Transcript Highlights:

• It mandated insurance coverage for the use of coronary artery calcium scoring, CACS.
• So I only bring that up to say we do have insurance coverage for screening for heart disease, but it
• The other piece of this bill that we are concerned about is that it mandates this coverage at $2,000
• But every, for example, one of the essential health benefits is drug coverage, one of them is mental
• health coverage and substance abuse coverage.

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

Transcript Highlights:

• The measure does not mandate any new coverage that requires each health benefit...

Bills: SB1673, SB1500, SB1447, SB1646, SB2007, SB1275, SB2074

Keywords: prosthetics, health insurance, medical necessity, patient rights, insurance liability, pharmacy benefits manager, healthcare providers, claims processing, reimbursement, insurance regulation, employees insurance, contract awarding, certifications, state procurement, insurance plan, mental health, substance use disorders, utilization review, benefit coverage, pharmacy

Bills: AB404, AB428

Keywords: brew pub, alcoholic beverages, liquor store, licensure, regulation, Department of Taxation, fertility preservation, breast cancer, ovarian cancer, oncology, reproductive medicine, infertility, cancer treatment, egg freezing, embryo freezing, oocyte cryopreservation, sperm banking, assisted reproductive technology, health insurance mandate, Medicaid

Transcript Highlights:

• believe that if we go to a file-and-use system, then companies are going to start excluding certain coverages
• Look at the price of coverage premiums and the deductibles and the cost of health care in general, it's
• And so House Bill 4294 is a follow-up piece of legislation focusing on the insurance coverage component
• If we're mandating coverage, are they a thousand...
• If we're mandating coverage, are they a thousand bucks? Are they $100,000?

Bills: HB3048, HB3259, HB3646, HB3696, HB3780, HB3781, HB3802, HB3818, HB4294, HB4488, HB2929

Keywords: insurance, nonadmitted insurers, surplus lines, insurance regulation, Oklahoma, health insurance, contracting entities, medical providers, enrollment, beneficiary rights, property and casualty, rates, filing, Insurance Commissioner, regulation, property, regulations, actuary, rate filing, independent review

Transcript Highlights:

• provision in current law that keeps some seniors from obtaining the needed Medicare supplemental coverage
• We support Senate Bill 21 because it gives older New Mexicans the flexibility to switch coverage that
• So now they're looking for a lower plan, but they're not going to get the same coverage.
• But what about those folks that are left in a higher cost, maybe more coverage type group?
• You know, in the last bill about the Medigap coverage, we talked a lot about increasing premiums and

Bills: SB101, SB21, HM52, HB132, SB14, SB20

Keywords: SB 101, Health Care Delivery and Access Act, repeal of repeal, sunset repeal, delayed repeal, health care, healthcare, access to care, medical services, provider regulation, state health law, New Mexico, SB 21, Medicare supplement, Medigap, open enrollment, guaranteed issue, birthday month enrollment, health insurance, insurance regulation

Bills: SB9, SB90, SB82, SB84, SB9, SB90, SB82, SB84

Keywords: Alabama Athletic Commission, Attorney General, criminal penalties, unarmed combat, regulation, boxing, mixed martial arts, civil fines, Green County, racing, pari-mutuel wagering, gaming regulations, commission appointments, historical horse racing, local tax, SB82, warrant recall, outstanding warrants, stale warrants, misdemeanor warrants

Transcript Highlights:

• You know, as a cancer center, every day we see how prescription drug coverage and these decisions impact
• House Bill 909, which requires coverage for behavioral health crisis services.
• That would be House Bill 909, which requires coverage for behavioral health crisis services.
• House Bill 909, which requires coverage for behavioral health crisis services.
• We’re deleting in this state and inserting offering health coverage plans in this state.

