Transcript Highlights:

• </c><00:01:39.640><c> Deployment</c> the Thermal Energy Network Deployment the Thermal Energy Network
• </c> systems and thermal energy networks systems and thermal energy networks across<00:03:21.280><c>
• </c> our existing district heating network. our existing district heating network.
• </c> facilities, some of which may provide facilities, some of which may provide real<00:04:01.080><c
• ><c> deployment</c> thermal energy network deployment thermal energy network deployment framework<00:

Keywords: 1183, house

Transcript Highlights:

• , but we really reached out to all our health care providers throughout the state to build this network
• , but we really reached out to all our health care providers throughout the state to build this network
• , but we really reached out to all our health care providers throughout the state to build this network
• with</c> trials Network can provide you with trials Network can provide you with additional<01:10:46.920
• throughout the state to build Providers throughout the state to build this<01:11:05.239><c> network<

Keywords: 1187, senate, all

Transcript Highlights:

• Does this still only apply to out-of-network providers?
• This is all out-of-network providers in emergency situations.
• services because the provider is out of network.
• And so, therefore, this... ...to provide services because the provider is out of network, and so therefore
• And under the federal program, for example, in-network providers aren't eligible for that.

Summary: The Senate Committee on Banking and Insurance met with a quorum present and heard a full agenda of bills, most of which were reported favorably. Early in the meeting, SB 1000 on trust fund interest for attorney trust accounts was explained as setting a floor and ceiling tied to the Wall Street Journal prime rate and passed without objection after supportive testimony from banking and credit union groups. The committee then took up CS/SB 1082 on a statewide provider and health plan claim dispute resolution program; the sponsor described it as a way to move emergency out-of-network payment disputes away from costly litigation and into an independent dispute resolution process modeled on the federal No Surprises Act. A proposed amendment drew significant questions from senators and concerns from the Florida Insurance Council about confusion over state versus federal eligibility and possible effects on contracted rates, and the sponsor ultimately withdrew the amendment. The underlying bill was then supported by health care and insurance stakeholders and reported favorably. SB 684 on electronic signatures for total loss vehicles and vessels also passed, with Progressive Insurance waiving in support. The committee next approved CS/SB 158 on pet insurance, which requires continuing education for agents, clearer consumer disclosures, and annual reporting to OIR; the amendment was technical and adopted. SB 1494 on breast cancer screening coverage was presented as expanding required coverage for mammograms and supplemental screenings for certain insurance products, and it passed with support from cancer and radiology groups. CS/SB 314 on digital asset issuers was amended to create a Florida framework for payment stablecoin issuers consistent with the federal GENIUS Act, allowing state-level regulation as an alternative to federal supervision, and was reported favorably. SB 1500 on uncontested probate proceedings, including higher small-estate thresholds and clearer authority for personal representatives, also passed after a banking-related amendment requiring letters of administration for safe deposit box access was adopted. Later, the committee approved CS/SB 618 on workers’ compensation insurance, which raises the consent-to-rate cap for workers’ comp policies from 10% to 20% and adjusts the Florida Workers’ Compensation Guarantee Association board membership; a carrier representative testified that the change would help keep more high-risk accounts in the voluntary market. CS/SB 1568 on a Florida Stable Coin Pilot Program was amended to remove authority for DFS to create a Florida coin, limit the pilot to existing stablecoins with at least $1 billion market capitalization, and require qualified public deposit handling; it then passed. CS/SB 838 on electronic payments for retail installment contracts clarified that convenience fees for electronic payments are permissible while preserving a fee-free option, and it was reported favorably after questions about consumer access to free payment methods. SB 1452, the Department of Financial Services agency bill, made a wide range of administrative changes affecting My Safe Florida Home, unclaimed property, licensing, bail bonds, and other DFS functions; a late-filed amendment on title insurer appointments was adopted, and the bill passed. The committee also approved SB 1706 on the My Safe Florida Condominium Pilot Program, targeting condo hardening assistance to owner-occupied units meeting income and occupancy criteria, and SB 990 on protected cell captive insurance companies, which the sponsor and industry witnesses said would modernize Florida law and promote insurance competition and economic activity. The meeting ended with all bills on the agenda reported favorably and the committee adjourning without objection.

