Transcript Highlights:

• Section 40-7-37.03, administration of statewide leave sharing program.
• That is a program that is within Century Code that was created last session.
• Section 75-09-11-04 amended to provide for the review of a decision for a program whose request for reimbursement
• Section 7509.114 amended to provide for the review of a decision for a program whose request for reimbursement
• for the SUD voucher where previously it said only a program could apply.

Summary: The committee approved the March 12, 2026 minutes and granted the Board of Medicine an extension of time to implement rule changes tied to House Bill 1620/1622, which concern North Dakota’s entry into the physician assistant licensure compact. The Board said it is waiting on compact rules, especially fee structures, before finalizing its own rules. The committee then took up extensive Office of Management and Budget personnel rule revisions, covering salary administration, recruitment, leave policies, funeral leave, service awards, appeals, and shared leave. OMB said the changes modernize HR practices and implement recent legislation, including new hire leave and enhanced annual leave for hard-to-fill positions; the committee raised concerns about the subjectivity and fairness of the hard-to-fill leave provisions, but no action was taken against the rules. The North Dakota Lottery presented emergency and regular rule changes, including updates tied to the Millionaire for Life game and miscellaneous clarifications. The Board of Examiners for Audiology and Speech-Language Pathology described rule updates that add speech-language pathology assistants to the rules, ease continuing education requirements for out-of-state applicants, expand temporary licensure, and clarify supervision standards. The State Electrical Board reviewed numerous code updates, including changes to electrical and fire alarm standards, receptacle labeling, countertop receptacles, and a major new conveyance/elevator inspection program added by the Legislature; the board said it is preparing to begin inspections by August 1. The Industrial Commission’s Geological Survey Division presented new rules implementing House Bill 1459 on critical minerals in coal-bearing formations, including permit, reporting, confidentiality, and royalty-related provisions. The committee asked about confidentiality of exploration data and drilling depth. The Public Employees Retirement System outlined rule changes implementing several bills affecting defined benefit, public safety, defined contribution, insurance, deferred compensation, and retiree health credit programs, and noted possible future proposals to add state EMS or create a LOSAP-style plan. The Department of Health and Human Services presented substance use disorder voucher rules implementing House Bill 1012, including allowing individuals to apply directly and setting reimbursement procedures; the rules were expected to have a $250,000 general fund impact already included in the budget. The longest discussion involved the Gaming Commission rules. Members questioned whether the commission had authority to raise poker tournament buy-ins from $300 to $1,500, viewing it as an expansion of gaming rather than a mere clarification. After debate, the committee voted to void that specific rule section for lack of statutory authority. The rest of the gaming rules covered higher raffle limits from House Bill 1192, the change from “bar” to “alcoholic beverage establishment,” veterans’ organization proceeds, credit ticket voucher kiosks, online raffles, and advertising restrictions; the presenter said several public comments led to revisions or withdrawals of proposed language. The meeting ended with discussion of upcoming Ethics Commission travel-reporting rules and scheduling the next committee meeting in September.

Transcript Highlights:

• Health programs.
• the program.
• These programs.
• Program, which includes SNAP and TANF and other programs.
• a program for streamlining and. contracting and reimbursing would help get the money out the door.

Transcript Highlights:

• That is a program that is within Century Code that was created last session.
• That is a program that is within Century Code that was created last session.
• for the SUD voucher, where previously it said only a program could apply.
• Section 7509.114 amended to provide for the review of a decision for a program whose request for reimbursement
• for the SUD voucher where previously it said only a program could apply.

Keywords: 908, all

Transcript Highlights:

• managing the program. managing the program.
• . program. program.
• because reimbursement from that program helps to supplement the services that we provide to our non-Medicare
• <01:15:35.520> because<01:15:35.840> reimbursement Medicare program because reimbursement
• Medicare program because reimbursement from<01:15:37.120> for<01:15:37.679> that<01:15

Keywords: 928, house, all

Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.

