Transcript Highlights:

• due to inappropriate denials by health plans or underinsurance when people have just very large deductibles
• , ...health plans or underinsurance when people have just very large deductibles.

Keywords: 995, all

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards. The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation. Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• pay a lot of money to go, or you had an awesome insurance plan, and you still paid a significant deductible
• And that's not including the deductible or the things that are not covered within it.

Keywords: 907, all

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• We have to deduct that $600. million because we don't know when it's going to come back, right?
• with their health insurance, and we are planning to offer additional options, including a high deductible

Transcript Highlights:

• officials, but to grade those papers without giving them dedicated staff is an interesting analysis in deductive
• But to grade those papers without giving them dedicated staff is an interesting analysis in deductive

Summary: The Committee on Education K-16 heard several bills focused largely on special education transparency, school safety, and student support services. Senate Bill 1908, by Senator Zaffirini, would direct the Higher Education Coordinating Board to study the feasibility of a statewide system for coordinating clinical training placements, including regional portals for healthcare clinical slots, with a report due by December 1, 2026. A representative of the Texas Nurses Association and the Nursing Legislative Agenda Coalition testified in support. The bill was left pending subject to the call of the chair. The committee then took up Senate Bill 111, by Senator Hall, which in its committee substitute was narrowed to a reporting bill requiring school districts to disclose legal proceedings involving special education due process complaints when legal fees exceed $10,000, rather than capping spending. Several parents and advocates testified that districts spend large sums on litigation against families of children with disabilities and that greater transparency is needed; some senators raised concerns about unintended consequences, including possible pressure to settle cases. The committee adopted the substitute and left the bill pending. The committee also heard Senate Bill 1551 on automated external defibrillators in public schools, Senate Bill 865 on CPR instruction requirements for certain volunteers, Senate Bill 1032 on the Governor’s University Research Initiative, and Senate Bill 571 on school employee misconduct reporting and access to the Do Not Hire Registry; each was reported favorably after committee substitute adoption and roll-call votes. Additional bills discussed included Senate Bill 1884, which would formalize and expand dedicated staff support for the State Board of Education and give the board chair hiring authority over that staff; members questioned whether it duplicated TEA functions, while a witness argued the workload increase justified the change, and the bill was left pending. Senate Bill 625 would replace the current half-credit economics requirement with a half-credit in personal financial literacy; educators and advocates strongly supported making the course required, and the bill was left pending. Senate Bill 582 would make TEA settlement agreements in special investigations publicly available when sanctions are imposed, and Senate Bill 2600 would bar transportation fees for students living within two miles of campus unless districts do not receive state transportation funding; both were left pending. The committee also heard Senate Bill 2751, which would require TEA inspections of non-public special education programs to consider medical standards of care and crisis-prevention training; testimony from a program operator described severe student behaviors and the need for more flexibility, and the bill was left pending after the substitute was adopted.

Transcript Highlights:

• the percentage of mills levied in 2004 or a percentage of an in-lieu of revenue, and the amount deducted
• by the percentage of sinking and The amount deducted by the percentage of sinking and interest mills

Keywords: 908, all

Summary: The Senate convened with prayer, pledge, roll call, and a quorum present, then approved a motion to lay over House Bill 1525 for one legislative day. It also voted not to concur with House amendments on Senate Bills 2294, 2297, 2070, 4017, and 2262, appointing conference committees for each. The chamber then took up a series of House bill amendments and final-passage votes. On amendments, the Senate adopted changes to House Bill 1229 on fleeing law enforcement and driving-record transparency after debate over insurance impacts and public safety; House Bill 1510 on teacher retention, on-site child care, and licensure study language; House Bill 1160 to restrict student personal electronic devices during instructional time; House Bill 1429 to address drone harassment and stalking of animals; House Bill 1203 to harmonize medical marijuana provisions; House Bill 1600 to create a UND immigration clinic with reporting requirements; House Bill 1130 to broaden K-12 funding formula changes and reduce state fiscal impact; House Bill 1279 to modify the coal conversion tax exemption; House Bill 1442 to adjust membership and scope of a state task force; and House Bill 1464 to convert a maternal care services proposal into a study and remove the appropriation. The Senate rejected an amendment to House Bill 1022 concerning the Retirement and Investment Office bonus program, then passed the bill. It also passed House Bill 1234 on a $90 million transfer to reduce PERS liability, while rejecting a floor amendment to it. On final passage, the Senate passed House Bills 1008 (Public Service Commission budget), 1218 (temporary moratorium and study on economic analysis for drain projects), 1234 (PERS funding transfer), 1146 (PERS defined contribution cleanup and emergency clause), 1355 (expanded notice for administrative rulemaking), 1470 (Game and Fish fee changes and guide/outfitter updates), 1029 (Capital Grounds Planning Commission duties), 1017 (Game and Fish budget), 1374 (township supervisor open-meeting exemption for on-site inspections), and 1064 (NC-SARA membership and distance education regulation). It defeated House Bill 1583 on false political advertisements with civil-action language and House Bill 1393 on earned wage access provider regulation. The transcript ends as the Senate begins consideration of House Bill 1326 on self-defense and unlawful firearm possession by felons.