Transcript Highlights:

• Telecom, which is a national trade association representing network providers, technology innovators,
• The service provided is not just cheaper, but the networks it is provided on are significantly more capable
• In 2024 alone, broadband providers invested nearly $90 billion nationwide for network upgrades, fiber
• In 2024 alone, broadband providers invested nearly 90 billion nationwide for network upgrades, fiber
• The Wall Street Journal found that this type of competition with other providers, with cable providers

Summary: The Assembly Communications and Conveyance Committee held an informational hearing on the state of broadband affordability in California. Chair Tasha Berner said the committee was examining how broadband prices, access, and affordability are affecting households, especially after the end of the federal Affordable Connectivity Program and amid concerns about federal resistance to state broadband regulation. She noted the committee’s continued interest in policy options for 2026 and referenced prior legislation, including AB 353, that would have required affordable home internet as a condition of doing business in California. Industry witnesses from U.S. Telecom and CTIA argued that broadband and wireless prices have generally fallen in real terms even as inflation and other household costs have risen, citing competition, infrastructure investment, and faster speeds as the main drivers. They said California’s higher costs are tied to permitting delays, taxes, copper theft, and legacy obligations such as COLR requirements, and they urged the Legislature to preserve market incentives, reduce fees and regulatory burdens, and support infrastructure deployment. They also discussed fixed wireless access, federal BEAD funding, and Universal Service Fund reform, arguing that more entities benefiting from networks, including tech platforms, should contribute to support programs. Consumer and public-interest witnesses presented a different view, saying California still has a serious affordability and adoption problem, especially for low-income households. Sunny McPhee of the California Emerging Technology Fund said broadband adoption has improved dramatically over time, but about 500,000 households remain offline or underconnected and many low-income households still pay above the FCC affordability benchmark. Ernesto Falcon of the CPUC Public Advocates Office said California’s market is losing its competitive edge, with prices higher than in other states and meaningful price pressure coming mainly from fiber competition at the gigabit tier. He said roughly 4.8 million Californians are limited to one gigabit option and estimated that more competition could save consumers more than $1 billion annually. Both witnesses emphasized the need for stronger transparency, targeted subsidies, and a permanent affordability solution, including extending and refining the CPUC broadband Lifeline pilot and advancing SB 716. Public commenters, including representatives from cable providers, nonprofits, and digital equity organizations, largely supported SB 716 and a permanent broadband affordability program. Several urged the committee to remove a cap on the Lifeline program, expand the CPUC pilot, and invest in digital navigators, outreach, and enrollment assistance. The hearing ended without a vote or formal action, after the chair thanked the witnesses and public commenters for their testimony.

Transcript Highlights:

• And we provide those savings. And we provide those savings.
• Questions or provide resources after the fact.
• , a.k.a. networked geothermal.
• And each thermal network will also provide benefits for our electric system, since the thermal networks
• And each thermal network will also provide benefits for our electric system, since the thermal networks

