Video & Transcript Research : 'claims denial'
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WA
Washington 2025-2026 Regular Session
Senate Health & Long-Term Care Jan 30th, 2026 at 08:00 am
Health & Long-Term Care
Transcript Highlights:
- also sponsored by Senator Slatter, increases the deadline for carriers to acknowledge receipt of a claim
- It clarifies that the bill applies only to claims from providers or facilities that are under contract
- with the carrier and not to out-of-network claims.
- and not to out-of-network claims, and clarifies that the day references in the bill are calendar days
- On the provider's side, Care isn't working as it claims.
Keywords:
SB 6226, Washington, audiology, audiologist, hearing aid specialist, speech-language pathologist, telehealth, teleaudiology, clinical autonomy, clinical judgment, in-person care, remote care, Board of Hearing and Speech, hearing instruments, hearing aids, dispensing hearing aids, standards of care, professional licensure, health professions regulation, patient-centered care
Summary:
The Senate Health and Long-Term Care Committee met on January 30 and first moved through executive session on five bills. The committee adopted proposed substitutes and advanced Senate Bills 5999, 5185, 5845, 6071, and 6258 to the Rules Committee, all by voice vote and subject to signatures. SB 5999 would let smaller rural counties appoint an APRN or PA as an acting local health officer; SB 5185 creates a pilot pathway for international medical graduates toward physician licensure; SB 5845 revises timely payment rules for health carriers; SB 6071 standardizes overpayment recovery timelines; and SB 6258 creates a non-disciplinary pathway for relinquishing certain medical licenses. Several sponsors noted that SBs 5845 and 6071 were still being worked on with stakeholders.
The committee then held a hearing on SB 6226, which would protect the clinical autonomy of audiologists and require the Board of Hearing and Speech to apply hearing-instrument rules consistently across care modalities, including telehealth. Testimony was overwhelmingly supportive, with witnesses emphasizing teleaudiology’s role in expanding access, especially for rural residents, older adults, and people with mobility challenges. One association witness supported the bill’s goals but warned it could be read too broadly and affect other regulatory standards. The hearing closed with 54 people signed in pro, none opposed, and two other.
Next, the committee heard SB 6305, the Truth in Mental Health Coverage Act, which would require carriers to submit standardized annual data to the Office of the Insurance Commissioner on behavioral health coverage, access, reimbursement, utilization, and network participation, with public posting in raw files and dashboards. Supporters said the bill would make parity and access problems visible and help consumers compare plans; the OIC said it supported the transparency approach and was already engaged in parity oversight. Opponents argued the bill was premature given implementation of recent parity legislation and could add burdens without addressing workforce or network adequacy. The hearing closed with 396 signed in pro, two con, and zero other.
Finally, the committee heard SB 5924, a proposed substitute expanding pharmacists’ prescriptive authority and limited diagnostic authority for certain drugs and conditions, consistent with a Department of Health sunrise review. Supporters from pharmacy, health care, retail, and rural access perspectives said it would reduce administrative barriers, improve access in underserved areas, and better use pharmacists’ training; some cited examples such as immunizations, contraception, opioid use disorder treatment, and minor illnesses. The Washington State Medical Association opposed the bill, saying it moved away from collaborative practice and needed more time to resolve concerns about coordination, pediatrics, and complex patients. A few testifiers raised objections to psychiatric prescribing or specific drugs, while others asked about reporting back to primary care. The hearing closed with 279 signed in pro, six con, and four other, and the committee adjourned after concluding its business.
MN
Transcript Highlights:
- We need to amend the budget resolution in order to account for the claims bill that is before us today
- </c> $73,000 to accommodate uh the claims $73,000 to accommodate uh the claims bill<00:01:12.640><c>
- This is the annual claims bill. The part about the exoneration claim is the biggest chunk of this.
- I think it was a day or two before the claims hearing last year.
- So, uh, we the claims hearing last year.
TX
Texas 89th Regular
Senate of the 89th Legislature Feb 19th, 2025 at 11:00 am
Texas Senate Floor Meeting
Transcript Highlights:
- approved by Texas voters would amend article 1 section 11 of our state constitution to require the denial
- Committee substitute SJR 1, proposing a constitutional amendment requiring the denial of bail.
