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

Transcript Highlights:

• That is Medicaid managed care plans.
• This will include ventilator management, basic airway management, complications, and emergent supplies
• , address the issues of access to care that it claims it will.
• This is going to address the claims, address the issues of access to care that it claims it will.
• Organizations, medication therapy management, etc.

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to also offer them to people under 65 who qualify for Medicare because of ALS or end-stage renal disease, with enrollment periods and premium protections. Supporters, including patient advocates and an ALS patient, said the bill would improve access to needed coverage and transplant-related care and could have only a small premium impact. Opponents, including Blue Cross Blue Shield/AHIP, argued it would shift significant costs onto older seniors and shrink the Medigap risk pool. The bill was ultimately given a do-pass recommendation on a 12-0 vote. House Bill 2593 would appropriate $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps providers quickly treat pregnant and postpartum patients with depression, psychosis, OCD, and suicide risk, and also supports pediatric mental health care. Supporters said it improves outcomes and reduces emergency and referral costs. The committee approved the bill with a do-pass recommendation by a 10-1 vote, with one member present. The committee also passed House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, after emotional testimony from a woman born with spina bifida and another supporter. Several members objected that the state should focus on concrete supports such as health care and family leave, but the resolution still received a 7-5 do-pass recommendation. House Bill 4010, creating a licensing and regulatory board for genetic counselors, also advanced 11-1 after testimony from genetic counselors and a cancer survivor who said licensure would protect patients and improve access. House Bill 2196, addressing pharmacy benefit manager reimbursement and dispensing fees, passed 11-1 despite opposition from PBMs and employers who warned of higher costs; independent pharmacies argued the bill would help them cover costs and stay open. The committee then adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, which would publish aggregated information and hold a later stakeholder review. Supporters said Arizona needs state-specific transparency data, while opponents called it redundant to federal CMS reporting; the amended bill passed 12-0. House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, also passed unanimously after the board said it was already working on curriculum and implementation. The committee held House Bill 2813 and 2725, and began discussion of House Bill 2404, as the transcript ended.

Transcript Highlights:

• :32.840><c> to</c> Enhanced prepayment claims review to Enhanced prepayment claims review to catch<00
• So, that work is analyze claims.
• We do monitor claims such that the different edits in MMIS, our claims processing system, will reject
• Like, as a business functioned. into those claims and and sort out the into those claims and and sort
• . claims. claims.

Bills: HF3542

Committee: House Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:

• But our wage claim process is broken, and while the laws require that claims be resolved within 135 days
• On past wage claim judgments that would preclude an employer from getting the fee waiver.
• Be aware that from my position part of this body has been claiming that oil is dirty.
• Bill 1530 from the Committee on Emergency Management presented by Assemblymember Ransom.
• I'd like to thank my colleagues on the Emergency Management Committee.

Transcript Highlights:

• </c> claims as well. Correct. claims as well. Correct.
• management fee, uh, is $44 per open claim per month.
• workers' compensation claims?
• there to pay medical claims that are there to pay medical claims that are approved<00:07:55.039><c> for
• claims? claims?

Summary: The committee first approved the June 9 minutes, then reviewed a deferred personnel contract involving workers’ compensation claims administration. Staff explained that the roughly $50 million figure included about $48 million for claims payments and up to $1.45 million per year for administrative services, with billing based on a fee schedule for specific services rendered. Senator Meredith raised concerns about the vendor’s history, the scoring and bid process, and prior allegations involving the company; the administration responded that the procurement had been conducted under 45A through open competition, with outside scorers and no finding of wrongdoing tied to this contract. Meredith moved to disapprove Contract 167, Hart seconded, and the committee voted 5-2 to disapprove it. The committee then deferred a Western Kentucky University personal services contract because the vendors were still not registered with the Secretary of State’s office. Hart moved to defer the contract until the August 2026 meeting, Meredith seconded, and the motion carried. The committee also approved the agenda covering the various contract lists and deferred items. Next, the committee heard from the Cabinet for Health and Family Services on several personal services contracts for medical staffing and related services. Secretary Steven Stack and staff explained that staffing shortages often require outside vendors, that the contracts were competitively bid under 45A, and that the cabinet uses a streamlined vendor pool for specialized needs such as actuaries, auditors, and technical consultants. The committee approved Contracts 52 through 55 without objection. Discussion then began on Contract 61, with Meredith expressing concern that the committee lacked enough detail to judge whether the services could be performed in-house or whether the exchange of resources was appropriate; Stack said the contract was intended to provide efficient access to specialized outside expertise. The transcript cuts off before a final vote on Contract 61 is shown.

