Video & Transcript Research : 'coverage transparency'

Page 179 of 485
TX

Texas 89th 2nd C.S.

89th Legislative Session Mar 10th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • HB 138, by Dean, relating to the establishment of the Health Impact Cost and Coverage Analysis Program
  • HB 1201, by Manuel, relating to the pilot program to provide Medicaid coverage for doula services.
  • 1207, by Gonzalez of Dallas, relating to the conditions applicable to certain health benefit plan coverage
Summary: The House met to read a large slate of newly filed bills and resolutions and refer them to committees. The measures covered a wide range of topics, including health care and insurance, public education, elections, criminal justice, public safety, taxes, transportation, agriculture, environmental regulation, higher education, housing, and local government. Several proposals focused on abortion and reproductive health, firearms, voter registration and ballot access, school curriculum and accountability, property tax and homestead issues, and state contracting and agency oversight. A number of constitutional amendments were also filed, including proposals on initiative and referendum, veto override authority, vaccination refusal, parental rights in education, gun rights, Medicaid expansion, and various tax exemptions. No substantive debate, testimony, or votes occurred during this portion of the meeting; the clerk simply read the bills and resolutions and announced their committee referrals. The list included both general legislation and joint resolutions, with many items sent to standing committees and several to subcommittees. The House then adjourned without objection until 2 p.m. on Tuesday.
MD

Maryland 2026 Regular Session

Senate Floor Session, 4/7/2026 #1

Maryland Senate Floor Meeting

Transcript Highlights:
  • The bill also alters health insurance coverage requirements for certain immunizations, screenings, and
  • House Bill 813, Delegate Martineis Martinez, Medical Assistance Program coverage for the treatment of
  • of obesity, including coverage for any medication approved by the FDA with an indication for chronic
  • <00:36:59.599> for to provide comprehensive coverage for to provide comprehensive coverage
  • for any medication approved by coverage for any medication approved by the<00:37:05.040> FDA<
Summary: The Senate convened with an invocation by Rabbi Ari Goldstein, whose remarks were journalized at the request of the senator from District 33. The chamber then recognized the doctor of the day, Dr. Maryann Lamont, for her 50 years in medicine and her work in neurology and stroke care, and also thanked a legislative aide, Samantha Briggs, who is leaving for law school. The presiding officer noted a quorum was present and moved into the day’s floor work. The Senate handled several messages and committee reports, including a conference committee appointment on Senate Bill 18, which concerns provisional social work licensure. In Finance, the chamber advanced Senate Bill 246 on Health Services Cost Review Commission member terms, Senate Bill 370 on acupuncture board revisions, Senate Bill 564 creating a Division of Data Protection in the Attorney General’s office and a related work group, Senate Bill 782 on telecommunications infrastructure protections, Senate Bill 808 on health insurance provider panel requirements, Senate Bill 849 on agricultural equipment warranties, Senate Bill 867 on the Maryland Aerospace and Technology Commission, and Senate Bill 982 on mutual insurance holding companies converting back to mutual insurers. Most of these bills were reported favorably with technical or conforming amendments, which were adopted without objection, and each was ordered printed for third reading. The committee also considered several House bills with Senate cross-files or identical measures. These included House Bill 118 on money transmitter licensing, House Bills 339 and 512 on Anne Arundel County Board of License Commissioners compensation, House Bill 1100 on telecommunications infrastructure protections, House Bill 1395 on agricultural equipment warranties, House Bill 1473 creating Maryland’s Future Board, House Bill 226 on Department of Disabilities housing programs, House Bill 278 codifying the Longevity Ready Maryland plan, and House Bill 746 on collaborative care model coverage and cost-sharing limits. In each case, the committee reports were adopted, amendments were approved where offered, and the bills were advanced to third reading or passed for third reading, with no recorded opposition on the floor.
MA

