Video & Transcript : 'Planned Parenthood' :
Page 39 of 500
WA
Washington 2025-2026 Regular Session
Select Committee on Pension Policy Jun 17th, 2025
Select Committee on Pension Policy
Transcript Highlights:
- plan, and their unit pricing.
- York plan anymore.
- plans.
- I know we use Plan 1's, Plan 2's... ...where it has been going as well.
- I know we use Plan 1's, Plan 2's, but Plan 3 as well.
Committee:
Joint Select Committee on Pension Policy
Summary:
The committee approved the May minutes by roll call vote and then received brief updates from the Attorney General’s office and the Office of the State Actuary. The AG’s office said it would handle legal analysis related to the committee’s work, while the actuary reported that staff were at capacity this summer due to annual valuation work, experience studies, and other retirement system projects, but would have more capacity in the fall. Members also requested access to fiscal note and actuarial materials related to the LEOFF 1 study and related legislation.
The main discussion focused on the LEOFF 1 study, including actuarial funding, a proposed merger/termination/restatement approach, and the possibility of a permanent COLA for Plan 1 members. Several members supported keeping COLA recommendations in the committee’s work, while others raised concerns about whether merging or restating plans could affect benefits, legal status, or IRS tax treatment. The actuary explained that the temporary pause in certain funding rates reflected prior overfunding buffers and assumptions about future investment returns, and said future base-rate funding could still be needed depending on experience.
Members also discussed constituent correspondence, which staff said largely fell into four categories: the LEOFF 1 study, Plan 1 benefits and COLAs, fossil fuel divestment, and ESSB 5357. The committee agreed that divestment concerns are more appropriately directed to the State Investment Board, not this committee. In reviewing the draft interim work plan, members added or adjusted several topics for future meetings, including a July educational briefing on LEOFF 1 history and tax/IRS issues, a September discussion of COLAs, and a December placeholder for excess compensation/pension spiking, pending coordination with the LEOFF 2 Board. The committee then approved the July agenda and adjourned.
CA
Transcript Highlights:
- Ultimately, the metrics by which the DMHC will hold the plan accountable is whether the plan is complying
- We’re currently working with Kaiser on the reimbursement plan, and the plan will periodically report
- We’re currently working with Kaiser on the reimbursement plan, and the plan will periodically report
- do going back to 2012, this is really what a quality assurance plan is: can the health plan tell us
- Effective plans include... And corrective action plans with clear public accountability measures.
Committee:
House Health
Summary:
The Assembly Health Committee held an informational hearing on Kaiser Permanente’s behavioral health care system, focusing on Department of Managed Health Care (DMHC) enforcement actions, Kaiser’s corrective action work plan, and member access to timely behavioral health services. DMHC officials reviewed a long history of deficiencies and enforcement, including a 2012 survey and fine, a 2017 settlement, a 2022 non-routine survey that found multiple deficiencies in Northern and Southern California, and a 2023 settlement that included a $50 million penalty and $150 million in required community investments over five years. Officials said Kaiser’s corrective action work plan was initially too vague, was revised after extensive meetings, and will be monitored through quarterly reports, ongoing surveys, complaint review, and possible additional enforcement if Kaiser fails to comply.
Committee members pressed DMHC on what “timely access” means, how continuity of care should work in behavioral health, and how the department evaluates whether treatment is clinically appropriate. DMHC explained that appointments generally should be available within about two weeks for initial care, within days for urgent needs, and within 10 days for follow-up, with out-of-network care required when in-network access is unavailable. Officials also said the department looks at complaints, medical records, surveys, and annual timely-access reporting, and that the help center can assist enrollees in real time. Members raised concerns that the corrective action plan lacked specific dates and metrics, and DMHC said the quarterly reporting process is intended to provide more detail and flexibility as implementation continues.
In the second panel, a Kaiser enrollee described delayed and inadequate care for his daughter after a suicide attempt, including long waits for follow-up, intensive outpatient treatment, and dialectical behavior therapy. A Kennedy Forum representative argued that stronger transparency, standardized reporting, and more aggressive corrective enforcement are needed, including out-of-network reimbursement when networks are inadequate. A Kaiser therapist and NUHW member testified that short appointment times, heavy caseloads, inappropriate referrals, and pressure to use group therapy or webinars undermine clinical care, while NUHW’s president said Kaiser systematically undervalues behavioral health compared with medical-surgical care, especially in Southern California, and urged legislative action. Several lawmakers echoed concerns about Kaiser’s absence from the hearing and asked about workforce shortages, regional disparities, and whether the state’s remedies are arriving too slowly to protect patients in real time.
FL
Florida 2025 Regular Session
November 6, 2025 - 09:00 AM
Transcript Highlights:
- Title 19 CMS plan.
