Transcript Highlights:

• health, inpatient and outpatient services, as well as reproductive services.
• Labor and delivery services.
• all services.
• all services.
• services.

Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.

Transcript Highlights:

• And $13.4 billion, about 9.4%, is for developmental services.
• Would OYCR be engaged in how services are going to be provided, and how effective services are going
• drills of O&E reductions, personnel services reductions.
• drills of O&E reductions, personnel services reductions.
• So that is... ...despite this demand and services.

Summary: The committee heard a series of budget and oversight presentations from CalHHS-related departments and agencies. CalHHS opened with a broad overview of its 2026-27 budget and priorities, including behavioral health, housing and human services integration, children and youth services, and aging/disability supports. OICR then presented its budget and its SB 823 realignment report on youth formerly committed to DJJ, saying county implementation varies widely but that the state has not seen evidence of net widening in the available data. OICR recommended climate surveys, youth advisory councils, stronger behavioral health and education programming in secure youth treatment facilities, better transitional planning, and improved longitudinal data systems. The agency also described a Title II federal grant transition problem, saying it cannot yet pay some subrecipients for prior work and is awaiting federal action on retroactive spending authority and an administrative funding adjustment. The Ombudsperson division requested two additional positions to address a growing complaint workload and access issues with counties over youth meetings, records, and grievance files; LAO raised no policy objection but noted the ongoing General Fund cost. The State Council on Developmental Disabilities requested $730,000 General Fund ongoing to cover the gap between federal limits on administrative overhead and the actual cost of an interagency agreement with the Department of Social Services. EMSA presented its department overview and several proposals, including a delayed AB 716 ambulance rate report, a $2.6 million request to replace aging disaster-response vehicles, a $250,000 security architecture assessment, and four positions plus ongoing General Fund for HR, enforcement, and legal workload. Members questioned the delay in the AB 716 report, the optics and timing of the vehicle replacement request, and whether EMSA was doing enough to prevent future staffing and enforcement problems. LAO repeatedly noted the ongoing General Fund implications of EMSA’s requests. The Department of Community Services and Development sought reappropriation of unspent Greenhouse Gas Reduction Fund money for the Low-Income Weatherization Program and described a Proposition 4-funded continuation of the farmworker housing component, which would require a new statewide administrator and program design process. The Department of Rehabilitation requested authority to draw an additional $60 million in federal funds annually and add 54 positions to meet sharply increased Vocational Rehabilitation caseloads; LAO had no concerns. Child Support Services proposed restoring a prior reduction to local child support agency funding and reported higher federal performance incentives, while also presenting a supplemental report on full pass-through of child support collections to CalWORKs families, estimating about $150 million annually for full pass-through or about $80 million for a state/county-only approach, plus automation costs. Members questioned why funding should rise when caseloads are declining, and whether the policy could be made cost-neutral. CDPH closed the hearing with an overview of its $5.1 billion budget and its state of public health report, highlighting record-low mortality and higher life expectancy, but also rising overdose deaths among ages 25-44, persistent maternal and infant mortality disparities, and the need for stable public health and emergency-response capacity; no votes were taken during the hearing.

Transcript Highlights:

• Heavy-duty service vehicles, including those providing essential solid waste and recycling services,
• Everyday essential public services like solid waste collection use heavy service vehicles while on local
• Everyday essential public services like solid waste collection use heavy service vehicles while on local
• works can recover the street maintenance costs tied to delivering those services.
• providing services.

Keywords: 987, senate, all

Transcript Highlights:

• Prenatal supports and services, as well as those that are trying to provide those services and what those
• , to crisis services like 988 and in-person crisis response, like mobile response stabilization services
• Behavioral health services.
• One of the, linked to services, et cetera.
• In terms of that direct service and who's actually providing that direct service, it is either in our

