Transcript Highlights:

• They have bridge crews and heavy maintenance crews that do structural work. So they're split up.
• The goal of this would be to limit premium increases for members.
• The increases consist of $23 million for employee benefit premiums with an average of $66,000.
• and $19.6 million for risk premiums.
• The deductibles were structured by separating members into six classes based on student enrollment.

Keywords: 996, all

Transcript Highlights:

• agencies that have a similar structure. agencies that have a similar structure.
• The whole structure just doesn't make sense to me.
• isn’t applied to them because there’s no premium.
• your insurance premium tax revenues? your insurance premium tax revenues?
• there's no premium. It's kind of unique. there's no premium. It's kind of unique.

Keywords: 1191, senate, all

Transcript Highlights:

• And that's creating one of the things that's causing the premiums to go up, right?
• , of which the state covers 100% of the premium for the employee and half the premium for family independence
• This keeps benefits where they are and the premium structure where it is.
• This keeps benefits where they are and the premium structure where it is.
• When you look at the 8% premium increase, I think sometimes we take for granted maybe, you know, our

Summary: The Senate Finance Committee heard budget presentations for the Texas Historical Commission, the Pension Review Board, the Employees Retirement System (ERS), Social Security and benefit replacement pay, the Texas Emergency Services Retirement System (TESSRS), and the Cancer Prevention and Research Institute of Texas (CPRIT). The Legislative Budget Board outlined recommendations and major changes for each agency, including reductions tied to one-time projects at the Historical Commission, continued funding for courthouse grants, heritage trails, and Holocaust/genocide education, as well as new or modified riders and capital items. For the pension-related items, LBB described funding changes for PRB, ERS, Social Security, and TESSRS, including ERS health plan cost growth driven largely by pharmacy costs, the status of pension funding reforms, and TESSRS’s request for additional state support to address its unfunded liability and staffing needs. Members asked extensive questions about the Historical Commission’s one-time funding, unexpended balance authority, courthouse preservation, the Presidio La Bahia and National Museum of the Pacific War projects, and coordination of Texas history messaging across sites such as the Alamo, San Jacinto, Washington on the Brazos, and other heritage locations. The Historical Commission chair emphasized heritage tourism, economic development, and the need for continued investment in historic sites, staffing, IT modernization, and vehicles. On the pension items, senators discussed PRB oversight of local systems, including the Dallas police and fire pension situation, and ERS investment returns, benchmark comparisons, and rising health costs. ERS officials said the plan remains well funded overall, noted a 2021 cash balance reform and a planned supplemental legacy payment, and explained that GLP-1 drugs such as Ozempic and Mounjaro are a major driver of pharmacy spending; they also said the agency is working with the Texas Pharmacy Initiative and that rebates are contractually returned to ERS. For TESSRS, LBB and agency staff said the system serves volunteer and part-paid emergency personnel, is facing an infinite amortization period, and is requesting additional appropriations, staffing, and IT funding, along with a statutory change to allow an actuarially determined state contribution. The agency said it may otherwise need to cut benefits for volunteer firefighters. For CPRIT, LBB reported about $600 million in recommended funding for the biennium and a 10-FTE increase, while the agency described its $6 billion voter-approved program, $3.75 billion in grants awarded to date, and $10.4 million in revenue sharing since 2011. CPRIT’s only exceptional item was a request for a 10% salary increase for two exempt positions. No committee votes or formal actions were taken in the transcript.

Transcript Highlights:

• see during the pandemic those premiums had been eliminated based on federal rules during that time,
• , so we have to receive the premium before their coverage may be effectuated or continue.
• Even though the accounting structures and funding are remaining in those existing accounting structures
• agreements and approval structures agreements and approval structures within<01:32:16.119> the
• <01:32:24.480> for within new um DCF account structures for within new um DCF account structures

Keywords: 1187, senate, all

Transcript Highlights:

• I was looking over the past three years and our municipal insurance premiums have risen 42%.
• He said the bill would increase insurance premiums by about 50%, according to their carrier. [00:21:40
• ] Keith Britton said the bill would increase insurance premiums by as much as 50%, according to their
• The premiums are going up, the availability of insurance is going down.
• So if we The premiums are going up, the availability of insurance is going down.

