Transcript Highlights:

• Specifically, it amends Sections 22.01(c) and (d) of the Penal Code to raise the classification of assault
• ... ...to raise the classification of assault from a Class C misdemeanor to a Class B misdemeanor when
• And so we’re going from—we’re upping the limitations one year about per classification here.

Summary: The Committee on Criminal Jurisprudence met with a quorum and heard a series of Senate bills, generally receiving sponsor explanations and, in most cases, no public testimony. SB 2595 would create a Class B misdemeanor for harassing, threatening, or intimidating someone while intentionally concealing identity with a mask, with broad affirmative defenses for legitimate mask use; SB 1980 would increase penalties for assaulting peace officers, parole officers, and community supervision officers and add related presumptions and interference protections; and SB 1896 would require magistrates to issue emergency protective orders in certain family violence, sexual assault, stalking, and aggravated cases, with law enforcement required to provide needed information. All three were left pending. The committee also heard SB 955, which increases trafficking of persons from a second-degree to a first-degree felony when the victim was recruited from a correctional facility, and SB 614, which would let the Texas Forensic Science Commission refer dismissed complaints to the Office of Capital and Forensic Writs when they reference a prior FSC report; both were left pending. Members then heard several forensic and criminal procedure bills. SB 1372 would resolve a discovery/access conflict involving the DPS crime lab portal by limiting portal access to defense attorneys rather than defendants directly, prompting questions from members about access for pro se defendants; DPS’s chief crime lab witness testified neutrally. SB 1936 would change the LSD “abuse unit” definition for unmarked/unperforated paper from a square-measurement method to a 10-milligram weight standard, and SB 1937 would require a subject matter expert from the testing lab to participate in pretrial meetings in capital cases involving biological evidence to help identify viable testing and conserve resources. SB 2580 would lower the population threshold for sheriff’s departments to independently use tracking equipment and access certain communications from 3.3 million to 500,000, expanding the authority beyond Harris County; it was described as a public safety and emergency response measure and left pending. The committee also considered SB 2798, which would extend the statute of limitations for certain financial crimes from three years to seven years, with testimony from a Montgomery County assistant district attorney supporting the change because fraud is often discovered late. SB 1099 would increase penalties for felony offenses committed by undocumented or unauthorized aliens, but drew strong opposition from the Texas Civil Rights Project, which argued immigration is a federal matter and that the bill would create difficult and potentially unfair status determinations for local courts; members raised concerns about the lack of an expert-testimony requirement. SB 1278 would create an affirmative defense to prostitution prosecution for trafficking victims compelled by their traffickers to commit the conduct, and testimony from advocates and a member’s personal account emphasized the coercive, traumatic nature of trafficking; members discussed whether the defense should be narrower or framed as mitigation, and the bill was left pending. Finally, SB 127 would extend the statute of limitations for failure to report or conceal child abuse, with members discussing mandatory reporting duties and the need to allow more time for delayed discovery of cover-ups; it too was left pending before the committee adjourned.

Transcript Highlights:

• SO THERE IS THE CONNECTION TO THE INSURANCE PREMIUM THAT HAPPENS WITH THIS INSPECTION.
• AND SO EVEN REMAINING, KEEPING A PREMIUM STABLE I WOULD SAY IS A SUCCESS BECAUSE IT DIDN'T GO UP.
• HERE YOU CAN SEE BROKEN DOWN BY CALENDAR YEAR THE AVERAGE PREMIUM REDUCTIONS.
• AND SO I THINK IT'S GOING TO BE VERY TELLING TO SEE WHAT HAPPENS TO THE PREMIUMS ON THIS ONE.
• SO I THINK THAT WILL ALSO BE TELLING TO SEE WHAT THE PREMIUM IMPACT THERE IS.

Transcript Highlights:

• Because in Arkansas insurance, ...an Arkansas insurance premium paid for by an employer and an employee
• every time your premium is increased because the hospital cost is pretty much the same, even though
• every time your premium is increased because the hospital cost is pretty much the time your premium
• And if commercial payers are taking in about the same number of premiums in our state as they are in
• And if commercial payers are taking in about the same number of premiums in our state as they are in

Summary: The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures. Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete. A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation. At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.

