Transcript Highlights:

• You can see the majority of the cases are insurance authorization challenges.
• We have some of this related to lack of insurance...
• Denials from insurers during the prior auth process can prevent that timely discharge as well.
• One that they touched on as well was patients ready for discharge... denials from insurers during the
• And codes also compete to make it to billing. While City Care's medical respite...

Summary: The meeting focused on hospital “avoidable days” and the difficulty of discharging medically stable patients who still need post-acute placement or social services. Presenters from Saint Anthony Hospital Midtown, the Oklahoma Hospital Association, City Care, and OU Health described common barriers including lack of skilled nursing, rehab, long-term care, behavioral health, and hospice placements; insurance prior authorization delays; Medicaid and Social Security eligibility delays; guardianship and Adult Protective Services bottlenecks; limited home health and private duty nursing; and the challenge of placing unhoused, uninsured, or medically complex patients. Several speakers emphasized that these delays reduce bed availability, increase emergency department boarding, contribute to staff burnout, and expose patients to hospital-acquired conditions and other harms. The testimony included multiple examples of patients remaining in acute care for days, weeks, or even months after being medically ready for discharge, including patients awaiting guardianship, disability determinations, or placement in facilities willing to accept them. Speakers also highlighted special populations such as patients with behavioral health or substance use disorders, medically fragile children, patients with criminal histories, and unhoused individuals who need respite or hospice care. City Care described its planned 40-bed medical respite facility, set to open in 2027, as a way to provide clinical support and housing navigation for patients too sick to recover on the street or in shelters. Witnesses recommended policy and system changes such as standardizing preauthorization protocols, expanding rural swing-bed and home-based services, increasing public guardianship resources, improving data collection on homelessness, expanding private duty nursing hours, and creating more placement options for complex patients. They also suggested better coordination between hospitals, DHS, APS, the Health Department, and post-acute facilities, including a database of facility services to improve discharge planning and keep patients closer to home. No votes or formal committee actions were taken in the transcript, but the chair indicated the issue would require collaboration across multiple agencies and partners.

Transcript Highlights:

• An act to amend Title 21 of the Delaware Code.
• An act to amend Title 25 of the Delaware Code relating to rent increases.
• My point is that an insurance claim is paid for by the insurance company.
• relating to health insurance.
• This bill requires health insurance plans to cover biomarker testing.

Summary: The House met on June 30, 2026, with opening ceremonies, guest introductions, a prayer, the Pledge of Allegiance, and a moment of silence for two deceased community members. Members also adopted Consent Calendar 29, which included House Concurrent Resolutions 153, 154, and 156, and passed House Concurrent Resolution 157 directing the State Lottery to report on iLottery options to support traditional lottery retailers, as amended to set a February 15, 2027 reporting deadline. The chamber then considered several bills on agriculture, telecommunications, health, fire service standards, corrections, elections, and education. Among the measures passed were Senate Bill 53 on the Delaware Farm to Community Program, Senate Bill 307 on PSC authority for Lifeline telecom carriers, Senate Bill 339 clarifying advance health care directives, Senate Bill 235 extending manufactured home rent increase rules, Senate Bill 325 updating firefighter/EMS background check and membership standards, Senate Bill 309 discharging incarceration-related balances, Senate Bill 324 on constable-related handgun purchase exemptions, Senate Bill 94 on respiratory care practitioners and ECMO medication access, and Senate Bill 293 creating a licensure pathway for summer camp providers in the Purchase of Care program. The House also passed Senate Substitute 2 for Senate Bill 100, proposing a constitutional amendment to protect the right to marry regardless of race or gender while explicitly preserving religious freedom. The bill drew extended debate, with supporters framing it as a safeguard against future rollbacks of marriage equality and opponents raising concerns about constitutionalizing an issue already in statute; several members explained changed votes and personal reflections before the final roll call, which passed 28-12. House Bill 188, which would allow unaffiliated voters to choose a party primary, also passed after amendment, despite some opposition over party-system effects. Two measures were tabled or amended after debate: Senate Bill 233 on removing snow and ice from vehicles was initially tabled to consider a truck-driver exemption amendment, then the amendment failed and the bill later passed as amended; and Senate Joint Resolution 19 on studying health care costs was tabled briefly pending legal clarification. House Substitute 1 for House Bill 404, creating a three-year pilot program for AI and extended reality in schools, passed after testimony from the Department of Education emphasizing guardrails, data privacy, and teacher oversight. The transcript ends as House Bill 478 is being read in, but no final action on that bill appears in the provided text.

