Video & Transcript Research : 'premium structure'

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NH

New Hampshire 2025 Regular Session

Senate Finance (05/30/2025)

Finance

Transcript Highlights:
  • Those u solid waste structure.
  • But I think we know that Congress is looking at not premiums but cost sharing.
  • But I think we know that Congress is looking at not premiums but cost sharing.
  • But I appreciate your work. $1,000 in premium. And it $1,000 in premium.
  • That the premium shall only apply to Medicaid and shall not apply to waiver services.
Keywords: 1191, senate, all
AR

Arkansas 2026 1st Special Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 16th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • And then two of our larger hospitals, being UAMS and Children's, have a different per diem structure
  • We have to have a broad-based and uniform fee structure that is approved by the feds to be charged to
  • An Arkansas insurance premium, paid for by an employer and an employee sharing, right, it's almost the
  • every time your premium is increased because the hospital cost is pretty much the same.
  • And if commercial payers are taking in about the same number of premiums in our state as they are in
Keywords: 1204, all
TX

Texas 89th 2nd C.S.

Health Care Affordability, Select Apr 30th, 2026

Health Care Affordability, Select

Transcript Highlights:
  • face premiums of about $27,000 a year.
  • And that breakdown of incentive structure is everywhere.
  • Because your employers' costs go up, your premiums go up.
  • That our underlying cost structure was too high.
  • But then they also had a premium freeze and have been able to keep premiums flat.
Keywords: 1184, house, all
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 03/03/26

Health and Human Services

Transcript Highlights:
  • partially offset by lower gross premium partially offset by lower gross premium tax<00:42:06.960
  • <00:43:07.200> of uh premium searchcharge collections of uh premium searchcharge collections
  • access fund retains a structural access fund retains a structural imbalance<00:52:04.880> in<
  • So, that's a uh structural deficit.
  • <01:25:59.760> to leverage those existing structures to leverage those existing structures
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

Committee on Commerce and Consumer Protection - 03/26/26

Commerce and Consumer Protection

Transcript Highlights:
  • market and help premiums down bring premiums<01:15:05.600> down.
  • otherwise built into the premiums. otherwise built into the premiums.
  • federal enhanced premium tax credits. federal enhanced premium tax credits.
  • be passed on through higher premiums. be passed on through higher premiums.
  • with rate or premiums and rates. with rate or premiums and rates.
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

Committee on Commerce and Consumer Protection - 04/28/26

Commerce and Consumer Protection

Transcript Highlights:
  • , the enforcement structure Third, the enforcement structure introduces<00:10:54.840> legal<00
  • Please introduce yourself. important, but the current structure important, but the current structure
  • premiums of striking workers. premiums of striking workers.
  • Last year they premium increases.
  • . premiums. premiums.
Keywords: 1187, senate, all
AR

Arkansas 2026 Regular Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 16th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • And then two of our larger hospitals, being UAMS and Children's, have a different per diem structure
  • We have to have a broad-based and uniform fee structure that is approved by the feds to be charged to
  • We have to have a broad-based and uniform fee structure that is approved by the feds to be charged to
  • every time your premium is increased because the hospital cost is pretty much the Time your premium
  • And if commercial payers are taking in about the same number of premiums in our state as they are in
Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.
NH

New Hampshire 2026 Regular Session

House Commerce and Consumer Affairs (02/04/2026)

Commerce and Consumer Affairs

Transcript Highlights:
  • increases reinsurance policy premiums. increases reinsurance policy premiums.
  • we would use the same structure. we would use the same structure.
  • It's a different tax structure.
  • It's a different tax structure.
  • premium deficiency reserve report. premium deficiency reserve report.
Keywords: 1189, house, all
AZ