Massachusetts 2025-2026 Regular Session

Senate Committee on Steering and Policy Jun 21st, 2026 at 01:00 pm

Senate Committee on Steering and Policy

Transcript Highlights:
  • debated and passed a reconciliation bill that would, in essence, defund Planned Parenthood, ban coverage
  • of gender-affirming care for all Medicaid patients, Ban coverage of gender-affirming care for all Medicaid
  • patients and prevent plans that include abortion coverage from the Affordable Care marketplace.
  • And all of my insurance for everything, including directors and officers coverage for this large organization
Keywords: 995, all
Summary: The Senate Committee on Steering and Policy held a public hearing on potential updates to Massachusetts’ 2022 Shield Law to strengthen protections for reproductive and gender-affirming health care. Chair Cindy Friedman said the hearing was prompted by escalating federal and out-of-state threats, and testimony was sought on loopholes and clarifications involving emergency abortion care, limits on cooperation with outside investigations, protection of patient data, and safeguarding licenses of providers and attorneys involved in this care. The Attorney General’s Office, ACLU of Massachusetts, GLBTQ Legal Advocates and Defenders, Reproductive Equity Now, the Massachusetts Medical Society, TransHealth, and Health Imperatives all supported strengthening the law. Witnesses urged broader bans on sharing health data with hostile states, explicit AG enforcement authority, exclusion of reproductive and gender-affirming prescriptions from the prescription monitoring program, protections for electronic medical records, and allowing clinicians to use practice names on prescription labels. Several speakers also called for protections for parents of transgender youth, attorneys, and nonprofit organizations, and some raised related concerns about insurance discrimination and the burden of post-24-week abortion restrictions. Committee members asked questions about enforcement mechanisms, data privacy, patient consent, and how to balance interoperability with privacy protections in electronic records. Witnesses said the goal was to prevent immediate harm while preserving patient control and access to care. No votes were taken during the hearing, and the chair closed by inviting written testimony and then moved to adjourn the hearing.
HI

Hawaii 2025 Regular Session

Room 016 Conference AM - 04-25-2025

Hawaii Senate Floor Meeting

Transcript Highlights:
  • Provides that the state shall be responsible employers for purposes of workers' compensation coverage
  • 04:48.479> compensation purposes of workers compensation purposes of workers compensation coverage
  • 49.919> for<00:04:50.240> students<00:04:51.040> or<00:04:51.360> recent coverage
  • for students or recent coverage for students or recent graduates<00:04:52.320> in<00:04:52.560
Keywords: 912, senate, all
Summary: The conference committees reconvened on April 25, 2025, and worked through a series of measures, mostly public employment cost items, appropriations, workers’ compensation, data sharing, and retirement-related bills. Several bills were briefly held for later action because Finance/FIN-WAM or related release had not yet been received, including SB 382, HB 423, HB 480, HB 214, HB 828, HB 717, HB 1065, and HB 1036, with some of those rolled over to a 2:30 p.m. meeting in Conference Room 16. HB 1424, relating to appropriations, was described as requiring the Director of Finance to report on transfers between position funding and operating expenses; the conferees agreed to a CD1 and voted to pass it. HB 430, relating to internships, was also agreed to in CD1 with technical amendments removing certain appropriation language and was passed after clarification that the funding covered both years and included the Helima program. The committees then moved through a block of public employment cost items. HB 1026, HB 1027, HB 1028, HB 1029, HB 1030, HB 1032, HB 1034, and HB 1035 were each reported as having CD1 agreement and Finance/WAM release, with appropriations tied to various bargaining units and governor’s messages; each was voted out. HB 1036 and HB 1037 were held over due to release issues, while HB 1038 was noted as having CD1 and Finance/WAM release and was passed for bargaining unit 13. HB 1039 was also rolled over for lack of release. Later, SB 336 on defense of state employees was agreed to with technical cleanup and passed as a CD, and SB 1491 on departmental data sharing was amended to add agencies to the state longitudinal data system and require aggregation/anonymization of certain data before being passed as a CD. Additional measures were also resolved. SB 935, relating to government, was amended to reduce the ERS multiplier for judges beginning in 2031, remove sheriff and deputy sheriff language, and require a DHR study on changing vesting from 10 to 5 years; it passed as a CD with no appropriation. SB 1567 required DERT to complete a comprehensive review of classification and compensation systems by October 31, 2026, allowed a third-party contractor, required legislative reports, and included $1.75 million in the budget; it passed as a CD. SB 855, relating to the Hawaii Retirement Savings Act, clarified covered employers, required automatic enrollment unless employees opt out, repealed a fee cap, and added funding for FY26 and FY27; it passed as a CD. SB 743 established a data sharing governance working group within the Office of Enterprise Technology Services and required a legislative report; after a brief recess it was passed as a CD. SB 717 and SB 1065 were both continued to the later 2:30 p.m. meeting because release was still pending.
MN
Transcript Highlights:
  • I believe that the coverage said that he spoke at a nurses event, and Rachel has the clip to send around
  • 00:09:05.920> believe<00:09:06.240> that<00:09:06.360> the<00:09:06.519> coverage
  • that sure I believe that the coverage that sure I believe that the coverage said<00:09:07.200>
Keywords: 1187, senate, all
MN

