Transcript Highlights:

• a state starts, the more expensive programs like this become because of the ratio of workers to retirees
• It provided near-universal coverage to Washington workers.
• In 2022, a pathway was created for near retirees to participate in the program such that for every year
• What this means is that private insurers will now be able to market and price coverage in Washington
• Security for everyone, and private options are available for those who want more coverage.

Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.

Transcript Highlights:

• <00:13:31.720> however we do know that without coverage however we do know that without coverage
• <00:20:12.440> from first we supported uh coverage from first we supported uh coverage from
• It offers necessary health care coverage that many cannot afford.
• <00:30:22.640> will removing their health care coverage will removing their health care coverage
• <01:25:23.119> a thousands of motans to lose coverage a thousands of motans to lose coverage

Bills: HF10, HF27

Keywords: undocumented immigrants, state funding, MinnesotaCare, scholarship ineligibility, state assistance, permit to carry, concealed carry, handgun permit, firearm permit, pistol training, sheriff, application process, electronic filing, mail application, fax submission, certified mail, certified delivery, gun rights, Second Amendment, firearms regulation

Transcript Highlights:

• House Bill 76 by Representative Freeman is an act in Title 22 relative to health insurance coverage to
• establish guidelines for the coverage of orally administered anti-cancer medications, referred to insurance
• House Bill 23 would provide a COLA to retirees of the state employee retirement system.
• These retirees have not received a COLA since 2015. There was a stipend given in 2022 of $2,000.
• It is for retirees over 60 who have been retired for at least one year. Thank you.

Keywords: 974, senate, all

Transcript Highlights:

• Texas-based insurance companies, when these activists are trying to push them to deny insurance coverage
• Insurance coverage should not be used as a weapon, and it sure shouldn't be used as a weapon against
• What is that costing the retirees of Texas? That's what this bill is about.
• This all comes back to making sure that our retirees who are relying on these investments, that folks
• The secretary will read the caption: House Bill 136, relating to Medicaid coverage and reimbursement

Summary: The Senate took up and passed Senate Bill 945, which concerns political shareholder proposals by insurers and insurance holding companies. Senator Hughes argued the bill would protect Texas-based insurers from activist shareholder pressure, especially proposals aimed at limiting insurance coverage for oil and gas companies for ESG or political reasons. The motion to suspend the regular order was adopted over objection, and SB 945 passed to engrossment on a 20-10 vote with one present not voting. The chamber also passed Senate Bill 1117, allowing any Texas-licensed dentist to administer botulinum toxin in oral or maxillofacial regions for aesthetic purposes, and House Joint Resolution 98, renewing Texas’s application for an Article 5 Convention of States to propose amendments on fiscal restraints, federal power limits, and term limits. Both measures advanced after debate and roll-call votes; SB 1117 passed unanimously after suspension of the three-day rule, and H.J.R. 98 was adopted on a 17-14 vote. Members then approved several other measures, including the committee substitute for House Bill 142 on HHSC’s Office of Inspector General and Medicaid overpayment recovery, Senate Bill 2373 on AI-enabled financial fraud and deepfake/phishing schemes, Senate Bill 2221 on fraudulent UCC financing statements, and Senate Bill 2681 on the basis for third-party voter-registration challenges. The Senate also adopted a resolution authorizing a Texas Life Monument replica at the Capitol complex, and passed S.J.R. 59 creating funds for Texas State Technical College capital needs. The body debated and passed Senate Bill 946, which would bar credit discrimination against organizations based on social, political, religious, or similar value-based considerations and require credit decisions to rest on creditworthiness. Senators raised concerns that the bill could create a special protected class for non-human entities or conflict with existing state policies, but the bill advanced to engrossment on a 20-11 vote. The Senate also passed Senate Bill 2477 to ease office-to-residential conversions in large cities after adopting an amendment negotiated with municipal stakeholders, and began consideration of Senate Bill 715 on ERCOT reliability requirements for generators, including existing generation, with extensive debate over impacts on renewables, power purchase agreements, and grid reliability.

