Video & Transcript DataContr Research : 'benefit plan'

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TX

Texas 2025 - 89th Regular

Health and Human Services Apr 1st, 2025

Senate Health & Human Services Committee

Transcript Highlights:
  • Is it the health plan?
  • When it comes to the mask requirement, we did have one remedial plan.
  • Remedial plans are non-disciplinary.
  • This bill is not about ERISA; it's simply meant to identify TDI-regulated plans.
  • My name is [unintelligible], with the Texas Association of Health Plans.
Summary: The meeting centered on multiple significant legislative proposals aimed at healthcare reforms, notably focused on the operations of pharmacy benefit managers (PBMs) and their impact on local pharmacies. Senator Hughes led the discussion on SB1236, which aims to regulate PBMs to prevent anti-competitive practices that have led to the closure of numerous community pharmacies. Testimonies from various stakeholders, including pharmacists, highlighted the challenges posed by current PBM practices, such as aggressive audit tactics and contract terms that disadvantage small pharmacies. The bill was generally supported in the committee due to its potential to restore balance and fairness in pharmacy operations.
TX

Texas 2025 - 89th Regular

Insurance Apr 30th, 2025 at 08:04 am

House Insurance Committee

Transcript Highlights:
  • They may require that we cover benefits, or they may make these...
  • These programs only alert health plans which lab claims filed are within policy coverage or not.
  • and thus lower costs for health plans.
  • ...health plans across the U.S.
  • for health benefit plan issuers and utilization review agents
Summary: The meeting of the House Committee on Insurance focused on several significant bills, including HB854, which aims to reform insurance payment structures to improve accessibility for homeowners needing urgent repairs. Representative Garcia-Hernandez strongly advocated for this bill, highlighting the struggles faced by constituents unable to cover upfront repair costs. Additionally, HB4092 was discussed, which seeks to clarify regulations surrounding pre-suit notices in insurance claims, emphasizing the importance of protecting policyholders' rights. The meeting included various testimonies, with both supporters and opponents voicing their concerns about how these bills could impact consumers and the insurance industry.
TX

Texas 2025 - 89th Regular

Insurance Apr 30th, 2025 at 10:04 am

House Insurance Committee

Transcript Highlights:
  • ...and out-of-network benefits if the provider is ultimately
  • their practice, the new doctor must go through a lengthy credentialing process with health insurance plans
Summary: The meeting focused on House Bill 1642, which aims to establish an expedited credentialing process for chiropractors to help ensure patients receive timely treatment. Representative Cain presented the bill and emphasized that the lengthy credentialing delays harm patients seeking prompt care. Witnesses, including representatives from the Texas Chiropractic Association, voiced support for the bill, reiterating how essential it is for chiropractors to have the same expedited process available as other healthcare providers. The discussions highlighted the impact of delays in credentialing on patient care, particularly for those in pain, and proposed that the bill would alleviate these issues by enabling faster access to care for chiropractic patients. The meeting also included public testimony, where individuals expressed their concerns about current delays and the financial burden on patients. Representative Cain responded to queries and emphasized the importance of passing the bill to prevent unnecessary suffering and provide patients with timely access to chiropractic services. Ultimately, HB 1642 was left pending, allowing for further consideration, and the meeting concluded with appreciation for the witnesses and attendees present.
TX

Texas 2025 - 89th Regular

Insurance Apr 9th, 2025 at 08:00 am

House Insurance Committee

Transcript Highlights:
  • adding "affiliate of a health insurance plan" to the statute.
  • to a traditional plan.
  • I'm a state retiree on a PPO plan and you know I was...
  • I understand why the plans would not be comfortable with that.
  • The Affordable Care Act has a list of 10 essential health benefits.
Summary: The meeting of the committee included discussions concerning various bills primarily related to insurance policies, their regulations, and procedures. Notably, HB3812 was introduced to further streamline the prior authorization process in healthcare, enhancing the ease for practitioners to receive approvals for common procedures. The committee also deliberated over HB2213, which focused on the restructuring of the board of directors for the Texas Windstorm Insurance Association, and there was broad consensus to move it forward. Several other bills, such as HB2518, addressing installment premium payment plans for windstorm insurance, were also discussed and moved to be reported favorably without amendments.
TX

