Transcript Highlights:

• to amend the Insurance Law in relation to requiring certain health insurance policies to include coverage
• Insurance Law in relation to prohibiting the application of fail-first or step therapy protocols to coverage
• By Senator Ashby: an act to amend the Insurance Law in relation to providing coverage for outpatient
• agenda is Senate Bill 6749 by Senator Webb: an act in the Insurance Law in relation to insurance coverage
• McGonard: an act to amend the Insurance Law and the Social Services Law in relation to requiring coverage

Keywords: 993, senate, all

Summary: The Senate Standing Committee on Insurance met and considered a long agenda of bills focused on health coverage, insurance regulation, and related consumer protections. Measures discussed included coverage for infant formula, restrictions on step therapy for serious mental health conditions, physical and occupational therapy services, outpatient substance use disorder treatment without pre-authorization, mortgage guarantee insurance, patient navigation services, specialized dental benefit plan information, firefighter medical exams, the Strength and Homes Program, accident prevention course instruction, early egg and peanut allergy coverage, speech therapy for stuttering, dog-breed-related insurance restrictions, insurer advertising requirements, prescription drug substitution during shortages, and notice of long-term care rate increases. Members also discussed the rationale for some bills, including concerns about outdated advertising rules and the importance of allergy-related coverage for children. Most bills were moved favorably, with several reported to the floor and others referred onward to the Finance Committee, Substance Use Disorder Committee, or Transportation Committee. Notable referrals included the infant formula, patient navigation, allergy coverage, stuttering therapy, and drug shortage substitution bills to Finance; the substance use disorder bill to the Substance Use Disorder Committee; and the accident prevention course bill to Transportation. Bills on mental health step therapy, mortgage guarantee insurance, specialized dental plan information, firefighter exams, dog breed restrictions, and insurer advertising requirements were reported to the floor. The committee also took recorded votes, with some members noted as without recommendation or without recusal on certain bills, and Senator Helming recorded in the negative on the long-term care rate increase notice bill. Overall, the meeting concluded with all agenda items acted on and no bill defeated outright.

Transcript Highlights:

• Uh, so, um, it depends, of course, on legal professionals, but I'll just go through very quickly who
• You'll still be eligible for coverage under private insurance.
• the health department and so my question would be, um, really more focused on military spouses, dependents
• And don't go too far, we may, we may get an earlier start depending, I don't even know who, um.

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• There are ways you can get supplemental coverage for this.
• They'll mark the yes, and they will not get the coverage because it's adverse selection.
• There are ways you can get supplemental coverage for this.
• There are ways you can get supplemental coverage for this.
• There are ways you can get supplemental coverage for this.

Bills: HF1224, HF1615, HF2403

Keywords: foreclosure, mortgage postponement, homeowners, redemption period, Minnesota Statutes, cannabis, hemp, lower-potency, edibles, regulations, licensing, local control, consumer safety, age restrictions, commerce policy, financial institutions, insurance regulation, limited long-term care insurance, Medicare supplement, health insurance

Transcript Highlights:

• She said they certainly would not want to leave people without coverage.
• He said they certainly would not want to leave people without coverage.
• He said they certainly would not want to leave people without coverage.
• He said they certainly would not want to leave people without coverage.
• She said they certainly would not want to leave people without coverage.

Keywords: 1183, house

Transcript Highlights:

• Our next big program is our GI dependent Our next big program is our GI dependent Our next big program
• education and and for your dependence education and and for your dependence education and and there's
• upon who brings the bill to the depends upon who brings the bill to the depends upon who brings the
• of electing out of of of the coverage? of electing out of of of the coverage? Not to my knowledge.
• And even when school is out, depending on if they have summer is out, depending on if they have summer

Bills: HB 10, HB 12, HB 147, HB 1522, HB 422, HB 675, HB 204, HB 748, HB 912

Keywords: regulatory reform, government efficiency, administrative law, rulemaking, agency deference, judicial review, de novo review, Texas Government Code, Administrative Procedure Act, state agencies, plain language, regulatory burden, regulatory reduction, cost-benefit analysis, fiscal note, public benefits and costs, contested case, rule challenge, Texas Regulatory Efficiency Office, advisory panel

Transcript Highlights:

• So if they get the education to these types of programs and knowing that one day they can't depend on
• So if they get the education to these types of programs and knowing that one day they can't depend on
• So if they get the education to these types of programs and knowing that one day they can't depend on
• ...depend on a shipment coming in.
• on what that is so to depending on what that is so to potentially<01:43:29.880> address<01:43