- Number one, proposing a constitutional amendment requiring the denial of bail for an illegal alien charged
- don't like a bail bondsman they don't post 10% they post the entire amount of the bail yes and they claim
- that they claim that no taxpayer dollars were used or transferred to them in association with bail.
Keywords:
bail denial, illegal aliens, felony offenses, constitutional amendment, law enforcement, bail reform, defendants, pretrial detention, public safety, criminal justice, charitable bail organizations, bail bonds, public funds, political subdivision, injunctive relief, taxpayer rights, bail, criminal justice reform
TX
Keywords:
bail denial, illegal aliens, felony offenses, constitutional amendment, law enforcement, bail reform, defendants, pretrial detention, public safety, criminal justice, charitable bail organizations, bail bonds, public funds, political subdivision, injunctive relief, taxpayer rights, bail, criminal justice reform, 1185, senate
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jan 13th, 2026
Joint Committee on Financial Services
Transcript Highlights:
- significant and unsustainable increases in their insurance, extremely limited coverage options, or outright denial
- significant and unsustainable increases in their insurance, extremely limited coverage options, or outright denial
- Or outright denial of coverage because of the type of housing that they own.
- Residents' annual insurance costs jump anywhere between $700 and $1,500, often with no claims, no changes
Keywords:
healthcare, direct primary care, insurance, referrals, network providers, payment denial, insurance costs, manufactured homes, homeowners insurance, affordability, state regulations, insurance market, consumer protection, mobile homes, firefighting, water supply, cistern program, rural areas, urban interface, state funding
Summary:
The Joint Committee on Financial Services held a public hearing on late-filed matters, with testimony focused mainly on two Senate bills: S. 2738, which would create a special commission to study rising insurance costs for manufactured and mobile home residents, and S. 2739, which would establish a program or fund to help communities install and maintain fire cisterns. Senator Kelly Duner and Representative Lisa Field, along with Taunton officials and residents, described sharp premium increases, limited insurer participation, confusing coverage practices, and the impact on seniors, veterans, and low-income homeowners in manufactured housing communities. Several speakers urged the commission to include residents directly and to produce recommendations for more affordable, transparent, and adequate coverage. Local officials from Taunton, Carver, and other communities echoed those concerns, saying many residents face few options, actual cash value policies, and premiums that can exceed $4,000 annually.
On the fire cistern bill, fire chiefs from Hopkinton and East Hampton testified that many communities lack municipal water or hydrants and need year-round dedicated water sources to fight structure fires, brush fires, and newer hazards such as lithium-ion battery fires. They said cisterns improve response times, reduce damage, and can help with insurance ratings, but maintenance and funding are often inadequate. A representative of the Massachusetts Insurance Federation supported the concept of helping fire services but objected to funding the program through insurance policy assessments, arguing that such surcharges drive up premiums and should instead be paid from the general fund.
The committee also heard strong support for S. 2732, a direct primary care bill filed by Senator Michael Moore. Physicians and medical association representatives said the bill would let direct primary care doctors make referrals for HMO patients and dispense medications directly from their offices. They argued this would reduce delays, improve continuity of care, lower prescription costs, and help patients with transportation or access barriers. No votes were taken during the hearing, and the chair adjourned after public testimony concluded.
AZ
Transcript Highlights:
- Sections 610, 611, and 612 outline the claims resolution process, including the authorization of court
- Section 614 outlines the distribution waterfall, and the remaining sections, 615 through 622, discuss claims
- This adjuster license is valid and renewable only while the licensee adjusts claims as a salaried employee
- Don Isaacson, welcome. without taking the examination to only adjust claims as a salaried employee of
- with a circumstance that has developed with respect to Arizona company-based adjusters who adjust claims
Keywords:
certified public accountants, CPA certification, accounting regulations, professional standards, continuing education, assignment for benefit of creditors, ABC act, insolvency, creditor claims, debt liquidation, business wind-up, receivership, liquidation, secured creditors, unsecured creditors, proof of claim, voidable transactions, fraudulent transfer, wage claims, priority claims
LA
Transcript Highlights:
- All we're trying to do is get the payers to pay and adjudicate the claims faster.