Keywords: 995, all

Summary: The committee heard testimony on two related issues: gas utilities’ climate compliance plans filed with the Department of Public Utilities and the recent DPU orders reforming the Gas System Enhancement Program (GSEP). Chair Creem and other senators emphasized that Massachusetts must reduce gas use, shrink the gas distribution footprint, and move customers to alternatives such as heat pumps, network geothermal, and non-gas pipeline alternatives (NPAs). DPU Chair Jamie Van Nostrand said the new GSEP orders lower the annual revenue cap from 3.0% to 2.5%, phase it down toward 1.5%, eliminate carrying charges, require more rigorous risk prioritization, and push utilities to consider advanced leak technology, relining, repairs, and NPAs. He also described the climate compliance plans as the start of a longer process covering decommissioning, stranded costs, line extension allowances, integrated energy planning, and targeted electrification demonstrations. Senators pressed the DPU and utility witnesses on the lack of specificity in the climate compliance plans, especially the absence of numeric goals for gas usage reduction, customer conversions, and near-term deployment of NPAs. Utility representatives from Eversource and National Grid said their plans include NPA frameworks, integrated energy planning, targeted electrification pilots, network geothermal, and workforce transition efforts, but argued that implementation takes time, requires customer participation, and depends on coordination with electric utilities and communities. They said some NPA and electrification projects are being evaluated now, while larger-scale deployment is expected later in the decade. Senators also raised concerns about line extension allowances, with utilities explaining that new customers may be charged based on whether existing ratepayers would otherwise be harmed, while National Grid said it has begun increasing customer contributions to send stronger price signals. Attorney General Mary Gardner supported the DPU’s GSEP reforms and said the office favors eventually stepping the GSEP cap down to zero by 2030, with repair and replacement costs recovered in base rate cases instead. She argued that the utilities’ plans still rely too heavily on business-as-usual approaches, do not adequately quantify scope 3 emissions, and leave unresolved questions about the obligation to serve and the future of line extension allowances. Advocacy witnesses from the Conservation Law Foundation and Acadia Center were more critical, saying the plans lack the detailed modeling, targets, and transparency needed to show how the utilities will help meet the Commonwealth’s heating and cooling sublimits and broader climate goals. No votes were taken; the hearing consisted of testimony and questioning.

Transcript Highlights:

• Um, and you know, we are networks.
• </c> global network that sees no no borders. global network that sees no no borders.
• </c> something that no other network can do. something that no other network can do.
• </c> a bridge to other networks. a bridge to other networks.
• </c> that and go to uh a public network. that and go to uh a public network.

Keywords: 1189, house, all

Summary: The commission met with a quorum, approved the agenda, and approved the November 12 minutes after a motion, second, and unanimous voice/online consent. The chair said the meeting would include two presentations—one from Noah Herman of Fortress Global and one from John Kicko and team from Hedera—followed by discussion of the commission’s next steps and public comment. The chair also noted he was still seeking a clerk for note-taking. Herman’s presentation focused on stablecoins, blockchain use cases, and operational considerations for states and other institutions. He described Fortress as an enterprise crypto-wallet and treasury platform serving corporates, governments, and nonprofits, and used examples such as Save the Children and a large global commodities firm to illustrate custody and treasury management on blockchain rails. He said stablecoins are designed to maintain a U.S. dollar peg, are increasingly backed by treasuries and subject to greater transparency, and are being adopted by major firms and payment companies because they can improve speed, reduce cost, and simplify payments. He also highlighted market growth, including claims that stablecoins now represent a significant share of on-chain activity and are a major holder of U.S. Treasuries. He identified custody as a key issue for state and institutional use, outlining qualified custody, managed custody, and self-custody models. He said the main practical challenge for the commodities client was moving funds safely and quickly across global time zones and that blockchain rails could solve problems that traditional banking rails could not. He framed the broader trend as one of accelerating institutional adoption, citing recent acquisitions and product launches by Visa, Stripe, Citi, and PayPal as evidence that stablecoin infrastructure is becoming mainstream.

Transcript Highlights:

• our networks.
• What the federal law allows us to do is to develop networks of providers and then accomplish pricing
• What the federal law allows us to do is to develop networks of providers and then accomplish pricing
• What the federal law allows us to do is to develop networks of providers and then accomplish pricing
• network adequacy.

Keywords: 959, house, all

Transcript Highlights:

• I provided these ideas in my written testimony from May.
• And so I would say that we are coming to the... ...network side.
• Those fees are often set by point-of-sale system providers.
• But again, those fees are set by point-of-sale providers, not by the card networks.
• They got 85% of the network market, and they have enough market power to keep raising their own network

