Video & Transcript Research : 'insurance code'
Page 168 of 500
OK
Transcript Highlights:
- What you see before you is the due process insurance act due process tection Act of 2026.
Bills:
HB2650, HB2696, HB3177, HB3264, HB3298, HB3321, HB3322, HB3497, HB3499, HB3500, HB3742, HB3845, HB3941, HB3970, HB3980, HB3981, HB4421
Keywords:
probate, estate administration, summary administration, decedent, inheritance, open records, educational records, cybersecurity, student privacy, confidential information, court reporters, salaries, legislation, employment compensation, state administration, Oklahoma, criminal justice, minimum sentences, parole eligibility, violent crimes
CA
California 2025-2026 Regular Session
Assembly Floor Session Jun 25th, 2026
California House Floor Meeting
Transcript Highlights:
- an employee payroll tax because the state of California has refused to pay off that unemployment insurance
- It requires standardized itemization of all lien-based medical bills so that you have the same codes
- for the same treatment, i.e., like a chiropractor will be X code or Y code.
- I can, require standardized itemization of all lien-based medical bills so that you have the same codes
- for the same treatment, i.e. like a chiropractor, will be X code or Y code.
Summary:
The Assembly convened after a quorum call, prayer, and Pledge of Allegiance, then handled a series of procedural motions to re-refer bills, suspend rules, and remove items from the consent calendar. The chamber also heard guest introductions recognizing family milestones, a youth leadership program from Assembly District 13, a delegation of Japanese business leaders, and a Michoacan delegation. Later, members adopted several resolutions and consent items, including California Craft Beer Week, the Freedom Flag as a 9/11 remembrance symbol, Probation Services Week, and California Wildfire Week, along with other consent-calendar measures.
The main floor debate centered on SB 417, a $10 billion housing bond for the ballot, with supporters emphasizing the state’s housing shortage, homelessness crisis, and funding for multifamily housing, supportive housing, homeownership, farmworker housing, student housing, tribal housing, infrastructure, and preservation of existing affordable units. Opponents criticized the proposal as adding debt without enough reform and objected to the use of veterans in the measure’s messaging. The Assembly passed SB 417 on urgency and on the measure, 54-7, and sent it to the Senate. Members then adopted ACA 20, which would expand and modernize the state Rainy Day Fund by increasing its cap and changing deposit rules; it passed 54-8 and was transmitted to the Senate.
The Assembly also approved SB 623, a transportation-related bill addressing rideshare safety and medical lien practices. Supporters said it would curb abusive billing, restrict attorney conflicts and kickbacks, require stronger background checks for TNC drivers, and allow women riders and drivers to request women-only matches. The measure passed unanimously, 67-0. Later, the House adopted ACA 21, which removes ACA 13 from the November ballot, by 62-0, and ACA 22, which amends a ballot measure affecting taxation and local fiscal resources, by 64-0. The session concluded with an adjournment in memory of Dr. Dorothy Viola Calvin, followed by announcements, recesses, and final adjournment until the next scheduled floor session.
CO
Colorado 2026 Regular Session
Colorado Senate 2026 Legislative Day 092 Apr 15th, 2026
Colorado Senate Floor Meeting
Transcript Highlights:
- Code rule is relaxed.
- The code Committee will come to order. The code rules<03:19:46.200>
relaxed. - get to receive this medical insurance. get to receive this medical insurance.
- codes, in the pediatric behavior therapy codes, and the list goes on.
- >
in <04:53:34.120>the health codes, in the NICU codes, in the health codes, in the NICU
Summary:
The Senate convened with a quorum, approved the journal, and received several committee reports. The Finance Committee reported Senate Bills 155, 49, and 116 with amendments and favorable referral to Appropriations, and House Bill 1188 favorably to Appropriations. The Business, Labor, and Technology Committee reported House Bill 1110 with amendments and a favorable recommendation to the Committee of the Whole, placed on the Consent Calendar, and also recommended confirmation of several appointments, including members of the State Plumbing Board, State Electrical Board, and Workers’ Compensation Cost Containment Board.
