Transcript Highlights:

• How do we self-insure in ERS, right? I'm not sure that the term self-insure... Well, we pay for it.
• They have their own insurance programs that they self-insure.
• And so we need to have all that insured.
• And so we need to have all that insured.
• Federally, we've changed laws that benefit childhood cancer on the federal level.

Summary: The Senate Finance Committee heard budget presentations for the Texas Historical Commission, the Pension Review Board, the Employees Retirement System (ERS), Social Security and benefit replacement pay, the Texas Emergency Services Retirement System (TESSRS), and the Cancer Prevention and Research Institute of Texas (CPRIT). The Legislative Budget Board outlined recommendations and major changes for each agency, including reductions tied to one-time projects at the Historical Commission, continued funding for courthouse grants, heritage trails, and Holocaust/genocide education, as well as new or modified riders and capital items. For the pension-related items, LBB described funding changes for PRB, ERS, Social Security, and TESSRS, including ERS health plan cost growth driven largely by pharmacy costs, the status of pension funding reforms, and TESSRS’s request for additional state support to address its unfunded liability and staffing needs. Members asked extensive questions about the Historical Commission’s one-time funding, unexpended balance authority, courthouse preservation, the Presidio La Bahia and National Museum of the Pacific War projects, and coordination of Texas history messaging across sites such as the Alamo, San Jacinto, Washington on the Brazos, and other heritage locations. The Historical Commission chair emphasized heritage tourism, economic development, and the need for continued investment in historic sites, staffing, IT modernization, and vehicles. On the pension items, senators discussed PRB oversight of local systems, including the Dallas police and fire pension situation, and ERS investment returns, benchmark comparisons, and rising health costs. ERS officials said the plan remains well funded overall, noted a 2021 cash balance reform and a planned supplemental legacy payment, and explained that GLP-1 drugs such as Ozempic and Mounjaro are a major driver of pharmacy spending; they also said the agency is working with the Texas Pharmacy Initiative and that rebates are contractually returned to ERS. For TESSRS, LBB and agency staff said the system serves volunteer and part-paid emergency personnel, is facing an infinite amortization period, and is requesting additional appropriations, staffing, and IT funding, along with a statutory change to allow an actuarially determined state contribution. The agency said it may otherwise need to cut benefits for volunteer firefighters. For CPRIT, LBB reported about $600 million in recommended funding for the biennium and a 10-FTE increase, while the agency described its $6 billion voter-approved program, $3.75 billion in grants awarded to date, and $10.4 million in revenue sharing since 2011. CPRIT’s only exceptional item was a request for a 10% salary increase for two exempt positions. No committee votes or formal actions were taken in the transcript.

Transcript Highlights:

• Now they're paying $279,000 a year for property insurance. And that's only property insurance.
• The water utility needs a whole host of other insurance. And that's only property insurance.
• The water utility needs a whole host of other insurance products, too.
• Migrating to .gov or .ca.gov domains will secure that trust.
• That district has managed to secure the Mosquitoes.org domain.

Summary: The committee heard a long agenda focused heavily on housing, local government, Brown Act teleconferencing, and public agency administration. Early bills included AB 39, which would require larger cities and counties to adopt electrification planning for EV charging and building decarbonization; AB 76, which clarifies Chula Vista’s university innovation district housing requirements; AB 259, AB 409, and AB 467, which extend or modernize Brown Act teleconferencing provisions for local agencies, community college student bodies, and Los Angeles neighborhood councils; and AB 428, which would let water corporations join joint powers authorities for pooled insurance. Supporters emphasized climate planning, housing access, public participation, safety, and cost savings, while several bills were amended to address stakeholder concerns. Most of these measures advanced on bipartisan votes, generally 6-1 or 7-0, and were left open for additional members to add on later. The committee also heard AB 632, which would strengthen local enforcement tools for serious code violations, fire hazards, illegal cannabis operations, and unsafe housing by allowing unpaid administrative fines to be converted into money judgments and liens. Local government and code enforcement groups supported the bill as a way to improve compliance and reduce costly litigation. AB 670 would let local governments count investments in preserving naturally occurring affordable housing toward housing element reporting and require broader reporting of demolitions and replacement housing compliance; supporters argued preservation is essential because many unsubsidized affordable homes are at risk. AB 761 would allow Monterey-Salinas Transit to place a future sales tax measure on the ballot with approval from two-thirds of its board, rather than separate approval from each member jurisdiction, to preserve transit funding for seniors, veterans, and people with disabilities. These measures also moved forward, with the committee noting amendments and sending them to the next committees of referral. Another major item was AB 810, which would require special districts and joint powers authorities to migrate public-facing websites and email addresses to .gov or CA.gov domains by 2031. The author argued the change would reduce fraud and improve public trust, especially after emergency-related scams, while opponents from special districts and IT organizations said the transition would be costly and difficult for smaller agencies. Several school-related opponents withdrew after amendments, and committee members discussed possible aliases and tribal-government language. The bill passed 7-1 to the Privacy and Consumer Protection Committee. Finally, AB 1206 proposed a pre-approved design catalog for single-family homes and small multifamily developments, modeled on a prior ADU bill, to speed rebuilding and reduce design costs; supporters from Habitat for Humanity and housing advocates said it would help both wildfire recovery and broader housing production, and the bill drew at least one opposed-unless-amended position as the committee moved into further discussion.

Transcript Highlights:

• I'd say the last thing I'd say is around the talk about federal storm clouds on the federal horizon.
• systems... ...of we've been relying so much on federal systems and federal reports that when they're
• attorneys, and the California Alliance and the Department of Insurance to address the long-term insurance
• The first is an increase of $4.6 million in federal funds due to an estimated increase in federal performance
• That's the federal share.

Summary: The Assembly Budget Subcommittee on Human Services heard an informational hearing on child welfare, foster care, community care licensing, child support, and related budget issues. CDSS described the Governor’s proposed child and family services budget, emphasized a family-centered and kin-first approach, and reported that foster care entries and congregate care placements have declined over the past decade. Witnesses also highlighted the importance of extended foster care to age 21, while noting persistent racial disparities for Native American and Black children and the need for stronger prevention, family finding, and community-based supports. A major focus was the proposed tiered rate structure (TRS), which CDSS said would shift funding from placement-based rates to child-centered supports, including care and supervision, strength-building dollars, and immediate needs funding paired with high-fidelity wraparound services. CDSS and county representatives said implementation is on track, with foundational policy guidance expected by the end of the year, CANS/CFT timeliness targeted by year-end, and the CWS CARES system nearing go-live in October 2026. Counties and providers raised concerns about whether the rate model and wraparound capacity will be sufficient, especially for higher-acuity youth, and asked for more data, clearer guidance, and continued collaboration. County Welfare Directors Association representatives also requested continued emergency response funding and an extension of flexible family supports, arguing both are needed to stabilize front-end child welfare work and bridge to TRS. Providers from FFAs and STRTPs warned that insurance costs, provider closures, and the transition to TRS could threaten service capacity unless the state addresses long-term insurance and reimbursement issues. LAO noted the Governor’s budget contains no new child welfare augmentations and said the main General Fund change reflects the expiration of one-time funding. No votes were taken; members instead asked for follow-up data, technical assistance, and possible future legislative or trailer bill solutions, including on insurance and implementation timelines.

Transcript Highlights:

• Here we are talking about the security and safety of the inmates...
• This poses a potential sanitation and security concern.
• respond to these requests from insurers because we need their input.
• Two-thirds of our population are insured.
• Mike Sontag with the Utah Health Insurance Association.

Committee: Joint Health and Human Services Interim Committee

Keywords: 985, all

Transcript Highlights:

• Taylor, Vice President, Personal Insurance Federation of California.
• Taylor, Vice President, Personal Insurance Federation of California.
• Now we'll move to Surin Taylor, Vice President, Personal Insurance Federation of California.
• Now we'll move to Surin Taylor, Vice President, Personal Insurance Federation of California.
• Sarah and Taylor, on behalf of the Personal Insurance Federation of California, and thank you for the

