Video & Transcript Research : 'retroactive coverage'

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CA
Transcript Highlights:
  • It limits retroactive coverage of Medicaid-eligible expenses to one month prior to the month of application
  • health care coverage changes?
  • Millions will either find it harder to reach coverage or afford their care.
  • Medi-Cal provides essential health coverage for about 80% of WIC families.
  • Premiums could rise as much as 74% next year, pricing many out of coverage.
Summary: The Assembly Budget Subcommittee on Accountability and Oversight held its fifth hearing of the year to examine the newly enacted federal H.R. 1 and its effects on California. Members and the chair described the law as a major threat to state health, food, education, and climate programs, and emphasized that California would not be able to fully backfill the federal cuts. Several members also highlighted the bill’s tax provisions, including temporary deductions for tips, overtime, seniors, and auto loan interest, while warning that the largest benefits flow to higher-income taxpayers and that major cuts to Medi-Cal, CalFresh, and clean-energy incentives are delayed or phased in over time. The Legislative Analyst’s Office and the Department of Finance presented detailed overviews of the bill’s likely impacts and implementation timelines. They identified the main affected areas as health care coverage and financing, food assistance, higher education, personal income taxes, and clean-energy/electric-vehicle credits. They explained that H.R. 1 limits provider taxes used to finance Medi-Cal, adds work and redetermination requirements, restricts CalFresh eligibility and increases state costs, changes student loan and Pell Grant rules, extends and modifies federal tax provisions, and phases out many clean-energy credits. Finance also noted major rescissions of Inflation Reduction Act funds, new border and immigration enforcement spending, and the possibility of PAYGO sequestration if Congress does not act to offset the deficit increase. During member questions, the committee focused on likely enrollment losses, administrative burdens, and fiscal exposure for the state and counties. Witnesses said many details still depend on federal guidance, but they estimated significant impacts on Medi-Cal, CalFresh, and graduate/professional student borrowing, and noted that California’s high CalFresh error rate could increase state costs. UC testified that the elimination of Graduate PLUS loans would affect thousands of professional students, especially in health, law, and other high-cost programs. Members asked for follow-up data on county, health, and tax impacts, and staff agreed to provide additional tables and estimates as implementation guidance becomes clearer. Public commenters from counties, early childhood advocates, health coalitions, disability rights groups, immigrant-rights organizations, and other stakeholders urged the Legislature to mitigate the law’s effects. They warned of higher county costs, reduced access to health care and food assistance, increased administrative burdens, and harm to children, immigrants, people with disabilities, and low-income families. Several urged new state revenue solutions and stronger protections for Medi-Cal, CalFresh, child care, and home- and community-based services. No votes were taken; the hearing was informational and ended with a commitment to continue monitoring federal guidance and to work on state responses in the budget process.
TX
Transcript Highlights:
  • comprehensive base rate proceeding is our opportunity to look at each rider fully and make any adjustments retroactively
  • . ...to look at each rider fully and make any adjustments retroactively, but in either direction.
Summary: The Senate Business and Commerce Committee met with a quorum and first took up pending business, voting out several bills. Senate Bills 1697, 1569, 1202 as substituted, 1029, 1364, 1185, 924, 1008 as substituted, 264, 1376, and 1358 as substituted were reported favorably, with some sent to the local and uncontested calendar. The committee also adopted a substitute for SB 1202 and later corrected votes on several measures. SB 924 and SB 1376 drew some opposition, while the rest of the pending bills were reported without dissent or with limited nays. The committee then heard testimony on SB 1856, which would create an annual capacity-cost recovery rider for Entergy Texas customers in the MISO region. The author and Entergy argued the bill would better match rates to actual capacity costs and improve transparency, while the Texas Association of Manufacturers and the Public Utility Commission raised concerns about the short 10-day review period, rider proliferation, and the preference for full rate cases over piecemeal adjustments. The bill was left pending. The committee also heard and left pending SB 522 on CPA reciprocity, SB 1664 requiring TDUs to provide clearer, standalone rate-change disclosures, SB 1877 expanding OPUC’s access to market data, SB 1254 and SB 1255 as TDLR cleanup bills on professional employer organizations and mold assessors, SB 1341 updating manufactured housing rules, SB 1239 on sovereign debt and Texas governing law, and SB 1259 streamlining the surveyor-in-training licensing process. Additional bills discussed included SB 1977, which would cap recoverable legal expenses in electric, water, and sewer rate cases; OPUC and some consumer advocates supported the idea as a way to reduce ratepayer costs, while utility representatives warned it could discourage participation and increase rate shock. The committee also heard SB 1762 clarifying that geothermal energy conservation wells are not battery resources, and SB 783 allowing SECO to proceed with future energy-code rulemaking for state-funded buildings. Both drew supportive testimony from industry and environmental groups. All remaining bills heard during the meeting were left pending, and the committee recessed subject to the call of the chair.
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 04/17/26