Transcript Highlights:

• , and risk management insurance.
• This also includes risk management premiums, legal fees, IT system management, and other general overhead
• I will say that of the Medicaid claims, about a million dollars of that would be Medicaid claims.
• You know, rebates generally down, you have less claims.
• We have an FTE that manages our digital assets.

Committee: House Appropriations

Transcript Highlights:

• . on a roof, you have less claims.
• claims adjuster, for over 20 years.
• claims adjuster, for over 20 years.
• claim denials...
• the prompt payment of claims.

Committee: House Insurance

Summary: The House Insurance Committee met on April 23 with a quorum present and first deferred HB 1142. The committee then heard HB 1187, which would direct any excess Louisiana Citizens emergency assessment funds, after related debt is paid, toward the Louisiana Fortified Homes Program or future Citizens debt. Representative Sawyer and Commissioner Tim Temple said the bill would likely redirect about $50 million in one-time surplus funds and would help expand a popular roof-mitigation program that has already awarded more than 4,600 fortified roofs. The bill drew support from several witnesses and was reported as amended without objection. Next, HB 1210, dealing with insurance claim disputes and a pre-suit review process for Louisiana Citizens claims, was discussed. Representative Dana Henry said he was voluntarily deferring the bill and instead pursuing a study resolution after hearing concerns from members and stakeholders. Department and Citizens officials said the proposal was modeled on Florida’s process and could help resolve disputes faster and cheaper, but the bill was ultimately voluntarily deferred after testimony and some opposition cards were noted. The committee then took up HB 1199, which requires coverage for genetic testing and treatment related to SCN2A-associated disorders. Representative Jordan and the Diedon family gave emotional testimony about their daughter Emily’s diagnosis and the importance of timely genetic testing. The bill was amended to require that testing be ordered by a provider and deemed medically necessary by the health plan, with discussion about whether a neurologist should be involved; members said that issue could be refined later. HB 1199 was reported as amended. Finally, the committee considered HB 880, the Louisiana Artificial Intelligence Insurance Fairness Act, which would regulate AI use in underwriting, rating, and claims. After a lengthy discussion about state insurance regulation, McCarran-Ferguson, and concerns that the bill could jeopardize federal broadband funding, Representative Jordan voluntarily deferred HB 880, and HB 920 was also deferred. The committee then heard HB 1221, which would limit the policy data collected for the Louisiana Fortified Program Fund. Former Representative Bowler argued the bill was needed to protect policyholder privacy, while the Department of Insurance and Commissioner Temple said the data is needed for surplus-lines premium tax audits, fraud detection, and consumer assistance after disasters. The discussion continued with questions about what data would be visible and how it would be used, but the transcript ends before a final action on HB 1221 is shown.

Transcript Highlights:

• It clarifies that the bill applies only to claims from providers or facilities that are under contract
• with the carrier and not to out-of-network claims.
• with the carrier and not to out-of-network claims, and clarifies that the day references in the bill
• And that's without any shared co-management or supervisory oversight.
• And that's without any shared co-management or supervisory oversight.

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:

• 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...
• And that hurts the small businesses this bill claims to help.

Committee: Senate Judiciary

Transcript Highlights:

• Where you have to reimburse to DCFS on behalf of children if they have any claim, any right to the claim
• claim based on damage or loss.
• or demand for reasonable claim related attorney Section E of this section to any lien claim or demand
• for reasonable claim related attorney's fees, litigation expenses, or any portion of the claim based
• Plaintiffs with well-pleaded claims still get their day in court.

