Transcript Highlights:

• <00:12:35.839> options workers compensation coverage options workers compensation coverage
• > again, or lapses in coverage, but but again, or lapses in coverage, but but again, can<00:19
• And you not have required coverage.
• secure workers compensation coverage? secure workers compensation coverage?
• compensation insurance coverage? compensation insurance coverage?

Keywords: 1189, house, all

Transcript Highlights:

• program delivers comprehensive coverage through preferred provider organizations, also known as PPO,
• Our dental program offers out-of-state coverage, just like our health plans.
• We have approximately 450 individuals enrolled and using out-of-state coverage.
• MetLife will offer two plans moving forward that will have out-of-state coverage as well.
• Of the dentist, my dentist has always said, wow, you have really good coverage, until this year when

Summary: The Joint Legislative Audit Committee met to hear new audit requests and receive a status update from the State Auditor. The auditor reported 10 JALAC audits in progress, noted that all 2025-approved audits are underway, said the first 2026 audit is focused on DMV license revocations, and described several statutory and high-risk audits already in progress. The committee also approved a consent calendar of four audit requests: UC library resources, law enforcement information sharing, EDD unemployment insurance claims, and Housing and Community Development housing development monitoring. The committee then considered Assembly Member DeMaio’s audit request on SANDAG road project management. DeMaio argued the audit was needed to examine whether transportation funds, including voter-approved and restricted revenues, were used for allowable purposes and whether past management failures warranted outside review. SANDAG’s CEO and CFO said the agency already undergoes extensive oversight and audits, that funds are tracked by multiple “colors of money,” and that internal controls have improved. Several members questioned whether the issues were already addressed in public records or existing audits, and the request failed on a roll call vote. Next, Senator Valadares presented an audit of the Board of State and Community Corrections’ Proposition 47 grant administration, arguing that more transparency is needed on outcomes, recidivism data, and oversight of grantees. The BSCC said it already has oversight mechanisms, that the State Controller conducts biennial audits, and that program data shows positive outcomes. The committee approved the audit unanimously. Senator Cortese then presented an audit of CalHR’s dental benefits procurement and Delta Dental contract, citing long-standing benefit caps, provider network concerns, and retiree out-of-pocket costs. CalHR said its network remains strong, that it recently completed an RFP adding MetLife as a second carrier starting in 2027, and that contracts include performance guarantees. Members from both parties expressed concern about access and competition, and the audit was approved unanimously. The committee then completed add-on votes on the consent calendar and adjourned.

Transcript Highlights:

• Basically what this does is it creates a Windstorm insurance coverage plan that is uniform and provides
• HB 383388 authorizes group property and casualty coverage for personal lines.
• Allowing personal lines will benefit Texans and provide a greater choice for coverage.
• for personal lines of property and incidental liability coverage.
• That means that for personal line group policies, the coverage limit you buy is your coverage, and one

Transcript Highlights:

• It requires health insurance coverage of medically necessary treatment for persons with acquired brain
• And so this bill is aimed at getting some insurance coverage to handle those cognitive behavioral and
• And secondly, there was a provision in Obamacare whenever it was passed that any coverage mandated by
• To clarify, health care insurers are not required to provide coverage for routine preventative dental
• The lack of coverage for these dental evaluations slows access to care.

Keywords: 965, house, all

Transcript Highlights:

• So, it empowers these smaller communities and it gives us seamless statewide coverage.
• So having seamless statewide coverage is important.
• We don't just have county coverage.
• It provides a lot coverage is important.
• The elevation program achieved statewide coverage of phase one LAR in 2017.

