Transcript Highlights:

• But even for those with insurance, high copayments and high drug costs create dangerous, if not impossible

Keywords: 995, all

Summary: The committee held a lengthy hearing on a large docket of pharmacy and drug-pricing bills, with most testimony focused on PBM reform, 340B drug discount program protections, specialty medication access, and medication adherence. Chair James Murphy and Senator Paul Feeney opened the hearing and took testimony from legislators, patient advocates, pharmacists, health center leaders, industry representatives, and policy groups. Several speakers described delays, denials, high out-of-pocket costs, and pharmacy closures tied to PBM practices, while others emphasized the importance of community health centers and independent pharmacies in serving patients. On the 340B program, supporters including Senator Eldridge, Senator Payano, Community Care Cooperative, Fenway Health, the Massachusetts League of Community Health Centers, and several community health center leaders argued that bills such as H. 1107 and S. 819 would stop discriminatory PBM and manufacturer practices, preserve contract pharmacy access, and protect safety-net providers that say they reinvest savings into care, pharmacy expansion, interpreter services, behavioral health, and other services. Opponents including PhRMA, the Community Liver Alliance, and a public policy analyst argued the program lacks transparency and accountability, has grown beyond its original purpose, and may benefit large hospitals and for-profit entities more than low-income patients. They urged more reporting and oversight rather than expanding protections. On PBM reform, testimony supported bills including H. 1157, H. 1234, S. 724, S. 831, and related measures that would require rebate pass-through, ban spread pricing, limit steering to PBM-owned pharmacies, and improve reimbursement for community pharmacies. Independent pharmacists and patients said current PBM practices raise costs, create administrative burdens, and threaten access to local pharmacies. PCMA, representing PBMs, opposed the reforms, arguing PBMs lower costs, that plan sponsors choose to contract with them, and that the Health Policy Commission and CHIA should complete their ongoing study before new mandates are adopted. The committee also heard support for H. 1322 and S. 734 on specialty medications, and for H. 781 and H. 1305 on medication synchronization to improve adherence. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• present law regarding cost-sharing requirements and limits application of proposed law regarding copayment

Summary: The committee first took up House Bill 513 by Representative Young, which would regulate name, image, and likeness activity for intercollegiate and interscholastic athletes, especially high school athletes. Young said the bill reflects recommendations from a task force and sets guardrails such as parental consent and prohibited NIL categories. The committee adopted a technical amendment and then reported the bill favorably as amended. Members then heard several Senate bills from Senator Mizell and Senator Cloud. Senate Bill 233 would create a statewide data exchange compact to allow state agencies to share information more efficiently; it was reported favorably. Senate Bill 300 would make various changes to the Procurement Code, including auction techniques, sole sourcing for consulting services in limited cases, and procurement process clarifications; it was reported favorably. Senate Bill 303 would allow executive branch agencies to buy or share technology solutions with other states and use the federal GSA schedule, and it was reported favorably as amended. Senate Bill 411, removing a 20-year lease limitation for certain Orleans Parish state property, was also reported favorably. The committee spent substantial time on House Bill 660 and House Bill 719, both dealing with district attorney funding and staffing. HB 660 would raise the state warrant amount for assistant district attorney salaries from $50,000 to $60,000, with supporters arguing it is needed to recruit and retain prosecutors; an opposition witness argued the state should fund both prosecutors and public defenders more equitably. The committee adopted an amendment making the bill effective only upon appropriation and reported it favorably as amended. HB 719 would increase the number of assistant district attorney warrants statewide, with most of the new warrants directed to Baton Rouge, St. Tammany, and Caddo; it too was amended to be subject to appropriation and reported favorably as amended. House Bill 596, which would have created an inactive well-feet assessment credit for oil and gas operators, was voluntarily deferred after concerns that it could reduce funding for the oil field site restoration fund. Later, the committee reported favorably as amended House Bill 802, which redirects existing revenue to watershed and flood restoration work in the Amite River Basin, and House Bill 940, which creates a task force and rules framework for law enforcement responses to unlawful drone activity. It also reported favorably House Bill 76 on coverage for orally administered anti-cancer medications, House Bill 950 on consumer protection materials for seniors, and began discussion of House Bill 1028, which would require higher Medicaid reimbursement rates for non-emergency medical transportation providers.

