Video & Transcript Research : 'cost efficiency'
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HI
Hawaii 2026 Regular Session
House Chamber - Wed Feb 4, 2026, 12:00PM HST - Day 9
Hawaii House Floor Meeting
Bills:
HB2028, HB1859, HB1851, HB1660, HB1890, HB1892, HB1893, HB2122, HB2012, HB1770, HB2121, HB1979, HB1650, HB1982, HB218
Keywords:
Labor Day, construction workers, tax credit, economic development, state law, employer support, workforce development, employment, career counseling, local economy, high-demand jobs, taxation, apprenticeship, income tax credit, qualified apprenticeship program, HB1660, Hawaii, county labor standards, counties, contractors
AZ
Arizona 2026 Regular Session
02/04/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- We have all sorts of problems, allegations of people who shouldn't be on the program, but it's costing
- And this is happening even as need has surged at food banks and the cost of food and groceries remains
- That includes an analysis of why the targets were not met, splitting the cost of any federal liabilities
- So right now Arizona has an 8-point-something, a little bit under 8.5% error rate, so that will cost
- But we still ask that you vote no because of the administrative costs in making an employment and an
Keywords:
informed consent, surgical procedures, healthcare professionals, patient rights, regulatory compliance, child welfare, dependency hearings, foster care, court procedures, parental rights, healthcare compliance, behavioral health technicians, licensing, monitoring, administrative burdens, basic first aid, good samaritan, medical licensing exemption, Arizona medical board, A.R.S. 32-1421
Summary:
The Senate Health and Human Services Committee opened with approval of the January 28 and 29 minutes and a welcome to Arizona Physical Therapy Day at the Capitol, including remarks from physical therapy advocates and students. The committee then took up several bills related to SNAP, health care oversight, child welfare, dementia planning, and safe haven newborn surrender.
On SNAP, SB 1334 would bar DES from seeking or renewing federal waivers of work requirements for able-bodied adults without dependents unless authorized by law; it passed 4-1. SB 1333 would require DES to reduce the SNAP payment error rate to 3% by 2030, with regular reporting, corrective action plans, and possible funding penalties; an amendment changed the reporting to quarterly and required a special audit, and the bill passed 4-1 as amended. SB 1331 would require able-bodied adults under 60 receiving SNAP to participate in mandatory employment and training unless exempt; testimony split between supporters citing work incentives and opponents warning of administrative burden and impacts on families and food banks, and it passed 4-2.
The committee also advanced SB 1162, which clarifies DHS as the lead licensing and monitoring agency for health care institutions and, as amended, requires DHS and AHCCCS/Access to coordinate to identify duplicative oversight and report back periodically; it passed unanimously. SB 1017, requiring signatures on emergency informed consent forms for surgical procedures, passed 4-2. SB 1149, dealing with DCS periodic review hearings and notice/reporting requirements, including for tribal parties, passed 5-1. SB 1249, which designates DHS as the lead agency on Alzheimer’s and dementia planning and creates a dementia services program funded through lottery monies under the adopted amendment, passed unanimously after emotional testimony from advocates and family members. Finally, SB 1253, clarifying that a parent may surrender a newborn at the hospital of birth without leaving and returning, passed 5-0. The committee then adjourned.
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part II) May 21st, 2025
Health & Human Services
Transcript Highlights:
- Costs which made for a total of 3.182 million, and it's all technology costs.
- That makes it more efficient.
- If the costs were tied only to the actual administrative costs, it would change their lives.
- Efforts at bureaucratic efficiency that hurt public safety and cost taxpayers are, by definition, unacceptable
- I mean, again, when you look at... the cost of outbreaks, I mean, I have not seen what the current cost
Bills:
HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147
Keywords:
child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part I) May 21st, 2025
Health & Human Services
Transcript Highlights:
- Bill 3963 establishes an early childhood integrated data system, e-CIDS, to improve government efficiency
- Our current early childhood system costs Texas businesses $10 billion annually in lost productivity.
- A more efficient system would better support families, boost economic output, and better prepare children
- And then, in my experience as a public health nurse, the cost of childcare and lack of healthcare are
- The cost of living is one of those inhibiting factors. Right?
