Transcript Highlights:

• > no differentiation here between no differentiation here between disability<00:41:03.920> and
• pay.
• Um, no letter should be sent to anyone stating you shall pay without any review of their ability to pay
• Um, no letter should be sent to anyone stating you shall pay without any review of their ability to pay
• So if that of their ability to pay.

Keywords: 1191, senate, all

Transcript Highlights:

• Our goal is to be able to have enough money to pay our claims.
• We ran out of money, the reinsurance start paying.
• and the reinsurers pay based on what we project we're going to pay in the next 30 days.
• We can pay on those claims.
• So we pay to have the house deodorized.

Summary: The Assembly Insurance Committee held an oversight hearing on the California Fair Plan, focused on the plan’s rapid growth, its financial stability after the January Southern California wildfires, and its role as the insurer of last resort. Fair Plan officials explained that the plan was created in 1968, is a not-for-profit involuntary association of licensed property insurers, and is intended to be a temporary safety net until policyholders can return to the admitted market. They emphasized that the plan is not a state agency or taxpayer-funded, but is regulated by the Department of Insurance and supported by member-company assessments if claims exceed available funds. Victoria Roach and Armand Feliciano said the Fair Plan has grown sharply since 2018 and especially after market pullbacks by major insurers, reaching about 575,000 policies and roughly $600 billion in exposure by spring 2025. They noted that growth is increasingly occurring in lower wildfire-risk areas, where the plan can sometimes be cheaper than the voluntary market, and said this undermines depopulation back into the private market. They also discussed recent policy expansions, including coverage for farms, higher residential and commercial limits, and pending or proposed changes such as AB 290, SB 525, and AB 226, which would add tools like a line of credit and bond access. A major portion of the hearing addressed the January wildfire losses and the plan’s financial response. Fair Plan officials said they assessed member insurers for $1 billion after determining claims and cash flow would exceed available resources, and that the process was approved quickly and paid smoothly, with more than 80% of the assessment collected within 10 days. They also described the reinsurance tower, the plan’s limited surplus, and the need for actuarially sound rates to reduce future reliance on assessments. On claims handling, they said the plan has received over 5,500 claims from the fires, has paid more than $2.9 billion so far, expects total payments near $4 billion, and has focused on advancing payments quickly for total losses and other urgent needs. Members questioned the plan’s solvency, the growth in non-wildfire areas, claim denials, smoke-loss coverage, and how depopulation works. Roach said most closed claims without payment were duplicates rather than denials, and that smoke claims require direct physical loss under the policy, with coverage determined case by case. Public commenters from the California Building Industry Association and the Independent Insurance Agents and Brokers of California said the Fair Plan’s growth reflects a weak voluntary market, inadequate rates, and insurer fear of future assessments, and urged support for rate increases and AB 226. The hearing concluded with no vote, but with a commitment from Fair Plan officials to follow up on unanswered questions and continue providing more transparency through public data and website disclosures.

Transcript Highlights:

• We pay between 30 40 million dollars each year in property taxes. We have about 260 employees.
• You have a customer who is paying us monthly to lease equipment to power their home if the lights go
• However, I would say in the state of Florida and a general sense you would probably be paying sunrun
• about what you would be paying without sunrun.
• around what you would be paying before you went solar.

Transcript Highlights:

• It's, we, we need, if we're going to pay for programs, you probably want to make sure that they're actually
• going to be necessary for a, for a number of issues, but I, I think we also want to continue to, to pay
• We want to look more closely at where is that money going, who's using it, and what does it pay for,
• Um, we want to make sure that all of our compensation funds is, is paying.
• The assumption isn't that you would pay for all the things all at once or, or maybe ever.

