Transcript Highlights:

• And then coverage and access.
• And I think really that Coverage for kids, coverage for pregnant women.
• And I think really that coverage for kids, coverage for pregnant women.
• coverage.
• There are the pharmacy benefit managers and all the other entities that manage benefits.

Summary: The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners. The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings. The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps. In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.

Transcript Highlights:

• It's a solution that would provide significant benefits to all Minnesotans.
• The lack of coverage also leads to increase in public safety for all.
• The lack of coverage also leads to an increase in public safety for all.
• fundamentally unfair system of coverage fundamentally unfair system of coverage will<00:05:24.720
• that coverage, paying premiums into the system, will keep rates down for everyone.

Keywords: 1183, house

Transcript Highlights:

• And obviously, a lot of other great benefits for Louisiana.
• We, we, And obviously, a lot of other great benefits for Louisiana.
• to require coverage for behavioral health crisis services.
• pregnant women, providing Medicaid coverage for continuous glucose monitoring devices.
• It's an act to amend Title 22 relative the coverage of medically necessary treatment for persons with

Bills: SR110, SR109, SCR58, SCR59, SCR12, HB198, HB225, HB508, HB512, HB599, HB632, HB763, HB909, HB971, HB989, HB1066, HB1171, HB1204, HB1231, HB1246, HB1248, HB1250, HB221, HCR41, HCR63, HCR76, HCR77, HCR86, HCR92, HCR93, HCR58, SB83, SB135, SB143, SB155, SB157, SB202, SB237, SB261, SB276, SB295, SB388, SB450, SB465, HB17, HB21, HB42, HB45, HB51, HB55, HB74, HB106, HB108, HB133, HB140, HB159, HB168, HB215, HB226, HB263, HB296, HB299, HB322, HB324, HB364, HB519, HB535, HB538, HB568, HB571, HB622, HB635, HB676, HB772, HB784, HB821, HB823, HB1006, HB1018, HB1033, HB1034, HB1043, HB1070, HB1134, HB1237, HB1239, SB162, SB382, SR93, SCR40, SCR30, SB35, SB65, SB215, SB228, SB246, SB249, SB268, SB269, SB282, SB283, SB296, SB323, SB338, SB363, SB369, SB408, SB431, SB474, SB484, SB490, SB492, SB500, SB501, SB513, HCR6, HCR31, HB297, HB305, HB336, HB337, HB351, HB436, HB594, HB789, HB956, HB957, HB995, HB1040, HB50, HB117, HB120, HB122, HB139, HB148, HB149, HB185, HB247, HB271, HB286, HB301, HB358, HB359, HB384, HB413, HB428, HB450, HB462, HB547, HB613, HB631, HB657, HB669, HB675, HB680, HB691, HB712, HB716, HB720, HB723, HB727, HB728, HB735, HB747, HB759, HB825, HB842, HB845, HB846, HB903, HB904, HB907, HB923, HB929, HB941, HB962, HB965, HB1036, HB287, HB370, HB515, HB521, HB570, HB1200, HB29, HB39, HB58, HB67, HB73, HB76, HB77, HB82, HB112, HB121, HB125, HB132, HB134, HB151, HB154, HB155, HB161, HB166, HB187, HB191, HB207, HB211, HB224, HB238, HB241, HB242, HB250, HB260, HB265, HB275, HB300, HB320, HB338, HB339, HB349, HB379, HB399, HB427, HB463, HB464, HB468, HB545, HB550, HB551, HB565, HB588, HB639, HB725, HB782, HB805, HB808, HB834, HB847, HB853, HB858, HB861, HB883, HB916, HB937, HB977, HB1012, HB1027, HB1044, HB1054, HB1091, HB1117, HB90, HB127, HB138, HB150, HB201, HB268, HB273, HB285, HB315, HB354, HB355, HB360, HB376, HB445, HB506, HB606, HB649, HB665, HB681, HB721, HB746, HB757, HB781, HB835, HB844, HB857, HB872, HB886, HB889, HB892, HB972, HB982, HB987, HB1037, HB1068, HB1072, HB1078, HB1085, HB1132, HB1137, HB1167, HB1174, HB1232, HB1238, HB36, HB119, HB126, HB129, HB245, HB280, HB677, HB726, HB850, HB966, SB68, SB149

