Video & Transcript : 'rules reform' :
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TX
Texas 89th Regular
Senate Committee on Health and Human Services May 27th, 2026
Health & Human Services
Transcript Highlights:
- reforms.
- reforms.
- There's been a lot of reform across the country and a lot of reform at the federal level recently on
- There should be comprehensive reform.
- So what are some of these reform options?
Committee:
Senate Health & Human Services
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Jan 20th, 2026
Transcript Highlights:
- Of the litigation about the HRSA rule, Mr.
- Chair, of the litigation about the HRSA rule, is that determined and it's cut and dry? It is.
- I am a patient and board member at Seattle Rules Community Health, and I testify in strong support of
- . level regulatory framework on a federal program that is already in need of reform.
- We must demand real reform to ensure 340B benefits the community.
Summary:
The committee first heard House Bill 2437, which would put the Department of Health’s authority to accredit opioid treatment programs into statute and allow the department to set a fee to cover the cost of those services. The prime sponsor and DOH said the bill would preserve a service that is especially important to tribal and rural providers and would be self-sustaining rather than supported by the general fund. Members asked about the relationship between DOH and HCA and whether the bill would duplicate existing authority; staff and the department said DOH already performs the accrediting role and the bill mainly formalizes that authority and fee-setting power. Public testimony on the bill was then closed.
The committee then held an extensive work session on the federal 340B drug pricing program and later opened public testimony on House Bill 2145, which would prohibit manufacturers, distributors, and third-party logistics providers from restricting 340B drug acquisition or delivery and from requiring claims or utilization data as a condition of access. Committee staff and NCSL gave background on how 340B works, recent growth in the program, contract pharmacy issues, and state efforts in other jurisdictions. Testimony on HB 2145 was sharply divided: hospitals, community health centers, tribal representatives, contract pharmacies, and labor groups said the bill would protect safety-net providers, rural access, HIV and behavioral health services, and tribal programs from manufacturer restrictions; business groups, pharmaceutical companies, and employer coalitions argued the program has expanded beyond its original intent, lacks transparency, shifts costs to employers and taxpayers, and should be addressed through federal reform instead. No vote was taken in the excerpt.
Finally, the committee heard House Bill 2155, which would bar non-human entities from using nursing titles such as RN, APRN, or LPN or otherwise implying they are licensed nurses. The prime sponsor said the bill is intended to protect patients from being misled by AI systems and to preserve transparency and public safety as health care technology expands. The Washington State Nurses Association testified in support, saying AI can be useful but should not replace nurses or be presented as a licensed professional. A member asked about enforcement and liability, and staff said they would follow up on those details.
AZ
Transcript Highlights:
- They did most of these reforms.
- There needs to be reforms in ACCESS. There needs to be reforms in the health insurance trust.
- This is Rule 19A.
- Speaker, under House Rule 1.
- under House Rule 1A.
NH
New Hampshire 2026 Regular Session
Senate Executive Departments and Administration (04/01/2026)
Executive Departments and Administration
Transcript Highlights:
- Would that clear it up if we just change “regulation” to “rule” and make “statute or rule”?
- </c> criminal justice reform issues. criminal justice reform issues.
- </c> administrative fines by rule. administrative fines by rule.
- </c> Administrative Rules. Administrative Rules.
- </c><01:44:50.680><c> So,</c> therapy rule-making authority. So, therapy rule-making authority.
FL
Florida 2025 Regular Session
March 20, 2025 - 02:00 PM
Transcript Highlights:
- Stephen Rosinski, Florida Justice Reform Institute. You're recognized.
- Stephen Rosinski, Florida Justice Reform Institute. You're recognized.
- Did the court rule that this was one incident?
- I'm here today on behalf of the Florida Justice Reform Institute.
- Laura Bollenski, again, on behalf of Florida Justice Reform Institute.