Transcript Highlights:

• Under Article 6, program integrity, we create a program integrity surcharge for all DHS providers.
• FTEES to be able to provide program FTEES to be able to provide program integrity<00:09:21.200><
• We are very careful not to cut any program, but to continue the funding for those programs as you have
• know that the rates of how we reimburse know that the rates of how we reimburse our<00:19:47.600
• What we're creating is uh program.

Bills: HF2433, HF2434

Keywords: education funding, children with disabilities, transition aid, special education, school district consolidation, healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• Reimbursing procedures, particularly with regard to Medi-Cal.
• all of our health and safety net programs.
• further reductions to the Medi-Cal program.
• reimbursed for that.
• That's always been a state-funded program.

Keywords: 987, senate, all

Transcript Highlights:

• residual program.
• If they go into our program, I know the federal can reimburse us.
• The IHSS program specifically reimburses for services for which individuals are eligible.
• This is a growing program. This is a growing program.
• Part C programs.

Keywords: 987, senate, all

Summary: The subcommittee heard an overview of the governor’s IHSS budget proposals and then took public testimony from the administration, LAO, county representatives, labor, consumer advocates, and an aging/disability advocacy group. The administration described IHSS as a large Medi-Cal long-term services program serving more than 900,000 recipients and proposed three changes: shifting some growth costs tied to authorized hours per case to counties, eliminating the statewide backup provider system, and aligning IHSS terminations with Medi-Cal terminations. The administration also discussed the earlier CFCO reassessment penalty change for counties and said overdue reassessments had dropped significantly. LAO said the governor’s overall IHSS cost estimates appeared reasonable, but raised concerns about the hours-per-case cost shift, including unclear root causes for growth, limited county control over statewide averages, and uncertainty about the eventual savings. County Welfare Directors Association, SEIU, and consumer/advocacy witnesses opposed the hours cost shift, arguing counties use state tools, the proposal would pressure counties to cut services, and it could harm older adults and people with disabilities by increasing institutionalization and shifting costs elsewhere. The chair and members repeatedly questioned the rationale for the proposal, the lack of a defined baseline, and whether the current assessment tools or MOE structure should instead be revisited. On the backup provider system, the administration said the program is underused and costly to administer relative to service spending, while LAO suggested the Legislature consider whether administrative costs could be reduced instead of eliminating it. County, labor, and consumer witnesses opposed the cut, saying the system is a critical emergency safety net even if utilization is low, especially for rural areas and people with complex needs. Members also asked about data quality, county backup systems, and whether consumers know the program exists. On the Medi-Cal/IHSS alignment proposal, the administration said automation would stop General Fund-only spending when recipients lose Medi-Cal and restore IHSS automatically when Medi-Cal is regained; LAO and others noted the proposal had been rejected before and urged better notices and safeguards. Witnesses warned that automatic termination could create gaps in care and unpaid work for providers, while the department said counties already manually terminate in some cases and that automation is ready if approved. No votes were taken in the excerpt, and the chair indicated the committee would continue with public comment and later items before a hard adjournment time.

Transcript Highlights:

• Yeah, but they're just reimbursing the cost of the program, right? Very much.
• But they're just reimbursing the cost of the program, right? Very much.
• We are making great gains in getting people who are eligible for the program to use the program.
• We have some content programs, data content programs.
• programs.