The chamber then proceeded out of order for personal privileges and a resolution honoring Alpha Kappa Alpha Sorority, Inc., including recognition of visiting members and students participating in its Capitol Day. The Senate next took up House Joint Resolution 1027 concerning remembrance of the Holocaust. The resolution emphasized the history of the Holocaust, rising anti-Semitic incidents, the importance of Holocaust and genocide education, and the need to confront hate and otherization. Senators Weissman and Ball spoke in support, stressing the dangers of hateful rhetoric, the need for vigilance and compassion, and the importance of learning from history. HJR 1027 passed unanimously by roll call, 35-0, and the roll call was listed as co-sponsors.
Announcements followed recognizing the Sikh community’s Vaisakhi observance and a langar lunch at the Capitol, along with a proclamation for Sikh Awareness Appreciation Month. There were also notices about a Republican caucus, a Legal Services Committee meeting on Senate Bill 2683 and a litigation update, and a brief personal privilege remark about tax day and agriculture. The Senate then recessed until 10:30 a.m., later raised the call, and moved into special orders for second reading of a large group of House bills on the Consent Calendar.
NH
New Hampshire 2025 Regular Session
House Environment and Agriculture (02/18/2025)
Transcript Highlights:
- Can you cite those U.S. codes again? You said U.S. Code 21? Yep. U.S.
- Can you cite those U.S. codes again? You said U.S. Code 21? Yep. U.S.
- Can you cite those U.S. codes again? You said U.S. Code 21? Yep. U.S.
- Can you cite those U.S. codes again? You said U.S. Code 21? Yep. U.S.
- Can you cite those U.S. codes again? You said U.S. Code 21? Yep. U.S.
Summary:
The Environment and Agriculture Committee opened by noting member absences and then reviewed the governor’s HB 2 trailer bill language creating a solid waste site evaluation committee. The chair explained that Finance would want the committee’s input on the proposal and also announced a temporary change to the committee’s schedule, with additional Wednesday meetings planned around school vacation. The committee then moved into a work session on several bills.
On HB 150, Representative Ktoa offered a simple amendment changing food-processing language from “washed and rinsed” to “cleaned and sanitized” in the processing area. Members agreed the change better matched food safety practice, and the committee indicated support for advancing the bill. On HB 307, dealing with homestead food production areas, members discussed proposed amendment language that would add clearer sanitary requirements, including handwashing access, sanitary storage, sanitizable food-contact surfaces, and pest exclusion. The committee also discussed whether to replace “potentially hazardous food” with “time temperature control safe food,” but several members favored keeping the existing term because it is already well defined in food safety law. The bill was held for further amendment work rather than being executed immediately.
The committee spent substantial time on solid waste legislation. For HB 479, members recalled a prior plan for a letter to the solid waste working group and agreed to proceed with the bill in executive session, with an offer of drafting help from Representative Bixby. For HB 77, which would require DES to establish site-specific setback distances for proposed new landfills, Representative Penza said his amendment was not ready yet but was close, and the bill was left for further discussion. The most detailed discussion was on HB 2115, which would require landfill permit applicants to submit a report on the project’s harms and benefits. Representative Germana explained an amendment that would replace section one, expand the list of benefits to include economic potential and infrastructure improvements, and set up a third-party review process in which the applicant submits a list of reviewers, DES screens the list, and the commissioner selects a reviewer if no agreement is reached within 60 days. Members asked about who could serve as contractors, whether they had to be local, and how DES would judge qualifications; the response was that environmental engineering and similar firms could be used, local or outside the community, and that the process would remain somewhat flexible. Representative H. Haskins asked whether the legislature or subcommittee would be formally notified of preliminary review problems, and the chair said no additional notification process would be built in beyond existing practice. The committee planned to continue work on the bills in upcoming executive sessions, including after school break.
ND
North Dakota 2025-2026 Regular Session
SB 2374 Conference Committee Apr 16th, 2025 at 08:00 am
Transcript Highlights:
- And then Insurance Commissioner Godfrey also sent some additional language referring to... ...sent some
- John Arnold, Deputy Insurance Commissioner.
