Transcript Highlights:

• As I said before, coverage is not available in the private market.
• The dark blue is the cap fund that represents the cap fund coverage.
• If there is no coverage, the desk adjuster will issue a denial-of-coverage letter and the claim is placed
• And the flood insurance coverage is supposed to be equal to or greater than our Coverage A amount.
• Flood insurance coverage is supposed to be equal to or greater than our Coverage A amount, but the bottom

Summary: The Insurance and Banking Subcommittee received a lengthy presentation from Citizens Property Insurance Corporation CEO Tim Serio, with Insurance Commissioner Michael Yaworski also answering questions. Serio reviewed Citizens’ role as Florida’s insurer of last resort, its statutory funding structure, eligibility rules, depopulation program, reinsurance obligations, and the surcharge/emergency assessment mechanisms that can be used if Citizens runs a deficit. He emphasized that recent legislative reforms, combined with lower litigation and improved market conditions, have helped the private market recover and reduced Citizens’ policy count from a peak of about 1.41 million in 2023 to 936,182 at the end of 2024, with a projected drop to about 771,000 by the end of 2025. He also said the reforms reduced Citizens’ rate need and helped avoid an emergency assessment after the 2024 storms. Members asked about Citizens’ rate increases, why Citizens still seeks higher rates despite lower litigation, how the 20% eligibility threshold works, whether Citizens should be wind-only, and whether the state or federal government could help with deficits. Serio explained that Citizens is still charging below actuarially sound rates in most areas, that rate filings reflect reduced litigation and lower reinsurance exposure, and that assessments on all Florida property policyholders are the reason Citizens tries to build surplus and depopulate. He said the depopulation program is working better than in the past, with less than 2% of takeout policies returning to Citizens, and that the Office of Insurance Regulation has been vetting takeout companies more carefully. A substantial portion of the discussion focused on claims handling after Debby, Helene, and Milton, including flood-versus-wind disputes and Citizens’ use of the Division of Administrative Hearings for some claim disputes. Serio said Citizens had received 76,625 claims from the three storms and had paid nearly $823 million in indemnity and expenses as of January 7, 2025. He said many closed-without-payment claims were either below deductible, withdrawn, duplicate, or flood-only, and that Citizens had asked its internal audit function to independently review the claims data and denials. He also described Citizens’ storm outreach, catastrophe response centers, managed-repair program, and claim review process, and said the corporation remains focused on paying valid claims while minimizing the risk of assessments on the broader Florida market.

Transcript Highlights:

• They heavily depend on Medi-Cal funding.
• We've done so much to expand healthcare coverage.
• However, it really depends on future developments.
• The other is the status of the health. coverage of the student.
• children who are dependent on this.

Keywords: 988, house, all

Transcript Highlights:

• <00:14:43.600> which homeowners insurance coverage which homeowners insurance coverage which
• coverage available to individuals who coverage available to individuals who cannot<00:49:19.599> get
• commercial cannot get coverage in the commercial cannot get coverage in the commercial Market<00:
• <02:22:09.960> be um rental coverage be um rental coverage be provided<02:22:11.840> um
• Then you need some coverage.

Keywords: 928, house, all

Summary: The committee took up HB 297 with a non-germane amendment proposed by the Insurance Department to create the Granite State Home Mitigation and Resiliency Program. Commissioner DJ Beton explained that the program is intended to help homeowners reduce rising insurance premiums and avoid surplus lines coverage by funding proactive home and property improvements such as roof fortification, exterior and foundation work, flood protection, and tree removal. He said the proposal was developed after leadership asked for more statutory detail and for the idea to be vetted through policy committees rather than handled only in the budget process. Beton said the program would be funded by the first $1 million collected annually from the insurance premium tax, with grants of up to $10,000 awarded on a first-come, first-served basis. He described the program as modeled on similar efforts in other states, with means testing tied to the Department of Energy’s weatherization/home heating assistance criteria. He also said the department would administer the program using one existing staff position, with coordination through Treasury, and that unspent funds would roll over for several years before reverting to the general fund. Members asked about the unusual use of a non-germane amendment and how the bill would be handled procedurally, since the underlying bill and the new insurance proposal were unrelated. The chair explained that the amendment was being used as a vehicle to move the department’s proposal through the committee process and that the committee could later accept one part, both parts, or neither. No vote was taken in the portion of the meeting shown; the discussion ended with questions about administration, staffing, and the relationship between the underlying bill and the amendment.