Human Services

Transcript Highlights:
  • Many are relying on remote coverage hours because they cannot fill shifts.
  • This is the retroactive one to cover the circumstance. >> Senator Fateh. >> No.
  • This is the retroactive one to cover the circumstance. >> Senator Fateh. >> No.
  • This is the retroactive one to cover the circumstance. >> Senator Fateh. >> No.
  • This is the retroactive one to cover the circumstance. >> Senator Fateh. >> No.
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

Senate Floor Session - Part 3 - 05/17/26

Minnesota Senate Floor Meeting

Transcript Highlights:
  • And bravely, she says her daughter Addison has had 24/7 nursing coverage her entire life.
  • That is why well over 40 states have authorized the short-term home care and nursing coverage so that
  • Program that said they could get that coverage under the power of law. I am kind of...
  • coverage to be...
  • One month retroactivity for the adult population and two months for families and children.
Keywords: 1187, senate, all
FL

Florida 2026 5th Special Session

Banking and Insurance Jan 28th, 2026

Transcript Highlights:
  • cost-sharing, and non-covered medically necessary expenses, and account for situations when that coverage
  • Finally, we have concerns that the bill may be interpreted to apply new requirements retroactively to
Summary: The Senate Committee on Banking and Insurance met with a quorum present and took up a full agenda of bills, beginning with SB 1286 by Sen. Wright. That bill expanded the state recruitment bonus program to include newly employed firefighters, created a DFS grant review panel, and established a PTSD institute within DFS for first-responder behavioral health. Fire chiefs, the Florida League of Cities, and others supported the measure, and the committee reported it favorably. The committee then considered SB 198 on virtual currency kiosks by Sen. Rousan. A substitute amendment was adopted that clarified daily transaction limits, registration requirements, expiration rules, and OFR authority to deny registrations. Testimony focused on protecting seniors from crypto-ATM scams while giving the industry regulatory certainty. The committee also favorably reported CS/SB 198. Members next approved CS/SB 772, which allows portable electronics limited licensees to sell eyewear insurance, and CS/SB 1504, which updates insurance customer representative licensing pathways by allowing a high school insurance and personal finance course to count toward pre-licensure education. The committee also favorably reported Sen. Gruters’ CS/SB 1038 and CS/SB 1040, which together create the Florida Strategic Cryptocurrency Reserve and its trust fund framework, and CS/SB 1440, which expands public records exemptions and cybersecurity-related protections for financial institutions, loan originators, money service businesses, and credit unions. Sen. Burton’s SB 1668 on the NICA program drew extensive testimony from a NICA board member and family advocate, who urged stronger funding to preserve lifelong care for catastrophically injured children; the bill was reported favorably despite concerns from the Florida Justice Association about benefit restrictions and retroactivity. Finally, the committee approved CS/SB 570, creating a DFS task force on payment scams, after an amendment reduced FDLE’s required representation. At the end of the meeting, Sen. Burton requested to be recorded in the affirmative on SB 1286, and Sen. Passidomo requested affirmative votes on tabs 3, 5, and 9; the committee then adjourned.
NE

Nebraska 2025-2026 Regular Session

Legislative Morning Session Apr 8th, 2026

Nebraska Unicameral Floor Meeting

Transcript Highlights:
  • government was decreased, then we would have to increase how much we would pay to provide the same coverage
  • Expanding Medicaid coverage to a year postpartum, which this body did a few years ago, is another.
  • child health the infant rates and the death rates and um dula intervention is one expanding medicate coverage
  • to a year postpartum which this body did a few years ago and so there are coverage to a year postpartum
LA

