Transcript Highlights:

• with the Department of Insurance.
• That spurred a bit of a reaction from the Department of Insurance, rightfully so, and that kind of led
• to some confusion with the Centers for Medicare and Medicaid Services and the Department of Insurance
• This memorial is to show our support to the Department of Insurance for their actions and for the ongoing
• of Insurance and what CMS does.

Summary: The House Health and Welfare Committee approved the minutes from February 24 and 25, then heard HCR 30, which would authorize $200,000 to hire a consultant to help the legislature review the managed care RFP and contract process. The sponsors said the consultant is needed because the managed care contract is large and complex, the work must be done quickly before the RFP is finalized later this year, and the consultant would advise the legislative Medicaid review panel rather than draft the contract. Members asked about the consultant being a single person, the funding source, and the cost; two members voted no, but the committee ultimately sent HCR 30 to the floor with a do-pass recommendation. The committee then introduced RS 33537, a bill to allow a limited mobile cigar business to obtain a tobacco permit without a fixed brick-and-mortar location. The sponsor said the proposal was developed with the Department of Health and Welfare to preserve the state’s goal of preventing youth access to tobacco while accommodating a niche business model. Questions focused on the permit structure, the small fiscal impact, and whether the bill fit the committee’s health mission; the RS was introduced. Next, the committee introduced RS 33538, which would require insurance coverage for fertility preservation services for cancer patients facing treatments that can damage fertility. The sponsor described the bill as medically necessary coverage for patients who often must decide within days whether to preserve fertility before starting chemotherapy, radiation, or surgery, and noted the cost estimate would be absorbed into state insurance costs. Some members raised concerns about the fiscal note and mandating benefits in private insurance contracts, but the RS was introduced for further hearing. Finally, the committee heard HJM 16 supporting the Department of Insurance’s actions regarding Medicare Advantage plans and asking CMS for clearer guidance on federal and state roles. Director Cameron testified that carriers had withdrawn or discouraged enrollment in ways he viewed as unfair trade practices, and the committee sent the memorial to the floor with a do-pass recommendation.

Transcript Highlights:

• Government health care programs and commercial health insurers lose large amounts of money because of
• placed the responsibility on the purchasing of the insurance, the expenses of the marshal, the expenses
• We are under self-insured status of all the cities.
• We are under self-insured status of all the cities.
• Tell me, and you're insured—the city of Bojure insures you? Yes, ma'am.

Committee: House Administration of Criminal Justice

Summary: The Committee on Criminal Justice met on April 14, 2026, and first handled several voluntary deferrals, including HB 343, HB 491, HB 523, HB 426, HB 439, HB 378, and later HB 1025. HB 676 by Rep. Spell, which creates the crime of fraudulent patient referrals or “body brokering,” was amended and reported favorably. Testimony from Louisiana Blue, Odyssey House, and others described the practice as exploiting vulnerable addiction and mental health patients for profit, while supporters said the bill targets organized fraud and protects patients, families, and insurers. The committee also reported HB 394 by Rep. Chenevert, which extends the conditional parole period from nine months to 24 months for offenders who must complete programming before release. Supporters, including the Louisiana Parole Project, said the change gives the parole board more flexibility and does not create new parole eligibility, while the bill was amended to remove some language tied to rehabilitation programming review. HB 622 by Rep. Coates, dealing with confidentiality and handling of criminal history records, was reported favorably after testimony that it is needed to align state law with federal FBI/CJIS requirements and tighten safeguards on background-check information. HB 396 by Rep. McMakin, concerning admissibility of autopsy photographs, was amended to apply to criminal proceedings generally and then reported favorably. HB 772 by Rep. Martinez, which modernizes notice requirements for arrest warrants by allowing electronic notice and clarifying mailing procedures, was also reported favorably despite concerns from Orleans Parish prosecutors about costs and surety liability. HB 1038 by Rep. Boyer, addressing marshal authority to issue deputy commissions and related liability/insurance issues, drew substantial testimony from marshals, city officials, and local government groups; after amendments requiring insurance coverage and clarifying funding and applicability, it was reported favorably on an 8-2 vote. HB 1025, which would have created an exception allowing reconciliation after a protective-order violation, drew strong opposition from domestic violence advocates and prosecutors and was voluntarily deferred by the author.

