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:

• 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:

• 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:

• Florida's current method for resolving payment disputes between insurers and out-of-network providers
• 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 under the federal program, for example, in-network providers aren't eligible for that.

Keywords: 999, senate, all

Summary: The Banking and Insurance Committee considered a full agenda of insurance, financial services, and probate bills. Early action included SB 1000, setting a floor and ceiling for interest on attorneys’ trust accounts, which was reported favorably. The committee then took up CS/SB 1082 on a statewide provider and health plan claim dispute resolution program for out-of-network emergency claims. Senator Graal explained it as a way to reduce litigation and use a dispute-resolution process similar to the federal No Surprises Act. An amendment intended to require plan disclosure and prevent default by nonparticipation drew questions from members and concerns from insurers and providers about clarity and scope, especially whether it could affect contracted rates or shift claims between state and federal systems. Senator Graal withdrew the amendment, and the bill was reported favorably after testimony from insurers and emergency physicians both supporting the underlying dispute-resolution concept while asking for further clarification. The committee also favorably reported SB 684 on electronic signatures for total loss vehicles and vessels; CS/SB 158 on pet insurance, which adds agent continuing education, stronger consumer disclosures, and annual reporting to OIR; SB 1494 on breast cancer screening coverage, expanding required mammogram and supplemental screening coverage; and CS/SB 314, a strike-all bill creating a Florida framework for payment stablecoin issuers consistent with the federal GENIUS Act. CS/SB 1500 on uncontested probate proceedings was also approved, with an amendment addressing access to safe deposit boxes by requiring letters of administration. SB 618 on workers’ compensation insurance raised the consent-to-rate cap from 10% to 20% for workers’ comp policies and adjusted the Florida Workers’ Compensation Guarantee Association board membership; supporters said it would help keep high-risk employers in the voluntary market. Later, the committee approved CS/SB 1568 creating a Florida Stablecoin Pilot Program within DFS to allow certain stablecoin payments for fees, after a substitute amendment removed authority for a Florida coin, limited eligible stablecoins, and required qualified public deposit handling. CS/SB 838 clarified that convenience fees for electronic payments on retail installment contracts are permissible, while preserving a fee-free payment option; members discussed consumer access and fee concerns. CS/SB 1452, a broad DFS agency bill covering My Safe Florida Home, insurance administration, unclaimed property, licensing, and other departmental changes, was reported favorably after a technical amendment. The committee also approved SB 1706 creating a My Safe Florida Condominium Pilot Program targeted to owner-occupied, lower-income condominiums, and SB 990 authorizing protected cell captive insurance companies in Florida, with supporters arguing it would modernize law and promote competition. The meeting concluded with all bills on the agenda that were heard being reported favorably and the committee adjourning without objection.

Transcript Highlights:

• By doing that, it will provide a network that's sustainable for decades to come, and that 800 gigs will
• By doing that, it will provide a network that's sustainable for decades to come, and that 800 gigs will
• So to provide that as a mission statement, to provide service that puts the customer first by providing
• So to provide that as a mission statement, to provide service that puts customer first by providing choice
• They exist within our own network.