Louisiana 2026 Regular Session

House of Representatives Apr 9th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • Title 42 relative to prior acts of legislature retroactivity provider effectiveness.
  • House Bill 477 by Representative Abair, relative to health insurance, requires coverage for prosthetic
  • Relative to health insurance, it requires coverage for prosthetics and orthotic devices, establishes
  • criteria for medical necessity, delineates coverage standards encompassing multiple devices, materials
  • House Bill 76 by Representative Freeman, health insurance coverage relative to anti-cancer medications
HI

Hawaii 2025 Regular Session

PBS Public Hearing - Fri Jan 31, 2025 @ 8:30 AM HST

Public Safety

Transcript Highlights:
  • to all officers uh warrant coverage to all officers uh warrant officers<00:19:09.600> and<00:
  • But emerging from the testimony is this real concern about additional living expense coverage.
  • Emerging from the testimony is this additional living expense coverage.
  • Additional living expense coverage, especially in times of disaster.
  • I don't—I would say that it does vary among companies, the types of coverage they'll have.
Keywords: 910, house, all
Summary: The Committee on Public Safety met on January 31, 2025, and first heard House Bill 1062, a housekeeping measure relating to the Hawaii Air National Guard. Testimony in support came from representatives of the Adjutant General and other National Guard witnesses. A member raised a technical question about language allowing the Guard to hold the rank authorized by the Department of the Air Force, and the response was that the bill should not require additional HR language; no vote was taken. The committee then heard House Bill 674, which would authorize allowances for TRICARE dental and vision coverage for Hawaii National Guard personnel ordered to active duty for more than 30 days. The Department of Defense supported the bill through Brigadier General Ross, Director of Joint Staff, and Terry Heiti also testified in support. There were no questions or action taken on the measure. House Bill 652, relating to veterans’ rights and benefits and regulating compensation for advice or assistance on veterans’ benefits, drew the most discussion. The Veterans of Foreign Wars Department of Hawaii supported the bill, arguing it would protect veterans from illegal or exploitative practices and noting its own service to more than 2,000 veterans in fiscal year 2024. Opposition came from the National Association for Veterans Rights and Veteran Benefits Guide, which argued the bill would restrict access to needed services and that some for-profit providers operate legally and should not be barred. Committee members questioned the scope of the bill, accreditation requirements, and whether nonprofit or pro bono services would be affected. A Department of Defense veteran services official said veterans can be vulnerable to exploitation and that some legal fee arrangements can be abusive, while also noting pro bono options exist. The committee did not reach a decision on the bill during the excerpt. The committee also began hearing House Bill 1058, which would create a veteran cemetery board within the Office of Veteran Services to help state veteran cemeteries comply with federal standards. The Office of Veteran Services and Terry Heiti testified in support. Members asked about the board’s membership, timeline, and consultant selection, and were told the working group was still in an organizational stage and no construction timeline had been set. The final measure discussed was House Bill 503, which would appropriate funds for a consultant to evaluate locations and designs for a Hawaii First Responders Memorial. The Department of Accounting and General Services supported the bill, and testimony in support was received from county and city officials, UPW Hawaii, and individuals. Members asked about the working group, timeline, and budget, and were told the project was still in early planning; no final action was taken in the portion provided.
VA