Transcript Highlights:

• House Bill 769 by Representative Boyd is an act in the Code of Criminal Procedure relative to arrests
• House Bill 76 by Representative Freeman is an act in Title 22, relative to health insurance coverage
• This was agreed to with the Louisiana Department of Insurance and the bill author.
• This is a local bill that sets up a local insurance program. It's not an insurance company.
• We have an Insurance Committee meeting tomorrow at 9:30 a.m. in Room A.B.

Keywords: 974, senate, all

Transcript Highlights:

• Would an insurer be able to look at that? Would the insurers also have access to that data as well?
• issues around prior authorization and insurers want to pay and all that other stuff.
• It's not the hospitals or the insurers.
• Landry mentioned, you know, we need to look at insurers.
• And finally, I would love to add insurance companies.

Summary: The committee first heard and favorably reported SB 255, which expands eligibility for psychosocial rehabilitation services by adding health sciences and therapeutic recreation degrees to the list of acceptable educational backgrounds. Supporters said the change would help address workforce shortages and improve access in rural areas. SB 314 was then reported favorably; it cleans up prior law so a limited scope certified social worker license can still be used for community psychiatric support and treatment services even if the application is filed after the CSW license has expired, rather than being barred by a timing restriction. The committee next took up several bills by Chairman McMath. SB 26, which repeals facility need review requirements for opioid treatment programs, was reported favorably after members and witnesses said Louisiana has too few OTPs and that removing the review would improve access, especially in rural areas. SB 29, requiring review and reporting of a child’s immunization records in certain unexpected death autopsies, was reported favorably despite questions about whether the bill should refer more broadly to medical records; supporters said the data could help evaluate vaccine-related concerns, while opponents raised concerns about singling out immunizations. SB 30, dealing with telehealth for obesity/weight management, was amended and reported favorably; the committee adopted technical amendments and a conceptual amendment replacing “metabolic condition” with “weight management services,” while witnesses debated patient safety, board authority, and whether the bill should limit agencies’ ability to restrict telehealth in the future. The committee also reported favorably SB 219, which creates an Office of Health and Nutrition within LDH. Supporters from the department, the Alzheimer’s Association, and Pennington Biomedical said the office would strengthen coordination on nutrition, physical activity, and brain health, and cited high Alzheimer’s costs and prevalence in Louisiana. SB 222, which streamlines Medicaid behavioral health administrative requirements and expands telehealth for psychosocial rehabilitation, was reported favorably with amendments after supporters described workforce and rural access barriers. SB 195, the “Danny’s Dose EMS Treatment Act,” was reported favorably; it would allow EMS personnel to administer a patient’s own prescribed time-critical medication in emergencies, and testimony from a parent and physician described life-threatening delays under current practice. The committee also adopted SCR 2, updating hospital architectural standards to the most recent Facility Guidelines Institute edition, and SCR 22, requesting a more detailed legislative auditor report on opioid settlement expenditures; members said they wanted clearer outcome data and planned to refine the language before floor debate. Finally, HB 1093 on naturopathic medicine was introduced and heavily amended, with the bill shifted under LSBME oversight and a large set of changes discussed, but no final action was taken in the portion provided.

