Transcript Highlights:

• which identified two pathways a testing which identified two pathways a testing option<00:48:14.400
• of white paras pass the parapro test, but only 65% of Hispanic and Asian test takers and only 48% of
• a para educator test to stay employed. a para educator test to stay employed.
• > only Hispanic and Asian test takers and only Hispanic and Asian test takers and only 48%<01:
• They're limited to the test or grid.

Bills: HF3698, HF3067, HF3730

Keywords: libraries, electronic books, digital audiobooks, licensing agreements, public access, paraprofessional, paraprofessional qualifications, education support staff, teacher aide, teacher assistant, special education, Title I, federal personnel qualifications, Minnesota Department of Education, school district, charter school, cooperative unit, Read Act, reading instruction, math instruction

Transcript Highlights:

• We saw this from the Minnesota Chamber recently released economic benchmarks, looking at where we are
• <01:21:46.960> uh<01:21:47.120> report think the chamber uh benchmark uh report think
• the chamber uh benchmark uh report does<01:21:47.760> a<01:21:48.000> pretty<01:21:48.159
• Read the Chamber of Commerce benchmark report. I think it lays it out pretty well.
• Read the Chamber of Commerce benchmark report. I think it lays it out pretty well.

Keywords: 1187, senate, all

Transcript Highlights:

• test that's really going to hurt a lot of people.
• We have not modeled a different asset test.
• test that's really going to hurt a lot of people.
• to implement the asset test again, or test?
• We are opposed to the Medi-Cal asset limit test.

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.

Transcript Highlights:

• Academic standards are established for the K-12 education system as a whole in Minnesota, but benchmarks
• line 29.10, amends the grade level reading goals under the READ Act to be aligned to appropriate benchmarks

Transcript Highlights:

• So they take their tech... ...that track record without a government willing to test their product.
• Benchmarks and performance metrics are defined upfront, and the technology has to actually work.
• What this allows us to do is to test this out and to validate the technology before, and then we can
• They got to do their scientific test, your hypothesis, your test, and the proof.
• So our plumbing code does require the annual testing.

Bills: HB1163, HB1168, HR252, HR253, HCR103, HCR108, SB80, SB131, SB251, SB254, SB279, SB384, SB414, SB468, SB469, SB496

Keywords: fireworks, retail sales, fire safety, legislation, holiday celebrations, construction standards, precast concrete, DOTD, building regulations, minimum requirements, public projects, private projects, consumer protection, credit card fees, cash transactions, rounding practices, transparency, low-income, economic impact, residential construction

Transcript Highlights:

• Water that is used for authorized purposes as well like firefighting or water quality testing or all
• And so it's benchmarking against ourselves to get lower.
• There are you guys are doing the same type of testing.
• Um, before being treated, tested, and then discharged.
• We do about $3 million worth of testing.

Transcript Highlights:

• It's the truck, how much is on the truck, how much is where, and so it's benchmarking against ourselves
• Same type of testing. I'm sure this is kind of common around the around the state, okay?
• So extensive water quality testing and confirmed that The water is technically feasible for treatment
• Or confirmed through geological studies, additional test well drilling can confirm.
• We do water quality tests.

Keywords: 1184, house, all

Transcript Highlights:

• Chelsea continues to exceed industry benchmarks in direct care staffing.
• Thank you for the opportunity to test Good afternoon.
• Holyoke continues to exceed national long-term care benchmarks in direct care staffing.
• And we've got a couple cases where we are... ...we've got a couple cases where we are testing out mental
• of the most vulnerable people, who have 8,800 families, I'm saying, would be hurt by this new asset test

Keywords: 995, all

Summary: The hearing was a FY27 budget session on Health and Human Services held in Mattapan, hosted by the Joint Committee on Ways and Means. Opening remarks from Senator Lydia Edwards, Representative Brandy Fluker-Reed, Representative Russell Holmes, and Boston Public Library President David Leonard emphasized the significance of holding the first Ways and Means hearing in Mattapan, the importance of community access, and the role of libraries as human services institutions. Committee members and attendees introduced themselves before agency testimony began. MassAbility testified first, describing its mission to support people with disabilities through employment, independent living, and disability determination services. The agency highlighted federal funding uncertainty, a modest FY27 budget reduction, and a proposed reworking of its home care program, which it said is outdated and should better target those most in need. Members questioned the home care cut, staffing reductions, and federal coordination. MassAbility also shared a participant story about recovery and community support to illustrate the impact of its services. The Massachusetts Commission for the Deaf and Hard of Hearing then presented its FY27 request, focusing on interpreter and captioning access, workforce development, emergency communication, aging-related hearing loss, and transition services for deaf and hard-of-hearing youth. Members asked about interpreter shortages, after-hours emergency coverage, ASL education, and community training; the commission said it is expanding mentorship and referral systems but still faces staffing and vendor challenges. The Massachusetts Commission for the Blind followed with a $30.8 million request, describing services for nearly 9,000 consumers, peer support groups, vocational rehabilitation, and Turning 22 services, while noting federal funding uncertainty and a 7% budget cut. Members raised concerns about maintaining services with fewer resources, and the commissioner said the agency had trimmed overhead and could manage the proposal. The Office for Refugees and Immigrants closed the segment, outlining expanded legal, housing, workforce, citizenship, and financial literacy supports for immigrants and refugees, including Know Your Rights trainings, legal defense initiatives, and the Massachusetts Access to Counsel Initiative. Members discussed the effects of federal policy changes, the loss of refugee resettlement funding, and the need for state support to fill gaps. No votes were taken in the portion provided; the hearing consisted of agency presentations and committee questioning.

