Transcript Highlights:

• The amendment is coded A15.
• The amendment is coded A15.
• The amendment is coded A14.
• The amendment is coded A3.
• The amendment is coded A5.

Keywords: 1183, house

Transcript Highlights:

• Then another issue that was brought up is somehow the bill as filed violates the life codes.
• Then another issue that was brought up is somehow the bill as filed violates the life codes.
• <01:42:35.520> And<01:42:35.840> when um it violates the life codes.
• And when um it violates the life codes.
• These zoning ordinances aren't arbitrary either, but often line up with the fire code.

Keywords: 1191, senate, all

Transcript Highlights:

• You know, we can regulate towns; can regulate wood stoves, building codes, um...
• In that food code, there is a bake sale exemption.
• , 2017 food code.
• Um, in that food code, 2017 food code.
• , which we operate adopted 2017 food code, which we operate out<02:03:29.640> of.

Keywords: 1189, house, all

Transcript Highlights:

• of conduct and the code of ethics.
• parents are already included in the code parents are already included in the code of<01:01:16.559
• One says, describe the history and evolution of slave codes.
• One says, describe the history and evolution of slave codes.
• One says, describe the history and evolution of slave codes.

Keywords: 928, house, all

Summary: The committee opened with House Bill 184, which would create a committee to study changing school start times. Members discussed Amendment 0394, which made the study committee’s duties more investigative and adjusted reporting recipients, including the Governor. Several members raised questions about whether the committee should review evidence-based studies, local district decisions, and existing district reports; supporters said the amendment would better allow the committee to gather information and recognize local control. The amendment passed 17-0, and the bill as amended also passed 17-0. Representative Litchfield noted that no one had testified in opposition and encouraged the future study committee to review an Oyster River School District report on school start times. The committee then took up House Bill 394, concerning cooperative school district budget committees and board member representatives. Amendment 0476 was adopted 17-0 after discussion that it clarified the bill’s language and reflected work with the School Boards Association. The committee then voted OTPA on the bill, which also passed 17-0. House Bill 738, requiring background checks for employees and volunteers at certain non-public schools or education service providers receiving public funds, was moved inexpedient to legislate. Supporters said the bill would create practical and legal problems for private citizens and homeschooling families, and the motion passed 15-2 with no minority report, placing the bill on consent. The committee next considered House Bill 235, which would amend the educator code of ethics and conduct to add responsibilities to parents. Supporters argued parents should be explicitly included in the code, while opponents said parents were already covered in existing ethics language and statute. The bill passed narrowly, 9-8. The committee then returned to House Bill 532 on alternate dispute resolution and individualized education plan team meeting facilitation. Amendment 0480H clarified that different rules would apply separately to neutral conference, mediation, and IEP facilitation; it passed 17-0, and the bill as amended also passed 17-0. Finally, the committee moved to House Bill 564, concerning adoption of school administrative unit budgets, and voted to retain the bill for further review because members said there was still confusion about how it would apply to single-district and multi-district SAUs.

Transcript Highlights:

• <02:20:34.560> to of title 5 United States Code to of title 5 United States Code to authorize
• Army and Navy during World War II to serve as code readers.
• Army and Navy during World War II to serve as code readers.
• Army and Navy during World War II to serve as code readers.
• Army and Navy during World War II to serve as code readers.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, May 21, 2026, 1012, house, all

Transcript Highlights:

