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Senate Insurance and Labor Committee

Senate Insurance and Labor Committee, February 24, 2026

2025-2026 Regular Session · MEZZ 1 · 1 h 14 min

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Copy for LLM, View as markdown, and Send to AI use the Markdown version: the summaries Georgia Commons wrote, under headings that name them, then the whole transcript with its times. View raw is the transcript alone.

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Summary

Written by an AI model (gpt-6.1-sol) from the transcript. It is not part of the record, and the video is what was said.

The committee considered three insurance bills. Members voted to advance SB 503, concerning property-damage guarantees offered through rental-home marketplaces, although discussion after the vote left the final count unclear. The committee heard SB 528, which would extend orthotic and prosthetic coverage requirements to state-sponsored health plans, and SB 509, which would require chest imaging coverage after a mastectomy or other cancer treatment. Neither health coverage bill received a vote. The chair said both would return for consideration Thursday. Questions focused on consumer protections, insurance oversight, coverage costs and who determines whether additional imaging is medically necessary.

Bills discussed (3)

Each account covers the stretch of the meeting it names. The bill's number is said in that stretch, unless it was the only bill on a committee's agenda.

SB 503. Insurance; rental home marketplace guarantees from the definition of property insurance; exempt

From 0:18:34 · turns 1 to 185

The sponsor described the bill as consumer protection for homeowners using rental marketplaces: a property-damage guarantee would have an insurance policy behind it if the marketplace failed to pay. A witness for Airbnb said the bill would establish that these guarantees are not property insurance, require insurance backing and disclosures, and give the insurance commissioner rulemaking authority. The witness said 24 states already had language that could cover this exemption. Members questioned whether excluding guarantees from insurance regulation would weaken protections, how claims would be funded and what oversight would apply. The witness said Airbnb already offers the guarantee, with a $3 million limit, pays claims from company funds and includes the cost in its overall pricing. The witness said payments reflect the damaged property's current value rather than necessarily replacing it with the same item. The sponsor and witness said the guarantee would not replace homeowners or liability insurance. They said the backing insurer would be regulated, with different arrangements for insurers authorized in Georgia and surplus-lines insurers. Members voted to advance the substitute. The acting chair announced six votes in favor and two opposed, but subsequent comments questioned the count and voting eligibility, leaving the final tally unclear.

SB 528. Insurance; health benefit plans, policies, or contracts executed by the state to cover medically necessary orthotic devices and prosthetic devices and their materials and components; require

From 0:44:17 · turns 193 to 271

The sponsor said the bill would extend orthotic and prosthetic coverage requirements previously adopted for commercial insurance to state-sponsored health coverage beginning January 1, 2027. The sponsor said state employees, public school employees, University System employees, retirees and dependents should have the same opportunities for everyday activities and exercise. Asked about technical college employees, the sponsor said they would be included as state employees. Another member suggested adding coverage for knee injections, saying the state plan covered knee replacement but not those injections. The sponsor offered to investigate; no amendment was adopted. A witness for So Everybody Can Move, who also co-owns Alliance Prosthetics and Orthotics, described a teacher whose state coverage did not provide a running prosthesis after an amputation. The witness said charitable assistance supplied that device, but the teacher still lacked a device suitable for showering. The witness said work with the Department of Community Health had reduced the estimated cost from $55 million to $1.4 million. The committee held a hearing only, and the chair said a vote would be available Thursday.

SB 509. Insurance; certain health benefit policies to cover an annual chest imaging test for a covered person who has undergone a mastectomy or other cancer treatment; provide

From 0:57:50 · turns 272 to 380

The sponsor presented the bill as requiring annual chest imaging and additional medically necessary imaging after a mastectomy or other cancer treatment. Drawing on a family experience with breast cancer, the sponsor said follow-up imaging could help detect recurrence earlier and emphasized access to PET scans. The sponsor acknowledged their expense but argued that cancer treatment is also costly and that greater testing volume could lower scan costs. Asked about coverage, the sponsor said the bill included Medicaid and state employee coverage as well as individual and group policies. A member noted that federally governed employer plans were outside state authority and sought clarity about Medicaid programs serving people with disabilities. The sponsor did not have figures on affected Georgians or similar laws in other states and said there was no fiscal note. Members questioned who would determine medical necessity for additional scans. The sponsor said the oncologist; another member explained that insurers still approve or deny payment. A member urged review of that wording. The chair offered to work on coverage and implementation questions. Although the sponsor requested immediate action, the chair said this was a hearing only and pointed to Thursday's meeting. No vote occurred.

Transcript

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  1. 0:18:07

    Lord God, that you remind us that we are here to be kind and have open hearts, Jesus, as we hear the testimony today. Let u- never let us forget, Lord God, that our obligation is not to serve ourselves, but to serve the 11 million men and women and children that look to us, Lord God, to care for them each and every day. We ask these things in the name of your Son, our Lord and Savior, Jesus Christ. Amen.

  2. 0:18:28

    Thank you, sir. Appreciate it. I'm gonna ask, uh, we've got SB 503, which I'm gonna present, so I'm gonna transfer powers over to my chairman and pro tem to do that. And then, um, I've also got Brad here. Yes, Brad. Uh, come on up.

  3. 0:18:49

    Come up there.

  4. 0:19:09

    Okay. We are looking at Senate Bill 503. The LC number is 461445S. That's what you should have in your folder, committee members. Um, Brad, welcome. Please introduce yourself and who you're with.

  5. 0:19:31

    Hi, my name's, uh, Brad Neill, here on behalf of Airbnb.

  6. 0:19:34

    All right. Thank you. Mr. Chairman, the, the floor is yours.

  7. 0:19:38

    Thank you, sir. This bill is really a transparency bill, but also a consumer protection bill. Uh, Airbnbs have become extremely pos- pop- popular, and people are renting out their houses and have houses that they're in that marketplace from that standpoint. Under the current policy or in the current agreement that's there, there is a guarantee for property damage, and this is dealing with property damage only. It's not dealing with liability, it's dealing with property damage. And there's a guarantee, uh, that is provided by Airbnb to the owner of the house.

  8. 0:20:11

    And what this bill is simply gonna do is we're gonna add to that insurance as a backup to the guarantee. It's really more a consumer protection that if one of our, one of us wanted to put our house up and, uh, put it out on Airbnb, that there's not only the guarantee of the Airbnb, but it is also insured from that standpoint. And then I'm gonna let, um, Brad, if you will, address that, 'cause, uh, how, how that affects your industry as well if you'd do that for us.

  9. 0:20:40

    Yes. Um, thank you. Good to be here. Uh, and, uh, I just, uh, just a word that, uh, so the committee is aware that this is based on an NCOIL model that we worked on for quite a while. Uh, Senator Walker actually was instrumental in, in passing that. And, uh, we worked with the, uh, insurance industry, with, uh, with, uh, reg- regulators, with quite a few stakeholders to get to this point. The, uh, the bill as, as the chairman said, the bill does a couple of things. It's, it's mostly a technical bill in that it takes this type of guarantee that we're offering and it puts it in the statute and codifies it, similar to what you've, uh, already done with service contracts and, and things of that nature.

