Transcript Highlights:

• </c><00:04:18.000><c> of</c> the language with the Department of the language with the Department of
• </c><01:32:20.720><c> of</c> Just want to thank the Department of Just want to thank the Department of
• </c> Department of Commerce that apply today. Department of Commerce that apply today.
• We're regulated by both the Ohio Department of Insurance and the Ohio Department of Commerce, while the
• </c><01:35:25.320><c> Ohio</c> Department of Insurance and the Ohio Department of Insurance and the Ohio

Committee: Senate Commerce and Consumer Protection

Keywords: 1187, senate, all

Transcript Highlights:

• of Licensing and for the Department of Licensing to make the information available online.
• by the Office of the Insurance Commissioner and revises the crime of insurance fraud, including its
• and the Commissioner's authority and duties of insurers, licensees, and businesses, and an aspect of
• This would add some language that prohibit staff of the insurance fraud program within the Office of
• authority and duties of insurers, licensees and businesses and an aspect of victim competence victim

Summary: The Consumer Protection and Business Committee met in executive session to review several bills and amendments. Staff briefed House Bill 2483 on creating a data broker registry, House Bill 2477 on limiting claims arising from appraisal reports, House Bill 2274 on the Washington Commercial Electronic Mail Act, House Bill 2394 on insurance fraud enforcement, House Bill 2624 on consumer protections for unsolicited real estate transactions, and House Bill 2240 on self-service storage rental agreements. Members discussed proposed amendments on narrowing the data broker definition, delaying registration dates, expanding exemptions, clarifying appraisal-related limitations, and revising email and insurance fraud language, but action on HB 2483 and HB 2477 was deferred. The committee then moved HB 2274 forward. Supporters said it was a needed fix after litigation involving misleading commercial emails, while some members noted remaining concerns but wanted to advance the bill before policy cutoff. The committee adopted the proposed substitute and reported it out with a due pass recommendation by a 12-3 vote. HB 2394 was also deferred without action. HB 2624 was reported out with a due pass recommendation after debate over whether the bill’s carve-out for public entities, tribes, and nonprofit nature conservancies was too broad; the vote was 9-6. The committee then adopted two amendments to HB 2240, requiring both email and first-class mail delivery of rental agreements when an email address is provided and extending notice for termination or nonrenewal to 25 days. As amended, HB 2240 was reported out with a due pass recommendation by voice vote, and the meeting adjourned.

Transcript Highlights:

• of Health, to a department within the Department of Health.
• And it is with an existing department, which is a department within the Department of Health.
• Due to the nature of the contractual agreements with insurance providers, the cost of co-payments, co-insurance
• you know, when we look at the Office of the Superintendent of Insurance, when they're looking at insurance
• We look at the Office of the Superintendent of Insurance, when they're looking at insurance premiums,

Committee: House House Health & Human Services

Keywords: 996, all

Transcript Highlights:

• Secretary of Workforce Operations at the Department of Management Services.
• The Division of State Group Insurance administers the State Group Insurance Program for the state of
• The Division of State Group Insurance administers the State Group Insurance Program for the state of
• We are part of the group insurance.
• They have hundreds of miles of roads, of sidewalks. They have police departments.