• Amendment bar code 1-20290 by Senator Bradley: delete everything after the enacting clause and insert
• Amendment to Substitute Amendment, bar code 5-6-3088 by Senator Smith.
• Please read the next amendment to the substitute amendment, bar code 794936, by Senator Osgood.
• Amendment to Substitute Amendment, bar code 16178, by Senator Polsky.
• Amendment to the substitute amendment, bar code 151-824, by Senator Arrington.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness, and a resolution honoring Vietnam veterans exposed to Agent Orange. Senators also paid tribute to former Senator Karen Johnson Gendron with a moment of silence. The chamber then moved to special-order bills after routine announcements that no committee reports, governor’s messages, or House messages were on the desk. The first major bill, SB 138/HB 687 on transportation offenses involving death, increased penalties for repeat DUI/BUI manslaughter and vehicular homicide offenses and added warnings and misdemeanor penalties for refusing lawful breath or urine tests. After a brief amendment and questions about attorney rights and prior impairing-substance language, the bill passed 37-0. SB 306 on Medicaid providers followed, requiring broader provider access, including after-hours availability and more primary care access for Medicaid enrollees; it also passed 37-0. The chamber then took up the major condominium reform bill, SB 1742/HB 913, addressing post-Surfside safety, reserve funding, milestone inspections, budgeting, reserve flexibility, manager regulation, conflicts of interest, and condo sale rescission periods. Senators from both parties praised the sponsors for extensive stakeholder work and the bill passed 37-0 after multiple amendments. The final major item was SB 7016/HB 1205 on constitutional amendments and petition-gathering rules, with sponsors arguing the bill was needed to combat fraud in the 2024 petition process and opponents warning it would burden citizen initiatives. The Senate adopted the House bill and then considered numerous amendments on petition circulator rules, submission deadlines, invalid-signature thresholds, voter notification, and related enforcement provisions; several amendments were adopted, and the substitute was later withdrawn, leaving the chamber to continue on the underlying bill and remaining amendments.

Transcript Highlights:

• But the flower is also illegal under criminal code, and so there's some jurisdictional...
• But the flower is also illegal under criminal code, and so there's some jurisdictional...
• But the flower is also illegal under criminal code, and so there's some jurisdictional...
• But the flower is also illegal under criminal code, and so there's some jurisdictional...
• But the flower is also illegal under criminal code, and so there's some jurisdictional...

Keywords: 910, house, all

Summary: The committee first heard House Bill 302, which would repeal the requirement that a provider-patient relationship for medical cannabis certification be established in person first. The Department of Health said it supported the House Draft 2 version as a way to expand patient access, and several testifiers from the medical cannabis community and dispensary industry supported the bill, especially for patients on outer islands or those unable to travel. One witness asked that earlier language removed in committee be restored to further improve access. Representative Shimizu asked whether follow-up in-person visits would still occur, and DOH responded that this varies by provider, with some continuing in-person care and others moving to telehealth for chronic conditions. The committee then took up House Bill 712, relating to the federal 340B drug pricing program and contract pharmacies. The Office of Consumer Protection and the Attorney General’s office both said they supported the bill’s purpose but wanted it clarified and possibly moved into a standalone chapter rather than chapter 481B. Supporters, including Hawaii Pacific Health and the Queen’s Health Systems, said the bill is needed to protect safety-net funding and access to discounted drugs, citing large financial benefits from 340B and losses caused by manufacturer restrictions on contract pharmacies. PhRMA opposed the bill, arguing the issue is not access to discounts but accountability and transparency in how contract pharmacies distribute benefits, and said it was willing to discuss amendments. Members asked follow-up questions about whether there was data showing misuse; PhRMA said it did not have numbers, while hospital witnesses said the program is federally audited and used appropriately in Hawaii. Finally, the committee heard House Bill 1482, HD1, which would tighten hemp and controlled-substance definitions to exclude Schedule I cannabinoids from manufactured hemp products and clarify the treatment of artificially derived cannabis. The Department of Health supported the measure, saying it adds clarity to existing prohibitions. Kūre Hawaii and other supporters said it would close loopholes involving Delta-8 and similar products. An individual testifier urged stronger language to also cover compounds such as HHC, THCA, THCP, and THCO. In response to questions about enforcement against mislabeled hemp products, DOH explained that THC percentages are relative to product weight, that some products can remain under the hemp threshold while still containing significant THC, and that hemp flower is already prohibited from direct retail sale, though enforcement can be complicated and involves both administrative and criminal authorities.

