Transcript Highlights:

• Lastly, the bill strengthens OIR's oversight over pharmacy benefit managers, or PBMs.
• For one, insurers must have standards for the proper investigation of claims.
• That's two adjustments, if you will, of the claim.
• And how far removed from the delivery room can someone be and still claim immunity?
• I understand the operational realities and the management issues that associations face.

Committee: House Commerce Committee

Summary: The committee first considered CS/HB 1263 on the Office of Insurance Regulation. The sponsor said the bill would strengthen OIR’s tools to oversee property insurance, including market conduct and solvency exams, claims handling oversight, mandatory discounts for certain mitigation measures, storage of mitigation inspection forms, and clearer authority over pharmacy benefit managers. An amendment narrowing fingerprinting requirements was adopted, and the bill passed favorably after supportive testimony from OIR and others. Members then heard CS/HB 527, which would require a human review before an insurance claim can be denied or reduced when artificial intelligence or automated systems are used. After an amendment removing the term “algorithm” was adopted, the bill drew opposition from several insurance industry groups, while consumer and labor witnesses supported it. The sponsor argued the measure was needed after reports of AI-driven claim denials, and the bill passed favorably. The committee also approved CS/HB 637 on farm equipment “lemon law” protections, with an amendment clarifying who qualifies as a consumer, refund rights, repair timelines, and an effective date. The committee next took up CS/HB 1007 on data centers, which would create a regulatory framework for siting and operating large data centers, limit NDAs in some circumstances, set PSC tariff requirements, and restrict certain locations near homes and schools. After an amendment narrowing the five-mile buffer to data centers over 50 megawatts and adding noise-study requirements, the bill drew mixed testimony from business, consumer, and local-government groups, with supporters emphasizing guardrails and opponents warning about competitiveness and site restrictions. The bill passed favorably despite several no votes. Later, the committee approved CS/HB 1291 on the NICA birth-related neurological injury compensation program after a strike-all amendment revised reimbursement and assessment provisions; testimony included support from NICA and concerns from the Florida Justice Association and a family affected by the program. The committee also passed CS/HB 185 on a sales tax exemption for home-hardening products, CS/HB 425 on a historic African-American cemetery preservation program, CS/CS/CS/HB 1177 on Space Florida and spaceport operations, CS/CS/CS/HB 657 on community associations and HOA/condo reforms, and CS/CS/HB 1221, the DFS agency package. The final bill discussed was CS/HB 1001, which would restrict county and municipal DEI-related actions and contracting; the sponsor explained the strike-all, and members began questioning its definitions and exceptions, but the transcript cuts off before the bill’s final disposition.

Transcript Highlights:

• You are, you're— I don't know, you're a very bad credit risk, you've made too many claims.
• We don't know what our result would be if there is a conflict or a claim.
• I'm also handling claims for apartment complexes.
• Vision Benefit Managers, or VBMs, are large, vertically integrated organizations.
• For businesses, it's a management decision.

Bills: HB139 , HB1818 , HB1942 , HB1959 , HB2221 , HB2254 , HB2563 , HB2067 , HB2275 , HB3211 , HB139

Committee: House Insurance

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Transcript Highlights:

• One of the issues is they don't want a claim number before you begin work.
• Two minutes to get a claim number from an insurer. That's it.
• I think eventually every repair is going to have a claim number.
• Virginia Klein, managing attorney at Central... ...in full support.
• And that hurts the small businesses this bill claims to help.