Summary: The Budget Committee met with a quorum and took up several bills. HB 677, relating to state-covered fertility preservation for employees undergoing cancer treatment, was introduced as coverage for egg and sperm preservation for up to three years, with an estimated fiscal impact of about $813,000. After brief questions and no public testimony or amendments, the bill passed unanimously and was reported favorably. The committee then considered CS/HB 59, which would reform Florida’s wrongful incarceration compensation process by extending the filing deadline from 90 days to two years, removing the clean-hands requirement, and allowing exonerees to choose between the state compensation process and a civil lawsuit; it was supported by the City of Flagler Beach and passed unanimously. CS/HB 1313, which recreates the Resilient Florida Trust Fund in the Department of Environmental Protection before its scheduled termination in 2025, also passed unanimously after supportive testimony from advocacy groups. The committee received a lengthy presentation from the Department of Management Services on the State Group Insurance Program and the recent Revenue Estimating Conference. The presentation covered enrollment, revenues and expenditures, rising medical and pharmacy costs, emergency room utilization, GLP-1 drug spending, and options for tighter formulary and utilization management. Members asked about ER cost growth, GLP-1 coverage and copays, PBM oversight and potential conflicts, avoidable ER visits, cancer screening claims, dental and vision costs, specialty drug biosimilars, and possible savings from more restrictive pharmacy models. DMS said it would follow up on several questions and noted ongoing work on cancer coordination, preventive screening, biomarker testing, and a proposed member-facing benefits platform. The committee also heard extensive testimony on HB 301, which would raise sovereign immunity caps from $200,000 per person and $300,000 per incident to $1 million and $3 million, align limitations periods with private claims, and allow government entities to settle above the caps without a claims bill. Local governments, school-related entities, and county and city associations opposed the bill, warning of major fiscal impacts, higher insurance costs, and pressure on services; several speakers urged smaller increases or a tiered approach. Proponents, including families affected by catastrophic injury or death, argued the current caps are too low and the claims bill process is inefficient and unfair. After debate, the bill passed on a recorded vote, with some members voting no, and was reported favorably.

Transcript Highlights:

• So anything that's currently being offered in the state of Missouri in terms of health insurance would
• relieving the state of 50% of the burden to insure them.
• You opt out of insurance completely, or you're on her plan?
• state department employees that come out of the United States Department of State.
• of that other insurance if you opt out of this because it's just strictly a benefit. other insurance

Committee: House Government Efficiency

Summary: The committee met in executive session first and took up House Bill 2330, reconsidering a prior due-pass vote and then voting the House Committee Substitute due pass by roll call. It then considered House Bill 2291, where an amendment meant to clarify municipal building-code and zoning authority was discussed at length and ultimately withdrawn after members raised concerns that it would undercut the bill’s purpose; the bill itself then received a due-pass recommendation. House Bill 2336, dealing with state property conveyances and title issues, also drew questions about unclear title and the status of several properties, but the committee adopted the House Committee Substitute and voted the bill do pass. The committee then moved into public hearing on House Bill 3136, which would remove the state prohibition on creating a Missouri-based health insurance exchange; the sponsor and a witness argued it could save money, keep exchange fees in-state, and give Missouri more control, while several members objected that it would reverse the 2012 voter-approved prohibition and could entrench federal health-care policy. No action was taken on that bill in the hearing. The committee next heard House Bill 1833, which would let certain state employees opt out of the state health plan and receive a partial cash payout if they have other coverage. The sponsor argued it could be cost-neutral or save money and give employees more flexibility, while members and the Missouri Consolidated Health Care Plan raised concerns about fiscal impact, adverse selection, administrative burden, and whether the proposal turns a benefit into an entitlement. The witness for the plan said the fiscal note was based on about 4,112 active employees who already opt out, warned the stipend would be taxable and could create a new benefit that is hard to remove, and said proof of outside coverage would need to be maintained. The hearing then moved to House Bill 2506, which would require DESE to post QR-code placards at licensed child care facilities linking parents to existing inspection and complaint records; supporters said it would help parents make safer choices at no fiscal cost, while DESE explained the portal already exists and complaints are investigated quickly, and a witness described serious problems at one facility to illustrate why the information matters. Finally, the committee opened public hearing on House Bill 1758, a proposal to move Missouri to permanent daylight saving time once federal law allows it. The sponsor argued it would improve safety, boost economic activity, and avoid the inconvenience of changing clocks twice a year, while members raised concerns about darker mornings for schoolchildren and commuters and questioned whether the benefits outweigh the drawbacks. The hearing was still underway when the transcript ended, and no final committee action on House Bill 3136, 1833, 2506, or 1758 was recorded in the excerpt.

Transcript Highlights:

• They have ended enforcement of minimum wage enforcement for federal contractors, and Department of Labor
• The Department of Labor publishes all of their data on a table, and they publish it in the aggregate,
• We'll first hear from our Department of Labor and Industries.
• fact that the Washington State Supreme Court in 2018, in the case of Murray v. the Department of Labor
• Department of Revenue; and Matt Bellow from the Employment Security Department, excuse me.

