Transcript Highlights:

• So we believe that this move is the right move for ambulatory surgery centers. Thank you.
• The most recent data, Thank you, Madam Chair.
• The most recent data that I have, Senator, is ending with 2024.
• CDC available data shows no statistics. ...and Arkansas's 92.5% rate.
• Our centers, plenty of time to debate. Dr. Necter.

Bills: S1082, S1168, S1756, S1156, S1480

Keywords: provider disputes, health plan, dispute resolution, Medicare, Medicaid, healthcare regulation, background screening, athletic coaches, youth sports, criminal history, expungement, Florida statutes, medical freedom, vaccination, ivermectin, healthcare practitioner liability, immunization exemptions, ambulatory surgical centers, patient safety, licensure

Summary: The committee took up several health-related bills. SB 1082, on a statewide provider and health plan claim dispute resolution program, was presented as a way to let providers and insurers use the federal independent dispute resolution process for emergency out-of-network claims under state-regulated commercial plans. A late-filed amendment clarified when providers and health plans could access the state program, and the bill was reported favorably as a committee substitute. SB 1168, which would centralize background screening clearinghouse functions at the Agency for Health Care Administration, also passed as amended after an amendment requiring sealed and expunged records to be included in screenings for qualified entities. Supporters said centralization would improve turnaround times, reduce duplication, and save costs; the sponsor said the bill also addresses coaches’ background screening language from last session. The committee then approved SB 1156, which moves ambulatory surgery center regulation out of the hospital-focused chapter of law into a standalone section, and SB 1480, as amended by a strike-all, which would grandfather certain temporary certificate holders practicing in areas of critical need if federal designation changes affect those areas. Testimony on SB 1480 emphasized continuity of care for patients in underserved communities, and the bill was reported favorably. The final and most heavily debated measure was SB 1756 on medical freedom, which would require state-approved educational materials on childhood vaccines, require practitioners to provide those materials and alternative schedules before vaccination, expand school immunization exemptions to include conscience-based objections, clarify that the Surgeon General cannot order vaccination during a public health emergency, and authorize pharmacists to provide ivermectin behind the counter without a prescription with written information and safeguards. The sponsor argued the bill strengthens parental choice and informed consent. Committee members raised concerns about vaccine-preventable disease risks, immunocompromised children, school outbreaks, and the impact of adding a new exemption. A Department of Health representative said the department would need to provide details on the history of exemption consultations and noted that removing the earlier consultation requirement had not been shown to increase outbreaks. The committee adopted a friendly amendment to give physicians the same liability protection as pharmacists for ivermectin dispensing, but rejected a substitute amendment that would have required a consultation for exemption requests. Public testimony was overwhelmingly opposed to the bill, with physicians, pediatric specialists, cancer advocates, parents of immunocompromised children, and public health groups warning that it would lower vaccination rates and endanger vulnerable Floridians. The bill remained pending after testimony, with the committee continuing to hear public comment.

Transcript Highlights:

• protesting based on equity or also known as unequal appraisal, that the CAD cannot use market value data
• finally, it also says in litigation if someone's filing a lawsuit based on equity that market value data
• there counties that are that large that don't have websites, I guess with that appraisal district data
• So we have in some cases, both a logistics issue where our data is changing as we're working through
• Uh, food and beverage service, uh, at, at a hotel or convention center or rental space has, has gone

Bills: HB148, HB203, HJR30

Keywords: HB 148, Texas Education Code, Texas Education Agency, TEA, artificial intelligence, AI, machine learning, automated scoring, constructed response, open-ended answers, student assessments, state testing, standardized tests, public schools, education policy, assessment instruments, school accountability, test scoring, 2026-2027 school year, ad valorem tax

Transcript Highlights:

• c><00:37:27.280> heavily<00:37:27.760> on centers had to rely heavily on centers had to
• Data shows that Western staffing.
• And this is because KDVA and veteran centers do not collect sufficient data on veterans demand.
• <00:45:58.160> will demand, KDVA and veteran centers will demand, KDVA and veteran centers
• KDVA and veteran centers also do not track admissions data well enough.

