Transcript Highlights:

• And then the insurance companies have to validate the claims data.
• Because the insurance companies have to wait for the claims.
• insurance markets through rate review and enforcement.
• NAIFA Washington represents licensed insurance producers helping people find insurance across the state
• People with chronic conditions badly need comprehensive health insurance, but when insurers flood the

Bills: SB5985 , SB6019 , SB6161 , SB6183 , SB6210 , SB6194 , SB6102 , SB6103

Committee: Senate Health & Long-Term Care

Keywords: endometriosis, healthcare, reproductive health, patient education, awareness campaign, home care, home care services, home care agency, home care worker, caregiver, direct care, consumer directed employer, consumer-directed care, Medicaid, long-term care, aging services, disability services, personal care, respite care, vendor rate

Transcript Highlights:

• Stephanie Watkins, on behalf of the Association of California Life and Health Insurance Companies.
• rely upon them to help our enrollees and insurance access timely and appropriate care.
• in a timely manner, and informing plans and insurers in real time of any relevant changes when they
• Before a physician can treat a patient enrolled in a health plan or insured by an insurance company,
• Health plans and insurance companies have their own credentialing forms.

Summary: The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved. The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations. The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.

Transcript Highlights:

• I'd like to call this meeting of Business and Insurance to order. A couple of housekeeping items.
• In my business in the insurance world, oftentimes we fight when a vehicle is totaled and the insured,
• We've discussed this with insurance carriers, the insurance department.
• I believe the insurance department is going to find this and it's already there.
• With that, Business and Insurance is adjourned.

Bills: SB1732 , SB1217 , SB1443 , SB1455 , SB1457 , SB1459 , SB1465 , SB1944 , SB1946 , SB1218 , SB1942 , SB1352 , SB2132 , SB1920 , SB1285 , SB1304 , SB1305 , SB1326 , SB1590 , SB1767

Committee: Senate Business and Insurance

Keywords: professional licensing, licensing fees, home inspection, home inspector, Construction Industries Board, CIB, contractor license, journeyman license, apprentice registration, alarm endorsement, code inspector, electrical license, plumbing license, mechanical license, permit fees, renewal fee, reciprocity, poultry house contractor, poultry house wiring, environmentally controlled poultry house

Summary: The Business and Insurance Committee considered a long agenda of Senate bills covering real estate, construction licensing, insurance, alcohol regulation, medical marijuana, and other business matters. Among the measures discussed were SB 1732, which preserves Oklahoma’s current rule that brokers are not required to enter into a buyer brokerage agreement before showing real estate; SB 1443, which codifies payment rules for anesthesia services and physical status modifiers; and several sunset-extension bills for boards and agencies including the architects and interior designers board, the Construction Industries Board, the Abstractors Board, and the engineering and surveying board. The committee also heard bills on workers’ compensation, dental insurance billing practices, salvage title thresholds, energy standards for state-funded buildings, self-storage lien modernization, and medical marijuana training and licensing issues. Testimony and debate focused heavily on consumer costs, market competition, and regulatory clarity. Supporters of the dental bill (SB 1942) argued it would keep insurers from setting prices for non-covered services and allow patients and providers to negotiate directly, while opponents warned it could raise costs for consumers; the bill passed 8-2. Similar free-market arguments were made for the real estate, anesthesia, and alcohol-related bills, while consumer protection concerns were raised on the self-storage and dental measures. SB 1590, which would expand a fortified-roof grant program to commercial buildings, drew discussion about funding and the state’s role in helping reduce insurance costs. SB 1767 sought stronger enforcement against out-of-state spirit shipping, with concerns noted about lost tax revenue and age verification. Most bills received committee approval, often unanimously or by wide margins, including SB 1732, SB 1217, SB 1443, SB 1455, SB 1457, SB 1459, SB 1466, SB 1944, SB 1946, SB 1352, SB 2132, SB 1920, SB 1285, SB 1304, SB 1305, SB 1326, SB 1590, and SB 1767. Several bills were amended in committee, often to update sunset dates or clarify language, and title-striking motions were adopted on some measures that were still being worked on. The meeting ended with the chair noting that 20 bills had been handled and the committee adjourned.

