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:

• because motans value health coverage. because motans value health coverage.
• . coverage. coverage.
• > coverage.
• February 1st coverage. February 1st coverage. >> Represent. >> Represent.
• . coverage. coverage.

Keywords: 1183, house

Transcript Highlights:

• CMS is not required to provide rules until June of that year, and it makes coverage contingent on working
• Requirements that we implement align with the TANF and SNAP work requirements as well.
• Cost sharing requirements, I mentioned them.
• Cost sharing requirements, I mentioned them.
• H.R. 1 creates additional requirements like the work requirements, the increased eligibility checks.

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.

Bills: HCR6, HCR36, HCR175, HCR197, HB48, HB54, HB86, HB127, HB139, HB177, HB202, HB212, HB214, HB244, HB256, HB286, HB306, HB309, HB344, HB348, HB369, HB370, HB371, HB395, HB423, HB428, HB429, HB432, HB433, HB437, HB448, HB454, HB455, HB472, HB480, HB510, HB549, HB563, HB596, HB606, HB620, HB664, HB697, HB698, HB701, HB706, HB714, HB740, HB773, HB782, HB784, HB833, HB850, HB904, HB918, HB939, HB988, HB1020, HB1036, HB1037, HB1039, HB1050, HB1059, HB1079, HB1145, HB1155, HB1161, HB1164, HB1167, HB1260, HB1294, HB1295, HB1297, HB1308, HB1320, HB1325, HB1345, HB1391, HB1427, SB21, SB26, SB71, SB109, SB146, SB177, SB183, SB228, SB253, SB298, SB299, SB325, SB382, SB401, SB414, SB440, SB657, SB717, HB2001

Keywords: emergency medical treatment, abortion services, pregnancy care, reproductive health, hospitals, EMTALA, healthcare access, sister-state relationship, cultural exchange, international relations, Okayama, Hawaii, trade, tourism, Pacific governance, legislative cooperation, inter-parliamentary assembly, climate resilience, sustainable development, Hawaii-Japan relations

Bills: HCR6, HCR36, HCR175, HCR197, HB48, HB54, HB86, HB127, HB139, HB177, HB202, HB212, HB214, HB244, HB256, HB286, HB306, HB309, HB344, HB348, HB369, HB370, HB371, HB395, HB423, HB428, HB429, HB432, HB433, HB437, HB448, HB454, HB455, HB472, HB480, HB510, HB549, HB563, HB596, HB606, HB620, HB664, HB697, HB698, HB701, HB706, HB714, HB740, HB773, HB782, HB784, HB833, HB850, HB904, HB918, HB939, HB988, HB1020, HB1036, HB1037, HB1039, HB1050, HB1059, HB1079, HB1145, HB1155, HB1161, HB1164, HB1167, HB1260, HB1294, HB1295, HB1297, HB1308, HB1320, HB1325, HB1345, HB1391, HB1427, SB21, SB26, SB71, SB109, SB146, SB177, SB183, SB228, SB253, SB298, SB299, SB325, SB382, SB401, SB414, SB440, SB657, SB717, HB2001

Keywords: emergency medical treatment, abortion services, pregnancy care, reproductive health, hospitals, EMTALA, healthcare access, sister-state relationship, cultural exchange, international relations, Okayama, Hawaii, trade, tourism, Pacific governance, legislative cooperation, inter-parliamentary assembly, climate resilience, sustainable development, Hawaii-Japan relations

Bills: HB3419, HB4153, HB3430, HB3791, HB3277, HB4119, HB4408, HB3905, HB3968, HB3835, HB3386, HB2650, HB3742, HB3588, HB3748, HB4303, HB4311, HB3028, HB4428, HB4429, HB4132, HB1889, HB3265, HB1739, HB4434, HB3313, HB3852, HB4263, HB3413, HB3414, HB3415, HB3416, HB3417, HB3418, HB3420, HB2116, HB2206, HB3625, HB2939, HB3721, HB1823, HB2425, HB4440, HJR1087, HB4003, HJR1077, HB1770, HB1675, HB3627, HB3891, HJR1067, HB3462, HJR1053, HJR1054, HJR1044, HB3472, HB1225, HJR1019, HB4145, HJR1081, HB1746, HJR1069, HJR1050, HB1638, HB3327, HJR1055, HB3127, HB4488, HB2955, HB3781, HB3783, HB3802, HB2471, HB2937, SCR16, HB2960, HB3466, HB3262, HB3269, HB3152, HB4140, HB4142, HB3148, HB3378

