Transcript Highlights:

• Health insurance costs continue to rise for individuals, businesses, and employers.
• A proposed legislation that imposes a new mandate on health benefit plan issuers or administrators in
• When a health plan doesn't cover... services, that cost is shifted to the rest of the system.
• We're running issues around health care transparency pricing.
• CEO, Tech Association of Health Plans, and we show you testifying for the bill. Is that correct?

Bills: HB138, HB335, HB388, HB138

Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers

Transcript Highlights:

• benefit plan. issuers or administrators, and expenses for enrollees, health plans, and policy makers
• Uh, and administrative cost apply both to the plans and to the physician. and health care providers.
• Again, I think that this could provide a lot of good transparency on what man. could cost for employers
• House Bill 388 requires all health benefit plan issuers and administrators to use a uniform coordination
• This also is a case when maybe you have coverage under your employer and under your spouse's employer

Bills: HB138, HB335, HB388, HB138

Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers

Transcript Highlights:

• The Chair calls Blake Hudson, Director. ...for public affairs, Texas Association of Health Plans, and
• Many of these unnecessary lab tests are presented for payment to health plans, which until recently,
• These programs only alert health plans which lab claims filed are within policy coverage or not.
• plans and thus lower costs for health plans.
• My company provides lab integrity programs for over 30... ...health plans across the U.S.

Bills: HB854, HB 1052, HB1642, HB2076, HB3042, HB3695, HB3787, HB4062, HB4092, SB213, SB493, SB896, HB5519, HB4635

Keywords: insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory

Transcript Highlights:

• doctor to join their practice, the new doctor must go through a lengthy credentialing process with health
• insurance plans before being able to provide in-network services to patients.
• If the provider is ultimately denied credentials, the provider's practice is required to pay the health

Bills: HB854, HB 1052, HB1642, HB2076, HB3042, HB3695, HB3787, HB4062, HB4092, SB213, SB493, SB896, HB5519, HB4635

Keywords: insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory

Transcript Highlights:

• The bill allows health insurers to waive employer premiums for the employer who provides late notification
• The health insurer must be notified of the employer's separation of employment.
• There is an error in the results of the delay of notification of the health plan.
• This bill obligates employers to pay the health insurance premiums for employees that terminate employment
• They work with employers to help create. health care plans for their employees that meet the needs of

Bills: SB95, SB268, SB493, SB619, SB660, SB922, SB984, SB1098, SB1188, SB1307, SB1332, SB1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit

Transcript Highlights:

• programs and applying those to commercial insurance and private health plans.
• to capitulate to health plans' demands when legitimate payment disputes arise.
• I assure you the health plans do not need help enforcing their contractual rights.
• Regulated health plans.
• We are hand-in-hand with the health plans on this, and I'll stop there.

Bills: HB1464, HB1635, HB2516, HB3317, HB3502, HB4012, HB4268, HB4386, HB4877, SB916

Keywords: prescription drugs, drug pricing, pharmacy benefits, health insurance, health benefit plan, insurer, HMO, self-insured employer, public employer, school district, county, municipality, university system, higher education, retirees, dependent coverage, stop-loss coverage, bulk purchasing, group purchasing, purchasing pool

Transcript Highlights:

• plan to cover it as a covered benefit.
• Since it would be on the health insurance plan, right?
• Ideally, we can treat this dental decay before it gets to this point with a health benefit plan that
• The Chair will call Black Hudson with the Texas Association of Health Plans. Thank you.
• Rick Hudson, Director of Public Affairs, Texas Association of Health Plans, in one of the most... persistent

Bills: HB813, HB1680, HB3569, HB4074, HB4635, HB5178, SB527, SB1307, SB1822

Keywords: autism, health insurance, coverage, medical treatment, health benefit plan, HIV prevention, prescription drug, prior authorization, health benefits, insurance coverage, insurance, contract termination, property and casualty, insurance agents, discrimination, appraiser, umpire, licensing requirements, continuing education, admin penalties

Transcript Highlights:

• <00:09:14.880> plans Once approved by commerce, health plans Once approved by commerce, health
• <00:57:27.839> type, health plan, metal level, plan type, health plan, metal level, plan type
• Even though large employers operate their own health plans, we don't operate in isolation.
• <01:02:22.240> plans million in assessments on health plans million in assessments on health
• The health insurance companies plans.