Transcript Highlights:

• So anyone who's privately insured or does not have Medicaid coverage, we will pick up the cost of those
• So anyone who's privately insured or does not have Medicaid coverage, we will pick up the cost of those
• So anyone who's privately insured or does not have Medicaid coverage, we will pick up the cost of those
• c><00:38:26.560> uh<00:38:27.040> active<00:38:27.440> duty<00:38:27.839> retiree
• comment and as a uh active duty retiree comment and as a uh active duty retiree I<00:38:28.960><

Keywords: 958, all

Summary: The subcommittee received an overview of Kentucky’s specialty courts from Audrey Collins of the Department of Specialty Courts and the Administrative Office of the Courts, along with testimony from Christian County District Judge Foster Cutoff. Collins described the mission and structure of drug, mental health, and veterans treatment courts, emphasizing therapeutic jurisprudence, individualized treatment, judicial oversight, and multidisciplinary teams. She said Kentucky currently has about 2,991 active participants across the three court types, with drug courts in all 120 counties, mental health courts in 17 counties, and veterans treatment courts in eight counties. She also highlighted reported outcomes such as 7,658 entrants and 4,384 successful completions from 2020 to 2024, a five-year average completion rate of 57%, and lower recidivism among graduates than the statewide average. Collins also reviewed funding and costs, saying the department’s fiscal year 2025 budget was $18.6 million, with most of it from general funds, plus restricted and federal funds. She noted spending on personnel, treatment services, and drug testing, and said specialty courts allow participants to remain employed and meet obligations such as child support and restitution. She said participants paid more than $5.4 million in child support, restitution, and other court-related obligations over five years, and that a statewide evaluation by Morehead State University is underway. In response to questions, she said a dip in 2024 collections may have been affected by a case management system overhaul, and that court costs can be waived in some indigent cases while restitution is still required. Judge Cutoff described veterans treatment court and mental health court in Christian County, saying the programs are especially important because of the nearby Fort Campbell military community and because they help veterans with PTSD, traumatic brain injury, substance use, and related issues. He said the courts rely heavily on staff, treatment providers, and the VA, which helps connect participants to benefits and therapy. He also said mental health court participants receive housing, benefits, and medication support, and that the programs can keep people out of jail and help them stabilize. Committee members asked about the legal basis and history of the courts, and Collins explained that Kentucky’s specialty courts began as pilot programs in the mid-1990s, shifted from federal support to state funding around 2008-2009, and are now largely state funded. No votes or formal actions were taken during the discussion.

Bills: SCR74, SR68, SCR108, SCR76, SCR150, SR141, SCR69, SR64, SCR25, SR22

Keywords: no-bid contracts, emergency procurement, audit, state agencies, public funds, accountability, auditor, state and county agencies, government accountability, emergency declarations, easement, submerged lands, drainage, Kahala Hotel, Oahu, state land regulations, biomarker testing, health insurance, precision medicine, H.B. No. 1971

Transcript Highlights:

• If they believe any of their administrators need coverage, they can purchase those protections.
• the benefit from coverage in the NICA program.
• Because vaccination coverage was high enough to protect communities. 114 cases right now.
• When vaccination coverage declines, then we have what we see now.
• Because vaccination coverage was high enough to protect communities. 114 cases right now.

Bills: S0036, S0620, S0796, S0934, S1080, S1096, S1366, S1536, S1548, S1580, S1588, S1620, S1756, S7034, S7044

Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, candidate qualifying, federal office, election integrity, regulatory compliance, political candidacy, veterinary medicine, telehealth, veterinary professional associate, animal health, public safety, access to veterinary services, payment bond exemption, Habitat for Humanity, Florida Forever Act, land acquisition