Transcript Highlights:

• . offering fertility coverage, including offering fertility coverage, including IVF,<00:07:51.800>
• coverage of an extra-statutory practice. coverage of an extra-statutory practice.
• 15 or 16 states that have IVF coverage. 15 or 16 states that have IVF coverage.
• someone could utilize this coverage. someone could utilize this coverage.
• > things<00:47:13.560> and coverage for different things and coverage for different things

Keywords: 919, house, all

Summary: The committee heard House File 4609, the Minnesota Building Families Act, and laid it over for possible inclusion in an omnibus bill. The bill would require insurance coverage for infertility diagnosis and treatment, including IVF-related care, and the author emphasized that it would not change Minnesota’s current surrogacy laws. She also noted the bill already contains a religious exemption and clarified that it had been referred through commerce but came to health first because of reviser delays. Supporters testified that infertility is common and financially devastating, describing personal experiences with miscarriages, cancer-related fertility loss, and large out-of-pocket costs such as second mortgages, retirement withdrawals, and fundraising. A physician testified that infertility is a disease, that delays in care can worsen outcomes, and that insurance coverage can improve health outcomes and reduce multiple births and costs. Supporters also argued that fertility coverage is already offered by some large employers and in other states without major premium increases. Opponents, including representatives of the Minnesota Catholic Conference and Minnesota Family Council, argued the bill would subsidize IVF and potentially surrogacy, which they said raises ethical concerns about embryos, commodification, and exploitation of women. They urged the committee to vote no and instead support restorative reproductive medicine or other approaches that address underlying causes of infertility. In member discussion, some legislators expressed sympathy for families affected by infertility and miscarriage but raised concerns about insurance costs, success rates, and the need for guardrails; others noted adoption as another way families are built. No vote was taken beyond laying the bill over.

Transcript Highlights:

• At present, coverage for Medicaid recipients. It coverage for Medicaid recipients.
• <01:15:34.320> I Medicaid coverage. Um but thank you. I Medicaid coverage.
• I see because the coverage has ended.
• And by moving 20 coverage in the past.
• Today, I ask you to support coverage.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• for his dependents at home.
• c> at insurance coverage for his dependence at insurance coverage for his dependence at home.<00:
• paying for that coverage. Correct. paying for that coverage. Correct.
• employer had hazardous duty coverage. employer had hazardous duty coverage.
• to to to fund this coverage. to to to fund this coverage. >> Okay. >> Okay.

Keywords: Reuploaded to restore a few minutes lost at the end of the meeting Representative Tackett-Lafferty: 00:22 • Line of Duty Disability Benefits Representative Grossberg: 26:32 • Loss of TRS Credit Due to Religious Holiday Observance Representative Blanton: 32:01 • Educational Contracts and Membership Dates in KERS Representative Tipton and Representative Blanton: 40:55 • Apply SB 10 Changes from 2025 to KERS/SPRS Senator Higdon: 46:08 • PPOB Reporting on Line of Duty Benefits • TRS Annual Leave Impact on TRS • PPOB Membership • Use of Sick Leave for Religious Holidays Adjournment: 56:03, 958, all

Summary: The committee heard testimony from Rep. Ashley Tackett Laferty on a bill to extend minimum line-of-duty hazardous duty retirement benefits to certain CERS and KERS non-hazardous members who are injured in the line of duty and cannot return to that work. She used a video and examples from Eastern Kentucky first responders, including a deputy who lost a leg and an emergency management director who lost an eye, to argue that some injured officers and responders fall through the cracks because their employers did not elect hazardous-duty coverage. She said the proposal would provide 25% of pay to the disabled officer, plus 10% for dependent children and minimal health benefits, and noted estimated actuarial costs of about $2.9 million for CERS and $0.542 million for KERS, funded through small employer-rate increases. Members asked how far back the bill would reach, how many people might qualify, and whether the benefit would apply only to active employees or also to past injuries. Laferty said the bill would include a five-year window for recent situations and could potentially cover a total of 3,333 positions statewide that could be certified as hazardous, though benefits would only apply if the person was injured in the line of duty and disabled from returning to that work. Questions also focused on whether a non-hazardous employee could qualify if injured in a hazardous situation; Laferty said yes, if the position could be certified as hazardous, but only for the bill’s minimum benefits. Rep. Josh Calloway and others noted that local governments choose whether to pay the higher hazardous-duty contribution rates, which they said often drives the coverage decision. The committee then heard Rep. Daniel Gberg present a separate bill revising school leave rules so teachers and school employees may use accumulated sick leave to observe religious holidays not on the school calendar, with a required personal statement and advance notice. He said the change would address a longstanding inconsistency for teachers who observe non-Christian holidays and currently may have to choose between unpaid leave or improperly using sick days, and he said prior concerns about retirement service credit and maternity leave were reduced by other policy changes. The discussion ended without a vote, with members indicating they had the relevant materials and that the bill would be revisited later.