Bills: HF3388, HF400

Keywords: HF3388, Minnesota premium security plan, reinsurance, health insurance, group health carriers, MCHA, MNsure, individual market, premium stabilization, carrier assessment, health insurance assessment, premium security plan account, state innovation waiver, high-risk pool, reinsurance payments, healthcare premiums, insurance carriers, deferral of assessment, financially impaired condition, HF400

Summary: The committee approved the minutes from the prior day and then heard House File 400, a bill described as a defrayal measure for health insurance mandates. Representative Perryman said the bill would not block future mandates, but would require the state to pay the added costs of any new mandated benefits so those costs would not be shifted to premium payers. She and supporters framed the bill as a way to protect affordability for Minnesota employers, workers, and families, especially in the fully insured market. Testimony in support came from the Minnesota Chamber of Commerce and the Minnesota Council of Health Plans. They argued that Minnesota has a high number of mandated benefits, that each new mandate adds cost to premiums, and that businesses—especially small and midsize employers—are already struggling with rising health insurance costs. The health plans representative said the bill would use the existing Commerce defrayal process to reimburse plans for eligible mandate-related claims, allowing those costs to be removed from premium rates. Several members echoed support, saying the bill would improve transparency by showing the fiscal impact of proposed mandates and help prevent people from being priced out of coverage. Members also explored how mandates apply in the market and how premiums are set. Deputy Commissioner Julia Dryer explained that, unless otherwise specified, mandates generally apply to the individual, small group, and fully insured large group markets, while self-insured ERISA plans and other markets are generally outside that scope. Representative Elkins noted that the affected market is relatively small and said small businesses are increasingly moving to self-insured plans because of cost. He and others raised concerns about affordability, while Representative Smith argued that mandates often ensure needed care and that the bill shifts costs to taxpayers rather than insurers. Representative Bacham added a personal example from tribal self-insurance, saying preventive physicals had saved lives and asking whether other factors besides mandates are driving insurer costs. No amendments were offered, and the bill was laid over for possible future consideration.

Transcript Highlights:

• Thus, the bill offers an extra layer of protection for health care transparency, patients' rights, informed
• plans. and other health MCOs are not allowed to inform enrollees about other health plan options because
• Bill ensures that MCOs can inform enrollees. is about the availability of qualified health plans offered
• Supported by the health plans, primary care consortium and Texas 24.
• I'm the CEO of the Texas Association of Health Plans and we are testifying in support of Senate Bill

Bills: SB 53, SB53, SB125, SB315, SB379, SB457, SB541, SB599, SB896, SB921, SB963, SB1038, SB1084, SB1330, SB1461

Keywords: voter registration, election procedures, provisional ballot, change of address, residence requirements, mental health, court proceedings, notice requirements, legal filings, electronic documents, autologous blood donation, direct blood donation, blood bank, hospital, Health and Safety Code, physician order, preoperative blood donation, patient blood reserve, transfusion, surgery

Transcript Highlights:

• participating members to share claims and payment data through the state HiE So that we can get more transparency
• So I just didn't know who that would be, like all health insurance.
• Are we looking at page 10, line 19, which says a health benefit plan person or entity excluded?
• If you work for these entities, this just extends this to include any state employment.
• Representative May's point, we have met and presented to the inter tribal council in January at their health

Bills: HB4423, HB3342, HB3645, HB3647, HB3887, HB4430, HB4431, HB2964, HB3834

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Transcript Highlights:

• Minnesota employers are already managing significant increases in health care costs.
• including employer-sponsored coverage. including employer-sponsored coverage.
• Many employers are using defined contribution arrangements such as health reimbursement arrangements
• So I just think that that's something that is maybe worth exploring, to allow the health plans to give
• Privacy Protection Act or COPPA. Privacy Protection Act or COPPA.

Bills: HF4502, HF3388, HF4106, HF400, HF4138, HF4118, HF4203

Keywords: trusted contact, financial exploitation, elder abuse, elder financial abuse, fraud prevention, financial institution, banking, credit union, broker-dealer, account security, dormant account, consumer protection, scam, suspicious activity, protective services, law enforcement reporting, Minnesota Statutes chapter 45A, HF3388, Minnesota premium security plan, reinsurance

Transcript Highlights:

• That's not data that's transparent. Follow up: Do you know what three states those might be?
• that they can't, I guess, be required to provide a Service for a fee that's not set in the vision plan
• I've had two employers in my district that reached out to me about this.
• I think they're using this plan to provide to their employees.
• Is that will those discounts be preventing those discounts now through this plan to the employer that

Bills: SB1303, SB1343, SB1435, SB1438, SB1444, SB1641, SB1765, SB1916, SB2067

Keywords: workers' compensation, workers comp, Oklahoma Workers' Compensation Commission, Administrative Workers' Compensation Act, self-insurance guaranty fund, multiple injury trust fund, physician advisory committee, advisory council on workers' compensation, workers' compensation court, insurance, employer liability, self-insured employer, fund transfer, records transfer, agency reorganization, statutory cleanup, technical corrections, Title 85A, SB1343, Vision Plan Contractual Requirements Act

Transcript Highlights:

• Currently, he practices at Norman Regional Health System, where he divides his time between serving both
• different fee schedule is different for each plan.
• Senator Berkstrom, for a follow-up on SB1942, you these plans they take, and they do put limitations
• That is a part of what is in the plans.
• We can come back and put transparency on them just as we have done with hospital transparency.