- If we are only being approached from this from that insurance aspect of the insurance company won't pay
- Hopefully I can clear things up as a licensed insurance agent for the last 30 years.
- Page 6, line 10, we're adding that clarification on the federal crop insurance.
Summary:
The conference committee on Senate Bill 2374 discussed proposed amendments to the insurance rebating provisions and a new study on towing and recovery issues. Deputy Insurance Commissioner John Arnold explained that, after working with industry representatives, the compromise was to remove the large commercial rebating exemption language and keep the rest of the bill intact, while also clarifying that federal crop insurance remains subject to the state’s rebating laws. Members asked several questions about how the large commercial risk definition would work, how the rules would apply to nonresident producers and border-area farm policies, and whether the changes would affect long-standing industry practices.
The committee also considered Commissioner Godfrey’s request for a study on who pays to remove vehicles from the roadside when the owner has liability-only coverage, especially in cases involving totaled or abandoned vehicles. Arnold said the issue has been raised by Highway Patrol and towing interests and that the study language was intended to examine possible solutions for the next legislative session. Some members expressed concern about shifting costs to the insurance industry, but others supported the study as a way to gain clarity.
The committee adopted the amendment package, including the towing study language, by a 6-0 roll call vote. It then passed Senate Bill 2374 as amended by another 6-0 vote. The committee noted that the bill would need floor carriers on both chambers, with Representative Johnson and Senator Klein indicating they would carry it.
CA
California 2025-2026 Regular Session
Assembly Housing and Community Development Committee Jun 10th, 2026
Housing and Community Development
Transcript Highlights:
- provisions from Executive Order N-425 that focus on identifying permitting requirements and building codes
- HCD to gather the information on each of these different fires, on the various aspects of building codes
- Aspects of code, I mean, building codes and other related regulatory items, so that they are considered
- We not only purchased the building, renovated it, made sure it was up to code and everything else, and
- Many consumers were struggling to find insurers that would allow them to add an endorsement for the HOA
Summary:
The Assembly Housing and Community Development Committee heard several housing-related bills, with most of the discussion focused on streamlining housing production, preserving affordable housing, and reducing barriers to ADUs and EV charging in HOAs. SB 457 would direct HCD to develop statistical formulas based on historical development data to help cities complete housing element site inventories; supporters said it would replace costly parcel-by-parcel analysis with a more realistic, data-driven approach, while the California Building Industry Association raised concerns. SB 1091 would create a Community Anti-Displacement and Preservation Program to help acquire and preserve unsubsidized affordable rental housing; it drew broad support from housing nonprofits, local governments, and committee members who emphasized prevention and preservation, and it was advanced with a motion and second. SB 1117 would clarify that ADU impact fees above 750 square feet are charged only on the portion above that threshold; supporters said current practice creates a fee cliff that discourages ADUs, while cities, counties, special districts, and fire groups opposed it over infrastructure and service funding concerns. The committee members were split, but the bill ultimately advanced on a 10-0 vote with two not voting.
The committee also considered SB 904, which would codify and expand reporting and coordination practices used after wildfire disasters to speed rebuilding and identify permitting or code barriers. The author and supporters argued that future wildfire recoveries should not depend on ad hoc executive orders, while some members questioned whether the bill was duplicative of existing streamlining laws; it passed on a roll call after discussion. SB 1267 would require EV charger installers in HOAs to indemnify associations during installation and make homeowners liable for costs arising from use of a privately owned charger; HOA representatives and EV advocates supported it, the California Association of Realtors said it would remove opposition once amendments were in print, and the bill advanced unanimously. SB 1361 would prevent local governments from taking actions to avoid SB 79 transit-oriented housing requirements at existing or planned transit stops; L.A. Metro, labor groups, and housing advocates supported it as protecting transit investments and jobs, while the City of Burbank opposed it, and it was approved on a 9-0 vote. The committee also took up consent items SB 722 and SB 1426, which were approved without controversy.
