Transcript Highlights:

• of health insurance towards the payment of health insurance in<00:25:26.480> the<00:25:26.559
• back in 2010 didn't slide that payment back in 2010 didn't go<00:54:50.000> to<00:54:50.079><
• Humana also issued gain-share payments of nearly $70 million in the years leading up to 2023.
• <01:02:32.640> um<01:02:32.799> became the future gain share payments um became the
• future gain share payments um became much<01:02:33.440> less<01:02:33.760> likely,<01:

Keywords: Meeting Start: 00:00:35 Attendance Roll Call: 00:00:55 Approval of Minutes: 00:02:56 Deferred Compensation Authority Update: 00:03:12 Retiree Health Update - TRS: 00:15:58 Retiree Health Update - KPPA: 00:56:13 Adjournment: 01:08:10, 958, all

Summary: The Public Pension Oversight Board met with a quorum, approved the prior minutes, and heard updates from the Kentucky Public Employees Deferred Compensation Authority and the Teachers Retirement System. The deferred compensation update highlighted continued growth in assets to about $4.787 billion and roughly 88,000 participants, strong retention from auto-enrollment, a marketing campaign tied to pay raises that generated additional participation, and a new self-directed brokerage account expected to launch July 1 of the coming year for participants with at least a $40,000 balance, allowing up to 25% of their account to be moved into the brokerage window. The director also described the free financial planning service, which has been used by about 3,500 participants with a high return rate, and said the plan is currently in a fee holiday; if fees are charged, they are capped at $237 per year for most participants. Members asked questions about who provides the CFP service, the fee structure, and the brokerage eligibility threshold. The director said the CFP service is provided through the authority’s service bundle with Nationwide, not as a separate paid service, and explained that the fee cap and current fee holiday are intended to keep the program low-cost. Board members praised the deferred compensation program’s performance and asked for a copy of the legislation referenced in the presentation. TRS then presented on retired teachers’ health insurance. Barnes first clarified how declining federal contributions for federally funded school positions affect the retirement annuity trust, explaining that if those federal dollars fall, the amounts would need to be covered through the SEEK formula and that the projection for those contributions is about $80 million over the next three years. He then reviewed TRS retiree health coverage, distinguishing between KEHP for retirees under 65 or not Medicare-eligible and MEHP for Medicare-eligible retirees, and explained that TRS recently completed RFPs for both prescription drug and medical coverage. TRS will keep Express Scripts for prescription drugs, but will move the Medicare Advantage medical plan from UnitedHealthcare to Humana on January 1, 2026, while keeping the plan design, provider access, and out-of-pocket structure largely unchanged, with a new hearing-aid benefit of $500 per ear. Barnes also reported the 2026 premium and contribution changes: the maximum TRS contribution toward KEHP will rise to $1,144.96 from $930.76, an 18% increase that he said will require roughly $15 million to $16 million more in the state budget, while the MEHP premium will drop to $200 per month from $210. He said the TRS board has statutory authority to set these amounts and that the changes will have mixed actuarial effects, with the KEHP increase being negative overall and the MEHP decrease positive.

Transcript Highlights:

• A confession of judgment, or a CJ for short, is a payment plan to repay delinquent taxes over time to
• CJ for short confession of judgment or a CJ for short is<00:31:45.080> a<00:31:45.240> payment
• plan<00:31:46.000> to<00:31:46.240> repay<00:31:46.639> delinquent is a payment
• plan to repay delinquent is a payment plan to repay delinquent taxes<00:31:47.799> over<00:31
• interest in the initial interest payment interest in the initial interest payment and<00:35:47.520

Keywords: 1187, senate, all

Transcript Highlights:

• that payment is even the right word.
• that payment is even the right word.
• that payment is even the right word.
• that payment is even the right word.
• that payment is even the right word.

Keywords: 1187, senate, all

Transcript Highlights:

• And so Us upwards of 35 days to process these payment applications.
• wanted to highlight those main aspects to make sure that you knew we were both improving invoice payment
• On slide six, when we're referencing the average payment approval timeframe, thank you.
• I know that there was an adjustment period at some point in time to assist with the payment process.
• We had the public payment task force that Chairman Womack set up.

