Transcript Highlights:

• We can help explain the nuances survivors face when seeking coverage.
• and then using that health insurance coverage as well.
• from our community engagement team, and we come here to advocate for policies to make health care coverage
• to cover more than 50 specific services, in addition to the 10 broad categories of comprehensive coverage
• reiterate our commitment to protecting and improving access and affordability of health insurance coverage

Keywords: 995, all

Summary: The committee held an informational opening hearing for the Financial Services Committee, with Chair Murphy and Senator Feeney introducing new and returning members and explaining that no bills were being heard that day beyond brief introductory testimony. Commissioner of Banks Mary Gallagher thanked the committee for last session’s money transmission modernization law, and several members echoed appreciation for her office’s work. The hearing then featured a long series of stakeholder introductions and overviews of their priorities for the session. Testimony covered a wide range of financial, insurance, housing, health care, and consumer issues. Banking and mortgage groups discussed housing affordability, foreclosure delinquencies, flood insurance, regulatory changes, and the impact of federal policy shifts. Insurance representatives raised concerns about auto and homeowners market pressures, labor rates, tariffs, rebates, e-titling, third-party litigation funding, and public adjuster restrictions. Consumer and advocacy groups highlighted debt collection reform, earned wage access, retirement savings access, public banking, and consumer protections in financial services. Several speakers also emphasized the need for committee expertise and offered themselves as resources for future bills. Health-related organizations focused on insurance mandates, prior authorization, behavioral health access, pharmacy benefit manager reform, community health center funding, maternal health and midwifery reimbursement, and anesthesia reimbursement parity. Other groups, including credit unions, retailers, auto dealers, dental and medical associations, and behavioral health providers, described their roles in the Commonwealth and previewed legislation or policy areas they expect to follow this session. No votes were taken; the meeting was informational and ended after testimony from the sign-up list and a few late additions.

Transcript Highlights:

• prompt payment insurance laws by imposing automatic interest penalties when insurers delay making coverage
• prompt payment insurance laws by imposing automatic interest penalties when insurers delay making coverage
• And so the significant procedural and paperwork burden itself will cause people to lose coverage even
• This will protect people from losing their coverage, also allowing counties to focus on those who really
• We want people to access, we want people to use technology to access coverage. That is important.

Keywords: 988, house, all

Transcript Highlights:

• We also provide up to $2 million worth of coverage under the financial assurance program.
• Every one of these sites, we are responsible for up to $2 million worth of coverage if a release occurs
• So our trust account needs to stay intact to ensure that we have the coverage to move forward with this
• The program provided up to $24 million worth of coverage for residential homes and their releases.
• As we face the possibility of losing more insurance coverage, we have been exploring all options.

Summary: The committee first heard updates on the Model Toxics Control Act (MTCA) and related funding. Department of Ecology staff explained how MTCA and the hazardous substance tax support cleanup, prevention, stormwater, and local assistance programs, but said forecasted revenues have declined while appropriations and transfers have outpaced incoming funds. Ecology said the operating account will require underspending to stay balanced this biennium and that the problem is ongoing, with further reductions possible if forecasts worsen. Ecology also reviewed the state cleanup program, noting there are more than 14,500 cleanup sites in Washington and that new sites continue to be discovered faster than they are cleaned up. A question from Representative Lee raised the long-term issue of declining fossil-fuel-based revenue, and Ecology agreed that this is a future structural concern even though the current shortfall is driven more by forecasts and transfers than by fuel-use decline. The Pollution Liability Insurance Agency described its underground storage tank and heating oil programs, saying it has modernized from a reinsurance model to a financial assurance model with stronger state oversight and cleanup milestones. Russ Olson said the agency’s dedicated petroleum tax account is in strong financial condition, but emphasized the importance of preserving that funding source. He also discussed the loan and grant program for historic commercial releases and a new heating oil loan/grant program, while noting the agency is working on equity concerns where liens can be disproportionate to property values in smaller communities. Practitioners and advocates then offered differing views on MTCA’s performance: one attorney urged a collaborative review process to make cleanups faster, less expensive, and more certain, while another consultant argued the program is too conservative and process-heavy and should focus more narrowly on actual exposure and realistic cleanup standards. Environmental and community groups countered that MTCA is essential for cleanup, pollution prevention, stormwater control, and public participation, and that it is especially important for environmental justice communities such as the Duwamish Valley. Port and city representatives stressed that MTCA grants and cleanup funding are critical for large redevelopment projects, but said long timelines, permitting delays, and funding uncertainty can slow projects and jeopardize commitments. The committee then shifted to utility wildfire risk. Staff summarized recent legislation, including requirements for utility wildfire mitigation plans, creation of a wildfire mitigation standards work group, authorization for captive insurance by local governments and PUDs, securitization authority for disaster costs, and the existing wildfire response and resilience account. Chelan County PUD and Puget Sound Energy described extensive mitigation efforts such as vegetation management, grid hardening, undergrounding, AI smoke cameras, weather stations, enhanced operating settings, public safety power shutoffs, and community outreach. Both said wildfire risk is rising and insurance costs are increasing, and Chelan PUD asked the Legislature to restore funding to the wildfire response and resilience account. The Office of the Insurance Commissioner said a 2022 utility liability market study found insurance availability is tightening as perceived risk rises, and reported that a 2025 work group recommended restoring community resilience funding, requiring insurers to share wildfire risk scores and mitigation steps with property owners, and creating a grant program based on insurance industry wildfire standards. A PNNL scientist added that wildfire probability is increasing in parts of Washington and that mitigation requires long-term, landscape-scale coordination. The final speaker began describing California’s approach to wildfire risk, but the transcript cuts off before that presentation concluded.