  10. 0:21:19

    It does require a reimbursement insurance policy to be the backstop for the guarantee. So the guarantee that the, uh, that the Airbnb, as an example, offers is not insurance, and so therefore we, we require that reimbursement insurance policy to sit in the background in case the guarantor did not fulfill its obligations. And there are, as the chairman said, there are some consumer protection issues with that and also with some notification requirements, uh, that are also part of the bill. And, uh, and really there are about half the states, I think it's 24 states, already have some statutory language that we think would capture this type of exemption.

  11. 0:22:00

    Georgia does not have that, so we, we would appreciate seeing that in the statute.

  12. 0:22:07

    Would I be correct also in saying this, this is more of a consumer protection issue than anything else, am I correct?

  13. 0:22:13

    Yes.

  14. 0:22:13

    That if somebody's contracting, there's an insurance policy that they can come and fall back on t- from that standpoint, correct?

  15. 0:22:19

    Yes, sir. It's, it's good to have that insurance backstop. We- we're the catcher, but the, that's the backstop.

  16. 0:22:25

    Okay. Very good.

  17. 0:22:26

    And, and Brad, my understanding is the, this is not to supplant the homeowner's insurance policy. This is really a, a lower amount of, lower limit basically so the homeowner does not have to file a claim on their homeowner's insurance, or if the homeowner has a, say a $5,000 deductible or, which we're seeing more and more higher, you know, higher deductibles on homeowner's insurance, that they're not having to come out of pocket.

  18. 0:22:57

    So these are, these guarantees are for minor damage caused by the renter to the, uh, marketplace owner of the property. Um, their, your house, let's say, or some, uh, just property that you own and you're renting it out through this platform and there's minor damage, maybe they punch a hole in the sheetrock and it's, you know, $1,200 or $800.

  19. 0:23:29

    Um-

  20. 0:23:29

    Yes, sir

  21. 0:23:30

    ... so expound, expound on that just a minute because I just-

  22. 0:23:34

    Yes, sir

  23. 0:23:34

    ... want them to understand that we're not replacing homeowner's insurance. And then, and the chairman already mentioned it's not liability coverage either.

  24. 0:23:44

    Yes, sir. I th- I think you've captured it perfectly. It's, uh, it, it doesn't compete with homeowner's insurance. I think most people would not want to go through their homeowner's policy for some minor damage af- while they've rented it out. And also, as you mentioned, most of these damages are in the hundreds of dollars and would not be under your deductible anyway, so you wouldn't have coverage under the homeowner's policy. Uh, and there are some homeowner's policies that would just exclude while you've got it rented out commercially. So, uh, this is, this is the best tool we think for the homeowner to give them peace of mind that if there is some damage while it's rented out through, through, in particular our platform, uh, they, they have recourse to have, uh, to be paid for that damage.

  25. 0:24:26

    Thank you. And I'm sorry, but I've, I guess I've generated some questions now. So, uh, chair recognizes number 10. Is that, uh-

  26. 0:24:34

    That's me.

  27. 0:24:35

    Senator Merritt.

  28. 0:24:36

    Yes. Yes. Thank you. Thank you, Mr. Chairman. Uh, I have a couple questions. So this isn't like real, this isn't-

  29. 0:24:44

    Put your mic to you, please.

  30. 0:24:45

    Sorry. Sorry. I didn't know I didn't have it.

  31. 0:24:46

    'Cause we're live streaming, I guess.

  32. 0:24:48

    Okay. So these guarantees, they function like insurance, but they're not full coverage insurance. This is not correct?

  33. 0:24:56

    Yeah, Senator, yes, it's not insurance. Um, it functions only in the, to the extent that it's going to pay damages, but it's not an insurance policy. It doesn't, uh... It's not structured similar to an insurance policy. It's more like, um, a, a service contract or, or a guarantee like that. Or, you know, if, um, if you have an iPhone and Apple offers you, uh, uh, cov- coverage for the damage to the, an iPhone, that's not an insurance policy. It's, it's damage protection.

  34. 0:25:24

    Correct. But wouldn't this be like weaker protections for the actual owner of the property? So let's say it's an Airbnb type situation and they, and they're, there's a checkbox now for this guaranteed insurance, and I hope they understand that, that this is not insurance when that disclaimer's checked. But wouldn't that be weaker protections for the actual owner of that property? For instance, if something does happen, uh, the claim is not gonna pay out full out or... So help me understand that.

  35. 0:25:52

    Thanks, Senator. We, we don't see it as weaker protections. Um, and, and you, you mentioned, uh, the understanding there. It is required in the bill that it's, uh, clearly stated that this is not insurance, so everyone understands that. That's one of the consumer protections in the bill as well. But it would work, it really works alongside your homeowner's insurance. This isn't supplanting your homeowner's insurance. So if you needed insurance, you still have that available to you. But this is a guarantee to give you an option for, uh, for, for, uh, recourse for damages that might be caused while it is, uh, rented out.

  36. 0:26:24

    Are there any caps on the-

  37. 0:26:26

    There's, uh, well, I can only speak to our program, uh, which has, uh, $3 million.

  38. 0:26:32

    Okay. Thank you, Mr. Chairman. Thanks.

  39. 0:26:38

    Uh, I have a question from Senator Robertson.

  40. 0:26:41

    I think Chairwoman Kirkpatrick had it before me.

  41. 0:26:46

    Chairman Kirkpatrick then. I see three and four lit up.

  42. 0:26:49

    Yeah, she's on three.

  43. 0:26:50

    Three.

  44. 0:26:51

    Three. Okay.

  45. 0:26:53

    Yeah, I, y'all have confused me, um, which shouldn't ha- hard to do at this time of day. But, so is this an agreement between the person who's renting the property and whoever the ren- the company they're renting it from or the owner they're renting it from?

  46. 0:27:14

    I can-

  47. 0:27:14

    And who's paying for it?

  48. 0:27:16

    Thank you, Senator. I can, I can take a step back and explain how our program works, which is that when the individual rents your property, if you were the host, contractually they owe you for any damage that's caused. Uh, what, in our case, what Airbnb does is we say that if they don't fulfill their obligations, we guarantee that we would pay you for that damage, and then we have the option of continuing to go after that renter. So we don't want the homeowner to have to chase down someone. That's how it works.

  49. 0:27:50

    Thank you.

  50. 0:27:50

    It's a selling point, I think, for Airbnb-

  51. 0:27:53

    It is

  52. 0:27:53

    ... to get people to use their platform 'cause they're, it's a, it, it's a added benefit for the renter. The person renting the property through their platform, it's an added benefit.

  53. 0:28:04

    Yes, Senator. We see it as giving peace of mind to a homeowner. I know I would like to have that peace of mind. And, and, uh, you, you've touched on this as well in your question. We don't charge for it. It's just, uh, something that's part of our terms and conditions. It's, it's part of the base contract.

  54. 0:28:22

    No free lunches, Senator.

  55. 0:28:26

    Uh, yeah. My question is, is about, well, what, what-

  56. 0:28:34

    I, I thought I had you on.

