Bills: HR286, HR287, HR288, HR289, HR290, HR291, HR292, HR293, HR294, HCR114, HR275, HR276, HR277, HR278, HR279, HR280, HR282, HR283, HR284, HR285, HCR112, HCR113, SCR62, SCR64, SB132, SB135, SB405, HR179, HR216, HR223, HR225, HR274, HCR89, SB39, SB99, SB111, SB112, SB124, SB134, SB174, SB189, SB190, SB201, SB233, SB236, SB258, SB270, SB273, SB288, SB307, SB313, SB320, SB321, SB325, SB326, SB331, SB339, SB341, SB345, SB346, SB347, SB353, SB357, SB359, SB387, SB393, SB401, SB415, SB419, SB422, SB426, SB435, SB437, SB440, SB451, SB464, SB470, SB487, SB488, SB495, SB504, SB505, SB518, SB523, SB228, SB408, HR168, HR174, HR194, HCR54, HCR74, HCR79, HCR87, HCR94, HCR95, HCR97, HCR98, HCR102, HCR104, SCR23, SCR38, HCR26, HB250, HB265, HB339, HB427, HB445, HB463, HB468, HB606, HB639, HB649, HB665, HB746, HB781, HB853, HB861, HB872, HB886, HB916, HB937, HB1054, HB1068, HB1117, HB1237, HB75, HB705, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, SB54, SB56, SB72, SB79, SB97, SB105, SB123, SB125, SB129, SB163, SB171, SB252, SB287, SB375, SB386, SB461, SB466, HR84, SCR3, HB582, HB625, HB646, HB998, HB1191, HB1255, SB81, SB100, SB109, SB197, SB374, SB479, SB78, HB901, HR20, HR74, HCR65, HCR71, HB284, HB302, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB134, HB258, HB359, HB782, SB149, SB382, SB441

Keywords: HR286, House Resolution 286, LED, Louisiana Economic Development, rural development, energy efficiency, renewable energy, public-private partnership, tax credits, economic development, workforce training, school energy costs, community colleges, technical colleges, local government, building modernization, on-site energy generation, public facilities, rural parishes, distressed communities

Bills: HR286, HR287, HR288, HR289, HR290, HR291, HR292, HR293, HR294, HCR114, HR275, HR276, HR277, HR278, HR279, HR280, HR282, HR283, HR284, HR285, HCR112, HCR113, SCR62, SCR64, SB132, SB135, SB405, HR179, HR216, HR223, HR225, HR274, HCR89, SB39, SB99, SB111, SB112, SB124, SB134, SB174, SB189, SB190, SB201, SB233, SB236, SB258, SB270, SB273, SB288, SB307, SB313, SB320, SB321, SB325, SB326, SB331, SB339, SB341, SB345, SB346, SB347, SB353, SB357, SB359, SB387, SB393, SB401, SB415, SB419, SB422, SB426, SB435, SB437, SB440, SB451, SB464, SB470, SB487, SB488, SB495, SB504, SB505, SB518, SB523, SB228, SB408, HR168, HR174, HR194, HCR54, HCR74, HCR79, HCR87, HCR94, HCR95, HCR97, HCR98, HCR102, HCR104, SCR23, SCR38, HCR26, HB250, HB265, HB339, HB427, HB445, HB463, HB468, HB606, HB639, HB649, HB665, HB746, HB781, HB853, HB861, HB872, HB886, HB916, HB937, HB1054, HB1068, HB1117, HB1237, HB75, HB705, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, SB54, SB56, SB72, SB79, SB97, SB105, SB123, SB125, SB129, SB163, SB171, SB252, SB287, SB375, SB386, SB461, SB466, HR84, SCR3, HB582, HB625, HB646, HB998, HB1191, HB1255, SB81, SB100, SB109, SB197, SB374, SB479, SB78, HB901, HR20, HR74, HCR65, HCR71, HB284, HB302, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB134, HB258, HB359, HB782, SB149, SB382, SB441