Summary: The Select Committee on Native American Affairs met on Barona tribal land to examine rising homeowners insurance costs affecting tribal communities, with opening remarks from tribal leaders and Assembly members emphasizing tribal sovereignty, the history of forced settlement in high-risk areas, and the need for the state to recognize mitigation work already being done on tribal lands. The committee heard that wildfire, drought, and other climate-driven disasters have sharply increased insurance premiums and reduced coverage options, especially for tribes located in rural or mountainous areas that were not chosen by the tribes themselves. Cal Fire Deputy Director Frank Bigelow described the state’s wildfire response and tribal engagement efforts, including tribal liaisons on incident management teams, a Southern Region Tribal Affairs Deputy Chief, cultural burning agreements, and more than $30 million in tribal wildfire resilience grants over the last three years. Members questioned why tribal communities receive only a small share of grants, whether Cal Fire should do more outreach and budget proposals for tribes, and whether mitigation work is being recognized by insurers. Bigelow said Cal Fire is working with insurers and the Insurance Institute for Business and Home Safety on mitigation standards, but acknowledged that more tribal outreach and participation are needed. Tribal chairpersons and fire chiefs testified that their communities are already investing heavily in fire protection through dedicated fire departments, fuel reduction, defensible space, prescribed burns, firebreaks, and home-hardening efforts, yet premiums remain high or coverage is denied. Barona leaders said premiums can range from $6,000 to $18,000 and urged insurers to assess properties individually rather than by broad high-risk zones. Soboba, Hamu, and Pechanga representatives described similar efforts and said grant rules, environmental review, and insurer practices can make it difficult to translate mitigation into lower rates. Several members suggested short-term state assistance or a tribal insurance mitigation fund, and the committee discussed the possibility of requiring insurers to better account for tribal mitigation and sovereignty in risk assessments.

Transcript Highlights:

• law and not face federal investigation or federal penalties for not following the federal law.
• law and not face federal investigation or federal penalties for not following the federal law.
• law and not face federal investigation or federal penalties for not following the federal law.
• law and not face federal investigation or federal penalties for not following the federal law.
• law and not face federal investigation or federal penalties for not following the federal law.

Keywords: 0:01– Meeting start/roll call 0:34 – Approval of minutes 0:48 – Welcome of new committee members 1:34 – Council on Postsecondary Education 25:17 – Teachers’ Retirement System 27:00 – Kentucky Public Pension Authority 29:04 – Board of Veterinary Examiners 31:40 – Board of Nursing 34:01 – Board of Emergency Medical Services 36:15 – Fish & Wildlife Resources 40:34 – Department of Corrections 56:00 – Department of State Police 58:05 – Department of Criminal Justice Training 59:22 – Transportation Cabinet 1:00:18 – Department of Education 1:01:23 – Department of Employment Services 1:04:17 – Department of Workplace Standards 1:05:25 – Department of Housing, Buildings & Construction 1:06:59 – Cabinet for Health & Family Services, Dept. for Public Health (Sanitation) 1:13:50 – Cabinet for Health & Family Services, Dept. for Public Health (Trauma System) 1:17:46 – Cabinet for Health & Family Services, Dept. for Public Health (Radon) 1:18:30 – Cabinet for Health & Family Services, Dept. for Medicaid Services 1:19:15 – Cabinet for Health & Family Services, Dept. of Aging Services 1:20:36 – Other Business/Adjournment, 958, all

Summary: The subcommittee met with a quorum, approved the minutes, and welcomed new members before taking up Council on Postsecondary Education regulations 13 KAR 2:120 and 13 KAR 2:130. The regulations, as amended by staff and agency amendments, update public university and KCTCS performance funding models to conform to 2024 Senate Bill 191 and the performance funding work group’s recommendations. Changes discussed included replacing the underrepresented minority metric with an underrepresented students metric defined as first-generation students, adding an adult learner metric, increasing the low-income degree premium, adjusting small-school and nonresident credit-hour weights, revising data aging and progression metrics, and adding STEM+H criteria in 13 KAR 2:120. Travis Pal of the Council on Postsecondary Education explained that the changes reflect the work group’s three-year review process and that the work group ultimately voted to define underrepresented students as first-generation students and to apply half-weighting between research and comprehensive universities for the new metric. Michael Frasier of the Kentucky Student Rights Coalition and Eastern Kentucky University student government opposed 13 KAR 2:120, arguing that the regulation improperly applies weights where the statute does not clearly authorize them and that the funding changes disadvantage comprehensive universities and vulnerable students. He asked the committee to find the regulation deficient or, alternatively, recommend legislative clarification and a revised fiscal analysis. Pal responded that weighting has been part of the model since 2017, that CPE was following the statute and work group recommendations, and that the model could be changed by future legislation. Members asked about the timing of the broader performance funding review, and Pal said the full model is reviewed every three years, with the next work group cycle beginning in 2026. No motion to find the regulation deficient was made, and the committee allowed the regulations to proceed to the committee of jurisdiction. The committee then approved a staff amendment to Teachers’ Retirement System regulations 102 KAR 1:195 and 102 KAR 1:340, which require annual reporting of accumulated sick leave, leave policies, and salary schedules to TRS and make technical changes to the final average salary calculation and related definitions.