Transcript Highlights:

• It revises rules for roof-related projects, differentiating between pitched roofs and flat roofs.
• Not every one of your constituents necessarily pays for, or is a customer of, these broadband or cable
• Not every one of your constituents necessarily pays for, or is a customer of, these broadband or cable
• those reasons, and the substantial impact that would come to the cost shift and lower our ability to pay
• Thank you. ...and the substantial impact that would come to the cost shift and lower our ability to pay

Summary: The Committee on Regulated Industries heard and advanced several bills, with the most extensive discussion centered on condominium issues, gambling enforcement, and public safety. CS/SB 592 on the My Safe Florida Condominium Pilot Program was amended to clarify the three-story eligibility threshold and to add sliding glass door wind-driven rain mitigation devices as an eligible improvement. A late-filed amendment to appropriate $500 million for the program failed on a 3-4 roll call vote, and the bill was then reported favorably. Members also took up CS/SB 1742, a broad condominium and cooperative association reform bill, which would give associations more flexibility on reserves after milestone inspections, require substitute budgets over certain spending increases, improve disclosure and conflict-of-interest rules, expand data collection, and extend some disclosure rescission periods; the committee adopted an amendment and reported the bill favorably. The committee also approved CS/SB 622 on pari-mutuel permit leasing, as amended to allow leasing to same-class permit holders or Hialeah permit holders and to make related wagering licenses discretionary rather than automatic. SB 1404 on illegal gambling was reported favorably after amendments allowing veterans organizations to seek declaratory rulings on machine compliance and adding ethics/revolving-door restrictions for Gaming Commission personnel; a late amendment concerning a Miami casino property was withdrawn. Testimony on that bill came from prosecutors, the Gaming Control Commission, veterans groups, and amusement machine operators, with supporters emphasizing organized crime enforcement and opponents seeking clearer definitions and compliance guidance. On public safety and infrastructure, SB 1682 to include 911 dispatchers in the definition of first responder was reported favorably with strong support from dispatchers and committee members. SB 818 on utility relocation and SB 1228 on spring restoration were also reported favorably, with counties opposing the utility bill as a taxpayer cost shift. SB 948 on flood disclosures for rental properties and condominium sales/rentals was reported favorably after support from environmental and flood advocacy groups. The committee also heard SB 604 on residential pool safety requirements, but the chair temporarily postponed it after concerns were raised about how the inspection requirement would work in cash transactions and whether it would require permits or delay closings.

Transcript Highlights:

• rent for homeowners of course do not pay rent for homeowners of course do not pay rent<00:30:31.640
• <00:34:20.720> they're what how much are you paying they're what how much are you paying they're
• out their increases in the differential out their increases in the differential change<01:53:50.360
• <02:44:15.160> lower commercial Industrials now paying lower commercial Industrials now paying
• <04:32:30.199> more Development uh households paying more Development uh households paying

Keywords: 928, house, all

Summary: The meeting was a Ways and Means briefing opened by the vice chair, who introduced Jason Wong of the Federal Home Loan Bank of Boston to discuss the national and regional economy. Wong focused on inflation, asking why it had fallen from about 9% in 2022 to the 2%–3% range, and what that meant for monetary policy and the risk of an economic downturn. He said the Fed’s target is 2%, noted that recent PCE inflation was about 2.4% and core PCE about 2.7%, and described the ongoing debate over whether interest rates should stay tight or be lowered further to protect the labor market. Wong explained that the improvement in inflation has been driven largely by goods prices, especially durable goods such as cars, appliances, and furniture, as well as non-durable goods like food. He said supply-chain disruptions during the pandemic caused major price spikes in 2022, but those pressures have eased and many goods prices are now at or below the Fed’s target. He also referenced the New York Fed’s Global Supply Chain Pressure Index, saying it showed extreme pandemic-era disruptions that have since receded. The main remaining inflation problem, he said, is in services, especially housing. Wong broke services into rent of shelter and all other services, explaining that shelter is a large share of household budgets and that housing inflation has a lag because rent measures often reflect older lease terms rather than current market rents. He said monthly Zillow data suggest market rents have cooled and may eventually feed through to official inflation measures. Members asked several questions about the chart’s time scale, the treatment of real estate, property taxes, and utilities, and Wong clarified that housing costs are counted in services and that the slides would be shared digitally. No votes or formal actions were taken.

