Transcript Highlights:

• The lack of coverage in gateway cities is reflected in mortality rates.
• Medicaid dental coverage is also linked to reduced emergency room visits.
• Often, these children are left with children remain excluded from coverage.
• The health plan denied coverage.
• Thank you. access the coverage that they need.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably. The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs. Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.

Transcript Highlights:

• If those pass, those get added to the coverage and then whatever coverage ends up being final after legislative
• fully insured coverage and self-insured arrangements.
• So that is what someone, what the family coverage costs and what the single coverage costs.
• Those are the types of coverage we're looking to add.
• Some that are asking for those additional coverages.

Keywords: 908, all

Transcript Highlights:

• We have Florida was early to dip its toe into the notice of the prizes.
• explaining Senate Bill 1494, which modifies required coverage for mammograms and supplemental breast
• Members, smaller high-risk employers are struggling to find affordable voluntary coverage.
• This essentially gives the policyholder the option to accept a higher rate for coverage in situations
• There's only, we only have three carriers in the state that will provide voluntary coverage for some

Summary: The Senate Committee on Banking and Insurance met with a quorum present and heard a full agenda of bills, most of which were reported favorably. Early in the meeting, SB 1000 on trust fund interest for attorney trust accounts was explained as setting a floor and ceiling tied to the Wall Street Journal prime rate and passed without objection after supportive testimony from banking and credit union groups. The committee then took up CS/SB 1082 on a statewide provider and health plan claim dispute resolution program; the sponsor described it as a way to move emergency out-of-network payment disputes away from costly litigation and into an independent dispute resolution process modeled on the federal No Surprises Act. A proposed amendment drew significant questions from senators and concerns from the Florida Insurance Council about confusion over state versus federal eligibility and possible effects on contracted rates, and the sponsor ultimately withdrew the amendment. The underlying bill was then supported by health care and insurance stakeholders and reported favorably. SB 684 on electronic signatures for total loss vehicles and vessels also passed, with Progressive Insurance waiving in support. The committee next approved CS/SB 158 on pet insurance, which requires continuing education for agents, clearer consumer disclosures, and annual reporting to OIR; the amendment was technical and adopted. SB 1494 on breast cancer screening coverage was presented as expanding required coverage for mammograms and supplemental screenings for certain insurance products, and it passed with support from cancer and radiology groups. CS/SB 314 on digital asset issuers was amended to create a Florida framework for payment stablecoin issuers consistent with the federal GENIUS Act, allowing state-level regulation as an alternative to federal supervision, and was reported favorably. SB 1500 on uncontested probate proceedings, including higher small-estate thresholds and clearer authority for personal representatives, also passed after a banking-related amendment requiring letters of administration for safe deposit box access was adopted. Later, the committee approved CS/SB 618 on workers’ compensation insurance, which raises the consent-to-rate cap for workers’ comp policies from 10% to 20% and adjusts the Florida Workers’ Compensation Guarantee Association board membership; a carrier representative testified that the change would help keep more high-risk accounts in the voluntary market. CS/SB 1568 on a Florida Stable Coin Pilot Program was amended to remove authority for DFS to create a Florida coin, limit the pilot to existing stablecoins with at least $1 billion market capitalization, and require qualified public deposit handling; it then passed. CS/SB 838 on electronic payments for retail installment contracts clarified that convenience fees for electronic payments are permissible while preserving a fee-free option, and it was reported favorably after questions about consumer access to free payment methods. SB 1452, the Department of Financial Services agency bill, made a wide range of administrative changes affecting My Safe Florida Home, unclaimed property, licensing, bail bonds, and other DFS functions; a late-filed amendment on title insurer appointments was adopted, and the bill passed. The committee also approved SB 1706 on the My Safe Florida Condominium Pilot Program, targeting condo hardening assistance to owner-occupied units meeting income and occupancy criteria, and SB 990 on protected cell captive insurance companies, which the sponsor and industry witnesses said would modernize Florida law and promote insurance competition and economic activity. The meeting ended with all bills on the agenda reported favorably and the committee adjourning without objection.

Transcript Highlights:

• as likely as their non-LGBQ counterparts to have Medicaid as their primary source of health care coverage
• Coverage decisions must solely rely on medical necessity consistent with clinical guidelines.
• ADAP has expanded to an open formulary aligned more closely with Medi-Cal's broad medication coverage
• It's got to be hard for these agencies that aren't looking for it, aren't hoping to be not noticed in
• We call these provider information notices, PINs.

