Transcript Highlights:

• Insurance, which is a division of the Department of Administration, would be allowed to accept applications
• The director of the Office of Group Insurance tells me there are 27,875 employees insured in the state
• I also have the director of the Department of Administration and the director of the Office of Group
• And one of the draws of working for a fire department, and working for a city department like the Idaho
• My name is Faith Knowlton, and I'm the administrator of group insurance in the Department of Administration

Committee: House State Affairs

Keywords: 989, all

Transcript Highlights:

• And I am the prime sponsor of Senate Bill 47. This was a request from the Department of Insurance.
• of their life, and the insurance department has issued guidance on the application of the statute.
• of their life, and the insurance department has issued guidance on the application of the statute.
• DJ Benton Court, commissioner of the New Hampshire Insurance Department.
• Am I in favor of the suggestions that I've heard of moving it to the insurance department?

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.

Transcript Highlights:

• Is it the director of insurance reconstitutes? It would be either.
• Yeah, the authorized statute was at the direction of the director of the Department of Commerce and Insurance
• This bill is a straightforward modernization of Missouri's insurance law.
• The National Association of Insurance Commissioners, widely regarded as the gold standard for insurance
• The Department of Commerce and Insurance retains full regulatory authority.

Committee: House Insurance and Banking

Summary: The Insurance Committee met with a quorum and first went into executive session on House Bill 2874, which was approved 9-0 with one member present. The bill was described as a product worked on the previous year, and no substantive opposition was raised before the vote. The committee then heard House Bill 2071, which would allow the Medical Malpractice Joint Underwriting Association to suspend operations rather than terminate, because the medical malpractice market is now considered robust and the association has not written a policy or received a claim in several years. The sponsor and Missouri Insurance Coalition said the association still costs roughly $300,000 to $350,000 annually to operate, with projected savings if suspended, while preserving the ability to reactivate if claims arise within the remaining liability window. Some members questioned whether a sunset would be more appropriate and raised concerns about the open-ended nature of suspension and the handling of the association’s reserve funds. House Bill 1615 was then heard and would lower the statutory minimum number of directors for insurance companies from nine to five, while leaving maximum board sizes unchanged. The sponsor and supporters argued Missouri’s current requirement is outdated, out of step with other states and other regulated entities, and creates unnecessary barriers for smaller insurers without affecting solvency or consumer protection. Members questioned whether any insurers had avoided Missouri because of the nine-director rule; supporters said they had no specific examples but said the change would provide flexibility and align Missouri with modern governance practices. Finally, the committee heard House Bill 2902, which would create a Motor Vehicle Threat Prevention Program and commission within the Department of Public Safety to fund grants and coordinate efforts against auto theft. The sponsor said Missouri ranks among the highest states for vehicle theft and argued the program would help local law enforcement, especially in rural areas, address high-tech theft methods and related crimes. Highway Patrol and NICB witnesses testified in support, citing rising theft rates, the use of stolen vehicles in other crimes, and examples from other states where similar task forces recovered stolen vehicles and made arrests. Several members questioned whether a new commission was necessary, suggesting the Highway Patrol or existing agencies could handle the work; no opposition testimony was offered, and the hearing was closed with no further business before adjournment.

Transcript Highlights:

• This indication of a reprioritization of paid family leave and disability insurance over unemployment
• bifurcate the implementation of PFL as opposed to some of the UI or other or disability insurance.
• I think sometimes in excess of 50% of cases where the eligibility determination made by the department
• We'd be happy to work with your staff and with the department and the Department of Finance on reworking
• They are truly the heart and soul of our department.