Bills: SR125 , SCR70 , SCR12 , HB4 , HB251 , HB623 , HB819 , HB944 , HB986 , HB1098 , HB1222 , HB1257 , HB221 , HCR58 , SCR22 , SCR24 , SB29 , SB30 , SB32 , SB41 , SB42 , SB43 , SB47 , SB84 , SB93 , SB113 , SB192 , SB199 , SB219 , SB220 , SB221 , SB222 , SB241 , SB253 , SB255 , SB289 , SB292 , SB306 , SB314 , SB351 , SB399 , SB404 , SB14 , SB102 , SB133 , SB151 , SB165 , SB169 , SB170 , SB200 , SB217 , SB280 , SB291 , SB300 , SB303 , SB330 , SB449 , SB489 , SB521 , SB45 , SB156 , SB181 , SB203 , SB274 , SB304 , SB379 , SB396 , SB410 , SB425 , SB427 , SB436 , SB424 , SCR61 , SCR9 , SB35 , SB65 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , HCR31 , HB296 , HB299 , HB322 , HB364 , HB519 , HB535 , HB538 , HB568 , HB571 , HB622 , HB635 , HB676 , HB772 , HB784 , HB1006 , HB1018 , HB1043 , HB1070 , HB1134 , HB1239 , HB62 , HB193 , HB203 , HB210 , HB220 , HB228 , HB246 , HB420 , HB475 , HB486 , HB574 , HB584 , HB750 , HB813 , HB815 , HB826 , HB870 , HB949 , HB953 , HB1045 , HB1092 , HB1151 , HB1162 , HB1176 , HB1177 , HB1196 , HB1214 , HB1241 , HB22 , HB28 , HB33 , HB41 , HB47 , HB87 , HB115 , HB162 , HB195 , HB214 , HB217 , HB233 , HB283 , HB290 , HB319 , HB324 , HB345 , HB362 , HB363 , HB368 , HB377 , HB380 , HB382 , HB386 , HB392 , HB406 , HB431 , HB441 , HB466 , HB503 , HB533 , HB559 , HB575 , HB590 , HB593 , HB618 , HB636 , HB655 , HB664 , HB685 , HB692 , HB707 , HB715 , HB732 , HB738 , HB741 , HB748 , HB776 , HB807 , HB822 , HB856 , HB860 , HB868 , HB887 , HB888 , HB905 , HB908 , HB961 , HB980 , HB990 , HB992 , HB999 , HB1000 , HB1010 , HB1146 , HB1157 , HB1233 , HB1236 , HB1243 , HB54 , HB137 , HB180 , HB192 , HB310 , HB321 , HB396 , HB512 , HB552 , HB578 , HB638 , HB663 , HB708 , HB717 , HB718 , HB1009 , HB1082 , HB1104 , HB1107 , HB1198 , HB1246 , HB1250 , HB17 , HB36 , HB73 , HB119 , HB126 , HB129 , HB133 , HB140 , HB159 , HB166 , HB211 , HB226 , HB245 , HB271 , HB280 , HB337 , HB351 , HB354 , HB399 , HB677 , HB712 , HB723 , HB726 , HB728 , HB759 , HB789 , HB844 , HB850 , HB966 , HB1036 , SB149 , SB382 , SB441 , HB134 , HB258 , HB359 , HB782

