Transcript Highlights:

• Our jurisdictions include health care facility regulation, commercial health insurance coverage, the
• families are informed and understand that when there are changes to the household's income, Medicaid coverage
• it seriously the testimony is given today, not just for Bennett, but for every child whose future depends

Summary: The subcommittee held its first meeting of the 2025-2026 term, took attendance, confirmed a quorum, and heard introductory remarks from members and staff. Chair Anderson outlined the subcommittee’s jurisdiction over access and affordability issues, including health facility regulation, insurance, Medicaid, CHIP, and state employee health coverage. The main agenda item was an update on implementation of HB 391, which created a family home health aide program for medically fragile children. Representative Tramont, the bill sponsor, explained that the law was intended to let trained family caregivers be paid through Medicaid to care for their children, reduce reliance on private duty nursing, and relieve families. He and several members expressed frustration that implementation had taken nearly two years and that families still faced barriers. Deputy Secretary Brian Meyer of AHCA and Bridget Royce of DCF said the program was implemented October 1, 2024, with billing available, but no home health agencies had yet launched the required 80-hour training program and no claims had been paid. They described the program’s requirements, including agency employment, background screening, training, a $25-per-hour Medicaid rate paid to the agency, and an annual assessment report. A major issue discussed was that income earned by family caregivers counts toward Medicaid eligibility and could cause families to lose coverage. AHCA and DCF outlined two possible fixes that would require CMS approval: disregarding the income for eligibility purposes or treating the child as a family of one. Members and public witnesses strongly urged changes to avoid forcing families to choose between income and coverage. Several providers said they had begun preparing training programs, but asked for clearer approval processes and more patient-specific training requirements. The committee then heard extensive public testimony from parents and caregivers of medically fragile children, who described the financial, emotional, and logistical strain of caring for children with severe disabilities and argued that the bill should be expanded to include Florida KidCare families and others in the coverage gap. They also raised concerns about the eight-hour-per-day limit, low pay, and the need for simpler rules and direct support. Home health providers and associations supported the concept but asked for modifications, including more targeted training and clearer implementation guidance. The meeting then shifted to a second agenda item on the Andrew John Anderson Rapid Whole Genome Sequencing Program, which was funded in the 2023 budget. Deputy Secretary Meyer said the program has been implemented since January 1, 2024, but utilization has been lower than expected, with only about 60 claims paid and many denials occurring through managed care. Public testimony from a lab, a hospital, and a pediatric rare disease expert said the program is clinically valuable and cost-saving, but managed care billing barriers, prior authorization issues, and DRG-related denials are limiting access; they urged direct billing to Medicaid and possible expansion to all newborns.

Transcript Highlights:

• of investigating geographic access to treatment, as well as work to investigate current insurance coverage
• I'm in compliance, and I will continue to work with this dependency and addiction, and these new drugs

Keywords: 995, all

Summary: The Special Commission on the Public Health Effects of Xylazine held its fifth and final public meeting to review and approve the final draft of its report before submission to the House and Senate clerks. Chair Mindy Domb opened the meeting, noted Senator John Keenan’s absence due to National Guard deployment, approved the prior meeting minutes, and explained the process for incorporating final edits and late votes into appendices. Commissioners then voted to allow staff to make agreed-upon language changes after the meeting, and later voted on the final report itself. Staff walked commissioners through the report’s redlines and substantive updates. Changes included clarifying that xylazine is an active adulterant rather than simply a bulking agent, replacing “non-clinician” with “non-clinical staff,” removing or revising references to “hotspots” in favor of more accurate language about local trends, and refining language on wound care to refer to medical consequences and financial costs. The report also added or strengthened discussion of harm reduction measures such as drug checking, mobile health services, overdose prevention centers, oxygenation and airway support during overdose response, and the importance of naloxone remaining available while recognizing its limits for xylazine exposure. Commissioners also discussed data collection, legal protections for drug checking, and the role of the Attorney General in guidance and coordination on emerging drug threats. The commission then took a final vote, with the members present voting to approve the report. A letter from Senator Velis, who was also absent due to active duty orders, was read into the record expressing support for the report and its recommendations. In closing comments, commissioners and staff thanked one another for the collaborative work and described the report as a useful public health resource. Chair Domb adjourned the meeting at 11:11 a.m., noting that the final report would be submitted and posted online for public access.

