Video & Transcript Research : 'Medigap'
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NM
New Mexico 2026 Regular Session
Senate - Health and Public Affairs Jan 30th, 2026 at 03:13 pm
Senate Health & Public Affairs
Transcript Highlights:
- We get probably over 2,000 calls on Medigap alone.
- We don't want to give up a Medigap policy. It would be disastrous for us.
- But if you're on a Medigap, please... to see New Mexico seniors have this option.
- and want to change to a different plan, a different Medigap plan.
- B and they have the six months initial enrollment—they would get a Medigap policy.
Keywords:
SB 21, Medicare supplement, Medigap, open enrollment, guaranteed issue, birthday month enrollment, health insurance, insurance regulation, senior health coverage, elderly, retiree, Medicare beneficiaries, preexisting conditions, underwriting restrictions, premium discrimination, New Mexico insurance law, superintendent of insurance, health care coverage, policy portability, healthcare
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 3/24/26
Commerce Finance and Policy
Keywords:
real estate, appraisers, disciplinary actions, sanction matrix, Minnesota Statutes, direct primary care, healthcare agreements, medical services, patient care, health insurance, mortgage fees, residential loans, commercial loans, finance regulations, investment properties, insurance, supplemental health insurance, short-term care, home health care, nursing care
NM
New Mexico 2026 Regular Session
House - Health and Human Services Feb 16th, 2026 at 09:04 am
House Health & Human Services
Transcript Highlights:
- So what this bill does is create that annual enrollment period that doesn't currently exist for Medigap
- That's the number one reason that seniors want to change their Medigap plan, because they can't afford
- So this bill is only for individuals who are currently enrolled in Medigap plans.
- The sicker individuals cannot change their Medigap plan.
- So it just creates more choice for that Medigap beneficiary.
Keywords:
SB 101, Health Care Delivery and Access Act, repeal of repeal, sunset repeal, delayed repeal, health care, healthcare, access to care, medical services, provider regulation, state health law, New Mexico, SB 21, Medicare supplement, Medigap, open enrollment, guaranteed issue, birthday month enrollment, health insurance, insurance regulation
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Health Care Financing Jun 21st, 2026 at 11:00 am
Joint Committee on Health Care Financing
Transcript Highlights:
- There are six New England states that have access to Medigap under age 65.
- There are six New England states that have access to Medigap under age 65.
- Provide Medigap access for dialysis patients.
- Access to Medigap is not a luxury.
- Why do people that don't have Medigap—what statute or regulation puts people without Medigap to the top
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.
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 3/19/25
Commerce Finance and Policy
Transcript Highlights:
- should be able to get Medigap.
- should be able to get Medigap.
- should be able to get Medigap.
- should be able to get Medigap.
- Those people that need Medigap but should be able to get Medigap. So I'm asking you, Mr.
Keywords:
fire safety, public safety, statewide fire code, code cleanup, repeal, obsolete statutes, matches, strike-anywhere matches, safety matches, match packaging, match storage, tent safety, flame resistant tents, public assembly tents, flammable materials, fire code modernization, Minnesota Statutes chapter 325F, commerce policy, financial institutions, insurance regulation
NM
New Mexico 2026 Regular Session
Senate - Tax, Business and Transportation Feb 10th, 2026 at 04:43 pm
Senate Tax, Business & Transportation
Transcript Highlights:
- So these are existing enrollees in Medigap who are 60,000. Bill. Yes, he is.
- Medigap plan. So what does that mean? It's confusing.
- Medigap enrollees.
- Now, someone could leave their Medigap plan.
- But once you leave, did you say once you leave the Medigap plan, that you can't go back to the Medigap
Keywords:
prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder
TX
Transcript Highlights:
- Not having Medigap coverage made my journey much harder.
- The reason for that is there's two types of Medigap coverage.
- But with Medigap plans, there are no networks.
- Right now, there are about 900,000 Texans who utilize Medigap.
- I've got Medicare and Medigap Medicare Supplement Plan G.
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
TX
Transcript Highlights:
- Currently, the... ...lateral sclerosis when they try to purchase Medigap coverage.
- And those Medigap coverages can be up to $2,000 a month for those individuals, five times higher... .
- For the Medigap. For the Medigap. For me, not a 65-year-old. They pay $200 to $400 a month.
- Expanding Medigap access is more than just a policy change. For Texans with ALS, it's a lifeline.
- Affordable Medigap coverage could be the difference between life-sustaining care and going without.
