Transcript Highlights:

• We remove an outdated tuberculosis testing mandate.
• This is a situation of coverage isn't necessarily access. How do we get kids access?
• If we're getting a mandate, it seems like it would fall back to the state.
• These grants, these unfunded mandates, and what are we doing here?
• Market options help ensure continuity of care and prevent gaps in coverage.

Bills: HB741, HB 1199, HB2070, HB2402, HB2542, HB2665, HB2789, HB3096, HB3396, HB3595, HB3747, HB4116, HB4127

Keywords: child welfare, relative caregiver, monetary assistance, Department of Family and Protective Services, child custody, family law, emergency power, nursing facilities, assisted living, generator requirements, health and safety, emergency generators, power outage, emergency generator, assisted living facilities, power source, child abuse, neglect registry, court findings, Medicaid

Transcript Highlights:

• followed this mandate without issue. followed this mandate without issue.
• Again, this bill is not a new coverage mandate.
• Chair, who can speak to the negative impacts of this such a drastic coverage cap. coverage mandate.
• It does not add cost coverage mandate.
• that coverage uh elsewhere. that coverage uh elsewhere.

Keywords: 1187, senate, all

Transcript Highlights:

• You're not going to have coverage.
• You're not going to have coverage for earthquake or earth movement unless you go and try to find coverage
• The coverages that you find are pretty typical to what you would expect in any property insurance coverage
• And, of course, as we know, fire and flood coverage— and we're not promoting earthquake coverage per
• It's an extended coverage.

Summary: The committee heard a work session on earthquake insurance, beginning with background from the Office of the Insurance Commissioner. OIC staff explained that earthquake and earth movement are generally excluded from standard property policies, that earthquake coverage is usually purchased through endorsements or standalone policies with high deductibles and relatively high premiums, and that surplus lines are a limited backstop market not covered by the state guarantee fund. They also described parametric insurance and captive insurance as more specialized products generally suited to commercial or governmental buyers rather than ordinary consumers. A second panel of insurance and banking experts focused on commercial earthquake exposure, especially for older buildings, collateralized loans, and potential knock-on effects to banks and consumers if a major quake caused widespread damage. Members asked about consumer impacts, mitigation incentives, inventories of vulnerable buildings, and whether legislation such as prior work on unreinforced masonry could help reduce risk. The Washington Bankers Association said earthquake insurance is expensive and that affordability is a major concern, while also noting banks participate in disaster-recovery planning and would be affected by major regional losses. No votes or formal actions were taken. The committee then received a presentation from the Washington State Institute for Public Policy on its cannabis and Initiative 502 research. WSIPP staff described the agency as a nonpartisan research institute that conducts legislative-directed studies and explained that its long-term I-502 assignment includes periodic reports leading to a final benefit-cost evaluation in 2032. Staff summarized findings from a 2023 report showing that cannabis possession convictions fell sharply after legalization, though some racial disproportionalities persisted, and that closer retail access was associated with higher reported adult cannabis use, more fatal traffic crashes involving drivers from nearby areas, and higher rates of cannabis use disorder diagnoses among Medicaid enrollees. A 2023 youth-focused report found that students attending schools near retailers were more likely to report cannabis use, had more unexcused absences, and were less likely to graduate on time. In the newest 2025 Medicaid study, staff said retail access was associated with higher probabilities of cannabis use disorder diagnoses, related hospitalizations, inpatient treatment, and co-occurring mental health diagnoses, with event-study analysis suggesting the increases appeared after retailers opened rather than before. Members asked about racial disproportionality, the meaning of cannabis use disorder diagnoses, THC and impairment, whether the findings reflected medical versus recreational use, and how the results should be interpreted in light of broader trends and data limitations. No formal committee action was taken.

Transcript Highlights:

• annual reporting on orthotics and prosthetic coverage and payments.
• or that coverage is unaffordable.
• Health care, minimum wage job for half a month, I'm going to lose my coverage.
• So we are kind of forcing them into the coverage gap.
• that coverage is already essential to keeping them alive.

