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.

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 One requested audit on local law enforcement and human trafficking had been withdrawn before the hearing.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:

• 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.
• 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:

• Medi-Cal coverage.
• years, coverage year 2026 and coverage year 2027.
• Ongoing years augment a single coverage year.
• that out to people losing dental coverage.
• You extrapolate that out to people losing dental coverage.

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.

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:

• 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:

• 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.

Transcript Highlights:

• of non-disabled adults without dependents to institute them.
• And if you don't go to work, you're going to lose coverage as a punishment.
• And if you don't go to work, you're going to lose coverage as a punishment.
• We're going to have those people without coverage also.
• We're going to have those people without coverage also.

Bills: S0036, S0864, S0268, S0844, S0514, S1404, S0914, S1758

Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, uterine fibroids, public records, health privacy, epidemiology, medical information, emergency department, physicians, privacy, personal information, sickle cell disease, sickle cell anemia, pain management, controlled substances, prescribing education, continuing medical education

Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.

Transcript Highlights:

• We're anticipating that almost 89,000 New Mexicans will lose Medicaid coverage.
• more affordable for people who are purchasing coverage through the marketplace.
• So we are really focused on also trying to preserve or mitigate coverage and mitigate coverage losses
• Many of them are self-employed folks who don't have coverage through an employer, so coverage will be
• Of that population, probably about 90,000 to 100,000 will lose coverage.

Transcript Highlights:

• It depends on the contract. Sometimes, yes.
• They have full-scope, state-funded coverage of this.
• The lack of coverage here. Okay, give me a second here.
• The goal is full-scope coverage, and we understand that.
• The goal is full-scope coverage, and we understand that.

Keywords: 987, senate, all

Summary: The subcommittee first heard May Revision items for child support, child care, and related human services. The Department of Child Support Services described two technical adjustments, which the LAO said raised no concerns. The Department of Social Services then walked through child care proposals, including a shift in how federal and Proposition 64 funding reductions would be absorbed, a 2.01% COLA, disaster-related child care infrastructure grants, an increase in in-contract administrative support costs for alternative payment agencies, reversion of prospective-pay implementation funding after a federal rule change, a one-time allocation to cover the first quarter of Cost of Care Plus payments in the next fiscal year, reappropriation for existing infrastructure grant closeout work, and estimates of unspent child care funds. The department also outlined trailer bill language on a single rate structure, site safety and emergency procedures, CalWORKs child care data sharing, and child care oversight. The LAO recommended that the Legislature seek more justification for shifting reductions from General Child Care to the Alternative Payment Program, noting that CAP reductions affect more slots and that General Child Care has had significant unspent funds. It supported removing prospective-pay funding, but recommended rejecting the administrative cost shift to a percentage-based rate because it could create future General Fund pressure. It also suggested the Legislature review alignment between the disaster grants and the child care infrastructure program. Senators and members pressed the administration on why the budget would reduce child care slots and COLA percentages while the state still has waitlists and unspent funds, and questioned the need for early funding of Cost of Care Plus payments and the move from a flat administrative amount to a percentage. Public commenters, including providers, advocates, county offices, and infrastructure partners, urged full COLA funding, preservation of child care slots, support for prospective pay, and continued investment in child care access and facilities. After a short recess, the committee moved to Part B on health and heard the Department of State Hospitals. DSH presented a May Revision budget of $3.2 billion and described proposals for a central utility plant replacement at Metropolitan State Hospital, an electronic health record implementation, reduced county bed billing authority due to phased-in LPS bed capacity, limited contract exemption authority for online clinical subscriptions, reversion of prior-year unspent operating funds, and a workforce development proposal shifting some costs to Behavioral Health Services Act funds, including support for an additional psychiatric training cohort at Napa. The department also outlined IST-related savings and a trailer bill to remove the sunset on the independent placement panel program.

Transcript Highlights:

• The insurance coverage the association provides is designed as coverage of last resort, and these are
• So it depends on the complexity of the file. It depends on whether it’s complete.
• But the same coverage, same price.
• “I would say coverages.
• So there's 98 percent coverage.

Keywords: 1185, senate, all

Transcript Highlights:

• . coverage. coverage.
• No access to health coverage, depend then on our emergency room, which become uncompensated care to the
• there's um major medical coverage. there's um major medical coverage.
• And so it's health coverage.
• health coverage due to pre-existing conditions. health coverage. health coverage.

Keywords: 916, all

Transcript Highlights:

• help their employees buy their coverage help their employees buy their coverage I<00:47:03.160><
• <00:57:58.319> offered corporate strategies or coverage offered corporate strategies or coverage
• within in terms of their coverage within in terms of their coverage Network<00:58:23.440> ay<
• Where do we go from here on this set of folks that we want to make sure I have coverage?
• Where do we go from here on this set of folks that we want to make sure I have coverage?

Bills: HF837

Keywords: health insurance, premium security plan, federal funding, state innovation waiver, Minnesota, 1183, house

Transcript Highlights:

• Fewer people will be insurance coverage.
• depend on in critical moments. depend on in critical moments.
• people lost their insurance coverage people lost their insurance coverage through<00:57:30.880><
• Minnesota depends on are at risk. Minnesota depends on are at risk.
• <01:25:19.280> on the commercial market, uh, depends on the commercial market, uh, depends

Bills: HF4343

Keywords: sales tax, use tax, advertising tax, taxable services, digital advertising, online marketing, marketing services, search engine marketing, lead generation, internet advertising, ad agency, media buying, campaign planning, Minnesota tax law, service tax, broadening tax base, web advertising, promotional services, 1183, house

Transcript Highlights:

• So, this would require all coverages.
• This addresses notification timing or coverage lapses.
• Where someone is shopping for coverage, and there has been no previous coverage, they may be shopping
• I shopped my coverage through an independent agent.
• coverage zone, so they were not eligible for TWIAT.

