Transcript Highlights:

• </c> they would need to make adjustments they would need to make adjustments within<00:25:00.360><c>
• It goes down for a volume adjustment, and that volume adjustment is the volume of sold nationwide.
• There can be reductions in the downward volume adjustment, which means the volume adjustment can then
• And then there's a potentially downward adjustment for something called the NPM adjustment.
• :22.520><c> for</c> called The npm Adjustment npm stands for called The npm Adjustment npm stands for

Keywords: 928, house, all

Summary: The Department of Safety presented an overview of highway fund and unrestricted revenue collections, focusing on the Division of Administration, the Road Toll Bureau, and the Division of Motor Vehicles. Amy Newbery explained that the main unrestricted funding sources are highway funds and general funds, with highway fund revenue of about $263 million in FY 2024 and a FY 2025 projection of $261.2 million. She said revenue growth has been modest and has not kept pace with costs, creating structural deficits that required general fund transfers of $50 million in FY 2022-23 and another $10 million in FY 2024-25 to balance the fund. Jennifer Hall described Road Toll operations, including motor fuel tax collection at the distributor level, compliance enforcement, and licensing for fuel distributors, transporters, IFTA carriers, and oil discharge/pollution control. Members asked about IFTA, dyed-fuel enforcement, the possibility of using the state forensic lab for dyed-fuel testing, and whether audit positions had been filled; the department said it recently hired a part-time fuel enforcement officer, still uses IRS testing, could explore lab testing, and had no audit vacancies. Hall also discussed factors affecting fuel-tax revenue, including gas prices, crude oil forecasts, weather, tourism, GDP, and inflation, and said FY 2024 road toll revenue was $127.5 million, above plan, with FY 2025 projected at $127.71 million. The committee then turned to DMV-related revenues. Newbery said motor vehicle registration revenue was $93.1 million in FY 2024 and is projected at $90.4 million in FY 2025, with the state share going directly to the highway fund. Members asked about the state/town fee split, the five-year registration cycle dip, the distribution of registration revenue by vehicle weight category, and the impact of electric-vehicle surcharges; the department said the five-year dip is still occurring and will fade over time, and it would follow up on the weight-category breakdown. The presentation also noted that driver-license revenues have stabilized, inspection revenues remain steady, plea-by-mail revenue was added to the highway fund in FY 2024, and general fund revenues tied to the department are relatively small and have declined as some functions moved to OPLC. No votes or formal actions were taken.

Transcript Highlights:

• Chairman, when we adjust the room again, I have a comment to make.
• The following year, we made up those adjustments.
• The following year, we made up those adjustments. Mr.
• There'll be no adjustment necessary.
• If we had full conformity with no other adjustments, yes, that...

Keywords: 1182, all

Summary: The joint House Ways and Means and Senate Finance committees met to hear identical conformity bills, HB 2153 and SB 1106, which would align Arizona tax law with the federal Internal Revenue Code as of Jan. 1, 2026, including some retroactive provisions for tax year 2025. Staff explained that the bills would exclude three federal provisions: the higher federal SALT deduction, the new senior deduction as written in H.R. 1, and the deduction for interest on new car loans. They would instead include a $6,000 retirement-income deduction for taxpayers age 60 and older, a $6,000 Roth IRA contribution deduction, a higher dependent tax credit, and a deduction for child and dependent care expenses above the federal credit. JLBC estimated the package would reduce general fund income tax revenue by about $441.3 million in FY 2026. Members also discussed that the Department of Revenue’s forms had been issued assuming full conformity, and staff and supporters argued the bills were needed quickly to avoid confusion and amended returns during filing season. Committee members and sponsors largely framed the bills as tax relief and a way to provide certainty for taxpayers and preparers. Supporters said the package would help families, seniors, and workers, and noted that the Arizona version was negotiated to keep the overall tax relief roughly comparable to full conformity while shifting benefits away from the SALT deduction and toward child credits, retirement income, and child care. The sponsors also criticized the governor’s executive action and urged prompt passage so taxpayers would know how to file. Opponents argued the bills would reduce state revenue, worsen the budget outlook, and disproportionately benefit higher-income taxpayers and corporations. Several witnesses and members also raised concerns about the child care deduction, the retirement-income deduction, and the business expensing provisions, while supporters responded that the bill was designed to help working families and encourage saving and investment. Public testimony was mixed. The Arizona Society of Certified Public Accountants and the Arizona Free Enterprise Club supported the bills, emphasizing early conformity, filing certainty, and reduced confusion for taxpayers and software providers. Opponents included Save Our Schools Arizona, the Arizona Center for Economic Progress, Opportunity Arizona, and several individuals, who argued the package would deepen budget problems and favor the wealthy. One witness objected to a federal school-choice-related provision she said was being tied to the bill, though committee members said the measure before them was a tax conformity bill and not a school finance bill. The hearing included extended debate over the fiscal impact, the governor’s prior requests for some of the same tax changes, and whether taxpayers would need to file amended returns if the legislature later changed course. The transcript ends during testimony from NFIB, with no final committee vote or action shown in the excerpt.