Transcript Highlights:

• </c><00:11:02.880><c> of</c> House Commerce, the Department of Insurance, and stakeholders that we needed
• of Insurance.
• of Insurance.
• of Insurance.
• I want to thank Department of Insurance.

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• This is another department. This is another depiction of the number of vessels that we've removed.
• Most of those do not have insurance.
• Department of Financial Services proactively asked our inspector general in the fall of 2023 to review
• So the Florida facilities pool is a group of buildings managed by the Department of Management Services
• veteran population and I'll say FDVA does an amazing job of caring for our veterans the Department of

Committee: Senate Appropriations Committee on Agriculture, Environment, and General Government

Summary: The committee heard three informational presentations. First, Lieutenant Rob Rowe of the Florida Fish and Wildlife Conservation Commission discussed derelict vessel removal, explaining the legal definition of derelict and at-risk vessels, the causes of vessel abandonment, and the impact of recent hurricanes on the number of cases. He said FWC has nearly 1,000 active derelict vessel cases, with 576 ready for removal, and described the agency’s use of ARPA funds, grants to local governments, contractor lists, and the V-TIP vessel turn-in program to speed removals and prevent vessels from becoming derelict. Senators asked about how to expedite removals, insurance coverage, due process timelines, and storage challenges; Rowe said the 21-day process is constrained by constitutional due process and that more staffing and prevention funding would help. Next, Stephen Fielder of the Department of Financial Services presented on the My Safe Florida Home program, which provides grants for homeowners to harden homes before storms. He reviewed program eligibility, grant types, reimbursement averages, and performance data, and said the program has received $633 million in appropriations overall. He noted that the program is outsourced to private vendors, has low administrative overhead, and has processed large numbers of inspections and reimbursements. Senators questioned contractor requirements, permits, overhead costs, and whether the program should be brought in-house; Fielder said permits are required before reimbursement, contractor licensing is verified, and the department is considering several administrative clarifications, including townhome roof work, inspection expiration, and whether grants should be limited per person or per home. A retired educator also testified in support of more assistance for homeowners facing insurance problems. Finally, Tom Berger of the Department of Management Services outlined the Florida Facilities Pool and the state’s real estate development and management work. He described the bonded facility program, the state’s 112 managed facilities, lease administration, parking contracts, maintenance operations, and more than $1 billion in active construction projects. He highlighted major projects such as the Emergency Operations Center, Capitol complex upgrades, a new visitor screening center, and facilities for other agencies including veterans’ services, juvenile justice, and the courts. Senators asked about lease terms, appropriation language, vacancy in leased space, and whether the state uses a uniform lease form; Berger said the lease document is standardized and that agencies determine their space needs. The meeting ended with no further business and adjournment by motion.

Transcript Highlights:

• Department of Agriculture and Consumer Services.
• is less than 10% of the assumed annual gross written premium of the insurer.
• That was, there was one of these providers said it's not insurance. So is this insurance?
• of insurance agents.
• An insurance agent can make if they sell one of these non-insurance insurance policies.

Keywords: 998, house, all

Transcript Highlights:

• Insurers are leaving the market for a variety of reasons, tail of liability.
• Insurers are leaving the market for a variety of reasons, tail of liability.
• You should not operate any kind of business without insurance.
• to figure out if we could do a self-insurance policy and got the Department of Insurance.
• to figure out if we could do a self-insurance policy and got the Department of Insurance.