Summary: The Appropriations Committee considered a large agenda of bills and reported several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and a trust for Leila Estrada and Sapphire Williams, and CS/CS/SB 1266, which creates a cybersecurity experiential learning and clearance-readiness program through the Department of Commerce and Cyber Florida. The committee also approved SB 532 on clerks of court funding, allowing clerks to retain all excess Article V revenue rather than returning half to the state and clarifying foreclosure sale procedures. In addition, the committee passed CS/CS/SB 1602 and CS/CS/SB 1604 to create and fund a pilot housing program for veterans through the Florida Housing Finance Corporation, and CS/SB 1110 to expand Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including testimony from affected families and advocates. The committee also adopted an amendment and then favorably reported CS/CS/SB 1012 on inmate services, removing the bill’s medical-services compensation provisions while retaining changes to the inmate welfare trust fund and related facility uses. It also adopted a delete-all amendment and then favorably reported CS/CS/CS/SB 1614, which was narrowed to remove a provision allowing local governments to use excess fees to construct new buildings. The committee spent substantial time on CS/SB 17, a Medicaid oversight and transparency bill. The sponsor said the measure would create a joint legislative Medicaid oversight committee, authorize the Legislature to retain its own actuary, modernize Medicaid statutes, strengthen managed-care performance standards, and increase accountability for pharmacy benefit managers and related entities. After amendment, the committee adopted changes removing several PBM-related provisions while retaining the broader oversight framework. Testimony from supporters emphasized transparency, fraud prevention, and cost control, while a PBM trade association asked to continue working on affiliate-manufacturer, network, and payment issues. The bill was reported favorably. The most extensive discussion centered on CS/SB 1758, which proposes major changes to Medicaid and SNAP. The sponsor described five reforms: stronger fraud and overpayment recovery authority, a Medicaid work requirement for certain able-bodied adults, expanded behavioral-health services through Medicaid waivers, pharmacy-program changes to obtain rebates and reduce institutional costs, and SNAP/EBT reforms including photo IDs and work requirements. The committee adopted two amendments: one adding a transitional “glide path” for people who gain employment but risk losing Medicaid, and another exempting hospice patients with six months or less to live. Supporters argued the bill would reduce fraud, improve accountability, and encourage work, while opponents warned it would increase administrative burdens, push eligible people off coverage, and conflict with federal law or guidance. The bill remained under debate with extensive public testimony from advocates, providers, and affected families, and the transcript ends before final disposition on the measure.

Transcript Highlights:

• So my comments are more for the uh issue of coverage mandates in general.
• Among them are coverage mandates. And like I said, there were eight of those this year.
• mandate bills in believe, eight coverage mandate bills in the<01:00:15.760> legislature<01:00
• are more for the uh issue of coverage are more for the uh issue of coverage mandates<01:00:37.280
• and<01:02:21.280> this coverage mandates in general, and this coverage mandates in general

Keywords: 1191, senate, all

Transcript Highlights:

• in Texas are increasingly burdened by rising insurance costs, particularly for windstorm and hail coverage
• They are mandated by insurance carriers and regulatory authorities as a condition of coverage in coastal
• The deductibles increased and the coverage is decreased.
• their windstorm coverage because it's gotten so expensive...
• You know, that's not real coverage right there because Harvey was in 2017.

Summary: The Committee on Education K-16 heard testimony on SB 1635, which would give certain coastal, recapture-paying school districts a credit against recapture payments for mandatory windstorm and hail insurance costs. Senator Hinojosa said the bill is intended to offset unusually high insurance expenses for districts in Tier 1 or Tier 2 coastal zones, and he estimated about a $12 million impact to state revenue. Witnesses from Port Aransas ISD and Gregory-Portland ISD described sharp premium increases, reduced coverage, higher deductibles, and the effect on teacher pay and classroom spending. Senators asked about the number of affected districts, the accuracy of the fiscal estimate, and whether the bill might encourage districts to maintain coverage. Public testimony was closed and SB 1635 was left pending. The committee then took up several other bills and committee substitutes, adopting and reporting favorably SB 2786, SB 2623, SB 646, SB 843, SB 2392, SB 1998, SB 1418, SB 2788, and SB 2076, with most votes unanimous or near-unanimous. SB 2392 was amended to add improper relationship between educator and student to mandatory reporting offenses and to authorize an attorney general civil penalty for failure to report. SB 2623 was revised to clarify duties and exemptions related to the Safe Schools and Neighborhood Task Force and school proximity restrictions. SB 843 would create a TEA database of school district bonds and related projects, and SB 2788 would exempt certain PSAT scorers from the Texas Success Initiative assessment. The committee also heard SB 2929, which would allow referees and other officials at school athletic events to immediately eject disruptive spectators. The Texas Association of Sports Officials testified in support, citing abusive spectator behavior and a shortage of officials. SB 2929 was left pending. Finally, the committee heard a substitute for SB 2927 on 1882 partnerships and a substitute for SB 2619, which would require more transparency and accountability for failing school districts, superintendent hiring, trustee training, and takeover timelines. Testimony on SB 2619 was mixed, with one witness from Texas 2036 supporting parts of the bill’s accountability provisions. The committee adopted the substitute for SB 2619, left it pending, and then recessed subject to the call of the chair.

