Bills: HB778, HB 1266, HB1576, HB2213, HB2517, HB2518, HB2841, HB3306, HB3320, HB3388, HB3508, HB3520, HB3689

Keywords: credentialing, healthcare, physician assistants, advanced practice nurses, managed care, hurricane, windstorm, loss mitigation, grants, insurance discounts, property retrofitting, insurance, Texas Windstorm Insurance Association, board composition, coastal counties, property insurance, taxation, Texas FAIR Plan Association, premium taxes, maintenance taxes

Transcript Highlights:

• These networks are regulated by TDI and must meet TDI accessibility and network adequacy requirements
• , but instead of using the certified network, they put together a custom network.
• to see a network doctor.
• Under the bill, a network is political division networks do not have to be certified by TDI, but they
• The network report card is for certified networks as well as 504 networks, including the Alliance.

Bills: HB875, HB1667, HB2369, HB3844, HB4415, HB4479, HB4483, HB4676, HB5118, HB5400, HB5545

Keywords: workers' compensation, municipal construction, bidding requirements, small municipalities, contracting policies, first responders, PTSD, mental health, emergency services, medical expenses, injury claims, insurance carriers, opportunity youth, workforce development, employment, education, federal funds, employment discrimination, immunity waiver, public employees

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• If they couldn't just pick their pharmacies, they'd have to include all pharmacies in their networks
• be the PBM that decides how much they pay that mail order pharmacy and who gets kicked out of the network
• For a... ...pharmacy and who gets kicked out of the network because you have your own mail order pharmacy
• , without notice, so Express Scripts, without notice, cut out 361 independent pharmacies from the network

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• MNDOT for capital improvements and operating costs to maintain the infrastructure that supports the ARMER
• The state is responsible for building and maintaining the ARMER radio towers and technology.
• The state is responsible for building and maintaining the ARMER radio towers and technology.

Keywords: 1187, senate, all

Transcript Highlights:

• Doctors want to be in network.
• Out of the network, right? Has nothing to do with the doctor.
• How many network providers did we have drop out of network?
• in the network.
• We have network leakage. It's very potential.

Bills: HB12, HB145, HB222, HB291, HB430, HB821, HB874, HB909, HB951, HB979, HB1193

Keywords: survivor benefits, law enforcement, reserve officer, auxiliary officer, public safety, firefighters, medical expenses, dental expenses, disability benefits, Medicaid, dental coverage, healthcare access, medical necessity, Louisiana Department of Health, health insurance, provider agreements, contracting actions, participating facilities, network status, survivors benefits

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=PF1ArOYiACI, 2026-06-21T07:17:04+00:00, 2.2.24, Data collected via generic collector engine, 00:00:00 Meeting Start 00:00:11 Roll Call 00:01:45 Consideration of Referred Administrative Regulations 00:02:21 Discussion of The Federal Early Childhood Policy Landscape 00:14:55 Discussion of the Family Child Care Network 00:41:06 Discussion of the YMCA Child Care Realities & Considerations 01:11:11 Discussion of Early Childhood Educator Pathways & Educational Supports 01:31:33 Discussion of the Little Purples Academy, 958, all, 2.2.42, 2.1.47

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• Um thermal energy networks are builds.
• Thermal energy networks are an innovative technology that Minnesota should continue to advance.
• <00:54:48.880> What's energy networks or TENS. What's energy networks or TENS.
• Thermal energy networks are an innovative technology that Minnesota should continue to advance.
• Thermal energy networks are an innovative technology that Minnesota should continue to advance.

Bills: HF4236, HF4122, HF4377

Keywords: public utility, interim rates, utility rates, rate case, general rate case, Minnesota Public Utilities Commission, PUC, rate increase cap, rate freeze, refunds, customer refunds, ratepayer protection, electric utility, gas utility, regulated utility, ratemaking, return on equity, rate base, test year, rate design

Transcript Highlights:

• it also clarifies that this law does not require any upgrades to the state or local transportation network
• upgrades to the state or local any upgrades to the state or local transportation<00:14:24.079> network
• <00:14:24.800> to<00:14:25.040> accommodate transportation network to accommodate transportation
• network to accommodate the<00:14:26.000> autonomous<00:14:26.560> vehicles.

Bills: SB205, SB222, SB205, SB222

Keywords: appropriation, education funding, priority schools, Alabama education, State Department of Education, medical clinic board, clinic board, hospital bankruptcy, Chapter 11, bankruptcy, debt restructuring, municipal indebtedness, municipal bankruptcy, health care provider, acute care hospital, lease property, board immunity, director liability, civil liability, healthcare finance

Transcript Highlights:

• provider groups... ...and accountability in out-of-network claims.
• claims... ...and accountability in out-of-network claims.
• for out-of-network payments.
• The ability to get a reasonable in-network contracted rate.
• Many do have support networks, but those are in more dire circumstances.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.

Transcript Highlights:

• item number 8, which is a discussion and the report from the criteria subcommittee, a member Rita Armer

Keywords: 914, all

Transcript Highlights:

• $300,000 grant to each eligible county so they could have a system that is interoperable with the ARMER
• PSAPs purchased the Motorola MCC 7500 consoles to full participants of the state of Minnesota with the ARMER
• stations, or consoles, which are actual mobile radios, was chosen to provide a limited connection to the ARMER
• It also restricted our patching capabilities between local, regional, and statewide ARMER talk groups
• We request this to be a one-time appropriation to upgrade our ARMER system equipment and technology needs

Keywords: 1187, senate, all

Transcript Highlights:

• million of local produce was routed to SNAP recipient families through food hubs, and I work with that network
• industry thank you thank you Mar Hunter industry thank you thank you Mar Hunter Hein<00:58:48.640> armers
• 49.839> you<00:58:49.960> CH<00:58:50.480> Farm<00:58:50.960> Stands Hein armers
• Union you CH Farm Stands Hein armers Union you CH Farm Stands Strong Strong support.