Summary: The committee held an inaugural hearing on the health care and support needs of older LGBTQ Californians, with members and witnesses emphasizing that this population has made major gains in rights and longevity but still faces discrimination, isolation, economic insecurity, and gaps in services. Opening remarks highlighted concerns about older LGBTQ people entering nursing homes and feeling forced back into the closet, as well as the growing number of Californians aging with HIV. The hearing was structured into three panels, with public testimony considered if time allowed. The first panel focused on the overall health and support landscape. Justice in Aging described survey findings showing discrimination, poor health, difficulty with errands, and economic insecurity among older LGBTQ Californians, and warned that federal Medicaid cuts and broader federal actions could worsen access to home- and community-based services and culturally competent care. CalHHS and the Department of Aging described the Master Plan for Aging, the first statewide LGBTQIA older adult survey, and efforts to support gender-affirming care, PACE, care management, and community supports. Witnesses stressed the need for better outreach, data collection, and a “no wrong door” approach so people can more easily find and access services. The chair and senators pressed the departments on how survey findings are being translated into concrete action and how state agencies are coordinating across silos. The second panel addressed health care for seniors living with HIV. A longtime survivor described severe financial and benefits consequences from a federal clawback and argued that California needs stronger legal, navigation, and housing supports, including HIV-specific housing funding. The Department of Aging reported on implementation of SB 258, saying it has educated area agencies on aging, added HIV data to planning tools, and found that 20 of 33 area agencies identified HIV as a target population, with 16 including specific strategies. The Office of AIDS outlined Project Cornerstone, Ryan White, ADAP, HOPWA, a Medi-Cal waiver, and PrEP-AP, noting these programs serve thousands of older clients and that local case managers are expected to coordinate whole-person care. Case managers and advocates said housing, food, transportation, mental health, and premium assistance remain major needs, and senators asked whether future ADAP rebate funds could support navigation, housing, and other gap-filling services. The final panel turned to transgender, gender nonconforming, and intersex seniors. The Department of Social Services described protections under SB 219, including nondiscrimination notices, resident rights postings, required records for preferred names and pronouns, and annual inspections of licensed facilities. The Department of Public Health and a TransLatin Coalition leader were introduced to discuss additional supports for TGI seniors. Across the hearing, members repeatedly returned to the themes of visibility, coordination, and implementation, asking departments to follow up on how they will better connect services, improve outreach, and ensure that existing laws and programs are actually reaching the people they are meant to serve.

Transcript Highlights:

• If those pass, those get added to the coverage and then whatever coverage ends up being final after legislative
• fully insured coverage and self-insured arrangements.
• So that is what someone, what the family coverage costs and what the single coverage costs.
• Those are the types of coverage we're looking to add.
• There was one other state that I believe had 100% for individual coverage. 100% for individual coverage

Summary: The Employee Benefits Committee met to approve prior minutes, hear presentations on state employee health insurance, compensation, leave, and related policy issues, and then recess for lunch. PERS reviewed the history and structure of the state health plan, noting the long-standing state-paid family coverage, cost-control measures, wellness incentives, the current grandfathered PPO and high-deductible options, and the effects of recent benefit mandates such as insulin caps, prosthetic coverage, medication management, prescription copay changes, and ambulance balance-billing limits. Committee members questioned the fiscal impact of adding benefits and the possible cost of moving to a non-grandfathered plan, while PERS and HRMS emphasized that health insurance remains the top-ranked employee benefit and that any major plan changes should be considered carefully. HRMS also presented compensation comparisons showing state pay generally below private-market benchmarks, discussed targeted market equity adjustments, identified ongoing recruitment and retention concerns in fields like nursing, IT, engineering, and attorneys, and reviewed leave policies, tuition reimbursement, and family leave comparisons with neighboring states. Job Service provided labor market data showing low unemployment, high labor force participation, and wage growth that still trails some neighboring markets, and OMB explained that prevailing wage requirements apply to federally funded projects under Davis-Bacon, not to ordinary state contracts. After lunch, the committee took up the required process for health insurance mandate bills and adopted an amendment to Joint Rule 211. The amendment clarified that the deadline for submitting mandate measures is intended to allow time for all required reports, including both the cost-benefit analysis and any Employee Benefits Committee actuarial report, while leaving the existing deadline unchanged. The amendment was adopted on a roll call vote, with several members voting yes and a few no votes recorded. The committee then moved into its jurisdiction review of bill drafts, beginning with a bill that would automatically renew pre-tax dental and vision elections; members debated whether it had any actuarial or administrative impact on PERS or the state, and the chair explained that the committee’s role was only to decide whether further analysis was needed before later testimony and recommendations.