Summary: The Senate Finance Committee heard budget presentations for the Texas Historical Commission, the Pension Review Board, the Employees Retirement System (ERS), Social Security and benefit replacement pay, the Texas Emergency Services Retirement System (TESSRS), and the Cancer Prevention and Research Institute of Texas (CPRIT). The Legislative Budget Board outlined recommendations and major changes for each agency, including reductions tied to one-time projects at the Historical Commission, continued funding for courthouse grants, heritage trails, and Holocaust/genocide education, as well as new or modified riders and capital items. For the pension-related items, LBB described funding changes for PRB, ERS, Social Security, and TESSRS, including ERS health plan cost growth driven largely by pharmacy costs, the status of pension funding reforms, and TESSRS’s request for additional state support to address its unfunded liability and staffing needs. Members asked extensive questions about the Historical Commission’s one-time funding, unexpended balance authority, courthouse preservation, the Presidio La Bahia and National Museum of the Pacific War projects, and coordination of Texas history messaging across sites such as the Alamo, San Jacinto, Washington on the Brazos, and other heritage locations. The Historical Commission chair emphasized heritage tourism, economic development, and the need for continued investment in historic sites, staffing, IT modernization, and vehicles. On the pension items, senators discussed PRB oversight of local systems, including the Dallas police and fire pension situation, and ERS investment returns, benchmark comparisons, and rising health costs. ERS officials said the plan remains well funded overall, noted a 2021 cash balance reform and a planned supplemental legacy payment, and explained that GLP-1 drugs such as Ozempic and Mounjaro are a major driver of pharmacy spending; they also said the agency is working with the Texas Pharmacy Initiative and that rebates are contractually returned to ERS. For TESSRS, LBB and agency staff said the system serves volunteer and part-paid emergency personnel, is facing an infinite amortization period, and is requesting additional appropriations, staffing, and IT funding, along with a statutory change to allow an actuarially determined state contribution. The agency said it may otherwise need to cut benefits for volunteer firefighters. For CPRIT, LBB reported about $600 million in recommended funding for the biennium and a 10-FTE increase, while the agency described its $6 billion voter-approved program, $3.75 billion in grants awarded to date, and $10.4 million in revenue sharing since 2011. CPRIT’s only exceptional item was a request for a 10% salary increase for two exempt positions. No committee votes or formal actions were taken in the transcript.

Transcript Highlights:

• This program is estimated to gap.
• reimbursement up to the Medicare rate. reimbursement up to the Medicare rate.
• They have a school of nursing program in Owensboro, a BSN program attached within the hospital that the
• Take that question. >> This particular program is affiliated with our university programs and teaching
• . program. program.

Keywords: 00:00:00 - Call to Order/Roll Call 00:01:25 - Discussion of 26RS HB 689 00:15:15 - Roll Call Vote on 26RS HB 689 00:17:02 - Discussion of 26RS HB 407 00:45:40 - Roll Call Vote on 26RS HB 407 00:49:25 - Discussion of 26RS HB 713 00:55:50 - Roll Call Vote on 26RS HB 713 00:56:54 - Discussion of 26RS HB 676 01:06:42 - Roll Call Vote on 26RS HB 676 01:08:43 - Adjournment, 958, all

Summary: The committee first took up House Bill 689, which would authorize Kentucky to seek federal approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning in 2026. Rep. Amy Neighbors and witnesses from Owensboro Health and St. Elizabeth Healthcare said the bill would bring in about $29 million in new federal Medicaid dollars without using general fund money, help retain physicians, support rural and underserved access, and tie payments to quality metrics. Witnesses described staffing shortages, rising costs, and the need to sustain services such as OB care, primary care, and preventive outpatient services. After questions about how the funding would work and whether private practices were included, the committee voted on the bill and passed it with favorable expression. The committee then moved to House Bill 407, as substituted, which would streamline Kentucky’s certificate-of-need process. Rep. Marianne Proctor and supporters from the Pacific Legal Foundation and the Institute for Justice said the bill would not repeal CON but would modernize a system they described as outdated and overly restrictive, citing national trends toward reform and arguing that Kentucky’s process has changed little since the 1970s. They said the substitute added language requiring the cabinet to contact a dominant provider when needed for data to make CON determinations. Mark Gilfoil, speaking in opposition for St. Elizabeth Healthcare, argued that CON is not a barrier to care in Northern Kentucky and said the bill would weaken the process by limiting who can request hearings, present evidence, and appeal decisions, effectively giving applicants control and making approvals nearly automatic. He said St. Elizabeth serves as a safety-net hospital for low-income and publicly insured patients and warned the bill could harm that role. Members questioned both sides about the appeal process, the definition of safety-net hospitals, and whether the bill could increase facilities and create waste or abuse. The discussion was still ongoing when the transcript ended.