Transcript Highlights:

• You need to pay attention to the money. But we're not going to kick people out.
• pay for their IDs.
• What differentiates those roles on a team?
• But how do we differentiate those?
• Are they able to pay a mortgage? Are they able to be a parent?

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Transcript Highlights:

• <00:22:48.559> fees they file monthly reports and pay fees they file monthly reports and pay
• <01:18:07.159> state federal funds to help us um pay state federal funds to help us um pay
• But we pay them the IRS evaluation for basically to keep them whole.
• receiving the majority of that pay receiving the majority of that pay payment<03:13:47.920> um
• at 177% and this is due to the 10% pay at 177% and this is due to the 10% pay raise<03:38:20.600

Keywords: 928, house, all

Summary: The Department of Safety presented an overview of highway fund and unrestricted revenue collections, focusing on the Division of Administration, the Road Toll Bureau, and the Division of Motor Vehicles. Amy Newbery explained that the main unrestricted funding sources are highway funds and general funds, with highway fund revenue of about $263 million in FY 2024 and a FY 2025 projection of $261.2 million. She said revenue growth has been modest and has not kept pace with costs, creating structural deficits that required general fund transfers of $50 million in FY 2022-23 and another $10 million in FY 2024-25 to balance the fund. Jennifer Hall described Road Toll operations, including motor fuel tax collection at the distributor level, compliance enforcement, and licensing for fuel distributors, transporters, IFTA carriers, and oil discharge/pollution control. Members asked about IFTA, dyed-fuel enforcement, the possibility of using the state forensic lab for dyed-fuel testing, and whether audit positions had been filled; the department said it recently hired a part-time fuel enforcement officer, still uses IRS testing, could explore lab testing, and had no audit vacancies. Hall also discussed factors affecting fuel-tax revenue, including gas prices, crude oil forecasts, weather, tourism, GDP, and inflation, and said FY 2024 road toll revenue was $127.5 million, above plan, with FY 2025 projected at $127.71 million. The committee then turned to DMV-related revenues. Newbery said motor vehicle registration revenue was $93.1 million in FY 2024 and is projected at $90.4 million in FY 2025, with the state share going directly to the highway fund. Members asked about the state/town fee split, the five-year registration cycle dip, the distribution of registration revenue by vehicle weight category, and the impact of electric-vehicle surcharges; the department said the five-year dip is still occurring and will fade over time, and it would follow up on the weight-category breakdown. The presentation also noted that driver-license revenues have stabilized, inspection revenues remain steady, plea-by-mail revenue was added to the highway fund in FY 2024, and general fund revenues tied to the department are relatively small and have declined as some functions moved to OPLC. No votes or formal actions were taken.

Transcript Highlights:

• declares it a felony for health care providers, health care institutions, or drug manufacturers to pay
• And when they pay that premium for them until they're done with them, and then that individual, when
• oh, by the way, the subsidy now goes away, and this individual who should be on Medicaid now has co-pays
• So how are we, how is the system, how are you going to differentiate between the bad actors and those
• going on here because technically now it is legal for someone to say, hey, if you switch plans, I'll pay

Bills: HB2408, HB2434, HB2725, HB2728, HB2729, HB2730, HB2731, HB2732, HB2733, SB1192, SB1398, SB1399, SB1494, SB1557, SB1813, SB1821

Keywords: nursing board, regulatory actions, disciplinary actions, expungement, healthcare professionalism, controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, prescription drugs, opioids, healthcare, pain management, utilization controls, AHCCCS, Department of Economic Security, social services, welfare programs, vocational rehabilitation

Transcript Highlights:

• So they're essentially paying a second person to do all that.
• You cannot pay me enough.
• Like my brother, who doesn't pay it.
• Like my brother, who doesn't pay it.
• If I go in to pay my bill, I pay what I owe. There’s no reduction there. Absolutely.

