Video & Transcript Research : 'benefit coverage'
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AR
Transcript Highlights:
- This plan finds coverage for those employers who are required to have workers' comp coverage, but cannot
- find that coverage on their own or through an agent.
- The plan guarantees that these employers will have coverage.
- And the coverage includes care coordination...
- CMS will not allow us to raise a benefit limit or give a benefit based on a diagnosis.
Summary:
The Arkansas Administrative Rules Subcommittee met to review a large set of agency rules and reports. Early items were routine filings: emergency-rule reports, subcommittee review reports, and administrative directive reports were filed without objection. One rule from the Department of Agriculture on maternal health providers and remote monitoring was noted as pulled by the agency and not considered. The committee then reviewed and approved several Agriculture rules, including repeal of equine ID-chip rules after Act 703 of 2025, updates to finance rules adding a new water and sewer treatment facilities grant and consolidating revolving-fund rules, and a pesticide rule creating a Class J pesticide category for feral hog toxicant use. It also approved a Commerce/Insurance rule removing duplicative workers’ compensation plan provisions, and a Corrections rule creating a unified visitation rule for correctional facilities and community correction centers. A member asked about prison visitation hours during COVID, and staff said they would check on that.
The committee next approved multiple Department of Human Services rules. These included marketing rules for provider-led organizations under Act 301 of 2025, a comprehensive revision of the DCFS policy manual, changes to Medicaid eligibility to include fictive kin placements and to expand ABLE account eligibility under Act 875, presumptive eligibility changes for pregnant women to align with federal rules, and a follow-up SNAP/TEA/Work Pays rule with updated work requirements, mandatory employment and training, alien eligibility changes, and job-search requirements for certain applicants. DHS also presented a rule implementing federal coverage for certain incarcerated youth before and after release, and the committee approved it. Another DHS rule updated nurse aide training requirements to match federal CNA hour standards and moved criminal-records-check procedures to the agency website.
The most extended discussion involved DHS Division of Medical Services’ dental rate rule under Act 1025. The agency explained that it was increasing pediatric dental rates and certain oral-surgery-related rates, but not orthodontic rates or a broader special-needs benefit limit because CMS would not approve a diagnosis-based limit. Members debated whether the statutory language was intended to cover general dentists performing oral surgery procedures, with legislators, the Dental Association, and DHS discussing legislative intent, fiscal impact, and whether a future fix or emergency rule might be needed. Despite the disagreement, the committee approved the rule. The committee also approved other DHS medical rules: adverse-decision appeal changes and prior-authorization posting requirements, an increased RSV administration fee for children, expanded emergency treat/triage/transport ambulance authority, and clinic-based physical and occupational therapy coverage.
Later, the committee approved permanent rules for the new state insurance program under Shared Administrative Services, procurement rule revisions recommended after an ACASO review, and commodity-management rule updates including a new revenue distribution model. Under Act 595 of 2021, the committee granted two Department of Commerce/Insurance requests to be excluded from rulemaking requirements: one for Act 772 on forced organ harvesting, and one for restorative reproductive medicine, with the department saying it would promulgate rules later when clinical guidelines are available. Finally, the committee accepted a recommendation to keep and extend the Department of Education, Division of Career and Technical Education rules, filed outstanding rulemaking updates, and adjourned without further business.
ND
North Dakota 2025-2026 Regular Session
Senate Floor Session Apr 21st, 2025 at 12:30 pm
North Dakota Senate Floor Meeting
Transcript Highlights:
- And it doesn't benefit me financially, but I do use coupons.
- And somehow we're reducing costs by increasing benefits.
- It increases benefits. It increases costs.
- We talked about the pharmacy benefit manager bill. And we talked about 2160.
- It's a really important benefit that we have a fully covered health insurance plan.
