Video & Transcript : 'premium discounts' :
Page 18 of 248
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services May 20th, 2026
Transcript Highlights:
- We've secured the discount that's being used by the naloxone distribution program.
- The May Revision proposes augmenting the state premium subsidy program by $110 million from the Health
- We also would like to note our support for the gender-affirming care augmentation and the $1 premium
- We also would like to note our support for the gender affirming care augmentation and the $1 premium
- We support the augmentation to Covered California for the premium subsidy.
Summary:
The committee heard opening budget remarks from the Department of Finance and the Legislative Analyst’s Office on the May Revision for Health and Human Services. Finance said the proposal significantly reduces projected out-year operating deficits through a mix of revenue increases and program cost reductions, while the LAO warned that even with booming revenues the state still faces a structural deficit and should prioritize reserves and avoid new ongoing commitments. The chair and members echoed concern about cuts to vulnerable populations, but also noted the need to maintain the overall level of budget solutions and add to reserves.
The hearing then moved through a series of CalHHS and HCAI proposals, mostly held open after presentation. CalHHS requested additional legal support to respond to federal H.R. 1-related issues and a net-zero transfer of positions for a shared eligibility/data-sharing platform. Other items included ongoing funding for the 988 Behavioral Health Crisis Service Fund and a request for EMSA to fund maintenance of its enterprise data management system. HCAI presented proposals for hospital fair pricing implementation, the data exchange framework, the all-payer claims database, CalRx insulin development, the diaper access initiative, distressed hospital grants, opioid settlement fund reversion, and the Rural Health Transformation Program. Members questioned funding sources, special fund use, contracting exemptions, timelines, and whether some proposals should be more targeted or supported by alternative funding.
A major discussion centered on HCAI’s diaper access initiative and the use of a Public Contract Code exemption to continue contracting for free diapers distributed through hospitals. The chair and some members criticized the optics of the selected vendor and questioned the lack of an income threshold, while HCAI said the program was designed to be universal and administratively simple, with future phase-two direct-to-consumer purchasing to be handled by a different vendor. Another extended exchange focused on distressed hospital funding, where HCAI said the May Revision would provide up to $50 million for hospitals at immediate risk of closure, but members argued the repeated annual need shows a structural problem and asked for broader reforms to hospital payment and care transitions.
The final major topic was the Behavioral Health Services Oversight and Accountability Commission’s budget. The Commission opposed the May Revision’s reduction of the Innovation Partnership Fund from $20 million to $10 million and a $6.7 million cut to community advocacy contracts, arguing both are core Proposition 1 tools for statewide innovation and community engagement. Finance responded that the proposal is within Proposition 1’s allowable maximums and that prior unspent appropriations could be redirected if the Legislature wanted to restore the full amount. No votes were taken; items were generally held open for later action.
FL
Transcript Highlights:
- It's a rate that fluctuates based on a 300-point discount off that rate, and it roughly reflects ...based
- on a 300-point discount off that rate, and it roughly reflects the Fed funds rate, which this century
- The amendment provides that the proposed trust fund be funded by 20% of the collected insurance premium
- The total insurance premium tax collected next year is expected to exceed $1 billion.
- The total insurance premium tax collected next year is expected to exceed $1 billion, with over $650,000
Committee:
Senate Banking and Insurance
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.
AL
Alabama 2025 Regular Session
Alabama Senate Banking and Insurance Committee Feb 19th, 2025
Banking and Insurance
Transcript Highlights:
- will be forced to shoulder these additional costs, which will inevitably be reflected in higher premiums
- I'm the Director of Pharmacy for Star Discount Pharmacy.
- accept our plan and have your members have a PCS card, then they can go to the drugstore and get a discount
- all the rebates, Senate Bill 99 mandates that it goes back to the employer that is paying for the premiums
- So that is why those... for the premiums.
Committee:
Senate Banking and Insurance
FL
Florida 2026 5th Special Session
Governmental Oversight and Accountability Feb 11th, 2026
Transcript Highlights:
- I don't know what those discounts are, so I don't know all the incentives that somebody would have to
- I don't know what those discounts are, so I don't know all the incentives that somebody would have to
- They might just like a discount. Senator Roleski.