Bills:
HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147
Keywords:
child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health
TX
Texas 89th Regular
Trade, Workforce & Economic Development Apr 9th, 2025
Trade, Workforce & Economic Development
Transcript Highlights:
- About 60 to 75 percent of what our actual cost is, particularly for infants and toddlers.
- And we know that it costs more money to provide for those special needs children.
- It would just give us the opportunity to try and recover costs in that situation.
- Employers can then qualify for the corresponding franchise tax credit to offset costs. their costs.
- The contracts require binding arbitration, the cost... to buy our thousands.
Bills:
HB74, HB175, HB460, HB576, HB2271, HB2294, HB2874, HB3016, HB3133, HB3191, HB3458, HB3929, HB4063, HB4115, HB4394, HB74, HB175
Keywords:
Puerto Verde, Port Authority, eminent domain, bonds, tax assessments, economic development, infrastructure, transportation, public welfare, child care, certifications, Texas Rising Star Program, grant program, disability inclusion, family income, affordability, economic impact, state study, cost analysis, government support
TX
Texas 89th Regular
Trade, Workforce & Economic Development Apr 9th, 2025
Trade, Workforce & Economic Development
Transcript Highlights:
- accommodations because child care providers don't pay them. and I still understand the options and costs
- In order to be really efficient, so let me go ahead and and tell you the sequence.
- Proposals must be reviewed, included in proxy materials, and voted on, costing corporations and the shareholders
Bills:
HB74, HB175, HB460, HB576, HB2271, HB2294, HB2874, HB3016, HB3133, HB3191, HB3458, HB3929, HB4063, HB4115, HB4394, HB74, HB175
Keywords:
Puerto Verde, Port Authority, eminent domain, bonds, tax assessments, economic development, infrastructure, transportation, public welfare, child care, certifications, Texas Rising Star Program, grant program, disability inclusion, family income, affordability, economic impact, state study, cost analysis, government support
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 4/1/25
Human Services Finance and Policy
Transcript Highlights:
- to use our Workforce more efficiently to use our Workforce more efficiently make<00:04:39.280>
able to afford this cost able to afford this cost the<01:00:08.480>the <01:00:08.640> - That was our average cost.
- real costs.
- $27,000 and so these are real costs $27,000 and so these are real costs they're<01:01:07.960>
Keywords:
HF2367, Community First Services and Supports, CFSS, personal care assistance, PCA, consumer-directed community supports, CDCS, home and community-based services, HCBS, direct support professionals, direct care workers, caregivers, support workers, SEIU Healthcare Minnesota & Iowa, collective bargaining agreement, retention stipend, health care cost stipend, training stipend, orientation program, retirement trust
TX
Texas 89th Regular
Senate Committee on Health and Human Services Mar 18th, 2025
Health & Human Services
Transcript Highlights:
- costs?
- ...And will those costs be passed on to health care consumers?
- Payments are often more than the actual cost of their medications.
- Let's say one quick thing, Madam Chair, on the cost.
- , will lower costs and ensure safe care.
Keywords:
immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit
HI
Transcript Highlights:
- We're spending, we estimate, well over $400 million a year on Alzheimer's-related health care costs.
Keywords:
cannabis, marijuana, Hawaii Cannabis Law, legalization, decriminalization, adult use, hemp, taxation, social equity, public health, primary care, health insurance, health carrier, insurance commissioner, Med-QUEST, Medicaid managed care, provider reimbursement, downcoding, prior authorization, utilization review
Summary:
The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category.
HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses.
The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.
HI
Transcript Highlights:
- <00:09:51.279>
of <00:09:51.519>approximately positions at a cost of approximately - positions at a cost of approximately $83,000. $83,000. $83,000.
- We're talking about improving access to critical care and lowering the cost of travel to get to that
- <00:31:36.720>
Uh <00:31:37.039>we drive up costs for the residents. - Uh we drive up costs for the residents.