Virginia 2026 1st Special Session

Disability Commission Jun 18th, 2026

Transcript Highlights:
  • This bill is not retroactive, however, so any order entered prior to July 1 of this year, 2026, would
  • But there's also, when families go to the renewal of their Medicaid, of their coverage, of their waiver
  • , of anything, or... ...go to the renewal of their Medicaid, of their coverage, of their waiver, of anything
Summary: The Virginia Disability Commission held its first meeting of the year on June 18, established a quorum, and introduced members. Senator Barbara Favola was elected chair and Delegate Amy Laufer was elected vice chair, both unanimously. The commission also reviewed and unanimously approved its electronic/remote participation policy, which mirrors last year’s policy and allows limited remote participation under Virginia FOIA rules. Staff then reviewed a package of 14 disability-related bills that passed last session and were signed into law. Topics included disabled veterans’ vehicle registration fee exemptions, open captioning requirements for movie theaters, guardianship/conservatorship order forwarding, service dog team definitions, education and transition planning for students with disabilities, Blue Envelope and driver communication training for law enforcement and driver education, deferred disposition and jury service protections, voting rights in guardianship cases, expansion of the Virginia Human Rights Act, continuation of a DD waiver eligibility change, and DMAS training authority for autism competency checklists. Members discussed implementation concerns, especially making the Blue Envelope/driver communication program more visible and considering a follow-up letter and DMV presentation. The commission then adopted its interim work plan unanimously, with discussion of possible presentations on DMAS and Medicaid waivers, DBHDS telehealth training implementation, SCHEV and VDOE transition planning, transition from institutions to community settings, criminal justice reform, transportation and parking accessibility, adult-sized changing tables, and school accessibility. Members also suggested adding EVV concerns, seclusion and restraint, rare disease issues, and insurance coverage problems for needed medications. Public commenters urged the commission to address burdensome EVV requirements for family caregivers, improve accessibility for local government meetings and documents, and explore a standardized credential/career pathway for direct support professionals. The chair said follow-up work would be assigned on EVV and implementation issues, and the meeting location would move to the Senate side of the Capitol going forward.
HI
Transcript Highlights:
  • . coverage. coverage.
  • Under federal regulations, if a state mandates coverage for a benefit that falls outside of the EHBs,
  • Under federal regulations, if a state mandates coverage for a benefit that falls outside of the EHBs,
  • <01:35:12.159> for measure reiterates coverage for measure reiterates coverage for continuous
  • not alter existing insurance coverage not alter existing insurance coverage requirements<01:35:17.920
Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.
HI

Hawaii 2025 Regular Session

CPN Public Hearing 02-14-2025

Commerce and Consumer Protection

Transcript Highlights:
  • The issue with condominiums is, though, that the majority of them are getting their coverage packaged
  • um you know 30 their hurricane coverage um you know 30 days<00:04:08.439> is<00:04:08.640>
  • You know, ideally we would have enough admitted carriers who can provide this coverage, but because we
  • Ideally, we would have enough admitted carriers who can provide this coverage, but because we don't,
  • uh dcca with comments coverage uh dcca with comments online<00:08:50.640> good<00:08:50.720><
Keywords: 912, senate, all
Summary: The committee heard several insurance and condominium-related bills. SB 1137 would require insurers to notify policyholders of approved rate changes within 30 days and at least 30 days before the effective date. The Insurance Division supported the bill, while testimony focused on condominium master policies and whether the notice period would be enough for associations to respond to rate increases. The division said the bill would mainly affect admitted carriers, not surplus lines insurers that write many condominium master policies, and warned against limiting the nonadmitted market. SB 293, requiring sellers to disclose when USPS cannot deliver mail or packages to a residential property, was also heard with HAAI Realtors commenting. SB 752 would extend notice periods for cancellation or nonrenewal of property-casualty policies; the Attorney General’s Office raised concerns about contractual impairment and retroactive application. The committee also heard SB 575, which would allow authorized insurers to offer building and hurricane damage coverage for condominium buildings at a lower rate than prior surplus lines coverage. The Insurance Division stood on written testimony, and a condominium owner urged amendments to require a membership vote before such coverage changes, citing concerns about condominium self-governance. SP 1046 would require managing agents to notify unit owners and the Real Estate Commission when a condominium association fails budget and reserve reporting requirements. The Real Estate Commission said the bill was administratively workable as drafted but noted ambiguity over who counts as the “managing agent”; several testifiers opposed the measure, arguing it could disrupt the principal-agent relationship and impose legal judgment on nonlawyers, while others supported it. SP 150, dealing with captive insurance companies seeking exemption from examinations, drew the most detailed discussion. The Captive Insurance Council supported the bill as a way to reduce duplicative oversight and improve Hawaii’s competitiveness, while the Insurance Division opposed it as drafted, citing concerns about broad commissioner discretion, possible missed issues between exams, staffing shortages, and the need to preserve oversight. A committee member asked about a possible middle ground, including a shorter exemption period or limiting the bill to self-attestation companies; the division said it would need more information and that annual filings and approval requirements would still provide oversight. The committee also heard SP 212, which would require at least two Real Estate Commission members to be licensed engineers or architects; testimony included support and a concern about conflicts of interest among people who serve in multiple roles in the condominium and real estate sectors. No votes or final actions were taken in the portion provided, and the chair moved from one measure to the next after testimony and questions.
MD