Summary: The Special Legislative Commission on the future of credit card payments and their impacts on small businesses held what was described as its last public hearing. Chair Paul Feeney opened by noting the commission’s mandate under Chapter 238 of the Acts of 2024 and explained that members would continue working on a final report after the hearing. The meeting featured testimony from banks, payment industry groups, restaurant advocates, convenience store representatives, and others, with repeated discussion of interchange fees, surcharging, fraud, and federal preemption issues. Banking and card-industry witnesses, including the Massachusetts Bankers Association, the Card Coalition, and the Electronic Payments Coalition, argued that state-level interchange restrictions would disrupt a global payment system, create compliance problems, and likely apply only to a small share of transactions because of federal preemption. They emphasized consumer and merchant benefits of cards, the role of banks in absorbing fraud losses, and recent federal and state developments, including Illinois litigation, OCC and NCUA actions, and a settlement that they said would give merchants more flexibility. Several witnesses also suggested alternatives such as vendor compensation for tax collection and modernizing Massachusetts’ surcharge ban. Restaurant and convenience-store advocates took the opposite view, saying swipe fees are a major burden on thin-margin businesses and that merchants should not pay interchange on sales tax or gratuities that are not their revenue. Mass Restaurants United and individual restaurant owners described severe financial strain, rising costs, and the need for transparency and relief. NACS supported swipe fee reform and argued that current fees are excessive and inflationary. A few members questioned witnesses about whether industry should share more of the burden and about the feasibility of changing the current system. No votes or formal policy actions were taken. The chair said the commission would meet again to discuss a draft framework and final report, and members of the public were invited to submit additional written testimony before the commission concludes its work.

Transcript Highlights:

• I provided these ideas in my written testimony from May.
• Those fees are not set, though, by the electronic payments network.
• Those fees are often set by point-of-sale system providers.
• But again, those fees are set by point-of-sale providers, not by the card networks.
• They've got 85% of the network market, and they have enough market power to keep raising their own network

Keywords: 1212, all

Summary: The Special Legislative Commission studying the future of credit card payments and their impacts on small businesses held what leaders described as its last public hearing, though they said the commission would continue meeting to develop a report and recommendations. Chair Paul Feeney and other members noted the issue is complex and that they had sought testimony from a wide range of stakeholders before moving into a more deliberative phase. The commission adjourned after hearing from several in-person and virtual witnesses. Banking and card-industry witnesses, including the Massachusetts Bankers Association, the Card Coalition, the Electronic Payments Coalition, and others, argued that payment cards provide major benefits to consumers and merchants, including convenience, fraud protection, fast settlement, and broad access to electronic commerce. They warned that state-level changes to interchange rules could create a patchwork of conflicting requirements, disrupt global payment systems, and especially affect state-chartered community banks and small businesses. Several also said recent federal actions and litigation, including OCC and NCUA preemption rules and the Illinois interchange-fee litigation, have limited the practical reach of state laws. Restaurant, retail, and convenience-store witnesses pushed for relief from swipe fees, saying independent businesses operate on thin margins and pay fees on amounts that are not really their revenue, such as sales tax and gratuities. They urged transparency, the ability to surcharge, vendor compensation for tax collection, and limits on interchange or related fees. Some witnesses said merchants bear significant fraud and chargeback costs and that banks and card networks have not offered enough direct relief. Commissioners asked questions about surcharging, fee regulation, fraud, and whether industry should share more of the burden. No votes or formal actions were taken beyond adjourning the hearing.

Transcript Highlights:

• These providers don't have to be in the medical provider network.
• These providers don't have to be in the medical provider network.
• We currently have 36,000 providers in the network, in the state.
• After 2011, they had to join the medical provider network.
• But there's also been pushback around what kinds of providers can be in the network and what providers