Summary: The Civil Justice and Claims Subcommittee considered HB 145, by Rep. McFarland, which would raise Florida’s sovereign immunity caps from $200,000 per person and $300,000 per incident to $500,000 and $1 million, with a future inflation-based increase, extend the time to bring claims, and allow local governments to settle claims above the cap without a claims bill. McFarland argued the bill modernizes an outdated system and helps injured people obtain compensation more fairly and efficiently, while preserving sovereign immunity. Several members spoke in support during debate, saying the bill better balances government accountability and victims’ rights and that current caps have not kept pace with inflation and damages. Public testimony was largely in opposition. Local governments, counties, cities, insurance groups, and school-related organizations warned the bill would significantly increase liability exposure, insurance premiums, and taxpayer costs, especially for small and rural governments and school districts. Opponents also objected to the provision allowing settlements above the cap without legislative action, saying it would weaken the cap and increase litigation and costs. Supporters countered that injured people often wait years for claims bills and that governments should be able to resolve meritorious claims directly. After debate, the committee voted 16-1 to report HB 145 favorably, with Rep. Lopez voting no. The meeting then adjourned.

Transcript Highlights:

• I have a... ...who put some structure around it.
• In that timeframe, I have not been found liable for any claims or liabilities, but my premiums continue
• Insurance premiums should come down.
• Every increased dollar in premium makes it more difficult for us to continue our businesses.
• In 2024, our insurance premiums were just around $11,000.

Bills: HB2242, HB2446, HB2799, HB4502, HB2920, HB2790, HB5620, HB5060, HB5076, HB5080, HB5081, HB5128, HB5130, HB3847, HB5116, HB2969, HB4546, HB4202, HB5624, HB3964, HB4803, HB872, HB4775, HB4777, HB4961, HB5570, HB2988, HB4260, HB1375, HB5009, HB5411, HB5134, HB4388, HB3095, HB1387

Keywords: constables, civil rights, local government, law enforcement, policy-making authority, affidavit, medical bills, civil actions, reasonable charges, healthcare services, judicial statistics, court performance, family law, civil cases, efficiency reporting, court security, emergency management, harassment penalties, judicial safety, court committee

Transcript Highlights:

• As I looked at the budget, I see that we did not fund the premium assistance program.
• Did not fund the premium assistance program. We did not restore that.
• We have $27.8 million appropriated for the KidCare/FHK premium stabilization.
• increase for those ADAP individuals who were enrolled in the Obamacare Exchange premium assistance.
• premium assistance.

Keywords: 999, senate, all

Transcript Highlights:

• Kentucky include campground redesigns, Kentucky include campground redesigns, premium<00:06:55.759>
• Lake View campsites, camper premium Lake View campsites, camper cabin<00:06:58.720> additions,
• structural<00:19:08.080> and<00:19:08.480> safety<00:19:08.960> repairs.
• structural and safety repairs. structural and safety repairs. $6.7<00:19:11.440> million<
• Part of this assessment requires divers to perform underwater inspections of the marina structure.

Keywords: 958, all

Summary: The Budget Subcommittee on Economic Development, Tourism, and Environmental Protection received a detailed update from Kentucky State Parks Commissioner Meyer on capital projects funded through HJR 76, HJR 56, and House Bill 6. He said the department is making steady progress on a large portfolio of park improvements, with regular quarterly reporting to the legislature and ongoing coordination with the Finance Cabinet, the Energy and Environment Cabinet, the Commonwealth Office of Technology, and local utilities and governments. He emphasized that ADA accessibility is a priority across projects and noted that many completed items, including campground bathhouse renovations, broadband upgrades, life safety improvements, playground replacements, and some furniture and mattress upgrades, are already drawing positive feedback. The presentation focused heavily on campground, utility, and infrastructure work. Meyer described $40 million in campground upgrades split between western and eastern Kentucky, including projects at Ken Lake, Carter Caves, My Old Kentucky Home, Cumberland Falls, and others. He also outlined $20 million in utility improvements, including a federal matching grant for grid resiliency at Ken Lake and Kentucky Dam Village, plus wastewater and electrical infrastructure work at parks such as Dale Hollow, Blue Licks, Natural Bridge, and Cumberland Falls. Additional categories included building systems, life safety, structural repairs, accommodations and hospitality upgrades, pool and beach work, dam safety, playgrounds, and golf course improvements. Members asked about the status of Lake Barkley utilities, the possibility of transferring upgraded utility infrastructure to local providers after repairs, and how park repair priorities are set. Meyer said park managers report issues through regional directors and that projects are prioritized through a running capital list, similar to a long-range transportation plan. He said the department has already spent the current $20 million allocation and is requesting $40 million in the next budget cycle, adding that the department believes it could spend and complete projects if that amount is appropriated. The commissioner also said the department is managing 284 additional capital projects outside the main funding streams, totaling nearly $70 million.

