Transcript Highlights:

• An Arkansas insurance premium, paid for by an employer and an employee sharing, right, it's almost the
• So if your premiums are the same and what insurance companies measure is risk, then you have a risk tax
• every time your premium is increased because the hospital cost is pretty much the same.
• And if commercial payers are taking in about the same number of premiums in our state as they are in
• ... ...it would allow the hospitals to control those premiums and those costs and to make sure they're

Keywords: 1204, all

Transcript Highlights:

• I've thought about bringing it forward myself, but there were some concerns raised about the premium
• And I did just want to comment quickly on you saying the premiums.
• And I did just want to comment quickly on you saying the premiums.
• That shot homeowners' premiums up by 15%.
• But this really is a cost issue, and it's our attempt to maintain affordable premiums.

Summary: The Insurance Committee first heard House Bill 2250, sponsored by Representative Zimmerman, which would require insurers to cover replacement of all siding on a home when storm damage affects only part of the siding and matching materials are not reasonably available. Zimmerman said the bill is intended to codify Missouri case law and address homeowner complaints after hailstorms, where insurers allegedly paid only for the damaged side and left owners to pay for the rest if matching siding could not be found. Committee members generally expressed sympathy for affected homeowners and discussed possible refinements, including limiting the requirement to street-facing elevations and adding clearer consumer disclosures about coverage. Opposition testimony came from the Missouri Insurance Coalition, which argued the bill could increase premiums and reduce affordability, especially for homeowners choosing lower-cost policies. Coalition witnesses said insurers should repair direct physical damage but raised concerns about extending coverage to cosmetic mismatch issues and noted that consumers can sometimes buy more robust coverage through riders or different policy options. They also said better disclosure and consumer education would help. Representative Castile raised additional ideas about certified payroll and contractor accountability, though those were not part of the bill under discussion. After the HB 2250 hearing closed, the committee established a quorum and moved into executive session on House Bill 3328. The committee adopted a House Committee Substitute that, according to Representative Castile, removed the IBHS certification requirement in favor of a non-biased third-party testing lab and deleted an adjuster cap, while keeping the bill’s broader “stronger home” program intact. The committee then voted the substitute do pass by a 9-0 vote and adjourned.

Transcript Highlights:

• SO THERE IS THE CONNECTION TO THE INSURANCE PREMIUM THAT HAPPENS WITH THIS INSPECTION.
• AND SO EVEN REMAINING, KEEPING A PREMIUM STABLE I WOULD SAY IS A SUCCESS BECAUSE IT DIDN'T GO UP.
• HERE YOU CAN SEE BROKEN DOWN BY CALENDAR YEAR THE AVERAGE PREMIUM REDUCTIONS.
• AND SO I THINK IT'S GOING TO BE VERY TELLING TO SEE WHAT HAPPENS TO THE PREMIUMS ON THIS ONE.
• SO I THINK THAT WILL ALSO BE TELLING TO SEE WHAT THE PREMIUM IMPACT THERE IS.

Transcript Highlights:

• partially offset by lower gross premium partially offset by lower gross premium tax<00:42:06.960
• <00:43:04.319> colle partially offset by lower premium colle partially offset by lower premium
• <00:43:07.200> of uh premium searchcharge collections of uh premium searchcharge collections
• You can and gross premium tax revenue.
• The disposition of gross premium taxes differ on the status of the HMO.

Keywords: 1187, senate, all

Transcript Highlights:

• I've thought about bringing it forward myself, but there were some concerns raised about the premium
• And I did just want to comment quickly on you saying the premiums.
• Generally speaking, on insurance products, a concern that we do have is on what the entry premium rate
• “On insurance products, a concern that we do have is on what the entry premium rate is.
• That shot homeowners' premiums up by 15%.