Maryland 2026 Regular Session

Senate Floor Session, 3/23/2026 #1

Maryland Senate Floor Meeting

Transcript Highlights:
  • . >> Senate Bill 496, Senator Hershey, Maryland Medical Assistance Program Coverage for the Treatment
  • > including<00:21:11.360> coverage<00:21:11.800> for of obesity including coverage
  • My question is, for this coverage to take place, what is the fiscal note that is in the bill?
  • Department must retroactively The Department must retroactively reinstate<00:40:54.440> certain
  • coverage the Vax Act. coverage the Vax Act.
Summary: The Senate first handled routine announcements, including welcoming a new group of pages and noting donations of donuts and chicken from local businesses, along with a citation planned for Mr. Herman’s Bakery, which is closing after 103 years. The chamber then took up Senate Bill 858, establishing a Department of Budget and Management Audit and Finance Compliance Unit. A senator moved to send the bill back to second reading to add an amendment, which was adopted without objection, and the bill was reprinted for third reading. The Finance Committee then reported several bills. Senate Bill 84, concerning collective bargaining for graduate assistants at UMCP and UMBC, was laid over after questions about whether graduate assistants are employees or students. Senate Bill 455, creating a transformational project financing program tied to tax increment financing districts, had two committee amendments adopted and was ordered printed for third reading. Senate Bill 623, creating a premium cigar lounge alcoholic beverage license, also received two committee amendments and was ordered up, but a later Howard County amendment was proposed and the bill was laid over. Senate Bill 777, directing workforce development support in hospital closures and related events, was adopted and sent to third reading. Senate Bill 831, addressing child labor penalties, private-sector labor relations, and state labor standards, was adopted with two amendments and sent to third reading. Senate Bill 932, requiring social media platforms to display users’ general geographic location, was laid over after questions. The committee also advanced Senate Bill 340, requiring at least $2 million annually for the Long-Term Care Ombudsman office, with two amendments adopted and the bill sent to third reading. Senate Bill 489, creating a limited license pathway for physicians trained abroad and repealing the fifth pathway program, was adopted with two amendments and sent to third reading. Senate Bill 496, expanding Medicaid coverage for obesity treatment, prompted extended debate over the fiscal note and who would bear the costs; the sponsor argued the estimate was overstated and did not account for likely lower utilization or health-care savings, while an opponent pressed concerns about the state share and structural deficit. The discussion continued without a final vote in the excerpt provided.
MN

Minnesota 2025 1st Special Session

Committee on State and Local Government - 04/03/25

State and Local Government

Transcript Highlights:
  • Um, with a number of insurers that have left our state market and then significant coverage reduction
  • I will note that coverage reduction in premium increases coverage reduction in premium increases um<00
  • Not only have residents lost access to local news coverage of city council and school board meetings,
  • access to Not only have residents lost access to local<01:31:10.080> news<01:31:10.400> coverage
  • of city council and local news coverage of city council and schoolboard<01:31:12.239> meetings,
Keywords: 1187, senate, all
LA