Transcript Highlights:

• So you will see a savings in contractor insurance, should see a savings.
• So are you saying that it is very common to be added as an additional named insured?
• So are you saying that it is very common to be added as an additional named insured?
• Named insured, and then it was insinuated that they did waive their sovereign immunity?
• I'm actually paying an extra $150 to add you as an additional insured.

Committee: House Commerce

Keywords: 959, house, all

Transcript Highlights:

• I'm not an insurance expert.
• Do you mean medical provider or insurance carrier?" "Insurance.
• /c> insurance insurance carrier can insurance insurance carrier can demonstrate<00:54:53.680><c> that
• /c> insurance carriers and self-insured insurance carriers and self-insured groups<01:02:13.599><c> must
• Representative Granger. not just the self-insured. And this not just the self-insured.

Committee: House Labor, Industrial and Rehabilitative Services

Keywords: 1189, house, all

Transcript Highlights:

• </c> you've mentioned the private insurance you've mentioned the private insurance thing<00:57:06.960
• I I would need private insurance.
• At the same time, a family that does not have insurance either through Medicaid or private insurance,
• Um then then it's it's insurance."
• </c> insurance, Medicare, Medicaid, whoever. insurance, Medicare, Medicaid, whoever.

Keywords: 928, house, all

Summary: The subcommittee opened its second meeting on House Bill 742, which would require catastrophic special education aid to be drawn from the education trust fund, and discussed whether to also examine differentiated aid within the adequacy formula. The chair said the committee had previously heard from HHS/Medicaid officials and now wanted to hear from local special education directors about how the aid system works in practice, including billing, training, data collection, and whether districts handle claims consistently. Members also referenced Arkansas as a possible comparison state and said they hoped to develop ideas by November to address the current funding process. Committee members focused on the current special education aid thresholds and the impact of proration. The chair described the existing formula as requiring districts to absorb costs up to 3.5 times the state average per student, with the state paying 80% from 3.5 times through 10 times and paying above that, and said FY25 appropriated about $34 million while actual claims were about $50.1 million, leaving roughly a $16 million shortfall that caused proration. Members also raised the possibility of lowering the threshold to 2.5 times and asked how that would affect the number of eligible students and costs. Another member asked about how districts decide whether services are education-related or medical-related and how Medicaid or private insurance reimbursement affects later state aid claims. District representatives from Boothby Therapy Services, Bedford, and Guilford introduced themselves and described their roles. Guilford’s director said the district tracks students with paraprofessional support, nurses, transportation, or specialized programming, uses a data system to log every service touchpoint, and tries to maximize both Medicaid and special education aid; she said a lower threshold would likely capture all students with paras or nurses and that rising staffing and service costs would increase the number of students over the cap. Bedford’s assistant director said the district uses a different system, tracks roughly 60 to 80 students a year, and pursues Medicaid and special education aid simultaneously but does not pursue private insurance if it would affect FAPE; she said reducing the threshold to 2.5 times would likely double the number of qualifying students. Members asked follow-up questions about software, data entry, and how districts decide whether to bill Medicaid or seek state catastrophic aid, and the directors explained that their systems log services by staff type and student, with some districts using the same data for both Medicaid and state reimbursement claims.

Transcript Highlights:

• But the insurance only reimbursed us for 1.8.
• We're going to get this money back from the insurance.
• No, this is not through the new insurance policy through the state.
• That's a standard insurance policy.
• Able to pay back that insurance company later on.

Committee: All ALC-PEER

Keywords: 1204, all

Transcript Highlights:

• and other authority over the travel insurance industry.
• to travel insurance is well established, travel insurance does not always fit squarely within insurance
• RS 33-022 is based on the National Council of Insurance Legislators' Comprehensive Travel Insurance Model
• As of today, 41... of insurance commissioners in 2018.
• Kreisenbeck, I bought travel insurance a long time ago.