Summary:
The subcommittee considered a long agenda of civil justice and claims measures. HB 1173, relating to the Florida Trust Code, was presented as a clarification of standing in trust litigation after recent case law; after questions about who may sue, an amendment was adopted clarifying that an expressly named charity retains standing, and the bill passed 14-2. HB 1437, on attorney’s fees in motor vehicle PIP disputes, drew testimony from insurers and reform groups opposing a return to fee-driven litigation and from medical groups supporting fee recovery for prevailing parties; it passed 17-0. CS/HB 147, addressing prohibited debt-collection communications during nighttime and early morning hours, was described as a clarification of an outdated statute in light of modern communications, with support from business groups and no opposition in the vote; it passed 18-0.
The committee then heard several claims bills against the Department of Children and Families. HB 6511, for relief of L.P., described severe injuries to a child after DCF allegedly failed to act on warning signs; a technical amendment was adopted and the bill passed 18-0. HB 6515, for relief of Michael Barnett, involved DCF’s alleged failure to investigate domestic violence that preceded the killing of three children and injury of a fourth; members asked about the settlement amount and the case’s circumstances, and the bill also passed 18-0.
HB 1517, expanding wrongful death law to allow parents of an unborn child to recover for the child’s death, generated the most extensive debate. The sponsor said it aligns civil law with existing criminal definitions and excludes claims against mothers and providers of lawful medical care, including IVF; opponents warned it could be used to target reproductive care, support networks, and domestic violence survivors, while supporters framed it as a justice measure for families. An amendment clarifying damages rules for minors and unborn children was adopted, and the bill passed 13-4. Finally, HB 947, on evidence of medical damages in personal injury and wrongful death cases, sought to allow broader evidence at trial and to change “shall” to “may”; supporters said it would improve fairness and transparency, while opponents argued it would weaken post-2023 tort reforms and reintroduce inflated medical damages. The amendment was adopted and the bill was then taken up with additional opposition testimony.
MO
Transcript Highlights:
- Today I'm presenting House Bill 2777, the Public Nuisance Reform Act.
- The reform is designed to protect Missouri consumers, businesses, and taxpayers from costly litigation
- The reform is designed to protect Missouri consumers, businesses, taxpayers from calls.
- Madam Chair, Rich Obish, on behalf of the Missouri Civil Justice Reform Coalition, we are in support
- This common-sense reform to our negligence laws ensures that Missouri's civil justice...
CA
California 2025-2026 Regular Session
Joint Hearing Senate Revenue and Taxation Committee and Assembly Revenue and Taxation Committee Feb 11th, 2026
Transcript Highlights:
- And the key thing, again, about this reform are two, actually.
- And the key thing, again, about this reform, are two, actually.
- It would be under different accounting rules than we use.
- Deferral rules differ.
- But with this Supreme Court in place, do you think that they would rule a different ruling?
Summary:
The joint informational hearing examined California’s taxation of multinational corporations, especially the state’s water’s-edge election versus worldwide combined reporting. The LAO and Franchise Tax Board explained the basic mechanics of unitary taxation, apportionment, and how water’s-edge generally excludes most foreign subsidiaries while worldwide reporting includes the full unitary group. FTB officials said water’s-edge filers are a small share of corporate filers but account for a large share of tax liability, and they described filing trends, industry mix, and the administrative steps needed to administer either system.
Members and witnesses debated the policy trade-offs. Supporters of moving away from water’s-edge argued that it enables profit shifting, especially for large multinational and IP-heavy firms, and that eliminating it could raise significant revenue and improve fairness for smaller domestic businesses. They cited estimates of billions in potential revenue and said California already has the audit and reporting infrastructure to handle worldwide reporting, though some transition time would be needed. Opponents argued that worldwide reporting would tax foreign activity unrelated to California, create double taxation, increase compliance burdens and litigation, and could be difficult for foreign-based multinationals to document. They also warned that some of the revenue estimates are highly uncertain because foreign affiliate income is not directly observable.
Committee members asked about foreign government pushback, the risk of companies leaving California, the effect on intellectual property shifting, and whether federal or Supreme Court action could block a change. Witnesses generally said major firms would be unlikely to leave because California taxes sales rather than physical presence, but some costs could be passed on to consumers. The panel also discussed alternatives such as conforming to federal international tax rules like NCTI/GILTI and adding anti-abuse rules. No vote or bill action was taken; the hearing was informational only.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on the Judiciary Jun 21st, 2026 at 01:00 pm
Joint Committee on the Judiciary
Transcript Highlights:
- I'm also... ...reform and transformation within the prison system. I got my GED.