  57. 0:28:35

    Yeah. That's okay. It's, it's not the raw stream. It's, it's more complicated. Um, so we said it's no free lunch. Who pays for this?

  58. 0:28:44

    Well, I, I always say that everything, all costs are accounted for somewhere, and I-

  59. 0:28:48

    Well, all costs are accounted for, I agree with.

  60. 0:28:49

    Yes.

  61. 0:28:50

    I don't agree with free.

  62. 0:28:51

    Correct.

  63. 0:28:51

    So who pays for this?

  64. 0:28:53

    Uh, ultimately, it's, it's, it's, uh, it's a cost that is calculated and, and would be accounted for either through the host's portion or the guest's portion. It's not something that is, it's not something that's a line item for us. It's just a cost.

  65. 0:29:05

    It's baked into the cost?

  66. 0:29:07

    Yes.

  67. 0:29:07

    Okay. So where does the money come from?

  68. 0:29:12

    Uh-

  69. 0:29:12

    You said there's a $3 million cap, uh, when Senator Merritt asked, which that's a hefty cap for something that is, uh, not insurance, and we're talking about people punching through Sheetrock in frat parties.

  70. 0:29:24

    Yes, sir.

  71. 0:29:24

    Um, so where, where does, where's the money come from? What insures this?

  72. 0:29:30

    What in... Well, the, it's a guarantee. It's not insurance, so-

  73. 0:29:34

    I understand you're saying it's not insurance.

  74. 0:29:36

    Yeah.

  75. 0:29:36

    But if you can fix something for up to $3 million, where's the $3 million?

  76. 0:29:41

    Well, it's up, it's up to us to account for that price point.

  77. 0:29:44

    Us being?

  78. 0:29:44

    Uh, in our case, Airbnb.

  79. 0:29:46

    Correct.

  80. 0:29:46

    It's up to us to accrue and account for that, and we have no problem making those, doing those accruals and doing that accounting. But one of the reasons why we have the reimbursement insurance policy as a requirement in the bill is in case there were another player in the industry who wanted to offer a guarantee, but maybe they weren't as responsible on their accrual and accounting processes. We have that reimbursement insurance policy th- as the backstop.

  81. 0:30:14

    Well, my concern is you're saying that, that the homeowners are protected from having to use their homeowner policy, and I understand that. That keeps their rates down and, you know, the number of claims down and, and everything else. So you have this side product For individuals who lease their homes out, and we'll use Airbnb as-

  82. 0:30:36

    Mm

  83. 0:30:36

    ... as an example for Airbnb. And this side product can have a cap up to $3 million.

  84. 0:30:43

    In our case, yes sir.

  85. 0:30:44

    In your case, correct. So somebody comes in there and tears this thing up, then Airbnb goes after the individual who did the damage. Would that, would that be correct?

  86. 0:30:59

    Yes. We have the option of doing so, yes.

  87. 0:31:01

    After Airbnb's dips into a pool of money-

  88. 0:31:05

    Mm-hmm

  89. 0:31:05

    ... and pays for the repairs to this particular property, correct?

  90. 0:31:09

    Yes, sir.

  91. 0:31:09

    Okay. So that pool of money comes with- from inside of Airbnb-

  92. 0:31:15

    Yes

  93. 0:31:16

    ... as where you've taken profits and set them aside for this particular non-insurance product.

  94. 0:31:23

    Yes, sir. If, if, if you wanna think of it, uh, in an, from an insurance paradigm, it would be like reserving for losses.

  95. 0:31:30

    Right.

  96. 0:31:30

    Yes, sir.

  97. 0:31:30

    Okay. That's-

  98. 0:31:31

    Yes

  99. 0:31:31

    ... what I was trying to get to, trying to figure out. Thank you. I appreciate that.

  100. 0:31:38

    All right. I'll recognize Senator H- Hodges for a question.

  101. 0:31:44

    Thank you, Mr. Chairman. Um, along the same line of what, uh, Senator Robertson was asking, um, so Airbnb's gonna maintain reserves, but you don't answer to the insurance commissioner about the adequacy of those reserves like an insurance company would. So we're just sort of taking a flyer, if you will, the state is, which, which is the difference of it not being insurance as opposed to insurance, correct?

  102. 0:32:15

    Yes, sir. And if I can comment-

  103. 0:32:17

    Sure

  104. 0:32:17

    ... on that, um, there have been... If you look at other similar, uh, arrangements, for instance, service contracts that are already in the statute, the way that they addressed, uh, possible concerns around this-

  105. 0:32:31

    Mm-hmm

  106. 0:32:31

    ... were through, uh, having minimum requirements for the net worth of the company-

  107. 0:32:37

    Mm-hmm

  108. 0:32:37

    ... minimum cash on hand. We looked at that in the model process at NCOIL. We considered that. But, uh, the members, the legislators, the policymakers thought it was a stronger solution to have the reimbursement insurance policy requirement so that then you have a regulated insurance product that sits in the background. That was, it was an option not to do that, but that was the solution that they thought was most responsible.

  109. 0:33:00

    Okay. And my other question would be, what, um, is far, around satisfaction. Uh, I own a house. I rent it out through Airbnb. Um, somebody comes in and, um, breaks a window or tears up my refrigerator, and I've got an Andersen window, I've got maybe a Sub-Zero refrigerator. And then can you, do you, are you required to replace to my satisfaction? You are? Or, or are you just required to replace my Sub-Zero with a Sears and Roebuck refrigerator?

  110. 0:33:37

    Uh, uh, no, sir. I, I, it's, um, I, is it replacement? Um, it's, it's ACV but based on the ACV. Yeah. It's, it's an ACV. It's an ACV value replacement, uh, of the... So we, we figure out what's the value.

  111. 0:33:48

    So the value. Whatever the value was.

  112. 0:33:50

    Yes.

  113. 0:33:50

    But you might not replace my Andersen window with an Andersen window. You'd replace it with something of equal value.

  114. 0:33:57

    Uh, i- in most cases, we are calculating-

  115. 0:33:59

    Okay

  116. 0:33:59

    ... the value, and then you make the decision on how to proceed.

  117. 0:34:01

    Okay. All right. And that's, but that's still, I mean, like where I live, there's a lot of vacation rental property. And, um, you know, there are a number of real estate companies that manage a lot of that, and then, of course, there's Airbnb. And if I can get, if I'm renting my property and I can get an insurance product as opposed to the good name of the people who own the real estate company, I know what I'm gonna do. So, um, so-

  118. 0:34:29

    And-

  119. 0:34:29

    ... it's a good idea.

  120. 0:34:30

    Yes, sir. Thank you.

  121. 0:34:37

    Dean of the Senate, Pert, with a question.

  122. 0:34:39

    Thank you. Um, using the scenario I think everybody before as it relates to, uh, like an Airbnb, something like that, so right now, what happens if there's a damage to the property? You have to use the property insurance on the house right now, and this, you're trying to establish as a kind of stop-gap insurance that sort of fits in between what, uh, would ordinarily be in, in no lo- but it would no longer apply to a property insurance.