Transcript Highlights:

• In the low-income zip codes, you have one EFA student per 100 children in that district.
• In the higher-income zip codes, you have 28 students in the EFA programs.
• <01:34:23.280> you<01:34:23.480> have codes you have codes you have one<01:34:25.239>
• District in the higher income zip codes District in the higher income zip codes you<01:34:30.679
• or your income it on your ZIP code or your income it should<02:28:11.040> be<02:28:11.200>

Keywords: 1191, senate, all

Transcript Highlights:

• they came up with a QR code that if code they came up with a QR code that if code they came up with
• a QR code that if you just hit that QR code it gave you you just hit that QR code it gave you you just
• hit that QR code it gave you every service that was in that area for every service that was in that
• could person who's trying to help them could person who's trying to help them could just have a QR code
• that they can just just have a QR code that they can just just have a QR code that they can just hit

Bills: SB 2

Keywords: 920, all

Transcript Highlights:

• Well, for Institutions Code 5014 clearly says that 1991 realignment funds, 2011 realignment funds, and
• Health and Safety Code Section 102705 requires that if a petition for access is brought by an adoptee
• The State Bar requested the amendments to Business and Professions Code section 6173 to allow it or a
• Second, mediation confidentiality established in Evidence Code Section 115 could potentially prevent
• accurate replacement cost estimates, offer meaningful extended coverage options, improve building code

Keywords: 988, house, all

Transcript Highlights:

• In 2017, the Tax Cuts and Jobs Act made amendments to the Internal Revenue Code at the federal level.
• 21.520> Revenue followed the federal Internal Revenue followed the federal Internal Revenue Code
• utilizing modifications to account Code utilizing modifications to account for<01:05:24.760> any<
• to the and Jobs Act made amendments to the Internal<01:05:32.440> Revenue<01:05:32.840> Code
• at the federal Internal Revenue Code at the federal level. level. level.

Keywords: 919, house, all

Summary: The Tax Expenditure Review Commission met on June 17, 2026, approved the January 20, 2026 minutes, and then adopted updated commission procedures. The procedural changes, presented by Legislative Budget Office Director Christian Larson, required a quorum of voting members to complete evaluations before a formal recommendation vote, and allowed members to bundle or unbundle tax expenditures for voting. The commission approved the revised procedures by roll call vote, with five ayes and four excused. The commission then reviewed member evaluation summaries for tax expenditures presented in December 2025 and January 2026. It first considered the alcoholic beverage tax credits for small brewers and microdistilleries, and after discussion voted to recommend repeal of those two expenditures, while leaving the small winery credit for a later meeting because it lacked enough member responses under the new procedures. The vote on the repeal recommendation passed 4-1, with Commissioner Marquart voting no. The commission next approved the lawful gambling bundle, which included bingo, raffle, and related exemptions. Larson reported that most members recommended continuation for each item, and the commission voted to recommend continuing all six lawful gambling expenditures. It then reviewed the residential utility services bundle—residential heating fuels, residential water services, and sewer services—where members generally favored continuation but several noted possible modifications or caps for higher-income users; the commission voted to recommend continuation of the bundle. Finally, the commission reviewed the data center equipment sales tax exemption, which Larson said had an estimated annual revenue loss of $95 million and was intended to create jobs in construction and data center industries. Members raised questions about its effectiveness and whether the exemption should be modified or capped, but the commission ultimately voted to recommend continuation. The meeting concluded with these recommendations set to be included in the commission’s 2026 annual report.

Transcript Highlights:

• House Bill 3464 ensures projects are code enforced by NFPA 855 or IFC.
• House Bill 3464 ensures projects are code enforced by NFPA 855 or IFC.
• With discipline, it's to do with a uniform code of military justice, which is how the military actually
• But these are all fairly common things that you will find in municipal codes.
• There will be code enforcement paperwork. So the city...