ND
North Dakota 2025-2026 Regular Session
House Human Services Apr 15th, 2025 at 03:30 pm
Human Services
Transcript Highlights:
- , my understanding is that information is pretty well accessible. insurers.
- The health insurers section starts on line 20.
- So page 6, and the health insurers section starts on line 20 on page 6.
- I only know from my conversations with the Insurance Commissioner staff that...
- Crystal Bartuska, North Dakota Insurance Department. To answer your question...
Summary:
The committee met with a quorum and took up the final bill on its agenda, Senate Bill 2370, which had been converted into a 340B drug transparency measure tied to insulin and broader prescription drug pricing issues. Representative Hendrix outlined the latest bill draft, explaining that it would require reporting by covered entities, contract pharmacies, federally qualified health centers, drug manufacturers, pharmacy benefit managers, and health insurers, with confidentiality protections, civil penalties, and staggered effective dates. He also noted unresolved questions about the scope of required reporting, possible overlap with federal reporting, and whether the Insurance Department would need a consultant to analyze the data.
Representative Dobervich then proposed an alternative amendment that would replace the bill language with a Legislative Management study on 340B transparency reporting during the 2025-26 interim. Her proposal would remove the detailed reporting mandates and instead direct a study of what information should be collected, how it should be used, who should receive it, staffing or contracted support needs, and stakeholder input from hospitals, pharmacies, FQHCs, rural health, state agencies, insurers, and manufacturers. Members discussed germaneness, the late-stage nature of the changes, and whether the issue had been adequately heard, while the Insurance Department testified that it had not previously studied 340B-specific data but supported transparency and could see value in either a study or reporting approach.
The committee first adopted the Hendrix amendment by a vote of 8-5, then voted on a do not pass motion on the amended bill, which passed 7-6. Representative Frelich was selected to carry the bill. The chair then adjourned the committee for the last time and reminded members about the committee dinner.
MN
Transcript Highlights:
- >
are <00:04:00.400>also Property taxes and insurance are also Property taxes and insurance - And two, it would simplify compliance with the tax code. So first, on lowering property taxes.
- So first, on lowering with the tax code. So first, on lowering property<01:04:09.000>
taxes. - <01:06:46.840>
So for them to comply with the tax code. - So for them to comply with the tax code.
Keywords:
HF2715, homestead credit refund, property tax refund, property tax relief, homeowner tax relief, homestead credit, co-pay reduction, Minnesota property taxes, tax rebate, state refund, income thresholds, inflation adjustment, property tax circuit breaker, housing affordability, elderly homeowners, fixed income, taxation, Minnesota Statutes 290A.04, renters credit, income tax
KY
Kentucky 2025 Regular Session
Budget Review Subcommittee on Health and Family Service (10-15-25)
Transcript Highlights:
- c><00:05:22.080>
and <00:05:22.400>add <00:05:22.720>billing <00:05:23.120>codes - Update software and add billing codes.
- <00:07:14.400>
to <00:07:14.720>support time to update system codes to support time - to update system codes to support implementation.
- They need an benefits and insurance.
Summary:
The meeting opened with roll call, approval of the September 17 minutes, and an introduction of Sarah Rome to the committee. The chair also noted that the committee would stay on schedule and then moved to presentations. Representative Amy Neighbors and Taylor Williams of the Kentucky Pharmacists Association presented a refiled “pharmacy parity” proposal, formerly House Bill 3, to require Medicaid reimbursement for pharmacist clinical services already authorized under current scope of practice. They said the bill would not expand Medicaid or pharmacist scope, but would align Medicaid with commercial insurance, improve access and outcomes, and likely save money; they cited a Cabinet report under Senate Joint Resolution 26, which found similar laws in other states were producing savings or trending toward savings and would require only modest administrative updates. No member questions were raised after that presentation.