Transcript Highlights:

• Our jurisdiction includes health facility, regulation, commercial health insurance coverage.
• So we will have to align that to provide only 2 months of retroactive coverage.
• It what is because it has to do with the continuing coverage.
• I think it varies depending upon what that average commercial rate.
• The agency evaluated its existing rules in coverage policies. Yeah.

Transcript Highlights:

• Minnesota's Minnesotans depend on. Minnesota's Minnesotans depend on.
• For example, it expands work requirements for adults without dependents. coverage, sort of the coverage
• <00:20:45.880> to payments, but also lost coverage to payments, but also lost coverage to
• coverage or drop to lower level coverage coverage or drop to lower level coverage with<01:02:54.080
• home is dependent upon federal funding. home is dependent upon federal funding.

Keywords: 1187, senate, all

Transcript Highlights:

• So what are we doing to try to reduce our dependency on temporary staffing for health care coverage?
• So what are we doing to try to reduce our dependency on temporary staffing for health care coverage?
• So what are we doing to try to reduce our dependency on temporary staffing for health care coverage?
• So what are we doing to try to reduce our dependency on temporary staffing for health care coverage?
• for that for this type of coverage for that for this type of coverage I<00:53:57.200> do<

Keywords: 958, all

Summary: The committee approved the January 14 minutes and then considered a large agenda of contracts, including personal services contracts, amendments, memoranda of agreement, and Kentucky Entertainment Incentive Program items. The chair noted the agenda contained 240 items and emphasized the need for transparency in how contract approvals work. Several items were pulled for questions, while the rest were approved without objection. The first major discussion involved seven contingency-fee contracts for the Attorney General’s office. Committee members asked about the apparent $20 million maximum per contract, and staff explained that the amount was a ceiling, not a guarantee, and that under the statutory waterfall in KRS 45A.717 a $20 million fee would require roughly $355 million returned to the Commonwealth. Staff also said the new batch included some new firms, that these contracts are being handled in 6- to 12-month batches, and that no money had yet been spent from the prior cycle. The committee then approved those contracts. Members also questioned a Cabinet for Health and Family Services training contract, which officials said was needed because Finance provides only Kentucky-specific training, while the outside vendor offers broader procurement and federal-funds training; the committee approved that item. A University of Kentucky capital project contract for the State Capitol exterior renovation was approved after questions about the open-ended date, total project cost, and expected completion, with staff saying the overall project is projected for substantial completion by the end of 2026 and final warranty work could extend into 2027. A DCBS amendment for SSI eligibility determinations for children in out-of-home care was explained as an increase caused by a protest, a reissued RFP, and more children entering care; the committee approved it after discussion of the protest and scoring details. The committee also approved a Transportation Cabinet amendment for an I-71 widening and interchange project in Oldham County after staff explained it was a time extension with no additional funds, though the project had evolved due to traffic changes and now includes an eight-lane bridge design. Finally, the committee discussed two Finance Cabinet facilities and support services amendments tied to the Capitol renovation and juvenile justice facility retrofits. Staff said the Capitol project contract covered the full design team, with completion projected around 2029, while the juvenile justice amendments covered additional design work for McCracken and Breathitt facilities, with final bid documents expected in June or July and construction anticipated to begin in the latter half of 2025. Both items were approved.

Transcript Highlights:

• That's family coverage.
• So that $20 a month coverage for their whole family...
• coverage, or is that wrapped into CHIP as well?
• continuous coverage.
• coverage.