- The plan remains the same.
- ; 83 MEDICAID PLAN HAD 110,000 TO 190 MEMBERS AND THE TITLE 21 PLAN AT 14,359 MEMBERS.
- statewide Medicaid managed plan.
- health plan.
Summary:
The Health Facilities Subcommittee met to receive implementation updates from the Agency for Health Care Administration on three bills passed in prior sessions. First, Deputy Secretary Brian Meyer reported on the transfer of the Children’s Medical Services managed care plan from the Department of Health to AHCA under HB 1085. He said the move was administrative only, with no change to enrollment, providers, services, or clinical eligibility functions, and that it was intended to create efficiencies by aligning procurement and shifting staff resources between agencies. Members then questioned AHCA about reports of reductions in private duty nursing and therapy services for medically fragile children, including concerns about appeals, provider credentialing, and whether families were losing services or being transitioned appropriately. AHCA said it was reviewing denials, monitoring the plan, and using contractual remedies while focusing on maintaining access for members.
The committee also reviewed implementation of a bill creating permanent Medicaid eligibility for individuals with permanent disabilities. AHCA staff explained that the agency had submitted a federal 1115 waiver request after public comment and stakeholder meetings, but CMS had indicated it did not anticipate approving the requested authority. Members pressed AHCA on why the waiver was submitted later than the bill’s directive date and on whether the delay was avoidable. AHCA said the waiver was complex and required review, drafting, and public input, and noted that DCF already has a specialized unit to help with redeterminations while the agencies work on operational changes. The committee discussed the practical impact on families who struggle with annual eligibility renewals and the need for clearer communication and faster follow-up from the agency.
Finally, AHCA presented on the home health aide program for medically fragile children and related Medicaid eligibility changes. The agency described the 2023 law that created a family caregiver provider type and the 2025 changes that increased the hourly rate, expanded hours, reduced training requirements, and removed caregiver earnings from Medicaid eligibility calculations, subject to federal approval. AHCA said it had completed state public comment, submitted the waiver amendment to CMS, and was awaiting federal action. Members raised concerns that some families may have enrolled or begun work before the eligibility fix was in place and may have lost benefits, especially in Broward County. AHCA said it would work with affected families and plans, review outreach through DCF and the health plans, and continue rulemaking, system updates, and provider training. The meeting ended with the chair noting that the committee had received the updates and adjourned without objection.
KY
Kentucky 2025 Regular Session
Public Pension Oversight Board (9-23-25)
Transcript Highlights:
- Not more expensive, plan or that plan.
- but that plan or any plan that's the but that plan or any plan that's the maximum<00:25:53.760><c> amount
- </c> of their plan. of their plan.
- . plan. plan.
- Um plans that it shifted to the plans.
Summary:
The Public Pension Oversight Board met with a quorum, approved the prior minutes, and heard updates from the Kentucky Public Employees Deferred Compensation Authority and the Teachers Retirement System. The deferred compensation update highlighted continued growth in assets to about $4.787 billion and roughly 88,000 participants, strong retention from auto-enrollment, a marketing campaign tied to pay raises that generated additional participation, and a new self-directed brokerage account expected to launch July 1 of the coming year for participants with at least a $40,000 balance, allowing up to 25% of their account to be moved into the brokerage window. The director also described the free financial planning service, which has been used by about 3,500 participants with a high return rate, and said the plan is currently in a fee holiday; if fees are charged, they are capped at $237 per year for most participants.
Members asked questions about who provides the CFP service, the fee structure, and the brokerage eligibility threshold. The director said the CFP service is provided through the authority’s service bundle with Nationwide, not as a separate paid service, and explained that the fee cap and current fee holiday are intended to keep the program low-cost. Board members praised the deferred compensation program’s performance and asked for a copy of the legislation referenced in the presentation.
TRS then presented on retired teachers’ health insurance. Barnes first clarified how declining federal contributions for federally funded school positions affect the retirement annuity trust, explaining that if those federal dollars fall, the amounts would need to be covered through the SEEK formula and that the projection for those contributions is about $80 million over the next three years. He then reviewed TRS retiree health coverage, distinguishing between KEHP for retirees under 65 or not Medicare-eligible and MEHP for Medicare-eligible retirees, and explained that TRS recently completed RFPs for both prescription drug and medical coverage. TRS will keep Express Scripts for prescription drugs, but will move the Medicare Advantage medical plan from UnitedHealthcare to Humana on January 1, 2026, while keeping the plan design, provider access, and out-of-pocket structure largely unchanged, with a new hearing-aid benefit of $500 per ear.