Transcript Highlights:

• at that time enumerated it as a discretionary serious violent offense in the Earned Meritorious Deductions
• serious violent offense, meaning that defendant can earn a maximum of 4 days per month of good time deduction

Transcript Highlights:

• The premiums are too high, the deductibles are too high. The networks are narrow.
• Deductibles are too high, and everybody's getting sick, or too much money is going to the insurance industry

Keywords: 928, house, all

Summary: The committee first heard testimony on House Bill 167, a PFAS-related measure to add ski, snowboard, and boat wax to the state’s list of banned consumer products containing PFAS. The sponsor said the product is already banned in many other places, alternatives exist, and the concern is that these products go directly into water rather than landfills. She cited high PFAS levels in several New Hampshire lakes and argued the bill would help stop further contamination. A member of the public also described personal experience with ski wax products disappearing from the market, suggesting PFAS may have been the reason. The chair then closed the hearing on HB 167. The committee next opened a hearing on House Bill 312, dealing with college athletes’ name, image, and likeness (NIL) rights. Representative Moffett explained the bill was prompted by the U.S. Supreme Court’s NCAA v. Alston decision and was modeled on New Jersey law. He said the bill would prevent colleges from restricting NIL compensation, require athletes to use licensed attorneys or registered sports agents, and limit certain endorsements involving addictive drugs, adult entertainment, firearms, and weapons. He framed the measure as a proactive response to a changing college sports landscape and noted possible future conflicts involving schools, agents, and endorsements. Committee members raised several concerns and suggested changes. One member questioned the bill’s exclusion of two-year institutions, another objected to the weapons restriction, and others asked how the bill would affect scholarships. The sponsor said the intent was to protect scholarships, especially athletic scholarships, and clarified that need-based scholarships were not meant to be affected. He also acknowledged discomfort with the endorsement restrictions and said the committee might want to broaden or revise the language. The hearing remained open for further consideration, with no vote taken in the excerpt.

Transcript Highlights:

• Chairman as it relates to the private providers, this amendment, it reduces the overall deduction and

Transcript Highlights:

• If the deductible went to something that was just extraordinary, that's not what that means.

Transcript Highlights:

• Where citizens got a chance to look at the deductions and the consequences and the funding strings.

Bills: SB15, SB9, SB7, SB1, SB2, SB67, SB15, SB9, SB7

Keywords: real property, fraud, theft, elderly, disabled, statute of limitations, criminal offense, property rights, property tax, ad valorem tax, voter-approval tax rate, no-new-revenue tax rate, tax rate calculation, Tax Code, local government finance, municipality, county, special taxing unit, sales and use tax, property tax cap

Transcript Highlights:

• Is adjourned, the Controller of the House may continue to deduct from the check of any legislator or

Transcript Highlights:

• insurers shall provide historic data and trends for employers and patients related to premiums, deductibles