Summary: The Senate convened with a quorum, received an opening prayer from Pastor Elizabeth Ali Frank, and adopted the journal. The chamber then handled a large number of messages, committee reports, resolutions, and House bills, including several ceremonial resolutions and many House measures returned with amendments. Notable resolutions included recognition of World Preeclampsia Awareness Day, commendations for Louisiana sports honorees, and a resolution urging higher reimbursement rates for behavioral health crisis centers, which was adopted. The Senate also concurred in SCR 22 on opioid settlement fund reporting, with Senator Myers explaining the House changes were technical and improved the reporting deadline and detail. A major portion of the meeting was devoted to concurrence or rejection of House amendments on Senate bills. The Senate concurred in several bills involving telehealth, prenatal bereavement care, official journals, ambulance Medicaid coverage, insurance and licensing disclosures, peptide regulation, psychosocial rehabilitation services, university records confidentiality, the Inspector General, religious exercise protections, child care assistance, eye care coverage, teacher retirement, and electronic service of pleadings. The chamber rejected House amendments to SB 42 on AI-created child sexual abuse materials and SB 43 on psychedelic-assisted therapy, and also rejected amendments on SB 29 and SB 32 before later concurring in many other technical or clarifying House changes. Several members explained that the House amendments were mostly technical, clarified effective dates, or adjusted definitions and contact information. The Senate then took up numerous House bills on final passage. Bills passed included measures on inmate workforce development cleanup, jury bond filing by mail, free transcripts for victims testifying before pardon/parole hearings, public awareness on illegal firearm discharge, special masters in complex litigation, paternity acknowledgments in hospitals, juvenile court filing fees in East Baton Rouge Parish, drug-free school zone penalties, criminal history record confidentiality, body brokering/fraudulent patient referrals, bail notice and residence requirements, sex offender registration updates, parish court jurisdictional amounts, court technology fees, deferred retirement options, shared custody standards, women’s policy and research commission membership, sickle cell and uterine fibroids commission membership, child exploitation reporting on online platforms, recreation of the state civil service department, children’s cabinet membership, DCFS employee background checks, AI disclosure in health care visits, the psychology inter-jurisdictional compact, mental health advisory board updates, foster children’s rights, automatic renewal contract disclosures, Orleans sheriff term alignment, access to death records for financial institutions, insurance referral disclosures, radiologist assistant regulation, plumbing licensure reforms, legislative auditor thresholds, developmental disabilities office renaming, insurer investment rules, Medicare Advantage coverage for integrative care services, and more. Some bills were returned to the calendar for further work, including HB 571, HB 475, HB 750, and HB 1162, and HB 490 was set aside after extensive debate on private-use electrical networks and data-center power arrangements. The most prominent floor action was final passage of HB 636, the Caleb Wilson Hazing Prevention Act, which Senator Boudreaux described as a comprehensive response to hazing tragedies on Louisiana campuses. He said the bill was developed by a task force that included the Wilson family and would strengthen education, reporting, accountability, and penalties, including permanent banishment for organizations involved in hazing deaths. After the bill passed 37-0, the Senate recognized the Wilson family and presented flags in Caleb Wilson’s honor. Throughout the day, many bills passed overwhelmingly, though a few drew dissent, including HB 296, HB 538, HB 568, HB 635, and HB 784. The meeting ended with continued consideration of additional House bills and unfinished items returned to the calendar for later action.

Transcript Highlights:

• There's no adjustment of the claim. It's a trigger and it's a payout.
• And then the second question, of course, is risk management steps.
• So that would be both of these diagnoses noted on a claim by a provider.
• So in this case, we have annual Medicaid claims data between 2012 through 2023.
• a diagnosis on that claim?

Committee: House Consumer Protection & Business

Summary: The committee held a work session on earthquake insurance and later on Washington State Institute for Public Policy (WSIPP) cannabis and I-502 research. The Office of the Insurance Commissioner explained that earthquake coverage is usually excluded from standard property policies, is expensive, and often carries very high deductibles. Staff also described admitted versus surplus line insurers, and introduced parametric insurance and captive insurance as specialized risk-transfer tools mainly used by commercial and sophisticated buyers. OIC data showed about 226,000 admitted earthquake policies in 2023, with most personal policies concentrated in the Puget Sound and Vancouver areas and commercial endorsements more broadly distributed. A second panel, including insurance and banking representatives, focused on potential catastrophic earthquake exposure for commercial buildings and collateralized loans. They argued that many commercial properties may lack earthquake coverage, leaving banks and the broader economy exposed if owners default or surrender damaged properties after a major quake. They discussed the Nisqually earthquake, the Cascadia subduction zone, building age, soil and slope conditions, retrofit standards, pollution remediation, and the need for property resilience assessments and inventories of vulnerable buildings. Members asked about consumer impacts, affordability, education, and whether legislation like prior work on unreinforced masonry buildings could help reduce risk; the Washington Bankers Association said earthquake insurance is costly and that affordability is a major concern. Committee members also discussed inventories and risk assessment efforts, including state geologist work on school buildings and whether similar approaches could be extended to nearby private structures. The presenters said banks likely have good inventories of their collateral but may not know which properties are most vulnerable to earthquake damage. The discussion ended with a request for follow-up information on consumer education and disaster planning resources. WSIPP then presented its long-running evaluation of Initiative 502 and cannabis legalization. Staff explained WSIPP’s nonpartisan role and its legislatively directed 20-year study, with final benefit-cost work due in 2032. The presentation summarized prior findings that cannabis misdemeanor convictions dropped sharply after legalization, though racial disproportionalities persisted at lower absolute levels. WSIPP also reported that shorter drive times to cannabis retailers were associated with higher reported adult cannabis use, more fatal traffic crashes involving local drivers, higher THC-positive rates among blood-tested crash drivers, and higher cannabis use disorder diagnoses and co-occurring substance use disorder diagnoses among Medicaid enrollees. For high school students, nearby retail access was associated with more reported use, more unexcused absences, and a lower likelihood of graduating on time. In the newest 2025 Medicaid study, WSIPP said retailer openings were associated with higher cannabis use disorder diagnoses, hospitalizations, inpatient treatment, and co-occurring mental health diagnoses, while emphasizing that the analyses show associations rather than direct causation and that results are specific to Medicaid enrollees.