Committee: Senate Judiciary

Summary: The committee heard several bills, with testimony largely focused on child safety, immigrant community transparency, agricultural land security, consumer protection, estate transfers, detention commissary pricing, and public works wage enforcement. SB 1234 would require fentanyl to be included in drug tests ordered by juvenile courts for parents or guardians in dependency cases; the author said it was a narrow child-safety measure, and there was no opposition. SB 1257 would require the Attorney General to publish annual reports on immigration enforcement incidents at designated safe locations; supporters said it would improve accountability and document fear in immigrant communities, while questions centered on how the data would be collected and concerns were raised about sanctuary policies. SB 1176 would bar foreign adversary entities from buying or controlling California agricultural land; supporters framed it as a national security measure, while committee members pressed the author on enforcement, who would verify buyers, and possible discriminatory application. The bill was moved on a 2-4 vote and placed on call after the author said he would work on clarifying responsibility and nondiscrimination concerns. The committee also heard SB 1146, which would require clear disclosure when AI-generated or altered images, audio, or video are used in health-related advertisements depicting health care providers. The California Medical Association and California Dental Association supported the bill, saying it would curb deceptive deepfake ads and protect consumers; it passed unanimously, 7-0. SB 988 would restrict assignment of benefits in auto glass claims, require claim numbers and itemized estimates, and update repair disclosure rules to curb overbilling and steering; supporters said it would protect consumers and stabilize insurance costs, while independent glass shop concerns about steering and market concentration were discussed. The bill passed 7-0, with one member abstaining because of a conflict. SB 1288, presented on behalf of Senator Laird, would require financial institutions to make good-faith efforts to notify beneficiaries of non-probate assets and would simplify access requirements, especially for nonprofits. Supporters described long delays and burdensome account-opening requirements; SIFMA and the California Bankers Association opposed the bill unless amended, citing conflicts with federal and industry obligations and concerns about retroactive burdens. The bill passed 8-0. SB 941 would cap commissary markups in private immigration detention facilities at 35% above vendor cost; supporters said detainees often pay excessive prices for basic necessities, and the bill passed 8-0. Finally, SB 909 would raise and index public works contractor fees and penalties and dedicate more penalty revenue to enforcement; labor supporters said stronger funding is needed to address wage theft and backlogs, while contractors warned of uncapped costs and reduced transparency. The discussion continued with questions about enforcement and whether stronger penalties or license restrictions would better deter repeat violators.

Transcript Highlights:

• You know that PTSD claims are public or claims that are dealing with stress-related events as a major
• of claim.
• The claims began, you should know, with our military.
• PTSD claims, or claims that are dealing with stress-related events, are a major development in our workers
• of claim.

Bills: SB6061 , SB6234 , SB6176 , SB6335 , SB6047 , HB2235 , HB2340 , HB2464 , HB2619 , HB1376 , HB1796 , HB2091 , HB2249 , HB2254 , HB2353 , HB2431 , HB2441 , SB5808 , SB5949 , HB2124 , HB1069 , HB2104 , HB2624 , SB6061 , SB6234 , SB6176 , SB6335 , SB6047 , HB2235 , HB2464 , HB2619 , HB1376 , HB1796 , HB2091 , HB2249 , HB2353 , HB2431 , SB5808 , SB5949 , HB2124 , HB2104 , HB2624 , HB2510 , HB1347 , HB1759 , HB1983 , HB2120 , HB2264 , HB2338 , HB2385 , HB2436 , HB2495 , HB2521 , HB2604 , HB2610 , HB2675

Keywords: tourism, self-supported assessment, funding, statewide promotion, economic development, sewage, grinder pumps, residential buildings, regulation, construction, vehicle registration, enforcement, renewal, transportation, state law, state commission, infrastructure, traffic safety, responsibilities, state capital projects

Transcript Highlights:

• That is Medicaid managed care plans.
• This will include ventilator management, basic airway management, complications, and emergent supplies
• Manager, please. Just a real quick question. Ms.
• This is going to address the claims, address the issues of access to care that it claims it will.
• , etc. organizations, medication therapy management, etc.

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote. The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote. House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1. Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.

Transcript Highlights:

• Those also contribute to those employer claims.
• who manage prior authorization and claims-denial requests.
• So it accesses our claims account.
• It literally accesses our claims account.
• It literally accesses our claims account.

Committee: Senate Health & Human Services

Transcript Highlights:

• And MACA is a critical tool for proper land use and growth management.
• Prevention and managing pollution are also part of every large cleanup.
• So we've hired two wildfire liaisons managers.
• So, for example, 1168 was a great start on managing fires, right?
• We are not-for-profit, we are publicly managed. We're privately funded, but publicly managed.