Transcript Highlights:

• Uh, so the account itself, the insurance operating account, uh, the Department of Insurance calculates
• an insurance maintenance tax that assist on insurance policies, where the revenue is essentially set
• And we saw that insurance carriers were trying to require bundling of insurance policies.
• Texans need insurance.
• They have a duty and a requirement under the insurance code to report that fraud to to TDI, and we will

Transcript Highlights:

• of thousands of dollars of insurance of thousands of dollars of insurance because<00:17:57.760><
• compensation unemployment insurance compensation unemployment insurance overtime<00:26:15.080>
• <00:26:25.320> fraud misclassification and insurance fraud misclassification and insurance
• impact the assessment uh on insurers impact the assessment uh on insurers that<01:20:59.960>
• <01:28:28.960> and of our of our building code and of our of our building code and Interstate

Keywords: 1183, house

Transcript Highlights:

• who do get insurance, but they just can't afford, you know, all the money goes to insurance, they can't
• codes.
• Uh, code As a part of this bill.
• Where Provisions like this appear in the penal code?
• We would establish a specific title code for jugging.

Bills: HB316

Keywords: Medicaid, healthcare, affordable care act, medical assistance, federal funding

Transcript Highlights:

• We're able to fund the unemployment insurance for our hourly workers for the coming summer.
• We're able to fund the unemployment insurance for our hourly workers for the coming summer.
• But my biggest disappointment is having to make an agreement to remove unemployment insurance after the
• <00:04:36.479> The insurance after the summer of 28.
• The insurance after the summer of 28.

Bills: HF1049

Keywords: school library aid, education finance, school districts, charter schools, funding eligibility, 1183, house

Transcript Highlights:

• The agreement must include, Under Chapter 550 of the Government Code.
• "TEA, about 50, and then on the insurance side, probably about 50..."
• That is why I have the insurance side.
• On the insurance side, we are able to do that, but not with our TEA students.
• On the insurance side, we are able to do that, but not with our TEA students.

Summary: The Committee on Education K-16 heard several bills focused largely on special education transparency, school safety, and student support services. Senate Bill 1908, by Senator Zaffirini, would direct the Higher Education Coordinating Board to study the feasibility of a statewide system for coordinating clinical training placements, including regional portals for healthcare clinical slots, with a report due by December 1, 2026. A representative of the Texas Nurses Association and the Nursing Legislative Agenda Coalition testified in support. The bill was left pending subject to the call of the chair. The committee then took up Senate Bill 111, by Senator Hall, which in its committee substitute was narrowed to a reporting bill requiring school districts to disclose legal proceedings involving special education due process complaints when legal fees exceed $10,000, rather than capping spending. Several parents and advocates testified that districts spend large sums on litigation against families of children with disabilities and that greater transparency is needed; some senators raised concerns about unintended consequences, including possible pressure to settle cases. The committee adopted the substitute and left the bill pending. The committee also heard Senate Bill 1551 on automated external defibrillators in public schools, Senate Bill 865 on CPR instruction requirements for certain volunteers, Senate Bill 1032 on the Governor’s University Research Initiative, and Senate Bill 571 on school employee misconduct reporting and access to the Do Not Hire Registry; each was reported favorably after committee substitute adoption and roll-call votes. Additional bills discussed included Senate Bill 1884, which would formalize and expand dedicated staff support for the State Board of Education and give the board chair hiring authority over that staff; members questioned whether it duplicated TEA functions, while a witness argued the workload increase justified the change, and the bill was left pending. Senate Bill 625 would replace the current half-credit economics requirement with a half-credit in personal financial literacy; educators and advocates strongly supported making the course required, and the bill was left pending. Senate Bill 582 would make TEA settlement agreements in special investigations publicly available when sanctions are imposed, and Senate Bill 2600 would bar transportation fees for students living within two miles of campus unless districts do not receive state transportation funding; both were left pending. The committee also heard Senate Bill 2751, which would require TEA inspections of non-public special education programs to consider medical standards of care and crisis-prevention training; testimony from a program operator described severe student behaviors and the need for more flexibility, and the bill was left pending after the substitute was adopted.