Louisiana 2026 Regular Session

House of Representatives Apr 29th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • insurance by transportation network company drivers; provides relative to carrying proof of insurance coverage
  • insurance by transportation network company drivers; provides relative to carrying proof of insurance coverage
  • insurance by transportation network company drivers; provides relative to carrying proof of insurance coverage
  • It addresses the gaps in the system that can lead to improper benefit payments or delays in coverage
  • for children in foster care, or delays in coverage when the children are returned to their original home
Summary: The House met with a quorum and began with prayer, the pledge, and routine journal and leave actions. Members then used personal privilege remarks to recognize several Capitol Day events and visiting groups, including St. Bernard Parish Day, Gulf States Renewable Energy Industries Association Day, local ARPEC members, a retirement tribute to Barney Arsenault, Deaf History Month, Asthma and Allergy Awareness Month, Young Farmers and Ranchers, housing advocates, and Louisiana Hospital Day. The chamber also received Senate messages on concurred resolutions, adopted Senate resolutions, and newly passed Senate bills, along with committee and Legislative Bureau reports on various House and Senate measures. The House then considered and passed a series of bills. Among those approved were measures requiring documentation for inmates upon release (HB 167), allowing court filings on letter-sized paper (HB 227), clarifying recusal procedures for district attorneys (HB 243), strengthening safe harbor protections for trafficking victims (HB 321), adding citizenship verification oversight for public benefits (HB 335), capping state travel meal reimbursements to GSA rates for the judiciary (HB 398), establishing a Governor’s Task Force on Impaired Driving (HB 492), updating school emergency operation plans (HB 624), improving coordination of public assistance benefits when children enter or leave foster care (HB 689, later amended and passed), expanding justice of the peace jurisdiction in East Baton Rouge Parish (HB 708), revising election petition and unaffiliated voter rules (HB 906), regulating electronic monitoring device removal (HB 968), renaming and expanding the crime victims’ compensation fund (HB 969), raising the indigent defender contribution threshold for small municipalities (HB 978), requiring QR codes on sex offender licenses (HB 985), reorganizing the state public defender system (HB 1005), extending an alcohol permit moratorium (HB 1029), allowing microbreweries to sell at special events (HB 1077), adding alternative backup power options for nursing facilities (HB 1095), creating a misdemeanor for relay-attack vehicle theft devices (HB 1104), revising capital case procedures for defendants with intellectual disabilities (HB 1107, amended), allowing Citizens Property Insurance to direct certain emergency assessment funds to the Fortify Homes Program (HB 1187), updating medical board membership and vacancy procedures (HB 1220), and several others. Some bills were returned to the calendar or held over, including HB 804, HB 926, HB 955, HB 1069, HB 1203, and HB 1217. The chamber also revisited a previously failed airport surveillance bill, HB 730, and used a successful motion to suspend the rules to reconsider it, as well as a motion to reconsider HB 225 after it had failed twice. The Speaker explained the two-thirds threshold for suspending the rules, and after debate on procedure, the House adopted the motion to suspend the rules and then the motion to reconsider, setting HB 225 up for further action the following Tuesday. Throughout the session, many bills were adopted with little or no opposition, while a few drew questions about scope, costs, or policy effects before passing by recorded vote.
WA

Washington 2025-2026 Regular Session

Senate Human Services Dec 5th, 2025

Transcript Highlights:
  • only about 13% of the state's Medicaid population falls under this elder and disability-related coverage
  • Falls under this elder and disability-related coverage.
  • that 93% of the people on Medicaid actually are on Medicaid due to a disability-related Medicaid coverage
  • time of redetermination, which would be every six months for someone in the Affordable Care Act coverage
  • to work with folks, but some of these people may be eligible for medical care services, medical coverage
Summary: The committee heard testimony on the effects of H.R. 1 on Washington’s Medicaid, developmental disability, long-term care, and food assistance systems, followed by a separate discussion of juvenile rehabilitation caseloads and placement capacity. DSHS officials said HR1 could affect home equity rules, immigration-related eligibility, work requirements for some expansion-population enrollees, and provider taxes, while also creating a future opportunity for a new 1915(c) waiver. Advocates and providers warned that any state response that cuts home and community-based services would worsen already thin provider networks, increase waiting lists, push more people into hospitals or out-of-state placements, and strain families and workers. A pediatric behavioral health expert and a supported living provider said Medicaid reimbursement is already too low and further reductions would threaten outpatient, residential, and inpatient services for people with intellectual and developmental disabilities and severe behavioral needs. The committee then turned to SNAP and the state food assistance program. DSHS said HR1 would tighten work requirements and exemptions, end some immigrant eligibility for the federal program, eliminate the SNAP education program, raise state administrative costs, and eventually require Washington to share in benefit costs based on its error rate. Officials estimated large numbers of residents could lose or see reduced benefits, with significant added state costs. Anti-hunger advocates, a food bank director, and a SNAP recipient described the program as essential for low-income families, seniors, and people with disabilities, and said the changes would increase paperwork, reduce benefits, and worsen food insecurity while also harming local food economies. Testimony emphasized that food banks cannot replace SNAP and that work requirements may be difficult to meet for caregivers, people with disabilities, and those facing child care or transportation barriers. In the juvenile justice portion, the Caseload Forecast Council presented the JR forecast, which is currently mostly flat through the end of the biennium but expected to grow modestly over the longer term. Members discussed how policy choices, including the 2019 JR-25 law, have increased lengths of stay for adult-sentenced youth in JR, while diversion and other reforms have affected regular JR trends. A court researcher explained the data available to help forecast admissions and noted ongoing efforts to improve data sharing with JR, AOC, and county systems, though staffing and system-lag issues limit how quickly data can be produced. Juvenile court administrators and DCYF officials described the community-based juvenile justice continuum, rising complexity in the JR population, overcrowding at Green Hill and placement constraints at Echo Glen and Harbor Heights, and the need for more flexible community transition and mental health capacity. No votes were taken.
MD

