Transcript Highlights:

• co-payments and deductibles.
• This is known as the prudent layperson standard.
• . ...If you met that prudent layperson standard.
• But the way that this changes to this 50-state standard, same in every standard, same definition in every
• If they bought replacement cost coverage, they will typically deduct...

Bills: HB1464, HB1635, HB2516, HB3317, HB3502, HB4012, HB4268, HB4386, HB4877, SB916

Keywords: prescription drugs, drug pricing, pharmacy benefits, health insurance, health benefit plan, insurer, HMO, self-insured employer, public employer, school district, county, municipality, university system, higher education, retirees, dependent coverage, stop-loss coverage, bulk purchasing, group purchasing, purchasing pool

Transcript Highlights:

• > a the standard deduction amount for a the standard deduction amount for a single<00:59:18.960
• Um, that's tied to the single standard deduction amount. Representative Lee.
• Um, that's tied to the single standard deduction amount. Representative Lee. Great.
• Um that's tied to the single standard<01:09:24.080> deduction<01:09:24.480> amount.
• <01:09:25.600> Represent standard deduction amount. Represent standard deduction amount.

Bills: HF2048, HF2360, HF2006, HF950, HF912, HF3140, HF2931

Keywords: individual income tax, retirement contributions, tax corrections, annuity contracts, tax year attribution, tax credit, economic development, community investment, data disclosure, Minnesota regulations, tax increment financing, municipal authority, job creation, transferred increment, public hearing, nonresident employees, income tax exemption, Minnesota taxation, employment duties, tax withholding

Transcript Highlights:

• for business interest expenses, and increasing the amounts of business meals eligible for deduction.
• This is of the TCJA and then beginning January 1st, 2027, add back the amount deducted at the federal
• property and the incremental change to Section 179 property, taxpayers will add back the amount deducted
• For the deduction allowed on research and experimental expenses, the changes made to the deduction for
• add back the amount deducted at the federal level and the amount that would have been deducted if the

Keywords: 999, senate, all

Transcript Highlights:

• and out-of-pocket limits wouldn't count toward the deductibles anymore.
• Let's let it count toward their deductible.
• I don't think high-deductible plans were quite as big in use then as they are now.
• I don't think high deductible plans were quite as big in use now as they are.
• The standard rate is now $13.50 per trip. They're asking for $1.25.

Bills: HB513, HB581, HB596, HB660, HB719, HB766, HB802, HB940, HB950, HB1028, HB1183, HB1201, SB233, SB300, SB303, SB315, SB324, SB411

Keywords: name image likeness, NIL, student-athlete, college athletics, high school athletics, intercollegiate athletics, interscholastic athletics, athlete compensation, athlete endorsements, sports marketing, athlete agent, marketing representative, sports attorney, publicity rights, right of publicity, Louisiana high school sports, NCAA, school policy, athletic association, athletic conference

Summary: The committee first handled House Bill 513 by Rep. Young, which would regulate name, image, and likeness issues for intercollegiate and interscholastic athletes, especially high school athletes. Young said the bill reflects recommendations from a statewide NIL task force and sets parental-consent and prohibited-category guardrails while preserving flexibility for colleges. The committee adopted a technical amendment and reported the bill favorably as amended. Members then advanced several procurement and administrative measures. Senate Bill 233 by Sen. Mizell would create a statewide data exchange compact for state agencies; testimony from the Department of Health said it would improve eligibility and program administration by allowing agencies to share data more efficiently, and the bill was reported favorably. Senate Bill 300, also by Mizell, would make various changes to the Procurement Code, including auction techniques in negotiated procurement, sole sourcing for consulting services in limited cases, and other technical and legal remedy revisions; it was reported favorably. Senate Bill 303 by Sen. Cloud would let executive branch agencies directly contract with other states for information technology systems and use the federal GSA schedule, and it was reported favorably as amended. Senate Bill 411 by Sen. DePlessis, removing a 20-year lease cap for certain state property in Orleans Parish, was also reported favorably. The committee then took up several bills affecting criminal justice funding. House Bill 660 by Rep. Egan would raise the state warrant amount used to fund assistant district attorney salaries from $50,000 to $60,000; Egan and district attorneys argued the increase is needed to recruit and retain prosecutors, while an opponent said the state should fund prosecutors and public defenders more equitably. The committee adopted an amendment making the bill effective only upon appropriation and reported it favorably as amended. House Bill 719, also by Egan, would increase the number of assistant district attorney warrants statewide, with most of the new warrants directed to Baton Rouge, St. Tammany, and Caddo; supporters cited workload studies and local needs, while an opponent raised concerns about New Orleans court consolidation and broader funding balance. It too was amended to be subject to appropriation and reported favorably as amended. Other measures included House Bill 76 by Rep. Freeman, which addresses coverage for orally administered anti-cancer medications and was reported favorably as amended after changes to cost-sharing and high-deductible plan language; House Bill 802 by Rep. Sawyer, which redirects existing revenue to watershed and flood-control restoration in the Amite River Basin, was reported favorably as amended; House Bill 940 by Rep. Barrow, creating a law-enforcement task force and rules framework for counter-drone operations, was reported favorably as amended; and House Bill 950 by Rep. Boyd, aimed at consumer protection education for seniors, was reported favorably. House Bill 596 by Rep. McCormick, which would have created an inactive-well fee assessment credit tied to plugging wells, drew concerns that it would reduce funds for orphan-well restoration, and the bill was voluntarily deferred after discussion. House Bill 581 and House Bill 1183 were also voluntarily deferred.

