: the Fowler/Probst case, where a court ordered the state to pay $118 million in additional interest to teachers and the state has appealed and sought a stay, and the Dawson case challenging last year’s HB 2034, where the complaint was amended to leave only a federal contract-impairment claim and the state plans to move to dismiss. The actuary also provided a brief educational update on asset smoothing and offered to provide more detailed follow-up, noting it affects funded ratios and contribution rates. The committee then discussed its interim work plan and September agenda. Members agreed to add a bill and fiscal analysis for a PERS/TRS Plan 1 ad hoc COLA, with discussion focused on whether it should be capped and how to frame the cost estimate. Staff also outlined a memo on possible approaches to a permanent COLA for Plan 1 retirees, including making it part of the base budget or otherwise structuring it so future budgets would address it; no action was taken, and the topic was deferred for further discussion. The committee also heard constituent correspondence supporting COLAs and raising concerns about survivor benefits. A representative of the Washington State Patrol Troopers Association testified in support of advancing survivor medical benefits, explaining that the smaller size of the State Patrol system makes new benefits more costly per member and that any new benefit would require member approval. Staff said a cost estimate could be prepared for September if the proposal excluded retroactive coverage, but October would be needed if retroactivity were included. The committee agreed to move the survivor medical issue to October, while keeping the LEOFF 1 medical study update, animal control officer eligibility, and the ad hoc COLA on the September agenda, along with preliminary 2027 meeting dates. The meeting adjourned without further action.

Transcript Highlights:

• We hired a third-party actuarial firm, Health Management Associates.
• They did an actuarial study looking at Medicare claims data.
• My name is Annie Tasman Ewing, and I am a senior consulting actuary with Wakely.
• I'm a fellow of the Society of Actuaries and a member of the American Academy of Actuaries.
• Could you repeat who you did the study for? Community Autism Services? Thank you. Great.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on several health care bills focused primarily on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman opened by outlining hearing procedures, testimony rules, and filing deadlines, and noted the hearing would be recorded and written testimony accepted. They said the day’s topics included affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable populations, and MassHealth eligibility asset exemptions. A major portion of the hearing concerned House Bill 4623, which would add board-certified assistant behavior analysts (BCABAs) as a recognized mid-level supervisory role in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field, actuaries, clinicians, and autism service providers testified that the current two-tier model limits workforce capacity, contributes to long delays, and leaves families waiting months for care. Supporters said the bill could expand access, improve retention, and potentially reduce MassHealth costs, while also helping providers meet growing demand and new administrative requirements. The committee also heard testimony on House Bill 4425 and Senate Bill 2737, which would allow Massachusetts residents under 65 with end-stage renal disease to purchase Medigap coverage. Legislators, dialysis advocates, and patients described high out-of-pocket costs under Medicare, barriers to kidney transplant eligibility without secondary insurance, and the financial strain on patients and families. Testifiers said the change would affect about 846 residents, could modestly increase premiums, and might reduce Medicaid spending by preventing asset spend-downs. Senator Gomez and others spoke from personal experience with dialysis and transplant care. Finally, the committee heard testimony on House Bill 4353 and Senate Bill 2587, which would require regular data-driven review of MassHealth ABA reimbursement rates. Providers and association representatives argued that reimbursement has not kept pace with inflation, workforce shortages, accreditation costs, and new 2026 MassHealth policy requirements, and said the bills would improve transparency and ensure rates reflect the true cost of care. No votes were taken; the hearing concluded with the chairs thanking participants, inviting additional written testimony, and adjourning the meeting.

Transcript Highlights:

• Michael Harbour next for the actuarial update. Thank you, Mr.
• Again, for the record, Michael Harbour, actuary for OSA.
• I assume you're referring to the two bills for the left one study.
• Well, we've been asked to study these, is my understanding, the study of the two bills by legislature
• ...going to be asked to approve the final study at that point?