Keywords: 912, senate, all

Summary: The Agriculture and Environment hearing on January 27, 2025, took up multiple measures, beginning with a proposed constitutional amendment, HB 559, to recognize a right to clean water and air, a healthful environment, climate, native ecosystems, and beaches. The Attorney General’s Office testified with concerns that the amendment’s broad language could create challenges for future legislatures and environmental enforcement, while the Climate Commission and DLNR supported it. Environmental and advocacy groups, including Climate Protectors Hawaii, 350 Hawaii, Greenpeace Hawaii, and others, strongly supported the measure, arguing it would strengthen decision-making and protect Hawaii’s natural resources. Committee members raised questions about how the amendment would interact with existing constitutional protections and recent litigation, and the AG’s office said the proposal could lead to broad judicial interpretation and possible liability issues. The hearing then moved on without a recorded vote on this bill. The committee next heard SB 552, which would establish a healthy soils program in the Department of Agriculture and require annual reporting and funding. The Climate Change Commission supported the bill, and the Department of Agriculture said it stood on its submitted testimony but noted existing commissions and the greenhouse gas sequestration task force already address similar objectives, suggesting SB 552 may duplicate current efforts. Agricultural and environmental advocates, including the Hawaii Farmers Union, Hawaii Farm Bureau, and others, supported the concept of a consolidated healthy soils program, saying it would better organize existing efforts, improve access for producers, and support conservation practices. The Agribusiness Development Corporation said it would support either DOA or ADC administering the program, and committee discussion focused on implementation, program overlap, and whether the bill should better integrate existing compost reimbursement and related efforts. The final measure discussed in the excerpt was SB 678, which would create an Agricultural Development Food Security Special Fund, dedicate a portion of the environmental response, energy, and food security tax to it, and appropriate funds equal to 3% of the state budget for agriculture. The Department of Agriculture strongly supported the bill, saying the funding would align with its goals and help support farmers and ranchers. The Tax Foundation of Hawaii and the Department of Budget and Finance raised concerns that the proposed special fund may not meet statutory criteria. Farm and industry groups generally supported the measure but suggested changes, including adding uses related to local food sourcing, distribution, and biosecurity. Committee members questioned the scale of the appropriation, noting it could amount to roughly $250 million and a major increase in DOA’s budget, and discussed whether the department could realistically implement such a large program. The hearing ended with testimony counts noted for the measures heard, and the chair indicated the committee would reconvene later for any unfinished business.

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=oTkUe8BhO-4, 2026-06-21T07:17:07+00:00, 2.2.24, Data collected via generic collector engine, PLEASE READ - Due to a network outage today's live streams may be unavailable. Should the stream never go live, a recording of the meeting will be uploaded to this channel as soon as possible. We apologize for any inconvenience. Meeting Start: 00:00 Attendance Roll Call: 0:34 Senate Bill 563: 1:08 Votes on Senate Bill 563: 12:21 House Bill 27: 14:00 Votes on House Bill 27: 15:56 House Bill 621: 17:02 Votes of House Bill 621: 18:00 Adjournment: 19:07, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• Furthermore, the definition of "out-of-network provider" lacks sufficient clarity regarding how it is
• We strive to be in network with all major carriers, but sometimes that's not always possible.
• settlements for out-of-network payments to be done through arbitration.
• So I just... you know, your in-network rates come down. Fair statement. Fair statement.
• Many do have a support network. But those are in more dire circumstances.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001, HB136

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Transcript Highlights:

• Since I sit in a hospital and integrated delivery networks, I'm in a largely integrated delivery network
• I mean, just speaking in general, some of these are tools to kind of enforce what we call narrow networks

Bills: HB854, HB 1052, HB1642, HB2076, HB3042, HB3695, HB3787, HB4062, HB4092, SB213, SB493, SB896, HB5519, HB4635

Keywords: insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory

Transcript Highlights:

• payment from the provider and/or their practice to cover the difference from the payments for in-network
• . ...and out-of-network benefits if the provider is ultimately denied.
• Even if joining a practice that's already in network, this process can take many months.
• during the credentialing process, so that the patients can receive in-network treatment.
• and out-of-network rates.

Bills: HB854, HB 1052, HB1642, HB2076, HB3042, HB3695, HB3787, HB4062, HB4092, SB213, SB493, SB896, HB5519, HB4635

Keywords: insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory

Bills: HB0130, HB0095, HB0096, HB0097, SF0101, SF0106, SF0067, SF0123

Keywords: Second Amendment, firearms, state rights, federal regulation, law enforcement, civil penalties, government liability, concealed carry, public colleges, university facilities, weapons legislation, self-defense, campus safety, weapons, age requirement, permits, HB0097, Wyoming firearms privacy, merchant category code, MCC

Bills: HB0130, HB0095, HB0096, HB0097, SF0101, SF0106, SF0067, SF0123

Keywords: Second Amendment, firearms, state rights, federal regulation, law enforcement, civil penalties, government liability, concealed carry, public colleges, university facilities, weapons legislation, self-defense, campus safety, weapons, age requirement, permits, HB0097, Wyoming firearms privacy, merchant category code, MCC