Transcript Highlights:

• tourism in a way that truly benefits all our community members.
• The affected areas to benefit tourism in a way that truly benefits all our community members.
• Why would we give them the benefit?
• Every citizen in the state will benefit from it.
• I too own a rental property, and this would benefit me.

Bills: HB 118, HB 388, HB 114, HB 205, HB 2789, HB 2791, HB 499, HB 2960, HB 3163, HB 3135, HB 2427, HB 1618, HB 1672, HB 1722, HB 1338, HB 787, HB 2618, HB 879, HB 1126, HB 4134, HB 3513, HB 718, HB 1536, HB 1445, HB 1640, HB 1893, HB 1734, HB 3229, HB 3306, HB 1276, HB 3272, HB 3276, HB 3516, HB 4145, HB 1585, HB 4810, HB 2989, HB 2558, HB 3014, HB 2742, HB 1695, HB 29, HB 125, HB 145, HB 171, HB 255, HB 50, HB 363, HB 116, HB 491, HB 1495, HB 368, HB 1285, HB 1905, HB 2002, HB 917, HB 2723, HB 2067, HB 1238, HB 745, HB 1188, HB 1606, HB 2003, HB 2147, HB 2355, HB 2546, HB 2495, HB 2818, HB 2249, HB 3228, HB 3240, HB 1507, HB 658, HB 1748, HB 1851, HB 1922, HB 2798, HB 107, HB 1587, HB 3684, HB 118, HB 388, HB 114, HB 205, HB 2789, HB 2791, HB 499, HB 2960, HB 3163, HB 3135, HB 2427, HB 1618, HB 1672, HB 1722, HB 1338, HB 787, HB 2618, HB 879, HB 1126, HB 4134, HB 3513, HB 718, HB 1536, HB 1445, HB 1640, HB 1893, HB 1734, HB 3229, HB 3306, HB 1276, HB 3272, HB 3276, HB 3516, HB 4145, HB 1585, HB 4810, HB 2989, HB 2558, HB 3014, HB 2742, HB 1695, HB 609, HB 630, HB 420, HB 767, HB 1708, HB 1404, HB 2457, HB 140, HB 227, HB 913, HB 2198, HB 2763, HB 1261, HB 1135, HB 1318, HB 2358, HB 2765, HB 2735, HB 3307, HB 1242, HB 2842, HB 333, HB 201, HB 694, HB 2415, HB 155, HB 272, HB 405, HB 519, HB 1136, HB 1275, HB 1437, HB 1532, HB 1675, HB 1868, HB 1888, HB 1990, HB 2286, HB 2523, HB 3129, HB 3251, HB 3354, HB 3479, HB 3803, HB 3804, HB 3805, HB 3806, HB 3887, HB 4163, HB 4238, HB 1240, HB 1842, HB 2029, HB 2622, HB 3255, HB 654, HB 4643, HB 4945, HB 3611, HB 3724, HB 3623, HB 3810, HB 4127, HCR 78, HCR 12, SB 767

Keywords: HB 388, HB388, coordination of benefits, COB questionnaire, health benefit plan, health insurance, insurance commissioner, Texas Department of Insurance, uniform form, primary payer, secondary payer, multiple coverage, dual coverage, Medicaid, CHIP, managed care, HMO, small employer health plan, school district health coverage, self-funded plan

Transcript Highlights:

• Oliverson talk about the significance and importance of this legislation and what a benefit it would
• services. to a local intellectual and developmental disability authority for services of public benefits