Committee: House Business

Keywords: 989, all

Transcript Highlights:

• I'm Jerry Bump, Chief Deputy Insurance Commissioner with the State of Hawaii Insurance Division.
• </c> Jerry bump Chief Deputy insurance Jerry bump Chief Deputy insurance commissioner<00:55:17.000><c
• We all know what's happening in the insurance market for property insurance worldwide.
• what's happening in the insurance know what's happening in the insurance market<01:04:25.039><c> for
• for property Insurance worldwide market for property Insurance worldwide this<01:04:26.960><c> is</c

Committee: House Consumer Protection & Commerce

Keywords: 910, house, all

Summary: The committee on Consumer Protection and Commerce met on January 30, 2025, and heard testimony on several condominium-related bills, beginning with HB 70. HB 70 would require a budget summary disclosure for condominiums. Supporters, including Community Associations Institute, a real estate broker, and several condominium owners, said the bill would improve consumer protection by giving owners and buyers a clearer, more understandable snapshot of an association’s financial health and reserve compliance. One supporter noted the bill should help reduce confusion caused by lengthy reserve studies and emphasized the importance of accurate disclosure. A testifier also urged the committee to hear other condominium bills quickly, including measures related to an ombudsman, managing agents, parliamentarians, and attorney’s fees. The committee then heard HB 106, which would change the process for condominium fines and disputes. Phil Nery of CAI and other supporters said the bill would strengthen due process by requiring clearer notice, allowing an internal board appeal, and then permitting small claims court review without attorney’s fees unless the fine is upheld. They argued this would prevent fines from escalating into costly legal disputes and provide a more linear, fair process. Some supporters suggested amendments, including clarifying that the statute controls over association documents and refining refund language. During questioning, members raised concerns about small claims limits and whether associations would be represented by volunteers or attorneys. One testifier initially in support later said he would not support the bill as written after hearing HPD’s concerns. HB 224, relating to property rights, drew opposition from the Department of the Attorney General and the Honolulu Police Department. Both agencies said the bill would improperly push law enforcement into a quasi-judicial role and could short-circuit existing due process procedures for occupants of residences. A realtor who had initially been listed in support changed his position after hearing the opposition testimony. The committee also heard emotional testimony from a resident describing a long-running squatter and utility theft problem at a neighboring property, which he said took years of court action and police involvement to resolve. No votes or final committee actions were taken during the portion of the meeting reflected in the transcript.

Transcript Highlights:

• No, because you just said the insurer can't steer them.
• Because you just said the insurer can't steer them.
• And a payer, is that the insurance company? It could be either.
• It could be an insurance company or it could be an individual.
• But yes, that is, I'm here representing insurance companies.

Committee: House General Laws

Keywords: 959, house, all

Transcript Highlights:

• There are three distinct periods that determine insurance coverage.
• Texas statute and the Insurance Code require the following insurance coverages.
• regulations regular insurers face.
• And so each member that is insured under this new quasi-insurance through a religious organization must
• This is not health insurance. Other risks are delineated to be self-insured under this bill.