Bills:
HB1688, HB2386, HB1691, HB1680, HB2516, HB1993, HB2442, HB1510, HB1958, HB1915, HB1692, HB1524, HB1884, HB1523, HB2213, HB2186, HB2163, HB1908, HB1910
Keywords:
general excise tax, aircraft maintenance, tax exemption, aviation industry, economic competitiveness, water carriers, automatic adjustment mechanism, regulatory compliance, rate adjustments, public utilities commission, Hawaii Revised Statutes, biosecurity, community outreach, transportation rates, vehicle ownership, salvaged vehicles, insurance settlement, electronic signatures, administrative efficiency, vehicle transfer
Summary:
The committee first took up SB 2699, which would create a youth transit program within DOT and a special fund tied to the environmental response/energy/food security tax fund. The chair described support from several agencies but also noted Attorney General concerns about whether the special fund met statutory criteria, DOE comments requesting a July 1, 2026 effective date, and broader funding concerns because the bill would draw from general fund resources. The chair recommended deferral, saying the measure involved significant long-term costs and needed more work on a funding mechanism. The committee deferred the bill.
The committee then heard SB 3182, relating to administrative license revocation procedures. HDOT supported the measure, while the Judiciary opposed the bill as written, citing operational, staffing, fiscal, and mailing burdens from requiring ADLRO to mail all case documents to every respondent within five days. Judiciary said it handles about 3,000 to 4,000 DUI cases annually and would need additional staff and certified-mail costs. Prosecutors from the state and county supported a proposed SD1 version, saying it would address backlog concerns and help DUI enforcement by creating a presumption of revocation. The committee ultimately recommended support and passage of SD1.
The committee also heard SB 3313 on interisland air service stability and transformation. The Attorney General warned the bill could be preempted by the federal Airline Deregulation Act and raised constitutional concerns about a local-hire provision. DOTAX said the program would be complicated to administer and suggested third-party certification. No action was taken in the excerpt. The committee then heard SB 3337, which would eliminate state taxes on gasoline and diesel fuel for motor vehicles; HDOT opposed it, while DOTAX provided comments and the Hawaii Transportation Association supported it. The transcript then moved to SB 2896, lowering the minimum age for commercial driving from 19 to 18. HDOT supported the bill, the Hawaii Transportation Association strongly supported it and suggested added training requirements, and an Operating Engineers representative supported the concept but urged that young drivers be tied to apprenticeship or other structured training programs. No vote was shown in the excerpt.
Finally, the committee heard SB 2400, which would exempt wing-in-ground craft from the Hawaii Waters Act and define those craft in law. The PUC supported the bill’s intent, and Regent Craft testified in strong support, describing sea gliders as all-electric vessels that could improve interisland access, resiliency, and decarbonization while using existing harbor infrastructure. HTDC and several other groups also supported the measure. Members asked about infrastructure, ports, weather operations, and Coast Guard jurisdiction, and the witness said operators would decide harbor locations and that the company had identified multiple possible ports. No final committee action was included in the excerpt.
TX
Transcript Highlights:
- Saying that if the costs increase, they could get foreclosed on their homes. That can happen.
- Due to the cost of property insurance, specifically windstorm insurance.
- The high cost of insurance is impacting our operations significantly.
- It doesn't cost.
- The added cost of compliance will ultimately fall on school districts, increasing the cost of construction
Bills:
HB178, HB178, HB1551, HB1939, HB2040, HB2354, HB2674, HB3029, HB3460, HB3631, HB3662, HB5201, HB5381
Keywords:
efficiency audit, political subdivision, tax rate, fiscal management, government accountability, Texas education, public schools, curriculum, social studies, high school graduation requirements, State Board of Education, Education Code, ethnic studies, world history, world geography, U.S. history, government, economics, personal financial literacy, free enterprise
TX
Transcript Highlights:
- Lastly, this bill directs TEA to make available, at no cost, to school districts. ...districts high-quality
Bills:
HB178, HB1551, HB1939, HB2040, HB2354, HB2674, HB3029, HB3460, HB3631, HB3662, HB5201, HB5381, HB178
Keywords:
Texas education, public schools, curriculum, social studies, high school graduation requirements, State Board of Education, Education Code, ethnic studies, world history, world geography, U.S. history, government, economics, personal financial literacy, free enterprise, religious literature, Hebrew Scriptures, Old Testament, New Testament, ninth grade
TX
Transcript Highlights:
- Um, they initially said it would cost $4.2 billion in 2018.