Transcript Highlights:

• adjusting entries to the financial statements during the audit.
• And then no audit adjustments were identified during the audit.
• adjustment that we made.
• We did adjust the part-time care to 50% of full-time care.
• And we did adjust the percentage of those payments to 5% and 10%.

Summary: The Legislative Audit and Fiscal Review Committee met to receive a series of audit presentations, beginning with approval of the prior meeting minutes and a review of the state’s annual comprehensive financial report (ACFR) for fiscal year 2025. The State Auditor’s Office and the Office of Management and Budget reported a clean opinion on the state’s financial statements and described continued growth in net position, strong general fund balance, and significant Legacy Fund investment income. Committee members asked about how the report reflects long-term finances and how North Dakota compares with other states, and OMB noted that the ACFR is based on audited actual results rather than budget forecasts. The committee then heard the North Dakota University System audit, which also received a clean opinion but included four findings: misreporting of Strategic Investment and Improvements Fund construction money, insufficient monitoring of service organizations, improper bank reconciliations at several campuses, and investment/cash recording issues at Bismarck State College. University System officials agreed with the findings and said corrective actions were underway, including internal review of bank reconciliations and greater use of shared services. Members also questioned practices such as campus use of certificates of deposit and whether repeated findings were being adequately addressed. Additional audits were presented for the State Fair Association, State Auditor’s Office, Workforce Safety and Insurance, Housing Finance Agency, Housing Incentive Fund, Job Service North Dakota, the Retirement and Investment Office, PERS, the Center for Distance Education, the Securities Department, the Commission on Legal Counsel for Indigents, the Ethics Commission, and the Office of Administrative Hearings. Most received clean opinions with no findings; exceptions included a repeat component-unit issue at the State Fair Foundation, a securities personnel-evaluation finding, and a Housing Finance Agency finding involving a late return of escrow surplus. The committee also discussed broader oversight issues, including the need for independent auditing of the Ethics Commission, possible legislative changes to give the State Auditor more subpoena power and independent legal counsel, and future work on data analytics, cybersecurity reviews, and audit capacity. The meeting recessed for lunch after these discussions.

Transcript Highlights:

• </c> was 3.8% over fiscal 25 adjusted was 3.8% over fiscal 25 adjusted authorized.<01:32:37.920><c> So
• And, uh, small claims cases, it could take one to two years to even get docketed.
• </c><01:47:51.679><c> So</c> eligible to go to the claims process.
• So eligible to go to the claims process.
• So we're still dealing to the claims.

Keywords: 1191, senate, all

Transcript Highlights:

• reimbursement or payments, to provide for definitions, to provide for payment of dental insurance claims
• When a PBM audits a claim submitted by a pharmacy, it adds or amends definitions of enrollee.
• Amendment number six adjusts a statutory reference from 2027 to 2028.
• Yes, so as amended, the bill simply requires that only claims adjusters and public adjusters include
• Lenny Kapowski, of Jansen Adjusters, present in support but did not wish to speak.

Keywords: 965, house, all

Transcript Highlights:

• I think it kind of sometimes will adjust slightly like where it is in the prioritization, and as we get
• It might adjust that slightly. Yeah, and also Mr.
• I understand that there's a fund to help with claims for repairs to vehicles.
• Then we have a claim process that goes through our risk team and then through GSD risks to compensate
• There isn't a fund necessarily or a total number of claims that we can pay.

Transcript Highlights:

• How do businesses adjust when you're seeing the reductions sort of fluctuate like this? Thank you.
• And so in some cases, in emergency situations, you can't really adjust, honestly.
• However, UI claims can also be volatile.
• So for that reason, UI claims are informative, but not sufficient on their own.
• in a week or something, and it was mostly just about, 'What's the status of my claim?'