Transcript Highlights:

• Established in the California Unemployment Insurance Code, the California Workforce Development Board
• The department is also proposing to amend the Labor Code via the trailer bill process.
• The vast majority of insurers and self-insured employers already transmit their payment via EFT, but
• When we started encouraging insurance companies and self-insured employers to pay the annual assessment
• company or a self-insured employer paid by check, we would actually contact them.

Summary: The Assembly Budget Subcommittee 5 on State Administration held a May Revise hearing focused on state administration proposals, with the chair noting no actions would be taken and all items would remain open. The committee heard presentations on a range of budget proposals, including technical adjustments for the Governor’s Office of Service and Community Engagement and the California Workforce Development Board, security and election-related funding for the Secretary of State, modernization and loan-backfill requests for the Department of Consumer Affairs, and multiple Employment Development Department updates covering EDD Next, UI and DI/PFL benefit estimates, workforce funding, and an EMT training reappropriation. Several items drew discussion from the LAO and committee members. The LAO generally supported technical or modernization items such as PERB’s implementation requests, GoServe’s College Corps adjustment, the Secretary of State’s security and HAVA grant items, and the Board of Pharmacy modernization proposal, but raised concerns about the Bureau for Private Postsecondary Education’s proposed $10 million General Fund backfill and interest-free loan language. For EDD, the LAO flagged the size of the DI/PFL benefit adjustment and the unusual structure of the document management system proposal within EDD Next, while EDD said the changes reflected higher participation and benefit levels after SB 951 and ongoing modernization needs. The Department of Industrial Relations drew the most extensive questioning. It proposed funding for legal unit reclassifications, EAMS and Cal/OSHA data modernization, a new Cal/OSHA emerging technologies unit, a COYA reappropriation, and trailer bill changes requiring electronic payment of employer assessments and adjusting the Workers’ Compensation Appeals Board timeline. Members pressed DIR on high vacancy rates, long wage theft and workers’ compensation backlogs, low collection rates for fines, and the need for clearer workload and outcome measures. DIR said the requests were intended to improve efficiency, support audits and corrective action plans, and better address emerging workplace risks, while the LAO said the workload drivers behind delays remain unclear. The hearing also included support for CalHR’s employee assistance program consolidation and CDT’s proposal to expand “Poppy,” a statewide generative AI assistant for state employees.

Transcript Highlights:

• . insurance. insurance.
• relating to insurance fraud. relating to insurance fraud.
• relating to insurance. relating to insurance.
• climate-friendly insurers. climate-friendly insurers.
• for the Insurance for an insurer for the Insurance Commissioner.

Keywords: 912, senate, all

Summary: The committee first heard several measures and took testimony without questions on SB 2431 relating to health savings accounts and SB 2797 relating to consumer protection. For SB 2797, the DCCA Office of Consumer Protection offered comments, Retail Merchants of Hawaii opposed the bill over gift card fraud compliance costs and legal risk, and AARP Hawaii supported it. The committee also heard SB 2946 on foreclosures, where the Hawaii State Bar Association’s Collection Law Section and several lenders, associations, and individuals opposed the measure, while the Hawaii Bankers Association and others offered comments. SB 2961 on insurance drew comments from the Insurance Division and Hawaii Insurance Council, with NAMIC opposing and some individuals supporting. SB 2948 on insurance fraud received comments from the Insurance Division and support from the American Property Casualty Insurance Association, with NAMIC and the Alliance for Responsible Consumer Legal Funding also commenting. No votes were taken during the hearing portion, and the committee recessed after testimony. The committee then reconvened for decision-making on the 9:30 agenda. SB 2431 was passed with amendments, including DOTAX-requested changes, a five-year limit on credit carryforwards, removal of an aggregate cap, a rural definition, transparent reporting, technical amendments, and a deferred effective date of July 1, 2050. SB 2797 was also passed with DCCA-requested amendments, technical changes, and the same deferred effective date. SB 2946 was deferred because there was no testimony in support. SB 2961 was passed with amendments, but after Senator McKelvey raised concern that policy-limit language could undermine the bill, the committee removed two policy-limit amendments before adopting the recommendation. SB 2948 was passed with amendments deleting certain definitions, aligning penalties and public-records provisions, adding coordination and disclosure clarifications, and making technical changes; one no vote by Senator Awana was recorded, with the rest in favor. The committee also considered SB 3000 from a prior hearing and recommended passage with amendments clarifying the Attorney General’s authority, creating a special fund, and addressing concurrent actions, again with a deferred effective date and one no vote by Senator Awana. In a joint CPN/GVO agenda, SB 2258 relating to school agriculture procurement targets was passed with amendments after the Department of Education said it would need to follow up on whether changing the target period from calendar year to school year would create procurement or scheduling issues; the committee added technical changes, a deferred effective date, and routed the bill to Ways and Means, with a note that Education should also have received it. In a later joint CPN/AEN hearing, SB 2452 relating to climate-friendly insurers drew strong opposition from the Insurance Division and several insurance groups, who warned it could push insurers out of the authorized market and into the surplus lines market, raising costs; Senator Dela questioned whether the bill would worsen an already strained market, while the division said the legislature could make the policy choice but warned of market disruption. The hearing then moved to SB 2760 on invasive species, where DLNR, DAB, CGAPS, and the Oahu Invasive Species Committee generally supported broader inspection and quarantine authority, civil penalties, and longer interim-rule authority, while committee members asked about staffing, treatment capacity, and implementation for non-agricultural commodities such as building materials and vehicles.

