Transcript Highlights:

• It really doesn't make sense to bounce people from having coverage to not having coverage and then having
• coverage again.
• Subs start with no coverage. They work half the year, which is 630 hours, and they...
• Subs start with no coverage.
• So if we could continue the coverage, that's really important.

Bills: HB2124 , HB2125 , HB2160 , HB2179

Committee: House Appropriations

Keywords: retirement, lump sum payment, financial security, pension reform, monthly benefits, retirement system, investment earnings, trust funds, public pensions, financial management, education, benefits, school employees, membership eligibility, employment, public employees, port workers, federal retirement plan, pension

Transcript Highlights:

• It also provides in the bill that the bill does not limit any cause of action against a retailer.
• Or does the bill sort of limit it to where there’s someone from management making decisions?
• There's been fewer insurers, higher premiums, and for some businesses, no coverage at all.
• And even if you have that coverage, you're not getting that full coverage that you would in the standard
• And even if you have that coverage, you're not getting that full coverage that you would in the standard

Bills: HB1977

Committee: House Consumer Protection & Business

Keywords: indemnification, liquor, commercial servers, liquor liability, business protection

Transcript Highlights:

• 04:48.080><c> making</c><00:04:48.320><c> it</c> limited internet access, making it limited internet
• If so, do we have some kind of minimum level of service that we will provide?
• If so, do we have some kind of minimum level of service that we will provide?
• If so, do we have some kind of minimum level of service that we will provide?
• So they have to build 100 by 20 at a minimum, and that has to be scalable.

Transcript Highlights:

• Coverage for 85% of Medi-Cal members.
• So they will have an option to launch coverage in July.
• Mandatory coverage for eligible members with behavioral health needs will take effect in January 2026
• Coverage for some of the other populations that are eligible for transitional rental assistance will
• This will give them a little bit of runway before July's optional coverage implementation.

Transcript Highlights:

• , to authorize municipalities to prevent fires by establishing fire limits.
• , to authorize municipalities to prevent fires by establishing fire limits.
• require coverage for behavioral health crisis services.
• require coverage for behavioral health crisis services.
• There have been delays in formulary coverage to block patient access.