Keywords: Call to Order and Roll Call- 00:00:00 Approve Minutes from November 13, 2025- 00:00:55 RiverLink Tolling Operations for Louisville Bridges-Quarterhill Testimony- 00:01:48 Staff Report on Veterans’ Centers- 00:26:45 Kentucky Department of Veterans Affairs Response to Staff Report- 0:58:53 Adjournment- 1:18:00, 958, all

Summary: The committee first approved the minutes from the November 13, 2025 meeting and then heard testimony from Quarter Hill, the tolling subcontractor for RiverLink on the Indiana-Kentucky bridge system. Quarter Hill described its role in back-office support and call center operations for the Lincoln, Kennedy, and Lewis and Clark bridges, and said the contract began in 2021 with go-live in September 2023. The company reported that revenue has increased since it took over, customer service response times have improved, and it has been operating at a loss because the contract was based on outdated transaction estimates and did not account for higher-than-expected volume and added support costs. Members questioned Quarter Hill about the role of consultants, the low reported collection rate, and why the company was leaving the contract. Quarter Hill said a single large consulting engineering firm had been hired to help shape the RFP and contract, but argued that consultants and overly detailed requirements can create disputes and hinder efficient service. On collection rates, the company said the reported 85% rate reflects the absence of registration holds and other enforcement tools, and that the remaining unpaid tolls are the hardest to collect. The company also said it had lost significant money on the contract and had reached a change order and termination agreement, while emphasizing that the system itself was functioning well. The committee then received a staff report on Kentucky veterans centers. Staff said quality of care is generally high and staffing has improved, but reported occupancy figures are misleading because they are based on certified beds rather than functional capacity after conversions to single-occupancy rooms and capital projects. The report said actual occupancy is closer to 85% than the commonly reported 56%, and that increasing occupancy would not necessarily increase revenue because the state’s cost of care exceeds reimbursement and private-pay revenue. Recommendations included adopting functional occupancy reporting, continuing the move to single-occupancy rooms, reviewing modernization needs at Thompson Hood, including Eastern Kentucky in planning, and referring the Radcliffe HVAC procurement and installation to the Auditor of Public Accounts and Attorney General for review.

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=RNQv-btk0j8, 2026-06-21T07:17:16+00:00, 2.2.24, Data collected via generic collector engine, Call to Order and Roll Call- 00:00:01 Approve Minutes from February 09, 2026- 00:01:33 Staff Report on Evaluating Kentucky’s Ability To Monitor Unused And Underutilized Properties- 00:02:05 Kentucky Finance and Administration Cabinet Response to Staff Report-00:20:03 Historical Review of HVAC Installation at Radcliff Veterans’ Centers-00:36:21 Organ Donor Marks on Drivers’ Licenses-00:47:32 Adjornment-01:13:43, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• That is why all of our members, general purpose AI tools, outlaw CSAM's generation.
• getting generated kids as part of AI.
• AI tool that could generate any type of image.
• Brown and data purposes, can you have your staff provide to us some of the litigation?
• Center before being released. Inspired by our story, we researched...

Bills: HB32, HB15, HB171, HB421, HB581, HB644, HB745, HB349, HB917, HB204, HB923, HB15, HB171, HB204

Keywords: eviction, landlord rights, tenant rights, justice court, property law, court procedures, chemical dependency, court-ordered treatment, mental health, health care, treatment facility, juvenile justice, criminal justice reform, deep fake, digital impersonation, age verification, private cause of action, explicit content, consumer protection, HB 581

Transcript Highlights:

• Sarah Motaleb, an attorney with the Dallas Eviction Advocacy Center.
• I did pull all the data for Dallas County for the last four weeks.
• But luckily, we have data to show us exactly how long this process takes.
• It simply isn't true according to the data.
• Statewide data is not really collected on this.

Bills: HB32, HB15, HB171, HB421, HB581, HB644, HB745, HB349, HB917, HB204, HB923, HB15, HB171, HB204

Keywords: eviction, landlord rights, tenant rights, justice court, property law, court procedures, chemical dependency, court-ordered treatment, mental health, health care, treatment facility, juvenile justice, criminal justice reform, deep fake, digital impersonation, age verification, private cause of action, explicit content, consumer protection, HB 581

Transcript Highlights:

• <00:04:00.159> to allows AIDS in child care centers to allows AIDS in child care centers to
• c><00:14:23.680> have a nonprofit Child Care Center I have a nonprofit Child Care Center I have
• helping how is that helping our centers helping how is that helping our centers Mr<00:21:37.200>
• certified exempt centers and Center certified exempt centers don't<00:34:42.560> need<00:34:42.879
• :54.200> for<00:34:54.399> the centers need the qualifications for the centers need the

