Transcript Highlights:

• I don't discount the training, actually, and I want to validate the concerns— I hear what you're saying
• I don't discount the training, actually, and I want to validate the concerns about the training, but
• They're in the 45-day window to receive public comment.

Summary: The hearing opened with several procedural announcements and then took up AB 2148, which would prohibit artificial intelligence from replacing education workers. The author and supporters from the California Federation of Teachers and California School Employees Association argued the bill was a modest first step to protect human educators, students’ social-emotional development, and teacher agency in classroom technology decisions. Public support came from labor and education groups, while some school administrator and county office representatives said they were moving to neutral or awaiting the printed amendments. The committee discussed teacher shortages and the role of AI as a supplement rather than a replacement, then passed AB 2148 as amended to Higher Education on a 5-0 vote. The committee then heard AB 2202, which would create a Closing the Achievement Gap Commission to advise the State Board of Education. The author and sponsors said the commission would improve coordination between state and local education leaders and help the state better support local efforts to close achievement gaps. Support came from CSBA, CFT, charter schools, and many district leaders. Members raised questions about early childhood representation on the commission, and the author said he would discuss that with the sponsor. The bill passed as amended to Appropriations on a 5-0 vote. The consent calendar, including AB 1569, AB 2071, AB 2206, AB 2298, AB 2467, AB 2580, AB 2652, and AB 2726, was also approved. AB 2555 was then heard as a special order bill to reform English learner reclassification. The author said the current system is outdated, inconsistent, and too subjective, and proposed a more automatic, transparent process with stronger parent involvement and post-reclassification monitoring. Testimony in support emphasized personal experiences of delayed reclassification and the need to recognize biliteracy; there was no opposition. The bill passed as amended to Appropriations on a 6-0 vote. The committee also approved AB 1860, which would extend design-build authority to county offices of education while preserving prevailing wage, apprenticeship, and skilled workforce requirements; opposition from county superintendent and facilities groups was removed after amendments, and the bill passed 6-0 to Appropriations. Later, the committee passed AB 2514, which would create a State of Achievement Gap Dashboard to track state-level progress in closing achievement gaps, and AB 2149, which would require the Legislative Analyst’s Office to publicly assess the state’s progress and recommend actions. Both bills were presented as part of a broader package to improve state accountability for student outcomes, and both passed as amended to Appropriations on 7-0 votes. Finally, AB 2490 was heard, proposing to allow longer-term substitute assignments with added training, mentorship, and parent notification to address teacher shortages and classroom instability. Supporters said it would reduce “subchurn” and help maintain continuity, especially in special education; opponents, including CTA, Public Advocates, and CTC staff, argued the bill was unnecessary given existing rulemaking and could create legal and training concerns. The transcript cuts off during committee discussion of AB 2490, so no final vote is shown for that bill.

Transcript Highlights:

• And, of course, they have something called a cap rate, and you discount cash flows at a higher rate,
• The same thing is true with Windows and Microsoft Office.
• benchmark, we would be compelled to either buy or sell private equity markets at steep premiums or discounts

Committee: Joint Legacy and Budget Stabilization Fund Advisory Board

Transcript Highlights:

• And, of course, they have something called a cap rate, and you discount cash flows at a higher rate,
• The same thing is true with Windows and Microsoft Office.
• benchmark, we would be compelled to either buy or sell private equity markets at steep premiums or discounts

