Transcript Highlights:

• <00:14:36.639> of housing I I was thinking of in terms of housing I I was thinking of in terms
• through alcoholism as a short-term through alcoholism as a short-term treatment<00:15:37.839>
• I think that we need to honor the contract that we have in place because that's the contract, whether
• opposed a bill to raise the Bingo limits opposed a bill to raise the Bingo limits for<00:32:20.279
• for fear that those higher Bingo limits for fear that those higher Bingo limits would<00:32:21.880

Keywords: 1191, senate, all

Transcript Highlights:

• term.
• And then in terms of the, I'm not quite sure what term is used, but you know, math, reading, etc.
• They don't need a full time contract; they need a part time job and full time contract, and the part
• Say they prefer that 40 of the contracts—over 40 of the contracts we signed on November 1 were part-time
• Very high level, it puts some limits on reauthorizations and some limits on eligibility for capital outlay

Keywords: 996, all

Transcript Highlights:

• At the same time, Magnolia was contracted, as mentioned.
• And then I think Bonton backed out, and then Magnolia took over as a contract.
• Can you tell me, because when you need a limited or a long-term fiscal administrator, ...or a long-term
• There is a contract. We talk about $10 million, up to $10 million, right?
• I don't know anything about the contracts.

Summary: The committee heard extensive testimony on the City of Tallulah’s water system and a request to appoint a limited fiscal administrator for the water utility. Senator Jackson and state officials described a long-running water crisis, including repeated failing grades from LDH, a public health emergency declaration, joint receivership efforts, and the need to expand the project beyond plant repairs to include the distribution system. They said the total cost is now estimated at about $26 million, with funding expected from USDA loans and grants, water sector funds, possible Delta Regional Authority assistance, and an emergency subfund that becomes available through limited fiscal administration. Chris Province of the Legislative Auditor’s Office explained that the system had received F grades from 2022 through 2025, that the city entered joint receivership in 2024, and that the governor declared a public health emergency in February 2025. He said the city adopted a resolution in April 2026 to enter limited fiscal administration, which was the basis for the committee’s action. Governor’s office staff and the mayor supported the request, saying the state partnership had improved water quality and that the limited administrator would help secure additional funding and move the project toward completion over roughly 24 months. Two residents spoke in opposition. One argued that Tallulah had recently elected a new council and that the committee should wait for new local leadership. Another said the state had mismanaged the project, questioned the use of funds and contracts, and argued that the city should receive the full amount of promised state funding without deductions. Committee members said the legal standard was met by the system’s failing grade and the emergency conditions, and they emphasized that the limited fiscal administrator would control only the water system finances. A motion to appoint a limited fiscal administrator for the Tallulah water system was made, seconded, and passed, followed by adjournment.

Transcript Highlights:

• Our union contract is the first ever union contract inside of Mass General Hospital, and that is not
• And they sign contracts. Yes. Correct? And you negotiate that, right?
• So, upper payment limit gets the PBMs out of the picture, right?
• So we'll adjust in that upper payment limit.
• So that is all factors that we look at. payment limit language.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a broad set of health care bills focused on cost, market oversight, pharmaceutical access, transparency, hospital closures, and pharmacy access. Chairs John Lawn and Cindy Friedman opened by emphasizing recent health care reforms and the need for further action on the drug supply chain, PBMs, private equity, and affordability. The committee heard testimony on several measures, including a Betsy Lehman Center bill to make technical changes and create a permanent trust account for federal and private funding, and bills on hospital profits and fairness, hospital closures and health planning, pharmacy deserts, and health care market oversight and pharmaceutical access. No votes were taken during the hearing. On the hospital profits bill, physicians and labor advocates strongly supported capping hospital CEO compensation at 50 times the lowest-paid worker, requiring greater financial transparency, and directing penalties from high-margin public hospitals into a Medicaid reimbursement fund. Testifiers argued that executive pay is excessive while frontline staff and safety-net services are under strain. Committee members raised concerns about unintended consequences, including whether hospitals might shift workers to contract status or lose executive talent, and whether the bill would actually direct money to the safety net. Supporters responded that the measure is one piece of a larger effort and that the bill’s Medicaid reimbursement provisions would help underserved hospitals. Testimony on market oversight and pharmaceutical access centered on rising health care and drug costs, PBM practices, and the proposal to give the Health Policy Commission authority to set upper payment limits for certain drugs. Consumer advocates, disability advocates, an independent pharmacist, the Attorney General’s office, and others supported stronger oversight, citing premium increases, affordability problems, and the impact of high drug prices on patients and community pharmacies. Pharma and some industry witnesses opposed parts of the bill, warning that upper payment limits could disrupt access, create legal issues, and fail to address the broader supply chain. The committee also heard support for stronger hospital closure notice and public hearing requirements, and for a pharmacy deserts bill aimed at identifying and addressing closures like the one in Roxbury that affected thousands of patients.

Transcript Highlights:

• <00:32:09.519> its 1976 to modify the law to limit its 1976 to modify the law to limit its
• and in other cases drastically limiting and in other cases drastically limiting the<00:32:17.200
• eligible for the state's short-term eligible for the state's short-term leave<01:26:23.119> program
• <01:26:35.280> disability topped out she has short-term disability topped out she has short-term
• <01:41:20.560> communication be honest um about limited communication be honest um about limited

Bills: HF1976

Keywords: paid leave, family leave, employment law, Minnesota statute, benefit eligibility, seasonal employment, workforce, labor rights, 1183, house

Transcript Highlights:

• and under medical contract and a clergy contract.
• and under medical contract and a clergy contract.
• <01:18:40.360> vacation inner workings of the contract vacation inner workings of the contract
• I just spent one term there; that was enough.
• I just spent one term there; that was enough.

Keywords: 928, house, all

Summary: The committee first took up House Bill 313 and, on motion by Representative Perez, voted to retain the bill because members felt it needed further work and was not ready for final action. The motion passed 18-0, and no further action was taken on the bill. House Bill 391, an anti-SLAPP measure, was then discussed; supporters said it addressed a real problem and should move forward, while opponents raised concerns that it was too broad, could affect criminal cases, and might create procedural complications. The committee voted 18-0 to retain HB 391 as well, and it was placed on consent. The committee next considered House Bill 462, establishing a cause of action for unwarranted video imaging of residential properties. Representative McFarland moved OTP, saying the bill raised First Amendment and property-rights concerns. The motion passed 18-0, and the bill was also placed on consent. The committee then turned to House Bill 509, which would require reporting on forfeitures. Supporters argued the information was useful for future legislation, while opponents said the reporting would be costly, duplicative, and potentially split data across fiscal years. The committee voted 11-7 to recommend OTP, with a minority of members opposed. House Bill 520, authorizing Department of Education hearing officers to issue subpoenas, drew the most extended debate. Supporters argued DOE needed the same tools other agencies have, while opponents said DOE already had access to needed information, the Attorney General could handle subpoenas, and the bill would create an unbalanced process and raise due process and student-record concerns. Representative Tur offered Amendment 0842H to shift subpoena power from DOE hearing officers to the Attorney General; after debate, the amendment failed 10-8. The transcript cuts off as the committee begins the roll call on the underlying bill after rejecting the amendment.

Transcript Highlights:

• The proposed positions will replace contracted project managers and transition the contract expenditures
• terms, and the contracts are aligned to realistic growth expectations over time, meaning that we are
• Connect waiver terms and conditions are expenditure authorities or limits and do not necessarily reflect
• Connect waiver terms and conditions are expenditure authorities or limits and do not necessarily reflect
• Then beyond that, we currently have about $30 million in contracts... ...in contracts for EMPATH crisis

Summary: The hearing opened with remarks from the chair and members about recent federal cuts to public health, mental health, family planning, and Title X funding, with strong concern about the impact on California programs and providers. The committee then turned to the Department of State Hospitals, which presented its 2025-26 budget proposal of $3.4 billion, including new positions, capital improvements, and funding tied to increased patient costs and incompetent-to-stand-trial services. DSH reported major progress in reducing the IST waitlist and wait times, said it had met the court’s 28-day treatment benchmark for those without extenuating circumstances, and described workforce recruitment and retention efforts such as residency programs, fellowships, outreach, and hiring streamlining. Members asked about future IST referral trends, SB 1323’s effect on diversion and community treatment, and workforce lessons in high-cost regions; public comment urged reconsideration of county IST growth cap methodology in light of new criminal justice initiatives. The committee next received an informational overview of Proposition 1 and its changes to behavioral health funding and governance. The Legislative Analyst’s Office explained that Prop. 1 restructured county MHSA funding buckets, expanded the Commission for Behavioral Health, shifted prevention and early intervention responsibilities, and authorized a $6.4 billion bond, including $4.4 billion for behavioral health facilities through BHCIP. DHCS said it had released guidance for county integrated plans and was receiving extensive public comment. Members focused on BHCIP application requirements, especially letters of support and tribal projects, and raised concerns about whether DHCS’s implementation matched statutory intent. DHCS said it had authority to set application requirements and that tribal entities were treated differently because of sovereignty and funding structure. DHCS then updated the committee on BHCIP, the Behavioral Health Bridge Housing Program, and related bond implementation. The department said BHCIP had awarded about $1.7 billion across five rounds, with more than 130 projects and 223 distinct facilities funded, and that it was preparing to award the new bond funds after receiving nearly $8 billion in applications. The LAO’s assessment found that more than half of awards served at least 80% Medi-Cal enrollees, but also raised concerns that the regional allocation model could reinforce inequities, that the program had not sufficiently addressed the highest-need regions such as the southern San Joaquin Valley, and that smaller counties and less launch-ready applicants faced barriers. For bridge housing, DHCS said more than $1.1 billion had been awarded, serving over 5,000 people and supporting more than 2,000 operational beds, but the Governor’s budget proposes to eliminate Round 4 funding as the administration weighs other statewide investments and Proposition 1 implementation workload. Public commenters and members urged more accountability, better regional equity, stronger labor and community involvement, and caution about funding for for-profit psychiatric facilities. Finally, the committee heard on the Children and Youth Behavioral Health Initiative. CalHHS and DHCS described CYBHI as a broad prevention- and equity-focused effort with more than 1,300 organizations funded, over $2.1 billion awarded, and multiple work streams spanning schools, community programs, workforce, and digital supports. DHCS highlighted school-based services, the fee schedule rollout, and digital platforms BrightLife Kids and Soluna, which it said are reaching users statewide and providing low-barrier access to coaching and support. Members and public commenters raised concerns about delays in school fee schedule implementation, the large share of funding going to digital tools, the need for more in-person services, and whether the initiative is sufficiently tracking outcomes and equity impacts. No formal votes were taken during the hearing.

Transcript Highlights:

• And we know right now our information is limited.
• Term employees. So let me just clarify, Mr.
• As a result, the state has limited visibility into the statewide impact and long-term sustainability.
• Their outcome measures would help to distinguish the short-term stabilization from long-term progress
• in terms of implementation.

Keywords: 996, all

Transcript Highlights:

• has um received the contract. has um received the contract.
• It's short-term gain, but long-term loss.
• contract back in 2020. contract back in 2020.
• long-term care industry. long-term care industry.
• So long-term care is carved out of the MCO contract.

Keywords: 958, all

Summary: The committee met with a quorum and first approved the minutes from its May 13 meeting. Members then reviewed a deferred contract with the Kentucky Board of Pharmacy for the Kentucky Pharmacist Recovery Network (KYPRN), a program that provides monitoring and support for pharmacists and pharmacy interns with substance abuse or mental health issues. Board representatives explained that the contract is a long-running arrangement, renewed periodically, with an option for two additional two-year renewals. Senators asked about the program’s structure, participation trends, follow-up, and consequences for noncompliance. The board said enrollment has remained fairly consistent at about 52 participants, with roughly 500 participants over the life of the program, weekly and monthly check-ins during the five-year typical enrollment period, and possible additional sanctions if participants fail to meet obligations. The committee then approved the contract. The committee next considered a group of economic development contracts, including items from the Cabinet for Economic Development. Secretary Jeff Null and general counsel Matt Wingate testified about contracts tied to regional innovation and entrepreneurship hubs. Members focused on the large differences in funding between regions and pressed for more support for rural and eastern Kentucky. Null said the cabinet is working on a more tailored, non-one-size-fits-all approach, including possible changes to capital support, build-to-suit options, and additional resources for rural areas. He said the hubs have helped 193 startups over the last two years and helped attract nearly $350 million in private capital, and he agreed to provide a written report by hub district on startup viability. The committee approved the economic development contracts. The Kentucky Lottery Corporation then presented its contracts with vendor IGT for retail and internet sales systems. Lottery officials said the contracts are mission-critical, cover both the traditional retail system and iLottery, and are structured as a percentage of sales so no payment is made until revenue is earned. They described planned equipment upgrades, including refreshed terminals, new ticket checkers, cashless vending and bill acceptors, and connected-play features that would link retail and online wallets. Officials said keeping the same vendor reduces the risk of business disruption and that the arrangement has already produced cost savings. They also said the lottery continues to see year-over-year growth and expects to meet its annual contribution target of $360 million for scholarships and grants. The committee approved the lottery contract after discussion.

Transcript Highlights:

• Construction contracts often include a non-negotiable term that requires a contractor to pay damages
• It's a take-it-or-leave-it situation; if you want this contract, you must agree to these terms.
• We're talking about a contract term, and the term that you're agreeing to is that to get this contract
• But if the contract term says I, the government entity, will make you pay even if I am the sole cause
• And the effectiveness of these investments is going to depend on fair and enforceable contract terms.

Bills: SB75, SB715, SB776, SB1299, SB1405, SB1968, SB2021, SB2077, SB2148, SB2321, SB2330, SB2411

Keywords: electric generation, reliability, ERCOT, Public Utility Commission, penalties, performance requirements, energy policy, construction contracts, compensatory damages, government delays, contractor, legislation, nonprofit donor privacy, membership lists, supporter confidentiality, volunteer privacy, association rights, public records exemption, Texas Public Information Act, government transparency

Transcript Highlights:

• You could probably point to the tax limitation and maybe the 50-cent debt limit, but otherwise, I'd say
• I’ve seen contracts with the state.
• “Only the U of H contract said there is no waiver of sovereign immunity in this contract, which means
• You mentioned the not cap, the limited waiver of $250,000, The not-cap, the limited waiver of $250,000
• The one thing that I would note that didn't come up in terms of the way that the TTCA and its limitation

Keywords: 1184, house, all

Transcript Highlights:

• There is a provision in all state contracts that the Attorney General has in their general terms and
• their grantate or the or state contract their grantate or the or state contract um<00:36:30.079>
• I think we can add another contract.
• time of the execution of a contract time of the execution of a contract subject<00:54:36.800>
• c> restrictions limitations on geographical restrictions limitations on geographical restrictions

Keywords: 912, senate, all

Summary: The Judiciary Committee heard testimony on HB 126, which would change civil asset forfeiture law. The Attorney General’s Office, Honolulu Police Department, and county prosecutors opposed the bill’s proposed SD1, arguing that requiring a criminal conviction and changing how forfeiture proceeds are distributed would weaken or effectively end the tool, create fiscal and law enforcement problems, and make it harder to address organized crime or cases where an owner cannot be identified. The Public Defender’s Office, Community Alliance on Prisons, Drug Policy Forum of Hawaii, and other supporters argued the measure would improve transparency and accountability, protect property rights, and reduce abuses that disproportionately affect low-income people. The chair questioned law enforcement about fairness, storage of seized property, and access to counsel, and the discussion focused heavily on whether forfeiture should depend on a conviction. No vote was taken. The committee then heard HB 280, which would make the Community Outreach Court permanent and appropriate funds for it as a division of the First Circuit district court. The Department of the Attorney General and Judiciary supported the concept and described the court’s success in helping people resolve cases, clear license stoppers, recall bench warrants, and access services, but suggested amendments to remove the Attorney General from the bill’s definition and funding mechanism. The Public Defender, Department of Human Services, mental health and substance use advocates, neighborhood and community groups, and others strongly supported the bill, emphasizing its benefits for people facing housing instability, behavioral health issues, and transportation barriers. No opposition was voiced, and no vote was taken. The committee also heard HB 370, which would increase partial public campaign financing for elective offices. The Campaign Spending Commission supported the original bill and asked the committee to restore the original percentage amounts, keep the proposed funding increases, and reinstate funding for two additional full-time staff positions. Supporters said the public financing system has not kept pace with inflation and needs modernization to be viable; a few testifiers opposed the measure. The committee reported 30 in support, two opposed, and one comment, and then moved on without a vote. Finally, HB 371 was heard, a campaign contribution bill that would bar state and county contractors, grantees, and certain related persons from contributing during the contract period. The Campaign Spending Commission said the bill is intended to address pay-to-play concerns and false-name contributions, while the State Procurement Office raised concerns about the burden of requiring agencies to provide contract information for all contracts regardless of dollar value. The testimony ended with the commission saying it was working with procurement and the Attorney General on implementation details; no vote was taken.

Transcript Highlights:

• This high rate of turnover is not limited to the superintendency.
• contract early.
• One was an antiquated bidding system for contracts.
• In addition to that, FTB is limited in terms of recovery of costs to 15% of all monies received.
• We may have some limits on what we can say with respect to the lease terms if there hasn't been a negotiation

Summary: The committee heard several audit requests and related testimony. The first major item was an audit of Coachella Valley Unified School District’s contract and fiscal management. The author and supporters described long-standing fiscal mismanagement, large budget shortfalls, layoffs, contracting concerns, and questions about the district’s foundation and use of public funds. District representatives and the Riverside County Office of Education said the district is already under fiscal oversight, has a stabilization plan, and is working to reduce deficits and improve student outcomes. After extensive debate and public comment, the motion to approve the audit was put on call because the committee did not have the required votes from both houses at that moment. The committee then approved an audit of East Bay transit agencies in Alameda and Contra Costa counties. Senator Wahab argued the region’s many overlapping transit agencies create fragmentation, duplication, and inefficiency, especially amid a fiscal cliff and possible future tax increases. Transit agencies and labor representatives opposed the audit, saying the agencies already undergo multiple audits, serve distinct local needs, and are implementing regional coordination efforts. After testimony from agency leaders and public commenters, the committee voted to approve the audit. The next item was an audit of California Community Colleges’ unrestricted reserves. Senator Archuleta and supporting faculty representatives said reserves have grown substantially and may be diverting resources from student services, instruction, and workforce programs. They argued there is little oversight when reserves become too high. The Chancellor’s Office and Calbright College were invited to respond, and the audit objectives focused on reserve growth, reasons for high balances, oversight by the Chancellor’s Office, and effects on students and staff. The transcript cuts off during the Chancellor’s Office response, so the final committee action on this item is not shown.

Transcript Highlights:

• Oh, contracts cycle.
• Oh, contracts.
• and the 3 point contracts.
• But under the some C 3 point contracts, the agency has a more robust program requirements in terms of
• of the contracts.

Transcript Highlights:

• <00:01:22.400> with other states decide to contract with other states decide to contract with
• barriers to patient care using limited barriers to patient care using limited networks,<00:02:15.840
• Um we've contracted we will<00:14:27.199> be<00:14:27.279> contracting<00:14:27.839>
• that includes the significant contracts that includes the significant contracts with<00:15:55.360
• > a<00:17:30.240> consultant the state contracted with a consultant the state contracted

Keywords: 1187, senate, all

Transcript Highlights:

• In terms of— Thank you very much.
• In terms of the public, in terms of the quasi-publics, I really think this should be subject to 30B.
• It does not implicate any contracts already in effect.
• I'm in my third term on the Newton City Council.
• I'm in my third term on the Newton City Council.

Keywords: 995, all

Summary: The Joint Committee on State Administration and Regulatory Oversight heard testimony on several procurement-related bills. Senator Lovely and steel industry witnesses supported S. 2167/H. 3411, which would require preference for U.S. manufacturers on public construction projects using steel and other materials. They argued that Canadian and other foreign fabricators underbid Massachusetts firms because of exchange rates, subsidies, and different labor-cost structures, causing local job losses and economic leakage. Committee members asked about tariffs, market share, and whether the bill should be folded into broader municipal legislation; the witnesses said public work should stay in Massachusetts and that the bill would help preserve local industry and jobs. The committee also heard strong support for S. 2107, a bill to increase employment opportunities for people with disabilities in state and municipal contracting. Work Inc. testified that a preference for contractors employing people with disabilities would expand competitive employment, reduce reliance on public assistance, and generate net savings for taxpayers. Members asked about the estimated savings and whether recent federal changes to benefits would affect the numbers; the witness said the figures may need updating but that the underlying employment opportunity remains important. Another bill, H. 3339/S. 2187, would prohibit state and municipal contracts for new artificial turf fields containing zinc, plastic, or intentionally added PFAS. Sponsors and supporters cited health risks, heat retention, injuries, and PFAS contamination, while committee members discussed local bans, disposal problems, and whether indoor facilities or alternative materials could be used. Inspector General Jeffrey Shapiro testified in favor of H. 12 and H. 13, which would update Chapter 30B procurement thresholds and allow municipalities to bundle snow hauling and removal with plowing contracts. He said the changes would give local governments more flexibility, reduce confusion between school and municipal procurement rules, and make snow contracts more attractive to vendors. Members questioned whether quasi-public agencies and state entities should also be subject to 30B, and Shapiro said many public entities have their own procedures but that transparency and fairness should apply across the board. The committee also heard support for S. 2150, a software licensing bill aimed at preventing vendor lock-in by ensuring state agencies can run purchased software in the infrastructure that best fits their needs; the witness said restrictive licensing can drive up costs and create cybersecurity and modernization problems, and that similar laws have already passed in several other states.

Transcript Highlights:

• That's about my limited knowledge.
• We are in a long-term contract with our LMA to do the operations. Structure.
• We are in a long-term contract with our LMA to do the operations, but they're going to be dependent upon
• So there's no time limit, though?
• Short-term psychiatric beds are limited, and people are distraught...

Keywords: 1185, senate, all

Transcript Highlights:

• my real my question is is that in terms my real my question is is that in terms of<00:51:45.720>
• Her A1C was below the limit.
• there might be some overlap, but a smart contract isn't analogous to a legal contract.
• there might be some overlap, but a smart contract isn't analogous to a legal contract.
• and legal contracts that smart contracts and legal contracts are<04:00:11.600> really<04:00:11.880

Keywords: 928, house, all

Summary: The committee held a public hearing on House Bill 552, which would remove the “full-time student” requirement for children ages 19 to 25 covered under the state retiree health insurance plan. The prime sponsor said the change would align retiree coverage with state employee and ACA plans, would not cost taxpayers because retirees pay the premiums, and could even reduce administrative burden and possibly state costs. The chair noted the bill simply removes the words “if full-time student” from statute and said the proposal affects very few retirees and has no cost to the state. No opposition was presented, and the chair closed the hearing on HB 552 after no further testimony. The committee then opened a public hearing on House Bill 648, which would require commercial insurance coverage for glucose monitoring devices and supplies for people with diabetes. The prime sponsor, a retired dietitian and diabetes educator, gave extensive testimony describing diabetes as common, costly, and serious, and argued that continuous glucose monitoring is important for managing type 2 and gestational diabetes, preventing hypoglycemia, and improving safety and decision-making. She said CGMs can alert users to dangerous blood sugar changes, help people understand how food, activity, and medication affect glucose, and save lives while offering a strong return on investment. During questions, a committee member asked whether the bill should specify that the monitoring be tied to prescribed treatment, and the sponsor agreed that adding “prescribed” would be appropriate. The member also asked about the proper threshold for coverage and whether the bill should be tied to fasting-test diagnosis; the sponsor responded that A1C is only one measure of control and does not show daily fluctuations, and said she was not prepared to recommend a specific threshold but could provide clinical guidelines later. No vote was taken during the hearing, and the sponsor indicated support for the bill’s general approach to broader CGM access.

Transcript Highlights:

• means ask it I'm going to have to limit means ask it I'm going to have to limit follow-ups<01:02
• I believe that this bill will help with some of that burden and hopefully will limit it. ...long-term
• voting on the contract?
• The voters do ultimately see the contract, and if they're upset with the terms or feel like it's not
• The voters do ultimately see the contract, and if they're upset with the terms or feel like it's not

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 232, which would protect health care workers’ conscience rights in connection with certain procedures, especially abortion and sterilization, and also referenced contraception. The prime sponsor, Rep. Mark Pearson, said the bill is meant to prevent medical professionals from being forced to participate in procedures that violate their beliefs, while still prohibiting discrimination against patients based on protected characteristics. He said the measure was intended to help retain health care workers in New Hampshire and noted he had added an amendment to address concerns about people taking jobs only to later refuse duties, as well as emergency situations where a provider is the only one available. Committee members raised concerns about how broadly the bill and amendment were written. Questions focused on whether the protections could apply to non-physician staff such as schedulers, receptionists, or pharmacy employees; whether a provider could refuse to schedule, refer, or otherwise assist with services; and how “emergency” would be determined in practice. Several members also questioned whether the bill could affect access to contraception, including pharmacy sales and procedures such as tubal ligation, and whether the language was clear enough to prevent confusion or unintended refusals of care. Pearson said the bill was not intended to allow refusal of emergency care or general patient discrimination, and he acknowledged some language could be tweaked. Rep. Paige Boerman, a maternal-child health nurse, testified in opposition, saying she had seen pharmacists question prescriptions related to miscarriage care and that the bill could create barriers to contraception and other reproductive health services. She warned that the lack of a disclosure requirement and the broad definitions could create risks, especially in rural areas with limited providers. She also pointed to problems she said had occurred in other states, arguing the bill could lead to delayed care in emergencies. The hearing ended after questions and discussion; no vote or final action was taken in the portion provided.

Transcript Highlights:

• or stop-loss coverage, short-term limited duration insurance, fixed indemnity health insurance, non-network
• contracts on the pharmacy side.
• That time limit—who's imposing a time limit on the doctors in your example?
• Some of those policies now limit the covered entities to having only one contracted pharmacy.
• limited-duration plans.

Keywords: 1184, house, all