Committee: House Children and Families

Summary: The Committee on Children and Families heard public testimony on House Bills 1839, 2921, and 3015, all aimed at requiring age verification for access to online pornography. The sponsors argued the bills are needed to protect children from early exposure, exploitation, sextortion, and related harms, and said the measures mirror laws in other states and recent Texas litigation. Supporters, including the Missouri Children’s Trust Fund, pediatric sexual assault nurse examiners, child advocacy groups, the Missouri Catholic Conference, and the Attorney General’s office, testified that pornography contributes to child sexual abuse risk, addiction, and unhealthy sexual development. Committee members asked about privacy protections, enforcement, penalties, and whether third-party verification or website-based verification would be used; the Attorney General’s office said identifying information should not be retained and that enforcement would occur through court action. No one testified in opposition, and the hearing concluded with the bills remaining under consideration, with a committee substitute to follow for one portion of the legislation. The committee then heard House Bill 2610, which would use the state legal expense fund to cover claims and judgments involving foster care, case management, and residential service providers under contract with the state. Representative Murphy and supporters said the private insurance market for these providers has become unstable and unaffordable, with some agencies facing large premium increases, repeated denials, or inability to find coverage at all. Testimony from the Missouri Coalition for Children, Missouri Alliance for Children and Families, Family Forward, and the Attorney General’s office described the issue as a market failure that could force providers to close and disrupt services for foster children. The Attorney General’s office explained how legal expense fund coverage would work, noted that it can cover negligence and intentional acts for covered entities, and said the bill would shift risk to the state in the absence of adequate private insurance. No opposition was offered. Finally, Representative Terry briefly presented House Bill 24, describing it as the same as Representative Dolan’s grandparents’ bill and emphasizing that grandparents should have first consideration for custody if a child’s parents are unable to care for them. No testimony was offered on the bill. The committee then moved into executive session and voted do pass on House Committee Substitute for House Bill 1696, House Committee Substitute for House Bills 2505 and 24, and House Bill 1772, each by unanimous 14-0 votes. The meeting then adjourned.

Transcript Highlights:

• </c><00:01:59.920><c> of</c> So first, we've got the Department of So first, we've got the Department
• c> Health</c><00:07:14.480><c> and</c> Next, the Department of Health and Next, the Department of Health
• </c><00:07:31.040><c> of</c> moving on then we have the Department of moving on then we have the Department
• 10.840><c> any</c><01:08:11.120><c> out-of-network</c> insurance without any out-of-network insurance
• </c><01:40:38.160><c> insurance</c> Minnesotans regardless of insurance Minnesotans regardless of insurance

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• Delaware took a different approach and required its equivalent of the Department of Health to develop
• paramedics as a distinct category of providers, and determining if the Department of Health's role in
• State of Washington reported that the lowest percentage of avoidable emergency department visits was
• of economic development programs at the Department of Commerce.
• in the Department of Commerce and allow Mr.

Committee: Joint JLARC I-900 Subcommittee for SAO Performance Audits

Summary: The Joint Legislative Audit and Review Committee’s Initiative 900 subcommittee held a hybrid public hearing on two State Auditor performance audits. The first audit examined efforts to reduce non-emergency use of emergency systems through CARES programs. Auditors reported that Washington has 52 fire-agency-led CARES programs in 26 counties, but many communities without programs said they need one. Major barriers included unstable funding, difficulty hiring qualified staff, volunteer-based rural departments, and lack of statewide guidance. The audit also found that only about half of programs tracked both required performance measures, and it recommended that the legislature consider private insurance reimbursement options and convene a statewide work group to develop guidance, standards, and possible changes to the role of the Department of Health. Agency representatives and fire officials largely supported the findings and emphasized that short-term grants and one-year contracts make programs hard to sustain. Committee discussion focused heavily on financing, especially Medicaid reimbursement and accountable communities of health (ACHs). Auditors clarified that the 10% figure cited in the report referred to direct Medicaid reimbursement for treat-and-refer services, which some agencies do not pursue because the $115 rate is too low relative to the administrative effort. Several fire officials testified that their programs rely on grants and ACH support, but that funding is often year-to-year and uncertain. They also described the value of CARES programs in reducing emergency room use, jail detentions, and long ambulance wait times, while noting barriers to sharing patient records across systems. Members asked whether the new public safety sales tax authority could help, but fire district representatives said it is not a direct funding option for them. The second audit reviewed performance management in the Department of Commerce’s Office of Economic Development and Competitiveness. Auditors found that the division does not yet have a statewide economic development strategic plan and that performance management is inconsistent across its 16 programs. In a limited review, all six sampled programs had goals, but only half clearly identified performance measures and targets, and only three tracked outcomes and published results. The audit highlighted leading practices from other states, including strategic planning, regular progress reporting, aligning program goals with agency goals, and using performance-based contracts and grant monitoring. Recommendations urged Commerce to seek stakeholder input, assess internal and external conditions, set goals and measures, align programs with the strategy, and strengthen monitoring and evaluation. Commerce officials agreed with the audit and said the division is already working toward a strategic plan, with a new assistant director to be hired and a target of completing the work by mid-next year. Members pressed the department on how the plan would connect to workforce, higher education, housing, and other economic development systems, and asked Commerce to return to JLARC next year with progress updates. The meeting ended with instructions for submitting written public comments and notice of the next JLARC meeting schedule.