Keywords: 995, all

Summary: The Joint Committee on Telecommunications, Utilities, and Energy opened its hearing with testimony on several broadband, towing, and rideshare-related bills. The first major issue was H. 3470/S. 2259, which would add data privacy and integrity protections for transportation network driver information. Rideshare drivers and labor advocates strongly opposed the bill, saying it would delay implementation of Question 3, which Massachusetts voters approved to give rideshare drivers a path to unionize. Drivers described low pay, deactivations, harassment, safety risks, and the need for a union to negotiate fairer working conditions. Legal and labor experts testified that the bill was largely duplicative of existing law and regulations and would unnecessarily postpone drivers’ organizing rights. No vote was taken on the bill during the hearing. The committee also heard extensive testimony on broadband affordability and access bills, including S. 2318/H. 3527 and related measures. Supporters, including legislators, digital equity advocates, senior advocates, and service providers, said low-income households need a permanent affordable broadband option after the federal Affordable Connectivity Program ended. They argued that internet access is now essential for jobs, school, health care, housing, and daily life, and supported a flat-rate low-income plan around $15 per month with protections such as no installation fees or termination fees. Opponents from cable and wireless industry groups argued the bills would impose artificial price mandates, discourage investment, and reduce consumer choice, noting that providers already offer discounted programs. The committee also heard support for broadband deployment and pole-attachment streamlining bills, with providers and municipal broadband advocates saying permitting delays and pole access bottlenecks slow expansion and raise costs. Additional testimony covered H. 3566, which would exempt municipal broadband projects from surety bond requirements, and towing-related bills including S. 2235, H. 3507, H. 3516, and H. 3482. Insurance and anti-fraud witnesses supported stronger towing protections, saying some towers charge excessive fees and hold vehicles hostage, while one witness urged broader consumer safeguards. The hearing ended after the chairs shortened testimony to fit the room schedule, asked for final comments on remaining bills, and then adjourned by motion and voice vote.

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.

Transcript Highlights:

• Today, Synergem provides software and network services to PSAPs in Florida, Wisconsin, Nevada, and Missouri
• 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 reliable— Today.
• Developing a modern and resilient network that will provide reliability and redundancy is imperative.

Summary: The Emergency Management Committee held an oversight hearing on California’s Next Generation 911 rollout, focusing on Cal OES’s decision to move away from the original regional vendor model toward a statewide provider model. Cal OES said the regional architecture created complexity at the boundaries between regions, leading to misrouted calls, transfer problems, and degraded audio, and that a statewide model would better align with national standards and provide a more reliable, secure system. The Legislative Analyst’s Office urged the Legislature to pause further implementation until it has more information on the problems, tradeoffs, costs, and oversight needs, and recommended stronger reporting and possibly independent technical review before proceeding. Committee members pressed Cal OES on accountability, cost, testing, vendor selection, and whether the current system is safe. Cal OES said the project has cost about $456 million so far, most of it recurring service fees, and that 23 PSAPs had transitioned voice traffic while more than 440 total PSAPs remain in the state. Officials said the current system is operating, that a pause would not put the public at risk, and that the statewide conversion could be completed by summer 2030. Members and the LAO raised concerns about whether Cal OES has enough technical oversight and whether contract language alone is sufficient to prevent repeat problems. The vendor panel largely defended the regional model and argued that the existing system is already built, tested, and ready to expand. NGA 911, Synergem, Lumen, and Atos said the regional architecture provides redundancy and resilience, that early problems were often tied to legacy-system integration, carrier issues, or training rather than the regional design itself, and that a statewide redesign would add cost and delay. Atos said it serves as the statewide backbone and backup and has already carried live traffic, while vendors emphasized that they support continued modernization but believe California should build on the current regional investment rather than replace it.

Transcript Highlights:

• While mobile service providers take numerous steps to address vulnerabilities in their networks, threats
• </c><03:06:09.359><c> networks,</c> vulnerabilities in their networks, vulnerabilities in their networks
• outreach and technical assistance to small providers regarding open RAN networks and for other purposes
• outreach and technical assistance to small communication network providers about the benefits of transitioning
• . networks. networks.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, July 14, 2025, 1012, house, all

Transcript Highlights:

• So we are the glue that puts a network together with our provider partners.
• Again, some plans have agreed to more, which they'll pay that prior provider, non-network provider, the
• But the truth of the matter is, as the owner of a network in 18 rural counties, I value my providers
• Managing entities are truly the safety net, not just for the clients, but for the provider network.
• And I wish that I had been informed sooner about... ...but for the provider network.