Transcript Highlights:

• What we've learned recently also from House Bill 500 is that fire and tornado insurance premiums were
• Ideally, in fact, it would be good to have that funding for all of the universities' premiums put into
• premiums were not included<00:10:52.399> in<00:10:52.720> that<00:10:53.040> budget
• put into our base universities premiums put into our base so<00:11:05.200> that<00:11:05.600>
• having uh challenges and structurally having uh challenges and they're<00:13:13.839> expensive

Keywords: 958, all

Summary: The House Budget Review Subcommittee on Postsecondary Education met without a quorum and postponed approval of the minutes. The committee first heard from Northern Kentucky University President Katie Short Thompson, who highlighted NKU’s enrollment growth, student success metrics, national recognition for value, lower student debt, and new programs tied to regional workforce needs, including AI, cybersecurity, supply chain analytics, cardiovascular perfusion, and the Norse Network Hub for employer access. She asked for a $5 million recurring base funding adjustment to align NKU’s general fund support with peer institutions, along with support for tuition waivers with FAFSA requirements, continued debt collection authority through the Department of Revenue, inclusion of fire and tornado insurance premiums in base funding, inflation and performance-funding support, and increased asset preservation funding. She also outlined capital priorities for the Hail College of Business building, Nunn Hall, and the MEP building, and requested $5.4 million to match private support for the Young Scholars Academy, a dual-credit program serving first-generation and low-income students. Representative Tipton questioned NKU about the number of older students using tuition waivers and whether the university could continue the program without a statutory age-based mandate. Thompson said the number of students over 65 using the waiver was small, that some students pursue degrees while others audit classes, and that external fundraising could potentially support the program if state funding changed. Tipton also confirmed NKU’s requested priorities and the $5.4 million match for the Young Scholars Academy. The committee then heard from University of Kentucky representative Dr. Cavallo, who framed UK’s request around accountability, workforce development, research, and health care impact. He described a patient story to illustrate UK’s medical mission, cited growth in enrollment, degrees awarded, hospital patients treated, and research grant revenue, and emphasized UK’s role in extension services and disaster response. He said UK is consolidating services for efficiency and is focusing on future workforce needs, especially artificial intelligence, noting the launch of the state’s first AI bachelor’s degree and a partnership with Microsoft to expand AI tools and training across campus and the Advancing Kentucky Together network. He also discussed demographic challenges, the need to retain graduates in Kentucky, and the importance of aligning programs and funding with long-term state needs.

Transcript Highlights:

• , which could end up with higher reinsurance costs for HHRF, which would then drive the price of premiums
• , which could end up with higher reinsurance costs for HHRF, which would then drive the price of premiums
• , which could end up with higher reinsurance costs for HHRF, which would then drive the price of premiums
• <00:25:31.039> for then drive the price of premiums for then drive the price of premiums for
• Um, let's move on then. >> For that is because I don't know necessarily what the structural scheme of

Bills: HB1849, HB2000, HB1753, HB1511, HB276, HB1513, HB2188, HB1876

Keywords: licensing, professional license, individual taxpayer identification number, immigration, state residency, right to repair, wheelchairs, consumer protection, repair providers, device documentation, HB1753, Hawaii Social Media Data Deletion Act, social media, account deletion, data deletion, privacy, consumer privacy, personal information, sensitive personal information, data retention

