Video & Transcript Research : 'health plan coverage'
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TX
Transcript Highlights:
- Cost and Coverage Program at UT Health Science Center in Houston.
- So first, small businesses want to provide health care and health care coverage for their employees.
- the potential benefit is to providing those coverage to the health care.
- When a health plan doesn't cover... services, that cost is shifted to the rest of the system.
- CEO, Tech Association of Health Plans, and we show you testifying for the bill. Is that correct?
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:
- benefit plan. issuers or administrators, and expenses for enrollees, health plans, and policy makers
- Uh, and administrative cost apply both to the plans and to the physician. and health care providers.
- House Bill 388 requires all health benefit plan issuers and administrators to use a uniform coordination
- as if their family members are covered by a plan.
- This bill offers a simple solution to what has unfortunately proven to be a barrier to health care 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
TX
Transcript Highlights:
- benefit plan to provide. coverage for biomarker testing.
- Since it would be on the health insurance plan, right?
- Some medical policies restrict coverage in ways that don't take these situations into account. plans
- Ideally, we can treat this dental decay before it gets to this point with a health benefit plan that
- The Chair will call Black Hudson with the Texas Association of Health Plans. Thank you.
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
TX
Transcript Highlights:
- The Chair calls Blake Hudson, Director. ...for public affairs, Texas Association of Health Plans, and
- Many of these unnecessary lab tests are presented for payment to health plans, which until recently,
- These programs only alert health plans which lab claims filed are within policy coverage or not.
- plans and thus lower costs for health plans.
- My company provides lab integrity programs for over 30... ...health plans across the U.S.
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:
- doctor to join their practice, the new doctor must go through a lengthy credentialing process with health
- insurance plans before being able to provide in-network services to patients.
- If the provider is ultimately denied credentials, the provider's practice is required to pay the health
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
Texas 89th Regular
Senate Committee on Health and Human Services Mar 18th, 2025
Health & Human Services
Transcript Highlights:
- Senate Bill 4- Senate Bill 493 prohibits health insurance plans and PBMs from preventing pharmacies from
- This provision ensures that the contracts between PBMs, health insurance plans, and pharmacy agencies
- There is an error in the results of the delay of notification of the health plan.
- Our health plans have tried to waive that on their own, but are not allowed to because of statute.
- They work with employers to help create. health care plans for their employees that meet the needs of
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 Commerce Finance and Policy Committee 3/5/26
Commerce Finance and Policy
Transcript Highlights:
- When the legislature enacts a coverage mandate, you're telling a health plan you must now pay for services
- </c><00:09:14.880><c> plans</c> Once approved by commerce, health plans Once approved by commerce, health
- <c> be</c> kind of health coverage that might be kind of health coverage that might be afforded<00:51
- </c><00:57:27.839><c> type,</c> health plan, metal level, plan type, health plan, metal level, plan type
- </c><01:02:22.240><c> plans</c> million in assessments on health plans million in assessments on health
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
TX
Transcript Highlights:
- As a result, they are unlikely to seek health care. services under the health plan.
- However, if the former employee receives no health care, then this would allow the health plan to state
- Health plans in general, what do you think? Sure.
- A health benefit plan on page three, a health benefit plan issuer that provides prescription drug benefits
- They are also administering the drug plans for the health plans that are paying the full costs.
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:
- Outside entities utilized by health plans are captured by adding "affiliate of a health insurance plan
- Health plan prior authorization requirements have become increasingly burdensome.
- We show you registered as Jamie Dudensing, CEO of the Texas Association of Health Plans.
- HB 712 will not place an undue burden on health plans.
- Texas Association of Health Plans, and we show you registered against HB712.
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
AL
Transcript Highlights:
- </c> The Alabama Department of Public Health The Alabama Department of Public Health may<00:12:12.000
- <00:12:17.920><c> thereafter</c> Department of Health shall thereafter Department of Health shall thereafter
- a Department of Health, or is that a...?
- It says the Alabama Department of Health.
- Your terms following health vice chair.
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
TX
Texas 89th Regular
Senate Committee on Health and Human Services Mar 12th, 2025
Health & Human Services
Transcript Highlights:
- Generally then, for courts with mental health jurisdiction.
- plans. and other health MCOs are not allowed to inform enrollees about other health plan options because
- Bill ensures that MCOs can inform enrollees. is about the availability of qualified health plans offered
- Supported by the health plans, primary care consortium and Texas 24.
