Video & Transcript Research : 'coverage defenses'

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LA

Louisiana 2026 Regular Session

Insurance May 6th, 2026

Insurance

Transcript Highlights:
  • And we really don't have a problem with generic coverage or biosimilar coverage. 85 to 90% of every prescription
  • As more and more come out, the price drops, and then we immediately start expanding coverage to those
  • So if you require coverage on the formulary to be based purely on WAC, that's just the list price.
  • If you're a small employer and you self-fund without stop-loss coverage and you have a bad claim year
  • So you have to have that second layer of insurance, stop-loss coverage, to get over there.
TX

Texas 89th Regular

Insurance Mar 19th, 2025

Insurance

Transcript Highlights:
  • Each session, over 100 bills are filed. mandating private insurance coverage.
  • Cost and Coverage Program at UT Health Science Center in Houston.
  • As a new benefit coverage requirement or expands an existing coverage requirement.
  • At times, it's important to ensure that coverage... is provided.
  • Let's talk about where a bill might create a new coverage requirement.
Bills: HB138, HB335, HB388, HB138
TX

Texas 89th Regular

Insurance Mar 19th, 2025

Insurance

Transcript Highlights:
  • This also is a case when maybe you have coverage under your employer and under your spouse's employer
  • This bill offers a simple solution to what has unfortunately proven to be a barrier to health care coverage
  • errors can sometimes lead to these nasty surprise bills, or as I like to call it. surprise lack of coverage
Bills: HB138, HB335, HB388, HB138
TX

Texas 89th Regular

Insurance May 7th, 2025

Insurance

Transcript Highlights:
  • Simultaneously, the medical policy denies coverage, stating it's not a covered benefit.
  • It makes sense to provide insurance coverage for this much-needed care.
  • And that's the person that's seeking to find insurance coverage, correct? That's right.
  • That makes it even harder to find coverage for those individual clients as well.
  • They are not supposed to be making decisions based on policy coverages or interpretation.
MN

Minnesota 2025-2026 Regular Session

House Commerce Finance and Policy Committee 3/26/25

Commerce Finance and Policy

Transcript Highlights:
  • stake this bill does not change coverage stake this bill does not change coverage levels<00:18:40.240
  • Lifeline policy meets Minnesota coverage Lifeline policy meets Minnesota coverage requirements<01
  • <01:29:49.280> a and underinsured motorist coverage a and underinsured motorist coverage a
  • it is a dollar additional uh coverage it is a dollar one<01:45:58.560> coverage<01:45:59.040>
  • > which coverage a motorcycle coverage which coverage a motorcycle coverage which will<01:46:34.880
TX

Texas 89th Regular

Pensions, Investments & Financial Services Mar 17th, 2025

Pensions, Investments & Financial Services

Transcript Highlights:
  • Currently the plans ensuring our public servants lack coverage for IVF treatment.
  • In support of HB 618, presented by Representative Wally, which expands insurance. coverage for in vitro
  • So in the That's a good question, so page two, if you look at section... 1366.0045 coverage for certain
  • This is pro-teacher, a teacher wants to have a family, this coverage, this. option for them, for that
  • People have less, you know, less physical health issues and. when they actually get the coverage they
TX

Texas 89th Regular

Insurance Apr 9th, 2025

Insurance

Transcript Highlights:
  • dollar in revenue that we have, so between commercial discounts, 340B, Medicaid, and Medicare. ...coverage
  • I might, my coverage is with the state because I'm a dependent, and so the state could be losing out.
  • Their pharmaceutical coverage.
  • The result is coverage decisions driven by profit and not by what's best for the patient.
  • Back in 2017, NAMI Texas testified before this committee on how changes in drug coverage were harmful
TX

Texas 89th Regular

Insurance Apr 9th, 2025

Insurance

Transcript Highlights:
  • They will deny that coverage if it was for weight loss versus diabetes on that care. Okay.
  • heard in the past is, well, you could still go do that; it's just that we're not going to provide coverage
  • It may even result in a denial or a non-renewal of coverage.
  • If that group looks at a preventive service and gives it an A or a B rating, then it's required coverage
HI