Bills: HB2268, HB3000, HB3043, HB3066, HB3078, HB3143, HB3144, HB3244, HB3298, HB3320, HB3467, HB3321, HB3329, HB3431, HB3464, HB3499, HB3500, HB3586, HB3590, HB3650, HB3671, HB3695, HB3700, HB3701, HB3764, HB3767, HB3834, HB3931, HB3934, HB3940, HB3944, HB3979, HB3985, HB4113, HB4294, HB4302, HB4317, HB4324, HB4359, HB4426, HB4427, HB4430, HB4431, HB4434, HJR1077, SR42, SR35, HJR1023, HB1225, HB1374, HB1381, HB1590, HB1675, HB2153

Keywords: HB2268, Oklahoma Health Care Authority, OHCA, appropriation, General Revenue Fund, PACE, Programs of All-Inclusive Care for the Elderly, elderly care, aging Oklahomans, long-term care, Medicaid, health care funding, provider reimbursement, rate increase, low-income seniors, senior services, integrated care, emergency measure, cosmetology, barbering

Summary: The Senate began with a quorum call, gallery introductions, and extended farewell remarks from Senator Jett, who reflected on his six years in the Legislature, his focus on representing constituents, protecting families, and holding government accountable. Several senators responded with personal tributes, praising his conviction, faith, family involvement, and willingness to ask difficult questions. No votes were taken during the farewell portion. The chamber then considered House Bill 2268, a PACE appropriation to support comprehensive care for low-income seniors and expand services in rural Oklahoma. The bill was amended to restore the title, advanced, and passed 34-9, then passed as an emergency measure 36-7. House Bill 3000, a cosmetology and barbering measure, made multiple changes including board reorganization, adding a human trafficking specialist and massage therapist, shifting some licensing functions to Service Oklahoma, and eliminating the massage therapy advisory board. It drew significant debate over process and policy, especially from senators concerned about late changes, lack of board input, and the human trafficking rationale; it passed 25-19 and then as an emergency 33-11. The Senate also passed House Bill 3043, allowing the Oklahoma Department of Veterans Affairs to hire prorated seasonal staff for veterans homes, 37-6; House Bill 3066, creating a revolving fund for federal workforce training money for behavioral health recruitment and retention, 38-6 and as an emergency; and House Bill 3078, allowing donation options on state payment forms for the ODVA revolving fund, 45-0 and as an emergency. Additional measures passed included House Bill 3143, extending the moratorium on new medical marijuana business licenses to 2028, 39-7; House Bill 3144, capping medical marijuana commercial grower licenses at 2,550 after amendment, 34-12; House Bill 3244 on identity theft, 46-0; House Bill 3298 on child interview procedures in court cases, 46-0 and as an emergency; House Bill 3320, replacing the traditional sunset process with more immediate legislative review of agencies, 33-13 and as an emergency; House Bill 3321, requiring county data collection and reporting related to court costs and financial obligations, 45-0 and as an emergency; House Bill 3329, a trailer bill adding a repealer and a sunset for the Board of Psychological Examiners, 33-10 and as an emergency; House Bill 3431, expanding restrictions on foreign entities owning or leasing land and critical minerals, 43-0; House Bill 3464, setting safety and training requirements for certain projects involving fire code compliance and decommissioning, 43-0 and as an emergency; and House Bill 3499, expanding special judges’ authority over vehicle title orders, which was presented and advanced as the transcript ended.

Transcript Highlights:

• >> So if it has a national drug code, it's at 140% reimbursement. >> And then the last question I have
• product that has its own<00:29:57.520> national<00:29:57.919> drug<00:29:58.240> code
• drug code and average warehouse<00:29:59.760> price,<00:30:00.640> how<00:30:00.799>
• drug >> So if has if it has a national drug >> So if has if it has a national drug code
• code, it's at 140% reimbursement. code, it's at 140% reimbursement.

