Transcript Highlights:

• It's based on a long-standing, effective system used in Massachusetts for public employee disability
• So we respectfully ask our elected officials to work with us to develop a sustainable, long-term strategy
• So we respectfully ask our elected officials to work with us to develop a sustainable, long-term strategy
• There are so many children and youth like David who really need foster care systems to support them temporarily
• system.

Committee: Joint Joint Committee on the Judiciary

Keywords: 995, all

Summary: The Joint Committee on the Judiciary held a hearing on a wide range of state, probate, and family bills, with chairs Edwards and Day outlining strict testimony limits and accepting written testimony. Early testimony focused on H. 1911/S. 1138, which would clarify that a durable power of attorney may create a trust if that authority is expressly granted; sponsors and elder law advocates said the bill would resolve uncertainty created by the Barbetti decision and align Massachusetts with other states. A major portion of the hearing centered on S. 1102, a proposal to establish medical panels in Probate and Family Court. Supporters, including attorneys, parents, physicians, and advocates, said neutral three-doctor panels would help judges resolve disputed medical issues in guardianship and custody cases involving children, elders, and people with disabilities. Testifiers described cases where medical treatment was blocked or contested by one parent or guardian, arguing the panels would provide impartial expertise and protect vulnerable people. The committee also heard support for bills addressing disability discrimination in family court, military parents’ custody rights, and a shared parenting bill, H. 1710, which drew strong opposition from domestic violence advocates and others who said a 50-50 presumption could harm survivors and children. The committee also took testimony on several probate and court-administration measures. Senator Lovely supported a bill on nominee trust partition, and Senator Comerford and probate officials backed legislation to codify additional registry staff positions and modernize registry operations. Other bills discussed included foster care liability insurance, with providers warning that rising premiums and loss of coverage could force program closures; health care proxy storage and activation; access to decedents’ email accounts; uniform trust decanting; the Uniform Voidable Transactions Act; heirs’ property partition protections; a constitutional right to health care; alimony-related reforms; child-centered family law; and a right of disposition for funeral arrangements. No votes were taken during the hearing, and the committee repeatedly invited written testimony and follow-up questions.

Transcript Highlights:

• Uh, so there are patients who would be more appropriate to be cared for in a long-term care setting.
• </c> cared for in a long-term care setting. cared for in a long-term care setting.
• </c> &gt;&gt; But that's for long-term care facility.
• &gt;&gt; But that's for long-term care facility.
• </c> That's for long-term care patients. That's for long-term care patients.

Bills: SB3263 , SB3261

Committee: Senate Education

Keywords: student-athletes, name image likeness, NIL, compensation, transparency, University of Hawaii, Title IX, funding, protections, athlete agents, student athletes, endorsement contracts, professional representation, registration requirements, sports law, 912, senate, all

Summary: The joint Senate Committee on Education and Committee on Health and Human Services heard testimony on several bills related to student health and safety, University of Hawaii programs, and workforce development. For SB 2969, which would appropriate funds for the University of Hawaii to expand and sustain the Maui Wildfire Exposure Study and Maui Health Registry, testimony was overwhelmingly supportive. Witnesses described the ongoing physical and mental health impacts of the August 2023 Maui fires, said the study has identified serious untreated conditions and connected participants to care, and emphasized its role in serving survivors and training students. The committee also heard support from the Department of Health, the Alzheimer’s Association, the American Lung Association, Maui residents, and study staff. No vote was taken during the hearing. The committee then heard SB 2657, which would establish an Alzheimer disease and related dementia research center at the University of Hawaii John A. Burns School of Medicine. University of Hawaii and Alzheimer’s Association representatives supported the bill, saying a local center would improve coordination of existing research, build state capacity, and help Hawaii compete for future NIH designation and federal funding. A family member affected by Alzheimer’s also testified in support, citing the disease’s impact in Hawaii. In response to questions, the university said the proposal would follow a five-year phased plan, with the first year funding used to recruit a senior neuroscientist and staff person, at an estimated cost of about $375,000, and that the effort would still strengthen Hawaii’s research infrastructure even if federal funding is not secured. For SB 2612, which clarifies immunity for Department of Education employees and agents who assist students with medication administration under certain conditions, the Department of Education said the bill is intended to protect volunteers and help ensure students can participate in school activities even when staffing is limited. The committee discussed how volunteers would be selected and whether every school would have someone available, and DOE said schools currently rely on health attendants, nurses, and trained volunteers. The committee also briefly discussed liability language and gross negligence exceptions. The hearing then moved to SB 2412, which would fund a bachelor’s degree program in sign language and sign language interpretation at UH Mānoa with a future master’s pathway. Testimony from interpreters, educators, and university officials emphasized the shortage of interpreters, the need to retain local talent, and the program’s role in building a pipeline; university representatives said the initial request would fund a faculty/staff position as a first step, with additional funding needed later. No final committee action or votes were announced in the transcript.