Keywords: Meeting Start 00:00:00 Commonwealth Office of Technology 00:01:10, 958, all

Summary: The committee first approved minutes from prior meetings after a motion and second, then heard a presentation from Kent Annis and Boyd Sheerer of the Kentucky Division of Geographic Information on the state’s “KY from Above” aerial imagery and elevation program. The presenters described the program’s goals of creating openly accessible statewide imagery and elevation basemaps, reducing duplicative local and state spending, and supporting uses such as transportation, emergency response, utilities, broadband planning, property taxation, economic development, and education. They said the data is owned by the Commonwealth, distributed in the public domain, and has strong return on investment, with statewide ortho imagery coverage completed in 2022 and elevation phases completed or underway in multiple stages. The witnesses emphasized that the program relies on cost-sharing among state, local, and federal partners and that a small state “seed” appropriation is needed to leverage larger federal contributions. They said about $300,000 a year in seed money could help secure additional federal funds, while a three-year imagery refresh cycle would cost about $5.7 million annually and storage/processing about $150,000 a year. They also noted that no subscription fee is charged for access, opposed charging for use of the data even by for-profit users, and said the program is intended as an economic development tool that avoids multiple entities paying for the same geography. Members asked about the funding request, the potential federal match, and whether the state should charge private companies for access. The witnesses explained that the requested amount was for aerial photography and LAR seed money, that federal funds would not cover aerial photography directly, and that the program already uses a cost-share model with 28 partners rather than subscriptions. They also clarified that imagery is refreshed every three years and elevation data on a longer cycle, with elevation prioritized because it supports accuracy for roads, water lines, and broadband planning. The presentation concluded with no formal vote on the program itself; after questions ended, the chair thanked the witnesses and adjourned the meeting.

Transcript Highlights:

• allows, for example, damage or loss of the church buildings or other structures, premises liability coverage
• , coverage for fraud...
• It covers furniture, equipment, contents, wind, hail, loss of use, and coverage when a building cannot
• This instrument provides relative to coverage for severe obesity treatment, to provide...
• This creates a framework to make the all-or-nothing coverage of bariatric surgery instead based on how

Summary: The House Insurance Committee met on May 12 with a quorum present and first took up Senate Bill 341, which would expand the Louisiana churches and nonprofit religious organizations self-insured fund from property-only coverage to broader commercial coverage, including liability, contents, wind and hail, and loss-of-use protections. The sponsor and Department of Insurance said the bill was the product of agreement among the parties and was intended to help churches and nonprofits, including smaller congregations, obtain affordable coverage. After adopting technical amendments, the committee reported SB 341 as amended without objection. The committee then considered Senate Bill 509 on bank-owned life insurance (BOLI), which would clarify insurable interest and allow exchanges of underperforming policies. The sponsor, industry representatives, and the Department of Insurance discussed how banks use these policies for employee benefit funding, the role of 1035 exchanges, consent requirements, and concerns about federal tax issues and state insurable-interest language. Because the parties were still working toward a solution, the committee adopted a technical amendment but voluntarily deferred SB 509 until the following week. Finally, the committee heard Senate Bill 464 on coverage for severe obesity treatment, which would create a framework for partially implementing the bariatric surgery mandate based on available appropriations. The sponsor and the Department of Insurance said the bill would let the state cover a proportional share of expected surgeries if only part of the required funding is provided. The committee reported SB 464 favorably without objection, and then adjourned.

Transcript Highlights:

• allows, for example, damage or loss of the church buildings or other structures, premises liability coverage
• , coverage for fraud.
• It covers furniture, equipment, contents, wind, hail, and loss of use of coverage when a building cannot
• This instrument provides relative to coverage for severe obesity treatment, to provide...
• A couple of years ago, we passed some legislation that looked to expand the benchmark coverage of our

Keywords: 965, house, all

Summary: The House Insurance Committee met with a quorum and took up three Senate bills. Senate Bill 341, by Senator Edmonds, was amended with technical changes and reported as amended. The bill expands the Louisiana churches and nonprofit religious organizations’ self-insured fund from a property-only pool to broader commercial coverage, including premises liability, fraud, contents, wind and hail, and loss-of-use coverage. Testimony from the sponsor and the Department of Insurance emphasized that the measure was intended to help churches and nonprofits, including smaller congregations, while preserving solvency requirements for the fund. The committee then heard Senate Bill 509, by Senator Cloud, concerning bank-owned life insurance (BOLI). The sponsor, bank and insurance industry representatives, and the Department of Insurance discussed allowing banks to exchange underperforming policies for better-performing ones under 1035 exchanges, while clarifying insurable-interest and consent issues. Members raised questions about former employees, split-dollar arrangements, and whether additional consent would be needed. Because the parties were still working on a solution, the committee adopted a technical amendment but voluntarily deferred the bill until the following week. Finally, Senate Bill 464, by Senator Barrow, was presented by Ryan Haney and the Department of Insurance as a framework to cover severe obesity treatment, including bariatric surgery. The bill would allow the state to partially implement the mandate based on the amount of funding appropriated, rather than requiring full funding up front. Supporters said the measure could reduce long-term health costs and align Louisiana more closely with neighboring states. The committee reported the bill favorably, and the meeting then adjourned.

