Transcript Highlights:

• CSHB 497, nonprofit agricultural organizational health coverage.
• So this coverage will not be tied to that employment.
• So this coverage will not be tied to that employment.
• But the coverages are very similar to what the ACA coverages are. Follow up.
• , and they've asked us to find a solution for affordable health coverage.

Summary: The Health Care Facilities and Systems Subcommittee met with a quorum present and took up five bills. The first, CS/HB 1119 on pediatric readiness in hospital emergency departments, would require hospitals with ERs to adopt evidence-based pediatric care policies, train staff, designate a pediatric emergency care coordinator, complete the National Pediatric Readiness Assessment, and meet minimum equipment and planning standards. Members discussed transport to the closest appropriate facility and implementation concerns, but the bill passed 16-0. The committee then approved HB 677, which would add standard fertility preservation services to the state group insurance program for employees undergoing chemotherapy, and CSHB 497, which would authorize nonprofit agricultural organization medical benefit plans for Florida Farm Bureau members, aimed at improving affordable coverage for farmers and ranchers. HB 677 passed 16-0, and CSHB 497 passed 18-0 after questions about membership, regulation, disclosures, and how the plan would compare with ACA coverage. The subcommittee also approved PCS/HB 791 on surrendered newborn infants, allowing infant safety devices at hospitals, EMS stations, and fire stations as an alternative safe-haven option. Members discussed alarms, unmanned stations, and whether churches should be included; the bill passed 18-0. Finally, HB 1529 on home health aides for medically fragile children was amended and passed 18-0. The bill seeks a federal waiver so compensation for parents serving as home health aides does not count against Medicaid eligibility, and the amendments added reporting of adverse incidents, set work-hour limits, and protected certain other benefits. The chair closed by emphasizing the committee’s role in implementation oversight and fixing problems after enactment.

Transcript Highlights:

• <00:09:37.360> for operation uh insurance coverage for operation uh insurance coverage for
• won’t pay for enough contents coverage or additional living expense coverage.
• available so they'll just maybe coverage available so they'll just maybe buy<01:06:12.640> coverage
• <01:06:17.760> or<01:06:17.960> an enough contents coverage or an enough contents coverage
• /c><01:06:20.160> uh additional living expense coverage uh additional living expense coverage

Keywords: 912, senate, all

Summary: The committee opened by outlining hearing procedures, including a two-minute limit for live testimony, a request not to repeat written testimony, and a reminder about decorum. The first bill heard was SB 697, which would create a nonrefundable individual income tax credit for expenses to retrofit residences with wind-resistive devices. The Insurance Division said it supported the concept but noted it may need an appropriation or outside expertise to develop certification standards, while the Department of Taxation said the bill should retain a third-party certification requirement if the Insurance Division cannot administer the credit. The Hawaii Insurers Council supported the bill, and the Tax Foundation suggested a subsidy-style program would be more efficient than a tax credit and criticized the bill’s 100% credit structure. A testifier in support argued the measure would help homeowners fortify houses against hurricanes and reduce shelter demand; written testimony from several others, including HIEMA, was noted as supportive. The committee then moved through SB 76, which would require the Hawaii Property Insurance Association to provide commercial property coverage after two private-market denials, and SB 83, which would require insurers to give advance written premium-change notices and explanations to common-interest community policyholders and the insurance commissioner, along with a report on premium increases. For SB 76, the State Insurance Division stood on its written comments, and testimony in support came from Michael Honda, the National Association of Mutual Insurance Companies, and Jessica Herzog. SB 83 drew more extensive discussion: the Insurance Division supported the need for better transparency, while the Hawaii Insurers Council opposed the bill, arguing that agents—not insurers—typically communicate with AOAO boards and that the measure could worsen an already difficult market. Insurance Division staff acknowledged widespread complaints from condo associations about lack of transparency and said the division had received many calls about premium increases and nonrenewals. The discussion on SB 83 expanded into broader concerns about condo insurance, nonrenewals, surplus lines, and the difficulty of getting timely explanations for large premium increases. Committee members and testifiers described older buildings struggling to fund repairs and upgrades while facing steep insurance costs, and some urged the committee to craft baseline statutory protections for unit owners. The Insurance Division said surplus lines serve a critical gap-filling role and warned against regulating that market in a way that could slow access to coverage. No votes or final committee actions were taken in the portion of the meeting provided.