Keywords: HR286, House Resolution 286, LED, Louisiana Economic Development, rural development, energy efficiency, renewable energy, public-private partnership, tax credits, economic development, workforce training, school energy costs, community colleges, technical colleges, local government, building modernization, on-site energy generation, public facilities, rural parishes, distressed communities

Summary: The House met with a quorum, received a guest minister for prayer, approved the journal, and heard several announcements and recognitions, including NEC Awareness Day, a European Union delegation visit, and the Glenmore Wildcats baseball team’s state championship. Members also received Senate messages, including concurrence on some House measures, the filing of Senate bills, and several Senate resolutions and bills laid over for later consideration. The chamber then took up a long series of resolutions and bills. Among the resolutions adopted were measures on a Louisiana-United Kingdom Trade Commission, support for migratory waterfowl studies, hunting education in schools, SNAP delivery-fee studies, fraud prevention for seniors, subsurface data preservation, boating safety reporting, and visual acuity screening data. Some items were temporarily returned to the calendar, including a sales-tax uniform-base rule resolution and several Senate measures. The House also adopted a resolution creating an agricultural national security task force and another supporting a letter to the U.S. Fish and Wildlife Service. On legislation, the House passed bills on missing-person alerts for people with disabilities (“Brian’s Call”), first responder status for public works employees, planning commission procedures, historic preservation district rules, judges’ supplemental compensation, the Baker Economic Development District, New Orleans downtown development district tax authority, a local crime prevention district, clerks of court records, hotel occupancy taxes in Shreveport-Bossier, firefighter cancer screenings, Shreveport police civil service rules, local ethics entity funding, hemp/alcohol age restrictions, OMV digital signatures, LED recreation, TOPS Tech eligibility for veterans, anatomical gift recordkeeping, crypto kiosk fraud protections, firefighting foam definitions, and consumer data privacy. Several bills failed, including HB 705 on legislative contempt penalties and HB 75 on gaming promotional play. One bill on vehicle insurance reinstatement fees was amended and passed, and a bill on judicial compensation fund adjustments was amended and passed after questions about CPI indexing.

Transcript Highlights:

• ><02:12:48.320> the<02:12:48.560> reasons<02:12:48.719> for<02:12:49.040> denial
• and those are the reasons for denial. and those are the reasons for denial.

Keywords: 1189, house, all

Transcript Highlights:

• 40:30.960> 2017 2039 one of the changes that the 2017 2039 one of the changes that the 2017 denial
• commission<02:40:33.399> recommended<02:40:34.200> was<02:40:34.399> that denial
• commission recommended was that denial commission recommended was that any<02:40:36.680> additions

Keywords: 928, house, all

Summary: The Department of Administrative Services presented an overview of its budget and operations, emphasizing that it is the lowest-spending agency in state government and that its general fund allocation has declined since 2019. Commissioner Arling House explained that DAS also handles back-office functions for several administratively attached boards, which has affected staffing and spending comparisons. He said the department’s current general fund spending is roughly split between retiree health and other operations, and that the presentation was based on adjusted authorized spending rather than the original budget figures. A major portion of the meeting focused on retiree health benefits and the long-term effort to control costs. Deputy Commissioner Cassie Keane described how the state moved from a projected deficit in retiree health to savings through a series of changes, including higher premium contributions, co-pay adjustments, and shifting Medicare retirees into Medicare Advantage arrangements to capture federal reimbursement. She said the state has about 12,500 retirees and spouses on the plan, with roughly 10,906 Medicare retirees and 1,580 non-Medicare retirees, and that the savings have depended heavily on federal funding and procurement decisions. She also noted that Medicare retirees pay Part B premiums and that the state has grandfathered older retirees from some premium contributions. Members asked about what the expenditures cover, why the state offers retiree health instead of simply giving retirees a payment to buy coverage themselves, and whether out-of-pocket costs changed under Medicare Advantage. Keane said the plan covers actual health claims or insurance premiums, that co-pays and maximum out-of-pocket limits remain in place, and that the state has no authority to change benefit details without legislative action. She explained that retiree health is a long-standing employee benefit that wraps around Medicare and is not collectively bargained in the usual sense, though its eligibility rules and cost-sharing have been tightened over time to better target the benefit to long-term state service. The discussion also covered vendor performance problems. Keane said Anthem recently won the contract back from Aetna, but its pharmacy subsidiary, Caroline, caused serious service disruptions. DAS responded by withholding payments, assessing more than $2 million in performance guarantees, and hiring a third-party auditor to review the pharmacy processes. The current contract runs through the end of calendar year 2026, and officials said they are watching federal Medicare Advantage reimbursement changes closely because future savings are uncertain.