Summary: The committee met for an information-only hearing with no votes or other action items. DOTD Secretary Glenn LaD and Deputy Secretary Beau Black gave an update on the department’s transformation efforts, focusing on faster project delivery, improved construction administration, and new technology. They said monthly contractor payment approvals have been reduced from roughly 35 days to 15 days or less, change orders from about 40-45 days to around five days, and that DOTD delivered 86% of its advertised projects in the last fiscal year. They also described new tools such as Headlight for field inspections, Smart PM for schedule tracking, Hall Hub for e-ticketing and work-zone mapping, and a pilot using advanced sensors on district vehicles to identify potholes, guardrail damage, and other asset issues. The department also outlined a district reorganization that replaces the area engineer model with dedicated district points of contact for construction, maintenance, and operations, with no increase in total staff. Members raised concerns about local maintenance issues, especially mowing, drainage, culverts, potholes, and communication with district offices. Several members asked for clearer coordination on jurisdictional questions, more frequent meetings with district administrators, and better public updates on long-running projects. LaD said DOTD would schedule follow-up meetings, use the coming customer service portal to track complaints, and improve public communication through project information officers, social media, and other outreach. Questions also covered contractor accountability, utility relocations, road transfer maps on the DOTD website, and whether maintenance work adjacent to capital projects should be handled by district crews or through new IDIQ contracts. The secretary also reviewed the Highway Priority Program process, saying DOTD will work between June and September to review projects not included in the prior program, explain why, and refine a five-year fiscally constrained plan before the fall road show. He said the department is using IDIQ authority to award bridge maintenance and other task-order work, and that this should help address a two-year bridge repair backlog. Members discussed whether current funding levels are enough to reduce the statewide backlog, and DOTD said the current program likely maintains rather than eliminates it absent new revenue. The hearing ended with a project-specific update that a barge struck the Black Bayou Pontoon Bridge that morning, causing significant damage; DOTD said divers and staff would inspect it and determine emergency repairs. After DOTD’s presentation, Archie Chesson of the Office of Louisiana Highway Construction gave a brief update on that office’s first year, describing its use of consultant pools, master service agreements, a public GIS map, and a data tool to prioritize rural road and bridge projects, with several early projects already completed or under construction.

Transcript Highlights:

• generous, especially when before we were paying the lawyers up front while everybody else had time payments
• and saying, and this is a rough example, we’ll give you half of it right now. ...we’ll take the payments
• Because these payments that are being made out over a period of 10 years are being paid out with interest
• We are going to be short about $20,000 to make that last two payments.
• delays and ensuring compliance with the 30-day payment terms in its contract with vendors.

Keywords: 928, house, all

Summary: The Fiscal Committee opened by approving the May 15 minutes and then recognized Pam Ellis for her long service with the Legislative Budget Assistant’s office and upcoming retirement. The committee adopted the consent calendar with two items removed for separate consideration, then approved transfers for the Administrative Office of the Courts and the Department of Environmental Services after questions about court benefit costs and dam project funding. The Department of Health and Human Services also received approval for a general fund transfer item. A major portion of the meeting focused on the Youth Development Center settlement fund. New administrator Jared Boyle, joined by the Attorney General, described the fund’s remaining caseload, the payment matrix, and the need for additional funding to begin hearings in August. Members raised concerns about administrative costs, attorneys’ fees, payday loans, structured settlements, and the long-term fiscal impact on the state. Boyle requested $55 million, but the committee ultimately approved a reduced appropriation of $20 million, with members noting the possibility of returning for more funding later depending on revenues and the October revenue review. The Department of Corrections then received approval for a smaller shortfall transfer and a larger overtime-related transfer, with officials citing a 52% corrections officer vacancy rate, ongoing recruitment, academy classes, and efforts to use civilian staff in some non-security roles. A late item from the Veterans Home was also approved to cover overtime, holiday pay, and indirect cost shortfalls within its existing budget. The committee then heard an informational presentation on implementation of Senate Bill 134 and the new federal Medicaid work-requirement rule. DHHS said it plans to submit a state plan amendment, seek approval for hardship exceptions, start with one eligibility check cycle, and use existing federal grant funding to make system changes. Finally, the committee received a performance audit of the Doorway opioid treatment program, which found weak written procedures, incomplete data use, reimbursement delays, and problems with the Governor’s Commission on Addiction Treatment and Prevention. Members discussed follow-up reporting, and the next Fiscal Committee meeting was scheduled for August 21 at 11:00 a.m.