Transcript Highlights:

• The bill doesn't change any coverage standards.
• The bill doesn't change any coverage standards or create new mandates for insurers.
• It removes coverage for over-the-counter opioid antagonists with the substitute.
• Instead, the bill relies on the existing category of mandated reporters already in Virginia law.
• Instead, the bill relies on the existing category of mandated reporters already in Virginia law.

Keywords: March 12, 2026 - Regular Session, 976, house, all

Transcript Highlights:

• types and offering offering better rates or different coverage types and the consumer have additional
• Charlie for that to go through comparable coverage. We've looked at this.
• to the coverage that the private carrier is offering at the time to take out.
• If you have statutorily mandated requirement that consumers must take a policy that at the very least
• that coverage must be comparable to what they had before since you're kind of forcing them into that

Transcript Highlights:

• And just knowing that it individual market coverage, which is going to be really tough.
• And these rules are really built on lessons from pandemic continuous coverage.
• It shortens the retroactive coverage period from three months to one month.
• So we do expect some coverage loss due to this extra burden on clients.
• We're not mandating.

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.

Transcript Highlights:

• This bill would address the insurance coverage problem for Arizonans.
• This bill does not mandate coverage or regulate rates. It requires transparency.
• This bill does not mandate coverage or regulate rates. It requires transparency.
• This bill does not mandate coverage. It does not set denial limits, and it does not regulate rates.
• What we're doing is mandate stacking.

Bills: SB1014, SB1094, SB1146, SB1177, SB1192, SB1194, SB1214, SB1372, SB1390, SB1398, SB1399, SB1494, SB1557, SB1561, SB1564, SB1602, SB1603, SB1621, SB1628, SB1629, SB1713, SB1752, SB1776, SB1813, SB1814, SB1821

Keywords: gender transition, gender detransition, health insurance, medical procedures, insurance claims, official documents, Arizona law, gender reassignment, civil liability, minors, medical consent, detransition, dependent children, foster care, periodic review, court hearings, child welfare, public funds, prohibition, Arizona legislation

Summary: The committee heard and acted on several health-related bills, with the longest discussion centered on SB 1214, the Arizona Stem Cell Therapy Act. The bill would regulate stem cell and birth tissue therapies, bar use of tissues derived from aborted fetuses or embryos, require informed consent and disclosure for non-FDA-approved therapies, and create civil and criminal penalties for violations. Supporters framed it as a patient-safety and bioscience-innovation measure, while opponents objected to the abortion-related language and felony penalties. The committee approved SB 1214 on a 4-3 vote. The committee also advanced SB 1194, which would prohibit health professionals and institutions from denying care or reducing care quality based on vaccination status, and SB 1814, which creates a study committee on substance use disorder treatment standards and oversight. SB 1602, increasing monthly stipends for kinship foster care parents, and SB 1603, expanding child-only cash assistance eligibility for certain foster and relative placements, were both amended and passed unanimously. SB 1177, barring public funds from being used for gender transition procedures, and SB 1014, requiring insurance coverage for detransition care and related reporting, both drew strong support and opposition and were each approved on 4-3 votes. Later, the committee unanimously passed SB 1628, requiring insurers and health plans to report claims-denial and prior-authorization data to DIFI for public reporting, and SB 1629, requiring AHCCCS managed care organizations to give advance notice and network-adequacy documentation before terminating high-volume providers without cause. Supporters of both bills emphasized transparency and patient access, while opponents argued the measures duplicated existing federal or state oversight. The committee then heard SB 1752, which would criminalize commercial harvesting or sale of mescaline while preserving a religious-use defense; the sponsor said it was intended to address improper sales of peyote-derived substances, but no final action on that bill was taken in the portion provided.

Transcript Highlights:

• And we really don't have a problem with generic coverage, right, or biosimilar coverage. 85 to 90% of
• And we immediately start expanding coverage to those lower net cost generics.
• So if you require coverage on the formulary to be based purely on WAC, that's just the list price.
• So you have to have that second layer of insurance, stop-loss coverage, to get over there.
• To answer some of your questions, Senator, this bill is more than the DOI mandate, which was $9.