Transcript Highlights:

• In order to provide that coverage, we need incentives that attract and retain health care providers.
• In order to provide that coverage, we need incentives that attract and retain health care providers.
• Coverage and access issues. And for those reasons, we ask you to support House Bill 259. Thank you.
• Also, the actual usage of the coverage after.
• That requires extra coverage.

Keywords: 996, all

Transcript Highlights:

• However, how much the retiree has to pay for health insurance coverage, and the levels of coverage provided
• But how much coverage is guaranteed.
• and the levels of insurance coverage and the levels of coverage<00:20:10.720> provided<00:20:
• more the cost of coverage. more the cost of coverage.
• Single coverage for 2026 is 11054.

Keywords: Meeting Start: 00:00:35 Attendance Roll Call: 00:00:55 Approval of Minutes: 00:02:56 Deferred Compensation Authority Update: 00:03:12 Retiree Health Update - TRS: 00:15:58 Retiree Health Update - KPPA: 00:56:13 Adjournment: 01:20:33, 958, all

Summary: The Public Pension Oversight Board received updates from the Kentucky Public Employees Deferred Compensation Authority and the Teachers Retirement System. Chris Biddle reported that deferred compensation assets had grown to about $4.787 billion with roughly 88,000 participants, crediting auto-enrollment, targeted marketing around pay raises, and retiree-focused services. He said the board’s self-directed brokerage account, authorized by last year’s legislation, is being designed around a $40,000 account-balance threshold with up to 25% transferable into the brokerage window, tentatively for July 1 of the coming year. He also described the free financial planning program, which has been used by about 3,300 to 3,500 participants with an 87% return rate, and noted that the plan is currently in a fee holiday; members asked about the fee structure and whether the CFP service is provided through Nationwide, which Biddle confirmed. Board members praised the deferred compensation program’s growth and asked for the legislation referenced by Biddle. He said the plan’s annual fees are capped, with a $1 monthly fee plus other charges up to a $225 cap, for a maximum of $237 per year absent a managed account. He also said the program is seeking unified payroll access to expand participation, especially among teachers, and that prior lineup changes saved about $6 million annually in participant fees. Bo Barnes of TRS then addressed retired teachers’ health insurance, first clarifying a prior question about declining federal contributions to the retirement annuity trust. He explained that federally funded school positions generated contributions that rose from $72 million in 2019 to $109 million in 2022, then fell to $85 million this year, with a projection of $80 million over the next three years; if those dollars do not come from federal sources, they would have to be replaced through the SEEK formula. Barnes then reviewed TRS health coverage, explaining that the statutory contract guarantees access to group coverage but not fixed premium levels, and that TRS administers two retiree plans: KEHP for retirees under 65 or otherwise not Medicare-eligible, and MEHP for retirees 65 and older or Medicare-eligible. Barnes said TRS completed RFPs for the 2026 plan year, retaining Express Scripts for prescription drugs and switching the Medicare Advantage medical provider from UnitedHealthcare to Humana, while keeping plan design, provider access, out-of-pocket costs, and benefits materially unchanged. He noted a modest hearing-aid improvement of $500 per ear beginning in 2026. He also reported that the TRS Board approved the maximum state contribution for KEHP at $1,044.96, up from $930.76, an 18% increase that he said would require about $15 million to $16 million more annually, while the MEHP premium would drop from $210 to $200 per month because of the new contract. Using the 2024 valuation, he said the KEHP increase would slightly reduce the health trust funded ratio from 80.4% to 80.1% and raise unfunded liability from $4.036 billion to $4.051 billion. Barnes closed by reviewing the 2010 shared-responsibility reforms that shifted retiree health costs away from a pay-as-you-go model, including phased employee and district contributions and Commonwealth stabilization funding. No votes were taken beyond approval of the minutes.