Summary: The committee first received an update from the Attorney General’s office on a new workers’ rights unit and two request bills. The office said the unit will focus on wage theft and civil rights enforcement, using existing resources for a small staff. It also described a bill to expand civil investigative demand authority for labor, wage theft, prevailing wage, and discrimination investigations, and an Immigrant Worker Protection Act that would require employer notice when federal immigration authorities request employee records, limit access to nonpublic work areas without a warrant, and restrict disclosure of employee data without proper legal process. Senators asked about costs, funding sources, and the scope of the proposed authority, and the office said it would follow up with more detail. The committee then heard a detailed presentation on Washington’s workers’ compensation system from Labor and Industries, including how claims are filed, how the medical provider network works, and how treatment authorizations and utilization review are handled. L&I said the network was created to improve care quality and return workers to work, and explained that most routine care is automatically authorized while certain procedures require prior approval or review. A question from Senator Conway focused on the role of the medical director and the appeals process; L&I said decisions can be protested and reconsidered, with exceptions reviewed through a complex treatment unit and medical staff. An experience panel followed with testimony from labor representatives, physicians, and an injured-worker attorney, who argued that the medical provider network and treatment guidelines can delay or deny needed care, especially in complex cases such as PTSD, brain injuries, and serious orthopedic injuries. They described long appeals, utilization review barriers, provider shortages, and the impact on injured workers and families, while L&I’s presentation emphasized the system’s structure and review safeguards. The committee then heard a report from the Underground Economy Task Force in the construction industry. L&I summarized the task force’s findings on worker misclassification, unregistered contractors, and unpaid taxes and premiums, and outlined consensus and majority recommendations, including better interagency communication, stronger penalties for repeat offenders, more authority to address successorship, possible contractor notice requirements, and further study of cash payments. The Attorney General’s office, labor, and business representatives generally supported the report’s goals but differed on some recommendations, especially those affecting independent contractors, contractor liability, and administrative burdens. The chair and Senator Conway thanked participants and said the report would inform future legislation.

Transcript Highlights:

• </c><00:22:20.240><c> of</c> thank the team at the Department of thank the team at the Department of
• on behalf of the Department of Commerce.
• the Department of 224 on behalf of the Department of Commerce.<00:32:49.120><c> Thank</c><00:32:49.279
• :59.679><c> of</c> health insurance, not the cost of health insurance, not the cost of premium.<01:20
• Senator Dames said that the Department of Commerce projects the cost of insurance goes down with reinsurance

Committee: Senate Commerce and Consumer Protection

Keywords: 1187, senate, all

Transcript Highlights:

• Next item, B2, is a letter from the Department of Commerce, Division of Aeronautics.
• Department of Health and Human Services.
• This is a reallocation of resources request from the Department of Human Services.
• of Public Safety from the Department of Health.
• This is Department of Health with UAMS.