Transcript Highlights:

• TODAY WE WILL TAKE UP HB 697, DRUG PRICES AND COVERAGE BY REP.
• FLORIDA IS THE 14TH, 15TH DEPENDING WHICH RESOURCE YOU LOOK AT LARGEST GDP IN THE WORLD.

Transcript Highlights:

• strengthens that process in order to prevent our youth from ending up in either delinquency or dependency
• HB 751 ensures health insurance coverage for law enforcement and their families when officers are catastrophically

Summary: The Budget Committee met with a quorum and considered eight bills. The first major item, House Bill 1467 on gambling, drew extensive debate and strong opposition from veterans organizations and related groups, who warned the bill’s language could unintentionally criminalize raffles and gaming machines used by American Legion and VFW posts for charitable fundraising. The sponsor said the bill would strengthen gambling penalties, authorize fantasy sports contests, preempt local enforcement, and require more reporting on illegal gambling, and he said he was open to amendments later. Despite concerns from several members about unintended consequences and local preemption, the committee passed the bill favorably on a roll call vote. The committee then heard and passed House Bill 711, creating a statewide “spectrum alert” for missing autistic children and requiring FDLE training for law enforcement; House Bill 1335, allowing Medicaid coverage for blood-based colorectal cancer screening; House Bill 843, making clarifying changes to Fish and Wildlife Conservation Commission trust funds; House Bill 1371, strengthening protections for law enforcement and first responders, including penalties for attacks on officers and measures related to false reports and blood-borne pathogen exposure; House Bill 1405, revising youth prevention services for status offenders; House Bill 1053, updating FDLE-related statutes and adding support for retired police dogs; and House Bill 751, expanding health insurance protections for law enforcement and their families after catastrophic injury or death and clarifying fraud penalties. Several bills were amended before passage, including HB 1371, which adopted an amendment removing a section to avoid fiscal impact, and HB 1053, which removed proposed changes to the capital complex definition. Most measures received supportive testimony from law enforcement, health, or advocacy groups and passed with little opposition. The committee concluded by reporting all of the listed bills favorably and then adjourned.

Transcript Highlights:

• which relates to the election of certain school districts to participate in the Uniformed Group Coverage
• She could be awarded the responsibility of the debt depending on her involvement, but if it was incurred

Bills: HB3803, HB3804, HB3805, HB3806, HB3833, HB4134, HB4233, HB4238, HB4243

Keywords: HB 3803, Texas Health and Safety Code, Chapter 712, perpetual care cemetery, perpetual care trust fund, cemetery regulation, financial confidentiality, confidential records, regulatory examination, Texas Department of Banking, commissioner disclosure, interagency information sharing, state agency enforcement, federal agency disclosure, trust fund oversight, burial services, cemetery trust, consumer protection, state banks, Texas Finance Code

Transcript Highlights:

• AND THEY HAVE A POLICY THAT IS CUMBERSOME, THESE ARE DERELICT AS WELL AS LONG LAPSED FOR INSURANCE COVERAGE
• IT DEPENDS ON WHEN THE DERELICT VESSEL HAS BEEN RENDERED DERELICT.

Keywords: 999, senate, all

Transcript Highlights:

• coverage.
• ensure these plans can fill coverage ensure these plans can fill coverage gaps<01:30:14.880>
• bill without any type of coverage. bill without any type of coverage.
• c> Comprehensive coverage remains available Comprehensive coverage remains available to<01:31:06.800>
• , said that they've gone without coverage, said that they've gone without coverage, without<01:34

Keywords: 1191, senate, all

Transcript Highlights:

• Depending on how you look at it, some people might prefer to just live longer regardless of what their
• There was something about the insurance coverage of anesthesia services.
• It is the insurance coverage of anesthesia services, and it is remaining.” “Perfect.
• over 3.5 billion shovel- and crane-ready development in rural and urban districts and the state dependent
• The fiscal note here is about $50 to $60 million, depending on the year.