Summary: The House Education Committee held a work session on the Children and Youth Behavioral Health Work Group and its school-based behavioral health and suicide prevention subgroup, followed by a public hearing on House Bill 1634, as amended in a proposed second substitute. Work group leaders Lisa Callan and Tisha Kirschbaum described the group’s statewide, cross-agency structure, its Washington Thriving strategic plan, and the goal of moving toward a more integrated “system of care” for children and youth. They emphasized that behavioral health, physical health, and education are interconnected, that families and schools often face a fragmented system, and that Washington’s youth flourishing outcomes show a need for stronger supports. Committee members raised concerns about regional disparities, rural access, language and cultural responsiveness, and the burden on schools and educators, while the presenters stressed that schools should be supported to identify needs and connect students to outside clinical services rather than carry the full burden themselves. Representative My-Linh Thai and Christian Stark then outlined the school-based subgroup’s work and recommendations. They said the subgroup meets monthly, includes students, parents, educators, providers, and agencies, and has focused on prevention, early identification, early intervention, and crisis response in schools. For the 2026 session, the subgroup recommended maintaining current investments in school behavioral health programs, strengthening statewide guidance on school behavioral health, and creating a coordinated technical assistance and training network for schools. They explained that the proposed substitute for HB 1634 would direct OSPI and the educational service districts to work with behavioral health agencies and community partners to conduct a needs assessment, map resources, and build a statewide framework for technical assistance and training, with public posting required by August 1, 2027. Testimony in support came from school staff, OSPI, behavioral health professionals, students, parents, and advocacy groups, who described high student anxiety, suicide risk, staffing shortages, and the need for coordinated, accessible supports. One witness from a psychiatric watchdog group opposed the bill, arguing it could increase labeling and drugging rather than holistic care. No vote was taken in the transcript provided.

Transcript Highlights:

• service.
• 911 service.
• Services Commission.
• In addition to primary care medical services, we also provide dental services, behavioral health services
• , pharmacy services, vision care, and other support services.

Keywords: 1184, house, all

Transcript Highlights:

• those services and really ensure sustainability of these services into a consolidated service model.
• services.
• And states are typically able to cover services like our community supports as in lieu of services outside
• So we're modifying the service itself.
• So, sort of updating the service, if you will, and then covering it in lieu of services to avoid this

Summary: The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market. The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas. Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis. The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.

Transcript Highlights:

• services before receiving the funding to pay for those services, when the state is late in issuing reimbursements
• This means they pay interest to deliver state-funded services."
• filed as a fillable form via the online filing service.
• Human service providers provide critical services.
• is a really key element of the Mayor's Office of Nonprofit Services.

Summary: The joint Assembly and Senate Select Committee on the nonprofit sector held a hearing focused on the importance of California’s nonprofit sector and how state systems can better support it. Chairs and members emphasized that nonprofits are a major economic force and essential service provider, especially as federal cuts and funding uncertainty increase pressure on organizations that deliver health, food, housing, and other services. CalNonprofits presented data showing the sector’s size, economic impact, and the strain caused by delayed reimbursements, administrative burdens, and federal policy changes, including concerns about funding restrictions and threats to nonprofit independence. The Little Hoover Commission presented findings from its report on state grant and contract administration, recommending reforms such as required advance payments, broader application of prompt payment protections, reimbursement of indirect costs, standardized emergency contract amendments, a new Office of Nonprofit Empowerment, more plain-language guidance, a uniform grant portal, reduced reporting duplication, electronic payments, and longer grant periods. Commission staff said SB 1240 would create the Office of Nonprofit Empowerment and SB 1366 would address cash-flow delays for contractors. Committee members and witnesses discussed the need to shift state contracting culture toward outcomes, improve transparency, and reduce paper-based processes that slow payments and burden nonprofits. The Department of Justice’s Charitable Trusts Section also testified about its rollout of an online filing system for charities and fundraisers, which is intended to streamline registrations, renewals, complaints, and fee payments, reduce incomplete filings, and eliminate paper-check problems. Members asked about staffing impacts, payment types, and complaint handling. A New York nonprofit policy leader described that state’s Mayor’s Office of Nonprofit Services and related reforms as a model for reducing contract backlogs, increasing advance payments, and improving oversight through centralized support and data tracking. Public commenters from nonprofit and labor groups urged support for stronger state-nonprofit partnerships, while also stressing the need for accountability and oversight. No formal vote was taken; the hearing concluded after testimony and public comment.