Bills: HB 118, HB388, HB 114, HB205, HB2789, HB2791, HB499, HB2960, HB3163, HB3135, HB2427, HB1618, HB1672, HB1722, HB1338, HB787, HB2618, HB879, HB 1126, HB4134, HB3513, HB718, HB1536, HB1445, HB1640, HB1893, HB1734, HB3229, HB3306, HB 1276, HB3272, HB3276, HB3516, HB4145, HB1585, HB4810, HB2989, HB2558, HB3014, HB2742, HB1695, HB29, HB 125, HB145, HB171, HB255, HB50, HB363, HB 116, HB491, HB1495, HB368, HB 1285, HB1905, HB2002, HB917, HB2723, HB2067, HB 1238, HB745, HB 1188, HB1606, HB2003, HB2147, HB2355, HB2546, HB2495, HB2818, HB2249, HB3228, HB3240, HB1507, HB658, HB1748, HB1851, HB1922, HB2798, HB 107, HB1587, HB3684, HB 118, HB388, HB 114, HB205, HB2789, HB2791, HB499, HB2960, HB3163, HB3135, HB2427, HB1618, HB1672, HB1722, HB1338, HB787, HB2618, HB879, HB 1126, HB4134, HB3513, HB718, HB1536, HB1445, HB1640, HB1893, HB1734, HB3229, HB3306, HB 1276, HB3272, HB3276, HB3516, HB4145, HB1585, HB4810, HB2989, HB2558, HB3014, HB2742, HB1695, HB609, HB630, HB420, HB767, HB1708, HB1404, HB2457, HB140, HB227, HB913, HB2198, HB2763, HB 1261, HB 1135, HB1318, HB2358, HB2765, HB2735, HB3307, HB 1242, HB2842, HB333, HB201, HB694, HB2415, HB155, HB272, HB405, HB519, HB 1136, HB 1275, HB1437, HB1532, HB1675, HB1868, HB1888, HB1990, HB2286, HB2523, HB3129, HB3251, HB3354, HB3479, HB3803, HB3804, HB3805, HB3806, HB3887, HB4163, HB4238, HB 1240, HB1842, HB2029, HB2622, HB3255, HB654, HB4643, HB4945, HB3611, HB3724, HB3623, HB3810, HB4127, HCR78, HCR12, SB767

Keywords: HB 388, HB388, coordination of benefits, COB questionnaire, health benefit plan, health insurance, insurance commissioner, Texas Department of Insurance, uniform form, primary payer, secondary payer, multiple coverage, dual coverage, Medicaid, CHIP, managed care, HMO, small employer health plan, school district health coverage, self-funded plan

Transcript Highlights:

• And the state of Texas has benefited tremendously from this organization.
• HB 3735 by Schaffner relates to public health benefit coverage for prenatal care, childbirth, and postnatal
• For the Committee on Insurance, HB 3736 by Schaffner relates to public health benefit coverage for care
• plan coverage referred to the Committee on Human Services.
• HB 3814 by Pearson relates to health benefit plan coverage for permanent menopause and menopause medications

Keywords: 1184, house, all

Transcript Highlights:

• International Code Council, for those of you don't know, is a nonprofit public benefit corporation, about
• Second, in my letter, footnoted... ...benefits for insurers, benefits for the insured, and cost savings
• The bill's benefits include stabilizing the insurance market and avoiding disaster-related fiscal risks
• We've already made progress by raising Fair Plan residential and commercial coverage limits, enhancing
• We've already made progress by raising fair plan residential and commercial coverage limits, enhancing

Summary: The Assembly Appropriations Committee met on March 19, 2025, adopted its committee rules unanimously, and then heard a series of housing, insurance, and disaster-recovery bills. Early bills focused on wildfire relief and insurance issues, including AB 238 on mortgage forbearance for Los Angeles County wildfire survivors, AB 493 on insurance payout interest for homeowners, AB 597 on consumer protections after disasters, and AB 226 on strengthening the California FAIR Plan’s liquidity tools. Supporters generally framed these measures as necessary protections for disaster survivors and market stability, while opponents and concerned witnesses raised issues such as investor guidelines, compliance conflicts, and market disruption. Several members also noted equity concerns and the need to balance relief with consistency across the state. The committee also heard a cluster of housing-production bills. AB 306 proposed a six-year pause on new state building code updates affecting residential construction and limits on local code modifications, drawing strong support from housing and building industry groups who argued it would reduce costs and improve predictability. It also drew opposition from code, environmental, and clean-energy advocates, who warned about safety, local control, and the loss of important code updates. AB 253 would allow licensed third-party professionals to perform plan checks if local review takes 30 days or more, and AB 301 would impose state-agency permitting timelines similar to those already applied to local governments; both were presented as ways to reduce delays and speed housing development. AB 462 would exempt ADU construction from coastal development permit requirements in Los Angeles County, especially to aid fire recovery and expand housing supply. After hearing testimony and brief member discussion on each measure, the committee placed the bills on suspense or advanced them as appropriate. In the suspense hearing at the end of the meeting, the committee took up the suspense-file bills and reported AB 226, AB 238, AB 301, and AB 306 out with due pass recommendations on roll call votes. The meeting then adjourned.