Summary: The Senate Labor and Public Employment Committee held an oversight hearing on federal policy impacts on California’s labor market. In opening remarks, the chair argued that federal actions, including immigration enforcement, tariffs, and cuts to safety-net programs, are harming workers, employers, and communities, and said the committee wanted to document impacts and identify state responses. The first panel featured economist Enrique Lopez Lira of UC Berkeley, who described slow job growth, wage pressures, high housing and care costs, and the large share of California workers in low-wage jobs. He said federal cuts to Medi-Cal and SNAP/CalFresh and increased immigration enforcement would worsen insecurity, especially in health care, retail, hospitality, agriculture, and care work. The chair asked about recession indicators, middle-wage stagnation, and which sectors rely most on safety-net programs, and Lopez Lira said worker organizing and unions were a source of hope. A second panel focused on federal immigration enforcement. UC Merced’s Edward Orozco Flores presented research finding that private-sector employment in enforcement-targeted states fell during escalated enforcement periods, with California experiencing unprecedented declines in 2025. He urged policymakers to consider wage-replacement or stimulus-style support for affected workers, including excluded workers who cannot access unemployment insurance. Shannon Sedgwick of the Los Angeles County Economic Development Corporation said undocumented workers are deeply embedded in the county economy, generating substantial economic activity and supporting over a million jobs. She reported that intensified enforcement in Los Angeles County was associated with business disruptions, reduced sales and customer traffic, workforce instability, lower transit ridership in vulnerable areas, and losses from the downtown curfew. Committee members asked about impacts on small businesses, tax revenue, and recovery, and witnesses pointed to local resiliency funds, business toolkits, and know-your-rights efforts as partial responses. The hearing then heard from worker representatives. Flore Melendres of the Clean Car Wash Worker Center said car washes have been heavily targeted by federal agents, with hundreds of workers taken from workplaces, many businesses disrupted or closed, and workers living in fear; she urged support for AB 2271 to provide financial benefits to families who lost income because of DHS activity. California Nurses Association president Michelle Gutierrez-Vos said H.R. 1’s Medi-Cal and Covered California cuts threaten hospital finances, jobs, and patient care, and she backed CalCare (AB 1900), a hospital closure moratorium, and more support for nursing education. UAW 4811 president Rafael Jaime said federal research cuts are putting UC research funding and postdoctoral jobs at risk and endorsed SB 895, a proposed bond measure for health and scientific research. AFGE representatives Wallace Wade and Kendrick Roberson described the strain on federal workers during shutdowns, unpaid work, staffing losses, and the effects on TSA, Social Security, VA services, and worker housing stability; they supported SB 1155 to protect federal workers from eviction. Committee members thanked the witnesses and said the testimony showed both the human and economic consequences of federal policy. In the final panel, employer groups began responding to the same federal pressures. California Retailers Association president Rachel Michelin said retail is a major private-sector employer and a key entry point for young workers, and that retailers are seeing the effects of rising costs, supply-chain shifts, and consumer pressure at the checkout counter. The hearing continued with additional employer testimony beyond the provided excerpt.

Transcript Highlights:

• </c> does with a million dollars per claim. does with a million dollars per claim.
• If this engineer does an per claim.
• Um, and those are the only two adjustments would be adjusting that cap.
• Two adjustments would be adjusting that cap.
• </c> the county commissioners have to adjust the county commissioners have to adjust and<01:27:28.800

Bills: SF0082

Keywords: registered agents, corporate governance, entity ownership, business regulations, transparency, 916, all

Transcript Highlights:

• This is an overview of claims data from 2020 to 2024.
• You'll notice that it cuts off at 2024 primarily because in 2025 we're still receiving claims up through
• This is an overview of claims data from 2020 to 2024.
• You'll notice that it cuts off at 2024 primarily because in 2025 we're still receiving claims up through
• we do suspect that these hours are slightly lower than they should be, just due to some lag in our claims