Summary: The committee received a briefing from AHCA Deputy Secretary Brian Meyer and Florida Healthy Kids CMO Ashley Carr on implementation of HB 121, which was enacted in 2023 to expand Florida’s KidCare/CHIP eligibility from 200% to 300% of the federal poverty level and replace the sharp premium “benefits cliff” with a tiered premium glide path. Sponsor Rep. Bartleman described the bill as a bipartisan effort to help working families keep children insured while moving toward economic self-sufficiency. The presenters explained that the program remains a joint federal-state structure, with Medicaid unchanged and the bill affecting only the CHIP-related portions of KidCare. AHCA said implementation has been delayed by federal CMS actions. The agency reported that CMS first rejected a state plan amendment approach, then required revisions to the premium tiers under a new maintenance-of-effort interpretation, and later issued a new interpretation of continuous 12-month eligibility that would prevent disenrollment for nonpayment of premiums. AHCA said it submitted an 1115 waiver, but negotiations over special terms and conditions reached an impasse, and the state has filed litigation challenging CMS’s interpretation. Members asked about the cost of litigation, the effect on future bills, the review process for CMS documents, disenrollment and reenrollment rules, and whether any additional legislative action is needed; AHCA said no further state action is needed at this time and that the key issue is the pending federal litigation. Several members and the sponsor emphasized the need for immediate implementation and asked about possible interim relief. AHCA said current coverage remains in place under the preexisting program, that there is a 30-day grace period for premium payment, and that reenrollment does not require a penalty or back payment, though coverage is not active during lapsed periods. The committee also heard public comment from Nicholas Hessing of the Children’s Services Council of Broward County and the Florida Alliance of Children’s Councils and Trusts, who supported HB 121 and said the expansion could make about 17,600 additional children eligible in Broward County alone. The meeting ended with Rep. Bartleman thanking staff and expressing hope that the new federal administration would allow the program to move forward, and the chair adjourned the meeting.

Transcript Highlights:

• DO TO HELP ALL THESE FLORIDIANS WHO ARE ABOUT TO LOSE COVERAGE BECAUSE OF THIS CHANGE.
• Bakofsky: THERE ARE OTHER OPTIONS, IT'S DEPENDENT ON WHAT YOU CAN PAY FOR AND WHAT YOUR NEEDS ARE.
• IT WILL BE LARGELY DEPENDENT ON WHAT RULES THERE ARE AND WHAT WE NEED TO FOLLOW.
• THAT MAP, THE SMALLER MAP THE RED INDICATES LESS COVERAGE AND THE GREEN I BELIEVE INDICATES MORE COVERAGE
• SO CLEARLY OUR COVERAGE IS BAD IN 2018.