Barnes also reported the 2026 premium and contribution changes: the maximum TRS contribution toward KEHP will rise to $1,144.96 from $930.76, an 18% increase that he said will require roughly $15 million to $16 million more in the state budget, while the MEHP premium will drop to $200 per month from $210. He said the TRS board has statutory authority to set these amounts and that the changes will have mixed actuarial effects, with the KEHP increase being negative overall and the MEHP decrease positive.
WA
Washington 2025-2026 Regular Session
JLARC I-900 Subcommittee for SAO Performance Audits Oct 8th, 2025 at 01:00 pm
JLARC I-900 Subcommittee for SAO Performance Audits
Transcript Highlights:
- The Division also plans to develop an internal work plan that will help provide direction to program
- The New Mexico Economic Development Strategic Plan provides a great example of a plan with clear goals
- This communication plan should include the types of reporting they plan to do, and it sets out that.
- plan that includes regional development plans that are underway as well.
- plan as well.
Summary:
The Joint Legislative Audit and Review Committee’s State Auditor Subcommittee held a hybrid public hearing on two Initiative 900 performance audits. The first audit examined CARES programs run by fire agencies to reduce non-emergency use of emergency systems. Auditors reported there are 52 such programs statewide, but many communities still lack one despite need. Key barriers identified were unstable funding, difficulty hiring qualified staff, lack of statewide guidance, and inconsistent access to patient records. The audit also found that only about half of programs tracked both required performance measures, and it recommended legislative action to consider private insurance reimbursement and to convene a statewide CARES work group. Fire agency representatives largely agreed with the findings and emphasized that short-term grants and one-year contracts make programs hard to sustain, while some noted support from accountable communities of health and hospitals.
Committee members asked about why only a small share of programs receive Medicaid or accountable community of health funding, and auditors clarified that the 10% figure referred to direct Medicaid reimbursement for treat-and-refer services, which some agencies do not pursue because the payment is too low relative to the administrative effort. Agency witnesses said ACH support can help but is often temporary and uncertain. Members also asked whether the new public safety sales tax authority could help fund these programs, but fire district representatives said it is generally not a direct option for them.
The second audit focused on improving performance management in the Department of Commerce’s economic development programs. Auditors found the Office of Economic Development and Competitiveness lacks a division-wide strategic plan and has inconsistent performance management across its 16 programs. They recommended stakeholder engagement, clearer goals and measures, alignment between program and division goals, and stronger contract and grant performance provisions. Commerce officials agreed with the findings, said work on a statewide economic development plan is already underway, and described efforts to align divisional planning with broader agency strategy. The chair asked Commerce to return next year with progress updates, and the meeting ended with notice that written testimony could still be submitted and that another JLARC meeting would occur in November.
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Jan 28th, 2026
Transcript Highlights:
- qualified health plans.
- So I want to be very specific about how we would plan to use this authority for plan year 2027.
- So I want to be very specific about how we would plan to use this authority for plan year 2027.
- public option plan in 23 counties.
- find a plan that works for them.
Summary:
The House Health Care & Wellness Committee held public hearings on HB 2564 and HB 2599, then moved into executive session on several bills. HB 2599, which would restrict the use of AI in therapy and psychotherapy services, drew strong support from the prime sponsor, mental health professional groups, a privacy advocate, and an AI ethics researcher, all of whom warned that chatbots can mislead users, encourage delusions or self-harm, and lack licensure, accountability, and confidentiality protections. Several witnesses from health systems and telehealth organizations supported the bill’s intent but asked for narrower definitions and amendments to avoid unintended impacts on clinician-supervised tools, screening questionnaires, scribes, and other legitimate uses of AI. No vote was taken on HB 2599 during the hearing.
HB 2564, which would give the Health Benefit Exchange authority to adopt market-factor certification criteria for exchange plans, was presented as a way to address affordability, bare counties, and plan duplication. Supporters included the Exchange, consumer advocates, rural and tribal representatives, navigators, and some individual consumers, who said the bill could improve access, preserve bronze plan availability, and help stabilize the market in counties with too few carriers. Opponents from health plans, Regence, Premier, and insurance producer groups argued the bill would expand exchange authority without clear standards, could reduce competition and carrier participation, and might conflict with existing OIC filing and confidentiality processes; the OIC supported the bill but requested an amendment on rate disclosure timing. The committee then moved to executive session and later reported out HB 1784, HB 2242, HB 2384, and HB 2505 with due pass recommendations, while deferring action on HB 1809 and HB 2261.