Summary: The committee first received an update from the Attorney General’s office on a new workers’ rights unit and two request bills. The office said the unit will focus on wage theft and civil rights enforcement, using existing resources for a small staff. It also described a bill to expand civil investigative demand authority for labor, wage theft, prevailing wage, and discrimination investigations, and an Immigrant Worker Protection Act that would require employer notice when federal immigration authorities request employee records, limit access to nonpublic work areas without a warrant, and restrict disclosure of employee data without proper legal process. Senators asked about costs, funding sources, and the scope of the proposed authority, and the office said it would follow up with more detail. The committee then heard a detailed presentation on Washington’s workers’ compensation system from Labor and Industries, including how claims are filed, how the medical provider network works, and how treatment authorizations and utilization review are handled. L&I said the network was created to improve care quality and return workers to work, and explained that most routine care is automatically authorized while certain procedures require prior approval or review. A question from Senator Conway focused on the role of the medical director and the appeals process; L&I said decisions can be protested and reconsidered, with exceptions reviewed through a complex treatment unit and medical staff. An experience panel followed with testimony from labor representatives, physicians, and an injured-worker attorney, who argued that the medical provider network and treatment guidelines can delay or deny needed care, especially in complex cases such as PTSD, brain injuries, and serious orthopedic injuries. They described long appeals, utilization review barriers, provider shortages, and the impact on injured workers and families, while L&I’s presentation emphasized the system’s structure and review safeguards. The committee then heard a report from the Underground Economy Task Force in the construction industry. L&I summarized the task force’s findings on worker misclassification, unregistered contractors, and unpaid taxes and premiums, and outlined consensus and majority recommendations, including better interagency communication, stronger penalties for repeat offenders, more authority to address successorship, possible contractor notice requirements, and further study of cash payments. The Attorney General’s office, labor, and business representatives generally supported the report’s goals but differed on some recommendations, especially those affecting independent contractors, contractor liability, and administrative burdens. The chair and Senator Conway thanked participants and said the report would inform future legislation.

Transcript Highlights:

• Health plans hold a duty under law to provide and maintain an adequate network of providers so that people
• Health plans hold a duty under law to provide and maintain an adequate network of providers so that people
• who are, under law to provide and maintain an adequate network of providers so that people who rely
• just can't find an in-network provider accepting patients.
• An in-network provider accepting patients.

Summary: The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved. The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations. The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.

Transcript Highlights:

• However, there is a study that analyzed provider networks in at least four states and found that provider
• ><c> at</c><00:21:23.640><c> least</c> uh analyz provider networks in at least uh analyz provider networks
• </c> four states and have found that provider four states and have found that provider networks<00:21
• ><c> to</c> that provider networks will continue to that provider networks will continue to remain<00
• </c> to the auto network to the auto network provider<00:28:22.960><c> I</c><00:28:23.080><c> hope</c

Bills: HF2228, HF46, HF856, HF2149, HF2215

Keywords: homeowners insurance, property insurance, commercial property insurance, insurance affordability, insurance market stabilization, reinsurance, catastrophic reinsurance fund, self-insured pool, premium costs, coverage notice, liability reform, climate risk, climate change, housing affordability, multifamily housing, rental housing, common interest communities, cooperatives, small business insurance, Minnesota Commerce Department

Transcript Highlights:

• Telecom, which is a national trade association representing network providers, technology innovators,
• and suppliers. ...the national trade association representing network providers, technology innovators
• The service is not just cheaper, but the networks it is provided on are significantly more capable and
• In 2024 alone, broadband providers invested nearly $90 billion nationwide for network upgrades, fiber
• The Wall Street Journal found that this type of competition with other providers, with cable providers

Keywords: 988, house, all

Transcript Highlights:

• Um just in case folks are confused about it, thermal energy networks are projects that provide heating
• it, thermal energy networks are projects that<00:00:51.720><c> provide</c><00:00:52.080><c> heating</
• </c><00:03:02.800><c> Their</c> thermal energy networks. Their thermal energy networks.
• ><c> an</c> Thermal energy networks are an Thermal energy networks are an innovative<00:03:10.320><c>
• </c> thermal energy networks or TENS. thermal energy networks or TENS.