Transcript Highlights:

• So they redesigned the whole program.
• So they redesigned the whole program.
• So the redesign of the program was to get rid of some of those incentives and to restructure the program
• So the redesign of the program was to get rid of some of those incentives and to restructure the program
• So they've restructured the program that they have, since...

Summary: The committee received an update from Grant Wallace on the state employee Medicare Advantage group plan and the ongoing rebid with UnitedHealthcare. Wallace said the agency is exploring “decoupling” the medical and pharmacy portions of the plan, and that preliminary estimates suggested potential savings of about $100 to $200 per participant per month. He said the final CMS rate-setting process would conclude in April, with a revised contract amendment likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. He also clarified that the plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. Representatives from Segal Consulting then gave a broader presentation on Medicare Advantage and Part D market trends, reviewing Arkansas’s prior decision to adopt a Medicare Advantage prescription drug plan and the savings generated since the 2023 RFP. They explained that the Inflation Reduction Act significantly changed Part D financing by shifting more federal support into a direct subsidy tied to risk scores, which makes accurate risk adjustment more important and creates a larger difference between Medicare Advantage prescription drug plans and standalone Part D plans. They said this has led to a growing divergence in funding, especially for standalone Part D, and is the main reason decoupling medical and pharmacy coverage is being considered. Committee members asked about how the risk-score changes affect costs and members. Segal said the new structure has reduced member out-of-pocket costs, with the annual cap now at $2,000 and many members reaching it after roughly $600 to $800 in spending, but that the plan absorbs more of the cost. They also said the market appears to be adjusting through annual bids, and that a decoupled structure could allow the state to capture more favorable funding on the Part D side. No votes were taken, and the committee adjourned after being told to expect further information once the April rate notice and renewal proposal are available.

Transcript Highlights:

• food program there are two the federal food program there are two tiers<00:05:12.280> there's
• We... the food program.
• had<00:06:31.599> the we M the food program I had the we M the food program I had the
• identified and then the reimbursement identified and then the reimbursement rate<00:06:42.680>
• I wrote the program I'm with.

Keywords: 1183, house

Summary: The Children and Families Committee met with a quorum, approved the January 21, 2025 minutes, and then focused on child care shortages and the pressures facing family child care providers across Minnesota, especially in Greater Minnesota. Chairing members noted the issue affects both rural and metro areas and introduced testimony from Cindy Cunningham, a St. Paul family child care provider and public policy chair for the State Association for Family Child Care. Cunningham argued that family child care is in crisis despite state investments, saying provider numbers continue to decline and that the system is not working. She raised concerns about food reimbursement tiers, special licenses that may not qualify for the family child care food program, the need for supplemental support for lower-tier programs, and the burden of upfront grant spending and delayed reimbursement. She also said providers receive little financial benefit for their own children in care and described a recent DHS decision affecting supervision of providers’ own children as an example of poor communication. Her broader message was that unclear, inconsistent, and poorly implemented licensing rules are driving providers out of the field. She recommended implementing the Office of the Legislative Auditor’s recommendations, improving DHS communication with both licensors and providers, updating public guidance and training materials, and considering more direct county funding and support for family child care. She also suggested reevaluating support for certified centers and other state-funded programs that she said operate under different standards. Committee members thanked her for the detailed testimony and said they wanted to follow up with her. The committee then moved on to letters and additional testimony from providers around the state, with members emphasizing the goal of identifying specific regulations that are hindering child care startup and continuation.

Transcript Highlights:

• Each one of these programs is a tool in a tool chest, right?
• These are programs that parents choose.
• With regards to tribal services or tribal programs, do we have any... ...or tribal programs, do we have
• It’s called a voucher program. That’s what it is.
• We should not be supplanting federal programs.