- If this bill is ratified, my premiums and out-of-pocket maximums and prescription costs are going to
- If this bill is ratified, my premiums and out-upac maxes and prescription costs are going to eat them
Summary:
The committee took up several bills and confirmations. It reported favorably SB 332, as amended, on a narrow public-meetings/public-records exemption for legal strategy and settlement communications during the pre-suit period in Burt Harris claims; SB 464, requiring K-12 schools to formally observe Veterans Day; SB 984, clarifying firefighter cancer/death-benefit provisions and related prevention language; SB 576, expanding and codifying the local government cybersecurity protection program under Florida Digital Service; SB 964, revising how certain gifts and honoraria are reported to the Commission on Ethics; SB 1612, requiring local governments to accept electronic payments with exceptions and a delayed effective date; SB 830, creating public-records exemptions for certain local government administrators and their families; SB 1096, clarifying the filing deadline for Florida Civil Rights Act complaints; and SB 1656, designating the SS American Victory as Florida’s official state flagship.
The committee also considered a large confirmation package. Jeffrey Aaron’s appointment to the Public Employees Relations Commission was discussed separately after Senator Polsky raised concerns about his political connections and prior work; the committee still recommended him favorably. The remaining appointees on tabs 12 through 30 were also recommended favorably in one vote.
The longest and most contentious item was SB 1296, with a committee substitute, on the Public Employees Relations Commission and public-sector unions. The PCS would change union certification/recertification rules, require a recent showing-of-interest form, create different voting thresholds for public safety and non-public safety employee organizations, limit paid union leave for non-public safety unions unless reimbursed, require equal access to certain employer communication spaces, and speed up impasse procedures for legislatively funded salary increases. Senators raised constitutional concerns, especially about the single-subject rule and collective-bargaining rights, and many speakers opposed the bill as union-busting and harmful to teachers, bus drivers, nurses, utility workers, and other public employees. Supporters argued it would improve accountability, ensure genuine member support, and prevent taxpayer-funded union activity. The committee continued debate on SB 1296 after extensive testimony, but the transcript ends before a final vote on that bill.
FL
Transcript Highlights:
- You're having to compete against people that are undercutting, discounting your interpretation.
- Is it going to be a premium paid for those who did it right, or would you call it a distinction without
- a difference, a discount for those who have not done their maintenance?
- Is it going to be a premium paid for those who did it right, or would you call it a distinction without
- a difference, a discount for those who have not done their maintenance?
Committee:
Senate Regulated Industries
Summary:
The committee on Regulated Industries convened with a quorum and began a panel discussion focused on condominium milestone inspections and structural integrity reserve studies (SIRS), with members framing the topic as part of Florida’s post-Surfside condo safety reforms. The chair and panelists reviewed how the state got here, emphasizing that the problems predated Surfside and were driven by long-term deferred maintenance, underfunded reserves, and aging buildings. Panelists included representatives from Florida Realtors, engineering and reserve-study firms, a CPA, a community association attorney, and Broward County’s building safety official, all of whom described their roles in inspections, reserve planning, and code enforcement.
Testimony centered on what inspectors are finding in the field. Panelists said the most common problems are not subsidence but wear-and-tear and maintenance failures, especially in stairways, balconies, roofs, parapet walls, waterproofing, and corrosion. They described examples of buildings with hidden deterioration, hurricane-exposed damage, and associations that were underfunded despite prior inspection regimes in Miami-Dade and Broward. Dr. Barbosa explained that Miami-Dade’s recertification program began in the 1970s and Broward’s in 2005, with current timelines generally requiring notice, a first milestone review, and then time to begin substantial repairs; she said the program has improved compliance but that SIRS has added confusion.
Members also raised concerns about the cost and implementation of SIRS, including whether reports are being used to generate unnecessary work, whether contractors or firms have conflicts of interest, and whether the law’s use of “fully funded” is being misunderstood. Panelists said the statutory reserve requirement is better understood as baseline funding, not having all money in the bank immediately, and suggested clearer definitions and possibly changing the terminology to “adequately funded.” They also discussed the need to separate required structural items from optional or cosmetic items in reserve reports, improve transparency for buyers and lenders, and ensure associations provide documents through websites and other portals.
No votes were taken. The committee used the meeting as an information-gathering session and signaled that more panels and discussion would follow, with members and witnesses agreeing that the state may need further clarification, education, and possible statutory adjustments to reduce confusion while preserving building safety.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am
Joint Committee on Financial Services
Transcript Highlights:
- known as Chapter 58 here in Massachusetts, our member surveys have shown double-digit annual average premium
- I will point out that while the ACA does limit the use of rating factors to influence upfront premiums
- and provide for discounts, it does not create such prohibition for back-end financial incentives.
- So it doesn't solve the problem of high premiums or high overall medical costs, but what it does is make
Committee:
Joint Joint Committee on Financial Services
Summary:
The Joint Committee on Financial Services held a hearing with Chair Jamie Murphy and Senate co-chair Senator Feeney presiding. Members asked witnesses to keep testimony to three minutes and noted that written testimony could still be submitted. The committee heard testimony on several health insurance and pharmacy-related bills, including a proposal to allow controlled prescriptions to be transferred between pharmacies within the same chain, legislation affecting health savings account (HSA)-compatible plans and future insurance mandates, a bill on small business health insurance incentives, and H. 1212 on emergency insulin access.
