Transcript Highlights:

• </c> mandates in the fully insured market. mandates in the fully insured market.
• </c> insurance to their employees. insurance to their employees.
• </c> in the full insurance market. Thank you. in the full insurance market. Thank you.
• </c> does this but all lines of insurance. does this but all lines of insurance.
• </c> Insurers have had to adjust quickly. Insurers have had to adjust quickly.

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

Transcript Highlights:

• must submit completed templates to the Office of the Insurance Commissioner with carrier-level coverage
• Having an insurance card doesn't mean you have access.
• And to date, we've issued four enforcement issues to insurers and...
• from insurance companies.
• Almost 100% of my clients use their insurance to see me.

Bills: SB6226, SB6305, SB5924, SB5990, SB5185, SB5845, SB6071, SB6258

Keywords: SB 6226, Washington, audiology, audiologist, hearing aid specialist, speech-language pathologist, telehealth, teleaudiology, clinical autonomy, clinical judgment, in-person care, remote care, Board of Hearing and Speech, hearing instruments, hearing aids, dispensing hearing aids, standards of care, professional licensure, health professions regulation, patient-centered care

Summary: The Senate Health and Long-Term Care Committee met on January 30 and first moved through executive session on five bills. The committee adopted proposed substitutes and advanced Senate Bills 5999, 5185, 5845, 6071, and 6258 to the Rules Committee, all by voice vote and subject to signatures. SB 5999 would let smaller rural counties appoint an APRN or PA as an acting local health officer; SB 5185 creates a pilot pathway for international medical graduates toward physician licensure; SB 5845 revises timely payment rules for health carriers; SB 6071 standardizes overpayment recovery timelines; and SB 6258 creates a non-disciplinary pathway for relinquishing certain medical licenses. Several sponsors noted that SBs 5845 and 6071 were still being worked on with stakeholders. The committee then held a hearing on SB 6226, which would protect the clinical autonomy of audiologists and require the Board of Hearing and Speech to apply hearing-instrument rules consistently across care modalities, including telehealth. Testimony was overwhelmingly supportive, with witnesses emphasizing teleaudiology’s role in expanding access, especially for rural residents, older adults, and people with mobility challenges. One association witness supported the bill’s goals but warned it could be read too broadly and affect other regulatory standards. The hearing closed with 54 people signed in pro, none opposed, and two other. Next, the committee heard SB 6305, the Truth in Mental Health Coverage Act, which would require carriers to submit standardized annual data to the Office of the Insurance Commissioner on behavioral health coverage, access, reimbursement, utilization, and network participation, with public posting in raw files and dashboards. Supporters said the bill would make parity and access problems visible and help consumers compare plans; the OIC said it supported the transparency approach and was already engaged in parity oversight. Opponents argued the bill was premature given implementation of recent parity legislation and could add burdens without addressing workforce or network adequacy. The hearing closed with 396 signed in pro, two con, and zero other. Finally, the committee heard SB 5924, a proposed substitute expanding pharmacists’ prescriptive authority and limited diagnostic authority for certain drugs and conditions, consistent with a Department of Health sunrise review. Supporters from pharmacy, health care, retail, and rural access perspectives said it would reduce administrative barriers, improve access in underserved areas, and better use pharmacists’ training; some cited examples such as immunizations, contraception, opioid use disorder treatment, and minor illnesses. The Washington State Medical Association opposed the bill, saying it moved away from collaborative practice and needed more time to resolve concerns about coordination, pediatrics, and complex patients. A few testifiers raised objections to psychiatric prescribing or specific drugs, while others asked about reporting back to primary care. The hearing closed with 279 signed in pro, six con, and four other, and the committee adjourned after concluding its business.

Transcript Highlights:

• </c> insurance affordable for folks. insurance affordable for folks.
• </c> contribute to making health insurance contribute to making health insurance more<00:34:20.000><c
• are paid by those who buy the insurance are paid by those who buy the insurance<00:35:55.920><c> in<
• </c> insurance in their premiums. insurance in their premiums.
• </c> an additional report from the insurance an additional report from the insurance companies?

Bills: HF4502, HF3388, HF4106, HF400, HF4138, HF4118, HF4203

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

Transcript Highlights:

• A health carrier, for the purposes of this assessment, is any carrier offering health plans on the health
• This bill relates to a mechanism in the Affordable Care Act, which required that insurance carriers put
• I've been in consultation with the Office of the Insurance Commissioner and the carriers.
• Under the ACA, health benefit exchange plan carriers are required to hold a portion of insurance premiums
• This bill forces a major policy shift by imposing a mandatory assessment on health insurance carriers