Summary:
The Senate reconvened and handled several House messages and conference committee appointments before taking up a series of bills. It appointed conference committees on Senate Bill 2265 and House Bills 1454, 1448, and 1524. The chamber also adopted a Senate amendment to House Bill 1216, delaying its effective date for the copay accumulator prescription drug bill to January 1, 2026, with later renewal timing for non-PERS plans.
House Bill 1216 then came up for final passage. Senators debated whether allowing copay accumulator programs to count manufacturer coupons toward deductibles would help patients with expensive drugs or unfairly shift costs to insurers and other policyholders. Supporters said it would help people afford life-saving medications and that the coupon payments go to pharmacies, not insurers; opponents argued it could raise premiums and create perverse incentives for drug pricing. The bill passed 29-18. The Senate also concurred in House amendments to Senate Bill 2160, which changes health insurance benefits under the Uniform Group Insurance Program to move from a grandfathered to a non-grandfathered plan, with supporters emphasizing added benefits and flexibility and opponents warning of higher costs and irreversible changes. That bill passed concurrence 33-14 and final passage 39-8.
The Senate next concurred in House amendments to Senate Bill 2339, the wildfire mitigation bill, which requires utility mitigation plans to be updated every two years, incorporate national electric standards, and creates a rebuttable presumption of reasonable care if the plan is followed. The bill then passed final passage 46-1. The chamber also adopted conference committee reports and passed House Bill 1460 on adult foster care and monitoring devices, House Bill 1440 on cigar lounge tobacco use, and Senate Bill 2374 on insurance-related provisions including property insurance arbitration, managed repair programs, and surplus lines issues; SB 2374 also added a study on towing and recovery coverage. The session ended with announcements of upcoming conference committee meetings and adjournment until April 22, 2025.
NH
New Hampshire 2026 Regular Session
Senate Health and Human Services (02/11/2026)
Health and Human Services
Transcript Highlights:
- was to be of utmost benefit to humanity. was to be of utmost benefit to humanity.
- gt;> So that additional coverage >> So that additional coverage >> that<02:22:29.840><
- So either commercial coverage or no coverage. Our bucket of state general funds has not increased.
- There is coverage.
- <04:21:35.680>
In demonstrated clinical benefits. In demonstrated clinical benefits.
MN
Transcript Highlights:
- In 2019, the federal government introduced a dairy margin coverage program.
- introduced a dairy margin coverage introduced a dairy margin coverage program.<00:12:45.040>
- <00:13:23.960>
program, federal dairy margin coverage program, federal dairy margin coverage - <00:13:53.000>
So, <00:13:53.440>there's advantage of this benefit. - So, there's advantage of this benefit.
Summary:
The Senate convened, established a quorum, and proceeded through routine orders of business, including receipt of House messages and first and second readings of several bills. House File 3615, a cannabis-related bill, was received and referred to Rules and Administration for comparison with Senate File 3670. Senate Files 3957, 4072, 3956, 239, and 3955 received second reading, and the introduction calendars were given first reading and referred as indicated.
During motions and resolutions, the Senate approved several committee re-referrals: SF 4075 was moved from Transportation to State and Local Government; SF 4177, a bill related to the Secretary of State, was moved from Commerce and Consumer Protection to State and Local Government; SF 4262 was moved from Taxes to State and Local Government; and SF 4418 was moved from Health and Human Services to Human Services. The chamber also adopted committee reports and designated special orders.
The main special order considered was SF 3832, which would modify eligibility for the dairy assistance investment relief initiative program to allow dairy producers established since 2022 to enroll. The author explained the bill would help new dairy producers access an existing program with no new fiscal impact, and Senator Dames spoke in support. The Senate then gave SF 3832 third reading and passed it by a vote of 66-0, with its title agreed to.
The session concluded with announcements, including invitations to a Metro Parks pizza event and St. Louis County Days, a reminder about legislative auditor evaluation topic suggestions, and a brief St. Patrick’s Day reflection by Senator Murphy before the Senate adjourned until March 18 at 11:00 a.m.