Transcript Highlights:

• IT WOULD INCREASE MEDICAL MALPRACTICE PREMIUMS AND FORCE DOCTORS TO LEAVE THE STATE.
• THEIR PREMIUMS HAVE ALSO GONE UP ABOUT 60% DURING THAT SAME TIME.
• IN FACT, SINCE 2013 OUR FACILITIES PREMIUM WAS $2.6 MILLION.
• RECENTLY IN TALLAHASSEE A LOCAL FAMILY PREMIUMS AND IN PRACTICE THEY GO BARE.
• SPECIFICALLY, ISSUES RELATED TO HEALTH CARE COSTS AND PREMIUMS.

Keywords: 999, senate, all

Transcript Highlights:

• years, we've had our insurance premiums years, we've had our insurance premiums rise<00:34:41.679
• This last year, our premiums were 15%.
• the premium is 30% of our take-home pay. the premium is 30% of our take-home pay.
• We receive excellent health care, but the premiums are very, very expensive.
• Care, but the premiums are very, very expensive.

Bills: HF238, HF3381, HF3754, HF1049

Keywords: microenterprise home kitchen operation, cottage food, home-based food business, home kitchen license, homemade food, prepared food, food entrepreneur, small food business, cottage food law, food safety training, ServSafe, food handler license, agriculture department, Minnesota food law, residential kitchen, local zoning, consumer labeling, allergen labeling, unpasteurized juice, time/temperature control for safety food

Transcript Highlights:

• the elimination of the enhanced premium the elimination of the enhanced premium tax<00:04:05.920
• of the enhanced uh premium tax credit. of the enhanced uh premium tax credit.
• uh what those people paid in premiums. uh what those people paid in premiums.
• some examples about uh the premium some examples about uh the premium increases.<00:10:39.760>
• They're doing it because they can't afford um their premium, Madam Chair, their premium would be lower

Keywords: 1187, senate, all

Transcript Highlights:

• > between Generally, premiums are shared between Generally, premiums are shared between employers
• Small employers pay a reduced premium Small employers pay a reduced premium under<00:08:11.520><
• The reduced employer premium 888%.
• <00:09:59.440> and responsible for the usual premiums and responsible for the usual premiums
• Uh we a premium collection begins.

Keywords: 1187, senate, all

Transcript Highlights:

• This last year, the ACA premiums, the base premium plans, went up 35%.
• $4,000 on the employer's share of a premium.
• I haven't paid the premium charge to not get ads.
• So how do your premiums look? What does a premium cost to be in your cash?
• Our premiums are generally about 20% below.

Keywords: 1185, senate, all

Transcript Highlights:

• And David, when you look at the five, just you mentioned five years, what should be the classification
• He's done a lot with his classification folks.
• We've heard a lot in the classification conversation that says if you are convicted of X, Y, or Z, you
• process, it really wasn't about that the classification process didn't work.
• What we heard about their ability to take more is it the classification problem or is it the capacity

Keywords: 995, all

Summary: The commission opened an informal discussion focused on developing recommendations for its September report on correctional consolidation and cooperation. Chairs Dan Hunt and Senator Brownsberger emphasized that the group is still in an information-gathering phase, but should begin putting ideas on the table, including possible written recommendations, further hearings, and additional facility tours. Members discussed whether the commission should seek more input from frontline stakeholders such as sheriffs, probation, parole, reentry centers, unions, and the judiciary, and whether recommendations should be organized around specific issue areas like medical costs, programming, reentry, and facility operations. A major theme was the need for a more integrated and consistent correctional system. Participants raised concerns about fragmentation across DOC, county sheriffs, probation, and parole, and suggested exploring step-down pathways, minimum security, pre-release, day reporting, and regional reentry hubs to improve outcomes and reduce recidivism. Several speakers stressed the importance of uniform standards, evidence-based programming, better data on outcomes and spending, and clearer alignment between custody conditions and rehabilitation goals. There was also discussion of looking to other states and international models, as well as revisiting older reports and plans, including the 2009 commission report and the 2010 corrections master plan. Facility-specific issues were also raised, including the need to examine women’s facilities such as Framingham, Bridgewater, and restrictive housing practices in light of suicide concerns and mental health needs. Members discussed the relationship between correctional custody and behavioral health, the role of the judiciary in sentencing and reentry planning, and whether judges should be better informed about available programming and step-down options. There was broad agreement that collaboration, transparency, and accountability should be strengthened, with some members urging that recommendations be based on firsthand facts and data rather than opinion alone. The meeting also included presentation of a written set of eight high-level recommendations compiled by advocacy and legal organizations, which focused on clearer and more consistent programming, equitable application of rules, and reducing punitive conditions that function like solitary confinement. The chairs said the document would be shared with members and posted online. No formal votes were taken during the discussion, and the meeting ended with plans to continue the conversation at a future session, including possible follow-up on reentry centers, restrictive housing, and other systemwide reforms.