Transcript Highlights:

• 407.18, service award programs, Section 407.1807, cash, we revised the section title from cash to payment
• The revised rule now allows for additional payment methods to team members, such as payroll adjustments
• 147, the change to 71-02-03-02.2, subsection 4, provides clarification of the time frame on which payment
• disease, or an IMD, to submit a request for reimbursement of medical expenses and to specify when payment
• if the request and payment complies with this section and is within the limits of appropriated funds

Keywords: 908, all

Transcript Highlights:

• 407.18 service award programs, Section 407.1807, cash, we revised the section title from cash to payment
• The revised rule now allows for additional payment methods to team members, such as payroll adjustments
• 147, the change to 71-02-03-02.2, subsection 4, provides clarification of the time frame on which payment
• disease, or an IMD, to submit a request for reimbursement of medical expenses and to specify when payment
• if the request and payment complies with this section and is within the limits of appropriated funds

Summary: The Administrative Rules Committee met on June 11 and first approved the March 12, 2026 minutes by voice vote. It then granted the Board of Medicine an extension of time to implement rules tied to recent legislation, including North Dakota’s participation in the physician assistant licensure compact and a new physician nutrition continuing education requirement. The Board said it was waiting on compact rules and fee information before finalizing its own changes. The committee heard a lengthy presentation from the Office of Management and Budget on broad personnel rule revisions, including salary administration, recruitment, leave, sick leave, funeral leave, service awards, appeals, and shared leave. OMB said the changes modernize HR language and implement recent legislation such as enhanced annual leave for hard-to-fill positions and new hire leave. Members questioned the hard-to-fill leave provisions, but OMB and counsel said those standards come from statute, not the rules. The committee also heard and accepted rule packages from the Lottery, the Board of Examiners for Audiology and Speech-Language Pathology, the State Electrical Board, the Industrial Commission, PERS, and Health and Human Services, with each agency describing mostly technical, clarifying, or statutory-conforming changes and noting the public notice and comment process. The most significant action came during the Gaming Commission rules presentation. After questioning whether the commission had authority to raise the poker tournament buy-in limit from $300 to $1,500, members moved to void Section 99-01.3-09-01 on the ground that the agency lacked statutory authority for that change. The motion passed on a roll call vote. The committee also discussed several gaming-related issues, including online raffles, kiosk use, advertising restrictions, and the broader policy question of whether charities should be allowed to own bars, but took no further formal action on those topics.

Transcript Highlights:

• Finally, we hope that by setting Medicaid payments that reflect real labor costs and progressive wages
• The purpose of the work group was to design the parameters of a palliative care benefit and payment model
• This study assumed that reimbursement would be a mix of fee-for-service and then bundled payments in
• So a mix of fee-for-service and then more of an alternative payment model to support reimbursement.
• So this study looks at doing that bundled payment.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• that little blip in 2023; it's noted on that sub-bullet, but in that year there was a large one-time payment
• demographic side, there are risks that actual member behavior and longevity, or how long pension payments
• demographic side, there are risks that actual member behavior and longevity, or how long pension payments
• closed plans, PERS 1, TERS 1, and LEOFF 1, as you expect, have a shorter period of future benefit payments
• And underfunded is behind schedule and will probably need some extra payments to get back on track.