Summary: The committee first took up SB 354, the “Blue Ribbon Projects” bill, which creates a framework for large planned communities on at least 15,000 contiguous acres with 60% reserved area and a streamlined local review process. Senator McLean presented the bill and a strike-all amendment, and members raised concerns about local control, conservation enforceability, data centers, concurrency, multi-county projects, and whether reserve lands could later be converted. Audubon Florida and 1,000 Friends of Florida opposed the bill, arguing the conservation protections were not permanent enough and that the reserve areas could be changed later; small-county representatives also worried about tax-base impacts. Supporters argued the bill would better manage growth, preserve green space, and provide a more orderly alternative to sprawl. After debate, the committee voted to report the bill favorably. The committee then approved SB 620 on candidate qualifying, which requires candidates for federal, state, county, district, judiciary, school, and school board offices to disclose any non-U.S. citizenship. Amendments added disclosure about whether federal candidates intend to trade stock if elected and adjusted 2026 congressional qualifying procedures in the event of redistricting, including a new qualifying window and petition rules. The bill was reported favorably after brief support from a member of the public and discussion about candidate vetting. The committee also reported favorably CS/CS/CS/SB 1452, a Department of Financial Services bill with amendments addressing My Safe Florida Home notices, condo pilot eligibility, firefighter hiring, unclaimed property, and related financial-services provisions. Next, the committee approved CS/CS/SB 1620, a school board members’ bill of rights. A substitute amendment narrowed the bill to access to records, fiscal transparency, and nondisclosure agreements, while preserving board members’ rights to timely documents, budget information, and public comment, and setting deadlines for records requests. Superintendents and a school board member testified in support, saying the bill clarifies roles and prevents board members from being frozen out. The committee also passed CS/HB 245, which replaces the term “child pornography” with “child sexual abuse material”; one senator supported the terminology change but warned about preserving legal precedent and avoiding appellate issues. The committee then reported favorably SB 1548, an update to the Live Local affordable housing law expanding eligible sites and clarifying setbacks, airport proximity, and fair-housing protections. Finally, the committee took up the veterinary medicine bill creating veterinary professional associates. The bill allows trained master’s-level VPAs to perform limited veterinary services under a veterinarian’s supervision, and an amendment tightened the standard to immediate supervision on premises. Supporters said the measure would expand access to care, especially in rural areas with vet shortages, while opponents argued it added unnecessary regulation. After testimony from veterinary educators and others, the bill continued with support expressed by committee members, including praise for the direct-supervision amendment.

Transcript Highlights:

• Senator Brodeur, you want to present your health care coverage bill?
• or that coverage is unaffordable.
• Health care, minimum wage job for half a month, I'm going to lose my coverage.
• So we are kind of forcing them into the coverage gap.
• that coverage is already essential to keeping them alive.

Bills: S0006, S0026, S0206, S0532, S0576, S1012, S1110, S1178, S1192, S1758, S1760, S7046, S7048

Keywords: child welfare, negligence, settlement, injury compensation, Department of Children and Families, motorcycle accident, compensation, Department of Transportation, legal claim, autism, autism spectrum disorder, ASD, special education, exceptional student education, ESE, teacher preparation, educator certification, micro-credential, loan forgiveness, student loan repayment