Transcript Highlights:

• They help keep educators up to date on the latest developments and push for changes. that benefit students
• payable to an individual during a benefit year under the state of employment under employment insurance
• plan coverage for the hair prosthesis. for breast cancer patients referred to the command insurance
• Affairs, HB 261 by Gervin Hawkins, relating to the Health Benefit Plan coverage for the general anesthesia
• HB 262 by Busey, relating to the Health Benefit Plan coverage for the general anesthesia in connection

Keywords: 1184, house, all

Transcript Highlights:

• , not the benefit of protecting bad cops, but for the people's benefit.
• That's about 26,000 officers around the state that currently have this coverage.
• Missing from that statutory coverage is every sheriff's office, every county that y'all represent.
• There's not one deputy or one jailer that has that same coverage.
• the same coverage statewide.

Bills: SB 15

Keywords: law enforcement, department file, employee records, misconduct, confidentiality, Texas occupations code, 997, house, all

Transcript Highlights:

• , not the benefit of protecting bad cops, the people's benefit.
• That's about 26,000 officers around the state that currently have this coverage.
• Missing from that statutory coverage is every sheriff's office.
• Every county that y'all represent, there's not one deputy or one jailer that has that same coverage.
• the same, uh, coverage statewide.

Bills: SB 15

Keywords: law enforcement, department file, employee records, misconduct, confidentiality, Texas occupations code

Transcript Highlights:

• All right, next: House Bill 648, relative to insurance coverage for glucose monitoring.
• benefits it doesn't benefit just benefits it doesn't benefit just insurance<01:31:19.360> companies
• the insurance companies but it benefits the insurance companies but it benefits the general<01:31
• You know, I got that ice, and I broke my back, and went medical coverage.
• Um, you know, I have maximum coverages, okay, and I have an umbrella, right?

Keywords: 928, house, all

Summary: The subcommittee first reviewed its schedule, noting that 13 bills were being executed the next day and that additional subcommittee work would be scheduled around Town Meeting Day and the following session days. The chair explained that the committee would not meet on Town Meeting Day, would handle the remaining bills on the next available subcommittee day, and would continue any unfinished items later in the month. The committee then took up House Bill 774, which concerned Medicare-related coverage issues. Members discussed the bill’s purpose and the differences between Medicare standard and Medicare Advantage, with one member saying the proposal was informative but did not offer a workable solution. The committee also moved to inexpedient to legislate on House Bill 185, and the motion passed on a 6-0 vote. House Bill 241, relating to alternatives to opioids, was retained for further work. Members said the bill raised concerns about insurers effectively practicing medicine and about the lack of evidence on the efficacy of some alternative treatments, while also noting that chiropractic coverage mandates already exist in statute. The committee voted to retain the bill, with the motion passing 6-0. The most extended discussion was on House Bill 648, which would expand insurance coverage for glucose monitoring. Testimony and committee comments focused on whether coverage should be tied to insulin use or instead to a physician’s medical judgment, the role of continuous glucose monitoring for people with type 2 diabetes who are not on insulin, and the potential cost impact. An insurance department fiscal analyst said the original $22-per-member estimate was based on the unamended bill and that the amended version would require updated analysis; members agreed to retain the bill to narrow the eligible population and revisit the language later.

Transcript Highlights:

• relative to coverage of FDA-approved weight loss medications, qualifying patients, and coverage restrictions
• Simpson-Spell, Health Insurance Coverage, to require coverage for behavioral health crisis services.
• Bamberg: I don't know if I would call it a benefit back to them.
• I don't know if I would call it a benefit back to them.
• House Bill 1231 by Representative Barrow, Medicaid coverage for pregnant women, provides coverage for