Transcript Highlights:

• But an illegal immigrant is given 100% coverage through Medi-Cal at taxpayer expense.
• They're rising for Medi-Cal, for Medicare, for employer-sponsored coverage, and they're rising on the
• I am completely outraged by the comments on this floor about undocumented health care coverage.
• I am completely outraged by the comments on this floor about undocumented health care coverage.
• We are going to fight to make sure Californians keep their coverage. We are not backing down.

Summary: The Assembly met after a quorum call and prayer, then handled a series of procedural motions, guest introductions, and floor actions. Members welcomed student groups from Hope International University and Vacaville High School, and later recognized several guests connected to public safety dispatch. The chamber also adopted multiple re-referrals and procedural requests, including moving bills between committees and taking up AB 100 on concurrence from the Senate. A major portion of the session was devoted to ACR 34, designating April 14 as Sylvia Mendez Day. Assembly Member Ta and several colleagues spoke in support of honoring Sylvia Mendez and the Mendez v. Westminster case as a landmark in civil rights and school desegregation. The resolution drew extended partisan debate over the framing of the measure and broader issues of diversity, equity, and inclusion, but it ultimately passed on a roll call vote, with the resolution adopted. The Assembly also recognized Dolores Huerta on her 95th birthday through guest introductions and celebratory remarks, then moved through several bills and resolutions. AB 471 on air district board compensation, AB 677 on pupil records and access to screenings for housing-insecure students, ACR 31 designating California Public Safety Telecommunications Week, and AB 1150 on airport customer facility charges all passed. HR 30 recognizing Khmer New Year also was adopted with broad support. The most contentious policy action was AB 100, the early action budget bill. Supporters said it provided funding for wildfire prevention, hospital payments, Medi-Cal, and recovery in Los Angeles fire areas, while opponents criticized the bill for health care spending and high-speed rail. After a failed attempt by Assembly Member DeMaio to amend the bill and an unsuccessful appeal of the chair, the Assembly concurred in the Senate amendments and sent AB 100 to the Governor. The day ended with consent calendar approvals and adjournments in memory for several community members, including Larkin Carol Wells, Carmen O. Perez, and Oscar B. Ramos.

Transcript Highlights:

• This bill helps to provide affordable health coverage options for Florida farmers and ranchers who face
• This coverage is part of the rural renaissance of Florida's smaller and less densely populated regions
• Can you also kind of provide, I guess, maybe some examples of like what kind of coverage or what these
• I think it's a noble goal to try to get coverage to people who don't have it.
• We want to make sure that it's good coverage as well.