Transcript Highlights:

• A denial should not simply be an unspoken conclusion.

Keywords: 1185, senate, all

Transcript Highlights:

• After her denial, he chose to submit a religious exemption to the college after careful and prayerful

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing on several vaccination-related bills, including proposals to eliminate non-medical or religious exemptions for school immunizations (notably H. 2554 and S. 1557), a bill to require or improve reporting and administration of immunization data and exemptions (described as the Community Immunity Act, S. 1618), and H. 2431, which would prohibit COVID-19, mRNA, or gene-altering vaccine requirements. The committee also heard testimony on H. 2463, which would classify funeral directors as public health workers for vaccine-priority purposes during emergencies. The chair reviewed testimony rules and repeatedly asked speakers to keep comments orderly and brief so the committee could hear as many people as possible. No votes were taken during the hearing. Testimony on H. 2554 and S. 1557 was sharply divided. Pediatricians, infectious disease specialists, public health advocates, and groups such as the Massachusetts Chapter of the American Academy of Pediatrics, Massachusetts Medical Society, March of Dimes, Massachusetts Families for Vaccines, and several parents supported eliminating religious exemptions, arguing that vaccination protects medically vulnerable children and adults, improves herd immunity, and helps prevent outbreaks of measles, pertussis, and other diseases. They cited local school data showing pockets of lower coverage and incomplete reporting, and several speakers referenced outbreaks in other states and the need for stronger, more consistent reporting and exemption management. Opponents argued the bills would infringe on religious freedom and parental rights, force families to choose between faith and education, and unfairly target a small number of families; some also said Massachusetts already has high vaccination rates and that the real issue is incomplete data or the gap population rather than religious exemptions. H. 2431 drew testimony from supporters who said COVID-era mandates caused job losses, privacy concerns, and harm, and that the bill would prevent future requirements for COVID, mRNA, or gene-altering vaccines in schools, workplaces, and public settings. Supporters described personal experiences with alleged vaccine injury or mandate-related hardship. H. 2463 was supported by the Massachusetts Funeral Directors Association, which argued funeral directors work in infection-facing settings and should be eligible for vaccine priority during public health emergencies. The hearing featured extensive public testimony but no committee action beyond hearing the bills and taking questions from members.

Transcript Highlights:

• When families challenge these denials, they're forced into binding arbitration.

Summary: The committee heard several bills, with most of the discussion focused on public safety, consumer protection, and youth harms. AB 1557 by Assemblymember Papin would clarify e-bike motor power limits and set lower speed-related standards for Class 1 and 2 e-bikes. Supporters, including the California Police Chiefs Association, cities, the California Medical Association, and the American Academy of Pediatrics, argued the bill would reduce severe injuries and deaths among young riders. Opponents from People for Bikes warned it could conflict with federal law, create legal uncertainty, and disrupt the bicycle market. The author and committee members acknowledged industry concerns and urged continued work on the bill. AB 1770 by Assemblymember Garcia would place large health care service plan arbitration under California Department of Justice oversight and require compliance with the California Arbitration Act. Supporters described cases where patients were forced into private arbitration with little transparency or accountability, arguing the bill would make the process fairer and more neutral. Kaiser Permanente and the Civil Justice Association of California said they were still reviewing amendments and had not settled on a final position. Committee members expressed sympathy for the personal stories shared and encouraged continued negotiations. The committee also heard AB 2075, which would require fire suppression equipment to be kept closer at hand during brush work, and AB 1864, which would require screening of gene synthesis orders to prevent misuse for bioterrorism. AB 2075 was presented as a response to a Ventura County wildfire, with support from the Ventura County District Attorney’s office and no opposition heard. AB 1864 was backed by the author, Stanford biosecurity expert Dr. Milana Trout, and Encode AI, while Biocom opposed unless amended and California Life Sciences remained neutral. Members discussed implementation details and the role of the Department of Public Health. A major portion of the hearing was devoted to AB 1709, which would set a minimum age of 16 for social media accounts on platforms with harmful features and create an e-safety advisory commission. Supporters, including youth advocates, parents, medical groups, and Common Sense Media, said addictive design features are harming children’s mental health and safety. Opponents, including EFF, the ACLU, TechNet, and other civil liberties and industry groups, argued the bill is overbroad, raises First Amendment and privacy concerns, and could limit access to important online communities. Despite those objections, the bill was moved forward after committee discussion, with members emphasizing the need to protect children while continuing to work on carveouts and implementation details.

Transcript Highlights:

• When families challenge these denials, they're forced into binding arbitration; the justification is

Keywords: 988, house, all

Transcript Highlights:

• It doesn't remove prior authorization, medical necessity review, audits, denials, or requirements.

Bills: HB1853, HB1591, HB1961, HB1854, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Transcript Highlights:

• you're in a situation where you're going back and forth with your carrier about a non-renewal or a denial

Keywords: 1191, senate, all

Transcript Highlights:

• He said Minnesota is in a state of cost denialism, where Minnesotans have been seeing rates go up over

Keywords: 1187, senate, all

Transcript Highlights:

• presentation, you mentioned that um some issues with Carewise doing the assessments and that every Carewise denial

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on September 24, 2025, approved the minutes from the September 9 meeting, and then continued its discussion of Medicaid waivers with Leslie Hoffman and Carmen Hancock from the Department for Medicaid Services. Members asked for updates on the 2024 waiver waitlist management assessment recommendations, including aligning waiver policies, standardizing applications and waitlist placement, and modernizing data systems. DMS said that work is being done jointly with Aging and Independent Living and Behavioral Health/Developmental and Intellectual Disabilities through task forces, that ARPA spending delayed action, and that implementation timelines extend through March 2027. The board also reviewed per-member waiver cost averages for fiscal years 2023 through 2025 for ABI, ABI long-term care, HCBS, Model II, Michelle P, and SCL. DMS emphasized these figures were benefit-only averages based on paid claims, not full waiver costs, and explained that true budget neutrality is calculated on an aggregate basis against institutional care comparisons approved by CMS. DMS said all six waivers remain in compliance with budget neutrality and that the most recent 18-month lag review for FY 2022 and FY 2023 found costs at or below institutional care. Members also asked about unused waiver slots; DMS said slots generally cannot be reallocated mid-year if they have been used, except in cases such as death or reserved capacity, because CMS treats participants as unduplicated for the waiver year. A major portion of the meeting focused on the new child waiver created under House Bill 6. Legislators questioned whether the waiver’s design, including the exclusion of participant-directed services and the emphasis on high-acuity children with behavioral health, DCBS, or juvenile justice involvement, matched the bill’s intent to keep children at home. DMS said it used the $14.7 million appropriated for FY 2026 to develop the program, that there is no priority list, and that the waiver is intended to serve the highest-acuity children while also addressing residential needs for those sleeping in offices or placed out of state. Members also raised concerns about the rapid growth of the HCBS waiting list and asked for more detail on age and timing patterns, which DMS said it would provide later. Finally, DMS gave average processing times from application to eligibility determination and from approval to service start, and said the overall average from application to services beginning was about 80 days, while members requested follow-up information on the Carewise assessment contract and related costs.