Transcript Highlights:

• This plan finds coverage for those employers who are required to have workers' comp coverage, but cannot
• find that coverage on their own or through an agent.
• The plan guarantees that these employers will have coverage.
• And the Act requires states to provide certain coverage for eligible incarcerated youth.
• And the coverage includes care coordination...

Summary: The Arkansas Administrative Rules Subcommittee met to review a large set of agency rules and reports. Early items were routine filings: emergency-rule reports, subcommittee review reports, and administrative directive reports were filed without objection. One rule from the Department of Agriculture on maternal health providers and remote monitoring was noted as pulled by the agency and not considered. The committee then reviewed and approved several Agriculture rules, including repeal of equine ID-chip rules after Act 703 of 2025, updates to finance rules adding a new water and sewer treatment facilities grant and consolidating revolving-fund rules, and a pesticide rule creating a Class J pesticide category for feral hog toxicant use. It also approved a Commerce/Insurance rule removing duplicative workers’ compensation plan provisions, and a Corrections rule creating a unified visitation rule for correctional facilities and community correction centers. A member asked about prison visitation hours during COVID, and staff said they would check on that. The committee next approved multiple Department of Human Services rules. These included marketing rules for provider-led organizations under Act 301 of 2025, a comprehensive revision of the DCFS policy manual, changes to Medicaid eligibility to include fictive kin placements and to expand ABLE account eligibility under Act 875, presumptive eligibility changes for pregnant women to align with federal rules, and a follow-up SNAP/TEA/Work Pays rule with updated work requirements, mandatory employment and training, alien eligibility changes, and job-search requirements for certain applicants. DHS also presented a rule implementing federal coverage for certain incarcerated youth before and after release, and the committee approved it. Another DHS rule updated nurse aide training requirements to match federal CNA hour standards and moved criminal-records-check procedures to the agency website. The most extended discussion involved DHS Division of Medical Services’ dental rate rule under Act 1025. The agency explained that it was increasing pediatric dental rates and certain oral-surgery-related rates, but not orthodontic rates or a broader special-needs benefit limit because CMS would not approve a diagnosis-based limit. Members debated whether the statutory language was intended to cover general dentists performing oral surgery procedures, with legislators, the Dental Association, and DHS discussing legislative intent, fiscal impact, and whether a future fix or emergency rule might be needed. Despite the disagreement, the committee approved the rule. The committee also approved other DHS medical rules: adverse-decision appeal changes and prior-authorization posting requirements, an increased RSV administration fee for children, expanded emergency treat/triage/transport ambulance authority, and clinic-based physical and occupational therapy coverage. Later, the committee approved permanent rules for the new state insurance program under Shared Administrative Services, procurement rule revisions recommended after an ACASO review, and commodity-management rule updates including a new revenue distribution model. Under Act 595 of 2021, the committee granted two Department of Commerce/Insurance requests to be excluded from rulemaking requirements: one for Act 772 on forced organ harvesting, and one for restorative reproductive medicine, with the department saying it would promulgate rules later when clinical guidelines are available. Finally, the committee accepted a recommendation to keep and extend the Department of Education, Division of Career and Technical Education rules, filed outstanding rulemaking updates, and adjourned without further business.

Transcript Highlights:

• program delivers comprehensive coverage through preferred provider organizations, also known as PPO,
• Our dental program offers out-of-state coverage, just like our health plans.
• We have approximately 450 individuals enrolled and using out-of-state coverage.
• Thirty-four providers were added, ensuring continued coverage in these areas.
• MetLife will offer two plans moving forward that will have out-of-state coverage as well.