Transcript Highlights:

• </c> care system. care system.
• Minnesota's health care system depends on the strength of each of its parts, community hospitals and
• At Hennepin Healthcare, we've been leaders in trauma care. We've been leaders for a long time.
• </c><01:34:57.280><c> term</c> Uh there is no way that in the long term Uh there is no way that in the
• bank account to fund our long-term bank account to fund our operations<01:41:48.040><c> is</c><01:41

Bills: HF4343

Committee: House Taxes

Keywords: sales tax, use tax, advertising tax, taxable services, digital advertising, online marketing, marketing services, search engine marketing, lead generation, internet advertising, ad agency, media buying, campaign planning, Minnesota tax law, service tax, broadening tax base, web advertising, promotional services, 1183, house

Transcript Highlights:

• within a stable health care delivery system.
• In terms of your question about how health plans ensure access to care for their members, health plans
• Prior to accessing medical care, many, if not most, youth and families have a long process before ever
• system, and in all aspects of care is scary.
• It is a minimum requirement to keep California's gender-affirming care system from collapsing, and we

Summary: The joint hearing focused on access to gender-affirming care in California, with opening remarks emphasizing the state’s legal protections, the importance of decorum, and the impact of federal actions on transgender, gender-diverse, and intersex Californians. The Department of Justice, Department of Managed Health Care (DMHC), and Department of Health Care Services (DHCS) described current state protections, including nondiscrimination rules, privacy and shield laws, Medi-Cal and commercial coverage requirements for medically necessary care, and ongoing litigation challenging federal executive orders, proposed rules, and HHS actions that could restrict care or threaten provider participation in Medicare and Medicaid. Officials also noted that California continues to oppose federal proposals through lawsuits and public comments, and that the state is preparing strategies if those proposals are finalized. Members asked about hospital closures or pauses in care, continuity of care, provider network adequacy, whether additional legislation or funding is needed, and how the state can better track access and enforce existing protections. DMHC said it monitors complaints and independent medical reviews, but does not have a specific provider category for gender-affirming care and does not collect utilization data by service type; DHCS said Medi-Cal covers medically necessary gender-affirming care and that federal proposals are not yet final. Finance staff said the previously approved $15 million allocation is still being implemented through Covered California. The second panel heard from a physician, clinic leaders, parents, and a transgender youth about how families and providers navigate access to care. Dr. Johanna Olson-Kennedy described the history of transgender medical care, the role of puberty blockers and hormones, and said minors need parental consent for medical interventions, while emphasizing that care should be individualized and that supportive parents improve outcomes. She also described the closure of the Children’s Hospital Los Angeles youth program and the difficulty of rebuilding care in private practice, including insurance contracting barriers and inadequate reimbursement. J.M. Jaffe of Lyon Martin Community Health Services said the clinic has expanded to serve minors after hospital programs closed, but that the shift has created major financial strain and increased demand, and asked for a $26 million state investment to stabilize transgender health services. Parents and youth described delays, cancellations, and uncertainty at Kaiser, Stanford, UCSF, and Rady Children’s, along with the emotional and medical consequences of interrupted care. One parent said TRICARE stopped covering her son’s care after federal changes and that Rady later closed its clinic; her family urged California to backfill lost access and funding. A 16-year-old trans student and other witnesses argued that California should remain a reliable source of care and that current protections are not enough without funding, provider support, and stronger enforcement.