Texas 2025 - 89th Regular

Insurance Apr 9th, 2025 at 10:30 am

House Insurance Committee

Transcript Highlights:
  • offered by church benefit boards from the list of required plans as they are already exempt from the
  • Secondly, it prevents PBMs, health benefit plans,

  • It does not prohibit a Medicare supplement benefit plan
  • A health benefit plan on page three, a health benefit plan issuer that provides prescription drug benefits
  • I feel like this could fracture the benefit plans into separate pieces, adding layers of administrative
Summary: The House Committee on Insurance convened to discuss multiple bills aimed at enhancing consumer protection and improving access to essential services. Notable discussions included HB2528, which seeks to eliminate prior authorization requirements for medications treating substance use disorders, thereby expediting access to crucial treatments for Texans. Representative Boosie laid out HB722, addressing transparency in auto insurance valuation processes, prompting engagement from various witnesses on how current practices potentially exploit consumers. Members voiced concerns about the intersection of bureaucratic delays and the urgency of addiction treatment, emphasizing the bill's potential life-saving implications.
TX

Texas 2025 - 89th Regular

Insurance May 7th, 2025 at 08:05 am

House Insurance Committee

Transcript Highlights:
  • and health benefit plan issuers or pharmacy benefit managers
  • plan to provide.
  • Do commercial plans already handle this?
  • to cover it as a covered benefit.
  • Ideally, we can treat this dental decay before it gets to this point with a health benefit plan that
Summary: The meeting of the House Committee on Insurance centered around numerous healthcare-related bills, focusing heavily on issues such as artificial intelligence (AI) in medical determinations, autism insurance coverage, and HIV prevention. Representative Garcia Hernandez presented HB4635, aiming to ensure transparency in the use of AI in medical claim denials, which has become increasingly prevalent. The bill introduces mandates for disclosures on AI algorithms used in decisions, enhancing patient rights and keeping the Texas Department of Insurance informed of potential denials. Public testimony supported the bill as essential for safeguarding Texans from unintended biases in AI applications. Additionally, HB813, presented by Representative Goodwin, garnered attention for its effort to update autism-related insurance mandates, removing outdated age restrictions for therapy coverage. This legislation is seen as a crucial step in accommodating the needs of all individuals on the autism spectrum, regardless of the timing of their diagnosis.
TX

Texas 2025 - 89th Regular

Health and Human Services May 20th, 2025

Senate Health & Human Services Committee

Transcript Highlights:
  • We also go through the benefits so that they can make an...
  • We have to take time to plan and define our forever family.
  • We took months already to plan.
  • They've created a hospital plan.
  • This is a benefit plan that provides enrollees with a clearly
Summary: The meeting of the Senate Committee on Health and Human Services discussed multiple bills focused on diverse health issues including maternal care, organ transplant eligibility, and child welfare regulations. Notably, HB215, presented by Senator Perry, received attention for its provisions on requiring itemized bills from healthcare providers to enhance transparency. The bill garnered support from various witnesses who emphasized the importance of clearer billing processes for patients. Another significant discussion point was HB4076, which aimed to prevent discrimination against individuals seeking organ transplants based on vaccination status. This bill sparked public testimony highlighting the ethical implications of such mandates on vulnerable patients, especially children. Overall, the committee's deliberations emphasized a commitment to improving health care transparency and patient rights in Texas.
TX

Texas 2025 - 89th Regular

Insurance Apr 23rd, 2025 at 08:04 am

House Insurance Committee

Transcript Highlights:
  • plan issuers.
  • plans offered in this state.
  • It applies these changes to health benefit plans delivered, issued for delivery, or renewed on or after
  • This is a transparent limited benefit plan that ...provides
  • It is a very limited health benefit plan, again, not health
Summary: The House Committee on Insurance meeting covered multiple bills focused on healthcare regulations and patient accessibility. Notably, House Bill 3057 was highlighted in testimony from citizens advocating for expanded access to CAR T-cell therapy, which has shown effectiveness for blood cancers. Testimonies were given by affected individuals, emphasizing the need for local treatment options without the burden of travel to distant medical facilities. Similarly, House Bill 4603 was laid out with the intent to align arbitration options and ensure that consumers receive timely resolutions in disputed medical charges. Overall, the committee demonstrated an active engagement with the public and various stakeholders while navigating key issues affecting health insurance and patient care in Texas.
TX