The committee then heard an update on the Kentucky Colon Cancer Screening Program from Senator Stephen Meredith, Dr. Whitney Jones, Melissa Carrier, and Representative Neighbors. They described the program’s goals of increasing screening, reducing deaths through earlier detection, and preventing cancers by finding polyps, saying it has produced substantial savings and improved outcomes. Speakers emphasized Kentucky’s high colorectal cancer burden, especially in younger adults, and said the program helps uninsured and underinsured Kentuckians access stool-based screening and follow-up colonoscopies through a network of partners including the Department for Public Health, Kentucky Cancer Link, and university cancer programs. They requested an increase in funding from $500,000 to $1.25 million annually, or $2.5 million over the biennium, to expand services, fill geographic gaps, and support education and navigation.
Members asked whether the colon cancer screening was already covered by Medicaid, and the presenters replied that Medicaid does cover it, but the program serves people who are not on Medicaid or who fall into a separate eligibility category based on income and insurance status. A member also clarified the requested funding increase. The committee then moved on to the next agenda item, an update from the Children’s Home of Northern Kentucky, where board member Sal Santoro and CHNK Behavioral Health leaders began a presentation describing the organization’s broader behavioral health work and its request, but the transcript cuts off before that presentation concludes or any action is taken.
MN
Minnesota 2025-2026 Regular Session
HF3030, the 'Minnesota Miners Relief Act,' heard in committee 4/2/25
Transcript Highlights:
- but also to give my insurance but also to give my perspective<00:17:14.360>
as <00:17:14.679>< - we support miners because of zip code we support miners because mining<00:24:15.120>
supports - We know in this committee how important and how life-saving unemployment insurance is for workers, that
- We know in this committee how important and how life-saving unemployment insurance is for workers, that
- um that we can unemployment insurance um that we can all<00:32:32.360>
support <00:32:32.880><
Summary:
House File 3030 was taken up for discussion and amended with the A1 author’s amendment before moving forward. The bill was presented as an Iron Range package with three parts: a 26-week unemployment insurance extension for workers laid off by Cleveland-Cliffs, and two mining-related provisions dealing with safe storage of reactive mine waste and a site-specific sulfite standard. The authors said the bill was intended both to help laid-off workers immediately and to support the long-term future of mining jobs in the region.
Testimony was overwhelmingly supportive of the unemployment extension and the broader goal of preserving Iron Range jobs and communities. Representatives of affected workers, union leaders, a county commissioner, a tribal elder, and RAMS all described the layoffs as potentially long-term and warned of broader economic harm to families, local businesses, schools, and the region if mining jobs continue to decline. Several testifiers emphasized that mining is central to the Iron Range economy and argued that the bill would give workers time and hope while also helping keep people in the region.
The Minnesota Pollution Control Agency testified that it generally supported the bill’s intent but raised concerns about the environmental rulemaking language in Article 2, Section 2. MPCA said the provision would amount to a new major rulemaking, would require significant time and resources, and should be reviewed by the Environment, Natural Resources, Finance and Policy Committee. During member questions, one legislator said there was strong support for the UI extension in Article 1 but expressed concern about the environmental issues in Article 2 and asked why those provisions were not being reviewed by the environment committee. The meeting ended with public testimony closed and member questions beginning; no final vote was taken in the portion provided.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 03/11/26
Health and Human Services
Transcript Highlights:
- The insurance companies do not have payouts because especially there's noted there was a neck injury.
- We have a very specific and lengthy criminal code.
- In another life, I was a public defender, and I'm very intimately aware of the criminal code, and we
- Not only is it regulated under 146A, which prohibits it, but it's the actual criminal code that needs
- Insurance pays for some; some people pay out of their pockets. And it's quite meaningful.
NM
New Mexico 2025 Regular Session
IC - Investments and Pensions Oversight Jul 18th, 2025
Investments & Pensions Oversight Committee
Transcript Highlights:
- Established in 1947, we are a 401(a) qualified government plan under the Internal Revenue Code, and we're
- I actually have been in the New Mexico insurance market for 33 years.
- We have self-insured plans and self-insured rate increases.
- On page 12, this provides you information on our under 65 self-insured plans.
