Transcript Highlights:

• It would hit insurance companies, which in turn raise premiums.”
• “It would hit insurance companies, which in turn raise premiums.
• It would roll into premiums.
• The premium increase would be very minimal to” “It would roll into premiums.
• The premium increases would be very minimal to the policyholders.

Summary: The committee first heard Senate Bill 135, which would redirect a portion of wagering dedications from the sports fund to the Louisiana Early Childhood Education Fund and remove a cap affecting that funding stream. The author and staff explained the amendment was designed to avoid any impact on the State General Fund while increasing support for early childhood education. The committee adopted the amendment and reported the bill favorably as amended. Senate Bill 202, from the Secretary of State’s office, would increase the number of compensated days for parish board of election supervisors to cover additional election-related duties. Secretary Landry and election officials testified that the change was needed because supervisors now perform more work, including ballot tabulation, machine sealing, and verification tasks. The committee adopted technical and appropriation-related amendments and reported the bill favorably as amended. The committee then took up several health and human services bills. Senate Bill 155 would require insurance coverage for medically necessary dental procedures needed before cancer treatment; testimony from medical and dental professionals emphasized that untreated dental problems can delay chemotherapy or radiation and worsen outcomes. After adopting amendments to narrow the fiscal impact, the bill was reported favorably as amended, with discussion of a possible subject-to-appropriation amendment to be worked out later. Senate Bill 237, a major DCFS reform bill, drew extensive testimony and debate over child welfare oversight, mandatory reporter training, law enforcement coordination, and the bill’s large fiscal note. The committee adopted amendments, including a subject-to-appropriation provision, and reported the bill favorably as amended after emotional testimony from supporters and former DCFS employees. The committee also advanced Senate Bill 465 on prompt-pay insurance reform after an amendment reduced the fiscal note to zero; Senate Bill 261 on unclaimed property after a substitute bill was adopted; Senate Bill 295 on expanded coverage for traumatic brain injury rehabilitation after amendments narrowed the mandate and added subject-to-appropriation language; Senate Bill 157 providing six weeks of paid parental leave for K-12 educators and staff, also subject to appropriation; Senate Bill 276 requiring bail bond producers to certify outstanding obligations before new appointments; Senate Bill 83 on human trafficking services after removing the age-expansion cost; Senate Bill 143 on bulletproof vests after shifting funding away from a direct state appropriation; and Senate Bill 450 on school safety assessments after an amendment limited implementation to available funds and resources. In each case, the committee’s actions focused on reducing or eliminating fiscal notes while keeping the bills moving forward.

Transcript Highlights:

• Fourth, is the MDI program structured to achieve your goals?
• And so we do not anticipate any structural changes to the program and the cap and its integrity.
• Why does the MDI structure seemingly, and this is what we have been able to read, why does the MDI structure
• This is a structural change, and we request the Legislature to intervene.
• As existing now, structural steel left the state.

Keywords: 987, senate, all

Summary: The Senate Environmental Quality Committee and Senate Budget and Fiscal Review Subcommittee No. 2 held a joint hearing on CARB’s proposed amendments to the cap-and-invest regulations. Opening remarks from senators emphasized the 2025 reauthorization of the program through AB 1207 and SB 840, and focused on whether CARB’s April revisions faithfully implement legislative intent while balancing climate ambition, affordability, leakage prevention, and the Greenhouse Gas Reduction Fund (GGRF). Several senators raised concerns that the proposal could reduce GGRF revenues, weaken funding for transit, affordable housing, wildfire prevention, drinking water, and other community programs, and shift too much support toward industry. Others stressed the need to protect businesses and consumers from higher costs and to avoid leakage and refinery closures. Senator Cortese’s statement, read into the record, warned that the proposal could jeopardize transportation funding commitments. CARB Chair Lauren Sanchez said the amendments respond to legislative direction and public comment, and described four main changes: increased electric bill credits, a larger manufacturing decarbonization incentive (MDI), additional compliance support for industry, and removal of post-2030 allowance allocations from the current rulemaking. She said the proposal keeps the cap aligned with 2030 and 2045 targets, maintains affordability protections, and is intended to reduce emissions while minimizing leakage and supporting in-state jobs. CARB staff also said the MDI would have guardrails, require applications and reporting, and be tied to emissions-reducing facility upgrades. The Department of Finance explained that GGRF revenue estimates are highly uncertain and are updated periodically based on auction data. The Legislative Analyst’s Office said the amendments are significant and could materially affect environmental ambition, industry support, utility credits, and GGRF revenues. LAO highlighted that the MDI could add allowances above the cap, potentially reducing certainty that 2030 targets will be met, and noted that the proposal appears to shift more allowances to industry and fewer to GGRF than current regulations. LAO also said the proposed GGRF estimate of about $8 billion through the decade could be insufficient to fully fund lower-priority tiers of programs. In questioning, senators pressed CARB on whether the proposal would raise consumer costs, whether free allowances or MDI funds would actually lower prices at the pump, how leakage is measured, and whether the Legislature’s budget assumptions would need to be revised before final action. No votes were taken during the hearing; the discussion was informational and focused on questioning CARB and fiscal staff ahead of the board’s planned May 28 consideration of the amendments.

