Video & Transcript Research : 'benefit coverage'
Page 1 of 500
TX
Transcript Highlights:
- Cost and Coverage Program at UT Health Science Center in Houston.
- As a new benefit coverage requirement or expands an existing coverage requirement.
- the potential benefit is to providing those coverage to the health care.
- And having a better sense of the price of service would be a huge benefit. benefit to the businesses
- because benefits are in lieu of wages.
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
TX
Transcript Highlights:
- legislators and appropriators. evaluate our own state benefit plans.
- That is a major benefit for state appropriators.
- . services, drugs, devices, as a benefit.
- under a benefit.
- A coordination of benefit.
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
TX
Transcript Highlights:
- Our 340B benefit—and people ask for transparency—our 340B benefit...
- How is it going to benefit the program? How is it going to benefit the beneficiaries?
- Why do we have no benefits?"
- No benefit for the agent. Yeah, so no benefit for the agent to do something unscrupulous.
- A health benefit plan on page three, a health benefit plan issuer that provides prescription drug benefits
Bills:
HB712, HB722, HB946, HB1687, HB1809, HB1899, HB2528, HB2583, HB2741, HB2750, HB3021, HB3150, HB3265, HB3658, HB3812, HB3960, HB4392, HB4432
Keywords:
prostate cancer, health benefit plans, insurance coverage, cost sharing, preventive health care, auto insurance, total loss evaluation, disclosure, insurance materials, vehicle appraisal, HB 946, Texas Insurance Code, automobile insurance claims, oral release, written release, settlement agreement, claim release, property damage, bodily injury, psychological injury
TX
Transcript Highlights:
- They will deny that coverage if it was for weight loss versus diabetes on that care. Okay.
- Is a covered benefit, right? I mean, they're just deciding if the...
- It may even result in a denial or a non-renewal of coverage.
- They found it wasn't a new benefit mandate, and because it's not, it wouldn't be subject to defrayal.
- The Affordable Care Act has a list of 10 essential health benefits.
Bills:
HB712, HB722, HB946, HB1687, HB1809, HB1899, HB2528, HB2583, HB2741, HB2750, HB3021, HB3150, HB3265, HB3658, HB3812, HB3960, HB4392, HB4432
Keywords:
prostate cancer, health benefit plans, insurance coverage, cost sharing, preventive health care, auto insurance, total loss evaluation, disclosure, insurance materials, vehicle appraisal, HB 946, Texas Insurance Code, automobile insurance claims, oral release, written release, settlement agreement, claim release, property damage, bodily injury, psychological injury
TX
Transcript Highlights:
- plan to provide. coverage for biomarker testing.
- Simultaneously, the medical policy denies coverage, stating it's not a covered benefit.
- It just wouldn't be able to be denied as not a covered benefit.
- It makes sense to provide insurance coverage for this much-needed care.
- That makes it even harder to find coverage for those individual clients as well.
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
TX
Transcript Highlights:
- For new business to say, if you want to buy this coverage, we would like for you to also buy this coverage
- That's the gap in coverage right now that doesn't exist, but it's also the other way around.
- And I'm not saying that they're denying coverage, right?
- These programs only alert health plans which lab claims filed are within policy coverage or not.
- I think it benefits both consumers and helps us get out of this tough cycle in a strong position.
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
TX
Transcript Highlights:
- or their practice to cover the difference from the payments for in-network. ...and out-of-network benefits
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
TX
Texas 89th Regular
Senate Committee on Health and Human Services Mar 18th, 2025
Health & Human Services
Transcript Highlights:
- The bill does not prohibit Medicare supplement benefits.
- This is particularly upsetting when a patient has prescription benefit coverage, and it's only due to
- It's going to be to a doctor's advantage to do this, to his benefit.
- There's risk and there's benefit for each, and it's simply informing people.
- All adults should always know the benefits and the risks of the immunization.
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
TX
Transcript Highlights:
- That's not a gap in coverage; that's a cliff.
- Not having Medigap coverage made my journey much harder.
- What happens if I can't afford the coverage that I need?
- The reason for that is there's two types of Medigap coverage.
- Overly broad, it applies to all types of insurance: commercial property, contents coverage, auto coverage
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
AL
Alabama 2026 1st Special Session
Alabama Senate Banking and Insurance Committee Jan 14th, 2026
Banking and Insurance
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
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 3/5/26
Commerce Finance and Policy
Transcript Highlights:
- The creation of new benefit mandates. The creation of new benefit mandates.
- of uh benefit mandates in the country. of uh benefit mandates in the country.
- offering affordable, reliable coverage. offering affordable, reliable coverage.
- <01:04:19.839>
this members already provide coverage this members already provide coverage - traditional coverage harder to sustain. traditional coverage harder to sustain.
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.
MN
Transcript Highlights:
- And there was also giving a 2% base increase in benefit to those who retired on or after December 31st
- um giving a 2% base increase in benefit um giving a 2% base increase in benefit to<00:05:00.320>
- So even if someone were to be determined that they were in a five-year benefit period, they would not
- So even if someone were to be determined that they were in a five-year benefit period, they would not
- So even if someone were to be determined that they were in a five-year benefit period, they would not
Keywords:
pension, retirement, omnibus pension, MSRS, PERA, TRA, public employees retirement, state employees retirement, correctional employees, police and fire retirement, State Patrol retirement, teachers retirement, firefighter relief association, volunteer firefighter, state aid, postretirement adjustment, COLA, annuity, disability benefit, duty disability
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Banking and Insurance (9-16-25)
Transcript Highlights:
- certain coverages to health insurance. certain coverages to health insurance.