Several parents and patients testified in support of emergency insulin access, describing severe diabetes emergencies, diabetic ketoacidosis, prescription delays, and the need for pharmacists to dispense insulin in urgent situations when doctors or insurers are unavailable. A parent also described the burden of repeatedly obtaining new prescriptions for ADHD medication when pharmacies are out of stock. Witnesses supporting the HSA bill argued that state coverage mandates can unintentionally disqualify HSA-qualified plans and that the bill would preserve tax advantages for enrollees while avoiding repeated legislative fixes. A representative of the Retailers Association supported the small business health insurance incentives bill, saying it could help retain small employers in the merged market by allowing carriers to offer financial incentives tied to cooperative purchasing and utilization efforts.
One witness, Kathleen Demarest, testified against a co-pay assistance restriction, saying a state rule had unexpectedly cut off her drug assistance before a generic was actually available, leaving her with very high out-of-pocket costs. Committee members asked a few clarifying questions about HSAs, insulin dispensing, and school support for diabetes care. After all scheduled witnesses had testified and no additional testimony was offered, the committee voted to close the hearing.
WA
Washington 2025-2026 Regular Session
House Floor Session Feb 10th, 2026 at 09:00 am
Washington House Floor Meeting
Transcript Highlights:
- Section 2, RCW, or premium discounts. The good member from... ...or premium discounts.
Bills:
HB1160 , HB1289 , HB1339 , HB1798 , HB1002 , HB1065 , HB1155 , HB1916 , HB2264 , HB1078 , HB1687 , HB1701 , HB1717 , HB1795 , HB1859 , HB2088 , HB2091 , HB2107 , HB2109 , HB2110 , HB2113 , HB2124 , HB2125 , HB2133 , HB2134 , HB2140 , HB2151 , HB2152 , HB2155 , HB2165 , HB2185 , HB2191 , HB2205 , HB2211 , HB2219 , HB2228 , HB2229 , HB2230 , HB2235 , HB2238 , HB2242 , HB2245 , HB2249 , HB2253 , HB2254 , HB2269 , HB2272 , HB2283 , HB2304 , HB2317 , HB2340 , HB2343 , HB2385 , HB2406 , HB2417 , HB2426 , HB2445 , HB2452 , HB2472 , HB2492 , HB2501 , HB2531 , HB2574 , HB2606 , HB2664
Summary:
The House convened, established a quorum, approved the previous day’s minutes, and heard a prayer and the Pledge of Allegiance. Members also announced caucus breaks and a reminder that Seahawks apparel would be permitted on the floor the next day. The chamber then moved through second- and third-reading business on a series of bills, with several committee substitutes and amendments adopted by voice vote before final passage votes were taken by roll call.
House Bill 1155, dealing with non-compete agreements, drew the most debate. Supporters said it would ban non-competes, improve worker mobility, and promote entrepreneurship; opponents raised concerns about contract freedom and, in one failed amendment, sought to exempt high earners and senior executives. Other adopted amendments clarified tribal worker relationships, defined patients in place of customers, and required notice that existing non-competes would be void. The bill ultimately passed 65-29. House Bill 1002, concerning PTSD eligibility for coroners and medical examiners, failed an amendment that would have limited costs to the relevant risk class, then passed 70-24 after supporters argued the measure would help a small group of workers exposed to traumatic scenes. House Bill 2264, on unemployment benefits for workers who voluntarily participate in layoffs, passed unanimously 94-0.
The House also passed House Bill 2110, allowing nurses to accompany inter-facility ambulance transports without EMT licensure, after an amendment requiring training on ambulance equipment; House Bill 2272, a technical update to ski equipment terminology; House Bill 2238, creating a statewide food security strategy and narrowing agency scope through amendment; House Bill 2445, aimed at stopping profiteering in probate cases involving unclaimed estates; House Bill 2109, allowing covered transport of certain vehicle loads to reduce roadway debris; House Bill 2492, requiring behavioral and mental health training for construction and trades workers despite objections about added costs; House Bill 2472, strengthening licensing enforcement for fire sprinkler work; House Bill 288, joining the dietician licensure compact; and House Bill 2229, updating the Professional Engineers Registration Act and requiring board members to have practiced in Washington for at least five years. Final votes on these bills ranged from near-unanimous to more divided, with each receiving the constitutional majority needed to pass.