  123. 0:35:10

    They can use whatever that fund is to draw down. The, so the cost is still to the person renting the place, right? But they carry the insuran- they sign a contract to carry the insurance. Is that right so far? Am I on the right track? Is that-

  124. 0:35:24

    Uh, um, a little bit different. You're on the track, but a little bit different. And, and let me tell you that we actually already do this guarantee today. Um, so it's, it's, uh, not going to change what the marketplace-

  125. 0:35:36

    Okay

  126. 0:35:36

    ... looks like. It's codifying it. Uh, it's not a requirement on the person renting the property to take out anything. They are free to do so. There are certain travel insurance products-

  127. 0:35:46

    Oh, yeah

  128. 0:35:46

    ... that exist that they can take out to protect themselves, but this is a guarantee that's offered to the owner of the property.

  129. 0:35:53

    Why, why would they need it if they got property insurance? Because they cannot do it now? There's, or this prevents them from utilizing their current property insurance. I'm trying to get the difference there.

  130. 0:36:04

    S- some property insurance, some homeowners insurance might exclude coverage altogether while you're renting your property commercially, and most homeowners policies are gonna have deductibles that are high enough that almost all the type of property that's damaged-

  131. 0:36:18

    Okay

  132. 0:36:18

    ... in a rental process doesn't get covered.

  133. 0:36:20

    Okay. Okay. All right. Thank you, Mr. Chairman.

  134. 0:36:24

    Senator Hodges, did you have another question?

  135. 0:36:26

    Yeah, just one more. Just to clarify what we're trying to do with this legislation, what we're trying to do is Airbnb would like to offer this product, and what we're trying to do by

  136. 0:36:38

    Legislating that it is not an insurance policy is to make it easier for them to do that. Is that correct, Thias, the author?

  137. 0:36:47

    Well, what, what I would, I would say what, what it's doing is this. They currently, when you rent your h- Let's rent your home to Airbnb.

  138. 0:36:54

    Right.

  139. 0:36:55

    They are currently giving you a guarantee-

  140. 0:36:58

    Right

  141. 0:36:58

    ... that is based upon the financial stability of Airbnb.

  142. 0:37:02

    Right.

  143. 0:37:03

    And if there's damage to that-

  144. 0:37:06

    Mm-hmm

  145. 0:37:06

    ... that is settled with them under their agreement with you and the rental. What this does, and I like your analogy of a catcher, there's a catcher that's, they're the catcher, but then behind them is an insurance policy with an insurance company that's, that's there that says that if they fail for any reason, then the insurance company comes into play. So it's a backup to the consumer that's renting his house out, that he not only has the guarantee from the Airbnb or whoever the vendor is, but he also has an insurance policy behind that as well.

  146. 0:37:44

    So is that insurance company regulated somewhere by somebody?

  147. 0:37:48

    By the state, by the state and-

  148. 0:37:49

    In which it's in or the state of Georgia?

  149. 0:37:52

    State, if it's in the state of Georgia, it would be the state commissioner of that-

  150. 0:37:55

    If it's selling, if it's backing up their guarantee in Georgia, then it's regulated by the insurance commissioner. Okay.

  151. 0:38:01

    If, if it's, uh, if it's, if it's an admitted policy, then it would be regulated here in Georgia. If it's a surplus lines policy, then it would be regulated by the state in which they are domiciled.

  152. 0:38:10

    Domiciled. Yeah. Okay. Thank you. That's-

  153. 0:38:13

    And, and I'll just also, if I may point out, um, that, uh, the bill also does give rulemaking authority to the insurance commissioner here so that they have, uh, some say in how it's administered.

  154. 0:38:27

    All right. Good questions. Uh, think that answers our questions. Maybe not. Senator Merritt, you still have a question?

  155. 0:38:36

    I guess it was answered, but I guess I'm back to, would this be regulated, uh, like an insurance company? 'Cause we have heavy regulations. It just seems like to me this is to avoid being regulated by insurance company.

  156. 0:38:48

    So I think if you look at lines 15 through 21, um, it speaks to the regulation,

  157. 0:39:01

    I believe.

  158. 0:39:02

    Yeah.

  159. 0:39:06

    No, I don't see that.

  160. 0:39:09

    Line 15, 16.

  161. 0:39:12

    If there are, insurer authorized to transact business in the state or a surplus lines insurer pursuant to the insurer agrees, I mean, that, that, that puts it under the purview of the insurance commissioner of Georgia if it's surplus lines.

  162. 0:39:28

    Yeah.

  163. 0:39:29

    The, so you, it, it c- would be under the insurance commissioner of whatever, wherever that's domiciled. But still the State of Georgia insurance commissioner has some authority even over surplus lines policies.

  164. 0:39:43

    I'm sorry, that was lines 15?

  165. 0:39:47

    Yeah, it's kinda getting into the weeds. But if, if it's a, um, if an insurer is authorized to transact insurance, they're authorized by the insurance commissioner. That's what that means. That's the only person that can authorize an insurance company in Georgia is the commissioner.

  166. 0:40:07

    And-

  167. 0:40:07

    Yeah

  168. 0:40:09

    ... if I may speak to that quickly. J- just that w- the existing laws around surplus line, placement of surplus lines insurance that are already in the code, that would apply as well. So it's not anything new or different than what we al- what we always do around surplus lines.

  169. 0:40:27

    Okay. Is there, um, what's the will of the committee?

  170. 0:40:35

    Recognize-

  171. 0:40:36

    Move to pass.

  172. 0:40:37

    Move to pass, Senator Lucas. Uh, do I have a second?

  173. 0:40:42

    Happy to second. LC 461445S.

  174. 0:40:48

    Motion and a second. All those in favor say aye.

  175. 0:40:51

    Aye.

  176. 0:40:52

    Opposed, no.

  177. 0:40:53

    No.

  178. 0:40:55

    No.

  179. 0:40:55

    So we have one, two, three, four, five yeses and two nos. Does he get a vote? I think he would.

  180. 0:41:06

    He would.

  181. 0:41:06

    So six yeses and two nos.

  182. 0:41:09

    You're four.

  183. 0:41:11

    Four?

  184. 0:41:13

    You didn't say who all refused to vote.

  185. 0:41:14

    I'm in thugs.

  186. 0:41:18

    No, you cannot vote.

  187. 0:41:19

    Uh, so while I still have the chair, I, I wanna put a plug in to the committee members. Um, NCOL is the National Council of Insurance Legislators, and it is, we are, Georgia is a member. The Georgia General Assembly is a member of NCOL, and we pay dues to be a member, and their conferences are very, uh, very beneficial, very educational. You get a stipend if you wanna go.

  188. 0:41:51

    Usually the stipend covers the full cost of the, of travel and lodging. They, um, as, you know, it is a working conference. It's a lot of meetings and stuff. But if you wanna really kind of really delve into, uh, insurance and, uh, issues that are going on related to insurance, health insur- all kind of insurance all over the country, it's sort of a best practices, uh, forum where legislators get together and share what they're doing in their state, what they think needs to be done nationwide.