Summary: The Senate Committee on Insurance met on May 6, 2026, and first reported HB 1241 favorably. That bill, by Chairman Furman, requires insurers to check with DCFS before paying certain insurance settlements to determine whether the recipient owes delinquent child support, and to withhold and remit arrears if found. DCFS explained that Louisiana already has intercepts and other collection tools, but no current mechanism for insurance settlements. Senators raised concerns about notice to obligors and about liability if insurers fail to withhold, but the bill was advanced without objection. The committee then heard HB 870, which would require health insurers and PBMs to cover lower-cost generic or biosimilar drugs when available and to use utilization management no more restrictively on those drugs. Supporters said the bill would improve access and lower patient costs by using wholesale acquisition cost as the comparison point. Opponents, including Louisiana Blue and the AFL-CIO, argued that WAC ignores rebates and net cost, could force plans to cover higher-cost biosimilars first, and could increase premiums and disrupt ERISA and fully insured plan design. The committee adopted a technical amendment set and then a second amendment set that added notice and reporting requirements tied to net cost calculations, and HB 870 was reported favorably as amended. Several other bills were moved with little or no opposition. HB 1176, concerning Medicare Advantage coverage for integrative cancer treatments such as cold cap therapy, cryotherapy, and acupuncture, was amended to change the effective date and then reported favorably. HB 1196, dealing with colorectal cancer screening follow-up colonoscopies, was also amended and reported favorably. HB 1162, a consumer protection bill requiring DOI to verify that a contractor named on a first-party property damage check is licensed in Louisiana, was amended and reported favorably. HB 826, which modernizes insurance referral rules to allow referrals by email or website address, was reported favorably. The committee also heard HB 1151 on insurer investment limits and solvency protections, and HB 1236 on pharmacy reimbursement and copay maximizer programs; both drew substantial testimony and concern, especially over retroactivity, PBM cost allocation, and whether copay maximizers shift costs to patients, but the transcript cuts off before final action on HB 1236.

Transcript Highlights:

• This unfunded mandate over these areas has caused higher costs.
• This unfunded mandate over these areas has caused higher costs.
• This unfunded mandate over these areas has caused higher costs.
• several other states with ESS mandates several other states with ESS mandates allow<00:37:31.760
• <00:42:47.280> that limitations around this mandate that limitations around this mandate that

Keywords: 919, house, all

Summary: The committee took up House File 1325 and adopted the author’s A2 amendment before hearing testimony. Representative Schultz presented the bill as a set of bipartisan changes to make Minnesota’s earned sick and safe time law more workable for small businesses, public employers, and taxpayers, arguing the current law is an unfunded mandate that increases costs and property taxes. The bill’s supporters said it would add flexibility, including changes affecting coverage for certain workers, employer size thresholds, front-loading, weather-related exceptions, and a delay on penalties. Commissioner Nicole Blissenbach of the Department of Labor and Industry opposed the bill, saying it would exclude about 800,000 workers, or roughly 30% of the workforce, from earned sick and safe time protections and create confusion and enforcement problems. She also objected to the proposed penalty delay, saying the department already uses compliance assistance and needs penalty authority for serious violations. The Minnesota Chamber supported modifications to the mandate, saying businesses—especially small ones—have struggled with compliance and that the law has had unintended effects on PTO policies and leave use. The League of Minnesota Cities supported parts of the bill, especially changes affecting more generous city leave policies and weather-event exemptions, saying current language creates confusion and can interfere with emergency staffing. Opponents from Education Minnesota, SEIU Minnesota, TakeAction Minnesota, and a nurse from Unity Hospital argued the bill would strip protections from part-time workers, minors, and workers with family caregiving needs, and would weaken a law they said has helped workers avoid discipline or lost wages when sick. Supporters from counties and an HR consultant emphasized administrative burdens, emergency staffing needs during weather events, and the difficulty of applying ESS rules to existing leave policies. No final vote on the bill was taken in the portion of the meeting provided; the bill was laid over for further consideration.