Keywords: 959, house, all

Summary: The House Insurance Committee heard testimony on House Bill 2250, which would require insurers, beginning in 2027, to pay for full siding replacement when storm damage affects only part of a home and matching siding is not reasonably available. Sponsor Rep. Jaclyn Zimmermann said the bill is intended to codify existing Missouri case law and address complaints from constituents who were left with mismatched siding after hail damage, especially in older homes where the original materials are no longer made. Committee members generally expressed support for the consumer-protection goal, while also discussing possible changes such as limiting the requirement to certain elevations or adding clearer policy disclosures. Opposition testimony came from the Missouri Insurance Coalition, which argued the bill could raise premiums for all homeowners and noted that consumers can already buy more comprehensive coverage if they choose. Coalition witnesses said insurers should repair direct physical damage but warned against requiring full-house replacement for cosmetic mismatch, citing a prior St. Louis-area experience where a similar requirement reportedly increased premiums. Members and witnesses also discussed related issues such as consumer understanding of policy terms, the availability of different policy products, and whether contractor payroll or fraud concerns should be addressed separately. No vote was taken on HB 2250. After the hearing, the committee established a quorum and moved to executive session on House Bill 3328. The committee adopted a House Committee Substitute that removed the IBHS certification requirement in favor of a non-biased third-party testing lab and removed the adjuster cap, while otherwise keeping the bill’s stronger home program framework. The committee then voted the House Committee Substitute for HB 3328 do pass by a vote of 9-0, and the meeting adjourned.

Transcript Highlights:

• Because in Arkansas insurance, ...an Arkansas insurance premium paid for by an employer and an employee
• every time your premium is increased because the hospital cost is pretty much the same, even though
• every time your premium is increased because the hospital cost is pretty much the time your premium
• And if commercial payers are taking in about the same number of premiums in our state as they are in
• And if commercial payers are taking in about the same number of premiums in our state as they are in

Summary: The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures. Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete. A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation. At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.

Transcript Highlights:

• products on one end which is 90% premium products on one end which is 90% premium 10%<01:04:48.480
• they rather have lower premium costs? they rather have lower premium costs?
• premiums.
• Most rebated drugs already premiums.
• The bill premiums for most enrolles.

Keywords: 1187, senate, all

Transcript Highlights:

• In 2013, a premium was 3.6 million and it has increased yearly.
• Laura Yeoman: This will naturally result in us having higher premiums.
• Neither of those have lowered premiums and they have been in law for decades.
• Laura Yeoman: Premiums are even less significant to physician assistants.
• Premiums are going up 73 David Marco Junior: percent at South Florida's hospital.

Transcript Highlights:

• if we can be doing things in a way to better protect our homes and also then reduce our insurance premiums
• That would then also get a premium reduction for those homes, as well.
• ,<00:02:37.720> I<00:02:37.800> think reduce our insurance premiums, I think reduce
• our insurance premiums, I think that<00:02:38.240> that's<00:02:38.480> a<00:02:38.560
• reduction for about for those um premium reduction for about for those um homes,<00:03:45.400> as

Keywords: 919, house, all

Summary: House File 4223 was presented as an appropriation to implement and jump-start the Strengthening Our Homes program enacted in 2023. Rep. Elkins said the goal is to help homeowners strengthen roofs using standards promoted by the Insurance Institute for Business and Home Safety, citing other states such as Alabama as examples where hardened homes performed better in major storms. He emphasized rising homeowners insurance costs, especially for affordable apartments, older condo buildings, and seniors on fixed or limited incomes, and said the grants would help people who may not have the upfront cash to make improvements. Committee members generally supported the concept, describing it as a way to reduce storm damage and lower insurance premiums. One member highlighted that the income threshold for grant eligibility could reach a large share of Minnesota homeowners and potentially harden nearly a million homes, while another noted the program’s focus on lower-income households. A Commerce Committee discussion was referenced in which an alternative approach was raised: tax incentives, including possible sales tax relief, for materials and labor used to harden homes against hail and other weather risks. Rep. Elkins responded that labor is an important part of the cost and that many potential beneficiaries are seniors with little taxable income, making a grant program more practical than a tax-based incentive. Another member agreed the upfront cost is a major barrier and said the grant design appears thoughtful. No vote was taken; the bill was laid over for further discussion.

Transcript Highlights:

• And so we get to premium changes, and these represent, you know, recent premium changes on both in terms
• <00:09:23.839> increase which there wasn't a premium increase which there wasn't a premium
• Um as as you all may employee premiums.
• Um and and so that that has premiums.
• The plan, um, all of whom are submitting total premiums into the plan trust.