Summary: The House Health Care and Wellness Committee met at policy cutoff and first took up executive session on four bills. It considered a proposed substitute for HB 1589 on health carrier contracting practices, which would require carriers to provide providers advance notice and clean copies of contract changes and payment methodologies, and would also add notice requirements for significant payer contract modifications. The committee also considered HB 2402 on phthalates in IV solution containers and tubing, with a substitute delaying implementation dates and creating shortage and FDA-related exemptions. HB 2555, concerning Medicaid coverage of traditional health care practices, and HB 2685, concerning tribal data and disease reporting to tribal health jurisdictions, were also before the committee. HB 2599 was deferred. The committee reported HB 1589, HB 2402, HB 2555, and HB 2685 out of committee with do pass recommendations, with recorded votes showing some members voting no or no without recommendation on the more contested bills. The committee then held a work session on private duty nursing in the Medically Intensive Children’s Program. Health Care Authority and DSHS staff described how the program serves children with complex medical needs through managed care and fee-for-service pathways, the role of prior authorization and medical necessity review, and the ongoing shortage of nursing staff. They said many approved hours are not filled, especially in rural areas, and that family members often provide unpaid care to fill gaps. Committee members asked about the structure of the children’s and adult PDN programs and about how many authorized hours are actually being served. The committee also heard testimony from a home care agency representative and a parent caregiver, both of whom described severe staffing shortages and the burden on families when nursing shifts go unfilled. They supported models that would allow trusted family caregivers to be paid for some of the skilled care they already provide. The committee then heard examples from Montana and Massachusetts of similar family caregiver or complex care assistant programs. Montana described its pediatric complex care assistant model as a gap-filling service with prior authorization and a set hourly rate, while Massachusetts outlined its complex care assistant program, including training, supervision, wage pass-through requirements, and early growth in participation. The meeting concluded after the work session.

Transcript Highlights:

• You know, they mentioned the recurring salary adjustment.
• We did a major salary adjustment two years ago.
• On page four, what are the total claims?
• That'll highlight our claims over the last 10 fiscal years.
• We do have every claim. We have a spreadsheet that details every claim.

Keywords: 996, all

Transcript Highlights:

• THERE ARE 241,600 CLAIMS CLOGGED BEHIND THAT.
• SENATOR TRUENOW: Make adjustments accordingly, if they choose to do so.
• THAT IS THE CLAIM STILL. OTHER AMENDMENTS. NONE ON THE DESK, MR. PRESIDENT.
• THE SOVEREIGN IMMUNITY CLAIM.
• THIS IS A SETTLED JUDGMENT CLAIM.