Transcript Highlights:

• I move that the Assembly suspend the rules to permit debate on amendments to reduce health care premiums
• Assembly Member Tangipa: If you pay for private health insurance, your premiums are going up.
• We can take $2.5 billion in our budget and create a state premium subsidy.
• They're seeing a tax applied to premiums, all the more reason for us to provide a premium subsidy. $2.5
• There are working families that are going to get sucker-punched by these premiums.

Keywords: 988, house, all

Summary: The Assembly convened, established a quorum after a roll call, observed a moment of silence for the fatal B-52 crash at Edwards Air Force Base, and proceeded with routine procedural business, including re-referrals of numerous Senate bills to different committees and several rule suspensions to allow bills to be heard or moved. Assembly Member DeMaio attempted to amend and then return AB 109 to the Senate to add health care premium reductions, but the motions were ruled out of order and his request to suspend the rules failed on a 13-45 vote. The main floor action was on AB 109, the 2026-27 state budget. Assembly Member Gabriel presented the budget as balancing fiscal responsibility with protections for health care, schools, housing, wildfire prevention, and the safety net, while opponents argued it raised costs, underfunded education and public safety, and relied on gimmicks. Supporters emphasized investments in hospitals, Medi-Cal, IHSS, child care, food banks, housing, and reserves, and repeatedly defended the budget’s approach to Proposition 36 funding and prison closures. After extensive debate, the Assembly voted to concur in the Senate amendments to AB 109, and the bill was immediately transmitted to the Governor. Later, the Assembly took up SCR 89 on diversity, equity, and inclusion. Members from several caucuses spoke in support, arguing DEI is central to equal opportunity, civil rights, and California’s identity, and warning against federal efforts to roll back such programs. Assembly Member DeMaio spoke in opposition, saying DEI treats people differently based on immutable characteristics. The transcript ends during that debate, with the resolution still under consideration.

Transcript Highlights:

• Insurance premiums.
• How does private reinsurance affect the premiums insurance consumers pay?
• But what hasn't always gone down for consumers is their premium.
• But what hasn't always gone down for consumers is their premium.
• But the thing is, your consumers are paying more in premium. They are.

Summary: The subcommittee held its first meeting on homeowners property insurance, with members from both parties introducing themselves and repeatedly noting that insurance affordability, roof condition, claims handling, and storm recovery are top concerns for their districts. Chair Yeager said the meeting was intended as an educational discussion rather than a legislative debate, and introduced a panel that included Insurance Commissioner Mike Yaworski, consumer Chad Carr, agent Mary Catherine Lawler, insurer executive Melissa Burt DeVries, and policyholder attorney Chip Merlin. The panel and members discussed major cost drivers in Florida homeowners insurance, including inflation, home age, roof age, mitigation features, claims history, litigation costs, reinsurance, and the Florida Hurricane Catastrophe Fund. Commissioner Yaworski said underwriting has become more sophisticated and that litigation costs, reinsurance, and replacement-cost inflation all affect premiums; he also said litigation is down about 30% and average requested rate increases have fallen from about 22.1% in 2022 to 0.8% today. DeVries said age of home, replacement cost, roof age, and coverage choices can materially change premiums, and explained that reinsurance is a major expense passed through to consumers. Merlin emphasized transparency concerns, argued that insurers are increasingly individualizing risk, and said consumers often struggle with coverage limits, deductibles, and claim denials. Members asked about flood coverage, hurricane deductibles, managed repair programs, mitigation credits, new insurer capitalization, and whether savings from reforms are reaching consumers. Yaworski explained that flood is generally excluded from homeowners policies and covered separately, that hurricane deductibles are mandatory in Florida and usually around 5%, and that the office tracks savings from reforms through rate filings and insurer discussions. He said the state is updating mitigation discounts and monitoring new entrants closely for solvency and market conduct. Several members and panelists said recent reforms have helped reduce some abuses and litigation, but many consumers are still seeing higher premiums because replacement costs and reinsurance remain elevated. No votes or formal actions were taken.