Summary: The committee on Consumer Protection and Commerce met on February 10, 2026, and heard testimony on several bills. HB 1849 relating to licensing drew comments from DCCA’s Professional and Vocational Licensing Division and the Hawaii Real Estate Commission, both of which stood on written testimony. The Hawaii Coalition for Immigrant Rights testified in strong support, emphasizing that some immigrants, including DACA recipients, are already contributing in Hawaii and that the state should help create pathways for them to remain and advance professionally. No vote or final action was taken on HB 1849 during the portion shown. The committee then heard HB 2000, the wheelchair right-to-repair bill. Encart opposed the measure, arguing that repair delays are largely driven by insurance prior authorization and that wheelchair repairs involve FDA-regulated medical devices where improper repairs could create health risks. Peter Fritz testified in support, saying the bill was modeled on similar laws in other states and that he had personal experience through his sister’s use of a wheelchair. Members questioned whether repairs done outside insurer networks might not be reimbursed, and Fritz said that was a concern but that the need for timely repair outweighed it. The committee also discussed HB 1753 on social media, where DCCA’s Office of Consumer Protection supported the bill but suggested an amendment to the definition of personal information. On HB 1511 relating to consumer protection, DCCA’s Insurance Division supported the bill, while the Alliance for Automotive Innovation and the Hawaii Automobile Dealers Association offered comments seeking to preserve legitimate manufacturer and dealer communications about vehicles, warranties, recalls, and related services. The committee also took up HB 276 HD1 and HB 1513 on condominiums. The Hawaii Real Estate Commission offered comments on HB 276 HD1. For HB 1513, the Hawaii Green Infrastructure Authority supported the bill, but DCCA’s Insurance Division opposed it, warning that diverting HHRF funds could weaken reinsurance arrangements and raise premiums for consumers who rely on the fund. Members questioned whether the proposed condo loan program would need HHRF money and whether the amounts in the bill were necessary, and the division said it opposed using HHRF for that purpose. The committee also heard HB 2188 on housing, where OCP supported the measure and the Hawaii Association of Realtors raised concerns about conflicts with the Fair Credit Reporting Act and the use of tenant screening reports, noting that a working group is already addressing landlord-tenant issues. Members asked OCP to research how other states handle similar laws and whether additional language is needed to avoid federal conflict. Finally, on HB 1876 relating to mental health, the Department of Health’s Adult Mental Health Division supported the bill but said it remains opposed to harmful, non-evidence-based treatment modalities; Pride at Work Hawaii also testified in strong support. No final votes or committee decisions were reported in the excerpt.

Transcript Highlights:

• be reflected in premium payments by insureds. insureds. insureds.
• five largest companies, and 86% of the premium by the 10 largest companies.
• <00:39:34.480> beyond skyrocketing insurance premiums beyond skyrocketing insurance premiums
• I'd like for them to be able to collect all the benefits that they pay premiums for. Okay.
• I'd like for them to be able to collect all the benefits that they pay premiums for. Okay.

Bills: SB2960, SB2347, SB2272, SB3137, SB3132, SB2271, SB2804, SB2175, SB2487

Keywords: homeowners insurance, disaster recovery, replacement cost value, state of emergency, policyholder rights, insurance extensions, tenant rights, landlord obligations, housing crisis, eviction prevention, multilingual access, SB2272, Act 105, home health licensing, home health agency, home health services, Department of Health, DOH, CMS, Centers for Medicare and Medicaid Services