Bills: HF1247, HF628

Keywords: child care, aides, supervision, child care centers, staffing regulations, childcare, day care, licensed child care center, early childhood education, child care licensing, director qualifications, staff ratios, group size, staff-to-child ratio, substitutes, volunteers, assistant teacher, teacher qualifications, infant care, toddler age

Transcript Highlights:

• For example, best practice in data research is to limit data to minimally necessary information.
• For example, best practice in data research is to limit data to minimally necessary information.
• For example, best practice in data research is to limit data to minimally necessary information.
• For example, best practice in data research is to limit data to minimally necessary information.
• <01:09:28.480> And Mahnomen Health Center Mahnomen. And Mahnomen Health Center Mahnomen.

Bills: HF4401, HF4466

Keywords: HF4401, Minnesota Medical Assistance, dental reimbursement, dental rates, critical access dental providers, Medicaid dental, MinnesotaCare, managed care plans, county-based purchasing plans, fee-for-service, oral health access, safety-net clinics, federally qualified health centers, rural health clinics, Indian health services, state-operated dental clinics, low-income patients, children's dental care, provider reimbursement, dental access

Transcript Highlights:

• > Programming discussions centered around Programming discussions centered around these<00:40:02.800>
• We have one children's advocacy center designated as the regional children's advocacy center in each
• We have one children's advocacy center designated as the regional children's advocacy center in each
• happens at a children's advocacy center? happens at a children's advocacy center?
• one of the centers.

Keywords: Meeting Start: 00:00:00 Roll Call: 00:00:05 25 RS HB 534 - AN ACT relating to actions for forcible entry and detainer: 00:01:45 25 RS SB 111 - AN ACT relating to juvenile justice: 00:23:46 Children's Advocacy Centers of Kentucky: 01:13:26 Opioid Use Disorder (OUD) Treatment in State and County Correctional Facilities: 01:25:28, 958, all

Summary: The committee approved the September 18 minutes and then heard testimony on House Bill 534, which would automatically seal dismissed eviction filings and protect youth from public disclosure in forcible detainer cases. Rep. Susan Tyler Whitten and George Ecklan of the Coalition for the Homeless said the bill is aimed at reducing housing barriers for Kentuckians, especially those with dismissed cases, while preserving landlords’ rights to pursue rent, collections, damages, and other legal remedies. They said the proposal was developed with input from landlords, clerks, judges, AOC, and service providers, and noted that similar laws exist in other states. Several members, including Sen. Neimes, Rep. Deetsz, Rep. Cole Carney, and Sen. Thomas, expressed support while emphasizing that the bill is narrowly tailored to dismissed cases and should not affect legitimate landlord claims; Sen. Wheeler raised concerns about cases involving settlements or delays and whether future landlords should know about them. The sponsors responded that the bill only covers dismissed actions, that dismissals require a judge’s order, and that the goal is to remove barriers created by records that remain publicly visible even when a case is resolved. The committee then took up Senate Bill 111 on juvenile justice. Commissioner Randy White, Kentucky Hospital Association President Nancy Galvanny, and Dr. Clark Lester of the University of Kentucky said the bill would require a secure state-run facility for youth with high-acuity mental health needs in detention and, until that is built, create a process with incentives for private hospitals to provide inpatient treatment with safeguards and increased compensation. They argued that detention is not an appropriate setting for severely mentally ill, violent youth and that private psychiatric hospitals often refuse these referrals or discharge them early. Dr. Lester cited recent referral data showing high denial rates for juvenile justice youth in private hospitals in August and September, often due to aggression, and described a case in which repeated placement attempts failed because of violent and self-harming behavior. The presenters said the bill is intended to fill a service gap and improve safety and outcomes for youth, staff, and hospitals, but no vote or final action on the bill was taken in the portion of the meeting provided.

Transcript Highlights:

• We send the data to the Center for Medicare and Medicaid Services.
• We send the data to the Center for Medicare and Medicaid Services.
• We send the data to the Center for Medicare and Medicaid Services.
• We send the data to the Center for Medicare and Medicaid Services.
• We send the data to the Center for Medicare and Medicaid Services.