Transcript Highlights:

• There's no adjustment of the claim. It's a trigger and it's a payout.
• And so, which creates group buying power and really other risk management efficiencies.
• So that would be both of these diagnoses noted on a claim by a provider.
• So in this case, we have annual Medicaid claims data between 2012 through 2023.
• a diagnosis on that claim?

Summary: The committee heard a work session on earthquake insurance, beginning with background from the Office of the Insurance Commissioner. OIC staff explained that earthquake and earth movement are generally excluded from standard property policies, that earthquake coverage is usually purchased through endorsements or standalone policies with high deductibles and relatively high premiums, and that surplus lines are a limited backstop market not covered by the state guarantee fund. They also described parametric insurance and captive insurance as more specialized products generally suited to commercial or governmental buyers rather than ordinary consumers. A second panel of insurance and banking experts focused on commercial earthquake exposure, especially for older buildings, collateralized loans, and potential knock-on effects to banks and consumers if a major quake caused widespread damage. Members asked about consumer impacts, mitigation incentives, inventories of vulnerable buildings, and whether legislation such as prior work on unreinforced masonry could help reduce risk. The Washington Bankers Association said earthquake insurance is expensive and that affordability is a major concern, while also noting banks participate in disaster-recovery planning and would be affected by major regional losses. No votes or formal actions were taken. The committee then received a presentation from the Washington State Institute for Public Policy on its cannabis and Initiative 502 research. WSIPP staff described the agency as a nonpartisan research institute that conducts legislative-directed studies and explained that its long-term I-502 assignment includes periodic reports leading to a final benefit-cost evaluation in 2032. Staff summarized findings from a 2023 report showing that cannabis possession convictions fell sharply after legalization, though some racial disproportionalities persisted, and that closer retail access was associated with higher reported adult cannabis use, more fatal traffic crashes involving drivers from nearby areas, and higher rates of cannabis use disorder diagnoses among Medicaid enrollees. A 2023 youth-focused report found that students attending schools near retailers were more likely to report cannabis use, had more unexcused absences, and were less likely to graduate on time. In the newest 2025 Medicaid study, staff said retail access was associated with higher probabilities of cannabis use disorder diagnoses, related hospitalizations, inpatient treatment, and co-occurring mental health diagnoses, with event-study analysis suggesting the increases appeared after retailers opened rather than before. Members asked about racial disproportionality, the meaning of cannabis use disorder diagnoses, THC and impairment, whether the findings reflected medical versus recreational use, and how the results should be interpreted in light of broader trends and data limitations. No formal committee action was taken.

Transcript Highlights:

• What were the claims amount? What was actually paid on each claim? What was the timing of that?
• That means your claim is over. That means you get zero benefits.
• Then we have the claims database.
• Is it the local general manager? Is it the corporate office?
• Management not treating others with the value that is there.