Keywords: Meeting Start 00:00:00 State Health Insurance Plans 00:00:03 Executive Branch Salary Schedule Adjustments 00:29:15 Nutrition Program for the Elderly 00:34:52 Update on DORIS 01:05:38, 958, all

Summary: The committee met on November 5, 2025, and first approved the minutes after a moment of silence for the UPS airport tragedy. The main presentation was from the Personnel Cabinet on the state health insurance plans and executive branch salary schedule adjustments. Officials said the health plan covers roughly 265,000 active members and up to about 300,000 across all benefit offerings, including school board employees, retirees, and other eligible groups. They described rising claims and expenditures, especially from high-cost claimants and pharmacy spending, and said recent premium and benefit changes were intended to balance costs while preserving recruitment and retention efforts. They also explained that employee premiums had not increased for several years, while employer contributions rose sharply in recent years, and projected a 10% employer increase and 3% employee increase going forward based on actuarial analysis. Committee members asked about deductibles, GLP-1 drug costs, claims validation, and the causes of cost growth; officials said the plan uses multiple payment-integrity vendors and that the increases reflect utilization, drug trends, and high-cost cases rather than a change in coverage. The committee also discussed executive branch salary schedule adjustments. Personnel and budget officials explained that when the legislature approves annual pay increases, the salary schedule is adjusted by the same percentage through executive order so the minimum and midpoint stay aligned with approved compensation levels. They said the 2025 adjustment was a 3% match effective September 16 and that the change was costless because salaries had already been increased. Members raised concerns about salary compression, noting that new hires can sometimes be paid near the level of long-serving employees. Officials said the adjustment helps prevent compression from worsening but does not solve it, and they acknowledged prior RFP efforts to address the issue were unsuccessful because no qualified bidder met the requirements. After the health plan and salary discussions, the committee began a presentation from the Cabinet for Health and Family Services on Kentucky’s senior meal program. Secretary Stack explained that the program is a federal-state-local partnership under the Older Americans Act, with area development districts helping deliver services. He outlined eligibility rules, noting that congregate meals at senior centers are available to people age 60 and older, with a spouse of any age allowed to join, and that home-delivered meals have additional homebound and assistance requirements. Members asked whether there was any means test for congregate meals, and the secretary said there is not; the only threshold is age for the center-based meals, while the home-delivered program has additional criteria.

Transcript Highlights:

• So I guess the one question is, what are you doing for your department to stabilize?
• national labs and industry, but the large part of the 200 increase is related to the health care premiums
• sure that we're not having to steal out of one pot to put into the other to pay our health care premiums

Transcript Highlights:

• Um just 3 months ago, we premiums.
• We're constantly being bombarded: We need lower premiums.
• Their premiums are going to go Alabama.
• . begging us for lower and lower premiums.
• These are the types need lower premiums.

Bills: HB424, SB63, SB269

Keywords: HB424, Montgomery County, sheriff, county sheriff, salary increase, expense allowance, local act, county general fund, retirement contributions, public official compensation, law enforcement pay, elected official salary, Montgomery County legislation, sheriff compensation, term-based salary, immigration, law enforcement, fingerprints, DNA collection, illegal aliens

Transcript Highlights:

• That accounts for about premium tax.
• life based on the first year premiums. life based on the first year premiums.
• And then insurance premium tax million.
• So there does premium tax and other.
• Um and a premium whichever is less.

Keywords: Meeting Start: 00:00:00 Roll Call 00:00:11 Discussion of County Clerks’ Land Records Update 00:02:42 Discussion of Area Development Districts 00:22:48 Discussion of Legislative Measures 00:50:09 Discussion of Local Taxing Sources 01:02:33 Adjournment 01:29:16, 958, all