Committee: All JOINT BUDGET COMMITTEE

Summary: The committee heard a series of appropriation requests and contract reviews across multiple sections. In Section B, members approved temporary appropriations for the Court of Appeals, Commerce/Aeronautics, and Insurance-related payments and refunds. Section C ARPA requests from DHS were approved to return unused federal funds. Section D infrastructure-related appropriations, including wildfire preparedness, broadband BEAD funding, forestry support, recycling, and oil and gas sample preservation, were approved after questions about broadband audit controls and performance safeguards. Section E DHS reallocations were approved, including large transfers within Medical Services from hospital medical to private and public nursing home lines, along with smaller transfers for children and family services, developmental disabilities, and youth services; members asked about the source and purpose of the medical services transfer. Sections F and G were reviewed, covering cash fund requests, federal grants, and miscellaneous grants, including community college storm repairs, corrections commissary and maintenance, 911 enhancements, maternal health, disability determinations, state police equipment, digital newspaper archiving, and CDL data improvements. In Section H, the committee reviewed pay plan appropriations and performance fund transfers tied to the new Class and Comp pay plan. Section I reviewed three methods of finance for UA Little Rock, UAMS, and the University of Arkansas system. In Section J, the committee reviewed discretionary grants, including a $1.4 million HIV services grant and nine tobacco prevention subgrants through UAPB. Members questioned the effectiveness, metrics, and addresses of some tobacco-cessation arts-based grantees, especially Arts Absolutely Inc.; after discussion, Representative Kavanaugh moved to expunge the vote on J2 and refer it back for review at a later ALC meeting, and that motion passed. J3, a Department of Energy and Environment grant for propane safety training and e-waste recycling services, was then reviewed. The committee also reviewed contracts in Section K. K-1 ratified emergency management nuclear planning work performed during a transition between agencies. K-2 construction contracts included architectural and engineering services for corrections, National Park College signage, a Razorback Road parking facility, and UAMS cyclotron installation. K-3 intergovernmental contracts covered health, education, autism waiver, stroke, newborn screening, Medicaid evidence review, and radiation testing services. K-4 out-of-state contracts included staffing, IT, tobacco prevention, audit, marketing, planetarium, recruitment, and janitorial services; Senator Irvin noted one contract appeared to belong in the out-of-state list rather than intergovernmental. K-5 in-state contracts covered staffing, cleaning, re-entry and treatment services, foster care and disability services, hearing officers, asbestos abatement, campus IT support, and janitorial work. The meeting ended after a brief personal update from Senator Irvin about tornado damage in Stone County and thanks to members for their concern, followed by adjournment.

Transcript Highlights:

• trying to happen, I mean, just a transfer from the state of Missouri to Department of Transportation
• of insuring them.
• You opt out of insurance completely or you're on her plan? I opt out of this to go to hers.
• State Department employees that come out of the United States Department of State.
• State Department employees that come out of the United States Department of State, if somebody has their

Committee: House Government Efficiency

Keywords: 959, house, all

Transcript Highlights:

• > has</c> the Department of Human Services has the Department of Human Services has tried<00:15:41.600
• hard for them to go to the Department of Commerce or Department of Health and try and explain that,
• The Department of Human restrictions.
• </c><00:20:08.960><c> of</c> hard for them to go to the Department of hard for them to go to the Department
• </c><00:42:28.240><c> of</c> brought to us by the department of brought to us by the department of commerce

Committee: Senate Commerce and Consumer Protection

Keywords: 1187, senate, all

Transcript Highlights:

• into the Insurance Department.
• Specific to the Insurance Department piece of the budget, one new FTE was added for an attorney position
• Specific to the Insurance Department piece of the budget, one new FTE was added for an attorney position
• of insurance laws and policies.
• Pharmacy and the Department of Health and Human Services to offer help and expertise to the Insurance

Keywords: 908, all

Summary: The Senate opened with prayer, the Pledge, a quorum call, and approval of journal corrections. It then handled several House messages, appointing conference committees on Senate Bills 2004 and 2006 and House Bills 1018, 1019, and 1363, and re-referring House Bill 1216 to Appropriations. The chamber also adopted amendments to House Bill 1601, which would have expanded special assistant attorney general authority for certain offices, but the bill failed on final passage after strong opposition centered on preserving the Attorney General’s control and avoiding a solution in search of a problem. A major portion of the day focused on education funding. House Bill 1369 was amended to raise per-pupil aid from 2% and 2% to 3% and 3% and to increase the school construction loan transfer from $75 million to $100 million; supporters said this would help local schools and military base projects, while opponents raised questions about special education placement language and state coordination. The bill passed 44-3. House Bill 1013, the DPI budget, was also amended extensively to adjust staffing, funding sources, grants, meal assistance, teacher training, and other education programs; it passed 45-2. House Bill 2234, dealing with Choice Ready grants, was amended to shift funding away from general funds and toward federal or other sources, but then failed on final passage after the sponsor urged a red vote. The Senate also approved House Bill 1482, restricting bond and indebtedness elections for counties, cities, school districts, and park districts to primary or general election days, and House Bill 1332, creating a value-added agriculture facility incentive program with an emergency clause. House Bill 1010, the Insurance Department budget, passed unanimously after amendments reflecting the merger of the Securities Department into Insurance and adding staff and fee changes, while House Bill 1011, the separate Securities Department budget, failed because its funding was already included in HB 1010. House Bill 1584, a major pharmacy benefit manager reform bill, passed with an enforcement fund and new licensing/enforcement structure despite debate over ERISA and market transparency. In other action, the Senate concurred in House amendments and passed Senate Bills 2226, 2230, 2069, 2082, 2387, 2385, and 2186, with SB 2186 on parenting time interference and a child custody task force passing 27-20 after debate over whether the issue should be left to the courts. Senate Bill 2234, on Choice Ready grants, and Senate Bill 2243, on driver’s license points and traffic penalties, both failed after concurrence motions were adopted but final passage votes were overwhelmingly negative. The chamber also advanced Senate Bill 2291 to conference committee consideration near the end of the transcript.

