Transcript Highlights:

• House Bill 1052 by Bhojani, relating to health benefit plan coverage of telemedicine, teledentistry,
• It verifies that coverage applies when patients are primarily residing in Texas and providers are in
• Yeah, that's right, it's a couple of cycles; it depends on how much they're out of alignment.
• I think things like that certainly depend on who the Speaker is, who the Lieutenant Governor is, and
• He's dependent upon us.

Bills: HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB5216, HB2046, HB2188, HB2450, HB2813, HB2857, HB4075, HB2911, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB1886, HB3458, HB5603, HB5620, HB1489, HB4101, HB4990, HB5685, HB4950, HB4980, HB5684, HB3507, HB3566, HB4487, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB 1226, HB2806, HB2617, HB2827, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5577, HCR59, HCR135, HB4, HB46, HB3221, HB1403, HB3892, HB4234, HB722, HB4105, HB4413, HB170, HB551, HB3053, HB3142, HB3180, HB3722, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HB40, HB 101, HB 112, HB146, HB214, HB413, HB1523, HB493, HB521, HB594, HB557, HB305, HB549, HB854, HB 1057, HB 1052, HB842, HB3174, HB3196, HB824, HB 1039, HB2529, HB2713, HB4936, HB4995, HB4830, HB4864, HB5219, HB5263, HB5154, HB2674, HB5525, SB529, SB541, SB2004, SB1012, SB2269, SB1886, SB1236, SB693, SB2308, HB2486, HB4862, HB4689, HB4520, HB2225, HB168, HJR218, HB4921, HB5623, HB2494, HB2545, HB2587, HB2625, HB5520, HB5436, HB4926, HB1573, HB5165, HB4811, HB5081, HB4755, HB3179, HB4310, HB4611, HB2159, HB4626, HB3637, HB3153, HB3066, HB2786, HB2966, HB638, HB640, HB876, HB497, HB5539, HB4809, HB5308, HB4687, HB4070, HB4421, HB4412, HB3284, HB3369, HB3420, HB3449, HB4098, HB4281, HB4120, HB4504, HB4370, HB 1106, HB2370, HB2404, HB3863, HB2407, HB2253, HB2273, HB2040, HB1586, HB3788, HB3993, HB4690, HB4309, HB4696, HB2308, HB 1142, HB1533, HB1621, HB2242, HB2012, HB2193, HB2442, HB2464, HB2348, HB2313, HB2289, HB1942, HB2011, HB1629, HB2993, HB3592, HB3824, HB4076, HB4535, HB4623, HB4773, HB 1091, HB5115, HB5515, HB3372, HB5659, HB 127, HB386, HB 115, HB2868, HB 1249, HB4766, HB3720, HB4656, HB4879, HB 105, HB5383, HB4621, HB5431, HB5678, HB5534, HB4174, HB4212, HB3954, HB3966, HB3636, HB3918, HB1422, HB4765, HB4732, HB4742, HB5122, HB4518, HB5084, HB3986, HB4045, HB4144, HB3911, HB3976, HB4473, HB3425, HB3641, HB3642, HB3475, HB3509, HB3424, HB3383, HB4744, HB4531, HB4539, HB3159, HB5228, HB5370, HB4359, HB4398, HB4443, HB4466, HB3861, HB3849, HB4240, HB4706, HB4685, HB5354, HB5141, HB5686, HB3629, HB3554, HB3567, HB2015, HB3575, HB5381, HB1431, HB3514, HB4614, HB4546, HB4683, HB5681, HB5673, HB5663, HB4271, HB4350, HB4035, HB3807, HB3812, HB3552, HB3540, HB3715, HB3710, HB3664, HB4196, HB4233, HB4173, HB1998, HB3333, HB3510, HB4222, HB2070, HB2854, HB2347, HB 113, HB983, HB4847, HB1449, HB3833, HB5151, HB265, HB1845, HB782, HB 108, HB1960, HB158, HB1954, HB1955, HB2512, HB605, HB2581, HB2803, HB627, HB2667, HB1738, HB636, HB3679, HB2638, HB2655, HB871, HB2438, HB 1107, HB1765, HB1822, HB2153, HB4099, HB3732, HB3171, HB3178, HB3182, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2132, HB2658, HB2413, HB2757, HB2080, HB3154, HB3063, HB3009, HB3448, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3946, HB3460, HB3405, HB475, HB3463, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB3335, HB3234, HB3320, HB5573, HB4848, HB4748, HB4769, HB4795, HB2086, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5611, HB5043, HB5064, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB5216, HB2046, HB2188, HB2450, HB2813, HB2857, HB4075, HB2911, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB1886, HB3458, HB5603, HB5620, HB1489, HB4101, HB4990, HB5685, HB4950, HB4980, HB5684, HB3507, HB3566, HB4487, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB 1226, HB2806, HB2617, HB2827, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5577, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR135