Arizona 2026 Regular Session

04/28/2026 - Joint Appropriations

Appropriations

Transcript Highlights:
  • Chair, because structurally the fund is not sound.
  • It spent more money than the premiums that took in. Correct. Mr. Chairman.
  • And will the premium increases be $7,000 a year? What would cost them $7,000 a year? Mr.
  • And increasing employee premiums. We know we don't pay our state employees enough.
  • And increasing employee premiums, we know we don't pay our state employees enough.
Summary: The committee met in a special joint appropriations session to review the FY 2027 budget package, including House Bill 4138 and Senate Bill 1831, the general appropriations or “feed” bills. Staff described the budget as including a one-time transfer of state funds, a 5% lump-sum reduction to most agencies’ discretionary general-fund budgets, continued funding for the state health insurance plan and school facilities, and various one-time restorations or reversions of prior appropriations. Members spent much of the meeting clarifying how the 5% reductions would work, noting that formula and mandatory funding such as K-12 basic aid are excluded, while the governor’s executive branch would decide how to implement the cuts within agencies. The chair repeatedly emphasized that the committee was not specifying line-item cuts and that agencies would have discretion over implementation. A large portion of the discussion focused on the practical effects of the budget on universities, public safety, health care, rural programs, and fund sweeps. Arizona Board of Regents and university representatives said the proposed reductions would amount to more than $85 million statewide and could affect programs such as the Arizona Promise Program, Teachers Academy, and tuition freezes, though no specific program cuts were written into the bill. Other testimony raised concerns about fund sweeps from encumbered balances, including university research funds, housing trust funds, utility regulation funds, and ADOT-related accounts, with some members warning about possible impacts on rural infrastructure and federal matching dollars. The committee also discussed the state employee health plan, including a $228 million general-fund infusion and proposed employee premium increases over three years, as well as questions about corrections, forestry and fire management, and rural critical access hospitals. Public testimony was largely opposed to the budget. Speakers from Opportunity Arizona, the Arizona Board of Regents, health care, and local government argued that the package would reduce support for education, housing, SNAP, health care access, and rural communities while preserving tax benefits for data centers and wealthy taxpayers. A mayor from Globe described severe flood damage and asked for state help for a flood relief fund, while a motorcycle safety advocate questioned a proposed transfer from the motorcycle safety fund. Committee members debated whether the budget’s effects should be described as speculative or as likely consequences of the broad cuts, and several exchanges became contentious over comparisons to the Great Recession and references to federal tax policy. The meeting ended with continued public testimony and no final vote taken in the portion provided, though leadership had earlier said the committee planned a mass roll-call vote on all the bills at the end.
NM

New Mexico 2026 Regular Session

House - Appropriations and Finance Feb 9th, 2026 at 06:36 pm

House Appropriations & Finance

Transcript Highlights:
  • It made several changes to the structure of that fund...” “That fund.
  • It made several changes to the structure of that fund.
  • bill provides vital funding for the department for maintenance and preservation of our over 250 structures
Bills: HB63, HB64, HB184, HB200, HB47, HB48, HB2, HB9
TX
Transcript Highlights:
  • creates a mechanism to prevent unreasonable charges. in Senate Bill 1330, and it curbs artificial premium
  • , and when and you understand how COVID, the SARS-CoV-2 was engineered, it goes back to the DNA. structure
  • that is contained in the spike protein structure that has mechanisms that are causing hypercoagulation
  • tootsie roll because it's solid and the information coming out of Japan is showing that is an amyloid structure
ND
Transcript Highlights:
  • I don't understand fire insurance premium taxes. We have insurance premium taxes.
  • Is this the same as what our Fire insurance premium taxes. We have insurance premium taxes.
  • Chairman, Representative Porter, it's a modest premium.
  • How might you structure that?
  • And then the tax structure that goes with that.
Keywords: 908, all
Summary: The committee was called to order, a quorum was established, and the minutes from the prior meeting were approved. The first major presentation came from Montana Public Employees Retirement System executive director William Hollahan, who gave an overview of Montana’s Volunteer Firefighters’ Compensation Act plan. He explained that the plan covers volunteer firefighters in unincorporated areas, is funded by 5% of state fire insurance premium taxes, and currently serves 228 departments with about 2,936 active members and 1,242 retirees. He described eligibility rules, annual training and reporting requirements, benefit levels for partial and full pensions, disability, death, medical, and funeral benefits, and said the plan is actuarially sound with roughly $60 million in assets and a funded ratio slightly above 100%. Committee members asked about prior-service credit, whether EMS personnel are included, the effect on recruitment and retention, and whether expanding coverage would require a funding analysis; Hollahan said prior service is not credited, EMS is not currently included, and any expansion would need financial review. Tim Walleen of Workforce Safety and Insurance then presented a draft North Dakota workers’ compensation solution for volunteer firefighters and volunteer EMS personnel. He explained that volunteer responders are already covered by workers’ comp for medical and wage-loss benefits, but the proposal would set a minimum annual wage of $30,000 for calculating wage-loss benefits for qualifying volunteers, with the benefit paid at two-thirds of that amount. Representative Porter suggested tying the volunteer definition to existing code rather than a fixed dollar amount, and Walleen agreed. Questions focused on whether search and rescue or other volunteer emergency services could be included, whether departments would face new paperwork, and whether volunteer organizations can already elect coverage; Walleen said there would be no additional paperwork and that volunteer coverage is already available. The committee also heard from volunteer fire service representatives and the state fire marshal. An Oakes-area firefighter, Mr. Olson, testified that small departments are struggling with retention, communication, and administrative burdens, especially around separate bookkeeping and funding rules for donated or fundraising money, and he said departments need clearer guidance from the state. State Fire Marshal Dr. Matthew Clark introduced himself and outlined a broader effort to improve education, support, and coordination for fire departments, including a planned 10% audit of certificates of existence beginning in 2027, more outreach through his office, and better assistance with training, reporting, and grant access. He said his office is authorized under current law to provide these services, but the role has been vague and underused. Finally, Arnagard Rural Fire District Chief Rick Schreiber testified in favor of new recruitment and retention ideas, including retirement-style benefits, health insurance, tax incentives, scholarships, grants, and more remote or regional training. He said volunteer departments are losing members, that local tax and donation funds are already stretched, and that any new retirement or incentive program should be sustainable and likely involve a mix of state and local support.
TX