Transcript Highlights:

• Sale, denial, or delay. Section 22: trial by jury.

Bills: HCR35, SJR59, SJR84, SCR30, SB127, SB317, SB324, SB457, SB506, SB511, SB529, SB547, SB584, SB619, SB636, SB646, SB659, SB715, SB732, SB735, SB771, SB784, SB800, SB801, SB904, SB1026, SB1049, SB1065, SB1181, SB1224, SB1250, SB1383, SB1467, SB1524, SB1528, SB1531, SB1568, SB1585, SB1640, SB1681, SB1754, SB1757, SB1777, SB1972, SB1980, SB2007, SB2041, SB2046, SB2050, SB2055, SB2069, SB2080, SB2119, SB2138, SB2139, SB2154, SB2201, SB2225, SB2268, SB2306, SB2308, SB2310, SB2330, SB2366, SB2375, SB2392, SB2401, SB2422, SB2480, SB2514, SB2530, SB2533, SB2543, SB2544, SB2589, SB2610, SB2615, SB2623, SB2660, SB2662, SB2693, SB2695, SB2707, SB2722, SB2742, SB2753, SB2807, SB2843, SB2844, SB2858, SB2880, SB2885, SB2891, SB2925, SB2938, SB2986, SJR3, SJR18, SB5, SB914, SB963, SB1197, SB1415, SB1437, SB1786, SB326, SB767, SB769, SB783, SB1035, SB1271, SB1619, SB1637, SB1806, SB1, SB260, HB135, HB 1109, HCR35, HCR64, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR48, SCR19, SCR30, SCR3, SB2023, SB619, SB2742, SB646, SB1026, SB2880, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB1122, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB529, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB584, SB1085, SB2046, SB1975, SB2717, SB1262, SB1524, SB636, SB2056, SB884, SB517, SB1200, SB1845, SB1863, SB2681, SB2200, SB2199, SB1757, SB2050, SB2458, SB2201, SB2660, SB2662, SB1065, SB801, SB2533, SB3014, SB3013, SB758, SB1721, SB2366, SB1013, SB2797, SB2383, SB1754, SB2119, SB2448, SB1777, SB1283, SB2392, SB2076, SB2786, SB2876, SB2284, SB2225, SB1540, SB2929, SB1972, SB2540, SB2595, SB2217, SB715, SB2330, SB1383, SB500, SB1640, SB2001, SB2080, SB506, SB2514, SB2753, SB2398, SB1241, SB2927, SB2173, SB2538, SB898, SB1449, SB2529, SB1531, SB2846, SB2476, SB986, SB1181, SB2075, SB2154, SB2864, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB410, SB659, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB456, SB127, SB1666, SB2843, SB2801, SB800, SB2055, SB784, SB2986, SB735, SB1012, SB324, SB2926, SB2938, SB2007, SB2138, SB1242, SB2615, SB1049, SB2310, SB1224, SB2972, SB1568, SB2841, SB2885, SB3016, SB2858, SB2610, SB2139, SB1856, SB2035, SB2308, SB2306, SB2041, SB1528, SB1681, SB1141, SB2401, SB2530, SB2375, SB547, SB1266, SB1373, SB1467, SB2069, SB2269, SB2480, SB2544, SB672, SB904, SB2695, SB2891, SB2422, SB2543, SB1854, SB317, SB2539, SB2532, SB2925, SB1250, SB2082, SB2203, SB457, SB2357, SB2721, SB243, SB1285, SB2568, SB1959, SB1442, SB1454, SB2520, SB2541, SB1708, SB1237, SB1844, SB1586, HB1392, HB22, SB1551, SB3039, SB2819, SB66, SB629, SB1015, SB2342, SB2903, SB2933, SB1965, SB2477, SB3029, SB2605, SB2419, SB1957, SB375, SB250, SB777, SB628, SB2523, SB2367, SB2703, SB2608, SB2778, SB3044, SB2965, SB2521, SB865, SB127, SB506, SB529, SB584, SB659, SB735, SB771, SB784, SB800, SB1049, SB1383, SB1531, SB1568, SB1681, SB1972, SB1980, SB2007, SB2041, SB2046, SB2050, SB2080, SB2225, SB2306, SB2308, SB2366, SB2392, SB2544, SB2610, SB2660, SB2662, SB2807, SB2843, SB2844, SB2885, SB2938, SB2986, SB324, SB1065, SB1754, SB2330, SB2693, SB2858, SR448, SR463, HCR35, SB324, SB619, SB646, SB1026, SB1065, SB1754, SB2330, SB2693, SB2742, SB2858, SB2880, SB3063, HJR5, HJR98, HB 109, HB 114, HB388, HB421, HB431, HB879, HB 1244, HB1399, HB1445, HB1672, HB1695, HB1734, HB1875, HB1893, HB1950, HB2152, HB2217, HB2558, HB2559, HB2775, HB2789, HB2809, HB2856, HB3012, HB3126, HB3135, HB3163, HB3229, HB3306, HB3513, HB3770, HB4134, HCR56, HCR102, SB3063, HJR5, HJR98, HB 109, HB 114, HB388, HB421, HB431, HB879, HB 1244, HB1399, HB1445, HB1672, HB1695, HB1734, HB1875, HB1893, HB1950, HB2152, HB2217, HB2558, HB2559, HB2775, HB2789, HB2809, HB2856, HB3012, HB3126, HB3135, HB3163, HB3229, HB3306, HB3513, HB3770, HB4134, HCR56, HCR102