Texas 2025 - 89th Regular

Insurance Apr 23rd, 2025 at 10:04 am

House Insurance Committee

Summary: The committee meeting primarily focused on discussions surrounding SB458 and its companion bill HB4570, which address appraisal provisions in insurance policies. Chairman Dean emphasized the importance of preserving consumer rights regarding appraisals in dispute resolution and thanked stakeholders for their involvement. Testimonies were presented by various experts who supported the bill, highlighting how it could help consumers by providing a more efficient alternative to litigation in settling claims and potentially leading to higher awards for policyholders. The bill aims to streamline the appraisal process and ensure timely resolutions for insurance claims related to both personal and auto insurance.
TX

Texas 2025 - 89th Regular

Land & Resource Management Apr 17th, 2025 at 08:04 am

House Land & Resource Management Committee

Transcript Highlights:
  • I have limited benefits compared to municipality employees who do get benefits.
  • the great master plan community that we have envisioned.
  • 181" data-time="1080"> voluntarily agreed not to include multifamily housing and adjusted our road plan
  • to align with the county's thoroughfare plan.
  • So, the traffic study typically is done after we've created a land plan and we know how many lots...
Summary: The committee meeting focused on a variety of bills, with notable discussions surrounding the challenges faced by municipalities in managing growth and public safety. Bills such as HB447 and HB3897 sparked conversations on the impact of Municipal Utility Districts in high-density areas and the necessity of thorough traffic impact assessments before approving new developments. Representative Cook highlighted concerns over a specific project related to HB3671, which aimed to dissolve a municipal district due to contradictory prior agreements. Public testimonies included concerns from residents, signaling the tension between development needs and public safety requirements.
TX

Texas 2025 - 89th Regular

State Affairs Mar 12th, 2025 at 10:30 am

House State Affairs Committee

Transcript Highlights:
  • So is the overall plan materially complied with? Maybe.
  • Every utility in Texas will have a plan.
  • The plan and the timing of it are very important.
  • We've talked a lot about plans today and after-action plans
  • Just wanted to give the committee the benefit of...
Summary: During the committee meeting, significant discussions focused on wildfire prevention and emergency communication. Notably, House Bill 13 was presented as a critical measure aimed at improving interoperability among emergency communication systems to respond effectively to disasters. Witnesses, including representatives from Texas 2036 and local emergency responders, testified in support of the bill, emphasizing the increasing wildfire risks faced due to climate change. They argued that this bill will establish a statewide plan to harmonize communication systems and enhance local governments' capacity to respond to emergencies effectively. The discourse highlighted the historical context of Texas wildfires and the necessity of streamlined communication among first responders during critical incidents.
TX

Texas 2025 - 89th Regular

Health and Human Services (Part II) May 21st, 2025

Senate Health & Human Services Committee

Transcript Highlights:
  • physician also accepts this plan.
  • all regulated health plans in the state.
  • Every plan handles it slightly differently, and so that just really...
  • In addition to that, it also has the benefit of...
  • So, there are a lot of benefits that come from this.
Summary: The committee meeting featured extensive discussions surrounding various bills, notably focusing on HB3284, which aims to establish a commission to promote marriage and family stability while addressing the needs of vulnerable children in the Texas foster care system. Witnesses provided diverse perspectives, with some expressing support for the bill's goal of strengthening family units, while others raised concerns about the potential discrimination against single-parent households and LGBTQ+ families. Additional highlights included debates on HB1106 regarding the treatment of transgender youth and HB4638, which sought to streamline the state's engagement with developers and capacity builders, addressing concerns over administrative efficiencies and child welfare.
TX