Keywords: 987, senate, all

Summary: The Joint Legislative Audit Committee met to consider new audit requests and received a status update from the State Auditor, who reported 10 JALAC audits in progress, several statutory audits underway, and that all audits approved in 2025 are moving forward. The committee first approved a consent calendar covering audits on University of California library resources, law enforcement information sharing, EDD unemployment insurance claims, and Housing and Community Development housing development monitoring. One requested audit on local law enforcement and human trafficking had been withdrawn before the hearing. The committee then debated and approved an audit request from Assembly Member DeMaio on the San Diego Association of Governments (SANDAG) and its road project management and use of transportation funds. DeMaio argued the audit was needed to examine whether restricted funds, voter-approved revenues, and project commitments were properly used, while SANDAG officials said the agency already undergoes extensive oversight and that its funding sources and project uses are governed by multiple existing audits and reporting requirements. Several members questioned whether the audit would duplicate existing reviews, but the motion passed after roll call. Next, the committee approved Senator Valadares’s audit request on Board of State and Community Corrections Proposition 47 grant administration. Supporters said the audit would assess whether grant recipients and BSCC oversight are producing reliable outcome and recidivism data and whether the funds are achieving public safety goals; BSCC responded that it already has internal controls, that the State Controller conducts biennial audits, and that its reported outcomes show reductions in homelessness, unemployment, and recidivism among participants. The committee also approved Senator Cortese’s audit of CalHR’s dental benefits procurement and contract oversight, prompted by concerns about stagnant annual maximums, provider network losses, and out-of-pocket costs for employees and retirees. CalHR said its current dental network remains strong, that it recently completed an RFP adding MetLife as a second carrier beginning in 2027, and that it maintains performance guarantees in its contracts. All three regular-calendar audit requests were approved, and the committee then completed add-on votes approving the earlier consent calendar items before adjournment.

Transcript Highlights:

• are out there, the potential coverage are out there, the potential coverage loss,<00:38:45.680><
• immediate and significant coverage immediate and significant coverage losses.<00:48:00.160> If
• <01:02:34.720> to residents who rely on this coverage to residents who rely on this coverage
• people losing coverage. people losing coverage.
• , have a lot of people losing coverage, have a lot of people losing coverage, going<02:05:15.679>

Keywords: 1189, house, all

Transcript Highlights:

• As background, roughly 187,000 Minnesotans get health care coverage through the individual market.
• fewer Minot fewer insurance coverage fewer Minot fewer motans<00:04:36.280> will<00:04:36.440
• <00:04:48.680> through motans get HealthCare coverage through motans get HealthCare coverage
• have access to employer-sponsored coverage.
• it's where entrepreneurs get coverage it's where entrepreneurs get their<01:04:44.799> coverage

Keywords: 1183, house

Transcript Highlights:

• Despite this, only 14% of California children in large group plans have coverage for hearing aids.
• Thirty-five states already have mandated coverage in large markets or exchanges, or both.
• . 35 states already have mandated coverage in large market or exchanges or both.
• Urban analysis, coverage of both disease-modifying and symptomatic treatment...
• Improving birth outcomes requires more than expanding coverage.