Keywords: spaceports, tax-exempt bonds, aerospace investment, Texas space economy, Federal legislation, education funding, Texas State Technical College System, capital projects, infrastructure, higher education, tax exemption, property tax, homestead, fire damage, constitutional amendment, Birding Capital, Matagorda County, wildlife, conservation, Texas Legislature

Transcript Highlights:

• I mean, anybody that's gone through it knows you're going to get a denial letter.

Keywords: 1191, senate, all

Transcript Highlights:

• It establishes a review process upon notice of agency denial, reduction, suspension, or termination of

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• This will help tighten up notification to providers about changes in contracts and denial of claims,

Keywords: 00:00:00 Call to Order/Roll Call 00:01:19 Discussion of 25RS HB 785 00:30:25 Roll Call Vote on 25RS HB 785 00:32:15 Discussion of 25RS HB 61 00:36:42 Roll Call Vote on 25RS HB 61 00:38:07 Discussion of 25RS HB 788 00:51:01 Discussion of 25RS SB 14 01:11:09 Discussion of 25RS HB 685 01:44:57 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 785, as amended by a committee substitute that combined language from HB 785 and HB 787. The bill was described as addressing Medicaid managed care organization (MCO) audits, provider contract notice and amendment procedures, mental health parity compliance, and related transparency requirements. Supporters said the measure would tighten notice to providers, limit repeated contract amendments and rate reductions, require more standardized audit procedures, and add reporting on Medicaid claims, appeals, and grievances. It also includes a provision requiring coverage of at least two evaluation-and-management billable services per physician per recipient per date of service, and a section addressing narcotic/opioid treatment program licensing and reimbursement language. Testimony in support came from Representative Kim Moore, John Inman of BrightView Health, Michelle Sandborne of the Children’s Alliance, and Kelly Cormic of RYSE. They argued that MCOs often use audits and recoupments in ways that are burdensome, opaque, and financially damaging to providers, especially smaller and rural ones. They cited examples of multiple audit requests in short timeframes, large record requests with short deadlines, delayed or absent feedback, and recoupments taken before appeals are resolved. They also said parity laws are not being consistently enforced and that the bill would give the Department of Insurance authority to suspend or revoke an MCO certificate of authority for willful or repeated parity violations. Committee members generally expressed support for provider protections and transparency, while asking for clarification on the narcotic treatment and E/M billing provisions. Tom Stevens of the Kentucky Association of Health Plans testified in opposition, saying the bill is complex to implement and should be handled through the broader Medicaid oversight work of House Bill 9, the MOAB. He said the issues raised were better suited for that bipartisan stakeholder process and noted the committee substitute had not yet been fully reviewed by his group. After discussion, the committee adopted the committee substitute and then moved to a vote on the bill; the roll call began, with several members recorded as voting yes, but the transcript cuts off before the final vote result is shown.