Keywords: Call to Order and Roll Call- 00:00:14 Staff Report on the Firefighter Commission Minimum Training Standards and Administrative Spending- 00:02:02 Response from the Kentucky Fire Commission-00:32:06 Judge Testimony on Child Removal-00:42:47 Update on Child Removal and Reunification-01:11:19 Staffing at Kentucky Veteran Centers-01:40:15 Adjournment-02:05:55, 958, all

Summary: The Legislative Oversight and Investigation Committee met without a quorum, so no votes were taken. Staff presented a study of the Kentucky Fire Commission focused on firefighter minimum training standards and administrative spending. The presentation explained that Kentucky’s training standards are built from NFPA guidelines, that the commission currently requires 115 hours for volunteer firefighters and 300 hours for paid firefighters, and that those reduced hours were adopted by removing electives and other non-NFPA content. Staff also said the commission’s IFSAC certification testing for firefighter 1 and firefighter 2 aligns with NFPA standards, but the commission cannot require local departments to train or certify firefighters. Staff recommended that the commission formally promulgate regulations establishing the reduced training hours and work with KCTCS to better separate administrative costs for certain programs so compliance with the statute can be demonstrated. The finance portion of the report said the commission is funded by general fund appropriations for State Fire Rescue Training and by an insurance premium surcharge that supports the Firefighter Foundation Program Fund. Staff reported that the commission stayed within the 5% administrative cap tied to the overall surcharge allotment, but could not confirm compliance with a separate 5% cap for specific programs because KCTCS accounting does not break out those costs in enough detail. Staff suggested the General Assembly may want to clarify what counts as administrative cost in statute. Members asked about investment returns, local fire department funding, and whether training documentation is required; staff said some of those topics were outside the study scope and that IFSAC testing relies on chief certification that a candidate is ready to test. Representatives from the Fire Commission then responded, saying they agreed with the report’s recommendations and would work to clarify the 5% issue with legislators and KCTCS. They explained that the reduction in training hours was intended to remove electives, better align with NFPA standards, and address the difficulty volunteer departments have in getting members to complete lengthy training. Commission officials said training is documented through rosters and annual compliance reviews, and that IFSAC-certified firefighter testing is based on demonstrated skills rather than a required number of training hours. They also said the difficulty in tracking the second 5% cap stems from the way KCTCS’s PeopleSoft system records reimbursements as single transactions, making it hard to isolate administrative costs by program.

Transcript Highlights:

• Um, we do have public health data that shows that, um, for age 45 to 54, um, and we have new data, by
• Um, we do have public health data that shows that, um, for age 45 to 54, um, and we have new data, by
• data, what's left in your cart online. data, what's left in your cart online.
• Part of the reason for this center is that we can collect good data to help inform decisions and strategies
• is that we can collect good this center is that we can collect good data<01:52:31.840> to<01:

Bills: HB20, HB2612, HB2404, HB2459, HB2194, HB1880, HB2284, HB1969, HB2458, HB1546, HB2161, HB1721, HB1641, HB2137, HB1782, HB2360, HB1965, HB1897, HB1513

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, mortgage, debt, secured transactions, real property, Hawaii Revised Statutes, cooperative associations, electric utility cooperatives, agricultural cooperatives, mutual help, food innovation, agribusiness, food safety, market access, branding, economic diversification

Summary: The committee heard testimony on HB 20, which would create a lava zone insurance subsidy/fund. The Insurance Division opposed the bill, arguing that lava zones 1 and 2 are the highest-risk areas, that a subsidy would not reduce the underlying risk or loss costs, that it could invite similar subsidy requests for other hazards, and that the bill may conflict with HICV by diverting funds from the CRF. Members discussed the lack of authorized homeowners insurance in those lava zones, the role of HPIA and the surplus market, and the difference between the proposed lava-zone subsidy and the Hawaii Hurricane Relief Fund. The chair noted 37 submitted testimonies in support and one in opposition, and the committee then moved on without taking a vote on HB 20 in the portion provided. The committee then took up HB 2612, relating to mortgages, which would clarify that a mortgage does not exist independently of the debt it secures and is not independently enforceable from that debt. The Hawaii Credit Union League and Hawaii Financial Services Association opposed the bill, while several individuals testified in support, arguing it would restore Hawaii’s long-standing lien-state rule and prevent so-called “zombie mortgages” after the Hawaii Supreme Court’s White decision. Supporters said the bill would protect borrowers from delayed foreclosures and predatory lending practices, while opponents and the Insurance Division emphasized that foreclosure actions still require proof of standing and possession of the note, and that lenders generally pursue foreclosure without seeking deficiency judgments. Committee members questioned the Insurance Division about how the current market works, whether lenders could wait out the statute of limitations and then foreclose only on the mortgage, and whether equitable tolling or later defaults could allow refiling. The division said it is still trying to attract authorized insurers back into the lava-zone market, but has seen little progress. No vote or final action on HB 2612 was taken in the excerpt provided.