Transcript Highlights:

• those standards, if you want to just address that real briefly.
• They develop the standards kind of in unison, right?
• And my understanding is because of standards and the way we start to set standards... ...standards and
• I also feel like there are a number of standards.
• That's the good and bad thing about standardized assessment, right?

Summary: The committee met with a quorum, approved the March 4, 2026 minutes, and received a lengthy Department of Public Instruction presentation from Stanley Schauer Jr. on North Dakota student performance data in math and ELA, with comparisons between students with disabilities and students without disabilities. Schauer explained the assessment systems used, the 1% alternate assessment cap for students with the most significant cognitive disabilities, the absence of 2019-20 data due to the pandemic, and how state standards are set by North Dakota educators. Members asked about cohort trends, the role of alternate assessments, grade-level patterns, and whether the state should focus more on reducing the novice category than on moving students from approaching to proficient. Schauer also discussed the new NDA Plus assessment, the state’s planned growth model, and the possibility of future breakdowns by disability category or by schools using science-of-math approaches. Special education educators testified that students with disabilities continued to receive services during COVID because of FAPE obligations, which likely helped limit learning loss, and emphasized that IEP teams focus on individual growth rather than only proficiency buckets. Committee members then shifted to special education funding and possible funding models. Brandon Bombach of Grand Forks Public Schools presented on the state aid formula, focusing on the special education weighting factor and arguing that the current formula does not adequately respond to growing student needs because it counts enrollment but does not adjust when the number of students with IEPs rises. He used examples to show that a district can have the same enrollment and receive the same weighting even if the number of students needing services increases. Members discussed whether the formula should be tied more closely to actual need and accountability, and the chair indicated that the committee would continue gathering data and ideas for a later meeting.

Transcript Highlights:

• H is a letter from the Commission on Law Enforcement Standards and Training for $60,000.
• H is a letter from the Commission on Law Enforcement Standards and Training for $60,000.
• Commission on Law Enforcement Standards and Training for $225,000 to cover a 911 Skills Lab training
• Section H is the state central services deduction request. This is for 2027.
• F is Public Safety Commission, Law Enforcement Standards and Training, for $17,000.

Summary: The committee reviewed a large slate of appropriation, transfer, and continuation requests across multiple sections. In Section B, members considered temporary FY27 appropriations for agencies including Health, DHS, Education, Treasury, Public Safety, State Police, Emergency Management, Aeronautics, Military, Economic Development, Game and Fish, and others, covering items such as maternal health outreach, LIHEAP overpayment returns, Wynne High School tornado rebuilding, senior food services, cybersecurity, crime victim claims, airport grants, conservation incentives, and emergency tower maintenance. Questions focused on the DHS senior services carry-forward and Treasury custodial banking fees tied to lower balances after COVID funds were spent down. All Section B items were approved. The committee then approved continuation requests, ARPA reallocations, and federal grant-related items in Sections B2, C1A, D1, D2, D3, E1, E2, E3, F1A, G1, H1A, I1A, J1/J2, K1/K2/K3, L1/L2, M1/M2, N1/N2, O1A, and P1A. These included university nursing and workforce programs, environmental and recycling grants, highway safety and emergency management grants, a transfer to the Merit Teacher Incentive Program, restricted reserve transfers for military, agriculture, UAPB, Game and Fish, and AETN, and various cash-fund and budget classification transfers. Several members asked for more detail on the State Police highway safety grant, VOCA victim compensation funding, the NSGP nonprofit security grant, and the Office of State Technology’s E-Rate-related transfer; agency officials explained the uses and noted that some funding levels depend on federal awards and collections. A notable discussion occurred on the Department of Commerce reallocation, which shifts 68 positions and $3 million among divisions to support an organizational realignment and avoid shortfalls. The committee also reviewed a state central services deduction request to keep the rate at 2%, a DHS overtime request for child protection caseloads, and a year-end adjustments request authorizing up to $1 million in temporary actions to close FY26 books without disrupting payroll or vendor payments. Most items were approved or, in some sections, simply reviewed without objection. The meeting adjourned after completing the agenda.