WA
Washington 2025-2026 Regular Session
House Floor Session Feb 10th, 2026
Washington House Floor Meeting
Transcript Highlights:
- Section 2, RCW, or premium discounts. A good member from... ...or premium discounts.
Bills:
HB1160 , HB1289 , HB1339 , HB1798 , HB1002 , HB1065 , HB1155 , HB1916 , HB2264 , HB1078 , HB1687 , HB1701 , HB1717 , HB1795 , HB1859 , HB2088 , HB2091 , HB2107 , HB2109 , HB2110 , HB2113 , HB2124 , HB2125 , HB2133 , HB2134 , HB2140 , HB2151 , HB2152 , HB2155 , HB2165 , HB2185 , HB2191 , HB2205 , HB2211 , HB2219 , HB2228 , HB2229 , HB2230 , HB2235 , HB2238 , HB2242 , HB2245 , HB2249 , HB2253 , HB2254 , HB2269 , HB2272 , HB2283 , HB2304 , HB2317 , HB2340 , HB2343 , HB2385 , HB2406 , HB2417 , HB2426 , HB2445 , HB2452 , HB2472 , HB2492 , HB2501 , HB2531 , HB2574 , HB2606 , HB2664
Keywords:
design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU
Summary:
The House convened, established a quorum, recited the Pledge of Allegiance, and heard a prayer. Members approved the prior day’s minutes, referred introduction-sheet bills, and later took up several second- and third-reading bills. Early in the day, the chamber also announced that members could wear Seahawks apparel during floor action the next day.
The House passed House Bill 1155, which bans non-compete agreements, after adopting amendments clarifying tribal worker relationships, replacing references to “customer” with “patient” in certain contexts, and requiring notice to current and some former employees that non-competes are void. An amendment to exempt senior executives earning over $350,000 was rejected. The bill passed 65-29. The House also passed House Bill 1002, allowing certain coroners and medical examiners to seek workers’ compensation for PTSD; an amendment to isolate costs to their own risk class was rejected, and the bill passed 70-24. House Bill 2264, clarifying unemployment insurance eligibility for workers who voluntarily participate in layoffs, passed unanimously 94-0.
Later measures included House Bill 2110, allowing nurses to accompany inter-facility ambulance transports without also holding EMT licenses, which passed 94-0 after an amendment clarifying training; House Bill 2272, a technical update to ski equipment terminology, which passed 94-0; House Bill 2238, creating a statewide food security strategy, which passed 83-12 after a technical amendment narrowing agency scope; and House Bill 2445, aimed at preventing profiteering in probate estates, which passed 67-28 after a technical amendment. The House also passed House Bill 2109 on securing vehicle loads (95-0), House Bill 2492 requiring behavioral and mental health training for construction workers and apprentices (79-16), House Bill 2472 on licensed contractors for fire sprinkler work (92-3), House Bill 288 joining the dietician licensure compact (93-1), and House Bill 2229 updating the Professional Engineers Registration Act and requiring five years of Washington practice for board members after an amendment (68-26).
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 4 on Climate Crisis, Resources, Energy, and Transportation Apr 9th, 2025
Transcript Highlights:
- collected approximately $27 billion from ratepayers to pay for wildfire mitigation and insurance premiums
- sure that the disadvantaged communities that are accessing this program are able to get the bill discounts
- not only suitable sites with gas connection, but we needed the interconnection, and that was at a premium
- The California Lifeline program offers a discount on phone service, but it also allows a discount to
- The California Lifeline program offers a discount on phone service, but also it allows a discount to
Summary:
The hearing was an informational budget session on energy agency proposals, with no votes taken. Early discussion focused on Proposition 4 climate bond implementation, including funding for demand-side grid support, offshore wind development, and transmission financing. The Department of Finance said the budget includes allocations for demand-side grid support and offshore wind, but not yet for the $325 million transmission financing piece pending a required study. The Legislative Analyst’s Office urged the Legislature to consider whether to wait on offshore wind funding, whether to keep shifting funds into demand-side grid support, and how to direct future transmission financing. Members also raised concerns about local technical assistance for offshore wind, Salton Sea priorities, and the need for more information before final decisions.
The California Energy Commission and CPUC then reviewed the broader energy package. The CEC highlighted the demand-side grid support program’s growth, distributed energy backup assets, long-duration storage, hydrogen grants, and the SIRP clean energy reliability program. CPUC testimony emphasized affordability, wildfire mitigation costs, rooftop solar cost shifts, and efforts to reduce rates while maintaining reliability and clean energy goals. Members questioned CPUC staffing, delays in proceedings, coordination with the CEC and CAISO, and the impact of rate increases on customers. The agencies also discussed the AB 3264 transmission financing study, with CPUC saying work on the study had already begun and was on track for the July 1 deadline.