Transcript Highlights:

• They pay 1.5 billion in federal taxes, support Social Security, Medicare, and public health projects.
• Affordable Care Act insurance.
• Affordable Care Act insurance.
• Affordable Care Act insurance.
• </c> security tax being refunded to them. security tax being refunded to them.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, April 15, 2026, 1012, house, all

Transcript Highlights:

• , Vice President, Personal Insurance Federation of California.
• As now we'll move to Serent Taylor, Vice President, Personal Insurance Federation of California.
• Sarah and Taylor, on behalf of the Personal Insurance Federation of California, and thank you for the
• Taylor, I want to also thank PIFC, the Personal Insurance Federation of California, for participating
• Taylor, just want to also thank PIFC, the Personal Insurance Federation of California for participating

Keywords: 988, house, all

Transcript Highlights:

• The next item is for the captive insurance branch of our insurance division.
• The next item is for the captive insurance branch of our insurance division.
• The next item is for the captive insurance branch of our insurance division.
• The next item is for the captive insurance branch of our insurance division.
• The next item is for the captive insurance branch of our insurance division.

Keywords: 910, house, all

Summary: The Committee on Finance held an informational briefing with the Department of Labor and Industrial Relations on its budget, staffing, and operations. The director reviewed department leadership and reported on recruitment and retention efforts, including a 14% vacancy rate, a 10.5% workforce increase from filling 189 positions, and the Hela Imua internship program, which has placed 516 interns since inception and led to 62 permanent hires. The department also described modernization efforts, including the UI Huakai project and the Disability Compensation Division’s electronic case management system, and said the unemployment compensation trust fund exceeded $71.5 million, triggering Schedule C for calendar year 2025. The department’s main budget requests included $2.9 million for fiscal year 2026 to support maintenance and operations of the electronic case management system, plus restoration of two enforcement specialist positions. Officials said those positions are needed to address a decline in investigators from 11 to six since 2009, improve compliance, and handle Hawaii Compliance Express certificate work. Additional requests included two human resources specialists to address recruitment backlogs, two labor enforcement specialists to reduce a backlog of Chapter 104 prevailing wage and wage cases, and two positions for the Office of Community Services to expand immigrant services and access centers. The department also discussed federal funding for unemployment insurance and workforce programs, including National Dislocated Worker Grants and Workforce Innovation and Opportunity Act funds, and said some funding is received in increments and may require extensions. Members asked about Kauai inspection coverage, federal funding uncertainty, the size of the special unemployment insurance fund, and whether the department could ramp up staffing during a future crisis. Officials said Kauai is currently served by inspectors from Honolulu and there are no plans to open a permanent island position because of staffing constraints. They said the department is meeting federal guidelines and is not in jeopardy, and that the special unemployment insurance fund has about $10 million, with current UI operations funded at a little over $15 million, meaning the fund may need to cover roughly $5 million if federal support declines. The director said the department would use the special fund to supplement shortfalls, but noted that federal funding cuts and the loss of ARPA support have already affected operations.

Transcript Highlights:

• it would be great to look maybe at what private insurance spends and maybe look at that.
• Maintaining Joe's private health insurance shouldn't fall to someone else.
• Joe should have his own insurance coverage for his medical diagnosis.
• Coordinate efforts that are stringent with the requirements of insurance these days.
• This is simply a reallocation of existing federal funds in a way that federal lines up with their intended

Committee: Joint Joint Committee on Health Care Financing

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services. Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance. For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.

Transcript Highlights:

• My homeowners insurance, 228% without a claim. Car insurance, 196%, and medical premium, 77%.
• Car insurance, 196%, and medical premium, 77%.
• , including being accredited by a federally approved accrediting body.
• So the way I like to describe it is we have this many insured patients.
• So that's something that we are looking to get at the federal level.