Committee: Joint Legacy and Budget Stabilization Fund Advisory Board

Summary: The committee met with a quorum, approved the October 22 minutes, and received an update on the planned Legacy Fund transparency website. Jody Smith said the site is in contract negotiations after six bidders responded, with a target go-live around November 1 after added security review. The website is intended to provide downloadable, more detailed public information on the Legacy Fund, including historical changes, legislative allocations, and investment breakdowns. Members asked about comparables and data detail, and Smith said North Dakota would likely be the first state to offer this level of sovereign wealth fund transparency. Scott Anderson of the Retirement Investment Office then reviewed Legacy Fund performance through January 31, 2026, describing strong returns, low fees, and the benefits of diversification. He noted that real estate had been a drag on returns, but it is a small portion of the portfolio, and he discussed market effects from geopolitical events, inflation, credit spreads, and private credit. Members also questioned the in-state investment program and the BND CD-Match program. Representative Bosch moved to pause new transfers to the CD-Match program until the bank reports back, and the motion passed on a roll call vote. The committee also agreed to request a cost-benefit analysis from RVK on that change. After lunch, the committee heard from RVK consultant Jim Voidko on the investment policy statement, focused on the in-state investment provisions. He reported that, after interviews with implementers and stakeholders, RVK found no major policy impediments in the current IPS and no strong calls to change the size limits or core guardrails. He emphasized the importance of risk-adjusted returns, diversification, pacing, exit strategies, and governance, and warned that foregone returns or higher spending obligations can pressure the fund’s long-term mission. He also recommended clearer terminology around “infrastructure,” distinguishing public infrastructure from commercial infrastructure, and noted unresolved policy questions about nexus and economic diversification. The committee then began reviewing proposed IPS updates with Rio staff.

Transcript Highlights:

• Okay, I give you a discount. Ten percent off. Can you give us cash? And the idea is yes.
• Okay, I give you a discount. 10% off. Can you give us cash? And the idea is, yes.
• It's a white surface, no windows, so it makes one big video screen.

Transcript Highlights:

• ><c> The</c> generous deep discounts um and Under The generous deep discounts um and Under The Heading
• </c><01:14:43.560><c> that</c> threatened the voluntary discounts that threatened the voluntary discounts
• </c><01:15:12.800><c> but</c> become eligible for 340b discounts but become eligible for 340b discounts
• </c><01:16:37.400><c> which</c><01:16:37.520><c> is</c> 50% discount which is 50% discount which is not
• </c><01:16:44.920><c> for</c> they can buy it at a 50% discount for they can buy it at a 50% discount

Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 785, as amended by a committee substitute that combined language from HB 785 and HB 787. The bill was described as addressing Medicaid managed care organization (MCO) audits, provider contract notice and amendment procedures, mental health parity compliance, and related transparency requirements. Supporters said the measure would tighten notice to providers, limit repeated contract amendments and rate reductions, require more standardized audit procedures, and add reporting on Medicaid claims, appeals, and grievances. It also includes a provision requiring coverage of at least two evaluation-and-management billable services per physician per recipient per date of service, and a section addressing narcotic/opioid treatment program licensing and reimbursement language. Testimony in support came from Representative Kim Moore, John Inman of BrightView Health, Michelle Sandborne of the Children’s Alliance, and Kelly Cormic of RYSE. They argued that MCOs often use audits and recoupments in ways that are burdensome, opaque, and financially damaging to providers, especially smaller and rural ones. They cited examples of multiple audit requests in short timeframes, large record requests with short deadlines, delayed or absent feedback, and recoupments taken before appeals are resolved. They also said parity laws are not being consistently enforced and that the bill would give the Department of Insurance authority to suspend or revoke an MCO certificate of authority for willful or repeated parity violations. Committee members generally expressed support for provider protections and transparency, while asking for clarification on the narcotic treatment and E/M billing provisions. Tom Stevens of the Kentucky Association of Health Plans testified in opposition, saying the bill is complex to implement and should be handled through the broader Medicaid oversight work of House Bill 9, the MOAB. He said the issues raised were better suited for that bipartisan stakeholder process and noted the committee substitute had not yet been fully reviewed by his group. After discussion, the committee adopted the committee substitute and then moved to a vote on the bill; the roll call began, with several members recorded as voting yes, but the transcript cuts off before the final vote result is shown.

Transcript Highlights:

• for the whole state, then choosing one industry doesn't seem appropriate, and making it a special discount
• All this goes out the window with quantum encryption because the key to quantum is that it cannot be
• I mean, when we're running Windows 9, Windows 10, I mean, these are things that are so easily hacked
• Chair, if I may, the Windows 9 and 10 compliance issues are an obvious weak point, but what's even more
• The problem, because in the southern part of the state on the 30-mile window, if we were to do a law,