Summary: The Assembly Health Committee heard several measures, beginning with SB 331 by Sen. Menjivar, which would require large-group health plans to cover hearing aids for children. The author and supporters described the bill as a long-running effort to address a developmental emergency and reduce out-of-pocket costs for families, while opponents were absent. Testimony from parents, advocates, medical experts, and organizations emphasized the importance of early access to hearing aids; committee members voiced strong support, and the bill was moved on a do-pass basis to Appropriations, with several members requesting to be added as coauthors. The committee then heard SB 608, also by Sen. Menjivar, to expand access to condoms in school-based health centers and related settings and to prevent barriers such as ID checks. Supporters, including students and school health advocates, argued the bill would improve sexual health and reduce stigma, while opponents from family and faith groups argued it would undermine parental authority and normalize early sexual activity. The bill was supported by committee members and moved forward on a do-pass basis to Appropriations. Next, SB 971 by Sen. Choi proposed community-based healthy aging partnerships for older adults, with testimony from the California Senior Legislature and supporters from aging and dementia organizations. The measure was described as voluntary and focused on connection, independence, and local collaboration; there was no opposition, and the committee moved it on a do-pass basis to Appropriations. The committee also heard SB 869 by Sen. Weber Pierson, which would require warning icons and statements on chain restaurant menus for beverages with very high added sugar content. Supporters framed it as a transparency and public health measure, while restaurant and beverage industry representatives opposed it unless amended, citing cost and menu-space concerns; the bill was nevertheless moved on a do-pass basis to Appropriations after a roll call vote, with some members voting no and the measure placed on call. The committee also considered SB 950 by Sen. Weber Pierson, aimed at ensuring timely coverage of FDA-approved, medically necessary treatments for early-onset Alzheimer’s disease on commercial plans. Supporters, including the Alzheimer’s Association and a patient advocate, said the bill would reduce delays and barriers to care, while health plan representatives opposed it over step therapy and utilization-management concerns. Members discussed the limited treatment window and the need for early access, and the bill was moved on a do-pass basis to Appropriations. In addition, SB 490 by Sen. Umberg would set timelines for DHCS investigations of unlicensed sober living homes and allow counties to assist if the department cannot act in time; supporters from Anaheim and a patient-brokering survivor described serious abuse and oversight gaps, while county behavioral health representatives opposed the county role as an unfunded and potentially liability-creating burden. After discussion, the bill was also moved on a do-pass basis to Appropriations. Finally, the committee began hearing SB 1037 by Sen. Weber Pierson on health insurance affordability and rate review, with supporters arguing it would tie premium increases more closely to affordability targets and public reporting; the transcript cuts off before the committee completed action on that measure.

Transcript Highlights:

• But under this program, the coverage is so quick and they'll tell you you when they get up here.
• They can tell you better, I've seen maps that show the coverage, and it's a lot of them.
• They're not going to have coverage They're not going to, and they'd be lucky to have coverage at all.
• Unincorporated areas that don't have any police coverage. Let's say there is an actual emergency.
• And if you start trying to make it so these people cannot have any police coverage.

Bills: HB336, HB554, HB849, HB 1033, HB1338, HB 1246

Keywords: law enforcement, sheriff, constable, contracts, county governance, HB 554, fireworks, Juneteenth, Juneteenth holiday, retail fireworks permit, Texas Occupations Code, Local Government Code, county commissioners court, drought conditions, Texas A&M Forest Service, fire safety, holiday sales, seasonal fireworks sales, Fourth of July, Independence Day

Transcript Highlights:

• <00:08:46.480> By plans, and workers comp coverage. By plans, and workers comp coverage.
• bill does not do is make coverage bill does not do is make coverage optional,<00:10:08.720> sort
• Through compensation insurance coverage.
• <00:48:24.079> The compensation insurance coverage. The compensation insurance coverage.
• So this insurance coverage policy.

Keywords: 1189, house, all

Transcript Highlights:

• 50:25.600> treatment<00:50:26.040> of coverage in Medicare for treatment of coverage in
• with this coverage. with this coverage.
• and expanded coverage in many states. and expanded coverage in many states.
• who have Medicaid coverage. who have Medicaid coverage.
• > already Reducing coverage that is already Reducing coverage that is already available<01:01:

Bills: HF4493, HF3133, HF4595, HF4143, HF4142, HF3756, HF4289, HF1724, HF2291, HF4568, HF4547

Keywords: opioid use disorder, OUD, medication-assisted treatment, MAT, pharmacist prescribing, pharmacy practice, controlled substances, Schedule III, Schedule IV, Schedule V, DEA registration, Board of Pharmacy, substance use disorder, addiction treatment, buprenorphine, naltrexone, harm reduction, prescription authority, pharmacist intern, Minnesota pharmacy law

Transcript Highlights:

• So it's just giving the companies an option to offer this as an optional coverage.
• The bill provides relative to coverage for orally administered anti-cancer medications.
• House Bill 76 provides relative to coverage for orally administered anti-cancer medications.
• So we have not updated the oral cancer coverage for oral chemotherapy medicines since 2012.
• So we have not updated the oral cancer coverage for oral chemotherapy medicines since 2012.