Transcript Highlights:

• Just who is going to be losing coverage.
• And that's something we'll be coverage.
• <00:09:27.440> This days retroactive coverage. This days retroactive coverage.
• Um, they're reducing coverage federally.
• And so, we've continuous coverage works.

Keywords: 1189, house, all

Summary: The committee met on May 29 and approved the draft minutes. DHHS Commissioner Weaver then opened the department update by asking Medicaid Director Henry Litman to brief members on federal and state Medicaid changes, and later turned to DHHS Chief Operating Officer David Weathers for an update on data governance. Members also asked that acronyms be spelled out in future materials and requested a follow-up on the federal Medicaid rule once it is published. Litman reviewed several federal Medicaid provisions tied to HR 1/"OBBA" and related state implementation issues. He said the first major change would be restrictions on certain non-citizens’ Medicaid coverage, affecting about 400 people in New Hampshire, with notices likely 30 to 60 days before the effective date. He also discussed new work requirements/community engagement rules, saying New Hampshire is on track to implement them and will likely need a state plan amendment rather than an 1115 waiver. Other changes included shorter retroactive coverage periods, a new state option for certain community-based services with an estimated $740,000 in implementation support, a freeze and phased-down reduction in the Medicaid enhancement tax beginning in state fiscal year 2029, and limits on directed payments to hospitals after a grandfathering period. He also noted that Medicaid enrollment has fallen from pandemic-era levels, with about 167,000 people covered as of May 1, and that the department is working with CMS on child premiums and other cost-sharing changes approved in HB 2. Committee members asked how the department could plan for the 2029 changes given the number of elections before then, and Litman said federal rules may be adjusted over time as states and stakeholders raise concerns. He emphasized planning for the worst while hoping for the best, and said rural health care transformation funding would help the state prepare. In the second presentation, Weathers explained that data governance is now embedded in DHHS operations to control access, manage reporting, and respond to risk. He defined it as managing what data is collected, how it is used, who can access it, and what laws apply, and said DHHS has moved from governance as a committee to governance as an operational process. He described privacy impact assessments for new systems going into production, monthly privacy and security training, and ongoing review of access controls and data-sharing rules.

Transcript Highlights:

• Committee on Judiciary and Civil Jurisprudence, HB 2412 by BUC relating to the health benefit plan coverage
• determinate a contract of the purchase of the sale of the real property for failure to provide a notice
• HB 2573 by WALA relating to Medicaid coverage and reimbursement of Doula services refer to the Committee
• public school for the Committee on Public Education, HB 2577 by Harrison relating to the contents of notice
• HB 2. 580 by HL relating to the study on health benefit plan coverage for certain treatments of traumatic

Transcript Highlights:

• It limits retroactive Medicaid and CHIP coverage to two months from the current standard of three months
• Medicaid and Kid Care eligibility for legal immigrants, making most non-citizens ineligible for coverage
• Because of that insufficiency of notice. And you may be familiar with shaking your head.
• Florida is not required to eliminate the coverage for children specifically, but I also agree with Kay
• With the change, the impact that comes with it includes higher costs, worse care, less coverage, and

Transcript Highlights:

• Instructions for providing public comment are available on the website under this committee meeting notice
• It requires hospitals to make eligibility determinations within 21 days and to provide clear notice of
• Covered facilities must carry at least $1 million per claim and $3 million in total coverage for both
• The policies must also include coverage for abuse and molestation claims.
• The bill helps ensure that coverage is maintained and that the department is informed if it is not.

