Video & Transcript Research : 'retroactive coverage'

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MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 04/15/26

Health and Human Services

Transcript Highlights:
  • And in this one, the governor proposed the changes to retroactive coverage for Medicaid, a requirement
  • <00:02:49.600> coverage<00:02:50.040> for the changes to retroactive coverage for the
  • changes to retroactive coverage for Medicaid, Medicaid, Medicaid, um<00:02:52.240> a<00:02:52.320
  • change to retroactive eligibility. change to retroactive eligibility.
  • . coverages. coverages.
Keywords: 1187, senate, all
FL

Florida 2025 Regular Session

November 6, 2025 - 09:00 AM

Transcript Highlights:
  • What happens then with respect to the payments and the retroactive payments that were discussed earlier
  • PASS  EITHER METRIC WHAT HAPPENS THEN WITH RESPECT   288 TO THE PAYMENTS AND THE RETROACTIVE
  • , it would mean individuals who meet eligibility requirements would maintain continuous Medicaid coverage
  • WOULD MAINTAIN CONTINUOUS MEDICAID COVERAGE  WITHOUT NEEDING TO TAKE ANY ACTION UNLESS  
  • for the medically fragile home health program versus those that are receiving private duty nurse coverage
Summary: The Health Facilities Subcommittee met to receive implementation updates from the Agency for Health Care Administration on three bills passed in prior sessions. First, Deputy Secretary Brian Meyer reported on the transfer of the Children’s Medical Services managed care plan from the Department of Health to AHCA under HB 1085. He said the move was administrative only, with no change to enrollment, providers, services, or clinical eligibility functions, and that it was intended to create efficiencies by aligning procurement and shifting staff resources between agencies. Members then questioned AHCA about reports of reductions in private duty nursing and therapy services for medically fragile children, including concerns about appeals, provider credentialing, and whether families were losing services or being transitioned appropriately. AHCA said it was reviewing denials, monitoring the plan, and using contractual remedies while focusing on maintaining access for members. The committee also reviewed implementation of a bill creating permanent Medicaid eligibility for individuals with permanent disabilities. AHCA staff explained that the agency had submitted a federal 1115 waiver request after public comment and stakeholder meetings, but CMS had indicated it did not anticipate approving the requested authority. Members pressed AHCA on why the waiver was submitted later than the bill’s directive date and on whether the delay was avoidable. AHCA said the waiver was complex and required review, drafting, and public input, and noted that DCF already has a specialized unit to help with redeterminations while the agencies work on operational changes. The committee discussed the practical impact on families who struggle with annual eligibility renewals and the need for clearer communication and faster follow-up from the agency. Finally, AHCA presented on the home health aide program for medically fragile children and related Medicaid eligibility changes. The agency described the 2023 law that created a family caregiver provider type and the 2025 changes that increased the hourly rate, expanded hours, reduced training requirements, and removed caregiver earnings from Medicaid eligibility calculations, subject to federal approval. AHCA said it had completed state public comment, submitted the waiver amendment to CMS, and was awaiting federal action. Members raised concerns that some families may have enrolled or begun work before the eligibility fix was in place and may have lost benefits, especially in Broward County. AHCA said it would work with affected families and plans, review outreach through DCF and the health plans, and continue rulemaking, system updates, and provider training. The meeting ended with the chair noting that the committee had received the updates and adjourned without objection.
LA