Bills: SJR39, SB22, SB30, SB33, SB34, SB37, SB75, SB209, SB310, SB505, SB552, SB618, SB626, SB636, SB732, SB747, SB762, SB769, SB819, SB825, SB870, SB926, SB964, SB1030, SB1080, SB1099, SB1124, SB1177, SB1208, SB1233, SB1314, SB1325, SB1333, SB1405, SB1455, SB1506, SB1524, SB1541, SB1577, SB1579, SB1596, SB1646, SB1667, SB1727, SB1750, SB1758, SB1760, SB1791, SB1804, SB1806, SB1869, SB1923, SB1927, SB1951, SB1960, SB1962, SB2023, SB2024, SB2056, SB2078, SB2122, SB2129, SB2180, SB2183, SB2185, SB2207, SB2252, SB2361, SB2365, SB2368, SB2405, SB2411, SB2420, SB2425, SB2569, SB2717, SJR36, SJR50, SJR39, SJR63, SJR68, SCR12, SCR39, SCR38, SCR37, SCR42, SCR29, SB762, SB1596, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1539, SB1505, SB583, SB957, SB1502, SB507, SB1026, SB1349, SB1433, SB1434, SB310, SB505, SB264, SB1364, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB1877, SB732, SB731, SB397, SB508, SB1333, SB1436, SB964, SB287, SB2143, SB261, SB1247, SB1882, SB618, SB393, SB2243, SB2226, SB1919, SB1791, SB22, SB651, SB1080, SB826, SB1079, SB1243, SB1504, SB1851, SB1879, SB2237, SB1257, SB2034, SB1522, SB1151, SB596, SB1191, SB226, SB570, SB870, SB991, SB60, SB1401, SB1728, SB586, SB529, SB217, SB209, SB1923, SB1839, SB387, SB1874, SB1872, SB1873, SB1921, SB1883, SB1620, SB1838, SB2024, SB2429, SB1999, SB511, SB2309, SB2166, SB510, SB33, SB2420, SB1860, SB1541, SB1314, SB1398, SB1869, SB1750, SB855, SB1233, SB2425, SB2037, SB1758, SB1759, SB2365, SB1924, SB1818, SB1405, SB1762, SB1968, SB1977, SB2077, SB2321, SB1662, SB1663, SB2124, SB2204, SB1855, SB863, SB37, SB819, SB2078, SB2252, SB1962, SB2253, SB825, SB1577, SB1184, SB2018, SB2206, SB1901, SB1030, SB2368, SB1963, SB1960, SB1643, SB1625, SB1299, SB841, SB668, SB584, SB231, SB2411, SB1085, SB2431, SB2231, SB1490, SB530, SB34, SB1261, SB552, SB1099, SB1646, SB2180, SB1804, SB1937, SB1936, SB2569, SB1372, SB1208, SB1124, SB1506, SB1806, SB1868, SB2361, SB2314, SB769, SB1409, SB2122, SB434, SB1214, SB1951, SB2183, SB2046, SB1667, SB1870, SB1727, SB2405, SB2127, SB1975, SB1760, SB1734, SB1335, SB2066, SB2129, SB2246, SB2439, SB1624, SB1244, SB1468, SB2717, SB1612, SB1262, SB604, SB2395, SB2185, SB1832, SB1745, SB1746, SB2207, SB2023, SB1784, SB1524, SB626, SB528, SB437, SB269, SB1137, SB968, SB636, SB747, SB1325, SB1789, SB1455, SB2056, SB75, SB1940, SB2052, SB1927, SB2010, SB1579, SB2068, SB3034, SB844, SB1920, SB1177, SB1558, SB1236, SB1044, SB926, SB884, SB463, SB331, SB227, SB240, SB517, SB1200, SB1410, SB1626, SB1845, SB1863, SB2216, SB2681, SB1717, SB2053, SB546, SB2141, SB2949, SB2323, SB2200, SB2332, SB2199, SB1642, SB1150, SB1757, SB2050, SB1138, SB2051, SB2626, SB2458, SB1864, SB30, SB2201, SB1862, SB1583, SB1583, SB1055, SB2660, SB1898, SB2662, SB2662, SB2161, SB2161, SB2964, SB2881, SB1065, SB1065, SB801, SB2743, SB2533, SB2533, SB1413, SB1413, SB1, SB34, SB310, SB819, SB1030, SB1124, SB1208, SB1233, SB1333, SB1405, SB1541, SB1750, SB1758, SB1869, SB2078, SB2365, SB2411, SB762, SB33, SB37, SB505, SR402, SR409, SB2695, SB2695

Keywords: constitutional amendment, veto override, legislature power, governor, Texas Constitution, Texas, moving image industry, incentive program, film production, grant funding, job creation, economic development, wildfire, wildfire mitigation, wildfire prevention, volunteer fire department, Texas A&M Forest Service, West Texas A&M University, prescribed burning, fuel loading

Transcript Highlights:

• THERE ARE BUY ACROSS THE COUNTRY RIGHT NOW 952,173 CLAIMS CURRENTLY OVER 125 DAYS. 23,950 OF WHICH ARE
• THERE ARE 241,600 CLAIMS CLOGGED BEHIND THAT.
• BE A COST ASSOCIATED WITH THAT AS RELATES TO A COST TO TAXPAYERS OR PERHAPS INCREASE IN MEDICAID CLAIMS
• MY QUESTION IS WHAT IS THE SOURCE OF FUNDS BEYOND THE SOVEREIGN IMMUNITY CLAIM. SENATOR MARTIN.
• THIS IS A SETTLED JUDGMENT CLAIMS, THE PARENTS NOW DECEASED SEEK COMPENSATION FROM THE SOUTH BROWARD

Keywords: 998, house, all

Transcript Highlights:

• , the cost of claims, the duration of time loss, the impact of the additional claims managers, and the
• be in the claims, looking at them.
• So we did add additional claims managers, but we also added that they have to review the claim every
• Speaker, is that if we have 150 new FTEs in the future of claims managers to help with these claims,
• Of claims managers to help with these claims, that's a good thing to hit those ratios.