Bills: SB313, SB296

Keywords: Delaware Health Fund, healthcare access, preventive care, tobacco settlement, public health initiatives, grant program

Summary: The House Health and Human Development Committee met and considered a series of health, human services, and related bills. The committee heard and advanced House Substitute 1 for Senate Bill 13, which standardizes hospital charity care and financial assistance statewide, and Senate Bill 296 with Senate Amendment 1, which restructures the Delaware Health Fund grant process with a more formal, transparent competitive rubric. Both measures received supportive testimony from DHSS, the Delaware Healthcare Association, and the Delaware Nurses Association, and both were released by committee on roll-call votes. The committee also released Senate Bill 313 with Senate Amendment 1, which places a temporary moratorium on acquisitions of nonprofit acute care hospitals by for-profit entities and expands notice/review requirements for sales of hospital real estate; Senate Bill 340 with Senate Amendment 1, which requires long-term care facilities to carry specified liability insurance, with questions raised about the exemption for state-owned facilities; Senate Joint Resolution 20, which directs DHSS to study independent assessment tools for Medicaid home- and community-based services; and Senate Bill 341, which updates Delaware Health Information Network law and formally recognizes DIN as the state’s health data utility. Testimony on these bills was generally supportive, with some discussion on constitutional concerns, insurance coverage, and the rationale for the state exemption in SB 340. Later, the committee advanced Senate Bill 257, which requires new animal shelters to be licensed and inspected before operating and removes a prior exception for certain rescue organizations; and Senate Substitute 1 for Senate Bill 278 with House Amendment 1, which allows earlier pre-authorization for summer child care enrollment and lowers copays for half-day care. Public testimony on these measures came from animal welfare advocates, YMCA representatives, and other stakeholders, all largely in support. Each bill was released by committee, with several votes walked for absent members, and the meeting adjourned after all agenda items were addressed.

Transcript Highlights:

• The compromise with the Senate expands coverage for remote patient monitoring for high-risk pregnant
• It also directs DMAS to assess coverage for pregnant individuals age 35 and older through the full postpartum
• November 1, 2026, with the goal of informing potential future expansion of remote patient monitoring coverage
• Senate Bill 2 relates to paid family and medical leave insurance program notice requirements and civil
• Senate Bill 2 relates to paid family medical leave insurance programs, notice requirements, civil action

Keywords: March 13, 2026 - Regular Session Part 2, 976, house, all

Transcript Highlights:

• They didn't notice. Representative Carver, a couple of questions. Yes, sir.
• Speaker Pro Tem, before going to the notice-given list, Representative Knox gives notice to call House
• On the notice-given list, Mr.
• House Bill 481 addresses the cost of publishing public notices by papers.
• Members, House Bill 772 is basically about notice and communication.

Bills: HR195, HR196, HR197, HR198, HR199, HR200, HR201, HR202, HR203, HR204, HR205, HR206, HR207, HR208, HR209, HCR87, HCR88, HCR89, HCR90, HR192, HR193, HR194, HCR80, HCR81, HCR82, HCR83, HCR84, HCR85, SB235, SB416, SB425, SB435, SB439, HCR15, HCR41, HCR76, HCR77, SCR3, HB91, HB167, HB227, HB243, HB264, HB321, HB335, HB398, HB492, HB623, HB624, HB660, HB689, HB708, HB719, HB802, HB804, HB884, HB906, HB926, HB934, HB940, HB955, HB968, HB969, HB978, HB985, HB1005, HB1022, HB1028, HB1029, HB1069, HB1077, HB1095, HB1104, HB1107, HB1185, HB1187, HB1199, HB1201, HB1203, HB1217, HB1220, SB66, SB68, SB76, SB139, SB336, SB475, HR1, HR17, HCR5, HCR4, HCR47, HCR32, HR38, HR96, HR160, HCR31, HCR61, SCR19, HB64, HB68, HB92, HB12, HB42, HB205, HB222, HB267, HB324, HB325, HB350, HB478, HB610, HB617, HB745, HB749, HB752, HB797, HB807, HB821, HB896, HB979, HB992, HB1000, HB1024, HB1050, HB1166, HB1172, HB1173, HB1207, HB1218, HB1223, HB316, HB549, HB578, HB748, HB798, HB824, HB988, HB989, HB1001, HB1032, HB1081, HB1108, HB1129, HB1140, HB1157, HB1192, HB1195, HB1198, HB1244, SB73, SB89, SB128, SB149, SB191, SB196, SB238, SB318, SB340, HB306, HB366, HB911, HB1161, HB1230, HB59, HB481, HB772, HB897, HB1003, HB1008, HB1112, HB1180, HB1189, HB525, HB1058, HB181, HB1118, HB1082, HB901, HR20, HR74, HB225, HB284, HB393, HB458, HB459, HB577, HB582, HB605, HB614, HB682, HB733, HB773, HB864, HB996, HB1035, HB1113, HB1234, HB1240