Louisiana 2026 Regular Session

Senate May 31st, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • an act to amend Title 22 relative to dental care and cancer treatment, to provide for health care coverage
  • Senate Bill 443 by Senator Boudreaux is an act in Title 46 relative to Medicaid coverage of certain medications
  • , to acquire Medicaid coverage of FDA-approved weight-loss medication.
  • House Bill 210, it's an act to amend Title 42 relative to retroactivity. Return to the calendar.
  • What we did is we change the retroactivity for statewide elected officials, and that's basically what
Summary: The Senate met with 29 members present, heard a prayer and national anthem presentation, and approved the journal without objection. The chamber then received multiple messages from the House on conference committee reports and concurrence actions, and took up a long calendar of Senate resolutions and House/Senate bills returned from the House with amendments. Several resolutions were adopted without objection, including commendations and requests for reports or studies, while others were left over or returned to the calendar. The Senate concurred in or adopted amendments on a series of bills covering registrar compensation (SB 25), broadband administration and reimbursement (SB 80), school safety master key boxes (SB 132), dental coverage for cancer treatment (SB 155), paid parental leave for educators (SB 157), election supervisor compensation days (SB 202), water utility service line replacement funding (SB 228), weight management services through the Office of Group Benefits (SB 250), medical debt protection (SB 414), Medicaid coverage of weight-loss medication (SB 443), and design-build authority for vertiport facilities (SB 513). It also adopted a House concurrent resolution urging backup motors for the St. Claude Avenue Bridge (HCR 32). One bill, SB 479 on removal of certain judges, had its amendments rejected and was sent to conference. The chamber then considered conference committee reports on several measures. Reports were adopted on SB 312 (labor organization dues and fees), SB 208 (veterans services and VA-related restrictions), SB 382 (workers’ compensation advisory council and reimbursement schedule timing), SB 389 (agent and athlete registration and fee review), and multiple House bills including HB 359 (party primary qualifying rules), HB 368 (New Orleans historic preservation lien procedures), HB 468 (wholesale residential real estate definitions), HB 552 (DWI-related responsive verdict language), HB 732 (motor vehicle fines/fees and hybrids), HB 870 and HB 1236 (pharmacy benefit manager and insurance provisions), and HB 1117 (prescription period issues). HB 210 on retroactivity was also adopted after debate. Several conference reports were temporarily passed over or returned to the calendar, including HB 953, and the Senate adjourned to reconvene the next morning for final work.
CA
Transcript Highlights:
  • Retroactive coverage: Currently, when an individual enrolls in Medi-Cal, the state must provide retroactive
  • Under this provision, effective January 1, 2027, retroactive coverage will be shortened from three months
  • Three times as many people will lose their health coverage.
  • Three times as many people will lose their health coverage.
  • I'm here with California Coverage and Health Initiatives.
Summary: The joint informational hearing focused on the impacts of H.R. 1 on California’s Medi-Cal program and on community health effects from recent immigration enforcement actions. Committee leaders said H.R. 1 would sharply reduce federal funding, increase administrative burdens, and worsen access to care, especially for Medi-Cal enrollees, immigrant families, rural communities, and reproductive health patients. The second half of the hearing examined how ICE raids and related federal actions are creating fear, reducing clinic and emergency department use, and disrupting children’s access to schools and early childhood education. Department of Health Care Services Director Michelle Bass outlined the main H.R. 1 provisions affecting Medi-Cal: work requirements, semiannual eligibility redeterminations, shorter retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal support for emergency and lawful immigrant coverage, and a one-year ban on Medicaid funding for prohibited abortion providers. She estimated millions could lose coverage, with tens of billions of dollars in federal funding at risk. Planned Parenthood Affiliates of California warned the defunding provision could force clinic closures, service reductions, and loss of access to family planning, STI testing, and cancer screenings. The California Hospital Association said the financing changes could cut hospital revenue by tens of billions over 10 years and threaten access, especially for rural and safety-net hospitals. The Western Center on Law and Poverty argued the law would increase churn, paperwork, and uninsured rates, disproportionately harming working adults and people experiencing homelessness. Committee members asked about implementation timelines, notification systems, administrative costs, the effect on immigrant eligibility, and whether California could delay or mitigate some provisions. Bass said the state was still assessing federal guidance, planning county and provider outreach, and exploring a possible delay for work requirements and a transition period for provider-tax changes. Members also discussed how state budget actions may need to be revisited in light of H.R. 1, and how California might preserve access through state-only funding or other policy changes. In the second panel, CHIRLA, Los Angeles County Department of Health Services, and the Children’s Partnership described the health consequences of immigration enforcement. Speakers said raids and data-sharing fears are causing anxiety, trauma, and avoidance of care, with Los Angeles County reporting declines in emergency, urgent care, and clinic visits after enforcement actions. The Children’s Partnership said school and early childhood absences are rising in some communities and that enforcement is undermining children’s emotional well-being and access to education. Members asked for more data and discussed possible state protections, telehealth, mobile care, and legal and policy responses to reduce fear and preserve access to health and education services.
MN

Minnesota 2025-2026 Regular Session

House DFL Media Availability 5/14/26

Minnesota House Floor Meeting

Transcript Highlights:
  • So, for instance, under President Trump's bill, coverage when you sign up for Medicaid—well, let me back
  • Under existing Minnesota law, when you sign up for Medicaid, you get retroactive coverage for the three
  • So, for instance, under President Trump's bill, coverage when you sign up for Medicaid—well, let me back
  • Under existing Minnesota law, when you sign up for Medicaid, you get retroactive coverage for the three
  • Under existing Minnesota law, when you sign up for Medicaid, you get retroactive coverage for the three
Keywords: 919, house, all
Summary: House leaders and members discussed a budget agreement centered on preserving Hennepin County Medical Center, with speakers saying the deal provides $705 million total for HCMC and related hospital support. They said $205 million would go directly and exclusively to HCMC, with a $500 million reserve fund available next summer for hospitals meeting narrow eligibility criteria tied to medical assistance and uncompensated care, plus a $30 million uncompensated care fund and increased Medicaid rates for critical access hospitals. They also said the agreement includes a task force to develop a long-term solution for HCMC and new governance provisions, including a professional hospital board, mediation requirements, and continued reporting on public dollars. The leaders also highlighted other parts of the budget deal, including $1.2 billion in bonding for infrastructure, $125 million for a homestead tax refund that would increase the homestead credit by 12% for qualifying homeowners, and $75 million for county IT modernization with additional ongoing funding and a possible future surplus allocation. They said the agreement preserves three-month Medicaid retroactive coverage for one year despite federal changes, provides $10 million for food banks and food shelves, and includes $12.5 million for school-linked mental health grants, $3.8 million for mobile crisis grants, and $5 million for anonymous threat reporting systems in public and private schools. Members also said the deal does not change existing law on the ballpark tax, which remains tied to Target Field bonds and other statutory obligations, and that NLX and Blue Line transit funding would only redirect to reserve accounts if those projects do not move forward. They said the agreement also includes memorial provisions for former Speaker Melissa Hortman, including a $200,000 appropriation to Helping Paws, renaming Highway 610 as the Hortman Memorial Highway, a memorial garden, and a work group on a Capitol complex state park proposal. In response to questions, leaders said they were frustrated that comprehensive gun violence prevention and some other issues were not included, and they said the session would end with an orderly finish after several long days of final work.
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - Part 2 - 03/17/26