- I'm the CEO of the Texas Association of Health Plans and we are testifying in support of Senate Bill
Bills:
SB 53, SB53, SB125, SB315, SB379, SB457, SB541, SB599, SB896, SB921, SB963, SB1038, SB1084, SB1330, SB1461
Keywords:
voter registration, election procedures, provisional ballot, change of address, residence requirements, mental health, court proceedings, notice requirements, legal filings, electronic documents, autologous blood donation, direct blood donation, blood bank, hospital, Health and Safety Code, physician order, preoperative blood donation, patient blood reserve, transfusion, surgery
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 4/8/26
Health Finance and Policy
Transcript Highlights:
- Health insurance coverage for lawyers.
- plan companies for coverage under this section.
- plan companies for coverage under this section.
- going to reimburse health plan companies for<00:36:59.599><c> coverage</c><00:37:00.000><c> under</c
- plan companies for coverage under this section.
Keywords:
infertility, fertility treatment, fertility preservation, IVF, assisted reproductive technology, ART, oocyte retrieval, embryo transfer, egg freezing, sperm freezing, reproductive health, maternity coverage, health insurance mandate, health plan benefits, Medical Assistance, Medicaid, MinnesotaCare, family planning, oncology fertility preservation, chemotherapy
NV
Nevada 2025 Regular Session
Assembly Committee on Commerce and Labor Jun 1st, 2025 at 11:30 pm
Commerce and Labor
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
TX
Texas 89th Regular
Pensions, Investments & Financial Services Mar 17th, 2025
Pensions, Investments & Financial Services
Transcript Highlights:
- This morning, House Bill 618 requires health insurance plans for state employees. retirees, and school
- Currently the plans ensuring our public servants lack coverage for IVF treatment.
- plan regulated by the state of Texas could not offer mental health or substance abuse coverage limits
- People have less, you know, less physical health issues and. when they actually get the coverage they
- capital have less mental health coverage. virgin protections than we offer in the commercial market
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
AL
Alabama 2026 Regular 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
AL
Alabama 2026 Regular Session
Alabama Senate Banking and Insurance Committee Jan 14th, 2026
Banking and Insurance
Bills:
SB19
Keywords:
SB19, prostate cancer, prostate cancer screening, PSA test, digital rectal exam, preventive screening, health insurance mandate, no cost sharing, copay, deductible, coinsurance, high-risk men, African American men, men over 50, men over 40, family history, genetic marker, health benefit plan, insurer coverage, Alabama insurance code
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Banking and Insurance (9-16-25)
Transcript Highlights:
- </c> certain coverages to health insurance. certain coverages to health insurance.
- ><c> in</c> decrease health benefit plan premiums in decrease health benefit plan premiums in the<00:
- </c> it was that a health plan could not deny it was that a health plan could not deny a<00:42:36.960
- </c><01:07:19.119><c> The</c> all health benefit plans. The all health benefit plans.
- c> identified mental health in the plan uh identified mental health in the plan uh and<01:25:03.120><
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.
MN
Minnesota 2025-2026 Regular Session
House State Government Finance and Policy Committee 2/26/26
State Government Finance and Policy
Transcript Highlights:
- </c> support affordable highquality health support affordable highquality health coverage<00:48:43.839
- It would become a multi-employer plan, just a different type of health plan.
- It would become a multi-employer plan, just a different type of health plan.
- It would become a multi-employer plan, just a different type of health plan.
- It would become a multi-employer plan, just a different type of health plan.
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
HI
Transcript Highlights:
- Next measure is SP 2087, Senate Draft 1 relating to health insurance. sentence delete student athlete
- </c> SP 2087, Senate Draft 1 relating to health insurance.
- </c> 2087 Senate draft 1 relating to health 2087 Senate draft 1 relating to health insurance.<00:04:07.280
- Next item: Senate Bill 2803. the lead to develop the plan since they the lead to develop the plan since
- the final plan be submitted in 2028, and we’re going to defect the date to 2015.