Keywords: youth fitness, school achievement, Lafayette Parish, Louisiana Governor's Games, elementary education, Louisiana Arts Day, arts and culture, cultural heritage, artists, musicians, writers, performers, culture bearers, tourism, creative economy, economic impact, cultural sector, Louisiana Partnership for the Arts, festivals, visual arts

Summary: The Senate convened with a quorum, heard a prayer from Dr. Michael Sprague, and recited the pledge. The body then suspended the rules to welcome House Majority Leader Steve Scalise, who highlighted federal-state cooperation and credited Louisiana lawmakers with helping advance policies such as no tax on overtime, expanded energy development, and major business investment in the state. The chamber also recognized several visiting groups and observances, including Leadership Lafayette, the new Orleans Parish sheriff, Pro-Life Day at the Capitol, Recreation and Parks Day/Month, Main Street Day, LMA Day, and Links Day, with multiple resolutions adopted or concurred in for those recognitions. On legislation, the Senate handled a mix of committee reports, House messages, and floor action. It concurred in House Concurrent Resolution 92 and 93, adopted SCR 60, SR 11, SR 93, and SCR 40, and advanced or adopted numerous bills and resolutions. Notable measures included workers’ compensation bills SB 162, SB 382, and SB 408; SB 500 on medical review panels and certificates of merit; SB 268 and SB 228 on lead service line replacement and use of public funds; SB 338 on school bullying prevention; SB 431 on towing and storage access; HB 297 on lease termination for stalking and cyberstalking victims; HB 305 on child sexual abuse material evidence handling; HB 336 on post-conviction relief timelines; HB 436 allowing veterans to serve as park police/wardens; HB 594 designating SCN2A Day; HB 957 on prisoner transfer notifications; HB 995 on videotaped statements; HB 1040 on juvenile detention board membership; HB 117 reauthorizing the Department of State; HB 120, HB 122, HB 139, HB 247, and HB 286 creating or adjusting local districts; and HB 185 clarifying independent contractor coverage in workers’ compensation. Several bills were amended on the floor before passage, including SB 382, SB 500, SB 431, SB 338, and HB 185, while some measures were returned to the calendar or referred to committees. The Senate also received and referred a large number of House bills and concurrent resolutions on topics including health care reimbursement, criminal procedure, education, insurance, natural resources, transportation, and local governance. Votes recorded in the transcript were generally favorable, with many measures passing unanimously or by wide margins, though a few drew opposition, such as HB 185 and HB 957.

Transcript Highlights:

• We still do have more coverage, and when we talk about the 88,000 New Mexicans rolling off of coverage
• You typically have benefits, so you can kind of trim down your benefit package.
• Does the SNAP benefit completely go away? Does New Mexico not have any SNAP benefits?
• And what is the plan to make sure that people who are eligible for benefits get those benefits and not
• Ultimately, that makes it harder to get coverage, harder to keep coverage, and harder to afford coverage

Transcript Highlights:

• The employee does not get the benefit of that.
• Commercial coverage by the company. Right.
• , and if there’s either deficient coverage or the coverage is expired or whatever,... ...either deficient
• coverage or the coverage is expired or whatever, that still points to the delivery network carriers
• If that higher level of coverage starts when I accept a job, but their personal coverage quits when they

Keywords: 959, house, all

Transcript Highlights:

• This bill isn't about medical coverage.
• Insurance coverage remains highly inconsistent.
• Denying coverage for treatments to remediate harm, such as reconstructive surgery, coverage for necessary
• Health benefits of nature, and some of the titles that came up: Seven Health Benefits of Spending Time
• It's an insurance coverage question, to be sure.