Transcript Highlights:

• It's now up to 45 percent of a given ride going towards government-mandated insurance costs.
• Uninsured and underinsured motorist coverage. Yes. U-M. U-M. U-M slash U-I-M.
• that kind of coverage, right, of somebody else hitting, hitting this.
• But the state has not mandated that on those forms of transportation simply because it hasn't mandated
• SB 757 required $5 million of general liability. coverage and $1 million of underinsured motor coverage

Keywords: 988, house, all

Transcript Highlights:

• AB 1171 also respects local bargaining and does not impose a one-size-fits-all mandate.
• What reason would there be if the purpose is to provide medical coverage, of course?
• So if the purpose is to provide medical coverage, what would be the reason to take that money out?
• It does not create new mandates.
• Importantly, the bill does not mandate a specific curriculum.

Keywords: 987, senate, all

Summary: The committee heard several education-related bills, with most of the discussion centered on student privacy, faculty health coverage, Native student data collection, mental health training for coaches, and human trafficking prevention education. AB 1159, the California Learner Personal Information Protection Act, would expand student data privacy protections to higher education, clarify existing ed-tech rules, and add limited enforcement. The author and supporters said current law is outdated and does not adequately protect sensitive student information, while some college-related stakeholders raised definitional concerns about preserving routine student communications and access to course materials. The bill was approved on a due-pass motion to the Senate Privacy, Digital Technologies and Consumer Protection Committee and placed on call. AB 1171 would keep unspent funds in the part-time community college faculty health insurance program from being swept for other uses and would require all community college districts to begin negotiating participation by 2030. The author and supporters argued that part-time faculty often lack employer-sponsored coverage despite teaching most community college courses, while opponents said the bill was premature because participation is still growing and the program’s full-year spending data is not yet known. Members debated whether the Legislature should preserve the funding in statute or continue handling it through the budget process. The bill passed on a due-pass motion to Senate Appropriations and was placed on call. AB 1581 would require collection of tribal affiliation data for Native American and Alaska Native students in CalPADS to address severe undercounting and improve resource allocation. The author and tribal and education supporters said Native students are often misclassified, making it harder to provide culturally responsive programs and measure outcomes; committee members discussed how the reporting would work for multitribal and multiracial students and emphasized the need for tribal consultation and workable data definitions. The bill passed on a due-pass motion to Senate Appropriations and was placed on call. AB 1665, requiring mental health training for school coaches, was supported as a way to help trusted adults recognize warning signs and connect student athletes to services; it also passed to Senate Appropriations and was placed on call. AB 1766, which would expand human trafficking prevention education from kindergarten through 12th grade and address online grooming and exploitation, received strong support from the author, survivors, and advocacy groups, with testimony emphasizing earlier prevention and digital safety; the transcript ended during support testimony and did not include final action on that bill.

Transcript Highlights:

• said that the reason why that policy has been instituted, in direct violation of their statutory mandate
• <00:12:49.839> of<00:12:50.160> HRS Uh this is despite the mandate of HRS Uh this is
• despite the mandate of HRS section<00:12:51.600> 15A-7 section 15A-7 section 15A-7 that<00:12
• <00:14:48.399> Even<00:14:48.720> worse, statutory mandate.
• Even worse, statutory mandate.

Bills: SB2097, SB2317, SB2319, SB2177, SB2190, SB2424, SB2524, SB2627, SB3084, SB895, SB896, SB3102, SB3157, SB3215, SB2050, SB2090, SB2211, SB2572, SB2096, SB2025, SB2127, SB2046, SB2262, SB2354, SB2387, SB2487, SB2955, SB3234, SB2851, SB2573, SB2391, SB3282, SB3055, SB2189, SB2194, SB3152, SB2635, SB888, SB2203, SCR1, SCR2, SCR3, SCR4, SCR5, SCR6, SCR7, SCR8, SCR9, SCR10, SCR11, SCR12, SCR13, SCR14, SCR15, SCR16, SCR17, SCR18, SCR19, SCR20, SCR21, SCR22, SR3, SR5, SR6, SR7, SR8, SR9, SR10, SR11, SR12, SR13, SR14, SR15, SR16, SR17, SR18, SR19, SB2010, SB3118, SB3276

Keywords: sustainable agriculture, climate adaptation, food system resilience, grant program, Hawaii agriculture, agriculture, insurance, small producers, state support, biosecurity, farm coverage, public-private partnerships, agricultural policy, grant funding, food security, climate resiliency, housing development, zoning exemption, government assistance, affordable housing