Transcript Highlights:

• “However, I do think that the way that the fund was structured and the letter that said, to the extent
• Is that, or do we need to re-look at this, or have we got it structured correctly?”
• when it actually happens, or we’re going to be on the hook because we’re going to pay an increased premium
• I believe, and I mean, I would encourage you to dig into it, but the way that we have structured right
• now is a way to be able to keep their premiums as low as possible, recognizing that at the end of the

Summary: The committee considered a series of appropriation, transfer, and review items, approving most requests in Sections B through J. These included temporary appropriations for state technology upgrades, personnel management, court reporters and interpreters, crime victim claims, juvenile sex offender assessments, radiation lab testing, higher education workforce grants, an ARPA grant for the UAFS LPN program, an IIJA grant for geological/critical minerals work, a restricted reserve transfer for 102 State Police vehicles, a transfer to the Arkansas Heroes Program, several cash fund requests for the Real Estate Commission HVAC and AV needs, and overtime appropriations for Emergency Management and Military. One budget classification transfer request from the Commissioner of State Lands for $250,000 to cover operating expenses tied to a new building was discussed at length but failed on the vote after questions about the lease and operating costs. A major portion of the meeting focused on a $25.7 million pay plan appropriation request for 15 agencies. Members questioned why the Department of Human Services had not requested additional pay-plan dollars for human development centers, where DHS acknowledged staffing shortages, high turnover, and heavy overtime but said the issue was not lack of pay-plan funding. DHS was asked to provide a written plan to address staffing problems. The Department of Corrections testified that the pay plan had improved retention and hiring, and committee members asked for follow-up data on vacancies and staffing outcomes. Members also clarified that the pay-plan request was appropriation only, not new funding, and approved it. The committee then reviewed fund reports, including the restricted reserve, Budget Stabilization Trust Fund, Tobacco Settlement, State Central Services, Education Adequacy, Medicaid Trust Fund, IIJA, and Revenue Services transfer reports. DHS and DFA were questioned closely about the Medicaid Trust Fund, with members noting a $90 million February draw and asking about projected year-end balances; DFA and DHS said February was a high-expense, low-revenue month and projected the fund would remain solvent through the fiscal year, ending between $150 million and $200 million, while a second $100 million set-aside is planned for FY27. The committee also discussed a state hospital damage report, where DHS explained that insurance proceeds would not fully cover the repair costs because of depreciation and the age of the buildings; members expressed concern that the state would recover far less than originally expected, and DHS said any additional insurance recovery would be limited and returned to restricted reserve.

Transcript Highlights:

• growing structural imbalance. growing structural imbalance.
• structural imbalance uh or $2.4 billion. structural imbalance uh or $2.4 billion.
• subtracted the projected structural subtracted the projected structural imbalance.<00:05:18.240>
• It's what we refer to as our structural balance.
• imbalance by that time. structural imbalance by that time.