Summary: The committee approved the minutes from March 10, 2026, and then heard several House bills, mostly on appropriations, fees, water, food assistance, technology, and licensing. HB 2056, which would appropriate $100,000 for an Arizona Department of Water Resources feasibility study on brackish groundwater desalination, passed 6-3 despite concerns raised in opposition about increased groundwater pumping, subsidence, and impacts to tribal lands and conservation efforts. HB 2057, reducing the Arizona Centennial Special Plate renewal fee from $25 to $20, also passed 7-2 after one senator objected that the plate’s purpose and discount were not well justified. HB 2224, appropriating $1 million annually to DES for the produce incentive program, drew supportive testimony from food access groups who said the program helps families, farmers, and local markets; members noted the amount was below the prior $2 million funding level and could force site closures, but the bill passed 9-0. The committee also advanced HB 2257, which changes the distribution of watercraft registration and fee revenue, shifting more money to lake improvement and boating safety funds and less to the watercraft licensing fund. It passed 6-3 amid criticism that the bill moved money away from Game and Fish and concern that the boating safety fund increase could support immigration enforcement. HB 2265, which bars courts from charging criminal defendants for public defender services and certain other criminal-case fees and assessments, passed 7-1 after extensive testimony from advocates who argued the fees burden indigent defendants and cost more to collect than they raise; opponents called it a cost shift to counties and other local governments and said more fiscal data was needed. HB 2311, regulating publicly available conversational AI services with disclosure, anti-gamification, sexual-content restrictions, parental tools, and self-harm protocols, passed 7-2 after the sponsor and supporters framed it as child protection, while opponents warned about privacy, surveillance, and overbroad definitions; an Epstein amendment broadening the bill was rejected. The committee then considered HB 2752, which would subject Arizona Commerce Authority trade offices to legislative appropriation and require annual reporting. The ACA said it was neutral but supported the concept of data-driven decisions; the sponsor said the Legislature should approve trade offices and that the bill reflected his prior trade-office initiatives. An Epstein amendment requiring objective research for trade-office appropriations was rejected, and the bill passed 6-3. Finally, the committee heard HB 2957, which would preserve non-Real ID driver’s licenses, prohibit mandatory participation in enhanced ID programs, restrict biometric collection and document retention, and bar government entities from requiring digital or mobile IDs. The sponsor and several supporters argued it protects privacy, state sovereignty, and informed consent, while opponents from ADOT and the trucking industry warned it could conflict with federal Real ID and CDL requirements and jeopardize federal compliance and funding. The discussion was still ongoing at the end of the transcript, with witnesses and members debating whether the bill would change current practice or create federal conflicts.

Transcript Highlights:

• All of those incentives out the window because someone says they reported a crime, two crimes.
• same type of requirements for convenience stores—security cameras, lighted parking lot, unobstructed windows—we
• That forces jurors to discount evidence they've already heard and that they've deemed credible.
• Second, on the 30-day rebuttal window: If the designation remains in effect for 30 days while the organization
• There's a 30-day window to challenge a designation in court.

Summary: The subcommittee took up a long agenda of civil justice measures and claims bills. HB 1407, on commencement of civil actions under the Florida Civil Rights Act, was presented as a fix to conflicting appellate decisions about whether an EEOC no-probable-cause notice can start the clock for filing suit; the bill would allow an EEOC determination to suffice and permit filing within 18 months of the complaint. It passed 16-0. HB 1337, an estates bill reducing court involvement in decedent asset distribution by expanding personal representative authority over safe deposit boxes and increasing small-estate thresholds, also passed unanimously, 17-0. The committee then considered PCS for HB 1553, which would change what medical expense evidence juries may see in personal injury and wrongful death cases, with supporters saying it would clarify the law and let both sides present evidence, and opponents arguing it would roll back 2023 tort reforms and reintroduce inflated medical bills. After extensive testimony from business, insurance, trucking, and plaintiff-side interests, the PCS passed 13-4. HB 1423, dealing with negligent security in multifamily residential properties, would remove a presumption against liability when two or more specified crimes were reported in the prior 24 months; an amendment clarified that the crimes must have been reported to the owner or principal operator. Supporters said it would help crime victims and restore balance, while opponents warned it would undermine incentives for property owners to maintain security. The amended bill passed 14-4. Several claims bills also advanced unanimously: HB 6527 for Patricia Armini and the Lee County Sheriff’s Office, HB 6531 for the estate of McKenzie Navarra and the Broward County Sheriff’s Office, HB 6507 for L.E. and the Department of Children and Families, and HB 6521 for Jose Carrera and Miami-Dade County. Each was described as providing compensation for serious injuries or death after prior government negligence, and each was reported favorably without opposition votes. Finally, the committee heard HB 1471, a controversial bill on systems of law and terrorist organizations. The sponsor said it would bar enforcement of foreign or religious law over the U.S. and Florida Constitutions, create a state process for designating domestic terrorist organizations, and prevent state funds from supporting terrorism. Members raised extensive concerns about vague definitions, First Amendment and due process issues, and the lack of a predesignation hearing; public testimony was overwhelmingly opposed, with supporters arguing the bill was needed for public safety. The transcript ends during public testimony on HB 1471, before any vote on that bill.