  189. 0:42:26

    As we've talked about before in this committee, insurance is regulated state by state, and we, as a state's rights person, I want it to stay that way, state by state. But to make it better for commerce and better for the consumer and more efficient, we really want the states to have as best as possible uniform laws, because most of our insurance companies are ... selling and operating in multiple states.

  190. 0:42:56

    So we try to come up with these model laws so we have more of a uniform, um, environment for commerce. So I encourage you all to look at the NCOIL calendar. They meet, I think, three times a year, um, and maybe try to participate. Again, we're paying already, the state's paying for you all to have access to it, so I wish y'all take advantage of it. I've thoroughly enjoyed it. Thank you, and I'll relinquish the chair.

  191. 0:43:25

    Good advertisement.

  192. 0:43:54

    I wanna thank, uh, my vice chair. Uh, if you will get us the information, I would like to le- let our office push out when those meetings are. And I think you're correct, that is a good, uh, place to go and learn what's going on in other states-

  193. 0:44:09

    Absolutely

  194. 0:44:09

    ... and to get ahead, ahead of the, ahead of that. If you'll get that to us, we will do that portion. We'll do that. Um, next is SB 528. Senator Robertson, if you will, would you like to present from right there?

  195. 0:44:23

    Mr. Chairman, if you're okay, I w- I'd be comfortable presenting from here.

  196. 0:44:26

    What's your number?

  197. 0:44:28

    Uh, number four.

  198. 0:44:29

    Number four? Okay.

  199. 0:44:30

    And, and I do wanna say to the, to the pro temp's announcement, I don't know that I could think of anything more exciting than to go- ... and hang out with a bunch of insurance professionals.

  200. 0:44:41

    Oh man, we're great people.

  201. 0:44:43

    Um, yeah, I thought watching the American hockey team win gold was exciting, but- ... uh, maybe not.

  202. 0:44:49

    It's thrilling.

  203. 0:44:50

    Yes, it sounds like it. Listen, this is all gonna sound familiar to everybody because last year I was, uh, honored enough to, to carry a piece of legislation that required that commercial insurance plans, uh, allow for prosthetics. And I think everybody remembers we had a couple of people here at the Capitol. We had a, uh, a young man that, that came and met with us and, um, made us all aware of the challenges that face, uh, some of our young people with prosthetics.

  204. 0:45:22

    And also had the opportunity to hang out with a young man from Athens, Georgia, who was training for the Olympics. Uh, ended up having a medical emergency, ended up losing, uh, his leg, and ended up competing, practicing, and, and competing in the Paralympics and winning multiple medals, um, for himself and his University of Georgia family, and so we see the importance of this. All this legislation here does is simply move those same rights into the state healthcare benefit plan so that the employees that all of us sitting around this table are responsible for would have the same opportunity to live a life where their day-to-day life would be comfortable if they wanted to go take a shower, um, if they wanted to get out and participate in normal life, if they wanted to get out and, um, run in the park or work at a job, they have that opportunity.

  205. 0:46:18

    And, um, all this is doing is rolling those same rights into the state healthcare benefit plan. If you'll look at the legislation, I'm reading off Senate Bill 528, LC 521037, all we're doing is adding in, here at the bottom, uh, on line 14, where it gives the date of January 1, 2027, "Such terms shall include," we've taken the word not out there, "shall include any plans, policies, or contracts executed by the state to provide healthcare coverage on behalf of state employees, public school teachers and employees, and members of the employees of the Board of Regents of the Univers- excuse me, University System of Georgia and the retirees' independents." All we're doing is adding that they have the same opportunity that, um, these other individuals have, uh, that we granted last year on the commercial side.

  206. 0:47:14

    And I, I know that, uh, this is a hearing only. Um, but I know, I, I believe we have some people here that are, uh, that are advocates for this type of legislation, and I would love for them to have the opportunity to testify, Mr. Chairman.

  207. 0:47:30

    Yes, sir. We have a committee question first-

  208. 0:47:32

    Yes, sir

  209. 0:47:32

    ... and then we will take that if that, uh, number three. S- Senator Kirkpatrick.

  210. 0:47:38

    Yeah. Um, thank you, Mr. Chair. My question is, the technical college system, are they also covered under the state health benefit plan?

  211. 0:47:47

    Yes, ma'am, they are. And I believe that where it says state employees, I think it's a little different because public school teachers are covered under TRS, and employees and members of the Board of Regents-

  212. 0:47:58

    Oh

  213. 0:47:58

    ... I believe are also covered under TRS. And maybe that's the separation of those two. But yes, it would include all state employees.

  214. 0:48:06

    Okay.

  215. 0:48:06

    Thank you.

  216. 0:48:08

    Number 12. Okay. Senator Lucas.

  217. 0:48:13

    Uh, let me ask you, uh-

  218. 0:48:15

    Oops. Mr. Senator

  219. 0:48:16

    ... uh, Senator Robertson, would you have a problem with a little amendment that says that they will also, uh, cover injections to bad knees?

  220. 0:48:28

    Having a couple of bad knees myself, um, I think the state healthcare benefit plan should already have that in there.

  221. 0:48:36

    They do not.

  222. 0:48:38

    I would love to research that. And if you have your insurance with, with Senator Harbison, I would be concerned about that not being included in the plan.

  223. 0:48:45

    Uh, uh, uh, no, it's-

  224. 0:48:46

    No, I would, I would be happy to look into that. I think, I think the good senator knows where I stand on taking care of our employees, and I think if something in there is not in there, I would love to look at that.

  225. 0:48:56

    They will cover a knee replacement b- but will not cover injections, which is like grease when you have bone on bone

  226. 0:49:04

    Yes, sir. I would love to, I'd love to look at that with you, Senator. Um, the, the, my focus on prosthetics over these past two years is, has been, um, uh, I think, uh, uh, they, they brought this kid up here and introduced him to me, and he had a, a, he was one of the most articulate, uh, well-versed young men that taught me a whole lot about life with prosthetics. And I think at one time I asked him what his most fun was, and he said taking his prosthetic off and hitting his brother with it.

  227. 0:49:35

    And, uh, and it was, it was, the, he's, he's as normal as any of the rest of us, and so I want him to live a life like us and at the same time, um, we talk about ERS and how we need to put money in there for our employees to make sure they have a comfortable retirement, but at the same time, we need to make sure they have a quality of life equal to what we have. Um, I've been blessed. I have three children and, and they're all very healthy. And I have, uh, family members that are all very healthy, but not everybody's as blessed as I am.

  228. 0:50:06

    And so I want them to have the same life experience, and I think this is a small, tiny investment, uh, just to make this change in legislation. Um, and, uh, I think the physical impact will be, uh, almost nonexistent.

  229. 0:50:21

    Good deal. We've had somebody who wanted-

  230. 0:50:23

    Yes

  231. 0:50:23

    ... to speak. You're, s- come right on. Good morning. We'd love to hear from you. Come on in. Come on up. Sit next to your mom so she doesn't get nervous. Yeah. Mom says she's nervous.

  232. 0:50:38

    Thank you, Mr. Chairman, committee for having me.

  233. 0:50:40

    Give, give, yeah, give us your name and where you, where you're from and, and who your extra guest is as well.