Transcript Highlights:

• Department of jurisdiction of the Department of Corrections.
• Aid; the Deputy Commissioner of Insurance, Department of Financial Regulation; the Assistant General
• of the Department of Liquor and Lottery, the Deputy Commissioner of Insurance, the Department of Financial
• Department of Health. Department of Health.
• </c> Department of Health. Department of Health.

Keywords: 926, house, all

Transcript Highlights:

• The envelope contains a copy of the driver's license, vehicle registration, proof of insurance, and emergency
• According to the Department of Health, drowning is the number one cause of death for children ages 1
• policy submissions, the scope of the Office of Insurance Regulation's oversight authority, the discretionary
• Members of the committee, B.G. Murphy. I'm with the Florida Association of Insurance Agents.
• insurance commissioner and some of the other people.

Summary: The Committee on Fiscal Policy met and reported favorably a series of bills after hearing sponsor presentations, public testimony, and roll-call votes. Among the health and public safety measures, CS/SB 68 would require pediatric readiness standards in hospital emergency departments; CS/SB 340 would require nursing students to complete human trafficking identification training; CS/SB 32 and SB 210 would create a new injunction process and related public records provisions for victims of serious violence by a known person; and SB 418 would add autism-focused law enforcement training and a voluntary Blue Envelope Program for drivers with ASD. Each of these bills received supportive testimony and passed the committee. The committee also approved several child safety and community protection measures. CS/SB 606 would add drowning prevention and safe bathing education to postpartum materials, and SB 428 would expand the state swim lesson voucher program to older children, with strong support from advocates and families concerned about drowning risks, especially for children with autism. CS/SB 302 would streamline permitting and incentives for nature-based coastal resiliency projects, and SB 636 would create an alternative beach management pathway for coastal communities, though beach preservation advocates warned about perpetual easement language and funding concerns. SB 628, designating Warrior Sacrifice Way in Pensacola, also passed unanimously. In addition, the committee advanced CS/SB 1734 on juvenile justice, with a late-file amendment updating definitions for juvenile probation and detention officers and codifying detention cost-share language. It also reported favorably CS/SB 246, a specialty license plate bill that was amended to include the UFC plate and an additional first responders resiliency plate, and CS/SB 1028, which revises Citizens Property Insurance Corporation clearinghouse procedures and related insurance market rules. Several witnesses testified in support or with technical concerns on the insurance bill, and members discussed competitive safeguards, clearinghouse scope, and Citizens’ assessment risk. At the end of the meeting, members requested to be recorded on specific bills, and the committee adjourned.

Transcript Highlights:

• Employees only pay about 7% of their health insurance costs.
• we're doing. employees only pay about 7% of their health insurance costs.
• Please, Madam Whip and members, House Bill 4165 extends the end date of the Department of Revenue's integrated
• Madam Whip and members, so this ITSPF, we are in a multi-year expansion and upgrade of all of the Department
• quarter to the Department of Economic Security in calendar year 2027.

Keywords: 1182, all

Transcript Highlights:

• dealing with this through the Department of Insurance.
• <c> department</c><00:14:05.440><c> of</c><00:14:05.680><c> insurance.
• </c><00:14:06.720><c> Um</c> through the department of insurance.
• Um through the department of insurance.
• I'll be looking over at my friends from the Department of Insurance.