Bills: SR126 , SR129 , SCR71 , SCR72 , SCR73 , SCR12 , HB221 , HCR54 , HCR79 , HCR87 , HCR94 , HCR95 , HCR97 , HCR102 , HCR104 , HCR58 , SB480 , SB514 , HB12 , HB66 , HB145 , HB167 , HB175 , HB196 , HB213 , HB218 , HB222 , HB256 , HB291 , HB325 , HB326 , HB352 , HB401 , HB430 , HB433 , HB434 , HB448 , HB456 , HB476 , HB481 , HB487 , HB492 , HB549 , HB579 , HB608 , HB621 , HB624 , HB626 , HB632 , HB637 , HB656 , HB722 , HB745 , HB749 , HB804 , HB818 , HB821 , HB833 , HB864 , HB867 , HB874 , HB893 , HB909 , HB951 , HB968 , HB969 , HB978 , HB979 , HB985 , HB988 , HB989 , HB1001 , HB1005 , HB1007 , HB1024 , HB1032 , HB1038 , HB1050 , HB1051 , HB1056 , HB1059 , HB1077 , HB1080 , HB1081 , HB1086 , HB1108 , HB1112 , HB1153 , HB1172 , HB1173 , HB1175 , HB1192 , HB1193 , HB1204 , HB1218 , HB1242 , HB1244 , HB1249 , HB1252 , HB1254 , HB538 , SCR3 , SCR23 , SCR38 , SCR24 , SB102 , SB133 , SB151 , SB165 , SB169 , SB170 , SB200 , SB217 , SB280 , SB291 , SB300 , SB303 , SB330 , SB449 , SB489 , SB521 , SB45 , SB156 , SB181 , SB203 , SB274 , SB304 , SB379 , SB396 , SB410 , SB425 , SB427 , SB436 , SB54 , SB72 , SB129 , SB164 , SB232 , SB287 , SB322 , SB374 , SB375 , SB386 , SB409 , SB447 , SB458 , SB222 , SB399 , SR119 , SCR58 , SCR65 , SCR9 , SB35 , SB65 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , HCR41 , HCR47 , HCR63 , HCR69 , HCR31 , HB87 , HB115 , HB162 , HB195 , HB214 , HB217 , HB233 , HB283 , HB290 , HB319 , HB324 , HB345 , HB362 , HB363 , HB368 , HB377 , HB380 , HB382 , HB386 , HB392 , HB406 , HB431 , HB441 , HB466 , HB503 , HB533 , HB559 , HB575 , HB590 , HB593 , HB618 , HB655 , HB664 , HB685 , HB692 , HB707 , HB715 , HB732 , HB738 , HB741 , HB748 , HB776 , HB807 , HB822 , HB856 , HB860 , HB868 , HB887 , HB888 , HB905 , HB908 , HB961 , HB980 , HB990 , HB992 , HB999 , HB1000 , HB1010 , HB1146 , HB1157 , HB1233 , HB1236 , HB1243 , HB54 , HB137 , HB180 , HB192 , HB310 , HB321 , HB396 , HB512 , HB552 , HB578 , HB638 , HB663 , HB708 , HB717 , HB718 , HB1009 , HB1082 , HB1104 , HB1107 , HB1198 , HB1246 , HB27 , HB143 , HB205 , HB259 , HB267 , HB288 , HB308 , HB403 , HB405 , HB414 , HB417 , HB478 , HB546 , HB548 , HB555 , HB557 , HB609 , HB670 , HB672 , HB740 , HB779 , HB786 , HB796 , HB812 , HB848 , HB915 , HB917 , HB921 , HB930 , HB933 , HB1095 , HB1096 , HB1103 , HB1129 , HB1154 , HB1166 , HB1187 , HB1195 , HB1230 , HB17 , HB36 , HB41 , HB47 , HB73 , HB119 , HB126 , HB129 , HB133 , HB140 , HB159 , HB166 , HB211 , HB226 , HB245 , HB271 , HB280 , HB337 , HB351 , HB354 , HB399 , HB571 , HB677 , HB712 , HB723 , HB726 , HB728 , HB750 , HB759 , HB789 , HB844 , HB850 , HB870 , HB966 , HB1006 , HB1018 , HB1036 , HB1241 , SB29 , SB42 , SB43 , SB382 , SB441 , HB134 , HB258 , HB359 , HB782

Keywords: SR126, Senate Resolution 126, World Preeclampsia Awareness Day, preeclampsia, maternal mortality, maternal health, pregnancy complications, hypertension, high blood pressure, pregnancy-related disorder, obstetrics, prenatal care, prenatal health, infant mortality, preterm birth, premature birth, Woman's Hospital, Louisiana Senate, women's health, public health awareness

Transcript Highlights:

• not take the full indication and rate, this is a substantial increase in the indicators for this coverage
• not take the full indication and rate, this is a substantial increase in the indicators for this coverage
• not take the full indication and rate, this is a substantial increase in the indicators for this coverage
• Has the minimum wage gone up in Massachusetts?
• minimum, but as... ...someone entering the field, a young man coming from a trade school, once he's

Committee: Joint Joint Committee on Financial Services

Summary: The Financial Services Committee heard testimony on several insurance, transportation, and labor-related bills. Senator Edwards supported bills addressing app-based delivery workers, arguing that food-delivery drivers should be treated as employees with protections and mileage reimbursement, and that a small surcharge on app-based deliveries could raise revenue for the Commonwealth and localities. Kevin Brousseau of the Massachusetts AFL-CIO also backed the delivery-worker bill, saying it would preserve employee status, add data transparency, and create a process for challenging deactivations. MAPC supported a bill to change transportation network company fees from a flat per-ride charge to a percentage-based assessment, saying the current fee is outdated and that a higher fee could raise more transportation revenue and help address congestion and emissions. A large portion of the hearing focused on auto insurance and collision repair issues. Insurance industry witnesses supported a bill to limit attorney’s fees in PIP cases by giving insurers 30 days after a complaint is served to pay amounts due without fee exposure, arguing that PIP litigation has surged, is clogging courts, and is being driven by out-of-state firms. They also opposed auto body labor-rate bills, saying the market is already adjusting and that a statutory floor is unnecessary. In contrast, auto body shop representatives and the Alliance of Automotive Service Providers of Massachusetts urged favorable action on bills to raise and regularly update collision repair labor rates, saying current reimbursement levels are far below market, have not kept pace with inflation or vehicle technology, and are making it hard to retain workers and keep small shops open. One witness also supported a bill to limit insurance surcharge points for low-damage accidents or minor moving violations. Committee members asked questions about deactivation rights for delivery workers, the mechanics of the PIP litigation issue, and the gap between body-shop and mechanical labor rates. Testimony emphasized that current auto body reimbursement rates are around the mid-$40s per hour, while mechanical work can be reimbursed at much higher rates, and that advisory-board discussions have produced only limited progress. At the end of the hearing, the chairs asked if anyone else wished to testify, then moved to close the hearing; the motion was seconded and approved unanimously.