Keywords: 1183, house

Transcript Highlights:

• can’t provide an appointment in network.
• , typically an out-of-network provider, that they would like to see.
• providers or kind of opening up the network to contracted providers, essentially.
• So that would include out-of-network utilization rates for mental health providers, provider reimbursement
• Communities of color often struggle to find in-network providers who meet their cultural and language

Summary: The Assembly Health Committee held an informational hearing on Kaiser Permanente’s behavioral health care system, focusing on Department of Managed Health Care enforcement actions, Kaiser’s corrective action work plan, and testimony from patients, advocates, and union representatives. DMHC officials reviewed a long history of complaints, surveys, fines, and settlements involving Kaiser’s access to behavioral health services, including deficiencies found in 2012 and 2016, a 2022 non-routine survey, and a 2023 settlement that imposed a $50 million penalty and required $150 million in community investments over five years. DMHC said it continues to monitor Kaiser through quarterly meetings, complaint review, follow-up surveys, and a reimbursement process for members who could not obtain timely in-network care. Committee members pressed DMHC on what “timely access” and continuity of care mean in practice, how virtual care and group therapy fit into the standards, and what triggers a non-routine survey. DMHC said initial behavioral health appointments generally should not take more than two weeks, urgent care should be within days, and follow-up care within 10 days, with out-of-network care required when plans cannot meet standards. Officials also said Kaiser’s initial corrective action work plan lacked detail, but the revised plan was accepted and will be tracked through quarterly reporting and possible additional enforcement if Kaiser fails to comply. The second panel featured testimony from a Kaiser enrollee, a behavioral health policy expert, a Kaiser therapist, and the NUHW president. The enrollee described serious delays and inadequate treatment for his daughter after a suicide attempt, while the therapist and union leader said Kaiser’s behavioral health system is understaffed, relies too heavily on short appointments, group therapy, and webinars, and treats behavioral health as less important than medical-surgical care. They argued Kaiser’s one-appointment-at-a-time scheduling rule and limited treatment time violate parity requirements and harm continuity of care. Several members criticized Kaiser for not appearing at the hearing and said the testimony underscored the need for stronger oversight, clearer metrics, and faster remedies for patients.

Transcript Highlights:

• The importance of this network could not be more clear.
• The importance of this network could not be more clear.
• legislation will provide Congress and the FCC with the tools necessary to track down delinquent providers
• These new steps will ensure that USF support only goes to qualified providers, and that those providers
• And that provider, the providers That are receiving them are capable of getting the job done.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, April 20, 2026, 1012, house, all

Transcript Highlights:

• Here in California, Synergem serves as the regional network service provider for the northern region.
• We store the state-provided GIS data and synchronize it with regional network service providers to deliver
• Developing a modern and resilient network that will provide reliability and redundancy is imperative.
• Developing a modern and resilient network that will provide reliable. Today.
• Developing a modern and resilient network that will provide reliability and redundancy is imperative.

Keywords: 988, house, all

Transcript Highlights:

• WE ARE ACTIVELY GROWING ON PROVIDER NETWORK.
• THE OTHER IS A TIME AND DISTANCE STANDARD OF EXPECTATION IS THAT OUR NETWORK IS NOT PROVIDED THAT WE
• WE HAVE SOME 3500 BEHAVIORAL ANALYSIS PROVIDERS INCLUDED IN THAT NETWORK FOR CHILDREN.
• TO GROW THE NETWORK OF PROVIDERS WHO CAN SERVE OUR MEMBERS AS ADULTS.
• LOOKING AT THE PROVIDER NETWORK, IN SOME CASES WE HAVE TO GO FROM SCRATCH.

Transcript Highlights:

• That kind of unpredictability pushes providers out of networks and makes care harder to access.
• Show us how often care is delayed or pushed out of network, and whether provider networks actually exist
• As a provider, I support this bill because I often hear how hard it is for families to find an in-network
• , and clients can't know how robust a provider network is until they need help.
• As one of the few psychologists who is still an in-network provider with commercial health insurance,