Transcript Highlights:

• Into four services, if they're enrolled in Medicaid outside of the Indian Health Services, they get services
• So, Indian Health Services.
• If it's fee-for-service, which Indian Health Service is fee-for-service... service, then we pay whatever
• services.
• School-Based Medicaid Services.

Transcript Highlights:

• I would be called a person eligible for regional center services. Regional center services.
• When in-home respite services are authorized, we see some regional centers state that the services can
• Individuals receiving in-home respite services.
• This bill streamlines access to services, reduces barriers to service, and supports the dignity, independence
• Funding mental health services is not optional.

Summary: The Assembly Committee on Human Services heard testimony on a series of bills affecting disability services, child welfare, foster youth, domestic violence survivors, guaranteed income pilots, crisis response, and child care providers. AB 1575 would update the Lanterman Act to use person-first language and broaden respite services to allow safe community access; supporters said it would improve dignity and consistency in services, and there was no opposition. AB 2470 would create a statewide one-stop reentry program for survivors of intimate partner violence to replace documents, repair credit, and access housing supports, while also giving CalWORKs emergency housing funds more flexibility; the Little Hoover Commission backed the bill based on its prior recommendations. AB 2510 would clarify and expand CalWORKs family reunification aid so parents can keep receiving support during reunification even if not all children are removed, and supporters said it would reduce barriers and better align with reunification goals. AB 2585 would expand guaranteed income pilot funding to rural and underserved counties, with testimony emphasizing the need for geographic diversity and data from places like the Central Valley. AB 1932, the Crisis Act 2.0, would continue and strengthen community-based mental health crisis response programs; testimony from family members and advocates strongly favored non-law-enforcement responses, and the bill drew broad support. AB 1925 would direct a feasibility study on a statewide permanent disability certification process to reduce repeated verification burdens; the committee approved it 4-0 and sent it to Appropriations. AB 2189 would fund a statewide special education parent action network to train and connect parents for systemic advocacy; after some opposition over the use of state funds for advocacy, it passed as amended and was referred to Education. AB 2684 would allow out-of-state nonminor dependents to do monthly social worker visits virtually, with in-person visits still required quarterly; it passed to Judiciary. AB 1967 would improve pathways for older youth experiencing homelessness or failed adoptions to enter or reenter foster care, and it passed to Appropriations. AB 2126 would create a targeted background-check exemption for certain former foster youth hired as peer partners, and it passed as amended to Public Safety. AB 2379 would require DSS to notify family child care providers of Fourth Amendment rights and provide multilingual know-your-rights training regarding immigration enforcement; it passed to Judiciary after some members questioned whether DSS was the right agency to administer the training.

Transcript Highlights:

• </c><00:10:22.320><c> to</c> CSBG program provides services to CSBG program provides services to low-income
• </c> direct uh services. direct uh services.
• </c> um the cost of running these services um the cost of running these services that<00:19:49.039><c
• </c><00:21:56.159><c> center</c> belong to our district service center belong to our district service
• Community Services Block Grant.