Health and Human Services

Transcript Highlights:
  • of mental health the fund's coverage of mental health service<00:45:44.760> costs.
  • So, that's the change in section 16 that changes the word eligibility to coverage.
  • people on MA people to maintain coverage people on MA people to maintain coverage on<01:59:57.760
  • requests from enrollees to retroactively requests from enrollees to retroactively grant<02:00:28.920
  • . retroactively. retroactively.
Keywords: 1187, senate, all
KY
Transcript Highlights:
  • have retroactive requests for approval. have retroactive requests for approval.
  • As a matter of for retroactive approval.
  • We have the potential to add the other food banks that would give us 120 county coverage.
  • <01:22:23.080> We're<01:22:23.160> only give us 120 county coverage.
  • We're only give us 120 county coverage.
Keywords: 958, all
Summary: The committee first approved the August 12 minutes and then handled a large agenda of 355 contracts totaling about $278.7 million. It agreed to defer three Office of Energy Policy items to the October 2025 meeting and reviewed a deferred Kentucky Educational Television contract without objection. The main substantive discussion centered on two University of Louisville legal services PSC amendments and a Seven Counties Services MOA item. For the University of Louisville items, members questioned a large increase in hourly rates and the scope of the legal services, especially complex litigation work and a Colorado estate matter. University officials said the contracts followed an RFP, involved specialized litigation, included local counsel where required, and were expected to be offset by savings in other PSCs and by a potential financial recovery in the Colorado matter. The committee also discussed whether the $125 hourly rate was a statutory requirement or committee policy; the chair later said staff would verify whether it was an executive-branch regulation or statutory rate. Both University of Louisville items were ultimately approved, though Senator Meredith voted no on one and Senator Douglas explained his support while urging future adjustments and more information sharing. The Seven Counties Services contract drew questions about how the $18.7 million would be used and whether federal changes could affect future funding. Cabinet officials described 988 crisis response, outpatient mental health and substance use treatment, prevention, recovery, and harm-reduction services, and said they were monitoring federal developments daily. Representative Petrie and Senator Thomas pressed the cabinet on the long-running Seven Counties bankruptcy and the need to push for resolution; officials said the matter was pending on a motion for reconsideration and that they would try to help move it along. The contract was approved. At the end of the meeting, the committee approved the remaining agenda items as reviewed without objection, but Senator Meredith voted no on the blanket approval motion because of numerous retroactive contract requests and what she said were insufficient explanations such as administrative error or staff being on conference. She said retroactive approvals should be rare and supported stronger internal controls.
NH

New Hampshire 2025 Regular Session

House Health, Human Services and Elderly Affairs (02/26/2025)

Health, Human Services & Elderly Affairs

Transcript Highlights:
  • <00:28:07.799> enrollment that allows for retroactive enrollment that allows for retroactive
  • One is the retroactive enrollment.
  • One is the retroactive enrollment.
  • Thank you both for the clarification. other one is the the retroactive other one is the the retroactive
  • <03:42:59.239> which able to to provide that coverage which able to to provide that coverage
Keywords: 1189, house, all
AR

Arkansas 2026 Regular Session

ALC-ADMINISTRATIVE RULES Jun 18th, 2026

ALC-ADMINISTRATIVE RULES

Transcript Highlights:
  • This plan finds coverage for those employers who are required to have workers' comp coverage, but cannot
  • find that coverage on their own or through an agent.
  • The plan guarantees that these employers will have coverage.
  • And the coverage includes care coordination...
  • So you are retroactively going back and covering that. Yes, sir. Okay.
Summary: The Arkansas Administrative Rules Subcommittee met to review a large set of agency rules and reports. Early items were routine filings: emergency-rule reports, subcommittee review reports, and administrative directive reports were filed without objection. One rule from the Department of Agriculture on maternal health providers and remote monitoring was noted as pulled by the agency and not considered. The committee then reviewed and approved several Agriculture rules, including repeal of equine ID-chip rules after Act 703 of 2025, updates to finance rules adding a new water and sewer treatment facilities grant and consolidating revolving-fund rules, and a pesticide rule creating a Class J pesticide category for feral hog toxicant use. It also approved a Commerce/Insurance rule removing duplicative workers’ compensation plan provisions, and a Corrections rule creating a unified visitation rule for correctional facilities and community correction centers. A member asked about prison visitation hours during COVID, and staff said they would check on that. The committee next approved multiple Department of Human Services rules. These included marketing rules for provider-led organizations under Act 301 of 2025, a comprehensive revision of the DCFS policy manual, changes to Medicaid eligibility to include fictive kin placements and to expand ABLE account eligibility under Act 875, presumptive eligibility changes for pregnant women to align with federal rules, and a follow-up SNAP/TEA/Work Pays rule with updated work requirements, mandatory employment and training, alien eligibility changes, and job-search requirements for certain applicants. DHS also presented a rule implementing federal coverage for certain incarcerated youth before and after release, and the committee approved it. Another DHS rule updated nurse aide training requirements to match federal CNA hour standards and moved criminal-records-check procedures to the agency website. The most extended discussion involved DHS Division of Medical Services’ dental rate rule under Act 1025. The agency explained that it was increasing pediatric dental rates and certain oral-surgery-related rates, but not orthodontic rates or a broader special-needs benefit limit because CMS would not approve a diagnosis-based limit. Members debated whether the statutory language was intended to cover general dentists performing oral surgery procedures, with legislators, the Dental Association, and DHS discussing legislative intent, fiscal impact, and whether a future fix or emergency rule might be needed. Despite the disagreement, the committee approved the rule. The committee also approved other DHS medical rules: adverse-decision appeal changes and prior-authorization posting requirements, an increased RSV administration fee for children, expanded emergency treat/triage/transport ambulance authority, and clinic-based physical and occupational therapy coverage. Later, the committee approved permanent rules for the new state insurance program under Shared Administrative Services, procurement rule revisions recommended after an ACASO review, and commodity-management rule updates including a new revenue distribution model. Under Act 595 of 2021, the committee granted two Department of Commerce/Insurance requests to be excluded from rulemaking requirements: one for Act 772 on forced organ harvesting, and one for restorative reproductive medicine, with the department saying it would promulgate rules later when clinical guidelines are available. Finally, the committee accepted a recommendation to keep and extend the Department of Education, Division of Career and Technical Education rules, filed outstanding rulemaking updates, and adjourned without further business.
FL