Transcript Highlights:

• and child care.
• The other expenditures that households may face, like health care and child care.
• It resulted in extensive unemployment among coal miners and in the larger coal industry, as well as long-term
• Food stamps were supposed to go to people that might have been unemployed or long-term unemployed, people
• term.

Summary: The House Agriculture and Natural Resources Committee held a work session on food systems and food security, with no public testimony. The first panel focused on household food security and data. Marie Spiker of the University of Washington explained what food insecurity means, its health impacts, and the importance of reliable measurement, warning that the federal Census food security data is being terminated and that there is no true replacement. She described Washington’s WaFOOD surveys as a useful complement, not a substitute, and noted that they show food insecurity affects households at a range of income levels. Katie Raines of WSDA described the state’s food systems work, the need for shared data and dashboards, and the role of agriculture in both food production and the hunger safety net. Committee members asked about the $2.2 million state food assistance allocation, the scale of the SNAP gap, and how household size, housing costs, and other factors intersect with food insecurity. The committee then heard from Tracy Roof of the University of Richmond on the history of SNAP and its relationship to agriculture. She traced the program from Depression-era commodity distribution through the modern farm bill, emphasizing that food assistance has long functioned both as anti-hunger policy and as an agricultural and economic stabilizer. She highlighted how SNAP expands during recessions, supports retailers and farmers, and has become more important since the Great Recession because participation stayed high even as the economy recovered. Roof also noted that Washington has relatively high SNAP participation and low payment error rates, but that recent federal changes could reduce eligibility and shift more costs to states. Members asked how Washington compares to other states and why the program is structured as it is. A later panel featured the Washington State Food Policy Forum and a joint systems presentation from the Washington Farm Bureau, Washington Retail Association, and Washington Food Industry Association. The Food Policy Forum described its consensus-based recommendations on food insecurity, climate and water, regional food infrastructure, farmland protection, and farm viability, including more support for producer purchasing, water planning, and farmland conservation. The industry groups presented a systems map showing how agriculture, processing, retail, and transportation are interconnected, and argued that rising costs, regulations, labor and fuel expenses, retail theft, and thin margins make it harder to keep farms and stores viable. They said food security depends on store viability and local agricultural profitability, and promised to provide a more detailed list of policy recommendations. The final panel included state agency staff from DSHS, DOH, and WSDA. Bryce Montgomery said the Basic Food program serves about 920,000 Washingtonians monthly and warned that H.R. 1 could require Washington to pay up to 15% of SNAP benefits, broaden work requirements, and restrict immigrant eligibility. Karen Mullen described DOH nutrition programs, including WIC, farmers market nutrition benefits, fruit and vegetable incentives, and a fruit-and-vegetable prescription program, while noting funding instability and the end of SNAP-Ed. WSDA’s Katie Raines began describing ongoing food assistance and farmer support challenges, including farmer mental health and the need to address food insecurity across both producers and consumers.

Transcript Highlights:

• I haven't seen it in a long, long time.
• Most of them needed help navigating the health care system, access to primary care, drug administration
• of care?
• Do you believe the current MOU system as it exists interrupts the delivery of care to certain areas?
• It's designed for the long term, but it's also designed to bring balance.