Keywords: 1187, senate, all

Transcript Highlights:

• So we have heard those statutory references would need to change given the way it's structured.
• <01:41:17.840> Um change given the way it's structured.
• Um change given the way it's structured.
• premiums from the policies written under the paid family medical leave program.
• So this is maybe 3% or something. premiums uh from the policies written premiums uh from the policies

Keywords: 928, house, all

Summary: The Joint Committee on Dedicated Funds met to review the House budget provision that would impose a 5% administrative charge on a broad list of dedicated funds, with some exemptions. Members discussed the House approach versus the Senate’s more general approach of leaving the governor discretion over which funds could be charged. The chair explained the committee was hearing from agencies about any legal, contractual, or practical reasons their funds should be exempt, and the agenda was expanded to include several departments and written submissions from others. The Department of Education testified first, identifying several funds it said should be exempt: a printing revolving fund that is funded by transfers rather than fees; teacher certification, which is self-funded by educator licensing fees and would require an immediate fee increase if charged; a vending stand set-aside tied to the federal Randolph-Sheppard program and subject to federal approval and vendor committee procedures; and a public school infrastructure/safety account, where most revenue is transferred from the education trust fund or general fund rather than generated by fees. Members questioned the department about the effect on school safety projects and whether the fee would simply reduce the number of projects completed each year. The Veterans Home asked for exemptions for three funds: a donation benefit account used for recreational activities and quality-of-life expenses for residents, a small memorial trust fund whose interest supports veteran activities, and a resident member account that holds veterans’ personal income such as Social Security and pensions. The department argued the charge would reduce donations, cut services, and effectively function like an income tax on vulnerable veterans. The Banking Department also requested exemption for its consumer credit administration license fund, saying it is used to keep exam fees low and is expressly intended by statute to reduce costs on regulated businesses; it said the 5% charge would undermine that framework and could eventually force higher fees. The Department of Justice began testimony on its dedicated funds, starting with the medical legal investigative fund, which pays for death investigations and related services under statute and without general fund support. No votes or final actions were taken in the portion of the meeting provided; the committee mainly heard testimony and asked questions about the practical and legal effects of applying the administrative charge.

Transcript Highlights:

• products on one end which is 90% premium products on one end which is 90% premium 10%<01:04:48.480
• they rather have lower premium costs? they rather have lower premium costs?
• premiums.
• Most rebated drugs already premiums.
• The bill premiums for most enrolles.

Keywords: 1187, senate, all

Transcript Highlights:

• income on premiums. income on premiums.
• able to pay pay premiums. able to pay pay premiums.
• enhanced tax credits and the premiums enhanced tax credits and the premiums increases<00:28:40.240
• <00:47:59.440> dollars certain amount of their premium dollars certain amount of their premium
• And I think that's why that premium?

Keywords: 1183, house

Transcript Highlights:

• How a state structures its consumer finance statute determines how consistently the framework operates
• But the way we have it right now, the way Arizona has done it, again, has been a blended rate structure
• However, the way it's structured now, where, as Senator Kavanagh saw, this is a good thing for people
• And so that means their premiums, whatever, the costs of insurance would be shared by all members, a
• And so that means their premiums, whatever, the costs of insurance would be shared by all members, a

Bills: SB1165, SB1206, SB1212, SB1291, SB1347, SB1516, SB1554, SB1649, SB1689, SB1812

Keywords: breast cancer, screening services, health insurance, cost sharing, preventive care, storm damage, catastrophic storm, hail damage, wind damage, roof repair, roof replacement, post-storm repairs, insurance claim, property and casualty insurance, adjuster, public adjuster, contractor licensing, homeowner protections, deductible waiver, insurance fraud prevention