Bills: HB2720, HB2073, HB2487, SB5816, SB5919, SB5831, SB6137, SB6244, SB6044, SB6132, SB5109, SB5877, SB6258, HB2720, HB2073, HB2487, SB5816, SB5919, SB5831, SB6137, SB6244, SB5420, SB5868, SB6044, SB6132, SJM8002

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, insurance tax, state regulation, insurers, taxation, budget impact, juice grapes, agriculture, commerce, market access, fire safety, insurance incentives

Transcript Highlights:

• They may defer or take back funding. claims that they already paid us versus claims that they already
• both items will be adjusted in the both items will be adjusted in the forecast<00:45:12.079><c> and</
• rates would adjust to what the new inflationary adjustments would be.
• rates would adjust to what the new inflationary adjustments would be.
• rates would adjust to what the new inflationary adjustments would be.

Bills: HF3379

Keywords: housing stabilization, disability services, predatory funding, provider requirements, housing accessibility, 1183, house

Transcript Highlights:

• Next item is adjust-based funding for the highly rural transportation grant program.
• And that's a little different than here, but they're doing it and the salary claim it.
• So if we approve the amendments, then we have the ability to adjust that down.
• You know, By adjusting with the salary, you know, what services weren't being done.
• And let's see, federal VA regional office veterans claim examiners are 36 percent.

Keywords: 908, all

Summary: The committee took up Senate Bill 2025, the Veterans Home/Veterans Affairs budget, and worked through the long sheet line by line. Members discussed base payroll, salary and health insurance increases, FTE pool adjustments, IT rate increases, operating expenses, transportation grants, the PTSD service dog program, salary equity requests, temporary help/intern funding, a Veterans Benefit Specialist FTE, accrued leave, and several one-time or carryover items including the Fisher House, document scanning, and veterans medical transportation. The committee also reviewed proposed policy language that would shift governance authority for the Veterans Home and Department of Veterans Affairs from the Administrative Committee on Veterans Affairs to the governor, and would remove board authority over salary-setting and related hiring powers. A major portion of the meeting focused on clarifying the commissioner salary equity line and how the agency had shifted operating dollars to fund the commissioner’s current salary increase. After discussion with agency staff and Lonnie, the committee voted to remove the separate commissioner salary equity increase line and instead restore operating funding, ultimately setting the operating line at $50,000 above the prior amount rather than fully funding the executive request. The committee also approved funding for the Veterans Benefit Specialist FTE, approved a carryforward/exemption for accrued leave, approved authority to accept $200,000 in federal transportation grant funds, approved the $500,000 transfers related to veterans homelessness, and approved the exemption language for certain federal/state fiscal recovery funds after discussing whether the funds were properly obligated. On the governance amendment, members expressed concern about making a major policy change in an appropriations bill, but also frustration over the board’s salary actions. After debate, the committee adopted the amendment transferring governance authority to the governor by a 7-1 vote. The committee also approved a smaller amount for veteran service officer salary equity than requested, and rejected funding for temporary salaries and an intern. The chair then directed staff to prepare the amended bill for further action, with the committee planning to revisit it once the revised version was ready.

Transcript Highlights:

• CS for HB Representative Grow: 6509 is a claims bill that provides 1.2 million in relief of the Estate
• FDOT supports the claim. That is the bill, Mr. Chair. Thank you.
• Witness: The assumption the bill prevents crime is based on a claim most people know is not based on
• I'm not sure how old the child was, but long story short, there are ages we need to adjust.
• But those things need to be adjusted.

Transcript Highlights:

• When a PBM audits a claim submitted by a pharmacy, it adds or amends definitions of enrollee.
• Amendment number six adjusts a statutory reference from 2027 to 2028.
• Yes, so as amended, the bill simply requires that only claims adjusters and public adjusters include
• Lenny Kapowski, of Jansen Adjusters, was present in support but did not wish to speak.
• Lenny Kapowski, of Jansen Adjusters, present in support but did not wish to speak.