Minnesota 2025 1st Special Session

Human services panel hears HF729 2/26/25

Minnesota House Floor Meeting

Transcript Highlights:
  • Hundreds and thousands of Minnesotans may lose their coverage, and that is not acceptable to our standards
  • Hundreds and thousands of Minnesotans may lose their coverage, and that is not acceptable to our standards
  • Hundreds and thousands of Minnesotans may lose their coverage, and that is not acceptable to our standards
  • Hundreds and thousands of Minnesotans may lose their coverage, and that is not acceptable to our standards
Keywords: 1183, house
FL

Florida 2025 Regular Session

Transportation Jan 14th, 2025

Transcript Highlights:
  • When monitoring the toll agency performance, we focus on areas such as bond rating that coverage, safety
  • It span of time that coverage operating hours smoking. Let this tracking month.
  • we did based on publicly available information and and then looking at, do you know their service coverage
  • based on that I want to come and Asians are, you know, you know, make sure that 10, 600 service coverage
Keywords: 999, senate, all
AZ

Arizona 2026 Regular Session

01/27/2026 - House Natural Resources, Energy & Water

Natural Resources, Energy & Water

Transcript Highlights:
  • My name is Stan Barnes, and I'm with Coverage State Consulting Group.
  • issue, while I personally support prohibiting all such polluting, at least a clear and publicly transparent
  • If SRM is being implemented without transparency in our state, if it is, and it is, we can—there's no
  • We need transparency, and we have not had a vote on this.
Summary: The committee first received an update from Arizona Department of Water Resources Director Tom Buschatzky on Colorado River negotiations and post-2026 operating rules. He described the legal framework governing Arizona’s allocation, argued that Arizona and the lower basin have already made substantial conservation cuts, and said the upper basin is pressing positions Arizona views as inconsistent with prior Supreme Court rulings. He emphasized the need to move water from upstream reservoirs to Lake Mead, warned of continued shortage risk, and said the state is seeking an equitable deal through ongoing federal and interstate negotiations. Members asked about outside water use, tourism and recreation impacts, and tribal water rights, including the Navajo-Hopi-San Juan Southern Paiute settlement. Buschatzky said the state’s delegation and bipartisan support have been helpful and urged continued public and legislative backing. The committee then heard House Bill 2758, which would expand McMullen Valley groundwater transportation authority and add related requirements and guardrails, including an amendment increasing the La Paz County transportation cap from 10% to 50% of the annual volume and adding conditions for sales or leases from historically irrigated acres. Supporters, including bill sponsor advocates, the Arizona Municipal Water Users Association, and the Home Builders Association, said the bill would create a lawful, regulated transfer option similar to the Harquahala model, support housing growth, and include oversight through hydrologic studies, pumping limits, and monthly reporting to ADWR. Opponents, including La Paz County Supervisor Holly Irwin’s statement, local residents, Sierra Club, and rural advocates, argued the bill would accelerate aquifer depletion, harm private wells and subsidence conditions, and benefit a New York hedge fund at the expense of rural communities. After debate, the committee adopted the Griffin amendment and then passed HB 2758 as amended on a 6-4 due-pass vote. The committee next took up House Bill 2098, which would modify bonding authority and public hearing notice requirements for county water augmentation authorities and allow local repayment agreements with WIFA. Pinal County Supervisor Stephen Miller and other supporters said the bill would clean up statutory language so the Pinal County Water Augmentation Authority can finance future water augmentation and infrastructure projects, including potential Bartlett Dam-related work, and better prepare for future Colorado River uncertainty. The Home Builders Association also supported the bill, saying it included proportionality protections for private utility water charges. The bill was moved for a due-pass recommendation and the committee proceeded to a roll call vote, with the transcript ending before the final vote result was shown.
MO