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• So everything the Department of Insurance is currently enforcing stays the same.
• Morning, Franco Palka, Louisiana Department of Insurance. So there...
• Morning, Franco Pelka, Louisiana Department of Insurance.
• of any additional enforcement, the Department of Insurance is currently in...
• If you just kind of walk through what Frank from the Department of Insurance was telling you, how this

Committee: Senate Finance

Summary: The Senate Finance Committee met with eight members present and deferred HB 127. It then considered a series of bills, most of which were reported favorably without opposition. HB 22 revised COLA rules for the clerks of court retirement system, allowing more frequent COLAs when the system is better funded; HB 324 made judicial stipends permanent and added future COLAs subject to available funding; HB 233 increased jury mileage reimbursement; HB 47 reorganized assessor retirement COLA statutes; HB 533 allowed St. Tammany Parish to transfer unused witness-fee account balances to the 22nd Judicial District Court; HB 980 adjusted eligibility for the Firemen’s Supplemental Pay Board; HCR 45 urged Congress to clarify ARPA deadlines for water projects; HB 559 increased court costs in the 4th Judicial District; HB 290 recreated the Department of Treasury and related entities in statute; and HB 382 addressed Joint Legislative Committee on the Budget review authority over Group Benefits plans. The committee also reported HB 1157 favorably, creating a financing bank mechanism for infrastructure projects, and HB 575 favorably, giving youth aging out of foster care preferred access to surplus state vehicles through the Louisiana Property Assistance Agency. Several measures drew more discussion. HB 1236, dealing with pharmacy benefit managers and professional dispensing fees, prompted extensive testimony from the sponsor, the Legislative Fiscal Office, the Department of Insurance, independent pharmacies, and PBM representatives. Supporters said it clarifies and strengthens enforcement of existing PBM law and protects independent pharmacies; opponents argued the bill’s requirement that PBMs bear dispensing-fee costs would be difficult to implement and could raise premiums. The sponsor said he would work on amendments, including clarifying language and a delayed effective date, and the bill was nevertheless moved favorably. SB 25, on registrar of voters compensation, was amended to a revised pay structure and then reported favorably. HB 47 and HB 533 were also presented as funding and administrative cleanups for retirement and court-related accounts, with local support noted. The committee also heard HB 233 on jury duty mileage reimbursement, which the sponsor said updates a 1961 rate and would be funded locally at an estimated average increase of about $4,000 per judicial district. HB 324 on judicial salaries was described as self-funded by the judiciary and subject to available funding, with no budget impact. HB 575 on foster youth transportation was presented as a non-appropriation measure aimed at helping youth aging out of foster care by giving them preferred access to surplus vehicles. HB 382, which concerns the Joint Legislative Committee on the Budget’s role in approving Group Benefits plans, was reported favorably with little discussion. The meeting ended after a motion to adjourn.

Transcript Highlights:

• Stephanie Watkins on behalf of the Association of California Life and Health Insurance Companies, also
• The focus of this bill, SB 1037, is affordability of state-regulated commercial health insurance.
• Matt Aiken, on behalf of the Association of California Life and Health Insurance Companies, in strong
• With me in support is Miguel Pesedis, representing the bill's sponsor, the Department of Insurance, and
• My name is Miguel Bastides with the California Department of Insurance, here on behalf of Insurance Commissioner