Summary: The committee approved the July minutes and then received an informational presentation from the Office of the State Actuary on the financial condition of the state retirement systems. The actuary reported that employer contribution rates are generally declining, helped by strong investment returns and reduced funding for PERS 1 and TERS 1, while funded ratios have continued to improve; on a combined basis the plans were reported at 100% funded in 2024, with open plans above 95% and legacy plans varying by system. The presentation also reviewed projected rates and funded ratios under current assumptions, noted that pension costs are taking a smaller share of the state general fund, and discussed risks from investment volatility, policy changes, and demographic experience. Committee members asked about savings from lower rates, deferred asset smoothing, and how Washington compares with other states. The committee then considered the state actuary’s recommendation on long-term economic assumptions and adopted all four recommendations by roll call votes: inflation at 3.0%, general salary growth at 3.5%, membership growth for Plan 1 funding at 1.0%, and investment rate of return at 7.25%. The actuaries explained that the inflation and salary growth increases were driven largely by higher long-term inflation expectations, while the investment return recommendation matched the current statutory assumption. Members discussed the timing of the Pension Funding Council’s decision, the effect of tariffs and inflation uncertainty, and how assumption changes would affect future contribution rates and budgets, particularly for open plans. Staff then gave an update on the LEOFF 1 study, explaining the difference between being “ahead of schedule” and truly overfunded, and summarizing responses received from DRS, the State Treasurer, and the State Investment Board on the merger and restatement proposals. DRS said both bills could be administered, though the merger bill’s COLA banking provision would be challenging until its new system is ready; the Treasurer urged caution, especially about the restatement bill and the use of one-time funds; and the Investment Board said removing assets from the trust would have some transaction costs but likely small impacts. The committee discussed whether to invite additional agencies and local government groups to testify, and staff said more responses, including from Ice Miller and the State Actuary, were expected for the October meeting. Finally, the committee heard a briefing on PERS 1/TERS 1 COLA policy and related bills from the last session. Staff reviewed the committee’s prior ongoing COLA recommendation, the SCPP-endorsed bills that would have created a one-time 3% COLA followed by an ongoing COLA, the Senate merger bill, and a separate ad hoc COLA bill. Public testimony largely supported Plan 1 COLAs and stable contribution rates, while several speakers urged caution about transferring LEOFF 1 surplus assets or merging legacy plans, and others raised concerns about climate risk and the pension fund’s investments. No further committee action was taken on the COLA item during this portion of the meeting.

Transcript Highlights:

• Chairman and members, Senate Bill 1666 relates to the payment of restitution by a person released on
• of Criminal Justice to include the victim's last name and address when transferring a restitution payment
• Restitution, whether TDCJ or a parole panel ordered the restitution, and transfer the unclaimed payments
• Address known to the victim if it is known when transferring the payment to a county, require TDCJ to
• , and eliminate the requirement for TDCJ to provide a record of prior restitution payments made to the

Summary: The committee heard and laid out a series of criminal justice bills, with public and invited testimony on restitution, juvenile justice, child abuse reporting, public-safety protections, organ trafficking, property fraud, disaster-response worker protections, fentanyl exposure, emergency data disclosure, insurance-fraud investigations, blood warrant execution, human smuggling, and TJJD advocacy access. Several measures drew support from prosecutors, clerks, law enforcement, utility companies, and victims who described real-world harms and delays in current law; opposition or caution came from civil-rights and advocacy groups on bills involving expanded criminal liability, data disclosure, and juvenile-facility access. Most bills were left pending after testimony, with the committee later voting out SB 127 favorably and placing it on the local and uncontested calendar. SB 1666 would streamline restitution payments for parole or mandatory supervision cases by requiring TDCJ to include victim information when forwarding payments, shortening the period before unclaimed funds go to the Crime Victims’ Compensation Fund, and clarifying confidentiality and contact procedures; county clerks supported it as an efficiency measure. SB 2776 would let TJJD disclose certain information, with written consent, to support the Credible Messengers Program, and SB 127 would extend limitations periods for failure-to-report child abuse and concealment offenses, with testimony emphasizing delayed discovery of abuse and the need for accountability. SB 1980 would increase penalties for assaulting or interfering with peace officers, parole officers, and community supervision officers, and SB 456 would raise penalties for organ purchasing/trafficking and create a more specific criminal framework for the offense; both drew strong support from law enforcement and victims. The committee also heard SB 2611 on real property theft and deed fraud, which would create separate offenses for real property theft and fraud, add a ten-year limitations period, require criminal judgments to be filed in county property records, and expand restitution and title-clearing remedies. Witnesses described forged deeds, stolen church and family properties, and long, costly efforts to restore title; county clerks and prosecutors said the bill would help victims and streamline civil remedies. SB 482 would increase penalties for offenses against utility workers during declared disasters or evacuation orders, prompted by reports of threats and assaults during Hurricane Beryl; utility representatives said the bill is needed to keep mutual-aid crews coming to Texas. SB 1234 would add fentanyl to the endangerment statute for vulnerable people, while SB 816 would allow providers to disclose electronic data in immediate life-threatening situations; both drew support from prosecutors and criticism from civil-rights advocates concerned about overbreadth and liability protections.