Keywords: Louisiana Young Heroes Day, Louisiana Public Broadcasting, LPB, house resolution, ceremonial resolution, special observance, youth recognition, student achievement, community service, public service, high school students, youth leadership, disability advocacy, autism, diabetes, epilepsy, foster care, STEM, robotics, literacy

Summary: The House convened with a quorum, adopted the journal, and spent much of the day on recognitions and resolutions. Members honored NAMI and proclaimed Mental Health Awareness Month, recognized fourth graders from Alpine Christian School, Hunter Nation supporters, Vermilion Parish guests, and the 2026 Louisiana Young Heroes. The House also observed a moment of silence for Martha Odom after the Mall of Louisiana tragedy, and one member spoke against political violence and harassment. Several resolutions were adopted, including measures for Louisiana Young Heroes Day, Rural Mental Health Day, Nurses’ Day/Week, a study of child abuse reporter training, a memorial on FISA/privacy, and studies on civil bench warrants, property transfer/public records issues, the term “foreign” in state law, and carbon sequestration-related property issues. The House also adopted HCR 4 by a 63-30 vote to suspend certain Louisiana Administrative Code provisions on supplemental feeding, baiting, and chronic wasting disease control areas for 18 months. The chamber then moved through a large number of committee reports and bills, mostly advancing them without objection. Notable measures included bills on criminal discovery and law enforcement records, impaired driving task force, sexual assault nurse examiners and oversight, election commissioner pay, Medicaid dental coverage tied to other procedures, judicial salaries, teacher phased retirement, TOPS Tech eligibility, school emergency operations plans, pharmacy benefit manager transparency, and school-based health services. Several bills were recommitted to Appropriations or sent to third reading, while others were adopted as titles or amended in committee reports. In floor action on final passage, the House approved a series of bills with broad support: H.B. 12 on survivor benefits for reserve and auxiliary law enforcement officers (102-0), H.B. 402 on phased retirement for higher education employees (97-2), H.B. 205 on supplemental compensation for election commissioners (98-0), H.B. 224 on Medicaid dental coverage for medically necessary procedures (98-0), H.B. 267 on Louisiana State Board of Home Inspectors appointments (70-19), H.B. 324 on judicial salary increases (98-0), H.B. 325 on TOPS Tech eligibility changes (90-7), H.B. 350 expanding a charter school’s grade levels (98-0), H.B. 745 extending special permit authority for tandem loads (100-0), H.B. 749 transferring administration of 529/ABLE savings programs to a third-party platform while keeping state oversight (94-0), H.B. 797 creating the Bayou Gold Program for digital gold businesses (101-0), H.B. 807 creating a workforce instructor capacity investment program (90-0), H.B. 821 moving the Center for Safe Schools to the Law Enforcement Commission (103-0), H.B. 896 on toll signage, dispute procedures, and customer service centers (103-0), H.B. 979 increasing first responder survivor benefits to $404,000 after amendment (103-0), H.B. 992 assigning student IDs in early childhood programs (94-6), H.B. 1000 adjusting highway priority program procedures and local district contract limits (96-0), H.B. 1024 creating a Louisiana Democratic Party license plate (100-0), H.B. 1050 clarifying CDL age and vision requirements (98-0), and H.B. 1173 easing late-fee treatment in license reinstatement payment plans (94-0).

Transcript Highlights:

• and also deemed medically necessary by the health coverage plan to qualify for coverage.
• necessary by the health coverage plan.
• And so I wanted to, this bill actually just says that coverage can be provided.
• The coverage is tailored to the businesses' needs.
• existing coverage?