Bills:
HB 107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655
Keywords:
sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records
Summary:
The committee heard testimony on a series of health and human services bills and left each one pending after public testimony. HB 4655 would expand financial literacy instruction for youth aging out of foster care to include credit scores, predatory lending, scams, banking, budgeting, and related consumer topics; the sponsor and Buckner International described the need to protect foster youth from financial pitfalls. HB 923 would add three public members and one physician to the Texas Medical Disclosure Panel; supporters said it would improve informed consent and patient voice, while a witness raised concerns about a House amendment requiring a physician majority for decisions and senators questioned scope-of-practice limits. HHSC said the panel is an independent body and the bill expressly bars it from changing scope of practice.
TX
Texas 89th Regular
Senate Committee on Health and Human Services May 14th, 2025
Health & Human Services
Transcript Highlights:
- Medigap plans at fair and consistent rates.
- coverage, and those Medigap coverages can be up to $2,000 a month for those individuals, five times
- higher than senior Medigap policies.
- For the Medigap. For the Medigap. For me, not a 65-year-old. They pay $2,400 a month; I pay $2,000.
- Affordable Medigap.
Bills:
HB107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655, HB107
Keywords:
sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 4/3/25
Commerce Finance and Policy
Transcript Highlights:
- They say, hey, there's Medigap plans. I got one. Go talk to a broker, figure something out.
- After this bill is passed with this provision in it, that broker can say, of course there's Medigap coverages
- They say, hey, there's Medigap plans. I got one. Go talk to a broker, figure something out.
- They say, hey, there's Medigap plans. I got one. Go talk to a broker, figure something out.
- They say, hey, there's Medigap plans. I got one. Go talk to a broker, figure something out.
Keywords:
foreclosure, mortgage postponement, homeowners, redemption period, Minnesota Statutes, cannabis, hemp, lower-potency, edibles, regulations, licensing, local control, consumer safety, age restrictions, commerce policy, financial institutions, insurance regulation, limited long-term care insurance, Medicare supplement, health insurance
NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs (02/19/2025)
Transcript Highlights:
- Medigap has been around for a while, and that's to bridge that gap.
- Medigap has been around for a while, and that's to bridge that gap.
- Medigap has been around for a while, and that's to bridge that gap.
- Medigap has been around for a while, and that's to bridge that gap.
- You could try to purchase a Medigap policy.
Summary:
The committee first heard testimony on House Bill 437, which would change New Hampshire law on undischarged mortgages by creating a shorter period after which certain old mortgages would be treated as unenforceable. Prime sponsor Representative Bill Boyd said the bill was developed with input from bankers, lawyers, realtors, the Attorney General’s office, and the Banking Department, and he noted a drafting correction needed on line 18. He explained that the proposal would replace current law with a new framework modeled partly on Massachusetts, including a five-year expiration after a stated maturity date and a 35-year period for mortgages without an expiration date. Supporters said the bill would help clear obsolete title defects, reduce costly quiet-title litigation, and make real estate transactions easier for consumers, attorneys, and conveyancers.
Representative Mary Hakken-Phillips, Susan Cole of the New Hampshire Association of Realtors, and Michelle Coffin all testified in support, describing the bill as a consumer protection measure. They said undischarged or improperly discharged mortgages often surface during title searches, causing delays, legal expenses, and failed or delayed closings. Coffin and Hakken-Phillips emphasized that many of these cases involve old, effectively obsolete mortgages and that the current process often requires expensive court action even when no one contests the title. Cole described a recent transaction in which a title defect caused a buyer to walk away and later restart the financing process, creating costs for both buyer and seller. A committee member asked about notice to mortgage holders; the response was that the lender bears responsibility for recording and extending the mortgage, and that due process rights would remain if a lender later contested the discharge.
Ryan Hill of the New Hampshire Bankers Association said the banking industry had reviewed the bill and was generally comfortable with it, while requesting a delayed effective date so members would have time to adjust their recording practices. He said the bill’s January 1, 2028 effective date reflected that request. After closing the hearing on HB 437, the committee opened a hearing on House Bill 721, the Gold and Silver Legal Tender Act. Representative Juliet Harvey-Bolia introduced it as a bipartisan economic justice bill intended to recognize gold and silver as legal tender, protect against inflation, and address concerns about trust, taxes, and government taking. She argued that gold is a stable store of value and discussed tax treatment in neighboring states, federal history, and digital gold platforms. The hearing on HB 721 was still in progress when the transcript ended, with the chair limiting questions because of time.
MN
Minnesota 2025 1st Special Session
Minnesota House passes HF2403, the commerce policy bill 4/29/25
Minnesota House Floor Meeting
Transcript Highlights:
- Are they going to buy regular Medicare and go that way and then buy an additional plan, a Medigap...