Summary: The Health Care Budget Subcommittee held a panel discussion on Florida’s mental health and substance abuse system, with representatives from DCF, AHCA, two managing entities, and two providers describing how the state’s behavioral health network is funded and operated. Members focused on the implementation of prior legislative investments, especially the $50 million in recurring funding from Representative Maney’s bill and the earlier $126 million community behavioral health appropriation. Witnesses said the newer funds were used mainly for crisis beds, discharge planning, outpatient services, regional collaboratives, and a USF Marchman Act report, while the larger behavioral health appropriation supported CAT, FACT, FIT, forensic teams, residential and outpatient services, and crisis care, with most dollars going directly to services and only a small share to administration. A major theme was access to crisis care and the role of mobile response teams, 988, and central receiving facilities in diverting people from Baker Act admissions and reducing readmissions. DCF and providers said mobile response teams have expanded, are being used to de-escalate crises and connect people to care, and have shown strong diversion results and reductions in Baker Acts in some regions. Members also asked about waitlists, children in crisis, and how to handle people without housing or support; providers said discharge planning is individualized but often constrained by homelessness, transportation, and a lack of safe placements, and several witnesses identified housing as one of the biggest barriers to recovery and stability. The committee also examined provider sustainability, reimbursement, and funding gaps. Witnesses described delays caused by contract timing, cost allocation rules, and Medicaid reimbursement rates that do not always keep pace with labor and operating costs, especially for smaller providers and rural networks. DCF and AHCA said managing entities can provide advances, retroactive rate adjustments, and technical assistance, and that Medicaid managed care plans have network standards and complaint/dispute processes. Members raised concerns about a reported $7 million loss in federal non-sustainable funds, provider closures, and whether there is a formal ombudsman process for disputes; DCF said the federal reductions were known and tied to one-time funds, and that the department generally handles provider issues informally while working with managing entities to preserve continuity of care.

Transcript Highlights:

• We're going to start on Tab 11, and that is Senate Bill 1842 on out-of-network providers.
• is in their network, or they can attempt to contact the insurance provider to see if...
• They don't know if it's an in-network or out-of-network provider.
• It's to help patients better learn whether or not a referral provider is in network or out of network
• They would try to ascertain whether or not the referral provider is in network.

Summary: The committee took up a large health policy agenda. SB 1568 on electronic prescribing was explained as a federal conformity measure, but members raised concerns about preserving patients’ ability to obtain paper prescriptions and about exemptions for emergency, hospice, and other situations. Emergency physicians testified in support of e-prescribing but asked for flexibility, and the bill was reported favorably despite Senator Harrell’s opposition. SB 1606 on patient access to records sought to standardize record-production timelines and require electronic delivery when available; after an amendment correcting a drafting error, the bill drew concerns about HIPAA, behavioral health confidentiality, and the distinction between personal and legal representatives, and it was reported unfavorably as a committee substitute. The committee then approved SB 1346 on fentanyl testing, with a technical amendment, to require hospitals and campus emergency departments to test for fentanyl in urine testing for suspected overdose or poisoning. SB 1224 on administration of controlled substances by paramedics was amended to clarify language and reported favorably. SB 656 on health care billing and collection activities was substantially revised by strike-all amendment to allow sale of medical debt to third parties under new limits, including no interest or fees and return of debt if charity care applies; it was reported favorably as a committee substitute. SB 68 expanded health facilities authority financing to include not-for-profit LLCs and parent companies, and SB 524 added Duchenne muscular dystrophy to the newborn screening panel; both were reported favorably. Later, the committee approved SB 1842 on out-of-network referrals after multiple amendments, requiring providers to verify network participation at the point of service and notify patients in writing, though several members and physicians warned it could burden providers and increase workload. The committee also advanced proposed committee bill SB 7028, which revises the Casey DeSantis Cancer Research Program, adds oversight and reporting requirements, creates a pediatric cancer research incubator, and establishes the Bascom-Palmer VisionGen initiative; cancer center representatives testified in strong support, and the bill was reported favorably as a committee bill. SB 172 on specialty titles and designations was amended to clarify enforcement and was reported favorably after supporters said it would prevent misleading use of specialist titles, while opponents argued it could confuse practitioners’ titles. Finally, SB 1690 on surrendered infants was reported favorably after supporters said it would codify and expand safe-haven baby box procedures and opponents raised safety concerns about the devices. The committee also noted SB 1606 remained pending for reconsideration next week before adjourning.