Transcript Highlights:

• The division provides coverages to 55 entities.
• The division provides coverages to 55 entities.
• cancer coverage.
• And then any other specialized coverages the agencies might need, like road and bridge coverage or aircraft
• coverage, that type of thing, typically the agencies have to go through DMS for those coverages.

Summary: The subcommittee heard presentations from the Department of Financial Services and the Department of Business and Professional Regulation, then returned to its ongoing budget workshop with the Department of Management Services. DFS’s Division of Risk Management described its role as the state self-insurance fund, covering about 200,000 employees and 27,000 vehicles, paying roughly $150 million in claims last year, and managing a pilot ETS treatment program for veterans and first responders that had 49 patients and 804 treatments as of the latest report. The Division of State Fire Marshal outlined its fire prevention, training, emergency response, and grant programs, including hurricane deployments, the Florida State Fire College, and several capital and grant requests for roof, courtyard, memorial, and equipment needs. The Division of Rehabilitation and Liquidation explained how it handles insolvent insurers under Chapter 631, currently administering 14 estates with $1.2 billion in assets and $3.7 billion in liabilities, and said no new receiverships had been opened since February 2023. Members asked about grant backlogs, fire truck procurement delays, memorial repairs, and whether affiliate transfers were occurring in insurer liquidations. Secretary Griffin then updated the committee on DBPR’s implementation of House Bill 1021 on community associations. He said the department had used the new authority to expand education, complaint handling, and ombudsman services, including 10 free standardized courses, a new condo website, and a four-hour board certification course that had already drawn more than 12,000 attendees. He reported that outreach to condominium communities had increased by more than 60%, that complaint filings were up 39% while jurisdictional dismissals dropped to 11%, and that about 81% to 82% of the 65 new positions had been filled. Members pressed him on whether the department had enough authority and funding, how condominium counts are determined, how self-reported structural integrity reserve study data is verified, and whether more public-facing complaint tracking and better reporting from local governments or developers would improve the system. The committee then resumed questioning Secretary Allende of DMS about outstanding budget and operations issues. Members focused on the delayed People First contract extension required by statute, with the secretary saying the delay involved technical and contractual complexity in moving a legacy hard-coded system to the cloud. They also revisited the state data team and data catalog project, asking why a statutory 2022 deadline had not been met, how the four-person team and broader data staff were organized, how many applicants were considered for key positions, and what each role was doing. The secretary said the catalog work was being simplified into six metadata fields and supported by a broader community of practice, but no firm completion date was given during the exchange.

Transcript Highlights:

• years, coverage year 2026 and coverage year 2027.
• Ongoing years augment a single coverage year.
• that out to people losing dental coverage.
• that out to people losing dental coverage.
• , keeping them in emergency coverage.