Summary: The Assembly Health Committee heard several measures, beginning with SB 331 by Sen. Menjivar, which would require large-group health plans to cover hearing aids for children. The author and supporters described the bill as a long-running effort to address a developmental emergency and reduce out-of-pocket costs for families, while opponents were absent. Testimony from parents, advocates, medical experts, and organizations emphasized the importance of early access to hearing aids; committee members voiced strong support, and the bill was moved on a do-pass basis to Appropriations, with several members requesting to be added as coauthors. The committee then heard SB 608, also by Sen. Menjivar, to expand access to condoms in school-based health centers and related settings and to prevent barriers such as ID checks. Supporters, including students and school health advocates, argued the bill would improve sexual health and reduce stigma, while opponents from family and faith groups argued it would undermine parental authority and normalize early sexual activity. The bill was supported by committee members and moved forward on a do-pass basis to Appropriations. Next, SB 971 by Sen. Choi proposed community-based healthy aging partnerships for older adults, with testimony from the California Senior Legislature and supporters from aging and dementia organizations. The measure was described as voluntary and focused on connection, independence, and local collaboration; there was no opposition, and the committee moved it on a do-pass basis to Appropriations. The committee also heard SB 869 by Sen. Weber Pierson, which would require warning icons and statements on chain restaurant menus for beverages with very high added sugar content. Supporters framed it as a transparency and public health measure, while restaurant and beverage industry representatives opposed it unless amended, citing cost and menu-space concerns; the bill was nevertheless moved on a do-pass basis to Appropriations after a roll call vote, with some members voting no and the measure placed on call. The committee also considered SB 950 by Sen. Weber Pierson, aimed at ensuring timely coverage of FDA-approved, medically necessary treatments for early-onset Alzheimer’s disease on commercial plans. Supporters, including the Alzheimer’s Association and a patient advocate, said the bill would reduce delays and barriers to care, while health plan representatives opposed it over step therapy and utilization-management concerns. Members discussed the limited treatment window and the need for early access, and the bill was moved on a do-pass basis to Appropriations. In addition, SB 490 by Sen. Umberg would set timelines for DHCS investigations of unlicensed sober living homes and allow counties to assist if the department cannot act in time; supporters from Anaheim and a patient-brokering survivor described serious abuse and oversight gaps, while county behavioral health representatives opposed the county role as an unfunded and potentially liability-creating burden. After discussion, the bill was also moved on a do-pass basis to Appropriations. Finally, the committee began hearing SB 1037 by Sen. Weber Pierson on health insurance affordability and rate review, with supporters arguing it would tie premium increases more closely to affordability targets and public reporting; the transcript cuts off before the committee completed action on that measure.

Transcript Highlights:

• of a range of data to the Department of Health.
• > the</c><00:07:42.920><c> Department</c><00:07:43.320><c> of</c> range of data to the Department of
• range of data to the Department of Health.
• So this is not just a problem or a symptom of lack of insurance coverage.
• <c> like</c><01:24:11.280><c> the</c> piece of insurance we issue, like the piece of insurance we issue

Bills: HF4343

Committee: House Taxes

Keywords: sales tax, use tax, advertising tax, taxable services, digital advertising, online marketing, marketing services, search engine marketing, lead generation, internet advertising, ad agency, media buying, campaign planning, Minnesota tax law, service tax, broadening tax base, web advertising, promotional services, 1183, house

Transcript Highlights:

• the Department of Public Safety image verification system in the purpose of verifying an individual's
• AG 4635 by Garcia Hernandez, ruling disclosure of use of our. intelligence and denial of insurance claims
• AG 4714 14 by Hopper relating the testing of evidence of controlled substances by the Department of Public
• Department of Criminal Justice front of the Committee on Corrections.
• the Texas Administrative Department to negotiate with the lease. of the registry of interest of certain

Bills: HB9 , HB22 , HB908 , HB1392

Keywords: property tax, ad valorem tax, tangible personal property, income-producing property, business personal property, tax exemption, local government finance, appraisal district, chief appraiser, rendition statement, property tax relief, small business, commercial property, leased property, related business entity, unified business enterprise, tax situs, Texas Tax Code, local taxing unit, constitutional amendment

Transcript Highlights:

• By way of background, the Department of Commerce's portfolio includes programs related to digital equity
• The Department of Revenue may retain up to 3% of available funds for evaluation and administration of
• I mean, not the gap, amount of private losses are, and which of it is insurance covered and which is
• an aggregate figure of insured losses.
• Office of the Insurance Commissioner.