- That's in addition to the overhead for the insurance companies that you contract with.
MD
Transcript Highlights:
- The Insurance Subcommittee of the Health Committee will be meeting at 2:00 today on Zoom, please. >>
- <00:13:30.920>
The <00:13:31.240>Insurance >> Thank you, Madam Speaker. - The Insurance >> Thank you, Madam Speaker.
- On Monday at 4:00 p.m., the Fire EMS Code will meet on the second floor of the Senate and...
- at 4:00 p.m. the Fire EMS Code at 4:00 p.m. the Fire EMS Code will<00:16:01.880>
meet <00:
Summary:
The House met on February 24, 2026, with 110 members initially present and later 126 present after additional quorum calls. The chamber handled routine introductions and referrals, including House bills 1629-1631 and Introductory House Bond Initiatives 60 and 61, and received Senate Bill 9 and Supplemental Budget Number One, both of which were read and referred to the appropriate committees. The supplemental budget was submitted as an amendment to the fiscal 2027 budget and referred to Appropriations.
The House then took up third reading and final passage on several bills. House Bills 311 (public schools, individuals with disabilities, accessibility, and emergency planning), 359 (property tax credit for urban agricultural property alterations), 396 (residential child care programs and training), 430 (family child care providers and reserve component members), 735 (earned income tax credit assistance program implementation delay and study), and 851 (Maryland Statewide Independent Living Council legal status) all passed, with HB 396 receiving four negative votes and the others passing overwhelmingly or unanimously. House Bill 805, the Building Homes Act, also passed after brief floor questions about whether the tax credit would apply to nonprofits and what safeguards existed; the sponsor explained it was an enabling bill and that local governments could set their own requirements.
The floor session included several personal and guest recognitions, including visitors in the gallery, a doctor of the day, a birthday recognition, Women in Construction Week, African Advocacy Day, District 16 night, and a foster youth shadow day announcement. Members also discussed the addition of children’s books in the lounge and thanked the pages for their work. Committee and subcommittee announcements followed, and the House recessed until Monday, March 9, at 8:00 p.m. legislative day February 25.
WY
Transcript Highlights:
- category code.
- Meyer, if if those laws, the US code<01:20:03.920>
or <01:20:04.239>or code or or code - Category codes.
- <01:35:59.760>
to codes and apply those codes to codes and apply those codes to construction - <01:36:20.880>
of <01:36:21.040>of has a code that's that's the code of of has a code
CA
California 2025-2026 Regular Session
Assembly Housing and Community Development Committee Jun 24th, 2026
Transcript Highlights:
- The Government Code refers to site improvements as a potential or actual governmental constraint that
- And you're getting insurance for that. Like, you're, right?
- But the proper mechanism for that is with insurance, not with the landowner, right?
- Which is when the federal government formalized their manufactured housing code. Yeah.
- This is awkward for me to say only because of stuff happening is the insurance industry, for instance
Summary:
The committee heard several housing-related bills, beginning with SB 1003, which would create pro-housing enhanced infrastructure financing districts to help local governments fund infrastructure needed for housing developments. The author and supporters argued that infrastructure costs often prevent projects from penciling out, while the chair expressed support and said the bill would be taken up later when quorum was available. SB 1014 followed, proposing new disclosure requirements for local jurisdictions to provide good-faith estimates of on-site and off-site improvements within 30 days of application, with supporters saying it would reduce late surprises and opposition from several cities citing implementation concerns with the 30-day timelines.
The committee then took up SB 802, a Sacramento-region bill requiring a joint powers authority to coordinate housing and homelessness services. Senator Ashby and former Mayor Darrell Steinberg argued that Sacramento’s fragmented system has failed for years and that a JPA would improve accountability, coordination, and use of state funds. The bill drew broad support from local officials, service providers, business groups, and advocates, while some county and city representatives registered opposition or neutral concerns about state-mandated local governance. Several committee members said they were persuaded by the need for regional coordination, though some raised concerns about local control; the chair noted the bill would be moved when quorum allowed.