Keywords: 988, house, all

Summary: The Assembly Budget Subcommittee on Health heard presentations on several May Revision proposals, beginning with an overview from the Legislative Analyst’s Office and the Department of Finance on the state’s budget condition and the administration’s efforts to reduce out-year deficits through a mix of revenue measures, fund shifts, and program reductions. The chair expressed support for some administration proposals, such as added health IT funding, county administration support, a delay in Medi-Cal cuts for some immigrants, and additional Covered California subsidy backfill, but also criticized proposed Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other cuts affecting counties, workforce, and rural access. The LAO said the budget still relies heavily on reserves and borrowing and urged more reserves and caution on new commitments. The Department of State Hospitals presented several proposals, including reduced county bed billing authority, limited contract exemption authority for online clinical subscriptions, reversion of unspent prior-year funds, additional lease revenue authority for the Metro Central Utility Plant replacement, funding for electronic health record implementation, and a shift of workforce development costs to Behavioral Health Services Act funds. The department also described savings and realignments in its IST and CONREP programs, including making the Independent Placement Panel permanent and adjusting funding for jail-based competency treatment and conditional release services. Members questioned the BHSA workforce funding swap, and the administration said it was part of a broader General Fund offset strategy. The Emergency Medical Services Authority requested funding for statewide behavioral health crisis response guidance and for continued operation of its enterprise systems, and the Department of Managed Health Care sought funds to modernize its complaint system and claims settlement data systems. The largest debate centered on the administration’s proposed use of Behavioral Health Services Act revenues to offset General Fund spending and fund state-directed behavioral health programs. The Department of Finance said the proposal would support population-based prevention, workforce programs, mobile crisis services, and other state-directed uses, while the LAO said it was still reviewing whether the uses comply with Proposition 1 and whether the non-supplement and eligible-use requirements are met. The Commission for Behavioral Health strongly opposed proposed cuts to its Innovation Partnership Fund and community advocacy grants, arguing that both programs are central to community voice, culturally responsive services, and statewide innovation. Commissioners and many public commenters said the cuts would reduce grants to community-based organizations, tribal groups, veterans, LGBTQ communities, youth, and other underserved populations, and that the advocacy program helps communities participate in local planning and access services. The Department of Finance defended the reductions as a way to prioritize direct services and said the programs fit within Proposition 1, but members criticized the proposal as a midstream shift that would weaken community engagement and redirect funds away from prevention and advocacy.

Transcript Highlights:

• of coverage.
• of coverage.
• of coverage.
• of coverage.
• of coverage.

Bills: HF1546, HF2403, HF2389, HF2398

Keywords: fire safety, public safety, statewide fire code, code cleanup, repeal, obsolete statutes, matches, strike-anywhere matches, safety matches, match packaging, match storage, tent safety, flame resistant tents, public assembly tents, flammable materials, fire code modernization, Minnesota Statutes chapter 325F, commerce policy, financial institutions, insurance regulation

Transcript Highlights:

• <01:33:31.120> Coverage workers compensation coverage.
• Coverage workers compensation coverage.
• But there are situations, coverage.
• <01:42:31.520> So have to then get that coverage. So have to then get that coverage.
• not to make coverage optional uh at all. not to make coverage optional uh at all.

Keywords: 1191, senate, all

Transcript Highlights:

• The core issue is insurance coverage.
• health insurance coverage. health insurance coverage.
• , coverage, coverage, even<00:02:10.160> in<00:02:10.280> cases<00:02:10.720> of
• trigger the loss of continued coverage. trigger the loss of continued coverage.
• After 5 years, that coverage goes away. After 5 years, that coverage goes away.

Keywords: 918, senate, all

Summary: The Legislative Commission on Pensions and Retirement met on April 14, 2026, adopted the April 7 minutes, and then took up Senate File 4464, which the chair said would be laid over after hearing testimony. The bill would restore continued health insurance coverage for police officers and firefighters in the PERA Police and Fire Fund who suffer documented physical duty-related injuries, addressing the current 5-year cap and the loss of coverage at normal retirement eligibility. Senator Hal Hoffman and Senator Hoffman’s testimony emphasized that the bill is a narrow fix for injured public safety workers and not a broader restructuring of retirement benefits. Supporters, including Mike Ladue of Law Enforcement Labor Services, several injured officers, Sheriff Ryan Kruger, and Amber Waldner, described the personal and family impacts of severe line-of-duty injuries and argued that coverage should continue to age 65 so families are not left with uncertainty if injuries worsen or force medical retirement. They said the bill would honor the promise made to public safety workers and provide stability for long-term care needs. One witness, Officer Albert, said the 2025 changes significantly reduced the protection he believed he and his family would have if his injury forced retirement. Anne Finn of the League of Minnesota Cities opposed the bill as drafted, warning that restoring coverage to age 65 for all physical injuries would be fiscally unsustainable without additional state funding. She said the 2025 pension changes were part of a negotiated package, noted that duty disability retirements are common, and argued the employer cost could reach about $500,000 per employee and create significant property tax pressure, especially for smaller communities. She urged the committee to work on a broader solution and said revisiting only one part of the 2025 law would create imbalance.