Keywords: 910, house, all

Transcript Highlights:

• Do you, do you know how this compares to commercial insurance in terms of coverage? I don't.
• as they then buy their commercial coverage.
• We greatly appreciate the opportunity to testify in support of HB 2610, which provides Medicaid coverage
• The Medicaid coverage for these women, you would, you would assume that there should be some improvement
• if that, if Medicaid coverage is an improver, then you would assume there should be some improvement

Transcript Highlights:

• We've seen a 300% increase in our health care coverage.
• , lower health care coverage, innovative health care coverage, making certain that we manage that cost
• <00:08:22.960> lower actually new health care coverage lower actually new health care coverage
• lower HealthCare<00:08:23.840> coverage<00:08:24.360> Innovative HealthCare coverage Innovative
• HealthCare coverage Innovative HealthCare<00:08:25.280> coverage<00:08:25.919> making<

Keywords: 1183, house

Transcript Highlights:

• But productive governance depends on respect and professionalism, not just towards each other but also
• Efficiency depends on singular focus and devotion to mission.
• So we're not dependent on just one source.
• So we go in and look at all of these different areas, depending on what we. be fine.
• So if they go to an emergency room. and it's super important for them to get coverage.

Bills: HB150, HB869, HB876, HB 1043, HB1494, HB1522, HB150

Keywords: cybersecurity, state command, information resources, data protection, incident response, information technology, classification officer, job descriptions, state positions, competency-based, information sharing, government efficiency, public sector, private sector, distributed ledger, title registry, real estate, property liens, pilot program, healthcare

Transcript Highlights:

• The section had input from dependency.
• Representative Hudson asked whether the change affects Medicare or Medicaid coverage, since it is no
• longer a substance abuse or chemical dependency assessment.
• c><00:20:35.520> or<00:20:35.919> chemical<00:20:36.520> dependency?
• substance abuse or chemical dependency? substance abuse or chemical dependency?

Bills: HF2233, HF1999, HF1995, HF1614, HF2781, HF1775, HF1316, HF2127, HF2521, HF689, HF2380, HF1273

Keywords: Uniform Special Deposits Act, special deposit, banking law, financial institutions, escrow, escrow account, trust account, security deposit, beneficiary, depositor, creditor process, garnishment, attachment, levy, setoff, recoupment, financial market infrastructure, retirement benefits, compensation, earnest money

Transcript Highlights:

• them to return in a way that gives them a real chance to stand on their own feet, not immediately depend
• them to return in a way that gives them a real chance to stand on their own feet, not immediately depend
• The minimum amount of insurance coverage shall be $3 million. Are they insured now?
• actually for the second year in a row that there's been bipartisan language to expand IVF infertility coverage

Keywords: 974, senate, all

Transcript Highlights:

• ...alternative coverage arrangement, the patient, employer, and where the provider is located geographically
• They're being dropped from their insurance coverage.
• money, lining their pockets with no recourse for an unheard victim lying in a bed, nearly completely dependent
• Substances with a high potential for abuse and dependence are placed in Schedule 1, while those with

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Transcript Highlights:

• <00:11:08.800> Uh medication coverage? If so, when? Uh medication coverage? If so, when?
• <00:11:43.680> About coverage changes in 2024 to 2025.
• About coverage changes in 2024 to 2025.
• and this in cover this ensures coverages and this in cover this ensures coverages for<00:15:37.839
• > broadly<01:12:13.120> for If Medicaid coverage expands broadly for If Medicaid coverage

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone. The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months. Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value. After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.

Transcript Highlights:

• Thank you all for letting us hear House Bill 164 today, an act relating to the coverage of hearing aids
• It will authorize full coverage of hearing aids up to $2,500 per year for children.
• coverage of hearing aids. coverage of hearing aids.
• hearing aid, increases the coverage hearing aid, increases the coverage amount<00:09:06.600>
• <00:09:40.520> of it will authorize full coverage of it will authorize full coverage of hearing

Keywords: Meeting Start 00:00 Call to Order and Roll Call 00:12 Discussion HB 527 00:47 Vote HB 527 02:26 Discussion HB 265 04:46 Vote HB 265 06:49 Discussion HB 164 08:19 Vote HB 164 10:25, 958, all