Keywords: 965, house, all

Summary: The House Insurance Committee met on April 23 with a quorum present and began by announcing that HB 1142 was deferred. The committee then took up HB 1187, which would direct any excess Louisiana Citizens emergency assessment funds, after related debt is satisfied, toward the Louisiana Fortified Homes Program or future Citizens obligations. Commissioner Tim Temple and Rep. Sawyer said the bill would likely redirect about $50 million to the popular fortified roof grant program, which has already awarded thousands of roofs and is oversubscribed. With support from Citizens and others, the committee adopted technical amendments and reported HB 1187 favorably. The committee next considered HB 1210, a proposal by Rep. Dana Henry to create a pre-suit claim review process for Louisiana Citizens disputes modeled on Florida’s system. After explaining that the bill was prompted by constituent concerns about rising homeowners insurance costs, Henry voluntarily deferred the bill and instead moved toward a study resolution. The substitute version, which would have allowed Citizens disputes to be resolved through the Division of Administrative Law, was adopted for discussion, but the bill was ultimately voluntarily deferred after testimony from Citizens and the department supporting further study. HB 1199, by Rep. Jordan, would require coverage for genetic testing and medically necessary treatment for SCN2A-associated disorders. After adopting an amendment clarifying that coverage depends on provider order and medical necessity, the committee heard emotional testimony from a parent describing her daughter’s severe SCN2A condition and the difficulty obtaining genetic testing. The bill was reported favorably. The committee then took up HB 880, the Louisiana Artificial Intelligence Insurance Fairness Act, which would regulate AI use in underwriting, rating, and claims. Jordan said the bill raised state-federal insurance regulatory issues and could jeopardize federal broadband funding, so he voluntarily deferred it; HB 920 was also voluntarily deferred. Finally, the committee considered HB 1221, by Rep. Amadee, which would narrow data collection under the surplus lines premium tax system to protect policyholder privacy. Former Rep. Bowler argued the department should not collect names, addresses, or coverage limits and that the bill would preserve privacy without affecting tax collection. The Department of Insurance said the broader data is needed for premium tax reconciliation, fraud detection, and post-disaster assistance. After debate, a motion to report HB 1221 favorably failed on a 6-6 roll call. The committee then moved on to HB 869 by Rep. Lyons, a health insurance bill covering injectable drugs for glucose or weight-loss treatment, but the transcript ends before further action on that measure.

Transcript Highlights:

• Line 292 is cost tracked in the agreement for MA coverage for birth services provided at home.
• Lines 374 contains the House position on MA coverage for traditional health care practices.
• for traditional healthc care coverage for traditional healthc care practices. practices. practices.
• for adults in elimination of coverage for adults in the<00:12:53.680> program<00:12:54.240>
• <00:54:29.839> for access to healthcare coverage for access to healthcare coverage for undocumented

Keywords: 1187, senate, all

Transcript Highlights:

• Assembly Member Castillo notices the absence of a quorum.
• Under HR 1, more than 2 million Californians are poised to lose health coverage.
• California has led the country in expanding health care coverage to every resident, and it is now our
• And you all may have noticed in the SpaceX stock IPO yesterday that Mr.
• This amendment would not eliminate all health care coverage for illegal immigrants.

Keywords: 988, house, all

Transcript Highlights:

• But as you've noticed from people's comments, that's not a good decision to change it.
• It is very important that we have advanced notice and the ability to get coverage, even if that means
• to find coverage.
• We will do the best to find a replacement for you with that advance notice.
• I'm assuming you can't get a background check on a few hours' notice.

Transcript Highlights:

• coverage over the exchange next year. coverage over the exchange next year.
• More severe providing coverage.
• they may not have any rental coverage they may not have any rental coverage that<01:07:53.200>
• , in coverage or a lapse in your coverage, in coverage or a lapse in your coverage, if<01:08:11.440
• Now, this is a practical coverage.

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:15 Department of Insurance Update 00:01:39 Department of Financial Institutions Update 00:37:07 Insurance Industry Update 00:54:50 Credit Union Industry Update 01:10:53, 958, all