Missouri 2026 Regular Session

Budget Jan 20th, 2026 at 01:00 pm

Budget

Transcript Highlights:
  • We always share our numbers with the House and Senate staff because we want to be transparent and we
  • Taylor's concern around being more specific about which funds might be targeted, just so that we're transparent
  • Taylor's concern around being more specific about which funds might be targeted, just so that we're transparent
  • legally you have to change the law to have them, because we're by statute required to provide that coverage
Keywords: 959, house, all
TX

Texas 89th Regular

Appropriations Feb 19th, 2025

Appropriations

Transcript Highlights:
  • care as their... their associations down here tell us they care so much about accountability and transparency
  • But if you wanted to improve the sort of transmission. transparency of the directness of recapture funds
  • is what I shared with Commissioner Marathis. who was walking out the door, is that there is a transparency
  • opportunity to pull their resources and their market power to command a better rate and a better coverage
Keywords: 1184, house, all
NH

New Hampshire 2025 Regular Session

Senate Finance (05/20/2025)

Finance

Transcript Highlights:
  • have their officers out of town for longer periods of time, which is going to cause them to have coverage
  • have their officers out of town for longer periods of time, which is going to cause them to have coverage
  • have their officers out of town for longer periods of time, which is going to cause them to have coverage
  • have their officers out of town for longer periods of time, which is going to cause them to have coverage
  • have their officers out of town for longer periods of time, which is going to cause them to have coverage
Keywords: 1191, senate, all
NH

New Hampshire 2025 Regular Session

House Health, Human Services and Elderly Affairs (01/23/2025)

Health, Human Services & Elderly Affairs

Transcript Highlights:
  • So you mentioned that some of the funding and coverage might be under threat.
  • , and some of it's not that they're going to stop coverage altogether, but it's, you know, whether it
  • :57.840> maintain doing a lot of lobbying to maintain doing a lot of lobbying to maintain coverage
  • and some of it's not that coverage and some of it's not that they're<00:18:00.080> going<00:18
  • :00.159> to<00:18:00.440> stop<00:18:00.799> coverage they're going to stop coverage
Keywords: 1189, house, all
OR
Transcript Highlights:
  • already mentioned a few of the And Chelsea's already mentioned a few of the additional Medicaid coverage
  • And so every Medicaid coverage service, for individuals, for youth to receive Medicaid-covered services
  • And so every Medicaid coverage service, for individuals, for youth to receive Medicaid covered services
  • So again, we’re talking about the various authorities that the state has negotiated coverage of certain
  • “So again, we’re talking about the various authorities that the state has negotiated coverage of certain
Keywords: 907, all
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Friday, March 21, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • Any use of the closed-captioned coverage of the House proceedings for political or commercial purposes
  • Any use of the closed-captioned coverage of the House proceedings for political or commercial purposes
NY