Transcript Highlights:

• surface potential shortfalls, and enable the State Water Commission and Department of Water Resources to test
• A key feature is the set of decision levers, so the users can test scenarios such as adding revenue sources
• have to take, water testing, crop reports, and then we can also do a ban on fall and winter fertilizer
• If we get two summers in a row with 30 inches of rain, we probably won't meet that benchmark.
• We'll be updating our FEMA project concept report at all of those benchmarks at 30%, 60%, and 90% to

Keywords: 908, all

Transcript Highlights:

• If there are no test scores, there's no grades, everything is all the same.
• Is it benchmarks they need to meet? What is it?
• Members, SB1418 just updates the education code to recognize the changes that have been made in our benchmark
• Are born looking female, but have testes inside their bodies.
• So, if a person is born with testes... Inside their body, but functionally appear female.

Bills: HJR144, HJR218, HB40, HB 101, HB 112, HB146, HB168, HB214, HB413, HB1523, HB493, HB521, HB594, HB557, HB305, HB549, HB854, HB 1057, HB 1052, HB842, HB3174, HB3311, HB2486, HB3196, HB824, HB 1039, HB2529, HB2713, HB4936, HB4995, HB4830, HB4864, HB5219, HB5263, HB5154, HB2674, HB5525, HB5623, HB2545, HB2587, HB2625, HB5520, HB5436, HB4926, HB1573, HB5165, HB4811, HB5081, HB4755, HB3179, HB4310, HB4611, HB2159, HB4626, HB3637, HB3153, HB3066, HB2786, HB2966, HB638, HB640, HB876, HB497, HB5539, HB4809, HB5308, HB4687, HB4070, HB4421, HB4412, HB3284, HB3369, HB3420, HB3449, HB4098, HB4281, HB4120, HB4504, HB4370, HB 1106, HB2370, HB2404, HB3863, HB2407, HB2253, HB2273, HB2040, HB1586, HB3788, HB3993, HB4690, HB4309, HB4696, HB2308, HB 1142, HB1533, HB1621, HB2242, HB2012, HB2193, HB2442, HB2464, HB2348, HB2313, HB2289, HB1942, HB2011, HB1629, HB2993, HB3592, HB3824, HB4076, HB4535, HB4623, HB4773, HB 1091, HB5115, HB5515, HB3372, HB5659, HCR118, HB 1233, HB2239, HB2379, HB2863, HB3368, HB3787, HB3815, HB3898, HB4023, HB4285, HB4329, HB4331, HB4429, HB4646, HB4904, HB5200, HB5320, HB5651, HB5662, HB5668, HB5670, HB5672, HB5674, HB5676, HB5679, HB5688, HCR108

Keywords: regional mobility, transportation authority, local law, constitutional amendment, public projects, Texas energy fund, energy efficiency, retail electric customers, electric generating facilities, business court, civil procedure, litigation, jurisdiction, arbitration, Texas State Guard, task force, professionalization, state missions, critical infrastructure, science park district

Transcript Highlights:

• We have benchmarked data that supports that 12 or more visits per episode of physical therapy care for
• treatment, it's important to implement treatment criteria that is backed by evidence and has been tested
• skilled nursing facility after having... ...a massive stroke because I couldn't order the cardiac testing
• We believe this coverage requirement should be considered as a part of California's current benchmark
• forward to continuing these conversations, especially as we further have conversations regarding the benchmark

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• I would urge that these students and it I would urge that these students and the<00:05:31.240> test
• <00:05:31.520> fires<00:05:31.759> all<00:05:31.919> test<00:05:32.160> fires
• <00:05:32.440> bring the test fires all test fires bring the test fires all test fires bring
• Final test. Uh, final presenter is Daa Moose.
• of fire spot Mr the the test of fire spot Mr Penny<00:43:47.800> thank<00:43:47.960> you