Summary: The Select Committee on Pension Policy Executive Committee approved the September minutes and received updates on two court cases, Fowler and Dolan. Staff explained that Fowler concerns interest calculations for members who transferred from Plan 2 to Plan 3 before 2002; the Ninth Circuit has already found liability, and the remaining issue is damages, which could be significant depending on the expert-driven calculation. Dolan was described as quieter, with briefing completed at the Court of Appeals and oral argument possible later this year or early next year. The committee also heard an actuarial update on the interim work plan, including planned informational briefings on month-of-death policy, a Plan 1 ad hoc COLA, and the OSA demographic experience study, which is still under external audit. Members asked whether updated fiscal notes had been prepared for two bills under study; staff said preliminary analysis had been done and full updates would come if the bills move forward. The committee then discussed how to handle the ad hoc COLA item and agreed to have staff draft a letter endorsing House Bill 1474 and any similar Senate bill for a one-year ad hoc COLA, to be brought back for full committee consideration in November. Staff reviewed the draft November and December work plan. The committee adopted the November agenda, which includes annual updates from the State Investment Board and Retirement Systems, the left one study closeout, and the ad hoc COLA action item. Members also discussed whether excess compensation and 2026 session prep should be handled by email rather than in a meeting, with general agreement to move the session prep to electronic communication and possibly handle excess compensation as an informational item, depending on availability. Constituent correspondence included several messages on climate change and Plan 1 COLAs, including support for the merger bill and COLAs in general. Jacob White of the LEOFF 2 Board reported that the board had only held an educational briefing on excess compensation and overtime, found the data limited, and took no further action. The meeting ended with thanks to staff and an adjournment vote.

Transcript Highlights:

• Actuarial assumptions uh can all affect Actuarial assumptions uh can all affect what<04:39:18.359>
• you'd have to look at the Actuarial you'd have to look at the Actuarial tables<05:10:15.280>
• back to their original plans case study back to their original plans case study of<05:15:39.160>
• traditional DB uh pension case studies traditional DB uh pension case studies covering<05:15:54.520
• entire um you will see the entire study entire um you will see the entire study right<05:25:27.200

Keywords: 928, house, all

Summary: The committee first took up House Bill 622, but after the sponsor said further research raised concerns, he asked that the bill be tabled. The committee then moved in executive session and voted unanimously to find the bill inexpedient to legislate, sending it to consent. The committee also retained House Bill 349, the ophthalmologic laser bill, after members said more time was needed for the professions involved to work out training standards and provide additional information; that motion also passed unanimously. The committee then discussed House Bill 244, a municipal building/fire code recodification measure. Members said the bill needed more review and careful scrutiny because of its length and possible unintended effects, and they voted unanimously to retain it as well. House Bill 534 was then heard; the sponsor said the bill did not do what was intended because of a misunderstanding about current processing, and the committee voted inexpedient to legislate and placed it on consent. The committee next considered House Bill 233, with an amendment to remove a requirement affecting the New Hampshire Vaccine Association. Supporters argued the bill would reduce an unnecessary burden and improve transparency, while opponents said the committee should not single out one private 501(c)(3) organization. The amendment was adopted 8-5, and the bill as amended then passed 7-6; a minority report was requested. Finally, the committee opened House Bill 536, a proposed 1.5% cost-of-living adjustment for certain state retirees. The sponsor and supporters argued retirees had not received adequate COLAs and that the bill would help offset inflation, while the retirement system testified that the proposal would add significant costs, including an estimated $1.5 million for the state, $6.6 million for political subdivisions, and about $100.7 million in present-value unfunded liability, with the impact reflected in future employer contribution rates.

Transcript Highlights:

• We had our five-year experience study Performed that same year.
• The actuary said at this rate, we can't tell you.
• So, according to our actuary, we're in a very strong actuarial position and we have a reasonable assumption
• Yeah, and then at the recommendation of the actuary, correct.
• And this, we did a study. Let me see.

Keywords: 914, all

Transcript Highlights:

• I said actuarial time that it depends.
• Just a little bit of detail on that. >> Uh, each of our actuaries, and we have actuaries for other areas
• Um a need to select a >> Uh each of our actuaries and we have >> Uh each of our actuaries
• <00:52:38.480> memorandum uh had to perform a actuarial memorandum uh had to perform a actuarial
• I am Representative Kim Moser.” hard to find any data or studies done on hard to find any data or studies