Transcript Highlights:

• On the single-fee discount plan, I believe that's correct. Okay. But I believe...
• On the single-fee discount plan, I believe that's correct. Okay.
• One to another because it was such a deep discount. Now, that's my understanding.
• You'd be part of the single-fee discount program.
• Blow right through those tolls at the single-fee discount.

Summary: The Senate Infrastructure Committee first returned to engrossed House Bill 4419, which would require the West Virginia Parkways Authority to hold public hearings and give notice before increasing tolls, rents, fees, or charges, and would allow legislative auditing of related revenues and sinking funds. The committee debated two amendments related to E-ZPass transponders: one from the Senator from Jefferson to clarify that the Parkway Authority would not be required to read every plate failed on a 4-4 tie, and one from the Senator from Wetzel to codify a restriction on transferring single-fee transponders between vehicles was rejected after discussion with counsel and the Parkways Authority about current policy, convenience for users, and possible effects on the bill. The committee then approved a motion to send HB 4419 to the full Senate with a recommendation that it do pass, but first be referred to Finance, and a separate motion to send it to Finance passed. The committee also considered engrossed House Bill 4563, on which Senator Randolph moved for a second reference to Finance because of fiscal concerns. After discussion of the newly filed fiscal note and the bill’s potential revenue impact, that motion failed by a 4-5 division vote. The committee then voted to report HB 4563 to the full Senate with a recommendation that it do pass. Finally, the committee took up House Bill 4538, which increases fines and penalties for failing to obey traffic control instructions or speeding in construction and work zones, and also references penalties tied to distracted driving provisions. Counsel noted the bill’s possible overlap with existing vehicular homicide penalties and that it had no fiscal note. Jason Pizzitella of the Contractors Association testified in support, emphasizing work-zone safety and recent fatalities, while senators from Fayette, Randolph, and Jefferson also supported the bill and discussed the need to protect workers and drivers. The committee adopted a motion to report HB 4538 to the full Senate with a recommendation that it do pass, and then adjourned.

Transcript Highlights:

• you could just describe for their benefit kind of the major parts of what's happening, it includes window
• Each window is going to have its metal laser cleaned.
• The windows, the glazing, will be changed, a new solar film added, and steel that's been damaged by water
• So I don't mean to discount the federal component. It's our wheelhouse is the state general fund.