Hawaii 2026 Regular Session

GVO DEFER, WLA-PSM-GVO, WLA-GVO Public Hearings 02-19-2026

Government Operations

Bills: SB3294
Summary: The committees first took up SB 3294, a controversial measure concerning post-release assistance for people pursuing reversals of prior court decisions where innocence is in question. Members discussed keeping the bill moving on the “human side” while a House companion addressed the legal issues. The adopted amendments removed advanced compensation language and instead required DCR, with DHS, to help petitioners prepare applications for financial and medical assistance, notify DHS upon release, assign a case manager to assist with a cell phone for one year, housing, employment, mental health counseling, and expedited benefits, and provide a state ID upon release. The measure also included technical amendments and a defective date, and it passed unanimously. The joint committees then heard SB 2237 on fire prevention, which would require state agencies to create and update hazard maps and direct DNR to adopt rules and clear brush. DLNR testified that a single lead agency should develop the maps with input from other agencies, that a five-year timeline would be more reasonable, and that assigning DNR all fuels management on state lands would create an unfunded mandate. Members discussed using the newly created fire marshal’s office as the lead, and the committees ultimately deferred the bill in favor of a broader wildfire mitigation measure already moving in another committee. The final agenda included SB 2596 on government leases, SB 30002 on the Hawaii State Planning Act and green infrastructure, and SB 3067 on records and filing requirements. SB 2596 was advanced unamended to Ways and Means. On SB 30002, OPSD explained that a 2025-2027 comprehensive review of chapter 226 is underway, with a report and draft legislation due in 2027, and members debated whether to move piecemeal changes now or wait for the broader review; the bill nevertheless passed unamended. SB 3067, which updates outdated filing formats and drawing scales, also passed unamended with DAGS supporting the measure in writing.
TX

Texas 89th Regular

Insurance Apr 30th, 2025

Insurance

Transcript Highlights:
  • We would prefer that companies for new business would be allowed to say you can buy both coverages or
  • 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.
MN

Minnesota 2025-2026 Regular Session

House State Government Finance and Policy Committee 2/26/26

State Government Finance and Policy

Transcript Highlights:
  • To the point, not only are premiums going up, but coverage is getting worse.
  • To the point, not only are premiums going up, but coverage is getting worse.
  • To the point, not only are premiums going up, but coverage is getting worse.
  • To the point, not only are premiums going up, but coverage is getting worse.
  • <00:48:45.280> We coverage for our employees. We coverage for our employees.
Bills: HF3422, HF3461, HF2904
TX
Transcript Highlights:
  • of 34 major area hospitals' emergency rooms in Central Texas, only 18 had bollards, 9 had partial coverage
  • The bill includes anti-gag clause protections for health coverages that normally are not subject to state
  • This is particularly upsetting when a patient has prescription benefit coverage, and it's only due to
  • Then we have our Department of Defense participating in COVID shots that nobody realizes are from the
  • Department of Defense, not NIH, and...
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 3/4/26

Health Finance and Policy

Transcript Highlights:
  • There are anticipated to be coverage There are anticipated to be coverage losses<00:13:17.200>
  • So for the individuals coverage sources.
  • <00:15:47.120> sources transition to other coverage sources transition to other coverage sources
  • Um but I don't coverage through Menure.
  • adults who are receiving funded coverage adults who are receiving funded coverage uh<01:21:47.520
Bills: HF3439, HF3763
Summary: The House Health Finance and Policy Committee met on March 4, 2026, approved the minutes from its February 25 and March 2 meetings, and then heard a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid eligibility changes in the federal One Big Beautiful Bill Act (HR1/OB3). The presentation focused on provisions affecting Medicaid expansion adults ages 19 to 64, including new work and community engagement requirements, changes to retroactive eligibility, quarterly death master file checks, address verification requirements, six-month redeterminations for expansion enrollees, and new limits on some lawful permanent residents and other immigrant groups. Castanza also discussed state implementation issues, including the need for new data-sharing systems, system modernization, outreach, and options for helping people transition to other coverage if they lose eligibility. She said the work and community engagement rules take effect January 1, 2027, with states given flexibility on look-back periods, consecutive versus nonconsecutive months, and optional hardship exemptions, and noted that CMS guidance is not expected until June 2026. She also described federal support for implementation, including $200 million in grants and a 90% federal match for eligibility system work, while warning that the fast timeline could lead to coverage losses, churn, and challenges for special populations such as caregivers, people with behavioral health conditions, incarcerated individuals, and rural residents. She further explained that an erroneous payment provision could expose states to federal recoupment later if eligibility errors increase. During member questions, Representative Beerman asked about the overall size of the Medicaid cuts and the cumulative national impact; Castanza said estimates vary by state and cited KFF analysis suggesting states could lose 4% to 19% of federal Medicaid revenue, with a newer RAND analysis recently released. Beerman also asked about the history and effectiveness of state work requirements, but that discussion was not completed in the excerpt. Representative Elkins noted the presentation was not initially posted on the committee website, and the chair said it had since been posted.
NM

New Mexico 2026 Regular Session

Senate - Health and Public Affairs Jan 30th, 2026 at 03:13 pm

Senate Health & Public Affairs

Transcript Highlights:
  • It used to be Plan F that gave you international coverage. Most everyone is on Plan G.
  • add to that, it is factored into your premium, but it also could be a reason that you're denied coverage
  • Could be a reason that you're denied coverage.
  • So people can be denied coverage if they have a pre-existing condition.
  • So, Madam Chair and Senator, there are circumstances where coverage is absolutely not available to seniors
Bills: SB21, SB42, SB81, SB101, SB139