Committee: House Environment & Energy

Summary: The committee first heard an update on the Model Toxics Control Act (MOTCA) and related cleanup programs. Department of Ecology staff described how MOTCA and the hazardous substance tax fund cleanup, prevention, stormwater, and other environmental work across state agencies, but warned that forecasted revenues have fallen while appropriations and transfers have outpaced incoming funds. Ecology said the operating account will require spending reductions to stay solvent this biennium, and that further cuts may be needed if forecasts worsen. Ecology also reviewed the state cleanup process and the scale of the problem, noting more sites are being discovered each year than are being cleaned up. The Pollution Liability Insurance Agency said its dedicated petroleum-tax-funded accounts remain stable, and highlighted its newer financial assurance and heating oil loan/grant programs, while noting concerns about equity for small property owners facing large cleanup liens. Practitioners and stakeholders then offered differing views on how MOTCA should work. One cleanup attorney argued the program has become too slow, expensive, and process-heavy, and urged a more risk-based, collaborative approach with less reliance on conservative assumptions. Environmental and community advocates countered that MOTCA is essential for cleanup, pollution prevention, stormwater control, and public participation, especially in communities of color and low-income neighborhoods that bear disproportionate toxic burdens; they urged stronger funding, tighter scrutiny of tax exemptions and budget diversions, and more accountability for stormwater spending. Port and city representatives emphasized that MOTCA grants are critical for large brownfield and waterfront cleanup projects that support redevelopment, but said long timelines, permitting delays, and funding uncertainty can stall projects and jeopardize existing commitments. The committee then shifted to utility wildfire risk. Staff summarized recent legislation on wildfire mitigation plans, captive insurance, securitization, and the wildfire response and resilience account. Chelan PUD described extensive mitigation work including vegetation management, grid hardening, undergrounding, AI cameras, weather stations, and partnerships on forest-health projects, and asked the Legislature to restore funding to the wildfire response and resilience account. Puget Sound Energy described similar investments across its service territory, including undergrounding, tree wire, sensors, cameras, weather stations, drones, and public safety power shutoffs, and said wildfire is its top risk. The Office of the Insurance Commissioner summarized a 2022 utility liability market study and a 2025 wildfire mitigation work group, recommending restored community resilience funding, clearer wildfire risk information for property owners, and a grant program based on recognized home-hardening standards. Committee members asked about insurance cancellations, neighborhood-level risk, and whether utilities’ or insurers’ maps are used; the commissioner’s office said insurers generally use their own data and that Washington’s FAIR Plan remains small compared with other states.

Transcript Highlights:

• Yeah, but I don't work for the company and I don't deal with the claims every day.
• Next, we'll take up tab 2, Senate Bill 394, on reinsurance intermediary managers by Senator Leak.
• And the last thing is Citizens' manager repair program is about drying. That's what it does.
• This is clearly the most exciting bill of the day, reinsurance intermediary managers.
• The behavior does not distinguish between catastrophic and non-catastrophic claims.

Bills: S0266 , S0394 , S0540 , S0632 , S0642 , S0832 , S0834 , S1028

Committee: Senate Banking and Insurance

Summary: The Committee on Banking and Insurance met with a quorum and took up several bills, beginning with SB 834 on insurance requirements for nonprofit religious organizations and health care sharing ministries. The bill repeals a recent restriction on licensed insurance agents marketing or selling faith-based health care sharing programs. Supporters argued the change restores free speech and consumer education while preserving existing fraud and disclosure protections; opponents said allowing agents and brokers could create consumer confusion and has been associated with bad actors. A title amendment was adopted, and after debate the committee reported the bill favorably. The committee also heard and passed SB 642, which extends reporting and duty requirements to foreign and alien bail bond insurers, and SB 394, a technical bill updating reinsurance intermediary manager law to match current DFS practice. SB 266, which lets vulnerable adults rescind public adjuster contracts without penalty, was reported favorably after testimony from supporters in the insurance and elder law communities and a public adjuster who said the intent was good but the bill may need refinement. SB 832, a residential property insurance transparency bill requiring rate breakdown reports and a consumer resource center, also passed after discussion about consumer clarity and whether the required cost categories can be compiled as written. Later, the committee approved SB 540, which creates cybersecurity requirements for mortgage and money service businesses, closes a regulatory gap for certain investment advisers, adjusts OFR examination-payment deadlines, changes de novo charter requirements, allows virtual credit union meetings, and makes other financial regulation updates. Several amendments were adopted, including a substitute amendment removing fintech sandbox provisions. Finally, SB 1028 on Citizens Property Insurance Corporation was reported favorably after debate over a commercial lines clearinghouse intended to reduce Citizens’ exposure and shift more business to the private market; members discussed taxpayer risk, market competition, and consumer protections. The meeting ended with adjournment.

Transcript Highlights:

• Combined Outdoor Heritage Fund appropriations in 2016 with the DNR as a managing organization and in
• Outdoor Heritage Fund appropriations in 2016 with the DNR is a managing organization and in 2024 that
• As you've heard this project will improve water storage and flood water management.
• Sips said he's the executive director from the Red River Watershed Management Board.
• They claim the project provides flood control and ecological conservation.