Summary: The committee heard several resolutions and one bill focused on energy reliability, utility infrastructure, insurance, tenant rights, and home health licensing. On the energy side, members heard HCR 203/HR 193 on a status update for the Hawaii Electric Reliability Administrator, HCR 204/HR 194 on a comprehensive PUC analysis of cost reduction and risk, and HCR 202/HR 192 creating a legislative task force on future energy pathways. Testimony on the energy measures was generally supportive from the PUC, DCCA’s Division of Consumer Advocacy, the Hawaii State Energy Office, and the Office of Hawaiian Affairs, with OHA urging that equity, native Hawaiian impacts, and public trust resources be considered alongside cost savings. The committee also heard HCR 125/HR 117 on coordinating with utilities to address aging utility poles and lines along Farrington Highway and other high-risk corridors; Hawaiian Electric supported the measure, Hawaiian Telcom and Charter Spectrum said much of the work is already underway and questioned whether the resolution was necessary, and committee questioning focused on existing double-pole tracking and the role of DOT and the PUC. The committee then took up HCR 137/HR 129 on timely reimbursement of health care claims under the clean claims statute. The DCCA Insurance Division and the Hawaii Insurers Council opposed the measure as drafted, saying it could be read to require payment beyond policy limits and could raise premiums or reduce market participation. United Policyholders supported the measure, arguing it would simply give policyholders more time to collect benefits they already purchased, and clarified that it was not intended to increase coverage beyond policy limits. The committee later amended the resolution to direct the DCCA Insurance Division to prioritize investigation and enforcement of clean claims complaints. In the decision meeting, the committee recommended and adopted passage of HCR 203/HR 193 as is, HCR 204/HR 194 with an amendment removing the eighth whereas clause, HCR 202/HR 192 with an amendment adding a committee representative to the task force, HCR 125/HR 117 as is, and HCR 137/HR 129 with amendments. The committee also heard SB 2960 SC1 on property insurance, which would extend the time policyholders have after a declared disaster to document replacement-cost claims. The Insurance Division and Hawaii Insurers Council opposed it, warning it could force coverage beyond policy limits and increase premiums, while United Policyholders supported it and said it would help disaster survivors recover benefits they already paid for; members questioned whether similar laws in other states had caused premium spikes and clarified that the bill was not intended to exceed policy limits. The committee also heard SB 2347 SD1 on multilingual tenant-rights notices, with OHA, Hawaii Appleseed, and others supporting the bill but urging restoration of language requiring landlords to directly provide the notice at lease signing. Finally, SB 2272 SD1 HD1 on home health licensing drew support from the Department of Health, SHPDA, and the Health Care Association of Hawaii, with the association requesting an effective date amendment; testimony explained that the bill would allow state licensing compliance to be demonstrated through CMS-approved accreditation or certification surveys, potentially reducing duplication and freeing state resources.

Transcript Highlights:

• Chair, Joey, that we're going to supplement insurance premiums, that we are supplementing insurance premiums
• OSI will administer the premium discount in a manner similar to the medical malpractice premium reduction
• So it's completely separate from the structural. Thank you.
• Gallo, whoever we want to structure it.
• But that's a choice of our structure, right? And we can look at different structures.

Transcript Highlights:

• <04:03:03.920> high<04:03:04.160> premium<04:03:04.640> or the premium high
• premium or the premium high premium or so<04:03:07.199> the<04:03:07.439> specific<04:03
• or second they're going to get a premium or second they're going to get a premium increase<04:12
• means, of course, is increased premiums. means, of course, is increased premiums.
• pool to offset future years premiums. pool to offset future years premiums.

Keywords: 1189, house, all

Transcript Highlights:

• It’s quite similar in its structure, where it has verbal reasoning, mathematical and logical reasoning
• , and similar structures in that sense.
• Student health insurance is often costly, with high premiums, deductibles, and out-of-pocket expenses
• Student health insurance is often costly with high premiums, deductibles, and out-of-pocket expenses.
• It reduces plan expenses such as premium taxes and state-mandated coverage.