Summary: The Senate Finance Committee approved committee amendments and then heard a series of bills covering consumer lending, health insurance, chiropractic practice, breast cancer screening, insurance claim practices, digital assets, vaccination-based reimbursement, agricultural property inspections, and aviation tax exemptions. Testimony generally split between sponsors and industry or advocacy supporters emphasizing modernization, consumer access, or fairness, and opponents raising concerns about higher costs, tax breaks for wealthy interests, or unclear policy changes. Several bills drew detailed debate over whether they would help consumers or shift costs, and multiple witnesses described personal or industry experiences in support of the health-related measures. SB 1689, which would raise consumer loan thresholds and change interest-rate tiers, was amended but failed on a tied vote after Senator Epstein opposed it as shifting costs to smaller borrowers. SB 1347, requiring coverage for fertility preservation for cancer patients, was amended and passed 4-2 after testimony from the sponsor, a nonprofit representative, and two cancer survivors. SB 1165, eliminating cost-sharing for diagnostic and supplemental breast exams, was amended and passed 5-1. SB 1206, updating rules for public adjusters and contractors after loss events, was amended and passed 5-1. SB 1649, creating a digital assets strategic reserve fund, passed 4-2 despite criticism that it was unnecessary and pro-crypto. SB 1212, barring different reimbursement rates based on vaccination status, passed 4-2. SB 1291, limiting county assessors’ ability to reclassify or inspect agricultural property for four years after a successful appeal, was amended to allow inspections if taxable improvements are made and passed 5-1 over assessor opposition. SB 1516, expanding aviation-related tax exemptions to more aircraft maintenance and repair property, passed 4-1 after supporters framed it as economic development and opponents called it a tax break for private jets. SB 1554, updating chiropractic language from “x-ray” to “diagnostic imaging,” initially failed, was reconsidered after additional questioning, and then passed 3-2 after members said the change mainly codified current practice and reduced liability concerns.

Transcript Highlights:

• choices that have required us to tighten our belts, and it takes meaningful steps to address our structural
• I cannot stand for a young woman who gets pregnant and can't keep up with a monthly premium imposed on
• to say this: if we move forward with freezing Medi-Cal and rolling back enrollment, and charging premiums
• That will freeze them out of health care, that will insist that they pay premiums, is a party that now
• life, and love, and work, are going to be disenfranchised by creating a two-tier system with our premium

Summary: The Assembly convened after a quorum call and proceeded to floor business, with the main item being SB 101, the state budget bill. Before debate on the bill, Assembly Member Sanchez offered amendments to redirect funding toward Proposition 36 implementation, wildfire prevention, Medi-Cal provider reimbursement, developmental services, and other priorities; the majority moved to lay those amendments on the table, and the motion passed 43-18. The chamber then took up SB 101 as the budget bill for immediate effect. Debate on the budget was extensive and sharply divided. Supporters, including Assembly Member Gabriel and several committee chairs, described the budget as a difficult but responsible compromise that protects Medi-Cal, IHSS, child care, housing, wildfire prevention, and other safety-net programs while responding to a projected deficit and federal uncertainty. Opponents criticized the budget as fiscally unsound and argued it relied on accounting gimmicks, did not adequately fund Proposition 36 or wildfire prevention, and continued spending on high-speed rail and Medi-Cal coverage for undocumented immigrants. Several members also raised concerns about gas taxes, provider reimbursement, probation funding, and the impact on vulnerable Californians. After debate, the Assembly voted on SB 101 and passed it 57-19. The measure was sent immediately to the Senate. The body then announced upcoming session schedules, with no floor or check-in sessions on June 14 and 15, and a floor session set for June 16 at 1 p.m., before adjourning.

Transcript Highlights:

• It has to come from premiums.
• It has to come from premiums.
• there's less pressure on the premiums. there's less pressure on the premiums.
• > go come from premiums.
• And when premiums go come from premiums.

Keywords: 1191, senate, all

Transcript Highlights:

• <00:05:17.680> which comprised of a co-chair structure which comprised of a co-chair structure
• Staffing approval and funding structures Staffing approval and funding structures to<00:09:42.160
• they amend their documents to opt into that structure.
• they amend their documents to opt into that structure.
• they amend their documents to opt into that structure.

Keywords: 1187, senate, all

Transcript Highlights:

• Medicaid enrollment fees or premiums for expansion population adults, requires state-simposed Medicaid
• We are also voicing concerns about the expiring enhanced premium tax credits that could raise health
• enrollment since 2020 will face the greatest threats to affordable coverage without the enhanced premium
• of rules related to the Affordable Care Act and the upcoming expiration of the enhanced advanced premium
• potentially lose access. to care, and for the 25% of covered California enrollees who are AAPI, premiums

Keywords: 988, house, all

Transcript Highlights:

• And I can inform you all that structurally and financially, we're better off than we've ever been.
• But more importantly than any of that, Structurally and financially, we're better off than we've ever
• Where it is provided, it's often functionally inaccessible because the premiums and the deductibles are
• too high, or unaffordable because the premiums are too high.