Texas 2025 - 89th Regular

Health and Human Services (Part I) May 21st, 2025

Senate Health & Human Services Committee

Transcript Highlights:
  • It's not an alternate health plan; it's an alternate medical
  • " data-time="4500"> medications, perform detailed physical exams, and carry out physician-led care plans
  • "1057" data-time="6336"> The challenge we face in Texas is not a lack of understanding about the benefits
  • are not all recognized in Texas and in federal law as well when you're trying to access certain benefits
  • Before they can have access to benefits for a disabled child
Summary: The committee meeting convened to discuss a variety of bills primarily related to healthcare and early childhood education. Notably, the committee reported favorably on several bills including HB721, HB2035, and HB2038, with all receiving unanimous support of 7-0. Senator Perry played a crucial role in moving the bills forward, advocating for their inclusion on the local and uncontested calendars. Furthermore, there was significant discussion surrounding HB3940, which addresses Medicaid eligibility for newborns, emphasizing the necessity for automatic enrollment to avoid gaps in coverage for infants during critical early stages of development. The meeting was characterized by the committee's cohesive efforts to streamline processes and enhance the efficiency of healthcare services for vulnerable populations.
TX

Texas 2025 - 89th Regular

89th Legislative Session May 7th, 2025 at 10:05 am

Texas House Floor Meeting

Transcript Highlights:
  • Speaker, this is the Texas plan for preschoolers with disabilities.
  • plan issuers and administrators.
  • It is a health benefits plan with a set number.
  • plan issuers or Pharmacy Benefit Managers.
  • , the needs of those with disabilities in their transportation plans and move adoption.
Bills: HB200, HB541, HB1803, HB30, HB175, HB249, HB721, HB851, HB897, HB1128, HB1904, HB1916, HB5560, HB3071, HB5627, HB5435, HB3913, HB2921, HB2695, HB2688, HB3045, HB3483, HB3673, HB4213, HB4226, HB783, HB4373, HB4735, HB5155, HB5057, HB4984, HB4944, HB4813, HB5339, HB5196, HB5033, HB4853, HB3486, HB4211, HB74, HB4670, HB4730, HB4743, HB4603, HB4463, HB3892, HB4139, HB4752, HB4520, HB4517, HB4486, HB4437, HB4426, HB4396, HB4263, HB3487, HB3418, HB2284, HB2266, HB2229, HB4912, HB2189, HB4506, HB5269, HB5224, HB5195, HB3317, HB4166, HB3947, HB3358, HB3370, HB4438, HB3745, HB3602, HB3697, HB2001, HB1968, HB3371, HB3909, HCR7, SB1744, SB1364, SB1316, HB2026, HB3302, HB3368, HB1639, HB5652, HB4655, HB5654, HB5658, HB5656, HB4894, HB4996, HB5088, HB5650, HB4464, HB3751, HB5665, HB5661, HB1237, HB2802, HB5437, HB2703, HB5666, HB5667, HCR113, HCR86, SB2196, SB463, SB856, SB1245, SB1169, SB509, SB985, SB305, SB552, HB1535, HB123, HB1804, HB426, HB1773, HB1871, HB2035, HB2492, HB1411, HB4753, HB4666, HB4529, HB1499, HB1610, HB2028, HB1506, HB886, HB3546, HB796, HB223, HB3556, HB2448, HB4638, HB111, HB180, HB1027, HB1178, HB610, HB1277, HB1615, HB1620, HB5342, HB4885, HB4751, HB4530, HB4488, HB2149, HB2071, HB2282, HB2248, HB2243, HB2522, HB2310, HB2513, HB2300, HB1902, HB1813, HB3719, HB4284, HB3743, HB3778, HB5153, HB5147, HB4877, HB4850, HB3261, HB3005, HB3033, HB2849, HB2967, HB3531, HB1768, HB333, HB2914, HB2613, HB3717, HB3704, HB2697, HB3801, HB3099, HB3488, HB3477, HB3466, HB3396, HB3469, HB2594, HB2776, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB5111, HB5446, HB1181, HB3963, HB2785, HB1661, HB2460, HB200, HB541, HB1803, HB30, HB175, HB249, HB721, HB851, HB897, HB1128, HB1904, HB1916, HB5560, HB3071, HB5627, HB5435, HB3913, HB2921, HB2695, HB2688, HB3045, HB3483, HB3673, HB4213, HB4226, HB783, HB4373, HB4735, HB5155, HB5057, HB4984, HB4944, HB4813, HB5339, HB5196, HB5033, HB4853, HB3486, HB4211, HB74, HB4670, HB4730, HB4743, HB4603, HB4463, HB3892, HB4139, HB4752, HB4520, HB4517, HB4486, HB4437, HB4426, HB4396, HB4263, HB3487, HB3418, HB2284, HB2266, HB2229, HB4912, HB2189, HB4506, HB5269, HB5224, HB5195, HB3317, HB4166, HB3947, HB3358, HB3370, HB4438, HB3745, HB3602, HB3697, HB2001, HB1968, HB3371, HB3909, HCR98, HCR92, HCR126, HCR7
Summary: The committee meeting focused on the passage of multiple bills with significant discussions surrounding digital content authenticity, mental health treatments, and veterans' recognition. One of the notable moments was the passing of HB4437, which establishes requirements for the Department of Information Resources to authenticate digital media to combat misinformation through AI technologies. Representative Capriglione emphasized its importance in addressing the rise of synthetic media, which generated unanimous support among lawmakers. The meeting also included the passage of HB4014, concerning research on utilizing psychedelic therapies to treat mental health conditions. Lawmakers expressed enthusiasm about advancing innovative healthcare solutions in Texas.
TX