- Strengthen rules governing attorney conduct and penalties for misconduct.
- bill and the work that we did in 2020 with the policing reform bill.
- It was investigated and ruled clearly unsupported.
- The system needs transparency, accountability, and reform.
Committee:
Joint Joint Committee on the Judiciary
Summary:
The committee heard extensive testimony on several Judiciary bills, with the largest portion focused on S. 1178/H. 2052 to reduce mass incarceration and end life without parole. People incarcerated at MCI Framingham, MCI Norfolk, and NCCI Gardner described personal growth, rehabilitation, restorative justice work, family separation, and the belief that parole eligibility after long sentences would better reflect public safety and human development. Speakers emphasized that life without parole removes hope and can undermine rehabilitation, while supporters argued that many lifers are older, less likely to reoffend, and could contribute positively if given a chance at parole review. Committee members did not take votes during the hearing.
The committee also heard testimony on S. 1139 to restore the statute of limitations for wrongful death claims involving tobacco use, with Sen. Keenan explaining that a recent SJC decision had cut off claims where the injured person did not sue within three years before death. He said the bill would restore families’ ability to seek redress in cases involving long-latency tobacco harms like COPD. Another major topic was S. 1205, which would add abusive litigation to the definition of coercive control in domestic violence law; Sen. Michael Moore said the bill would stop abusers from using repeated court filings to harass and financially burden survivors.
The committee also took up S. 1114 on automatic record sealing, with Sen. Friedman and others arguing that the current petition-based process is slow, burdensome, and disproportionately harms people with criminal records, especially Black and Latino residents. Testimony also supported H. 1965/S. 1132 on compensation for wrongful conviction, with advocates and sponsors describing a faster administrative claims process, transitional support, and higher compensation without the current cap. Sen. Payano testified for S. 1241 to expand educational programming for incarcerated emerging adults, saying education reduces recidivism and improves reentry outcomes.
A substantial portion of the hearing focused on S. 2522, an update to Massachusetts’ shield law for reproductive and gender-affirming care. Sen. Friedman, the Attorney General’s office, and DPH Commissioner Robbie Goldstein said the bill is needed to strengthen protections against out-of-state legal attacks, protect patient and provider data, clarify enforcement authority, and add a state-level EMTALA-style emergency care requirement. Committee members asked detailed questions about prescription labeling, the prescription monitoring program, attorney discipline, custody and full faith and credit issues, and whether the bill’s enforcement language could create unintended limits or conflicts. The Attorney General’s office said it would provide follow-up written testimony on several technical questions.
MN
Minnesota 2025-2026 Regular Session
Balancing the Budget / Sovereignty Day at the Capitol / Promoting Animal Welfare Mar 23rd, 2025
Minnesota Senate Floor Meeting
Transcript Highlights:
- HOA and CIC reform will help Minnesotans achieve the American dream by assisting in housing stability
- Senate File 1750 is a bipartisan bill that aims to reform homeowners associations and common interest
- Reforms are also part of the package. Everyone was afraid of getting hit with legal charges.
- </c> bipartisan bill that aims to reform bipartisan bill that aims to reform homeowners<00:24:58.520>
- are also part of the decision reforms are also part of the reform<00:25:16.600><c> package</c><00:25
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Tuesday, March 24, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- 6 of Rule 20.
- </c> today as we consider further reforms. today as we consider further reforms.
- </c> affirmative, the rules are suspended. affirmative, the rules are suspended.
- The rules are suspended. affirmative. The rules are suspended.
- </c> suspend the rules and pass HR6267. suspend the rules and pass HR6267.