NH
New Hampshire 2026 Regular Session
House Commerce and Consumer Affairs (04/16/2026)
Commerce and Consumer Affairs
Transcript Highlights:
- benefited from the program. benefited from the program.
- uh coverage any anymore. uh coverage any anymore.
- Due to uncertainty about coverage, it requires a phone call to insurance versus just looking up a benefit
- themselves benefits all of us. themselves benefits all of us.
- patients had coverage. patients had coverage.
Summary:
The committee held a public hearing on Senate Bill 562, which would create a home damage mitigation and resilience grant program aimed at helping homeowners make property improvements that could reduce insurance costs and non-renewals. Commissioner DJ Bettencourt of the New Hampshire Insurance Department explained that the program is modeled in part on Alabama’s safer homes program, but tailored for New Hampshire hazards such as floods, microbursts, heavy snow, ice, and falling trees. He said the grants would be limited to primary residences, subject to a means test, capped at $10,000, and intended to help homeowners make targeted improvements such as roof fortification or tree removal that could improve underwriting outcomes and lead to premium discounts.
Bettencourt said the program would not use state taxpayer funds and would instead rely on philanthropic donations, possible federal or regional housing-bank funding, and other outside sources. He said the department would not need new staff, and that a current position could be reconfigured to help administer the program part-time. Committee members asked about the funding language, the meaning of “loans” in the bill, whether there were any other states using a similar no-state-funds model, and how many homeowners could be helped. Bettencourt said Rhode Island and Connecticut were moving forward in a similar way, and that the number of beneficiaries would depend on how much money is raised.
Members also questioned how the grant program would actually lower premiums, whether savings would apply only to participants or more broadly, and how the IBHS evaluation process would work. Bettencourt and department staff said the direct benefit would be to the homeowner whose property is improved, though neighbors could also benefit in some cases. They explained that IBHS is a building-safety organization that certifies contractors and inspectors and that its standards can qualify homes for insurer discounts. Questions were also raised about confidentiality provisions, first-come-first-served grant awards, rollover of unused applications, and possible tax treatment of donations. The sponsor said those details would be addressed through rulemaking or existing tax rules, and no vote was taken during the hearing.
KY
Kentucky 2026 Regular Session
House Standing Committee on Appropriations and Revenue (2-24-26)
Appropriations & Revenue
Transcript Highlights:
- <00:08:50.000>
the its own SGO to specifically benefit the its own SGO to specifically benefit - institutions which benefit? institutions which benefit?
- Uh, it also addresses GLP-1 drug coverage.
- . coverage. coverage.
- of the people who will lose coverage of the people who will lose coverage will<01:08:22.480>
Keywords:
Meeting Start 00:00:00
Roll Call 00:00:15
HB 1 Discussion 00:02:00
HB 1 Vote 00:15:05
HB 2 Discussion 00:17:20
HB 2 Vote 01:13:20, 958, all
Summary:
The committee met on House Bill 1, which would implement Kentucky’s participation in the federal education freedom tax credit program. Sponsors said the bill would allow donors to receive a federal dollar-for-dollar tax credit for contributions to scholarship granting organizations, with no state dollars involved, and that public school districts could potentially create their own SGOs. Members asked about the removal of state tax language in the committee substitute, the meaning of the 11th Amendment waiver, whether SGOs could serve only public school students, and whether data collection could be added. The sponsors said the state tax language was unnecessary because the credit is federal, the waiver would allow federal-court litigation over the act, and a district could establish an SGO if it met federal requirements. The committee adopted the substitute and then reported HB 1 favorably with 16 yes votes, one nay, three pass votes, and one abstention.
The committee then took up House Bill 2, an act relating to Medicaid and making an appropriation. The sponsor described the bill as a response to federal HR 1 and to concerns raised by the Medicaid oversight board, saying it would address program integrity, eligibility redeterminations, cost sharing, and managed care organization contracts. He said the bill would require periodic eligibility verification for expansion Medicaid enrollees, add modest cost-sharing for some services to encourage use of primary care over emergency rooms, and strengthen enforcement of MCO contracts, with penalties going into a restricted compliance fund. Members asked about the committee amendment, and the sponsor explained it restored flexibility on the number of MCOs in future procurement rather than locking in a reduction.