Summary: The Appropriations Committee met and considered a large agenda of bills, reporting several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and the estate of Leila Estrada and Sapphire Williams, which was approved for $3.8 million. The committee also passed a cybersecurity internships bill creating a Department of Commerce program with Cyber Florida, and SB 532, which lets clerks of court retain the full amount of certain excess revenue and clarifies foreclosure-sale procedures. Veterans housing measures, CS for CS for SB 1602 and SB 1604, were approved to create a pilot program and a related trust fund for vacancy relief and risk mitigation for veteran housing. The committee also favorably reported SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics, with emotional testimony from a student and family describing the high cost and importance of activity-specific prosthetics. Members also approved CS for CS for SB 1012 after adopting an amendment that removed inmate emergency and specialty medical service compensation provisions while retaining changes to the contractor-operated institutions inmate welfare trust fund. Another bill, CS for CS for SB 1614, was narrowed by a delete-all amendment to focus on limiting the use of excess fees for new building construction by local governments. All of these measures were reported favorably after brief debate, with some support testimony submitted in writing or waived. The most extensive discussion centered on CS for CS for SB 17, a major Medicaid and public assistance overhaul. The bill would create a Joint Legislative Committee on Medicaid Oversight, allow the Legislature to retain its own actuary, tighten Medicaid program oversight, update encounter-data reporting, set performance standards for managed care plans, revise pharmacy benefit manager rules, and require DCF to implement SNAP fraud-reduction and payment-accuracy reforms, including photo IDs on EBT cards and updated work requirements. It also would direct agencies to seek federal waivers for Medicaid work requirements for able-bodied adults and expanded behavioral health services. After lengthy questioning and testimony, the committee adopted amendments adding a transitional medical benefits glide path for people who gain employment and later lose Medicaid eligibility, and exempting hospice patients with six months or less to live. Supporters argued the bill would improve accountability, reduce fraud, and save money, while opponents warned it would create administrative burdens, increase paperwork, and cause eligible people to lose coverage or food assistance. The committee ultimately reported the bill favorably as amended.

Transcript Highlights:

• In the north gallery, I have some friends who are here today to support our bill about prosthetic coverage

Bills: SB1246, SB1510, SB1979, SB1929, SB1930, SB1976, HCR1019, SB1459, SB1673, SB1500, SB1447, SB1646, SB2007, SB1275, SB2074

Keywords: environmental permitting, Oklahoma, Department of Environmental Quality, public participation, regulatory framework, administered applications, energy, wind energy, financial assurance, property restoration, environmental regulation, mining, blasting, residential protection, buffer zone, Department of Mines, public utilities, electric transmission lines, landowner rights, payment regulations

Transcript Highlights:

• market fluctuations and events outside the state's control, resulting in higher premiums and less coverage
• It's really incredible what you will learn about the lack of insurance coverage in the state of Texas
• She's a retiree, and she's been living in a home for generations.

Bills: HB1958, HB2031, HB2879, HB3285, HB3995, HB4487, HB4558, HB4560, HB4876, HB4899, HB5212, HB5317, HB5543, HB5567, SB1333

Keywords: firearm possession, tenant rights, landlord regulations, civil penalties, property code, justified use of force, deadly force, property rights, home defense, smart devices, data privacy, personal data collection, user consent, mobile application, data transparency, HOA, property owners association, property owners' association, Texas Property Code, Chapter 202

Transcript Highlights:

• property loss, because in appraisal, all they're deciding is what is the amount of the loss, not coverage
• Appraisals are there to resolve these cost disputes, not coverage and causation.

Bills: HB345, HB721, HB2580, SB815, HB3057, HB4603, HB3233, SB495, HB3863, HB3914, HB4570, HB5099, HB5173, SB458

Keywords: insurance, appraisal process, disputed losses, residential property, policyholder rights, insurer obligations, natural disasters, appraisal expenses, umpire selection, policyholder, insurer, umpire, claims management, health care, cost disclosure, benefit plan, administrators, traumatic brain injury, health benefit plans, insurance coverage

Transcript Highlights:

• Title VIII of the Insurance Code by adding Chapter 1373, which would expand health benefit plan coverage
• It seeks to activate health insurance coverage during these instances.
• Concerns about coverage gaps, especially concerns about therapies that require continuity for success
• Carriers are leaving the state, reducing coverage, raising deductibles, accounting for coverage in parts
• We're seeing increased rates and reduced coverage from private insurance. ...insurers will exacerbate

Bills: HB345, HB721, HB2580, SB815, HB3057, HB4603, HB3233, SB495, HB3863, HB3914, HB4570, HB5099, HB5173, SB458

Keywords: insurance, appraisal process, disputed losses, residential property, policyholder rights, insurer obligations, natural disasters, appraisal expenses, umpire selection, policyholder, insurer, umpire, claims management, health care, cost disclosure, benefit plan, administrators, traumatic brain injury, health benefit plans, insurance coverage