Bills: HB591, HB766

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, cancer treatment, anti-cancer medications, health insurance, copayment, cost-sharing, health policy, 974, senate, all

Transcript Highlights:

• So it's just giving the companies an option to offer this as an optional coverage.
• The bill provides relative to coverage for orally administered anti-cancer medications.
• House Bill 76 provides relative to coverage for orally administered anti-cancer medications.
• So we have not updated the oral cancer coverage for oral chemotherapy medicines since 2012.
• So we have not updated the oral cancer coverage for oral chemotherapy medicines since 2012.

Summary: The Senate Insurance Committee met on May 20, confirmed a quorum, and approved the May 13 minutes. The first bill heard was House Bill 591, which would create the Paid Family Leave Insurance Act as a voluntary private-market insurance option for employers, with no mandate, state program, or taxpayer cost. Senator Bass presented the bill, offered technical amendments, and after brief questions about why the framework was needed, the committee adopted the amendments and reported the bill favorably with amendments. The committee then took up House Bill 76, dealing with coverage for orally administered anti-cancer medications. Representative Amy Freeman and former Representative Julie Stokes explained that the bill updates Louisiana’s oral chemotherapy coverage law, which had not been revised since 2012, and addresses insurer rejection of newer oral cancer drugs. They also explained Amendment Set 4063, which was intended to restore the bill to the proper posture after changes made in the Appropriations Committee and to prohibit copayment adjustment programs such as accumulator or maximizer programs from reducing credit for manufacturer assistance toward deductibles and out-of-pocket maximums. Senator Bass raised a concern about prior authorization language and possible ERISA litigation, and department staff responded that the bill would not alter ERISA enforceability and that the fiscal note already reflected about $67,000 in OGB costs. After the amendments were adopted, Senator Bass moved to report HB 76 favorably with amendments, and the committee did so without opposition. Senator Carter thanked the bill authors for their advocacy on cancer-related issues and offered to help during the interim. The committee then adjourned.

Transcript Highlights:

• They have full-scope, state-funded coverage of this.
• The lack of coverage here. Okay, give me a second here.
• The goal is full-scope coverage, and we understand that.
• The goal is full-scope coverage, and we understand that.
• The goal is full-scope coverage, and we understand that.

Keywords: 987, senate, all

Summary: The subcommittee first heard May Revision items for child support, child care, and related human services. The Department of Child Support Services described two technical adjustments, which the LAO said raised no concerns. The Department of Social Services then walked through child care proposals, including a shift in how federal and Proposition 64 funding reductions would be absorbed, a 2.01% COLA, disaster-related child care infrastructure grants, an increase in in-contract administrative support costs for alternative payment agencies, reversion of prospective-pay implementation funding after a federal rule change, a one-time allocation to cover the first quarter of Cost of Care Plus payments in the next fiscal year, reappropriation for existing infrastructure grant closeout work, and estimates of unspent child care funds. The department also outlined trailer bill language on a single rate structure, site safety and emergency procedures, CalWORKs child care data sharing, and child care oversight. The LAO recommended that the Legislature seek more justification for shifting reductions from General Child Care to the Alternative Payment Program, noting that CAP reductions affect more slots and that General Child Care has had significant unspent funds. It supported removing prospective-pay funding, but recommended rejecting the administrative cost shift to a percentage-based rate because it could create future General Fund pressure. It also suggested the Legislature review alignment between the disaster grants and the child care infrastructure program. Senators and members pressed the administration on why the budget would reduce child care slots and COLA percentages while the state still has waitlists and unspent funds, and questioned the need for early funding of Cost of Care Plus payments and the move from a flat administrative amount to a percentage. Public commenters, including providers, advocates, county offices, and infrastructure partners, urged full COLA funding, preservation of child care slots, support for prospective pay, and continued investment in child care access and facilities. After a short recess, the committee moved to Part B on health and heard the Department of State Hospitals. DSH presented a May Revision budget of $3.2 billion and described proposals for a central utility plant replacement at Metropolitan State Hospital, an electronic health record implementation, reduced county bed billing authority due to phased-in LPS bed capacity, limited contract exemption authority for online clinical subscriptions, reversion of prior-year unspent operating funds, and a workforce development proposal shifting some costs to Behavioral Health Services Act funds, including support for an additional psychiatric training cohort at Napa. The department also outlined IST-related savings and a trailer bill to remove the sunset on the independent placement panel program.