Florida 2026 Regular Session

Banking and Insurance Mar 3rd, 2025

Banking and Insurance

Transcript Highlights:
  • selecting the $100 million net worth option are not required to purchase contractual liability insurance coverage
  • if they include accidental damage from handling coverage in their extended warranties.
  • And I should have asked this preliminarily: Is this retroactive?
  • I do not believe it is retroactive. No. So, follow-up?
Summary: The committee met with a quorum present and temporarily postponed SB 480 before taking up four bills. SB 282, relating to home service warranty association finance requirements, was explained as aligning Florida’s home warranty solvency rules with the framework already adopted for motor vehicle extended warranties. Two amendments were adopted: one correcting a cross-reference tied to the $100 million net worth option and another making a technical title change. A representative of the Florida Service Agreement Association waived in support, and the bill was reported favorably. The committee then considered two proposed committee bills preserving public records exemptions. SB 7008 would continue the exemption for certain records held by the Office of Financial Regulation related to financial technology sandbox applications, with staff explaining the exemption is narrow and intended to protect proprietary information. SPB 7010 would continue the exemption for sensitive records held by the Department of Financial Services when acting as receiver for an insolvent insurer, including policyholder personal information, claim data, and trade secrets; staff said the exemption mirrors existing protections and allows consumers to request their own information. Both measures were moved as committee bills and reported favorably. Finally, SB 592 revising the My Safe Florida Condominium Pilot Program was heard. The bill narrows eligibility to certain condominiums, changes owner approval from unanimous consent to 75%, and clarifies eligible roof mitigation techniques. Two amendments were adopted: one requiring the grant work to match the initial inspection report and comply with inspection requirements, and another limiting grants to work that results in a mitigation discount. Testimony was supportive, including from home inspectors and AARP Florida, and senators praised the program’s benefits for hardening homes and lowering insurance costs. SB 592 was reported favorably, and the committee adjourned.
MN
Transcript Highlights:
  • <00:29:23.880> eligibility<00:29:24.520> look-back<00:29:24.960> for retroactive
  • We are talking about victims of human trafficking that are going to get denied this coverage.
  • Medicaid coverage for those people.<00:36:12.080> And<00:36:12.200> I'm<00:36:12.280><
  • who will no longer receive coverage. who will no longer receive coverage.
  • this coverage. this coverage.
Keywords: 919, house, all
Summary: The committee took up House File 4466, the Health Finance and Policy bill, and first adopted the A8 amendment, described as a set of technical fixes. Members then considered a large A9 amendment that bundled a wide range of Children and Families provisions, including child care licensing modernization, crisis nursery licensing, SNAP/MFIT-related language, child care provider self-reporting, a physical abuse recognition poster, child protection and welfare provisions, funding for parent support outreach, and forensic interview training scholarships. Supporters described it as bipartisan work with relatively small fiscal impact, while opponents said it greatly expanded the bill and should be handled separately; after a roll call, the A9 amendment failed 7-14. Representative Scott then offered the A11 amendment, raising concerns about new all-payer claims database language and whether it should have been heard in the Judiciary and Civil Law Committee. Department of Health staff explained the data-sharing safeguards, de-identification process, fee structure, and enforcement provisions, but Scott remained concerned about privacy and the scope of the program and withdrew the amendment. The committee then moved to final bill discussion. Members and authors described HF 4466 as a lean health finance bill largely conforming Minnesota law to federal HR1 Medicaid-related changes, including work requirements, retroactive eligibility limits, cost-sharing, and home equity provisions. Supporters argued conformity was necessary to avoid major federal funding losses and noted a few additional member bills in the package; opponents criticized the federal changes as harmful, especially for vulnerable populations such as victims of trafficking and domestic violence. Fiscal staff said the bill would save just over $2 million in FY 2026-27 and almost $98 million in FY 2028-29. No final vote on the bill itself was taken in the portion provided.
AR

Arkansas 2026 1st Special Session

ALC-ADMINISTRATIVE RULES Jun 18th, 2026

ALC-ADMINISTRATIVE RULES

Transcript Highlights:
  • This plan finds coverage for those employers who are required to have workers' compensation coverage
  • but cannot find that coverage on their own or through an agent.
  • The plan guarantees that these employers will have coverage.
  • And the coverage includes care coordination, for eligible incarcerated youth.
  • So you are retroactively going back and covering that. Yes, sir.
Keywords: 1204, all
AR