Bills:
HB6422 , HB3410 , HB2247 , HB6460 , HB6427 , HB5663 , HB6267 , HB6618 , HB7342 , HCR73 , HB7388 , HB6481 , HB6480 , HB2474 , HB4624
Keywords:
water quality, EPA, environmental protection, coastal restoration, federal funding, supersonic flight, aviation, FAA regulations, aerospace standards, noise standards, certificates, FAA, digital access, regulations, drones, recreational use, unmanned aircraft, regulation, airspace, airport construction
NM
New Mexico 2025 Regular Session
IC - Legislative Education Study Oct 15th, 2025
Transcript Highlights:
- This afternoon, we will have a Public Education Reform Fund update. Jessica. Thank you so much, Mr.
- For the next little bit, we're going to give you an update on the Public Education Reform Fund.
- K-plus, K-3-plus, K-5-plus, it can only be used for reform, so here it is still.
- In that is unappropriated, undesignated in the reform fund, just so that you all are aware.
- We apply a business rule called full academic year.
KY
Kentucky 2025 Regular Session
House Standing Committee on Local Government (2-18-25) - Reupload
Transcript Highlights:
- We have done a lot of work on classification reform over the last several years, and we left some things
- out of classification reform that were more controversial, like taxing authority, some alcohol-related
- We have done a lot of work on classification reform over the last several years.
- We left some things out of classification reform when we did that that were more controversial, like
- </c><00:19:45.080><c> that</c> uh able to play by the same rules that uh able to play by the same rules
Summary:
The committee met with a quorum and considered four bills. House Bill 131, sponsored by Representative Meredith, was amended with a committee substitute and would allow former second class city fire departments more scheduling flexibility, including hybrid shift patterns, while preserving existing collective bargaining agreements. There was no opposition or questions, and the committee adopted the substitute and passed the bill favorably by voice/roll call vote.
House Bill 256, sponsored by Chairman Flannery, would impose a 40-year statutory limit on root-of-title interests to clear dormant title issues and improve marketable title, while excluding coal and mineral interests. A committee substitute was adopted, and the bill passed favorably on a unanimous roll call. House Bill 290, sponsored by Representative Wilson, would update county law library funding/use rules to allow more modern expenditures such as online legal services; Representative Willner supported it as a useful modernization, and the bill also passed favorably on a unanimous roll call.
House Bill 368, sponsored by Representative Decker, would expand local governments’ ability to use online public notice alternatives instead of relying solely on newspaper publication in smaller counties. Supporters from local government groups argued the change would save money, improve efficiency, and still keep the public informed, while the Kentucky Press Association cautioned that website standards should be addressed and noted concerns about losing newspaper notice revenue. After discussion, the committee passed the bill favorably by roll call vote. At the end of the meeting, members recorded additional yes votes for HB 131, HB 256, and HB 290, and the committee adjourned.
MA
Massachusetts 2025-2026 Regular Session
Future of Payments and Sales Transactions by Credit Card and the Impacts for Small Businesses Jul 22nd, 2026
Transcript Highlights:
- Many states allow merchants to impose a surcharge with rules that limit the amount to the merchant's
- I'm an attorney who worked on the federal debit interchange reform law in 2010.
- So on April 29th, the OCC unveiled an interim final rule changing the...
- So on April 29th, the OCC unveiled an interim final rule changing the authority of national banks to
- The agencies' rules also appear to be self-contradictory, as they allow interchange...
Summary:
The Special Legislative Commission on the future of credit card payments and their impacts on small businesses held what was described as its last public hearing. Chair Paul Feeney opened by noting the commission’s mandate under Chapter 238 of the Acts of 2024 and explained that members would continue working on a final report after the hearing. The meeting featured testimony from banks, payment industry groups, restaurant advocates, convenience store representatives, and others, with repeated discussion of interchange fees, surcharging, fraud, and federal preemption issues.
Banking and card-industry witnesses, including the Massachusetts Bankers Association, the Card Coalition, and the Electronic Payments Coalition, argued that state-level interchange restrictions would disrupt a global payment system, create compliance problems, and likely apply only to a small share of transactions because of federal preemption. They emphasized consumer and merchant benefits of cards, the role of banks in absorbing fraud losses, and recent federal and state developments, including Illinois litigation, OCC and NCUA actions, and a settlement that they said would give merchants more flexibility. Several witnesses also suggested alternatives such as vendor compensation for tax collection and modernizing Massachusetts’ surcharge ban.