Committee: House Legacy Finance

Transcript Highlights:

• They moved their average medical cost per claim down from $7,700 to $3,100.
• 42 days. ...claim in Ohio before ODG, and now they lose 42 days.
• And the claims cost down from 7,700 to 3,100 per claim. That's huge. And that's pretty broad.
• per claim in the rest, if you look at the national average.
• And nurse case managers can be doing that as well.

Summary: The House Labor and Industrial Relations Committee met on May 7, 2026, and first deferred several measures, including House Bill 460, Senate Bill 322, Senate Bill 32, Senate Bill 22, and House Bill 561. The committee then took up House Bill 819 by Chairman Cruz, which would replace Louisiana’s current workers’ compensation medical treatment schedule with the Official Disability Guidelines (ODG) by MCG as the primary guideline, while keeping the existing variance and appeal process. Cruz and MCG representative Troy Prevo argued that ODG is more comprehensive, updated more frequently, and used in many states, and said it could reduce delays, disability duration, and costs. Dr. Jason Picard, the state medical director, testified that Louisiana already uses ODG as a secondary reference in many cases because the state schedule lacks coverage for some body parts and treatments, and said the bill would not otherwise change the appeals process or care delivery. Committee members focused heavily on whether the bill would delay care or improve it. Several members questioned the private-company nature of ODG, the $400 annual subscription cost, and whether Louisiana doctors would be forced to rely on an out-of-state guideline. Rep. Glorioso and others raised concerns about preauthorization delays and proposed amendments to create tacit approval when treatment follows the schedule, require payment within 30 days, and make the carrier prove by clear and convincing evidence that care was not medically necessary to challenge it. Chairman Cruz said he was willing to work with those ideas, and the committee also discussed adding an on-ramp or legacy language so current patients would not be disrupted. Opposition testimony came from injured-worker advocates and representatives of medical and labor groups, including Joseph Jola St. and Robin Krumholt. They argued that Louisiana’s current guidelines are already working, that rates have fallen over time, and that the real problem is delay in approval rather than the content of the schedule. They said ODG is overly rigid, cost-driven, and can lead to denials that shift costs to workers, Medicaid, or private health insurance. They urged the committee to keep Louisiana’s existing system and instead adopt tacit approval under current law. The bill was still under discussion at the close of the transcript, with amendments being read and no final vote shown.

Transcript Highlights:

• TO GIVE AN UPDATE OF WHERE WE ARE ON THE PROCESS WE STARTED OFF USING THE STATEWIDE MEDICAID MANAGED
• >> I'M SORRY, WHEN YOU SAY LONG TERM CARE USING STATEWIDE MANAGED MEDICAID?
• IT SOUNDS LIKE YOU'RE ASKING ABOUT THE LONG TERM CARE THE STATEWIDE MANAGED CARE PROGRAM.
• SAP D HAS PERFORMED THE DUE DILIGENCE WITH MANAGING THE PROGRAM.
• THE PRIMARY FEEDBACK WE GET IS THROUGH THE TIMELINESS OF OUR CLAIMS AND HOW WE ARE ADJUDICATING THE CLAIMS

Transcript Highlights:

• coordinator turned into platforms for false accusations of child abuse, Munchausen by proxy, even claims
• Over the years, he has managed to get her discharged from multiple respected institutions: Franciscan
• Our case managers... Our case managers are bachelor’s-level educated licensed social workers.
• Moving on to an act relative to the efficient management and operation of registries of probate.
• Or the child of the person they're claiming to be the child of.

Committee: Joint Joint Committee on the Judiciary

Summary: The Joint Committee on the Judiciary held a hearing on a wide range of state, probate, and family bills, with chairs Edwards and Day outlining strict testimony limits and accepting written testimony. Early testimony focused on H. 1911/S. 1138, which would clarify that a durable power of attorney may create a trust if that authority is expressly granted; sponsors and elder law advocates said the bill would resolve uncertainty created by the Barbetti decision and align Massachusetts with other states. A major portion of the hearing centered on S. 1102, a proposal to establish medical panels in Probate and Family Court. Supporters, including attorneys, parents, physicians, and advocates, said neutral three-doctor panels would help judges resolve disputed medical issues in guardianship and custody cases involving children, elders, and people with disabilities. Testifiers described cases where medical treatment was blocked or contested by one parent or guardian, arguing the panels would provide impartial expertise and protect vulnerable people. The committee also heard support for bills addressing disability discrimination in family court, military parents’ custody rights, and a shared parenting bill, H. 1710, which drew strong opposition from domestic violence advocates and others who said a 50-50 presumption could harm survivors and children. The committee also took testimony on several probate and court-administration measures. Senator Lovely supported a bill on nominee trust partition, and Senator Comerford and probate officials backed legislation to codify additional registry staff positions and modernize registry operations. Other bills discussed included foster care liability insurance, with providers warning that rising premiums and loss of coverage could force program closures; health care proxy storage and activation; access to decedents’ email accounts; uniform trust decanting; the Uniform Voidable Transactions Act; heirs’ property partition protections; a constitutional right to health care; alimony-related reforms; child-centered family law; and a right of disposition for funeral arrangements. No votes were taken during the hearing, and the committee repeatedly invited written testimony and follow-up questions.