Transcript Highlights:

• :04.000> a<00:16:04.320> voter's<00:16:04.800> property<00:16:05.279> classification
• upon a voter's property classification. upon a voter's property classification.
• c> of<00:43:12.560> property<00:43:13.440> and<00:43:13.760> whether classification
• of property and whether classification of property and whether or<00:43:14.400> not<00:43:15.200
• So, even though you classifications.

Keywords: 1187, senate, all

Transcript Highlights:

• products on one end which is 90% premium products on one end which is 90% premium 10%<01:04:48.480
• they rather have lower premium costs? they rather have lower premium costs?
• premiums.
• Most rebated drugs already premiums.
• The bill premiums for most enrolles.

Keywords: 1187, senate, all

Transcript Highlights:

• And that's the cap for advanced premium tax credits.
• These premium tax credits are what are going to help our residents have access to health insurance.
• And this allows that fund to provide those premium assistance to all New Mexicans purchasing coverage
• A 60-year-old couple with a household income of $82,000 will see a premium increase of $19,000.
• President, this is the amount that would come in with the enhanced premium.

Transcript Highlights:

• So figure 2 is a breakdown of $100 in qualified monthly premiums.
• About $3 is due to the premium tax, and $3.75 is the premium surtax.
• The report shows how the New Mexico premium assistance program works.
• HCAF revenue from the premium surtax has far exceeded the insurance subsidy needs.
• And for those that remain, they'll see a premium increase of about $1900 per person.

Transcript Highlights:

• In 2013, a premium was 3.6 million and it has increased yearly.
• Laura Yeoman: This will naturally result in us having higher premiums.
• Neither of those have lowered premiums and they have been in law for decades.
• Laura Yeoman: Premiums are even less significant to physician assistants.
• Premiums are going up 73 David Marco Junior: percent at South Florida's hospital.

Transcript Highlights:

• And so we get to premium changes, and these represent, you know, recent premium changes on both in terms
• <00:09:23.839> increase which there wasn't a premium increase which there wasn't a premium
• Um as as you all may employee premiums.
• Um and and so that that has premiums.
• The plan, um, all of whom are submitting total premiums into the plan trust.

Keywords: Meeting Start 00:00:00 State Health Insurance Plans 00:00:03 Executive Branch Salary Schedule Adjustments 00:29:15 Nutrition Program for the Elderly 00:34:52 Update on DORIS 01:05:38, 958, all