Committee: House Local Government

Keywords: 959, house, all

Transcript Highlights:

• The system is everything that the witness described in terms of, you know, we're talking about higher
• The system is everything that the witness described in terms of, you know, we're talking about higher
• But the UC system regions, they should have their long-term plans, and then also Dr.
• Thank you. and offer them invaluable skills that can be applied to a long-term career.
• Importantly, this bill far exceeds existing statutory and regulatory requirements governing long-term

Committee: Senate Education

Keywords: 987, senate, all

Transcript Highlights:

• MANY OF WHOM HAVE LONG TERM COMPLICATIONS.
• BECAUSE THERE HAS BEEN CASE LAW AND STUDIES THAT SAID THE CLUSTERING DOES NOT FACILITATE THE LONG TERM
• TERM CARE BY JULY 1st 2026.
• MANAGED CARE IS A PROCUREMENT PROCESS LED BY ACHA WITH MEDICAL ACUTE LONG TERM CARE, HOME COMMUNITY BASED
• ALL CITIZENS, FROM OUR FRAGILE BABIES IN OUR ICU TO OUR ELDERLY FAMILY PATIENTS IN THE LONG-TERM CARE

Keywords: 999, senate, all

Transcript Highlights:

• ensuring the long-term success of California's regulated market.
• These restrictions force patients to travel long distances for care or pay the full out-of-pocket costs
• can mean the difference between prevention and serious long-term health consequences.
• These restrictions force patients to travel long distances for care or pay the full out-of-pocket costs
• can mean the difference between prevention and serious long-term health consequences.

Committee: Senate Business, Professions and Economic Development

Keywords: 987, senate, all

Transcript Highlights:

• They want to be a part of the long-term results in this.
• We can expand the tax base and reduce reliance, frankly, on public assistance long term as well.
• And so um And reduce reliance, frankly, on public assistance long term as well.
• We provided 130 clients with transitional housing or long-term housing, and provided 3,200-plus hours
• It is essential to family stability, public safety, and the long-term health of our communities.

Committee: House Administration of Criminal Justice

Keywords: 965, house, all

Transcript Highlights:

• There is another rule for objection that concerns adult family care homes.
• I'm the General Counsel for the Agency for Health Care Administration.
• The sunset provision can serve as an agency's check on an unexamined, long-term imposition of discretionary
• required to work with the water management districts to promulgate rules that address the current and long-term
• required to work with the water management districts to promulgate rules that address the current and long-term

Summary: The Joint Administrative Procedures Committee met on February 3, 2025, with a quorum present and took up three main items. First, the committee considered a large set of recommended objections to Agency for Health Care Administration rules, all centered on sunset provisions stating the rules would expire after five years. AHCA asked for another deferral while it reviewed the rules, arguing the sunset language was a form of self-restraint rather than an invalid exercise of rulemaking authority. Committee leadership disagreed that further delay would resolve the issue and moved to a single vote covering all objections. The motion passed by roll call, and the committee informed AHCA that an objection would be filed unless the agency amended the rules within 30 days. The committee then heard an informational briefing from the Department of Environmental Protection on its Outstanding Florida Springs rule and stormwater rule. DEP explained that it did not prepare a statement of estimated regulatory cost for the springs rule because the proposed standards largely mirror existing water management district rules and the Central Florida Water Initiative framework, so DEP said there was no new regulatory burden. Members asked about permit authority, costs, and whether the rules were functionally different from prior rules. DEP maintained the rules set minimum standards and did not add costs beyond what regulated parties were already doing. DEP also described implementation of the stormwater rule adopted under the 2020 Clean Waterways Act and later ratified by the Legislature in 2024. DEP said the rule was the product of years of workshops and technical advisory committee meetings, and that the final version included lower-cost alternatives, grandfathering, and phased implementation. DEP estimated the rule’s cost at about $2,600 per acre in the revised CERC, while industry witnesses said the real cost could be much higher, especially if land costs are included. A home builders representative argued the estimate understated impacts, while a stormwater engineer said the rule gives more flexible, performance-based tools and could become more cost-effective over time. Finally, Senator Graal presented proposed Chapter 120 changes in SB 108, aimed at tightening and modernizing rulemaking. The proposal would require five-year rule reviews, annual agency reporting, faster notice of proposed rulemaking after authorizing legislation, electronic filing, public access to incorporated materials, clearer tracking of technical changes, and limits on how long rules can remain pending ratification. Members discussed whether the Legislature should be more specific in statutes about rulemaking deadlines and whether agencies should be more accountable when rules stall. No formal action was taken on the Chapter 120 proposals, and the committee adjourned after discussion.