Keywords: 910, house, all

Summary: A joint informational briefing of the House Committee on Labor and the Senate Committee on Labor and Technology was held on August 19, 2025, to hear testimony on the Office of Community Services’ proposed Community Services Block Grant state plan for federal fiscal years 2026 and 2027. Ray Domingo of OCS explained that the plan is intended to maintain federal CSBG funding and focuses on compliance monitoring, coordination among community action agencies and state agencies, and strengthening partnerships. He also reviewed the program structure, noting that Hawaii’s four CAAs serve low-income residents, that the state must pass through at least 90% of the grant to CAAs, and that Hawaii received about $3.8 million in FFY 2025, with allocations to HCAP, Hawaii County Economic Opportunity Council, Kauai Economic Opportunity, and Maui Economic Opportunity. He said statewide CAAs reported serving 40,980 individuals in FFY 2024. Representatives from each CAA testified in support of the plan and described how CSBG functions as flexible “glue” funding that supports overhead, fills gaps, and helps leverage other public and private resources. HCAP’s Robert Piper said the grant helps sustain its broad service network, including Head Start, job training, weatherization, shelter, food assistance, and energy programs, and emphasized its tripartite board structure and annual service to about 20,000 people. Hawaii County’s Chad Hosigal highlighted support for senior farmers market coupons, Meals on Wheels, and transportation services. Kauai Economic Opportunity’s Mabel Fujiuchi said the agency fully supports the plan and described CSBG as nucleus funding that helps support shelter, Meals on Wheels, weatherization, mediation, and other services, including assistance for homeless families and special needs items such as dentures and hearing aids. Maui Economic Opportunity’s Gay Sabonga described CSBG’s role in disaster response after the 2023 wildfires, including shelter transitions, document recovery, housing and utility assistance, bridge grants for small businesses, youth prevention programs, and employment services. Committee members asked about the stability of future federal funding, the frequency of federal assessments, and how satisfaction scores in the state plan were measured. OCS said federal funding information has been mixed and uncertain, that communication with federal partners has been limited and informal, and that the federal assessment website appears outdated; staff said assessments are done every two years. On the satisfaction metric, OCS said the score was 92 out of 100 and believed it reflected participant responses, though they offered to follow up with more detail. No votes or formal actions were taken at the informational briefing.

Transcript Highlights:

• now with victim Services funding victim Services<00:01:57.680><c> funding</c><00:01:58.560><c> is</c
• word must includes services for victims word must includes services for victims of<00:16:15.680><c>
• </c> and what do you bring to those services and what do you bring to those services so<00:35:34.599>
• They need to get these services.
• They need to get these services.

Keywords: 1183, house

Transcript Highlights:

• and supports, and maybe even lower-dollar services and supports.
• We need more services available. We need a bigger workforce.
• Finally, investments in crisis services literally save lives.
• of services is the highest return investments.
• Michael Henning, California Alliance and Child and Family Services.

Keywords: 988, house, all

Transcript Highlights:

• The complement of pastoral services and a collective view of all the services could be offered.
• The complement of pastoral services and a collective view of all the services could be offered.
• He asked how these services would be enforced, noting that there is a website to provide the services
• </c> but to see their complimented services but to see their complimented services and<00:26:26.000><
• </c> through uh will these type of services through uh will these type of services be<00:27:28.360><c

Keywords: 00:34 Call to Order/Roll Call 02:09 Discussion of 25RS HB 389 04:05 Roll Call Vote on 25RS HB 389 05:16 Discussion of 25RS HB 501 09:31 Roll Call Vote on 25RS HB 501 10:50 Discussion of 25RS HB 414 (Discussion Only) 42:05 Adjournment, 958, all

Summary: The Health Services Committee met with a quorum and first considered House Bill 389, a cleanup measure related to the CASPER prescription monitoring program. Representative Duval and staff explained that the bill addresses implementation issues the Office of Inspector General encountered and aligns the definition of “practitioner” for in-state and out-of-state providers. The committee took no questions, then approved the bill unanimously and reported it favorably. The committee then heard House Bill 501, which would allow a pharmacist to fill a prescription for a limited period after the prescribing provider has died, so patients can maintain continuity of care. Sponsors and a pharmacist witness said the bill is intended to reduce uncertainty and liability for pharmacists, excludes controlled substances to comply with federal law, and leaves professional judgment with the pharmacist. Members asked about documentation and verification, and the sponsor said the bill applies when the pharmacist knows of the death and that pharmacies would document the situation as they normally do. The committee discussed the issue briefly and passed the bill unanimously with favorable expression. Finally, the committee took up House Bill 414 for discussion only. Representative Tate and Adia Wisher described it as “Love Them Both,” a perinatal palliative care proposal meant to provide wraparound support for women and families facing fatal fetal anomalies or other serious pregnancy complications. Testimony emphasized that the bill would encourage referrals to programs offering medical, emotional, spiritual, financial, and bereavement support, with examples such as Footprints at St. Elizabeth. Members discussed access, referrals, counseling, coverage language, and the role of fathers, and supporters stressed that the services would be optional and intended to broaden support rather than impose penalties. No vote was taken on House Bill 414.