Bills: HF29, HF921, HF922, HF1048, HF1049

Keywords: railroad, infrastructure, transportation funding, environmental remediation, capital investment, HF921, tax increment financing, TIF, excess tax increment, school district aid, levy adjustment, property tax levy, education finance, Minnesota education aid, decertification, local government finance, school funding formula, state aid reduction, referendum equalization aid, debt service equalization

Transcript Highlights:

• The bill creates a clear reimbursement formula built on recognized pricing benchmarks and an adjustment
• I have patients who have foregone screening tests.
• With this, I have had patients, as I said, forego needed tests because, let's face it, patients who need

Bills: HB591, HB765, HB826, HB870, HB938, HB1151, HB1162, HB1176, HB1196, HB1236, HB1241

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs

Transcript Highlights:

• The bill creates a clear reimbursement formula built on recognized pricing benchmarks and an adjustment
• I have patients that have foregone screening tests.
• With this, I have had patients, as I said, forego needed tests because, let's face it, patients who need

Summary: The Senate Committee on Insurance met on May 6, 2026, and first reported HB 1241 favorably. That bill, by Chairman Furman, requires insurers to check with DCFS before paying certain insurance settlements to determine whether the recipient owes delinquent child support, and to withhold and remit arrears if found. DCFS explained that Louisiana already has intercepts and other collection tools, but no current mechanism for insurance settlements. Senators raised concerns about notice to obligors and about liability if insurers fail to withhold, but the bill was advanced without objection. The committee then heard HB 870, which would require health insurers and PBMs to cover lower-cost generic or biosimilar drugs when available and to use utilization management no more restrictively on those drugs. Supporters said the bill would improve access and lower patient costs by using wholesale acquisition cost as the comparison point. Opponents, including Louisiana Blue and the AFL-CIO, argued that WAC ignores rebates and net cost, could force plans to cover higher-cost biosimilars first, and could increase premiums and disrupt ERISA and fully insured plan design. The committee adopted a technical amendment set and then a second amendment set that added notice and reporting requirements tied to net cost calculations, and HB 870 was reported favorably as amended. Several other bills were moved with little or no opposition. HB 1176, concerning Medicare Advantage coverage for integrative cancer treatments such as cold cap therapy, cryotherapy, and acupuncture, was amended to change the effective date and then reported favorably. HB 1196, dealing with colorectal cancer screening follow-up colonoscopies, was also amended and reported favorably. HB 1162, a consumer protection bill requiring DOI to verify that a contractor named on a first-party property damage check is licensed in Louisiana, was amended and reported favorably. HB 826, which modernizes insurance referral rules to allow referrals by email or website address, was reported favorably. The committee also heard HB 1151 on insurer investment limits and solvency protections, and HB 1236 on pharmacy reimbursement and copay maximizer programs; both drew substantial testimony and concern, especially over retroactivity, PBM cost allocation, and whether copay maximizers shift costs to patients, but the transcript cuts off before final action on HB 1236.

Transcript Highlights:

• On line 76 for the Quantum Benchmarking Initiative.
• It's something that's being done in other states, and we're going to test it out here.
• They are a pilot program, and the intent is to test out the pilot program to see if it works through

Keywords: 996, all

Transcript Highlights:

• According to them, New Mexico hospitals perform better than the benchmarks that they've set as the limit
• We actually have that as a test case because it is being used already by hospitals, and it's being used
• Of lab testing. He voted for the bill, Republican. I'm going through the Republicans, all right?

Transcript Highlights:

• We need to do some test wells.
• the City Council would need to make to invest in the next phases of this project for preliminary testing
• Simply put, this is a common-sense benchmarking requirement that goes hand in hand with any water planning