Transcript Highlights:

• It basically removes some of the future income tax cuts through the standard deduction, which are in
• It basically removes some of the future income tax cuts through the standard deduction, which are in
• which is changes to the standard which is changes to the standard deduction<01:05:20.240> um<
• <01:05:30.640> in<01:05:30.920> act standard deduction uh which are in act standard
• deduction because they the standard deduction because they itemize<01:05:44.559> so<01:05:44.920

Keywords: 910, house, all

Summary: The committee on Economic Development and Technology met on February 7, 2025, to hear testimony on several bills and later take up amendments and votes. HB 1405, HB 1406, and HB 1407 drew broad support from business, housing, utility, and development groups, with no opposition noted on those measures. Testifiers generally said the bills would streamline permitting, improve coordination, and expand support for chambers of commerce and small businesses. After recess, the chair recommended amendments to each bill, including changes to broaden eligibility, add reporting requirements, and include funding and staffing notes. HB 1405 was amended to allow certain projects with one state and one county permit to qualify, require annual DBEDT reports to the Legislature, and note one full-time position and $125,000 in funding; the committee voted to pass it with amendments. HB 1406 was amended to move the intergovernmental task force from DBEDT to the House Legislature, add a Speaker-appointed chair, and include a $125,000 appropriation note; it also passed with amendments. HB 1407 was amended to convert the chamber support from a grant process to an RFP process and require a 1-to-5 match on a $100,000 award; it too passed with amendments. In each case, the chair’s recommendation was adopted, with Representative Tam excused. The committee also heard HB 796, a tax-credit review bill, which drew no support and 12 opposition testimonies with three comments. Opponents, including SAG-AFTRA Hawaii, Hawaii Children’s Action Network, Catholic Charities Hawaii, and the Tax Foundation of Hawaii, argued that automatic sunset provisions or broad tax-credit cuts would burden working families and that existing review mechanisms already exist under state law. The Department of Taxation and DBEDT offered technical comments, and the Tax Foundation suggested the bill’s goals might be better addressed by cleaning up the existing review process. Later, the committee heard HB 303, which had 17 supporters and no opposition. Testifiers from the Department of Health, University of Hawaii, Hawaii State Center for Nursing, Queen’s Health System, and the Hawaii State Chiropractors Association supported the measure, with the chiropractors asking to be included in eligibility. The Hawaii State Center for Nursing said the program had been successful for five years and had room to expand. HB 577 also drew support, with the Department of Taxation offering comments and the Tax Foundation noting technical issues. HB 949 generated mixed testimony: Hawaii Housing Finance and Development Corporation and the Chamber of Commerce supported it, while Hawaii Children’s Action Network raised concerns about the bill’s effects and the lack of fiscal analysis; Sugar Creek Capital also supported the measure and clarified that the credit would not offset the GET. Finally, HB 933 and HB 959 were heard, with HB 933 receiving six support testimonies and comments focused on grocery tax relief and food insecurity, and HB 959 drawing strong support from labor and advocacy groups for its broad tax relief package, while the Tax Foundation and Hawaii Appleseed urged caution about the proposed 50% GET increase and asked for clearer fiscal analysis.

Transcript Highlights:

• This is not just nutritional standards.
• So our bill, our bill fixes standard.
• deduction and for other purposes. deduction and for other purposes.
• I do rise in support of my Supporting Early Childhood Educators Deductions Act.
• By claiming the standard deduction in the child tax credit, families keep more of their hard-earned money

Keywords: U.S. House of Representatives Floor Proceedings on Monday, April 27, 2026, 1012, house, all

Transcript Highlights:

• So the same standard applies to both.
• So the same standard applies to both.
• So the same standard applies to both.
• So the same standard applies to both.
• limited coverage and higher deductibles limited coverage and higher deductibles while<01:30:49.440