Transcript Highlights:

• Rather than increasing earnings, those policies have led employers to limit the hours that employees
• Rather than increasing earnings, these policies have often led employers to limit employee hours in order
• SB 954 takes important steps to restore safeguards by limiting the advanced manufacturing exemptions
• But it's like when you start to look at who should be a plaintiff, who could, how do we limit that?
• Under existing law, large employers are already required to offer affordable coverage.

Committee: Senate Labor, Public Employment and Retirement

Summary: The committee heard SB 921, which would create a tax credit to help agricultural employers offset overtime premium costs for farmworkers. Senator Grove and supporters, including farmworkers, the California Farm Bureau, and agricultural groups, argued the bill would restore lost hours and take-home pay after California’s agricultural overtime law reduced schedules. Opponents, including the California Federation of Labor Unions and CRLA Foundation, argued the proposal would subsidize employers with taxpayer dollars and undermine the principle that employers should pay overtime themselves. The bill was held in subcommittee until more members arrived. The committee then took up SB 1083, a cleanup bill to the prior year’s school employee misconduct database law. The author and supporters said it would add due process protections for classified school employees, require an administrative law judge review before placement in the database, and improve notice and vetting rules for contractors and non-permanent staff. School employer groups and other opponents warned the bill could slow investigations and weaken child-safety protections. The committee approved the bill 3-0 and sent it to Senate Appropriations. Members also considered SB 1089, which would require CalPERS health plans to cover GLP-1 medications and expand access through CalRX for chronic weight management and related health conditions. The author and supporters, including the American Diabetes Association and medical groups, said the drugs can prevent diabetes and improve health outcomes but remain unaffordable for many. Pharma representatives expressed concerns about the bill as drafted but said they were open to continued discussions. The bill passed 4-0 to Appropriations. The committee also approved the consent calendar 4-0. Later, the committee heard SB 954, which would narrow and add guardrails to last year’s CEQA exemption for advanced manufacturing, including environmental review near disadvantaged communities and labor standards such as prevailing wage and skilled-and-trained workforce requirements. Labor, environmental, and community groups supported the bill as a cleanup of an overly broad exemption, while business and manufacturing groups opposed it, warning it would discourage investment and worsen California’s competitiveness. The bill passed 3-1 to Appropriations. Finally, SB 1299, a fire sprinkler fitter certification bill, was heard and passed 3-0 to Appropriations with support from the sprinkler fitters and building trades and no recorded opposition.

Transcript Highlights:

• limits.
• Coverage limits in our school districts vary, but generally they’re between $35 million and $55 million
• , basically, of liability coverage.
• We ask that you limit your testimony to one minute. Now let us begin.
• So CTA does urge the Legislature to fully fund the Prop. 98 minimum guarantee. Thank you.