In executive session, the committee adopted a substitute for HB 1784 on certified medical assistants by an 18-0 vote, adopted one amendment and passed a substitute for HB 2242 on preventive services and immunization recommendations by an 11-7 vote, and passed a substitute for HB 2384 on actuarial reviews for continuing care retirement communities by a 16-2 vote. It also adopted an amendment and passed a substitute for HB 2505 on limited adult family home licensure exemptions for certain foster family situations by an 18-0 vote. The meeting adjourned after those actions.
AR
Arkansas 2026 Regular Session
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE Mar 18th, 2026
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE
Transcript Highlights:
- We would know for our plan in April what that would do between us, UnitedHealth Care, and our plan.
- plans, it's all one package.
- But there is a standard plan design, and because your members are in a richer plan design, meaning they're
- But in your plan design that has co-pays, and it's much richer plan, their co-pays count toward their
- Then let's have two separate plans.
Summary:
The committee received an update from Grant Wallace on the rebid and possible decoupling of the state’s Medicare Advantage retiree coverage. He said the state is exploring splitting medical and pharmacy benefits for post-65 retirees, with UnitedHealthcare as the incumbent vendor, and that preliminary estimates suggested savings of about $100 to $200 per participant per month. He outlined the expected timeline for final CMS rate announcements in April 2026, with contract amendments likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance.
Representatives from Segal Consulting then reviewed the history and current structure of the Medicare Advantage prescription drug plan, explaining that the plan was adopted after a 2021 recommendation and launched in 2023 alongside the existing Med-Sup option. They said the Medicare Advantage option has produced substantial savings, including a lower monthly rate than the Med-Sup plan and about $40 million in savings from initial enrollment, while also restoring pharmacy benefits for some retirees. The presenters then explained recent federal changes under the Inflation Reduction Act, including major changes to Part D funding, the direct subsidy, and risk-score methodology, which they said have made risk adjustment much more important and are driving interest in separating medical and pharmacy contracts.
In response to questions from senators, the presenters said the Medicare Advantage plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. They also explained that the new Part D structure has reduced out-of-pocket costs for members, with a $2,000 annual cap and lower average member spending to reach it, while shifting more cost to the plan. No votes were taken and no formal action was reported; the committee simply received the update and was told to expect further information after the April rate notice. The meeting adjourned with the committee scheduled to return on May 13.
CA
Transcript Highlights:
- I'm in high-speed rail, 2026 business plan.
- , the 2026 business plan.
- Also, we identify that the plan does provide updates to the funding and the costs of the plan.
- draft business plan.
- draft business plan.
Committee:
Senate Transportation
Summary:
The Senate Transportation Committee held an informational hearing on the California High-Speed Rail Authority’s 2026 draft business plan, with testimony from the authority, the Legislative Analyst’s Office, and the High-Speed Rail Inspector General. Chair Cortese framed the hearing around the project’s recent changes: a new CEO, revised delivery strategy, loss of federal funds, renewed interest in private financing and value capture, and proposed adjustments to the Merced-to-Bakersfield segment. He also raised concerns about statutory compliance, transparency, and whether the draft plan fully reflects required elements and true costs and timelines.
Authority CEO Ian Chaudhry said the project has made substantial construction progress in the Central Valley and is moving toward track installation, with the state’s $1 billion annual cap-and-invest funding providing a stable base. He argued the plan uses design optimization, direct procurement of materials, and revised sequencing to reduce costs and support an early operating segment by about 2032-33. He also promoted broader commercialization of the corridor through real estate, energy, broadband, logistics, and public-private partnerships, saying private sector interest is now real. Several senators pressed him on station locations, tax increment financing, utility relocation authority, permitting delays, transparency, and whether the project can realistically reach Los Angeles and San Francisco on the current timeline and budget.
The LAO and Inspector General were more skeptical. LAO analyst Helen Kirstine said the draft plan assumes major scope changes, including a shorter segment, a Merced station outside downtown, more single-tracking, and several statutory changes that have not yet been enacted. She warned that the plan may not comply with recent legislative requirements, that funding may still be insufficient even for the reduced segment, and that borrowing against future cap-and-invest revenues is risky because those revenues are uncertain and volatile. Inspector General Ben Belknap said the draft plan fails to comply with newer statutory requirements, especially regarding the Merced-to-Bakersfield scope, the funding plan, and missing procurement milestone dates. He said the presentation obscures cost increases and schedule delays and limits the Legislature’s ability to compare current estimates with prior reports.
Committee members generally supported continued oversight and some form of project delivery reform, but several expressed concern that the plan relies on legislative changes that have not been approved and on private financing that may not materialize. Chaudhry said the authority would address the Inspector General’s findings in the final business plan and continue to pursue federal grants, private capital, and corridor commercialization. No vote was taken at the hearing.
CA
California 2025-2026 Regular Session
Senate Transportation Committee Apr 27th, 2026
Transcript Highlights:
- , the 2026 business plan.