Texas 2025 - 89th Regular

Senate SessionReading and Referral of Bills Feb 28th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • plan issuer in relation to affiliated and non-affiliated providers of health and human services.
  • Relating to electronic benefits transfer cards used by and
  • for recipients of benefits under certain assistance programs to state affairs.
  • plan information to health and human services.
  • plan policy.
Bills: SJR36, SJR3, SB616, SB565, SB384, SB5, SJR52, SJR53, SJR54, SJR55, SCR18, SCR19, SCR22, SB27, SB29, SB35, SB1151, SB1152, SB1153, SB1154, SB1155, SB1156, SB1157, SB1158, SB1159, SB1160, SB1161, SB1162, SB1163, SB1164, SB1165, SB1166, SB1167, SB1168, SB1169, SB1170, SB1171, SB1172, SB1173, SB1174, SB1175, SB1176, SB1177, SB1178, SB1179, SB1180, SB1181, SB1182, SB1183, SB1184, SB1185, SB1186, SB1187, SB1188, SB1189, SB1190, SB1191, SB1192, SB1193, SB1194, SB1195, SB1196, SB1197, SB1198, SB1199, SB1200, SB1201, SB1202, SB1203, SB1204, SB1205, SB1206, SB1207, SB1208, SB1209, SB1210, SB1211, SB1212, SB1213, SB1214, SB1215, SB1216, SB1217, SB1218, SB1219, SB1220, SB1221, SB1222, SB1223, SB1224, SB1225, SB1226, SB1227, SB1228, SB1229, SB1230, SB1231, SB1232, SB1233, SB1234, SB1235, SB1236, SB1237, SB1238, SB1239, SB1240, SB1241, SB1242, SB1243, SB1244, SB1245, SB1246, SB1247, SB1248, SB1249, SB1250, SB1251, SB1252, SB1253, SB1254, SB1255, SB1256, SB1257, SB1258, SB1259, SB1260, SB1261, SB1262, SB1263, SB1264, SB1265, SB1266, SB1267, SB1268, SB1269, SB1270, SB1271, SB1272, SB1273, SB1274, SB1275, SB1276, SB1277, SB1278, SB1279, SB1280, SB1281, SB1282, SB1283, SB1284, SB1285, SB1286, SB1287, SB1288, SB1289, SB1290, SB1291, SB1292, SB1293, SB1294, SB1295, SB1296, SB1297, SB1298, SB1299, SB1300, SB1301, SB1302, SB1303, SB1304, SB1305, SB1306, SB1307, SB1308, SB1309, SB1310, SB1311, SB1312, SB1313, SB1314, SB1315, SB1316, SB1317, SB1318, SB1319, SB1320, SB1321, SB1322, SB1323, SB1324, SB1325, SB1326, SB1327, SB1328, SB1329, SB1330, SB1331, SB1332, SB1333, SB1334, SB1335, SB1336, SB1337, SB1338, SB1339, SB1340, SB1341, SB1342, SB1343, SB1344, SB1345, SB1621, SJR57
Summary: The Senate committee meeting was marked by discussions surrounding numerous senate bills covering a wide array of topics, including environmental regulations, public safety measures, and changes to educational frameworks. Several bills, particularly those addressing healthcare provisions and youth safety, drew significant attention. For instance, SB1257 focused on health coverage related to gender transition, which prompted discussions among committee members regarding the implications for healthcare policy in the state. Members voiced their opinions on the necessity of updates to legislation addressing drug safety and educational programs for minors.
TX