Bills: HB2579

Committee: House Technology, Economic Development, & Veterans

Keywords: public media, digital equity, funding, media access, communication technology, 904, all

Transcript Highlights:

• </c><01:04:14.799><c> of</c> friends with the Department of friends with the Department of Corrections
• <01:05:34.880><c> Department</c><01:05:35.200><c> of</c> restructuring of the a Department of restructuring
• The Department of Education does. The Department of Labor does.
• Department of New Hampshire.
• </c><04:10:03.920><c> of</c> by the United States Department of by the United States Department of Education

Committee: House Executive Departments and Administration

Keywords: 928, house, all

Summary: The committee first held a public hearing and then an executive session on Senate Bill 401, which DHHS described as a cleanup bill. Testimony from the department explained that the bill would repeal obsolete reporting requirements tied to a repealed municipal reimbursement program and to the now-repealed commission on demographic trends. No one testified in opposition, and the committee voted 12-0 ought to pass, placing the bill on the consent calendar. The committee then heard Senate Bill 402, which would eliminate certain non-compete agreements for physician associates going forward. Senator Gray introduced the bill, and a representative of the New Hampshire Society of Physician Associates said it would improve workforce recruitment and access to care without changing scope of practice or affecting existing agreements. Committee members asked about the length of current restrictions and whether the change would make New Hampshire more attractive to PAs. The committee voted 12-0 ought to pass and sent the bill to the consent calendar. Next, the committee took up Senate Bill 426, which would repeal the permissible fireworks committee. Senator Uler and the deputy state fire marshal said the committee’s original purpose had been overtaken by later changes adopting federal fireworks standards, and that the fire marshal now has the necessary authority. The committee voted 12-0 ought to pass and placed the bill on the consent calendar. Finally, the committee began hearing Senate Bill 469, a DMV modernization bill allowing electronic signatures in place of wet signatures for certain motor vehicle title and registration processes. Senator Lang, Carvana, the New Hampshire Auto Dealers Association, Copart, and DMV staff all supported the measure, saying it would reduce delays, errors, and paperwork burdens. Members asked about AI, consumer protections, costs, and how electronic signatures would work in practice, including in cases involving deceased owners. The transcript cuts off during that hearing before any committee action on SB 469.

Transcript Highlights:

• The Department of Administration houses four divisions.
• When the department does not require cash on hand, as in the case of some health insurance reserves and
• Insurance Management houses the offices of risk management and group insurance.
• Faith Nolten was the administrator of the Division of Insurance and Internal Support.
• I'm currently the administrator of the Division of Public Works under the Department of Administration

Summary: The Senate Finance and House Appropriations Committee heard budget presentations for the Department of Administration and the Permanent Building Fund. For the Department of Administration, analysts reviewed the agency’s dedicated-fund-heavy budget, recent staffing and utility adjustments, and FY 2027 requests including three new Medicaid procurement positions, a utilities shift from general fund to dedicated funds, and IT replacement items. Members questioned rising utility costs, office-space utilization, vacant buildings at the Chinden campus and 954 Jefferson, and whether the department was holding vacancies or reducing services. Director Steve Bailey said the department is trying to reduce general fund reliance, consolidate space, repurpose positions, and improve efficiency through digital tools; he also said the department is not intentionally holding vacancies and is actively filling needed positions. A major discussion focused on Medicaid procurement and the transition to managed care. Bailey said the requested procurement staff are needed to handle a large, complex solicitation and ongoing contract management, with legal and federal requirements and an Attorney General attorney assigned to assist. Senators asked about Deloitte’s role, other states’ procurement practices, and why the Department of Administration rather than Medicaid would run the process. Bailey explained that Medicaid provides program expertise while Purchasing runs the procurement. The committee also discussed the MMIS procurement, where Bailey said a court stay is delaying implementation after a second-place vendor challenged the process; he said that delay will also push back the broader MCO rollout. Another topic was the Office of Group Insurance’s decision to drop GLP-1 coverage for weight loss, which Bailey said was driven by rapid cost growth from an initial estimate of about $10,000 annually to roughly $15 million in 2025 and more than $30 million over three years. The committee then heard the Permanent Building Fund budget. Analysts explained the fund’s revenue sources, the multi-year nature of capital projects, and the large deferred maintenance program funded in prior years. They noted a proposed FY 2027 transfer of $33.7 million in canceled project balances to the general fund and a possible one-time redirection of interest earnings to the general fund. The Division of Public Works reported 595 active projects, with most FY 2025 projects under construction, in design, or complete, and said 91% of the $544 million deferred maintenance program is active. Members asked about specific canceled projects, including the North Idaho reentry center, the Carnegie Library purchase, the ISU/INL pedestrian crossing, and the Idaho State Police facility in Lewiston; staff said some are unlikely to return soon, while others may come back once land or a site is secured. The committee also discussed inspection practices, with Public Works saying field representatives and third-party testing serve different oversight functions. No votes were taken during the hearing, and the committee adjourned after announcing the next day’s agenda.