Summary: The committee first took up Senate Bill 408 by Senator Myers, a major workers’ compensation overhaul centered on creating an all-claims medical database, requiring electronic reporting and billing, and modernizing fee schedule and claims data collection. Myers said the bill was designed to improve transparency, reduce disputes, address outliers and abuse, and help injured workers return to work faster. The committee adopted technical amendments, then considered a large amendment set combining portions of House bills 780 and 1101, which added preliminary determination procedures, fraud language, temporary total disability and supplemental earnings benefit changes, and a fallback deadline for the department to establish a fee schedule if no agreement is reached by 2029. Several members and witnesses objected that the amendments were dropped late and would turn SB 408 into an omnibus bill; supporters argued the package was the best chance for comprehensive reform. After debate, the committee adopted the amendments and reported SB 408 favorably as amended. Testimony on SB 408 was sharply divided. Supporters, including some providers and injured-worker advocates, said the bill’s core value was transparency through the database and that the system needed modernization and a better fee schedule. Opponents argued the added amendments would burden pro se claimants, expand litigation, and weaken injured workers’ rights, especially through fraud and preliminary hearing provisions. Committee members also questioned whether the combined package was germane and whether it should be allowed to move as a single reform measure. Louisiana Workforce Commission staff explained the timeline for data collection, electronic billing, dispute rules, and eventual fee schedule rulemaking, and said the department could execute the law as amended. The committee then turned to House Bill 585 by Representative Chasson, concerning workplace violence and safety plans for small-box discount retailers. The bill was revised through a substitute that required covered retailers to develop and submit a written workforce safety plan, or submit an existing plan if one already existed. Representative Glorioso raised concerns that requiring a written safety plan could create new civil liability under Louisiana’s assumption-of-duty doctrine and increase litigation and insurance costs. Chasson responded that the intent was simply to encourage safety planning and that businesses already had such plans. The committee discussed possible narrowing language, but the transcript ends before a final disposition on HB 585 is shown.

Transcript Highlights:

• and strengthens the ability to audit claims, and a few other things.
• Also, in the managed care rate-setting regulations, managed care organizations are compelled to comply
• </c> and mental health um also in the Managed and mental health um also in the Managed Care<00:04:45.520
• </c> Care rate setting regulations uh Managed Care rate setting regulations uh Managed Care<00:04:48.120
• they audit any of your claims, and that is terrible for cash flow for a small provider.

Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 785, as amended by a committee substitute that combined language from HB 785 and HB 787. The bill was described as addressing Medicaid managed care organization (MCO) audits, provider contract notice and amendment procedures, mental health parity compliance, and related transparency requirements. Supporters said the measure would tighten notice to providers, limit repeated contract amendments and rate reductions, require more standardized audit procedures, and add reporting on Medicaid claims, appeals, and grievances. It also includes a provision requiring coverage of at least two evaluation-and-management billable services per physician per recipient per date of service, and a section addressing narcotic/opioid treatment program licensing and reimbursement language. Testimony in support came from Representative Kim Moore, John Inman of BrightView Health, Michelle Sandborne of the Children’s Alliance, and Kelly Cormic of RYSE. They argued that MCOs often use audits and recoupments in ways that are burdensome, opaque, and financially damaging to providers, especially smaller and rural ones. They cited examples of multiple audit requests in short timeframes, large record requests with short deadlines, delayed or absent feedback, and recoupments taken before appeals are resolved. They also said parity laws are not being consistently enforced and that the bill would give the Department of Insurance authority to suspend or revoke an MCO certificate of authority for willful or repeated parity violations. Committee members generally expressed support for provider protections and transparency, while asking for clarification on the narcotic treatment and E/M billing provisions. Tom Stevens of the Kentucky Association of Health Plans testified in opposition, saying the bill is complex to implement and should be handled through the broader Medicaid oversight work of House Bill 9, the MOAB. He said the issues raised were better suited for that bipartisan stakeholder process and noted the committee substitute had not yet been fully reviewed by his group. After discussion, the committee adopted the committee substitute and then moved to a vote on the bill; the roll call began, with several members recorded as voting yes, but the transcript cuts off before the final vote result is shown.

Transcript Highlights:

• , and risk management insurance.
• This also includes risk management premiums, legal fees, IT system management, and other general overhead
• I will say that of the Medicaid claims, about a million dollars of that would be Medicaid claims.
• You know, rebates generally down, you have less claims.
• We have an FTE that manages our digital assets.