  234. 0:50:44

    I would love to tell you my story. My name is Rachel Oyer, and I am a member of So Everybody Can Move here in Georgia. My husband, uh, is the president of Georgia's Society of Orthotists and Prosthetists. And we own a company, Alliance Prosthetics and Orthotics. We have the privilege of treating patients here in Georgia, in Gainesville, Mulberry, as well as Braselton. And most recently, we have had a patient come all the way from Rome, Georgia, to our clinic, and I'd love to tell her story shortly. But my honorary guest here is my son. Um, I have four sons.

  235. 0:51:15

    Actually, three of them are here at Teen PACT. Um, Chairman Harbin, I've got to hear you speak at that organization, sat next to your lovely wife. And my children have learned that you become a great citizen when you advocate for others at the government level. And, uh, he has a ball game, and I had a plan, but y'all's, uh, meeting moved to 4:00. So I'm gonna talk hard and fast to get him to his ball game because he has no driver to take him to his game. So as you can understand, as a mom, as a fellow Georgian, uh, the story I have to share, uh, he understands if he has to be a little late because it matters more than a ball game.

  236. 0:51:53

    Uh, Hannah Neighbors, and I learned from last year not to pass it out, but they will be delivered to your office. She has a little thank you note. Hannah Neighbors is a state employee. She actually is a fourth grade special education teacher. She was driving exactly one year ago today at 7:45 AM. A driver under the influence of drugs ran a stop sign and hit her vehicle. She was driving with her son. Her son was completely unharmed, which every mother is so grateful to hear, but Hannah was trapped in a car for two hours. Hannah then was, uh, removed from the car.

  237. 0:52:25

    Resulting the accident, she lost her leg below the knee. Hannah, uh, is a mom, uh, is a wife, is an incredible athlete, is a coach. Uh, she ran four miles prior to that accident. And Hannah was so excited because she knew that we were working on this legislation last year and thought when she went to go get her prosthesis, that she would be awarded a running prosthesis to get back out there. But as a state employee, she was not afforded that opportunity. Her town decided to run a 5K for her this past summer, and, uh, Jared Wallace, also, uh, the Paralympian that Senator Robertson spoke about, worked with the charitable organization, and together, they were able to afford a running prosthesis, which led her to my clinic.

  238. 0:53:12

    So my husband, Jason, is my favorite prosthetist. That gets a good joke all the time. But if you know what a prosthetist does, is they fit, uh, amputees with prosthetic devices and help them achieve personal mobility goals. It is our privilege and our honor to treat patients in their worst hour. And Jason, uh, and a team of people were able to find a running prosthesis that would match Hannah's energy and goals because she's not an average, uh, special education teacher. She is one of the best special education teachers. She's up for many awards. You can look her up.

  239. 0:53:42

    Her name is Hannah Neighbors. And she teaches every day with incredible zeal and excellence, but the way she does that is she exercises beforehand. And so since her accident, was not able to really exercise, so Jason made sure that she had a prosthesis that she could run in. Hannah has actually been awarded a bib to the Boston Marathon, and she is going to run in April.

  240. 0:54:02

    Wow.

  241. 0:54:02

    She testified in the House Health Committee, and there was, uh, not a dry eye in that committee. And, uh, I'm sorry that she can't be here today, but she gave me a voice memo and said that personally, she just needed to be with her family and hug her children and thank God that she's alive today. Uh, I carry a lot of stories wherever I go. I get to share, uh, the people behind this legislation. I know them personally, and I appreciate every single person who serves at our state level to make sure that, uh, .1% of our state has what they need.

  242. 0:54:35

    Hannah's husband, Jos- Josh, is also a high school education, physical education teacher and so therefore, also on State Health Benefit Plan. His dream for his wife is that she can get out of bed and take a shower. Currently, Hannah gets out of bed and hops on one leg to go to the shower. That is something that if you are married, uh, you would not want your spouse to do. As a fellow human being, I'd ask that you consider favorably when it comes to a vote I'm proud to say that last year, uh, when we had a, uh, fiscal note that did not match my math, I was a little nervous, and we removed state health benefit plan to work with Department of Community Health.

  243. 0:55:16

    I worked with them this past summer, asked them to really identify how they were curating that note, and I'm very proud that, uh, the DCH and all of the people who prepare fiscal notes came back with $1.4 million instead of $55 million, which my math was 1.5. So I'm not a genius-

  244. 0:55:33

    Wow

  245. 0:55:33

    ... but I do actually know my business, and I do know that this is pennies for massive impact. And this population, they need us to support them. The Paralympics is coming to our nation in 2028, and do you know that Paralympian athletes do not have coverage for secondary devices? And we as a nation need to support our athletes. And so I appreciate all of your consideration, and I stand open for questions.

  246. 0:55:58

    I just want to say fantastic. Thank you.

  247. 0:56:01

    Thank you.

  248. 0:56:01

    Thank you for bringing from words to life and, um, just sharing with us that story and, and your experience there. That is, that's, that's... Thank you. I just want to say thank you. Um, Senator Steele, we've got you.

  249. 0:56:19

    Thank you, Chairman. Thank you for not giving up on this.

  250. 0:56:23

    Thank you.

  251. 0:56:23

    Thank you for keep pushing. Um, it was great getting to know you when we started these conversations last year, and, um, I'm glad that we're still keeping it going. And, um, I assure you that you have a lot of friends in this building.

  252. 0:56:37

    Thank you.

  253. 0:56:39

    Also, good luck this afternoon.

  254. 0:56:44

    Senator Orrock.

  255. 0:56:44

    Yeah.

  256. 0:56:45

    Important question.

  257. 0:56:46

    Yes, sir.

  258. 0:56:47

    What position do you play?

  259. 0:56:49

    I play outfield and first base.

  260. 0:56:51

    Play outfield and first base?

  261. 0:56:53

    Yes, sir.

  262. 0:56:53

    How good are you?

  263. 0:56:54

    I'm pretty good.

  264. 0:56:55

    Good.

  265. 0:56:56

    Good.

  266. 0:56:58

    I appreciate y'all coming. Thank you so much.

  267. 0:57:00

    Thank you so much.

  268. 0:57:05

    I want, I wanna, I wanna thank you, but we, we will have this open for a vote on, uh, Thursday, uh, when we meet. And, uh, I just wanna thank you, and, uh, thank you for being here. And, uh, your, your mom loves you and cares for you, but this is an important part of what she's doing. Thank you for speaking for those who, uh, can't speak for themselves, and you did a great job.

  269. 0:57:28

    Yes, sir. Thank you so much. We'll be back Friday for Team Pact.

  270. 0:57:30

    Okay.

  271. 0:57:30

    We look forward to seeing you all.

  272. 0:57:32

    Okay. Very good. Thank you so much.

  273. 0:57:50

    Uh, SB509. Our great Senator Williamson, Williams.

  274. 0:58:02

    Good to see you, sir.