Bills: HB2936, HB2967, HB3627, HB3721, HB4132, HB4303, HB4478, HB4322, HB4227

Keywords: HB2936, children, child protection, adoption, Oklahoma Adoption Code, gestational carrier, gestational agreement, surrogacy, intended parent, preplacement home study, home study, prospective adoptive parent, foster placement, child abuse, child neglect, child sexual abuse, child sexual exploitation, lewd molestation, sex offender registry, Oklahoma Sex Offenders Registration Act

Transcript Highlights:

• I spend a lot of time reading through the administrative codes of these different districts.
• doesn't increase, but all of the other expenses for a school—electricity, transportation, food, insurance—all
• non-instructional expenditures have risen because cost of living has caused those things to increase—that's insurance
• non-instructional expenditures have risen because cost of living has caused those things to increase, that's the insurance

Bills: HB3622, HB3621, HB3151, HB3882, HB3661, HB4273, HB3644, HB3706, HB3708, HB2021, HB3986, HB3972

Keywords: HB3622, 2030 Census, Decennial Census, U.S. Decennial Census Revolving Fund, Oklahoma Department of Commerce, Commerce Department, census preparation, federal census, state treasury fund, revolving fund, continuing fund, deemed appropriated, technology upgrades, census outreach, redistricting, population count, Title 74, OMES, State Treasurer, budgeting

Bills: SB 2, SB 5, SB 10, HB17, SB 9, SB 7, SB 17, SB 4, HB17, SB9, SB7, SB17, SB4, SB2, SB5, SB10

Keywords: disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, property tax, school funding, enrollment changes, inflation adjustment, tax rate notice, school assessment, public education, accountability, transparency, education standards, STAAR, Texas Education Agency, TEA, public school accountability, school ratings

Transcript Highlights:

• This is the first time those areas of the code have been addressed in a significant way for a long time
• We've addressed both codes. In SB1, RV parks will have a plan on file with the locals.
• Serving with Vice Chair, as Madam Chair of the HHSC, this is your bailiwick on some level on the codes
• I was trying to download the health and safety code.
• So the current Health and Human Safety Code has allowed waivers to camps for decades.

