Video & Transcript DataContr Research : 'health 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?
  • My name is [unintelligible], with the Texas Association of Health Plans.
  • They usually work through that, and they're not used to dealing with the health plan.
  • directly with the health plan or PBM.
  • Health plans better make a beeline to his office to make whatever clarification you need because we're
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:
  • ...for public affairs, Texas Association of Health Plans,
  • These programs only alert health plans which lab claims filed are within policy coverage or not.
  • plans 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
  • 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
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:
  • Outside entities utilized by health plans are captured by
  • adding "affiliate of a health insurance plan" to the statute.
  • Health plan prior authorization requirements have become
  • We show you registered as Jamie Dudensing, CEO of the Texas Association of Health Plans.
  • 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:
  • Association of Health Plans, you are registered as against.
  • However, if the former employee receives no health care, then this would allow the health plan to state
  • Secondly, it prevents PBMs, health benefit plans,

  • A health benefit plan on page three, a health benefit plan issuer that provides prescription drug benefits
  • health plans that are paying the full costs.
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
  • benefit plan to provide.
  • plan to cover it as a covered benefit.
  • Since it would be on the health insurance plan, right?
  • 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:
  • It requires additional reporting for the health plans that will allow the Texas Department of Insurance
  • I'm the CEO of the Texas Association of Health Plans, and we're testifying neutral today on House Bill
  • In particular, some health plans require patients to stay...
  • Pre-authorization is a process used by health plans

  • 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:
  • benefit plan issuers to encourage the use of certain physicians and health care providers and ranked
  • benefit plan issuers.
  • It wasn't the health plan saying...
  • It applies these changes to health benefit plans delivered, issued for delivery, or renewed on or after
  • 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

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

Senate Health & Human Services Committee

Transcript Highlights:
  • state-regulated health plans to further increase access to health care.
  • plans.
  • all regulated health plans in the state.
  • ...enrollment and the health plan credentialing process.
  • Public health is maintained.
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:
  • The Committee on Health and Human Services will come to order.

  • It's not an alternate health plan; it's an alternate medical
  • Third, after working with the Health and Human Services Committee.
  • Services, Health and Human Services Commission, and the Texas Workforce Commission.
  • The health and well-being of families influence the health, stability, and social cohesion of our communities
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:
  • Plan.
  • benefits.
  • care cost disclosures by health benefit plan issuers and administrators.
  • It is a health benefits plan with a set number.
  • benefit plan issuers or Pharmacy Benefit Managers.
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

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

House State Affairs Committee

Transcript Highlights:
  • The grass health is not back.
  • 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

Senate SessionReading and Referral of Bills Feb 28th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • benefit plan issuer in relation to affiliated and non-affiliated providers of health and human services
  • information by physicians and other health care providers to health and human services.
  • records and access to an exchange of certain health benefit plan information to health and human services
  • benefit coverage for gender transition adverse effects and reversals, to Health and Human Services.
  • benefit 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 08:00 am

House Insurance Committee

Transcript Highlights:
  • benefit plan issuers or administrators in this House.
  • So do you have some analysis of how a change in law might benefit public health or health in general?
  • When a health plan doesn't cover...
  • I pay half of my employees' health care benefits.
  • ...health care plans, etc., not the ERISA plans, which is
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 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.
  • benefit plan issuers or administrators, and expenses for enrollees, health plans, and policymakers.
  • House Bill 388 requires all health benefit plan issuers and administrators to use a uniform coordination
  • of benefits questionnaire that will be made available to health care providers.
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 Apr 17th, 2025 at 10:04 am

House Insurance Committee

Transcript Highlights:
  • programs and applying those to commercial insurance and private health plans.
  • to capitulate to health plans' demands when legitimate payment disputes arise.
  • Regulated health plans.
  • We are hand-in-hand with the health plans on this, and I'll stop there.
  • benefit plans, and individual consumers to also benefit from greater purchasing power and economies
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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