- Also, we identify that the plan does provide updates to the funding and the costs of the plan.
- Those plans.
- draft business plan.
- Our draft plan does reflect those changes. Our draft plan does reflect those changes.
Summary:
The Senate Transportation Committee held an informational hearing on the California High-Speed Rail Authority’s 2026 draft business plan, with testimony from the authority, the Legislative Analyst’s Office, and the High-Speed Rail Inspector General. Chair Cortese framed the hearing around the project’s recent changes: a new CEO, revised delivery strategy, proposed station and scope changes in the Merced-to-Bakersfield segment, the loss of major federal funds, and the authority’s push for private investment and ancillary revenue. He also raised concerns about financing risks, the proposed changes to the initial operating segment, and the Inspector General’s finding that the draft plan may be missing required statutory elements.
Authority CEO Ian Chaudhry said the project is now in a more disciplined phase, citing major construction progress in the Central Valley, near-completion of right-of-way and utility work, and plans to begin track and systems procurement. He said the authority expects the Merced-to-Bakersfield segment to be completed around 2032-33, with broader Phase 1 service later, and argued that design optimization, direct procurement, and public-private partnerships could reduce costs and attract private capital. He also described plans for ancillary revenue from real estate, broadband, energy, and logistics, and said the authority is discussing station locations and value-capture tools with local governments rather than locking them in yet. Several senators questioned the legality and practicality of tax increment financing, utility relocation authority, transparency, and whether the project’s revised scope still meets high-speed rail standards and public expectations.
The Legislative Analyst’s Office said the draft plan assumes major statutory changes, including changes to station locations and scope, and warned that the plan’s cost and schedule estimates depend on assumptions that may not materialize. LAO said the plan lacks transparency because it does not clearly disclose the assumed station changes, and it questioned whether even the shorter segment can be delivered within existing funding once borrowing costs and other risks are included. The office also noted uncertainty around future greenhouse gas reduction fund revenues and said ancillary revenues are not yet credit-worthy for financing. The Inspector General’s office said the draft business plan does not appear to meet several statutory requirements, including requirements added in AB 377, and reiterated that the final plan must address those omissions. Chaudhry said the authority would respond to the OIG’s findings in the final business plan and committed to resolving the compliance issues before final adoption.
CA
California 2025-2026 Regular Session
Assembly Utilities and Energy Committee Jul 1st, 2026
Transcript Highlights:
- Let's plan for your demise now.
- That is the planning standard.
- We're trying to plan ahead.
- Diablo is currently in your planning, planned to be closed in 2030.
- But for planning for reliability, we planned as if it were closed, closing in '24 and '25.
Summary:
The Assembly Committee on Utilities and Energy heard SB 1259, which would require refineries to provide advance closure and remediation planning information, and SB 1425, which would authorize the High-Speed Rail Authority to create a permit process for encroachments in its right of way. The committee also held an informational hearing on California electricity reliability and the future of the Strategic Reliability Reserve. The chair opened by noting the hearing room change, testimony limits, and that the committee would proceed without a quorum at first, then later established quorum for votes.
On SB 1259, Senator Blake Spear argued the bill would give communities and state agencies needed information to plan for refinery closures, cleanup, and land reuse, comparing the requirement to estate planning. Supporters, including Benicia City Councilmember Carrie Birdseye and UC Santa Barbara professor Ranjit Schmook, said the bill would help communities facing refinery closures avoid being left without information and better prepare for redevelopment and remediation. Opponents, including the Western States Petroleum Association, the State Building and Construction Trades Council, and business groups, argued the bill could send negative market signals, create conflicts with federal reporting, and potentially accelerate refinery closures. The committee passed SB 1259 on a 7-3 vote, later reopening the roll and recording additional votes before moving it out as amended to Appropriations.
On SB 1425, Senator Cortese and sponsor Robert Pearsall said the bill would help the High-Speed Rail Authority manage utility, broadband, drainage, and vegetation encroachments along the project corridor and reduce delays. Labor and construction groups supported the measure as a way to add certainty and speed project delivery. Utilities and local agencies, including LADWP, Southern California Gas, Southern California Edison, PG&E, and others, opposed unless amended, saying the bill needed clearer language on emergencies, existing agreements, and potential impacts on their own rights of way and service obligations. After discussion about emergency language and utility coordination, the committee passed SB 1425 as amended to Appropriations on a 10-3 vote.