Transcript Highlights:

• > Individuals typically purchase coverage Individuals typically purchase coverage and<00:25:53.520>
• So the lapse may need that coverage.
• . coverage. coverage.
• <02:31:35.680> that dropping people from CFI coverage that dropping people from CFI coverage
• So, in looking at our current coverage.

Keywords: 1191, senate, all

Transcript Highlights:

• And we highlight five for our presentation today: health care coverage and financing, food assistance
• health care coverage changes?
• Millions will either find it harder to reach coverage or afford their care.
• Medi-Cal provides essential health coverage for about 80% of WIC families.
• Premiums could rise as much as 74% next year, pricing many out of coverage.

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held its fifth hearing of the year to examine the newly enacted federal H.R. 1 and its effects on California. Members and the chair described the law as a major threat to state health, food, education, and climate programs, and emphasized that California would not be able to fully backfill the federal cuts. Several members also highlighted the bill’s tax provisions, including temporary deductions for tips, overtime, seniors, and auto loan interest, while warning that the largest benefits flow to higher-income taxpayers and that major cuts to Medi-Cal, CalFresh, and clean-energy incentives are delayed or phased in over time. The Legislative Analyst’s Office and the Department of Finance presented detailed overviews of the bill’s likely impacts and implementation timelines. They identified the main affected areas as health care coverage and financing, food assistance, higher education, personal income taxes, and clean-energy/electric-vehicle credits. They explained that H.R. 1 limits provider taxes used to finance Medi-Cal, adds work and redetermination requirements, restricts CalFresh eligibility and increases state costs, changes student loan and Pell Grant rules, extends and modifies federal tax provisions, and phases out many clean-energy credits. Finance also noted major rescissions of Inflation Reduction Act funds, new border and immigration enforcement spending, and the possibility of PAYGO sequestration if Congress does not act to offset the deficit increase. During member questions, the committee focused on likely enrollment losses, administrative burdens, and fiscal exposure for the state and counties. Witnesses said many details still depend on federal guidance, but they estimated significant impacts on Medi-Cal, CalFresh, and graduate/professional student borrowing, and noted that California’s high CalFresh error rate could increase state costs. UC testified that the elimination of Graduate PLUS loans would affect thousands of professional students, especially in health, law, and other high-cost programs. Members asked for follow-up data on county, health, and tax impacts, and staff agreed to provide additional tables and estimates as implementation guidance becomes clearer. Public commenters from counties, early childhood advocates, health coalitions, disability rights groups, immigrant-rights organizations, and other stakeholders urged the Legislature to mitigate the law’s effects. They warned of higher county costs, reduced access to health care and food assistance, increased administrative burdens, and harm to children, immigrants, people with disabilities, and low-income families. Several urged new state revenue solutions and stronger protections for Medi-Cal, CalFresh, child care, and home- and community-based services. No votes were taken; the hearing was informational and ended with a commitment to continue monitoring federal guidance and to work on state responses in the budget process.

Bills: HB1519, HB1541, HB1737, HB1782, HB1854, HB1860, HB2023, HB2104, HB2276, HB2335, HB2455, HB2468, HB2551, SB177, SB411, SB874, SB2053, SB2069, SB2108, SB2268, SB2360, SB2363, SB2405, SB2407, SB2530, SB2543, SB2568, SB2803, SB2818, SB2851, SB2907, SB2934, SB2969, SB2999, SB3097, SB3103, SB3233, SB3238, SB3245, SB3001, SB3138, HB1946, HB389, HB1510, HB469, HB1573, HB1705, HB1858, HB1875, HB1961, HB1962, HB2001, HB2093, HB2096, HB2097, SB888, SB2169, SB2367, SB2557, SB2575, SB2698, SB3082, HB344, HB939, HB1688, HB1853, HB2443, HCR103, HCR117, HCR180, HCR112, HCR18, HCR105, HCR173, HCR35, HCR98, HCR42, HCR53, HCR181, HCR101, HCR179

Keywords: campaign contributions, lobbyists, transparency, election funding, ethical regulations, HB1541, Act 057, Department of Health, Hawaii State Hospital, Developmental Disabilities Division, civil service, civil service exemption, HRS 76-16, HRS 334-4, mental health program, state hospital, secure psychiatric rehabilitation facility, associate administrator, project manager, security manager

Transcript Highlights:

• We believe it will help mobile home park residents obtain insurance coverage for their home and their
• Replacement cost coverage gives survivors a real path to recovery and financial stability.
• This is ultimately about the contents coverage product that exists within the insurance industry.
• This is ultimately about the contents coverage product that exists within the insurance industry.
• Allow payments of contents coverage without inventory and total loss during declared emergencies.