Bills: SB388, SB455, SB917, SB925, SB1006

Keywords: dispatchable generation, electricity, natural gas, ERCOT, energy credits, utilities regulation, renewable energy, arbitration, insurance contracts, surplus lines, Texas law, insurance policy, boiler inspection, boiler safety, inspection report deadline, certificate inspection, authorized inspector, inspection agency, Health and Safety Code, board of boiler rules

Transcript Highlights:

• In the aftermath of a disaster, policyholders depend on these prompt payment protections enforced by
• So insurance has shifted from being the safety net that we've all paid for, that we have depended on,
• and really need all the resources and data sources possible. ...individuals maintain their coverage
• We want people to access technology to cover coverage. That is important.
• We want people to access technology to access coverage. That is important.

Summary: The Assembly Insurance Committee heard several bills, with most of the discussion focused on insurance transparency, claims handling, privacy, and regulatory enforcement. SB 877 and SB 878 by Senator Pérez addressed post-disaster claims practices: SB 877 would require insurers to disclose original and revised loss estimates and related claim materials to policyholders, while SB 878 would add automatic interest penalties for delayed claim decisions or payments and require written identification of disputed items. Fire survivors, consumer groups, AARP, the Department of Insurance, and other advocates supported both bills, while insurer groups moved to neutral after amendments. Both bills were voted out on roll call and reported to the Committee on Appropriations. The committee also considered SB 1054 by Senator Cabaldon, which would expand data sharing and reporting to improve workforce program evaluation and help counties verify work requirements for Medi-Cal and CalFresh using employer-reported hours worked. County officials, workforce advocates, and the Department of Insurance supported the measure, and no opposition was heard. The bill passed on a due-pass-as-amended motion to the Committee on Labor and Employment. SB 1209 by Senator Allen, presented with Insurance Commissioner Ricardo Lara, would give the commissioner stronger enforcement tools to require insurers to carry out corrective actions identified in market conduct examinations, including fines and hearings for noncompliance. The commissioner and author said the bill would close an enforcement gap and improve accountability; there was no opposition testimony, but the bill was left on call after the roll. The committee also heard SB 354 on insurance privacy, presented by Senator Padilla on behalf of Pro Tem Limón, which would modernize insurance privacy rules by expanding consumer rights over personal data, limiting sale and use of sensitive information, and increasing disclosure requirements. Supporters said the bill updates outdated 1980s-era rules, while insurers, agents, and business groups raised concerns about scope, compliance burdens, and small-business impacts. Members indicated the bill was still being negotiated and would return in a revised form in the Privacy Committee.

Transcript Highlights:

• open space and building coverage open space and building coverage requirements<01:00:20.400>
• We'll take bail commissioners or magistrates, depending on what person you have in charge, depending
• what person you have in charge depending what person you have in charge depending<01:23:29.040> how
• Sometimes it's days depending on the situation.
• Sometimes it's days depending on the situation.

Keywords: 1191, senate, all

Transcript Highlights:

• It depends, right? It depends on what's been negotiated with that client.
• So currently, it's a million-dollar coverage, okay?
• So currently, it's a million-dollar coverage, okay?
• Uninsured motorist coverage, Uber and Lyft can reject that.
• They didn't have liability insurance, and then we provided that coverage.

Summary: The committee heard several bills and amendments, beginning with CS/SB 498 on trust fund interest for IOTA accounts. The sponsor said a 2023 Florida Supreme Court rule sharply increased interest paid into legal aid funding, creating a windfall and making participation difficult for banks. An amendment was adopted requiring savings institutions to pay the higher of 0.25% or the highest comparable rate offered on certain non-IOTA accounts, and the bill then passed favorably after testimony from banks, legal aid representatives, and other stakeholders both supporting and opposing the measure. The committee also approved CS/SB 232, which clarifies Florida’s consumer collection law applies only to phone calls during restricted hours and not emails or text messages, after a delete-all amendment and supportive testimony from industry groups. It then approved SB 132, as amended, to designate gold and silver as legal tender and set rules for custody, audits, electronic transfer, and government acceptance of payments; supporters called it a sound-money measure, while the banking association said it still had unresolved technical concerns. Later, the committee passed SB 1466 to create a trust fund for the My Safe Florida Home Program, with an amendment funding it from 20% of collected insurance premium tax revenue. It also considered SB 1206 on transportation network company insurance, reducing coverage during the “dead-leg” period before a rider is picked up from $1 million to lower limits; the bill drew sharp opposition from trial lawyers and support from insurers and some business groups, and the committee adopted a clarifying amendment before reporting the bill favorably. Finally, CS/SB 924 on fertility preservation for cancer patients was amended several times to narrow scope and clarify coverage rules, then passed favorably after debate over cost, preauthorization, and post-treatment storage obligations. The committee adjourned after allowing technical and conforming changes to implement the adopted amendments.