The committee also heard SB 1092 and SB 1093, both focused on mobile home park residents after disasters or park sales. SB 1092 would give residents a right of first opportunity to match a sale offer for a park, with supporters saying it protects vulnerable seniors and preserves affordable housing, while park owners and their representatives argued it would devalue property and raise constitutional and financing concerns. SB 1093 would require more transparent communication, access to property, and consideration of rebuilding or closure after a disaster; supporters cited the long uncertainty faced by Palisades residents, while opponents warned about liability, safety, and burdensome review requirements. Members split along similar lines, with some emphasizing property rights and market impacts and others stressing the need to protect residents and preserve scarce affordable housing.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health May 19th, 2025
Transcript Highlights:
- I don't know about you, but $1,200 for health insurance is dramatically less than what anyone can get
- So if a private insurer able to charge an undocumented worker a higher premium than a regular member?
- So is Kaiser able to charge someone more for insurance based on the fact that they're undocumented or
- For health insurance through the employer, they end up on Medi-Cal, right?
- And we are all putting a lot of effort into making sure that people do have insurance.
Summary:
The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56.
DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement.
The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.
HI
Transcript Highlights:
- This will lead to increased cost for Hawaii families through higher insurance premiums.
- <03:00:16.600>
as the second part is from the insurers as the second part is from the insurers - The rest is all private insured individuals, and that would be coming from the insurance companies. act
- overreach that will mandate insurers overreach that will mandate insurers health<03:53:58.720>
- um which is the California code um which is the California government government government code<04:
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health May 19th, 2026
Transcript Highlights:
- I'll now move on to the next item, which is limited public contract code exemption authority.
- allow existing caseworkers to process more complaints and reduce manual processes, enable rapid low-code
- We appreciate the Chair's remarks on insurance.
- We're talking about people who will not have health care insurance of any significant sort.
- So we're looking at the array of billing codes and benefits that exist as a fee-for-service Medi-Cal
Summary:
The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits.
The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements.
The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually.
The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services May 20th, 2026
Transcript Highlights:
- Director, can you explain to us what a public contract code exemption is?
- It's a Public Contract Code exemption under which we use the RFI process.
- insurer.
- Or a California Department of Insurance-licensed insurer.
- People are going to fall off of health insurance. They're going to go to SNFs.
Summary:
The hearing opened with Department of Finance and Legislative Analyst’s Office remarks on the May Revision, which both described efforts to reduce large out-year operating deficits through a mix of revenue increases, spending reductions, and reserve use. Finance said the May Revision more than halves projected deficits in later years, while LAO stressed that revenues are at unprecedented levels yet the state still faces a significant structural deficit and is drawing down reserves; LAO urged maintaining at least the administration’s level of budget solutions and adding to reserves rather than new ongoing commitments. The chair echoed concern about cuts to vulnerable populations and noted the tension between service reductions and requests for additional administrative positions.
The committee then heard a series of California Health and Human Services and HCAI proposals, including additional legal support for CalHHS to respond to federal HR1 changes; a net-zero transfer of positions for a centralized eligibility/data-sharing platform; 988 crisis line implementation funding and continued work with the Trevor Project to train crisis centers to better serve LGBTQ youth; EMS data system maintenance funding; HCAI implementation of AB 1312 hospital charity care screening; SB 660 data exchange framework funding; CalRx biosimilar insulin reappropriation; and a diaper access initiative that would provide free diapers to newborns in participating hospitals and support a future direct-to-consumer purchasing option. Members questioned the diaper program’s universal design, the use of a Public Contract Code exemption, and the selection of Baby2Baby, with the chair expressing concern about optics and the lack of an income threshold.
The committee also discussed distressed hospital funding, with HCAI requesting up to $50 million for another round of grants to hospitals in immediate financial distress. HCAI said it receives annual and quarterly financial reports but the data lag limits real-time monitoring, and the LAO recommended stronger program parameters and turnaround plans. Members argued the repeated need for distressed hospital aid reflects a structural problem, not a short-term gap, and raised broader concerns about hospital reimbursement and patient flow. Other items included reverting $19.6 million in unused opioid settlement funds from HCAI to DHCS for General Fund offset, and a Rural Health Transformation Program request to increase HCAI spending authority to cover the full federal award.