Transcript Highlights:

• It provides relative to long-term care, to provide for a definition, to provide long-term care pharmacy
• Chairman, there is... ...long-term care pharmacy and it provide for related matters. Mr.
• It defines what a long-term care pharmacy is in Louisiana law.
• Sam Mafuse with LTC Pharmacy Management, who owns one of the long-term care pharmacies in Louisiana.
• We service about 60% of the long-term care patients in the state of Louisiana.

Committee: House Health and Welfare

Summary: The House Committee on Health and Welfare met on March 24 with a quorum present. The committee first voluntarily deferred House Bills 184 and 902. It then considered HB 557 by Rep. DeWitt, which defines long-term care pharmacies in Louisiana law to distinguish them from retail pharmacies and align state terminology with federal requirements. The author and a pharmacy representative testified that long-term care pharmacies serve nursing homes and similar facilities with specialized packaging, delivery, and consultant services. The committee adopted a technical amendment and reported the bill favorably with amendments. The committee next heard HB 584 by Rep. Boyd and Taylor, which addresses the practice of giving foster children garbage bags to move their belongings between placements and instead requires the use of duffel bags or similar luggage. Testimony emphasized the dignity issue for children in foster care and noted that DCFS had already begun transitioning to duffel bags. Members discussed whether the bill needed a fiscal note or dual referral, and DCFS testified that the practice had already been underway for about six months and would not require additional funds. The committee adopted amendments clarifying that the bag should follow the child and reported the bill favorably with amendments. Finally, the committee took up HB 747 by Rep. Miller, which combines the medical psychologist license and certificate of advanced practice, eliminates the separate certificate, lowers fees, and reduces red tape. Supporters from the Louisiana Academy of Medical Psychologists and others were noted, and the committee reported the bill favorably. Throughout the meeting, members also discussed possible future wording changes on HB 584 and briefly recessed at the end of the hearing.

Transcript Highlights:

• We also are expanding the veteran health navigator program into non-VA health care systems to implement
• care systems to implement nonVA health care systems to implement veteran<00:02:32.959><c> identification
• </c> and creating long-term sustainability. and creating long-term sustainability.
• They'll be working with our non-VA health care systems, as you seen on the slide deck.
• We'll be working with seven health care systems throughout the state.

Keywords: 1183, house

Transcript Highlights:

• I just wanted to raise a concern with the bill about the long-term potential implications.
• I just want to raise a concern with this bill about the long-term potential implications.
• I just want to raise a concern with this bill about the long-term potential implications of removing
• Sterilization is now reproductive health care. Sterilization is now reproductive health care.
• In the wake of the Dobbs decision, attacks on reproductive health care providers... ...affirming care

Keywords: 1146, all

Transcript Highlights:

• because there's a number of terms.
• But all of the systems do not seem to be...
• The systems in Texas are radically different, and I was like going, wait, what?
• That allows a lot of us to maintain our health care.
• This just dawned on me in terms of the pay, and when substitute was mentioned...

Summary: The House Postsecondary Education & Workforce Committee held a public hearing on Senate Bill 6258, which would authorize the Washington Medical Commission to adopt rules allowing physicians and certain other licensees to voluntarily relinquish their licenses outside of a disciplinary process. Staff and the bill sponsor explained that the current system only allows relinquishment through a disciplinary or quasi-disciplinary path, which can trigger reporting to national databases even when there is no misconduct. Testimony from the Medical Commission and the Washington Physicians Health Program supported the bill as a non-disciplinary, permanent, and more dignified way for providers to exit practice while preserving patient safety by excluding those under investigation or discipline. The chair said the committee would executive the bill the next day and asked that amendments be submitted by 6 p.m. that day. The committee then held a work session on part-time/adjunct faculty in the community and technical college system. State Board of Community and Technical Colleges staff described the system’s 34 colleges, the role of local bargaining, and the differences in duties and pay between full-time and part-time faculty. They noted that adjunct pay has historically lagged and cited a 2024 report estimating it would cost about $75.1 million to raise average adjunct compensation to 85% of full-time faculty pay. American Federation of Teachers Washington representatives and contingent faculty testified in support of HB 2538, arguing that contingent faculty are underpaid, often lack stable employment and compensation for work outside class time, and that higher pay would improve retention, student support, and equity. Members asked about bargaining structures, health benefits, workload, and comparisons to other faculty roles. In executive session, the committee considered Substitute Senate Bill 5931, which makes administrative changes to the Workforce Education, Investment, Accountability, and Oversight Board, including removing a public dashboard requirement and adjusting election timing. The bill passed 14-1 and was reported out with a do-pass recommendation. The committee also approved Senate Bill 5963, which automatically makes Passport to Careers participants income-eligible for the Washington College Grant and aligns need calculations with the federal formula; it also directs Passport funds into the state financial aid account. That bill passed unanimously, 15-0, and was likewise reported out with a do-pass recommendation.

