Transcript Highlights:

• costs.
• For students, it only allows one reimbursement for examination costs.
• for the examination costs if they pass the exam.
• This allows other CTE examination costs to be reimbursed for teachers.
• The third thing is that school districts that pay for the costs can be reimbursed by applying to the

Bills: HB 1061, HB2800

Keywords: education, teacher certification, cost subsidies, public school funding, career and technology education, reimbursement, subsidy, education funding, student subsidies, cost reimbursements, public school finance, public school, examination fees, apprenticeship, workforce development, career education, high school students, technical education, employment, 1184

Bills: SB 302, SB 1335, SB 1734, SB 1760, SB 1975, SB 2127

Keywords: probate court, statutory judge, reimbursement, court costs, court proceedings, judicial assignments, judge assignment, cost reimbursement, judicial expenses, estate management, statutory requirement, court expenses, estates, inheritance, representative duties, court authority, personal representative, guardianship, incapacitated persons, guardianship fees

Transcript Highlights:

• Pharmacies up to 16,510% more than they reimburse independent pharmacies.
• than they reimburse the independent pharmacies for the same prescriptions.
• These premium increases were lowered in regards to patient cost sharing.
• the consumer and not costing the plans.
• Is there a way to do that rather than base it on the federal reimbursement rate?

Bills: SB1673, SB1500, SB1447, SB1646, SB2007, SB1275, SB2074

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

Summary: The Senate Business and Insurance Committee met to consider several bills, with the chair emphasizing pharmacy benefit managers (PBMs) and the impact on local and rural pharmacies. Before taking up the bills, the committee announced that Senate Bills 1620 and 1625 would be laid over. The committee also adopted an amendment to Senate Bill 1673 to exempt certain state-funded flexible benefit plans, and then passed the bill, which creates the Prosthetic Access and Accountability Act of 2026 and requires health plans that already cover prosthetic benefits to administer them without disability-based discrimination. The committee then passed several PBM-related measures. Senate Bill 1500 requires PBMs to reimburse rural pharmacies within 30 calendar days. Senate Bill 1447 adds safeguards to the Oklahoma Employee Insurance Plan by restricting PBM contracts, including disfavoring PBMs involved in recent lawsuits or those affiliated with insurers, retail pharmacy chains, specialty pharmacies, mail-order pharmacies, or drug manufacturers. Senate Bill 1646 strengthens utilization review standards for mental health and substance use disorder treatment, and Senate Bill 2007 prohibits PBMs from reducing reimbursement after a successful appeal and adds administrative fees when they fail to make required adjustments. The committee also passed Senate Bill 1275, which requires upfront disclosure of all fees for short-term rental bookings such as Airbnb and VRBO, with only tax added at checkout. Finally, the committee passed Senate Bill 2074 after extensive debate; it would require fairer and more transparent PBM reimbursement using a Medicaid-based methodology and a professional dispensing fee, with supporters arguing it would help independent and community pharmacies and opponents raising concerns about consumer costs and legal issues. All bills considered in the meeting were reported out with favorable votes, and the meeting adjourned after the chair noted one more meeting would be held the following week.

Transcript Highlights:

• Addressing is slow reimbursement payments from pharmacies to pharmacies from PBMs.
• Senator Wingard. than they reimburse independent pharmacies.
• than they reimburse the independent pharmacies for the same prescriptions.
• If PBMs claim they save money but yet drug costs and premiums keep rising.
• the consumer and not costing the plans.

Bills: SB1673, SB1500, SB1447, SB1646, SB2007, SB1275, SB2074

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

Transcript Highlights:

• </c><00:45:54.880><c> but</c> the cost will there will be a cost but the cost will there will be a cost
• Health centers are reimbursed through the encounter rate based cost reporting that was mentioned just
• Health centers are reimbursed through the encounter rate based cost reporting that was mentioned just
• Health centers are reimbursed through the encounter rate based cost reporting that was mentioned just
• Health centers are reimbursed through the encounter rate based cost reporting that was mentioned just

Bills: HF362, HF2590, HF2760, HF3444

Keywords: massage therapy, Asian bodywork therapy, massage therapist, Asian bodywork therapist, licensure, professional licensing, health occupations, Department of Health, commissioner of health, advisory council, protected title, unlicensed practice, scope of practice, consumer protection, background check, professional liability insurance, continuing education, credentialing examination, state preemption, municipal regulation

Transcript Highlights:

• </c> thing we talked about was reimbursement thing we talked about was reimbursement rates<00:04:41.840
• 00:05:02.560><c> rate</c> network, the minimum reimbursement rate network, the minimum reimbursement
• you know, end up costing the consumer?
• cost to the<00:10:36.959><c> consumer?
• </c><00:17:00.639><c> amounts</c><00:17:01.759><c> and</c> and reimbursement amounts and and reimbursement

Bills: SB9, HB400, SB9, HB400

Keywords: Alabama Athletic Commission, Attorney General, criminal penalties, unarmed combat, regulation, boxing, mixed martial arts, civil fines, dental insurance, benefit rollover, healthcare, insurance policy, annual maximum, smoking ban, vaping, public health, indoor air quality, clean air, ambulance services, health insurance

Transcript Highlights:

• </c> these mandates come with a cost. these mandates come with a cost.
• Once approved by Commerce, health plans are reimbursed for those costs the year after the claims were
• Knowing this reimbursement is coming will allow plans to remove these costs from our premium rates.
• the</c><00:09:17.200><c> year</c> are reimbursed for those costs the year are reimbursed for those costs
• </c> reimbursement program. reimbursement program.