Bills: HR223, HR224, HR225, HR226, HR227, HR228, HR229, HR230, HR231, HR232, HR233, HR234, HR235, HR236, HR237, HR238, HR239, HR240, HR241, HR242, HR243, HCR94, HCR95, HCR96, HCR97, HCR98, HCR99, HCR100, HR218, HR219, HR220, HR221, HR222, HCR91, HCR92, HCR93, SCR41, SCR42, SCR43, SCR44, SCR45, SCR46, SCR47, SCR48, SCR49, SCR50, SCR51, SCR52, SB259, SB347, SB398, SB469, SB483, SB518, HR37, HCR64, SCR11, SCR22, HB89, HB341, HB451, HB456, HB541, HB579, HB595, HB621, HB818, HB841, HB1064, HB1101, HB1165, HB1191, SB1, SB23, SB32, SB42, SB43, SB46, SB51, SB110, SB113, SB150, SB154, SB161, SB218, SB220, SB221, SB253, SB289, SB310, SB351, SB399, SB404, SB502, SB123, SB125, SB387, SB401, HB730, HCR41, HCR76, HCR77, HCR63, HCR69, HCR86, HR171, HCR49, HCR65, HCR72, SCR19, SCR3, SCR6, SCR18, HB64, HB68, HB92, HB130, HB175, HB198, HB437, HB457, HB488, HB646, HB763, HB909, HB971, HB981, HB1066, HB1089, HB1125, HB1154, HB1231, HB1246, HB1248, HB1249, HB276, HB508, HB512, HB599, HB632, HB656, HB998, HB1052, HB1084, HB1171, HB1193, HB1194, HB1204, HB1209, HB1250, SB47, SB82, SB106, SB206, SB210, SB248, SB305, SB376, SB397, SB441, SB2, SB19, SB24, SB50, SB70, SB96, SB101, SB103, SB104, SB114, SB122, SB159, SB160, SB173, SB180, SB182, SB260, SB412, SB418, SB424, SB442, SB460, SB476, HCR32, HB911, HB1223, HB798, HB824, HB989, HB1140, HB1166, HB1244, HB459, HB617, HB804, HB926, HB225, HB955, HB901, HB79, HR20, HR74, HB59, HB284, HB306, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB682, HB733, HB752, HB773, HB996, HB1035, HB1069, HB1113, HB1180, HB1203, HB1234, HB1240, SB89

Keywords: Southern Soul, Shreveport, tourism, economic development, cultural preservation, music history, Paul Hollis, United States Mint, Louisiana House of Representatives, commendation, honorary resolution, ceremonial resolution, public service, State Board of Elementary and Secondary Education, BESE, former legislator, Louisiana politics, recognition, tribute, House Resolution 224

Summary: The House convened with a quorum, prayer, pledge, and a series of personal privileges recognizing visitors and honorees, including Northside High students, the YMCA’s 175th anniversary, Literacy Day, Special Olympics Louisiana, a 75th wedding anniversary, police jurors, Young Marine Sergeant Valerie Uitt, Elmer’s, and other community guests. The chamber also received Senate messages, including refusal to concur in House amendments to SB 149, concurrence in several House measures, adoption of Senate resolutions, and passage of multiple Senate bills. House resolutions were introduced and many were adopted without objection, including measures honoring local events, organizations, and individuals, as well as resolutions on literacy, municipal day, firefighters appreciation, and sports-related commendations. Committee reports moved numerous House and Senate bills and resolutions forward, and members were urged to monitor the Senate calendar to ensure House bills had Senate sponsors before being returned late in session. Several bills were debated and passed. HB 175 created a Veterans Service Grant Fund funded by $500,000 annually from Louisiana Lottery net proceeds, overseen by a board within the Department of Veterans Affairs to award grants to eligible veteran-serving nonprofits, colleges, JROTC programs, veteran courts, and local governments; it passed after questions about the use of lottery proceeds and the role of nonprofits. HB 198 authorized ambulatory surgical centers to perform certain procedures and be reimbursed at Medicare rates, and HB 437 restricted expert witnesses from receiving contingency-style compensation tied to case outcomes after debate over ethics and whether the bill was necessary. HB 488 created the Bell Chase Bridge Merit-Based Special Fund to support the bridge toll buyback effort. HB 763 required a centralized public database of government settlement agreements and consent decrees, with confidentiality protections preserved, and passed after questions about sensitive cases. HB 989 required commercial health coverage for behavioral health crisis services, HB 971 addressed Medicaid reimbursement parity for rural health clinics, HB 981 created a law enforcement recruitment/retention incentive stipend for campus police at public postsecondary institutions, HB 1066 clarified that campus police are not eligible for state supplemental pay, and HB 1089 established care accounts for future medical expense awards, with amendments limiting certain case types and providing for reversion of unused funds. The House also reconsidered and defeated HB 225, a constitutional amendment to impose a lifetime gubernatorial term limit, and HB 730, concerning airport authority regulation of automatic dependent surveillance broadcast systems. Several resolutions were adopted, including HCR 76 continuing a health inequities task force, HJR 77 urging federal action on H-2B seasonal employer designation for the crawfish industry, HJR 67 creating a task force on military drivers without civilian licenses, and HCR 69 urging DOTD to study Interstate 12 safety improvements. The chamber adopted numerous additional commemorative resolutions and concurred in Senate resolutions recognizing sports figures, Mental Health Awareness Month, state observances, and school achievements. Overall, the day featured a mix of ceremonial recognitions, committee reporting, and floor action on veterans, health care, transparency, labor, transportation, law enforcement, and court-related legislation.