Texas 89th 2nd C.S.

Insurance Apr 2nd, 2025

Insurance

Transcript Highlights:
  • HB 33689 is an important investment towards improving the funding structure and sustainability of TUIA
  • way to find a more sustainable, viable funding structure for for TUA.
  • As continued premium increases hurt residents and businesses alike along the coast.
  • So your, your first, Is your CRT money that going in part of the premiums going into that.
  • There's a lot of different ways to structure these programs. Oklahoma just did one last year.
KY
Transcript Highlights:
  • actual impact of these premium changes. actual impact of these premium changes.
  • show the impact of what those premium show the impact of what those premium increases<00:27:49.039
  • The premium for the MEHP was $210.
  • the premiums for the MEHP since 2021. the premiums for the MEHP since 2021.
  • significant um increase in the premiums significant um increase in the premiums as<01:04:34.160>
Summary: The Public Pension Oversight Board met with a quorum, approved the prior minutes, and heard updates from the Kentucky Public Employees Deferred Compensation Authority and the Teachers Retirement System. The deferred compensation update highlighted continued growth in assets to about $4.787 billion and roughly 88,000 participants, strong retention from auto-enrollment, a marketing campaign tied to pay raises that generated additional participation, and a new self-directed brokerage account expected to launch July 1 of the coming year for participants with at least a $40,000 balance, allowing up to 25% of their account to be moved into the brokerage window. The director also described the free financial planning service, which has been used by about 3,500 participants with a high return rate, and said the plan is currently in a fee holiday; if fees are charged, they are capped at $237 per year for most participants. Members asked questions about who provides the CFP service, the fee structure, and the brokerage eligibility threshold. The director said the CFP service is provided through the authority’s service bundle with Nationwide, not as a separate paid service, and explained that the fee cap and current fee holiday are intended to keep the program low-cost. Board members praised the deferred compensation program’s performance and asked for a copy of the legislation referenced in the presentation. TRS then presented on retired teachers’ health insurance. Barnes first clarified how declining federal contributions for federally funded school positions affect the retirement annuity trust, explaining that if those federal dollars fall, the amounts would need to be covered through the SEEK formula and that the projection for those contributions is about $80 million over the next three years. He then reviewed TRS retiree health coverage, distinguishing between KEHP for retirees under 65 or not Medicare-eligible and MEHP for Medicare-eligible retirees, and explained that TRS recently completed RFPs for both prescription drug and medical coverage. TRS will keep Express Scripts for prescription drugs, but will move the Medicare Advantage medical plan from UnitedHealthcare to Humana on January 1, 2026, while keeping the plan design, provider access, and out-of-pocket structure largely unchanged, with a new hearing-aid benefit of $500 per ear. Barnes also reported the 2026 premium and contribution changes: the maximum TRS contribution toward KEHP will rise to $1,144.96 from $930.76, an 18% increase that he said will require roughly $15 million to $16 million more in the state budget, while the MEHP premium will drop to $200 per month from $210. He said the TRS board has statutory authority to set these amounts and that the changes will have mixed actuarial effects, with the KEHP increase being negative overall and the MEHP decrease positive.
MN