Summary: The committee met to review budget and fiscal items, beginning with a roll call and a reminder about severe weather and the need to keep the meeting brief. Members first received the January fiscal status statement and certified the prior-year surplus at $577,073,871, with no changes from the prior month. The fiscal status statement was approved without objection. Staff then reviewed the five-year baseline budget and continuation/standstill budgets, noting projected imbalances in later years driven by revenue declines, including the redirection of motor vehicle sales tax, and by rising costs such as inflation and Medicaid adjustments. Representative Amadee asked about Medicaid growth and SNAP administrative costs, and staff explained that the SNAP federal match change is separate from Medicaid. The governor’s executive budget presentation focused on a third year of standstill budgeting, efficiency savings, and the impact of one-time reductions and agency reorganizations. Officials said the budget avoids recurring spending from nonrecurring revenue and incorporates savings from prior efficiency efforts. Major items discussed included funding for LA Gator vouchers, the high-impact jobs program at Louisiana Economic Development, DCFS modernization, corrections overtime and offender costs, Angola population growth, nursing home and MCO adjustments at LDH, and additional support for the MJ Foster Scholarship and Board of Regents systems. Members also discussed the distinction between state general fund and federal funds, the effect of inflation on specific purchases, and the use of surplus dollars, including deposits to the Budget Stabilization Fund and UAL paydown. No formal action was taken on the budget presentation. Later items included the FY27 expenditure limit calculation of $20.1 billion, up $953 million from FY26, and the annual comprehensive financial report, which received an unmodified audit opinion. The committee approved a BA-7 increasing federal funds for the governor’s office by $2 million for U.S. DOT-related infrastructure and rural transit work. It also approved Facility Planning and Control requests to add five higher education deferred maintenance projects and to combine two Baton Rouge Community College projects. CPRA received approval to extend contracts with Coastal Estuary Services and Access Sciences for monitoring and records-management services. The committee also approved a legislative intent clarification for a $500,000 appropriation to the New Orleans Recreational Development Foundation. The final major discussion was a presentation on a weighted caseload study for appellate and district courts. Judicial officials explained that the study updates an outdated formula used to assess judgeship needs, incorporates specialty courts and commissioners, and is intended as one tool in a broader collaborative process with the legislature. Members raised concerns about the number of judges, court funding, and how Louisiana compares with other states. No vote was taken on the study, but the discussion emphasized future collaboration on judicial resource allocation and possible structural changes.

Transcript Highlights:

• It includes window replacement as well.
• Each window is going to have its metal laser cleaned.
• The windows, the glazing will be changed, a new solar film added, steel that's been damaged by water
• So I don't mean to discount the federal component. It's our wheelhouse is the state general fund.

Summary: The committee first took up the fiscal status statement, certification of the state surplus, and the five-year baseline budget. Officials from the Office of Planning and Budget and the Division of Administration said the January fiscal status statement had no changes, and the commissioner certified a surplus of $577,073,871. They also reviewed the baseline outlook, noting projected imbalances in later years driven by declining revenue, including the redirection of motor vehicle sales tax, and rising costs such as inflation and Medicaid-related expenses. The fiscal status statement was approved without objection. The governor’s executive budget was then presented as a third consecutive standstill budget, with administration officials emphasizing efficiency savings, no reduction in services, and no reduction in state workforce. They said the budget relies on prior savings efforts and incorporates agency-level cuts and reorganization, while also addressing higher costs in corrections, DCFS, and health care. Major items highlighted included funding for LA GATOR, the high-impact jobs program, DCFS modernization, corrections population and overtime needs, nursing home and managed care adjustments at LDH, and additional support for the MJ Foster Scholarship Program. Members asked about the impact of inflation, the use of federal versus state funds, the future of voucher and GATOR funding, and whether more support should go to DCFS and the Hero Fund. The committee also received the calculation of the FY27 expenditure limit, set at $20.1 billion, and the annual comprehensive financial report for FY2025, which received a clean audit opinion. Members approved a BA-7 increasing federal funds for an executive office transportation grant, approved additions to the Act 751 higher education deferred maintenance project list and a Baton Rouge Community College project combination, and approved contract amendments for CPRA with Coastal Estuary Services and Access Sciences. The committee also corrected a legislative intent item naming the New Orleans Recreational Development Foundation. Finally, the judiciary presented a weighted caseload study for district and appellate courts, explaining it as an updated tool to assess judicial workload and potential judgeship needs; members discussed its limits, the role of specialty courts and commissioners, and the need for further legislative-judicial collaboration before any changes are made.

Transcript Highlights:

• This is just ABV's discounts.
• This is just ABV's discounts.
• </c> discounts we receive, only 1.5%. discounts we receive, only 1.5%.
• </c><01:54:26.880><c> a</c> seen a significant discount a seen a significant discount a significant<01
• </c><01:57:10.800><c> grantees</c> discounts were extended to grantees discounts were extended to grantees

Committee: Senate Commerce and Consumer Protection

Transcript Highlights:

• I was outside of that first window of care. I was one of those hot potatoes.
• So if it’s a Medicaid patient, we stand down because that would be duplicative discount.
• I have no intention to duplicate discount.
• I have no intention to duplicate discount.
• I have no intention to duplicate discount.