Transcript Highlights:

• Most people have uninsured coverage. They have opt for more glass coverage.
• That's 100% full coverage, you do.
• Uninsured motorist coverage. is it? Uninsured motorist coverage.
• There is also individual coverage, not only employer-provided coverage, and individuals can buy it.
• health benefits. health benefits.

Keywords: 1189, house, all

Transcript Highlights:

• SB 1404, provider benefits, employees, injuries. Finance.
• SB 1296, health insurance, private employers coverage.
• insurance, private employers coverage.
• SB 1372, Medicaid dental benefit study committee.
• SB 1372, Medicaid dental benefit study committee.

Keywords: 1182, all

Summary: The Senate convened with prayer, the Pledge of Allegiance, and an electronic roll call showing 30 members present. The body approved the previous journal and then paused for several memorial and guest recognitions, including a moment of silence for former Representative Noel Campbell, who died in a motorcycle accident. The chamber also welcomed visiting school district leaders, Grand Canyon University Government and History Club students, and Food Bank Day at the Capitol participants. Members then adopted a proclamation recognizing International Holocaust Remembrance Day, with remarks emphasizing the history of the Holocaust, the rise in antisemitism, and the importance of education and remembrance. A guest shared a personal family story about escaping Germany in 1938. Senator Bolick also read a proclamation for National School Choice Week, highlighting Arizona’s public, charter, private, homeschool, and microschool options and urging members to engage with schools in their districts. The Senate received numerous governor communications and introduced a long list of first- and second-reading bills covering topics such as education, water, energy, public safety, elections, health care, taxes, housing, and border issues. The chamber also received House Concurrent Resolution 2045 honoring the late Congressman Raul Grijalva; it was adopted unanimously, and the Senate observed a moment of silence. The session ended with committee announcements for the next day and adjournment until Wednesday, January 28, 2026 at 1:15 p.m.

Transcript Highlights:

• Expanding property insurance coverage and trying to address the enormous gaps in insurance that have
• The state would provide consistent coverage in high- and low-risk areas alike.
• The state would provide consistent coverage in high- and low-risk areas alike.
• I could see the benefits, the potential benefits, for that. All right. Let us go to Senator Reyes.
• The state needs durable funding to pay for wildfire costs that directly benefits victims.

Keywords: 987, senate, all

Summary: The committee held the first of several informational hearings on the SB 254 Natural Catastrophe Resiliency Study, focused on wildfire risk, utility liability, and how to finance catastrophic losses. Chair Allen opened by describing California’s recent utility-ignited wildfires, the creation of the wildfire fund under AB 1054, and SB 254’s extension of that fund and requirement for a study. The California Earthquake Authority, as wildfire fund administrator, presented the report’s process and findings, emphasizing that the study was intended to be neutral and broad, based on extensive stakeholder outreach, and that the status quo is not working well for survivors, communities, ratepayers, insurers, or utilities. CEA’s report organized recommendations into three policy pathways: continued mitigation investment, more equitable allocation of catastrophe burdens, and expanded state roles in catastrophe financing. For utilities, the report discussed options such as setting a binding risk-tolerance standard, preserving safety certificate accountability, tying executive compensation more directly to safety, creating confidential reporting with safe-harbor protections, reforming utility liability including possible changes to inverse condemnation, limiting damages, reducing insurance subrogation, and creating a fast-pay facility for survivors. The financing analysis compared a more durable wildfire fund, risk transfer/reinsurance, liability reforms, and state-backed mechanisms such as a state insurer, a state backstop, and broader funding for community wildfire mitigation. The CPUC said wildfire mitigation oversight has improved, but wildfire-related costs are driving electricity bills higher and creating an affordability crisis. The Office of Energy Infrastructure Safety highlighted its wildfire mitigation plan review and field inspections, and recommended stronger safety reporting and more safety-weighted executive compensation. In member discussion, senators and assemblymembers focused on the cost of the status quo, whether the burden should be shared by ratepayers, utilities, the state, or other parties, and whether California should consider broader disaster-financing approaches. Several members raised concerns about inverse condemnation, the pace of survivor compensation, local land-use responsibility, and the need for a more comprehensive statewide solution rather than piecemeal bills. No votes or formal actions were taken; the hearing was informational only.