Keywords: 959, house, all

Transcript Highlights:

• of money in that as we're looking at our food insecurities and the economic development to the dependency
• On line 130, the executive recommends 92.9 million for maintaining health coverage for lawfully present
• Without this, about 15,000 New Mexicans would lose coverage due to the changes in HR 1, and that brings
• As they start losing officers, and we know APD doesn't have enough, we're going to have to depend on
• So it depends on the statute of the fund, but you may have to then also make a different appropriation

Keywords: 996, all

Transcript Highlights:

• completely detached thing. ...that's available under different sections of open records and investigative coverage
• manipulation of intoxication, withholding identifying documents, the deliberate creation of financial dependency
• News coverage of those arrests was on the news.
• It can involve manipulation through addiction, withholding identification, creating financial dependence
• We will also likely be back doing it again in another special session depending on what our friends over

Bills: SB10, SB16, SB6, SB 6, SB 10, SB 16

Keywords: trafficking, prostitution, affirmative defense, victims, criminal justice reform, victim rights, criminal justice, judicial reform, court procedures, mental health services, criminal penalties, court security, SB 6, Woman and Child Protection Act, abortion, abortion-inducing drugs, medication abortion, mifepristone, misoprostol, pro-life

Transcript Highlights:

• In Delaware, coverage for menopause and perimenopause varies greatly from one plan to another.
• Insurers must provide clear information on coverage to each insured individual, and this bill also provides
• It's applicable to the organization, the employer who's providing the coverage, not to the individual
• this building this year, especially at this legislative session: the number of mandatory health coverages
• other states, including our neighbors in New Jersey, in pioneering explicitly mandated menopause coverage

Summary: The committee met with roll call attendance and took up two bills. First was Senate Bill 315 with Senate Amendment 1, which would allow the Division of Small Business to add state funding to existing federal small business programs, including the Small Business Innovation Research and Small Business Technology Transfer programs. There was brief public support from one in-person commenter, no virtual comment, and the committee voted to release the bill, though it did not yet have enough signatures for immediate release and was left open for absent members to sign. The second item was Senate Substitute 1 for Senate Bill 319, a women’s health insurance mandate requiring coverage for medically necessary menopause and perimenopause diagnostic and treatment services, including FDA-approved hormone replacement therapy, pelvic floor therapy, and related care. Representative Smith presented the bill as a response to gaps in menopause care and insurance coverage, and Department of Insurance witness Kennedy Cook explained the religious exemption as applying to certain religious employers and blanket health policies. Committee members asked about the scope of that exemption, and some expressed concern about religious carveouts, while others praised the bill as important women’s health legislation. During public comment, one speaker supported the bill but warned that expanding mandatory health benefits can raise insurance costs. The Department of Insurance then testified in support, saying the bill would align Delaware with other states, many insurers already comply, and the department did not expect a meaningful premium impact. The committee voted to release Senate Substitute 1 for Senate Bill 319 from committee.

Transcript Highlights:

• And in this market that we're in, it's very difficult to find coverage.
• And in this market that we're in, it's very difficult to find coverage.
• When a property owner hires a PA, we review the policy, all coverages.
• If adopted, Senate Bill 780 would increase the cost of disability income coverage.
• Many individual disability insurance policies with limitations on coverage for mental nervous conditions