Keywords: 988, house, all

Transcript Highlights:

• Is it the Director of Insurance, reconciling it? It would be either.
• Yeah, the authorized statute was at the direction of the Director of the Department of Commerce and Insurance
• The National Association of Insurance Commissioners, widely regarded as the gold standard for insurance
• The Department of Commerce and Insurance retains full regulatory authority.
• We actually use the figure of about 10% of the premiums that you pay in insurance go toward fraudulent

Committee: House Insurance

Keywords: 959, house, all

Transcript Highlights:

• Division within the Department of Insurance and Financial Institutions when receiving a completed request
• within the Department of Insurance and Financial Institutions when receiving a completed request for
• that misrepresents an insurance policy, and allows the Director of the Department of Financial Institutions
• So, as you may already know, certificates of insurance are basically a snapshot of coverage of your insurance
• the Department of Insurance and financial institutions to be used by insurers in Arizona for making

Committee: Senate Senate Finance Committee of Reference

Summary: The committee approved the March 9, 2026 minutes and held HB 29 and HB 2939 at the sponsor’s request. It then took up HB 2016, which would bar late-filing penalties when a taxpayer’s income tax liability is zero; after an amendment narrowed the bill to income tax filers, the Department of Revenue was neutral on the bill but supported the amendment, and members debated whether removing the penalty would reduce incentives to file. The committee adopted the amendment and returned HB 2016 with a do-pass recommendation on a 4-3 vote. The committee also heard HB 2289, which updates the property-value examples used in bond/override election pamphlets and truth-in-taxation notices from older low values to a $300,000 home example. The sponsor and Arizona Tax Research Association said the update would better reflect current home values and improve voter understanding, while some members argued the bill could confuse voters or that the second example should be closer to the current median home price. The committee passed HB 2289 on a 4-3 vote. Several bills related to school district bonding and agricultural property classification were then considered. HB 4103 would prohibit school districts from calling bond elections if enrollment is below 50% of capacity; supporters said districts should use or monetize excess space before seeking more debt, while school administrators and several senators argued it would block needed maintenance and local voter choice. HB 2104 and HB 2105 would give agricultural property owners a temporary reprieve from repeated reclassification and inspections after winning an appeal, with farm groups supporting the measures and county assessors opposing them as limiting oversight; both bills passed 4-3 after amendments. The committee also passed HB 2256 on a 7-0 vote, which creates a process for salvage auction dealers to obtain abandoned titles when insurers do not complete salvage title transfers, and HB 2979 and HB 2996 unanimously, addressing credit union regulatory timelines and clarifying that certificates of insurance do not alter policy coverage. Finally, the committee heard HB 2174 on insurance modeling organizations and HB 2477 on AZ 529 plan updates, with HB 2174 discussed at length over regulatory treatment of models and HB 2477 described as a conformity bill expanding K-12 and credentialing uses and rollover options.

Transcript Highlights:

• And I am the prime sponsor of Senate Bill 47. This was a request from the Department of Insurance.
• of their life, and the insurance department has issued guidance on the application of the statute.
• DJ Benton Court, commissioner of the New Hampshire Insurance Department.
• </c> representative of the insurance representative of the insurance department,<01:54:50.080><c> you've
• DJ Benton Court, Commissioner of the New Hampshire Insurance Department.