Summary: The committee heard and discussed several higher education and public school bills. Senator Burwell presented SB 1242 to remove an outdated Coordinating Board approval requirement for Texas State Technical College land and facility acquisitions, and SJR 59 to create a constitutionally dedicated endowment for TSTC capital needs; both drew strong support from industry and workforce groups and were left pending. SB 757, by Senator Middleton, would create a debt-to-earnings accountability system for public college programs, with supporters saying it would protect students from low-value degrees and opponents warning it could unfairly penalize programs with long-term value, especially graduate, medical, and public service fields; it was also left pending. SB 1241, by Senator Millington, would expand acceptable college entrance exams beyond the SAT and ACT, including the Classic Learning Test, and was left pending after testimony from CLT, homeschool, and student groups in support. SB 1085, by Senator Blanco, would let Sul Ross State University offer lower-division courses at its satellite campuses in the Middle Rio Grande region; it too was left pending. The committee then took up a series of public school and higher education measures, voting several out favorably. SB 605, as substituted, limits commissioner approval of charter school expansion amendments for schools under conservatorship or a management team and was reported favorably 9-0. SB 1871 and SB 1873, both by Senator Perry, were revised to narrow teacher immunity, clarify removal and suspension procedures, require periodic review of in-school suspension placements, and align discipline rules; both substitutes were adopted and reported favorably. SB 1872, SB 1874, SB 762, SB 1962, SB 1750, SB 2252, SB 2253, SB 2365, SB 1924, and SB 37 were also considered, with most reported favorably on party-line or near-unanimous votes. SB 1750 would replace a flat charter school facilities funding cap with an attendance-based formula; SB 2252 and SB 2253 address kindergarten readiness, early literacy/numeracy, and educator preparation; SB 2365 concerns student phone use during instructional time; SB 1924 restores local citation authority for certain school offenses and adds reporting, notice, and completion requirements; and SB 37 would expand state oversight of higher education curriculum, governance, faculty senates, and compliance with state law. Other measures heard included SB 769, which would require a Coordinating Board report on barriers faced by students with disabilities in higher education; supporters emphasized the need for better data and accessibility, while witnesses suggested broader reporting on race, disability types, and K-12-to-college transitions. SB 2231 would designate a Free College Application Week in October and was left pending. SB 1878 would modernize the Josie School statute and provide formula funding and aid eligibility for Polytechnic College. SB 1409 would authorize universities to offer self-funded student health benefit plans, with Rice University and Texas 2036 supporting the measure as a way to lower costs and expand coverage. SB 2431 would require universities to give foreign language credit for study abroad programs, SB 2314 would require schools to inform students about opting in or out of record sharing for direct admissions through My Texas Future, and SB 2138 would extend the state’s anti-ESG contracting restrictions to public higher education endowments and governing boards; these later bills were introduced and left pending.

Transcript Highlights:

• , at least stabilized premiums.
• That’s why, as he mentioned, of the premium tax—yes, of the amount of premium written, not the premium
• That’s why, as he mentioned, of the premium tax—yes, of the amount of premium written, not the premium
• That’s why, as he mentioned, of the premium tax—yes, of the amount of premium written, not the premium
• That’s why, as he mentioned, of the premium tax—yes, of the amount of premium written, not the premium

Keywords: 928, house, all

Summary: The committee heard testimony from Insurance Commissioner DJ Bettencourt on the New Hampshire Insurance Department budget. He said the department is self-funded through assessments on insurers based on New Hampshire premium volume, with about $8 billion in premiums written in the state and a department budget of roughly $15.5 million. He explained that the department has 88 authorized positions, eight vacancies, and that three full-time positions were unfunded after the governor’s requested 4% reduction exercise. He also said the department is trying to balance staffing needs with not overburdening carriers during a hard insurance market. A major topic was the department’s $2.6 million rebate to industry from the prior fiscal year, which Bettencourt described as a credit against the next assessment rather than a direct cash payment. Members questioned why that credit was not reflected as a reduction in the upcoming budget, and Bettencourt and staff explained that the budget assumes full staffing and full spending, with any year-end surplus returned to insurers. The commissioner said the department had added staff in recent years for succession planning and to preserve institutional expertise, and that the rebate reflects careful budgeting rather than excess spending. Members also asked about staffing changes by division, including positions unfunded in fraud, property and casualty examinations, life and health examinations, and tax. Bettencourt said fraud investigations remain strong and that the department can use outside contractors for examinations, with those costs billed to the company being examined. He also described the department’s examination process, including periodic financial exams and targeted market conduct reviews triggered by consumer complaints or trends. Additional questions covered OIT transfers, the department’s oversight of fully insured health coverage, the insurance premium tax and fines going to the general fund, and the department’s limited role in auto repair reimbursement disputes, where he said complaints have recently declined.

Transcript Highlights:

• We have enrollment, and they have premiums. We call it capitation payments.
• And what drives those premiums is the pool of people.
• <00:36:59.280> So those premiums is the pool of people.
• So those premiums is the pool of people.
• It's about yeah it's a structural issue.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:36 Department for Medicaid Services 00:01:44, 958, all

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.