Arkansas 2026 1st Special Session

ALC-ADMINISTRATIVE RULES Jun 18th, 2026

ALC-ADMINISTRATIVE RULES

Transcript Highlights:
  • This plan finds coverage for those employers who are required to have workers' compensation coverage
  • but cannot find that coverage on their own or through an agent.
  • The plan guarantees that these employers will have coverage.
  • The act requires states to provide certain coverage for eligible incarcerated youth.
  • So you are retroactively going back and covering that? Yes, sir. Okay.
Summary: The Arkansas Administrative Rules Subcommittee met to review a large slate of agency rules and related reports. The chair announced that several items were stricken from the agenda and that the maternal health providers and remote monitoring rules were pulled by the agency. The committee filed reports on emergency rules, ALC subcommittee rule reviews, and administrative directives, then moved through agency rules from the Department of Agriculture, Department of Commerce/Insurance, Department of Corrections, and multiple divisions of the Department of Human Services. Most rules were explained as technical updates or implementations of 2025 legislation and were approved without objection. Examples included repeal of obsolete equine ID-chip rules, updates to agriculture financing and pesticide rules, removal of duplicative workers’ compensation plan language, a unified visitation rule for correctional facilities, DHS marketing rules for PASS programs, a comprehensive DCFS policy manual revision, Medicaid-related changes for fictive kin, ABLE accounts, presumptive eligibility for pregnant women, SNAP work requirements and alien eligibility, coverage for certain incarcerated youth, nurse aide training updates, and permanent rules for state employee insurance and procurement. The committee also approved requests to exclude the Insurance Department from rulemaking requirements for Act 772 on forced organ harvesting and for restorative reproductive medicine, with the department saying it would issue rules later when more guidance is available. The most extended discussion concerned DHS’s dental Medicaid rate rule under Act 1025. Members and witnesses debated whether the statute’s language covered only oral surgeons or also general dentists performing oral surgery procedures, and whether the rate increase should apply more broadly to the services rather than the provider title. DHS said it was following the black-letter language of the law and could not confirm a broader interpretation without further approvals and funding, while legislators and a Dental Association representative said the intent was to increase payment for the services, especially in rural areas. Members also discussed the possibility of fixing the language in a future session or through a new rule if approvals and CMS review allow. Despite the concerns, the committee approved the rule. The meeting ended with approval of rule review reports and monthly updates, and the committee adjourned.
NH
Transcript Highlights:
  • <00:14:43.600> which homeowners insurance coverage which homeowners insurance coverage which
  • coverage available to individuals who coverage available to individuals who cannot<00:49:19.599> get
  • commercial cannot get coverage in the commercial cannot get coverage in the commercial Market<00:
  • <02:22:09.960> be um rental coverage be um rental coverage be provided<02:22:11.840> um
  • Then you need some coverage.
Keywords: 928, house, all
Summary: The committee took up HB 297 with a non-germane amendment proposed by the Insurance Department to create the Granite State Home Mitigation and Resiliency Program. Commissioner DJ Beton explained that the program is intended to help homeowners reduce rising insurance premiums and avoid surplus lines coverage by funding proactive home and property improvements such as roof fortification, exterior and foundation work, flood protection, and tree removal. He said the proposal was developed after leadership asked for more statutory detail and for the idea to be vetted through policy committees rather than handled only in the budget process. Beton said the program would be funded by the first $1 million collected annually from the insurance premium tax, with grants of up to $10,000 awarded on a first-come, first-served basis. He described the program as modeled on similar efforts in other states, with means testing tied to the Department of Energy’s weatherization/home heating assistance criteria. He also said the department would administer the program using one existing staff position, with coordination through Treasury, and that unspent funds would roll over for several years before reverting to the general fund. Members asked about the unusual use of a non-germane amendment and how the bill would be handled procedurally, since the underlying bill and the new insurance proposal were unrelated. The chair explained that the amendment was being used as a vehicle to move the department’s proposal through the committee process and that the committee could later accept one part, both parts, or neither. No vote was taken in the portion of the meeting shown; the discussion ended with questions about administration, staffing, and the relationship between the underlying bill and the amendment.
LA

Louisiana 2026 Regular Session

State Bond Commission May 21st, 2026

Transcript Highlights:
  • This is a request for retroactive approval of a potential obligation that could be triggered if the City
  • This is a request for a retroactive approval of a potential obligation that could be triggered if the
  • We are making no recommendation, as it is a retroactive approval request, which is what we typically
  • that are seeking retroactive approval.
  • from the university's consultant, JLL, and the underwriter Raymond James, both of which reflect coverage
Keywords: 974, senate, all
Summary: The State Bond Commission met on May 21 with a quorum present and approved the April 16 minutes. The commission then reviewed and approved a large slate of local government and public authority financing requests, including election propositions for the November ballot, water and sewer infrastructure projects, fire protection and recreation district bonds, school board financing, and several refunding transactions. Most items were found to meet technical requirements and were approved on motions by Speaker DeVillier and seconded by Senator Talbot. Among the more notable items were the East Baton Rouge City-Parish refunding bonds for the Greater Baton Rouge Airport District, the City of Kenner’s retroactive approval request tied to a convention center agreement with GMB Basketball LLC, a Louisiana Housing Corporation financing increase for the Federal City Building 10 affordable housing project, and preliminary approval for the Northwest Louisiana Finance Authority’s Petro Tower redevelopment in Shreveport. The commission also approved financing for Southern University’s Scott’s Bluff student housing project and the Crescent City Schools/Harriet Tubman Charter School project. The Crescent City Schools item prompted questions about how MFP funds are used; staff explained that lease payments would support the bonds and that MFP funds are generally split between educational expenses and facilities-related costs. The commission received six monthly cost-of-issuance reports, which required no action, and a status update on the state debt schedule. It also approved Resolution No. 2 authorizing up to $425 million in general obligation refunding bonds to refund the Series 2016 bonds and tender other outstanding bonds for savings, with pricing tentatively set for June 16 and closing for June 30. During other business, New Orleans City Council President J.P. Morel thanked the commission for its role in helping address the city’s fiscal crisis and for approving a charter amendment election item aimed at strengthening budget oversight. The meeting adjourned after no further business.
LA