Transcript Highlights:

• And so I'd also like to personally thank our partners from the Department of Justice, Department of Managed
• We're joined by the Department of Justice, Department of Managed Health Care, and Department of Health
• We're joined by the Department of Justice, Department of Management of Health Care and Department of
• Mary Watanabe, Director of the Department of Managed Healthcare.
• Running out of chairs. Joseph Donaldson, Department of Finance.

Summary: The joint hearing focused on access to gender-affirming care in California, with opening remarks from the subcommittee chairs emphasizing the importance of protecting transgender, gender-diverse, and intersex Californians and asking for decorum during public comment. The first panel from the Department of Justice, Department of Managed Health Care, and Department of Health Care Services described existing state protections, including nondiscrimination rules, privacy protections, shield laws, and Medi-Cal and commercial coverage requirements for medically necessary gender-affirming care. State officials also outlined ongoing litigation against federal actions and against hospital decisions to end or restrict care, including the Rady Children’s case and challenges to federal proposed rules and declarations affecting Medicaid, Medicare, and provider participation. Members questioned state agencies about why some hospitals that had stopped providing care had not been sued, how network adequacy is measured, whether the state can track actual access to gender-affirming care, and what legislative changes might strengthen protections. DMHC said it monitors complaints and independent medical reviews but does not track gender-affirming care as a separate provider category or collect utilization data, while DHCS said Medi-Cal continues to cover medically necessary care and that the state is preparing for possible federal rule changes. Finance staff said the previously approved $15 million for gender-affirming care was still being implemented through Covered California. The second panel featured a physician, clinic leaders, a parent, and a transgender teen describing how care is delivered and the effects of hospital closures and federal pressure. Dr. Johanna Olson-Kennedy described the history and medical basis for gender-affirming care, said minors need parental consent for medical interventions, and argued that care should be individualized and supported by families. Providers and families testified that hospital closures and insurance barriers have disrupted continuity of care, forced patients to travel farther, and shifted demand to community clinics that lack sufficient funding and contracting support. Several witnesses asked the Legislature to provide new funding, strengthen insurance enforcement, and stabilize access to care for transgender youth and families.

Transcript Highlights:

• Well, and Representative Minna, if I may, Adam Patrick, with the Department of Insurance, you know, I'm
• I also want to point out that the Department of Insurance and the insurance industry has been very cooperative
• the Department of Insurance and DCFS.
• So I just want to thank you and the administration for all coming together and the Department of Insurance
• Tim Temple, Commissioner of Insurance, great state of Louisiana.