Bills: HB111

Committee: Senate Business & Commerce

Summary: The committee heard a long series of House bills, with most measures laid out by Senate sponsors and then left pending after brief public testimony. Early bills focused on construction and licensing issues, including HB 305 on prompt payment for public construction audits, HB 5093 on restoring public access to notary contact information, HB 2037 on updating landlord-tenant repair and security deposit rules, HB 4214 on a centralized public information request contact database, and HB 5435 exempting higher education institutions from a 90-day notice requirement for certain public-private partnership projects. Testimony was generally supportive on these bills, and no votes were taken; each was left pending. The committee also considered several transparency and regulatory bills. HB 111 would expand the Public Information Act to certain nonprofit state associations and narrow some attorney-client and working-paper exceptions, with supporters arguing it would improve oversight of public funds and critics questioning the scope and thresholds. HB 5129 would protect occupational license holders’ personal identifying information from disclosure without consent, HB 4350 would allow peace officers to redact personal information from online real property records, HB 4748 would authorize multiple-award state purchasing contracts, and HB 4765 would clean up code enforcement officer licensing rules. HB 4134 would allow motor vehicle creditors to charge limited fees for electronic payment options while requiring a free alternative, and HB 1043 would direct a study of blockchain-based property title records; both drew testimony, with some concern about the practical effects and vendor implications of the blockchain study. Several bills addressed insurance, workforce, and digital-asset regulation. HB 3520 would reduce the insurance coverage required for transportation network companies during the period when a driver is en route to pick up a passenger, drawing support from Texans for Lawsuit Reform and opposition from trial lawyers who argued the higher coverage better protects the public. HB 3320 would create a self-insurance pool for religious institutions, with TDI explaining it would still be regulated but operate under a special statutory framework. HB 4233 would modernize rules for digital asset service providers by removing certain auditor-access requirements and updating reporting and licensing provisions. HB 3923 would reduce bachelor’s-degree requirements for some state jobs, though Every Texan argued low pay, not degree requirements, is the main driver of turnover. HB 4518 would create a legal structure for decentralized unincorporated nonprofit associations tied to blockchain governance; business law experts opposed it as unnecessary and potentially risky, while crypto advocates supported it. Finally, HB 1803 would join an interstate compact for dentists and dental hygienists, with supporters citing workforce shortages and opponents saying Texas already licenses quickly and that the compact could weaken state oversight. Throughout the hearing, the committee repeatedly closed testimony and left bills pending, and a quorum was eventually established before later items were heard.

Transcript Highlights:

• An insurance product would be offered by an insurer, subject to the specifics of that insurance policy
• And House Bill 2304 expands the express warranty insurance to mid-rise condos.
• So just to be clear, it's not insurance in the opinion of the Insurance Commissioner.
• But I wanted to speak to very quickly, liability insurance.
• What I wanted to speak to very quickly: liability insurance applications.

Bills: HB2239 , HB2304 , HB2095 , HB2248

Committee: House Civil Rights & Judiciary

Keywords: interment, location choices, remains, Washingtonians, funeral services, condominium, housing, warranty, property rights, construction, public safety, vulnerable users, pedestrians, protected classes, transportation, corporate filings, secretary of state, business entity filings, annual reports, foreign corporation

Transcript Highlights:

• of Insurance Commissioner Ricardo Lara.
• mandatory insurance discount program. recognizing community-wide mitigation.
• On behalf of Insurance Commissioner Ricardo Lara, I ask for your aye vote.
• on SB 616 the motion is due Do pass to the Committee on Insurance.
• , under the leadership of Insurance Commissioner Ricardo Lara, as a proud sponsor of SB 429.

Committee: House Emergency Management

Keywords: 988, house, all

Transcript Highlights:

• insurance card.
• This bill allows the DMV to not police your insurance to decide whether it's a valid piece of insurance
• This is to fill the gap if you purchase insurance within that first 24 hours or 12 hours in that insurance
• It's not that database, but you just went to your local insurance company to grab the card.
• They know what a true insurance verification is.

Committee: House Public Safety

Keywords: 914, all

Transcript Highlights:

• Having an insurance card doesn't mean you have access.
• I primarily work with children and take multiple insurances at my practice.
• from insurance companies.
• Almost 100% of my clients use their insurance to see me.
• Insurers are not complying with regulations about mental health parity.