Bills: SB6258, SB6182, SB5947, SJR8206, SB5823, SB6292

Keywords: Washington Medical Commission, medical license, license relinquishment, voluntary surrender, nondisciplinary pathway, physician regulation, health professional licensing, disciplinary database, National Practitioner Data Bank, license renewal, license reinstatement, medical board, professional discipline, credential surrender, healthcare regulation, abortion, reproductive health, pregnancy termination, clinic access, abortion access fund

Summary: The Senate Health and Long-Term Care Committee held a January 29 public hearing on six bills, moving through a large number of testifiers under a one-minute limit. The first bill, SB 6292, would create a joint legislative-executive committee on health care financing to study financing mechanisms for statewide access and coverage; the sponsor and several supporters from the Health Care Authority, insurance, hospital, medical, labor, and patient groups said it could help the state respond to affordability and sustainability challenges, while some suggested coordination and scope amendments. The committee also waived the five-day notice rule to hear SB 6258 and SB 6182 that morning. SB 6258 would create a non-disciplinary pathway for voluntary relinquishment of certain Washington Medical Commission licenses. Staff and supporters said it would provide a humane, due-process-friendly option for physicians and other licensees who need to leave practice without discipline; testimony from the Medical Commission and a physicians’ health program strongly supported it. SB 6182 would establish an abortion savings program funded by a new assessment on health carriers and direct the Department of Health to issue grants for abortion clinical care. Supporters argued it would protect abortion access and recoup funds set aside under the ACA, while opponents raised concerns about the assessment functioning as a tax, lack of opt-out, and impacts on premiums and conscience rights. The committee also heard SB 5947, which would create the Washington Health Care Board to design a universal state health plan if and when federal authority and funding become available. Supporters from labor, health care, student, tribal, and universal-care advocacy groups said it would prepare Washington for a future federal waiver and advance universal coverage; opponents argued it was too vague, costly in principle, or unnecessary. SJR 8206 would place a constitutional amendment on the ballot to declare affordable health care a fundamental right; testimony was sharply divided between supporters who said it would establish a clear state commitment and opponents who warned of legal uncertainty, vague terms, and future budget pressures. Finally, SB 5823 would require licensed hospitals to employ or provide access to a patient advocate to help patients navigate care, records, billing, and appointments. The sponsor said it was prompted by constituent concerns, while hospital and patient coalition witnesses supported the goal but asked for amendments to clarify staffing, exemptions, and scope. No votes on the bills were taken in the hearing; the committee adjourned after testimony concluded.

Transcript Highlights:

• already happening across insurance sectors.
• insurance companies, not health insurance companies.
• insurance companies, not health insurance companies.
• In cases related to coordination of benefits with another carrier, a carrier has 30 months to make that
• This is an increasingly common practice that we see across insurance carriers and across markets, and

Bills: SB5845, SB5916, SB6102, SB6071, SB6103, SB6159, SB5877, SB5967, SB5904, SB5915, SB6025

Keywords: health insurance, health carrier, insurance carrier, prompt pay, timely payment, claims processing, clean claim, remittance advice, provider reimbursement, hospital billing, medical billing, prior authorization, claims denial, interest on late claims, administrative penalty, Washington insurance commissioner, RCW 48, public employees benefits board, school employees benefits board, Medicaid managed care

Summary: The committee heard public testimony on several health care bills. SB 6159 would create a public hospital infrastructure account funded by a new coverage assessment on insurers and other premium-tax payers, to help public hospital districts and other public health entities finance major construction and modernization projects and allow more cooperative agreements among public hospitals. The sponsor and supporters said it would help public hospitals remain competitive and better serve rural and underserved patients, while opponents argued the assessment would raise health care costs, could sweep in property and casualty insurers and mutual companies, and might create legal and affordability problems. Testimony also raised concerns that the bill’s cooperation language could unintentionally narrow existing affiliations with nonpublic entities. The hearing closed with 5 signed in pro, 74 con, and 2 other. The committee then heard SB 5845, which would replace the current 95% timely-payment standard with a requirement that all clean claims be paid or denied within 30 days, with notice requirements for incomplete claims and interest or penalties for late payment. Hospitals, physicians, and health systems strongly supported the bill, saying delayed and unpredictable payments create major cash-flow and administrative burdens and that some large claims can remain unpaid for months or longer even when care was approved. Health plans opposed the bill, saying they already meet current standards, that the bill could limit their ability to investigate fraud, waste, and abuse or review high-dollar claims, and that it should include more balanced timelines and exceptions. The hearing closed with 69 signed in pro, 4 con, and 2 other. The committee also heard SB 5916, which would prohibit health plans, Medicaid managed care organizations, and public employee plans from disadvantaging non-opioid pain treatments relative to opioids through formulary placement or utilization management, and would require a Department of Health educational pamphlet on non-opioid options. Patients, recovery advocates, and rare disease advocates supported the bill as a way to improve access to safer pain care and reduce barriers like prior authorization and step therapy. The Health Care Authority and an insurers’ representative said they support access to non-opioids but were concerned the bill could require preferred status for all non-opioids whenever any opioid is preferred, increasing costs and limiting formulary management. The hearing closed with 8 signed in pro, 1 con, and 2 other. Later, the committee heard SB 6102, a technical bill to align the ambulance transport quality assurance fee with federal rules after changes in federal law limited new provider taxes. The ambulance association supported the bill, saying the existing fee has significantly improved wages and benefits for EMS workers and that the change is needed to preserve the program. The hearing closed with 50 signed in pro, 1 con, and 0 other. The committee also heard SB 6103, which would make Medicaid payments for rural emergency hospitals subject to appropriation and create a state framework for a rural hospital conversion model. Supporters from East Adams Rural Health Care and the Washington State Hospital Association said the bill would help keep rural emergency services viable, especially for communities along the I-90 corridor. The hearing closed with 58 signed in pro, 1 con, and 0 other. Finally, the committee heard SB 6071, which would shorten the time limit for insurers to seek overpayment recoveries from providers from two years to six months, or nine months for coordination-of-benefits cases, extending a standard already enacted for mental health and substance use disorder services. Providers from acupuncture, massage, podiatry, and other small practices supported the bill, saying long clawback periods create financial instability and administrative burden, while the remaining testimony was still being taken when the transcript ended.