Keywords: 928, house, all

Summary: The committee first heard Senate Bill 47, sponsored by Sen. Regina Birdsell at the request of the Insurance Department. The bill would codify the department’s interpretation that a birth mother’s health insurance is the primary coverage for a newborn, unless the mother has no insurance or coverage under an employer-sponsored plan. Birdsell and Insurance Commissioner DJ Benton Court said the measure is a clarification of existing practice and intended to protect vulnerable newborns; a question from Rep. Miles clarified that if a young woman is on her parents’ policy, the newborn would generally be covered under that family coverage. The hearing on SB 47 was then closed. The committee then took up Senate Bill 121, introduced by Grant Bosi for Sen. Kevin Avard, which would require insurers to notify the Insurance Department when they stop writing an entire line of business or, in some cases, Medicare Advantage plans. Commissioner Benton Court said the bill arose from disruption in the Medicare Advantage market, where consumers, brokers, and the department were confused by carriers changing or ending offerings; he said the department wanted a simple notification requirement so it could better advise consumers. Members discussed network adequacy, county-based service areas, and the fact that the bill would make notice a condition of licensure, with possible fines or license action for noncompliance. Witness Paula Rogers of AHIP said her group supported the bill if amended, and the department indicated it would support a change from a 120-day notice period to 90 days to align with state rules; the committee planned to work on an amendment in subcommittee. Finally, the committee heard Senate Bill 247, introduced by Rep. Brian Cole, which would prohibit network exclusion of pharmacies that refuse to dispense prescriptions when PBM reimbursement is below acquisition cost. Cole argued the bill is meant to stop pharmacies from being forced to sell drugs at a loss, describing PBMs as middlemen and saying the measure is a compromise that protects local pharmacies. Members questioned whether consumers would pay more and whether pharmacies voluntarily enter PBM contracts; Cole responded that the bill would let pharmacies refuse unprofitable fills while consumers could still obtain the drug through mail order or other channels. He also said the issue has changed over time because the practice now affects a much larger share of generics and is concentrated among a few PBMs. The hearing remained open as questions continued, with no vote taken in the excerpt.

Transcript Highlights:

• The Department of Insurance regulates insurance companies that hold profits for shareholders.
• The Department of Insurance insurers.
• The Department of Insurance regulates<00:31:12.799><c> insurance</c><00:31:13.279><c> companies</c><00
• is that some of the risk pools probably will work better with the Department of Insurance model, and
• is that some of the risk pools probably will work better with the Department of Insurance model, and

Keywords: 1189, house, all

Summary: The committee first took up SB 297 and a new amendment, 2462, which combined the original Senate bill with the Carson amendment and added a proposed alternative regulatory system, RSA 420R. The chair and members discussed that the amendment was intended to give the Senate what it had asked for while also creating a dual system for public entity risk pools. Members asked whether the new structure would affect ownership or governance of health trusts, and the chair explained that 420R would be a separate regulatory statute while existing 420J-style arrangements could remain in place. The committee also noted that a paragraph had been accidentally deleted from the amendment and that another amendment would be prepared to correct it, with the subcommittee recessed while that was done. Public testimony focused on School Care, represented by Executive Director Lisa Ducette, who opposed the shift to Department of Insurance oversight under 420R. She argued that public entity risk pools are not insurance companies, that they are accountable to member entities and taxpayers, and that the proposed dual regulation would add unnecessary costs through examinations, higher reserves, and additional accounting requirements. She said the change could threaten tax-exempt status and create an uneven playing field, and she urged the committee to support SB 297 with the Carson amendment instead of moving to 420R. Committee members questioned whether the amendment would actually affect pools that stayed under the Secretary of State model, and one member cited support from the New Hampshire Municipal Association for the dual system. The discussion then shifted to amendment 245 on ambulance reimbursement and contracting timelines. Members reviewed a provision giving insurers 45 days and ambulance providers 60 days in the contracting process, and one member suggested making both periods 60 days. The chair and others said the current language was intentional and part of a broader compromise aimed at ending balance billing and forcing insurers to establish reimbursement rates. Members noted that the measure was unusual and that its effects would be reviewed over the next two years, with one member saying the bill would likely be difficult to roll back later. No final vote was taken in the portion provided.

Transcript Highlights:

• and the office of cannabis management and the department<00:01:59.280><c> of</c><00:01:59.680><c> uh
• </c> large number of things in the insurance large number of things in the insurance realm.<00:03:47.840
• ><00:10:47.279><c> said</c><00:10:47.440><c> we</c> Department of Commerce is we said we Department of
• c> the</c><00:15:23.360><c> department</c><00:15:23.519><c> of</c> insurance industry and the department
• of insurance industry and the department of commerce<00:15:24.000><c> have</c><00:15:24.160><c> all<

Keywords: 1183, house

Transcript Highlights:

• $10 billion in benefits each year out of unemployment insurance.
• This indication of a reprioritization of paid family leave and disability insurance over unemployment
• bifurcate the implementation of PFL as opposed to some of the UI or other or disability insurance.
• has to relinquish some of that sort of day-to-day decision-making to the department.
• They are truly the heart and soul of our department.