Transcript Highlights:

• present law regarding cost-sharing requirements, and it limits application of proposed law regarding copayment

Bills: HB513, HB581, HB596, HB660, HB719, HB766, HB802, HB940, HB950, HB1028, HB1183, HB1201, SB233, SB300, SB303, SB315, SB324, SB411

Keywords: name image likeness, NIL, student-athlete, college athletics, high school athletics, intercollegiate athletics, interscholastic athletics, athlete compensation, athlete endorsements, sports marketing, athlete agent, marketing representative, sports attorney, publicity rights, right of publicity, Louisiana high school sports, NCAA, school policy, athletic association, athletic conference

Summary: The committee first handled House Bill 513 by Rep. Young, which would regulate name, image, and likeness issues for intercollegiate and interscholastic athletes, especially high school athletes. Young said the bill reflects recommendations from a statewide NIL task force and sets parental-consent and prohibited-category guardrails while preserving flexibility for colleges. The committee adopted a technical amendment and reported the bill favorably as amended. Members then advanced several procurement and administrative measures. Senate Bill 233 by Sen. Mizell would create a statewide data exchange compact for state agencies; testimony from the Department of Health said it would improve eligibility and program administration by allowing agencies to share data more efficiently, and the bill was reported favorably. Senate Bill 300, also by Mizell, would make various changes to the Procurement Code, including auction techniques in negotiated procurement, sole sourcing for consulting services in limited cases, and other technical and legal remedy revisions; it was reported favorably. Senate Bill 303 by Sen. Cloud would let executive branch agencies directly contract with other states for information technology systems and use the federal GSA schedule, and it was reported favorably as amended. Senate Bill 411 by Sen. DePlessis, removing a 20-year lease cap for certain state property in Orleans Parish, was also reported favorably. The committee then took up several bills affecting criminal justice funding. House Bill 660 by Rep. Egan would raise the state warrant amount used to fund assistant district attorney salaries from $50,000 to $60,000; Egan and district attorneys argued the increase is needed to recruit and retain prosecutors, while an opponent said the state should fund prosecutors and public defenders more equitably. The committee adopted an amendment making the bill effective only upon appropriation and reported it favorably as amended. House Bill 719, also by Egan, would increase the number of assistant district attorney warrants statewide, with most of the new warrants directed to Baton Rouge, St. Tammany, and Caddo; supporters cited workload studies and local needs, while an opponent raised concerns about New Orleans court consolidation and broader funding balance. It too was amended to be subject to appropriation and reported favorably as amended. Other measures included House Bill 76 by Rep. Freeman, which addresses coverage for orally administered anti-cancer medications and was reported favorably as amended after changes to cost-sharing and high-deductible plan language; House Bill 802 by Rep. Sawyer, which redirects existing revenue to watershed and flood-control restoration in the Amite River Basin, was reported favorably as amended; House Bill 940 by Rep. Barrow, creating a law-enforcement task force and rules framework for counter-drone operations, was reported favorably as amended; and House Bill 950 by Rep. Boyd, aimed at consumer protection education for seniors, was reported favorably. House Bill 596 by Rep. McCormick, which would have created an inactive-well fee assessment credit tied to plugging wells, drew concerns that it would reduce funds for orphan-well restoration, and the bill was voluntarily deferred after discussion. House Bill 581 and House Bill 1183 were also voluntarily deferred.

Transcript Highlights:

• The first requires the department to implement a tiered graduated copayment system for higher income

Keywords: 996, all

Transcript Highlights:

• And then we will have copayments for Medicaid populations, but those do not start until 2028.

Keywords: 996, all

Transcript Highlights:

• Patients are held harmless, and physicians' practices can still retain any copayments collected.

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:

• fitting adjustments, and ensures that hearing aid benefits can have higher deductibles, co-insurance, copayments

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a public hearing on a wide range of bills, with testimony first focused on H. 1315/S. 824, which would require insurance coverage for pain management options during IUD insertion. Representative Sabadosa, Planned Parenthood clinicians, and policy advocates said sedation can reduce fear and trauma, improve access to effective contraception, and should be reimbursed so providers can continue offering it. A Tufts OB-GYN resident also testified that pain control should be standard care for intrauterine procedures. No votes were taken during the hearing. The committee then heard extensive testimony on firefighter health bills, especially H. 1230/S. 690 requiring insurance coverage for cancer screenings for firefighters. Professional Fire Fighters of Massachusetts leaders, a Dana-Farber oncologist, and firefighters themselves described occupational exposure to carcinogens and personal stories of late-stage cancer detection, arguing that early screening can save lives and reduce long-term costs. Representative Crichton and Representative Howitt also spoke in support, and Representative Ayers testified for H. 4012, which would require neurological disorder screenings for firefighters. Committee members expressed support and sympathy, but no action was taken. The hearing also covered H. 3946/S. 756 on hearing aid coverage, with testimony from students, adults with hearing loss, disability advocates, and HLAA representatives describing the educational, social, and financial barriers caused by lack of coverage and urging broader insurance mandates. Later, Representative Donahue and Representative Vargas testified for H. 1337 to expand insurance coverage for opioid antagonists and related medications, including naloxone dispensed at discharge. The committee additionally heard testimony on H. 1134 to improve chronic pain care coordination and non-opioid access, and H. 4162 to improve ostomy supply coverage and access to certified ostomy care, with patients and clinicians describing denials, quantity limits, and non-medical switching. The transcript ends while testimony on H. 1315/S. 824 is still ongoing; no votes or formal committee actions are recorded in the excerpt.