Summary: The Committee on Commerce and Tourism took up several measures, beginning with SB 1666, which would adopt Florida’s version of UCC Article 12 to address commercial transactions involving digital assets such as cryptocurrency, smart contracts, blockchain, and NFTs. The committee adopted a technical amendment and then reported the bill favorably. It also approved CS/SB 480, a proposal to create affordable health coverage options for farmers and ranchers through a nonprofit agricultural organization model; the bill drew significant questions about preexisting conditions, ACA coverage, costs, and whether the plans would function like insurance, but it was ultimately reported favorably despite opposition from some members and outside groups. The committee then unanimously advanced CS/SB 1172, which expands business development incentives for veterans and military spouses, including procurement preferences, fee waivers, tax exemptions, and an entrepreneurship program; an amendment added military-spouse hiring preferences and protections for private employers that adopt them voluntarily. The committee also approved CS/SB 1400, a bill aimed at non-consensual AI-generated sexual deepfakes. The measure requires covered platforms to provide a removal process, post clear notice of that process, and remove identified content within 24 to 48 hours, with liability under the Florida Unfair Trade and Deceptive Practices Act for noncompliance; an amendment carved out internet service providers from liability. Members raised concerns about repeat uploads and the meaning of “reasonable efforts,” but the bill was reported favorably. The committee then adopted SM 1488, a memorial urging Congress to create a sovereign wealth fund, despite testimony opposing it as unnecessary and constitutionally questionable. It also passed SB 1252, which would create a centralized statewide system for sharing pawn and secondhand dealer data among law enforcement agencies; the sponsor said the first step would be a $250,000 feasibility study, and the bill was reported favorably. Finally, the committee considered SB 922, which revises Florida’s restrictive covenant laws by creating a streamlined process for certain non-compete and garden leave agreements involving employees with access to sensitive information and higher wages. The bill drew extensive debate over worker mobility, global scope, and whether it would strengthen employer leverage too much; after a technical amendment, it was reported favorably. The last major item was SB 1776, a Florida Whistleblowers Act revision that adds a notice-to-cure requirement, narrows retaliation and employer definitions, and limits claims where another statutory remedy exists. Members and public speakers raised concerns that it could make whistleblower claims harder to bring and give employers time to destroy evidence, but the bill was amended and then reported favorably.

Transcript Highlights:

• So we talked a little bit about this being, you know, clinical coverage or clinical therapy.
• Is there a reason why you guys don't try to access insurance coverage for this?
• when you need it um quite right coverage when you need it um quite often often often uh<00:17:59.880
• <00:18:35.679> for<00:18:36.039> this access uh insurance coverage for this access
• uh insurance coverage for this Miss<00:18:37.559> Mixon<00:18:38.559> um<00:18:38.799><

Keywords: 1183, house

Transcript Highlights:

• There are ways you can get supplemental coverage for this."
• there's ways you can<00:05:24.400> get<00:05:24.639> supplemental<00:05:25.199> coverage
• <00:05:25.520> for can get supplemental coverage for can get supplemental coverage for this
• They'll mark the yes, and they will not get the coverage because it's adverse selection.
• They'll mark the yes, and they will not get the coverage because it's adverse selection.

Keywords: 1183, house

Transcript Highlights:

• Before the Inflation Reduction Act, the federal government subsidized Medicare drug coverage through
• That was called catastrophic coverage.
• drug costs and people used more drugs, more costs were pushed into what was known as catastrophic coverage
• Eventually, catastrophic coverage became so large that the Inflation Reduction Act changed the benefit
• intended to get rid of some of those incentives and restructure the program so that catastrophic coverage

Summary: The committee received an update from Grant Wallace on the rebid and possible decoupling of the state’s Medicare Advantage retiree coverage. He said the state is exploring splitting medical and pharmacy benefits for post-65 retirees, with UnitedHealthcare as the incumbent vendor, and that preliminary estimates suggested savings of about $100 to $200 per participant per month. He outlined the expected timeline for final CMS rate announcements in April 2026, with contract amendments likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. Representatives from Segal Consulting then reviewed the history and current structure of the Medicare Advantage prescription drug plan, explaining that the plan was adopted after a 2021 recommendation and launched in 2023 alongside the existing Med-Sup option. They said the Medicare Advantage option has produced substantial savings, including a lower monthly rate than the Med-Sup plan and about $40 million in savings from initial enrollment, while also restoring pharmacy benefits for some retirees. The presenters then explained recent federal changes under the Inflation Reduction Act, including major changes to Part D funding, the direct subsidy, and risk-score methodology, which they said have made risk adjustment much more important and are driving interest in separating medical and pharmacy contracts. In response to questions from senators, the presenters said the Medicare Advantage plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. They also explained that the new Part D structure has reduced out-of-pocket costs for members, with a $2,000 annual cap and lower average member spending to reach it, while shifting more cost to the plan. No votes were taken and no formal action was reported; the committee simply received the update and was told to expect further information after the April rate notice. The meeting adjourned with the committee scheduled to return on May 13.