Keywords: 965, house, all

Summary: The Louisiana Public Defender Oversight Board met on June 18, 2026, with a quorum present and adopted the agenda. Public comment was dominated by district defenders and other public defense leaders praising State Public Defender Remy Starns for improving communication, collaboration, and overall system performance. Speakers from multiple districts said the system is more unified, better supported, and more stable than in prior years, and several credited Starns with helping resolve long-standing tensions and improve coordination across capital, district, and appellate work. One speaker also paid tribute to the late Mike Ginnard, describing him as instrumental to earlier public defense reforms. In his report, Starns said the system has improved over the last seven years but still needs a sustainable funding source. He discussed legislative changes affecting public defense, including a cleanup bill, elimination of filing fees for writs and appeals, and a new procedure related to expert-fee requests in light of recent court rulings. He also described ongoing efforts to integrate capital and appellate work into district offices, expand the laws/writs program, and continue post-conviction work under new statutory rules. Starns emphasized recruitment and retention, including the need for affordable health insurance and retirement benefits, and again honored Mike Ginnard for his leadership and service. The board then adopted proposed bylaws, after some discussion about special committees and public meeting requirements. Members agreed to create a committee to review and refine the bylaws later, and they also elected a vice chairman and designated the Office of the Public Defender, with staff support, as secretary for recordkeeping. Finally, the board heard a presentation on the strategic plan, which was described as largely an update to the prior version with terminology changes, new accessibility-related goals, and added performance measures for training, compliance, and communications. The strategic plan was adopted by resolution, and the meeting adjourned.

Transcript Highlights:

• By enabling people to access a more robust Medicare benefit, and by not having to pay the premiums and
• <02:01:37.159> into<02:01:37.599> the and puts some more structure into the and puts
• some more structure into the insolvency<02:01:38.520> and<02:01:38.760> financial<02:01
• You'll notice that the bill is structured so that the funding would come from the existing highway fund
• so that the funding would structured so that the funding would come<02:40:04.720> from<02:40:

Keywords: 1191, senate, all

Transcript Highlights:

• We need actuarially justified premium rates.
• Zoning in terms of how to prevent structure to structure fire gets a little bit more complicated.
• You have A fire marshal and perhaps IBHS's premium standard of 60 feet between structures doesn't jive
• fire and save structures.
• to structure fire.

Transcript Highlights:

• So, you know, in my studies I think now over 40 cents of every dollar of health insurance premium does
• So we're spending almost half of every premium dollar on bureaucracy.
• So we're spending almost half of every premium dollar on bureaucracy.
• does not go to health insurance premium does not go to the<00:25:01.480> doctor<00:25:01.840>
• <01:45:20.760> 340b Program in in in structuring 340b Program in in in structuring 340b differently

Keywords: 1187, senate, all

Summary: The Senate Health and Human Services Committee convened for its first meeting of the 2025 session, with Chair Melissa Wiklund outlining the new co-chair arrangement, rotating gavel, committee size of 12, and the seven-vote threshold needed to move bills and motions. Members and staff introduced themselves, including several new senators, committee administrators, counsel, fiscal staff, researchers, and new pages. The committee then began its agenda with an overview of the Minnesota Department of Health from Deputy Commissioner Wendy Underwood. Underwood described MDH’s mission and structure, emphasizing public health’s focus on prevention, population health, and the social and economic factors that drive health outcomes. She highlighted the state’s health disparities, the department’s five bureaus, and major work areas including infectious disease response, newborn screening, environmental health, chronic disease prevention, health regulation, health equity, and operations. She also discussed the Center for Health Care Affordability, saying the department has been meeting with stakeholders and has hired a director to begin work on advisory bodies and community engagement around rising health care costs. Members asked questions about physician shortages, burnout, administrative burden, and health care bureaucracy. Senator Grunhagen argued that excessive paperwork and micromanagement are worsening access and workforce shortages, while Senator Abeler asked for data on whether past disparity programs have been effective and whether some efforts should be consolidated. Underwood said MDH has rural health programs, workforce supports such as loan forgiveness, and research on administrative costs and low-value services, and she noted the department has published legislative reports with more data to come. The chair then moved the committee to a broader discussion of public health system development in Minnesota, introducing City of Bloomington officials to present on a recent report.