Bills: SR29, SB667, SB1466, SB1942, SB1989, SB1670, SB1716, SB1521, SB1273, SB1433, HJR1032, SB1969, SB1953, SB1277, SB1287, SB1061, SB1916, SB1589, SB2178, SB1444, SB1438, SB1501, SB1873, SB1364

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, midwifery, healthcare, Advisory Committee, state health policy, public safety, dental insurance, health care, medical necessity, insurance claims, dentist rights, Oklahoma College Savings Plan, 529 plan, 529 savings account, college savings, higher education savings

Bills: HB624, HB1022, HB1203, SB82, SB206, SB305, SB376, SB441

Keywords: school safety, emergency operations plan, crisis management, active shooter, drills, training, classroom security, primary health services, behavioral health, school health providers, medical necessity, student health care, education, school week, instructional time, public schools, performance score, student athletes, cardiovascular health, sudden cardiac arrest

Transcript Highlights:

• Senate Bill 1953 is another transparency bill, much like I ran last year on hospital price transparency
• small employers has increased 167% from $9,737 to $26,000.54 dollars.
• What this bill is doing is trying to make health insurance more transparent.
• So if you are an employer and you want to see what you spent as a company on health benefits for your
• What is being changed or proposed to increase that transparency in this particular bill.

Bills: SB1969, SB1953, SB1277, SB1287, SB1061, SB1916, SB1589, SB2178, SB1444, SB1438, SB1501, SB1873, SB1364

Keywords: massage therapy, licensing, multistate compact, regulation, healthcare, professionals, Employer Health Plan Transparency Act, health insurance, claims data, contract provisions, health care providers, auditable materials, HIPAA compliance, insurance regulation, unemployment benefits, employment security, work search, job search, reemployment, jobless benefits

Bills: SB19

Keywords: SB19, prostate cancer, prostate cancer screening, PSA test, digital rectal exam, preventive screening, health insurance mandate, no cost sharing, copay, deductible, coinsurance, high-risk men, African American men, men over 50, men over 40, family history, genetic marker, health benefit plan, insurer coverage, Alabama insurance code

Transcript Highlights:

• House File 4609 would mandate all health plans cover assisted reproduction services.
• <00:36:58.640> plan<00:36:58.960> companies going to reimburse health plan companies
• The first item regards the health plan regulatory alignment.
• The first item regards the health plan regulatory alignment.
• The first item regards the health plan regulatory alignment.

Bills: HF4609, HF4401

Keywords: infertility, fertility treatment, fertility preservation, IVF, assisted reproductive technology, ART, oocyte retrieval, embryo transfer, egg freezing, sperm freezing, reproductive health, maternity coverage, health insurance mandate, health plan benefits, Medical Assistance, Medicaid, MinnesotaCare, family planning, oncology fertility preservation, chemotherapy

Transcript Highlights:

• This will be Senate Bill 101, Health Care Delivery.
• The Health Care Delivery and Access Act was created through legislation during the 2024 session.
• For employers, predictable health care financing helps maintain access for employees, supports community
• health services.
• This act has become the backbone of our hospitals' financial stability.

Bills: HB25, SB38, SB101, HB199

Keywords: juvenile delinquency, firearm possession, criminal background checks, state law, gun control, youth offense, conviction, public safety, SB38, pet food, registered pet food, registration fee, fees, sunset repeal, repeal of repeal, revenue, state fee, business regulation, animal feed, pet food registration

Transcript Highlights:

• If even this is just too much of a bridge to cross for the... ...the health plans, I'm willing to look
• My name is Jamie Dudensing, I'm the CEO... ...the Texas Association of Health Plans, and I'm testifying
• Yet, our health outcomes are not very good.
• This legislation is to provide more oversight and transparency to what local mental health authorities
• Latino adults with mental health issues do not receive mental health services compared to 56% of white

Bills: SB128, SB640, SB672, SB904, SB1141, SB1263, SB1525, SB1528, SB2041, SB2306, SB2308, SB2357, SB2446, SB2695, SB2857, SB2891, SB2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, SB 640, Texas Family Code, Department of Family and Protective Services, DFPS, child welfare, foster care, managing conservatorship, suicide attempt, youth suicide, mental health, child protective services, state custody, annual report, reporting requirements

Transcript Highlights:

• a biannual blueprint to plan and dedicate resources toward health care workforce needs and to inventory
• I'll remember this bill, we had the health plans next to us, we had TMIA, the committee.
• With both the health plans and the Medical Association on all these changes, I'm happy to answer any
• and health benefit plans to combine their purchasing power to negotiate. more competitive prescription
• , and health benefit plans, allowing them to benefit from the cost savings associated with larger-scale

Bills: SB128, SB640, SB672, SB904, SB1141, SB1263, SB1525, SB1528, SB2041, SB2306, SB2308, SB2357, SB2446, SB2695, SB2857, SB2891, SB2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, SB 640, Texas Family Code, Department of Family and Protective Services, DFPS, child welfare, foster care, managing conservatorship, suicide attempt, youth suicide, mental health, child protective services, state custody, annual report, reporting requirements