Committee: House Appropriations

Summary: The committee first heard a budget presentation on LSU Health Care Services Division and Lallie Kemp Medical Center. Staff reviewed HCSD’s roughly $74.7 million budget, much of it tied to legacy obligations for former LSU hospital systems and support for Lallie Kemp. Committee members asked about prisoner care, risk management costs, declining admissions and emergency visits, and the hospital’s 340B drug program. Lallie Kemp officials explained that prisoner care serves multiple state and local facilities, that lower admissions largely reflect more patients being placed in observation status, and that the in-house 340B program provides major savings to patients and the prison system. Members also asked about care for unhoused patients and the hospital’s discharge practices, and the hospital said social services works to find placement when possible. The committee then moved to the Louisiana Department of Health budget, which was presented as just under $23.5 billion, with Medicaid making up more than 90 percent of the total. The presentation covered the Office of the Secretary, Office of Public Health, Office of Behavioral Health, Office for Citizens with Developmental Disabilities, and Medicaid. Major items included the new Rural Health Transformation Program, the transfer of several functions from DCFS to LDH under the One Door initiative, changes to SNAP administration, and large Medicaid adjustments driven by enrollment, utilization, and federal policy changes. Testimony also highlighted the statewide crisis hub and 988, the commodity food program for seniors, women’s health and maternal outcomes, and the department’s efforts to modernize technology and reorganize services. Members questioned LDH officials on a wide range of budget and policy issues, including the rural health grant, crisis services, Medicaid redeterminations, provider taxes, physician and hospital supplemental payments, nursing home rates, HCBS funding, and the impact of the federal One Big Beautiful Bill Act. LDH said the rural health grant would support workforce, technology, and care-delivery improvements; that the crisis hub and mobile crisis units are being expanded to improve access and reduce emergency room use; and that the department is working to keep the SNAP error rate below 6 percent to avoid a projected state cost increase. Officials also said they expect to return next year with additional funding requests for HCBS and other programs, while emphasizing that current budget changes are largely meant to realign funding with actual expenditures and new federal requirements. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• They pay out 10.3% of their claims. State Farm, on the other hand, pays out 51%, and Allstate 41%.
• And this is the thing that's important, too: for every $100 collected, they pay $10 in claims.
• Speaking of unconstitutional, this doesn't mention the state panel process for state claims.
• It's $250 per person, not per claim. $250, though, correct? Per person.
• You have a doctor saying, looking at the facts, there's merit in this claim, let's go to court.

Bills: SR116 , SR117 , SR118 , SR119 , SCR68 , SCR69 , SCR12 , HB682 , HB766 , HB769 , HB775 , HB783 , HB824 , HB926 , HB1186 , HB1201 , HB1223 , HB1245 , HB1247 , HB1253 , HB1258 , HB221 , HCR53 , HCR62 , HCR72 , HCR58 , HB54 , HB137 , HB180 , HB192 , HB310 , HB321 , HB396 , HB512 , HB552 , HB578 , HB638 , HB663 , HB708 , HB717 , HB718 , HB1009 , HB1082 , HB1104 , HB1107 , HB1194 , HB1198 , HB1246 , HB1250 , SB29 , SB30 , SB32 , SB41 , SB42 , SB43 , SB47 , SB84 , SB93 , SB113 , SB192 , SB199 , SB219 , SB220 , SB221 , SB222 , SB241 , SB253 , SB255 , SB289 , SB292 , SB306 , SB314 , SB351 , SB399 , SB404 , SB14 , SB102 , SB133 , SB151 , SB165 , SB169 , SB170 , SB200 , SB217 , SB280 , SB291 , SB300 , SB303 , SB330 , SB449 , SB489 , SB521 , SB424 , SCR9 , SB25 , SB250 , SB348 , SB405 , SB444 , SB485 , SB35 , SB65 , SB132 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , HCR26 , HCR45 , HCR61 , HCR77 , HCR31 , HB649 , HB665 , HB681 , HB721 , HB746 , HB757 , HB781 , HB835 , HB844 , HB857 , HB872 , HB886 , HB889 , HB892 , HB982 , HB987 , HB1037 , HB1068 , HB1072 , HB1078 , HB1085 , HB1132 , HB1137 , HB1167 , HB1174 , HB1232 , HB1238 , HB23 , HB136 , HB17 , HB21 , HB51 , HB55 , HB74 , HB106 , HB108 , HB133 , HB140 , HB159 , HB168 , HB215 , HB226 , HB263 , HB296 , HB299 , HB322 , HB364 , HB519 , HB535 , HB538 , HB568 , HB571 , HB622 , HB635 , HB676 , HB772 , HB784 , HB1006 , HB1018 , HB1043 , HB1070 , HB1134 , HB1239 , HB62 , HB193 , HB203 , HB210 , HB220 , HB228 , HB246 , HB420 , HB475 , HB486 , HB574 , HB584 , HB750 , HB813 , HB815 , HB826 , HB870 , HB949 , HB953 , HB1045 , HB1092 , HB1151 , HB1162 , HB1176 , HB1177 , HB1196 , HB1214 , HB1241 , HB36 , HB73 , HB119 , HB126 , HB129 , HB166 , HB211 , HB245 , HB271 , HB280 , HB337 , HB351 , HB354 , HB399 , HB677 , HB712 , HB723 , HB726 , HB728 , HB759 , HB789 , HB850 , HB956 , HB966 , HB1036 , SB149 , SB382 , SB441 , HB258 , HB842