Transcript Highlights:

• . services. services.
• . services. services.
• . services. services.
• </c> services offered. services offered.
• </c> Services Center. Services Center.

Keywords: 1189, house, all

Transcript Highlights:

• those services and what those barriers look like and feel like.
• , to crisis services like 988 and in-person crisis response, like mobile response stabilization services
• and as I'm listening to Behavioral health services.
• , et cetera... ...linked to services, et cetera.
• In terms of that direct service and who's actually providing that direct service, it is either in our

Bills: HB1634

Keywords: mental health, behavioral support, education, school districts, student assistance, 904, all

Transcript Highlights:

• for the aging and adult services and the behavioral health services that are in this division.
• services.
• services.
• And so we paid for those services through fee-for-service pending that.
• However, Division of Youth Services... ...services, not the other settings.

Summary: The committee heard a series of Arkansas Department of Human Services budget presentations and questions, beginning with the Secretary’s Office and then the Division of Aging, Adult and Behavioral Health Services. Staff described the divisions’ appropriations, funding sources, and major programs, including senior centers, Meals on Wheels, mental health grants, substance abuse treatment, community alcohol safety, the Medicaid tobacco settlement program, and crisis stabilization units. Members raised concerns about flat or limited funding for senior services, the use and tracing of federal block grants, the lack of a funding source for the veterans’ mental health grant, and the mechanics of the community alcohol safety and treatment programs. The committee also discussed patient benefits funds at state facilities, transportation for senior center clients, and whether some special-language appropriations or fund balances should be revisited. Executive recommendations were adopted for the divisions considered. The committee then reviewed the Division of Children and Family Services and the Division of County Operations. Questions focused on foster care growth, adoption subsidies, professional fees tied to staff training and onboarding, vacancies, the Children’s Trust Fund, and TANF subgrants. Members asked about the reduction or elimination of TANF funding to child advocacy centers and other subgrantees, and DHS explained that prior reserves had been spent down and that the department was now trying to live within the annual TANF block grant and rebuild reserves. County operations questions also covered summer EBT, SNAP employment and training, the farmers’ market program, and the expected impact of a federal SNAP administrative match change, which DHS estimated would increase state costs by about $24 million annually, with roughly $18 million affecting the current year because the change begins October 1. Executive recommendations were again adopted. Finally, the committee heard from the Division of Developmental Disability Services and the Division of Medical Services. DDS testimony covered vacancies, staffing shortages, human development center construction and repairs, the reopening of the Boonville work training program, and funding for infant infirmary and child/family life programs. Medical Services testimony covered the Medicaid program, the current FMAP rate, the Our Kids B CHIP program, Medicaid payments to schools, nursing home distress funding, and large appropriation lines used to provide flexibility for claims and potential facility closures. Members asked for more detail on school Medicaid payments, reserve balances, and why some appropriations were much larger than actual spending. In each division, the committee moved and adopted Executive REC after questions concluded.

Transcript Highlights:

• We integrate public health, human services, and the county-run health plan to wrap services around our
• These services include the administration of basic maintenance medications or essential services like
• What exactly are the services? we're talking about.
• He would be paid $0 for the service of dispensing the prescription.
• Who are essential services technicians?

Transcript Highlights:

• this service free of charge.
• As Department Service Officer, I am in charge of 15 accredited service officers working to serve the
• As Department Service Officer in charge of 15 accredited service officers here in Missouri, I see firsthand
• That is for accredited service officers.
• That is for accredited service officers.

Keywords: 959, house, all

Transcript Highlights:

• accessing more services.
• Services and physical therapy service who could not get them.
• based service.
• We did add some services that we referred to a few years ago as evidence-based services, and there was
• a specific package of about five services, I believe, that we added to the behavioral health services

Keywords: 996, all

Transcript Highlights:

• Those categories are ambulatory patient services, emergency services, hospitalization, maternity and
• The operative language is coverage of services or payment for specified providers of services.
• Our interpretation of coverage of services or payment for specified providers of services really comes
• that used vision services in light blue, and the percentage that used dental services in dark blue,
• For dental services, American Indians had the highest percent of members who received a dental service

Keywords: 908, all

Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.