Keywords: 1191, senate, all

Transcript Highlights:

• These premiums and deductibles are not affordable.
• These premiums and deductibles are not affordable.
• <01:29:40.719> a meet the same Actuarial standards a meet the same Actuarial standards a Lifeline
• <01:41:40.320> Market issues we do know that Standard Market issues we do know that Standard
• <01:46:00.639> on one coverage there is no deductible on one coverage there is no deductible

Bills: HF2228, HF46, HF856, HF2149, HF2215

Keywords: homeowners insurance, property insurance, commercial property insurance, insurance affordability, insurance market stabilization, reinsurance, catastrophic reinsurance fund, self-insured pool, premium costs, coverage notice, liability reform, climate risk, climate change, housing affordability, multifamily housing, rental housing, common interest communities, cooperatives, small business insurance, Minnesota Commerce Department

Transcript Highlights:

• And so there was a portion where a member would pay a deductible and then they would pay 25% up until
• And so there was a portion where a member would pay a deductible and then they would pay 25% up until
• A standard plan design has a deductible, and then they're paying 25% until they hit the...
• A standard plan design has a deductible, and then they're paying 25% until they hit the out-of-pocket
• But anything your plan is paying in addition to their co-pays that would get them up to that standard

Summary: The committee received an update from Grant Wallace on the state employee Medicare Advantage group plan and the ongoing rebid with UnitedHealthcare. Wallace said the agency is exploring “decoupling” the medical and pharmacy portions of the plan, and that preliminary estimates suggested potential savings of about $100 to $200 per participant per month. He said the final CMS rate-setting process would conclude in April, with a revised contract amendment likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. He also clarified that the plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. Representatives from Segal Consulting then gave a broader presentation on Medicare Advantage and Part D market trends, reviewing Arkansas’s prior decision to adopt a Medicare Advantage prescription drug plan and the savings generated since the 2023 RFP. They explained that the Inflation Reduction Act significantly changed Part D financing by shifting more federal support into a direct subsidy tied to risk scores, which makes accurate risk adjustment more important and creates a larger difference between Medicare Advantage prescription drug plans and standalone Part D plans. They said this has led to a growing divergence in funding, especially for standalone Part D, and is the main reason decoupling medical and pharmacy coverage is being considered. Committee members asked about how the risk-score changes affect costs and members. Segal said the new structure has reduced member out-of-pocket costs, with the annual cap now at $2,000 and many members reaching it after roughly $600 to $800 in spending, but that the plan absorbs more of the cost. They also said the market appears to be adjusting through annual bids, and that a decoupled structure could allow the state to capture more favorable funding on the Part D side. No votes were taken, and the committee adjourned after being told to expect further information once the April rate notice and renewal proposal are available.

Transcript Highlights:

• These standards are specifically tailored. oral surgeons.
• These standards are specifically tailored.
• They've gone, obviously, to the high-deductible plans as well. $40,000 high-deductible plans is pretty
• average, or $40,000 family plans if you're not on a high-deductible plan.
• This bill does not lower standards. It raises them.

Keywords: 995, all

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• I know we have taken an expedited approach to our standard topic nomination process.
• It's less costly, it's standard of care across transplant centers.
• The deductible would still apply. Everything would still apply.
• I'm just thinking that most of us have extremely large deductibles.
• They are, but they're still subject to a deductible. But anyway, thank you.

Bills: HB813, HB1680, HB3569, HB4074, HB4635, HB5178, SB527, SB1307, SB1822

Keywords: autism, health insurance, coverage, medical treatment, health benefit plan, HIV prevention, prescription drug, prior authorization, health benefits, insurance coverage, insurance, contract termination, property and casualty, insurance agents, discrimination, appraiser, umpire, licensing requirements, continuing education, admin penalties

Transcript Highlights:

• And basically, it is a tax deduction, not a tax credit.
• And basically, it is a tax deduction, not a tax credit.
• They're tracking tax deductions.
• They're tracking tax deductions.
• They're tracking tax deductions.