Minnesota 2025 1st Special Session

House Workforce, Labor, and Economic Development Finance and Policy Committee 2/19/25

Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:
  • system UI Online uh to collect premiums system UI Online uh to collect premiums as<00:37:41.800>
  • Reporting and premiums, obviously, that's sort of the payroll deduction and premiums payments, and then
  • <00:48:01.880> will then the first quarterly premiums will then the first quarterly premiums
  • In 2026, when premium collection starts, they'll use that same system to pay their paid leave premium
  • know to pay uh their paid leave premium know to pay uh their paid leave premium much<01:28:26.639
Keywords: 1183, house
NM

New Mexico 2025 Regular Session

IC - Investments and Pensions Oversight Jul 18th, 2025

Investments & Pensions Oversight Committee

Transcript Highlights:
  • Our retiree monthly premiums that we collect once they enroll with us.
  • It also gives actual premiums that our members have paid.
  • And if we look at the Medicare Advantage, our premiums...
  • Our premiums back in 2017 were actually higher than some of the premiums that we have now in 2025.
  • And we've had actually lower trends as far as premium increases.
MN

Minnesota 2025-2026 Regular Session

House lawmakers push to fund weather-resiliency program for Minnesota homes 4/27/26

Minnesota House Floor Meeting

Transcript Highlights:
  • if we can be doing things in a way to better protect our homes and also then reduce our insurance premiums
  • That would then also get a premium reduction for those homes, as well.
  • ,<00:02:37.720> I<00:02:37.800> think reduce our insurance premiums, I think reduce
  • our insurance premiums, I think that<00:02:38.240> that's<00:02:38.480> a<00:02:38.560
  • and other structures and other structures to<00:05:02.600> hail<00:05:03.320> for<
Keywords: 919, house, all
Summary: House File 4223 was presented as an appropriation to implement and jump-start the Strengthening Our Homes program enacted in 2023. Rep. Elkins said the goal is to help homeowners strengthen roofs using standards promoted by the Insurance Institute for Business and Home Safety, citing other states such as Alabama as examples where hardened homes performed better in major storms. He emphasized rising homeowners insurance costs, especially for affordable apartments, older condo buildings, and seniors on fixed or limited incomes, and said the grants would help people who may not have the upfront cash to make improvements. Committee members generally supported the concept, describing it as a way to reduce storm damage and lower insurance premiums. One member highlighted that the income threshold for grant eligibility could reach a large share of Minnesota homeowners and potentially harden nearly a million homes, while another noted the program’s focus on lower-income households. A Commerce Committee discussion was referenced in which an alternative approach was raised: tax incentives, including possible sales tax relief, for materials and labor used to harden homes against hail and other weather risks. Rep. Elkins responded that labor is an important part of the cost and that many potential beneficiaries are seniors with little taxable income, making a grant program more practical than a tax-based incentive. Another member agreed the upfront cost is a major barrier and said the grant design appears thoughtful. No vote was taken; the bill was laid over for further discussion.
FL