Summary: The Budget Subcommittee on State Administration held an informational hearing on whether the Employment Development Department is ready for the next recession, with a focus on EDD Next, the department’s long-running technology modernization effort. The Legislative Analyst’s Office reviewed EDD’s major benefit programs, the history of prior modernization attempts, the current Integrated Claims Management System work, and the department’s remaining risks, including continued reliance on a COBOL-era mainframe and the challenge of adapting quickly to future federal or state policy changes during a downturn. The LAO also explained that most pandemic-era fraud was tied to temporary federal unemployment programs rather than California’s core UI system, and that the state’s UI loan repayment is not largely attributable to fraud. Members raised concerns about the cost of repeated modernization efforts, paper versus online claims, appeal overturn rates, WARN notices, and legislative oversight of the project. EDD’s panel said the department has made substantial customer-service and processing improvements, including online self-service tools, improved call center features, identity verification, fraud controls, language access upgrades, and a new document management system. Officials reported that as of early 2026, about 83% to 85% of claims across programs were being processed timely within two weeks, and said paid family leave delays in 2024 were tied to the transition into the disability insurance online platform and seasonal workload patterns. They also said EDD is working with the Department of Technology on EDD Next and that the project will proceed in phases, with paid family leave and disability insurance first and unemployment insurance later. Members pressed EDD on persistent paid family leave backlogs, the share of paper applications, response times for constituents, and whether the department tracks long-running cases and WARN notice trends. EDD said its service standard is generally immediate response through phone, chat, or callback tools, while more complex cases can take longer because the department may be waiting on claimants or medical providers. The department also said it tracks call outcomes and outstanding cases, and that it can provide additional data on WARN notices. No votes were taken, and the hearing ended with plans to continue discussing EDD Next and paid family leave at a later March 10 budget hearing.

Transcript Highlights:

• Sharon Clark, Commissioner, Department of Insurance.
• > Insurance</c> request of the Department of Insurance request of the Department of Insurance so<00:10
• I mean, we have an entire department of insurance.
• </c> have an entire department of insurance. have an entire department of insurance.
• of Department of Insurance.

Committee: House Banking & Insurance

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:11 Discussion HB 527 00:02:29 Vote HB 527 00:08:02 Discussion HB 627 00:09:09 Vote HB 627 00:24:29 Discussion HB 355 00:25:59 Vote HB 355 00:34:28 Discussion HB 568 00:35:18 Vote HB 568 01:12:10, 958, all

Transcript Highlights:

• 00:16:20.399><c> of</c> discussions with the Department of discussions with the Department of Commerce
• </c><00:28:51.279><c> of</c> the department of the department of commerce<00:28:53.440><c> to</c><00:
• > commerce's</c> part of the department of commerce's part of the department of commerce's oversight.
• </c><00:30:00.000><c> of</c> leave it only with the Department of leave it only with the Department of
• </c> just basic principles of insurance. just basic principles of insurance.

Committee: Senate Commerce and Consumer Protection

Keywords: 1187, senate, all

Transcript Highlights:

• handling requirements in a way that curtails ongoing discussions with the Department of Insurance, establishes
• Collaboration across local, state, and federal agencies, including the Department of Insurance, will
• And I think the people best able to determine what is safe isn't the Department of Insurance, frankly
• the Department of Insurance will continue to oversee availability, affordability, all the things you
• But a couple other notes: understand that the, as it was noted, the California Department of Insurance