Later, DMHC presented funding requests to implement PBM licensing and financial review requirements under AB 116, modernize the managed care complaint system, and build an electronic claims settlement data system under AB 3275. The final major discussion focused on the Behavioral Health Services Oversight and Accountability Commission, which opposed the May Revision’s proposed reduction of its Innovation Partnership Fund from $20 million to $10 million and a $6.7 million cut to community advocacy grants. The Commission argued these programs are core to Proposition 1’s goals of statewide innovation and community accountability, while Finance said the proposal is consistent with Proposition 1’s maximum funding levels and reflects a broader effort to prioritize direct services and use unspent prior-year funds; members pressed for more information and questioned whether the cuts would undermine the new behavioral health framework.
FL
Florida 2025 Regular Session
March 31, 2025 - 04:00 PM
Transcript Highlights:
- You check the insurance website and give the referral to the patient.
- Because the issue is that when I could sever my ties with health insurance company A, but the insurance
- the insurance company doesn't necessarily put that But the insurance company doesn't necessarily put
- What that does is it requires insurance. Federal government in 2021.
- ask you for your insurance card, and they will tell you, I'm sorry, we're not part of that insurance
Summary:
The committee took up a large health and human services agenda and first approved HB 711, the Spectrum Alert bill, which would create a statewide alert system for missing autistic children and require FDLE to coordinate training with state and local agencies. The measure drew a supportive waiver from the Florida Smart Justice Alliance and passed unanimously, 24-0, reported favorably.
Members then considered CS for HB 229 on health facilities, which modernizes the Health Facilities Authority Act to allow additional nonprofit health system structures to use tax-exempt financing. Two amendments were adopted: one requiring advance notice, public hearings, and stakeholder notifications before a nonprofit hospital closure, and another removing a property tax exemption for a nonprofit hospital that closes and fails to maintain emergency services for 120 days, applied retroactively to January 1, 2025. The Florida Hospital Association opposed the amendments, citing workforce and nonprofit-status concerns, but the bill as amended passed 24-0. The committee also approved CS for HB 1405 on juvenile justice status offenders, expanding early truancy intervention, parent involvement, and shelter placement review timelines; it passed 24-0. CS for HB 27, joining the Social Work Licensure Interstate Compact, and its linked public records bill CS for HB 29 both passed unanimously after supportive testimony from several advocacy and business groups.
The committee then debated HB 111 on out-of-network referrals and HB 1083 on patient access to records. HB 111 would require referring practitioners to inform patients in writing when a referral is out of network and to apply out-of-network payments to deductibles; it drew opposition from medical groups over administrative burden and patient-care concerns, but passed 17-8. HB 1083 would shorten the time for producing medical records to 14 working days and standardize access rules, with amendments clarifying portal access and delaying the effective date to January 1, 2026; despite opposition from some health information and provider groups over HIPAA and access concerns, it passed 19-7 as amended.
Later, the committee approved HB 883, allowing autonomous practice for psychiatric nurse practitioners with the required credentials, after strong support from nurse practitioner groups and opposition from psychiatric and medical associations; it passed 23-3. HB 1297, which aligns Florida’s electronic prescribing exceptions with federal law and removes several state exemptions, passed 19-7 despite opposition from hospice, emergency physician, rheumatology, and medical groups concerned about paper prescriptions in emergencies and hard-to-find medications. HB 1353 on home health care services and CS for HB 989 on foster home licensure transfers both passed unanimously after supportive amendments. The committee also heard HB 1505 on parental rights, which would require written parental consent for many health care services, surveys, and biofeedback devices for minors and expand parental access to records; the bill drew extensive support testimony but also questions and concerns about confidentiality, abuse reporting, and existing exceptions, and the transcript ended before a final vote on that bill.