Transcript Highlights:

• 00:39:58.560> funding restoration. changing the funding restoration. changing the funding structure
• for the alcohol fund, the 3% structure for the alcohol fund, the 3% cut<00:40:02.079> to<00:40
• Instead of adding barriers like premiums or cost sharing, we should be doing what we can to support these
• <01:59:39.840> and change to the alcohol fund structure and change to the alcohol fund structure
• on increasing premiums for those relying on Medicaid,<04:00:03.359> which<04:00:03.680> acts

Keywords: 1191, senate, all

Transcript Highlights:

• It eliminates Medicaid enrollment fees or premiums for expansion population adults.
• We are also voicing concerns about the expiring enhanced premium tax credits that could raise health
• will face premiums as high as $1,400 per month.
• And for the 25% of Covered California enrollees who are AAPI, premiums could rise as much as 74% next
• Premiums could rise as much as 74% next year, pricing many out of coverage.

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held its fifth hearing of the year to examine the newly enacted federal H.R. 1 and its effects on California. Members and the chair described the law as a major threat to state health, food, education, and climate programs, and emphasized that California would not be able to fully backfill the federal cuts. Several members also highlighted the bill’s tax provisions, including temporary deductions for tips, overtime, seniors, and auto loan interest, while warning that the largest benefits flow to higher-income taxpayers and that major cuts to Medi-Cal, CalFresh, and clean-energy incentives are delayed or phased in over time. The Legislative Analyst’s Office and the Department of Finance presented detailed overviews of the bill’s likely impacts and implementation timelines. They identified the main affected areas as health care coverage and financing, food assistance, higher education, personal income taxes, and clean-energy/electric-vehicle credits. They explained that H.R. 1 limits provider taxes used to finance Medi-Cal, adds work and redetermination requirements, restricts CalFresh eligibility and increases state costs, changes student loan and Pell Grant rules, extends and modifies federal tax provisions, and phases out many clean-energy credits. Finance also noted major rescissions of Inflation Reduction Act funds, new border and immigration enforcement spending, and the possibility of PAYGO sequestration if Congress does not act to offset the deficit increase. During member questions, the committee focused on likely enrollment losses, administrative burdens, and fiscal exposure for the state and counties. Witnesses said many details still depend on federal guidance, but they estimated significant impacts on Medi-Cal, CalFresh, and graduate/professional student borrowing, and noted that California’s high CalFresh error rate could increase state costs. UC testified that the elimination of Graduate PLUS loans would affect thousands of professional students, especially in health, law, and other high-cost programs. Members asked for follow-up data on county, health, and tax impacts, and staff agreed to provide additional tables and estimates as implementation guidance becomes clearer. Public commenters from counties, early childhood advocates, health coalitions, disability rights groups, immigrant-rights organizations, and other stakeholders urged the Legislature to mitigate the law’s effects. They warned of higher county costs, reduced access to health care and food assistance, increased administrative burdens, and harm to children, immigrants, people with disabilities, and low-income families. Several urged new state revenue solutions and stronger protections for Medi-Cal, CalFresh, child care, and home- and community-based services. No votes were taken; the hearing was informational and ended with a commitment to continue monitoring federal guidance and to work on state responses in the budget process.

Transcript Highlights:

• my high Private health care and<00:43:03.319> then<00:43:03.440> a<00:43:03.559> premium
• :43:05.480> this<00:43:05.599> has I pay for my high private health care and then a premium
• 48:10.680> for that the amount paid by the state for that the amount paid by the state for premiums
• Co<00:48:11.760> Insurance<00:48:12.480> deductibles<00:48:13.480> other premiums
• Co Insurance deductibles other premiums Co Insurance deductibles other cost<00:48:14.000> sharing

Keywords: 1187, senate, all

Transcript Highlights:

• Every dollar of premium. Physician offices play a role in the rising prescription drug prices.
• The bill's selective benefit structure could inadvertently worsen disparities.
• And then another one about continuing on the fines and fee structure.
• Continuing on the fines and fee structure, where do the actual fall? So that's part one.
• First, just want to acknowledge, yes, there are fines and fee structures in the bill today.

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.