Keywords: 995, all

Summary: The Joint Committee on Financial Services heard testimony on a wide range of insurance-related bills. Topics included public adjusters (H. 1100/S. 785), electronic cancellation notices (H. 1123/S. 701), insurance rebates and loss-mitigation devices (H. 1233), flood hazard determinations (H. 1087 and related flood bills), organ donor insurance protections (H. 1248/S. 727), mental health parity in disability policies (S. 780), motor vehicle service contracts (H. 1139/S. 812), modernization of business-to-business insurance transactions (H. 1105), and a bill changing the GIC withdrawal notice deadline (H. 1150). Committee chairs set a three-minute testimony limit and heard from legislators, industry representatives, advocates, and affected consumers. Testimony on public adjusters was sharply divided. Insurance agents and property-casualty industry representatives argued that bills barring insurers from prohibiting public adjusters would interfere with policy terms, while public adjusters and several consumers described cases where adjusters helped secure substantially higher settlements and said some surplus lines policies already contain anti-public-adjuster endorsements. On electronic notices, the insurance industry supported consumer opt-in email communications, while agents warned that email-only cancellation notices could cause consumers to miss cancellations. On rebates/loss mitigation, insurers supported allowing risk-mitigation devices outside the policy to encourage innovation, while agents opposed the bill as an improper inducement. Flood-related bills drew opposition from insurers who said flood determinations are complex and federally governed. The committee also heard strong support for organ donor protections from a kidney transplant recipient and the American Kidney Fund, who said the bill would prevent insurance discrimination against living donors and could encourage more donations. On disability parity, a disability insurance specialist opposed S. 780, arguing that mental health limitations are a consumer choice that helps keep coverage affordable, while the bill’s sponsor said it would prevent unequal limits on behavioral health claims. The committee also heard support for H. 1139/S. 812 from the service contract industry, and support for H. 1105 from APCIA as a modernization measure for specialty commercial lines. No votes were taken; after testimony concluded, the chairs closed the hearing.

Transcript Highlights:

• Coverage has begun, and people that were receiving treatments for life-saving procedures now have through
• the end of the year to continue receiving this coverage.
• receiving this coverage. receiving this coverage.
• If your coverage is ending because of federal cut, join us. We can win a Minnesota public option.
• If your coverage is ending because of federal cut, join us. We can win a Minnesota public option.

Keywords: 919, house, all

Summary: House and Senate DFL lawmakers, joined by Unidos Minnesota and other allies, held a press event responding to a budget deal they said would end MinnesotaCare coverage for roughly 20,000 undocumented adults at the end of the year while preserving coverage for children. Speakers, including Rep. Cedrick Frazier, Sen. Sandy Leafman, and Emilia Gonzalez Davalos, argued the agreement was cruel, would harm vulnerable families and essential workers, and was being justified under a false claim of fiscal responsibility. They said the affected people are Minnesota residents who work, pay taxes, and contribute to the state, and they rejected the idea that private insurance markets are a viable substitute. The speakers emphasized that many enrollees are receiving ongoing care such as cancer treatment, dialysis, insulin, and asthma medication, and warned that losing coverage would push people into emergency rooms and increase costs for hospitals and communities. They also said the deal set a dangerous precedent by using mixed-status families and undocumented workers as bargaining chips in negotiations. Several speakers framed the issue as part of broader attacks on immigrant communities at the federal and state levels. In response to questions, the lawmakers said they had not been given meaningful input on the agreement, that the DFL leadership had tried to make the “least harm” choice, and that the members speaking would vote no on the provision. They said their focus was on this specific health-care agreement rather than other budget bills, and they indicated the program’s cost was within projections, citing about 20,000 enrollees, roughly 17,000 adults, and spending under $4 million so far. The event ended with a call to continue fighting the deal and to pursue a Minnesota public option and broader long-term coverage solutions.

Transcript Highlights:

• Line 292 is cost tracked in the agreement for MA coverage for birth services provided at home.
• Lines 374 contains the House position on MA coverage for traditional health care practices.
• for traditional healthc care coverage for traditional healthc care practices. practices. practices.
• for adults in elimination of coverage for adults in the<00:12:53.680> program<00:12:54.240>
• <00:54:29.839> for access to healthcare coverage for access to healthcare coverage for undocumented

Keywords: 1187, senate, all

Transcript Highlights:

• the restrictions that prevent physicians from running critical lab tests, and the insurers denying coverage
• Our industry manufactures thousands of products and materials that we depend on every day from clean
• well, the USDA is doing, you know, not USDA, sorry, the FDA is doing a great job, and so we need to depend
• Um, and so, calling it unhealthy, you know, it depends.
• So it really depends and why we can't say it's healthy or not, titanium dioxide, that is your fat-free

Bills: HB25, HB38

Keywords: ivermectin, pharmacist authority, prescription-free, healthcare regulation, patient access, interest rate, ad valorem taxes, homesteads, property tax, tax deferral

Transcript Highlights:

• Sometimes it's more like four to eight, depending on how bad the crisis is.
• on what how bad the eight, depending on what how bad the crisis<01:17:07.200> is.
• And so, we're now increasingly getting detailed coverage and detailed questions and answers on every
• ><01:40:39.680> and<01:40:39.800> detailed<01:40:40.160> questions detailed coverage
• and detailed questions detailed coverage and detailed questions and<01:40:40.840> answers<01:

Keywords: 910, house, all

Transcript Highlights:

• c><00:34:16.079> and<00:34:16.320> implement<00:34:16.720> emergency camera coverage
• , and implement emergency camera coverage, and implement emergency door<00:34:17.599> locking<
• stability of a republican form of stability of a republican form of government<01:22:28.880> dependent
• <01:22:29.360> mainly<01:22:29.679> upon<01:22:29.920> the government dependent
• mainly upon the government dependent mainly upon the intelligence<01:22:30.639> of<01:22:30.880

Keywords: 1187, senate, all

Transcript Highlights:

• So we have a full 100% coverage of all permits within that time frame, at least as far as we're aware
• of all permits within that 100% coverage of all permits within that time<00:32:33.080> frame<
• We are dependent upon the quality of those waterways.
• We are dependent upon the quality of those waterways.
• upon the quality of those dependent upon the quality of those waterways<01:21:07.280> um<01:21

Keywords: 1183, house

Transcript Highlights:

• You see the through that coverage.
• Um, so what is the gap in coverage?
• Um, so what is the gap in coverage?
• Um, so what is the gap in coverage?
• Um, so what is the gap in coverage?

Keywords: Call to Order and Roll Call- 00:00:03 Summary of Staff Report on the Firefighter Commission Minimum Training Standards and Administrative Spending- 00:01:00 Staff Update on Child Fatality and Near Fatality External Review Panel 00:16:00 Child Fatality and Near Fatality Review Panel Representatives Available for Questions-00:39:34 Kentucky State Police & Finance Cabinet Status Update on Kentucky Statewide Emergency Responder Voice System-00:52:35 Adjournment-01:46:24, 958, all

Summary: The committee first approved the minutes from December 19 and June 12, then received a staff report on the Kentucky Fire Commission’s minimum training standards and administrative spending. Staff explained that the commission’s current minimum training hours are 115 for volunteer firefighters and 300 for paid firefighters, down from 150 and 400 before January 1, 2023, after the commission removed elective classes not directly tied to NFPA standards. The report found the commission’s certification testing aligns fully with NFPA standards, but recommended that the commission formally promulgate regulations establishing the reduced training hours. On finances, staff said the commission complied with the first statutory cap on administrative reimbursements to KCTCS, but could not verify compliance with a second, more specific cap because the finance system does not break out program-level costs and the statute is vague. Staff recommended the commission work with KCTCS to fix that issue and suggested the General Assembly may wish to clarify the statute. After questions about reimbursement levels and investment income, the committee voted to accept the report. The committee then heard an update on the Kentucky Child Fatality and Near Fatality External Review Panel. Staff reported that the panel has implemented two of three prior recommendations: it revised its agency notification letter to clearly state the 90-day response deadline and added response prompts and checkboxes to improve completeness. The third recommendation, to adopt formal written procedures, remains in progress; staff said the panel plans to develop those procedures alongside its new case management system. The panel is meeting its statutory membership and meeting requirements, but agency responses to its recommendations have been inconsistent: 48% were timely and appropriate in 2022, 36% in 2023, and 82% in 2024, though only three of nine timely 2024 responses were fully complete. Staff also described the new case management system project, funded with $200,000 in one-time money, and recommended the panel consult budget staff about use of those funds beyond fiscal year 2025. They reissued the recommendation that the panel develop written procedures for case review, findings, recommendations, and annual reports. Committee members raised concerns about the lack of penalties for noncompliance, the volume and length of panel meetings, and technology barriers to reviewing cases, and one member said the panel’s findings should inform future legislation.

Transcript Highlights:

• Such a significant rate hike coverage.
• <00:42:48.720> coverage.
• It is where employer sponsored coverage.
• <00:42:51.119> enables entrepreneurs get coverage that enables entrepreneurs get coverage
• <01:27:04.719> health IKRA, individual coverage health IKRA, individual coverage health reimbursement

Keywords: 1187, senate, all