Keywords: corruption, nonpublic information, government accountability, criminal law, public office, driver license, reading proficiency, minors, education requirements, alternative testing, attendance, remedial reading, public school, oath of enrollment, court financial obligations, cost hearing, payment plan, community service, court compliance program, debt relief

Transcript Highlights:

• Speaker, gentlemen, from Sandoval, I recognize that it also requires they can't require a permit, et
• Speaker, gentlelady, by requiring disclosure of the PFAS within a...
• At this time, it may require labeling requirements. Okay, thank you, Mr. Speaker.
• the EIB to require disclosure requirements of a product regardless of whether or not it's exempted, as
• So I'm just wondering how we're requiring, like, how do we require on page three the report of implementation

Bills: HB145, HB164, HJR6, HR1, HB20, HB65, HB66, HB80, HB166, HB295, HB306, SB29, SB37, HB99, HB206, HB213, HB270, HJR5, SB104, SB193, HJM2, HJM3, HJM1, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM13, HM47, HM20, HM51, HM1, HM31, HM35, HM36, HM46, HM53, HM54, HM39, HM11, HM14, HM21, HM34, HM50

Keywords: high-wage jobs, tax credit, job creation, New Mexico, economic development, lobbying, transparency, public records, government oversight, accountability, constitutional amendment, legislative sessions, veto override, New Mexico legislature, session length, House Resolution 1, HR1, House investigatory subcommittee, special committee, legislative investigation

Transcript Highlights:

• the Fannie and Freddie requirements for hurricane coverage.
• the Fannie and Freddie requirements for hurricane coverage.
• coverage.
• coverage.
• coverage.

Keywords: 910, house, all

Transcript Highlights:

• 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.
• If the Farm Bureau plans require, are the Farm Bureau plans required to pay all medically necessary health
• She requires 24-7 care and supervision.

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:

• It is not a new coverage mandate.
• The law has not changed, the coverage The law has not changed, the coverage should<00:01:56.520>
• in<00:07:37.760> coverage,<00:07:38.440> you create coverage gaps in coverage,
• you create coverage gaps in coverage, you invite<00:07:38.840> more<00:07:39.080> emergencies
• Thank you. coverage, figure out if um if they are coverage, figure out if um if they are covered<00:19

Keywords: 918, senate, all

Summary: Senators and House members held a press event in support of HF 4188, a bill addressing commercial insurance coverage for home care nursing for medically complex children who also receive medical assistance. Speakers said the issue arose after Medica and HealthPartners began imposing caps on coverage that had been provided for years under Minnesota law, and argued that the change would shift costs to Medicaid and taxpayers, create budget pressure, and force families to reduce other needed services. They emphasized that home care nursing is distinct from short-term home health visits and said the bill would prohibit quantity limits and clarify that insurers must continue covering authorized nursing care. Parents and family members described the impact on children who depend on continuous skilled nursing to remain safely at home, including one family whose child Nash has spent extensive time hospitalized and another speaker who said her niece Isabel’s care showed how many nurses, aides, and hospice workers are involved in these cases. Testimony stressed that the coverage caps could lead to more hospitalizations, ICU stays, and trauma for children and families, while costing more overall than home care. Several lawmakers, including Sen. Matt Klein and Rep. Robert Bierman, said the statute’s original intent was clear in 2010 and that the plans’ reinterpretation and the Commerce Department’s response should be corrected. Lawmakers said the Commerce and Consumer Protection Conference Committee has completed its work but is being kept open for the remaining days of session in hopes of resolving the issue this year. In response to questions, supporters said the bill is intended as a clarification rather than a new mandate, that it would simply bar caps on already-authorized home care nursing, and that they believe there is support to move it through the House and Senate before adjournment.