Louisiana 2026 Regular Session

State Bond Commission May 21st, 2026

Transcript Highlights:
  • This is a request for retroactive approval of a potential obligation that could be triggered if the City
  • This is a request for a retroactive approval of a potential obligation that could be triggered if the
  • We are making no recommendation, as it is a retroactive approval request, which is what we typically
  • that are seeking retroactive approval.
  • from the university's consultant, JLL, and the underwriter, Raymond James, both of which reflect coverage
Summary: The State Bond Commission met on May 21, established a quorum, approved the April 16 minutes, and then considered a long agenda of bond, refunding, and election-related requests. Items 3 through 10 were election propositions for the November 3 ballot involving ad valorem taxes, parcel fees, and charter amendments for purposes such as fire protection, agricultural centers, neighborhood security, recreation, aging services, drainage, and roads and bridges; staff said they met technical and legal requirements, and the commission approved them. The commission also approved several local financings, including water and sewer projects, fire district equipment and facility improvements, school board and parish bonds, and refunding transactions for the East Baton Rouge City-Parish and St. James Parish School Board. A retroactive approval request from the City of Kenner related to a CEA with GMB Basketball LLC was discussed; staff made no recommendation because it was retroactive, but noted it appeared to be an oversight, and item 22, the related airport district agreement, was approved. The commission approved additional financing for the Louisiana Housing Corporation’s Federal City Building 10 affordable housing project, a preliminary approval for the Northwest Louisiana Finance Authority’s Petro Tower redevelopment in Shreveport, and two Louisiana Public Facilities Authority projects: Southern University’s Scott’s Bluff student housing project and the Crescent City Schools project for Harriet Tubman Charter School. During discussion of the Crescent City Schools financing, a commissioner asked about the use of MFP funds; staff explained that lease payments would be the repayment source and that MFP dollars are generally split between educational expenses and facilities costs, with the school’s typical split around 72% instructional and 28% administrative/facilities-related. Both items were approved. The commission then received six cost-of-issuance reports for previously approved bond issues, with various fee adjustments but no motions required. It also reviewed a debt schedule update and adopted Resolution No. 2 authorizing up to $425 million in general obligation refunding bonds to refund Series 2016 bonds and tender other outstanding bonds for savings, with pricing tentatively set for June 16 and closing for June 30. In other business, the commission heard a brief public comment from New Orleans City Council President J.P. Morrell thanking the commission for helping place a charter amendment on the ballot to improve New Orleans budgeting transparency and oversight. The meeting ended after monthly reports were noted and no further business was raised.
TX

Texas 89th Regular

Senate Session (Part II) May 8th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • Insurance coverage should not be used as a weapon, and it sure shouldn't be used as a weapon against
  • What if we stopped making renewable power in Texas prospectively, not retroactively?
  • This bill does in a way that did have some retroactivity but has been adjusted.
  • That's forthcoming is adjusting the aspect of retroactivity of your Senate bill.
  • House Bill 136, relating to Medicaid coverage and reimbursement for lactation consultation.
Bills: HJR98, HJR99, HB29, HB136, HB142, HB166, HB353, HB1399, HB2000, SJR59, SCR19, SB128, SB261, SB317, SB383, SB393, SB397, SB466, SB517, SB571, SB612, SB705, SB715, SB731, SB748, SB801, SB867, SB913, SB945, SB946, SB986, SB1013, SB1071, SB1086, SB1087, SB1117, SB1181, SB1250, SB1263, SB1285, SB1444, SB1483, SB1528, SB1553, SB1556, SB1608, SB1723, SB1858, SB1946, SB1957, SB1986, SB1999, SB2043, SB2056, SB2082, SB2105, SB2133, SB2138, SB2177, SB2203, SB2221, SB2311, SB2334, SB2337, SB2340, SB2373, SB2417, SB2446, SB2452, SB2477, SB2532, SB2565, SB2587, SB2615, SB2622, SB2633, SB2637, SB2681, SB2713, SB2717, SB2781, SB2782, SB2835, SB2841, SB2857, SB2891, SB2943, SB2994, SB2995, SB3016, SB3047, SB3057, SB3059, SJR3, SB5, SB72, SB509, SB616, SB963, SB985, SB1143, SB1172, SB1267, SB1271, SB1273, SB1759, SB1786, SB2361, SB1025, SB1080, SB1245, SB1355, SB1422, SB1, SB260, SB1506, SB1637, HJR98, HJR99, HJR2, HJR1, HB1109, HB1392, HB22, HB3093, HB517, HB1130, HB142, HB1689, HB2018, HB136, HB2884, HB1393, HB2730, HB1399, HB1244, HB467, HB331, HB2559, HB29, HB26, HB166, HB353, HB2000, HB2756, HB3248, HB3513, HB3204, HB3135, HB3012, HB2763, HB2523, HB2457, HB2415, HB2198, HB2143, HB1708, HB1672, HB767, HB1327, HB2723, HB451, HB140, HB109, HB3096, HCR6, HCR12, HCR29, HCR50, HCR55, HCR56, HCR58, HCR70, HCR71, HCR74, HCR78, HCR80, HCR107, HCR116, HCR117, SJR36, SJR50, SJR63, SJR59, SCR12, SCR39, SCR48, SCR19, SB2023, SB1957, SB2615, SB2138, SB3016, SB1999, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1163, SB1122, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB209, SB2429, SB511, SB2309, SB510, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB517, SB1200, SB1845, SB2681, SB2458, SB801, SB3014, SB3013, SB758, SB1013, SB2797, SB2076, SB2876, SB715, SB1640, SB2538, SB1449, SB1181, SB1359, SB410, SB1234, SB2926, SB2972, SB2841, SB1856, SB1528, SB1373, SB672, SB2891, SB1854, SB317, SB2539, SB2532, SB1250, SB2082, SB2203, SB1285, SB1454, SB2520, SB1237, SB1586, SB2819, SB629, SB2342, SB2903, SB2477, SB3029, SB375, SB777, SB2367, SB2703, SB2608, SB2965, SB2521, SB2165, SB2501, SB2452, SB2835, SB1602, SB1704, SB1723, SB1858, SB1946, SB2009, SB2177, SB2460, SB2785, SB2373, SB867, SB1608, SB640, SB1698, SB383, SB705, SB748, SB1117, SB2340, SB2680, SB2994, SB2747, SB1950, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB3059, SB2782, SB2781, SB2637, SB2633, SB2337, SB2334, SB1861, SB2043, SB1367, SB946, SB945, SB2857, SB128, SB571, SB1263, SB3058, SB612, SB2221, SB2587, SB2044, SB2363, SB2713, SB2311, SB1986, SB2565, SB2943, SB1888, SB2417, SB3048, SB3052, SB3053, SB3036, SB3057, SB3056, SB3043, SB3037, SB3050, SB3063, SB3047, SB3035, SB2446, SB466, SB2611, SB2794, SB2105, SB2017, SB1790, SB1778, SB1730, SB2995, SB2847, SB205, SB2619, SB1903, SB203, SB3061, SB1581, SB2600, SB2799, SB2790, SB2688, SB2515, SB1230, SB876, SB2522, SB2639, SB2137, SB2519, SB2403, SB2459, SB3051, SB2655, SB2251, SB2764, SB2878, SB1884, SB111, SB582, SB2617, SB1835, SB2751, SB2959, HB206, HB1238, HB1089, HB2890, HB9, HB2081, HB4215, HB2970, SB2063, SB1400, SB2058, SB2260, SB2928, SB1310
WA