Committee: House Insurance

Keywords: 965, house, all

Transcript Highlights:

• We're talking with a lot of the local partners, transit agencies, the Seattle Department of Transportation
• The Department of Licensing must notify motor vehicle owners of liability insurance and proof of financial
• Department of licensing must notify motor vehicle owners of liability insurance and proof of financial
• drivers to have and show proof of liability insurance.
• 19, by which insurers will provide information to the Department of Licensing that will show whether

Summary: The committee began with a work session on transportation planning for the 2026 FIFA World Cup in Western Washington. April Putney of the Seattle FIFA World Cup 26 Local Organizing Committee described the event as a statewide, 39-day tournament with six Seattle group-stage matches, additional possible matches, fan zones across the state, and major transportation impacts centered in the Seattle area, including street closures, increased I-5 traffic, and heavy use of transit, shuttles, ferries, and active transportation. She said the goal is safe, seamless mobility with 80% of stadium attendees arriving by non-personal vehicle, and noted coordination with federal agencies on border crossings and security. WSDOT’s Travis Phelps outlined roughly $25.65 million in World Cup-related funding for tunnel maintenance, traffic operations, signage and digital messaging, public transit support, ferries, and related staffing and training, emphasizing use of existing staff, overtime, and current fleets rather than new hires or vehicles. Senators asked about border staffing and ferry capacity, and WSDOT said it would follow up on ferry staffing concerns. The committee then held public hearings on several bills. SB 5839 would remove the “passenger only” limitation for county ferry districts, allowing them to support vehicle ferries; supporters from Whatcom County and the Association of Counties said the change would help aging ferry systems, improve funding flexibility, and support essential island access, while some testimony was opposed. SB 6032 would amend the secure-your-load law to allow vehicles with mud, rocks, or debris on them to be covered instead of cleaned before being towed on paved highways; the sponsor and industry witnesses said it would save time and water for construction equipment operators, and the hearing closed with strong support and little opposition. SB 5824 would clarify how fifth-wheel travel trailers are measured, allowing up to 46 feet measured from the kingpin to the rear of the trailer; RV industry, dealer, and business groups supported it as a safety-neutral clarification that would align Washington with other states and improve competitiveness, and the hearing closed with overwhelming support. Finally, SB 5864 would create an online motor vehicle insurance verification system at the Department of Licensing, require insurers to provide policy data, and use the system at registration renewal beginning in 2029 after a pilot period. The sponsor and supporters from insurers and law enforcement said the bill would reduce uninsured driving, improve roadside verification, and lower costs shifted to insured drivers, while county auditors and vehicle subagents supported the policy but warned that implementation must be technically reliable and adequately funded so renewals are not slowed. The public hearing closed with substantial support and some operational concerns raised, and the committee adjourned after the final hearing.

Transcript Highlights:

• </c><00:02:09.599><c> of</c> adjustment for the Department of adjustment for the Department of Commerce
• </c><00:03:39.680><c> So</c> the department of public safety. So the department of public safety.
• for the provision of a new classification of insurance deemed limited long-term care insurance.
• of of the<00:45:36.640><c> department.
• </c><01:08:24.000><c> of</c> committee and for the department of committee and for the department of

Committee: Senate Commerce and Consumer Protection

Keywords: 1187, senate, all

Transcript Highlights:

• Because it affects the insurance rates of all of your constituents.
• Because it affects the insurance rates of all of your constituents.
• I'm here in support of the bill on behalf of Missouri Insurance Coalition.
• there's no responsibility on behalf of the insured.
• What we're seeing out of the Missouri Department of Revenue... That time frame.

Committee: House Commerce

Keywords: 959, house, all

Transcript Highlights:

• And so I'd also like to personally thank our partners from the Department of Justice, Department of Managed
• Health Care, Department of Health Care Services.
• We're joined by the Department of Justice, Department of Managed Health Care, and Department of Health
• Mary Watanabe, Director of the Department of Managed Health Care.
• Running out of chairs. Joseph Donaldson, Department of Finance.

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:

• insurance Pharmacy benefit managers are agents of insurance companies, so really the issues that we're
• I'm chair of the Department of Family Medicine at Tufts Medical School, and I'm the founder of MAPCAP
• plan, and certainly because of ERISA there are limitations in what the Department of Insurance can do
• The insurance companies pay for the cost of the...
• The insurance companies pay for the cost of the home visits.