Summary: The subcommittee opened with remarks on the state budget and K-12 education, noting the large increase in the Proposition 98 minimum guarantee, the use of deferrals and reserves in the prior budget, and the challenge of balancing education funding against other state priorities. Superintendent Tony Thurmond described California education as improving overall, citing gains in test scores, graduation, and college readiness, but said major gaps remain for low-income students, students of color, agricultural communities, English learners, foster youth, and students with disabilities. He praised recent investments in universal meals, transitional kindergarten, community schools, arts, broadband, and special education, while warning that declining enrollment, chronic absenteeism, and the proposed $5.6 billion Prop. 98 settle-up create uncertainty for districts. He also urged a long-term literacy plan, expanded tutoring, universal kindergarten, and continued protections for students and families affected by immigration enforcement, including ICE-related fear and attendance loss. The committee then heard a detailed presentation on Proposition 98 from the Department of Finance and the Legislative Analyst’s Office. Finance explained that the Governor’s budget projects the minimum guarantee will rise by about $21.7 billion over three years, with a $5.6 billion settle-up obligation in 2025-26 intended to avoid overappropriation if revenues weaken. Finance also described revised reserve deposits and withdrawals, ending with about $4.1 billion in the Public School System Stabilization Account by 2026-27. The LAO said recent revenue collections were stronger than expected in the current year but warned that the outlook for 2026-27 is weaker and that stock-market-driven revenues remain volatile. The LAO supported maintaining reserves and one-time spending buffers, but recommended fully funding the guarantee and using other budget solutions rather than shifting the settle-up into future deficits. Members asked about the settle-up process, certification timeline, the effect of attendance declines tied to immigration enforcement, and wildfire-related impacts, including Pasadena Unified’s $4 million special appropriation. On LCFF and necessary small schools, Finance proposed a 2.41% COLA and about $2.2 billion in additional LCFF funding for districts and charters in 2026-27, plus a $30.7 million ongoing increase to raise the necessary small schools allowance by 20%. The LAO supported funding the COLA but said the small-school increase was not tied to a specific cost study and could be redesigned to better target small districts, noting that only a fraction of very small districts would benefit. Questions focused on how small schools access supplemental and concentration grants and how attendance recovery programs are being implemented. The Department of Education said only 130 LEAs had reported attendance recovery so far, likely because it is a new program with compliance requirements, though interest appears to be growing. FICMAT then reviewed the fiscal health of local districts, reporting an uptick in qualified and negative certifications, though still far below Great Recession levels. It said declining enrollment, rising special education costs, and higher labor and insurance costs are the biggest fiscal pressures, and that some districts are using fiscal stabilization plans and staff reductions ahead of second interim reports. FICMAT also discussed wildfire impacts on Pasadena Unified and Los Angeles Unified, explaining that Pasadena’s $4 million state appropriation was based on an early post-fire assessment and that the district is being monitored with the county office of education. Members raised concerns about Pasadena’s leadership, special education staffing shortages, AB 218 sexual abuse litigation costs, insurance premium increases, and the need for stronger prevention and training measures. FICMAT said SB 848 and related policies address some of those concerns by strengthening standards, training, and reporting requirements.

Transcript Highlights:

• This is Senate Bill 536, which had to do with medical malpractice actions and limitations on recovery
• I've had two major carriers say they may not write coverage in this amount.
• So currently, our insured individual physicians carry coverage up to the...
• So currently, our insured individual physicians carry coverage up to the cap of $2.7 million.
• physicians carry coverage up to the cap of $2.7 million.

Committee: House Courts of Justice

Transcript Highlights:

• Health plans offered by carriers, health plans offered through PEB and SEB, and Medicaid coverage offered
• Health plans offered by carriers, health plans offered through Peb and Seb, and Medicaid coverage offered
• At a minimum, health carriers must pay providers and facilities as soon as practical.
• At a minimum, health carriers must pay providers and facilities as soon as practical, and 95% of the
• In my view, we would mandate coverage and ensure that when people have conditions that need coverage,

Summary: The Health Care and Wellness Committee held a public hearing on several bills and a joint memorial. SB 5915 would update the health technology assessment program by adding technologies recommended for Medicare populations or in national guidelines to the review priority list, requiring broader evidence review for life-threatening or rare diseases, and setting timelines for posting and deciding review requests. Supporters, including rare disease advocates and providers, said the current process is outdated and too rigid; the bill was then held for later action. SJM 8002 urged Congress to strengthen original Medicare, oppose privatization, add benefits like dental, vision, and hearing, and reduce Medicare Advantage overpayments and fraud. Supporters from labor and senior groups argued it would protect beneficiaries and send a message to federal officials; the memorial was also held after testimony. The committee also heard SB 5395 on prior authorization. Staff explained it would tighten notice requirements, require a licensed clinician—not AI alone—to deny requests based on medical necessity, add transparency around policy changes, and change how retrospective denials are treated. The prime sponsor and provider groups said the bill was a negotiated compromise meant to reduce delays and inappropriate denials, while insurers were generally neutral but sought a narrow amendment. Testifiers described prior authorization as a major source of delay and administrative burden, and the bill was held after public testimony. SB 5845 would require carriers to pay or deny clean claims within 30 days, set timelines for non-clean claims and information requests, and allow penalties for repeated noncompliance. Hospitals, physicians, and health systems supported it as a way to improve predictable payment, while insurers were neutral and asked for a narrow amendment; the bill was also held. The committee heard SB 6025, which would change the definition of fetal death so gestational age is calculated using the best clinically accurate age rather than the last menstrual period. Obstetric and nursing witnesses said the current law can force inaccurate records and unnecessary burdens on grieving families, while opponents objected to the bill’s abortion-related definitions. The bill was held after testimony. Finally, SB 5988 would authorize the Department of Health to continue accrediting opioid treatment programs and charge fees to support that work. The department and the sponsor said the measure would preserve a patient-centered accreditation option amid budget pressure, and the committee closed testimony and held the bill.