Keywords: 959, house, all

Transcript Highlights:

• <01:03:05.800> into<01:03:06.040> this pays Maximus, how much we pay into this pays
• onwards, the state pays all of that.
• And the state would pay the $17,000.
• And the state would pay the $17,000.
• <01:41:10.800> 10% the local school district to pay 10% the local school district to pay 10%

Keywords: 1189, house, all

Summary: The commission on the costing of special education met to review several documents and updates, including draft materials on residential placements, an LBA dispute resolution report, prior minutes, rate-setting rules, and a letter involving Senator Hassan. The minutes from March 16 were approved by motion, second, and one abstention. Members also received an update that the LBA special education performance audit is still pending; the report is expected to be very large, NHED and the Board of Education must review and comment before release, and it likely will not be available until late summer or early fall. The separate EFA audit was also noted as still unreleased, and members said they may return later to issues involving EFA costing and differentiated aid. A major focus was HB 1099, which would create a committee to study the cost and liability of providing educational services to students placed in residential facilities. The chair explained that the House version had passed unanimously and the bill was headed to a committee of conference. Members discussed a proposed amendment to add the phrase “including but not limited to” so the study would cover not only court-ordered or treatment-related placements but also other residential placements, including those tied to school district decisions. Some members said this was a substantial expansion, while others said it would simply give the committee broader latitude. Jason Stock of the Winnisquam Regional School Board described how the issue arose during budget work at Winnisquam, where the district was trying to determine who should pay for educational services for students living at Spaulding Youth Center in Northfield. He said the district had 10 students attending Winnisquam, including three foster students and seven students connected to Spaulding, and that Spaulding-specific invoicing for 2024-2025 totaled $141,417.05 for eight students. Members also discussed rising private placement tuition costs and the difficulty of determining residency and fiscal responsibility for students placed in residential settings. Department counsel explained that under RSA 193:27 and 193:28, children placed in a home for children may attend the local district school, and that special education cost responsibility depends on whether the student is identified as disabled and on the nature of the placement. Spaulding representatives had not yet presented by the end of the excerpt, and the committee was still working through the residency and funding questions.

Transcript Highlights:

• You talked about accountability as you look at the BK vpk providers there differentiated group.
• A lot of paradigm shift switching to this model allows the opportunity for more differentiated instruction

Keywords: 999, senate, all

Transcript Highlights:

• uh how those investments are paying out. uh how those investments are paying out.
• Someone has to pay for it.
• Someone's got to pay for it. Um that. Someone's got to pay for it.
• . you pay 30 would pay 30 days regardless. you pay 30 days<01:19:41.120> of<01:19:41.199> M
• Who the hell's paying for it? spend. Who the hell's paying for it?

Keywords: 1189, house, all

Transcript Highlights:

• Transactions are any employee transactions, promotions, demotions, pay, things like that.
• Transactions are any employee transactions: promotions, demotions, pay, things like that.
• so we can try to a shortage differential so we can try to attract<00:24:47.080> people<00:24:
• You pay for it over time. the facility on behalf of the state okay the facility on behalf of the state
• > over<01:04:22.760> time<01:04:23.760> okay The case, you pay for it over time,

Keywords: 910, house, all

Transcript Highlights:

• That includes things like co-pays.
• they join Medicare, and some co-pays. ...whatever monthly they join Medicare and some co-pays.
• co-pay for.
• There's a lot of ways, right, that we know that Medicare Advantage plans stop paying.
• No, no, no, no, the state pays. My mother was, no, I'm driving my mother.