- with the stakeholders on it, and it requires less of the claimants whenever they're trying to get a claim
- And so this company comes in, purchases the residual assets, and then they file claims with us to get
Bills:
SB83, SB135, SB143, SB155, SB157, SB202, SB237, SB261, SB276, SB295, SB450, SB465, SB506, HB1070
Keywords:
human trafficking, trafficking prevention, school safety, public schools, elementary and secondary education, charter schools, mandatory reporting, victim identification, victim services, child trafficking, sex trafficking, labor trafficking, commercial sexual activity, DCFS, Department of Children and Family Services, Louisiana State Police, governor's office of human trafficking prevention, counselor training, mental health professional, administrator training
OK
Transcript Highlights:
- Members, House Bill 3647 is an all-payer claims database.
- This would require participating members to share claims and payment data through the state HiE So that
- This just extends the tort claims protection.
- They have tort claims protection. The Questions. Are there any questions?
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
OK
Transcript Highlights:
- Members, House Bill 3647 is an all-payer claims database.
- This would require participating members to share claims and payment data through the state HIE so that
- This just extends the tort claims protection.
- If they're working for a state agency, they have tort claims protection. Yield for questions.
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
Summary:
The committee first announced several bills would be laid over because sponsors were absent, then took up House Bill 4423, which would require Medicaid applicants to be legal U.S. citizens. After adopting a PCS, members asked whether Medicaid already had citizenship limits, and the bill passed 4-1. House Bill 3342 followed, revising the Health Care Authority audit process; the sponsor said it was based on an Arkansas model, had no fiscal impact, and was intended to be fairer after prior problems. It passed 5-0. House Bill 3645, allowing physicians or other independent doctors to authorize hospice referral when a patient lacks next of kin or is not coherent, also passed 5-0. House Bill 3647, creating an all-payer claims database through the state HIE for greater transparency in medical costs, passed 5-0 after a question about which entities would be included or excluded.
House Bill 3887, which removes the requirement for a physician referral every 30 days for continued physical therapy, drew the most discussion. The sponsor said therapists would refer patients back to a physician if treatment was not helping or was outside their scope, while a member raised concerns about delayed diagnosis and suggested adding a timeline; the sponsor said he would be open to further discussion. The bill passed 4-1. House Bill 4430 extended tort claims protection to certain state-employed providers who work for entities such as FQHCs, and House Bill 4431 did the same for nurse practitioners working for state agencies; both passed 5-0.
Later, House Bill 2964 changed medical-record copying language from “shall be charged” to “may be charged,” giving facilities discretion on whether to charge patients for copies of their records; it passed 5-0. Finally, House Bill 3834 was heard for research funding on ibogaine therapy for PTSD and related conditions among veterans, firefighters, and police officers. The sponsor said the goal was to allow Oklahoma research, not to remove the substance from controlled status, and a witness described the treatment as a monitored oral session used in Mexico and supported by some studies. The bill passed 5-0, and the chair adjourned the meeting, noting the laid-over bills would likely be heard the following week.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Labor and Workforce Development Apr 29th, 2026
Joint Committee on Labor and Workforce Development
Transcript Highlights:
- So constituents consistently reach out to our office to report extensive delays in processing claims,
- challenges navigating the application system and uncertainty around ...accessing claims, challenges
- The agency eventually issued a denial, and he reached us after he was denied.
- The increase in the backlogs led to significant delays in decisions and processing claims.
- These measures would help reduce the backlog and free up DUA resources to adjudicate claims.