Transcript Highlights:

• All right, we have mostly Department of Health Care Services.
• Michelle Boss, director of the Department of Health Care Services.
• Isabel Elie at the Department of Finance.
• Natalie Griswold, Department of Finance.
• Injo, Lonson, Department of Finance.

Summary: The subcommittee heard a lengthy Department of Health Care Services presentation on the governor’s Medi-Cal budget, including a $229.1 billion total-funds proposal, projected Medi-Cal enrollment declines as redeterminations continue, and several major cost drivers such as managed care growth, Medicare-related costs, pharmacy spending, and changes tied to federal policy. Members focused heavily on the elimination of Prop. 56 dental supplemental payments beginning July 1, 2026, questioning the likely impact on provider participation and utilization. DHCS said it is completing the required rate reduction/access analysis for CMS, has been holding stakeholder meetings and issuing provider bulletins, but could not yet quantify the real-world effect. The committee also discussed a $50 million savings proposal tied to new hospice utilization management authority and asked about possible effects on emergency dental care and provider participation. The hearing then moved through the November 2025 family health estimate and several county and program administration issues, including CCS, GHPP, and Every Woman Counts. DHCS said family health costs are rising despite slight caseload declines because of higher utilization and medical costs, and members raised concerns about CCS website accessibility, county administrative funding, and the transition of youth aging out of CCS. The department said most CCS beneficiaries are also on Medi-Cal, that counties have long raised funding concerns, and that it had clarified use of maintenance-and-operations dollars to address some county workload issues. Members also asked about Every Woman Counts potentially seeing higher demand as Medi-Cal changes take effect; DHCS said that is possible and that the program has multiple funding sources including General Fund. A major portion of the hearing focused on provider taxes and federal changes under H.R. 1, especially the Medi-Cal managed care organization tax and the hospital quality assurance fee. DHCS explained that H.R. 1 restricts new or increased health care-related taxes, phases down allowable tax levels over time, and tightens “generally redistributive” rules, which could sharply reduce the state’s ability to use the MCO tax for Medi-Cal financing. Members asked whether the Legislature could amend Prop. 35 or whether voters would need to act; DHCS said a three-fourths legislative amendment may be possible if it aligns with the measure’s purpose, but the department is still evaluating options. The committee also discussed hospital financing, with DHCS describing recent increases in state-directed payments and the effect of H.R. 1 in capping those payments at Medicare levels, and the LAO noting the tradeoff between preserving provider taxes and maintaining Medi-Cal funding. The subcommittee also reviewed a series of DHCS budget change proposals and trailer bill items, including managed care final-rule implementation, managed care operations, a hospital value strategy, a one-year extension of skilled nursing facility financing, long-term care payment transparency, and interoperability/prior authorization requirements. Members repeatedly questioned the use of limited-term versus permanent positions, the overlap among proposals, and the timing of new financing reforms. DHCS said the SNF extension would preserve current workforce standards, sanctions, growth limits, and the SNF quality assurance fee while the department develops a broader 2027-28 redesign. No votes were taken; items were repeatedly held open for later action. Covered California then presented on the expiration of the federal enhanced premium tax credit and the resulting affordability crisis. The agency said Californians will lose about $2.5 billion in premium assistance for 2026, average premiums could nearly double for many enrollees, and as many as 400,000 people could eventually leave marketplace coverage. Open enrollment ended with 1.9 million sign-ups, down 3% from the prior year, with especially steep declines among middle-income consumers and increased movement into bronze plans. Covered California said the state’s $190 million affordability subsidy is helping lower-income enrollees retain coverage, but cannot fully replace the lost federal assistance. Members also asked about the Health Care Affordability Reserve Fund, repayment of loans from that fund, the status of federal review of California’s essential health benefits benchmark, and implementation of the new gender-affirming care benefit under AB 144.