Transcript Highlights:

• Filing of rating information—certain coverages; rules.
• Coverage requirements and E. D. Coverage requirements and E.
• Acupuncture coverage, $18 million, to increase premiums.
• The distinction between health coverage, sickness and accident, and employer liability coverage has been
• You've got imaginary numbers, limits approaching infinity.

Transcript Highlights:

• Uses, when it comes to the zoning world, are limited to lights, parking, noise, and hours of operation
• can still coverage requirements can still be<00:53:42.599><c> you</c><00:53:42.680><c> can</c><00:53
• </c> open space and building coverage open space and building coverage requirements<01:00:20.400><c>
• I mean, it's a minimum of four hours. Sometimes it's days depending on the situation.
• I mean, it's a minimum of four hours. Sometimes it's days depending on the situation.

Committee: Senate Judiciary

Transcript Highlights:

• I think it's a noble goal to try to get coverage to people who don't have it.
• We want to make sure that it's good coverage as well.
• Is that specified in your bill, that limitation on the nexus?
• I worry about how that is really limiting opportunities for workers.
• It will limit the ability of employees to increase their earnings.

Committee: Senate Commerce and Tourism

Summary: The committee heard several bills on commerce, tourism, labor, technology, and public safety. SB 1666, by Senator Graal, would adopt Florida’s version of UCC Article 12 to address commercial transactions involving digital assets such as cryptocurrency, blockchain, smart contracts, and NFTs; after a technical amendment, it was reported favorably. CS/SB 480, by Senator DiCeglie, would create affordable health coverage options for farmers and ranchers through a nonprofit agricultural organization model similar to Tennessee’s; supporters said it would expand access in rural areas, while opponents and some senators raised concerns about ACA protections, preexisting conditions, and state fiscal impacts. The committee also approved CS/SB 1172, which expands business development incentives for veterans and military spouses, including procurement preferences, fee waivers, tax exemptions, and an entrepreneurship program, after an amendment expanding hiring preferences for military spouses was adopted. The committee then took up SB 1400, which creates a process for removing nonconsensual AI-generated sexual deepfakes from covered online platforms within 24 to 48 hours and subjects noncompliant platforms to penalties under Florida’s deceptive trade practices law; an amendment carved out internet service providers, and the bill was reported favorably. SM 1488, a memorial urging Congress to create a sovereign wealth fund, drew opposition from a public school teacher who questioned its necessity and constitutionality, but it still passed. CS/SB 922, dealing with employment agreements, would strengthen enforcement of certain non-compete and garden leave agreements for employees with access to sensitive information; critics argued it would restrict workers and innovation, while supporters said it protects trade secrets and high-paying jobs. After an amendment, it was reported favorably. The committee also approved SB 1252, which would create a statewide system for sharing pawn and secondhand dealer data among law enforcement agencies, with an initial feasibility study cost estimated at $250,000 and questions raised about enforcement if agencies do not participate. Finally, CS/SB 1776, under the Whistleblower’s Act, would require advance notice and an opportunity to cure alleged violations, narrow retaliation and disclosure definitions, and limit claims when another statutory remedy exists; members questioned whether the changes could reduce employee protections or allow employers time to destroy evidence, but the bill was still under debate as the transcript ended.

