Transcript Highlights:

• Since it would be on the health insurance plan, right?
• These mandatory disclosures apply only to health care insurance determinations.
• SB 1307 instructs the Texas Department of Insurance (TDI) to create a health insurance reference guide
• TDI has to tell resources for the public to reference when making health insurance decisions.
• Senate Bill 1307, Section 107, consolidates the complicated topic of health insurance into a consumable

Bills: HB813, HB1680, HB3569, HB4074, HB4635, HB5178, SB527, SB1307, SB1822

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

Bills: AB404, AB428

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

Transcript Highlights:

• If the claimant or the insured...
• Flood Insurance Program policies.
• It also under flood insurance policy would not just be limited to flood insurance program policies, but
• their services to commercial health plans and thus lower costs for health plans.
• in a variety of insurance products.

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

Transcript Highlights:

• Insurance will come to order. The clerk will call the roll. Dean. That's it.
• Members, healthcare provider insurance credentialing is a process by which insurers validate the qualifications
• The Texas Department of Insurance requires an insurer to determine a provider's eligibility within 90
• insurance plans before being able to provide in-network services to patients.
• insurer the difference between in-network and out-of-network rates.

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

Transcript Highlights:

• > incredibly Health insurance is an incredibly Health insurance is an incredibly important<00:04:
• <00:09:54.880> Anyone health insurance defrails? Anyone health insurance defrails?
• <00:23:46.880> insurance, out of health insurance, out of health insurance, uh<00:23:49.120
• the want health care in health insurance the want health care in health insurance companies<00:36
• The health insurance companies plans.

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

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.

Transcript Highlights:

• Health insurance costs continue to rise for individuals, businesses, and employers.
• Just last month, NFIB released a new health care policy paper that's called Addressing the Health Insurance
• Only 30% of small businesses still offer health insurance. In 2000, it was 50%.
• Businesses pay twice as much for health insurance as large businesses.
• Insurance is the, health insurance is the one place where someone doesn't know what the cost of the item

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:

• 2 House Committee on Insurance will come to order. Clerk will call the roll. Thank you. Here. Vote.
• Charles Miller, Director of Health and Economic Mobility, you show voting for the bill.
• of benefits questionnaire that will be made available to health care providers.
• Abel Longoria, and I represent Hospitality Health 24-hour emergency rooms.
• . despite of patients having appropriate insurance.

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:

• month if the employer notifies the... health insurer of the employee separation.
• Well, um, you say 70% don't have health insurance. What about the 30% who do?
• It's less than 20 percent who have health insurance. We have about 10 or 12 percent.
• T-A-L-H-I, Texas Association of Life and Health Insurers. We have you registered.
• In addition to life and health insurers, we have you registered for HB3960, correct?

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

Transcript Highlights:

• This required a health maintenance organization or an insurer to provide an exemption from prior authorization
• Outside entities utilized by health plans are captured by adding "affiliate of a health insurance plan
• I just tell the patient to get on the phone and call the insurance company because what the insurers.
• assign to single insureds.
• House Bill 712 would require all group, blanket, and individual health insurance policies to comply with

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

Transcript Highlights:

• Child waste and abuse has driven up health insurance premiums.
• programs and applying those to commercial insurance and private health plans.
• And you are with the Texas Association of Life and Health Insurers, right?
• It's like health insurance from the 70s, before there was managed care.
• They come out with Aetna Health, Aetna Life Insurance.

Bills: HB1464, HB1635, HB2516, HB3317, HB3502, HB4012, HB4268, HB4386, HB4877, SB916

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

Transcript Highlights:

• This provision ensures that the contracts between PBMs, health insurance plans, and pharmacy agencies
• The goal of Senate Bill 1332 is simply to allow health insurers to waive employer premiums.
• The health insurer must be notified of the employer's separation of employment.
• Senate Bill 1307 instructs the Texas Department of Insurance (TDI) to create a health insurance reference
• They complicate health insurance credentialing, and on and on.

Bills: SB95, SB268, SB493, SB619, SB660, SB922, SB984, SB1098, SB1188, SB1307, SB1332, SB1822

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

Transcript Highlights:

• This is a meeting of the Senate Insurance Committee.
• bill of the day will be House Bill 591 by Representative Green that creates the Paid Family Leave Insurance
• I don't know the employer, but insurance is all about risk mitigation, so it may be cheaper for them
• for use in conjunction with health savings accounts, medical savings accounts.
• health coverage plan shall not impose any prior authorization on through number three.

Bills: HB591, HB766

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, cancer treatment, anti-cancer medications, health insurance, copayment, cost-sharing, health policy, 974, senate, all

Transcript Highlights:

• This bill does allow the insurance company... Different.
• She is the division, the Health and Life Insurance Director at the Office of Superintendent of Insurance
• So unfortunately, those individuals are locked into those plans because unlike our health insurance or
• I'm a registered lobbyist for America's Health Insurance Plans, and we stand in opposition to this proposal
• And all I can do today is rely on my expert, who's the Director of Life and Health Insurance for the

Bills: SB21, SB42, SB81, SB101, SB139

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

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
• I want to loop the Department of Insurance into that conversation, and what I'm going to do is encourage

Bills: SB190, HB515, SB190

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

Transcript Highlights:

• House Bill 1216, expenses for prescription drugs and relating to self-insurance health care plans.
• But insurance companies can place a rider on your policy that says, Insurance companies can place a rider
• short, PERS coverage effective January 1 of 2026, regardless of the health insurance benefits, coverage
• , contract, issuance, or renewal date. ...regardless of the health insurance benefits, coverage, contract
• The rest of the bill impacts other health insurance at what date? Mr.