Summary: The Environmental Safety and Toxic Materials Committee heard four measures and approved one consent item. AB 1617 was taken up on consent and passed to Appropriations. The committee then heard AB 1604, which would phase out bisphenol A in paper receipts by 2027 and all bisphenols by 2028. The author and supporters from Breast Cancer Prevention Partners and Californians Against Waste argued receipts are a source of worker and consumer exposure and waste contamination, while no opposition testified. The bill passed to Judiciary. AB 1642, dealing with post-wildfire smoke and contamination standards for returning to homes, workplaces, and schools, drew extensive testimony. The author, a Caltech professor, and Eaton Fire survivors described heavy metals and other contaminants found in smoke-damaged homes and said California lacks clear science-based clearance standards. Insurance and real estate groups opposed or expressed concern, arguing the bill could overlap with insurance claims handling and add costs, while the author and supporters said it only sets scientific standards and does not regulate claims. The bill passed to Appropriations on a 5-2 vote. AB 1691 addressed copper-based anti-fouling paint on boats and conflicting state water quality and pesticide regulations. The author and the City of Newport Beach said the bill would require DPR and the State Water Resources Control Board to coordinate on studies and consistent standards, while boating groups warned about unintended consequences and the possibility of a de facto ban. The committee also heard AB 1744, a truth-in-labeling bill sponsored by a high school eco club that would prohibit sunscreen from being marketed as reef-safe or reef-friendly if it contains chemical UV filters; it passed unanimously to Privacy and Consumer Protection. After add-on votes, the committee confirmed the earlier actions and adjourned.

Transcript Highlights:

• of Justice. and the Department of Insurance.
• Brown on behalf of the Texas Department of Insurance, is that correct? Yes sir. Members, okay.
• I want to thank you for inviting the Texas Department of Insurance here today.
• Now I'd like to share a little bit about what we do at the Texas Department of Insurance.
• of re-insurance, is that anything that you and your... department looks at?

Committee: House Insurance

Keywords: 1184, house, all

Transcript Highlights:

• department, and we are very lucky to have the insurance commissioner here with many of his cohorts.
• I have the pleasure of serving as the commissioner of the New Hampshire Insurance Department.
• of the New Hampshire<00:28:17.720><c> insurance</c><00:28:18.120><c> department</c><00:28:19.039><c>
• , an association of all 50 state insurance departments as well as our five U.S. territories.
• department, um, assisted living, and entities of that nature are considered insurance products.

Keywords: 928, house, all

Summary: The meeting began with introductory remarks for new and returning members of the House Commerce Committee, led by Chairman John Hunt. Members briefly introduced themselves and their backgrounds, and several noted the committee’s bipartisan, collegial tone. Hunt explained the committee’s structure and traditions, including the division into three subcommittees: banking and business, consumer protection, and liquor commission matters, with insurance now handled as a single area. He also reviewed basic hearing procedures, including decorum, questions for information only, and the committee’s practice of moving bills through subcommittees before full committee executive sessions. The committee then heard an overview from the New Hampshire Insurance Department, led by Commissioner DJ Bettencourt and staff. The department described its mission as promoting a safe and competitive insurance marketplace and emphasized consumer protection, market competition, and affordability. Officials outlined the department’s responsibilities, including licensing insurers, producers, adjusters, and TPAs; reviewing insurance forms; regulating companies and market conduct; overseeing financial solvency; and investigating insurance fraud. They also noted that the department is self-funded through assessments on insurers, collects premium taxes and fees for the state, and returned more than $2.7 million to companies in fiscal year 2024 due to underspending. The presentation also covered the broader regulatory framework for insurance, including the role of the National Association of Insurance Commissioners in promoting uniform standards across states and territories. Officials said New Hampshire licenses about 1,200 insurance companies and roughly 245,000 producers and adjusters, and that the department’s financial examinations are part of an accreditation system used nationwide. No votes or formal committee actions were taken in the portion provided; the session was primarily organizational and informational, with the insurance department presentation beginning the committee’s substantive work for the term.