Keywords: Medicaid, reimbursement, nursing facilities, ownership change, healthcare policy, mental health, psychiatric beds, inpatient psychiatric treatment, acute psychiatric care, bed availability, bed capacity, hospital reporting, HHSC, Health and Human Services Commission, state hospitals, private mental health facilities, civil commitment, competency restoration, not guilty by reason of insanity, jail diversion

Transcript Highlights:

• For decades Californians have worked to expand health care coverage to nearly every resident.
• So when it comes to health care coverage and financing, one of the major more immediate impacts is a
• It requires able-bodied adults without dependence between the ages of and 64 with certain exemptions
• of the health care coverage changes?
• Millions will either find it harder to reach. coverage or afford their care.

Keywords: 988, house, all

Transcript Highlights:

• coverage in surplus lines. coverage in surplus lines. >> Okay. >> Okay.
• You have full coverage.
• the HHF coverage. the HHF coverage.
• reinsurance coverage. It's all you need. reinsurance coverage. It's all you need.
• That billion dollars in coverage.

Keywords: 910, house, all

Summary: The joint committees held an informational briefing on efforts to expand insurance capacity in Hawaii’s property market, especially for condominium and homeowners coverage. The Insurance Commissioner reviewed the background: a legislative task force, the governor’s emergency proclamation in August 2024, and Senate Bill 1044 in May 2025 led to new condo insurance products. He said the work over the past two and a half years was producing positive results and introduced representatives from HPIA and HHRF/HHR to provide updates. HPIA’s board chair and its administrator described the organization’s history, structure, and current products. HPIA said it was created in 1991 as a residual market for homeowners insurance, now writing four residential products: HO2 homeowners, renters, HO6 condo unit owners, and dwelling fire. They reported policy counts have grown again as admitted-market carriers tightened underwriting, and they discussed financial pressure from reinsurance costs, though those costs had declined in 2025 after different purchasing decisions. They also said the market has become more favorable overall, with some capacity returning and deductibles beginning to ease. Members focused much of their questioning on HPIA’s proposed higher dwelling limits. HPIA explained that the current $450,000 limit for homeowners and dwelling fire was set in 2023, but agents are now asking for a higher limit in the $650,000 to $750,000 range because construction costs have risen and many policies are not being submitted when the limit is too low. HPIA said it has the authority to raise the limit through a filing with the Insurance Division and expects more submissions if the cap increases. They also discussed the shift in the book of business from roughly 70% lava-zone coverage to closer to a 50/50 split between lava and non-lava risks. HPIA outlined strategic initiatives: a new policy administration system that went live October 1 and now allows online payments, online claims reporting, and electronic notices; a filed request to raise the homeowners and dwelling fire limit to $650,000 effective March 1 for new business and April 1 for renewals; an increase in the HO6 condo unit owners limit from $5,000 to $100,000; and a planned commercial property all-other-perils-excluding-hurricane condo product targeted for filing by January 31. No votes were taken, and the meeting was informational only.

Transcript Highlights:

• This is to cover individuals at risk of losing coverage due to changes.
• Okay, so help me with this, you know, I'm not an insurance coverage expert. an insurance coverage expert
• In coverage on January 1st, that these subsidies are being applied.
• without a subsidy, as they have coverage available.
• coverage, subject to available funding.

Transcript Highlights:

• Currently, the plans ensuring our public servants lack coverage for IVF treatments.
• Uh, the cost is variable, uh, depending on the reason you're having it.
• The teacher wants to have a family, um, this coverage, this option for them, for that family.
• Um, it depends.
• Um, well, it depends on what company you use, what, what, um, shipping company you use.