Bills: SB511, SB512, HB591, HB909, HB938, HB1154, HB1187

Keywords: automobile repairs, insurance transparency, repair shop liability, non-OEM parts, policyholder rights, automobile insurance, appraisal process, insurance policyholders, dispute resolution, claim valuation, family leave, insurance, paid leave, employment benefits, caregiver support, behavioral health, crisis services, mental health care, insurance coverage, healthcare access

Transcript Highlights:

• The witness answered yes, saying the bill needs to have something like travel coverage because it is

Bills: SB2211, SB2025, SB2038, SB2050, SB2051, SB2090

Keywords: emergency funding, food assistance, healthcare, federal shutdown, Hawaii, DHS, jury duty, advanced practice registered nurses, physician assistants, exemption, patient care, financial hardship, medication abortion, anonymous prescription, pregnancy rights, healthcare privacy, pharmacy regulations, chiropractic education, clinical training, student supervision

Summary: The House Committee on Health held its first hearing of the session and opened with housekeeping notes, introductions of members, and an explanation that the agenda would be taken out of order to accommodate a sign language interpreter. The committee first heard HB 469, relating to parking for disabled persons. Testimony from the Disability and Communications Access Board and the State Council on Developmental Disabilities supported the bill, explaining that a travel placard would help people with disabilities who must travel interisland or to the mainland for medical care. Members asked about emergency travel, misuse prevention, and how to distinguish the travel placard from existing disabled parking placards; witnesses said the bill would need to be tied to administrative rules, and agreed the placard should clearly show an expiration date and likely be a different color. No vote was taken. The committee then heard HB 218, relating to hospital surgical smoke. The Department of Health supported the measure, and the Healthcare Association of Hawaii supported it with amendments, saying hospitals already follow existing standards but that any new policy should account for different procedures and provider safety. A committee member questioned the proposed amendment language and whether it was too flexible; the witness explained the intent was to allow case-by-case application because some procedures generate only brief exposure. Members also asked what surgical smoke is, and the witness explained it is produced when electrical or cauterizing tools are used on tissue and creates vapor or fumes. The bill remained under discussion with no final action reported. The committee next took up HB 814, which would fund a public information campaign and related services on cannabis use among youth. The Department of the Attorney General said the bill should be amended to clarify whether the funding would be used for contracts or grants and to include proper grant standards if grants are intended. The Department of Health supported the bill and said the funds would expand prevention, treatment, recovery, and public education efforts, including social media outreach, PSAs, and school-based youth services. Multiple organizations and individuals testified in support, emphasizing the harms of youth cannabis use and the need for prevention and treatment resources. Members asked what the department currently does, whether it is fulfilling existing law on science-based cannabis information, and what kinds of treatment would be provided; the department said services would mainly be intensive outpatient, outpatient, counseling, and related youth-focused supports. No vote was taken during the hearing.

Transcript Highlights:

• attacks from the federal government that interfere with provider-patient relationships and insurance coverage

Bills: HB1573, HB1645, HB1875, HB1898, HB2121

Keywords: electronic smoking devices, e-liquids, certification, FDA, state law, penalties, compliance, directory, public health, nonprofit, child welfare, liability, insurance, legal protections, Hawaii, health care, reproductive rights, gender-affirming care, privacy, civil liability

Summary: The committee heard testimony on HB 1573, which would create state enforcement authority over unauthorized e-cigarette products and related tobacco enforcement. Supporters including SHPDA, the Department of Health, the Attorney General’s office, Hawaii Public Health Institute, and others said the bill would help protect youth from unauthorized vaping products, give the state tools to enforce an FDA-authorized product list, and add penalties and inspection authority. A committee member asked whether enforcement staff were available and what penalties would apply; the response was that existing tobacco investigators would take on the work, and the bill includes civil penalties, seizure authority, and possible license revocation referrals. The measure drew both support and opposition testimony, but no vote was taken in the portion provided. The committee then took up HB 1645, relating to liability for child welfare service providers. The Insurance Division said it was aware of the insurance-cost problem, had raised the issue with the NAIC, and was exploring a captive insurance option, while suggesting the legislature consider additional appropriations to DHS to cover higher contract costs. Supporters, including Parents and Children Together and Hawaii Insurance Council, argued the bill would help child welfare providers obtain insurance and continue critical services. Opponents, including the Hawaii Association for Justice, warned that removing joint and several liability could leave victims undercompensated and might not actually lower premiums. The insurance commissioner said other states have done tort reform in this area, but the committee was told it is not clear the bill would reduce insurance costs. Finally, the committee heard extensive testimony on HB 1875, which would protect access to gender-affirming care in Hawaii and shield patients and providers from out-of-state legal actions. Support came from the Hawaii State Youth Commission, LGBTQ+ and public health groups, medical professionals, ACLU Hawaii, Planned Parenthood, and others, who said gender-affirming care is evidence-based, medically necessary, and important for patient privacy, provider stability, and continuity of care. Several witnesses asked for amendments to the bill’s definition language. Opposition testimony came from individuals and groups including Hawaii Christian Coalition, Leeward Republican Women’s Club, and others, who argued the bill could expose children to irreversible decisions and that more research is needed. The chair noted roughly 176 supporters and about 40 opponents testified. No final action or vote was reported in the excerpt.