Maryland 2026 Regular Session

Senate Floor Session, 4/7/2026 #1

Maryland Senate Floor Meeting

Transcript Highlights:
  • House Bill 813, Delegate Martineis Martinez, Medical Assistance Program coverage for the treatment of
  • of obesity, including coverage for any medication approved by the FDA with an indication for chronic
  • <00:36:59.599> for to provide comprehensive coverage for to provide comprehensive coverage
  • for any medication approved by coverage for any medication approved by the<00:37:05.040> FDA<
  • The bill takes effect July 1, 2026, and applies retroactively to any retail sale or use in the state
Summary: The Senate convened with an invocation by Rabbi Ari Goldstein, whose remarks were journalized at the request of the senator from District 33. The chamber then recognized the doctor of the day, Dr. Maryann Lamont, for her 50 years in medicine and her work in neurology and stroke care, and also thanked a legislative aide, Samantha Briggs, who is leaving for law school. The presiding officer noted a quorum was present and moved into the day’s floor work. The Senate handled several messages and committee reports, including a conference committee appointment on Senate Bill 18, which concerns provisional social work licensure. In Finance, the chamber advanced Senate Bill 246 on Health Services Cost Review Commission member terms, Senate Bill 370 on acupuncture board revisions, Senate Bill 564 creating a Division of Data Protection in the Attorney General’s office and a related work group, Senate Bill 782 on telecommunications infrastructure protections, Senate Bill 808 on health insurance provider panel requirements, Senate Bill 849 on agricultural equipment warranties, Senate Bill 867 on the Maryland Aerospace and Technology Commission, and Senate Bill 982 on mutual insurance holding companies converting back to mutual insurers. Most of these bills were reported favorably with technical or conforming amendments, which were adopted without objection, and each was ordered printed for third reading. The committee also considered several House bills with Senate cross-files or identical measures. These included House Bill 118 on money transmitter licensing, House Bills 339 and 512 on Anne Arundel County Board of License Commissioners compensation, House Bill 1100 on telecommunications infrastructure protections, House Bill 1395 on agricultural equipment warranties, House Bill 1473 creating Maryland’s Future Board, House Bill 226 on Department of Disabilities housing programs, House Bill 278 codifying the Longevity Ready Maryland plan, and House Bill 746 on collaborative care model coverage and cost-sharing limits. In each case, the committee reports were adopted, amendments were approved where offered, and the bills were advanced to third reading or passed for third reading, with no recorded opposition on the floor.
TX

Texas 89th Regular

89th Legislative Session May 9th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • The bill is not retroactive. It is prospective, going forward.
  • Explicitly, it is not retroactive.
  • It was not retroactive. Mr.
  • The bill is not retroactive.
  • There's no retroactivity on the tax exemption.
Bills: HJR175, HJR88, HB21, HB49, HB216, HB346, HB573, HB565, HB954, HB1953, HB2686, HB1441, HB2734, HB1650, HB3161, HB2876, HB3185, HB3388, HB2761, HB3233, HB 1186, HB1534, HB5506, HB5129, HB3619, HB778, HB2867, HB3221, HB3672, HB2434, HB4903, HB3687, HB3675, HB4609, HB4582, HB4921, HB3866, HB3901, HB4534, HB2446, HB3984, HB700, HB4012, HB4491, HB4088, HB229, HB4234, HB722, HB4136, HB4105, HB4413, HB170, HB551, HB2858, HB3053, HB3142, HB3180, HB3722, HB2200, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HCR9, HCR40, HB5138, SB17, HB4944, HB2284, HB3421, SB1569, SB2420, SB1968, SB2351, SB2544, SB1490, SB1349, SB1568, SB2776, HB3531, HB2149, HB4327, HB3158, HB3717, HB4520, SB888, SB552, HB3138, HB3704, HB2921, HB4853, HB4506, HB3892, HJR161, HJR175, HJR88, HB1937, HB3334, HB5444, HB5137, HB361, HB321, HB5447, HB464, HB678, HB2294, HB4172, HB3225, HB1769, HB5394, HB1837, HB1787, HB2271, HB2440, HB5134, HB5149, HB2151, HB2073, HB2186, HB2025, HB1936, HB1777, HB1663, HB 1306, HB 1290, HB1527, HB4802, HB3462, HB2963, HB2462, HB2560, HB644, HB2725, HB2621, HB2588, HB1443, HB1403, HB3032, HB1557, HB1664, HB2811, HB2088, HB2598, HB3062, HB3134, HB3940, HB4027, HB4097, HB4862, HB4170, HB4157, HB4205, HB4279, HB4377, HB4838, HB5424, HB5294, HB4870, HB4763, HB5639, HB4112, HB2275, HB1677, HB5014, HB3848, HB3797, HB3727, HB3709, HB3177, HB3057, HB4176, HB4202, HB2180, HB3528, HB3658, HB21, HB49, HB216, HB346, HB573, HB565, HB954, HB1953, HB2686, HB1441, HB2734, HB1650, HB3161, HB2876, HB3185, HB3388, HB2761, HB3233, HB 1186, HB1534, HB5506, HB5129, HB3619, HB778, HB2867, HB3221, HB3672, HB2434, HB4903, HB3687, HB3675, HB4609, HB4582, HB4921, HB3866, HB3901, HB4534, HB2446, HB3984, HB700, HB4012, HB4491, HB4088, HB229, HB4234, HB722, HB4136, HB4105, HB4413, HB170, HB551, HB2858, HB3053, HB3142, HB3180, HB3722, HB2200, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HCR76, HCR127, HCR9, HCR40
NY