New York 2025-2026 Regular Session

Senate Standing Committee on Women's Issues - 03/25/2026

Women's Issues

Transcript Highlights:
  • An act to amend the insurance law in relation to requiring health insurance policies to include coverage
  • for doula services as required coverage for maternity care.
Keywords: 993, senate, all
Summary: The Women’s Issues Committee met on March 25 at 9:38 a.m. with a quorum present, including Senators Baskin, Serrano, Scarcella-Spanton, Canzoneri-Fitzpatrick, Stavisky, and Weik. The committee considered several public health and insurance bills focused on women’s reproductive and maternal health, with Senator April Baskin and Senator Canzoneri-Fitzpatrick present for the meeting. The bills discussed were S.3578, establishing a uterine fibroids awareness and education program; S.56658, establishing a dual awareness and education program; S.494, requiring health insurance coverage for doula services as maternity care; S.862, creating doula-friendly work spaces; and S.9076, directing the Department of Health to create an informational pamphlet on intrauterine devices. Members asked no substantive questions during the meeting, and the measures were generally advanced by motion and second. All five bills were reported out of committee and moved to first reading. On S.494, Senator Canzoneri-Fitzpatrick voted without recommendation; the other bills were approved without recorded opposition. The meeting then adjourned after the final bill was advanced.
KY

Kentucky 2026 Regular Session

Senate Standing Committee on Licensing and Occupations. (2-24-26)