Members also asked whether the bill had gone before the Medicaid oversight advisory board and whether a fiscal note was available; the sponsor said the board’s recommendations were incorporated and fiscal notes were included in the packet. After discussion, the committee adopted committee amendment one to PHS2 and then adopted PHS2 as amended for consideration. The sponsor continued outlining the bill’s provisions, emphasizing that it applied to the expansion population and was intended to align Kentucky law with federal requirements while improving oversight and accountability.
NH
New Hampshire 2025 Regular Session
House Health, Human Services and Elderly Affairs (04/16/2025)
Health, Human Services & Elderly Affairs
Transcript Highlights:
- people will lose uh their coverage people will lose uh their coverage according<03:46:10.640>
- That that's the our lose coverage.
- that are already getting those benefits. that are already getting those benefits.
- People are going to lose coverage.
- ,<04:40:41.840>
Governor 17,000 didn't lose coverage, Governor 17,000 didn't lose coverage
KY
Kentucky 2026 Regular Session
House Legislative Session Day 36 (2-27-26)
Kentucky House Floor Meeting
Transcript Highlights:
- and delivery of Medicaid coverage and delivery of Medicaid coverage services<00:19:10.880>
through - When coverage is lost or delayed, consequences are not abstract.
- You can have the coverage the paperwork.
- Um could redetermination of benefits.
- And you did redetermine of benefits?
Summary:
The House convened with an invocation and Pledge of Allegiance, established a quorum, excused absent members, suspended rules to allow co-sponsorships and vote modifications, and approved the journal from February 26, 2026. The clerk then reported several bills on second reading, including measures on state personnel, domestic violence, fish and wildlife resources, open records, workforce investment, data centers, guardians ad litem and domestic relations, along with Senate Concurrent Resolution 9 on a Medicaid pilot feasibility study and Senate Joint Resolution 23 declaring Kentucky a “food is medicine” state.
The main floor business was House Bill 2, the Medicaid reform and appropriation bill. The sponsor described it as a response to rising Medicaid costs and federal changes, saying it would improve transparency, oversight, fraud prevention, and program operations. He said the bill would apply mainly to the Medicaid expansion population and include community engagement, cost-sharing, eligibility safeguards, stronger managed care oversight, transportation and dental delivery changes, waiver program prioritization, greater legislative access to CHFS data, a transparency dashboard, periodic auditor review, and limits on certain weight-management drug coverage. A House committee substitute was adopted, and a floor amendment on phasing in a marginal medical loss ratio requirement over four years was offered as a friendly amendment and adopted.
The House then debated House Floor Amendment 1, which would have removed state-mandated co-payments and limited cost sharing to the federal minimum, while also prohibiting reporting medical debt to credit agencies. Supporters argued the amendment would protect low-income Kentuckians from barriers to care and prevent medical debt from worsening poverty. Opponents said the bill’s co-pays were intended to encourage appropriate use of care, especially to reduce non-emergency emergency room visits, and noted that providers and MCOs could waive or work around some charges. After a roll call vote, the amendment failed 20-39.
After the amendment vote, the House continued discussion of the bill, with the sponsor defending the co-payment structure as a way to promote personal responsibility and sustainability while preserving access to primary care. The transcript ends during further debate on House Bill 2, and no final passage vote is shown in the provided excerpt.
AL
Transcript Highlights:
- It would be an advertisement of the number that are actually utilizing this benefit. This benefit.
- or cap in any plan for health benefits unless the nonprofit... benefits unless the nonprofit agriculture
- Uh, and none of those plans have caps on health benefit spending. caps on health benefit spending.