Transcript Highlights:

• DO TO HELP ALL THESE FLORIDIANS WHO ARE ABOUT TO LOSE COVERAGE BECAUSE OF THIS CHANGE.
• ARE ABSOLUTELY REQUIRING WILL SPEAK FOR FLORIDA STATUTES AND WE ARE ABSOLUTELY REQUIRING CARRIERS TO
• WE FULLY INTEND TO HOLD PEOPLE ACCOUNTABLE TO THAT 45 DAY REQUIREMENT.
• THAT MAP, THE SMALLER MAP THE RED INDICATES LESS COVERAGE AND THE GREEN I BELIEVE INDICATES MORE COVERAGE
• SO CLEARLY OUR COVERAGE IS BAD IN 2018.

Transcript Highlights:

• windstorm and hail coverage.
• Learning premiums for partial coverage or reduce critical instructional services.
• 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
• These consequences are requiring a verbal warning.

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:

• capping her nursing coverage.
• Nothing about Gwen nursing coverage.
• <00:03:21.200> coverage<00:03:21.600> changed coverage coverage changed coverage coverage
• required for 16 years. required for 16 years.
• If the coverage gap has caused.

Keywords: 918, senate, all

Summary: The committee heard public testimony on a health insurance/home care nursing provision and on other consumer protection items. Nick Keis and Emily Walters, both parents of medically complex children, testified that commercial health plans had recently begun capping home care nursing as if it were intermittent home health visits, which they said was contrary to Minnesota law and legislative intent dating to 2010. They described severe impacts on their families, including hospitalizations, loss of nursing coverage, strain on waiver budgets, and the risk of children being forced out of the home and into institutions. Representative Bierman echoed that the bill was a straightforward clarification of existing law, not a new mandate or added cost, and a staff member later cited the statutory definition of home care nursing as ongoing, continuous nursing services that cannot be met through intermittent or visit-based care. The committee also discussed the practical difference between home health visits and private duty/home care nursing, with testimony emphasizing that the latter is medically necessary, assessed, and not unlimited in practice. Laura Sales of the Minnesota Attorney General’s Office testified on changes to the Consumer Protection Restitution Fund (CIPRA). She said the fund has begun distributing restitution, starting with consumers harmed by the closure of Woodbury Dental Arts, but that current statutory language limits the office’s flexibility to prorate payments. She asked for an amendment allowing the AGO to distribute available funds more equitably so more eligible consumers can receive some payment, rather than requiring full payment to the oldest claims first. Annette Meeks, representing Citizens Against Gambling Expansion, testified in support of banning sweepstakes gambling in the Commerce Committee omnibus report. She argued that online sweepstakes casinos are an illegal gray-market form of gambling, cited rapid growth and billions in revenue, and said other states have acted through enforcement and legislation to stop them. She urged the committee to include language from Senate File 4474 to clarify state law and prohibit sweepstakes gambling. No votes were taken in the portion of the meeting shown; members mainly asked questions and received testimony.

Transcript Highlights:

• coverage, um retroactive uh coverage coverage, um retroactive uh coverage periods.<00:05:01.600>
• . engagement requirements.
• instituting work requirements. instituting work requirements.
• or other requirements of the program, or if they got other coverage or they just didn't turn in the
• So, I'm the work requirements.

Bills: HR1

Keywords: January 6 insurrection, pardon, law enforcement, violent crimes, public safety, justice system, political accountability, 1183, house

Transcript Highlights:

• HB 5188 by Lopez of Cameron, relating to the exemption of the retirement requirement of the teen of Herman
• HB 5190 by Wilson, relating to the required parental consent and interviewing a student regarding certain
• HB 5201 by Lopez Ocampo relates to requiring school districts to ensure that project managers overseeing
• HB 5201 by Lopez Ocampo relates to requiring school districts to ensure that project managers overseeing
• HB5370 by Cortez addresses additional requirements regarding regulatory matters.