In the oversight hearing, CEC, CPUC, CAISO, and DWR officials reported that California’s summer reliability outlook is better than in prior years, with substantial new procurement, storage, and demand-response resources added since 2020. They said the state is projected to meet its summer reliability standard and has not needed a flex alert for three straight years, but cautioned that extreme heat, fire, hydro conditions, and federal policy uncertainty still pose risks. Officials emphasized that the current Strategic Reliability Reserve remains important as a backstop, while longer-term planning must address rising demand from electrification and data centers and the eventual retirement of emergency resources.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance and Education Committee Feb 25th, 2026
Transcript Highlights:
- plan, the plan in itself is not a measure of quality engagement.
- The plan is just the plan that was adopted.
- in these plans?
- And when the plan becomes too large, it becomes their plan, not our plan.
- plans.
CA
California 2025-2026 Regular Session
Assembly Health Committee May 6th, 2025
Transcript Highlights:
- Ultimately, the metrics by which the DMHC will hold the plan accountable is whether the plan is complying
- We’re currently working with Kaiser on the reimbursement plan, and the plan will periodically report
- We’re currently working with Kaiser on the reimbursement plan, and the plan will periodically report
- They are the largest plan in California.
- do going back to 2012, this is really what a quality assurance plan is: can the health plan tell us
Summary:
The Assembly Health Committee held an informational hearing on Kaiser Permanente’s behavioral health care system, focusing on Department of Managed Health Care enforcement actions, Kaiser’s corrective action work plan, and testimony from patients, advocates, and union representatives. DMHC officials reviewed a long history of complaints, surveys, fines, and settlements involving Kaiser’s access to behavioral health services, including deficiencies found in 2012 and 2016, a 2022 non-routine survey, and a 2023 settlement that imposed a $50 million penalty and required $150 million in community investments over five years. DMHC said it continues to monitor Kaiser through quarterly meetings, complaint review, follow-up surveys, and a reimbursement process for members who could not obtain timely in-network care.
Committee members pressed DMHC on what “timely access” and continuity of care mean in practice, how virtual care and group therapy fit into the standards, and what triggers a non-routine survey. DMHC said initial behavioral health appointments generally should not take more than two weeks, urgent care should be within days, and follow-up care within 10 days, with out-of-network care required when plans cannot meet standards. Officials also said Kaiser’s initial corrective action work plan lacked detail, but the revised plan was accepted and will be tracked through quarterly reporting and possible additional enforcement if Kaiser fails to comply.
The second panel featured testimony from a Kaiser enrollee, a behavioral health policy expert, a Kaiser therapist, and the NUHW president. The enrollee described serious delays and inadequate treatment for his daughter after a suicide attempt, while the therapist and union leader said Kaiser’s behavioral health system is understaffed, relies too heavily on short appointments, group therapy, and webinars, and treats behavioral health as less important than medical-surgical care. They argued Kaiser’s one-appointment-at-a-time scheduling rule and limited treatment time violate parity requirements and harm continuity of care. Several members criticized Kaiser for not appearing at the hearing and said the testimony underscored the need for stronger oversight, clearer metrics, and faster remedies for patients.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Service Jun 21st, 2026 at 01:00 pm
Joint Committee on Public Service
Transcript Highlights:
- And perhaps now more than ever, access to retirement savings plans like the Smart Plan is an economic
- Again, this actually combines the Smart Plan that I just spoke to with the CORE Plan.
- The bill would modify the CORE 401(k) plan by removing language limiting the plan to employers who have
- And next we have from the Old Colony Planning Council, Mary Waldron. Thank you.
- The fiscal impact of this on Old Colony Planning and our colleagues and the other regional planning agencies
Committee:
Joint Joint Committee on Public Service
Summary:
The committee heard testimony on several public service and retirement-related bills. Senator Kelly Dooner and Rep. O’Rourke supported a Taunton home rule petition to extend Chief Walsh’s service during the city’s transition to a new public safety facility, citing the need to manage new equipment, cameras, and 911 systems smoothly. Senator Lovely testified in favor of bills expanding retirement savings access through the SMART Plan and the CORE Plan, arguing that automatic enrollment and broader eligibility would help state, municipal, and nonprofit workers save for retirement. No questions were raised on the Taunton petition, and the hearing later moved through the remaining testimony without any votes taken during the transcript.
Mary Waldron of the Old Colony Planning Council and Jeffrey Walker of the Southeast Regional Planning and Economic Development District urged support for legislation protecting regional planning agencies from being required to make retroactive payments to the State Retirement Board for past employer contributions. They warned that the costs would be unsustainable, could force layoffs or closures, and would jeopardize their ability to provide transportation, housing, economic development, and planning services. Bill Keith and Patrick Charles of PEREC testified on several retirement administration bills, including measures to ease statement-of-financial-interest filing rules, require payment for certain creditable service purchases, and clarify the definition of wages to include sick, vacation, and personal time; committee members asked questions about regional transit authorities joining retirement systems and about adding local retirement board representation to a proposed commission.