Transcript Highlights:

• Um, basically the ongoing operations of the network is handed down to our service provider through what's
• network, if we're kicked off, another wholesale provider comes in, they don't have us as a customer
• It's a public network and we feel like we should have access to it as a service provider. >> Okay.
• Um, on that network, our redundant network that we're running with another provider, it's down at least
• We have since sold our wired and our fiber network in that community to another provider, and so we have

Keywords: Meeting Start 00:00:00 Roll Call 00:00:27 Legislative Research Commission 00:01:15 KentuckyWired Operations Company 00:17:30 Wireless Internet Service Providers Association 00:40:15 Administrative Office of the Courts 01:08:55 Kentucky Auditor of Public Accounts 01:33:00, 958, all

Summary: The committee first approved the July 9 minutes without objection and heard from Jay Hartz and Jonathan Harris of the Legislative Research Commission. Members asked about Capitol and legislator security in light of recent targeted shootings in other states. Hartz said LRC had removed members’ home addresses from its website, was reviewing other state-government records for similar information, and was working with the Speaker, Senate President, Kentucky State Police, and outside security experts on broader safety measures. He also said LRC is exploring commercial products to help block personal contact information from public view, but declined to name vendors publicly. Harris added that driver’s license scans at the Capitol are handled by Kentucky State Police, while LRC has a process for flagging high-volume or concerning contacts for police review. The LRC also reported that redistricting work has already begun, with census coordination underway, evaluation of redistricting software including Mapitude and open-source tools, and plans to make the same tools available to the public in the LRC library. The committee then heard from Kentucky Wired Operations Company CEO Robert Morphonius, COO Tom Snyder, and counsel Patrick Hughes about the Kentucky Wired network. They explained the corporate structure: Kentucky Wired Operations Company is a private for-profit special purpose entity that designs, builds, operates, and maintains the network; Kentucky Wired Infrastructure Company is a nonprofit instrumentality used for financing; and Open Fiber Kentucky handles commercialization of excess capacity under a wholesale agreement. They said Kentucky Wired Operations is in the operations and maintenance phase, with those obligations continuing until 2045, and that technical changes to the network generally require KCNA approval through formal change-order processes. They also said the company conducted a market test in June 2023 under Schedule 19 of its contract, considered proposals including Open Fiber and the incumbent service provider, and retained the existing provider. Members asked about KCNA’s role, procurement, network customers, and revenue. The witnesses said Quac operates outside normal state procurement because its process is governed by contract, while KCNA acts as the Commonwealth’s oversight authority and filter for changes. They identified current network users as including AOC, KCTCS, postsecondary education, and other Commonwealth agencies, with all requests routed through KCNA; they also said a separate change process for Exceliccom is in litigation. On funding, they said the operation is paid through monthly appropriations, with roughly a million dollars a month for the service provider and a couple hundred thousand for Quac’s oversight, not including debt service, which is bundled into the availability payment. The discussion ended as members began asking about responsibility for damage-related costs such as squirrel-related outages.

Transcript Highlights:

• The networks and banks providing should be fairly compensated for that service.
• It would be the processor, the network...
• Payment card networks, not banks.
• They don't have to defend and secure those networks. The networks just happen to work.
• We would be unplugging taxes from the global network, creating the Texas Payment Network, and that network

Bills: HB245, HB245, HB700, HB2783, HB3526, HB3900, HB4061, HB4124, HB4166, HB4395, HB4534, HB4609, HB4641, HB4736, HB4738, HB4739, HB4945, HB5015, HJR175

Keywords: property tax, delinquent taxes, ad valorem, penalties, interest cap, military service, retirement, law enforcement, custodial officer, Employees Retirement System, commercial financing, brokers, registration, disclosures, finance, consumer protection, fees, deferred compensation, automatic participation, county employees

Transcript Highlights:

• </c> them until the creation of the network them until the creation of the network so<00:36:52.920><c
• the network is M Drive or, you know, is that the same thing?
• We provided a relatively small amount, maybe 50,000, 60,000, to be able to expand her network.
• We provided a relatively small amount, maybe $50,000, $60,000, to be able to expand her network.
• </c> hard for peer reviewers to provide hard for peer reviewers to provide support<01:24:05.920><c> for

Keywords: 1183, house

Transcript Highlights:

• physicians or out-of-network facilities, medical facilities.
• ... ...but the anesthesiologist is not an in-network anesthesiologist.
• with your provider, it's emergency.
• out-of-network, whatever it may be, that we cover any emergency care.
• don't have to provide service; it's simply notice.

Summary: The Senate Commerce Committee first approved the minutes from February 12, 2026, and then voted to send the gubernatorial reappointment of Trent Nate to the Idaho Health Insurance Exchange Board to the full Senate with a recommendation for confirmation. The committee then heard several code-cleanup bills from Senator Todd Lakey. Senate Bill 1274 would remove obsolete references in state law related to the transfer of county public defender employees, comp time, and an employee problem-solving procedure; Senate Bill 1275 would delete outdated provisions concerning veterans’ assets and the North Idaho Veterans Home; and Senate Bill 1273 would repeal several obsolete PERSI-related provisions tied to old retirement and contribution arrangements. Each of those bills drew no testimony or opposition and was sent to the Senate floor with a due-pass recommendation. The committee spent most of the meeting on Senate Bill 1319, the Emergency Care Affordability Act, sponsored by Senator Burt. The bill would create a new chapter in Title 41 governing billing and reimbursement for out-of-network freestanding emergency rooms, requiring them to accept the local in-network allowed amount for emergency services from state-regulated health plans, disclose that they do not accept Medicare, Medicaid, or TRICARE, and allow self-funded plans to opt in. Supporters, including Blue Cross of Idaho and the Association of Health Plans, argued that freestanding ERs are exploiting the federal No Surprises Act and its independent dispute resolution process by sending nearly all claims to arbitration at inflated rates, which they said raises premiums for Idaho consumers and state employee health plans. They said the bill is intended to address a loophole and does not affect hospital ERs or other emergency billing disputes. Committee members raised questions about EMTALA, federal preemption, whether the bill targets one business model, and whether patients are actually being balance-billed. Supporters said EMTALA still requires treatment, but the bill is aimed at billing practices and transparency, not access to emergency care. Some senators expressed concern about singling out one provider type and possible legal issues, while others said the bill was justified because insurers are required to cover emergency care and the current federal dispute process is driving up costs. After discussion, the committee approved Senate Bill 1319 on a 6-3 roll call vote and sent it to the Senate floor with a do-pass recommendation.

Transcript Highlights:

• So, basically, local clinics like mine provide stable community-based care, but when networks close,
• So, basically, local clinics like mine provide stable community-based care, but when networks close,
• stable community-based care, but provide stable community-based care, but when<00:56:35.120><c> networks
• law that gave contracts to any provider who held the correct credentials and was willing to take network
• I've had to go through hoops to get on networks as a provider myself.

Keywords: 1187, senate, all

Transcript Highlights:

• of providers, they must arrange for the care outside of their network.
• of providers, they must arrange for the care outside of their network.
• of providers is if they really have no idea who their network is.
• Time general fund request that would preserve a provider network of youth gender-affirming care providers
• So this would be for the provider network that is willing to continue providing these services and scale