Summary: The committee heard first from LFC staff on a brief about New Mexico’s universal child care expansion. Staff said child care assistance has clear benefits for parents and families, but LFC has not found evidence in New Mexico that it improves children’s educational outcomes; they argued pre-K is the better tool for that goal. The brief highlighted four concerns with universal access: an estimated annual cost of about $849.7 million, a sharp decline in registered homes, possible crowding out of lower-income families, and reduced access for children under age two. Staff also suggested possible mitigations such as prioritizing slots for low-income and at-risk families, reinstating sliding-scale co-pays, and tying quality improvements to workforce wages. Members raised questions about the cost estimate, funding sources, provider quality, and whether the data showed actual crowding out. Several lawmakers expressed support for child care generally but concern about the fiscal impact and whether universal access would divert resources from the families most in need. Others emphasized the importance of child care for workforce participation, rural communities, and family stability, and questioned how registered homes are counted and regulated. LFC staff clarified that the cost estimate was for child care assistance only, not the entire ECECD budget, and that the data showed declines in the share of lowest-income children and infants/toddlers served, though not causation. The ECECD secretary then presented the department’s response, saying universal child care is intended to complete a cradle-to-career system and that the department has already seen strong uptake, increased capacity, and rising workforce participation. She said 6,206 families were found eligible in the first month, the share of infants and toddlers served rose, and new provider applications and licensed slots increased after the November rollout. The department also emphasized wage increases, quality improvements, and a new wage scale/career lattice, while projecting a lower near-term cost than LFC’s estimate and requesting additional funding for child care, early pre-K, home visiting, workforce systems, and capacity-building. No votes or formal actions were taken in the portion provided; the discussion was informational and focused on questions and testimony.

Transcript Highlights:

• If they were going to rent that out for an addiction program or religious education program, would that
• want them allow to have these programs want them allow to have these programs um<00:24:40.320>
• Is it residential programs for religious purposes, or is it all residential programs?
• If it's all residential programs?
• for residential programs. for residential programs.

Keywords: 928, house, all

Summary: The Ways and Means Committee held a public hearing on Senate Bill 291, which would update religious land-use and property tax exemption rules for church-owned parsonages, parish houses, and similar properties. Senator Tim Lang, speaking for the sponsor, said the bill was intended to address situations where former parsonages are no longer occupied by clergy and are instead used for church-related purposes such as housing staff, religious education, or congregate living tied to ministry, including addiction recovery. He emphasized that the bill was not meant to create commercial rental housing and that it also preserves reasonable zoning and environmental regulations. Committee members pressed the sponsor on how the bill would be applied, especially the meaning of “religious purposes,” the six-unit limit, the “same lot” language, and whether churches could use the exemption to rent units for revenue. The sponsor said the six-unit cap was added to prevent large-scale commercial rental use, that congregate housing would be limited and defined, and that the bill was meant to cover uses like substance abuse recovery, homes for unwed mothers, and religious education, but not apartments converted for ordinary rental. He also said churches would still file annual exemption paperwork and towns could challenge claims they believed were commercial. Questions also raised concerns about whether the bill treated religious and nonreligious housing trusts differently; the sponsor responded that the bill was aimed at church-owned property used in pursuit of a religious mission. Several witnesses testified in support. Representative Mark Pearson, an active clergyman, said the bill would not remove additional property from the tax rolls because clergy housing allowances typically lead clergy to buy taxable homes elsewhere, while the church-owned parsonage remains exempt. Nick Taylor of Housing Action New Hampshire supported the bill as a modest expansion that could help create more attainable housing by allowing better use of existing religious land and structures, though he noted his organization would support even broader use. The hearing ended without a vote or final action, and the chair closed questions after the testimony.

Transcript Highlights:

• All that was changed was that the bill as passed in included a reimbursement program for the police departments
• reimbursement program for the police reimbursement program for the police departments<00:11:45.440
• And there was a little bit at the end of paragraph two that talked about the reimbursement program that
• c><00:14:19.040> you reimbursement program you got to you reimbursement program you got to you
• So, while I understand the program.