- Do you know how much the cost overruns were? 11 times.
- They cost too much.
- There's a very clear graph showing the cost to the consumers. And the cost for production.
- They're struggling with, uh, cost of living, cost of groceries, all sorts of different bills have gone
Bills:
HB 14, HB 106, HB 146, HB 267, HB 274, HB 1127, HB 1359, HB 1393, HB 1584, HB 1640, HB 1710, HB 2152, HCR 101, HJR 8, HR 51
Keywords:
nuclear energy, advanced reactors, energy security, grant programs, Texas Advanced Nuclear Energy Office, HB 106, oil and gas, Railroad Commission of Texas, overhead electrical lines, electrical distribution system, power line maintenance, administrative penalty, Natural Resources Code, oil and gas lease, well operator, energy safety, utility infrastructure, regulatory compliance, cleanup fund, oil and gas regulation and cleanup fund
TX
Transcript Highlights:
- number of homeowners who have installed rooftop solar panels in an effort to reduce monthly electricity costs
- . cost.
- ask the electric provider, design elements of solar energy. devices to consider for maximizing efficiency
- reprioritize our list, have them update the priorities on their circuits and and reestablish a more efficient
Bills:
HB14, HB 106, HB146, HB267, HB274, HB 1127, HB1359, HB1393, HB1584, HB1640, HB1710, HB2152, HCR101, HJR8, HR51
Keywords:
nuclear energy, advanced reactors, energy security, grant programs, Texas Advanced Nuclear Energy Office, HB 106, oil and gas, Railroad Commission of Texas, overhead electrical lines, electrical distribution system, power line maintenance, administrative penalty, Natural Resources Code, oil and gas lease, well operator, energy safety, utility infrastructure, regulatory compliance, cleanup fund, oil and gas regulation and cleanup fund
TX
Transcript Highlights:
- Proposals that threaten to increase costs for anyone investing for retirement.
- cost to the overall retiree return pay a transaction tax.
- and improving service efficiency during late-night hours.
- of goods sold, you know, just on food costs, then you have labor costs. that have been going up because
- So, you know, it's an extensive cost, but as far as where that money is going.
Bills:
SB264, SB542, SB924, SB1008, SB1029, SB1036, SB1057, SB1058, SB1185, SB1202, SB1358, SB1364, SB1376, SB1569, SB1664, SB1697, SJR50
Keywords:
SB 264, Texas Workers' Compensation Act, group self-insurance, self-insured groups, workers' compensation, Texas Department of Insurance, commissioner of insurance, certificate of approval, guaranty fund, trust fund, wind down, dissolution, labor code, insurance regulation, employer coverage, risk pool, business and commerce, trade workforce economic development, property owners' association, water conservation
HI
Bills:
SB2060, SB2342, SB2577, SB2580, SB2809, SB2397, SB2315, SB2442, SB2152, SB2380, SB2462, SB2055, SB2438, SB2533, SB2203, SB2087, SB768, SB877, SB1139, SB787, HB963, SB277, SB2663, SB2555, SB2140, SB2115, SB2761, SB2198, SB2032, SB2579, SB2671, SB2835, SB2356, SB2095, SB2093, SB2318, SB2323, SB2485, SB2309, SB2321, SB2405, SB2153, SB2129, SB2170, SB2259, SB2578, SB2544, SB2701, SB2861, SB2108, SB2089, SB2106, SB847, SB3326, SB2047, SB2695, SB2667, SB2919, SB2446, SB2146, SB2723, SB2210, SB2527, SB2645, SB3331
Keywords:
rental housing revolving fund, HHFDC, Hawaii Housing Finance and Development Corporation, mixed-income housing, mixed-income rental project, affordable housing, low-income housing, housing finance, housing development, preservation, rehabilitation, pre-development, construction financing, equity investment, credit enhancement, collateral, gap financing, area median income, AMI, perpetual affordability
LA
Bills:
HB414, HB786, HB1041, HB1052, HB1118, HB1139, HB1182, HB1185, HB1214, HB1217, HB1231, SR63, SCR27, SB5, SB194, SB415, SB433, SB451, SB462, SB516
Keywords:
healthcare, criminal convictions, employment, background checks, prohibited offenses, Medicaid, claim payments, extrapolation, provider audits, medical freedom, discrimination, access, medical intervention, child protection, confidentiality, multidisciplinary teams, child advocacy centers, public records, investigations, hospital
AZ
Arizona 2026 Regular Session
03/31/2026 - Senate Appropriations, Transportation and Technology
Appropriations, Transportation and Technology
Transcript Highlights:
- The cost of this work would require an appropriation of around $400,000.