Summary: The committee met on November 5, 2025, and first approved the minutes after a moment of silence for the UPS airport tragedy. The main presentation was from the Personnel Cabinet on the state health insurance plans and executive branch salary schedule adjustments. Officials said the health plan covers roughly 265,000 active members and up to about 300,000 across all benefit offerings, including school board employees, retirees, and other eligible groups. They described rising claims and expenditures, especially from high-cost claimants and pharmacy spending, and said recent premium and benefit changes were intended to balance costs while preserving recruitment and retention efforts. They also explained that employee premiums had not increased for several years, while employer contributions rose sharply in recent years, and projected a 10% employer increase and 3% employee increase going forward based on actuarial analysis. Committee members asked about deductibles, GLP-1 drug costs, claims validation, and the causes of cost growth; officials said the plan uses multiple payment-integrity vendors and that the increases reflect utilization, drug trends, and high-cost cases rather than a change in coverage. The committee also discussed executive branch salary schedule adjustments. Personnel and budget officials explained that when the legislature approves annual pay increases, the salary schedule is adjusted by the same percentage through executive order so the minimum and midpoint stay aligned with approved compensation levels. They said the 2025 adjustment was a 3% match effective September 16 and that the change was costless because salaries had already been increased. Members raised concerns about salary compression, noting that new hires can sometimes be paid near the level of long-serving employees. Officials said the adjustment helps prevent compression from worsening but does not solve it, and they acknowledged prior RFP efforts to address the issue were unsuccessful because no qualified bidder met the requirements. After the health plan and salary discussions, the committee began a presentation from the Cabinet for Health and Family Services on Kentucky’s senior meal program. Secretary Stack explained that the program is a federal-state-local partnership under the Older Americans Act, with area development districts helping deliver services. He outlined eligibility rules, noting that congregate meals at senior centers are available to people age 60 and older, with a spouse of any age allowed to join, and that home-delivered meals have additional homebound and assistance requirements. Members asked whether there was any means test for congregate meals, and the secretary said there is not; the only threshold is age for the center-based meals, while the home-delivered program has additional criteria.

Transcript Highlights:

• on the KRS side it's strictly premiums on the KRS side it's strictly premiums that<00:07:35.080>
• due to, uh, increase in health premiums due to, uh, increase in health premiums and<00:13:11.960
• Uh um the premium amount increased by?
• Well, what is their premium typically?
• uh premium reductions for a few years. uh premium reductions for a few years.

Keywords: Meeting Start: 00:00:00 Attendance Roll Call: 00:00:12 Approval of Minutes: 00:01:34 Actuarial Valuation Update – KPPA: 00:02:10 Actuarial Valuation Update – TRS: 00:25:32, 958, all

Summary: The meeting began with roll call, confirmation of a quorum, and approval of the prior minutes. The main presentation was from KPPA officials Ryan Barrow and Erin Saratt on the annual actuarial valuations for the retirement and insurance systems. They said the systems’ funding status improved overall, with three of five insurance funds fully funded, CERS hazardous dropping from over 100% funded to 90.9% because of premium changes, and KRS receiving $650 million in supplemental funding over the biennium. They also reported strong investment returns above assumed rates, higher payroll and membership counts, and resulting actuarial losses tied to higher salaries and premiums, especially on the insurance side. Members asked several questions about what drove the actuarial losses and whether legislation affected them. KPPA said the CERS insurance loss was driven by premium increases and Senate Bill 10, while the pension-side losses were largely due to higher payroll and benefits for Tier 1 and Tier 2 members. They explained that new Tier 3 employees are designed to add no additional unfunded liability, and that the state administers the systems but does not directly control all hiring. Questions also focused on retiree health premiums, which KPPA said rose about 15% for non-Medicare retirees and 38% for Medicare retirees, with the increase attributed to utilization, prescription costs, and the Inflation Reduction Act. The committee then heard from TRS Deputy Executive Secretary and General Counsel Beau Barnes on the 2025 TRS actuarial valuation. He reported that the Retirement Annuity Trust and Health Insurance Trust both received full funding, the retirement trust’s funded ratio improved to 61%, TRS 4 remains well funded with no liability, and the health insurance trust improved to 89.1%. Barnes said TRS is on track to fully fund legacy liabilities within the amortization period, with 2044 as the point when the system reflects 100% funding and 2046 as the last year needing additional dollars for the legacy liability. He also explained that lower assumed investment returns and updated mortality assumptions increased liabilities, but that TRS uses direct rate smoothing for budgeting purposes. At the end of the meeting, the chair circulated a proposed set of “do’s and don’ts of pensions,” emphasizing that future legislation should not create unfunded liabilities. Barnes also noted he would later discuss several legislative proposals for the 2026 session, but the transcript provided ends before that discussion or any votes on those proposals.

Transcript Highlights:

• That accounts for about premium tax.
• life based on the first year premiums. life based on the first year premiums.
• And then insurance premium tax million.
• So there does premium tax and other.
• Um and a premium whichever is less.