Bills: HB2689 , SB5832 , SB5922 , SB5944 , SB5988 , SB6151

Committee: House Appropriations

Keywords: Working Connections Child Care, child care subsidy, subsidized child care, Washington DCYF, Department of Children, Youth, and Families, low-income families, child care providers, licensed child care centers, family child care, market rate survey, subsidy rates, income eligibility, state median income, SNAP, Basic Food, collective bargaining, provider reimbursement, daily payment, half-day care, partial-day care

Transcript Highlights:

• SP 2318. now we were looking at crop insurance now we were looking at crop insurance maybe<00:07:11.520
• </c> insurance for the farmers. insurance for the farmers. &gt;&gt; Okay. &gt;&gt; Okay.
• </c> state and seeking what federal state and seeking what federal opportunities<00:11:49.279><c> are
• </c> our um food security. our um food security.
• to conduct a study of A and Bio Security to conduct a study on<01:07:29.039><c> insurance</c><01:07:

Bills: SB2309 , SB2317 , SB2318 , SB2319 , SB2321 , SB2323 , SB2332 , SB2405 , SB2485

Committee: Senate Agriculture and Environment

Keywords: agricultural loans, financial support, Hawaii agriculture, food security, revolving fund, agriculture, insurance, small producers, state support, biosecurity, farm coverage, public-private partnerships, agricultural policy, agricultural statistics, data collection, Department of Agriculture and Biosecurity, economic analysis, market development, grant funding, climate resiliency

Summary: The committee heard testimony on several agriculture-related measures, beginning with SB 2309, which would require the agricultural loan division to sell portions of its loan portfolio and use the proceeds to expand the agriculture loan revolving fund. The Department of Agriculture and Biosecurity and the Hawaii Farm Bureau supported the bill, along with several other organizations and individuals. A committee question focused on the risk of not finding a qualified buyer for the loan portfolio; DAB said a mandatory sale of the full amount could force a less favorable rate, while flexibility to sell different amounts could produce a more equitable return. The measure drew eight supporters and no opposition. The committee then took up SB 2317, which directs DAB to study insurance coverage for small producers and report back to the Legislature. DAB and multiple farm groups supported the bill. In response to a question about cost, DAB estimated about $250,000 would be needed, with the study likely covering crop, health, and liability insurance. The next measure, SB 2318, would establish an agriculture statistics program in statute. DAB said it strongly supported the bill and could ramp up quickly if positions were provided; the committee discussed whether a first report could be completed by year’s end if the bill became law midyear, and DAB said yes. SB 2319, which would fund and make permanent a full-time grant writer position at DAB, also drew strong support from DAB, the Hawaii Farm Bureau, Ulupono Initiative, the Hawaii Cattlemen’s Council, the local food coalition, and others, with testifiers emphasizing the position’s return on investment and success in bringing in federal funds. The committee also heard SB 2321, establishing a two-year pilot program to respond to the twoline spittlebug. DAB, ranching groups, and many others supported the bill, citing the pest’s spread and the need to act before it becomes unmanageable. A DAB pest control manager said he would need to research past response details and provide them later. Members emphasized the importance of early intervention. For SB 2323, which creates a farmland transition commission to study barriers to farmland access and recommend solutions, DAB offered comments and support for the intent, while farm groups generally supported the concept but raised concerns about the proposed age range and whether a separate commission was necessary. DAB said the Board of Agriculture likely would not have the capacity to perform the commission’s duties and estimated there would be costs to establish it, though no figure was available at the hearing. Finally, the committee heard SB 2332, which reestablishes the agriculture and food security special fund, creates a carbon emissions tax and dividend fund, gradually raises carbon-related tax rates, and provides a refundable carbon cashback credit. DAB supported the measure and deferred to Taxation on details; the Department of Taxation said it would stand on its comments, and the Attorney General’s office offered comments and recommendations. Carbon Cashback Hawaii and the County of Hawaii Department of Research and Development supported the bill, arguing it would reduce emissions, protect lower-income households, and be relatively simple to administer.

Transcript Highlights:

• up the cost of insurance.
• casualty insurance, plus about 20% of the health insurance. insurance market.
• as determined by the insurer. insurer.
• The FAIR plan is Texas's residual insurer for homeowners insurance.
• Those are the total insured value, yes. Insured values, but.

Committee: House Insurance

Keywords: 1184, house, all

Transcript Highlights:

• </c> in these systems, they are not secure. in these systems, they are not secure.
• </c> are a matter of national security. are a matter of national security.
• </c> they are secure they are secure and<01:47:41.360><c> fair.
• is removed per federal law.
• </c> insurance companies. insurance companies. &gt;&gt; Senator<02:14:45.840><c> Kip.