Bills: HB201, HB272

Keywords: disabled veteran, partially disabled veteran, veterans property tax exemption, homestead exemption, ad valorem tax, property tax relief, surviving spouse, appraisal district, Tax Code, local government revenue, homestead portability, service-connected disability, veteran benefits, Texas property tax, residence homestead, disability rating, disaster response, financial assistance, helicopter, municipalities

Transcript Highlights:

• <00:03:23.959> and Essential Health Benefit coverage and Essential Health Benefit coverage
• policies from a baseline coverage in the policies from a baseline coverage in the policies up<00:
• <00:52:01.720> is whether or not to take up coverage is whether or not to take up coverage
• . ...coverage is so expensive that you can't buy coverage in the first place, you will never benefit
• About 397,000 of our members have coverage through employer-sponsored coverage here in the state, and

Keywords: 1183, house

Transcript Highlights:

• That depends. Depends on the zone, depends on the lake, depends on the area.
• <00:33:12.399> Depends standards enough? That depends. Depends standards enough?
• That depends.
• the zone, depends on the lake, depends<00:33:14.320> on<00:33:14.480> the<00:33:14.640>
• So, it really really depends. Um etc. So, it really really depends.

Keywords: 1189, house, all

Transcript Highlights:

• Many insurance companies depend on Hurricane Irene depend on reinsurance to transfer part of the risk
• whether coverage is a chair and plan companies can know whether coverage is a chair and plan accordingly
• So there's no variation race and no variation in coverage except to reflect their coverage option.
• And there's 3 coverage options.
• Unique probability it recurrence cat fund coverage. Right?

Transcript Highlights:

• more the cost of coverage. more the cost of coverage.
• We had a lot fewer choosing dependent coverage in the KHP, and it may be because of cost.
• And then our hazardous members can also have eligible spouse and dependent coverage as well for our members
• And then our hazardous members can also have eligible spouse and dependent coverage as well for our members
• eligible uh spouse and dependent eligible uh spouse and dependent coverage<00:59:15.359> um

Keywords: Meeting Start: 00:00:35 Attendance Roll Call: 00:00:55 Approval of Minutes: 00:02:56 Deferred Compensation Authority Update: 00:03:12 Retiree Health Update - TRS: 00:15:58 Retiree Health Update - KPPA: 00:56:13 Adjournment: 01:20:33, 958, all

Summary: The Public Pension Oversight Board received updates from the Kentucky Public Employees Deferred Compensation Authority and the Teachers Retirement System. Chris Biddle reported that deferred compensation assets had grown to about $4.787 billion with roughly 88,000 participants, crediting auto-enrollment, targeted marketing around pay raises, and retiree-focused services. He said the board’s self-directed brokerage account, authorized by last year’s legislation, is being designed around a $40,000 account-balance threshold with up to 25% transferable into the brokerage window, tentatively for July 1 of the coming year. He also described the free financial planning program, which has been used by about 3,300 to 3,500 participants with an 87% return rate, and noted that the plan is currently in a fee holiday; members asked about the fee structure and whether the CFP service is provided through Nationwide, which Biddle confirmed. Board members praised the deferred compensation program’s growth and asked for the legislation referenced by Biddle. He said the plan’s annual fees are capped, with a $1 monthly fee plus other charges up to a $225 cap, for a maximum of $237 per year absent a managed account. He also said the program is seeking unified payroll access to expand participation, especially among teachers, and that prior lineup changes saved about $6 million annually in participant fees. Bo Barnes of TRS then addressed retired teachers’ health insurance, first clarifying a prior question about declining federal contributions to the retirement annuity trust. He explained that federally funded school positions generated contributions that rose from $72 million in 2019 to $109 million in 2022, then fell to $85 million this year, with a projection of $80 million over the next three years; if those dollars do not come from federal sources, they would have to be replaced through the SEEK formula. Barnes then reviewed TRS health coverage, explaining that the statutory contract guarantees access to group coverage but not fixed premium levels, and that TRS administers two retiree plans: KEHP for retirees under 65 or otherwise not Medicare-eligible, and MEHP for retirees 65 and older or Medicare-eligible. Barnes said TRS completed RFPs for the 2026 plan year, retaining Express Scripts for prescription drugs and switching the Medicare Advantage medical provider from UnitedHealthcare to Humana, while keeping plan design, provider access, out-of-pocket costs, and benefits materially unchanged. He noted a modest hearing-aid improvement of $500 per ear beginning in 2026. He also reported that the TRS Board approved the maximum state contribution for KEHP at $1,044.96, up from $930.76, an 18% increase that he said would require about $15 million to $16 million more annually, while the MEHP premium would drop from $210 to $200 per month because of the new contract. Using the 2024 valuation, he said the KEHP increase would slightly reduce the health trust funded ratio from 80.4% to 80.1% and raise unfunded liability from $4.036 billion to $4.051 billion. Barnes closed by reviewing the 2010 shared-responsibility reforms that shifted retiree health costs away from a pay-as-you-go model, including phased employee and district contributions and Commonwealth stabilization funding. No votes were taken beyond approval of the minutes.