Bills: SB 9, SB 7, SB 17, SB 4, SB 1, HB4, HB4, SB9, SB7, SB17, SB4, SB1, SB2, SB5

Keywords: school assessment, public education, accountability, transparency, education standards, STAAR, Texas Education Agency, TEA, public school accountability, school ratings, A-F ratings, assessment reform, student testing, benchmark tests, interim assessments, through-year assessment, diagnostic reports, college career military readiness, CCMR, local accountability plans

Bills: SB 9, SB 7, SB 17, SB 4, SB 1, HB4, HB4, SB9, SB7, SB17, SB4, SB1, SB2, SB5

Keywords: school assessment, public education, accountability, transparency, education standards, STAAR, Texas Education Agency, TEA, public school accountability, school ratings, A-F ratings, assessment reform, student testing, benchmark tests, interim assessments, through-year assessment, diagnostic reports, college career military readiness, CCMR, local accountability plans

Bills: AB102, AB108, AB117, AB213, AB220, AB221, AB251, AB259, AB331, AB336, AB375, AB379, AB409, AB475, AB476, AB550, AB575, AB594, SB466

Keywords: emergency medical services, ambulance, licensing, health district, paramedic, training requirements, outdoor education, recreation, grant program, environment, funding, special license plates, vehicle registration, custom plates, state revenue, transportation, public works, prevailing wage, custom fabrication, nonstandard materials

Transcript Highlights:

• classifies orthodontic devices as a medical device regulated by chapter 431 of the Health and Human Safety Code
• Committee substitute removes a conflicting provision from the Health and Safety Code. but this provision
• Sub to Chapter A, Chapter 1001 of the Health Safety Code to require health and Human Services Commission
• House Bill 1747 is Vice Chair Compost's bill, which will amend the government code to establish the mental
• But section 573.005 of the Health and Safety Code allows law enforcement and EMS to enter into an. into

Bills: HB 3772, HB 1656, HB 4504, HB 1896, HB 4420, HB 4421, HB 4076, HB 3708, HB 2806, HB 3540, HB 1586, HB 5459, HB 4553, HB 4535, HB 3811, HB 3749, HB 4255, HB 4051, HB 5098, HB 3554, HB 4539, HB 5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• Thank you so much for your time. insurance. The same thing has happened insurance.
• So he didn't have insurance.
• until she lost insurance.
• So he didn't have insurance. He over. So he didn't have insurance.
• We don't have to insure it. Um cool it. We don't have to insure it.

Keywords: 1183, house

Transcript Highlights:

• <00:18:38.799> Um<00:18:39.039> and for for the insurance code.
• Um and for for the insurance code.
• Um, second, the term or the prohibition of rate increases are the insurance code requires that insurance
• <01:11:35.520> code<01:11:35.760> requires<01:11:36.159> that are the insurance
• code requires that are the insurance code requires that insurance<01:11:37.040> rates<01:11:37.360

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The joint hearing covered House Bill 251, which would require hospitals to report costs associated with Medicare and uninsured patients, and House Bill 1875, which would expand protections for gender-affirming health care services. On HB 251, the Department of Health said it supported the intent but described the bill as complicated and potentially impractical as drafted because the department lacks the expertise to produce the required analyses without outside help. Hawaii Health Systems Corporation echoed those concerns, while the Queen’s Health System said it was willing to work with the department to provide the information. In committee discussion, officials explained that hospital support in Hawaii includes public hospital appropriations and the provider tax program, which uses hospital and nursing home contributions to draw federal matching funds; a department witness estimated the net benefit at about $150 million for hospitals and $20 million for nursing facilities, though exact figures would be provided later. On HB 1875, the Insurance Division testified with concerns that the bill’s language on prohibited actions by malpractice insurers was broad and vague, and that a rate-increase prohibition could conflict with actuarially based insurance pricing. The division also noted it was not the primary enforcement agency for the statute. In contrast, many testifiers strongly supported the bill, including the Hawaii State Commission on the Status of Women, the Hawaii State LGBTQ+ Commission, the Hawaii Public Health Institute, PFLAG Oahu, the ACLU of Hawaii, the Drug Policy Forum of Hawaii, the Hawaii County Democratic Party, and others. Supporters argued that gender-affirming care is medically necessary, evidence-based, and protected by privacy and bodily autonomy principles, and that the bill would protect patients and providers from outside political interference. No votes or final committee actions were taken during the portion of the hearing provided.