Bills: SB2057, SB2109, SB2400, HB1752, SB2599, SB2930

Keywords: immigration enforcement, sanctuary policy, detainer, ICE, federal immigration authorities, 8 U.S.C. 1357(g), 8 U.S.C. 1373, 8 U.S.C. 1644, deportation, undocumented immigrants, noncitizen, migrant rights, local police cooperation, law enforcement cooperation, hold request, judicial warrant, probable cause, civil immigration enforcement, county police, state police

Transcript Highlights:

• He was at the head of several businesses across the Big Island, which included movie theaters, an insurance

Bills: SB2057, SB2109, SB2400, HB1752, SB2599, SB2930

Keywords: immigration enforcement, sanctuary policy, detainer, ICE, federal immigration authorities, 8 U.S.C. 1357(g), 8 U.S.C. 1373, 8 U.S.C. 1644, deportation, undocumented immigrants, noncitizen, migrant rights, local police cooperation, law enforcement cooperation, hold request, judicial warrant, probable cause, civil immigration enforcement, county police, state police

Bills: SB2057, SB2109, SB2400, HB1752, SB2599, SB2930

Keywords: immigration enforcement, sanctuary policy, detainer, ICE, federal immigration authorities, 8 U.S.C. 1357(g), 8 U.S.C. 1373, 8 U.S.C. 1644, deportation, undocumented immigrants, noncitizen, migrant rights, local police cooperation, law enforcement cooperation, hold request, judicial warrant, probable cause, civil immigration enforcement, county police, state police

Bills: SB2057, SB2109, SB2400, HB1752, SB2599, SB2930

Keywords: immigration enforcement, sanctuary policy, detainer, ICE, federal immigration authorities, 8 U.S.C. 1357(g), 8 U.S.C. 1373, 8 U.S.C. 1644, deportation, undocumented immigrants, noncitizen, migrant rights, local police cooperation, law enforcement cooperation, hold request, judicial warrant, probable cause, civil immigration enforcement, county police, state police

Bills: SB2057, SB2109, SB2400, HB1752, SB2599, SB2930

Keywords: immigration enforcement, sanctuary policy, detainer, ICE, federal immigration authorities, 8 U.S.C. 1357(g), 8 U.S.C. 1373, 8 U.S.C. 1644, deportation, undocumented immigrants, noncitizen, migrant rights, local police cooperation, law enforcement cooperation, hold request, judicial warrant, probable cause, civil immigration enforcement, county police, state police

Transcript Highlights:

• Next bill, SB 2961, SD1, HD1, relating to insurance. On behalf of the Senate, myself as Insurance.
• Thank you very much. relating to insurance. We have the relating to insurance.
• </c> insurance because of the flooding. insurance because of the flooding.
• It'll rebuild the house the insurance companies thought they had when they insured the house.
• </c> &gt;&gt; It's a it's a good insurance bill. &gt;&gt; It's a it's a good insurance bill.