Summary: The Senate Health and Long-Term Care Committee first met in executive session and advanced five bills out of committee. SB 5999, as amended by a substitute, would let rural counties under 100,000 population appoint an APRN or physician assistant as an acting local health officer; SB 5185 would create a pathway for international medical graduates to physician licensure through a Washington Medical Commission pilot; SB 5845 would revise timely payment rules for health carriers, including longer acknowledgment and payment timelines and clarifications on scope; SB 6071 would standardize overpayment recovery timelines for carriers; and SB 6258 would create a non-disciplinary pathway for relinquishing Washington Medical Commission licenses. Each bill received a due pass recommendation and was sent to Rules, with the bills passed subject to signatures. The committee then heard SB 6226, which would protect the clinical autonomy of audiologists and ensure hearing-instrument and communication-device rules are applied consistently across care modalities, including telehealth. Testimony was overwhelmingly supportive, emphasizing access for rural and mobility-limited patients and the importance of teleaudiology, though one association cautioned the bill could affect broader regulatory authority. The hearing closed with 54 pro, zero con, and two other sign-ins. Next, the committee heard SB 6305, the Truth in Mental Health Coverage Act, which would require carriers to submit standardized annual data to the Office of the Insurance Commissioner on mental health and substance use disorder coverage, access, utilization, reimbursement, and network participation, with public posting in raw and dashboard form. The sponsor and supporters said the bill would improve transparency and accountability without changing benefits, while opponents argued it could duplicate recent parity reforms and add administrative burden. The hearing closed with 396 pro, two con, and zero other sign-ins. Finally, the committee heard SB 5924, a proposed substitute expanding pharmacists’ prescriptive authority for certain limited conditions and products, including some preventive and minor-illness treatments, and allowing limited diagnosis within defined bounds. Supporters said it would improve access, especially in rural and underserved areas, reduce administrative barriers from collaborative drug therapy agreements, and align with the sunrise review; opponents, including the medical association, said the bill went beyond the review and needed more time, while some testimony raised concerns about psychiatric prescribing. The hearing closed with 279 pro, six con, and four other sign-ins, and the committee adjourned after concluding its business.

Transcript Highlights:

• really can't live off of unemployment insurance.
• It's not in the insurance code. In Texas, there's...
• . insurance carrier in our system.
• Insurance carriers who provide these policies.
• We have insurance carriers that includes commercial insurance. large self-insured businesses, political

Committee: House Trade, Workforce & Economic Development

Keywords: 1184, house, all

Transcript Highlights:

• My name is Brandon Vick with the National Association of Mutual Insurance Companies.
• When it comes to insurance, the litigation funder may have a lien against the insurance company and the
• My name is Brandon Vick with the National Association of Mutual Insurance Companies.
• When it comes to insurance, the litigation funder may have a lien against the insurance company and the
• I have private insurance. Is this going to impact our... I have private insurance.

Bills: HB2255 , HB2320 , HB2548

Committee: House Civil Rights & Judiciary

Keywords: litigation finance, legal funding, lawsuit, financial services, access to justice, firearm regulation, manufacturing, safety standards, background checks, license requirements, health care market standards, hospital consolidation, merger review, health care transaction notice, attorney general review, antitrust, provider organizations, hospital systems, contracting affiliation, material change

Transcript Highlights:

• The Insurance Gender Non-Discrimination Act passed in 2005.
• The insurance barriers, can either of you expand a little bit more on insurance coverage not rolling
• I can say I have called insurance.
• oversight to insurance providers in particular.
• And the insurance providers.