Summary: The House Insurance Committee met on April 29 with a quorum present and took up several insurance and health care-related bills. SB 192, a dental reimbursement bill, was amended to allow dentists to opt in electronically to credit-card payment methods and to clarify applicability and effective date; it was reported as amended. SB 84 would require prostate cancer screening coverage for men over 40 under current clinical guidelines and prohibit cost-sharing; supporters from the American Cancer Society said Louisiana has a high incidence of prostate cancer and that out-of-pocket costs deter early screening. The committee adopted amendments and reported the bill as amended. SB 275, dealing with reimbursement and network participation for certified registered nurse anesthetists, drew support from nursing and hospital groups and was reported favorably. SB 169, a cleanup bill on biomarker testing, was also amended and reported. The committee spent substantial time on SB 401, which creates a temporary prescription drug affordability board to review pricing data on selected drugs and report findings to the legislature. Supporters said the board would improve transparency and help lawmakers understand drug pricing trends; opponents raised concerns about confidentiality, market effects, and the lack of a defined policy outcome beyond reporting. Amendments narrowed the scope, added confidentiality protections, and removed opposition cards, and the bill was reported as amended. SB 387, a major PBM reform bill tied to SB 401, would change PBM compensation, rebate handling, formulary practices, audits, and appeals, while excluding ERISA plans after discussion and amendment. Supporters argued it would curb spread pricing and other practices that raise costs, while opponents from the Pelican Institute and PCMA warned it would interfere with private contracts, reduce flexibility, and could raise premiums or disrupt city, school board, and small-group plans. After extensive debate and a roll call, SB 387 was reported with amendments by a 10-4 vote. The committee also considered SB 241, which requires certain insurance adjusters and public adjusters to include license numbers in written communications. After amendments limiting the requirement to individual licenses and removing one statutory reference, the bill was reported as amended. Throughout the meeting, members and witnesses repeatedly discussed the need for transparency in drug pricing and PBM practices, the role of ERISA and non-ERISA plans, and potential impacts on public employers and consumers.

Transcript Highlights:

• That's $572 million in $22 billion in claims.
• is high claims payments.
• These are just high claims.
• </c><01:36:49.679><c> That's</c> this is high claims payments. That's this is high claims payments.
• That's all, These are just high claims.

Bills: HF2435

Keywords: healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health, 1183, house

Transcript Highlights:

• Adjustments.
• So currently CalFresh and CFAP overissuance claims are combined into a single claim with no practical
• So currently CalFresh and CFAP over issuance claims are combined into a single claim with no practical
• So it's a single claim.
• So we adjust as part of the Governor's January budget and the May Revision.

Summary: The subcommittee heard an extended briefing on the impacts of H.R. 1 on Medi-Cal and CalFresh, followed by testimony from the Legislative Analyst’s Office and county officials. DHCS described major Medi-Cal changes in H.R. 1, including work/community engagement requirements, six-month redeterminations, reduced federal matching for some emergency services, narrower immigrant eligibility, reduced retroactive coverage, and limits on provider taxes and directed payments. CDSS outlined CalFresh changes, especially the expanded able-bodied adults without dependents time limit, reduced exemptions and waivers, and the new federal-state-county administrative cost split. Both departments emphasized implementation plans, automation, outreach, and county coordination, while acknowledging significant expected coverage losses and administrative burden. The LAO and an independent policy expert discussed how H.R. 1 could increase demand on county indigent care systems and public hospitals as people lose Medi-Cal. They reviewed the history of county indigent care, 1991 realignment, and AB 85, explaining that counties already rely on a patchwork of funding and that current realignment revenues are often used for public health rather than indigent care. They warned that counties may face large increases in uninsured residents, with wide variation in how counties respond, and raised concerns about equity, financing, and whether a more standardized state-county program should be created. Committee members pressed witnesses on county funding, exemptions, homelessness, older adults, undocumented residents, and the effect of administrative burden versus true ineligibility. County representatives from Los Angeles, Santa Clara, Tulare, and San Bernardino described the expected local impacts and asked for additional state support. They said H.R. 1 would drive major losses in Medi-Cal and CalFresh enrollment, increase uncompensated care, strain eligibility staff, and worsen homelessness and food insecurity. Several counties urged the Legislature to fund eligibility workers, preserve enrollment, and consider a CalFresh match waiver; Santa Clara and San Bernardino also cited local tax measures and staffing reductions already underway. No formal vote or committee action was taken in the portion provided.

Transcript Highlights:

• We think that taxpayers are not fully aware that it's there The first year it could be claimed was tax
• In the August estimate, we had adjusted the personal income tax estimate for the impacts of two major
• And you're right, it's about 145 or so million That's left that they could claim in the future.
• We want to watch that to see where the source of those unemployment claims are coming from.
• So taxpayers, through their behavior, claimed more of the deduction in fiscal year 2025. Dr.

Keywords: 996, all