Keywords: 928, house, all

Summary: The committee held a work session on SB 145, which would require sexual assault evidence kits to be delivered to the state forensic lab within seven business days and analyzed more promptly. Pamela Kyle of the New Hampshire Coalition Against Domestic and Sexual Violence said the bill was developed after survivor concerns and extensive discussions with the Departments of Safety and Justice. She explained that most agencies already deliver kits quickly, but some kits sit for months, and the bill is intended to add structure without penalties while preserving chain of custody. Members discussed the use of common carriers or courier services for transport, the need for clear rules, and whether carriers would know what they were transporting. Representative Papovich offered amendment 2025-2301H to remove the reimbursement program for police shipping costs, arguing it would add administrative overhead and was unnecessary. The amendment was adopted on a roll call vote, and the committee then voted OTPA on SB 145 as amended, with members voting yes on the roll call. The committee then opened a work session on SB 295, and the sponsor presented a replace-all amendment intended to simplify and clarify the Education Freedom Account bill without changing its purpose. The amendment would remove income-cap language, define priority enrollment groups, establish an enrollment cap for the EFA program, and create rolling enrollment rules. It would set a 10,000-student cap for the 2025-2026 school year, allow the cap to increase by 25% if enrollment exceeds 90% of the prior cap, and ensure current participants can remain enrolled. The amendment also provides that certain sections would later be repealed once the Department of Education certifies that applications have not exceeded the cap for two consecutive school years. The sponsor walked through the amendment section by section, explaining that the bill is structured in two phases: one while caps exist and another after they are no longer needed.

Transcript Highlights:

• Prevention is upstream: it's youth programming.
• The program knows that there was a violent crime that was committed.
• So the only question, I think this is a really important program.
• them to do is establish and set up a brand-new program.
• And, yes, some of the programs out there aren't perfect.

Keywords: 987, senate, all

Transcript Highlights:

• But this program will has $5 weather.
• <00:08:41.599> The reimbursement levels are low. The reimbursement levels are low.
• <00:44:21.120> and regarding how we do reimbursement and regarding how we do reimbursement
• <00:48:36.800> for program for program for those<00:48:38.240> qualifying<00:48:39.200>
• relief under the gold carding program relief under the gold carding program on. on. on.

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:38 Consideration of Referred Administrative Regulations 00:01:34 Proposed Legislation for the 2026 Session 00:10:14 Basic and Added Reparation (PIP) Benefits 00:10:41 Prior Authorization 00:46:15 Measures to Strengthen Kentucky’s Economic Infrastructure 00:59:46, 958, all

Summary: The committee met in a special-called session of the Interim Joint Committee on Banking and Insurance and first took up three Department of Insurance regulations tied to House Bill 256, the Strengthen Kentucky Homes program: 806 KAR 22:00, 22:10, and 22:20. Commissioner Sharon Clark said the program would provide $5 million in grants to help homeowners strengthen roofs, with regulations covering eligibility and operations, contractors and evaluators, and reinspections in cases of suspected fraud. A committee substitute to 806 KAR 22:10 was explained as a technical correction to conform to the statutory preference for in-state contractors and evaluators. Representative Hampton moved and Representative Rudy seconded approval of the substitute, and it was adopted by voice vote; the amended regulations were then reviewed. Clark also said the grant money would be distributed statewide rather than targeted to storm-prone areas. The committee then heard an update from Commissioner Clark on mental health parity in response to questions from Representative Pollock. Clark said the department reviews insurer filings and conducts market conduct examinations, but does not have authority over provider reimbursement rates or to require providers to join insurer networks. She said complaints are investigated and, when needed, teams review claims and data on site to check compliance with parity requirements. No action was taken on that discussion. After approving the November 4 meeting minutes, the committee heard testimony on a proposed PIP reform package from Representative Josh Bray, the Kentucky Hospital Association, the Kentucky Justice Association, and State Farm. Supporters said the bill would apply the workers’ compensation fee schedule to most PIP medical claims, keep the $10,000 PIP limit in place while stretching benefits further, reduce balance billing, modernize benefit amounts, and address fraud and delayed billing. They noted hospitals would be exempt from the fee schedule, while hospital-based physical therapy would be included, and said the compromise reflected negotiations among stakeholders. Some members questioned whether exempting hospitals undercut the bill’s purpose and asked about possible rate effects; proponents said they had not done a rate analysis and that the bill could lead to more treatments within the existing PIP limit. No vote was taken on the PIP proposal during this meeting.