- underwriting while coverage remains in... underwriting while coverage remains in effect, and no member
- Well, I think that gives the members a great level of coverage, and it eliminates a fear. coverage, and
Bills:
HB441
NY
Transcript Highlights:
- to amend the Insurance Law in relation to requiring certain health insurance policies to include coverage
- Insurance Law in relation to prohibiting the application of fail-first or step therapy protocols to coverage
- By Senator Ashby: an act to amend the Insurance Law in relation to providing coverage for outpatient
- agenda is Senate Bill 6749 by Senator Webb: an act in the Insurance Law in relation to insurance coverage
- McGonard: an act to amend the Insurance Law and the Social Services Law in relation to requiring coverage
Summary:
The Senate Standing Committee on Insurance met and considered a long agenda of bills focused on health coverage, insurance regulation, and related consumer protections. Measures discussed included coverage for infant formula, restrictions on step therapy for serious mental health conditions, physical and occupational therapy services, outpatient substance use disorder treatment without pre-authorization, mortgage guarantee insurance, patient navigation services, specialized dental benefit plan information, firefighter medical exams, the Strength and Homes Program, accident prevention course instruction, early egg and peanut allergy coverage, speech therapy for stuttering, dog-breed-related insurance restrictions, insurer advertising requirements, prescription drug substitution during shortages, and notice of long-term care rate increases. Members also discussed the rationale for some bills, including concerns about outdated advertising rules and the importance of allergy-related coverage for children.
Most bills were moved favorably, with several reported to the floor and others referred onward to the Finance Committee, Substance Use Disorder Committee, or Transportation Committee. Notable referrals included the infant formula, patient navigation, allergy coverage, stuttering therapy, and drug shortage substitution bills to Finance; the substance use disorder bill to the Substance Use Disorder Committee; and the accident prevention course bill to Transportation. Bills on mental health step therapy, mortgage guarantee insurance, specialized dental plan information, firefighter exams, dog breed restrictions, and insurer advertising requirements were reported to the floor.
The committee also took recorded votes, with some members noted as without recommendation or without recusal on certain bills, and Senator Helming recorded in the negative on the long-term care rate increase notice bill. Overall, the meeting concluded with all agenda items acted on and no bill defeated outright.
MN
Minnesota 2025-2026 Regular Session
FULL INTERVIEW: Patient-Centered Care | Senator John Marty Mar 20th, 2026
Minnesota Senate Floor Meeting
Transcript Highlights:
- We're going to provide benefits to them.
- We're going to provide benefits to them.
- <00:04:42.720>
for from it and they increased benefits for from it and they increased benefits - Um, do these benefits extend beyond those groups?
- And you don't even need to benefits.
Summary:
The interview focused on Senate File 3612, which the senator described as “patient-centered care” legislation for Minnesota’s Medicaid and MinnesotaCare programs. He said the bill would remove private insurers and HMOs from administering those public programs, replace them with a state contract for claims processing and administrative services, and shift care coordination directly to primary care clinics, counties, and nonprofits. He argued the current managed-care system creates churn, prior-authorization barriers, and fragmented care, and said providers should manage care rather than insurers.
The senator repeatedly cited Connecticut as a model, saying that state moved away from managed care, improved primary care participation, and saved money. He also argued Minnesota’s current system lacks transparency and may be overpaying health plans, pointing to fraud concerns and a past example in which UCare returned money to the state after an overpayment. He said the bill would improve accountability, make fraud easier to detect, and could save taxpayers billions, though he emphasized his main goal was better care rather than savings.
On support and prospects, he said the bill has backing from the governor and the American Cancer Society but currently only DFL co-authors. He said he does not expect it to become law this year because the fiscal note and details are still pending, and he does not expect insurance companies to support it. He added that he is open to discussion but sees the insurers as fundamentally opposed. The interview ended with him saying workers in insurance and claims processing should be treated fairly and offered retraining or dislocated-worker support if broader reforms reduce their roles.
MA
Massachusetts 2025-2026 Regular Session
Status of Persons with Disabilities Jun 21st, 2026 at 11:00 am
Transcript Highlights:
- So one of our primary concerns here is that people with IDD who rely on those SNAP benefits for meals
- What concerns here is that people with IDD who rely on those SNAP benefits for meals will lose access
- What concerns here is that people with IDD who rely on those SNAP benefits for meals will lose access
- We are required by federal law to have all of our members on SNAP benefits.
- PCA, I'm pretty sure Charlie is an optional coverage, by the way.
Summary:
The Massachusetts Commission on the Status of Persons with Disabilities held its quarterly meeting on September 10, with roll call, approval of the June minutes as amended, and welcoming remarks for newly appointed commissioner Rachel Caprilyan and reappointed commissioners. Chair Denise Garlick outlined plans for a statewide community hearing series, beginning with a November 4 hybrid hearing at Needham Town Hall focused on the Boston/Metro West region, and described the creation of a nonvoting advisory council to broaden the commission’s expertise across health care, transportation, housing, education, employment, business, and local disability commissions. Commissioners discussed the nomination process, the need for geographic diversity, and the goal of having the council in place by the December quarterly meeting.
The main presentation addressed proposed federal Medicaid and SNAP changes in H.R. 1, with Jennifer Bertrand of the Massachusetts Developmental Disabilities Council warning that the law could cut federal Medicaid spending by $1 trillion over 10 years, impose work requirements, require redeterminations every six months, restrict provider taxes, and reduce SNAP benefits. She said these changes could increase uninsurance, create administrative barriers, and threaten home- and community-based services, with a Massachusetts analysis projecting 141,000 to 203,000 MassHealth members could lose coverage over six months. Commissioners and attendees responded that the changes could harm people with disabilities, caregivers, and provider organizations, increase institutionalization risk, and intensify competition for limited state resources; several emphasized the need for disability groups and broader health care stakeholders to coordinate advocacy.
Subcommittee reports highlighted recent and upcoming work. The Disability Employment Subcommittee reported on a June “Strength and Support” event, an August presentation by Run the Gamut, and an upcoming MAPC/Employment First workshop in Worcester, while the Long-Term Services and Supports and Health Equity Subcommittee discussed a presentation from the Lurie Institute for Policy Research on community living dashboards and disparities in Medicaid and LTSS. Commissioners also shared announcements about upcoming events, including the Paul Spooner Generational Leisure Summit, the Disability Policy Consortium’s John Winsky Memorial Award ceremony, the Massachusetts Health Council’s annual celebration, and a September 17 hearing on insurance coverage for hearing aids. The meeting ended with congratulations to commissioner Carl Richardson for an accessibility award and a motion to adjourn, which passed.
CA
California 2025-2026 Regular Session
Assembly Insurance Committee Jun 24th, 2026
Transcript Highlights:
- And then, of course, we've seen the insufficient coverage.
- And then, of course, we've seen the insufficient coverage.
- It strikes language requiring building code upgrade coverage at 20% during a state of emergency.
- It does not force anyone to buy this coverage.
- Building code upgrade coverage.
Summary:
The Assembly Insurance Committee met to consider several insurance-related bills, with SB 1301 by Senator Allen and SB 876 by Senator Padilla receiving the most discussion. SB 1301 would reform residential property insurance non-renewals by requiring clearer written explanations, giving policyholders a chance to fix identified issues, and limiting non-renewals based on unreasonable grounds. The bill was supported by consumer advocates, fire survivors, local officials, and several organizations, while insurers said they had worked extensively with the author and were moving to neutral, though they still raised implementation and proprietary-information concerns. The committee voted to pass SB 1301 as amended to Appropriations, with the roll left open briefly before the bill was declared out.