Transcript Highlights:

• This bill codifies existing implementation bill provisions by eliminating program deductibles, copayments

Summary: The Senate took up the conference report on House Bill 501E, the General Appropriations Act for fiscal year 2026-27, with Chair Hooper and the appropriations chairs walking through the $114.5 billion budget. Major highlights included pay increases for state law enforcement, firefighters, park rangers, and correctional officers; funding for teacher salary increases and K-12 enrollment stabilization; workforce and university funding in higher education; major Medicaid, nursing home, waiver, and opioid-related investments in health and human services; corrections and prison-capacity funding; transportation, housing, and emergency management spending; and large environmental appropriations for Florida Forever, Everglades restoration, and water quality projects. Members then asked detailed questions about specific items. Senators pressed on the Hamilton Center at UF, the difference between assistant state attorney and public defender pay, declining student enrollment funding, private school scholarship vouchers, mental health funding in schools, the lack of preeminence funding, APD’s iBudget waiver wait list and provider rates, ADAP premium assistance and the return of Biktarvy to the formulary, prison staffing and air conditioning, Florida Forever land-buying versus easements, SNAP and Sun Bucks funding, Hope Florida, election audit funding, and the IDD managed care program. Chairs generally explained the negotiated compromises, noted where funding was flat or omitted, and in several cases said items would be revisited next year or depended on agency implementation. Several senators used debate to praise the budget while also criticizing major policy choices. Leader Berman argued the state should have expanded Medicaid, invested more in public schools instead of vouchers, and accepted federal summer EBT funds. Other senators highlighted local wins such as Biscayne Bay restoration, Tri-Rail, housing assistance, ADAP funding, and declining enrollment support. The transcript ends with debate remarks thanking Chair Hooper for his work on the budget; no final vote is shown in the excerpt.

Bills: HB1979, HB1225, HB3931, HB4454, HB3849, HB1746, HB3720, HB4275, HB4300, HB3586, HB2268, HB3755, HB4117, HB4294, HB3650, HB4298

Keywords: early childhood education, task force, governance structure, healthcare access, stakeholder engagement, quality services, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity, X marker, transgender, vital statistics, State Department of Health, State Commissioner of Health

Transcript Highlights:

• Because the little bit of Social Security that we get, or SSI, is not enough for us to pay the copayment

Summary: The House met in special session, opened with prayer and the Pledge of Allegiance, approved the journal, and adopted the special order report setting the day’s calendar. The chamber then took up CS/House Joint Resolution 1F, the Governor’s property tax proposal, which would raise the homestead exemption for non-school taxes, lower the annual assessment cap on non-homestead property from 10% to 5%, and restrict county and municipal ad valorem revenue to public safety and certain other uses. Sponsor Rep. Overdorf said the measure would return money to homeowners and give local governments flexibility, while opponents repeatedly argued the ballot language was misleading and that the proposal could create large local revenue shortfalls, shift costs to other taxpayers, and threaten local services and debt obligations. Members debated a series of amendments aimed at protecting specific programs from the bill’s effects. Rep. Bartleman’s amendment to exempt Children’s Services Councils and Children’s Trusts was defeated 25-74 after supporters said those entities fund child care, mental health, aftercare, and family support, while opponents said local governments could still choose to fund them. Rep. Cross’s amendment to include water management districts in allowable uses of ad valorem taxes was also defeated, despite testimony that the districts are essential for flood control, water supply, Everglades restoration, and drought response. Rep. Eskamani’s amendment to require the Legislature to backfill public safety funding failed 25-71 after debate over whether the proposal could reduce police and fire budgets and response times. The House then rejected Rep. Woodson’s amendment to require state backfill for senior services, with supporters citing Meals on Wheels, transportation, adult day care, and other aging services, and opponents saying the state already funds senior programs. Finally, Rep. Gant’s amendment to protect veteran services was introduced and debated, with members emphasizing housing, mental health, transition assistance, and homelessness concerns for veterans; the transcript cuts off before the vote on that amendment. Throughout the debate, sponsors and supporters of the main resolution maintained that local governments would retain spending discretion and could use other revenue sources, while critics argued the measure lacked clear backfill provisions and could force cuts or tax shifts at the local level.