Keywords: 912, senate, all

Summary: The joint HHS and LBT meeting opened with accessibility concerns, as several blind attendees arrived after the general public had already been seated. The chair apologized and said future hearings would try to seat blind members earlier. The committee also announced the hearing was being streamed on YouTube, testimony would be limited to one minute, and written testimony was available online. The first bill heard was SB 2281, relating to the use of artificial intelligence in healthcare. The Department of Health supported transparency for patients but preferred disclosure through provider websites and office signage rather than a new regulatory program. The Hawaii Medical Association and Healthcare Association of Hawaii generally supported the bill’s intent but raised concerns about administrative burden and suggested a working group or model policies. Hawaii Pacific Health said it already uses AI for note-taking and patient portal functions and worried that written notice requirements could create too much consumer information. In response, the chair emphasized that patients should be informed when AI is used, especially if it affects diagnosis or consequential decisions, and said AI should not be making medical decisions. The committee later voted to recommend SB 2281 pass with amendments, including narrowing the definition of consequential decisions, removing certain language requested by DOH, adding a two-year implementation period, and setting a far-future defective date for further discussion; both committees adopted the recommendation, with the chair voting aye and the vice chair voting with reservations. The second major bill was SB 2852, a civil rights measure focused on digital access for people with disabilities. The Hawaii State Council on Developmental Disabilities, Hawaii Civil Rights Commission, Hawaii Disability Rights Center, and the National Federation of the Blind of Hawaii all supported the bill, arguing that existing law clearly protects physical access but should also make digital access explicit. Blind testifiers described how accessible technology, such as VoiceOver on iPhones, allows them to participate independently in public processes and warned that inaccessible digital systems can create barriers for thousands of blind residents. One testifier, an attorney with disability-law experience, supported the bill’s intent but said the draft had flaws, including no exceptions for archived materials, no distinction between small and large businesses, and concerns about the timing and choice of accessibility standards; he suggested delegating regulatory authority to the Hawaii Civil Rights Commission. The bill’s sponsor said he supported DAB’s proposed amendments, and the committee indicated those amendments would address many of the concerns raised. No final vote on SB 2852 was taken in the portion provided. The committee then took up SB 2751, which defines compounded prescription drugs for workers’ compensation purposes. The Department of Labor and Industrial Relations supported the bill but requested clarifying amendments to keep pharmacists as the primary professionals authorized to compound in licensed pharmacies and to limit any physician compounding authority to the physician’s own patient. Supporters included the Work Injury Medical Association of Hawaii, while Solera Integrated Medical Solutions opposed the measure, arguing the current definition was already broad enough and warning about cost inflation, especially with 503B bulk compounding facilities and physician dispensing. In questioning, members asked about rural access, reimbursement for 503B products, and late testimony suggesting definitions for 503A and 503B facilities, limits on physician dispensing to 30 days post-injury, and pre-approval for non-FDA-approved drugs. DLIR said not every rural community has licensed pharmacists available, that products with a national drug code are reimbursed at 140%, and that 503B facilities raise concerns because they are bulk manufacturers rather than patient-specific compounding operations. The meeting then moved into decision-making on SB 2281; the chair’s pass-with-amendments recommendation was adopted by both committees, with the vice chair voting with reservations.

Transcript Highlights:

• Representative Abbott offers the following amendment, bar code 533087, remove line 38 and insert an amendment
• No matter what zip code they come from.
• Whether it is zip code 33012 where I reside or 33055, and Representative Gantt, whether it's Pinecrest
• The bill clarifies the Florida Building Code and Fire Prevention Code are not allowed to adopt measures
• This language in code and statute does nothing to improve teacher preparation.