Jonathan Osimo and Rob Fabino of the Massachusetts Teachers Retirement System supported bills to penalize delinquent pension reporting by employers and to create a special commission to study retirement credit purchases, saying better reporting would improve retirement processing and that a broader review could improve fairness and sustainability. Eddie Boynton of the Braintree Education Association backed the SMART Plan bill, describing how automatic enrollment and low-fee fiduciary oversight could protect educators from high-cost supplemental retirement products. Matthew Nugent testified for a bill to divest public pension funds from firearms and ammunition. After the final witnesses, the chairs asked if anyone else wished to testify, heard none, and then adjourned the hearing.
ND
North Dakota 2025-2026 Regular Session
House Floor Session Apr 16th, 2025 at 12:30 pm
North Dakota House Floor Meeting
Transcript Highlights:
- Number one, the grandfathered plan has severe limitations to the plan design and the changes that can
- Moving to a non-grandfathered plan opens up the options in plan design when the state goes out to bid
- a non-grandfathered plan.
- That would be an example between an existing plan and what you might see in a grandfathered plan.
- That would be an example between an existing plan and what you might see in a grandfathered plan.
Summary:
The House convened with prayer, roll call, and a quorum present, then took up several procedural motions, including suspending House rules for three legislative days and replacing conference committee members on Senate Bill 2282 and SCR 4007. The chamber also recognized visiting student groups from Grafton/Pleasant Valley and Shiloh School. Later, the House agreed to several conference committee reports and moved a number of measures through final passage or final disposition.
House Bill 1428, which would have created a sales tax exemption for clothing sold by thrift stores or nonprofit corporations, drew extensive debate over tax policy, revenue loss, and possible conflicts with streamlined sales tax rules. Supporters argued it would help lower-income shoppers and nonprofit thrift stores, while opponents said it created an unfair advantage and could reduce state and local revenue. The conference report was adopted, but the bill ultimately failed on final vote, 37-54. House Bill 1440, relating to cigar lounges, was amended in conference and then passed 75-17. House Bill 1460, concerning adult foster care for private-pay adults, electronic monitoring, and a legislative study, was also adopted and passed overwhelmingly, 91-1.
The House then passed Senate Bill 2224, which revises gaming commission structure and gaming stamp requirements, adds Attorney General enforcement provisions, and includes a $25,000 general fund appropriation, by a vote of 88-0. Senate Bill 2327, which expands uses of the agriculture diversification and development fund and appropriates $15 million to it, passed 74-17 after a member was excused from voting due to a personal interest. Senate Bill 2267, creating a regulatory framework for on-site wastewater treatment systems and shifting licensing authority to the Department of Environmental Quality, passed 82-10, and Senate Bill 2276, addressing joint water resource boards for cross-county projects, passed 90-1.
The most contentious debate centered on Senate Bill 2160, which would move the state employee health plan from grandfathered status to a non-grandfathered ACA-compliant plan and appropriate about $6.6 million for the transition. Supporters said it would give the PERS board more flexibility, expand preventive and other benefits, and potentially slow premium growth without charging employees premiums. Opponents warned it could raise out-of-pocket costs, add mandated benefits, and shift costs to employees, while also arguing the bill had not been adequately studied. After extended debate, the House passed SB 2160 by a vote of 55-37. The chamber also concurred in Senate amendments to House Bill 1318, a pesticide labeling bill, and placed it on final passage, but the transcript ends before the final vote on that measure.
NH
New Hampshire 2025 Regular Session
House Executive Departments and Administration (01/30/2025)
Transcript Highlights:
- really</c> plan Define contribution plan is really plan Define contribution plan is really really<04:
- c><04:04:14.920><c> work</c> contribution plan plan so I only work contribution plan plan so I only work
- I think it's because, again, this plan is a simple savings plan.
- is a simple savings plan it doesn't plan is a simple savings plan it doesn't have<04:15:40.720><c> features
- compensation plan.
Summary:
The committee first took up House Bill 622, but after the sponsor said further research raised concerns, he asked that the bill be tabled. The committee then moved in executive session and voted unanimously to find the bill inexpedient to legislate, sending it to consent. The committee also retained House Bill 349, the ophthalmologic laser bill, after members said more time was needed for the professions involved to work out training standards and provide additional information; that motion also passed unanimously.
The committee then discussed House Bill 244, a municipal building/fire code recodification measure. Members said the bill needed more review and careful scrutiny because of its length and possible unintended effects, and they voted unanimously to retain it as well. House Bill 534 was then heard; the sponsor said the bill did not do what was intended because of a misunderstanding about current processing, and the committee voted inexpedient to legislate and placed it on consent.