- They can buy it, but if they don't choose right away to buy a Medigap policy, they may be locked out
- You cannot get off because you can no longer buy a Medigap plan.
- The bottom has not dropped out of this Medigap insurance marketplace, and people can still buy plans
- In particular, I'm concerned about the repeal of the Medigap open enrollment period.
MN
Minnesota 2025-2026 Regular Session
Committee on Commerce and Consumer Protection - 04/10/25
Commerce and Consumer Protection
Transcript Highlights:
- I have a question looking at page one, lines 29 and 30, and I know when we were talking about the Medigap
- where having the 10%—we've heard from health insurers—could really have a negative impact on the Medigap
- And for the couple hundred thousand Minnesotans who rely on Medigap coverage, we're hearing estimates
- And again, this is making sure that we have a healthy Medigap market there for our seniors who need it
- Complete reversal of the Medigap things that we did two years ago has been represented as, you know,
MN
Minnesota 2025-2026 Regular Session
House Floor Session - part 2 Apr 29th, 2025
Minnesota House Floor Meeting
Transcript Highlights:
- But if they don't choose right away to buy a Medigap policy, they may be locked out of ever being able
- You cannot get off because you can no longer buy a Medigap plan.
- Insurance companies can refuse to sell a Medigap policy to a senior because it Pre-existing conditions
- Medicare by a Medigap policy and not be discriminated against because of pre-existing conditions.
- In particular, I'm concerned about the repeal of the Medigap Open Enrollment Period.
AZ
Arizona 2026 Regular Session
02/16/2026 - House Health & Human Services #2
Transcript Highlights:
- In Arizona there are over 352,000 people on Medigap.
- Out of those states, 19 have enacted Medigap affordability laws. Thank you.
- is that Medigap is available statewide.
- Medigap is available statewide, the same policy.
- So when I turned 65, I bought a Medigap policy.
Summary:
The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote.
The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote.
House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1.
Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.
NM
New Mexico 2026 Regular Session
Senate Chamber Feb 12th, 2026 at 12:12 pm
New Mexico Senate Floor Meeting
Transcript Highlights:
- Right now, when you turn 65, you only get one short window to enroll in a Medigap plan.
- When you turn 65, you only get one short window to enroll in a Medigap plan, and after that you're stuck
- And this simply refers to having the opportunity to change Medigap coverage after you've already enrolled
- How do I get into this Medigap program? Mr.
- How do I get into this Medigap program? Mr.
MN
Minnesota 2025-2026 Regular Session
Committee on Commerce and Consumer Protection - 03/25/25
Commerce and Consumer Protection
Transcript Highlights:
- These plans, also known as Medigap, provide comprehensive coverage and budget predictability to seniors
- For example, there are five states currently that have something on the books similar about Medigap:
- For example, there are five states currently that have something on the books similar about Medigap:
- For example, there are five states currently that have something on the books similar about Medigap:
- For example, there are five states currently that have something on the books similar about Medigap:
MN
Minnesota 2025-2026 Regular Session
House Floor Session 4/29/25 - Part 2
Minnesota House Floor Meeting
Transcript Highlights:
- The bottom has not dropped out of this Medigap insurance marketplace, and people can still buy plans
- The bottom has not dropped out of this Medigap insurance marketplace, and people can still buy plans
- The bottom has not dropped out of this Medigap insurance marketplace, and people can still buy plans
- The bottom has not dropped out of this Medigap insurance marketplace, and people can still buy plans
- In particular, I'm concerned about the repeal of the Medigap open enrollment period.
MN
Transcript Highlights:
- And another segment of our seniors are the ones that use Medigap supplemental insurance.
- And another segment of our seniors are the ones that use Medigap supplemental insurance.”
- people are going to look at the Medigap people are going to look at the Medigap insurance<01:00:
- Medicare supplements, many of them Medigap policies.
- ...supplements, many of them Medigap policies.
MN
Minnesota 2025-2026 Regular Session
Commerce Committee Meeting - 2025-04-03
Commerce Finance and Policy
Transcript Highlights:
- They talk to their friends and family and say, "Hey, there are Medigap plans. I got one.
- After this bill is passed with this provision in it, that broker can say, of course, there's Medigap
Keywords:
foreclosure, mortgage postponement, homeowners, redemption period, Minnesota Statutes, cannabis, hemp, lower-potency, edibles, regulations, licensing, local control, consumer safety, age restrictions, commerce policy, financial institutions, insurance regulation, limited long-term care insurance, Medicare supplement, health insurance