Transcript Highlights:

• It also provides that the bill does not limit any cause of action against a retailer.
• Or does the bill sort of limit it to where there’s someone from management making decisions?
• That means limiting statutory damages, removing for lawsuit abuse.
• And even if you have that coverage, you're not getting that full coverage that you would in the standard
• And even if you have that coverage, you're not getting that full coverage that you would in the standard

Summary: The House Consumer Protection & Business Committee held a public hearing on a bill concerning indemnification of commercial liquor servers. Staff explained that under current law, both licensed retailers and individual servers can face administrative penalties and civil liability if they sell alcohol to someone apparently under the influence, and the bill would require the retailer to pay the server’s defense costs and any civil judgment, while preserving existing administrative penalties and causes of action against the retailer. Members asked about how the current penalty structure works, whether the bill would change administrative enforcement, and how liability would apply in situations involving a lone server or multiple establishments; staff said the bill did not specifically address those scenarios. The prime sponsor said the bill was intended to protect lower-paid servers from losing everything in civil lawsuits when they were not the ones who violated the law, while still holding accountable those who actually break the rules. She emphasized that the bill was meant to start a broader conversation and that the term “indemnification” was used as a placeholder for the policy concept. Members raised questions about whether the retailer’s insurance would cover judgments, how the proposal would interact with existing liability rules, and whether cannabis service would be included; the sponsor said cannabis was not currently covered but might be if treated like alcohol in the future. A representative of the Washington Hospitality Association testified that liquor liability insurance is increasingly expensive and difficult to obtain, with fewer insurers, higher premiums, and some businesses unable to get coverage. The association said the bill would not materially change current law because licensees already defend themselves and employees in civil suits, but it would not stop servers from being named in lawsuits, which can still harm workers’ backgrounds and future employment. The association argued the larger problem is lawsuit abuse and urged broader reforms to damages, demand rules, and joint-and-several liability. The hearing ended with the committee closing public testimony on the bill.

Transcript Highlights:

• Frequent changes in duty status create gaps in coverage...
• Select, ensuring our guardsmen have the health care coverage needed to support mission readiness.
• We won't reach that statutory limit, most likely, Mr.
• of $50 million. ...protection to go up by a minimum of $50 million.
• of $50 million. protection to go by go up by a minimum of $50 million.

Bills: S0048

Committee: Senate Appropriations Committee on Transportation, Tourism, and Economic Development

Summary: The Appropriations Committee on Transportation, Tourism, and Economic Development heard presentations on the Governor’s recommended budget for fiscal year 2026-27 and then considered one bill, CS/SB 48 on accessory dwelling units (ADUs). The Governor’s office outlined a $117.4 billion overall budget, with transportation and economic development receiving about $18 billion statewide and $601 million in general revenue. Agency heads then presented priorities for Commerce, Highway Safety and Motor Vehicles, Military Affairs, State, Transportation, Emergency Management, and the Florida State Guard, emphasizing workforce development, housing, tourism marketing, aviation and space infrastructure, law enforcement recruitment, emergency preparedness, and military readiness. In the Commerce presentation, Secretary Kelly highlighted funding for housing programs, the Hometown Heroes program, the Florida Job Growth Grant Fund, rural infrastructure and workforce grants, Reconnect and Florida WINS systems, law enforcement and firefighter recruitment bonuses, defense support, Visit Florida, Space Florida, and SelectFlorida. Senators asked about Visit Florida’s private match requirements and whether the agency fully leveraged prior appropriations; Visit Florida’s CEO said the match was met and exceeded, though it is difficult but important. The Highway Safety and Motor Vehicles presentation focused on trooper pay, pursuit vehicles, aviation assets, and enterprise data systems, with questions about immigration enforcement and body cameras. Military Affairs requested funding for readiness centers, training facilities, education and health benefits for Guardsmen, and maintenance of existing armories; members discussed Guard deployments, staffing levels, and a proposed firing range project. The Department of State requested funds for automated election audits, a conservation lab, and historic preservation, and defended its arts grant process and rule changes. Transportation’s budget emphasized a $14.3 billion work program, road and bridge maintenance, aviation and aerospace, safety initiatives, and seaport investments, while Emergency Management requested funding for preparedness, flood mitigation, WebEOC, grants management, and alert systems; senators also asked about the Alligator Alcatraz detention facility. For CS/SB 48, Senator Gates explained that the bill would require local governments to allow property owners to voluntarily create ADUs, while preserving local authority over setbacks, construction, and permitting. An amendment removed reusable tenant screening reports and clarified that conforming ADUs would be allowed by right without a separate hearing. The Florida Restaurant and Lodging Association supported the bill, saying ADUs could help provide long-term housing for service workers. After questions about local government and HOA authority, the committee adopted the amendment and then reported CS/SB 48 favorably by roll call vote.