Transcript Highlights:

• . coverage. coverage.
• That's $5,000 minimum per coverage. That's $5,000 minimum per person. person. person.
• Is that coverage still in effect today?
• Is that coverage still get them covered.
• So, we might want to pull back a little bit on what we can afford for drug coverage and hospital coverage

Bills: HCR18, HCR32, HCR35, HCR105, HCR173

Keywords: hospice, health care, aging population, regulations, Medicare, working group, fraud prevention, quality of care, mental health, recidivism, civil commitment, Hawaii State Hospital, justice system, shelter, treatment pathways, biomarker testing, health insurance, precision medicine, healthcare access, medical necessity

Summary: The committee heard testimony on SCR 21 SD1, which asks Hawaii Health Systems Corporation’s East Hawaii Regional Health Care System to study the feasibility of a rural health clinic or similar access point for the Volcano community. Testimony in strong support came from HHSC representatives, Volcano residents, the Volcano Health Collaborative, the Rotary Club of Volcano, and others, who said the area has a clear need and that local primary and urgent care would align with regional plans. HHSC said it had already looked at the area, found no suitable temporary buildings, and would need a longer-term, capital-intensive solution, but that the study could help accelerate next steps. The committee then took up SCR 50 SD1, proposing a Hawaii Health Plan Working Group to design a basic affordable health plan for residents. Dr. Jack Lewin of SHIPTA said the state faces a growing uninsured population and argued for a short-term, lower-cost plan focused on preventive and primary care, drawing on the old State Health Insurance Plan as a possible model. Members asked about whether that prior program still exists and whether the working group should include the Hawaii Medical Association and Hawaii Primary Care Association; Dr. Lewin said the statute still exists but is unfunded, and that the group should be inclusive. The Department of Labor and other organizations also provided comments. For SCR 75 SD1, which urges a coordinated interdepartmental effort to reduce fetal alcohol spectrum disorder, Dr. Lewin and others said prevention, prenatal screening, and early intervention are needed because FASD is often hidden until later problems appear. Amanda from Hawaii FASD Action Group said current implementation under Act 192 is still largely a landscape analysis and that Hawaii lacks the infrastructure and specialists for a full system. Darlene Chance Govor urged adding the judiciary as a partner so juvenile justice and probation staff can be trained and referral pathways improved, while the Department of Health said it supports prevention but prefers a broader, systems-based approach focused on child needs and upstream care. The Disability Rights Center supported the resolution and asked for an earlier reporting date. The committee also heard SCR 149 SD1, which seeks an informal working group to address complex patients with multiple diagnoses involving substance use, mental health, or chronic physical illness. The Hawaii Substance Abuse Coalition and Ke Nui Malo strongly supported the measure, saying current siloed systems leave people bouncing between medical, mental health, and substance use providers without coordinated care, often ending up in crisis, emergency rooms, or the justice system. They said integrated residential care and a coordinated working group could improve outcomes and align with federal funding opportunities. The transcript ended before any final vote or action on the measures was announced, and SCR 109 was noted as withdrawn from the agenda.

Transcript Highlights:

• <00:04:55.360> that mean another day of rental coverage that mean another day of rental coverage
• An extra delay can mean another day of rental coverage that they may be paying.
• <00:20:55.600> costs policies that drive coverage costs policies that drive coverage costs
• That is benefit a small select group.
• I had a different gap coverage. I had a different proposal. proposal. proposal.

Keywords: 1187, senate, all

Transcript Highlights:

• Expanding presumptive cancer coverage will reflect modern science and medical evidence, provide fairness
• reduce long-term costs by enabling early detection and treatment, and ensure families receive the benefits
• Expanding presumptive cancer<00:06:52.560> coverage<00:06:52.960> will<00:06:53.199>
• reflect<00:06:53.520> modern cancer coverage will reflect modern cancer coverage will reflect
• ensure families receive the benefits ensure families receive the benefits they've<00:07:06.479><