Transcript Highlights:

• There are people willing to write coverage, or people who are completely unable to get coverage because
• Texans who receive coverage for gender transition. treatments should be given the same coverage to treat
• versus trans-affirming coverage.
• The current law requires them to have insurance coverage at that time, at $1 million in coverage.
• But to require in period two that amount of coverage, a million dollars worth of coverage, when they

Bills: HB778, HB 1266, HB1576, HB2213, HB2517, HB2518, HB2841, HB3306, HB3320, HB3388, HB3508, HB3520, HB3689

Keywords: credentialing, healthcare, physician assistants, advanced practice nurses, managed care, hurricane, windstorm, loss mitigation, grants, insurance discounts, property retrofitting, insurance, Texas Windstorm Insurance Association, board composition, coastal counties, property insurance, taxation, Texas FAIR Plan Association, premium taxes, maintenance taxes

Transcript Highlights:

• What this does is it creates a uniform windstorm insurance coverage plan.
• HB3388 authorizes group property... ... casualty coverage for personal lines.
• incidental liability coverage.
• That means that for personal line group policies, the coverage limit you buy is your coverage.
• For example, TWIA offers a fairly substantial discount on their coverage.

Bills: HB778, HB 1266, HB1576, HB2213, HB2517, HB2518, HB2841, HB3306, HB3320, HB3388, HB3508, HB3520, HB3689

Keywords: credentialing, healthcare, physician assistants, advanced practice nurses, managed care, hurricane, windstorm, loss mitigation, grants, insurance discounts, property retrofitting, insurance, Texas Windstorm Insurance Association, board composition, coastal counties, property insurance, taxation, Texas FAIR Plan Association, premium taxes, maintenance taxes

Transcript Highlights:

• People should be able to review their coverages and look at it."
• Cocking, would I also receive updates in my regular billings upon renewals and stuff if coverages have
• focused on the statement that's in there and the price tag on that much more than they are on the coverage
• They really need to be focusing on both because they purchased that coverage to make sure that they're
• Cocking would have been someone who would have had carriers that would have written coverage in that

Bills: HF2601, HF2607, HF2027, HF2608

Keywords: financial institutions, insurance regulation, insurance holding company, group capital calculation, liquidity stress test, NAIC, National Association of Insurance Commissioners, insurer solvency, affiliate transactions, groupwide supervision, internationally active insurance group, lead state commissioner, policyholder protection, hazardous financial condition, deposit or bond, contract for deed, conventional loan, cooperative apartment loan, mortgage interest rate cap, average prime offer rate

Transcript Highlights:

• employees negotiate health coverage employees negotiate health coverage district<00:09:50.240>
• , demand better rates, better coverage, demand better rates, better coverage, and<00:10:06.960>
• We are paying more for less coverage. We are paying more for less coverage.
• healthcare coverage. healthcare coverage.
• <01:23:24.680> Thank retirees that are in the plan. Thank retirees that are in the plan.

Bills: HF3119

Keywords: teacher compensation, educational staff, unlicensed staff, minimum wage, inflation adjustment, education finance, 1183, house

Transcript Highlights:

• COLA, thereby addressing the needs of both active employees and retirees.
• COLA, thereby addressing the needs of both active employees and retirees.
• COLA, thereby addressing the needs of both active employees and retirees.
• We have had a correctional member apply for the elected retiree position.
• to cover. 17% of Minnesota retirees to cover. 17% of Minnesota retirees um<01:47:20.800> live

Keywords: 1187, senate, all

Transcript Highlights:

• joining an administration and are supported by Congressional Republicans who plan to slash the health coverage
• But here's the reality, taking away health insurance coverage from people won't cut sickness.
• That's 784,000 lives that depend on this coverage to survive, get the help they need in the medical support
• When we met, I shared with you my strong view that retirees in Georgia who rely on Social Security deserve
• So when you are confirmed, I would hope that your emphasis will be on protecting those retirees and their