Keywords:
coconut trees, tax credit, natural management, Hawaii, agriculture, biosecurity, environment, coconut rhinoceros beetle, student-athletes, name image likeness, NIL, compensation, transparency, University of Hawaii, Title IX, funding, protections, pharmacy benefit managers, maximum allowable cost, drug pricing
Summary:
The joint committee on Ways and Means and Consumer Protection met for decision-making only on two agendas and took action on a large number of Senate bills, with no oral testimony heard. On the 1016 agenda, the committee recommended passage of measures including SB 2088, SB 2925, SB 2781, and several others, and passed a number of bills with amendments. Notable amendments included SB 3263, which adopted AG amendments related to the name, image, and likeness endowment trust fund; SB 2047 on pharmacy benefit managers, which incorporated Hawaii Pharmacist Association changes; SB 2087 on health insurance, which added Insurance Division clarifications; SB 2100 on pesticides, which added a blank appropriation; SB 2353 on outdoor signage, which removed provisions related to the Wiki special district; and SB 2902 on renewable energy, which clarified certification standards for portable solar devices and exempted them from certain disclosure requirements. Most recommendations were adopted without objection, though a few members noted reservations on selected bills. The committee also deferred one bill on the agenda, SB 3327.
The committee then moved to the 1015 agenda and acted on additional measures. SB 2003 was passed with amendments tied to Act 255, including a repeal trigger if deadlines are missed; SB 2497 on utility-related transparency drew the most discussion, with one member warning about litigation and costs while another argued it was simply about electricity-rate transparency, and it ultimately passed with PUC-related amendments and an exemption for utility cooperatives. Other measures were passed unamended or with technical or fiscal amendments, including bills affecting land planning, tax credits, conveyance tax language, shoreline maintenance, and community improvement projects. Several bills had appropriations blanked or effective dates deferred to 2050, and many were adopted with members noting reservations rather than opposition.
On the 1017 agenda, the committee continued approving measures, including SB 709 on crisis intervention officers and assisted community treatment, SB 2153 on defining bona fide farmer/agriculture activity, SB 2694 on water rate adjustments, SB 3025 on income eligibility limits, and SB 3085 on the Hawaii film studio, which included a five-year repeal provision if the studio has not relocated. The committee also passed numerous other bills unamended or with technical amendments, often deferring effective dates or blanking appropriations. Across both agendas, the committee’s actions were largely consistent: bills were advanced with amendments tailored to agency requests, technical corrections, or fiscal adjustments, and votes were generally unanimous or near-unanimous with occasional reservations recorded.
TX
Transcript Highlights:
- that provide health care coverage for patients and may determine their respective payment responsibilities
- Hospitality Health ER are three health care facilities operating in Texas, two in East Texas and one
- care coverage for patients that have health insurance in place.
- care coverage to patients that have health insurance in place.
- So how does he complete his plan?
Bills:
HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744
Keywords:
rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388
Summary:
The committee first reopened testimony on House Bill 2216, which would strengthen child welfare requirements by expanding “active efforts” to help families avoid removal and support reunification, while also raising standards related to removals and terminations. Supporters from child welfare and family defense groups said the bill would better protect families and align Texas more closely with ICWA-style principles, but several warned it would require significant new funding, staffing, and community services such as mental health care, housing, child care, and substance use treatment. The committee then left HB 2216 pending.
The committee next heard Senate Bill 1782, aimed at boarding and group homes. Senator Miles said the bill closes enforcement gaps left by prior law by requiring retention of background-check records and creating misdemeanor penalties for failing to conduct or keep them, or for knowingly hiring people with serious convictions. Harris County sheriff’s investigators testified in support, describing illegal boarding homes, operators who evade permits and background checks, and exploitation of vulnerable residents; the bill was left pending. The committee also took up Senate Bill 481 on emergency preparedness for nursing facilities and assisted living facilities, adopted a new committee substitute that softened some requirements and removed the fiscal note, and left the bill pending.
The committee then heard House Bill 388, which would require the Texas Department of Insurance to create a single standardized coordination-of-benefits form for dual health plans to reduce errors and surprise bills; it was left pending. Senate Bill 1590 would move paternity registry searches for adoptions to an electronic process with a 10-day target, and House Bill 2809 would track child suicide attempts in managing conservatorship and require related reporting and parental notice; both were left pending. The committee also heard Senate Bill 1887, which would prohibit administering mRNA-containing products for immunization for 10 years, with exceptions for cancer and genetic disorders. Supporters argued the bill was needed for safety, informed consent, and medical freedom, while opponents from the medical, research, and public health communities said mRNA vaccines are well-studied, save lives, and that the bill would harm access, research, and Texas’s biotech economy. The bill remained under discussion as testimony concluded.