Transcript Highlights:

• ,</c> looking at uh utilization management, looking at uh utilization management, understanding,<00:03
• ><00:32:26.720><c> housing</c> now, typically counties manage housing now, typically counties manage
• the claims are submitted and when those claims are paid.
• A little time lag between when the claims are submitted and when those claims are paid.
• </c> management team with an overall vision? management team with an overall vision?

Committee: House Human Services Finance and Policy

Transcript Highlights:

• This claim-by-claim audit will be done, and then, with the results of that audit, this bill allows the
• of the claims for the claim period outlined in the bill.
• </c> and claimed that money that is theirs. and claimed that money that is theirs.
• :22.160><c> 2588274</c> management system 2588274 management system 2588274 573<05:09:25.040><c> I</c
• ><c> E5</c><05:16:50.480><c> 271853</c> All payer claims database E5 271853 All payer claims database

Transcript Highlights:

• our audit of CSU and UC's implementation of Title IX and their efforts to prevent and investigate claims
• Submitted by Senator Archuleta; 117, EDD unemployment insurance claims by Assembly Member Addis; and
• That is a management decision. That's a policy decision.
• But I think this helps management, the new management, come in and say, yes, we want to look at the..
• But I think this helps management, the new management, come in and say, yes, we want to look at the past

Committee: House Joint Legislative Audit

Transcript Highlights:

• Relating to allowing Medicaid managed care organizations to inform recipients about the availability
• After both are approved, then we can submit claims for reimbursement.
• That's the only managed care organization that has done that.
• These delays result not only in slower claims processing, but in some instances, as Dr.
• This is a claim by the insurance, not a claim by the insurance company, but a...

Bills: HB1531 , HB2667 , HB2809 , HB2865 , HB3589 , HB3151 , HB3748 , HB3750 , HB4419 , HB4643 , HB3597 , HB4129 , HB4130 , HB4131

Committee: House Human Services

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• Um, manager Po. Hi. And manager Shizu. Hi. Got a bill. Thank you.
• Um, manager Po. Hi. And manager Shizu. Hi. Got a bill. Thank you. Um, manager po. Hi.
• And manager Shizu. Um, manager po. Hi. And manager Shizu.
• </c> Aino is co-chair and Awa as manager. Aino is co-chair and Awa as manager.
• </c> co-chair, and Awa as manager. co-chair, and Awa as manager.

Transcript Highlights:

• Seventy percent of the wildlife management areas would be left open to all kinds of management.
• That's approximately 100,000 acres of land to go ahead, you know, manage it for wildlife, manage it for
• More or less, we support anything that keeps the current management of our wildlife management areas
• This bill would literally forbid managing for wildlife in nearly a third of wildlife management area
• This bill would literally forbid managing for wildlife in nearly a third of wildlife management area