Transcript Highlights:

• <00:10:23.839> uh<00:10:23.920> and immediate suspension of payments uh and immediate
• suspension of payments uh and allows<00:10:24.399> the<00:10:24.560> OIG<00:10:25.040>
• Section 14 provides that this subdivision of the OIG statute does not authorize withholding payments
• It requires the inspector general to recommend to the commissioner to withhold payments to a participant
• of withholding payments.

Bills: HF1306

Keywords: education, school policy, teacher training, student health, emergency response, 1183, house

Transcript Highlights:

• <00:21:46.679> while patients out of pocket payments while patients out of pocket payments
• <00:21:48.960> are the commercial and private payments are the commercial and private payments
• that doesn't traditionally fall into insurance, bundled payments, those types of things.
• models to maybe alternative payment models to maybe allow<01:15:03.760> for<01:15:03.960>
• <01:15:09.159> those Insurance um bundled payments those Insurance um bundled payments those

Keywords: 1191, senate, all

Transcript Highlights:

• <01:15:42.880> withhold which is expanding our payment withhold which is expanding our payment
• provisions to allow us to stop payment provisions to allow us to stop payment if<01:16:05.679>
• case hearing, which is different than DHS's existing payment withhold authority.
• case hearing, which is different than DHS's existing payment withhold authority.
• There are changes payment in the system.

Bills: HF3935, HF2216, HF4354, HF4210, HF4212

Keywords: assisted living, healthcare, training, unlicensed personnel, resident rights, safety regulations, nursing home, long-term care, guardian, conservator, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services

Transcript Highlights:

• <00:36:37.520> to of benefits directing direct payment to of benefits directing direct payment
• That means 10 to $30,000 checks payment.
• providers<00:37:15.760> lack payment middleman and providers lack payment middleman and providers
• Hawaiian Council in support. payments were completed. So we ask if payments were completed.
• forced to use um antiquated uh payment forced to use um antiquated uh payment networks<01:55:38.639

Keywords: 912, senate, all

Summary: The committee heard testimony on several health-related measures, with most of the discussion focused on bills addressing tobacco/vape enforcement, psychology licensure, hospital price transparency, prior authorization, and medical cannabis. The chair opened by explaining the one-minute testimony limit and that written testimony had been reviewed. For SB 2175 on disposable electronic smoking devices, the Department of Health said the bill’s placement in litter-control law was not a good fit because disposable e-cigarettes contain hazardous materials like lithium and nicotine, but it supported the intent and pointed to a related measure. Public health and tobacco-control advocates strongly supported the bill, citing youth use, toxic waste, battery fires, and the need to tighten definitions and remove exemptions; a long list of organizations and individuals were noted in support, with no opposition mentioned. For SB 2410, which would create a state directory and enforcement tools for authorized e-cigarette products, the Attorney General’s office strongly supported the measure and said it would help enforce the FDA-authorized list of products through certification, inspections, and civil penalties. The Department of Health said thousands of illegal products remain on the market and cited youth usage rates, while public health groups also supported the bill. One tobacco industry-related witness was noted in opposition. SB 2080, the psychology interjurisdictional compact, drew support from the Department of Corrections, which said it had severe staffing shortages and that the compact would help fill gaps, especially for forensic psychology and neighbor island facilities. Some committee members raised concerns about whether the compact would loosen licensure standards and reduce licensing revenue, and the Board of Psychology was said to be meeting and had not taken a formal position; testimony also noted the need for resources if the compact were adopted. The committee also heard SB 2276 on surgical assistance, with DCCA in opposition and a supporter from the field, but little discussion followed. SB 2277 on hospital price transparency drew support from consumer and patient advocates, who argued that clearer pricing would reduce medical debt and help patients shop for care; DCCA and the Department of Health offered comments, with the department suggesting an alternative enforcement model using outside review entities and noting that implementation would require significant staffing and funding. The Healthcare Association of Hawaii opposed the bill, saying federal transparency rules already cover the issue and state law could create duplication. SB 2282 on prior authorization received comments from insurers and providers; HMSA asked that the bill be set aside pending the report of the prior authorization working group created by Act 151, while the Hawaii Medical Association said prior authorization is a major burden but deferred to regulators on resources. Finally, SB 2413 on medical cannabis was supported by the Office of Medical Cannabis and others, who said the bill would close a patient-access gap by allowing viable seed sales; one witness suggested clarifying jurisdictional language and allowing dispensaries to sell seeds to each other. The committee then began SB 2425 on health insurance, where an addiction treatment provider testified that insurers’ refusal to honor assignment-of-benefits payments can delay reimbursement and create relapse risk for patients, but the transcript cuts off before further action on that bill.