Bills: SB2271, HB1216

Keywords: adult residential facilities, care services, Medicaid, payment rates, elderly care, health services, North Dakota, prescription drugs, drug affordability, copay assistance, copayment accumulator, deductible accumulator, out-of-pocket maximum, health insurance, health benefit plan, self-insured health plan, self-funded plan, third-party payment, manufacturer assistance, patient assistance program

Summary: The Appropriations Committee met with a quorum and took up three bills. House Bill 1216, dealing with prescription drug expense co-pay accumulators in health plans, was presented by Rep. Karen Carl’s, who explained it would prevent insurers from refusing to count third-party assistance toward deductibles for patients using high-cost, non-generic drugs. An amendment was offered to clarify effective dates, including a delayed January 1, 2026 start for PERS coverage. PERS testified that the amendment would align with its calendar-year benefit structure and likely reduce the fiscal note. The amendment was adopted 16-0, and the bill was set aside for further discussion later. House Bill 1199, creating a criminal justice data-sharing system and missing persons/missing Indigenous people task force, was introduced with a committee amendment changing the Attorney General reference to the Attorney General or designee. The committee noted the bill includes a $250,000 general fund appropriation for ongoing costs. The amendment passed 16-0, and the amended bill received a do pass recommendation by a 15-1 vote, with one no vote from Senator Magrum. House Bill 1531, appropriating $75,000 for an irrigation expansion study by the Agriculture Commissioner, was supported as a way to update older economic-impact studies on irrigation and assess opportunities for expansion. Members discussed its relationship to broader study pauses and the history of irrigation development in the state, including Garrison Diversion and remaining authorized acres. The bill passed 16-0. The committee then discussed scheduling for the coming week, noting a heavy bill load and plans for daily morning meetings before adjourning.

Transcript Highlights:

• the insurance department can provide that would help our health plan here.
• insurance.
• And I will point out, and we all know this, we pay 100% of the health insurance premium for everybody
• You tell me one employer in the state of North Dakota that pays 100% of the health insurance...
• Tell me one employer in the state of North Dakota that pays 100% of the health insurance premium for

Bills: SB2160

Keywords: health insurance, public employees, uniform group insurance, retirement, state employees, 908, all

Summary: The committee resumed work on Senate Bill 2160, which would move the Public Employees Retirement System health plan from grandfathered to non-grandfathered status under the Affordable Care Act. PERS officials Rebecca Frickie and Derek Holbein explained that the bill would allow more flexibility in plan design, including higher deductibles, co-pays, and out-of-pocket maximums, while also adding enhanced preventive benefits. They clarified that ACA “essential health benefits” apply to individual and small-group markets, not to PERS as a large employer, and that the bill’s projected cost increases were based on actuarial estimates and prior bid scenarios from Sanford and Blue Cross Blue Shield. Members debated whether the bill would actually save money or simply shift costs to employees. Supporters argued that non-grandfathered status would create more levers to manage medical inflation and could produce net premium savings through plan redesign, citing prior bid comparisons showing potential reductions of 1% to 8% depending on the option. Opponents, including Representative Schauer and North Dakota United president Nick Archelette, questioned how the state would pay for the estimated $25 million to $30 million in added benefits and warned that employees could face higher out-of-pocket costs amid already strained household budgets. Frickie said the legislature would control funding decisions and that current law requiring the state to pay full family premiums could be changed only by statute. The committee also discussed reserve funding, with members noting that a $4.3 million reserve draw in the bill was intended to cover the final months of the biennium and could be modified. After testimony and discussion, Vice Chair Johnson moved a do-pass recommendation and referral to Appropriations. The motion passed 10-3-1, with Representatives Ostlie, Schatz, and Schauer voting no. Representative Gump agreed to carry the bill.

Transcript Highlights:

• I am licensed by the Texas Department of Insurance and other state departments of insurance as a public
• insurance adjuster.
• The Texas Department of Insurance, on their website, advises the insured to seek appraisal before filing
• Today's Texas Department of Insurance suggests the insured check their policy to see if it has that right
• I think if she... ...follows those same guidelines, it'll be good for the insured and the insurer.

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

Transcript Highlights:

• It seeks to activate health insurance coverage during these instances.
• So the way it's drafted right now, health insurers already have a requirement to put prices on the website
• It is not health insurance and does not operate in the healthcare market.
• Unlike traditional health insurance plans that often include complicated deductibles or co-insurance
• 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

Transcript Highlights:

• directly with life insurance, retirement products, and various health insurance products offered in
• So this bill would do the same for life and health insurers.
• 541 of the Insurance Code, which subjects life and health insurers and agents to a private cost. of
• Every year we're going up 5, 6% in health insurance spending.
• We're going to shift from health insurance to a very niche industry of prescribed burning insurance.

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Transcript Highlights:

• So, I'm all for spending less on... ...health care insurance.
• have health care insurance.
• I couldn't offer health insurance for a year or two longer. than I wanted to because of the cost of health
• First, small businesses want to provide health insurance, and we need to provide health insurance to
• I believe under HB 139, more Texans will have health insurance and access to health care.

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301