Bills: HB 3902, HB 4420, HB 3269, HB 469, HB 336, HB 316, HB 5396, HB 993, HB 1342, HB 5216, HB 2046, HB 2188, HB 2450, HB 2813, HB 2857, HB 4075, HB 2911, HB 4682, HB 3117, HB 3253, HB 3442, HB 4820, HB 4336, HB 5356, HB 3669, HB 3428, HB 5465, HB 3662, HB 2590, HB 2288, HB 1886, HB 3458, HB 5603, HB 5620, HB 1489, HB 4101, HB 4990, HB 5685, HB 4950, HB 4980, HB 5684, HB 3507, HB 3566, HB 4487, HB 4462, HB 4876, HB 4915, HB 4663, HB 5570, HB 2929, HB 5261, HB 2920, HB 4642, HB 4746, HB 1609, HB 5403, HB 5453, HB 3844, HB 2336, HB 1572, HB 1226, HB 2806, HB 2617, HB 2827, HB 3948, HB 3945, HB 4266, HB 4542, HB 3319, HB 1772, HB 2496, HB 1970, HB 3434, HB 5545, HB 5577, HCR 59, HCR 135, HB 4, HB 46, HB 3221, HB 1403, HB 3892, HB 4234, HB 722, HB 4105, HB 4413, HB 170, HB 551, HB 3053, HB 3142, HB 3180, HB 3722, HB 1794, HB 1784, HB 1581, HB 2530, HB 4308, HB 1896, HB 2974, HB 3359, HB 4580, HB 2458, HB 2215, HB 3332, HB 2278, HB 3015, HB 3151, HB 1368, HB 40, HB 101, HB 112, HB 146, HB 214, HB 413, HB 1523, HB 493, HB 521, HB 594, HB 557, HB 305, HB 549, HB 854, HB 1057, HB 1052, HB 842, HB 3174, HB 3196, HB 824, HB 1039, HB 2529, HB 2713, HB 4936, HB 4995, HB 4830, HB 4864, HB 5219, HB 5263, HB 5154, HB 2674, HB 5525, SB 529, SB 541, SB 2004, SB 1012, SB 2269, SB 1886, SB 1236, SB 693, SB 2308, HB 2486, HB 4862, HB 4689, HB 4520, HB 2225, HB 168, HJR 218, HB 4921, HB 5623, HB 2494, HB 2545, HB 2587, HB 2625, HB 5520, HB 5436, HB 4926, HB 1573, HB 5165, HB 4811, HB 5081, HB 4755, HB 3179, HB 4310, HB 4611, HB 2159, HB 4626, HB 3637, HB 3153, HB 3066, HB 2786, HB 2966, HB 638, HB 640, HB 876, HB 497, HB 5539, HB 4809, HB 5308, HB 4687, HB 4070, HB 4421, HB 4412, HB 3284, HB 3369, HB 3420, HB 3449, HB 4098, HB 4281, HB 4120, HB 4504, HB 4370, HB 1106, HB 2370, HB 2404, HB 3863, HB 2407, HB 2253, HB 2273, HB 2040, HB 1586, HB 3788, HB 3993, HB 4690, HB 4309, HB 4696, HB 2308, HB 1142, HB 1533, HB 1621, HB 2242, HB 2012, HB 2193, HB 2442, HB 2464, HB 2348, HB 2313, HB 2289, HB 1942, HB 2011, HB 1629, HB 2993, HB 3592, HB 3824, HB 4076, HB 4535, HB 4623, HB 4773, HB 1091, HB 5115, HB 5515, HB 3372, HB 5659, HB 127, HB 386, HB 115, HB 2868, HB 1249, HB 4766, HB 3720, HB 4656, HB 4879, HB 105, HB 5383, HB 4621, HB 5431, HB 5678, HB 5534, HB 4174, HB 4212, HB 3954, HB 3966, HB 3636, HB 3918, HB 1422, HB 4765, HB 4732, HB 4742, HB 5122, HB 4518, HB 5084, HB 3986, HB 4045, HB 4144, HB 3911, HB 3976, HB 4473, HB 3425, HB 3641, HB 3642, HB 3475, HB 3509, HB 3424, HB 3383, HB 4744, HB 4531, HB 4539, HB 3159, HB 5228, HB 5370, HB 4359, HB 4398, HB 4443, HB 4466, HB 3861, HB 3849, HB 4240, HB 4706, HB 4685, HB 5354, HB 5141, HB 5686, HB 3629, HB 3554, HB 3567, HB 2015, HB 3575, HB 5381, HB 1431, HB 3514, HB 4614, HB 4546, HB 4683, HB 5681, HB 5673, HB 5663, HB 4271, HB 4350, HB 4035, HB 3807, HB 3812, HB 3552, HB 3540, HB 3715, HB 3710, HB 3664, HB 4196, HB 4233, HB 4173, HB 1998, HB 3333, HB 3510, HB 4222, HB 2070, HB 2854, HB 2347, HB 113, HB 983, HB 4847, HB 1449, HB 3833, HB 5151, HB 265, HB 1845, HB 782, HB 108, HB 1960, HB 158, HB 1954, HB 1955, HB 2512, HB 605, HB 2581, HB 2803, HB 627, HB 2667, HB 1738, HB 636, HB 3679, HB 2638, HB 2655, HB 871, HB 2438, HB 1107, HB 1765, HB 1822, HB 2153, HB 4099, HB 3732, HB 3171, HB 3178, HB 3182, HB 3749, HB 2814, HB 3977, HB 4204, HB 4207, HB 4449, HB 1820, HB 1876, HB 1939, HB 1347, HB 2593, HB 2136, HB 2132, HB 2658, HB 2413, HB 2757, HB 2080, HB 3154, HB 3063, HB 3009, HB 3448, HB 3006, HB 2844, HB 3241, HB 3680, HB 3169, HB 2078, HB 2507, HB 4559, HB 3946, HB 3460, HB 3405, HB 475, HB 3463, HB 3441, HB 3520, HB 2060, HB 4731, HB 4991, HB 1991, HB 5596, HB 2014, HB 2142, HB 2673, HB 2731, HB 2417, HB 2399, HB 2301, HB 3335, HB 3234, HB 3320, HB 5573, HB 4848, HB 4748, HB 4769, HB 4795, HB 2086, HB 2234, HB 2203, HB 4916, HB 5624, HB 4505, HB 139, HB 5093, HB 5302, HB 5402, HB 5606, HB 2333, HB 4630, HB 4701, HB 2583, HB 2983, HB 4924, HB 3339, HB 3793, HB 3631, HB 4882, HB 5509, HB 5499, HB 5430, HB 5561, HB 5611, HB 5043, HB 5064, HB 3733, HB 3781, HB 3219, HB 32, HB 4515, HB 5348, HB 3902, HB 4420, HB 3269, HB 469, HB 336, HB 316, HB 5396, HB 993, HB 1342, HB 5216, HB 2046, HB 2188, HB 2450, HB 2813, HB 2857, HB 4075, HB 2911, HB 4682, HB 3117, HB 3253, HB 3442, HB 4820, HB 4336, HB 5356, HB 3669, HB 3428, HB 5465, HB 3662, HB 2590, HB 2288, HB 1886, HB 3458, HB 5603, HB 5620, HB 1489, HB 4101, HB 4990, HB 5685, HB 4950, HB 4980, HB 5684, HB 3507, HB 3566, HB 4487, HB 4462, HB 4876, HB 4915, HB 4663, HB 5570, HB 2929, HB 5261, HB 2920, HB 4642, HB 4746, HB 1609, HB 5403, HB 5453, HB 3844, HB 2336, HB 1572, HB 1226, HB 2806, HB 2617, HB 2827, HB 3948, HB 3945, HB 4266, HB 4542, HB 3319, HB 1772, HB 2496, HB 1970, HB 3434, HB 5545, HB 5577, HCR 76, HCR 127, HCR 9, HCR 40, HCR 118, HR 559, HCR 59, HCR 135