Transcript Highlights:

• It's a question of when, and we need them to have insurance coverage so that they can recover.
• I believe there are some insurance coverages that maybe have to get the approval of the division before
• We still have a mechanism by which you can still access and get insurance coverage.
• And any licensed agent in the state of Missouri can help that consumer get coverage in either one of
• Obviously, all of us want people, particularly if they're driving, to have some kind of coverage.

Keywords: 959, house, all

Transcript Highlights:

• This legislation supports universities in offering affordable, tailored health care coverage that meets
• This legislation supports universities in offering affordable, tailored health care coverage that meets
• Still, quite a few do not have insurance or their coverage is minimal in Texas.
• We'd like this option for student coverage as well.
• It reduces plan expenses such as premium taxes and state-mandated coverage.

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

Transcript Highlights:

• In terms of an 1115 waiver that is specific to coverage of IMD services, these can include both on...
• To coverage of IMD services.
• It's a gap in coverage that puts lives at risk.
• The Mental Health Parity and Addiction Equity Act, otherwise known as MHPAEA, requires that coverage
• And so a lot of the problems that arise with that are also having some sort of medical coverage.

Keywords: 908, all

Transcript Highlights:

• People need Medicaid coverage. People need SNAP benefits.
• People need Medicaid coverage. People need SNAP benefits.
• People need Medicaid coverage. People need SNAP benefits.
• People need Medicaid coverage. People need SNAP benefits.
• People need Medicaid coverage. People need SNAP benefits.

Keywords: 1187, senate, all

Transcript Highlights:

• employees negotiate health coverage employees negotiate health coverage district<00:09:50.240>
• , demand better rates, better coverage, demand better rates, better coverage, and<00:10:06.960>
• <00:10:27.800> that experience and with health coverage that experience and with health coverage
• We are paying more for less coverage. We are paying more for less coverage.
• healthcare coverage. healthcare coverage.

Bills: HF3119

Keywords: teacher compensation, educational staff, unlicensed staff, minimum wage, inflation adjustment, education finance, 1183, house

Transcript Highlights:

• they don't have coverage for insurance they don't have coverage for insurance they only<00:10:51.720
• <00:11:17.320> per be dependent on the type of coverage per be dependent on the type of coverage
• It's just a matter of that coverage.
• Instead of mandatory coverage, we are going to amend it to be an optional coverage, similar to that of
• And for the mandatory coverage, we are going to ask for Sunrise analysis for coverage of prescription

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard testimony on several health-related measures, with most of the discussion focused on SB 1419, SB 1494, and SB 1495, which were taken out of order to accommodate ASL/Death Blind Task Force testimony. SB 1419, relating to Act 253 (Session Laws of Hawaii 2023), drew support from the Department of Human Services and the National Federation of the Blind of Hawaii, with testimony emphasizing use of the term “low vision” and support for the program timeline. The committee later recommended passage with amendments, including technical changes and updated appropriation fiscal years, and the motion was adopted unanimously by the members present. SB 1494, concerning hearing aids, drew broad support from disability advocates and others who argued that hearing aids improve health, reduce accidents, and may help reduce dementia risk. Testifiers also urged that the bill define hearing aids as prescription hearing aids rather than including over-the-counter devices, and the Department of the Auditor and Insurance Division raised cost and coverage questions. The committee recommended passage with amendments, changing the coverage approach to optional coverage similar to vision and dental and requesting a sunrise analysis for prescription hearing aids; that recommendation was adopted. SB 1495, which exempts hearing aids from the general excise tax, also received support, while the Attorney General flagged a possible single-subject issue and the Tax Department estimated a potential $1.1 million revenue impact. The committee recommended passage with amendments, including deletion of the challenged language, technical fixes, and noting the revenue estimate; that recommendation was adopted. The committee then moved through additional measures with mostly supportive testimony. SB 1421 on medical records prompted questions about what happens when a solo practitioner dies or closes practice, and the discussion centered on ensuring patients can obtain records, including a proposed amendment requiring a successor provider to send records to the patient’s last known address. SB 1422, dealing with a special fund and vital statistics funding, was supported by the Department of Health, which said the special fund did not meet criteria and that deposits should instead go to the Vital Statistics Improvement Special Fund. SB 1423 on certificate of need exemptions for Department of Health facilities drew support, with discussion of possibly extending exemptions to dialysis and behavioral health/psychiatric services; the Department indicated it would not oppose that change. SB 1424 on credentialing of health care providers also received support, and SB 1425 on the State Emergency Medical Services Committee focused on reducing quorum requirements because many members are active first responders and cannot always attend meetings. The committee also heard support for SB 1426 on emergency medical services, SB 1431 on viral hepatitis, and SB 1433 on harm reduction, with testimony on hepatitis outreach funding and syringe access best practices; for SB 1433, the Department of Health identified a blank in the bill and recommended a six-month period for the syringe-possession exception.