Summary: The committee met with a quorum, approved the September 16 minutes, and then received an update from Insurance Commissioner Sharon Clark and staff on the Department of Insurance. Clark reviewed department activity, including growth in premium volume and licensing, consumer complaints and recoveries, and a rise in fraud referrals. She said the department has 66 open fraud cases and described common schemes such as staged auto accidents, inflated repair or cleanup charges, and roofing scams. She also said the department’s investigators often prepare strong cases but face reluctance from local prosecutors, especially in Fayette and Jefferson counties, to pursue them. Clark reported favorable workers’ compensation news, saying rates will decrease 9.7% next year for the 20th straight year. She contrasted that with a difficult property insurance market driven by storms, reinsurance costs, inflation, labor shortages, and litigation, but said Kentucky’s market remains relatively stable, citing the Kentucky Fair Plan’s small number of policies. She then warned of significant 2026 health insurance premium increases on the exchange: 16.1% for Molina, 23% for Anthem, and 37% for WCare, after CareSource withdrew. She said the rates were reviewed by actuaries and found fair, but that the biggest pressure point is the scheduled expiration of enhanced premium tax credits, which she said could leave about 90% of exchange enrollees facing a compounded increase. Members questioned Clark about fraud prosecution, the number of people in commercial versus public coverage, and the impact of expiring subsidies. Clark said the prosecution issue is mainly with Commonwealth attorneys and that rural counties are more cooperative than urban ones. She also said the health market is individually rated and that older enrollees would be hit harder, while the loss of tax credits could push some people out of the marketplace. One member asked about the attorney general’s recent opinion on SB 188, the PBM bill; staff said attorneys were still reviewing it. Clark closed by noting that Kentucky’s fraud and towing/storage legislation has become a model for other states.

Transcript Highlights:

• And it was not completely unreasonable to deny such coverage at that time.
• I was noticing you were excited about that.
• coverage, all excellent bills.
• The first one is private insurance company coverage.
• Expanding private insurance coverage for doulas is a smart investment.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• We've also heard that additional notices or messaging on notices issued by both DHS and our department
• It would cost thousands of older adults and people with disabilities to lose coverage, and this policy
• And we support providing state-funded Medi-Cal for refugees and asylees who will lose coverage due to
• And long-term care coverage. No other group in Medi-Cal is subject to an asset limit.
• Four in 10 Southeast Asian Americans have public health care coverage in California, and the Southeast

Keywords: 988, house, all

Transcript Highlights:

• Certain carriers, as well as Medicaid, must provide coverage for such screenings.
• If the Department of Health finds significant differences between the content of the required notice
• calcification notice favorable. calcification notice favorable.
• The bill may not content of the notice.
• <00:11:54.360> of Labor must provide reasonable notice of Labor must provide reasonable notice

Keywords: Senate streaming session for Wednesday, April 8, 2026, 960, senate, all

Summary: The Senate reconvened with a quorum present and proceeded through a series of committee reports and floor actions, mostly on House bills. Several measures were advanced without opposition, often after brief floor explanations and unanimous adoption of committee amendments. Topics included behavioral health rate-setting modernization (HB 772), expedited Medicaid eligibility for relocated individuals with developmental disabilities (HB 1015), perinatal behavioral health screening and coverage (HB 1118), mammogram notices about breast arterial calcification (HB 1364), menopause provider training and coverage (HB 1365), cannabis licensing and training changes (HB 622), cemetery sale and transfer oversight (HB 892), travel services insurance requirements (HB 994), cash transaction rounding authorization (HB 1026), specie as legal tender (HB 1312), menstrual hygiene product ingredient labeling (HB 1357), health care quality reporting and a health centralization commission (HB 1372), special pediatric hospital transfer and review procedures (HB 1376), telehealth continuity of care for out-of-state counselors (HB 1483), and child placement protections for unlicensed settings and pediatric overstay patients (HB 1559). Most of these bills were ordered passed for third reading after the chamber adopted the committee amendments and favorable reports. The Senate also considered environmental and consumer-related measures. HB 146 would delay implementation dates for onsite wastewater system regulation and licensing requirements, while striking provisions on inspections and pumping for rental properties and sales. HB 254, a Department of Natural Resources bill, was described as facilitating community engagement in planning and development of departmental projects. HB 969 on retail electric vehicle fuel sales and charging equipment requirements was also taken up and reported favorably. In each of these cases, members noted no committee opposition and no fiscal impact, and the bills were advanced. Two bills were set aside rather than immediately acted on. HB 1037, concerning a Public Service Commission study on broadband and voice over internet protocol service, was special ordered until Friday at the request of a senator. HB 1312, the specie/legal tender bill, prompted questions about the definition of specie and was also special ordered for consideration the next morning. No roll-call votes were recorded in the excerpt; actions were taken by unanimous consent on amendments and committee reports, with multiple bills ordered to third reading.

Transcript Highlights:

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

Keywords: 928, house, all

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