Keywords: 981, all

Transcript Highlights:

• the prescription drug claims, so it includes both self-insured claims and insurance rate.
• There's no federal right.
• No, those federal positions are funded by federal funds.
• No, those federal positions are funded by federal funds. Thank you, Mr. Chair.
• </c> Federal positions are funded by federal Federal positions are funded by federal funds<05:24:56.480

Keywords: 928, house, all

Summary: The Department of Administrative Services presented an overview of its budget and operations, emphasizing that it is the lowest-spending agency in state government and that its general fund allocation has declined since 2019. Commissioner Arling House explained that DAS also handles back-office functions for several administratively attached boards, which has affected staffing and spending comparisons. He said the department’s current general fund spending is roughly split between retiree health and other operations, and that the presentation was based on adjusted authorized spending rather than the original budget figures. A major portion of the meeting focused on retiree health benefits and the long-term effort to control costs. Deputy Commissioner Cassie Keane described how the state moved from a projected deficit in retiree health to savings through a series of changes, including higher premium contributions, co-pay adjustments, and shifting Medicare retirees into Medicare Advantage arrangements to capture federal reimbursement. She said the state has about 12,500 retirees and spouses on the plan, with roughly 10,906 Medicare retirees and 1,580 non-Medicare retirees, and that the savings have depended heavily on federal funding and procurement decisions. She also noted that Medicare retirees pay Part B premiums and that the state has grandfathered older retirees from some premium contributions. Members asked about what the expenditures cover, why the state offers retiree health instead of simply giving retirees a payment to buy coverage themselves, and whether out-of-pocket costs changed under Medicare Advantage. Keane said the plan covers actual health claims or insurance premiums, that co-pays and maximum out-of-pocket limits remain in place, and that the state has no authority to change benefit details without legislative action. She explained that retiree health is a long-standing employee benefit that wraps around Medicare and is not collectively bargained in the usual sense, though its eligibility rules and cost-sharing have been tightened over time to better target the benefit to long-term state service. The discussion also covered vendor performance problems. Keane said Anthem recently won the contract back from Aetna, but its pharmacy subsidiary, Caroline, caused serious service disruptions. DAS responded by withholding payments, assessing more than $2 million in performance guarantees, and hiring a third-party auditor to review the pharmacy processes. The current contract runs through the end of calendar year 2026, and officials said they are watching federal Medicare Advantage reimbursement changes closely because future savings are uncertain.

Transcript Highlights:

• needed long-term care insurance himself, and was my first claim.
• expertise on long-term care, life insurance, disability insurance, retirement planning, employee benefits
• expertise on long-term care, life insurance, disability insurance, retirement planning, employee benefits
• It shouldn't be just a one-time, we call it... ...insurance. It should be continual.
• And during the presentation... ...long-term care insurance program in the country.

Keywords: 995, all

Summary: The Aging and Independence/Elder Affairs Committee heard testimony on several bills, with the main focus on H.769/S.468, an act to improve care and prepare for the new era of Alzheimer’s and dementia. Legislators and advocates described the bill’s provisions, including expanded dementia training for first responders, a dementia services coordinator/director in state government, improved hospital discharge and caregiver access protections, dementia care coordination benefits for certain MassHealth members, public awareness and data collection requirements, and expanded support for geriatric workforce recruitment. Representative Danielle Gregoire and Senator Gomez framed the measure as a zero-cost, bipartisan continuation of the 2018 Alzheimer’s and Dementia Act, while the Alzheimer’s Association, Boston Public Health Commission, police representatives, clinicians, and family caregivers all testified in support, emphasizing public health needs, early diagnosis, caregiver involvement, and safer emergency and hospital care. The committee also heard testimony on H.796/S.476, which would establish an Office of Older Adult Advocate and a special commission on a statewide long-term services and supports benefit program. Representative Steve Ultrino supported an independent older adult advocate to help navigate fragmented state services and improve constituent services, while committee members asked about funding and the office’s relationship to existing secretariats. On the long-term care commission bill, NAFA Massachusetts and LeadingAge Massachusetts supported creating a stakeholder commission to review actuarial findings and explore public-private financing options for long-term care, stressing that neither public nor private coverage alone is sufficient and that middle-income families need more planning tools and options. The committee also took testimony on H.786/S.466, a bill to protect vulnerable elders by expanding the Executive Office of Elder Affairs’ authority to investigate abuse or neglect in non-traditional custodial settings such as prisons, jails, shelters, group homes, and certain treatment facilities. Prisoners Legal Services said the bill would close a jurisdictional gap that leaves some older adults without an investigative agency once they age out of DPPC coverage. No votes were taken during the hearing, and the meeting ended with a motion to adjourn.