Summary: The Assembly Insurance Committee met to hear several bills related to insurance coverage, wildfire risk, workers’ compensation, and paid family leave. SB 8 by Senator Ashby would extend workers’ compensation and disability protections to Sacramento County park rangers, with testimony emphasizing that they perform law-enforcement-like duties and should receive the same protections as comparable officers. SB 429 by Senator Cortese would create a public wildfire catastrophe model and related wildfire safety program, with support from the Department of Insurance and consumer advocates who said public access to modeling data would improve transparency and help evaluate private insurance risk models. The committee also heard SB 525 by Senator Jones, which would require the FAIR Plan to offer coverage options for manufactured and mobile home owners, including replacement cost coverage. Supporters said the bill would help lower-income residents obtain meaningful insurance protection, while no opposition testified. SB 495 by Senator Allen, as amended, would require insurers to provide a larger contents-coverage advance after a total loss during a declared emergency without requiring an immediate itemized inventory, extend proof-of-loss deadlines, and require insurers to provide catastrophe modeling and reinsurance data to the Department of Insurance. Several insurers withdrew opposition after amendments, and the Department of Insurance and United Policyholders supported the measure. SB 590 by Senator Durazo would expand paid family leave to cover care for designated persons or chosen family members, with strong support from AARP, labor, civil rights, caregiving, and health organizations, and testimony from a parent describing the need to care for a non-legal family member during surgery recovery. The committee also took up consent items SB 230 and SB 854. After roll calls, SB 8, SB 429, SB 495, SB 525, and SB 590 all received do-pass votes, with SB 429 sent to the Committee on Emergency Management, SB 495 to Judiciary, and SB 525 and SB 590 to Appropriations. The consent calendar bills were also approved, and the committee adjourned.

Transcript Highlights:

• recapture bill addresses the issue of rising insurance costs, particularly for windstorm and hail coverage
• Learning premiums for partial coverage or reduce critical instructional services.
• Okay, there you go, that's not real coverage right there. I mean, Harvey was in 2017.
• So, I mean, we're talking about helping you all by incentivizing coverage.
• So, we have to go out and actually purchase additional coverage. ...secondary coverage as well, which

Bills: SB2920, SB2929, SB2398, SB865, SB401, SB2619, SB2927, SB1395, SB1972, SB2540, SB1635, SB1581, SB2008

Keywords: steroids, student athletes, athletic competition, University Interscholastic League, medical purpose, gender transition, school athletics, spectator conduct, referees, ejection policy, extracurricular activities, concussion, brain injury, school policy, academic accommodations, student welfare, cardiac arrest, emergency response, CPR training, automated external defibrillators

Transcript Highlights:

• And just knowing that it individual market coverage, which is going to be really tough.
• And these rules are really built on lessons from pandemic continuous coverage.
• It shortens the retroactive coverage period from three months to one month.
• So we do expect some coverage loss due to this extra burden on clients.
• So we're able to say to the plans, pay them a higher rate so we can get that coverage there.

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.

Transcript Highlights:

• Just know that the coverage expansion program has yet to launch.
• department to provide access to affordable healthcare coverage to New Mexicans.
• They couldn't get into Medicaid or they were unable to get coverage on BeWell.
• we may see gaps in health care coverage widen.
• Coverage will get more expensive, and I'll allude to that in just a moment.

Transcript Highlights:

• <00:14:43.600> which homeowners insurance coverage which homeowners insurance coverage which
• coverage available to individuals who coverage available to individuals who cannot<00:49:19.599> get
• commercial cannot get coverage in the commercial cannot get coverage in the commercial Market<00:
• <02:22:09.960> be um rental coverage be um rental coverage be provided<02:22:11.840> um
• Then you need some coverage.