Bills:
H5188
AL
Alabama 2025 Regular Session
Alabama Senate Agriculture, Conservation, and Forestry Committee Mar 19th, 2025
Agriculture, Conservation and Forestry
Keywords:
cotton, agriculture, levy, assessment, referendum, Alabama law, medical cannabis, cannabis license, integrated facility license, Alabama Medical Cannabis Commission, AMCC, medical marijuana, dispensary, cultivation, processing, license appeal, administrative hearing, judicial review, consultant selection, license denial
KY
Kentucky 2026 Regular Session
House Budget Review Subcommittee on Primary & Secondary Education & Workforce Development (2-21-23)
Keywords:
KY LRC YouTube, https://www.youtube.com/watch?v=Jvja9daCy9E, 2026-06-21T07:17:03+00:00, 2.2.24, Data collected via generic collector engine, MEET START 00:00
ROLL CALL 00:13
DISCUSSION WITH THE EDUCATION AND LABOR CABINET WORKER’S CLAIMS DIVISION, SHELBY LEWIS, LEGISLATIVE DIRECTOR, SCOTT WILHOIT, COMMISSIONER OF THE DEPT. OF WORKER’S CLAIMS, AND DALE HAMLIN, ASSISTANT GENERAL COUNSEL ON AN OVERVIEW OF WORKER’S CLAIMS, GENERAL STATISTICS, EMPLOYERS, BENEFITS DETERMINATIONS, FUNDING, AND 2023 APPROPRIATIONS 01:02
APPROVAL OF MINUTES 47:29, 958, all, 2.2.42, 2.1.47
TX
Transcript Highlights:
- With that in mind, the denial of bail for undocumented immigrants goes against those principles and violates
- But under this resolution's categorical denial of bail, that same person would instead remain in Texas
- Many states allow for the denial of bail for a variety of offenses and circumstances beyond capital murder
- This denial of freedom was predicated on falsehoods and resulted in the loss of precious years of my
- It allows for the denial of reasonable bail options and the imposition of exorbitant bonds, effectively
Keywords:
bail reform, defendants, pretrial detention, public safety, criminal justice, charitable bail organizations, criminal procedure, public safety report, victim notification, family violence, bail bonds, public funds, political subdivision, injunction, taxpayer rights, violent crimes, sexual offenses, community safety, constitutional amendment, trafficking
WA
Washington 2025-2026 Regular Session
Senate Health & Long-Term Care Jan 20th, 2026 at 10:30 am
Health & Long-Term Care
Transcript Highlights:
- the parties on a claim-by-claim basis.
- Denial of a claim must be communicated to the provider or facility and must include the specific reason
- or plan is denying payment on all or part of the claim and the reason for that denial, or a request
- clean claim and pay it within 30 days, except as agreed in writing by the parties on a claim-by-claim
- Insurance companies are often incorrectly denying claims. We appeal the claim.
Keywords:
health insurance, health carrier, insurance carrier, prompt pay, timely payment, claims processing, clean claim, remittance advice, provider reimbursement, hospital billing, medical billing, prior authorization, claims denial, interest on late claims, administrative penalty, Washington insurance commissioner, RCW 48, public employees benefits board, school employees benefits board, Medicaid managed care
Summary:
The committee heard public testimony on several health care bills. SB 6159 would create a public hospital infrastructure account funded by a new coverage assessment on insurers and other premium-tax payers, to help public hospital districts and other public health entities finance major construction and modernization projects and allow more cooperative agreements among public hospitals. The sponsor and supporters said it would help public hospitals remain competitive and better serve rural and underserved patients, while opponents argued the assessment would raise health care costs, could sweep in property and casualty insurers and mutual companies, and might create legal and affordability problems. Testimony also raised concerns that the bill’s cooperation language could unintentionally narrow existing affiliations with nonpublic entities. The hearing closed with 5 signed in pro, 74 con, and 2 other.
The committee then heard SB 5845, which would replace the current 95% timely-payment standard with a requirement that all clean claims be paid or denied within 30 days, with notice requirements for incomplete claims and interest or penalties for late payment. Hospitals, physicians, and health systems strongly supported the bill, saying delayed and unpredictable payments create major cash-flow and administrative burdens and that some large claims can remain unpaid for months or longer even when care was approved. Health plans opposed the bill, saying they already meet current standards, that the bill could limit their ability to investigate fraud, waste, and abuse or review high-dollar claims, and that it should include more balanced timelines and exceptions. The hearing closed with 69 signed in pro, 4 con, and 2 other.