Keywords: 958, all

Summary: The committee began with introductions of interns and then took up two bills. House Bill 34, presented by Representative Bant with testimony from Kentucky Professional Firefighters, would expand Kentucky’s presumptive cancer coverage for firefighters. The witness argued that occupational cancer is now the leading cause of line-of-duty deaths for firefighters and asked that additional cancers, including prostate, pancreatic, thyroid, breast, esophageal, and multiple melanoma, be added to the law. Members asked about the fiscal impact, which was described as indeterminable, and several members voiced support for the bill and for first responders. After discussion, House Bill 34 received a motion and second and was approved by the committee with favorable expression. The roll call showed broad support, with Representative Thomas voting no and the rest of the committee voting yes. The committee then heard House Bill 214 from Representative Wesley, which would create a disabled veterans account program to fund accessibility ramps for disabled veterans’ residences. The bill was described as covering pre-built or custom-built ramps for homes and defining eligible recipients. It also received a motion and second, passed with favorable expression, and the roll call again showed overwhelming support with Representative Thomas voting no and the remaining members voting yes. The meeting ended with an announcement about a National Guard Association legislative breakfast the next day.

Transcript Highlights:

• Deficiencies were noted in properly suspending and reinstating benefit coverages of incarcerated juveniles
• Program, or D-SNAP; the remaining employee received $5,837 in Medicaid benefits.
• Medicaid provides health care coverage to low-income adults, children, the aged, blind, and disabled,
• Medicaid provides health care coverage to low-income adults, children, the aged, blind, and disabled,
• There are approximately nine divisions, and all of these divisions do something that benefits Medicaid

Summary: The Medicaid Subcommittee of the Legislative Joint Auditing Committee met to receive a primer on the subcommittee’s history and on how Medicaid oversight works in Arkansas. Legislative audit staff reviewed the subcommittee’s origins in response to earlier Medicaid audit concerns and explained that Medicaid is audited every year in the statewide single audit because it is a high-risk, large federal program. Staff summarized recent audit findings, including issues with eligibility controls, data matching, contractor charging, incarcerated juveniles’ coverage handling, provider eligibility support, and the state’s Medicaid recovery audit contractor exception request. They also noted a DHS departmental audit finding involving employees who improperly received benefits, which was referred for possible prosecution. The Department of Human Services gave an overview of the Medicaid program, describing eligibility groups, delivery systems (fee-for-service, managed care/PASSE, and premium assistance for expansion adults), the size of the program, and the agency’s budget and provider base. DHS also outlined the difference between state plan amendments and waivers and said other committee materials would be sent to members. The Office of Medicaid Inspector General described its role in detecting and preventing fraud, waste, and abuse, explaining that it investigates suspected intentional fraud, suspends providers when there is a credible allegation of fraud, recovers improper payments in mistake cases, and recommends policy changes when trends are identified. The Attorney General’s Medicaid Fraud Control Unit explained that it prosecutes provider fraud criminally and civilly, handles neglect, abuse, and exploitation cases in long-term care settings, and works with DHS, OMIG, and federal partners. Members asked about where cases are filed, how provider suspensions work, whether beneficiary fraud is investigated, and how education is provided to providers. DHS confirmed that beneficiary fraud cases are referred to local prosecutors and said the expansion population will move toward community engagement/work requirements under federal changes, with a soft launch planned before full implementation. The meeting ended with no formal votes beyond adoption of the prior minutes and no other committee actions.

Transcript Highlights:

• Yeah, so local laboratories, one of the things that we see a benefit of is that we have a bigger coverage
• How many other labs is this going to benefit? Madam Chair.
• So, Madam Chair, is this going to benefit...
• So, Madam Chair, is this going to benefit Quest and Tricor?
• There are local providers that could benefit, and other companies could currently benefit from this as

Keywords: 996, all

Transcript Highlights:

• whether coverage is a chair and plan companies can know whether coverage is a chair and plan accordingly
• So there's no variation race and no variation in coverage except to reflect their coverage option.
• And there's 3 coverage options.
• We typically see more campus letting that 90 per cent coverage.
• Unique probability it recurrence cat fund coverage. Right?

Transcript Highlights:

• Because I think there's obviously some things that we can do in the legislature that can benefit the
• So I'm going to say maybe North Dakota got the benefit of the treaty by having Fargo.
• .to coverage of IMD services.
• It's a gap in coverage that puts lives at risk.
• A lot of the problems that arise with that are also having some sort of medical coverage.