Transcript Highlights:

• As in anything in health care, it depends.
• Like, it depends on whose perspective.
• Coverage being available and competition existing.
• It's 80 or 85 percent, depending on the market.
• And it depends on the composition of the group.

Keywords: 1184, house, all

Transcript Highlights:

• You're not going to have coverage.
• You're not going to have coverage for earthquake or earth movement unless you go and try to find coverage
• The coverages that you find are pretty typical to what you would expect in any property insurance coverage
• And, of course, as we know, fire and flood coverage— and we're not promoting earthquake coverage per
• It's an extended coverage.

Summary: The committee heard a work session on earthquake insurance, beginning with background from the Office of the Insurance Commissioner. OIC staff explained that earthquake and earth movement are generally excluded from standard property policies, that earthquake coverage is usually purchased through endorsements or standalone policies with high deductibles and relatively high premiums, and that surplus lines are a limited backstop market not covered by the state guarantee fund. They also described parametric insurance and captive insurance as more specialized products generally suited to commercial or governmental buyers rather than ordinary consumers. A second panel of insurance and banking experts focused on commercial earthquake exposure, especially for older buildings, collateralized loans, and potential knock-on effects to banks and consumers if a major quake caused widespread damage. Members asked about consumer impacts, mitigation incentives, inventories of vulnerable buildings, and whether legislation such as prior work on unreinforced masonry could help reduce risk. The Washington Bankers Association said earthquake insurance is expensive and that affordability is a major concern, while also noting banks participate in disaster-recovery planning and would be affected by major regional losses. No votes or formal actions were taken. The committee then received a presentation from the Washington State Institute for Public Policy on its cannabis and Initiative 502 research. WSIPP staff described the agency as a nonpartisan research institute that conducts legislative-directed studies and explained that its long-term I-502 assignment includes periodic reports leading to a final benefit-cost evaluation in 2032. Staff summarized findings from a 2023 report showing that cannabis possession convictions fell sharply after legalization, though some racial disproportionalities persisted, and that closer retail access was associated with higher reported adult cannabis use, more fatal traffic crashes involving drivers from nearby areas, and higher rates of cannabis use disorder diagnoses among Medicaid enrollees. A 2023 youth-focused report found that students attending schools near retailers were more likely to report cannabis use, had more unexcused absences, and were less likely to graduate on time. In the newest 2025 Medicaid study, staff said retail access was associated with higher probabilities of cannabis use disorder diagnoses, related hospitalizations, inpatient treatment, and co-occurring mental health diagnoses, with event-study analysis suggesting the increases appeared after retailers opened rather than before. Members asked about racial disproportionality, the meaning of cannabis use disorder diagnoses, THC and impairment, whether the findings reflected medical versus recreational use, and how the results should be interpreted in light of broader trends and data limitations. No formal committee action was taken.

Transcript Highlights:

• and the quality of that coverage.
• and the quality of that coverage.
• Because when I realized that my health care coverage was...
• She suffered lapses in coverage when he did too much overtime.
• , also lost their family health and dental insurance coverage.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on 16 bills, with the chairs noting a busy legislative day and asking speakers to keep testimony brief. The committee first heard testimony on Senate 860/House 1405, the Medicare for All bill, with Sen. Jamie Eldridge and many advocates, clinicians, municipal officials, and patients arguing that a single-payer system would make care a right, reduce administrative waste, lower costs, and protect residents from rising premiums, medical debt, and hospital closures. Several speakers cited the Steward hospital crisis, affordability problems, and polling or ballot questions showing public support for single-payer coverage. No vote was taken during the hearing. The committee then took testimony on S. 863, a bill on non-opioid options for chronic pain. Pain specialists, patients, and advocates said the bill would improve care coordination for MassHealth members, expand access to non-opioid medications, require provider education, and collect data on chronic pain. Testifiers described long delays in diagnosis and treatment, stigma toward pain patients, and the need for multidisciplinary care and transportation support. Again, the committee heard testimony only and took no action. A large portion of the hearing focused on H. 1360/S. 869, which would prevent discrimination against people with disabilities in health care. Disability advocates, clinicians, and patients described being denied or delayed care, pressured into DNR orders, or treated based on assumptions about quality of life rather than medical facts. Speakers referenced COVID-era crisis standards of care, discriminatory metrics, and personal stories involving canceled procedures, inadequate accommodations, and poor treatment in hospitals. Committee members thanked speakers for their testimony and said they would review the bill and its implications, but no vote was announced. The committee also heard testimony on H. 1399, an individual Medicare marketplace option for municipal retirees, where supporters said it would give cities and towns a lower-cost alternative for retiree health benefits through HRAs and individual Medicare plans. The hearing then returned to Medicare for All testimony, with additional supporters repeating arguments about cost, access, municipal budget pressure, and the need for global budgeting and universal coverage. The transcript ends with continued testimony and no recorded committee vote or final action on any bill.

Transcript Highlights:

• It is not a new coverage mandate.
• The law has not changed, the coverage The law has not changed, the coverage should<00:01:56.520>
• in<00:07:37.760> coverage,<00:07:38.440> you create coverage gaps in coverage,
• you create coverage gaps in coverage, you invite<00:07:38.840> more<00:07:39.080> emergencies
• their child depends on it. their child depends on it.

Keywords: 918, senate, all

Summary: Senators and House members held a press event in support of HF 4188, a bill addressing commercial insurance coverage for home care nursing for medically complex children who also receive medical assistance. Speakers said the issue arose after Medica and HealthPartners began imposing caps on coverage that had been provided for years under Minnesota law, and argued that the change would shift costs to Medicaid and taxpayers, create budget pressure, and force families to reduce other needed services. They emphasized that home care nursing is distinct from short-term home health visits and said the bill would prohibit quantity limits and clarify that insurers must continue covering authorized nursing care. Parents and family members described the impact on children who depend on continuous skilled nursing to remain safely at home, including one family whose child Nash has spent extensive time hospitalized and another speaker who said her niece Isabel’s care showed how many nurses, aides, and hospice workers are involved in these cases. Testimony stressed that the coverage caps could lead to more hospitalizations, ICU stays, and trauma for children and families, while costing more overall than home care. Several lawmakers, including Sen. Matt Klein and Rep. Robert Bierman, said the statute’s original intent was clear in 2010 and that the plans’ reinterpretation and the Commerce Department’s response should be corrected. Lawmakers said the Commerce and Consumer Protection Conference Committee has completed its work but is being kept open for the remaining days of session in hopes of resolving the issue this year. In response to questions, supporters said the bill is intended as a clarification rather than a new mandate, that it would simply bar caps on already-authorized home care nursing, and that they believe there is support to move it through the House and Senate before adjournment.

Transcript Highlights:

• And the OB3 made coverage as well.
• but could be as low as 28,000 depending but could be as low as 28,000 depending on<00:24:30.640>
• . coverage. coverage.
• plan to a lower coverage plan.
• coverage plan to a lower coverage plan. coverage plan to a lower coverage plan.

Keywords: 912, senate, all

Summary: The joint informational briefing by the Health and Human Services and Commerce and Consumer Protection committees focused on projected impacts to Hawaii consumers from federal changes affecting Med-QUEST and the ACA marketplace, including the loss of ACA premium tax credits, OBVA/HR1-related Medicaid changes, immigrant eligibility restrictions, and new Medicaid work/community engagement requirements. Committee members noted the meeting was being streamed live and emphasized the need to explain potential coverage losses affecting a significant share of the state population. Med-QUEST administrators reported current enrollment at 390,766, about 27% of Hawaii’s population, and broke that down into major groups including roughly 128,000 ACA expansion adults and about 52,000 parent/caretaker relatives. They said the expansion adult population would be most affected by the new federal requirements, which will shorten renewal periods from 12 months to 6 months and impose community engagement rules beginning in late 2026 and 2027. They described the work requirement as 80 hours per month of work, community service, work program participation, or half-time education, with an income-based pathway tied to $580 per month at the federal minimum wage; they also noted a long list of exemptions, but said many details are still awaiting federal guidance and rulemaking. The administrators said federal changes to immigrant eligibility would eliminate Medicaid coverage for certain noncitizen categories, with an estimated 1,200 to 2,400 people affected, though about 200 may remain covered through a state-funded program for otherwise eligible individuals. They also said marketplace subsidies would no longer be available for some immigrants under 100% of the federal poverty level starting January 1, 2026, with further restrictions expected in 2027. For Hawaii overall, they estimated the new Medicaid work and renewal rules could push an additional 19,000 to 38,000 people into uninsured status, with another estimated 6,000 at risk from the six-month renewal process alone. Members asked about how exemptions would be determined, especially for medically frail and seriously mentally ill individuals, and administrators said they were still awaiting detailed federal rules and were working on data-matching and verification processes to reduce coverage losses.