Transcript Highlights:

• can be complicated insurance coverage can be complicated but<00:14:45.079> it<00:14:45.199>
• <00:15:02.639> for<00:15:02.880> babies<00:15:03.600> with Medicaid coverage
• for babies with Medicaid coverage for babies with positive<00:15:04.240> newborn<00:15:04.720
• <00:25:27.799> of<00:25:27.960> Senate now as you follow our coverage of Senate now
• as you follow our coverage of Senate meetings<00:25:29.000> hearings<00:25:29.520> and

Keywords: 1187, senate, all

Transcript Highlights:

• And we make a determination along those lines before we would sanction or remove health care coverage
• Nothing else about the coverage has changed.
• It was already mandated by federal law that we provide this coverage and also by a state law that was
• So there is no change to that coverage at all.
• We had no intention of ending our coverage because there was a state law that required coverage.

Summary: The meeting opened with approval of the prior minutes and then took up two Department of Human Services rules. Mary Franklin of DHS’s Division of County Operations presented a Medicaid/CHIP rule that removes the 90-day waiting period for certain ARKids B children who lose other coverage, clarifies child support enforcement procedures for pregnant women, and updates good-cause language to say “rape or incest” rather than “forcible rape.” Members asked about how child support referrals and sanctions work during pregnancy and the postpartum period; Franklin explained that sanctions would not be imposed until after the 60-day postpartum period and that good-cause determinations can prevent sanctions in appropriate cases. The rule had no public comments and a small fiscal impact, and it was reviewed without objection. Elizabeth Pittman of DHS’s Division of Medical Services then presented a medication-assisted treatment rule. She explained that the change simply removes an expired federal end date from the state plan and updates the CMS template, while leaving existing coverage for counseling and lab services tied to substance use disorder treatment unchanged. In response to questions, she said the rule does not add new benefits or costs because the coverage was already required by federal and state law. The committee reviewed the rule without objection. The meeting also included an informational presentation from Jenna Goldman of UAMS about a culinary medicine experience for legislators, scheduled for March 16 for the Senate and March 17 for the House at the Institute on Aging in Little Rock. She described it as a food-is-medicine program where participants would learn about healthy cooking and how to apply it in communities with limited food options. Members discussed its connection to rural health and potential grant opportunities. The meeting ended with a brief visit from a Monticello sixth-grade class, who asked Capitol trivia questions before the committee adjourned.

Transcript Highlights:

• And we make a determination along those lines before we would sanction or remove health care coverage
• Nothing else about the coverage has changed.
• It was already mandated by federal law that we provide this coverage and also by a state law that was
• So there is no change to that coverage at all.
• We had no intention of ending our coverage because there was a state law that required coverage.

Summary: The committee met briefly to approve prior minutes and then reviewed two Department of Human Services rules. The first, from the Division of County Operations, would remove the 90-day waiting period for certain ARKids B children who lose other coverage, clarify child support enforcement procedures for pregnant women and postpartum sanctions, and change the good-cause language from “forcible rape” to “rape or incest.” DHS said there were no public comments and only a small fiscal impact for system changes. The second rule, from the Division of Medical Services, updates the Medicaid state plan for medication-assisted treatment by removing an expired federal end date and adopting a new CMS template; officials said coverage does not change and there is no financial impact. Both rules were reviewed without objection. Members also heard an informational presentation from UAMS about a culinary medicine experience planned for March 16 for the Senate and March 17 for the House at the Institute on Aging in Little Rock. The program is intended to show how food can be used as medicine and to connect with the state’s rural health transformation priorities and possible grant opportunities. Members were encouraged to attend, wear comfortable shoes, and participate in the kitchen-based activity. The meeting ended with special recognition of a Monticello sixth-grade class visiting the Capitol for a scavenger hunt. A student asked several questions about the Capitol building’s materials and architecture, and members responded informally before the committee adjourned with no further business.

Transcript Highlights:

• time frame that members need to make their application, and provides for the effective date of the coverages
• time frame that members need to make their application, and provides for the effective date of the coverages
• When you're traveling, it depends on if you're traveling in your capacity as a public official.