Transcript Highlights:

• to self-regulate itself through the Department of Insurance.
• <01:57:38.360><c> of</c><01:57:38.480><c> Insurance</c><01:57:39.320><c> the</c> Department of Insurance
• the Department of Insurance the representative<01:57:40.400><c> hunt</c><01:57:40.639><c> in</c><01:
• </c> of the New Hampshire insurance of the New Hampshire insurance department<03:52:15.600><c> I'm</c
• And I will echo what the insurance department came up with for their concerns in the analysis of the

Keywords: 928, house, all

Summary: The House Commerce Committee opened a public hearing on House Bill 310, sponsored by Representative Keith Ammon, which would create a study commission to develop a legal framework for stable tokens and tokenized real-world assets. Ammon described stable tokens as blockchain-based digital tokens backed by U.S. dollars or treasuries, and tokenized real-world assets as representations of ownership in items such as gold, real estate, or artwork. He said the bill is intended to help New Hampshire get ahead of emerging financial markets while waiting to see how federal legislation develops. Committee members asked about the purpose of the bill, the difference between this proposal and Bitcoin, whether state regulation could be preempted by federal law, and whether the commission could be balanced and avoid becoming a vehicle for fraud or money laundering. Ammon said the proposal is blockchain-agnostic, could apply to multiple networks, and is meant to regulate asset-backed tokens rather than create a state-issued coin. He emphasized that the state would not be guaranteeing the underlying assets, but would set rules requiring audits, proof of reserves, and honest representation of backing, with the Secretary of State’s securities office involved in oversight. Several members raised concerns about the risks of stablecoins, including money laundering, tax evasion, and possible harm to the dollar or confusion about whether the state was endorsing a new currency. Ammon responded that the bill would not undermine the dollar and argued that tokenization could actually expand demand for U.S. currency by making it easier to use globally. He also said the state would not be in the business of weighing assets or directly valuing them, only ensuring a valid audit trail and one-to-one backing. The discussion ended with general agreement that the subject is complex and that a commission could help develop future legislation, but no vote or final action was taken in the hearing.

Transcript Highlights:

• Collaboration across local, state, and federal agencies, including the Department of Insurance, will
• Collaboration across local, state, and federal agencies, including the Department of Insurance, will
• And I think the people best able to determine what is safe isn't the Department of Insurance, frankly
• But a couple other notes: understand that the, as it was noted, the California Department of Insurance
• As it was noted, the California Department of Insurance is planning to release a report, and also Assembly

Committee: House Environmental Safety and Toxic Materials

Keywords: 988, house, all

Transcript Highlights:

• of Insurance publicly.
• violations of insurance fair claims practices, requires insurance policies to pay restitution of policyholders
• violations of insurance fair claims practices, requires insurance policies to pay restitution of policyholders
• Obviously, today I'm joined by Josephine Figueroa with the Department of Insurance and Joel Laucher with
• Josephine Figuera, Deputy Commissioner and Legislative Director for the Department of Insurance under

Committee: House Insurance

Keywords: 988, house, all

Transcript Highlights:

• Stephanie Watkins, on behalf of the Association of California Life and Health Insurance Companies.
• These insights are already a subject of regular discussions between the Department of Managed Health
• Madam Chair, Stephanie Watkins, on behalf of the Association of California Life and Health Insurance
• the insurance of wherever the person gets the insurance from...
• One is, of course, to get rid of the reimbursements from the insurance companies.