Keywords: 995, all

Summary: The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules. Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access. The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.

Transcript Highlights:

• own coverage when there is insufficient or no coverage by another driver who is at fault.
• So there are both direct benefits and marketplace benefits for drivers.
• So there are both direct benefits and marketplace benefits for drivers.
• Reducing the cost for consumers is a great benefit as well and a secondary kind of benefit in my eyes
• In addition to normal permanent disability benefits, they can work while receiving those benefits, and

Summary: The committee heard several insurance-related bills. SB 371 by Senator Cabaldon would lower uninsured/underinsured motorist coverage requirements for rideshare companies from the current $1 million level to $100,000 per person and $300,000 per incident, with added transparency and data-reporting provisions. Uber, Lyft, and several business groups supported the bill as a way to reduce fares and improve affordability, while consumer attorneys, labor groups, and others opposed it as a major cut in protection for injured passengers and drivers. Committee members raised concerns about whether savings would actually reach riders and drivers, but the bill was approved on a do-pass vote to the next committee, with one member not voting. SB 487 by Senator Grayson would change how settlement or judgment proceeds are distributed when peace officers or firefighters are injured by a third party, ensuring they receive at least two-thirds of the at-fault party’s liability insurance limits in certain cases. Supporters, including public safety unions and an injured deputy sheriff, said current law can leave injured first responders with little or no recovery after employer reimbursement, while opponents representing cities, counties, and public agencies argued the bill would reduce recovery of taxpayer-funded workers’ compensation costs and lacked sufficient data. The committee members who spoke largely supported the bill, and it passed on a do-pass vote to Appropriations, with one member not voting. SB 616 by Senator Rubio would create an independent community hardening commission within the Department of Insurance to develop statewide wildfire mitigation recommendations and a post-catastrophe reporting process. The Department of Insurance, local governments, consumer groups, and fire-related organizations supported the measure as a way to improve wildfire resilience and insurance availability, while water agencies opposed provisions touching water infrastructure and warned of litigation and ratepayer impacts. The bill advanced on a do-pass vote to Appropriations, with some members not voting and one member voting no. The committee also heard SB 547 by Senator Perez, coauthored by Senator Rubio, which would extend wildfire-related insurance cancellation/nonrenewal moratoriums to commercial properties; insurers removed their opposition after amendments, and the bill passed to Appropriations on a do-pass vote.

Transcript Highlights:

• Not only are premiums going up, but coverage is getting worse.
• <00:04:56.080> is premiums going up, but coverage is premiums going up, but coverage is getting
• and benefits for an NOA Henipin<00:10:27.839> Schools.
• Some have lower, and they'll see the value of their benefits go up.
• <00:20:13.520> program, oppose the statewide benefits program, oppose the statewide benefits

Keywords: 1183, house

Transcript Highlights:

• They're able to provide insurance coverage for their employees, which obviously benefits the employees
• coverage.
• The employer retains the tax deductibility benefit of offering benefits.
• coverage.
• find coverage.

Keywords: 1185, senate, all

Transcript Highlights:

• and also deemed medically necessary by the health coverage plan to qualify for coverage.
• necessary by the health coverage plan.
• So you're getting those benefits... Some risk-benefit analysis.
• existing coverage?
• most of those benefits aren't insurance benefits.