Transcript Highlights:

• but the program uh is a new program um but the program uh is a new program um but it<00:43:55.440
• in benefit program.
• This program is in benefit program.
• So, we set up a huge program. summer. So, we set up a huge program.
• Please vote." worthwhile program. It doesn't solve the worthwhile program.

Keywords: 916, all

Transcript Highlights:

• And finally, the bill includes a small but important change to improve reimbursement.
• Specialty pharmacy programs are developed and designed to avoid any delays in care.
• As a Legislature, we've underinvested in reimbursements for our constituents.
• It's a basic one, as I'm trying to understand the roles of these programs.
• Yeah, or if you qualify according to the other programs, right?

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.

Transcript Highlights:

• To take a deeper dive here into these programs, the inpatient program is small, five beds.
• and Food Assistance Program.
• Such as Supplemental Nutrition Assistance Program and Food Assistance Program.
• state program.
• That program would be eliminated.

Summary: The committee heard testimony on the effects of H.R. 1 on Washington’s Medicaid, developmental disability, long-term care, and food assistance systems, followed by a separate discussion of juvenile rehabilitation caseloads and placement capacity. DSHS officials said HR1 could affect home equity rules, immigration-related eligibility, work requirements for some expansion-population enrollees, and provider taxes, while also creating a future opportunity for a new 1915(c) waiver. Advocates and providers warned that any state response that cuts home and community-based services would worsen already thin provider networks, increase waiting lists, push more people into hospitals or out-of-state placements, and strain families and workers. A pediatric behavioral health expert and a supported living provider said Medicaid reimbursement is already too low and further reductions would threaten outpatient, residential, and inpatient services for people with intellectual and developmental disabilities and severe behavioral needs. The committee then turned to SNAP and the state food assistance program. DSHS said HR1 would tighten work requirements and exemptions, end some immigrant eligibility for the federal program, eliminate the SNAP education program, raise state administrative costs, and eventually require Washington to share in benefit costs based on its error rate. Officials estimated large numbers of residents could lose or see reduced benefits, with significant added state costs. Anti-hunger advocates, a food bank director, and a SNAP recipient described the program as essential for low-income families, seniors, and people with disabilities, and said the changes would increase paperwork, reduce benefits, and worsen food insecurity while also harming local food economies. Testimony emphasized that food banks cannot replace SNAP and that work requirements may be difficult to meet for caregivers, people with disabilities, and those facing child care or transportation barriers. In the juvenile justice portion, the Caseload Forecast Council presented the JR forecast, which is currently mostly flat through the end of the biennium but expected to grow modestly over the longer term. Members discussed how policy choices, including the 2019 JR-25 law, have increased lengths of stay for adult-sentenced youth in JR, while diversion and other reforms have affected regular JR trends. A court researcher explained the data available to help forecast admissions and noted ongoing efforts to improve data sharing with JR, AOC, and county systems, though staffing and system-lag issues limit how quickly data can be produced. Juvenile court administrators and DCYF officials described the community-based juvenile justice continuum, rising complexity in the JR population, overcrowding at Green Hill and placement constraints at Echo Glen and Harbor Heights, and the need for more flexible community transition and mental health capacity. No votes were taken.

Transcript Highlights:

• It relates to the Rural Economic Development and Investment Program in the Texas Economic Development
• Uh, this bill is similar to the few other major events reimbursement fund program bills we've heard in
• As you know, the Major Events reimbursement Program, MERP.
• We're big fans of the TIERRA program.
• in some more innovative programs.