Committee: Senate Health and Human Services

Transcript Highlights:

• That would put a date, a time window.
• The grant window has not opened up for this year to apply, and we intend to apply for at least that same
• Because I know a lot of entities and businesses offer these discounts, I had the pleasure of filling
• So outside of the discounts for businesses, I would be very careful about providing that type of information
• cautious if anybody's asking for a Social Security number for local accounts. ...business for a veteran discount

Transcript Highlights:

• include five income tiers for providing discounts. [00:59:10] The bill discount program must include
• We want to work with utility providers to scale up existing bill discount and monthly bill assistance
• If bill discount programs are available, eligibility rules, benefit levels, and funding often vary.
• And I just want to make sure, is it the same with the low-income senior discount?
• We have more people in the senior discount, and we have offered a low-income discount also, and we're

Summary: The Environment and Energy Committee heard testimony on three bills. HB 2426 would allow the Pollution Control Hearings Board, with unanimous agreement of the parties, to use alternative board compositions for appeals, including a single member or other qualified environmental adjudicators, so long as one member is a Washington-licensed attorney and the panel has environmental law expertise. The bill sponsor and supporters from business and conservation groups said it was a narrow, consensus-based change intended to improve efficiency and predictability. ELUHO’s director supported the concept but flagged technical issues in the bill language about attorney and Growth Management Hearings Board member qualifications. HB 2416 would provide no-cost allowances under the Climate Commitment Act to Spokane’s waste-to-energy facility, which is not currently covered until the second compliance period. Supporters, including Spokane officials, labor, and local partners, said the facility protects a sole-source aquifer, provides waste disposal and electricity for about 13,000 homes, and faces large compliance costs that could raise rates and threaten jobs. Opponents from environmental groups and Ecology argued the bill would give the facility preferential treatment, subsidize most of its emissions through 2050, and fail to ensure real emissions reductions; AWB raised concern about market impacts if new allowances are added. No vote was taken. HB 2373 would require electric utilities to offer monthly bill discount programs with tiered income levels, expanded outreach and enrollment, and updated reporting on low-income energy assistance. The sponsor said the bill is meant to make assistance more consistent and accessible statewide, while utilities and rural co-ops warned it could create unfunded mandates and significant rate increases for non-low-income customers, especially in smaller systems. Supporters from community action agencies, Commerce, and some utilities said monthly assistance is needed because energy burdens are rising and current programs are patchwork, though several urged pairing the bill with state funding or amendments. The committee heard extensive testimony but took no final action on any of the bills.

Transcript Highlights:

• amount of health services are used, residents will then pay an additional amount, or it may be a discounted
• critical and they start, And then sometimes they get a little critical and they start using words like window

Summary: The Joint Committee on Aging and Independence commission meeting focused on continuing care retirement communities (CCRCs), with members and presenters discussing how the model works, consumer protections, and areas for future review. After member introductions, Jennifer Fuller summarized survey results showing the top priorities as financial viability and affordability, consumer protections and rights, and regulation/monitoring standards. The commission said those issues would guide its work plan, while also keeping staffing, definitions, and federal support on the radar. Alyssa Sherman of LeadingAge Massachusetts and Jim Freiling of Brookhaven at Lexington gave a detailed overview of CCRCs, explaining that they combine housing with health-related services under long-term contracts and typically require entrance fees plus monthly fees. They described the three common contract types: Type A/life care, where costs stay relatively stable if residents need more care; Type B, which offers some included or discounted care with higher costs later; and Type C, fee-for-service, with lower entrance fees but higher costs if care needs increase. They also discussed nonprofit governance, resident involvement, and the role of state and Attorney General disclosure requirements. Several members raised concerns about affordability, refund timing, and the need to distinguish true CCRCs from other senior housing marketed similarly; presenters said refunds are often tied to reoccupancy and that their organizations are collecting data on refund timelines and contract terms. The discussion also covered resident rights and governance, including whether residents should have seats on nonprofit boards. Christine Griffin said her community lacks resident board representation and urged the commission to consider a state requirement, while others said resident associations and direct engagement with boards can be more effective than mandatory board seats. Members also discussed transparency around monthly fee increases, financial screening before admission, and the importance of clear marketing so consumers understand what they are buying. No votes were taken. The meeting ended with logistical updates, including a tentative public hearing date of June 3, 2025, a note that the next meeting would focus on regulation and monitoring standards, and a reminder that the commission would continue refining its work plan based on survey feedback.