The committee also heard SB 5916, which would prohibit health plans, Medicaid managed care organizations, and public employee plans from disadvantaging non-opioid pain treatments relative to opioids through formulary placement or utilization management, and would require a Department of Health educational pamphlet on non-opioid options. Patients, recovery advocates, and rare disease advocates supported the bill as a way to improve access to safer pain care and reduce barriers like prior authorization and step therapy. The Health Care Authority and an insurers’ representative said they support access to non-opioids but were concerned the bill could require preferred status for all non-opioids whenever any opioid is preferred, increasing costs and limiting formulary management. The hearing closed with 8 signed in pro, 1 con, and 2 other.
Later, the committee heard SB 6102, a technical bill to align the ambulance transport quality assurance fee with federal rules after changes in federal law limited new provider taxes. The ambulance association supported the bill, saying the existing fee has significantly improved wages and benefits for EMS workers and that the change is needed to preserve the program. The hearing closed with 50 signed in pro, 1 con, and 0 other. The committee also heard SB 6103, which would make Medicaid payments for rural emergency hospitals subject to appropriation and create a state framework for a rural hospital conversion model. Supporters from East Adams Rural Health Care and the Washington State Hospital Association said the bill would help keep rural emergency services viable, especially for communities along the I-90 corridor. The hearing closed with 58 signed in pro, 1 con, and 0 other. Finally, the committee heard SB 6071, which would shorten the time limit for insurers to seek overpayment recoveries from providers from two years to six months, or nine months for coordination-of-benefits cases, extending a standard already enacted for mental health and substance use disorder services. Providers from acupuncture, massage, podiatry, and other small practices supported the bill, saying long clawback periods create financial instability and administrative burden, while the remaining testimony was still being taken when the transcript ended.
OK
Oklahoma 2026 Regular Session
Health and Human Services Oversight REVISION 2: Delayed until 11:30 AM
Health and Human Services Oversight
Bills:
HB2947, HB2964, HB3143, HB3144, HB3342, HB3344, HB3519, HB3522, HB3530, HB3645, HB3647, HB3834, HB4300, HB4422, HB4423
Keywords:
behavioral health, Medicaid expansion, clinical interns, mental health services, licensing requirements, medical records, patient rights, privacy, fees, healthcare access, legal claims, medical marijuana, license transfer, Oklahoma Medical Marijuana Authority, moratorium, business regulation, commercial grower licenses, licensing restrictions, agriculture, Medicaid
WA
Washington 2025-2026 Regular Session
House Consumer Protection & Business Feb 25th, 2026 at 01:30 pm
Consumer Protection & Business
Keywords:
SB6178, property insurance, insurance claims, assignment of benefits, AOB, post-loss assignment, post-loss benefits, homeowners insurance, policyholder, insured, restoration contractor, mitigation contractor, public adjuster, insurance commissioner, claims handling, consumer protection, void and unenforceable, Washington insurance code, chapter 48 RCW, civil penalty
WA
Washington 2025-2026 Regular Session
House Consumer Protection & Business Feb 24th, 2026 at 01:30 pm
Consumer Protection & Business
Transcript Highlights:
- bill that appears to overlap and conflict with existing Washington law governing false insurance claims
- which makes it unlawful to knowingly present or cause to be presented a false or fraudulent insurance claim
- Under the misdemeanor, it's already unlawful to knowingly present a false or fraudulent insurance claim
- The cost of insurance is not because of disclosures; it's because of claims costs, and this bill will
- , over time, lower the cost of claims because you have an educated property owner knowing mitigating
Keywords:
SB6178, property insurance, insurance claims, assignment of benefits, AOB, post-loss assignment, post-loss benefits, homeowners insurance, policyholder, insured, restoration contractor, mitigation contractor, public adjuster, insurance commissioner, claims handling, consumer protection, void and unenforceable, Washington insurance code, chapter 48 RCW, civil penalty
WA
Washington 2025-2026 Regular Session
House Consumer Protection & Business Feb 18th, 2026 at 01:30 pm
Consumer Protection & Business
Transcript Highlights:
- And we also want to recognize that contractors are critically important in the claims process.
- They do not control their own claim. They have a lien. They do not control their own claim.