Transcript Highlights:

• It's certainly coming down from the federal government.
• And so we are heavily reliant on federal revenue, and there's a lot of interest at the federal level
• At the federal level around reducing Medicaid revenues from the federal government.
• Those are people who used to be privately insured.
• We are not going to be—we are not going to look to the federal government and a lot of the federal agencies

Committee: Joint Joint Committee on Public Health

Keywords: 995, all

Summary: The Joint Committee on Public Health held an introductory informational hearing for the new session, with Chairs Marjorie Decker and Senator Michael Driscoll outlining the committee’s scope and emphasizing the impact of the federal landscape on Massachusetts public health. They noted the hearing would focus on testimony from agencies and advocates, with short testimony limits due to the hybrid format. No votes were taken; the meeting was for briefing and discussion of priorities. Commissioner Robbie Goldstein of the Department of Public Health described the department’s budget and federal funding, warning that recent CDC grant terminations could cut nearly $100 million and affect lab testing, surveillance, vaccines, and community engagement. He highlighted DPH priorities including racial equity, maternal health, substance use and child welfare coordination, emergency preparedness, data transparency, and public hospital quality. MassHealth Assistant Secretary Michael Levine discussed MassHealth’s role covering about 2 million residents and its priorities in health equity, behavioral health, primary care, member independence, and customer service, while noting the agency relies heavily on federal Medicaid dollars and would face major strain from federal cuts. Several advocacy and provider groups focused on reproductive health and maternal health. Planned Parenthood warned of threats to Title X, 340B savings, and other federal funding, and supported a bill to eliminate parental consent and judicial bypass for abortion care for young people. Reproductive Equity Now urged stronger shield-law protections and changes to Massachusetts’ later-abortion framework. Dr. Indyamaka Anugaka called for full implementation of the maternal health law, better reimbursement for doulas and midwives, stronger data collection, and support for full-spectrum pregnancy care coverage. The Health Policy Commission said new maternal health and primary care task forces would begin work soon. Mental health and health system access were also major themes. The Mass Medical Society urged action on vaccine hesitancy, removal of non-medical school vaccine exemptions, and primary care reform. The Massachusetts Association for Mental Health and the Children’s Mental Health Campaign opposed proposed cuts to DMH and substance use services, called for more school-based supports, and raised concerns about inpatient capacity, including a unit serving LGBTQ youth. The Massachusetts Nurses Association and 1199 SEIU warned that staffing shortages, low wages, workplace violence, hospital closures, and possible Medicaid cuts threaten patient care and the health care workforce. The Betsy Lehman Center also urged investment in automated patient-safety monitoring to reduce harm and costs.

Transcript Highlights:

• That office was not that secure.
• us to meet for securing.
• She is the Director of Health and Life Insurance at the Office of the Superintendent of Insurance.
• So, Senator, in the bill on this insurance coverage, do the insurance companies do they dictate based
• on the property to secure the loan. Mr.

Bills: SB273 , SB37 , SB100

Keywords: SB273, appropriations, general fund, hold harmless, local government finance, municipal revenue, county revenue, correctional facility, jail contract, private prison, detention facility, immigration detention, revenue bonds, clawback, child welfare, juvenile justice, protective services, school improvement, New MexiCare, aging services

Transcript Highlights:

• HB number 3883 by Flores relating to eligibility of a Federation International de Automobile World Insurance
• from an insurer to a replacing insurer.
• contracts from an insurer.
• an insurer to a replacing insurer.
• And so when state law conflicts with federal law, federal law wins.