Summary: The Senate Health and Long-Term Care Committee first met in executive session and advanced five bills out of committee. SB 5999, as amended by a substitute, would let rural counties under 100,000 population appoint an APRN or physician assistant as an acting local health officer; SB 5185 would create a pathway for international medical graduates to physician licensure through a Washington Medical Commission pilot; SB 5845 would revise timely payment rules for health carriers, including longer acknowledgment and payment timelines and clarifications on scope; SB 6071 would standardize overpayment recovery timelines for carriers; and SB 6258 would create a non-disciplinary pathway for relinquishing Washington Medical Commission licenses. Each bill received a due pass recommendation and was sent to Rules, with the bills passed subject to signatures. The committee then heard SB 6226, which would protect the clinical autonomy of audiologists and ensure hearing-instrument and communication-device rules are applied consistently across care modalities, including telehealth. Testimony was overwhelmingly supportive, emphasizing access for rural and mobility-limited patients and the importance of teleaudiology, though one association cautioned the bill could affect broader regulatory authority. The hearing closed with 54 pro, zero con, and two other sign-ins. Next, the committee heard SB 6305, the Truth in Mental Health Coverage Act, which would require carriers to submit standardized annual data to the Office of the Insurance Commissioner on mental health and substance use disorder coverage, access, utilization, reimbursement, and network participation, with public posting in raw and dashboard form. The sponsor and supporters said the bill would improve transparency and accountability without changing benefits, while opponents argued it could duplicate recent parity reforms and add administrative burden. The hearing closed with 396 pro, two con, and zero other sign-ins. Finally, the committee heard SB 5924, a proposed substitute expanding pharmacists’ prescriptive authority for certain limited conditions and products, including some preventive and minor-illness treatments, and allowing limited diagnosis within defined bounds. Supporters said it would improve access, especially in rural and underserved areas, reduce administrative barriers from collaborative drug therapy agreements, and align with the sunrise review; opponents, including the medical association, said the bill went beyond the review and needed more time, while some testimony raised concerns about psychiatric prescribing. The hearing closed with 279 pro, six con, and four other sign-ins, and the committee adjourned after concluding its business.

Transcript Highlights:

• in our networks.
• What the federal law allows us to do is to develop networks of providers and then accomplish pricing
• network adequacy.
• But because they’re different providers, different licensures, you might pay provider one fee and provider
• or a provider that either specializes in specific... ...to go to a larger provider or a provider that

Summary: The Committee for Insurance met with a quorum and first took up three bills in executive session. House Bill 2902 was amended with a committee substitute that removed the commission language while keeping provisions on software and key-emulating devices, and members confirmed it still included a Class D felony penalty. The committee adopted the substitute and voted the bill do pass, with one member voting no. House Bill 1789, dealing with delivery network companies and insurance coverage during the delivery availability period, was also amended and adopted; the substitute clarified that the availability period is not commercial activity and that auto insurance applies until a driver is actually engaged in delivery. The committee then voted the bill do pass, with one no vote and one present. House Bill 1647 was amended to remove it from the collateral source rule section and clarify that it applies only to civil actions for damages and property claims; the substitute was adopted and the bill voted do pass, with several no votes recorded. The committee then held a public hearing on House Bill 1894, which would implement federal nondiscrimination requirements for licensed health care providers in Missouri insurance law. The sponsor said the bill is about patient choice, fairness, and access, especially in rural areas, and does not expand scope of practice or require coverage of new services. Supporters from chiropractic, nursing, occupational therapy, podiatry, and nurse anesthetist groups said the bill would ensure equal reimbursement for the same covered services and improve access to local providers. Opponents from the insurance industry argued the bill would interfere with network design, reduce negotiating leverage, and require equal payment regardless of provider type or credentials; they also said current federal law already governs network adequacy and that the bill’s rulemaking language was standard but the reimbursement mandate was the main concern. The committee also heard House Bill 3314, which updates Missouri’s insurance guaranty association laws. The sponsor and supporters explained that the bill would clarify coverage for cyber policies, ensure coverage follows the policyholder in insurance business transfer or corporate division transactions, and allow limited pre-liquidation information sharing from the Department of Commerce and Insurance to guaranty associations so claims can be handled faster after insolvency. Witnesses said the bill is technical and intended to modernize the system without expanding coverage or increasing taxpayer exposure. Members asked about the $300,000 property and casualty claims cap, the definition of high-net-worth individual, oversight of guaranty associations, and confidentiality concerns; supporters said the cap is longstanding, high-net-worth means over $25 million, and the department’s existing oversight and confidentiality protections are sufficient. The hearing closed after a final supportive statement from the Missouri Insurance Coalition, and the committee adjourned.