Video & Transcript Research : 'high-risk pool'
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MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 3/26/25
Commerce Finance and Policy
Transcript Highlights:
- It also benefits dentists by reducing the risks of non-payment with medical debt.
- So many people are struggling financially and have high levels of debt in general.
- If you could identify yourself for the record and begin. reducing the risks of reducing the risks of
- pocket when I'm at the dentist is high pocket when I'm at the dentist is high already<00:29:14.679
- They're low-margin, high-volume.
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
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 3/5/26
Commerce Finance and Policy
Transcript Highlights:
- And so we have our sickest, poorest people in this risk pool.
- And then we have, you know, this risk pool set up for teachers, and then we have this risk pool for us
- And so there are all these different risk pools out there.
- pool so that we're, um, you know, caring for each other through that risk pool.
- risk pool of people advocated for uh one risk pool of people that<00:43:12.319>
everybody <00:
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.
OK
Oklahoma 2026 Regular Session
Government Modernization and Technology Feb 9th, 2026 at 03:00 pm
Government Modernization and Technology
Transcript Highlights:
- So it will require human oversight for any high-risk decisions, transparency whenever there's AI-generated
Keywords:
broadband, Oklahoma Broadband Office, broadband access, statewide broadband plan, internet connectivity, funding, grant programs, expansion council, termination plan, Oklahoma, Gas Hub, artificial intelligence, national laboratory, public-private partnerships, aerospace, high-performance computing, economic development, state agencies, high-risk AI decisions, deepfakes
AL
Keywords:
contraceptive rights, healthcare access, civil action, Attorney General, contraception enforcement, prostate cancer, health insurance, screening, high risk, cost-sharing, African American men, savings accounts, catastrophe, emergency funds, financial security, state laws, criminal justice, parole, Board of Pardons and Paroles, risk assessment
TX
Texas 89th Regular
Trade, Workforce & Economic Development Apr 30th, 2025
Trade, Workforce & Economic Development
Transcript Highlights:
- Office of Risk Management.
- fund where agencies can pay into something similar to a risk pool to cover losses.
- Stephen Allbreath, testifying on behalf of the State Office of Risk Management.
- High production costs, high shortages of labor.
- It's the high fuel prices.
Bills:
HB1958, HB2031, HB2879, HB3285, HB3995, HB4487, HB4558, HB4560, HB4876, HB4899, HB5212, HB5317, HB5543, HB5567, SB1333
Keywords:
firearm possession, tenant rights, landlord regulations, civil penalties, property code, justified use of force, deadly force, property rights, home defense, smart devices, data privacy, personal data collection, user consent, mobile application, data transparency, HOA, property owners association, property owners' association, Texas Property Code, Chapter 202
MN
Minnesota 2025-2026 Regular Session
Human Committee Meeting - 2026-04-09
Human Services Finance and Policy
Transcript Highlights:
- It's been labeled as one of the 14 high-risk programs by DHS. staff. I just need to case staff.
- The growth of ICS is often described as exponential and lumped in with other high-risk services that
- The growth of ICS is often described as exponential and lumped in with other high-risk services that
- As you know, this benefit has now been added to the 14 high-risk services.
- Thank you, Chair Noor. and education, particularly in high and education, particularly in high risk,<
Keywords:
human services, community support, integrated care, disability services, stakeholder consultation, homeless youth, grants, funding, Minnesota, mental health, substance use disorder, education, workforce development, licensure, direct care services, healthcare, long-term care, personal care assistants, employment support, medical assistance
Summary:
The Human Services Finance and Policy Committee approved the April 8, 2026 minutes and then heard House File 1767, as amended by the DE4 amendment. Representative Garande explained that the bill, originally intended to codify Integrated Community Supports (ICS), was being redirected because of concerns about fraud vulnerability and program integrity. The DE4 would create a smaller legislative study group to redesign ICS, pause DHS changes for about six months while the group develops a transition plan, continue DHS fraud investigations and enforcement, and ultimately terminate ICS as currently structured.
Testimony in support came from Mr. Buck and Zania Harut of the Residential Providers Association of Minnesota, both of whom argued that ICS is unstable, inconsistently implemented, and in need of a new statutory foundation. They said the current system mixes different service models under one rate framework, lacks clear codification, and has shifting policy guidance that creates compliance problems for providers and risks to people receiving services. They emphasized that the bill would preserve oversight and enforcement while allowing time to build a replacement service with clearer rules, documentation standards, and guardrails.
Members asked about effects on counties, providers, data, audits, and fraud enforcement. Representative Curran and Mr. Berg said the bill would not change funding structures or DHS’s existing authority to audit, request documentation, investigate fraud, or sanction bad actors, and that the study group would use existing data to identify where problems are concentrated. Vice Chair Gillman supported the study-group approach as a bipartisan, public process and raised concerns about whether the bill would prevent DHS from acting on known fraud; Curran responded that the language was intended to preserve those enforcement actions. The discussion ended without a final vote on the bill in the portion provided, beyond adoption of the DE4 amendment.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/17/26
Human Services Finance and Policy
Transcript Highlights:
- grandiose, over-the-top, a high-level grandiose, over-the-top, a high-level report<00:40:59.040>
- that we didn't um concentrate high-needs that we didn't um concentrate high-needs residents<01:18
- And we have a individuals at risk.
- <01:27:14.080>
individual high-quality care for every individual high-quality care for every - are just uncomfortable with high-density are just uncomfortable with high-density populations<01
Keywords:
workplace regulations, employee rights, meal breaks, rest breaks, exemptions, medical assistance, data matching, eligibility, reporting, human services, assisted living, health regulations, inspection authority, vulnerable adults, local government, program integrity, high-risk providers, enrollment requirements, fraud prevention, compliance
TX
Transcript Highlights:
- pools.
- So, like when a church files, I understand a risk pool—obviously they've been around in Texas for a long
- insurers who can reject high-risk policies.
- We're riding 50-plus percent of the risks in Tier 1.
- I was diagnosed with high blood pressure... ...high cholesterol, iron deficiency, and prediabetes.
Bills:
HB778, HB 1266, HB1576, HB2213, HB2517, HB2518, HB2841, HB3306, HB3320, HB3388, HB3508, HB3520, HB3689
Keywords:
credentialing, healthcare, physician assistants, advanced practice nurses, managed care, hurricane, windstorm, loss mitigation, grants, insurance discounts, property retrofitting, insurance, Texas Windstorm Insurance Association, board composition, coastal counties, property insurance, taxation, Texas FAIR Plan Association, premium taxes, maintenance taxes
TX
Transcript Highlights:
- Part of it is due to the concentration of... of risk and the risk of storms.
- Insurance is about the pooling and spreading of risk. We are one state.
- The idea is that the more risk you have pooled, the cheaper it is.
- of risks.
- Property and casualty insurance rates are very high, at an all-time high.
Bills:
HB778, HB 1266, HB1576, HB2213, HB2517, HB2518, HB2841, HB3306, HB3320, HB3388, HB3508, HB3520, HB3689
Keywords:
credentialing, healthcare, physician assistants, advanced practice nurses, managed care, hurricane, windstorm, loss mitigation, grants, insurance discounts, property retrofitting, insurance, Texas Windstorm Insurance Association, board composition, coastal counties, property insurance, taxation, Texas FAIR Plan Association, premium taxes, maintenance taxes
AL
Alabama 2026 1st Special 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
NM
Transcript Highlights:
- The Investment Committee itself is a closed-door meeting, so the discussion in that room is very high
- At the risk of stating the obvious, I think it's helpful to sometimes just reflect that we're really
- If structured properly, a state investment could provide New Mexico the same low-risk and high-value
- returns that current out-of-state shareholders foresee. ...risk and high-value returns that current out-of-state
- They can raise rates way high, which would cause the people of New Mexico harm, or I guess the option
Keywords:
youth violence, violence prevention, violence intervention, community violence intervention, credible messengers, peer support, restorative justice, violence interrupters, juvenile justice, at-risk youth, high-risk youth, public safety, Department of Health, New Mexico, statewide summit, data collection, reporting, interagency coordination, community-based organizations, law enforcement
AL
Transcript Highlights:
- He serves as a coordinator of resilience risk reduction and suicide prevention for the Alabama Air National
- of the language that we put in this board came from concepts that other states had, especially the risk
Keywords:
jury duty, nursing mothers, exemption, legal rights, parental responsibilities, sexual extortion, criminal law, felony, threat, blackmail, firearm possession, domestic violence, violent offenses, criminal penalties, pretrial detention, bail, offenses, constitutional amendment, criminal justice, law enforcement
MN
Minnesota 2025-2026 Regular Session
Workforce Development Committee Meeting - 2026-04-09
Workforce, Labor, and Economic Development Finance and Policy
Transcript Highlights:
- It's a low-risk, high-reward investment for the state.
- And that unified pool has unified pool.
- We're expanding the public facilities pool to support the high-demand projects that we're seeing for
- <00:36:29.760>
15 smaller shear pool pool over the last 15 smaller shear pool pool over the - . risk. risk.
Keywords:
bioindustrial facilities, economic development, renewable energy, advanced biofuels, state funding, HF2252, Minnesota bonding, volume cap, private activity bonds, tax-exempt bonds, public facility bonds, public facilities pool, unified pool, bond allocation, municipal finance, bond cap, housing bonds, residential rental projects, manufacturing bonds, enterprise zone bonds
Summary:
The committee first approved the prior day’s minutes as amended, correcting the meeting number from the 46th to the 45th meeting. It then took up House File 3217, which would restore funding for the Minnesota Bioincentive Program. Representative Kisha argued the state should honor commitments made to companies that met program requirements and had not received full reimbursement. Testifiers from the Great Plains Institute and Minnesota Biofuels Association said the program has supported bioeconomy investment, reduced greenhouse gas emissions, and generated strong economic returns, but has been underfunded, leaving unpaid claims. Members raised questions about whether the bill was retrospective and whether it should be reviewed by another committee; the bill was laid over for further consideration without a vote.
The committee then heard House File 2252, a proposal to modernize Minnesota’s private activity bond volume cap by shifting unused allocation from the small issuer/manufacturing bucket to the public facilities bucket while leaving the overall cap unchanged. The bill’s public finance testifier said the current allocation formula is outdated, housing would remain the top priority, and the change would be budget neutral. Testifiers from the Minnesota Milk Producers Association and Minnesota Biofuels Association supported the bill, saying it would better align financing with rural infrastructure, clean water, manure management, renewable natural gas, dairy processing, and low-carbon fuel projects, and could lower borrowing costs for those sectors. Members questioned whether the bill fit the committee’s jurisdiction and noted it might be more appropriate for another committee; the bill was also laid over for further consideration.
AL
Transcript Highlights:
- This basically expands the insurance plan and coverage for gentlemen that are at higher risk of prostate
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
MN
Minnesota 2025-2026 Regular Session
Commerce Committee Meeting - 2026-03-26
Commerce Finance and Policy
Transcript Highlights:
- My name is Ruby Ikenbrock, and I'm a high schooler in Minnesota.
- My name is Ruby Ikenbrock and I am a high schooler in Minnesota.
- My name is Ruby Ikenbrock and I'm a high My name is Ruby Ikenbrock and I'm a high schooler<00:59
- >> is Ruby Ikenbrock and I am a high >> is Ruby Ikenbrock and I am a high schooler<00
- By creating high-friction entry, we risk cutting off vulnerable youth from the very tools they use to
Keywords:
trusted contact, financial exploitation, elder abuse, elder financial abuse, fraud prevention, financial institution, banking, credit union, broker-dealer, account security, dormant account, consumer protection, scam, suspicious activity, protective services, law enforcement reporting, Minnesota Statutes chapter 45A, HF3388, Minnesota premium security plan, reinsurance
FL
Transcript Highlights:
- rails all the way to your dial-a-bus or your paratransit. ...from your rail state, your high-speed rails
- that status must be litigated after the fact, creating uncertainty and causing contractors to price risk
- point out is, if we put sovereign immunity, if we get rid of it, or if we put it at a level that is so high
- point out is if we put sovereign immunity, if we get rid of it, or if we put it at a level that is so high
- It sets a sales threshold and requires any such high-volume brands to be represented by a set number
Keywords:
sovereign immunity, public transit, contractors, liability, state agents, transportation, traffic signal modernization, seaports, commercial space launch, micromobility, automated license plate recognition, railroad crossing safety, railroad crossings, grade crossing, public railroad-highway grade crossing, rail safety, crossing technology, advanced detection systems, monitoring systems, sensors
Summary:
The Transportation Committee took up several measures and adopted amendments on multiple bills. SB 1274, as amended, removed a number of provisions from the original bill and added items including local authority to lower residential street speed limits, clarification on obscured license plates, FDOT funding for certain rural airport aviation projects, limits on yellow-light timing changes tied to red-light cameras, changes to private use of license plate readers, and other transportation-related revisions. After brief questions and supportive testimony, the committee reported the bill favorably.
The committee also approved SB 1310, which was converted into a study bill directing FDOT to study advanced detection and monitoring systems at public railroad crossings and report findings and policy options to the governor and legislature. Railroad industry testimony supported the study but raised concerns about interoperability with train safety systems and suggested the study consider additional safety tools such as red-light cameras and wayside horns. The committee adopted the amendment and reported the bill favorably. SB 828, as amended, would extend sovereign immunity protections to private contractors providing public transit services on behalf of governments, with supporters saying it would reduce costs and provide certainty for transit providers, while opponents warned it was an overbroad expansion of sovereign immunity and could conflict with railroad employee protections under federal law. The committee reported that bill favorably as well.
The committee then passed SB 1378, which strengthens traffic enforcement by clarifying when vehicles may be treated as abandoned, adding penalties for unlawfully attached plates or stickers, and allowing forfeiture of vehicles used to flee law enforcement even without an immediate arrest. It also approved SB 1562, which aims to prevent manufacturers from concentrating sales of certain vehicle brands through a single dealer group and instead promote competition among independent dealers. In addition, the committee unanimously confirmed a slate of appointees, and members later recorded additional affirmative votes on several bills before adjourning.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/24/26
Human Services Finance and Policy
Transcript Highlights:
- And so, we're working on that program to do the pre-payment review for high-risk programs in the fee-for-service
- Within 15 days of a program being designated high risk, the commissioner must establish a pre-payment
- They're high needs, no matter what. High needs from dusk till dawn and through until dusk again.
- needs no matter they're they're high needs no matter they're high<00:57:39.560>
needs <00:57:39.960 - >
from <00:57:40.440>dusk <00:57:41.040>till high needs from dusk till high needs
Keywords:
Medical Assistance, Medicaid, prepayment review, claims review, fee-for-service, provider integrity, high-risk provider, high-risk service, fraud prevention, program integrity, Department of Human Services, CMS, Centers for Medicare and Medicaid Services, health care billing, medical claims, provider enrollment, Indian Health Service, Minnesota Statutes chapter 256B, human services, medical assistance
AL
Transcript Highlights:
- Um, the same thing of the elimination of cost, and then it adds a caveat around, um, 40 and at risk,
Keywords:
HB300, Choctaw County, probate court, probate judge, recording fee, filing fee, deed tax, mortgage tax, deeds, mortgages, property records, recordation, county local act, local legislation, technology upgrades, digitalization of records, recordkeeping, county treasury, special fund, court administration
NV
Transcript Highlights:
- really appreciate the way that there have been some parameters put in place because we know there is a risk
- There is not a massive pool of applicants.
- In fact, there's oftentimes next to no pool of applicants.
- How much do you feel the salary impacts our ability to draw from a more... ...robust pool?
Keywords:
Nevada gaming, gaming regulation, sports pool, race book, interactive gaming, slot machines, restricted license, Gaming Control Board, Gaming Commission, game approval, administrative approval, service provider, cash access, wagering instruments, global risk management, information service, sports wagering, pari-mutuel wagering, casino regulation, gaming license
AL
Keywords:
vaccination, parental consent, minors, medical consent, guardian approval, sex offender, employment, first responder, childcare, public safety, juvenile protection, emergency orders, child custody, court authority, abuse and neglect, firearm possession, law enforcement, criminal penalty, concealed carry, Alabama law