Several trailer bill and implementation items were also discussed. The committee reviewed a proposal to extend the Deaf and Disabled Telecommunications Program surcharge, with members split over whether it should be handled in budget trailer bill language or policy legislation; the administration said the surcharge supports a critical program serving about three-quarters of a million Californians. The committee also heard a CPUC data-sharing proposal to allow nondisclosure agreements for transmission and reliability data, which members generally supported as a technical fix. DWR explained a proposal to clarify language for the Electricity Supply Strategic Reliability Reserve so it can potentially sell three gas-fired units it owns, and the CEC presented a federal transmission grant proposal tied to grid-enhancing technologies and ratepayer cost recovery. Finally, the committee discussed California Lifeline and possible broadband pilot reforms in light of uncertainty around federal Universal Service Fund support, with CPUC saying it is exploring a statewide standalone broadband option for eligible customers.
NH
New Hampshire 2025 Regular Session
House Health, Human Services and Elderly Affairs (02/26/2025)
Health, Human Services & Elderly Affairs
Transcript Highlights:
- they feel they will not be able to afford it, and small businesses burdened by rising insurance premiums
- 04:37.800><c> by</c><02:04:37.960><c> Rising</c><02:04:38.360><c> insurance</c><02:04:38.840><c> premiums
- </c> burdened by Rising insurance premiums burdened by Rising insurance premiums these<02:04:39.800><
- </c> widgets of X they may give me a discount widgets of X they may give me a discount versus<02:24:03.520
- or what have you eligibility or premiums or what have you that<03:46:49.800><c> that</c><03:46:49.920
ND
North Dakota 2026 1st Special Session
Government Finance Committee Mar 19th, 2026 at 01:00 pm
Government Finance Committee
Transcript Highlights:
- On the average price, the actual to date, 56.34, is that the North Dakota discounted rate? Mr.
- So it reflects the North Dakota price minus the discounted North Dakota price with deducts for transportation
- refined products that go down a pipeline to another market also receive some kind of a transportation discount
- Storage is at a premium.
- Storage is at a premium.
Committee:
Joint Government Finance Committee
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 4 on Climate Crisis, Resources, Energy, and Transportation Apr 9th, 2025
Transcript Highlights:
- collected approximately $27 billion from ratepayers to pay for wildfire mitigation and insurance premiums
- levels and ensure that the disadvantaged communities accessing this program are able to get the bill discounts
- At a premium.
- The California Lifeline program offers a discount on phone service, but also it allows a discount to
WA
Washington 2025-2026 Regular Session
Senate Labor & Commerce Jan 26th, 2026
Transcript Highlights:
- So it may result in increased staff costs, increased premiums, pension costs, and claim costs.
- So it may result in increased staff costs for managing the claims, increased premiums if they're state
- She continued that, in Washington, workers contribute about a quarter of the premium, and that provides
- Before entering cannabis, I worked for years in discount retail, where inventory gluts drive consumer
- Before entering cannabis, I worked for years in discount retail, where inventory gluts drive consumer
Summary:
The committee heard testimony on several bills. SB 5882 would extend workers’ compensation PTSD presumptions to local correctional facility workers after 90 days of employment, with staff explaining the bill’s scope, fiscal note, and how claims would affect employers’ experience ratings. The sponsor and labor representatives supported the measure as a response to correctional officer trauma, while cities, retailers, and self-insurers opposed it over cost, system sustainability, and the need for more study. Labor and Industries said the estimated five-year state-fund claim cost ranges from $6.7 million to $15.3 million, and the hearing closed after testimony from both sides.
The committee then heard SB 6196, which would impose a 95% excise tax on kratom products starting in 2027, create licensing and labeling requirements, and direct revenue to youth harmful substance prevention. Supporters argued kratom is unregulated and increasingly available to youth, and some urged age-gating and stronger restrictions on synthetic concentrated products. Opponents, including retailers and the American Kratom Association, said the bill is too punitive, would hurt legitimate businesses, and should be revised into a consumer protection framework rather than treated like a controlled substance. No vote was taken.
SB 6204, allowing adults to grow up to six cannabis plants at home with a 15-plant household cap, drew strong support from cannabis advocates and some medical users, who said home grow should have been part of legalization and would help consumers understand the plant. Opponents from law enforcement, cities, and public health warned about youth access, enforcement problems, fire and chemical risks, and possible impacts on cannabis tax revenue. The committee also heard SB 6134, requiring notice to striking workers about possible UI overpayments if they later receive retroactive wages, which the sponsor said would prevent surprise repayment obligations; testimony was overwhelmingly supportive. Finally, SB 6195, aimed at reducing cannabis oversupply by tying producer canopy size to reported sales, drew broad support from cannabis businesses and trade groups, who said it would stabilize the market and address JLARC’s findings, with some stakeholders asking for implementation fixes and clearer language.