Summary: The Assembly Health Committee heard several bills focused on health care access, oversight, and affordability. The first major item was SB 306 by Senator Becker, a prior authorization reform bill. Becker and supporters, including the California Medical Association and California Hospital Association, argued that prior authorization delays care, adds administrative burden, and can lead to serious patient harm. The bill was substantially amended late in the process to have DMHC and CDI identify services and drugs to exempt from prior authorization based on utilization data, with safeguards for fraud, waste, abuse, and patient safety. Health plans and insurers opposed the measure as written, saying prior authorization remains an important utilization-management tool and raising concerns about the 90% threshold, drug inclusion, and how modifications are counted. The committee also heard SB 35 by Senator Umberg, which would let cities or counties inspect unlicensed sober living homes if DHCS does not act promptly on complaints. Supporters said the bill would address weak enforcement and protect residents, while one behavioral health directors group opposed it unless amended. Members generally supported the measure, citing problems with unlicensed facilities and the need for local enforcement backup. The committee then heard SB 62, which would codify California’s updated essential health benefits benchmark if approved by the federal government. Senator Wiener said the package would add hearing aids, durable medical equipment, and infertility treatment including IVF, acknowledging that premiums could rise but arguing the benefits were worth it. Health Access California and other advocates supported the bill, while the California Family Council opposed it. The committee also took up SB 596 by Senator Menjivar, which would tighten the rules for hospitals claiming an on-call list as a defense to nurse staffing ratio penalties. Supporters, including nurses and SEIU, said hospitals have used vague or ineffective on-call practices to avoid accountability and that the bill would improve enforcement and patient safety. Hospital groups opposed it, arguing that staffing is highly dynamic, that hospitals need flexibility to manage acuity and emergencies, and that the bill could increase costs and interfere with collective bargaining arrangements. Finally, the committee heard SB 40 by Senator Wiener, the Insulin Affordability Act, which would cap insulin copays at $35 for a 30-day supply and restrict step therapy unless a plan covers at least one insulin in each drug type. Supporters, including physicians, diabetes advocates, nurses, students, and patient groups, said insulin is life-saving and too often unaffordable, forcing patients to ration or choose between medication and basic needs. There was no formal opposition testimony, though one member questioned why insulin remains so expensive. The committee also began discussion of SB 363, but the transcript cuts off before that bill’s full presentation or any action on the measures. No votes are recorded in the portion provided, and several bills were noted as consent items earlier in the hearing.

Transcript Highlights:

• Many of you may have been lobbied recently with a piece of paper that shows an insurance premium or insurance
• pulls back the curtain, if you will, and gives both the legislature and the Department of Insurance
• pulls back the curtain, if you will, and gives both the legislature and the Department of Insurance
• of dollars of bills come in and get routed to our insurance company, which paid them.
• Chairman, Representative Burgoyne, the chair of the Department of Health and Welfare in the state of

Summary: The committee first introduced RS 33403, a follow-on podiatry bill that would merge podiatry with the Board of Medicine and move certain rules into statute. Representative Ehlers explained it was a replacement for prior legislation, and the committee voted to introduce it without objection. The committee then heard House Bill 713 on copay accumulator policies. Representative Cannon and co-sponsor Representative Furman argued the bill would stop insurers from refusing to count third-party copay assistance toward deductibles and out-of-pocket maximums, especially for patients with expensive specialty drugs. Supporters, including patients and advocates, described serious financial hardship and treatment adherence problems caused by accumulators. Opponents, including the Idaho Association of Health Plans, argued the bill would raise costs and premiums, could conflict with Idaho’s anti-kickback law, and might interfere with private plan design. After debate, the committee voted 7-8 against the motion to send HB 713 to the floor, so the bill was held in committee. Next, the committee took up House Bill 655 and its related RS 33527, a pilot program to incentivize preceptorships by giving certain Medicaid providers a 12-month exemption from prior authorization requirements. The sponsor said the goal was to reduce administrative burden and increase training opportunities in rural areas and in family practice, psychiatry, and OB-GYN, with caps on participation and expansion to advanced practice providers and PAs in the RS. The committee first voted to hold HB 655 in committee, then approved RS 33527 for introduction and second reading. Finally, the committee heard House Bill 723 on children’s residential facilities. Representative Erickson said the bill would add quality-of-care oversight, annual unannounced inspections, resident and staff interviews, a youth bill of rights, and critical incident reporting, based on an OPE study and prior testimony about abuse and gaps in oversight. Testifiers, including parents and former residents, described abuse, isolation, and lack of reporting mechanisms in facilities and supported the bill. The committee discussed whether the bill created enforceable rights, but the sponsor said existing child protection and corrective action processes would apply. The bill was moved to the floor with a due pass recommendation.