Keywords: 965, house, all

Summary: The House Insurance Committee met on April 23 with a quorum present and began by announcing that HB 1142 was deferred. The committee then took up HB 1187, which would direct any excess Louisiana Citizens emergency assessment funds, after related debt is satisfied, toward the Louisiana Fortified Homes Program or future Citizens obligations. Commissioner Tim Temple and Rep. Sawyer said the bill would likely redirect about $50 million to the popular fortified roof grant program, which has already awarded thousands of roofs and is oversubscribed. With support from Citizens and others, the committee adopted technical amendments and reported HB 1187 favorably. The committee next considered HB 1210, a proposal by Rep. Dana Henry to create a pre-suit claim review process for Louisiana Citizens disputes modeled on Florida’s system. After explaining that the bill was prompted by constituent concerns about rising homeowners insurance costs, Henry voluntarily deferred the bill and instead moved toward a study resolution. The substitute version, which would have allowed Citizens disputes to be resolved through the Division of Administrative Law, was adopted for discussion, but the bill was ultimately voluntarily deferred after testimony from Citizens and the department supporting further study. HB 1199, by Rep. Jordan, would require coverage for genetic testing and medically necessary treatment for SCN2A-associated disorders. After adopting an amendment clarifying that coverage depends on provider order and medical necessity, the committee heard emotional testimony from a parent describing her daughter’s severe SCN2A condition and the difficulty obtaining genetic testing. The bill was reported favorably. The committee then took up HB 880, the Louisiana Artificial Intelligence Insurance Fairness Act, which would regulate AI use in underwriting, rating, and claims. Jordan said the bill raised state-federal insurance regulatory issues and could jeopardize federal broadband funding, so he voluntarily deferred it; HB 920 was also voluntarily deferred. Finally, the committee considered HB 1221, by Rep. Amadee, which would narrow data collection under the surplus lines premium tax system to protect policyholder privacy. Former Rep. Bowler argued the department should not collect names, addresses, or coverage limits and that the bill would preserve privacy without affecting tax collection. The Department of Insurance said the broader data is needed for premium tax reconciliation, fraud detection, and post-disaster assistance. After debate, a motion to report HB 1221 favorably failed on a 6-6 roll call. The committee then moved on to HB 869 by Rep. Lyons, a health insurance bill covering injectable drugs for glucose or weight-loss treatment, but the transcript ends before further action on that measure.

Transcript Highlights:

• Hodori 사운드 호돌이 サウンドゥ ホドリ Instagram & Twitter サウンドゥ ホドリ The Texas Senate brings you gavel-to-gavel coverage
• The San Antonio Food Bank also helps folks in the region file for federal SNAP. benefits to improve their
• Senate Bill 1737 the secretary will read the caption Senate Bill 1737 relating to service retirement benefits
• Senate Bill 1737 relating to service retirement benefits payable by the Employees Retirement System of
• There are significant cases in which patients benefit from these types of blood donations, specifically

Bills: SJR 12, SCR 39, SB 7, SB 8, SB 27, SB 29, SB 125, SB 241, SB 371, SB 396, SB 406, SB 464, SB 568, SB 578, SB 608, SB 617, SB 660, SB 689, SB 693, SB 707, SB 731, SB 732, SB 763, SB 779, SB 836, SB 854, SB 857, SB 875, SB 878, SB 879, SB 906, SB 920, SB 921, SB 922, SB 942, SB 965, SB 985, SB 996, SB 1029, SB 1035, SB 1036, SB 1059, SB 1084, SB 1098, SB 1101, SB 1185, SB 1188, SB 1321, SB 1332, SB 1366, SB 1388, SB 1396, SB 1453, SB 1484, SB 1494, SB 1536, SB 1563, SB 1596, SB 1610, SB 1619, SB 1737, SB 1738, SB 1741, SB 1816, SB 1822, SB 1841, SB 1939, SB 2155, SB 2188, SB 2230

Keywords: parental rights, education, constitutional amendment, school choice, child education, border security, southern border, federal immigration policy, illegal immigration, cartels, transnational cartels, fentanyl, drug trafficking, human trafficking, Operation Lone Star, Texas border, National Guard, state guard, border wall, border barriers

Summary: In this meeting, significant discussions revolved around the passage and modification of various Senate Bills, including SB1388, which pertains to family support services under the Health and Human Services Commission. Senator Kolkhorst advocated for the bill, emphasizing its focus on pro-life, family-centered care. The committee passed the bill after thorough examination, showcasing a collaborative effort among the members to ensure its alignment with successful past initiatives. In another session, Senator Hughes presented SB942, aimed at retroactive child support linked to prenatal care, which sparked a constructive dialogue reflecting bipartisan support for maternal and child welfare.