Bills: SB2097, SB2317, SB2319, SB2177, SB2190, SB2424, SB2524, SB2627, SB3084, SB895, SB896, SB3102, SB3157, SB3215, SB2050, SB2090, SB2211, SB2572, SB2096, SB2025, SB2127, SB2046, SB2262, SB2354, SB2387, SB2487, SB2955, SB3234, SB2851, SB2573, SB2391, SB3282, SB3055, SB2189, SB2194, SB3152, SB2635, SB888, SB2203, SCR1, SCR2, SCR3, SCR4, SCR5, SCR6, SCR7, SCR8, SCR9, SCR10, SCR11, SCR12, SCR13, SCR14, SCR15, SCR16, SCR17, SCR18, SCR19, SCR20, SCR21, SCR22, SR3, SR5, SR6, SR7, SR8, SR9, SR10, SR11, SR12, SR13, SR14, SR15, SR16, SR17, SR18, SR19, SB2010, SB3118, SB3276

Keywords: sustainable agriculture, climate adaptation, food system resilience, grant program, Hawaii agriculture, agriculture, insurance, small producers, state support, biosecurity, farm coverage, public-private partnerships, agricultural policy, grant funding, food security, climate resiliency, housing development, zoning exemption, government assistance, affordable housing

Transcript Highlights:

• for coverage tying access to specific disaster designation.
• FQHCs are nonprofit by law, and our mission and federal and state mandate is to deliver...
• Coverage inequities is another reason.
• For this reason, we are respectfully opposed unless amended until the CME mandate is removed.
• Opposed unless amended until the CMA mandate language is removed. Thank you for your time.

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.

Transcript Highlights:

• fund that mandate.
• That's my mandate. are to fund those cost. If we're going are to fund those cost.
• on them, we should fund that a mandate on them, we should fund that mandate.<00:18:29.320> That's
• <00:18:29.800> That's<00:18:30.000> my mandate.
• That's That's my mandate.

Bills: HB128, SB297, HB128, SB297

Keywords: HB128, Alabama Board of Nursing, Sunset Law, sunset review, nursing board, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, advanced practice nursing, certified registered nurse anesthetist, CRNA, consumer member, board appointments, congressional districts, geographic representation, nursing regulation, nursing education programs, licensure compact

Transcript Highlights:

• versus partial coverage wasn't discussed in our Appropriations Committee.
• versus partial coverage wasn't discussed in our Appropriations Committee.
• I am not aware of a single mandate that we have... ...imposed over the years.
• have mandated things.
• We mandated several things.

Keywords: 908, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a quorum call showing 46 members present. It then took up multiple House messages and amendments, appointing conference committees on several measures, including SB 2007, SCR 4007, SB 2374, SB 233, and House bills 1029, 1218, and 1022. The chamber also considered a series of House bills on the sixth and 14th orders, often adopting committee amendments before final passage or, in some cases, rejecting the bill outright. Among the major policy items, the Senate passed HB 1524 on regional planning council grants, HB 1143 increasing a food bank appropriation to $10 million, HB 1126 modernizing cosmetology licensing and inspections, HB 1542 making student applications for admission exempt records, HB 1613 regulating law enforcement use of robots, HB 1582 directing a study on false reports and accusations, HB 1214 revising school transportation funding, HB 1448 creating a study on advanced technologies, HB 1280 on drainage project voting rules, HB 1499 protecting records related to federal judges, and several Senate bills returned from the House, including SB 2221, SB 2117, SB 2198, SB 2120, and SB 2214. The Senate also adopted amendments to HB 1541 on septic systems before rejecting it on final passage. Several high-profile bills failed after debate. HB 1566, dealing with kratom regulation, saw an amendment to convert it to a study fail on a 21-25 vote, after which the chamber laid the bill over for one legislative day rather than take final action. HB 1283, which would have eliminated cost-sharing for diagnostic and supplemental breast exams in the state employee plan, was defeated 22-24 after extensive debate over cost, precedent, and insurance impacts. HB 1527, requiring Holocaust education in statute, also failed 22-24, with supporters emphasizing the importance of the subject and opponents arguing curriculum belongs in standards rather than statute. The Senate adjourned after announcements, scheduling its next meeting for Monday, April 14, 2025.

Transcript Highlights:

• , the structure can be, your lot coverage, the structure can be, your lot coverage, you<00:21:45.039
• So I think basis of flock coverage etc.
• It's a new zoning mandate that also restricts private property rights.
• > also<00:34:03.200> restricts new zoning mandate that also restricts new zoning mandate
• > or<00:46:08.000> stricter lock coverage requirements or stricter lock coverage requirements

Keywords: 1189, house, all