Licensing & Occupations

Transcript Highlights:
  • It didn't make a pronouncement about coverage or benefits or eligibility, which the legislature has to
  • You did not change Medicaid benefits coverage or eligibility.
  • You did not change Medicaid benefits coverage or eligibility.
  • >> Now I think, legally, I think that when the General Assembly tinkers at all with eligibility, coverage
  • , coverage, benefits or reimbursement<00:26:27.200> is<00:26:27.440> in<00:26:27.760>
Keywords: 958, all
Summary: The Senate Standing Committee on Licensing and Occupations met on February 24, 2026, with a quorum present and took up one bill, House Bill 470. The bill sponsor and supporters described it as a cleanup measure to House Bill 505 that would extend the deadline for peer support specialists in the substance use field to become registered, because the earlier regulations were not promulgated in time and employers and workers were left in limbo. Supporters said the bill includes an emergency clause to stabilize the workforce and creates a working group to recommend a more effective oversight structure, possibly a new board, by November 1. They argued the extension would preserve access to services, allow providers to continue billing for peer support, and give the state time to address regulatory backlogs and workforce shortages. Several supporters emphasized that peer support is a critical part of recovery services and that the current system needs better infrastructure, accountability, and uniform standards. They said the bill would help prevent fraud and abuse by tightening guardrails while allowing qualified peers to keep working. One supporter said the bill would close the door on higher-level billing abuses and that other Medicaid-related efforts were also underway to address improper billing practices. Another witness said the bill would allow people who completed certification to continue serving and would help providers retain staff and get reimbursed. Senator McDaniel raised concerns that the bill might simply extend the period during which abuse of the peer recovery model could continue, rather than fixing the underlying problems. In response, the sponsors said House Bill 505 already imposed tighter training requirements and that this bill only extends the registration deadline while other efforts, including managed care organization limits and broader Medicaid reforms, are addressing abuse. Senator Howell asked about barriers to registration, and witnesses said the problem was a mix of supply-demand issues, workload, and some applicants’ reluctance to take the test. Senator Berg supported the bill as necessary to ensure proper billing and accountability, while Senator Meredith said the committee was missing key information from the cabinet and suggested it may be premature to act without hearing from the agency. No vote was taken in the portion of the meeting provided.
KY
Transcript Highlights:
  • And it looks like, if I had to take a guess, the coverage populations, the similarities between this
  • um if I had to take a guess,<00:31:16.159> the<00:31:16.320> the<00:31:16.799> coverage
  • <00:31:17.279> populations guess, the the coverage populations guess, the the coverage populations
  • <00:32:18.080> of<00:32:18.320> Medicaid already n high 90% coverage of Medicaid already
  • n high 90% coverage of Medicaid and<00:32:19.519> it<00:32:19.840> doesn't<00:32:20.159
Keywords: 958, all
Summary: The Government Contracts Committee first approved the minutes from its July 8 meeting and then moved through a large agenda of contracts and deferred items. The committee deferred a Kentucky Education Television contract because the vendor was still not registered with the Secretary of State, and also deferred a University of Louisville contract to the September meeting at the university’s request. Both motions passed by roll call. The committee then took up a contract with the Department for Behavioral Health, Developmental and Intellectual Disabilities for Seven Counties Services. Committee members questioned why the state continues funding the provider despite its ongoing bankruptcy tied to unpaid retirement contributions, how the funding split is determined, whether the state had explored other providers or direct state delivery, and whether all services in the contract are truly required by statute. Agency officials said Seven Counties is the statutorily designated community mental health center for the region, serves about 24,500 people, and provides core safety-net services that would be difficult to replace; they also said the bankruptcy dispute is still ongoing and the contested amount is about $20 million. The committee ultimately deferred the contract to the next meeting and requested additional information on the scope of services and potential offsets or recovery of unfunded liabilities. The final deferred item was a Department for Community Based Services contract with Youth Villages for the Intercept program. DCBS explained that the program is used because it is an approved evidence-based service under the Family First Prevention Services Act, that Youth Villages has Kentucky staff and offices even though it is headquartered in Tennessee, and that the contract is intended to support intensive in-home services, foster care stabilization, and family reunification. Members asked why the services could not be provided in-house, whether Medicaid should cover more of the cost, and whether the state requires the provider to bill Medicaid as a payer of last resort. DCBS said it would verify billing and funding details and provide them back to the committee. The committee then voted to defer the contract to the next meeting.
KY
Transcript Highlights:
  • DJJ is continuing to conduct site visits and assessments to ensure medical and mental health coverage
  • for all of our health coverage for all of our facilities<00:15:31.319> we're<00:15:31.600>
  • development centers and the detention facilities, and then a certain number of hours per week of coverage
  • :17.200> of certain number of hours uh per week of certain number of hours uh per week of coverage
  • for the group homes as well coverage for the group homes as well okay<00:24:20.159> yes<00:24
Keywords: 958, all
Summary: The committee heard an overview from Department of Juvenile Justice Commissioner Randy White on the state’s juvenile detention network and several facility projects. He identified the currently operating detention centers as Boyd County for females, Breathitt County for low-risk males, Fayette County for high-risk males, Adair County for high-risk youth from Jefferson and surrounding counties, Warren County for high-risk males, and McCracken County for low-risk males. Members asked about capacity and staffing; White said Boyd County houses 33 and is usually near full, Breathitt County is about half full, Fayette County runs about 80-90% full, Campbell County’s operational limit is about 25 due to staffing, Adair County can hold 60 and has hit capacity several times this year, Warren County holds 43 and usually runs near capacity, and McCracken County holds 43 and is not currently full. He said staffing is generally harder in higher-risk facilities and in metropolitan areas because of wages and housing costs. White then updated the committee on the Louisville Detention Center downtown renovation and the Lyon facility project. For the Louisville downtown facility, he said schematic design and design development are complete, construction documents are expected by late February or early March, bids are anticipated in April, and completion is projected for March 2027. He explained the delay is due to extensive renovation work needed to bring the building up to current building, life-safety, ACA, and PREA standards, including security, mechanical, electrical, plumbing, food service, and roof work. The project is designed for 64 beds for high-risk Jefferson County boys, with the facility currently vacant and those youth being housed in Adair County and Campbell County. For the Lyon project, he said the contract was issued November 21, 2024, demolition is underway, completion is expected June 14, 2026, and the facility will have 34 beds in four pods for low-risk offenders; he said the project appears to be on time and on budget within the $4.5 million authorization. The committee also discussed the medical services contract. DJJ officials said they are reviewing whether to continue with the current state contract provider, Wellpath, or pursue an RFP, while retaining current merit staff and continuing oversight through four nurse program administrators. They said DJJ uses a state master agreement to staff nurses, APRNs, and the chief medical officer, and that the current contract is about $20 million per year. Members asked about Wellpath’s bankruptcy filing; officials said they were aware of it, asked questions, and were told it would not affect Kentucky service delivery or contracting, though they could not recall the bankruptcy type and offered to provide more detail later. They also said DJJ is working with the Cabinet for Health and Family Services to become a Medicaid provider, and any future contractual partner will need to be a Medicaid provider. Finally, White described the proposed high-acuity juvenile mental health treatment facility. He said DJJ must accept court-ordered youth even when they have severe mental illness, but detention centers are not equipped to treat those youth and private psychiatric hospitals often refuse them or discharge them early. He argued that a dedicated secure treatment facility is needed for a small number of highly violent, high-need youth who require intensive psychiatric care and are disruptive in detention. The facility would provide behavioral and psychiatric treatment, reduce delays caused by lack of beds or outside placements, and serve youth determined by clinical assessment to need a secure treatment environment. No votes were taken during the discussion.
HI