Committee: Joint Joint Committee on Environment and Natural Resources

Summary: The committee hearing covered a wide range of animal, wildlife, hunting, and environmental bills. Early testimony focused on deer management, with Rep. Markey urging creation of a deer commission to address crop damage, vehicle collisions, and Lyme disease, and Sen. Durant supporting bills to allow Sunday bow hunting, expand crossbow use, and reduce the 500-foot dwelling restriction for archery hunting. Supporters framed these measures as practical wildlife-management tools, while questions centered on how they would differ from existing Fish and Wildlife authority and whether they would allow hunting closer to residences. Later, Rep. Sena also spoke in support of a bill to increase protected wildlife management areas and another to require non-lead ammunition, arguing both would benefit biodiversity and reduce environmental harm. A substantial portion of the hearing addressed animal welfare and commerce. Multiple witnesses supported bills to ban or phase out the retail sale of dogs, cats, rabbits, and guinea pigs in pet shops, arguing that pet stores rely on puppy mills and obscure the source of animals, while opponents said the bills would hurt responsible breeders, small businesses, and consumer choice. The committee also heard strong testimony for bills to ban the sale of cats and dogs in pet shops, with supporters citing sick animals, consumer deception, and the need to cut off the puppy mill supply chain. In a separate animal-testing segment, witnesses backed bills requiring non-animal testing methods for cosmetics and household products, saying alternatives are more accurate and humane; biomedical research representatives opposed those bills and a related research-animal measure, warning of unintended restrictions on research institutions and arguing animal models remain necessary for many studies. The committee also heard testimony on horseshoe crab conservation, with supporters of H. 898 urging an end to taking horseshoe crabs for bait because of population declines, shorebird impacts, and the species’ importance to biomedical science. On wildlife trafficking, witnesses backed bills to ban intrastate sales of ivory and rhino horn, saying Massachusetts should close loopholes that aid poaching and align with federal law and other states; one antique dealer testified in support, saying he avoids such items and still sees them in the marketplace. Additional testimony supported bans on fur products from factory farms and on force-feeding birds for foie gras, with advocates emphasizing cruelty, public health, and environmental concerns. The hearing was lengthy and heavily attended, with the chairs repeatedly limiting testimony to three minutes and inviting written submissions; no committee votes or final actions were taken during the transcript excerpt.

Transcript Highlights:

• But we are also going to use claims data, the diagnosis and claims data from our MMIS system, to try
• Do they have to reestablish their claim—not claim, but do they have to re-up it every so often?
• their focus—they do case management for RTE and Work Pays clients.
• They do case management for RTE and work pays clients.
• I think there are multiple versions of managed care.

Committee: All ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Summary: The subcommittee met to hear from DHS Secretary Janet Mann and Mary Franklin on Arkansas’s upcoming Medicaid community engagement/work requirements for the Our Home expansion population. DHS said the federal changes, tied to the 2025 budget bill, are being soft-launched now, with full implementation set for January 1, 2027, and a shorter six-month renewal cycle for most adults. They outlined who would be exempt or excluded, including certain parents/caretakers, pregnant and postpartum individuals, former foster youth, people with disabilities or serious medical conditions, SNAP/TANF participants, inmates and recent releasees, and some others. They also explained compliance standards such as 80 hours per month of work, community service, work programs, or education, and discussed how income, student status, and caregiver hours would be counted. Members asked about the fairness of the income threshold, how part-time and non-credit education would be verified, how disability exemptions would be documented, and whether appeals would be available. DHS said notices include appeal rights and that it is using ex parte data checks, provider forms, and claims data to identify exemptions. A major theme was implementation capacity and outreach. DHS said it is preparing a customer service center and outbound verification system to contact beneficiaries by text, email, phone, and mail, and is using notices, social media, town halls, and a web page to inform recipients. Members raised concerns about manpower, low-tech access for people without internet, and whether beneficiaries could be connected to workforce or education opportunities rather than simply being screened for compliance. DHS said it is also expanding use of AI tools to automate routine eligibility tasks, while keeping a human in the loop, and that the new call center contract will include AI and closed-loop referrals. Members also asked about the interaction with SNAP/TANF work rules and whether local offices could connect clients to workforce and training resources; DHS said it is already doing some of that through SNAP E&T, TANF, and notices, and is discussing broader partnerships with Workforce Connections and local initiatives. The committee then shifted to Arkansas Medicaid expansion and the state’s waiver renewal. Secretary Mann said CMS has changed its budget neutrality rules, and Arkansas believes its current waiver will not meet the new standard. DHS has asked for a two-year extension and said it is optimistic coverage will continue on January 1 while a new delivery system is worked out. Members asked about possible alternatives, and DHS said it is considering fee-for-service and managed care options, including different managed care structures, but is not considering ending coverage for the expansion population. Questions also focused on possible effects on private insurance, hospitals, premium tax revenue, and state costs if the expansion population were moved off the current model. DHS said it is still modeling those impacts with actuaries and the Insurance Department. At the end, DHS also provided a brief update on assisted living reimbursement rate work, saying the cost report is out for public comment and a recommendation will follow. The chair closed by reviewing committee timelines, noting the DHS report is due in January and the workforce report is due to ALC on October 1, with a possible request for a short extension.

Transcript Highlights:

• to the Management Council and asked<00:03:55.000><c> Management</c><00:03:55.400><c> Council</c><00:03
• Our pharmacy benefit manager."
• </c> on all the claims. on all the claims.
• </c> premium dollars that went to claims. premium dollars that went to claims.
• This is when utilization management management management started. started. started.

Committee: Joint Health Insurance Affordability Task Force