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

Transcript Highlights:

• Chair and members, the National Guard is one of the most cost-effective and battle-proven forces our
• and how 287(g) agreements have resulted in racial profiling, civil rights abuses, and high fiscal costs

Bills: SB1047, SB1365, SB1474, SB1618, SB1620

Keywords: National Guard, active duty, combat, Arizona, declaration of war, state law, military service, property tax, exemptions, veterans, disabilities, widows and widowers, Arizona Revised Statutes, immigration enforcement, local law enforcement, federal cooperation, law enforcement training, public safety, military affairs, funding

Transcript Highlights:

• If a pharmacy is reimbursed below its costs and wins an appeal, the PBM must make the pharmacy whole
• plan the bare minimum true cost of that drug, and any margin or reimbursement that's going to make up
• Senator Bass: NADAC is a national average drug acquisition cost, which just reimburses that pharmacy
• and charges that plan the bare minimum true cost of that drug, and any margin or reimbursement that's
• By dictating how reimbursement must be structured and prohibiting adjustments to patient cost-sharing

Bills: HB591, HB765, HB826, HB870, HB938, HB1151, HB1162, HB1176, HB1196, HB1236, HB1241

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs

Bills: SB302, SB1335, SB1734, SB1760, SB1975, SB2127

Keywords: probate court, statutory judge, reimbursement, court costs, court proceedings, judicial assignments, judge assignment, cost reimbursement, judicial expenses, estate management, statutory requirement, court expenses, estates, inheritance, representative duties, court authority, personal representative, real property, deed fraud, title fraud

Transcript Highlights:

• Chairman and members, Senate Bill 302, Traveling Probate Judge Reimbursement, is a rural county revenue
• Under current law, counties are required to pay for the cost of the traveling judge.
• And if you didn't really need it, it's going to cost you.
• If you did need it, it's also going to cost you.
• Typically, if they do request it, the estate is large enough to incur that cost.

Bills: SB302, SB1335, SB1734, SB1760, SB1975, SB2127

Keywords: probate court, statutory judge, reimbursement, court costs, court proceedings, judicial assignments, judge assignment, cost reimbursement, judicial expenses, estate management, statutory requirement, court expenses, estates, inheritance, representative duties, court authority, personal representative, real property, deed fraud, title fraud

Transcript Highlights:

• Senate Bill 302 traveling probate judge reimbursement is a rural county.
• Under current law, counties are required to pay for the cost of the traveling judge.
• If you didn't need it, it's going to cost you.
• So, um, it costs, local, there's only 12 counties with a permanent probate judge.
• Typically if they do request it, the state's large enough to have that cost incurred.

Bills: SB 302, SB 1335, SB 1734, SB 1760, SB 1975, SB 2127

Keywords: probate court, statutory judge, reimbursement, court costs, court proceedings, judicial assignments, judge assignment, cost reimbursement, judicial expenses, estate management, statutory requirement, court expenses, estates, inheritance, representative duties, court authority, personal representative, real property, deed fraud, title fraud

Transcript Highlights:

• Biggest cost drivers and biggest complaints is the cost of insurance. HB 138.
• Cost matters. Let's be clear. When we make decisions in this room, cost is relevant.
• The amount of the cost data?
• All you need is that data and that cost. to see, this is what we reimbursed today, and this is what it
• would cost to reimburse this later.

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:

• We don't have any long-term data on does that cost offset the benefit.
• Cost. Cost to us that the consumer that's buying the insurance will have to pay for. Yeah.
• Yeah, so if we could. capture any more cost to make sure that we have those costs in place and you're
• But if this cost is already included and the fees you're getting now.
• And I would imagine, you know, utilization and the cost of those benefits drive. premium cost so.

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:

• I'm sympathetic to the Reimbursements to the optometrist.
• For the state to step in and say, 'Hey, provide this minimum reimbursement.'
• Just refuse that plan if they don't like what the reimbursement percentage is.
• I'm looking at page 4, line 2, which talks about reimbursement for travel under the State Travel Reimbursement
• And identify the cost and where they're being utilized.

Bills: HB3794, HB3796, HB3928, HB2955, HB4453, HB4460

Keywords: licensure, criminal history, public safety, occupational certification, rehabilitation, state regulations, insurance, regulations, certification, long-term care, mergers, consumer protection, property safety, vision insurance, optometry, reimbursement, healthcare policy, ophthalmic materials, provider agreements, captive insurance

Transcript Highlights:

• Under current law, counties are required to pay for the cost of the traveling judge.
• If you did need it, it's going to cost you.
• If you did need it, it's going to cost you.
• So it costs local. There's only 12 counties with a permanent probate judge.
• Typically, if they do request it, the estate's large enough to have that cost incurred.