Transcript Highlights:

• It provides full state plan benefits as well as pregnancy-related benefits.
• In the case of labor and delivery, there is no postpartum coverage in this coverage group.
• And non-citizens in the U.S. for a temporary reason are not eligible for this coverage benefit.
• pregnant women, and Florida Medicaid provides 12 months of full-benefit postpartum coverage.
• And Florida Medicaid provides 12 months of full-benefit postpartum coverage.

Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.

Transcript Highlights:

• hazardous duty benefits.
• benefits are an optional enhancement. benefits are an optional enhancement.
• Um, Um, and this includes, for the coverage and also the health benefits provided.
• and the health benefits.
• paying for that coverage. Correct. paying for that coverage. Correct.

Keywords: 958, all

Summary: The committee heard testimony from Rep. Ashley Tacket Laferty on a bill to expand minimum hazardous-duty retirement and health benefits for certain public safety workers injured in the line of duty. She used a video and examples from Floyd County to describe officers and an emergency management director who were catastrophically injured but did not qualify for existing hazardous-duty coverage because their employers had enrolled them in non-hazardous retirement plans. The bill would provide a minimum benefit of 25% of pay, plus 10% for dependent children and limited health coverage, for eligible workers who cannot return to hazardous work. Laferty said the proposal would apply retroactively through a five-year window, estimated to affect a limited number of workers statewide, and would be funded by small increases in employer contribution rates. Committee members questioned how many former employees might qualify, how the bill interacts with the pension system, and who would pay the added cost. Discussion also noted that local governments choose whether to place employees in hazardous or non-hazardous coverage, largely based on cost. The sheriff’s association was present online in support, and no vote was taken. The committee then heard Rep. Daniel Gber present a revised bill allowing teachers and school district employees to use accumulated sick leave to observe religious holidays not already on the school calendar, if they provide a personal statement and sufficient advance notice. He said the measure is intended to address the rigid school calendar and the difficulty teachers face in observing non-school holidays without losing service credit toward retirement. He noted that the earlier version of the bill had allowed make-up work time, but the current draft is shorter and focused on sick leave use. He also referenced a supporting letter from a constituent who could not attend because of weather. The bill was presented for discussion only, with no committee action reported.

Transcript Highlights:

• managers and pharmacy benefit managers are agents of insurance Pharmacy benefit managers are agents
• By focusing coverage on high-value tests, this legislation promises significant benefits, better-matched
• By focusing coverage on high-value tests, this legislation promises significant benefits, better-matched
• It is not only to their benefit to have access to after-hospital programs, but it is to society's benefit
• coverage, all excellent bills.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• To require coverage for genetic testing for SCN2A-associated disorders, to require coverage for medically
• and also deemed medically necessary by the health coverage plan to qualify for coverage.
• necessary by the health coverage plan.
• When we get the benefit of learning all the problems that come up in other states, When we get the benefit
• existing coverage?