Bills: SB 5, SJR 3, HB 11, HJR 72, HB 48, HB 27, HB 144, HB 37, HB 1481, HB 581, HB 1696, HB 2216, HB 1035, HB 1633, HB 742, HB 754, HB 1689, HB 1690, HB 2669, HB 391, HB 517, HB 1775, HB 1024, HB 1607, HB 252, HB 1716, HB 1562, HB 4116, HB 1866, HB 1741, HB 2103, HB 2637, HB 2884, HB 3707, HB 503, HB 1089, HB 1757, HB 2986, HB 972, SB 365, SB 1786, SB 5, SJR 3, HB 14, HB 43, HB 36, HB 26, HB 149, HB 121, HB 206, HB 136, HB 3114, HB 2733, HB 1732, HB 3700, HB 467, HB 1130, HB 1846, HB 1442, HB 1147, HB 2176, HB 2701, HB 805, HB 2890, HB 1154, HB 1644, HB 2118, HB 1718, HB 2488, HB 2596, HB 2468, HB 484, HB 2578, HB 3204, HB 1041, HB 307, HB 685, HB 538, HB 2525, HB 3125, HB 2027, HB 2894, HB 3077, HB 106, HB 18, HB 11, HJR 72, HB 48, HB 27, HB 144, HB 37, HB 1481, HB 581, HB 1696, HB 2216, HB 1035, HB 1633, HB 742, HB 754, HB 1689, HB 1690, HB 2669, HB 391, HB 517, HB 1775, HB 1024, HB 1607, HB 252, HB 1716, HB 1562, HB 4116, HB 1866, HB 1741, HB 2103, HB 2637, HB 2884, HB 3707, HB 503, HB 1089, HB 1757, HB 2986, HB 972

Keywords: dementia, research institute, Alzheimer's disease, Parkinson's disease, funding, grants, state health initiatives, research funding, state budget, prevention, healthcare, medical research, Dementia Prevention and Research Institute, licensing, reciprocity, regulation, Texas Department of Licensing and Regulation, interstate agreements, tax exemption, intellectual disability

Transcript Highlights:

• So, we have consultants to look at saving the 603 area code, which I'll just say we're going to hear
• So, we have consultants to look at saving the 603 area code, which I'll just say we're going to hear
• So, we have consultants to look at saving the 603 area code, which I'll just say we're going to hear
• So, we have consultants to look at saving the 603 area code, which I'll just say we're going to hear
• So, we have consultants to look at saving the 603 area code, which I'll just say we're going to hear

Keywords: 1191, senate, all

Transcript Highlights:

• I was looking at all the codes.
• There are specific codes that are given, and that's how we address these projects.
• Accepting from the procurement code procurements by the Early Childhood Education and Care Department
• Conservation code.
• And those standards, the conservation codes, That's referenced here is available on the Regulation and

Transcript Highlights:

• Clarify that the projects need to comply with all relevant codes and standards.
• <01:41:23.480> with<01:41:23.639> all<01:41:24.280> relevant<01:41:24.679> codes
• <01:41:24.920> and comply with all relevant codes and comply with all relevant codes and standards
• be certified in compliance<01:41:50.280> with<01:41:50.400> County<01:41:50.679> codes
• <01:41:51.040> but compliance with County codes but compliance with County codes but simplifies

Keywords: 910, house, all

Summary: The Housing Committee heard testimony on several housing-related bills. On SB 26, SD 2, relating to affordable housing, the Office of Planning and Sustainable Development explained a prior transit-oriented development study that identified roughly 59,000 possible units and about 25,000 affordable units from known projects, and said the bill would help fill gaps by evaluating additional public lands for housing suitability and possible co-use with existing facilities. Members asked about the need for resources and staffing to do that work, and OPSD said it would need time and consultant support to carry it out. Testimony on the bill included support from state and county housing agencies and comments from planning and land use entities. On SB 66, SD 2, relating to housing and historic preservation review, SHPD and OHA both testified. SHPD said the bill would not override existing burial-site protections and that county staff with proper qualifications could make historic-property determinations locally, while OHA asked for clearer language requiring consultation when Native Hawaiian historic sites are involved and clearer procedures if an adverse effect is found. Committee members and SHPD discussed whether the bill should explicitly preserve existing Chapter 6E processes, whether counties have qualified staff, and how quickly a county would have to decide if it cannot complete the review itself and must use a third-party reviewer. Supporters said the measure could speed permitting and keep decisions local; one opponent argued it could rush approvals and strain infrastructure. The committee also heard support from housing, construction, business, and food-industry groups, and opposition from some preservation and community advocates. The committee then heard SB 332, SD 1, on foreclosure-related protections, with testimony focused on Lānaʻi and concerns about speculative real estate after the foreclosure moratorium ended. SB 414, SD 2, on restoring access to disaster-affected areas, drew support from HHFDC, DHS, and the Maui Chamber; HHFDC noted DOH plans for a temporary paved access road to the Kayola temporary housing site and said agencies were discussing which parcels would be needed. On SB 102, SD 2, relating to affordable housing and third-party historic review, SHPD said it would need to do more upfront screening and that the bill’s timelines and third-party provisions should be clearer; OHA said the measure should include a sunset and better staffing, and asked that the department fill positions to meet review demand. No votes or final committee actions were reported in the transcript.