Transcript Highlights:

• And this is my third term.
• I'm a beneficiary of the system.
• To see if what we provided them is actually effective in enhancing their income long term.
• The community college system is the best system right now.
• In terms of these system priorities, and I’ve been in a lot of executive staff meetings, had a lot of

Committee: Senate Rules

Keywords: 987, senate, all

Transcript Highlights:

• or dealing with long-term side effects due to untreated STIs.
• If you're doing it for health care providers, then consult with health care providers.
• care surveys.
• If you're doing it for health care providers, then consult with health care providers.
• care surveys.

Committee: Senate Education Pre-K - 12

Summary: The committee on Pre-K through 12 Education took up SB 1288, a parental rights bill by Sen. Grall, which would expand the Parents Bill of Rights to require written parental consent for minors’ medical care and prescriptions, give parents access to medical records, require parental review/consent for surveys and questionnaires, and restrict use of biofeedback devices without parental permission. The sponsor said the bill is intended to restore parents’ role in major medical decisions and to address concerns about schools or providers collecting sensitive information from children without parents’ knowledge. She said she was open to clarifying language, especially around exceptions and definitions, but maintained that parents should generally be the decision-makers. Committee members pressed the sponsor on how the bill would affect minors who are abused, homeless, estranged from parents, or otherwise without a safe guardian, as well as access to STI treatment, mental health care, contraception, and care after sexual assault. The sponsor repeatedly said children in unsafe situations should come into the child welfare or law enforcement system and that she was open to changes for truly unsafe or unavailable parents, but she rejected the idea that the bill was merely about notification rather than consent. She also defended the survey provisions as a way to stop routine questioning of children about suicide and other sensitive topics without parental awareness, and said the biofeedback language was aimed at school settings where data about children’s anxiety or stress is allegedly being shared with classmates. Public testimony was heavily divided, with many speakers opposing the bill and describing personal experiences with abuse, rape, mental health crises, lack of supportive parents, and the need for confidential access to birth control, STI testing, and counseling. Opponents argued the bill would delay care, endanger vulnerable minors, and reduce access to medically necessary services and surveys that can identify risk. Supporters said the bill would restore parental authority, improve transparency, and protect children from inappropriate surveys and biometric monitoring. During debate, Sen. Berman and Sen. Davis opposed the bill, saying it conflicts with existing law and could harm vulnerable youth, while Sen. Yarborough supported it, arguing that not all parents are bad actors and that the state should not treat all families as if they were. The transcript ends with debate underway and no final vote or action recorded.

Transcript Highlights:

• with people under their care.
• We want to provide adequate care at every level of our mental health services delivery system.
• The plan, we thought about it in terms of reentry into a correctional system.
• In order to provide that care.
• great for our current civil servants, remote staff can't provide the hands-on crisis intervention or long-term

Keywords: 988, house, all

Transcript Highlights:

• This has gone on far too long.
• And just from a systems perspective, we are humans that run systems, I'm deeply concerned about the fact
• They strengthen ties to their families and communities, which has proven to foster long-term stability
• What we're trying to do is we stood up a new system that I mentioned, and it's a better system.
• and systemic change.