Summary: The committee first took up an update from the Kentucky County Clerks Association on the transition to electronic recording and land records modernization. Testimony explained that legislation from the 2021 task force created funding and deadlines for counties to provide online search portals and complete a 30-year property record search, with a later move to a 60-year standard. Speakers said the money has been awarded to counties, but much of the work is still in progress because records must be scanned, indexed, and manually verified. They said only a handful of counties are fully compliant with electronic recording so far, while many are still working through staffing and vendor issues. They also noted that the 60-year standard may ultimately be easier and more efficient to complete than the 30-year standard, and that compliance is expected to improve by next summer. The clerks’ representatives also raised related issues, including deed fraud, the county document storage fee, and KDLA digitization grants. They said online recording can make deed fraud easier to attempt, so they expect to seek legislation next session to address it. They described an existing notification service available in many counties that alerts property owners when a document is recorded, which can help detect suspicious activity quickly. They also said the storage fee and separate county account structure has generally worked well, but that two recent KDLA grant cycles have not released money for clerks, limiting support for digitization work. Another topic was whether, once records are fully digitized and verified, some permanent records should remain publicly accessible or be moved to a safer archive under KDLA control. Members asked about the balance in the KDLA fund, what the General Assembly could do to help lagging counties, and how much of the $25 million modernization funding had been spent. Witnesses said they did not have the current fund balance but would try to get it, that the main obstacle now appears to be staffing rather than additional money, and that the funds have been awarded but not fully expended because work is still ongoing. They emphasized that counties are helping one another and asked members to alert association leadership if any county is struggling. The committee then heard a presentation from Dan London, executive director of the Lincoln Trail Area Development District, who described area development districts as regional staff extensions and technical resources for cities and counties, and highlighted their role in coordinating regional services and partnerships across county lines.

Transcript Highlights:

• that have driven a lot of premiums that have driven a lot of premiums upward<01:21:38.040> are
• There's a premium tax that varies from 1.25% to 2% of gross premium that is paid before that insurance
• <01:28:56.639> tax then it they they pay the premium tax then it they they pay the premium
• as a denominator the the total premium as a denominator the the total premium in<01:31:57.440>
• is is the individual companies premium is is the individual companies premium in<01:32:02.639>

Keywords: 928, house, all

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

Transcript Highlights:

• So, that's why you pay the suppliers that risk premium.
• So, that's why you pay the suppliers that risk premium.
• So, again, we concept of a risk premium.
• ,<01:54:22.280> over talking about risk premiums, over talking about risk premiums, over collections
• There's also the risk premium within utility default service, right?

Keywords: 1191, senate, all

Transcript Highlights:

• We are struggling to pay our increasing rents, utility bills, groceries, and insurance premiums.
• Without access to affordable housing resources, young people like me are left without the stability needed
• Prevention saves costs and stabilizes communities. Good afternoon.
• Prevention saves costs and stabilizes communities.
• Because it's not just about building housing, it's about preventing homelessness, stabilizing communities

Summary: The subcommittee heard an extensive presentation on the administration’s housing reorganization proposal, which would centralize multifamily affordable housing finance under the new Housing Development and Finance Committee (HDFC) and align it with the Governor’s trailer bill language. Administration officials said the plan is intended to create a one-stop application and award process, reduce duplicative timelines and costs, and pair state subsidy with private activity bonds and federal tax credits more efficiently. They also described proposed changes to the Affordable Housing and Sustainable Communities program, including shifting a larger share of funding toward housing-related awards while preserving a portion for sustainable communities investments. The Legislative Analyst’s Office generally supported the streamlining concept but recommended changes to the proposed bond set-aside timing and urged flexibility for integrated applications and future reporting on demand. Senators, especially Senator Cabaldon, raised concerns that the proposal could weaken the original climate-and-transportation purpose of the sustainable communities program and that the reorganization would be undercut by the lack of new housing production funding in the budget. The item was held open without a vote. The committee then received a report from the California Debt Limit Allocation Committee and the California Tax Credit Allocation Committee on federal and state housing tax credits. Staff explained that the federal H.R. 1 change lowering the bond-financing threshold from 50% to 25% greatly expanded the number of projects able to use the 4% federal tax credit, allowing California to fund many more projects and units. They also described the state low-income housing tax credit as an important gap-filling tool for projects that still need additional subsidy, and noted existing set-asides for rural, homeless, at-risk, and extremely low-income projects. Members discussed rehabilitation as well as new construction, and the item was informational only. Finally, the Civil Rights Department reported on the effects of federal civil rights policy changes and on three programs facing expiration: California vs. Hate, the Community Conflict Resolution Unit, and Investigations and Conciliation Enhancement. Director Kevin Kish said federal cuts and policy shifts have reduced support for fair housing and other civil rights functions, while CRD’s caseload has grown from about 8,700 open matters a year ago to more than 12,000, with a six-month wait for interviews despite overtime triage efforts. Senators expressed strong support for continuing the programs and concern about the broader federal rollback of civil rights enforcement. The department said it is using overtime, intake triage, and outreach partnerships to manage the workload and direct Californians to appropriate state, local, and nonprofit resources.