Restaurant and convenience-store advocates took the opposite view, saying swipe fees are a major burden on thin-margin businesses and that merchants should not pay interchange on sales tax or gratuities that are not their revenue. Mass Restaurants United and individual restaurant owners described severe financial strain, rising costs, and the need for transparency and relief. NACS supported swipe fee reform and argued that current fees are excessive and inflationary. A few members questioned witnesses about whether industry should share more of the burden and about the feasibility of changing the current system.
No votes or formal policy actions were taken. The chair said the commission would meet again to discuss a draft framework and final report, and members of the public were invited to submit additional written testimony before the commission concludes its work.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Health Care Financing Jun 21st, 2026 at 10:00 am
Joint Committee on Health Care Financing
Transcript Highlights:
- I mean, there's parity rules, right? So what are they setting them to?
- It is a prerequisite to any meaningful reform.
- Let us remember Massachusetts led the nation in health reform once before.
- costs because of these reforms.
- , reforms that other states will look to.
Summary:
The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably.
The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs.
Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.
FL
Florida 2025 Regular Session
Governmental Oversight and Accountability Mar 11th, 2025
Governmental Oversight and Accountability
Transcript Highlights:
- Senate Bill 448 offers comprehensive reforms to Florida's Administrative Procedures Act by introducing
- I believe that some rules shouldn't exist in perpetuity.
- impact, may require complex expert economic analyses that would not otherwise be required for each rule
- She concluded that the additional costs and time required to prepare CERCs for every rule could hinder
- He said the purpose is noble and is to provide clarity and create order, though the reforms may have
Summary:
The Committee on Governmental Oversight and Accountability met and reported several bills favorably. Senate Bill 7000 repealed the sunset on a public records exemption protecting site-specific location information for threatened and endangered species; Senate Bill 7006 preserved exemptions for building plans and related records showing 911, E911, public safety radio, and NG911 infrastructure; and Senate Bill 7004 extended the exemption for property photographs and personal identifying information tied to certain housing assistance programs. Each of those bills drew no questions, no public testimony, and no debate before favorable votes.
The committee also considered Senate Bill 448 on administrative procedure, which proposed broader reforms to the Administrative Procedure Act, including agency rulemaking oversight and cost-benefit analysis requirements. An amendment removed the bill’s eight-year sunset. The Florida Bar’s Administrative Law Section testified with concerns that some provisions could chill agency guidance, increase costs and delays, and create standing issues for challenges. Supportive testimony also came from Americans for Prosperity and the James Madison Institute. After debate, the committee reported the bill favorably as amended.
Senate Bill 1058, as amended, updated state references to the “Gulf of America” in geographic and instructional materials and removed the road designation of Tamami Trail. Senator Polsky objected to the change as unnecessary and wasteful, while the sponsor said the bill simply aligns materials with the new name going forward. The committee adopted the strike-all amendment and then reported the bill favorably. Later, Senate Bill 924 was heard and amended to expand state employee fertility preservation coverage beyond cancer to other medically necessary treatments, remove age limits, require coverage of standard cryopreservation services, and set storage limits. Senators Polsky and Rodriguez praised the measure as important for young patients facing infertility risks, while one senator questioned whether the state group plan was the right vehicle. The committee reported SB 924 favorably, and members later recorded additional affirmative votes on SB 448 and SB 1058 before adjournment.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Tuesday, June 9, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- :22:49.520><c> of</c><02:22:49.760><c> HR</c> rule provides for consideration of HR rule provides for
- Speaker, the rule than that. Mr.
- They're calling for reforms. CBP. They're calling for reforms.
- </c> of the rules committee, Mr. McGovern. of the rules committee, Mr. McGovern.
- Last night in the rules committee.