Keywords: 959, house, all

Summary: The House opened with prayer, approval of the prior day’s journal by a 120-0 roll call, and a successful motion to suspend House Rule 98 so members could wear hats on the floor. The chamber then spent time on introductions of special guests, including the Eugene High School Class 2 basketball champions, family members of members, and other visitors. One member also used a personal privilege speech to respond to the U.S. Supreme Court’s voting-rights ruling, arguing it weakens protections for Black voters and other communities of color and calling for expanded access to the ballot. The House received committee reports recommending passage of House Substitute for House Bill 2426 and Senate Substitute No. 2 for Senate Bills 863 and 866. It then agreed to a motion to go to conference on the property-tax omnibus, Senate Bills 1066 and 1088. On third reading, House Bill 3329 passed 142-0 to repeal expired tax credits, and House Bill 3405 passed 138-0 to clean up SALT deduction language and improve tax-credit accounting. House Committee Substitute for House Bill 2426, a parental-rights bill, failed on a 70-60 vote after opponents argued it would burden schools and could endanger vulnerable students, while supporters said it affirmed parents’ fundamental rights. The House also took up House Committee Substitute for Senate Bill 1233, a professional licensure bill dealing with CPA licensing and other occupational-licensure provisions. Members adopted an amendment removing compact language, an amendment allowing APRNs and physician assistants to perform nursing-home physicals was offered but then withdrawn after the sponsor objected, and the bill ultimately passed 129-6. Finally, the chamber debated House Committee Substitute for Senate Bill 1408, a transportation package centered on allowing MoDOT to raise rural interstate speed limits up to 75 mph, with multiple amendments added or removed. The bill drew sharp debate over speed limits, vehicle inspections, DOR language, and road safety, and members also began considering an amendment to add specialty license plates for women’s professional sports teams such as the Kansas City Current and a future WNBA franchise.

Transcript Highlights:

• , one of four deductions, the first being cost of goods sold, second is compensation.
• And so for a company that manufactures a product that They are allowed to deduct their cost of goods
• Companies are allowed to deduct employee compensation, but they are statutorily capped at only. including
• Limited the how much compensation employee compensation can be deducted for purposes of calculating the
• What I mean is we need to apply the same Standards that the state observes down to the local level and

Keywords: 1184, house, all

Transcript Highlights:

• , of course, uh, copayments, deductibles.
• Whether the prudent layperson standard, whether the emergency care definition is met.
• If if you met that prudent layperson standard.
• But the way that this is the way the way that this changes to this 50-state standard, same in every standard
• That's the prudent layperson standard. That's what it means. Thank you, Chairman.

Transcript Highlights:

• This says that the standard will be the latest adopted standard by the web accessibility guidelines group
• The latest standard, 2.2.
• This says that the standard will be the latest adopted standard by the web accessibility guidelines group
• The latest standard, 2.2.
• plans by paying for deductible plans by paying for deductibles<00:37:41.760> that<00:37:42.079

Keywords: 912, senate, all

Summary: The joint HHS and LBT meeting opened with accessibility concerns, as several blind attendees arrived after the general public had already been seated. The chair apologized and said future hearings would try to seat blind members earlier. The committee also announced the hearing was being streamed on YouTube, testimony would be limited to one minute, and written testimony was available online. The first bill heard was SB 2281, relating to the use of artificial intelligence in healthcare. The Department of Health supported transparency for patients but preferred disclosure through provider websites and office signage rather than a new regulatory program. The Hawaii Medical Association and Healthcare Association of Hawaii generally supported the bill’s intent but raised concerns about administrative burden and suggested a working group or model policies. Hawaii Pacific Health said it already uses AI for note-taking and patient portal functions and worried that written notice requirements could create too much consumer information. In response, the chair emphasized that patients should be informed when AI is used, especially if it affects diagnosis or consequential decisions, and said AI should not be making medical decisions. The committee later voted to recommend SB 2281 pass with amendments, including narrowing the definition of consequential decisions, removing certain language requested by DOH, adding a two-year implementation period, and setting a far-future defective date for further discussion; both committees adopted the recommendation, with the chair voting aye and the vice chair voting with reservations. The second major bill was SB 2852, a civil rights measure focused on digital access for people with disabilities. The Hawaii State Council on Developmental Disabilities, Hawaii Civil Rights Commission, Hawaii Disability Rights Center, and the National Federation of the Blind of Hawaii all supported the bill, arguing that existing law clearly protects physical access but should also make digital access explicit. Blind testifiers described how accessible technology, such as VoiceOver on iPhones, allows them to participate independently in public processes and warned that inaccessible digital systems can create barriers for thousands of blind residents. One testifier, an attorney with disability-law experience, supported the bill’s intent but said the draft had flaws, including no exceptions for archived materials, no distinction between small and large businesses, and concerns about the timing and choice of accessibility standards; he suggested delegating regulatory authority to the Hawaii Civil Rights Commission. The bill’s sponsor said he supported DAB’s proposed amendments, and the committee indicated those amendments would address many of the concerns raised. No final vote on SB 2852 was taken in the portion provided. The committee then took up SB 2751, which defines compounded prescription drugs for workers’ compensation purposes. The Department of Labor and Industrial Relations supported the bill but requested clarifying amendments to keep pharmacists as the primary professionals authorized to compound in licensed pharmacies and to limit any physician compounding authority to the physician’s own patient. Supporters included the Work Injury Medical Association of Hawaii, while Solera Integrated Medical Solutions opposed the measure, arguing the current definition was already broad enough and warning about cost inflation, especially with 503B bulk compounding facilities and physician dispensing. In questioning, members asked about rural access, reimbursement for 503B products, and late testimony suggesting definitions for 503A and 503B facilities, limits on physician dispensing to 30 days post-injury, and pre-approval for non-FDA-approved drugs. DLIR said not every rural community has licensed pharmacists available, that products with a national drug code are reimbursed at 140%, and that 503B facilities raise concerns because they are bulk manufacturers rather than patient-specific compounding operations. The meeting then moved into decision-making on SB 2281; the chair’s pass-with-amendments recommendation was adopted by both committees, with the vice chair voting with reservations.