- There could be other components of the claim, personal property, additional living expense.
- for negligent claims handling or even bad faith.
- And this lets the insurance companies who mishandled claims get off the hook.
Keywords:
mortgage modification, uniform regulations, homeowners, financial stability, foreclosure prevention, SB6178, property insurance, insurance claims, assignment of benefits, AOB, post-loss assignment, post-loss benefits, homeowners insurance, policyholder, insured, restoration contractor, mitigation contractor, public adjuster, insurance commissioner, claims handling
LA
Transcript Highlights:
- Our goal then, as it is now, was to protect our veterans from what are known as claim sharks.
- So what that means is this: We have a veteran who goes in to file his claim or her claim.
- Federal law is very clear: you cannot make money off of an initial claim.
- It allowed those claim sharks to make a lot of money.
- What is happening with these claim sharks is against federal law.
Keywords:
legal representation, attorney general, elected officials, defense, legislative acts, judicial review, judiciary, election, judges, 19th Judicial District Court, East Baton Rouge, precincts, coroner, retention, body, mortuary, investigation, missing persons, Amber Alert, Endangered Missing Child Advisory
WA
Washington 2025-2026 Regular Session
Senate Business, Trade & Economic Development Jan 14th, 2026 at 08:00 am
Business, Trade & Economic Development
Transcript Highlights:
- the third party, including the right to sue after a denial and mediate the claim.
- it's cash, a gift card, or anything of value for filing a claim.
- is filed and a claim number is provided for insurance claims.
- If you don't have a claim number and you begin the work on an insurance claim, you're setting yourself
- SafeLite's been steering auto glass claims for a lot of years.
Keywords:
motor vehicle, glass repair, insurance claims, consumer protection, regulations, fire safety, insurance incentives, best practices, community protection, voluntary measures, 904, all
Summary:
The committee met under its new name, the Business, Trade, and Economic Development Committee, and began with a work session on state economic development policy. Andrea Chartock of the Department of Commerce described the agency’s economic development functions, including small business finance, export assistance, business recruitment, industry sector development, and support for rural and historically marginalized communities. She said Commerce is developing a statewide economic development strategy, with annual review and periodic updates, and emphasized stakeholder input, data analysis, and regional and sector-specific planning. Senators asked about the timing of reviews, stakeholder involvement, foreign trade offices, tariffs, and the effect of taxes and the Keep Washington Working program on competitiveness. Commerce officials said international offices remain valuable but funding is uncertain, and that Washington’s tax and regulatory environment matters to business location decisions.
The committee then heard Senate Bill 5919, which would encourage fire districts and insurers to collaborate on voluntary wildfire mitigation best practices for agricultural activities, including defensible space, fire breaks, and equipment storage. Senator Schessler said the bill is intended to reduce harvest-time fire risk through optional insurance incentives for farmers and rural property owners. Public testimony from a fire chief and a fire protection district representative supported the bill, citing standing grain fires and the need for practical, voluntary prevention measures. The committee also received a report from the Office of the Insurance Commissioner on the wildfire mitigation and resilience work group created by prior legislation. The report recommended science-based property mitigation standards, stronger community resilience funding, better data sharing, improved consumer transparency about wildfire risk and nonrenewals, and a possible voluntary grant program for home retrofits; the work group did not reach full consensus on a single statewide mitigation standard.
Next, the committee heard Senate Bill 5871 on motor vehicle glass claims and auto glass fraud. The bill would prohibit assignment of benefits in property and casualty policies, set duties and restrictions for motor vehicle glass repair shops, require clearer estimates and invoices, and bar steering or inducements tied to insurance claims. The Office of the Insurance Commissioner and SafeLite supported the bill as a consumer protection and anti-fraud measure, saying it would improve transparency, reduce litigation, and address unsafe or deceptive practices around ADAS recalibration. Independent glass shop owners and the Independent Glass Association opposed the bill as written, arguing it would strengthen large vertically integrated companies, restrict consumer choice and marketing, and impose new burdens on small businesses unless amended to address steering and insurer conflicts of interest. The committee took no final vote on the bills during the meeting.