Transcript Highlights:

• And are we opening up a window that says, hey, by the way, you can do something under $250 and you have
• And in line with the fact that most of these drugs, the manufacturers offer discount plans for those

Committee: House Insurance

Summary: The House Insurance Committee met on April 15 and first considered HB 909, which would require commercial health insurance coverage for behavioral health crisis services. Representative Spell and Office of Behavioral Health interim assistant secretary Dr. Holly Howitt described the Louisiana crisis response system, the goal of reducing emergency room and 911 use, and the need to expand provider participation beyond Medicaid. A technical amendment and a stakeholder-driven amendment allowing insurers to require documentation of crisis, medical necessity, and follow-up plan were adopted, and the bill was reported as amended with support cards from several health care and local government entities. The committee then advanced HB 1151, which changes investment limits for domestic insurers, especially life insurers, by capping equity holdings and aligning the rules with solvency concerns. After questions about whether the bill would increase profits at consumers’ expense, the author and Department of Insurance staff explained it was intended to provide guardrails and keep insurers solvent; the bill was reported favorably. HB 1154, dealing with prior authorization for certain generic medications, also received technical and substantive amendments. The bill would generally eliminate prior authorization for non-opioid generics, with a $250 wholesale acquisition cost cap and physician-specialty exceptions; it was reported as amended after support testimony from the Louisiana Dermatological Society and other health groups. HB 869, which sought coverage for injectable drugs used for glucose control or weight loss, prompted extended debate over cost, obesity, and long-term savings. Several members raised concerns about premium increases and the large fiscal note, while the author argued the bill was preventive and could save money over time. Representative Jordan proposed a 25% coverage amendment, but the committee declined to take up the substantive amendment that day, and the bill was voluntarily deferred to the next meeting. Later, the committee reported HB 1196 favorably, clarifying that screening colonoscopies remain screening even if polyps are found, and HB 1176 favorably, restoring Medicare Advantage coverage for certain integrative cancer care services. The committee also heard HB 771, which would have changed Medicare coordination rules for retirees who return to state employment, but staff explained the issue is governed by federal CMS rules and preemption concerns; the bill was voluntarily deferred so the author could review the governing law. HB 751, dealing with term life insurance disclosures, was likewise voluntarily deferred after the author said more work was needed and noted concerns about existing law and consumer understanding. At the end of the meeting, the committee also deferred HB 920 and HB 1199 to the following week and briefly stood at ease before moving on to other business.

Transcript Highlights:

• And are we opening up a window that says, hey, by the way, you can do something under $250 and you have
• And in line with the fact that most of these drugs, the manufacturers offer discount plans for those

Committee: House Insurance

Transcript Highlights:

• And this bill discounts them. This bill throws them away.
• side of the aisle said, we've got ideas, if your proposal doesn't confront that, then it is just window

Transcript Highlights:

• starts our episodic nature because we wait until the Legislature has conducted his affairs gives us windows
• There's no tuition discounting applied.

Transcript Highlights:

• and bill payers at the non-discounted price.
• Manufacturers are barred from providing duplicate discounts, and so we cannot pay a 340B discount and
• at a 340B discount to patients that are otherwise not eligible.
• The discounts are not for inpatient.
• The discounts are not for inpatient.

Bills: SB5904 , SB5915 , SB6025 , SB5933 , SB5990 , SB5981

Committee: Senate Health & Long-Term Care

Keywords: nursing titles, licensure, healthcare professionals, patient safety, professional standards, SB 5915, health technology assessment, HTA, clinical committee, medical technology review, coverage determination, state-purchased health care, Washington health care, RCW, evidence-based medicine, cost-effectiveness, safety and efficacy, Medicare coverage, national coverage determination, clinical guidelines