Transcript Highlights:

• We are struggling to pay our increasing rents, utility bills, groceries, and insurance premiums.
• Without access to affordable housing resources, young people like me are left without the stability needed
• Prevention saves costs and stabilizes communities. Good afternoon.
• Prevention saves costs and stabilizes communities.
• tenancies, and prevents eviction. ...and dispute resolution that stops discrimination early, stabilizes

Keywords: 987, senate, all

Transcript Highlights:

• Yeah, I just wanted to be more of an advocate on the premium cigar aspect of the business.
• A lot of times people don't really see the premium cigar business separated from smoking in general.
• The premium cigar business [is] separated from smoking in general.
• We'll now hear from Glenn Loop from the Premium Cigar Association. Thank you very much.
• We'll now hear from Glenn Loop from the Premium Cigar Association. Thank you, Mr. Chairman.

Keywords: 995, all

Summary: The Joint Committee on Revenue held a long hybrid hearing on a wide range of tax bills, with testimony covering cigarette and tobacco taxes, nicotine pouches, contractor rental equipment exemptions, aircraft sales tax exemptions, rolling stock, advanced sales tax payments, a gun and ammunition excise tax, a digital services tax, and a psilocybin cultivation/tax proposal. Committee chairs outlined the hearing process and noted that 39 House-filed sales and excise tax bills were being heard for required reporting by November 28. No votes were taken during the hearing. On tobacco-related bills, supporters including Senator Keenan, the American Heart Association, the American Cancer Society, and Tobacco Free Mass backed higher cigarette taxes and closing the synthetic nicotine loophole, arguing the measures would reduce youth initiation, encourage cessation, and offset health care costs. Retailers, wholesalers, and convenience-store groups opposed the increases, warning of smuggling, out-of-state purchasing, and harm to small businesses; premium cigar representatives argued cigars should be treated separately from cigarettes. The committee also heard testimony on H. 3067 and related bills concerning nicotine pouches, with public health advocates supporting taxation and industry witnesses urging a lower, more competitive rate. Several other bills drew sharply divided testimony. United Rentals supported H. 3065 to simplify contractor rental equipment exemption paperwork, while airport and aviation groups opposed bills to repeal the aircraft sales tax exemption, saying it would hurt airport competitiveness and jobs. The Transportation Association of Massachusetts backed rolling stock tax exemptions, saying the current tax discourages fleet investment and interstate commerce. Restaurant industry representatives supported repealing advanced sales tax payments and changing penalty rules, saying businesses were hit with retroactive penalties after unclear pandemic-era changes. On H. 3082, an excise tax on guns and ammunition, gun violence prevention advocates, Roca, and Giffords supported the bill as a dedicated funding source for prevention and survivor services, while sportsmen’s groups opposed it as unfair to lawful gun owners and harmful to conservation funding. The committee also heard testimony on H. 3208, a digital advertising services tax, with Representative Paulino supporting it as a way to capture revenue from online advertising and fund public needs, while the Chamber of Progress opposed it as costly and burdensome for small businesses and campaigns. Finally, multiple witnesses testified on H. 4050 regarding psilocybin cultivation and taxation: advocates from Mass Healing, Roca, the Reason Foundation, and individuals describing personal medical benefits urged a regulated, permit-based system, while the hearing ended after all signed-up speakers were heard and the chair adjourned the meeting.

Transcript Highlights:

• Again, it's not Medicaid, which doesn't have premiums.
• Families pay a premium of $15 between 133% and 150%, or $20 between 150% and 200%.
• Again, families pay a premium of $15 between 133% and 150%, or $20 between 150% and 200%.
• You know, the legislation, you know, we developed six different premium tiers for payment of premium
• I don't have the numbers on the amount of kids who are disenrolled for nonpayment of premiums, but I