Florida 2026 Regular Session

Banking and Insurance Feb 4th, 2025

Banking and Insurance

Transcript Highlights:
  • Our statute talks about insured value of the structure.
  • Seven, there was no change in premium. There could be various reasons.
  • building code had wind-driven structural damage.
  • building code had wind-driven structural damage.
  • So that's currently the way we are structured. So that's currently the way we are structured.
Summary: The Banking and Insurance Committee heard a series of presentations focused on mitigation, flood and wind resilience, and insurance discounts. Kevin Guthrie of the Florida Division of Emergency Management outlined several funding streams for mitigation, including federal Hazard Mitigation Grant Program dollars, BRIC grants, flood mitigation assistance, and the state hurricane loss mitigation program. He emphasized the new Elevate Florida initiative, which will use about $400 million initially to elevate or reconstruct flood-prone homes, starting with National Flood Insurance Program properties and severe repetitive-loss homes, with no current per-home cap. Guthrie said the state will contract directly with licensed vendors and aims to reduce future flood losses, lower insurance costs, and keep properties on the tax rolls rather than relying on buyouts. Insurance Commissioner Mike Yaworski described Florida’s windstorm mitigation discount program, explaining that the 1802 inspection form is used to assess a home’s overall “envelope” and determine statutory discounts. He said the office is updating the program based on a new wind loss study, with likely changes including greater recognition of roof types such as metal roofs and possible territorial risk adjustments. He also said the Legislature now requires the office to revisit the study every five years. Stephen Fielder of the Department of Financial Services reported on My Safe Florida Home, noting that the program offers inspections and grants for roof and opening protections, has completed more than 100,000 inspections, and has reimbursed hundreds of millions of dollars. He said the department has validated its discount calculations with insurers and that the program is intended to help homeowners reduce premiums through verified mitigation work. Michael Newman of the Insurance Institute for Business and Home Safety said Florida’s building code is nationally leading and that post-Ian surveys found no wind-driven structural damage in buildings built after adoption of the code. He argued that mitigation should be treated as a system, not isolated upgrades, and suggested adding Fortified designation to the state’s mitigation form to better document verified resilience improvements. Bill Truex, a county commissioner and builder, stressed the need to educate homeowners about floodproofing and roof choices, citing examples where flood panels prevented damage and noting that asphalt shingles often do not last as long in Florida as their marketing suggests. In panel discussion, senators asked about program eligibility, outreach to elderly and digitally challenged residents, contractor vetting, roof-life disclosures, and whether flood insurance should be more broadly required. Officials said outreach will include call centers and in-person assistance, and several participants urged better consumer disclosure and more data-driven guidance on roof and mitigation choices.
KY
Transcript Highlights:
  • Um it put a mandate structure counties.
  • That accounts for about premium tax.
  • life based on the first year premiums. life based on the first year premiums.
  • So there does premium tax and other.
  • Um and a premium whichever is less.
Summary: The committee first took up an update from the Kentucky County Clerks Association on the transition to electronic recording and land records modernization. Testimony explained that legislation from the 2021 task force created funding and deadlines for counties to provide online search portals and complete a 30-year property record search, with a later move to a 60-year standard. Speakers said the money has been awarded to counties, but much of the work is still in progress because records must be scanned, indexed, and manually verified. They said only a handful of counties are fully compliant with electronic recording so far, while many are still working through staffing and vendor issues. They also noted that the 60-year standard may ultimately be easier and more efficient to complete than the 30-year standard, and that compliance is expected to improve by next summer. The clerks’ representatives also raised related issues, including deed fraud, the county document storage fee, and KDLA digitization grants. They said online recording can make deed fraud easier to attempt, so they expect to seek legislation next session to address it. They described an existing notification service available in many counties that alerts property owners when a document is recorded, which can help detect suspicious activity quickly. They also said the storage fee and separate county account structure has generally worked well, but that two recent KDLA grant cycles have not released money for clerks, limiting support for digitization work. Another topic was whether, once records are fully digitized and verified, some permanent records should remain publicly accessible or be moved to a safer archive under KDLA control. Members asked about the balance in the KDLA fund, what the General Assembly could do to help lagging counties, and how much of the $25 million modernization funding had been spent. Witnesses said they did not have the current fund balance but would try to get it, that the main obstacle now appears to be staffing rather than additional money, and that the funds have been awarded but not fully expended because work is still ongoing. They emphasized that counties are helping one another and asked members to alert association leadership if any county is struggling. The committee then heard a presentation from Dan London, executive director of the Lincoln Trail Area Development District, who described area development districts as regional staff extensions and technical resources for cities and counties, and highlighted their role in coordinating regional services and partnerships across county lines.