Summary: The Senate convened with a quorum, heard a prayer and pledge, and then moved through a long calendar of House and Senate measures. Early business included adoption of a large batch of Bureau reports and numerous committee reports, along with several personal privilege recognitions for guests and observances, including Aviation Day at the Capitol, Safe Boating Week, and recognition of a student’s educational achievements. The chamber also received messages from the House on several Senate concurrent resolutions and conference committee reports, including House Bill 842, the omnibus election bill, which was taken up and adopted after discussion of changes to Louisiana election procedures, congressional primary timing, ballot order, and related qualifying and public-records provisions. The Senate also adopted or concurred in several resolutions, including measures on community action, early education, condolences, and a blockchain and digital innovation task force. A major portion of the meeting focused on floor debate and final passage of several bills. Senate Bill 250, dealing with comprehensive weight management services through the Office of Group Benefits, was amended to remove GLP-1 and compounded-therapy provisions and then passed. Senate Bill 348 authorizing local law enforcement to contract for administrative and logistical support for motor vehicle regulatory enforcement passed, as did Senate Bill 405 creating a statewide quality oversight initiative for nursing facilities. Senate Bill 444 and Senate Bill 485, both relating to the new city of St. George’s expropriation and taxing authority, passed after amendments and questions about their local impact. Senate Bill 25, on compensation for registrars of voters and staff, also passed unanimously. Senate Bill 132, requiring exterior master key boxes and school mapping integration for public schools, passed as a school safety measure. The Senate then considered a series of House bills, many of them local or regulatory in nature. These included HB 649 on dual enrollment, HB 665 on hoop nets in North Pass and Manchac Pass, HB 681 on the Lakeview Crime Prevention District, HB 721 on night shrimping in parts of Vermilion Bay, HB 746 on statewide oversized vehicle permits, HB 781 on fleet vehicle registration, HB 835 on charter guide wildlife management area access permits, HB 857 on commingled seafood labeling, HB 872 and HB 886 on menhaden fishing radios and harvest reporting, HB 889 on bulk oyster tagging, HB 892 creating the West End Economic Development District, HB 982 naming memorial highways, HB 987 consolidating LSU energy-related programs, HB 1037 and HB 1072 on DOTD operational reforms, HB 1068 on garbage collection contracting authority, HB 1078 on tuition and fees for distance education, HB 1085 repealing private vehicle inspection sticker requirements, HB 1132 on lab school funding under the University of Louisiana system, HB 1137 limiting adverse employment action against state employees over pronoun use, HB 1167 naming memorial roadways, and HB 1174 recreating DOTD through 2031. Most of these measures passed, often after brief debate and occasional amendments; HB 1085 drew opposition over the loss of inspection-related jobs and concerns about unsafe vehicles, but it still passed. One notable bill, Senate Bill 500 on medical malpractice and the Patient Compensation Fund, was not brought to a vote; after extensive debate about the medical review panel system, claims costs, and proposed certificate-of-merit changes, the author said he would turn it into a study resolution instead.