Summary: The committee met with limited attendance at first, then took up a series of water, agriculture, and rural affairs measures. HB 3898 would allow the Texas Water Development Board to provide financial assistance for brackish water desalination projects in certain border counties and related nonprofit suppliers even if the projects are not in the state water plan. Supporters said it is needed to address severe water shortages in places like Webb County and to support future planning; opponents, including the Texas Alliance of Groundwater Districts, argued it bypasses the regional and state water planning process. The bill was left pending after testimony. The committee also heard HB 5339, which would create a higher-education grant program for regenerative agriculture research. A rancher testified that regenerative methods improved soil health, water retention, and farm viability, while a senator noted existing university research but said better coordination could help. Public testimony was closed and the bill was left pending. Members then heard HB 1523, a temporary prohibition on TCEQ issuing Austin a Class 5 injection well permit for an aquifer storage and recovery project in Bastrop and Lee counties until December 2027. Local officials from Bastrop supported the pause, citing unanswered questions about water treatment, recovery rates, and impacts on the aquifer, while Austin Water opposed the substitute, saying the project is central to its long-term water plan and that stakeholder talks were already underway. TCEQ explained its ASR permitting process and said public participation is possible but not always used in the current authorization process. The bill was left pending. HB 5659, concerning the Northeast Texas Municipal Water District and requiring majority city-council approval before certain water sales or interbasin transfers, drew testimony from district officials who said the change could interfere with existing contracts and district authority, but the chair emphasized the need for local buy-in and said the stakeholders had reached a workable compromise; testimony was closed and the bill was left pending. The committee also heard HB 1690, which would expand notice requirements for groundwater export permits so neighboring landowners and potentially affected aquifer areas are informed by certified mail and publication. The sponsor tied the bill to impacts from the Vista Ridge project, and no one testified against it; it was left pending. HB 3333 would prohibit TCEQ from issuing new wastewater discharge permits directly into the Devils River in Val Verde County. The sponsor and a conservation witness said the bill protects one of Texas’s most pristine rivers and reflects a local stakeholder agreement, while TCEQ said it can ensure water quality but acknowledged the river’s unique sensitivity; the bill was left pending. The committee also heard HCR 108 urging continuation of the U.S.-Mexico tomato suspension agreement, with supporters warning of major Texas job and consumer-price impacts if it ends, and HCR 76 urging federal action on imported shrimp, citing public health and industry concerns; both were left pending. Additional measures heard and left pending included HB 4158 on compensation for Texana Groundwater Conservation District directors, HB 654 creating a dismissal path for certain first-time deer hunting violations after self-reporting and hunter education, HB 4530 requiring Texas Water Development Board review of groundwater rights placed in the Texas Water Trust, HB 2128 directing a study of rural versus urban firefighting and rescue disparities, and HB 278 requiring groundwater districts and management areas to track progress toward desired future conditions over shorter intervals. On HB 278, witnesses split over whether the bill’s interim tracking would improve accountability or create new triggers that could be used against local districts, but no final vote was taken and the bill was left pending.

Transcript Highlights:

• general fund support to cover the costs of recent legislation that requires the CSU to provide drug testing
• devices defined as test strips, stickers, straws, and other.
• The benchmark that we've been using for these past two years has been 10% or more.

Keywords: 988, house, all

Transcript Highlights:

• And is ready to begin the design, development, testing, and implementation of the new personnel, payroll
• Department of Finance, certainly. has the option once the Commission on State Mandates determines the test
• claims filed by a local alleging reimbursable state costs and the Commission approves that test claim
• mandate then the local agency is not reimbursed for the costs that they had to incur to file that test
• You have to incur costs before you can file a test claim for reimbursement.

Keywords: 988, house, all

Transcript Highlights:

• initiate substantive treatment services within 28 days for IST defendants and gave us a series of benchmarks
• substantial decrease in both the IST waitlist and wait times, and met all of the court-ordered benchmarks
• stronger evidence base, and move effective models beyond single-county pilots so that we can... ...test

Keywords: 988, house, all

Summary: The hearing focused first on behavioral health, especially hard-to-treat serious mental illness through the lens of anosognosia, and the impact of potential federal Medi-Cal reductions under H.R. 1. A family member, Dawn Marie Anderson, described her son’s long cycle of psychosis, homelessness, arrests, jail-based stabilization, and repeated relapse when treatment ended, arguing that anosognosia is a symptom of illness rather than refusal of care. She and other witnesses urged more consistent, long-term treatment, family involvement, medication support, and stronger county and state coordination. County and provider representatives said the current system still relies too heavily on crisis response and leaves people with serious mental illness falling through gaps between managed care, county specialty care, housing, and justice systems. Testimony from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association emphasized that people with anosognosia often cannot self-navigate care, making a “no wrong door” system essential. They said H.R. 1 could destabilize coverage and shift costs to counties, while existing private insurance coverage is inadequate for early psychosis and related services. Witnesses highlighted CalAIM, jail in-reach, assertive community treatment, mobile crisis, supportive housing, and LEAP-style family training as promising tools, but said counties still need more resources and that the state should strengthen both Medi-Cal and private insurance behavioral health coverage. A public commenter from Lake County said private insurers denied most claims, especially for unlicensed staff providing case management and mobile crisis services. The committee then heard an update on the Children and Youth Behavioral Health Initiative, including the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule program. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, and said the platforms are serving children and youth statewide, including many who had never previously accessed care. For the fee schedule, DHCS said 72% of school districts and 50 of 58 county offices of education are participating across six cohorts, with $9.6 million reimbursed to date and 41,556 students represented in claims. Members pressed the department on the program’s roughly $69.3 million administrative cost, the slow pace of reimbursement relative to the investment, and the late delivery of requested data. DHCS responded that many claims are still being submitted, most denials are correctable, and local implementation is still scaling up through technical assistance and capacity grants.