Keywords: 928, house, all

Summary: The committee took up HB 297 with a non-germane amendment proposed by the Insurance Department to create the Granite State Home Mitigation and Resiliency Program. Commissioner DJ Beton explained that the program is intended to help homeowners reduce rising insurance premiums and avoid surplus lines coverage by funding proactive home and property improvements such as roof fortification, exterior and foundation work, flood protection, and tree removal. He said the proposal was developed after leadership asked for more statutory detail and for the idea to be vetted through policy committees rather than handled only in the budget process. Beton said the program would be funded by the first $1 million collected annually from the insurance premium tax, with grants of up to $10,000 awarded on a first-come, first-served basis. He described the program as modeled on similar efforts in other states, with means testing tied to the Department of Energy’s weatherization/home heating assistance criteria. He also said the department would administer the program using one existing staff position, with coordination through Treasury, and that unspent funds would roll over for several years before reverting to the general fund. Members asked about the unusual use of a non-germane amendment and how the bill would be handled procedurally, since the underlying bill and the new insurance proposal were unrelated. The chair explained that the amendment was being used as a vehicle to move the department’s proposal through the committee process and that the committee could later accept one part, both parts, or neither. No vote was taken in the portion of the meeting shown; the discussion ended with questions about administration, staffing, and the relationship between the underlying bill and the amendment.

Transcript Highlights:

• We're responsible for that first bit of bodily injury coverage and property damage coverage, and that's
• Just curious about the coverages and how they would differ for a driver from Massachusetts.
• Right now, if I have an accident in a rental car, are the coverages comparable?
• Are the coverages comparable? Typically, yes. Two parts of the question, as I understand it.
• I'll call it insurance, but it's not technically insurance coverage. Thank you. Thank you, Mr.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a public hearing on a wide range of auto insurance and vehicle-related bills. Testimony focused heavily on autonomous vehicle regulation, auto insurance rating by ZIP code, rental car liability coverage, and surcharge thresholds for minor accidents. Representative Polito supported a bill to regulate autonomous vehicle testing and deployment, arguing for school-zone restrictions, slower speeds, a remote kill switch, and minimum insurance requirements to protect the public. Representative Mendez and Senator Payano testified for legislation to reduce racial and socioeconomic inequities in auto insurance pricing by limiting the weight insurers may place on territorial loss costs, while the Mass Insurance Federation and Consumer Federation of America offered opposing and supporting views, respectively, on the fairness and actuarial impact of geographic rating. The committee also heard support for a bill to remove inspection-sticker violations from license-point calculations, and for a bill to raise the damage threshold for insurance surcharges and minor/major accident classifications. A substantial portion of the hearing addressed House Bill 1301 on rental car liability. Enterprise Mobility, the American Car Rental Association, and a small Massachusetts rental company supported the bill, saying personal auto insurers should be primary when their insureds drive rental cars, that Massachusetts is an outlier compared with most other states, and that the change would reduce costs and simplify claims handling. The Mass Insurance Federation opposed the bill, arguing that current Massachusetts law already clearly makes the vehicle owner’s policy primary and that shifting liability would raise costs for private-passenger policyholders. Committee members asked detailed questions about how rental coverage works, whether premiums or rental rates would change, and how other states handle the issue. The committee also heard testimony on a bill to adjust surcharge rules for at-fault accidents, with sponsors arguing that repair costs and vehicle values have risen sharply and that the current thresholds are outdated. Members discussed how the point system affects drivers, whether the proposal should apply cumulatively or per incident, and how Carfax and out-of-pocket repairs factor into consumer costs. At the end of the hearing, the chair noted written testimony could still be submitted and, during a brief personal privilege, recorded support for two underinsurance bills, H. 1109 and S. 748. The committee then moved and seconded a motion to adjourn, and the hearing ended without any votes on the bills themselves.