Transcript Highlights:

• Through his leadership on the AI task force over the summer, we talked about some of the needs for updates

Bills: HB320, HB207, HB208, HB290

Keywords: public works, sealed bids, bid notice, public notice, newspaper advertisement, centralized website, digital platform, Department of Finance, Department of Transportation, county commissions, municipalities, contracting, procurement, construction bidding, Alabama code Title 39, bidding requirements, electronic bidding, online bid posting, HVAC, heating and air conditioning

Transcript Highlights:

• We also provide energy-efficient service to help lower energy costs and water use for data centers and
• AI infrastructure.
• Number five is an additional protection of data, prohibiting the sale of data to any third party.
• privacy, data protection.
• It will enable Louisiana to use the data to answer fundamental questions. Data.

Bills: HR171, HCR49, HB632, HB1084, SB310, SB351, SB399

Keywords: HR171, House Resolution 171, M.J. Foster Promise Program, TOPS-Tech, TOPS Tech Award, Board of Regents, Louisiana Works, Louisiana Community and Technical College System, LCATCS, financial aid, scholarship, workforce development, career training, technical education, vocational education, postsecondary credential, associate degree, industry-based credential, high-demand jobs, high-wage occupations

Transcript Highlights:

• Um well, most these days we talk about data centers, this bill has an impact on agricultural and other
• The statutes passed last session in the data center bill, members might remember, direct the DNR and
• <00:31:46.840> centers,<00:31:47.240> this<00:31:47.440> bill data centers, this
• bill data centers, this bill has<00:31:48.800> an<00:31:48.920> impact<00:31:49.400>
• might<00:32:09.800> might data center bill, members might might data center bill, members

Bills: HF4211, HF3426, HF4819, HF3466, HF3793, HF3339

Keywords: air pollution, lead emissions, continuous emissions monitoring system, CEMS, Minnesota Pollution Control Agency, MPCA, environmental monitoring, emission compliance, air quality, public health, industrial pollution, permitted facility, residential exposure, toxic metals, emission limits, pollution control, stack monitoring, real-time emissions monitoring, natural resources, environment

Transcript Highlights:

• AI versus traditional methods.
• Texas will lead on AI, ensuring that we're the number one place for innovation to occur in both AI and
• The data that I measured on a particular area, there are certain measures that are taken from data.
• They measure that data based on administrative data in our claims.
• Those centers become...

Bills: HB149, HB252, HB643, HB1442, HB1500, HB1672, HB1851, HB1893, HB2028, HB2768, HB2818, HB149, HB252

Keywords: artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance, employment compensation, state agencies, salary payments, general appropriations, government efficiency, public works, contractors, payment bonds, government contracts, construction law, transparency, open meetings, government accountability, public access

Bills: HB288, HB403, HB420, HB783, HB815, HB915, HB927, HB933, HB944, HB962, HB971, HR74, SCR3, SCR20, SB5, SB34, SB37, SB190, SB255, SB270, SB273, SB314, SB415

Keywords: medical terminology, documentation, miscarriage, spontaneous abortion, healthcare, medical records, billing, homemade food, food safety, small business, exemption, regulation, Department of Children and Family Services, background checks, child welfare, employee screening, safety regulations, criminal history, non-lactational dairy, labeling requirements

Transcript Highlights:

• Senate Bill 1735 is a cleanup bill that aligns the oversight of the technology centers and career tech
• SB 1734 creates guardrails for the use of AI in schools.
• It requires teachers to review what AI produces before using it in the classroom, and it talks about.
• .. ...review what AI produces before using it in the classroom, and it talks about also expanding the
• AI tools.