New York 2025-2026 Regular Session

New York State Senate Session - 05/27/2026

New York Senate Floor Meeting

Transcript Highlights:
  • She's wrong because whatever amount that they agree on is going to have to retroactively be decreased
  • She's wrong because whatever amount that they agree on is going to have to retroactively be decreased
  • She's wrong because whatever amount that they agree on is going to have to retroactively be decreased
  • Many of them are providing coverage counting on reimbursement rate.
  • Expanding coverage for school-based health centers is a necessary step.
Keywords: 993, senate, all
Summary: The Senate opened with the Pledge of Allegiance and an invocation, then approved the prior day’s Journal and moved into motions, resolutions, and budget-related business. Senator Gianaris called up Senate Print 5898A for reconsideration; the Senate voted 59 ayes to restore the bill to the third reading calendar. Several amendments were also received on third-reading bills, and the Finance Committee was called into session while the chamber proceeded with resolutions. The Senate adopted Resolution J.2106 recognizing Second Chance Month and the mental health impacts of incarceration, with Senator Brisport speaking in support and a guest from the community recognized in the chamber. The body also adopted Resolution J.1492 designating May 27, 2026, as Taiwan Heritage Day, with remarks from Senators Sepúlveda, Stavisky, and Liu highlighting Taiwanese contributions to New York and expressing support for Taiwan amid current geopolitical tensions. The Finance Committee then reported several budget bills, including Senate Prints 9003D, 9004D, 9007C, and 9009C, which were moved to third reading. The remainder of the session focused on the supplemental and controversial budget calendars, especially tax and spending provisions. Senators debated the “Protecting Our Wallets” energy rebate, with supporters describing it as a one-time check for eligible taxpayers and critics arguing it was too small and not tied directly to utility bills; the chamber accepted the message of necessity and laid the bills aside. Members also debated extensions and changes to tax provisions affecting corporations, alternative fuel exemptions, Broadway and theatrical production tax credits, charitable deductions for certain 501(c)(3)s, nicotine pouch taxes, a new New York City pied-à-terre tax, and a standardbred horse-racing testing fee. Several senators criticized the budget as raising costs or favoring certain industries, while supporters defended the measures as revenue-raising, affordability, or public-health policies. No final votes on the controversial budget bills are shown in the excerpt beyond procedural rulings, adoption of the resolution calendar, and acceptance of committee reports.
TX

Texas 89th 2nd C.S.

Health Care Affordability, Select May 1st, 2026

Health Care Affordability, Select

Transcript Highlights:
  • exists, and consumers can rely on their coverage year to year.
  • is available, competition exists, and consumers can rely on their coverage year to year.
  • So competition goes down, and the coverage is potentially reduced as well.
  • Coverage being available and competition existing.
  • And the first coverage was community-based. Everyone paid the same amount.
Keywords: 1184, house, all