Keywords: Social Security, Medicaid, Frank Bisignano, Elon Musk, benefit processing, office closures, public testimony, administration policies, health care, vulnerable populations

Summary: The committee meeting focused heavily on the nomination of Frank Bisignano as the Commissioner of the Social Security Administration, with intense discussions around the current state of Social Security and its management under the current administration. Members voiced significant concerns regarding potential changes to Social Security and Medicaid, specifically addressing issues such as office closures, delays in benefit processing, and the perceived policies from Elon Musk's association with the administration. Public testimonies highlighted fears that these changes would severely impact the accessibility of benefits for seniors and vulnerable individuals, resulting in a chaotic environment at the SSA. Members expressed a unified opposition to the notion of dismantling these critical programs, emphasizing the long-term implications on their constituents' well-being.

Transcript Highlights:

• Many of the larger districts in the state have their own health care coverage.
• It is also based on active member payroll. in terms of financing that a health care program for retirees
• We did give them an opportunity to return to our coverage.
• and pre-retirees and so if you don't mind in the materials that I handed out you can see on page 3 of
• But on average, just so you all know, current TRS retirees are still about 30% behind inflation.

Keywords: 1184, house, all

Transcript Highlights:

• You will notice there are a few details on what a new plan design for health care coverage will be for
• Coverage for contraception services. Coverage for tubal procedures and tubal litigation at 100%.
• Coverage for contraception services. Coverage for tubal procedures and tubal litigation at 100%.
• Just compare a few areas of non-grandfathered coverages to grandfathered coverages.
• A non-grandfathered plan cannot deny coverage or charge higher premiums based on...

Keywords: 908, all

Summary: The House convened with prayer, roll call, and a quorum present, then took up several procedural motions, including suspending House rules for three legislative days and replacing conference committee members on Senate Bill 2282 and SCR 4007. The chamber also recognized visiting student groups from Grafton/Pleasant Valley and Shiloh School. Later, the House agreed to several conference committee reports and moved a number of measures through final passage or final disposition. House Bill 1428, which would have created a sales tax exemption for clothing sold by thrift stores or nonprofit corporations, drew extensive debate over tax policy, revenue loss, and possible conflicts with streamlined sales tax rules. Supporters argued it would help lower-income shoppers and nonprofit thrift stores, while opponents said it created an unfair advantage and could reduce state and local revenue. The conference report was adopted, but the bill ultimately failed on final vote, 37-54. House Bill 1440, relating to cigar lounges, was amended in conference and then passed 75-17. House Bill 1460, concerning adult foster care for private-pay adults, electronic monitoring, and a legislative study, was also adopted and passed overwhelmingly, 91-1. The House then passed Senate Bill 2224, which revises gaming commission structure and gaming stamp requirements, adds Attorney General enforcement provisions, and includes a $25,000 general fund appropriation, by a vote of 88-0. Senate Bill 2327, which expands uses of the agriculture diversification and development fund and appropriates $15 million to it, passed 74-17 after a member was excused from voting due to a personal interest. Senate Bill 2267, creating a regulatory framework for on-site wastewater treatment systems and shifting licensing authority to the Department of Environmental Quality, passed 82-10, and Senate Bill 2276, addressing joint water resource boards for cross-county projects, passed 90-1. The most contentious debate centered on Senate Bill 2160, which would move the state employee health plan from grandfathered status to a non-grandfathered ACA-compliant plan and appropriate about $6.6 million for the transition. Supporters said it would give the PERS board more flexibility, expand preventive and other benefits, and potentially slow premium growth without charging employees premiums. Opponents warned it could raise out-of-pocket costs, add mandated benefits, and shift costs to employees, while also arguing the bill had not been adequately studied. After extended debate, the House passed SB 2160 by a vote of 55-37. The chamber also concurred in Senate amendments to House Bill 1318, a pesticide labeling bill, and placed it on final passage, but the transcript ends before the final vote on that measure.