Summary: The hearing focused first on sexual abuse, harassment, and retaliation in California’s women’s prisons, with testimony from CDCR wardens, the Office of Inspector General, advocacy groups, and formerly incarcerated survivors. Legislators and witnesses described a pattern of staff misconduct, fear of retaliation, gaps in reporting, and the need for stronger accountability, better investigations, and more outside access for survivor support organizations. CDCR said it has expanded training, body-worn and stationary cameras, outside partnerships, and PREA-related response procedures, while the Inspector General requested additional funding and staff to monitor more grievances and staff sexual misconduct cases under SB 1069. Members pressed CDCR on why accused staff are not always placed on leave, how cases are referred to prosecutors, and whether current protections are enough; several members argued the state should aim to investigate all complaints and do more to prevent retaliation and repeat abuse. The second issue was rehabilitative and reentry programming in women’s prisons. CDCR’s Division of Rehabilitative Programs and the wardens highlighted education, vocational training, substance use treatment, peer support, and community reentry programs, citing increased enrollment and recent graduates earning diplomas, degrees, and certifications. They said these programs are intended to reduce recidivism and improve public safety. Formerly incarcerated advocates and community providers argued that current offerings are still too limited, outdated, and not aligned with today’s job market, especially around digital literacy and transferable credentials, and they urged more funding for community-based, trauma-informed, gender-responsive programming. A coalition representative asked for a $20 million continuation and expansion of the Wright Grant program, and members discussed additional budget requests for reentry and related women’s services.

Transcript Highlights:

• premium increases and the long-term risk of insolvency.
• premium increases and from short-term premium increases and the<03:57:52.560><c> long-term</c><03:57
• </c><03:57:54.720><c> I</c><03:57:54.880><c> would</c> the long-term risk of insolveny.
• I would the long-term risk of insolveny.
• care, the system should such as school care, the system should support<05:53:34.400><c> that</c><05:

Keywords: 928, house, all

Summary: The committee first heard Senate Bill 47, sponsored by Senator Regina Birdsell at the request of the Insurance Department. The bill would clarify that a birth mother’s health insurance is the primary policy for a newborn’s care unless the mother has no coverage or no employer-sponsored coverage. Birdsell and Insurance Commissioner DJ Benton Court said the measure simply codifies the department’s long-standing interpretation of existing law. Representative Miles asked whether the coverage would extend to a grandchild if a young woman on her parents’ plan had a baby, and Birdsell said it would. The hearing on SB 47 was then closed. The committee next heard Senate Bill 121, introduced by Grant Bosi for Senator Kevin Avard. The bill requires insurers to notify the Insurance Department when they stop writing an entire line of business or, in some cases, when they change Medicare Advantage offerings. Benton Court said the bill was prompted by disruption in the Medicare Advantage market, where consumers and the department were confused by carriers exiting, changing plans, or narrowing offerings. He said the department does not regulate Medicare Advantage itself, but does license the carriers, and the notice requirement would help the department advise consumers; he also said noncompliance could affect a carrier’s license and could lead to fines. Members discussed the notice period, and the department and AHIP indicated support for changing it from 120 days to 90 days to align with federal timing. The hearing was closed with plans to work on an amendment in subcommittee. Finally, the committee heard Senate Bill 247, introduced by Representative Brian Cole, which would prohibit network exclusion for pharmacies that refuse to dispense prescriptions when PBM reimbursement is below acquisition cost. Cole said the bill is meant to stop pharmacies from being forced to sell at a loss. Members questioned whether pharmacies voluntarily enter PBM contracts, whether the bill would raise consumer prices, and whether it would mainly affect independent pharmacies. Cole and others said the issue has changed over time because PBMs now control a much larger share of the market, and that the bill would let pharmacies refuse loss-making fills and direct patients to mail order instead. The discussion also noted that the bill excludes Medicare and Medicaid and that the current proposal does not create a middle-ground option for patients to pay a premium at the counter.