Bills: SB2057, SB2109, SB2400, HB1752, SB2599, SB2930

Keywords: immigration enforcement, sanctuary policy, detainer, ICE, federal immigration authorities, 8 U.S.C. 1357(g), 8 U.S.C. 1373, 8 U.S.C. 1644, deportation, undocumented immigrants, noncitizen, migrant rights, local police cooperation, law enforcement cooperation, hold request, judicial warrant, probable cause, civil immigration enforcement, county police, state police

Bills: SB2057, SB2109, SB2400, HB1752, SB2599, SB2930

Keywords: immigration enforcement, sanctuary policy, detainer, ICE, federal immigration authorities, 8 U.S.C. 1357(g), 8 U.S.C. 1373, 8 U.S.C. 1644, deportation, undocumented immigrants, noncitizen, migrant rights, local police cooperation, law enforcement cooperation, hold request, judicial warrant, probable cause, civil immigration enforcement, county police, state police

Transcript Highlights:

• By way back on insurance, our... Mr.
• You know, current Arizona law requires motor carriers to carry liability insurance for bodily injury
• HB 4088 requires commercial motor carriers transporting agricultural commodities to maintain cargo insurance
• HB 2996 expressly provides that a certificate of insurance is not an insurance policy, does not amend
• insured.

Bills: HB2128, HB2255, HB2397, HB2429, HB2591, HB2680, HB2834, HB2868, HB2911, HB2951, HB2979, HB2991, HB2996, HB2999, HB4001, HB4011, HB4017, HB4020, HB4026, HB4086, HB4088, HB2244, HB2342

Keywords: homeowners associations, condominiums, open meetings, governance, transparency, Arizona Teachers Academy, teacher preparation, education funding, public schools, scholarships, teacher certification, community colleges, HOA, homeowners association, planned community, condominium, CC&Rs, covenants, conditions and restrictions, resale disclosure, association disclosure

Transcript Highlights:

• We have had significant increases in insurance costs, which are due to a variety of insurance costs and
• insurance companies challenging claims and then not paying.
• avenue for the consumer to create a savings account because of some of the things we're seeing in the insurance
• that up into, then I could pay that claims essentially out of that and keep that cost off of my insurance

Bills: HB2929, HB2956, HB2955, HB3128, HB3880, HB4294, HB2970, HB3338, HB3443, HB3783, HB3800, HB3818

Keywords: homeowner insurance, insurance premium, claim history, insurance regulation, at-fault claims, flood insurance, state law, consumer protection, appraisal management, Real Estate Appraiser Board, appraiser registration, background checks, ownership requirements, captive insurance, protected cell, sponsored captive, captive insurer, insurance commissioner, premium tax, dormant captive

Transcript Highlights:

• This particular bill focuses on insurance coverage, roof adoption, and you. For questions.
• The Oklahoma Insurance Department requests the following changes to update provisions related to the
• homeowner's insurance in the Oklahoma Insurance Code.
• Oklahoma Insurance Department. Thank you so much. Underwriting purposes.
• Oklahoma Insurance Department. Thank you so much. Have pass, see no questions.

Bills: HB2929, HB2956, HB2955, HB3128, HB3880, HB4294, HB2970, HB3338, HB3443, HB3783, HB3800, HB3818

Keywords: homeowner insurance, insurance premium, claim history, insurance regulation, at-fault claims, flood insurance, state law, consumer protection, appraisal management, Real Estate Appraiser Board, appraiser registration, background checks, ownership requirements, captive insurance, protected cell, sponsored captive, captive insurer, insurance commissioner, premium tax, dormant captive

Transcript Highlights:

• options. of companies writing health insurance right now.
• In a 2021 study, it was found that 50% of state insurance commissioners nationwide had joined the insurance
• That way, the insurance cost that we're trying to buy would be less.
• overall availability of insurance in the marketplace.
• It exempts TWIA from insurance premium maintenance taxes under .017.

Bills: SB1642, SB1643, SB2530

Keywords: Texas Department of Insurance, commission appointments, insurance regulation, oversight, consumer advocacy, insurance rates, property insurance, commercial automobile insurance, rate approval, consumer protection, windstorm insurance, Texas Windstorm Insurance Association, administrative penalties, coastal counties, 1184, house, all

Bills: HB241, HB267, HB467, HB673, HB744, HB798, HB1026, HB1027, HB1091, HB1096, HB1103, HB1212, HB1230

Keywords: financial records, consumer protection, banking law, disclosure, service of process, home inspectors, board membership, licensing, term limits, Louisiana State Board, residential roof, coastal zone, fortified roof, building standards, construction code, insurance, hurricane resilience, safety, security cameras, abandoned property

Transcript Highlights:

• They were told their insurance policy wasn't going to be renewed because their insurer wasn't writing
• This is important because it ensures insurance carriers cover revision and restorative procedures if
• Their insurance companies...
• carriers to cover those things.
• This bill doesn't create any new types of insurance or eliminate insurance.

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

Transcript Highlights:

• I represent the Texas Coalition for Affordable Insurance Solutions. Insurance solutions.
• Any insurer may provide personalized property and casualty insurance that creates economies of scale
• We're an insurance distribution firm delivering tailored insurance solutions as individuals together.
• The insured is our client, and the insurance carrier is our trading partner.
• The carrier can do so.

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

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
• A major insurance carrier was attempting to do this, to force you to buy auto in order to keep your homeowners
• 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