The committee next considered House Bill 233, with an amendment to remove a requirement affecting the New Hampshire Vaccine Association. Supporters argued the bill would reduce an unnecessary burden and improve transparency, while opponents said the committee should not single out one private 501(c)(3) organization. The amendment was adopted 8-5, and the bill as amended then passed 7-6; a minority report was requested. Finally, the committee opened House Bill 536, a proposed 1.5% cost-of-living adjustment for certain state retirees. The sponsor and supporters argued retirees had not received adequate COLAs and that the bill would help offset inflation, while the retirement system testified that the proposal would add significant costs, including an estimated $1.5 million for the state, $6.6 million for political subdivisions, and about $100.7 million in present-value unfunded liability, with the impact reflected in future employer contribution rates.
WA
Washington 2025-2026 Regular Session
Select Committee on Pension Policy May 19th, 2026 at 10:00 am
Select Committee on Pension Policy
Transcript Highlights:
- We've had some internal dialogue related to plans three in a possible study, and so planning to share
- two differ from plans three?
- Why would somebody choose Plan 3 over Plan 2?
- I'm a retired Plan 1 firefighter.
- COLA for our Plan 1 members.
Committee:
Joint Select Committee on Pension Policy
FL
Florida 2026 5th Special Session
Health Policy Oct 7th, 2025
Transcript Highlights:
- to ensure that that applicable plan, with that managed care plan to ensure that that applicable plan
- Have we have any plans? I mean, I've heard lots of problems with the HIE. We have any plans?
- Could you identify that plan, if you know it, or those plans that help in that way?”
- “So, the plans I talked about are the non-emergent care access plans.”
- “But when I talked about the plans, it is the non-emergent care access plans that the hospitals have
Summary:
The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook.
Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates.
The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.
FL
Florida 2025 Regular Session
Health Policy Jan 14th, 2025
Transcript Highlights:
- So this plan it has over 80 recommendations.
- And also these health plans are competing with with every other health plan in the region.
- Get also Rs Muncy plans.
- It's just a way to to make sure the House plans to have more pregnant mothers and their health plan are
- Health plans are being held to, which is the House plans are incentivized to work with their providers
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance and Education Committee Feb 25th, 2026
Transcript Highlights:
- plan, the plan itself is not a measure of quality engagement.
- The plan is just the plan that was adopted.
- these plans?
- And when the plan becomes too large, it becomes their plan, not our plan.
- plans.
Summary:
The joint hearing focused on coherence in California’s education planning and reporting systems, especially the Local Control and Accountability Plan (LCAP) and related grant plans. Committee chairs and members described widespread frustration with duplicative, lengthy, and sometimes conflicting reporting requirements, while emphasizing that the goal was not to reduce accountability but to make planning more useful, stable, and student-centered. State Superintendent Tony Thurmond also previewed the Governor’s education budget priorities, including expanded learning, community schools, universal transitional kindergarten, literacy supports, and concerns about the proposed Prop. 98 deferral.
Panelists from the State Board of Education, Fresno County Superintendent of Schools, and the Legislative Analyst’s Office said the LCAP was intended to balance local flexibility with statewide transparency, but has become overloaded by repeated revisions and additional requirements. They argued for fewer core reporting elements, more stability over time, better alignment of planning cycles, and integrated systems that reduce duplication. Fresno County staff described a multi-year calendar and support tools that help districts manage timelines, but said these tools only ease the burden rather than solve the underlying problem. The LAO noted that some newer plans, such as expanded learning and transportation plans, are narrative-heavy and often less informative than separate reporting requirements.
Local district leaders and county officials described the practical effects of the current system: staff time diverted from instruction, multiple portals and forms, audit risk aversion, and planning documents that can exceed 100 pages. Several superintendents said coherent systems work best when districts have clear priorities, stable governance, and aligned budgets, and when state requirements are predictable and tied to outcomes like literacy, attendance, and student achievement. The California Federation of Teachers added that coherence also depends on meaningful collaboration with educators, classified staff, parents, and communities. Committee members repeatedly asked whether the state should streamline reporting, create a uniform portal, or develop a more unified grant-reporting structure, and Thurmond said the department was piloting a simplified common form and was willing to work with the Legislature and districts on broader solutions.
AR
Arkansas 2026 Regular Session
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE Mar 18th, 2026
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE
Transcript Highlights:
- plans, it's all one package.
- But there is a standard plan design, and because your members are in a richer plan design, meaning they're
- But in your plan design that has co-pays, and it's a much richer plan, their co-pays count toward their
- plan design also counts.
- Then let's have two separate plans.