Keywords:
identity fraud, FAFSA, higher education, financial aid, verification system, labor union, collective bargaining, first contract, initial contract, union certification, union recognition, National Labor Relations Act, NLRA, workplace organizing, labor arbitration, mediation, Federal Mediation and Conciliation Service, FMCS, binding arbitration, labor relations
MS
Mississippi 2026 Regular Session
MS Senate Floor - 10 March, 2026; 10:00 AM
Mississippi Senate Floor Meeting
Transcript Highlights:
- </c> House Bill 1665 is a PBM reform bill. House Bill 1665 is a PBM reform bill.
- </c> reform, and we've protected businesses. reform, and we've protected businesses.
- >> I want PBM reform, which is what the House bill is, and as you've said, this isn't PBM reform.
- We're not fighting over PBM reform anymore because we have a PBM reform bill.
- You passed meaningful PBM reform. I said PBR reform when I was in the committee.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:00 am
Joint Committee on Financial Services
Transcript Highlights:
- So if we're serious about primary care reform this session, which I know that we are, we also have to
- On the federal level, the CMS interoperability and prior authorization final rule has provisions for
- On the federal level, the CMS interoperability and prior authorization final rule has provisions for
- MHA's brief on billing- and insurance-related expenses shows that sensible administrative reforms, which
- Additionally, we strongly support the establishment of standardization and rules to reduce or eliminate
Committee:
Joint Joint Committee on Financial Services
Summary:
The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization.
The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation.
The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.
AR
Arkansas 2026 Regular Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 18th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- And again, we talk about workforce reform with regard to employers and workers getting better services
- Each program has its own rules, stakeholder and interest groups.
- That often creates a barrier to reform and an organizational and program culture.
- and create the welfare reform movement of the 1990s.”
- That's why we have the 1996 reform.
FL
Transcript Highlights:
- We have a presentation by ASCA discussing 2023's HB 837 relating to litigation reforms.
- House Bill 837, the Civil Remedies, was a package of litigation reforms that took effect immediately
- House Bill 837 also made significant reforms to bad faith actions against insurers.
- of Civil Procedure or the probate rules Actions governed by the Florida Rules of Civil Procedure or
- the probate rules that were finally and adversely determined against that person.
Committee:
Senate Judiciary
Summary:
The Judiciary Committee met with a quorum present and heard several Office of the State Courts Administrator presentations. Judge Mark Mahan discussed the impact of 2023’s HB 837 litigation reforms on court operations, explaining that the law’s changes to comparative negligence, filing deadlines, collateral source evidence, premises liability, bad faith claims, attorney’s fees, and offer-of-judgment rules triggered a major March 2023 civil filing surge. He described how filings tripled statewide, with especially large increases in auto negligence and premises liability cases, and outlined how circuits responded through active case management, added resources, and workflow changes. Members asked whether the bill’s immediate effective date contributed to the surge and whether clearance rates would normalize over time; Judge Mahan said the court system viewed its response as a success and expected rates to settle as the backlog is worked through.
The committee then received a presentation on problem-solving courts from Jennifer Grandal and Judge Nina Richardson. Grandal reviewed Florida’s drug courts, mental health courts, veterans courts, dependency and early childhood courts, noting statewide best-practice standards, annual reporting requirements, funding sources, and data collection systems. Judge Richardson gave a local perspective on treatment courts, emphasizing that they address underlying mental health and substance use issues, rely on judicial supervision and sanctions as well as incentives, and help participants achieve recovery and avoid reoffending. She said the programs are accountable, transparent, and effective, and thanked the Legislature for continued support.
Finally, Judge Rachel Nordby and Eric McClure outlined the judicial branch’s legislative agenda. Nordby summarized the Supreme Court workgroup’s recommendations to expand Florida’s vexatious litigant law, including broader coverage, fewer qualifying adverse cases, a longer lookback period, and a public records exemption for stricken defamatory or sham material. McClure then highlighted additional agenda items: modernizing the duty-judge statute, expanding senior management retirement eligibility, authorizing additional judgeships based on workload studies, removing the statutory cap on court-ordered nonbinding arbitration compensation, protecting appellate clerks’ personal information, allowing alternative authentication for certain judicial notarizations, and creating a hearsay exception for guardian ad litem reports and testimony. No votes were taken, and the committee adjourned after member introductions and staff introductions.