  275. 0:58:05

    Oh, thank you, sir. Good to be here, uh, Mr. Chairman, members of the committee. I bring before you Senate Bill 509, LC 52-1015. You know, listening to this previous bill brings to mind how a lot of times we offer legislation because it affected us or affected someone we know-

  276. 0:58:31

    Mm-hmm

  277. 0:58:32

    ... or it affected a constituent. This one, 509, affected me and my family. Started out on July the 3rd, uh, this year it'll be three years ago. My wife came to me and said, "Uh, I have a lump." And sure enough, she did. And here it was July the 4th weekend. Monday morning, she was on the phone calling her doctor and getting an appointment and getting mammogram and getting tests and, uh, biopsies.

  278. 0:59:10

    And August the 4th, I think it was, uh, she had a double mastectomy. And, you know, um, what also was helpful that our daughter is an RN, she's an oncology nurse, and she administers chemotherapy to cancer patients every day. Bless her heart. Uh, her heart is, uh, very big, and she loves every one of her patients. But, um, what happens after breast cancer, and it doesn't just affect women, it affects men very much.

  279. 0:59:53

    And as I've introduced this bill and talked to people-

  280. 0:59:57

    Mm-hmm

  281. 0:59:58

    ... and they tell me of friends and family members that are male that have had mastectomies, but there's no follow-up. After, I think, age 40, that insurance companies would pay for a mammogram for a female annually. Is that not correct? Uh, but after having a double mastectomy, uh, there's no follow-up. Oh, they can draw blood, and they're making advancements, other tests.

  282. 1:00:32

    But what my bill is saying, insurance companies, let's do a PET scan, let's do a CT scan, let's do chest imaging test, uh, to look at to, and to see if that cancer has come back. We have several friends in Milledgeville that after 16 years, they had one breast removed. After 16 years, it came back in the other one.

  283. 1:01:06

    And so there's always a possibility. Now, no one else in my wife's family had had breast cancer until my wife did. Within a year, her niece had breast cancer and had a double mastectomy. And she's, uh, not even 40 years old and she's an RN married to a doctor in Gainesville. So ladies and gentlemen, this affected me. It's affected people every day.

  284. 1:01:40

    And all I'm asking is to let's get the insurance companies to the table and talk about this. And I know PET scans are expensive, so is, uh, treating cancer. Treating cancer is very ex- expensive also, but you know what happens when they don't find it in time, as we heard oncology doctors talking in regulated industry? If they don't find it in time because they can't get a PET scan within two to three, four weeks, it could be the difference between too late.

  285. 1:02:18

    And you know what too late means. It's a death sentence. I ask for your favorable consideration. I'll try to answer any question that I can.

  286. 1:02:29

    Number three.

  287. 1:02:31

    Senator Kirkpatrick.

  288. 1:02:32

    Thank you. Um, I guess my question for you, Senator Williams, is, um, is Medicaid included, or did you intend to include Medicaid?

  289. 1:02:43

    Yes. It, uh, down on the very, I think, lines 37, it starts including but not limited to, to those contracts executed by the state on behalf of indigents and on behalf of state employees under Article 1 of Chapter 18 by healthcare corporation, health maintenance organization, um, fraternal benefit society. Um, I think there's something on federal that we can't touch.

  290. 1:03:18

    Right, right. Yeah, we can't do ERISA plans. They're not under the jurisdiction. But the, the, some of the Medicaid programs handle more than indigents. They handle people with disabilities, and so I just was trying to be clear on which programs were included-

  291. 1:03:34

    Yes, ma'am

  292. 1:03:34

    ... in the bill.

  293. 1:03:37

    Thank you.

  294. 1:03:39

    Okay. Senator Dales?

  295. 1:03:43

    Thank you, Chairman. Um, this is a very important bill. I'm wondering what other states have instituted measures like this, or would Georgia be the first?

  296. 1:03:56

    I don't know the answer to that, sir.

  297. 1:03:59

    Do we know an approximate number of women and men, as we've discussed, um, that are affected in Georgia annually by breast cancer?

  298. 1:04:12

    No, I don't.

  299. 1:04:13

    Okay.

  300. 1:04:13

    I don't have that figure.

  301. 1:04:14

    Just trying to wrap my head around how many lives this could save.

  302. 1:04:21

    Yeah. It's, uh, and it's showing up in different people, different stages, and, uh, there's even people in the legislature, men and women, that have had it.

  303. 1:04:32

    Okay.

  304. 1:04:32

    And, uh, it, it affects us all. And, uh, you know, it's, um, just v- very much, uh, I feel very much needed. Um, and I thank you for your consideration. Thank you, sir.

  305. 1:04:48

    Absolutely.

  306. 1:04:49

    Could I ask is, is there a fiscal note on this as far as the cost?

  307. 1:04:52

    No, sir, there's not a fiscal note on this. This is something and, uh, to get the insurance companies to the table and, uh, to, to deal with. Um, but they, you know, right now they will pay for the mammogram after age 40. They will pay for a mammogram annually.

  308. 1:05:15

    Yes.

  309. 1:05:15

    But at 40 years old, you have a double mastectomy, then they say, "Sorry, Charlie, you're on your own."

  310. 1:05:24

    Hmm. So your thought is that this would bring them to the table as far as discussion and-

  311. 1:05:32

    And start at least furnishing it. I know there may be some cost-sharing requirements, uh, applicable to diagnosing, uh, breast examinations, but, uh, you know, that's covered in the bill. Um, uh, a health benefit policy that provides coverage for diagnostic breast examinations shall include provisions and ensure that the cost-sharing requirement's applicable to diagnostic breast examinations and supplemental breast screening examinations.

  312. 1:06:04

    And, uh, it's just something that, uh, I feel like, you know, we need to do.

  313. 1:06:11

    Am I correct? Is this because... I'm reading line 35, it would be any individual group plan, which would also, we would pick up the state plan as well. So this is not just the state plan as the previous bill was. This would be all policies, individual group, whatever-

  314. 1:06:28

    Yes, sir

  315. 1:06:29

    ... from that standpoint.

  316. 1:06:30

    Yes, sir.

  317. 1:06:30

    Okay. Okay. I think it's worth pursuing. I'd like to work with you as far as how to bring them to the table as far as that. Also-

  318. 1:06:39

    Thank you, sir

  319. 1:06:40

    ... uh, Senator Harbison, if we will, please.

  320. 1:06:42

    Thank you, Mr. Chairman. Uh, Senator, um, I want to commend you for bringing this forward. Um, uh, in my family we've experienced the same thing. My wife had a double mastectomy and ultimately s- succumbed to the, uh, cancer behind it. But what I'm trying to clarify is the PET scan as opposed to the, um, other kind of X-ray- ... operation you're saying it d- it does not allow for PET scans as often as it needed, or you're advocating for more PET scans, which you illustrated in your talk was more costly.

  321. 1:07:19

    Is, was that-

  322. 1:07:19

    What, what I'm advocating for is the PET scan. The other C scans are not as detailed, and they don't show what the PET scan shows. The PET scan is more detailed. And I know they're costly, but it's also costly to treat cancer. And if it's caught in an early enough stage, it can be treatable and not be as, as extensive.