Transcript Highlights:

• >> It<00:38:10.320> depends.
• uh, post delivery coverage in Medicaid. uh, post delivery coverage in Medicaid.
• , coverage, coverage, this<01:09:01.040> map<01:09:01.359> was<01:09:01.520> not
• Um that being Arkansas and coverage.
• I think in this insurance coverage.

Keywords: 1189, house, all

Summary: The committee met on January 23, 2026, to approve prior minutes and receive an update from the Department of Health and Human Services. The main presentation focused on “Project Compass,” an internal cross-department effort to prepare for changes to Medicaid and SNAP eligibility. Department staff said the goal is to maintain continuous coverage for eligible people, align policy, operations, communications, legal, finance, and eligibility work, and use the new integrated New HEIGHTS system to streamline implementation. They emphasized outreach to beneficiaries, providers, managed care organizations, and other partners, and said temporary manual workarounds had already been used to stay in compliance with fast-moving SNAP changes. Members questioned how the department would avoid repeating the costly outreach effort used in a prior Medicaid work-requirement rollout. Department officials said they are focusing on ex parte processes, sharing eligibility information across programs, and using community partners to reduce duplicate contacts and paperwork. They also said the department is monitoring the SNAP error rate closely, expects automation and a planned system contract amendment to help reduce it, and noted that current error rates are trending downward and remain below the national average. Questions were also raised about possible future SNAP restrictions on certain foods; the department said it can implement whatever the legislature directs, but that defining and administering such restrictions would be complex. The commissioner and CFO then outlined the department’s budget reduction plan. They said the department has begun implementing required “back of the budget” reductions for fiscal year 2026, using contract savings and not cutting existing services where possible. Examples included dental and home-visitation contracts, where spending was adjusted based on utilization and projected need. Officials said they had already written down a little over $15 million in prior-year encumbrances, but that this one-time source will not be available next year, making fiscal year 2027 more difficult. They also explained the difference between legally required back-of-budget cuts and lapse, and said staffing remains a major challenge because vacancies have increased and customer-facing service levels are strained. Dr. Jonathan Ballard then began an update on opioid overdose fatalities, presenting the latest medical examiner data and describing the long-term rise in deaths after fentanyl entered the illicit drug supply, with a peak in 2017 and a later increase in 2022. The transcript cuts off before his full presentation and any further committee action beyond discussion of the minutes and receipt of the department updates.

Transcript Highlights:

• We are still pressing ahead with the expanded coverage.
• There's significant coverage.
• One is you can't have access to affordable employer coverage.
• So there are lots of layers of dependencies that have to be met to maintain coverage.
• I'm sorry, page five on significant coverage.

Transcript Highlights:

• I'm here to voice my strong support for an act relative to IUD pain management coverage.
• This bell costs and lacking insurance coverage.
• While ACA preventive coverage rules requiring PrEP coverage remain intact, recent litigation has highlighted
• It depends on the environment.
• Despite its approval and proven efficacy, insurance coverage remains uncertain.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a public hearing on a wide range of bills, with testimony first focused on H. 1315/S. 824, which would require insurance coverage for pain management options during IUD insertion. Representative Sabadosa, Planned Parenthood clinicians, and policy advocates said sedation can reduce fear and trauma, improve access to effective contraception, and should be reimbursed so providers can continue offering it. A Tufts OB-GYN resident also testified that pain control should be standard care for intrauterine procedures. No votes were taken during the hearing. The committee then heard extensive testimony on firefighter health bills, especially H. 1230/S. 690 requiring insurance coverage for cancer screenings for firefighters. Professional Fire Fighters of Massachusetts leaders, a Dana-Farber oncologist, and firefighters themselves described occupational exposure to carcinogens and personal stories of late-stage cancer detection, arguing that early screening can save lives and reduce long-term costs. Representative Crichton and Representative Howitt also spoke in support, and Representative Ayers testified for H. 4012, which would require neurological disorder screenings for firefighters. Committee members expressed support and sympathy, but no action was taken. The hearing also covered H. 3946/S. 756 on hearing aid coverage, with testimony from students, adults with hearing loss, disability advocates, and HLAA representatives describing the educational, social, and financial barriers caused by lack of coverage and urging broader insurance mandates. Later, Representative Donahue and Representative Vargas testified for H. 1337 to expand insurance coverage for opioid antagonists and related medications, including naloxone dispensed at discharge. The committee additionally heard testimony on H. 1134 to improve chronic pain care coordination and non-opioid access, and H. 4162 to improve ostomy supply coverage and access to certified ostomy care, with patients and clinicians describing denials, quantity limits, and non-medical switching. The transcript ends while testimony on H. 1315/S. 824 is still ongoing; no votes or formal committee actions are recorded in the excerpt.

Transcript Highlights:

• That can go over $1,000 or into the $200s, depending on the rate group.
• So Medicaid is only a partial coverage. So that rate group is much lower.
• But benefits and coverage is not my main expertise.
• For people enrolled in group coverage, that would be winding down depending on the particular plan year
• They are unrestricting funds depending on projects.

Keywords: 907, all

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• They heavily depend on Medi-Cal funding.
• We've done so much to expand health care coverage.
• Losing coverage...
• children who are dependent on this.
• children who are dependent on this.

Summary: The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions. The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs. The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.

Transcript Highlights:

• Signatory plans to this commitment include those that provide fully insured ACA marketplace coverage,
• The patient needs, and then the health plan denies that coverage.
• We strongly support Senate Bill 535 to expand coverage for the treatment of obesity in California.
• to encounter barriers in their quest for coverage.
• new dependents.

Summary: The Assembly Health Committee heard several bills focused on health care access, oversight, and affordability. The first major item was SB 306 by Senator Becker, a prior authorization reform bill. Becker and supporters, including the California Medical Association and California Hospital Association, argued that prior authorization delays care, adds administrative burden, and can lead to serious patient harm. The bill was substantially amended late in the process to have DMHC and CDI identify services and drugs to exempt from prior authorization based on utilization data, with safeguards for fraud, waste, abuse, and patient safety. Health plans and insurers opposed the measure as written, saying prior authorization remains an important utilization-management tool and raising concerns about the 90% threshold, drug inclusion, and how modifications are counted. The committee also heard SB 35 by Senator Umberg, which would let cities or counties inspect unlicensed sober living homes if DHCS does not act promptly on complaints. Supporters said the bill would address weak enforcement and protect residents, while one behavioral health directors group opposed it unless amended. Members generally supported the measure, citing problems with unlicensed facilities and the need for local enforcement backup. The committee then heard SB 62, which would codify California’s updated essential health benefits benchmark if approved by the federal government. Senator Wiener said the package would add hearing aids, durable medical equipment, and infertility treatment including IVF, acknowledging that premiums could rise but arguing the benefits were worth it. Health Access California and other advocates supported the bill, while the California Family Council opposed it. The committee also took up SB 596 by Senator Menjivar, which would tighten the rules for hospitals claiming an on-call list as a defense to nurse staffing ratio penalties. Supporters, including nurses and SEIU, said hospitals have used vague or ineffective on-call practices to avoid accountability and that the bill would improve enforcement and patient safety. Hospital groups opposed it, arguing that staffing is highly dynamic, that hospitals need flexibility to manage acuity and emergencies, and that the bill could increase costs and interfere with collective bargaining arrangements. Finally, the committee heard SB 40 by Senator Wiener, the Insulin Affordability Act, which would cap insulin copays at $35 for a 30-day supply and restrict step therapy unless a plan covers at least one insulin in each drug type. Supporters, including physicians, diabetes advocates, nurses, students, and patient groups, said insulin is life-saving and too often unaffordable, forcing patients to ration or choose between medication and basic needs. There was no formal opposition testimony, though one member questioned why insulin remains so expensive. The committee also began discussion of SB 363, but the transcript cuts off before that bill’s full presentation or any action on the measures. No votes are recorded in the portion provided, and several bills were noted as consent items earlier in the hearing.