Bills: SB710, SB843, SB1317, SB1338, SB1410, SB1477, SB1489, SB1593, SB1614, SB1630, SB1632, SB1633, SB1670, SB1726, SB1734, SB1725, SB1735, SB1894, SB1975, SB346, SB2045

Keywords: teacher preparation, teacher education, teacher shortage, teacher workforce, educator pipeline, alternative certification, apprenticeship, residency program, paraprofessional pathway, high school to teacher pathway, nontraditional teacher candidates, Commission for Educational Quality and Accountability, TeachForwardOK, higher education, public school districts, workforce development, grant program, technical assistance provider, mastery-based assessment, emergency clause

Bills: SB 18, SB 34, SB82, SB1807, SB2254, HB119, HB130, HB581, HJR98, SB1988

Keywords: Texas Water Code, TCEQ, Texas Commission on Environmental Quality, water permit, water appropriation, dam permit exemption, reservoir, flood control, floodwater control, erosion control, sediment control, watershed protection, flood prevention, Natural Resources Conservation Service, NRCS, USDA, local sponsor, district, authority, water infrastructure

Transcript Highlights:

• So, that second page is census data. This shows per capita income.
• That data?
• The access, the data that we are giving to these companies is pretty remarkable.
• 130 makes sure that the genetic information of Texans is secured, in particular, genome sequencing data
• It prohibits access to genome sequencing data by individuals located outside the U.S. unless authorized

Bills: SB82, SB1807, SB2254, HB119, HB130, HB581, HJR98, SB1988, SB 18, SB 34

Keywords: business liability, concealed carry, handgun policy, premises liability, criminal acts, civil liability, business premises, concealed handgun, property liability, property rights, gun regulations, criminal liability, protective order, confidentiality, personal information, court records, victim protection, charitable raffle, nonprofit, wildlife conservation

Transcript Highlights:

• That data creates a honeypot for hackers and puts Hawaiians' data at risk.
• Center.
• So, they have this framework where the laws regulate how you collect data, protect data, and sell data
• data.
• collect data, protect data, sell data. collect data, protect data, sell data.

Bills: SB2433, SB2047, SB2425, SB3045, SB2761, SB3001, SB2852, SB2471

Keywords: condominium governance, education trust fund, unit owners, real estate, dispute resolution, financial obligations, community representation, pharmacy benefit managers, maximum allowable cost, transparency, drug pricing, insurance commissioner, contracting pharmacies, healthcare, substance use disorder, SUD, addiction treatment, behavioral health, mental health, rehabilitation

Summary: The committee heard testimony on SB 2433 SD1 relating to condominiums, which would direct the condominium education trust fund toward educational resources for unit owners and require the Real Estate Commission to ensure owners’ interests are represented in funded activities and related rulemaking. Supporters, including the Hawaii Real Estate Commission and a condominium owner advocate, said owners need a seat at the table in condo governance and education efforts. Committee discussion focused on whether the bill was necessary, with the Real Estate Commission indicating it could already use the trust fund for owner education and that owners are already considered stakeholders, though not through a specific commission seat. No vote was taken during the excerpted discussion. The committee then took up SB 2047 SD2 HD1 on pharmacy benefit managers, which would set requirements for maximum allowable cost reimbursement, allow reverse-and-rebill claims after successful appeals, and authorize fines for violations. The Insurance Division offered comments, the Hawaii Pharmacists Association supported the measure with amendments and suggested future PBM reform funding, and Kaiser Permanente requested a technical amendment. A committee question raised whether the staffing and resource request for implementation was too large for a bill focused only on MAC pricing, and the witness said he would provide more data to the next committee. No final action was shown. Next was SB 2425 SD2 HD1 on health insurance and substance use disorder treatment, requiring insurers to honor written assignments of benefits to SUD providers and prohibiting anti-assignment clauses. Supporters described patients being unable to access treatment because of high out-of-pocket costs and said direct payment would reduce harm for people in recovery. HMSA opposed the bill but said it would begin direct payments to non-participating SUD facilities effective March 27, while continuing to object to the assignment-of-benefits portion because of fraud and balance-billing concerns; the Hawaii Association of Health Plans also opposed. Members questioned HMSA about reimbursement mechanics and why the bill was needed if coverage policies were already changing. Finally, the committee heard SB 3045 SD1 HD1, which would require coverage of continuous glucose monitors and related supplies, including for Medicaid managed care, under certain conditions. DHS and the Insurance Division offered comments, while SHPDA, Hilo Benioff Medical Center Foundation, and others supported the bill, citing inconsistent access and a case in which a woman allegedly died after being denied a CGM. HMSA said it already covers medically necessary CGMs and had updated its policy in 2025 for type 1 and insulin-dependent patients, but it raised concerns about expanding mandated coverage to type 2 and gestational diabetes and about supply impacts. The committee also discussed whether the bill duplicated existing coverage standards and why it had been introduced repeatedly. No votes or final dispositions were included in the excerpt.