Keywords: 962, all

Summary: The Complex Care Committee meeting focused first on a new Diabetes Caucus launched at the Capitol. Rep. Johnson described the caucus as a forum to educate people about type 1 and type 2 diabetes, genetic risk, early testing, pregnancy-related diabetes, and ways Medicaid policy might improve prevention and lower long-term costs. Members agreed the caucus could intersect with care management, and Carolyn Grandell of CHNCT offered to share information about current diabetes-related care management services at a future meeting. The committee then heard a detailed presentation from Alex Rigger of the Office of Health Strategy, who is moving to the Office of Policy and Management. He reviewed Connecticut health care benchmark data, including total health care expenditures, medical spending, and market-by-market trends. He said 2023 to 2024 per-capita spending grew more than 8.5% statewide and 14% in Medicaid, with long-term care accounting for about 46% of Medicaid spending and retail pharmacy also identified as a major cost driver. Members asked about enrollment changes, dual-eligible populations, Medicare Savings Program members, 340B drug pricing, and value-based payment models. Rigger explained that his office tracks alternate payment models and quality benchmarks, but does not separately capture 340B data. Discussion then shifted to Medicare Advantage, dual eligibles, and hospital discharge planning. Members said they want better data on how many Medicaid members are in Medicare Advantage plans and whether those plans shift costs back to Medicaid or affect access to care, especially for complex-care patients. Staff noted DSS does have some Medicare Advantage indicators and that CMS is developing encounter-data rules for states. Kathy Holt and others raised concerns about denials, nursing home stays, and the need to compare Medicaid spending for dual eligibles in Medicare Advantage versus traditional Medicare. The meeting ended with plans for follow-up data sharing, including Alex Rigger’s slides, the diabetes caucus materials, and a future discussion with DSS and other agencies; no formal votes were taken.

Transcript Highlights:

• We're determining whether insurance is going to pay for that service.
• Would have more control over what they were paying.
• It's about whether you pay your bills on time. I've had an example of a surgeon.
• They just pay their bills on time, but they don't have a credit card.
• That they use in credit scoring is your credit card—whether you pay your bill on time, how much you pay

Bills: HB712, HB722, HB946, HB1687, HB1809, HB1899, HB2528, HB2583, HB2741, HB2750, HB3021, HB3150, HB3265, HB3658, HB3812, HB3960, HB4392, HB4432

Keywords: prostate cancer, health benefit plans, insurance coverage, cost sharing, preventive health care, auto insurance, total loss evaluation, disclosure, insurance materials, vehicle appraisal, HB 946, Texas Insurance Code, automobile insurance claims, oral release, written release, settlement agreement, claim release, property damage, bodily injury, psychological injury

Transcript Highlights:

• >> Because without the money, they can't pay their staff.
• and they're paying taxes from the<05:23:15.280> get-go.
• Um, do the refugees themselves pay for their the costs of resettlement or flying in?
• >> Yes, they do pay back over time.
• going to pay back in time.

Keywords: 1189, house, all

Transcript Highlights:

• The hospitals pay nothing. The patients pay nothing. And that includes this toolkit.
• It costs about $17,000 for them for each student, which includes they have to pay a fee to the dental
• Tribes pay a better rate for services than IHS.
• This cost is often higher than what you would pay to get the same care from a dentist.
• And we don't differentiate between the poor and the rich.

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• They don't have a clubhouse, so they're stuck paying to reserve a school, pay for security, and reserve
• Do you know how much... actually, let me back up, do you just pay for the software?
• Just throwing out, what do you think the highest amount you would pay for that is?
• Say you're paying someone $25 an hour to work. That's 15 hours. It's a one-page form.
• This Texas bill does a great job in differentiating.

Bills: HB 1087, HB2504, HB4113, HB5144, HB5146, HB5377, HB5543, SB140, SB264, SB1244, SB1343, SB2121, HR868

Keywords: property owners, board vacancy, special election, association governance, community management, property owners' association, resale certificate, fees, real estate regulation, homeowners, HB 4113, Texas Rising Star Program, child care, child-care providers, Texas Workforce Commission, TWC, safety barriers, crash-rated bollards, bollards, playground safety

Transcript Highlights:

• All right, we definitely get informed when we don't pay. We get that notice letter right.
• Shall pay to the payee interest, right.
• Which will then not will break the chain of obligating you to have to pay interest.
• for their medications, to pay the electric bill, to buy groceries.
• I'll pay for the coffee.