Transcript Highlights:

• But he talked to me too that he'd had a couple come to his agency seeking insurance coverage, and they
• could not find insurance coverage for him, which means that they can't get their dealer license, which
• But he talked to me too that he'd had a couple come to his agency seeking insurance coverage, and they
• But he talked to me too that he'd had a couple come to his agency seeking insurance coverage, and they
• But he talked to me too that he'd had a couple come to his agency seeking insurance coverage, and they

Keywords: Meeting Start: 00:00 Roll Call: 00:20 SB18 Discussion: 01:36 SB18 Vote: 05:07 SB24 Discussion: 06:37 SB24 Vote: 10:50 HB524 Discussion: 12:03 HB524 Vote: 13:55 HB421 Discussion: 15:13 HB421 Vote: 20:50 HB236 Discussion: 21:53 HB236 Vote: 23:34 HB210 Discussion: 25:40 HB210 Vote: 29:56, 958, all

Summary: The committee met with a quorum and took up several insurance and health-related bills, beginning with Senate Bill 18, which was presented by Senator Girdler and insurance witness Adam Sheridan. The bill was described as addressing a shortage of garage liability insurance for used auto dealers in Kentucky, which has left many small dealers with only one or two coverage options and, in some cases, unable to obtain the insurance needed for a dealer license. The committee adopted a motion and second, then passed SB 18 unanimously and reported it favorably with the recommendation that it pass on the House floor. The committee then considered Senate Bill 24, also presented by Senator Girdler with testimony from Eric DeCampo of the National Insurance Crime Bureau. The bill was framed as an anti-fraud measure that would expand the definition of a fraudulent insurance act to cover misrepresentations about property damage and repair costs in property insurance claims. Testimony emphasized that insurance fraud raises premiums for consumers and that the bill would help deter inflated or fabricated claims. After a brief question about whether the bill created new felonies, the committee voted to pass SB 24 unanimously and report it favorably. House Bill 524, presented by Rep. Aaron Thompson with officials from the Office of the Controller and State Risk, would extend reinsurance requirements for the state’s fire and tornado/self-insurance fund from July 1 of this year to July 1, 2030, and rename the fund the Commonwealth’s Property and Casualty Insurance Fund. The bill was moved, seconded, and passed unanimously. House Bill 421, presented by Rep. Amy Neighbors, would require full coverage of FDA-approved bowel preps without out-of-pocket cost or prior authorization issues and update colorectal cancer screening coverage rules for high-risk patients by incorporating multisociety task force guidelines. Members discussed the bill’s personal importance and its minimal fiscal impact; it passed unanimously with a committee substitute. House Bill 236, presented by Rep. Adam Moore and Commissioner Sharon Clark, would cap annual out-of-pocket costs for epinephrine at $100. Members spoke in support, including personal remarks about the importance of access to epinephrine, and the bill passed unanimously with a favorable recommendation. Finally, House Bill 210, presented by Rep. Michael “Sarge” Pollock and Dr. Steve Robertson of the Kentucky Dental Association, addressed dental limited benefit plans and direct payment to dentists. Members asked whether the bill also affected vision/hearing arrangements or third-party administrators; the witness said it was intended for non-ERISA dental plans in Kentucky and suggested follow-up with the commissioner for further clarification. The committee adopted the committee substitute and then passed HB 210 favorably, with 15 yes votes and no votes against. The meeting then adjourned, with a reminder about the Banking and Insurance dinner later that evening.

Transcript Highlights:

• The coverage offered would be basic property insurance, fire insurance, that includes extended coverage
• FAIR plans are generally more expensive and provide limited coverage because their intent was just to
• <00:04:21.919> perils that includes extended coverage perils that includes extended coverage
• expensive and provide limited coverage expensive and provide limited coverage because<00:05:28.280
• But in Hawaii, we've had lava zone coverage for a long time. How's that working?