Transcript Highlights:

• And for those of you that don't know them off the top of your head, they are denial, anger, bargaining

Keywords: 1183, house

Bills: HJR1088, HJR1090, HJR1091, HB1370, SB2154, HJR1092, HJR1093, HJR1095, HJR1099, HJR1100, HB3021, SB893, SB206, SB248, SB259, SB423, SB563, SB604, SB633, HJR1077, SB667, SB1224, SB1257, SB1264, SB1319, SB1360, SB1437, SB1531, SB1543, SB1806, HB3004, SB1572, HB4342, SB1618, SB2, SB237, SB1632, SB1687, SB1726, SB1859, SB1894, SB1461, HB4432, SB1948, SB1589, SJR52, SR46, HCR1030, SB2071, SB2182, SB1451, HJR1088, HJR1090, HJR1091, HJR1092, HJR1093, HJR1095, HJR1096, HJR1099, HJR1100, SB2185, SB893, HB3021, SR46, SB206, SB237, SB248, SB259, SB423, SB563, SB604, SB625, SB633, SB667, SB1224, SB1257, SB1264, SB1319, SB1360, SB1378, SB1437, SB1531, SB1543, SB1572, SB1618, SB1632, SB1687, SB1726, SB1806, SB1859, SB1894, SB1948, SB2071, SJR52, HB1370, HJR1077, SB2, SB1451, SB2182, HCR1030

Keywords: education rules, administrative rules, joint resolution, Oklahoma State Department of Education, higher education, State Regents for Higher Education, Teachers' Retirement System, charter schools, Statewide Charter School Board, career and technology education, CTE, OEQA, rule approval, legislative oversight, permanent rules, school governance, teacher retirement, education agencies, Oklahoma Register, Department of Agriculture, Food, and Forestry

Bills: HJR1088, HJR1090, HJR1091, HB1370, SB2154, HJR1092, HJR1093, HJR1095, HJR1099, HJR1100, HB3021, SB893, SB206, SB248, SB259, SB423, SB563, SB604, SB633, HJR1077, SB667, SB1224, SB1257, SB1264, SB1319, SB1360, SB1437, SB1531, SB1543, SB1806, HB3004, SB1572, HB4342, SB1618, SB2, SB237, SB1632, SB1687, SB1726, SB1859, SB1894, SB1461, HB4432, SB1948, SB1589, SJR52, SR46, HCR1030, SB2071, SB2182, SB1451

Keywords: education rules, administrative rules, joint resolution, Oklahoma State Department of Education, higher education, State Regents for Higher Education, Teachers' Retirement System, charter schools, Statewide Charter School Board, career and technology education, CTE, OEQA, rule approval, legislative oversight, permanent rules, school governance, teacher retirement, education agencies, Oklahoma Register, Department of Agriculture, Food, and Forestry