Transcript Highlights:

• coverage.
• and are eligible to health coverage and are eligible to continue<00:26:28.400> coverage<00:26
• continue coverage when the retiree dies. continue coverage when the retiree dies.
• before death, the spouse loses coverage. before death, the spouse loses coverage.
• would lose her coverage. would lose her coverage.

Bills: HF1151, HF1239, HF1240, HF2020, HF2514, HF2515, HF2451

Keywords: Compensation Council, salaries, state officials, judicial compensation, legislative process, public funds, misuse, law enforcement, accountability, state government, legislative auditor, compliance, transparency, retirement benefits, health insurance, dependents, state employees, Medicare, legislative studies, government oversight

Transcript Highlights:

• coverage.
• ensure these plans can fill coverage ensure these plans can fill coverage gaps<01:30:14.880>
• bill without any type of coverage. bill without any type of coverage.
• c> Comprehensive coverage remains available Comprehensive coverage remains available to<01:31:06.800>
• , said that they've gone without coverage, said that they've gone without coverage, without<01:34

Keywords: 1191, senate, all

Transcript Highlights:

• GLP-1 coverage for weight loss only: so if you're a MassHealth member, you'll continue to have access
• Our baseline forecast is that about 300,000 Massachusetts residents will lose coverage by 2030.
• safety-net coverage.
• keep that coverage.
• It's due to kind of the optional nature of this coverage.

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.

Transcript Highlights:

• coverage from the traditional insurance marketplace, as governed by Century Code.
• We have three main coverages: liability, public assets, and auto.
• Chairman Magrum, Representative Wagner, the NADRF has picked up coverage for those claims.
• There is no coverage provided under the member... ...because of their handling of PFAS.
• There is no coverage provided under the memorandum of coverage for PFAS-related claims and those types

Summary: The committee convened, approved the prior meeting minutes, and received a memo summarizing major audit items. The State Auditor’s office and outside auditors then presented a series of audits, many of which were clean with unmodified opinions and no findings, including the Bank of North Dakota, the Guaranteed Student Loan Program, the Office of the Governor, the State Treasurer, the Office of Management and Budget, the Department of Transportation, the Department of Environmental Quality, Lake Region State College, and the Office of the Governor. The North Dakota Stockmen’s Association audit was also clean overall, but it repeated findings about limited segregation of duties and auditor assistance in preparing financial statements, which the auditor said were expected to continue because of the organization’s small size. Committee members asked about out-of-state board addresses, and the association explained those members were North Dakota residents using South Dakota mailing addresses. Several audits did include findings. The Council on the Arts audit identified two issues: payroll charged to federal awards without supporting time records, and $12,825 in Cultural Endowment Fund spending that was not allowable under state law, including staff training, retreats, and executive director candidate travel. The Department of Public Instruction audit found unsupported scholarship applications in the paraprofessional-to-teacher program, but additional testing confirmed the funds were credited properly and students completed required school district work, so no improper payments were identified. The University of North Dakota audit found a lack of documentation and transparency in School of Law admissions decisions; the auditor said the law school used a holistic process but did not keep notes or evaluation tools to show why applicants were admitted, waitlisted, or denied. UND leadership said the school is in good standing with the American Bar Association and agreed better documentation is needed, and the auditor said the issue was the missing documentation, not ABA accreditation itself. The most extensive discussion centered on the North Dakota Racing Commission audit, which found four findings: overspending the promotion fund’s 25% operating cap, grant conditions not being met, improper breeder fund awards, and improper procurement. The auditor said promotion fund spending exceeded the cap by $327,447 and the fund balance dropped sharply over the audit period. Racing Commission director Bruce Johnson said the agency had become complacent, that grant requests were treated as routine, and that controls and documentation need to be tightened. He also explained that the breeder fund overpayments involved two horses whose ownership transfers were not properly documented before racing, and that the procurement issue stemmed from an advertising contract that proceeded without proper written procurement procedures after a misunderstanding with the State Procurement Office. The auditor said the Racing Commission will now be audited every two years because of the findings. The committee also received updates on Dakota College at Bottineau’s bank reconciliations, which Minot State University said had been brought current after an 18-month backlog, with only one account still needing cleanup; members asked for a written report on the corrective actions. The North Dakota Fair Foundation was reported to have dissolved, with remaining funds transferred to another nonprofit account for continued support of the state fair. Finally, the Department of Public Instruction provided an update on school meal debt, revising the earlier estimate to about $1.1 million based on incomplete district survey responses, and said the Anti-Lunch Shaming law likely increased meal debt because schools must feed students regardless of account balance. Members discussed the need for a more accurate year-end debt figure and possible future reporting at a later committee meeting.