Keywords: 912, senate, all

Transcript Highlights:

• <00:03:48.879> and the um the the additional coverages and the um the the additional coverages
• provide dual coverage presumptive basis provide dual coverage association<01:04:26.319> with<01
• part if you look at continuous coverage part if you look at continuous coverage for<02:01:45.040
• /c><02:01:47.920> um for children continuous coverage for um for children continuous coverage
• <02:12:06.320> or people who don't need the coverage or people who don't need the coverage

Keywords: 1189, house, all

Summary: The House Finance Division 3 work session continued its review of the Department of Health and Human Services’ Medicaid budget and related policy issues, with CFO Nathan White and Medicaid Director Henry Litman presenting updated materials. The discussion focused on a crosswalk between the adjusted FY 2025 Medicaid budget and the governor’s FY 2026 recommendation, plus handouts showing service additions, eligibility changes, dental rates, and other Medicaid changes since 2019. The department also said it would provide a clearer breakdown of the pharmacy cost-sharing item by general, federal, and other funds. Members asked detailed questions about the Medicaid enhancement tax, the 80% plan, and how funds are allocated between hospital payments, directed payments, and DSH uncompensated care. The department explained that the MET is being used more toward rates and directed payments to better align with federal matching rules, while DSH remains important for uncompensated care. They also noted that a pending Senate Bill 249 would keep the 80% structure and move to Senate Finance. On the trigger law, the department identified the governing provision as Chapter 342:12, Laws of 2018, and explained that if the federal match for Medicaid expansion falls below 90%, the state must notify legislative leaders and participants and the program would sunset after 180 days unless the legislature acts. The committee also reviewed current Medicaid expansion enrollment and program trends. Officials said enrollment was just under 59,000 as of March 3, with about 87,000 people enrolled over the past year and more than a quarter-million residents having used the program over its lifetime. They said enrollment has fallen from a post-pandemic high of nearly 97,000 and may eventually settle in the low 50,000s. Finally, the department discussed federal DSH funding risk, saying New Hampshire could face a significant reduction if Congress does not extend current protections, which is part of why the state has shifted more funding toward payment rates and directed payments.

Transcript Highlights:

• <00:14:43.440> for mandatory health insurance coverage for mandatory health insurance coverage
• Those who didn't have health care coverage, only 42% said they got screened.
• <00:26:44.240> for mandatory health insurance coverage for mandatory health insurance coverage
• <00:57:31.119> for health insurance coverage for health insurance coverage for biomarkers.
• <01:00:26.720> for mandatory health insurance coverage for mandatory health insurance coverage

Keywords: 910, house, all

Summary: The committee heard several health-related resolutions and received testimony on each. HCR 28/HR 27 would ask the Department of Health to reconvene a working group on water and air contamination and remediation tied to the Pu‘uloa Range training facility; supporters said nearby residents and the broader public may be exposed to lead and heavy metals, and that further testing and eventual relocation of the range are needed. HCR 35 would request an auditor’s report on the social and financial effects of mandatory insurance coverage for biomarker testing, and HCR 36 would request a similar report on colorectal cancer screening coverage. The Department of Health and cancer advocates supported both, saying biomarker testing helps match patients to the right treatment and that earlier colorectal screening improves outcomes; DOH also cited screening data showing lower screening rates among uninsured people. HCR 134, on limiting cost sharing for diagnostic and supplemental breast imaging, drew support from the Susan G. Komen Foundation and others, who said out-of-pocket costs can delay diagnosis and treatment. HCR 171, on mandatory coverage for continuous glucose monitoring, also drew support from health and disability advocates. HCR 185, on coverage for Native Hawaiian healing and cultural practitioners through federally qualified health centers, received support from Papa Ola Lōkahi and a community testifier who described the value of traditional healing and access gaps. HCR 173, urging DOH outreach and vaccination drives at schools with low vaccination rates, drew support from DOH, DOE, and public health and disability advocates, but also strong opposition from several testifiers who argued the measure was government overreach and raised concerns about vaccine safety and parental choice. Testimony on HCR 173 was the most divided, with supporters emphasizing the need to raise immunization rates to prevent outbreaks and protect vulnerable children, while opponents argued schools should not host vaccine drives and that parents should make vaccination decisions without government involvement. The Department of Health said it is already working with schools and community partners to expand school-based immunization efforts and would prioritize schools with rates under 30%. The State Health Planning and Development Agency also supported the measure, saying rates below 50% are a serious public health concern. No votes or final committee actions were announced in the portion of the meeting provided.