HI
Hawaii 2025 Regular Session
HRE DEFER, HRE Public Hearings 02-06-2025
Transcript Highlights:
- It is very difficult to retain physicians unless you offer housing or discounted housing, medical school
- We pay 100% of the dental premiums for my staff at Mikami Drugs.
- <00:12:42.839><c> housing</c><00:12:43.480><c> medical</c><00:12:43.959><c> school</c> discounted housing
- medical school discounted housing medical school student<00:12:45.199><c> loan</c><00:12:45.480><c>
- for my staff at the dental premiums for my staff at mikai<00:13:19.240><c> e</c><00:13:19.360><c> drugs
Summary:
The Committee on Higher Education met on February 6 and began with decision-making items. SB 663, concerning additional positions for the University of Hawaiʻi College of Tropical Agriculture and Human Resources, was deferred again after the chair said the university’s response did not include the requested details on vacant positions, recruitment status, and fill dates. The chair said the committee needed the full information before considering new positions, and the university apologized for treating the request as informal rather than a formal committee inquiry.
The committee then discussed SB 672, relating to capital improvement projects for the Y. Manalo Research Station. University representatives said the project had been identified late because of timing and that they were still developing a broader plan for SEAR research facilities. The chair questioned how the project fit within the university’s existing Board of Regents-approved CIP priorities and whether any current priorities should be displaced. The university said it could not unilaterally reprioritize the budget, and the measure was deferred pending better direction on how it fits into the overall plan.
For SB 557, which would require the John A. Burns School of Medicine to direct a study on physician and dentist recruitment and retention for Maui, the committee heard strong testimony in support from Maui health care providers and community representatives. Supporters described severe shortages of physicians and dentists, long waits for care, and the need for housing, loan repayment, scholarships, transportation, and telehealth support to retain providers. The university said it was willing to help and suggested the work could be done through existing rural health and AHEC efforts. The bill was kept alive for further work, with the chair encouraging the parties to develop a plan.
The committee also heard SB 1107, establishing a medical education position at JABSOM to support ECHO-style mentorship and guidance programs. The university opposed the bill, saying it did not believe the measure addressed a problem that needed fixing and that Hawaiʻi already has five ECHO clinics administered through the Hawaiʻi State Rural Health Association, not JABSOM. The committee then took up SB 1204, concerning integration of the Kakaʻako medical school and cancer center. University leadership asked for time to develop a plan and timeline, possibly with an external consultant, and requested the bill be withdrawn. The chair expressed skepticism, citing long-standing concerns about the cancer center’s finances and planning. Testimony included support from the American Cancer Society and a patient who warned that integration could jeopardize the cancer center’s NCI designation and clinical trials, while a university vice president said the NIH P30 grant does not require the cancer center and medical school to remain separate and that many NCI centers are integrated. No final votes were taken on the measures discussed in the excerpt.
MD
Transcript Highlights:
- </c> concerned because the cost, the premiums concerned because the cost, the premiums are<01:28:09.440
- </c> "Why are the premiums going up?
- Perhaps an insurance company could give a discount..." "...could give a discount towards insurer and
- give a discount could<01:29:59.800><c> give</c><01:29:59.960><c> a</c><01:30:00.000><c> discount</c>
- </c><01:30:43.960><c> So,</c> these premiums." So, these premiums."
TX
Transcript Highlights:
- House Bill 2402 clarifies that special discounted prices offered through monthly fee-based membership
- discount programs should be excluded from usual and customary charge calculations.
- This prevents artificially low Medicaid reimbursement rates for members-only discounted prices.
- So my understanding is that in 48 other states, it's permissible for a membership-driven discount drug
- Policyholders pay premiums. Part of those premiums is a 1.6 percent tax associated with that.