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

Summary: The Florida House passed Senate Bill 2510 relating to prekindergarten through grade 12 education funding and policies. Speaker Perez delivered remarks criticizing the Senate for breaking a budget deal and outlined the House's position on reducing state spending and revenue. He emphasized that the state has a spending problem, not a revenue problem, and proposed various tax cuts including sales tax, business rent tax, and communication services tax eliminations. The House also passed a concurrent resolution extending the 2025 legislative session until June 30, 2025. Perez stressed that property tax relief and state revenue reduction are separate issues, highlighting the House's tourist development tax reform proposal.

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:

• The plan provides coverage to homeowners who can't afford coverage through the standard market.
• The Fair Plan provides coverage to homeowners who can't afford coverage on the open market.
• Insurers may file and use depending on the insurer.
• It depends on the insurance company and what they want to do.
• The plan provides coverage to homeowners who can't afford to pay their coverage on the open market.

Keywords: 1185, senate, all

Transcript Highlights:

• program delivers comprehensive coverage through preferred provider organizations, also known as PPO,
• Our dental program offers out-of-state coverage, just like our health plans.
• We have approximately 450 individuals enrolled and using out-of-state coverage.
• Thirty-four providers were added, ensuring continued coverage in these areas.
• MetLife will offer two plans moving forward that will have out-of-state coverage as well.

Keywords: 987, senate, all

Summary: The Joint Legislative Audit Committee met to consider new audit requests and received a status update from the State Auditor, who reported 10 JALAC audits in progress, several statutory audits underway, and that all audits approved in 2025 are moving forward. The committee first approved a consent calendar covering audits on University of California library resources, law enforcement information sharing, EDD unemployment insurance claims, and Housing and Community Development housing development monitoring. One requested audit on local law enforcement and human trafficking had been withdrawn before the hearing. The committee then debated and approved an audit request from Assembly Member DeMaio on the San Diego Association of Governments (SANDAG) and its road project management and use of transportation funds. DeMaio argued the audit was needed to examine whether restricted funds, voter-approved revenues, and project commitments were properly used, while SANDAG officials said the agency already undergoes extensive oversight and that its funding sources and project uses are governed by multiple existing audits and reporting requirements. Several members questioned whether the audit would duplicate existing reviews, but the motion passed after roll call. Next, the committee approved Senator Valadares’s audit request on Board of State and Community Corrections Proposition 47 grant administration. Supporters said the audit would assess whether grant recipients and BSCC oversight are producing reliable outcome and recidivism data and whether the funds are achieving public safety goals; BSCC responded that it already has internal controls, that the State Controller conducts biennial audits, and that its reported outcomes show reductions in homelessness, unemployment, and recidivism among participants. The committee also approved Senator Cortese’s audit of CalHR’s dental benefits procurement and contract oversight, prompted by concerns about stagnant annual maximums, provider network losses, and out-of-pocket costs for employees and retirees. CalHR said its current dental network remains strong, that it recently completed an RFP adding MetLife as a second carrier beginning in 2027, and that it maintains performance guarantees in its contracts. All three regular-calendar audit requests were approved, and the committee then completed add-on votes approving the earlier consent calendar items before adjournment.