Committee: Joint Joint Committee on Financial Services

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• Adams while he was director of the department.
• Timely communications and continued collaboration with the Idaho Department of Insurance and the Idaho
• I want to thank Director Cameron and the Idaho Department of Insurance for their continued work on the
• Timely communications and continued collaboration with the Idaho Department of Insurance and the Idaho
• I want to thank Director Cameron and the Idaho Department of Insurance for their continued work on the

Summary: The committee reviewed several Idaho Department of Health and Welfare rule dockets under zero-based rule review. For the Idaho Reportable Disease Rules, department staff said the revisions mainly reduce duplication and shorten the chapter, while adding viral hemorrhagic fevers and lowering the lead-poisoning reporting threshold from 5 to 3.5 micrograms per deciliter. Members questioned whether stricken language on records access, daycare restrictions, inspection authority, and reporting duties changed policy; staff and the state epidemiologist said the edits were mostly consolidations or removals of language already covered by statute or federal law, and that no substantive reporting requirements were intended to change. Concerns were also raised about limited time to review the large docket, public notice, and trust in the department’s explanations. The committee approved the radiation control rules, which were described as being reduced by about 70 percent, with incorporation by reference removed and a new requirement that out-of-state licensees register within 30 days. It also approved the docket on use and disclosure of department records, which staff said simply removes repeated references to the Idaho Public Records Act, HIPAA, and other governing authorities without changing what records are protected. The reportable disease docket drew the most discussion; after debate over whether the rule changes were merely cosmetic and how statutory changes affect rules, a substitute motion to hold the docket for one week was adopted on a 5-9 roll call vote, with the docket set for reconsideration on February 3. Later in the meeting, the committee received Your Health Idaho’s annual report. Executive Director Pat Kelly said the exchange remained financially self-sustaining, had no state funding, and continued to post record enrollment, with more than 144,000 Idahoans selecting plans during open enrollment 2026. He said most enrollees receive tax credits, but the expiration of enhanced premium tax credits drove affordability concerns, increased disenrollment, and shifted many consumers into lower-cost bronze plans. Members asked about plan changes, enrollment math, assessment fee revenue, and the effect of premium increases versus the loss of enhanced subsidies. Kelly said the exchange’s net premium increases were driven mostly by the subsidy expiration, and the committee adjourned after the report.

Transcript Highlights:

• So not only would the Department of Health report be admissible, So not only would the Department of
• It makes Department of Health findings, or the absence of findings, admissible evidence.
• regulation, Office of Insurance Regulation.
• Medicine and the Department of Health really...
• Medicine and the Department of Health really Thank you.

Committee: Senate Rules

Summary: The Committee on Rules met with a quorum and heard extensive debate on SB 734, which would repeal Florida’s wrongful-death medical malpractice exception that bars certain adult children and parents from recovering noneconomic damages. Senator Yarborough presented the bill as a fairness and accountability measure, while many family members testified in support, describing deaths they believed were caused by medical negligence and arguing the current law denies equal justice. Opponents, including physician and insurer representatives, warned the bill could increase malpractice exposure, premiums, defensive medicine, and physician shortages. The committee also considered two late-filed amendments: Senator Burton’s amendment would make Department of Health investigative findings admissible in court, and Senator Martin’s amendment to that amendment would broaden admissibility/discoverability to additional disciplinary and prior-adverse-incident records and insurance coverage facts. After debate, the Martin amendment was adopted, but the Burton amendment as amended failed on a roll call vote. The committee then reported SB 734 favorably without the amendment. The committee next unanimously reported CS for SB 86 favorably. That bill, by Senator Burgess, expands peer support protections for first responders to include support personnel; there was little debate and several law-enforcement-related organizations indicated support. The committee also took up SB 316 on series limited liability companies. Senator Berman explained that the bill creates rules for series LLCs in Florida, and a late-filed amendment, requested by the Secretary of State, delayed implementation by one year. The amendment was adopted and the bill was reported favorably. Finally, the committee considered CS for CS for SB 384, which requires municipalities seeking to annex state-owned land to notify the relevant county legislative delegation when the first public hearing is advertised. Senator Burton presented the bill briefly, there was no opposition or debate, and the committee proceeded to vote on the measure.