Summary: The committee met at Spirit Lake Tribe and heard an extended discussion with Spirit Lake tribal leaders and program directors about government-to-government relations with the state. Chairwoman Street and others outlined a number of concerns and requests, including taxation of tribal and trust lands, state school support for non-beneficiary students, homelessness services, Indian-managed health care, gaming/e-tabs, the Feather Alert system, industrial farming near waterways, tourism and cultural issues, and the need for more consistent tribal consultation. Committee members responded that many of these issues had previously been passed along without direct action, and several members emphasized the committee’s role in education, communication, and preparing possible legislation or resolutions for the next session. Tribal representatives also offered to provide training on treaties, IHS 638, and compact services to help legislators better understand tribal jurisdiction and billing issues. A major portion of the meeting focused on Spirit Lake Fish and Wildlife concerns, especially jurisdictional “gray areas” around hunting and fishing on the reservation, recognition of tribal licenses, and the boundary of the reservation around Spirit Lake/Devils Lake. Tribal officials said they wanted a co-stewardship agreement or MOU with the state to clarify jurisdiction, improve cooperation, and address invasive species and aquatic nuisance species. Committee members discussed whether to draft legislation or a resolution directing the executive branch and state agencies to negotiate such an agreement, and they asked for further input from the North Dakota Game and Fish Department at a future meeting. The committee also discussed county involvement in land status changes and trust land issues, with Spirit Lake leaders describing a past Benson County resolution that tried to block fee-to-trust transfers and saying it was later rescinded. The committee then heard from Benson County tax equalization director Randy Thompson, who explained how the county values land and handles tax-exempt, inundated, and fee-to-trust parcels. Members asked about the impact of tax-exempt lands on county services and discussed prior legislation that helped counties with large tax-exempt bases. The committee also received a presentation from Dr. Steven Smith of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, including support for non-beneficiary students and workforce training. Members asked about expanding tribal college education into correctional settings, and Smith said the idea was worth exploring through the tribal college system. Finally, HHS interim medical services director Christoph Framing presented remotely on 1115 Medicaid waivers and the IMD exclusion, explaining current state funding mechanisms for inpatient and residential behavioral health services and the bill draft directing HHS to pursue a waiver for IMD payments.

Transcript Highlights:

• <00:49:11.599> and people needing the coverage and people needing the coverage and qualifying
• <00:49:12.880> the<00:49:13.119> coverage qualifying the coverage qualifying the coverage
• of uh adult dental Medicaid coverage of uh adult dental Medicaid coverage nationally.<01:15:47.360
• <01:16:53.679> are Medicaid uh their dental benefits are Medicaid uh their dental benefits
• The middle uh graph dental benefit.

Keywords: 928, house, all

Summary: The committee first approved the draft minutes from its May 29 meeting and then received an informational update from the Commission for the Deaf and Hard of Hearing about the state’s ASL interpreter pipeline. Representative Woods and Associate Commissioner Ann Landry explained that the American Sign Language program at UNH Manchester, the nation’s first fully accredited program, is facing viability concerns because high tuition has left only two of a potential 20 students committed so far. They warned that if enrollment does not recover, the program could face a teachout and eventually be lost, which they said would be detrimental because many state services and legal proceedings require qualified interpreters. Members discussed possible alternatives, including whether community colleges could help, and asked for follow-up research and contact information for UNH officials. The committee also heard that interpreter demand across DHHS continues to rise and that the department must ensure compliance with civil rights and service-access requirements. The committee then turned to Medicaid policy changes tied to Senate Bill 134 and a new federal interim final rule on Medicaid community engagement, or work, requirements. DHHS officials Olivia May and Ann Landry explained that the state law and federal rule align in many areas, but the committee still needed to decide how to implement several remaining policy choices. The department recommended adopting all four short-term hardship exceptions because the federal rule requires states to take them all or none: inpatient or institutional care, federally declared emergencies, high-unemployment areas, and extensive out-of-state travel for serious medical care. Members generally supported the exceptions but raised concerns about how they would be defined and applied, especially the emergency and medical-travel categories. Several legislators asked for more clarity on terms like “extensively” and “serious or complex medical care,” and DHHS said the federal rule does not rigidly define them, though the state could refine implementation through rulemaking if authorized. The department also said the emergency exception would apply only to federally declared emergencies, not state declarations, and would be tied to the emergency event itself. No final vote on the Medicaid policy was recorded in the portion provided, but the discussion indicated the committee was reviewing the remaining decisions needed to implement Senate Bill 134 under the new federal framework.