Summary: The Senate met with a quorum, prayer, pledges, and recognition of two student pages before taking up a long agenda of House joint resolutions and bills, mostly related to administrative rules and agency approvals. The chamber advanced and passed H.J.R. 1088, 1090, 1091, 1092, 1093, 1095, 1099, and 1100, which approved permanent rules for education, energy and agriculture, business and commerce, building code, health-related agencies, general government agencies, the Oklahoma Health Care Authority, and OMES. Several senators criticized the process for moving rule resolutions quickly and without committee vetting, while supporters said the calendar delays required direct consideration. The Senate also adopted conference committee reports and passed SB 206, SB 248, and HB 3021, with HB 3021 making small changes to graduation requirements, including science/math course language, Oklahoma history flexibility for some military families, and personal financial literacy counting toward math in some cases. A major portion of the meeting focused on House Bill 1370, which was described by its author as repealing an automatic state trigger that would replace any federal gasoline tax if the federal government suspended it. Supporters argued the bill would prevent Oklahoma drivers from paying more if the federal gas tax were repealed and framed it as tax relief; opponents argued it could reduce highway and bridge funding and create a budget hole. The Senate suspended several rules to bring the bill up, but rejected a motion to suspend the fiscal-impact rule for a proposed amendment. After debate, the chamber passed the measure 41-7 and then approved it as an emergency measure. The Senate also took up Senate Bill 893, a conference report dealing with foreign ownership near critical infrastructure and agricultural land. The bill would restrict certain foreign adversary ownership or leasing within 10 miles of critical infrastructure, add training zones and other protected areas, delay implementation until July 1, 2027, and create an enforcement process involving Attorney General review and whistleblower-style reporting. Senators raised concerns about enforcement, possible misuse, and profiling, while the author said the bill was aimed at national security and infrastructure protection. The conference report was adopted and the bill passed. Later, the Senate received notice that the House was ready to convene in joint session, and the chamber briefly stood at ease before returning to continue its work.

Bills: HB1937, HB2153, HB3674, HB2978, HB3885, HB3671, HB3261, HB3021, HB3029, HB4274, HB3701, HB3076, HB2299, HB3852, HB3244, HB3345, HB3114, HB3764, HB4144, HB3304, HB2939, HB4227, HB3262, HB2941, HB3498, HB4343, HB4425, HB3386, HB3087, HB3062, HB3431, HB4141, HB3581, HB4237, HB2960, HB3645, HB3648, HB3974, HB3045, SCR18, HCR1024, SJR39, SJR49, HB4486, SB1130, SB1131, SB1132, SB1133, SB1134, SB1142, HB1823, HB4476, HB3378, HB3880, HB3031, HB3369, HB3429, HB3657, HB4215, HB3624, HB1170

Keywords: HB1937, Oklahoma schools, student communications, electronic communication, digital communication, parent notification, legal guardian, school personnel, teachers, coaches, administrators, charter schools, public schools, administrative leave, corroborated report, investigation, employee file, discipline, termination, school board

Summary: The Senate convened with a quorum, offered the daily prayer, and recognized a series of guests and special introductions, including Langston University Day, Moore Public Schools cheer and pom squads, a student shadow, former Senator Connie Johnson, Brazilian missionaries, and a long-serving mental health employee. The chamber also heard introductions from the day’s pages. The Senate adopted Senate Concurrent Resolution 18, recognizing April 21, 2026, as National Lineman Appreciation Day, and House Concurrent Resolution 1024, designating Route 66 Day at the Capitol and honoring the highway’s centennial. Senators then advanced Senate Joint Resolution 49, which revokes a Wildlife Department rule requiring oil and gas companies to post a surety bond, after discussion clarified the measure was intended to eliminate duplicative regulation; the resolution advanced on a 42-3 vote. The Senate also passed House Bill 4486, authorizing the State Capitol Preservation Commission to arrange a privately funded Gold Star Family Monument near the Capitol Square Arch, and approved several appropriations measures tied to ARPA interest or excess funds. These included Senate Bill 1130 for the University of Oklahoma Hospital Trust Authority’s Child Behavioral Health Project, Senate Bill 1131 for the Office of Juvenile Affairs’ Youth Services Program, Senate Bill 1132 for the Rural Hospital Rebuild Program, Senate Bill 1133 for Griffin Memorial Hospital replacement capacity, Senate Bill 1134 for the Human Performance Project and Pharmaceutical Expansion Project, and Senate Bill 1142 for grants to the Boys & Girls Club and YWCA. Most of these bills were adopted with emergency clauses after roll-call votes, with some members changing votes before final emergency passage. The Senate then announced committee meetings and adjourned until the next scheduled session.