Transcript Highlights:

• This basically expands the insurance coverage related to prostate cancer.
• This basically expands the insurance plan and coverage for gentlemen that are at higher risk of prostate

Bills: SB190, HB515, SB190

Keywords: SB190, prostate cancer, prostate screening, PSA test, digital rectal exam, preventive screening, health insurance mandate, cost-sharing, copay, deductible, coinsurance, high-risk men, African American men, family history, genetic marker, men over 50, men over 40, health benefit plan, insurance coverage, mandated benefits

Bills: HB258, HB308, HB258, HB308

Keywords: primary election, election calendar, off-presidential year, May primary, second Tuesday in May, fourth Tuesday in May, runoff primary, special primary, presidential primary, election administration, candidate filing, ballot access, political parties, county election officials, state election law, Alabama elections, elections, voter registration, publishing requirements, cost-saving

Bills: SB63, HB156, HB289, SB80, SB84, SB63, HB156, HB289, SB80, SB84

Keywords: immigration, law enforcement, fingerprints, DNA collection, illegal aliens, Alabama state law, out-of-state warrants, criminal procedure, extradition, Alabama Code, arrest authority, interstate cooperation, Marshall County, TVA, Tennessee Valley Authority, in-lieu-of-taxes, payments distribution, local legislation, school funding, education finance

Bills: HCR13, HCR91, HCR183, HR15, HR83

Keywords: coral reefs, sunscreen, environmental education, student stewardship, marine conservation, tree canopy, public schools, environmental equity, shade coverage, education, HCR183, House Concurrent Resolution, Department of Education, DOE, immigration enforcement, ICE, federal immigration officers, sensitive locations, school safety, student protection

Bills: HF3521, HF1807, HF1270, HF2070, HF3136

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• So again, House File 1807 doesn't mandate coverage of any treatment.
• So again, House File 1807 doesn't<00:23:46.480> mandate<00:23:46.960> coverage<00:23:47.280
• > of<00:23:47.600> any doesn't mandate coverage of any doesn't mandate coverage of any
• And currently, insurance coverage structures are unintentionally incentivizing opioids by making them

Bills: HF3521, HF1807, HF1270, HF2070, HF3136

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Bills: HB329, SB5, HB329, SB5, HB43, HB75, HB396

Keywords: military installations, tall structures, local government, construction approval, wind energy facilities, archives, history, board of trustees, vacancies, government control, computer science, education reform, digital literacy, high school graduation, teacher training, education, public schools, constitution amendment, national anthem, weekly broadcast

Transcript Highlights:

• . for as long as you're paying into the Metagap supplemental coverage.
• This bill basically protects existing coverage, and that's really important to remember.
• Full coverage insurance has made my life tremendously easier, but it still has limits.
• They have coverage through Medicaid, correct?
• They have coverage through Medicaid, correct?

Bills: SB20, SB21, SB166, SB177, SB181, SB189, SM6

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Transcript Highlights:

• Medicaid provides health care coverage, like Tara Cole-Corsette, for 4.3 million lower income and disabled
• Potentially cause them to lose their coverage?
• And do you have any concern that it might harm coverage for children or pregnant women if we as was mentioned
• which means that unless they move out of state they pass away or they voluntarily withdraw, their coverage
• they save the agency money and enrollees then are confident in their consistent health care and coverage

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• paying for EMS, and then seeing the repercussions for the city of what happens when you don't have coverage
• We got a fiscal note for what it would cost to apply to your own coverage and the coverage of state employees
• through the Employees Retirement System (ERS) and the coverage for state teachers.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• paying for EMS and then seeing the replications to the citizens of what happens when you don't have coverage
• What it would cost to apply to your own coverage and the coverage of state employees through ERS and
• the coverage for state teachers.

Bills: SB 502, SB 513, SB 622, SB 670, SB 731, SB 732, SB 916, SB 961, SB 1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare