Transcript Highlights:

• <00:08:46.480> By plans, and workers comp coverage. By plans, and workers comp coverage.
• bill does not do is make coverage bill does not do is make coverage optional,<00:10:08.720> sort
• Through compensation insurance coverage.
• <00:48:24.079> The compensation insurance coverage. The compensation insurance coverage.
• So this insurance coverage policy.

Keywords: 1189, house, all

Transcript Highlights:

• 50:25.600> treatment<00:50:26.040> of coverage in Medicare for treatment of coverage in
• with this coverage. with this coverage.
• and expanded coverage in many states. and expanded coverage in many states.
• who have Medicaid coverage. who have Medicaid coverage.
• > already Reducing coverage that is already Reducing coverage that is already available<01:01:

Bills: HF4493, HF3133, HF4595, HF4143, HF4142, HF3756, HF4289, HF1724, HF2291, HF4568, HF4547

Keywords: opioid use disorder, OUD, medication-assisted treatment, MAT, pharmacist prescribing, pharmacy practice, controlled substances, Schedule III, Schedule IV, Schedule V, DEA registration, Board of Pharmacy, substance use disorder, addiction treatment, buprenorphine, naltrexone, harm reduction, prescription authority, pharmacist intern, Minnesota pharmacy law

Transcript Highlights:

• So it's just giving the companies an option to offer this as an optional coverage.
• The bill provides relative to coverage for orally administered anti-cancer medications.
• House Bill 76 provides relative to coverage for orally administered anti-cancer medications.
• So we have not updated the oral cancer coverage for oral chemotherapy medicines since 2012.
• So we have not updated the oral cancer coverage for oral chemotherapy medicines since 2012.

Bills: HB591, HB766

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, cancer treatment, anti-cancer medications, health insurance, copayment, cost-sharing, health policy, 974, senate, all

Transcript Highlights:

• So it's just giving the companies an option to offer this as an optional coverage.
• The bill provides relative to coverage for orally administered anti-cancer medications.
• House Bill 76 provides relative to coverage for orally administered anti-cancer medications.
• So we have not updated the oral cancer coverage for oral chemotherapy medicines since 2012.
• So we have not updated the oral cancer coverage for oral chemotherapy medicines since 2012.

Summary: The Senate Insurance Committee met on May 20, confirmed a quorum, and approved the May 13 minutes. The first bill heard was House Bill 591, which would create the Paid Family Leave Insurance Act as a voluntary private-market insurance option for employers, with no mandate, state program, or taxpayer cost. Senator Bass presented the bill, offered technical amendments, and after brief questions about why the framework was needed, the committee adopted the amendments and reported the bill favorably with amendments. The committee then took up House Bill 76, dealing with coverage for orally administered anti-cancer medications. Representative Amy Freeman and former Representative Julie Stokes explained that the bill updates Louisiana’s oral chemotherapy coverage law, which had not been revised since 2012, and addresses insurer rejection of newer oral cancer drugs. They also explained Amendment Set 4063, which was intended to restore the bill to the proper posture after changes made in the Appropriations Committee and to prohibit copayment adjustment programs such as accumulator or maximizer programs from reducing credit for manufacturer assistance toward deductibles and out-of-pocket maximums. Senator Bass raised a concern about prior authorization language and possible ERISA litigation, and department staff responded that the bill would not alter ERISA enforceability and that the fiscal note already reflected about $67,000 in OGB costs. After the amendments were adopted, Senator Bass moved to report HB 76 favorably with amendments, and the committee did so without opposition. Senator Carter thanked the bill authors for their advocacy on cancer-related issues and offered to help during the interim. The committee then adjourned.

Transcript Highlights:

• They have full-scope, state-funded coverage of this.
• The lack of coverage here. Okay, give me a second here.
• The goal is full-scope coverage, and we understand that.
• The goal is full-scope coverage, and we understand that.
• The goal is full-scope coverage, and we understand that.

Keywords: 987, senate, all

Summary: The subcommittee first heard May Revision items for child support, child care, and related human services. The Department of Child Support Services described two technical adjustments, which the LAO said raised no concerns. The Department of Social Services then walked through child care proposals, including a shift in how federal and Proposition 64 funding reductions would be absorbed, a 2.01% COLA, disaster-related child care infrastructure grants, an increase in in-contract administrative support costs for alternative payment agencies, reversion of prospective-pay implementation funding after a federal rule change, a one-time allocation to cover the first quarter of Cost of Care Plus payments in the next fiscal year, reappropriation for existing infrastructure grant closeout work, and estimates of unspent child care funds. The department also outlined trailer bill language on a single rate structure, site safety and emergency procedures, CalWORKs child care data sharing, and child care oversight. The LAO recommended that the Legislature seek more justification for shifting reductions from General Child Care to the Alternative Payment Program, noting that CAP reductions affect more slots and that General Child Care has had significant unspent funds. It supported removing prospective-pay funding, but recommended rejecting the administrative cost shift to a percentage-based rate because it could create future General Fund pressure. It also suggested the Legislature review alignment between the disaster grants and the child care infrastructure program. Senators and members pressed the administration on why the budget would reduce child care slots and COLA percentages while the state still has waitlists and unspent funds, and questioned the need for early funding of Cost of Care Plus payments and the move from a flat administrative amount to a percentage. Public commenters, including providers, advocates, county offices, and infrastructure partners, urged full COLA funding, preservation of child care slots, support for prospective pay, and continued investment in child care access and facilities. After a short recess, the committee moved to Part B on health and heard the Department of State Hospitals. DSH presented a May Revision budget of $3.2 billion and described proposals for a central utility plant replacement at Metropolitan State Hospital, an electronic health record implementation, reduced county bed billing authority due to phased-in LPS bed capacity, limited contract exemption authority for online clinical subscriptions, reversion of prior-year unspent operating funds, and a workforce development proposal shifting some costs to Behavioral Health Services Act funds, including support for an additional psychiatric training cohort at Napa. The department also outlined IST-related savings and a trailer bill to remove the sunset on the independent placement panel program.

Transcript Highlights:

• <01:50:44.480> shall explicitly states that coverage shall explicitly states that coverage
• <02:09:01.440> shall explicitly states that coverage shall explicitly states that coverage
• about Medicare coverage. about Medicare coverage.
• So, in short, higher premiums mean people without coverage or people with lower-quality coverage.
• But the health insurance coverage.

Keywords: 1189, house, all

Transcript Highlights:

• And this allows that fund to provide those premium assistance to all New Mexicans purchasing coverage
• How do you define significant coverage loss? Mr.
• It provides coverage, coverage, but it doesn't provide the access.
• We sent our wife to town to work so that she could have a job that had coverage.
• We sent the wife to town to go to work to get coverage.

Transcript Highlights:

• or that coverage is unaffordable.
• Health care, minimum wage job for half a month, I'm going to lose my coverage.
• or loss of coverage for individuals that do otherwise still continue to be eligible.
• So we are kind of forcing them into the coverage gap.
• that coverage is already essential to keeping them alive.

Summary: The Appropriations Committee considered a large agenda of bills and reported several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and a trust for Leila Estrada and Sapphire Williams, and CS/CS/SB 1266, which creates a cybersecurity experiential learning and clearance-readiness program through the Department of Commerce and Cyber Florida. The committee also approved SB 532 on clerks of court funding, allowing clerks to retain all excess Article V revenue rather than returning half to the state and clarifying foreclosure sale procedures. In addition, the committee passed CS/CS/SB 1602 and CS/CS/SB 1604 to create and fund a pilot housing program for veterans through the Florida Housing Finance Corporation, and CS/SB 1110 to expand Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including testimony from affected families and advocates. The committee also adopted an amendment and then favorably reported CS/CS/SB 1012 on inmate services, removing the bill’s medical-services compensation provisions while retaining changes to the inmate welfare trust fund and related facility uses. It also adopted a delete-all amendment and then favorably reported CS/CS/CS/SB 1614, which was narrowed to remove a provision allowing local governments to use excess fees to construct new buildings. The committee spent substantial time on CS/SB 17, a Medicaid oversight and transparency bill. The sponsor said the measure would create a joint legislative Medicaid oversight committee, authorize the Legislature to retain its own actuary, modernize Medicaid statutes, strengthen managed-care performance standards, and increase accountability for pharmacy benefit managers and related entities. After amendment, the committee adopted changes removing several PBM-related provisions while retaining the broader oversight framework. Testimony from supporters emphasized transparency, fraud prevention, and cost control, while a PBM trade association asked to continue working on affiliate-manufacturer, network, and payment issues. The bill was reported favorably. The most extensive discussion centered on CS/SB 1758, which proposes major changes to Medicaid and SNAP. The sponsor described five reforms: stronger fraud and overpayment recovery authority, a Medicaid work requirement for certain able-bodied adults, expanded behavioral-health services through Medicaid waivers, pharmacy-program changes to obtain rebates and reduce institutional costs, and SNAP/EBT reforms including photo IDs and work requirements. The committee adopted two amendments: one adding a transitional “glide path” for people who gain employment but risk losing Medicaid, and another exempting hospice patients with six months or less to live. Supporters argued the bill would reduce fraud, improve accountability, and encourage work, while opponents warned it would increase administrative burdens, push eligible people off coverage, and conflict with federal law or guidance. The bill remained under debate with extensive public testimony from advocates, providers, and affected families, and the transcript ends before final disposition on the measure.

Transcript Highlights:

• So currently it's a million-dollar coverage. Okay.
• The minute that my address is put into the app, then the million-dollar coverage kicks in currently.
• So appointment of all my own with far less by bill required liability coverage of all my own car. >>
• And then we we provide that coverage.
• By Senator Calatayud coverage for fertility preservation.

Keywords: 999, senate, all

Transcript Highlights:

• It requires health insurance coverage of medically necessary treatment for persons with acquired brain
• Those individuals with insurance coverage related to those brain injuries are not quite good enough to
• Secondly, there was a provision in Obamacare when it was passed that any coverage mandated by law in
• To clarify, health care insurers are not required to provide coverage for routine preventative dental
• The lack of coverage for these dental evaluations slows access to care.

Summary: The House Insurance Committee met on May 19 and first took up Senate Bill 509 on bank-owned life insurance. The bill would clarify that banks retain an insurable interest in former employees for purposes of exchanging underperforming bank-owned life insurance policies for better-performing ones. Members adopted a revised amendment set after withdrawing a prior version. Testimony focused heavily on whether consent from the insured former employee is required for any transfer or exchange, with supporters saying the bill is needed to address underperforming policies and opponents warning about unclear consent standards, data-transfer concerns, litigation risk, and possible federal tax issues. After debate, the committee reported SB 509 as amended by a 7-4 vote. The committee then heard Senate Bill 295, which requires health insurance coverage for medically necessary treatment for persons with acquired brain injuries, including cognitive rehabilitation and related services. Supporters from the Brain Injury Association of Louisiana and NeuroRestorative described gaps in post-acute care, high rates of discharge to unsafe home settings or nursing homes, and improved return-to-work outcomes when patients receive appropriate rehabilitation. An amendment was adopted to clarify federal essential health benefit limits and remove certain language, reducing the fiscal note to zero. The bill was then reported as amended without objection. Next, the committee considered Senate Bill 155, which requires coverage for medically necessary dental procedures needed for cancer treatment clearance, such as exams, imaging, and extractions. Cancer advocates, oncologists, and dental representatives said untreated dental problems can delay chemotherapy or radiation and lead to worse outcomes and higher costs. Cleanup amendments were adopted, and the bill was reported as amended. The committee also advanced Senate Bill 465, which tightens prompt-payment deadlines for health insurers, adds pharmacy payment provisions, and creates a recoupment timeline for dental claims; after technical and substantive amendments, it was reported as amended. Finally, the committee approved Senate Bill 276, creating a pre-appointment affidavit process for bail bond producers to ensure prior premiums, shortages, and forfeitures are resolved before a new insurer appointment, and House Resolution 260, which urges the Department of Insurance to study how out-of-network medical billing affects auto insurance rates. Both measures were reported favorably or as amended, and the committee adjourned after a motion to do so.

Transcript Highlights:

• I'm here today to testify in support of House 397, an act relative to cellular coverage.
• I'm here today to testify in support of House 397, an act relative to cellular coverage, which I hope
• Today, only around 19% of homeowners who heat with oil have this coverage.
• request those coverages is unrealistic.
• and then proactively request those coverages is unrealistic.

Keywords: 995, all

Summary: The committee heard testimony on a wide range of late-file energy bills, with much of the discussion focused on battery storage siting, gas system expansion, propane consumer protections, gas workforce safety, and a Taunton home-rule petition on water rates for manufactured housing communities. Representative Sweeney urged support for H. 4689 and H. 4690, which would impose a moratorium and setback requirements for lithium battery storage facilities, citing fire risk, proximity to homes, and environmental concerns. Several local officials and residents from Oakham, Tewksbury, and other communities described proposed battery projects near homes, schools, wetlands, and conservation land, while industry and clean-energy advocates argued the bills would effectively block storage development and conflict with state energy goals and existing fire-safety standards. The committee also heard strong support for S. 2290/H. 3547, a bill to prevent gas expansion near environmental justice communities, from environmental justice advocates, municipal officials, and clean-energy groups. Testimony emphasized rising gas bills, the cost of new pipelines, methane and health impacts, and the need to avoid locking in long-term gas infrastructure costs. Witnesses also discussed related bills on gas workforce safety, gas shut-off valves, and gas meter replacement plans, with labor representatives supporting safety-focused measures and opposing changes they said would weaken inspections, while consumer and environmental advocates argued that some utility replacement practices are unnecessarily expensive and should be reined in to reduce ratepayer costs. Other testimony included support for H. 3518 on propane gas ratepayer protections, with the witness arguing for clearer contract terms and website price disclosure, and support for S. 2652, which would authorize Taunton to create a separate water billing rate for manufactured housing communities because residents there are effectively paying higher water costs through rent due to a single master meter. No committee votes or final actions were taken during the hearing, and members mostly asked brief clarifying questions or made no comment after testimony.

Transcript Highlights:

• It used to be said that an individual or a family without health care coverage was one accident or illness
• Now, even those with coverage are facing insurmountable costs when someone becomes ill, with at the very
• This creates a single place for Minnesotans to go if they need help with their private insurance coverage
• And while there are subtle differences between each HMO and HMO coverage, those distinctions are not
• And the first one only had $40,000 worth of coverage and only covered 50% of my roof.

Bills: HF4881, HF4867, HF4422, HF4223

Keywords: healthcare, insurance, regulation, financial institutions, prescription drug affordability, consumer protection, restitution account, financial compensation, attorney general, distributions, property insurance, homeowners insurance, fire and allied lines, hail insurance, appraisal clause, loss adjustment, alternative dispute resolution, insurance claims, claim valuation, actual cash value

Transcript Highlights:

• an act relative to insurance coverage an act relative to insurance coverage for<00:04:48.720>
• <00:30:57.200> and ensure appropriate coverage and ensure appropriate coverage and hopefully
• does is we do have insurance coverage does is we do have insurance coverage for<01:55:10.800>
• Is that the same coverage that you have under your husband's coverage? >> Same.
• Um I do just contracts for coverage.

Keywords: 1191, senate, all

Transcript Highlights:

• That mismatch has created serious gaps in coverage, governance, and consumer protection.
• Two neighbors with identical coverage from the same fire could end up with two different protections
• Underwriting is the process insurers use to assess risk and price that coverage accordingly.
• It leads to our ability to provide the best coverage to the most people at the lowest cost.
• available, including access to additional coverage where applicable.

Keywords: 987, senate, all

Transcript Highlights:

• The guardrails, as we call them, are to say you can't drop your group coverage, your small group coverage
• The guardrails, as we call them, are to say you can't drop your group coverage, your small group coverage
• But if you use it for insurance premiums, it has to be for minimal essential coverage.
• But if you use it for insurance premiums, it has to be for minimal essential coverage.
• it's just drop small group coverage it's just drop small group coverage because<00:20:47.600>

Keywords: 1191, senate, all

Transcript Highlights:

• credit in order to prevent that coverage credit in order to prevent that coverage from<00:42:03.040
• I asked him if he understood that meant none of us would get insurance coverage.
• other cou cover coverage or faculty had other cou cover coverage or didn't<00:55:48.799> need
• So there's 50% coverage at nine credits, and then they need to reach 12 credits.
• kicks in so there's 50% coverage kicks in so there's 50% coverage<01:04:17.200> at<01:04:17.920

Keywords: 1183, house

Transcript Highlights:

• And you know, just to give you a sense of for people who may not otherwise want their coverage or may
• And you know, just to give you a sense of for people who may not otherwise want their coverage or may
• And you know, just to give you a sense of for people who may not otherwise want their coverage or may
• And you know, just to give you a sense of for people who may not otherwise want their coverage or may
• And you know, just to give you a sense of for people who may not otherwise want their coverage or may

Keywords: 928, house, all

Summary: The Fiscal Committee met on May 16, 2025, and first adopted a rules-and-procedures change extending online audit approval timelines for American Rescue Plan items through December 2026 and bipartisan infrastructure law items through June 30, 2027. The committee then approved the April 18 minutes and adopted the consent calendar with several items removed for separate discussion, including items from Tabs 4, 6, and 7. On Tab 4 item 2511, members questioned why the state was paying utility costs for the Laconia property while it is being sold. Commissioner Charlie Arlinghaus explained the budget line covered utilities generally, not just heat, that some buildings still require minimal heating, and that the main increase was tied to the Winnipesaukee River Basin Project wastewater charges. He said the charges had risen sharply, the property sale would eventually trigger a utility true-up at closing, and he would provide additional analysis. The committee then adopted the item. On Tab 4 item 25115, the Department of Justice said funding for a temporary fourth pathologist was removed from the 2026-2027 budget because it was no longer needed, and the committee adopted the item. On Tab 6 item 25126, Department of Health and Human Services officials explained the Medicaid managed care “withhold” as a performance incentive: about 2% of capitation payments are held back, then redistributed based on quality and operational metrics, with unearned amounts staying with the state until the end of the program and subject to actuarial requirements. They said the approach has improved performance and helped with Medicaid unwinding outreach, reducing enrollment by about 11,000 people in the past year. The committee adopted the item. On Tab 7 item 25139, the Department of Energy said it no longer needed an additional position because existing staff could handle the work, and the item was adopted. The committee also adopted regular-calendar items 25114 and 25131, noted that one regular-calendar item had been withdrawn, set the next meeting for June 20 at 11:00 a.m. in Room 100 of the State House, and adjourned after a motion and second.

Transcript Highlights:

• You are probably well aware from your work of RSA 999D that deals with indemnification and also coverage
• actors, and they've always been very, very cautious of extending what that immunity or liability coverage
• <00:33:24.799> However,<00:33:25.360> I liability coverage would be.
• However, I liability coverage would be.
• standard that does trigger the coverage standard that does trigger the coverage of<00:34:07.279>

Keywords: 928, house, all

Summary: The Legislative Administration Committee met to consider SB 197, which concerns medical supervision for the licensed registered nurse employed by the Legislative Facilities Committee. The main discussion focused on an amendment, 2025188H, that adds language about the chief medical officer’s authority to issue standing orders and includes immunity language for civil or criminal liability when acting in good faith and with reasonable care. John Williams of Health and Human Services explained that the language was modeled on similar provisions used for standing orders such as Narcan and epinephrine, and that it was vetted with the Attorney General’s office. Members raised questions about whether the immunity could shield mistakes or apply beyond the State House nurse; the chair clarified that the provision applies to the chief medical officer’s issuance of standing orders under this section, while the nurse’s practice remains governed by RSA 326. Representative Wade moved the amendment, which was seconded and adopted on a roll call vote of 10-0. The committee then voted on SB 197 as amended and recommended it ought to pass as amended, again by a 10-0 roll call vote. The bill was placed on consent, and the chair noted that a written committee report would be prepared. After the vote, the chair briefly updated members on other upcoming matters, including a Senate message on the Gold Star flag bill, the status of an enroll bills issue, and a Senate amendment to HB 248 on ethics. The committee also discussed scheduling for a joint historic committee meeting and a proposed Wentworth Cheswell portrait item, and members offered closing thanks to the chair, clerk, and staff for their work.

Transcript Highlights:

• <01:25:14.960> uh sharing um under insurance coverage uh sharing um under insurance coverage
• It might very well be that patients who are losing insurance coverage or electing to not maintain coverage
• It might very well be that patients who are losing insurance coverage or electing to not maintain coverage
• or se electing to not insurance coverage or se electing to not maintain<01:29:45.760> coverage
• I'm just going dropped off of coverage.

Transcript Highlights:

• Coverage remains mandatory.
• <00:08:46.480> By plans, and workers comp coverage. By plans, and workers comp coverage.
• bill does not do is make coverage bill does not do is make coverage optional,<00:10:08.720> sort
• <00:48:24.079> The compensation insurance coverage. The compensation insurance coverage.
• So this insurance coverage policy.

Keywords: 928, house, all

Summary: The committee opened its labor hearing on SB 655 and outlined the day’s schedule, including a later working session on SB 416 and an executive session planned for 2:30 p.m. Senator Dan Innis introduced SB 655, describing it as a technical bill affecting employee leasing companies/professional employer organizations (PEOs), workers’ compensation coverage, and a Senate-added minimum wage exemption for minor league baseball players covered by a collective bargaining agreement. He said the PEO change would let either the PEO or the client business hold workers’ comp coverage, while still requiring coverage, and argued it would align New Hampshire with most other states and reduce barriers for small businesses and multi-state employers. He also said the baseball provision would clarify wage treatment for minor league players and support the Manchester team. Justin Warell of Insperity testified in support of the PEO portion, explaining that PEOs provide HR, payroll, benefits administration, and workers’ compensation administration through a co-employment model. He said the bill would preserve mandatory coverage while allowing flexibility for the client or PEO to maintain the policy, which could help clients who already have preferred coverage or who face cost or administrative issues in multiple states. He noted that most clients would still remain under the PEO’s policy and said Insperity would submit written comments. Committee members asked about how the arrangement would work, whether the client or PEO would pay, and whether the bill would affect liability insurance packaging; Warell said the employer still bears the cost and that the bill mainly gives larger clients an option. One member asked him to remain available for possible follow-up after hearing from the labor department. Stephen Gonzalez of Major League Baseball testified in support of the minor league baseball exemption. He said MLB and the MLB Players Association negotiated a collective bargaining agreement that already provides players with salary, housing, meals, per diems, health and retirement benefits, disability continuation, tuition assistance, and signing bonuses. He argued that treating players as hourly workers creates impractical time-tracking problems because players do work-related activities on their own time, and said the bill would recognize them as salaried workers and avoid litigation over what counts as hours worked. Committee members questioned why the exemption was needed if players are already salaried and whether MLB could simply amend its CBA; Gonzalez said the bill would help prevent wage-and-hour lawsuits and noted that similar exemptions have been enacted in other states. No vote was taken during the hearing, and the chair indicated the bill would be considered for executive action later that afternoon.