Transcript Highlights:

• Thank you. ...with recognizing that there's an error of limits.
• Home retrofits we do with limited funding.
• Bare minimum. Exactly.
• And that this is bare minimum.
• That needs to be at least the minimum level of hardening that has to occur.

Transcript Highlights:

• ><c> is</c> Medicaid healthc care coverage is Medicaid healthc care coverage is critically<00:28:40.080
• Unfortunately, Senate Bill 61 jeopardizes that coverage for patients who are eligible for Medicaid, as
• So it limits the de novo down to simply no presumption.
• So it limits the de novo down to simply no presumption.
• down to simply So it limits the denovo down to simply no<00:49:46.000><c> presumption.

Bills: SB61 , SB8 , SB58 , SB60 , SB167 , SB61 , SB8 , SB58 , SB60 , SB167

Committee: Senate Finance and Taxation General Fund

Keywords: school psychologist, school psychology, interstate compact, licensure compact, license reciprocity, portable license, equivalent license, professional licensing, psychology board, school mental health, student services, educational services, interstate practice, reciprocal licensing, background check, continuing education, workforce shortage, military spouse, active duty military, compact commission

Transcript Highlights:

• We're just re-tiering and getting more in alignment with price erosion, adding in quantity limits to
• It's just not an automatic coverage.” “It's just not an automatic coverage to allow for review.
• Just to be clear, we're not denying people coverage.
• We are proposing no change to the minimum deductibles for participants.
• Obviously, those are minimums, so if any particular entity wanted to go above that, they absolutely can

Committee: All ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Transcript Highlights:

• We're just re-tiering and getting more in alignment with price erosion, adding in quantity limits to
• It's just not an automatic coverage. It's just not an automatic coverage to allow for review.
• Just to be clear, we're not denying people coverage.
• We're not denying people coverage.
• We are proposing no change to the minimum deductibles for participants.

Committee: All ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Summary: The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. The committee approved formulary changes for March and April that favored lower-cost generics, removed some new-to-market drugs from coverage pending more evidence, and made maintenance changes to migraine and diabetes medications. Members also approved a cell and gene therapy policy that would route those therapies through prior authorization rather than automatic coverage; officials said the process should not delay urgent cases and that no current members would be affected. The committee then reviewed a UAMS pharmacy benefit consultant contract amendment, but after extended discussion about the written scope and dollar amounts, the motion was approved with the understanding that any use of optional services would return to the committee for further review. The committee also reviewed the U.S. Able Mutual/Blue Advantage third-party administration contract and the CompSack employee assistance program contract, which officials said would reduce per-member costs and add services. The subcommittee approved proposed 2027 rates for state employees and public employees, with a 9.8% increase for state employees and a 4.9% increase for public school employees. Officials also reported that the UnitedHealthcare rebid was in its final negotiation stage and would return in August, with medical and pharmacy coverage split as previously recommended. In response to questions, the director said the division was considering broader preventive-care offerings, including weight-loss drug coverage, but would proceed cautiously and with strong utilization controls and holistic support if such a program were adopted. On the property risk side, the committee reviewed permanent rules making prior temporary rules permanent, a contingency-fee subrogation contract, and renewals for claims management, actuarial services, and investment management. Members raised concerns about Sedgwick’s claim-adjustment timeliness and communication with school districts after severe weather events; officials said performance guarantees and communication expectations had been strengthened, but the renewal was kept at three years for continuity. Finally, the committee approved 2026-27 captive insurance program rates, which included no change to minimum deductibles, a 10% overall rate reduction, and bucketed rate changes by entity type. Officials said the captive program was working as intended, with improved actuarial support and claims experience, and the meeting adjourned after the approvals.

Transcript Highlights:

• They found some limitations in the current literature and research.
• We consider the effect of any new benefit on the affordability of coverage.
• on the individual market being able to afford coverage.
• And I think the other note on AI use, right, the limitation is the inputs.
• Thank you for all of the limitation conversation. I think it's really important.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.