- believe that any singular health benefit believe that any singular health benefit mandate<00:36:
- benefit each time that it is used. benefit each time that it is used.
- the uh amount of benefits. the uh amount of benefits.
- <01:07:19.119>
The all health benefit plans. The all health benefit plans.
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.
OK
Oklahoma 2026 Regular Session
Business and Insurance 2ND REVISED Feb 26th, 2026 at 09:30 am
Business and Insurance
Transcript Highlights:
- That subject is pharmacy benefit managers.
- But does not include a flexible benefit plan provided pursuant to section 1342 of Title 74 of the Oklahoma
- The measure does not mandate any new coverage that requires each health benefit...
- Plan that already covers prosthetic benefits to fulfill their contracts with the patients in an equitable
- Referential favorable treatment to bidders whose pharmacy benefit managers do not own health insurance
Keywords:
prosthetics, health insurance, medical necessity, patient rights, insurance liability, pharmacy benefits manager, healthcare providers, claims processing, reimbursement, insurance regulation, employees insurance, contract awarding, certifications, state procurement, insurance plan, mental health, substance use disorders, utilization review, benefit coverage, pharmacy
NV
Nevada 2025 Regular Session
Assembly Committee on Commerce and Labor Jun 1st, 2025 at 11:30 pm
Commerce and Labor
Keywords:
brew pub, alcoholic beverages, liquor store, licensure, regulation, Department of Taxation, fertility preservation, breast cancer, ovarian cancer, oncology, reproductive medicine, infertility, cancer treatment, egg freezing, embryo freezing, oocyte cryopreservation, sperm banking, assisted reproductive technology, health insurance mandate, Medicaid
MN
Minnesota 2025-2026 Regular Session
House State Government Finance and Policy Committee 2/26/26
State Government Finance and Policy
Transcript Highlights:
- <00:42:08.560>
Uh, benefits for Anoka Henipin Schools. - Uh, benefits for Anoka Henipin Schools.
- the value of their benefits go down. the value of their benefits go down.
- Um having value of their benefits go up.
- <00:48:45.280>
We coverage for our employees. We coverage for our employees.
Keywords:
state grants, grant oversight, grants management, executive agencies, Minnesota Department of Administration, commissioner of administration, fraud prevention, waste prevention, grant monitoring, financial reconciliation, grant compliance, state government, public funds, grant recipients, competitive grants, grant administration, administrative oversight, monitoring visits, grant policy, legislative leave
TX
Transcript Highlights:
- property loss, because in appraisal, all they're deciding is what is the amount of the loss, not coverage
- Appraisals are there to resolve these cost disputes, not coverage and causation.
Bills:
HB345, HB721, HB2580, SB815, HB3057, HB4603, HB3233, SB495, HB3863, HB3914, HB4570, HB5099, HB5173, SB458
Keywords:
insurance, appraisal process, disputed losses, residential property, policyholder rights, insurer obligations, natural disasters, appraisal expenses, umpire selection, policyholder, insurer, umpire, claims management, health care, cost disclosure, benefit plan, administrators, traumatic brain injury, health benefit plans, insurance coverage
TX
Transcript Highlights:
- It seeks to activate health insurance coverage during these instances.
- It doesn't work to the benefit of the physicians.
- injury treatment by health benefit plans offered in this state.
- Carriers are leaving the state, reducing coverage, raising deductibles, accounting for coverage in parts
- It is a very limited health benefit plan, again, not health insurance.
Bills:
HB345, HB721, HB2580, SB815, HB3057, HB4603, HB3233, SB495, HB3863, HB3914, HB4570, HB5099, HB5173, SB458
Keywords:
insurance, appraisal process, disputed losses, residential property, policyholder rights, insurer obligations, natural disasters, appraisal expenses, umpire selection, policyholder, insurer, umpire, claims management, health care, cost disclosure, benefit plan, administrators, traumatic brain injury, health benefit plans, insurance coverage
LA
Transcript Highlights:
- The state of Iowa conducted a pharmacy benefit manager.
- The state of Iowa conducted a pharmacy benefit manager reverse auction 25.
- I'm the Vice President of Pharmacy Benefit Administration, or PBA, Markets at Capital Rx.
- House Bill 909, which requires coverage for behavioral health crisis services.
- House Bill 909, which requires coverage for behavioral health crisis services.
Keywords:
automobile repairs, insurance transparency, repair shop liability, non-OEM parts, policyholder rights, automobile insurance, appraisal process, insurance policyholders, dispute resolution, claim valuation, family leave, insurance, paid leave, employment benefits, caregiver support, behavioral health, crisis services, mental health care, insurance coverage, healthcare access
AL
Transcript Highlights:
- This basically expands the insurance coverage related to prostate cancer.
- This basically expands the insurance plan and coverage for gentlemen that are at higher risk of prostate
Keywords:
SB190, prostate cancer, prostate screening, PSA test, digital rectal exam, preventive screening, health insurance mandate, cost-sharing, copay, deductible, coinsurance, high-risk men, African American men, family history, genetic marker, men over 50, men over 40, health benefit plan, insurance coverage, mandated benefits