Summary: The joint hearing focused on access to gender-affirming care in California, with opening remarks emphasizing the state’s legal protections, the importance of decorum, and the impact of federal actions on transgender, gender-diverse, and intersex Californians. The Department of Justice, Department of Managed Health Care (DMHC), and Department of Health Care Services (DHCS) described current state protections, including nondiscrimination rules, privacy and shield laws, Medi-Cal and commercial coverage requirements for medically necessary care, and ongoing litigation challenging federal executive orders, proposed rules, and HHS actions that could restrict care or threaten provider participation in Medicare and Medicaid. Officials also noted that California continues to oppose federal proposals through lawsuits and public comments, and that the state is preparing strategies if those proposals are finalized. Members asked about hospital closures or pauses in care, continuity of care, provider network adequacy, whether additional legislation or funding is needed, and how the state can better track access and enforce existing protections. DMHC said it monitors complaints and independent medical reviews, but does not have a specific provider category for gender-affirming care and does not collect utilization data by service type; DHCS said Medi-Cal covers medically necessary gender-affirming care and that federal proposals are not yet final. Finance staff said the previously approved $15 million allocation is still being implemented through Covered California. The second panel heard from a physician, clinic leaders, parents, and a transgender youth about how families and providers navigate access to care. Dr. Johanna Olson-Kennedy described the history of transgender medical care, the role of puberty blockers and hormones, and said minors need parental consent for medical interventions, while emphasizing that care should be individualized and that supportive parents improve outcomes. She also described the closure of the Children’s Hospital Los Angeles youth program and the difficulty of rebuilding care in private practice, including insurance contracting barriers and inadequate reimbursement. J.M. Jaffe of Lyon Martin Community Health Services said the clinic has expanded to serve minors after hospital programs closed, but that the shift has created major financial strain and increased demand, and asked for a $26 million state investment to stabilize transgender health services. Parents and youth described delays, cancellations, and uncertainty at Kaiser, Stanford, UCSF, and Rady Children’s, along with the emotional and medical consequences of interrupted care. One parent said TRICARE stopped covering her son’s care after federal changes and that Rady later closed its clinic; her family urged California to backfill lost access and funding. A 16-year-old trans student and other witnesses argued that California should remain a reliable source of care and that current protections are not enough without funding, provider support, and stronger enforcement.

Transcript Highlights:

• to the committee by Representative Nelson, everything under the covered entities, the PBMs, the insurers
• Taking pretty much all of this, but taking the PBM, insurers, and manufacturers component and turning
• And so I know that the Insurance Commissioner had said that there would be some additional cost with
• Arnold here from the Insurance Commissioner?
• Arnold here from insurance commissioner. Would you like to address some of the discussions we had?

Committee: House Human Services

Keywords: 908, all

Summary: The subcommittee met on SB 2370 with a quorum present and focused on how to handle proposed 340B-related reporting language. Members discussed three main paths: adopt the LC draft with reporting requirements for covered entities, PBMs, insurers, and manufacturers; convert only the PBM/insurer/manufacturer portions into a study; or turn the entire proposal into a study. Representative Dobervich explained that the study version would keep the same subject areas but delay initial reporting so the data could be analyzed more thoughtfully, and she noted gaps in the original amendments, including federally qualified health centers participating in 340B, 340B contract pharmacies, and a clearer plan for data analysis and administration. Testimony from HHS and the Insurance Department emphasized that collecting data is different from analyzing it and that any version would need clear authority, confidentiality protections, and a designated agency willing to collect, analyze, and publish the information. The Insurance Department said it could potentially collect data but would likely need additional budget resources for analysis, and it noted that the pending PBM bill, SB 1584, could affect what information is already available through regulation. A representative of the North Dakota Pharmacists Association said SB 1584 contains some reporting but is not as comprehensive as the proposal under discussion. Members also discussed whether the proposal belonged in an insulin bill at all, with concerns raised about germaneness and the possibility of sending the matter to the Delayed Bills Committee or placing study language elsewhere. No vote was taken. The subcommittee adjourned after members agreed to continue refining the language over the weekend and bring options back to the full committee, with several members expressing a preference for a combined version that includes both reporting and study elements.

Transcript Highlights:

• There were insurance.
• </c> insurance is well, bad. insurance is well, bad.
• </c> health insurance company is? health insurance company is?
• </c> health insurance potentially. health insurance potentially.
• </c> that when it comes to health insurance that when it comes to health insurance insurance<02:08:18.200

Committee: Senate Education Policy

Keywords: 1187, senate, all