Keywords: Meeting Start: 00:00:00 Roll Call 00:00:11 Discussion of County Clerks’ Land Records Update 00:02:42 Discussion of Area Development Districts 00:22:48 Discussion of Legislative Measures 00:50:09 Discussion of Local Taxing Sources 01:02:33 Adjournment 01:29:16, 958, all

Summary: The committee first took up an update from the Kentucky County Clerks Association on the transition to electronic recording and land records modernization. Testimony explained that legislation from the 2021 task force created funding and deadlines for counties to provide online search portals and complete a 30-year property record search, with a later move to a 60-year standard. Speakers said the money has been awarded to counties, but much of the work is still in progress because records must be scanned, indexed, and manually verified. They said only a handful of counties are fully compliant with electronic recording so far, while many are still working through staffing and vendor issues. They also noted that the 60-year standard may ultimately be easier and more efficient to complete than the 30-year standard, and that compliance is expected to improve by next summer. The clerks’ representatives also raised related issues, including deed fraud, the county document storage fee, and KDLA digitization grants. They said online recording can make deed fraud easier to attempt, so they expect to seek legislation next session to address it. They described an existing notification service available in many counties that alerts property owners when a document is recorded, which can help detect suspicious activity quickly. They also said the storage fee and separate county account structure has generally worked well, but that two recent KDLA grant cycles have not released money for clerks, limiting support for digitization work. Another topic was whether, once records are fully digitized and verified, some permanent records should remain publicly accessible or be moved to a safer archive under KDLA control. Members asked about the balance in the KDLA fund, what the General Assembly could do to help lagging counties, and how much of the $25 million modernization funding had been spent. Witnesses said they did not have the current fund balance but would try to get it, that the main obstacle now appears to be staffing rather than additional money, and that the funds have been awarded but not fully expended because work is still ongoing. They emphasized that counties are helping one another and asked members to alert association leadership if any county is struggling. The committee then heard a presentation from Dan London, executive director of the Lincoln Trail Area Development District, who described area development districts as regional staff extensions and technical resources for cities and counties, and highlighted their role in coordinating regional services and partnerships across county lines.

Transcript Highlights:

• that have driven a lot of premiums that have driven a lot of premiums upward<01:21:38.040> are
• There's a premium tax that varies from 1.25% to 2% of gross premium that is paid before that insurance
• <01:28:56.639> tax then it they they pay the premium tax then it they they pay the premium
• as a denominator the the total premium as a denominator the the total premium in<01:31:57.440>
• is is the individual companies premium is is the individual companies premium in<01:32:02.639>

Keywords: 928, house, all

Summary: The subcommittee first reviewed its schedule, noting that 13 bills were being executed the next day and that additional subcommittee work would be scheduled around Town Meeting Day and the following session days. The chair explained that the committee would not meet on Town Meeting Day, would handle the remaining bills on the next available subcommittee day, and would continue any unfinished items later in the month. The committee then took up House Bill 774, which concerned Medicare-related coverage issues. Members discussed the bill’s purpose and the differences between Medicare standard and Medicare Advantage, with one member saying the proposal was informative but did not offer a workable solution. The committee also moved to inexpedient to legislate on House Bill 185, and the motion passed on a 6-0 vote. House Bill 241, relating to alternatives to opioids, was retained for further work. Members said the bill raised concerns about insurers effectively practicing medicine and about the lack of evidence on the efficacy of some alternative treatments, while also noting that chiropractic coverage mandates already exist in statute. The committee voted to retain the bill, with the motion passing 6-0. The most extended discussion was on House Bill 648, which would expand insurance coverage for glucose monitoring. Testimony and committee comments focused on whether coverage should be tied to insulin use or instead to a physician’s medical judgment, the role of continuous glucose monitoring for people with type 2 diabetes who are not on insulin, and the potential cost impact. An insurance department fiscal analyst said the original $22-per-member estimate was based on the unamended bill and that the amended version would require updated analysis; members agreed to retain the bill to narrow the eligible population and revisit the language later.