Bills:
HB1520 , HB1545 , HJR110 , HJR203 , HB245 , HB1465 , HB1482 , HB294 , HB793 , HB809 , HB3928 , HB334 , HB2037 , HB1973 , HB285 , HB4341 , HB4264 , HB 1043 , HB837 , HB 1234 , HB 1193 , HB 1194 , HB1646 , HB1729 , HB2498 , HB1314 , HB2295 , HB1353 , HB1531 , HB1988 , HB5398 , HB3960 , HB3923 , HB1407 , HB1764 , HB2221 , HB2214 , HB2517 , HB2518 , HB2213 , HB5008 , HB5092 , HB3421 , HB3663 , HB3748 , HB3800 , HB3756 , HB2613 , HB3782 , HB5246 , HB4344 , HB4044 , HB4066 , HB2702 , HB2807 , HB2869 , HB2898 , HB3181 , HB3250 , HB4153 , HB2091 , HB2115 , HB2542 , HB2768 , HB3349 , HB3352 , HB4406 , HB1593 , HB1899 , HB3133 , HB4432 , HB4960 , HB3214 , HB3915 , HB3508 , HB2145 , SB304 , SB608 , SB2312 , SB494 , SB530 , HB45 , HB2520 , HB35 , HB47 , HB318 , HB349 , HB554 , HB1359 , HB1373 , HB2254 , HB2259 , HB2853 , HB3073 , HB3088 , HB353 , HB355 , HB786 , HB762 , HB705 , HB932 , HB849 , HB 1119 , HB3041 , HB713 , HB3104 , HB3970 , HB4042 , HB4490 , HB1731 , HB2607 , HB3689 , HB1788 , HB1612 , HB138 , HB15 , HB1971 , HB1338 , HB2989 , HB267 , HB 1201 , HB2954 , HB5265 , HB1804 , HB5061 , HB1520 , HB1545 , HJR110 , HJR203 , HB1887 , HB1914 , HB2402 , HB2306 , HB1809 , HB2350 , HB3000 , HB3237 , HB3326 , HB3211 , HB 1056 , HB2081 , HB2187 , HB3092 , HB3308 , HB3526 , HB3750 , HB3527 , HB4219 , HB4230 , HB4290 , HB5238 , HB4804 , HB4749 , HB245 , HB1465 , HB1482 , HB294 , HB793 , HB809 , HB3928 , HB334 , HB2037 , HB1973 , HB285 , HB4341 , HB4264 , HB 1043 , HB837 , HB 1234 , HB 1193 , HB 1194 , HB1646 , HB1729 , HB2498 , HB1314 , HB2295 , HB1353 , HB1531 , HB1988 , HB5398 , HB3960 , HB3923 , HB1407 , HB1764 , HB2221 , HB2214 , HB2517 , HB2518 , HB2213 , HB5008 , HB5092 , HB3421 , HB3663 , HB3748 , HB3800 , HB3756 , HB2613 , HB3782 , HB5246 , HB4344 , HB4044 , HB4066 , HB2702 , HB2807 , HB2869 , HB2898 , HB3181 , HB3250 , HB4153 , HB2091 , HB2115 , HB2542 , HB2768 , HB3349 , HB3352 , HB4406 , HB1593 , HB1899 , HB3133 , HB4432 , HB4960 , HB3214 , HB3915 , HB3508 , HB2145 , HCR6 , HCR12 , HCR34 , HCR50 , HCR55 , HCR58 , HCR70 , HCR71 , HCR72 , HCR74 , HCR75 , HCR78 , HCR80 , HCR93 , HCR100 , HCR107 , HCR116 , HCR117 , HCR90
Keywords:
Angelina and Neches River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, Special District Local Laws Code, local government, natural resources, board of directors, director training, board governance, public testimony, open meetings, public information, conflict of interest, ethics, complaint system, general manager, board president, staggered terms, removal of director
Summary:
The House convened with a quorum, heard the invocation and pledges, and then took up a series of memorial resolutions and recognitions. Members adopted memorial resolutions honoring former President Jimmy Carter and Dr. Alice Gail Hudgens, with remarks highlighting their public service and community impact, and adopted resolutions recognizing Victoria College’s 100th anniversary and May 2025 as Mental Health Awareness Month. The chamber also recognized Texas A&M system interns and later granted permission for several committees to meet while the House was in session.
The House then moved through a long third-reading calendar, passing a number of bills on wide margins. Measures approved included SB 304 on municipal court jurisdiction over nuisance abatement ordinances, SB 608 on reporting evidence collection kits, SB 2312 creating a Texas Advisory Committee on Geopolitical Conflict, SB 494 creating a petroleum theft task force, SB 530 on postsecondary accreditation, HB 45 giving the Attorney General a role in prosecuting human trafficking cases, HB 35 on peer support for first responders, HB 47 and HB 3073 on sexual assault policy and prosecution, HB 318 and HB 3000 creating rural sheriff and ambulance grant programs, HB 554 on Juneteenth fireworks sales with county opt-in authority restored, HB 705 and HB 932 joining licensure compacts for cosmetology and occupational therapy, HB 849 allowing county park boards to meet by video conference, HB 1119 on mental health bed reporting, HB 3041 on students with nontraditional secondary education, HB 713 on maternal mortality review reporting, HB 3104 on Webb County bailiff appointments, HB 3970 on electricity planning for large loads, HB 4042 on Railroad Commission safety provisions for gas distribution pipelines, HB 4490 protecting next-of-kin information, HB 1731 on the physician assistant compact, HB 2607 on Walker County Hospital District governance, HB 3689 on Texas Windstorm Insurance Association funding, HB 1788 on continuing education for barbers and cosmetologists about abuse and trafficking, HB 1612 on hospital direct payments for uninsured patients, and HB 138 on health impact cost and coverage analysis.