Transcript Highlights:

• But when we look at the code of federal laws that cover environmental law, just for an idea, the water
• But when we look at the code of federal laws that cover environmental law, just for an idea, the water
• of of federal laws um that cover code of of federal laws um that cover environmental<00:24:34.399>
• /c><00:24:38.640> looking<00:24:38.880> at<00:24:39.039> the<00:24:39.320> code
• <00:24:40.320> the if if you're looking at the code the if if you're looking at the code the

Bills: HF276, HF413, HF411

Keywords: human services, Medical Assistance, Medicaid, long-term services and supports, LTSS, public assistance, application process, eligibility determination, customer service survey, wait times, form complexity, lead agencies, Department of Human Services, Department of Children Youth and Families, streamlining, administrative reform, case management, reassessment, intake system, adaptive eligibility form

Transcript Highlights:

• The staggering would only apply to residents of a city or zip code where an exam station is located,
• or an adjacent city or zip code.
• to um either residents of a city<00:34:30.679> or<00:34:30.879> zip<00:34:31.159> code
• :34:34.399> zip is located or an adjacent City or zip is located or an adjacent City or zip code
• of where an exam station is located code of where an exam station is located so<00:34:37.240> the

Keywords: 1187, senate, all

Transcript Highlights:

• as part of the ambulance study, they gave us their payer mix and the mix of the different types of codes
• Our proposed rate for that same code—so when it says 'our,' who is 'our' here?
• 57:27.359> same 1,283 our proposed rate for that same 1,283 our proposed rate for that same code
• :57:29.000> the<00:57:29.079> word<00:57:29.280> our<00:57:29.640> who code
• so when it say use the word our who code so when it say use the word our who is<00:57:29.880> our

Keywords: 928, house, all

Summary: The subcommittee discussed three ambulance reimbursement bills and tried to distinguish their approaches. House Bill 185 would require insurers to pay the full amount billed by an ambulance provider when there is no contract rate, with no balance billing to the patient; the Insurance Department clarified that emergency ambulance services are already covered under the benchmark plan, so the bill’s reference to policies without ambulance coverage is effectively meaningless. House Bill 725 would set reimbursement at 325% of the Medicare rate for non-contract ambulance services and prohibit balance billing. House Bill 316 was described as addressing the broader problem that Medicare/Medicaid rates are low and that current balance billing shifts costs to patients or municipalities; its sponsor said the bill would require insurers to pay a rate that gives providers a fighting chance to remain in business, and he viewed 325% of Medicare as the most logical option. Members debated whether insurers should pay the billed amount, a negotiated in-network rate, or a regulated percentage of Medicare. Some argued that out-of-network ambulance providers are underpaid and that in-network rates are often too low to sustain service, especially for emergency providers who cannot steer patients. Others said ambulance companies should not be able to bill whatever they want and questioned the fairness of charging insured patients or insurers more than the service is worth. There was also discussion of whether rate schedules should be reviewed by an oversight body and whether different costs in rural areas justify different reimbursement levels. A recurring issue was balance billing and who ultimately bears the shortfall. Several members said balance billing harms patients and often does not get paid, leaving cities and towns or property taxpayers to cover the difference for municipal ambulance services. Others argued that shifting the cost to insurance premiums would spread the burden more fairly, though it could raise premiums by a few dollars per person per month. No vote or final action was taken in the excerpt; the discussion focused on clarifying the bills and weighing their policy tradeoffs.