Summary: The joint hearing focused on access to gender-affirming care in California, with opening remarks from the subcommittee chairs emphasizing the importance of protecting transgender, gender-diverse, and intersex Californians and asking for decorum during public comment. The first panel from the Department of Justice, Department of Managed Health Care, and Department of Health Care Services described existing state protections, including nondiscrimination rules, privacy protections, shield laws, and Medi-Cal and commercial coverage requirements for medically necessary gender-affirming care. State officials also outlined ongoing litigation against federal actions and against hospital decisions to end or restrict care, including the Rady Children’s case and challenges to federal proposed rules and declarations affecting Medicaid, Medicare, and provider participation. Members questioned state agencies about why some hospitals that had stopped providing care had not been sued, how network adequacy is measured, whether the state can track actual access to gender-affirming care, and what legislative changes might strengthen protections. DMHC said it monitors complaints and independent medical reviews but does not track gender-affirming care as a separate provider category or collect utilization data, while DHCS said Medi-Cal continues to cover medically necessary care and that the state is preparing for possible federal rule changes. Finance staff said the previously approved $15 million for gender-affirming care was still being implemented through Covered California. The second panel featured a physician, clinic leaders, a parent, and a transgender teen describing how care is delivered and the effects of hospital closures and federal pressure. Dr. Johanna Olson-Kennedy described the history and medical basis for gender-affirming care, said minors need parental consent for medical interventions, and argued that care should be individualized and supported by families. Providers and families testified that hospital closures and insurance barriers have disrupted continuity of care, forced patients to travel farther, and shifted demand to community clinics that lack sufficient funding and contracting support. Several witnesses asked the Legislature to provide new funding, strengthen insurance enforcement, and stabilize access to care for transgender youth and families.

Transcript Highlights:

• Finally, when L&I removes a provider from the network, it must be done in writing, and the provider may
• After 2011, providers were required to join the medical provider network and follow department-issued
• After 2011, providers were required to join the medical provider network and follow department-issued
• The department also manages its own provider network.
• The department also manages its own provider network.

Summary: The committee first held a public hearing on Senate Bill 6136, which would require Labor and Industries to publish actuarial indicated workers’ compensation rates for each risk class and disclose when rate increases are capped below those indicated levels. The sponsor and supporters from the hospitality, retail, business, and construction sectors said the bill would improve transparency about how rates are set and how reserve funds and investment earnings are used to hold down premiums. L&I testified that the bill would require publication of a large amount of rate-setting information, but said it was already developed in the normal process and that the bill had no fiscal impact. Questions focused on reserve use, advisory committee involvement, and how the actuarial calculations interact with investment returns. The committee then moved to executive session and took action on several bills, adopting substitutes or amendments and advancing bills including SB 5292, 6014, 5972, 5869, 5874, 6058, 6039, 5944, and 6180, with most sent to Rules and SB 5292 sent to Ways and Means. The committee then heard Senate Bill 5847, which would expand injured workers’ access to medical care by allowing treatment outside the L&I provider network when no provider is available nearby, limiting employer steering to specific providers, shortening utilization review timelines, allowing provider deviation from L&I guidelines when medically appropriate, and expanding continued treatment and cancer monitoring. Labor and worker advocates argued the bill would better reflect the Murray decision and reduce delays in care, while L&I and employer groups said the current evidence-based guideline system works for most claims and warned the bill could weaken quality controls, create vague standards, and increase costs. Testimony also raised concerns about the 15-mile access rule, the employer communication restrictions, and the appeal process for provider removal. The sponsor said the goal was to improve individualized care and continue working with stakeholders. Finally, the committee heard Senate Bill 6067, which would change workers’ compensation time-loss calculations so that 100% of the employer-paid health insurance contribution is included in the benefit calculation instead of the current partial inclusion. Supporters said the bill would help injured workers keep health coverage during recovery and reduce pressure to choose between medical care and income, while opponents argued it would not guarantee the money is actually used for health insurance, could be diverted to other uses or attorney fees, and would significantly increase costs for employers and the accident fund. L&I said the bill would require IT and administrative changes and estimated substantial ongoing benefit costs. The hearing ended without further action on SB 6067, and the chair closed the session after public testimony concluded.

Transcript Highlights:

• </c> to see an in network provider. to see an in network provider.
• </c> of providers do you have in your network of providers do you have in your network and<00:41:36.880
• <c> and</c><02:13:16.800><c> a</c> provider carrier network changes and a provider carrier network changes
• There's other in-et network providers.
• networks and have quality providers.

Keywords: 1191, senate, all