Several bills drew extended debate or amendments. HB 353, creating a trespass offense near schools and daycares, prompted questions about constitutional concerns and property rights before passing. HB 3211 on optometrists in managed care plans received a perfecting amendment and a Medicaid-related amendment setting a minimum payment level. HB 1056 on gold and silver specie and a state-based currency prompted detailed questioning about its mechanics and fees, followed by a point of order challenging the caption. The House also adopted or postponed a number of items, including postponing HB 2520 and HB 1359 until later in the calendar before later passing both, and laying several bills on the table subject to call. Many measures passed overwhelmingly, while a few, including HB 3326 on loan forgiveness for adjunct professors and HB 3237 on energy consumption goals, passed with narrower margins.
NH
New Hampshire 2026 Regular Session
House Commerce and Consumer Affairs (04/22/2026)
Commerce and Consumer Affairs
Transcript Highlights:
- </c><00:41:15.080><c> I</c> >> The premiums theoretically, well, I >> The premiums theoretically
- </c> um, is what drives premium in the end. um, is what drives premium in the end.
- </c> enough to actually keep the premiums enough to actually keep the premiums kind<01:19:47.760><c>
- </c> premiums, stable premiums. premiums, stable premiums.
- </c> for a prescription drug discount for a prescription drug discount program. program. program.
Committee:
House Commerce and Consumer Affairs
AZ
Transcript Highlights:
- It spent more money than the premiums that took in. Correct. Mr. Chairman.
- And will the premium increases be $7,000 a year? What would cost them $7,000 a year? Mr.
- So you are correct, ma'am: it is all premiums are based on the fiscal year of January 1st.
- And increasing employee premiums. We know we don't pay our state employees enough.
- And increasing employee premiums, we know we don't pay our state employees enough.
Bills:
HB4138 , HB4139 , HB4140 , HB4141 , HB4142 , HB4143 , HB4144 , HB4145 , HB4146 , HB4147 , HB4148 , HB4149 , HB4150 , HB4151 , HB4152 , HB4153 , SB1831 , SB1832 , SB1833 , SB1834 , SB1835 , SB1836 , SB1837 , SB1838 , SB1839 , SB1840 , SB1841 , SB1842 , SB1843 , SB1844 , SB1845 , SB1846
Committee:
Joint Appropriations
Keywords:
appropriations, education funding, health care, general fund, state budget, local funding, gaming, pari-mutuel, horse racing, regulatory assessment, first-time starters, budget implementation, federal funds, government services, budget stabilization, financial reporting, capital outlay, infrastructure, veterans services, highway construction
WA
Washington 2025-2026 Regular Session
House Floor Session Feb 28th, 2026 at 09:00 am
Washington House Floor Meeting
Transcript Highlights:
- understood when we saw HR1 implemented, people that maybe weren't directly affected by those programs saw premium
- I currently pay 25% of my premiums for far better coverages and much lower deductibles.
Bills:
HB2720 , HB2073 , HB2681 , SB5467 , SB5820 , SB5863 , SB5892 , SCR8406 , HB2487 , HB2711 , SB5816 , SB5919 , SB5995 , SB6278
Keywords:
behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, cannabis, license fees, regulatory framework, revenue generation, legalization, SB 5467, water-sewer district, water sewer district, surplus property, public property sale, local government
WA
Transcript Highlights:
- This is funding health insurance premium assistance. The original bill was not heard.
- and 1% of the annual premium on premium in excess of $150 million.
- Premiums have more than doubled in the last decade alone.
- This proposal builds on that progress by providing more funds for premium assistance.
- insurer paying the premium tax and is limited to the revenue on which the premium tax was paid; businesses
Bills:
SB5808 , HB2254 , HB2385 , SB6006 , SB6351 , SB6198 , SB6260 , SB6353 , SB5949 , SB6129 , SB6228 , SB6231 , SB6229 , SB6173
Committee:
Senate Ways & Means
Keywords:
health insurance, premium assistance, funding, healthcare access, state budget, HB 2254, Washington, Health Care Authority, partnership access line, psychiatric consultation line, first approach skills training, behavioral health, mental health, assessment, administrative costs, health carriers, self-funded plans, multiple employer welfare arrangement, MEWA, employers