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:23 Kentucky Bankers Association 00:02:32 How to Read and Understand KRS 6.948 Health Mandate and Federal Cost Defrayal Impact Statements 00:25:40 Proposed Amendments to Kentucky's Essential Health Benefit-Benchmark Plan 00:50:18 Proposed Health Insurance Legislation for the 2026 Session 01:04:22 Reimbursement for Covered Benefits Delivered Through the Psychiatric Collaborative Care Model 01:01:46 Coverage of Eating or Feeding Disorders 01:18:47 Coverage of Hearing Loss 01:25:31, 958, all

Summary: The Interim Joint Committee on Banking and Insurance met for its first interim meeting, established a quorum, approved routine opening items, and welcomed a new committee assistant and a legislative intern. The committee first heard a Kentucky Bankers Association presentation from Tim Shank and John Cooper focused on the state’s housing shortage, which they described as affecting all 120 counties and especially low- and moderate-income and workforce housing. They urged support for a proposed $20 million banker-backed revolving fund, paired with tax credits, to finance new housing construction; they said the program would be flexible, could support alternatives such as manufactured housing, and would use below-market loans with tax credits vesting over five years only after units are completed. They also asked for extension of the historical tax credit carryforward from five to seven years and for continued support of new market tax credits, arguing that supply-chain delays make the longer period necessary for historic rehabilitation projects. The bankers also raised concerns about credit unions, arguing that because credit unions do not pay the same taxes as banks, they should not be allowed to acquire healthy state-chartered banks or hold state and local deposits. They cited the recent purchase of First State Bank of Middlesborough as an example, saying the transaction would reduce state, county, and city tax revenue and weaken local tax bases. In response to committee questions, the presenters said local regulations, zoning, parking, sidewalk, and utility easement issues can significantly delay housing projects, and they emphasized that state policy and infrastructure support are needed to help address affordability and development barriers. The committee then shifted to a Department of Insurance presentation by Commissioner Sharon Clark on how to read KRS 6.948 health mandate and federal cost defrayal impact statements. Clark explained that the mandate statements were created in 1998 so legislators would have actuarial estimates of how proposed health insurance mandates would affect administrative costs, premiums, and total costs, and she noted that later legislation added federal cost-defrayal analysis. She also reviewed the background of the Affordable Care Act’s essential health benefits framework and said the department’s statements are intended to help lawmakers make informed decisions on proposed health coverage mandates. No votes or formal actions were taken during the portion of the meeting provided.

Transcript Highlights:

• So we use the results of all this research, plus us studying... ...care.
• And we did use an actuarial database in order to predict expenditures.
• So all I'm trying to say is, and I am not an actuary, but I spent a lot of time with the actuaries in
• the past six months working on the long-term care studies.
• That's the extent of my actuarial prowess. That's the extent of my actuarial prowess.

Keywords: 995, all

Summary: The commission meeting focused on continuing care retirement communities (CCRCs), beginning with a presentation from Two Life Communities on its Opus Newton model, which is opening in the fall. Two Life described Opus as a middle-income, modern CCRC built around affordability, care coordination in residents’ apartments rather than separate care buildings, and resident-driven community life. Commissioners asked about financing, home care arrangements, affordability, Medicaid/MassHealth access, and the role of resident councils versus board representation. Two Life said it wants to remain within the CCRC framework, but expressed concern about proposals that would require multiple discrete care levels, impose deadlines on entrance-fee refunds, or require resident board seats. The commission then discussed possible recommendations. There was broad support for Senate Bill 478, which would require clearer disclosure of entrance-fee refund terms in a separate document for prospective residents. On refund timing, members were divided: some favored a one-year deadline or a deadline with waivers, while others opposed a fixed deadline because of financing risks and the potential impact on new development and current residents. Several members suggested keeping the status quo but adding better data collection and reporting on refund timing. On the CCRC definition and marketing, members debated whether the current statutory definition is too vague and whether the commission should recommend clearer standards or a certification-like process, while also noting resource limits for state oversight. Members also discussed the Age CCRC Consumer Guide, with general agreement that it should be updated and made more useful to consumers, possibly with clearer questions to ask and more information about facilities, though some cautioned against adding subjective financial-risk statements that would be hard to administer. On resident representation, several commissioners strongly supported requiring resident voting members on boards, while providers argued that strong resident associations and regular meetings with boards may be preferable and that communities should retain flexibility. The meeting ended with a request for written comments by July 11, draft recommendations to be circulated July 18, and a possible final meeting on July 21, with the commission aiming to finish by August 1.