Keywords: 1184, house, all

Transcript Highlights:

• So turning to page 5, what areas require further federal guidance?
• and redeterminations that are required.
• It waives the uniform tax requirement for the Medicaid provider tax.
• So specifically for student loans, H.R. 1 requires the U.S.
• of the health care coverage changes?

Keywords: 988, house, all

Transcript Highlights:

• As Chair Pazina mentioned, it is a bill that requires certain health plans to include coverage for fertility
• So this bill basically requires health plans to provide coverage, insured coverage, for those who don't
• Cancer patients often face this step while going through this without any coverage or limited coverage
• Cancer patients often face this step while going through this without any coverage or limited coverage
• An insurer that is affiliated with a religious organization is not required to provide coverage if the

Keywords: 909, all

Transcript Highlights:

• And so this retroactive coverage period covers that.
• The challenge is we've, these are new requirements.
• And then just to clarify the retroactive coverage: coverage when you're found effective is effective
• ...for the work requirements and so forth?
• That coverage is also really important for those subrecipients, right?

Keywords: House Room C, General Assembly Building, 976, house, all

Transcript Highlights:

• keep current with federal requirements. keep current with federal requirements.
• The new federal law says that if you don't meet the work requirement, you also can't get coverage on
• requirement is what 30 days. requirement is what 30 days.
• forward with a work requirement. forward with a work requirement.
• exparte review required. exparte review required.

Keywords: 1189, house, all

Transcript Highlights:

• The way the program works is it requires the law to require that the state provide coverage to all state
• The way the program works is it requires the law to require that the state provide coverage to all state
• The way the program works is it requires the law to require that the state provide coverage to all state
• coverage requires that the state provide coverage to<01:42:38.800> all<01:42:39.199> state
• <04:53:54.280> you<04:53:54.440> to coverage they can also um require you to coverage

Keywords: 928, house, all

Summary: The committee first heard testimony on House Bill 437, which would change New Hampshire law on undischarged mortgages by creating a shorter period after which certain old mortgages would be treated as unenforceable. Prime sponsor Representative Bill Boyd said the bill was developed with input from bankers, lawyers, realtors, the Attorney General’s office, and the Banking Department, and he noted a drafting correction needed on line 18. He explained that the proposal would replace current law with a new framework modeled partly on Massachusetts, including a five-year expiration after a stated maturity date and a 35-year period for mortgages without an expiration date. Supporters said the bill would help clear obsolete title defects, reduce costly quiet-title litigation, and make real estate transactions easier for consumers, attorneys, and conveyancers. Representative Mary Hakken-Phillips, Susan Cole of the New Hampshire Association of Realtors, and Michelle Coffin all testified in support, describing the bill as a consumer protection measure. They said undischarged or improperly discharged mortgages often surface during title searches, causing delays, legal expenses, and failed or delayed closings. Coffin and Hakken-Phillips emphasized that many of these cases involve old, effectively obsolete mortgages and that the current process often requires expensive court action even when no one contests the title. Cole described a recent transaction in which a title defect caused a buyer to walk away and later restart the financing process, creating costs for both buyer and seller. A committee member asked about notice to mortgage holders; the response was that the lender bears responsibility for recording and extending the mortgage, and that due process rights would remain if a lender later contested the discharge. Ryan Hill of the New Hampshire Bankers Association said the banking industry had reviewed the bill and was generally comfortable with it, while requesting a delayed effective date so members would have time to adjust their recording practices. He said the bill’s January 1, 2028 effective date reflected that request. After closing the hearing on HB 437, the committee opened a hearing on House Bill 721, the Gold and Silver Legal Tender Act. Representative Juliet Harvey-Bolia introduced it as a bipartisan economic justice bill intended to recognize gold and silver as legal tender, protect against inflation, and address concerns about trust, taxes, and government taking. She argued that gold is a stable store of value and discussed tax treatment in neighboring states, federal history, and digital gold platforms. The hearing on HB 721 was still in progress when the transcript ended, with the chair limiting questions because of time.