Summary: The committee opened with roll call, welcomed members back for the first committee weeks, and heard brief personal updates from several senators before moving into agency implementation updates on recently enacted health care laws. The Agency for Health Care Administration reported on Senate Bill 64 creating rural emergency hospitals, explaining that AHCA adopted the required rules effective June 1, 2025, but that no hospitals have yet been designated. Members asked about possible hospital conversions, accreditation and survey responsibilities, and whether Florida would apply for federal rural health transformation funding; AHCA said it intends to apply and has already been working on the issue with federal officials. AHCA also reviewed the non-emergent care access plan requirement under Senate Bill 7016. The agency said hospitals with emergency departments must submit plans that help redirect non-emergent patients to appropriate care settings while complying with EMTALA, and that 83 plans had been received and 63 approved as of September 30. Members asked about data collection, managed care coordination, and the state’s health information exchange; AHCA said it has moved to a new HIE vendor and will continue monitoring implementation and possible care gaps. AHCA then updated the committee on the TEACH program, saying $6.8 million was spent in 2024-25 across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed. The agency said rulemaking is nearly complete, a new nursing student category and expanded facility eligibility were added, and a federal 1115 workforce waiver remains stalled after CMS signaled it will not approve new workforce demonstrations. AHCA also reviewed House Bill 121 on KidCare eligibility, explaining that implementation of the 300% poverty-level expansion remains blocked by federal litigation and waiver issues tied to premium nonpayment rules; members and public speakers urged action to close the coverage gap. Public testimony on AHCA’s presentation came from representatives of health centers and advocacy groups, who said the non-emergent care access plan has improved hospital-health center coordination and reduced repeat emergency use, and who urged implementation of KidCare expansion for children in the coverage gap. The Department of Health then presented updates on FRAM, the Sanadi screening grant program, the Health Care Innovation Revolving Loan Program, telehealth maternity care, swimming lesson vouchers, and House Bill 159 on pharmacist dispensing of HIV post-exposure prophylaxis. DOH reported strong participation in FRAM and the telehealth maternity program, 24 Sanadi grant awards in 42 counties, 4,945 swimming lesson vouchers issued last year and 2,371 so far this year, and three approved certification courses with five pharmacist certifications issued under HB 159. Committee members asked about recruitment of dentists and other providers, telehealth maternity outcomes, and why participation in the maternity program remains below expected levels; DOH said outreach and regional referral networks are expanding and more detailed outcome data will be included in the upcoming legislative report.

Transcript Highlights:

• I get a per rat based on their insurance premiums at a gross scheme of things.
• It sounds like a PR rata premiums.
• Uh, will this cause premiums presently.
• Please send your premium for your home to this new address.
• Please send your premium<00:28:21.520> for<00:28:21.679> your<00:28:21.840> home

Keywords: Insurance - Room 216, 3 February, 2026; 9:00 AM, 925, all

Summary: The committee took up several insurance and health-related bills. Earlier discussion focused on metastatic cancer step therapy and biomarker testing, with the sponsor explaining that the bills would prevent insurers from requiring patients to try less effective treatments first and would require coverage for biomarker testing to better target treatment. The biomarker bill was described as a product of a summer study committee and was reported favorably. The committee also advanced a bill setting standards tied to the National Association of Insurance Commissioners, and a private residence elevator bill requiring licensing, inspection, and permitting for elevator installers, with an amendment exempting those elevators from annual inspections after the initial inspection. Members then considered a mitigation program for retrofitting homes, with the sponsor saying the Department of Insurance and industry were close to a workable statewide program. The bill would be funded by increasing a fee paid by insurance companies, not policyholders, and would allow use of a third-party administrator capped at 5% of program funds. The committee also reported bills extending the state health plan repealer, extending the LOSAP volunteer firefighter program repealer, and creating a fraud detection trust fund at the Insurance Department to address AI- and cyber-related fraud. The fraud fund bill drew questions about whether it would raise premiums and how it would help investigators; supporters said the fund would support staffing and equipment and that the existing fund had been dormant. Additional bills included a transparency measure for dental insurance spending, which would require reporting on the share of premiums spent on dental services beginning in 2027, and a bill expanding access to self-funded group health plans for members of legitimate professional and trade associations. The committee also heard a Mississippi Patient Protection Act aimed at strengthening willing-provider protections and limiting insurer discrimination against qualified providers; an amendment was proposed to clarify that vision benefit managers would not be treated as pharmacy benefit managers. Most measures were moved by title sufficient due pass and reported without opposition.