Transcript Highlights:

• program delivers comprehensive coverage through preferred provider organizations, also known as PPO,
• Our dental program offers out-of-state coverage, just like our health plans.
• We have approximately 450 individuals enrolled and using out-of-state coverage.
• MetLife will offer two plans moving forward that will have out-of-state coverage as well.
• Of the dentist, my dentist has always said, wow, you have really good coverage, until this year when

Summary: The Joint Legislative Audit Committee met to hear new audit requests and receive a status update from the State Auditor. The auditor reported 10 JALAC audits in progress, noted that all 2025-approved audits are underway, said the first 2026 audit is focused on DMV license revocations, and described several statutory and high-risk audits already in progress. The committee also approved a consent calendar of four audit requests: UC library resources, law enforcement information sharing, EDD unemployment insurance claims, and Housing and Community Development housing development monitoring. The committee then considered Assembly Member DeMaio’s audit request on SANDAG road project management. DeMaio argued the audit was needed to examine whether transportation funds, including voter-approved and restricted revenues, were used for allowable purposes and whether past management failures warranted outside review. SANDAG’s CEO and CFO said the agency already undergoes extensive oversight and audits, that funds are tracked by multiple “colors of money,” and that internal controls have improved. Several members questioned whether the issues were already addressed in public records or existing audits, and the request failed on a roll call vote. Next, Senator Valadares presented an audit of the Board of State and Community Corrections’ Proposition 47 grant administration, arguing that more transparency is needed on outcomes, recidivism data, and oversight of grantees. The BSCC said it already has oversight mechanisms, that the State Controller conducts biennial audits, and that program data shows positive outcomes. The committee approved the audit unanimously. Senator Cortese then presented an audit of CalHR’s dental benefits procurement and Delta Dental contract, citing long-standing benefit caps, provider network concerns, and retiree out-of-pocket costs. CalHR said its network remains strong, that it recently completed an RFP adding MetLife as a second carrier starting in 2027, and that contracts include performance guarantees. Members from both parties expressed concern about access and competition, and the audit was approved unanimously. The committee then completed add-on votes on the consent calendar and adjourned.

Transcript Highlights:

• This bill isn't about medical coverage.
• Insurance coverage remains highly inconsistent.
• Throughout the Commonwealth, a patchwork of coverage exists, depending on where the patient lives, the
• Denying coverage for treatments to remediate harm, such as reconstructive surgery, coverage for necessary
• It's an insurance coverage question, to be sure.

Keywords: 995, all

Summary: The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules. Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access. The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.

Transcript Highlights:

• of State claims which varies depending of State claims which varies depending on<00:07:17.919>
• but it will affect communities who all depend on providers and hospitals and depend on people being
• but it will affect communities who all depend on providers and hospitals and depend on people being
• but it will affect communities who all depend on providers and hospitals and depend on people being
• but it will affect communities who all depend on providers and hospitals and depend on people being

Keywords: 1187, senate, all

Transcript Highlights:

• So HR1 required um retroactive coverage.
• <00:20:38.080> back law allows uh retroactive coverage back law allows uh retroactive coverage
• postpartum coverage. postpartum coverage.
• So, one, we want to maintain coverage for eligible enrollees.
• c><01:21:17.280> eligible to maintain coverage for eligible to maintain coverage for eligible

Keywords: 1187, senate, all

Transcript Highlights:

• It depends upon the child. No one child is the same. Rep.
• Insurance coverage for many agencies is exceeding the amount of coverage, making this for some agencies
• It will not eliminate insurance coverage.
• what it says for this line of coverage.
• It all looks at ways to get the coverage and make sure the coverage is there for the children.