Washington 2025-2026 Regular Session

House Appropriations Dec 4th, 2025

Transcript Highlights:
  • There's also changes to retroactive coverage, so this one is likely to be less impactful, but currently
  • If they do, they get coverage for those months.
  • This is when some of those non-citizen coverage changes happen.
  • The actual coverage loss will be some subset of those, but those requirements do apply to that entire
  • Currently, folks can maintain their coverage and be automatically re-enrolled in the subsidy program,
Summary: The committee held a work session focused first on juvenile rehabilitation system capacity. DCYF officials said the juvenile rehabilitation population is older, includes more adult-sentenced youth, and has longer lengths of stay, especially for “post-25” youth who must remain in secure facilities and cannot go to community beds. They described overcrowding at Green Hill School, placement limits at Echo Glen and Harbor Heights, staffing turnover, mental health acuity, and the need for more medium-security and specialized mental health beds. DCYF said it is pursuing a Parkland facility proposal, a staffing model decision package, and a broader feasibility study and master plan update. No votes were taken; members were asked to follow up with questions later. The committee then heard on behavioral health system capacity from the Behavioral Health Administration and the Health Care Authority. DSHS described growth in forensic and civil bed need, expansion at Olympic Heritage, Maple Lane, and Brockman, and construction of a new 350-bed forensic hospital at Western State expected to open in 2028. HCA reported progress on long-term civil commitment beds, intensive behavioral health treatment facilities, PACT teams, and intensive residential treatment teams, saying the community-based system is being expanded to support step-down care and reduce hospital reliance. Members asked about whether capacity is right-sized, the difference between facility types, and federal match eligibility for services. A federal funding update followed, covering the effects of H.R. 1 and H.R. 5371 on SNAP, Medicaid, marketplace coverage, long-term services and supports, K-12, higher education, and hemp regulation. OFM and agency staff said H.R. 1 adds work requirements, changes non-citizen eligibility, increases state administrative and benefit costs, reduces Medicaid and marketplace subsidies for some groups, tightens redeterminations, and may significantly affect provider payments and state-directed payments. H.R. 5371 extended federal funding through January 30, 2026 and included some agency appropriations and other provisions, including changes affecting hemp producers. Members asked about SNAP error rates and special enrollment periods. Finally, budget coordinator Mary Monroe gave a 2026 supplemental budget preview. She reviewed the state’s near general fund outlook, noting revenue declines since the enacted budget, the effect of reversions, and a preliminary maintenance-level outlook showing a projected increase in NGFO spending over the four-year period. She said the supplemental will reflect updated caseload and cost forecasts and mandatory impacts from H.R. 1, but not policy proposals. No actions or votes were taken during the session.
LA