Bills: SB302, SB1335, SB1734, SB1760, SB1975, SB2127

Keywords: probate court, statutory judge, reimbursement, court costs, court proceedings, judicial assignments, judge assignment, cost reimbursement, judicial expenses, estate management, statutory requirement, court expenses, estates, inheritance, representative duties, court authority, personal representative, real property, deed fraud, title fraud

Summary: The committee heard several probate, family law, judicial, property, and contract-related bills. Senate Bill 1335, relating to decedents’ estates, would remove outdated references to a clerk’s certificate, allow courts to remove personal representatives on their own motion with notice by qualified delivery method, and add independent administrators to provisions that referenced only independent executors; an estate-planning attorney testified in support, and the bill was left pending. Senate Bill 1760, concerning guardianship transfer fees and procedures, was described as setting a $45 filing fee for transferred guardianship cases and clarifying completion and dismissal procedures; it received no testimony and was left pending. Senate Bill 2127 would shorten the eligibility period for retired judges to serve as visiting judges from eight years to six, restrict practice in their assigned region for two years, and require conflict-related certification; it also was left pending without testimony. Senate Bill 302 would shift the cost of a traveling probate judge to the requesting estate or parties rather than the county; one witness registered in favor, no one testified, and the bill was left pending. The committee then considered a committee substitute for Senate Bill 252, which would clarify the parental presumption in conservatorship cases, require non-parents seeking relief against a parent to file an affidavit showing significant impairment to the child if relief is denied, require courts to state specific findings when overcoming the presumption, confirm the clear-and-convincing standard, and clarify that agreed prior orders do not defeat the presumption. The substitute was explained as consensus language from a work group, public testimony was reopened, and the bill was left pending. Senate Bill 1734, on deed fraud, would create a streamlined ex parte process for property owners to have fraudulent deeds declared void, modeled on the fraudulent lien statute; county clerk and title association representatives testified that it would provide a low-cost self-help remedy for a growing problem, and the bill was left pending subject to the chair. Senate Bill 1975 would prevent Texas contractors from being forced to litigate disputes in foreign jurisdictions and require disputes to be handled in the county where the project is located; it was presented as a repeat of a previously vetoed bill and was left pending. Finally, the committee took up a substitute for Senate Bill 1940, concerning transfer-on-death style beneficiary designations for manufactured homes. The substitute would allow one or more beneficiaries instead of only one, transfer the interest to surviving designated beneficiaries who survive by 120 hours, extend the application period for transfer to 365 days, void the designation if not timely filed, and require mailing by certified or registered mail with return receipt requested. The substitute was adopted without objection. The committee then recessed subject to the call of the chair.

Bills: SB96, SB97, SB130, HB230, SB154, SB93, SB99, SB96, SB97, SB130, HB230, SB154, SB93, SB99

Keywords: salvage title, salvage certificate of title, rebuilt title, flood vehicle, junk vehicle, total loss, motor vehicle title, vehicle branding, insurance claim, insurance company, Department of Revenue, vehicle inspection, rebuilder, automotive dismantler, parts recycler, secondary metals recycler, junkyard, vehicle identification number, VIN, stolen vehicle

Transcript Highlights:

• costs.
• So when reimbursement goes down from insurance, that cost immediately, not potentially, immediately shifts
• Basically, the cost that we get or the reimbursement that we get doesn't cover the cost of care.
• So anytime that the reduction in reimbursement goes down, that cost transfers immediately, and it's about
• And reimbursement goes down, that cost transfers immediately and directly to the hospital.

Bills: HB2176, HB2333, HB2435, HB2447, HB2617, HB2683, HB2686, HB2725, HB2726, HB2906, HB2953, HB2958

Keywords: health care, licensure, complaints, investigation, safety, patient care, regulatory compliance, prosthetics, orthotics, health insurance, Medicare, medical necessity, disability rights, coverage, reimbursement, internationally trained physicians, medical board, clinical training, provisional license, healthcare workforce

Transcript Highlights:

• When I look at rising health care costs, it's often due to rising pharmaceutical costs, the rising cost
• not push up costs.
• not push up costs.
• When we think about the cost of defrayal, costs about the cost of reinsurance for a small group of people
• costs about the cost of reinsurance for costs about the cost of reinsurance for a<01:15:14.159><c> small

Bills: HF747, HF1014, HF320, HF400

Keywords: corporate governance, shareholder rights, beneficial ownership, defective corporate acts, Minnesota Business Corporation Act, Minnesota Insurance Guaranty Association, MIGA, insurance guaranty fund, insurer insolvency, covered claim, net worth threshold, high-net-worth insured, financial information request, insurance claims, self-insured retention, deductible, commercial insurance, insurance regulation, Minnesota Statutes 60C.09, guaranty association

Transcript Highlights:

• That's the cost of the unit cost.
• </c> cost share for the insurer. cost share for the insurer.
• going to cost us?
• There's no reimbursement from the LRC. It's totally at the cost of the department.
• </c> it's going to cost us? it's going to cost us?

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.