Summary: The House Insurance Committee met on April 23 with a quorum present and first deferred HB 1142. The committee then heard HB 1187, which would direct any excess Louisiana Citizens emergency assessment funds, after related debt is paid, toward the Louisiana Fortified Homes Program or future Citizens debt. Representative Sawyer and Commissioner Tim Temple said the bill would likely redirect about $50 million in one-time surplus funds and would help expand a popular roof-mitigation program that has already awarded more than 4,600 fortified roofs. The bill drew support from several witnesses and was reported as amended without objection. Next, HB 1210, dealing with insurance claim disputes and a pre-suit review process for Louisiana Citizens claims, was discussed. Representative Dana Henry said he was voluntarily deferring the bill and instead pursuing a study resolution after hearing concerns from members and stakeholders. Department and Citizens officials said the proposal was modeled on Florida’s process and could help resolve disputes faster and cheaper, but the bill was ultimately voluntarily deferred after testimony and some opposition cards were noted. The committee then took up HB 1199, which requires coverage for genetic testing and treatment related to SCN2A-associated disorders. Representative Jordan and the Diedon family gave emotional testimony about their daughter Emily’s diagnosis and the importance of timely genetic testing. The bill was amended to require that testing be ordered by a provider and deemed medically necessary by the health plan, with discussion about whether a neurologist should be involved; members said that issue could be refined later. HB 1199 was reported as amended. Finally, the committee considered HB 880, the Louisiana Artificial Intelligence Insurance Fairness Act, which would regulate AI use in underwriting, rating, and claims. After a lengthy discussion about state insurance regulation, McCarran-Ferguson, and concerns that the bill could jeopardize federal broadband funding, Representative Jordan voluntarily deferred HB 880, and HB 920 was also deferred. The committee then heard HB 1221, which would limit the policy data collected for the Louisiana Fortified Program Fund. Former Representative Bowler argued the bill was needed to protect policyholder privacy, while the Department of Insurance and Commissioner Temple said the data is needed for surplus-lines premium tax audits, fraud detection, and consumer assistance after disasters. The discussion continued with questions about what data would be visible and how it would be used, but the transcript ends before a final action on HB 1221 is shown.

Transcript Highlights:

• The second is whether or not the legislature incorporates mandates into future coverage.
• insurance available for those who, quite frankly, can least afford it because they don't have the benefit
• > for coverage, health insurance coverage for coverage, health insurance coverage for their<00
• <00:15:11.839> this members already provide coverage this members already provide coverage
• traditional coverage harder to sustain. traditional coverage harder to sustain.

Keywords: 1183, house

Summary: The committee took up House File 3388, and an A1 amendment was adopted by voice vote. The bill, as amended, would direct the Department of Commerce to seek another federal waiver to continue Minnesota’s reinsurance program and preserve the assessment-and-tax-credit funding model adopted last session. Chair O’Driscoll said the measure is intended to give future legislators options before the current reinsurance structure ends, warning that without it individual-market premiums could rise substantially and more people could lose coverage. Testimony was largely supportive. Dan Andre of the Minnesota Council of Health Plans said reinsurance has been a success since 2018, has lowered premiums by covering a portion of high-cost claims, and helped subsidize care for more than 5,000 Minnesotans in 2024. Ann New Brindley of the Minnesota Business Partnership and Steven Rubis of the Health Plan Partnership of Minnesota also backed the bill, saying market stability is important amid the loss of federal premium tax credits and that continued reinsurance would help prevent further premium increases and cost shifting. Jonathan Carter of the Minnesota Chamber of Commerce likewise supported the bill, citing the program’s role in keeping Minnesota’s individual-market premiums among the lowest in the country. Members also discussed how the assessment and tax-credit mechanism works, with Chair O’Driscoll describing it as an assessment on plans followed by a tax credit against state liability. Representative Elkins questioned how insurers self-assess, and Representative Smith said the assessment model is preferable to a general-fund approach if the program continues. Representative Kaggel raised concerns about taxpayer costs and the broader health care system, while also saying the current system is unsustainable and in need of more fundamental change. The committee then renewed the motion to lay House File 3388, as amended, over for possible inclusion in an omnibus bill.

Transcript Highlights:

• which parties is to provide the coverage which parties is to provide the coverage to<00:20:46.480
• 53.280> will<00:20:53.440> be duty to provide coverage will be duty to provide coverage
• <00:21:15.679> the uh when the client elects coverage the uh when the client elects coverage
• my employer in order to pursue benefits my employer in order to pursue benefits if<00:25:17.279>
• If there who's holding the coverage.

Keywords: 1191, senate, all

Transcript Highlights:

• hazardous duty benefits.
• and the health benefits.
• Time for KERS non-hazardous employer rates of 0.01% to pay for the pension coverage and the health benefits
• Those benefits as well.
• paying for that coverage. Correct. paying for that coverage. Correct.