Texas 2025 - 89th Regular

Insurance Mar 19th, 2025 at 10:30 am

House Insurance Committee

Transcript Highlights:
  • that this has for helping legislators and appropriators evaluate our own state benefit plans.
  • plans.
  • plan issuers or administrators, and expenses for enrollees, health plans, and policymakers.
  • , which wigs would fall under a benefit.
  • House Bill 388 requires all health benefit plan issuers and administrators to use a uniform coordination
Bills: HB138, HB335, HB388
Summary: The meeting of the committee focused significantly on discussions surrounding HB138 and HB388. Representative Harris-DeVille presented HB388, which aims to standardize the coordination of benefits questionnaires used by health benefit plan issuers and healthcare providers. This discussion highlighted the issues of patient billing complexities and the potential for reduced errors in healthcare coverage. Various stakeholders provided testimony in support of the bill, emphasizing its importance in streamlining the process for patients who have dual coverage, such as Medicaid and Medicare. There was considerable backing for the functionality that HB388 would bring in clearing up confusion in billing practices across different insurance plans.
TX

Texas 2025 - 89th Regular

Insurance Mar 19th, 2025 at 08:00 am

House Insurance Committee

Transcript Highlights:
  • "> with UnitedHealthcare and then our pharmacy benefit manager is Express Scripts for all of our plans
  • So in cases where a plan would...
  • System plan.
  • I put a skinny plan to have plans with no mandates.
  • To the plans. Yes, sir.
Bills: HB138, HB335, HB388
Summary: The House Committee on Insurance convened a meeting focusing on critical legislative objectives aimed at insurance reform. Noteworthy discussions emerged around HB138, which aims to address cost reduction in health insurance and increase transparency in the reporting of private insurance costs. The committee members emphasized the need to identify cost drivers and cut unnecessary regulations while also working on effective methods to deliver insurance benefits efficiently. There were extensive remarks made regarding the implications of insurance mandates on overall costs, bring forth a call for a thorough evaluation and revision of existing mandates that may result in unintended consequences.
TX

Texas 2025 - 89th Regular

Insurance Apr 17th, 2025 at 10:04 am

House Insurance Committee

Transcript Highlights:
  • plans, and individual consumers to also benefit from greater purchasing power and economies of scale
  • offer Medigap plans to those 65 and older to offer plans
  • They have a MedSupp plan, and they may be 85 years old and have had that same MedSupp plan.
  • under 65 is offered is Plan A.
  • All the other plans are lettered plans. I think A through M or N.
Summary: The meeting was characterized by detailed discussions surrounding several key bills, including HB1464, HB4012, and SB916. Representative Tallarico provided an overview of HB1464, which establishes a state drug purchasing pool aimed at reducing prescription costs for Texas consumers. Multiple stakeholders offered testimony, emphasizing the potential savings and expressing support for the bill. On the other hand, the discussion around HB4012 elicited differing opinions, particularly related to its implications for fraud enforcement in private insurance, with opponents warning against government overreach in private business dealings. Senator Spillers presented SB916, focusing on consumer protections against surprise billing from emergency medical services, indicating collaborative efforts with various health plans to strengthen patient protections without imposing financial burdens on them. Throughout the meeting, representatives and witnesses engaged in constructive dialogue about healthcare costs, insurance reforms, and consumer protection measures. The committee concluded with several bills left pending for future consideration, indicating ongoing concerns and a commitment to further deliberation on these important legislative matters.

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