SB 876 would overhaul wildfire and disaster claims handling by requiring updated replacement-cost estimates, stronger extended replacement-cost and building-code coverage options, faster status updates when adjusters change, and other consumer protections. Supporters included the Department of Insurance, United Policyholders, consumer groups, and local representatives, who argued the bill addresses underinsurance, delays, and inconsistent claims handling exposed by recent wildfires. Several industry groups said recent amendments resolved major concerns and moved them to neutral, while the California Fair Plan remained respectfully opposed pending further review. The committee approved SB 876 as amended to Judiciary, again leaving the roll open briefly before finalizing the vote.
The committee also took up a consent item, SB 536 by Senator Archuleta, which was approved unanimously to Appropriations. Other bills listed at the start of the hearing, SB 555 and SB 795, were pulled at the request of the authors and were not heard.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am
Joint Committee on Financial Services
Transcript Highlights:
- managers, PBMs, pharmaceutical benefit managers.
- Folks will not have coverage. They'll come in more acute, more sick.
- managers for coverage of prescribed medications and pharmacy services...
- All citizens of Massachusetts will benefit, and those that are most vulnerable will benefit the most.
- Treatments with clear benefit are reimbursed at higher prices.
Summary:
The committee held a lengthy hearing on a large docket of pharmacy and drug-pricing bills, with most testimony focused on PBM reform, 340B drug discount program protections, specialty medication access, and medication adherence. Chair James Murphy and Senator Paul Feeney opened the hearing and took testimony from legislators, patient advocates, pharmacists, health center leaders, industry representatives, and policy groups. Several speakers described delays, denials, high out-of-pocket costs, and pharmacy closures tied to PBM practices, while others emphasized the importance of community health centers and independent pharmacies in serving patients.
On the 340B program, supporters including Senator Eldridge, Senator Payano, Community Care Cooperative, Fenway Health, the Massachusetts League of Community Health Centers, and several community health center leaders argued that bills such as H. 1107 and S. 819 would stop discriminatory PBM and manufacturer practices, preserve contract pharmacy access, and protect safety-net providers that say they reinvest savings into care, pharmacy expansion, interpreter services, behavioral health, and other services. Opponents including PhRMA, the Community Liver Alliance, and a public policy analyst argued the program lacks transparency and accountability, has grown beyond its original purpose, and may benefit large hospitals and for-profit entities more than low-income patients. They urged more reporting and oversight rather than expanding protections.
On PBM reform, testimony supported bills including H. 1157, H. 1234, S. 724, S. 831, and related measures that would require rebate pass-through, ban spread pricing, limit steering to PBM-owned pharmacies, and improve reimbursement for community pharmacies. Independent pharmacists and patients said current PBM practices raise costs, create administrative burdens, and threaten access to local pharmacies. PCMA, representing PBMs, opposed the reforms, arguing PBMs lower costs, that plan sponsors choose to contract with them, and that the Health Policy Commission and CHIA should complete their ongoing study before new mandates are adopted. The committee also heard support for H. 1322 and S. 734 on specialty medications, and for H. 781 and H. 1305 on medication synchronization to improve adherence. No votes or formal actions were taken during the hearing.
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 4/3/25
Commerce Finance and Policy
Transcript Highlights:
- There are ways you can get supplemental coverage for this.
- They'll mark the yes, and they will not get the coverage because it's adverse selection.
- There are ways you can get supplemental coverage for this.
- There are ways you can get supplemental coverage for this.
- There are ways you can get supplemental coverage for this.
Keywords:
foreclosure, mortgage postponement, homeowners, redemption period, Minnesota Statutes, cannabis, hemp, lower-potency, edibles, regulations, licensing, local control, consumer safety, age restrictions, commerce policy, financial institutions, insurance regulation, limited long-term care insurance, Medicare supplement, health insurance
WY
Wyoming 2026 Regular Session
Senate Labor, Health & Social Services, February 13, 2026
Labor, Health & Social Services
Transcript Highlights:
- :01:30.880>
health, receive traditional benefits, health, receive traditional benefits, health - dental and vision benefits as well. dental and vision benefits as well.
- A lot of times when benefits.
- It says health benefits. Um, life insurance is one of them. >> So, or retirement benefits.