Keywords: Reuploaded to restore a few minutes lost at the end of the meeting Representative Tackett-Lafferty: 00:22 • Line of Duty Disability Benefits Representative Grossberg: 26:32 • Loss of TRS Credit Due to Religious Holiday Observance Representative Blanton: 32:01 • Educational Contracts and Membership Dates in KERS Representative Tipton and Representative Blanton: 40:55 • Apply SB 10 Changes from 2025 to KERS/SPRS Senator Higdon: 46:08 • PPOB Reporting on Line of Duty Benefits • TRS Annual Leave Impact on TRS • PPOB Membership • Use of Sick Leave for Religious Holidays Adjournment: 56:03, 958, all

Summary: The committee heard testimony from Rep. Ashley Tackett Laferty on a bill to extend minimum line-of-duty hazardous duty retirement benefits to certain CERS and KERS non-hazardous members who are injured in the line of duty and cannot return to that work. She used a video and examples from Eastern Kentucky first responders, including a deputy who lost a leg and an emergency management director who lost an eye, to argue that some injured officers and responders fall through the cracks because their employers did not elect hazardous-duty coverage. She said the proposal would provide 25% of pay to the disabled officer, plus 10% for dependent children and minimal health benefits, and noted estimated actuarial costs of about $2.9 million for CERS and $0.542 million for KERS, funded through small employer-rate increases. Members asked how far back the bill would reach, how many people might qualify, and whether the benefit would apply only to active employees or also to past injuries. Laferty said the bill would include a five-year window for recent situations and could potentially cover a total of 3,333 positions statewide that could be certified as hazardous, though benefits would only apply if the person was injured in the line of duty and disabled from returning to that work. Questions also focused on whether a non-hazardous employee could qualify if injured in a hazardous situation; Laferty said yes, if the position could be certified as hazardous, but only for the bill’s minimum benefits. Rep. Josh Calloway and others noted that local governments choose whether to pay the higher hazardous-duty contribution rates, which they said often drives the coverage decision. The committee then heard Rep. Daniel Gberg present a separate bill revising school leave rules so teachers and school employees may use accumulated sick leave to observe religious holidays not on the school calendar, with a required personal statement and advance notice. He said the change would address a longstanding inconsistency for teachers who observe non-Christian holidays and currently may have to choose between unpaid leave or improperly using sick days, and he said prior concerns about retirement service credit and maternity leave were reduced by other policy changes. The discussion ended without a vote, with members indicating they had the relevant materials and that the bill would be revisited later.

Transcript Highlights:

• They have and that we prohibit health benefit coverage for non-medical and non medically indicated early
• coverage group.
• There is no postpartum coverage of this coverage group.
• benefits.
• Medicaid provides 12 months of full benefit postpartum coverage.

Keywords: 999, senate, all

Transcript Highlights:

• House 1277, Senate Bill 771 is an act relative to dual diagnosis treatment coverage.
• CHIA study estimated that the cost... coverage.
• They don't get the same coverage.
• That bill has already had Senator Keenan mentioned a mandated benefit review.
• It would be very impactful to simply have this benefit extended to all payers.

Keywords: 995, all

Summary: The committee held a hearing on a large group of behavioral health and insurance-related bills. Topics included expanding access to mental health services by allowing physician assistants to authorize Section 12 emergency holds and be recognized as licensed mental health professionals (H. 1131/S. 773); improving coverage for community behavioral health centers so commercial insurance matches MassHealth’s bundled outpatient and crisis services (H. 1276/S. 703); eliminating cost sharing for certain behavioral health services (S. 718); extending detox and clinical stabilization coverage from 14 to 30 days and adding transitional support services (H. 1319/S. 772); requiring coverage for dual-diagnosis treatment in psychiatric facilities (H. 1277/S. 771); and preserving access to treatment for serious mental illness through coverage of coordinated specialty care and assertive community treatment (H. 1135/S. 709). The committee also heard bills on preventive behavioral health services for children (H. 1228/S. 802) and post-pregnancy mental health care, including postpartum depression and pregnancy loss-related care (H. 1314/S. 823).