- When you build a big thing, you create other costs for the whole state.
- House Bill 2202 is a modest, cost-effective solution.
- House Bill 2202 is a modest, cost-effective solution.
- Now you're getting hammered on the costs. Thank you. What are these costs all? I didn't know that.
Bills:
HB2014, HB2111, HB2156, HB2165, HB2202, HB2305, HB2321, HB2399, HB2403, HB2416, HB2418, HB2446, HB2601, HB2615, HB2620, HB2812, HB2939, HB2940, HB2955, HB2957, HB2960, HB2992, HB4026, HB4049
Keywords:
air emissions, fuel blends, environmental quality, feasibility study, Arizona Department of Agriculture, driver license, examinations, motorcycle awareness, public safety, traffic laws, livestock, compensation, funding, ranching, agriculture, veterans, state parks, admission fees, military exemption, recreation access
Summary:
The committee heard House Bill 2615, a strike-everything amendment creating an Independent Oversight Committee tied to the Department of Child Safety, with authority to review DCS practices, request briefings and audits, visit sites, and receive confidential complaints, along with a $2.2 million appropriation. The sponsor and several parents and advocates testified that stronger independent oversight was needed because of serious DCS failures affecting children and families. Some members supported the goal but objected to housing the committee in the Ombudsman’s office or questioned whether the structure was the right approach. The strike-everything amendment was adopted, but the bill itself then failed on a 5-5 vote.
The committee then passed House Bill 2620, which provides $300,000 annually for five years to the Arizona Department of Veterans Services to grant funds to emergency shelters serving veterans without requiring scheduled intake appointments. The sponsor and shelter representatives said the money would support trauma-informed case managers, help veterans connect to VA and shelter resources, and move the state closer to functional zero for veteran homelessness. The bill received unanimous support and a do-pass recommendation.
House Bill 2321 also passed unanimously. It requires DCS to place a security freeze on the credit reports of children entering foster care, with the freeze remaining until age 16 unless the child later chooses otherwise, and includes a $100,000 appropriation and one ongoing FTE. The sponsor said foster youth are especially vulnerable to identity theft and need automatic protection. House Bill 2601, which directs ADOT to seek federal segmentation for the Interstate 11 project between Casa Grande and Wickenburg, passed 6-4 after testimony from supporters who said it would keep the project moving and opponents who raised environmental, cost, and litigation concerns. House Bill 2992, a pilot program for child sexual abuse and grooming awareness education in six public schools, also passed 6-4 after testimony from a survivor and advocates; supporters framed it as prevention and critics argued it duplicated existing sex education and should be handled through broader curriculum or parent education.
Additional bills considered included House Bill 2156, which appropriates $250,000 to the livestock compensation fund and passed 7-3 despite transparency and conflict-of-interest concerns from an opponent; House Bill 2165, which exempts certain veterans and military members from state park admission fees, as amended to narrow the exemption to retired or disabled veterans and similar National Guard members, and passed 6-4 amid concerns about lost park revenue; House Bill 2960, creating a veterans specialty court grant program and requiring better coordination on incarcerated veterans, which passed 8-0; House Bill 2014, directing studies on gasoline blends and emissions modeling, which passed 6-2 despite concerns about cost and limited impact; and House Bill 2957, preserving non-REAL ID driver licenses and restricting biometric collection and data sharing, which passed 5-4 after amendment.