Transcript Highlights:

• This bill codifies existing implementation bill provisions by eliminating program deductibles, copayments

Keywords: 999, senate, all

Transcript Highlights:

• For standard rates with no prior authorization, copayment, coinsurance, or deductible.

Keywords: 988, house, all

Transcript Highlights:

• otherwise known as SPAP, which is a Medicare Part D-eligible program that assists. with deductibles, copayments

Keywords: 1184, house, all

Transcript Highlights:

• Section 26.1-36-09.4 was repealed in 2013, but limited copayments to $5 for prenatal care visits and

Keywords: 908, all

Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.

Transcript Highlights:

• says either the amount received from the facility, the third party has to find the deductible or copayment

Bills: HB4806

Keywords: civil action, damages, health care services, noneconomic damages, negligence, legal standards, 1184, house, all

Bills: HB3880, HB3263, HB2970, HB3043, HB3044, HB3078, HB3940, HB4117, HB3428, HB4275, HB3257, HB3901, HB4298, HB4260, HB2981, HB3695, HB2960, HB3967, HB3968, HB4339, HB4341, HB4342, HB2940, HB4295, HB4196, HB3134, HB1016

Keywords: Oklahoma Today Magazine, Oklahoma Tourism and Recreation Department, tourism promotion, advertising sales, commission pay, employee bonus, sales commission, digital publication, print publication, sponsorships, bulk subscriptions, newsstand sales, ancillary products, public records, procurement exemption, administrative procedures exemption, tourism magazine, revenue sharing, executive director, state agency compensation

Transcript Highlights:

• It establishes a copayment or a wait list system in response to certain conditions.

Keywords: 996, all

Transcript Highlights:

• Due to my health, I currently have an $893 a month copayment.

Bills: HB21, HB211, HB223

Keywords: HB 21, Texas Tax Code, ad valorem tax, property tax, delinquent taxes, tax delinquency, penalty reduction, interest rate, split payment, installment payment, tax relief, county tax collector, taxing unit, property owner, tax collection, voter-approval tax rate, no-new-revenue tax rate, tax increase election, supermajority, 60 percent threshold

Transcript Highlights:

• The bill also prohibits charging copayments annexing land that is located in a annexing land that is
• 54.400> also<01:04:54.680> prohibits<01:04:55.160> charging<01:04:55.560> copayments
• House Bill 1321 also prohibits charging copayments for certain households.

Keywords: Senate streaming session for Friday, April 10, 2026, 960, senate, all

Summary: The Senate opened with an invocation by Associate Pastor Justin Wills of Miracle Temple Church in Lothian, followed by remarks recognizing his family’s ministry and requesting that the prayer be journalized. The chamber then moved through several introductions, including Johnston Square Elementary students who were recognized for strong grades, education-related guests, and staff and family members of senators. After the roll confirmed a quorum, the Senate returned to business. On third reading, House Bill 563, concerning emergency response animals, was amended to align the House and Senate versions. The amendment added self-defense as an affirmative defense, included horses used in search and rescue within the definition of emergency response animal, added a definition of law enforcement unit, and adjusted penalties. The bill then passed with 44 affirmative votes. The Senate also took up Senate Bill 159 on EMS vehicle supplies and neonatal care; the chamber refused to concur in House amendments and sent a message asking the House to recede or appoint a conference committee. The Senate introduced House Bill 420 and referred it to Rules. In Judicial Proceedings, Senate Bill 791 on immigration enforcement prohibitions in correctional facilities was reported favorably with three amendments, including technical changes, limits tied to certain convictions, notice requirements for state facilities, and authorization for judges or commissioners to consider immigration detainers in bail decisions. The minority leader and others requested that the bill be special ordered for more time to review and prepare amendments, arguing the issue was controversial and had been fast-tracked; supporters of the committee report said the bill had already been heard and discussed. The debate over the special-order motion was ongoing at the end of the transcript.

Transcript Highlights:

• Reimbursements would cover expenses such as copayments, deductibles, prescription medication costs, and

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