- It says health benefits. Um, life insurance is one of them. >> So, or retirement benefits.
MN
Minnesota 2025-2026 Regular Session
Minnesota House health committee OKs omnibus finance bill that complies with Medicaid changes Apr 16th, 2026
Transcript Highlights:
- eventual language for fertility coverage eventual language for fertility coverage in<00:26:11.120
- 26:24.559>
provides having insurance coverage that provides having insurance coverage that provides - <00:39:14.480>
of respond to that for the benefit of respond to that for the benefit of another - It's already um retro active coverage.
- And they either have to cut benefits.
Summary:
The committee took up House File 4466, the sub health supplemental budget bill, and moved it to the Ways and Means Committee after a walkthrough of the fiscal spreadsheet and the DE1 amendment. Nonpartisan staff explained that the bill produces general fund savings of about $2.4 million in FY27 for the 2026-27 biennium and about $97.7 million in the next biennium, with most savings tied to HR1-related Medical Assistance changes affecting adults without children. The Department of Health provisions were described as largely cost-neutral, with some increases for implementation, data, and IT work.
Staff then reviewed the DE1, which combines several bills into four articles. The bill includes health licensing board changes, Department of Health provisions such as all-payer claims database fees, newborn screening fee exceptions, loan forgiveness and scholarship program extensions, workforce shortage grant changes, and reciprocal licensure and mortuary science provisions. The federal conformity article makes changes related to MA work and community engagement requirements, six-month renewals, retroactive eligibility limits, contact information updates, cost sharing for MA expansion enrollees, and related provider tax and disability-notice provisions. Article 4 and Article 5 were described as forecast adjustments for DHS and the Department of Children, Youth, and Families.
Public testimony focused largely on the federal conformity and eligibility provisions. Legal aid testified that the work requirements and retroactive eligibility changes would be confusing, could expand requirements beyond intended groups, and would increase uncompensated care. The Minnesota Hospital Association said shortening retroactive eligibility would increase uncompensated care and strain hospital finances, and Unidos Minnesota criticized the immigrant eligibility changes as harmful to lawfully present immigrants and Native communities. Blood Cancer United supported the all-payer claims database provisions and urged attention to fertility coverage. Representative Elkins offered an amendment to add $55,000 for the Department of Health to include denied-claims data in the all-payer claims database; Department of Health staff said the idea was useful and provided a one-time setup cost, but the amendment was not acted on in the portion of the transcript provided.
NJ
New Jersey 2026-2027 Regular Session
Senate Budget and Appropriations Jun 28th, 2026
Senate Budget and Appropriations
Transcript Highlights:
- Tax policy often, and it's usually not to the benefit of our corporate taxpayers.
- Vitali establishes a fee on certain employees and individuals who receive health benefit coverage through
- . ...of employees that are eligible for the coverage, and they choose not to, they opt out of the coverage
- Some of that has to do with school funding; some of it has to do with state health benefits.
- We have some work cut out for us. ...some of it has to do with state health benefits.
TX
Transcript Highlights:
- AB 10:45 by Turner relating to health benefit plan coverage for treatment of chemical dependency referred
- AB 1051 by Bajani relating to health benefit plan coverage for telemedicine, tele dentistry, and telehealth
- AP 1052 by Bojani relating to the health benefit plan coverage for telemedicine, tele dentistry, and
- HB 1098 by Cole relating to the coverage and provision of abortion, contraception, sterilization under
- Medicaid, and certain health benefit plan coverage, uh, refer to the Committee on Insurance.
TX
Transcript Highlights:
- It would be 1045 by Turner relating to the health benefit plan coverage for treatment of chemical dependency
- AB 1051 by Bojani relating to health benefit plan coverage for telemedicine till it.
- plan coverage for telemedicine, dentistry, and telehealth appointments with the original.
- coverage refer to the committee on insurance.
- health conditions and substance use disorders under certain governmental health benefit plans.