Keywords: 908, all

Summary: The committee first addressed Senate Bill 2387, which had previously included language expanding the definition of a sexual assault victim advocate to include advocates from organizations serving victims of sexual trafficking or other sexual violence. After concerns were raised that the language could broaden participation in forensic interviews beyond appropriately credentialed organizations, the parties agreed to remove that added language. The committee then reconsidered its prior action, adopted the amendment striking the new language, and passed SB 2387 as amended on a 12-0-1 roll call vote. The bulk of the meeting focused on Representative Nelson’s proposed changes to a 340B-related bill, centered on expanding reporting and transparency requirements. His draft would require hospitals to report how 340B savings are used, and would also add reporting by drug manufacturers, pharmacy benefit managers, and health insurers on rebates, pricing, ownership interests, 340B savings, premiums, claims, and related data. Nelson argued the reporting was needed to give lawmakers better information about how the 340B program affects hospitals, insurers, pharmacies, and public costs, and noted the Department of Corrections also benefits from the program. Testimony was mixed but generally supportive of more transparency. Sanford Health Plan said it needed more time to review carrier impacts and had concerns about employer-related language and rebate reporting. The North Dakota Hospital Association supported hospital transparency and said the broader approach was appropriate because hospitals are only one part of the 340B system. Several members raised procedural concerns about the scope of the proposal and the lack of a drafted LC amendment. The committee decided not to take final action on the 340B proposal that day, instead forming a subcommittee led by Representative Hendricks, with Representatives Dobervich and Bolinske, to work with LC and return with drafted language for further review on Monday.

Transcript Highlights:

• It's now not considered income to you; it's pre-tax, and it's considered a deduction to me.

Transcript Highlights:

• Senate Bill 2108 by Hughes relates to insurance deductibles and certain state health benefit plans to

Bills: SCR8, SCR24, SCR25, SB1, SB65, SB315, SB371, SB372, SB379, SB400, SB402, SB406, SB427, SB487, SB502, SB509, SB535, SB610, SB707, SB740, SB761, SB840, SB875, SB893, SB918, SB925, SB965, SB987, SB990, SB995, SB1006, SB1018, SB1073, SB1106, SB1121, SB1194, SB1253, SB1300, SB1343, SB1362, SB1379, SB1447, SB1532, SB1555, SJR36, SJR12, SJR57, SCR25, SCR22, SCR12, SCR24, SCR8, SB565, SB372, SB765, SB62, SB666, SB707, SB888, SB687, SB847, SB1248, SB740, SB14, SB1006, SB504, SB925, SB1121, SB995, SB857, SB305, SB296, SB284, SB815, SB1379, SB1300, SB1497, SB1499, SB1498, SB65, SB241, SB304, SB402, SB621, SB1023, SB1024, SB1106, SB686, SB112, SB371, SB204, SB400, SB609, SB1447, SB670, SB502, SB427, SB850, SB854, SB413, SB1555, SB1362, SB1346, SB1033, SB1220, SB1073, SB810, SB987, SB1539, SB893, SB447, SB875, SB406, SB509, SB985, SB965, SB1119, SB1505, SB24, SB1194, SB1253, SB1215, SB1532, SB1302, SB856, SB650, SB583, SB673, SB840, SB213, SB681, SB1172, SB1252, SB378, SB610, SB918, SB1343, SB608, SB487, SB955, SB957, SB988, SB990, SB1019, SB1021, SB1120, SB251, SB958, SB535, SB761, SB1, SB541, SB315, SB379, SB1018, SB1737, SB266, SB1415, SB1527, SB125, SB599, SB1330, SB53, SB916, SB896, SB1352, SB973, SB785, SB710, SB472, SB1450, SB1502, SB1566, SB414, SB1062, SB1547, SB961, SB1038, SB513, SB578, SB711, SB746, SB942, SB1404, SB1448, SB1738, SB108, SB8, SB318, SB507, SB533, SB689, SB1026, SB1349, SB1355, SB1433, SB1434, SB1596, SB1403, SB1198, SB1146, SB763, SB667

Keywords: central bank digital currency, CBDC, Federal Reserve, digital dollar, digital currency, cashless payments, financial privacy, cybersecurity, government surveillance, financial surveillance, money laundering, terrorism financing, illicit finance, banking policy, monetary policy, payments system, commercial banks, Texas Legislature, concurrent resolution, federal reserve digital currency

Transcript Highlights:

• AMENDMENT RETAINS EXISTING LAW THAT STATES THAT EXCESS AND SURPLUS LINE POLICY FORMS, RATES AND DEDUCTIBLES

Keywords: 999, senate, all

Transcript Highlights:

• employer doesn't offer health coverage, and I can't afford the $500 a month private plan with high deductibles
• $500 a month private plan<00:19:12.559> with<00:19:12.799> high<00:19:12.960> deductibles
• <00:19:13.679> and plan with high deductibles and plan with high deductibles and out-ofpocket

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, May 15, 2025, 1012, house, all

Transcript Highlights:

• They're already, to a degree, tax deductible, but there are people who want to help the wealthier people
• deduct their state and local income taxes as well.
• They're both conservative people. to a degree tax deductible, but there to a degree tax deductible, but
• ><04:56:00.480> their<04:56:01.280> state<04:56:01.520> and wealthier people deduct
• their state and wealthier people deduct their state and local<04:56:02.080> income<04:56:02.480

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, May 8, 2025, 1012, house, all

Transcript Highlights:

• like to say that again if it's<00:37:26.160> a<00:37:26.599> 100%<00:37:27.599> deduction
• <00:37:28.160> of it's a 100% deduction of it's a 100% deduction of everything,<00:37:30.560
• A donor could be, you know, businesses get deductions for charity also.
• A donor could be, you know, businesses get deductions for charity also.
• :38:58.240> businesses<00:38:58.960> get<00:39:00.320> um<00:39:00.560> deductions

Keywords: 928, house, all

Summary: The committee first heard Senate Bill 292, which would authorize a governor’s warrant to cover special education aid shortfalls from the education trust fund, and from the general fund if needed, so local school districts would not have to absorb prorated costs or raise local property taxes. Senator Lang said the bill was prompted by a prior $15 million special education funding shortfall caused by higher-than-expected catastrophic aid claims, including more qualifying students and the recent increase in the special education age limit to 22. He emphasized that the bill is intended to ensure the state meets its funding commitment and avoid shifting costs to towns. Members asked about how the bill interacts with House Bill 742 and House Bill 773, including whether the language should be merged or whether the state should fund 100% versus an 80% floor. Lang said he was open to improving the bill and to adding a study committee or performance audit on special education costs, but maintained that the state should not push costs to local taxpayers when it has available funds. The hearing on SB 292 was then closed, with no vote taken. The committee then opened Senate Bill 98, which would extend for five more years a tax credit program for donations to regional career and technical education centers. Senator Waters said the program has been successful in building partnerships between CTE centers and employers, especially through equipment donations that support training and apprenticeships. He cited examples including automotive, marine trades, and advanced manufacturing programs, and said the five-year extension would let lawmakers continue to review whether the incentive is working as intended. Several members questioned whether the credit is effectively a 100% subsidy and how the cap works. Waters and another member explained that the underlying program has an aggregate cap of $500,000 and that credits are prorated if requests exceed that amount; they also said the donations are primarily equipment, not cash. Some members raised concerns about whether businesses could also claim other tax deductions or credits, but the sponsor said the existing structure has been in place for years and has been revisited periodically. No vote was taken during the hearing excerpt provided.

Transcript Highlights:

• Those sections establish income verification requirements and allowable deductibles for individuals seeking
• > allowable verification requirements and allowable verification requirements and allowable deductibles
• <00:06:10.760> for<00:06:10.920> individuals<00:06:11.520> seeking deductibles for
• individuals seeking deductibles for individuals seeking medically<00:06:12.560> needy<00:06:12.960

Keywords: 1189, house, all

Summary: The committee first handled routine business, approving the minutes and consent calendar, then moved to the regular calendar of administrative rules. Department of Energy rule 25-220 was postponed until June at the sponsor’s request so stakeholders would have more time to review revised language. Several Department of Health and Human Services Medicaid-related rules were then considered, including 25-240, 25-265, and 26-33, each of which drew staff comments mainly about expired rule provisions and the agencies’ reliance on federal law, the Medicaid state plan, or other manuals. The committee approved those rules after brief questions, with the agencies stating they were already operating under the relevant federal or state-plan authority and, in one case, that rulemaking was underway to update an expired citation. The most extended discussion was on HHS Bureau of Aging rule 25-304, which had an amended conditional approval request. Staff explained the amendments clarified how case management agencies accept or deny cases, how telehealth participation is evaluated, and that the department sets the timing for accepting or denying cases under its existing authority. Staff also noted a separate issue about whether reimbursement rates must be in rule, but said the agency had long interpreted the statute to allow its approach and that any change would likely require legislation rather than committee objection. A provider representative testified against parts of the rule, arguing the case management agencies should not be required to accept referrals before contacting the participant, that telehealth decisions for other providers should remain with those providers, and that the quality-management section was duplicative and burdensome. Committee members questioned whether the telehealth language merely allowed case managers to say a service fit the client’s plan or instead gave them authority over another provider’s delivery method. The agency responded that case managers may determine what services an individual needs, but should not control how another licensed provider delivers those services. The discussion continued with no final action shown in the excerpt.