Transcript Highlights:

• Beginning with item number five, SB 1023, regarding health care coverage, antiretroviral drugs, drug
• .PrEP drug lenacapavir to commercially insured patients due to difficulties with medical benefit coverage
• There is ample precedent for pharmacy benefit coverage of injectable PrEP.
• In fact, some insurers already cover the drugs... ...pharmacy benefit coverage of injectable PrEP.
• These tools are especially important in prescription drug coverage given the potential for misuse and

Summary: The Assembly Health Committee heard several bills on June 9. SB 1023 by Senator Laird would require insurers that cover injectable HIV PrEP under the medical benefit to also cover it through the pharmacy benefit, with supporters saying the change would reduce reimbursement delays and expand access, while health plans opposed it as an unnecessary mandate that interferes with benefit design. SB 964 by Senator Smallwood-Quivas would limit prior authorization for certain dose or frequency adjustments to covered medications, especially for chronic complex conditions; medical supporters said it would prevent harmful delays in care, while insurers argued it weakens safety and utilization controls. SB 1323 by Senator Rubio, as amended, would strengthen protections for people in immigration custody receiving medical care by requiring hospitals and facilities to inform staff how to respond to requests and allowing patients to notify family members of their location; it passed with one no vote. SB 1099 by Senator Reyes would clarify local governments’ authority to provide state and local public benefits to all residents under federal PRWORA rules, with supporters saying it would reduce legal uncertainty for safety-net services; it passed, though one member later changed a vote to no on the add-on roll call. The committee also took up SB 895 by Senator Wiener, a proposed $12 billion science research bond for the November ballot that would create a California scientific research funding institute. Supporters from UC, UAW, hospitals, and advocacy groups said the measure would help offset federal cuts, protect research jobs, and sustain California’s leadership in biomedical and other research; there was no opposition, and the bill passed on a party-line style vote with two no votes. SB 944, also by Senator Wiener, would stabilize Medi-Cal coverage for acupuncture, which supporters described as a cost-effective, non-pharmacological treatment for pain and other conditions that has repeatedly been threatened in the budget process; it passed unanimously. The committee also approved consent items SB 918 and SB 1202, and later cleared the remaining measures on call after roll votes and add-on votes were taken.

Transcript Highlights:

• But today, more Americans are finding that that coverage is either unavoidable or unavoidable. affordable
• We've all heard the horror stories of families that have coverage, but even after they have faithfully
• In terms of mill coverage gaps, California has expanded their residual market, the Fair Plan.
• And I have heard from people that they've had their coverages dropped altogether.
• And I actually lost coverage last summer and had to work with my insurer to bring it back.

Keywords: homeowners insurance, natural disasters, insurance costs, climate change, disaster preparedness, federal policies, bipartisan solutions

Summary: The meeting reviewed critical issues surrounding the rising costs and accessibility of homeowners insurance across the United States, particularly in light of increasing natural disasters linked to climate change. Members engaged in extensive discussions regarding the implications for families and the economy, citing significant increases in premiums and decreasing availability of policies in high-risk areas. Supervisor Peysko highlighted the direct impact of federal policies on local communities, emphasizing the growing burden on homeowners as they face skyrocketing insurance costs amidst a backdrop of environmental challenges and regulatory constraints. The committee expressed a unified call to action for bipartisan solutions, focusing on improving building codes and enhancing disaster preparedness measures.