HI
Hawaii 2026 Regular Session
CPC Public Hearing - Tue Mar 24, 2026 @ 2:00 PM HST
Consumer Protection & Commerce
Transcript Highlights:
- They also considered startup costs with They also considered startup costs with equipment,<00:19:17.520
- It also controls the cost of out-of-pocket for ...
- It also controls the cost of out-of-pocket for ...
- It also controls the cost of out-of-pocket for ...
- <00:32:50.679>
of programs, to cover the cost of programs, to cover the cost of continuous
Keywords:
condominium governance, education trust fund, unit owners, real estate, dispute resolution, financial obligations, community representation, pharmacy benefit managers, maximum allowable cost, transparency, drug pricing, insurance commissioner, contracting pharmacies, healthcare, substance use disorder, SUD, addiction treatment, behavioral health, mental health, rehabilitation
Summary:
The committee heard testimony on SB 2433 SD1 relating to condominiums, which would direct the condominium education trust fund toward educational resources for unit owners and require the Real Estate Commission to ensure owners’ interests are represented in funded activities and related rulemaking. Supporters, including the Hawaii Real Estate Commission and a condominium owner advocate, said owners need a seat at the table in condo governance and education efforts. Committee discussion focused on whether the bill was necessary, with the Real Estate Commission indicating it could already use the trust fund for owner education and that owners are already considered stakeholders, though not through a specific commission seat. No vote was taken during the excerpted discussion.
The committee then took up SB 2047 SD2 HD1 on pharmacy benefit managers, which would set requirements for maximum allowable cost reimbursement, allow reverse-and-rebill claims after successful appeals, and authorize fines for violations. The Insurance Division offered comments, the Hawaii Pharmacists Association supported the measure with amendments and suggested future PBM reform funding, and Kaiser Permanente requested a technical amendment. A committee question raised whether the staffing and resource request for implementation was too large for a bill focused only on MAC pricing, and the witness said he would provide more data to the next committee. No final action was shown.
Next was SB 2425 SD2 HD1 on health insurance and substance use disorder treatment, requiring insurers to honor written assignments of benefits to SUD providers and prohibiting anti-assignment clauses. Supporters described patients being unable to access treatment because of high out-of-pocket costs and said direct payment would reduce harm for people in recovery. HMSA opposed the bill but said it would begin direct payments to non-participating SUD facilities effective March 27, while continuing to object to the assignment-of-benefits portion because of fraud and balance-billing concerns; the Hawaii Association of Health Plans also opposed. Members questioned HMSA about reimbursement mechanics and why the bill was needed if coverage policies were already changing.
Finally, the committee heard SB 3045 SD1 HD1, which would require coverage of continuous glucose monitors and related supplies, including for Medicaid managed care, under certain conditions. DHS and the Insurance Division offered comments, while SHPDA, Hilo Benioff Medical Center Foundation, and others supported the bill, citing inconsistent access and a case in which a woman allegedly died after being denied a CGM. HMSA said it already covers medically necessary CGMs and had updated its policy in 2025 for type 1 and insulin-dependent patients, but it raised concerns about expanding mandated coverage to type 2 and gestational diabetes and about supply impacts. The committee also discussed whether the bill duplicated existing coverage standards and why it had been introduced repeatedly. No votes or final dispositions were included in the excerpt.
OK
Oklahoma 2026 Regular Session
Commerce and Economic Development Oversight Feb 24th, 2026 at 10:30 am
Commerce & Economic Development Oversight
Transcript Highlights:
- It's created some unintended safety challenges in these confined mobile spaces, along with regulatory cost
- This bill is working on what is called the Oklahoma Health Care Cost Transparency Board, establishing
- least favorite things to do is have another board, but we're working on trying to make health care costs
- But we're working on trying to make health care costs more transparent.
Bills:
HB3147, HB4453, HB3369, HB3660, HB3498, HB3260, HB3081, HB3127, HB3673, HB2293, HB3545, HB3546, HB2035
Keywords:
special license plates, Route 66, Oklahoma, funding, community support, health care, transparency, primary care, cost analysis, insurance, all payer claims database, spending benchmarks, HB3369, food truck, food truck fire suppression, mobile food establishment, mobile food preparation vehicle, mobile food vendor, automatic fire extinguishing system, fire suppression