Transcript Highlights:

• Child waste and abuse has driven up health insurance premiums.
• HB4012 is closed. critical loopholes exploited by fraudsters, protects Texas families from rising premiums
• I pay a monthly premium; it's $900 a month just because I'm 62 years old, with no medical problems and
• I do not pay the monthly premium in order to get a... denial and then have a responsibility for the bill
• Coverage or charged more due to their health history, not only do these individuals face high premiums

Bills: HB1464, HB1635, HB2516, HB3317, HB3502, HB4012, HB4268, HB4386, HB4877, SB916

Keywords: prescription drugs, drug pricing, pharmacy benefits, health insurance, health benefit plan, insurer, HMO, self-insured employer, public employer, school district, county, municipality, university system, higher education, retirees, dependent coverage, stop-loss coverage, bulk purchasing, group purchasing, purchasing pool

Transcript Highlights:

• Javar is saying there's only so much that we should be adding on and the cost of premiums and things
• The analysis also found that the bill would have a negligible impact on health insurance premiums.
• But I'm just wondering at this time, is it worth us increasing their premiums?
• CalOptima is unique because its governance structure has been codified into state statute.
• That is why the structure was changed to include two county supervisors.

Keywords: 987, senate, all

Transcript Highlights:

• I mean, I definitely have concerns about the structure of what's happening here.
• I mean, I definitely have concerns about the structure of what's happening here.
• I think it's the structure. The policy doesn't allow it without this exchange.
• I think it's the structure. The policy doesn't allow it without this exchange.
• Our program provides a structured, supportive environment where individuals...

Keywords: 965, house, all

Transcript Highlights:

• He then thanked the committee and said he had concerns about the structure of what is happening. and
• I mean, I definitely have concerns about the structure of what's happening here.
• I mean, I definitely have concerns about the structure of what's happening here.
• I think it's the structure. The policy doesn't allow it without this exchange.
• Our program provides a structured, supportive environment where individuals...

Summary: The House Insurance Committee met on May 19 and first took up Senate Bill 509 on bank-owned life insurance. The bill would clarify that banks retain an insurable interest in former employees for purposes of exchanging underperforming bank-owned life insurance policies for better-performing ones. Members adopted a revised amendment set after withdrawing a prior version. Testimony focused heavily on whether consent from the insured former employee is required for any transfer or exchange, with supporters saying the bill is needed to address underperforming policies and opponents warning about unclear consent standards, data-transfer concerns, litigation risk, and possible federal tax issues. After debate, the committee reported SB 509 as amended by a 7-4 vote. The committee then heard Senate Bill 295, which requires health insurance coverage for medically necessary treatment for persons with acquired brain injuries, including cognitive rehabilitation and related services. Supporters from the Brain Injury Association of Louisiana and NeuroRestorative described gaps in post-acute care, high rates of discharge to unsafe home settings or nursing homes, and improved return-to-work outcomes when patients receive appropriate rehabilitation. An amendment was adopted to clarify federal essential health benefit limits and remove certain language, reducing the fiscal note to zero. The bill was then reported as amended without objection. Next, the committee considered Senate Bill 155, which requires coverage for medically necessary dental procedures needed for cancer treatment clearance, such as exams, imaging, and extractions. Cancer advocates, oncologists, and dental representatives said untreated dental problems can delay chemotherapy or radiation and lead to worse outcomes and higher costs. Cleanup amendments were adopted, and the bill was reported as amended. The committee also advanced Senate Bill 465, which tightens prompt-payment deadlines for health insurers, adds pharmacy payment provisions, and creates a recoupment timeline for dental claims; after technical and substantive amendments, it was reported as amended. Finally, the committee approved Senate Bill 276, creating a pre-appointment affidavit process for bail bond producers to ensure prior premiums, shortages, and forfeitures are resolved before a new insurer appointment, and House Resolution 260, which urges the Department of Insurance to study how out-of-network medical billing affects auto insurance rates. Both measures were reported favorably or as amended, and the committee adjourned after a motion to do so.