Video & Transcript Research : 'coverage defenses'
Page 1 of 354
LA
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.
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
TX
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.
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:
- 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
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
LA
Louisiana 2026 Regular Session
Administration of Criminal Justice Apr 8th, 2026
Administration of Criminal Justice
Keywords:
juvenile justice, electronic monitoring, annual report, supervision outcomes, data transparency, inmate release, notification, law enforcement, victims, public safety, hit-and-run, crime of violence, felony, sentencing, battery, sound, intentional harm, physical pain, hearing impairment, video voyeurism
TX
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.
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
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
Keywords:
homeowners insurance, property insurance, commercial property insurance, insurance affordability, insurance market stabilization, reinsurance, catastrophic reinsurance fund, self-insured pool, premium costs, coverage notice, liability reform, climate risk, climate change, housing affordability, multifamily housing, rental housing, common interest communities, cooperatives, small business insurance, Minnesota Commerce Department
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
Keywords:
financial crime, card fraud, motor fuel theft, law enforcement, criminal activity, skimmers, prevention, training, credit card fraud, debit card fraud, prosecution, illegal possession, state law, HB 618, Texas insurance code, IVF, in vitro fertilization, fertility treatment, infertility coverage, government employee health benefits
TX
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
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.
- 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
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
HI
Hawaii 2026 Regular Session
GVO DEFER, WLA-PSM-GVO, WLA-GVO Public Hearings 02-19-2026
Government Operations
Bills:
SB3294
Keywords:
wrongful conviction, compensation, Hawaii Revised Statutes, innocence, legal process, burden of proof, case manager, medical coverage, judicial discretion, 912, senate, all
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
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.
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
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:
- lays out House Bill 21. 2911 by Chairman Frank relating to participation in the Uniformed Group Coverage
Bills:
HB 1178, HB1411, HB1441, HB1773, HB1813, HB2107, HB2598, HB2911, HB2967, HB3672, HB5263, HB3797
Keywords:
education, temporary certification, out-of-state educators, teacher shortage, military spouses, personal leave, school holidays, employee compensation, overtime provisions, school safety, peace officers, mental health, de-escalation techniques, trauma-informed care, student trustee, school board, student representation, education policy, nonvoting position, school governance
TX
Bills:
HB 1178, HB1411, HB1441, HB1773, HB1813, HB2107, HB2598, HB2911, HB2967, HB3672, HB5263, HB3797
Keywords:
education, temporary certification, out-of-state educators, teacher shortage, military spouses, personal leave, school holidays, employee compensation, overtime provisions, school safety, peace officers, mental health, de-escalation techniques, trauma-informed care, student trustee, school board, student representation, education policy, nonvoting position, school governance
AL
Alabama 2026 1st Special Session
Alabama House Constitution, Campaigns and Elections Jan 21st, 2026
Constitution, Campaigns and Elections
Keywords:
parental rights, drag performances, public schools, public libraries, overnight programs, gender identity, minor safety, HB89, Medicaid, pregnant women, pregnancy, prenatal care, ambulatory prenatal care, presumptive eligibility, temporary Medicaid coverage, Alabama Medicaid Agency, maternal health, low-income women, health coverage, eligibility determination
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.
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
Texas 89th Regular
Senate Committee on Health and Human Services Mar 18th, 2025
Health & Human Services
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...
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
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>
<00:15:47.120>- So for the individuals coverage sources.
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
Keywords:
Medical Assistance, Medicaid, MNsure, MinnesotaCare, disability determination, expedited eligibility, state medical review team, compassionate allowance, rare disease, home and community-based services, long-term care, managed care, county-based purchasing, eligibility redetermination, periodic data matching, death master file, Social Security Administration, program integrity, income eligibility, asset test
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.
AL
Keywords:
business regulation, nonprofit entities, electronic filing, merger agreements, limited liability companies, partnerships, property transfer, termination fees, SB84, agricultural nonprofit, farm bureau, nonprofit agricultural organization, health benefits, member benefits, family coverage, health insurance exemption, insurance regulation, Title 27, Alabama insurance code, risk transfer
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
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