Summary: The Administrative Rules Committee met on June 11 and first approved the March 12, 2026 minutes by voice vote. It then granted the Board of Medicine an extension of time to implement rules tied to recent legislation, including North Dakota’s participation in the physician assistant licensure compact and a new physician nutrition continuing education requirement. The Board said it was waiting on compact rules and fee information before finalizing its own changes. The committee heard a lengthy presentation from the Office of Management and Budget on broad personnel rule revisions, including salary administration, recruitment, leave, sick leave, funeral leave, service awards, appeals, and shared leave. OMB said the changes modernize HR language and implement recent legislation such as enhanced annual leave for hard-to-fill positions and new hire leave. Members questioned the hard-to-fill leave provisions, but OMB and counsel said those standards come from statute, not the rules. The committee also heard and accepted rule packages from the Lottery, the Board of Examiners for Audiology and Speech-Language Pathology, the State Electrical Board, the Industrial Commission, PERS, and Health and Human Services, with each agency describing mostly technical, clarifying, or statutory-conforming changes and noting the public notice and comment process. The most significant action came during the Gaming Commission rules presentation. After questioning whether the commission had authority to raise the poker tournament buy-in limit from $300 to $1,500, members moved to void Section 99-01.3-09-01 on the ground that the agency lacked statutory authority for that change. The motion passed on a roll call vote. The committee also discussed several gaming-related issues, including online raffles, kiosk use, advertising restrictions, and the broader policy question of whether charities should be allowed to own bars, but took no further formal action on those topics.

Transcript Highlights:

• Bill 2048, an act relating to the Arizona Health Care Cost Containment System and prescription drug coverage
• Bill 2048, an act relating to the Arizona Health Care Cost Containment System and prescription drug coverage
• So under this bill, parties to a dependency could actively seek to disrupt the attorney-client relationship

Keywords: 1182, all

Transcript Highlights:

• Bill 2048, an act relating to the Arizona health care cost containment system and prescription drug coverage
• . ...and act relating to the Arizona Health Care Cost Containment System and prescription drug coverage
• Under this bill, parties to a dependency could actively seek to disrupt the attorney-client relationship

Summary: The Senate met in floor session, began with prayer and the Pledge, approved the journal, received communications, and handled a return of Senate Bill 1456 from the House for reconsideration. Members then moved through several Committee of the Whole calendars, considering and amending bills on court fees, information technology, environmental quality, agricultural property inspections, property tax notices, veterans services, zoning and electric generation siting, fuel and gas resilience, and disturbing religious services. Several amendments were adopted, including changes to HB 2265 on criminal court fees, HB 2311 on conversational AI disclosures and privacy limits, HB 2986 on environmental quality/fuel resilience, HB 2104 and HB 2105 on agricultural property inspection rules, HB 2406 on veterans services, HB 2494 on electric generation siting and environmental compatibility, HB 2696 on fuel and gas prices, and HB 4117 on interference with religious services. Most of these bills were reported out of committee with do pass recommendations, though members raised concerns on HB 2311 and HB 4117 about privacy, free speech, and prosecutorial discretion. The chamber then took up a long series of third readings and final votes. Bills passed included HB 2015 on single-audit compliance, HB 2041 on child neglect and poverty factors, HB 2048 on AHCCCS prescription drug coverage, HB 2417 on excessive speed, HB 2611 on child welfare, HB 2793 on annexation, HB 2950 on special districts, HB 2995 on family law, HB 4018 on county officers, HB 2404 on mental health services, HB 2279 on limitations of actions, HB 2502 on the state retirement system, HB 2733 and HB 2953 on pharmacy regulation, HB 2979 on credit unions, HB 4042 on parent-child relationship determinations, HB 4010 on health professional regulatory boards, HB 4043 on public schools, HB 4049 on the Attorney General, HB 2265 on court fees, HB 2311 on information technology, and HB 2986 on environmental quality. HB 2601 on state highways and routes failed. Several members explained votes on bills involving fiscal impacts, child welfare, road safety, annexation, and criminal justice concerns. The Senate also adopted a group concurrence motion on several conference committee reports, including HB 2003, HB 2010, HB 2133, and HB 2874, and then voted on those measures. HB 2003 on driver’s license instruction permits, HB 2010 on advertising, HB 2133 on disclosure of sexual material and synthetic depictions, and HB 2874 on campaign committees and termination statements were all advanced after conference committee action, with debate on HB 2133 focusing on First Amendment and content-moderation concerns. The session ended with introduction of a large package of transportation-related appropriations bills and a motion to suspend certain committee notice rules for Appropriations to hear legislation and strike-everything amendments on short notice.