  323. 1:07:49

    But I, I-

  324. 1:07:50

    But also, I think with the more test being done, you're gonna see a cost come down because there's gonna be an increase in the number of PET scans. So they will be doing it in volume. Uh, we heard in regulated industries, a group of oncology doctors that were in Augusta, and they were trying to get the CON set aside so they could build, uh, stuff, uh, uh, center in Augusta.

  325. 1:08:22

    But because of the CON, they wound up building in n- uh, South Carolina, North Augusta, South Carolina.

  326. 1:08:29

    Mm.

  327. 1:08:30

    And they put in PET scan machines. This is something we allowed them to do to set aside the, uh, CON law just a couple of year, just last year, year before last. Um, so as it becomes more common, then I think the cost is gonna go down. And I think the insurance companies will be able to realize that, and, uh, hopefully that, uh, we can have this to go into effect.

  328. 1:08:56

    Uh, what, what, my question is, uh, further, if I may, Mr. Chairman.

  329. 1:09:00

    Go right ahead.

  330. 1:09:00

    It seems that I, if I recall, I'm trying to recall as the, was it utilization of a PET scan because the cancer progressed after over a period of six years and got worse from stage four at first. And then it, they kept up with it, and then they would try one protocol, and then that would wear out, and then another one as it progressed and became more, uh, uh, uh, prolific in, in her, uh, treatment. But you're saying right now that does not happen. The doctor kept up with it at the Amos Cancer Center there in Columbus and tried to make sure he, every now and then they would come up with a new protocol.

  331. 1:09:36

    That worked for a while, then it, then it, it came loose again, and then they just have... Over the six years, it was a long, harrowing kind of situation that, uh, ended up in her demise. So I'm just saying, I thought a- as it got to stage four and they would try one thing, then another, I didn't realize it was not a CAT scan, um, a PET scan that did it. So-

  332. 1:09:59

    Yes

  333. 1:10:00

    ... CAT scan, you're saying.

  334. 1:10:01

    Well, Dean, I am so sorry for your loss, and I'm sorry for what you and your wife went through, and I'm sorry for your loss, sir. And that's why I'm trying to be proactive and bring this. Until our families are affected, then we don't understand and realize what-

  335. 1:10:17

    Yeah

  336. 1:10:18

    ... needs to happen.

  337. 1:10:19

    Definitely.

  338. 1:10:19

    But thank you, sir.

  339. 1:10:20

    All right. Thank you.

  340. 1:10:21

    Thank you.

  341. 1:10:21

    All right. Number 11.

  342. 1:10:26

    Mike.

  343. 1:10:27

    All right.

  344. 1:10:28

    Senator Hodges.

  345. 1:10:29

    Thank you, Senator.

  346. 1:10:30

    Thank you.

  347. 1:10:30

    For bringing this. Very important. I s- the, your line three.

  348. 1:10:37

    Line three.

  349. 1:10:37

    Line three, "Health benefit policies to cover an annual chest imaging test," and quote, "Any additional medically necessary chest imaging test." Who decides what's medically necessary?

  350. 1:10:50

    That would be the doc-

  351. 1:10:51

    The doctor

  352. 1:10:51

    ... up to the doctor, the oncologist.

  353. 1:10:56

    Does it... You think it needs to say that? Because, I mean, I... Who does it now? And I might ask a doctor. I mean, does the insurance company decide what's medically necessary now? Does the doctor decide?

  354. 1:11:15

    Oh, okay.

  355. 1:11:16

    Okay.

  356. 1:11:18

    Another hour.

  357. 1:11:18

    Yeah, okay.

  358. 1:11:18

    Senator Kirkpatrick, do you want to respond to that? Or I, I know that's, that-

  359. 1:11:23

    Well, that's-

  360. 1:11:24

    Does this-

  361. 1:11:24

    That's a, a big subject because as you know, physicians order treatments, tests, imaging studies, labs, whatever, medications. But for people who are covered by insurance, the insurance company has a process that w- we have to go to to try to get approval for those tests, and the insurance companies either agree to pay for it or they deny payment.

  362. 1:11:53

    So, so this, I mean, so will we still be in the same place with this language? Does this language need to be changed? That, that was my question.

  363. 1:12:02

    I don't think-

  364. 1:12:02

    It doesn't say who... I mean, will the insurance company still-

  365. 1:12:06

    I don't think that's gonna make any difference to be honest.

  366. 1:12:09

    Okay.

  367. 1:12:09

    But, um, I mean, I don't, you can... Medical necessity is the key word.

  368. 1:12:15

    Yeah, but that's what it is now, right?

  369. 1:12:18

    That's what it is now. Right.

  370. 1:12:20

    So I would just-

  371. 1:12:22

    Yeah.

  372. 1:12:22

    Senator, I would just mention you, you might oughta check into that.

  373. 1:12:25

    Thank you, sir. I appreciate that very much, Senator.

  374. 1:12:28

    Absolutely.

  375. 1:12:28

    Thank you.

  376. 1:12:31

    Senator, I'd like to work with you to find a way, find a way to work with you on this. I think it's a great bill. I think it's a need that needs to be recognized, and how do we go through this? Uh, 'cause we're not only gonna affect the state plan, we're gonna affect really all insurance plans. And, uh, I'd, how we need to work through that together, I'd like to work with you if we can, um, and make that happen. Is that fair?

  377. 1:12:55

    Well, I'd like to move the bill forward. We're on a time deadline, and I'd like to ask for your favorable consideration-

  378. 1:13:01

    Okay. Okay

  379. 1:13:01

    ... and move the bill forward.

  380. 1:13:02

    Today we're doing a hearing, but we are, we have a meeting on Thursday, and we'll help, help you move that for- forward. Okay?

  381. 1:13:08

    Okay.

  382. 1:13:08

    I appreciate it. And, um, we had one more comment. Senator Lucas.

  383. 1:13:13

    S- uh, Mr. Chairman, I, I guess, uh, Senator Harbison and I need to put a bill in so our state health benefit plan would give us the injections in our knee rather than to lay on the table for a knee replacement.

  384. 1:13:27

    Don't forget me on that one, remember.

  385. 1:13:29

    Yeah, you, yeah, you part of the crew, too.

  386. 1:13:32

    That's right.

  387. 1:13:32

    Okay, we may have to call that the, uh, Senator Lucas Bill, right?

  388. 1:13:36

    No, we're gonna call it the Knee Bill.

  389. 1:13:38

    The Knee Bill. Okay.

  390. 1:13:40

    Sounds like they need knees.

  391. 1:13:41

    What's that?

  392. 1:13:41

    Sounds like they need knees.

  393. 1:13:43

    They need knees. Okay. Well, we will do that. We will address that, work with you on that portion, and we may have to have a, we may have a new bill coming to us as well on the knees as far as that.

  394. 1:13:53

    Thank you, Mr. Chairman.

  395. 1:13:53

    All right. With that, thank you.

  396. 1:13:54

    Thank you, Committee.

  397. 1:13:55

    Thank you, everybody.

  398. 1:13:55

    Thank you very much.

  399. 1:13:56

    And for that, we'll dismiss. Have a great week.

  400. 1:14:10

    Thank you.

  401. 1:14:10

    Yay.

  402. 1:14:10

    Okay

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