Hawaii 2025 Regular Session

FIN Info Briefing - Thu Jan 16, 2025 @ 9:00 AM HST

Hawaii House Floor Meeting

Transcript Highlights:
  • You know, that 0% interest loans as well as insurance coverage, you know, that's for certain individuals
  • You know, that 0% interest loans as well as insurance coverage, you know, that's for certain individuals
  • You know, that 0% interest loans as well as insurance coverage, you know, that's for certain individuals
  • You know, that 0% interest loans as well as insurance coverage, you know, that's for certain individuals
  • That 0% interest loans as well as insurance coverage, you know, that's for certain individuals of C income
Keywords: 910, house, all
NH
Transcript Highlights:
  • It is medically necessary and there should be, you know, coverage for that I in my opinion but this was
  • <00:23:08.640> uh<00:23:08.799> in<00:23:09.440> uh excuse me Medicaid coverage
  • . uh in uh excuse me Medicaid coverage. uh in uh BAE<00:23:10.240> systems<00:23:10.640> has
  • for that I in my be you know coverage for that I in my opinion<00:24:46.799> but<00:24:47.520
  • Are there gaps in coverage?
Keywords: 928, house, all
Summary: The committee first took up an insurance-related chronic pain bill and an amendment modeled on language from Massachusetts and Maine. The sponsor explained the amendment was developed after stakeholder meetings because the original bill would have created an unaffordable insurance mandate in New Hampshire. The amendment was intended to improve access to non-opioid therapies by limiting prior authorization and step-therapy barriers so they are not more restrictive than for other treatments, including opioid therapies. After questions, the committee took a straw vote and advanced the amendment. The next item was a department-sponsored bill involving the state’s all-payer claims database. Insurance Department officials explained that the bill would encourage self-funded employer plans to opt in voluntarily by giving them aggregated, deidentified claims information in return. They said self-funded plans cannot be required to report data because of federal law, but the bill would provide an incentive while protecting employee privacy. Members asked detailed questions about who would see the data, whether individual employees could be identified, and how privacy would be enforced; the department said access would be aggregated and deidentified, and employer privacy issues would be governed by ERISA and the U.S. Department of Labor. The committee also discussed a glucose-monitoring bill. Members debated whether the bill was aimed at type 1 diabetes coverage or broader access to continuous glucose monitors, and whether it would amount to an unnecessary insurance mandate that could raise premiums. Department testimony estimated the equipment cost and said the annual impact per member would be modest, but also noted that non-insulin therapies have not consistently shown clinically significant A1C reductions. The chair and some members emphasized that the bill should be considered on its own terms as a CGM coverage issue, not as a general diabetes mandate. The committee discussed the bill’s cost implications and asked the department for any prior cost analysis.