Louisiana 2026 Regular Session

Senate May 7th, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • House Bill 222 by Representative Barrow is an act to amend Title 40 relative to Medicaid coverage, or
  • crime Medicaid coverage, for dental procedures.
  • House Bill 1196 by Representative Freeman is an act in Title 22 relative to health insurance coverage
  • House Bill 1196 by Representative Freeman is an act in Title 22 relative to health insurance coverage
  • Council Bill 1196 by Representative Freeman is in Title 22, relative to health insurance coverage to
Bills: SB525, SR112, SR109, SCR61, SCR62, SCR12, HB175, HB276, HB437, HB456, HB457, HB459, HB488, HB579, HB656, HB804, HB818, HB841, HB981, HB1052, HB1089, HB1101, HB1154, HB1166, HB1193, HB1194, HB1203, HB1209, HB1244, HB1249, HB221, HCR69, HCR58, SB57, SB405, SB414, HB62, HB193, HB203, HB205, HB210, HB220, HB222, HB228, HB246, HB420, HB475, HB486, HB574, HB584, HB750, HB799, HB813, HB815, HB826, HB870, HB949, HB953, HB1045, HB1092, HB1151, HB1162, HB1176, HB1177, HB1196, HB1214, HB1236, HB1241, SB106, SB206, SB248, SB441, SR86, SCR30, SB83, SB135, SB143, SB155, SB157, SB202, SB237, SB276, SB295, SB388, SB450, SB465, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB484, SB490, SB492, SB500, SB501, SB513, HCR31, HB301, HB358, HB359, HB384, HB413, HB428, HB450, HB462, HB547, HB613, HB631, HB657, HB669, HB675, HB680, HB691, HB712, HB716, HB720, HB723, HB727, HB728, HB735, HB747, HB759, HB825, HB845, HB846, HB903, HB904, HB907, HB923, HB929, HB941, HB962, HB965, HB1036, HB287, HB370, HB515, HB521, HB570, HB1200, HB29, HB39, HB58, HB67, HB73, HB76, HB77, HB82, HB112, HB121, HB125, HB132, HB134, HB151, HB154, HB155, HB161, HB166, HB187, HB191, HB207, HB211, HB224, HB238, HB241, HB242, HB250, HB260, HB265, HB275, HB300, HB320, HB338, HB339, HB349, HB379, HB399, HB427, HB463, HB464, HB468, HB545, HB550, HB551, HB565, HB588, HB639, HB725, HB782, HB805, HB808, HB834, HB847, HB853, HB858, HB861, HB883, HB916, HB937, HB977, HB1012, HB1027, HB1044, HB1054, HB1091, HB1117, HB90, HB127, HB138, HB150, HB201, HB268, HB273, HB285, HB315, HB354, HB355, HB360, HB376, HB445, HB506, HB606, HB649, HB665, HB681, HB721, HB746, HB757, HB781, HB835, HB844, HB857, HB872, HB886, HB889, HB892, HB972, HB982, HB987, HB1037, HB1068, HB1072, HB1078, HB1085, HB1132, HB1137, HB1167, HB1174, HB1232, HB1238, HB23, HB136, HB36, HB119, HB126, HB129, HB245, HB271, HB280, HB337, HB351, HB677, HB726, HB789, HB850, HB956, HB966, SB149, SB382
Summary: The Senate convened with 27 members present, heard a guest minister’s prayer for the National Day of Prayer, and adopted the pledge. The chamber then dispensed with the journal and received a legislative bureau report on numerous House bills. It also received House messages on several Senate bills and joint resolutions, including concurrence on multiple Senate measures with amendments, and introduced Senate Concurrent Resolution 63, which would request an audit of the fiscal note process. The Senate adopted Senate Resolution 86, which would prohibit eyeglasses with video or audio recording capability on the Senate floor without approval from the President. Several Senate bills were advanced, including measures on human trafficking training in schools (SB 83), bulletproof vests for peace officers (SB 143), dental care for cancer patients (SB 155), parental leave for educators (SB 157), election board compensation days (SB 202), child welfare and the state child ombudsman (SB 237), brain injury treatment coverage (SB 295), foreign-adversary contract review and homeland security (SB 388), school safety reporting (SB 450), and prompt-pay standards for health care claims (SB 465). Most of these bills passed the Senate unanimously or near-unanimously and were moved to reconsider, while SB 513 on public works average-bid contracting was amended and returned to the calendar. The Senate also took up many House bills, passing measures on voluntary portable benefits for independent contractors (HB 301), memorial highway and terminal designations (HB 358, HB 384, HB 428, HB 657, HB 675, HB 716, HB 972), insurance and health-related changes (HB 413, HB 450, HB 631, HB 680), workforce development (HB 680), and a seafood research authorization near Grand Isle (HB 669). Several bills were amended before passage, including HB 359 on election qualifying rules and HB 675 with an added memorial corridor for crossing guard Katie Wells. Other House bills were received but not acted on or were returned to the calendar. The session ended with committee announcements, a brief recognition of mothers in the chamber, and adjournment until Monday, May 11 at 2 p.m.
FL

Florida 2026 5th Special Session

Appropriations Mar 2nd, 2026

Transcript Highlights:
  • or that coverage is unaffordable.
  • So we are kind of forcing them into the coverage gap.
  • that coverage is already essential to keeping them alive.
  • And I would tell you that if we had adopted the retroactivity... ...not do.
  • The bill operates retroactively to February 17, 2026. That is the bill.
Summary: The Appropriations Committee considered a large agenda of bills and reported several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and a trust for Leila Estrada and Sapphire Williams, and CS/CS/SB 1266, which creates a cybersecurity experiential learning and clearance-readiness program through the Department of Commerce and Cyber Florida. The committee also approved SB 532 on clerks of court funding, allowing clerks to retain all excess Article V revenue rather than returning half to the state and clarifying foreclosure sale procedures. In addition, the committee passed CS/CS/SB 1602 and CS/CS/SB 1604 to create and fund a pilot housing program for veterans through the Florida Housing Finance Corporation, and CS/SB 1110 to expand Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including testimony from affected families and advocates. The committee also adopted an amendment and then favorably reported CS/CS/SB 1012 on inmate services, removing the bill’s medical-services compensation provisions while retaining changes to the inmate welfare trust fund and related facility uses. It also adopted a delete-all amendment and then favorably reported CS/CS/CS/SB 1614, which was narrowed to remove a provision allowing local governments to use excess fees to construct new buildings. The committee spent substantial time on CS/SB 17, a Medicaid oversight and transparency bill. The sponsor said the measure would create a joint legislative Medicaid oversight committee, authorize the Legislature to retain its own actuary, modernize Medicaid statutes, strengthen managed-care performance standards, and increase accountability for pharmacy benefit managers and related entities. After amendment, the committee adopted changes removing several PBM-related provisions while retaining the broader oversight framework. Testimony from supporters emphasized transparency, fraud prevention, and cost control, while a PBM trade association asked to continue working on affiliate-manufacturer, network, and payment issues. The bill was reported favorably. The most extensive discussion centered on CS/SB 1758, which proposes major changes to Medicaid and SNAP. The sponsor described five reforms: stronger fraud and overpayment recovery authority, a Medicaid work requirement for certain able-bodied adults, expanded behavioral-health services through Medicaid waivers, pharmacy-program changes to obtain rebates and reduce institutional costs, and SNAP/EBT reforms including photo IDs and work requirements. The committee adopted two amendments: one adding a transitional “glide path” for people who gain employment but risk losing Medicaid, and another exempting hospice patients with six months or less to live. Supporters argued the bill would reduce fraud, improve accountability, and encourage work, while opponents warned it would increase administrative burdens, push eligible people off coverage, and conflict with federal law or guidance. The bill remained under debate with extensive public testimony from advocates, providers, and affected families, and the transcript ends before final disposition on the measure.