Transcript Highlights:

• AB 2511 would require health plans and insurers to submit highly detailed payment data across multiple
• payment pathways, including payments to providers, intermediaries, and health systems.
• The payment information subject to disclosure under AB 2511 is also highly sensitive and proprietary.
• Further, the primary plan may also apply the administrative fee on certain pass-through payments for
• programs like transitional rent and maternity care, where plans are supposed to pass through payments

Summary: The Assembly Health Committee heard a long agenda of health-related bills, with most items presented for later vote once quorum was reached. Early in the hearing, the committee adopted a consent calendar of multiple bills with motions for due pass to Appropriations, and it noted that AB 2029 had been pulled from the agenda. The committee also took up AB 1973, a bill by Aguiar-Curry to expand who may provide procedural abortion care. Supporters, including physicians and certified nurse midwives, argued the bill would align law with current training and improve access, while opponents said later-term abortion procedures require physician-level surgical training and raised safety concerns. The author emphasized hands-on training, consultation, and transfer protocols, and the bill was held pending quorum with a motion and second recorded. The committee then heard AB 1558 by Arambula, which would adopt the Uniform Emergency Volunteer Health Practitioners Act to speed the use of out-of-state licensed volunteers during declared disasters. Supporters from the Uniform Law Commission and the Red Cross said the bill would reduce delays and clarify legal authority for volunteer health workers; there was no opposition testimony. AB 2282 by Alanis, a temporary rural emergency stabilization center for Patterson while a permanent hospital is built, drew support from local emergency responders and a late opposition from the California chapter of ACEP. The chair praised the bill as a creative local solution and agreed to coauthor it; a motion and second were recorded, with the vote to occur later. Several public health access bills followed. AB 1843 by El-Hawari would limit prior authorization and align hepatitis C treatment coverage with medical guidelines; supporters said it would remove barriers to a curable disease, while health plans opposed it as a mandate, citing premium impacts and the recent SB 306 prior-authorization process. AB 2247 by El-Hawari would create the THRIVE program for mental health services for youth affected by gun violence; Youth Alive and other supporters described trauma-informed, community-based care, and the chair and another member asked to be added as coauthors. AB 2138 by Krell would expand access to certified peer support specialists in enhanced care management and remove automatic disqualifications based solely on criminal history; supporters said peers are essential to engagement and recovery, and the bill was held with a motion and second. Later, AB 1682 by Hart would require coverage of scalp cooling for chemotherapy patients, with emotional testimony from cancer survivors and clinicians; insurers opposed it as another mandate, but the author stressed the modest per-member cost and the bill was moved with a motion and second. AB 1879 by Dixon would standardize data reporting for alcohol and drug treatment facilities, including private providers, to improve statewide information on outcomes and access; the bill drew broad support from recovery organizations and the prior opposition was withdrawn after amendments. AB 1906 by Aguiar-Curry would require coverage of at-home cervical cancer screening kits without cost sharing; supporters cited improved access for rural and working Californians, insurers opposed it on affordability grounds, and the bill passed on a recorded roll call after quorum was established. Finally, AB 1556 by Haney would clarify and support drug-free recovery housing and return-to-use policies; supporters said it would expand sober housing options, while opponents warned it could allow evictions after relapse and conflict with Housing First principles. The hearing ended with the bill still under discussion and opposition-unless-amended concerns noted.