Transcript Highlights:

• I had some conversation earlier this morning about the question of deductible.
• , from eliminating that clause, that it not be subject to the deductible?
• <01:17:05.600> have okay and you know these standards have okay and you know these standards
• <01:21:57.199> or limit um application to a deductible or limit um application to a deductible
• So every year, by February or March, we've paid her $6,000 deductible.

Keywords: 928, house, all

Summary: The committee held a public hearing on House Bill 552, which would remove the “full-time student” requirement for children ages 19 to 25 covered under the state retiree health insurance plan. The prime sponsor said the change would align retiree coverage with state employee and ACA plans, would not cost taxpayers because retirees pay the premiums, and could even reduce administrative burden and possibly state costs. The chair noted the bill simply removes the words “if full-time student” from statute and said the proposal affects very few retirees and has no cost to the state. No opposition was presented, and the chair closed the hearing on HB 552 after no further testimony. The committee then opened a public hearing on House Bill 648, which would require commercial insurance coverage for glucose monitoring devices and supplies for people with diabetes. The prime sponsor, a retired dietitian and diabetes educator, gave extensive testimony describing diabetes as common, costly, and serious, and argued that continuous glucose monitoring is important for managing type 2 and gestational diabetes, preventing hypoglycemia, and improving safety and decision-making. She said CGMs can alert users to dangerous blood sugar changes, help people understand how food, activity, and medication affect glucose, and save lives while offering a strong return on investment. During questions, a committee member asked whether the bill should specify that the monitoring be tied to prescribed treatment, and the sponsor agreed that adding “prescribed” would be appropriate. The member also asked about the proper threshold for coverage and whether the bill should be tied to fasting-test diagnosis; the sponsor responded that A1C is only one measure of control and does not show daily fluctuations, and said she was not prepared to recommend a specific threshold but could provide clinical guidelines later. No vote was taken during the hearing, and the sponsor indicated support for the bill’s general approach to broader CGM access.

Transcript Highlights:

• It it's it's an deductible plan.
• <00:18:45.919> on those for your deductible on those for your deductible on catastrophic<00
• or loss ratio standard.
• insurers fail to meet that DLR standard insurers fail to meet that DLR standard or<00:54:00.480>
• <00:58:00.720> and along with higher deductibles and along with higher deductibles and out-of

Bills: SB170, SB177, SB207, SB208, SB215, HB27, SB219, SB247, SB232, SB81

Keywords: 923, senate, all

Transcript Highlights:

• you might might have a small deductible you might might have a small deductible but<00:03:08.879
• <00:03:17.480> but met a fairly modest uh um deductible but met a fairly modest uh um deductible
• I could get a Medicare Supplement Plan with a $257 outpatient deductible, a $1,600 hospital deductible
• $1600 $257 uh outpatient deductible $1600 Hospital<00:04:45.039> deductible<00:04:46.000>
• and how that may be um the standards and how that may be um the standards that<00:36:54.000>

Bills: HF2335, HF2400, HF2401, HF2522

Keywords: Medicare, health insurance, supplement policies, preexisting conditions, medical assistance, premium classification, real estate, appraisers, disciplinary actions, sanction matrix, Minnesota Statutes, continuing education, out-of-state, licensing, commerce, fraud prevention, automobile theft, law enforcement, insurance crimes, 1183