Summary: The House convened with a quorum present, heard an invocation and pledges, received Senate messages, and adopted several procedural motions allowing committees to meet during the session and postponing or scheduling certain committee hearings. Members also observed a memorial recognition for Wood County Deputy Sheriff Melissa Pollard, who died in the line of duty, and adopted a resolution honoring her service. The chamber then adopted House Resolution 897 recognizing May 6, 2025 as Golf Day in Texas and House Resolution 1063 recognizing Dallas Housing Coalition Advocacy Day; additional recognitions highlighted Mental Health Awareness Month and tardive dyskinesia awareness, The Woodlands’ 50th anniversary, Alzheimer’s advocacy, student athlete Gator Young, an intern in Rep. Leo-Wilson’s office, and educator Jessica Lopez. The House spent much of the day on third-reading consideration of a long calendar of bills. Among the measures passed were HB 24 on zoning protest procedures, HB 3800 creating a health care workforce advisory board, HB 42 on higher education appropriations, HB 129 restricting contracts with foreign adversary companies, HB 677 on county elections administrator political activity, HB 668 on license-to-carry renewal procedures, HB 2128 directing a rural firefighting study, HB 2038 expanding physician licensing options, HB 2316 on election result reporting, HB 3686 on retired peace officer ID cards, HB 2563 creating a prescribed burn manager self-insurance pool, HB 1160 increasing penalties for assaults on utility workers, HB 3883 on major events funding, HB 2788 protecting fraud-detection information, HB 2663 on inactive well plugging extensions, HB 3305 extending a county health provider participation program, HB 3474 on pension reporting, HB 1105 expanding tuition exemptions for certain paramedics, HB 3490 on closed meetings with internal auditors, HB 3597 on child care facility notice thresholds, HB 1295 on health literacy planning, HB 3512 on AI training for government employees, HB 3783 on court-ordered counseling, HB 2017 on intoxication manslaughter penalties, HB 3010 on rural disaster recovery, HB 3112 on cybersecurity-related public information and meetings, HB 4215 on delivery network companies, HB 3223 on construction claims limitation periods, HB 3464 on controlled substances in correctional facilities, HB 3120 on residential child detention facilities, HB 4214 on public information, HB 481 on trade secret sealing, HB 4783 on opioid antagonist program reporting, HB 4063 on unilateral memoranda of contract, HB 2783 on county employee deferred compensation, HB 5085 on seed banks, HB 2510 on assisted living facility operations, HB 3426 on digital driver’s licenses, HB 4361 on emergency notifications at higher education institutions, HB 1169 on oil and gas infrastructure protection, HB 2516 on Medicare supplement eligibility for Texans under 65, HB 3560 on hospital staff background checks, HB 3860 on occupational licenses for inmates, HB 3146 on SOAH hearings, HB 184 on loan repayment for border prosecution attorneys, HB 198 on firefighter cancer screenings, HB 247 on border security infrastructure taxation, HB 367 on excused absences for students with severe illnesses, HB 449 on deepfake sexually explicit images, HB 1778 on human trafficking and related offenses, HB 514 on maternal health workforce outreach, HB 632 on pharmacy regulation, HB 2582 on victim parole information, HB 766 on precinct chair ballot applications, HB 2715 on suspension/removal of officials, HB 2712 on water and sewer utility test years, HB 3069 on transmission projects, HB 3505 on health provider participation districts, HB 1269 on plant disease and pest prevention grants, HB 4224 on access to health care records, HB 5032 on historical documents in the Capitol complex, HB 2240 on void marriages, HB 5180 on diploma designation, HB 3348 on health provider participation programs, HB 4668 on PUC authority to retain assistance, HB 4665 on child care training providers, HB 3395 on beneficiary designation for manufactured homes, HB 3157 on interim electric utility rates, HB 4395 on electronic submission of public securities records, HB 4325 on bribery civil penalties, HB 4386 on annuity replacement transactions, HB 4273 on Medicaid fraud-related unlawful acts, HB 2760 on judicial review of unemployment decisions, HB 2820 on charitable bingo operating capital, HB 1828 on legislative leave for correctional officers, and a series of Senate bills including SB 2349, SB 1268, SB 610, SB 1577, SB 1369, SB 2032, SB 1057, SB 1044, SB 922, SB 1759, SB 1143, SB 1506, SB 1403, SB 2361, SB 870, SB 372, and SB 72. Several bills drew debate or amendments, including HB 24, where a germane point of order was sustained against an amendment, and HB 198, HB 3348, and SB 2361, which were amended before passage. Most measures passed by wide margins, though some drew notable opposition, including HB 3883, HB 514, HB 1295, HB 184, SB 1143, and others. The House also postponed further consideration of HB 4700 until the end of the day and HB 24 until 1 p.m., and it granted permission for committees to meet during the House session and for the Calendars Committee to meet that morning.

Transcript Highlights:

• My understanding is the Federal Elections Commission is doing the same thing on the federal level, and
• My understanding is the Federal Elections Commission is doing the same thing on the federal level, and
• , now not individual securities?
• within the life insurance policy.
• It would be the stocks within that insurance policy that you would list, not the insurance policy.

Committee: Senate Elections

Keywords: 1187, senate, all