Transcript Highlights:

• And the supplemental benefit payments were, and are currently, pay-as-you-go from institution budgets
• intent that the Department of Retirement Systems would assume responsibility for making benefit payments
• And then for financial information, employer contributions were $11.7 million, and benefit payments were
• And then for financial information, employer contributions were $11.7 million, and benefit payments were
• but experience is ultimately what's going to determine the size and the timing of future benefit payments

Summary: The Pension Funding Council met on June 23, 2026, for a work session that began with an overview of the Higher Education Supplemental Retirement Plan (SRP) and a 2025 accounting valuation of that plan. Staff explained that the SRP is a closed defined benefit supplement for higher education employees hired before the 2011 closure, with employer contributions currently pre-funding benefits in institution-specific trusts while institutions still pay benefits on a pay-as-you-go basis. The State Actuary’s office reported that the plan’s accounting position has improved, with combined market assets of about $245 million against $377 million in accrued liability, and that strong market performance since 2022 has increased the asset-to-liability ratio. The office emphasized that this was an educational accounting valuation, not a funding valuation for rate-setting. The council then received the 2025 actuarial valuation report for the state retirement systems. Actuaries reviewed the recent demographic experience study, noting updated assumptions for mortality, retirement, termination, and salary growth, and said the net impact on most plans was small. They reported that most plans’ funded ratios improved, with all plans at least 94% funded and several at or above 100%, and that contribution rates for the 2027–2029 biennium are generally lower than current rates. They also noted that future rates could be affected by market volatility as deferred gains are recognized over the next few years. During public comment, a representative of the Association of Washington Cities urged the council to consider rate reductions to help local governments facing budget pressures. In executive session, the council first approved a motion directing the Office of the State Actuary to perform an actuarial evaluation and analysis of each institution’s Higher Education Supplemental Retirement Plan, including institution-specific contribution rates, asset sufficiency, and funding policy options, due by July 1, 2028. The council then adopted the 2027–2029 pension contribution rates based on the 2025 actuarial valuation report. Both motions passed 5-0, with one member excused. The meeting concluded with no further business.

Transcript Highlights:

• containers when the fee collections are way, way, way higher than the amount needed for recycling payments
• Federal law already requires all cost sharing to count toward the M-O-O-P, whether the payment comes
• from the patient or from someone... ...count toward the M-O-O-P, whether the payment comes from the patient
• on assistance, which many must do to afford life-saving or life-maintaining prescriptions, those payments
• Payments for services are often delayed.

Keywords: 987, senate, all

Transcript Highlights:

• consideration to another person with the intent to induce the person to vote or register to vote where the payment
• That's why federal law prohibits offering payments in exchange for registering.
• PAC offered Wisconsin registered voters and only registered voters entry into America. and $100 payments
• To give money or other valuable consideration including lotteries where the payment is contingent upon
• committee has made a very appropriate recommendations for exclusions for things such as transportation, payments

Keywords: 988, house, all

Transcript Highlights:

• Forty years at 1.57 percent interest while also deferring principal payments for 20 years.
• Now the bipartisan infrastructure law, as we know, was a critical down payment on upgrading our nation's
• It was a down payment.
• those need to be replaced. infrastructure law is a mechanism to downgrade or downpay, get a down payment
• This idea of structured loans with deferred principal payments, this is something that they came up with

Keywords: Infrastructure Investment and Jobs Act, water infrastructure, lead service lines, federal reauthorization, sustainability, cybersecurity

Summary: The meeting primarily focused on discussions surrounding the Infrastructure Investment and Jobs Act (IIJA) and its implications for local water systems. Various witnesses highlighted the transformative impact of the bipartisan infrastructure law, which has provided an unprecedented amount of funding to help address long-standing issues in drinking water infrastructure, particularly concerning lead service line replacements and sustainability in water management. The discussions emphasized the urgent need for federal reauthorization to continue supporting these initiatives, as many rural and disadvantaged communities still face substantial barriers in upgrading their water systems. Additionally, cybersecurity risks were noted, raising concerns over the vulnerability of water systems across the nation.

Transcript Highlights:

• Prorate payments when students withdraw or fail.
• <01:08:44.799> So charter schools receive a payment.
• So charter schools receive a payment.
• They get a half a payment in September and a half a payment in March.
• So um it's a good payment for that year. So um it's a good little<01:10:16.239> resource.

Keywords: 1187, senate, all