Transcript Highlights:

• In a traditional school district, and then they are coming to our school on a case-by-case basis for
• I want to shorten that planning phase.
• health cases.
• Family law cases are cases most likely to return for resolution of issues that arise after the initial
• And I'd say in some cases we didn't, like a requirement for agencies to develop their own IT plan when

Keywords: 908, all

Transcript Highlights:

• The big increase in cases primarily.
• And look, it is a wonderful, wonderful plan.
• Do you plan to implement the formulary management?
• Our state health insurance plan is a statewide issue.
• We do a yearly regulatory plan following the legislative session that lays out our plan for the year.

Summary: The State Administration Budget Subcommittee met for an introductory overview of the agencies under its jurisdiction and their current-year budgets. Chair Vicki Lopez welcomed members and staff, and each member briefly introduced themselves and identified areas of interest, with recurring themes including fiscal restraint, insurance regulation, revenue administration, condominium issues, and government efficiency. The chair then outlined the subcommittee’s overall budget, about $3.1 billion, and noted major recent policy areas affecting the budget such as condominium legislation and emergency communications funding. Agency heads then presented high-level summaries of their missions and budgets. The Department of Revenue described property tax oversight, tax administration, and child support enforcement; the Department of Management Services reviewed state purchasing, telecommunications, fleet, state insurance, retirement, and digital services; DBPR highlighted licensing, enforcement, condominiums, and building code work; DFS covered insurance consumer services, risk management, unclaimed property, fire marshal functions, and criminal investigations; the Gaming Control Commission discussed pari-mutuel and tribal gaming oversight and enforcement; OIR explained insurer solvency and rate review; the Lottery emphasized education funding and record sales; OFR described regulation of banking, securities, lending, and money services; DOAH outlined administrative and workers’ compensation adjudication; PSC covered utility rate regulation and consumer complaints; PERC described labor relations and career service appeals; and FCHR summarized discrimination complaint investigations and outreach. Several members asked questions about utility returns, insurance regulation staffing, DMS’s state employee health plan deficit and prescription drug formulary management, agency recommendations for reducing regulatory burden, and state facilities usage. Responses generally emphasized that utility rates and insurer filings are determined through evidentiary and actuarial processes, that OIR has reduced vacancies but still seeks specialized staff and a Tampa office expansion, and that DMS acknowledged rising health plan costs and said the issue likely requires broader budget-level discussion. The chair also pressed multiple presenters to stay focused on agency operations and budgets rather than broader policy issues. No votes or formal actions were taken in the meeting.

Transcript Highlights:

• know, plan your work, work your plan.
• Does your plan, or will your plan, start to address that issue?
• <02:04:25.239> work down a a plan you know plan your work down a a plan you know plan your
• um does your um plan or will your plan um does your um plan or will your plan start<02:06:34.679
• are too high for the case managers to do any real integrated case management.

Keywords: 910, house, all

Summary: The Committee on Finance held its first informational briefing for 2025, beginning with member introductions and then hearing an economic outlook presentation from Dr. Eugene Tian of the Department of Business, Economic Development and Tourism. Dr. Tian said Hawaii’s economy was in relatively good shape in several areas, especially construction, which he described as at a historical high, with construction employment above 40,000 monthly and building permit values and contracting tax base both up sharply. He also noted real estate sales had rebounded in 2024, the labor market had stabilized with unemployment around 2.9%, and initial unemployment claims were below 2019 levels. At the same time, he highlighted challenges including inflation running above the national rate, a shrinking labor force, lower employment compared with 2023, and continued weakness in visitor spending and arrivals. He said future growth would likely come from health care, professional services, construction, tourism recovery, and diversified sectors such as renewable energy, aquaculture, creative industries, and technology. Dr. Tian also discussed Hawaii’s economic structure and recovery, saying the state remains more concentrated in a few industries than the U.S. overall, with government and hospitality making up larger shares of the economy. He said non-tourism sectors had recovered, but tourism-related jobs and output were still below pre-pandemic levels, with Maui and the visitor industry still affected by the wildfire and COVID-19 impacts. He projected tourism and non-agricultural wage and salary jobs would not fully recover until 2027, and said population trends remain a concern because of aging, the likelihood of deaths outpacing births in coming years, and reliance on in-migration. After his presentation, the chair said questions would be taken later and the committee took a short break. After the break, Dr. Carano of the Hawaii Executive Director’s office presented a second outlook, saying Hawaii’s economy in 2025 looked better than 2024 overall, though he emphasized substantial uncertainty tied to the incoming federal administration. He said possible changes to tariffs, tax policy, immigration, and federal spending could raise inflation and keep interest rates higher than previously expected, which would affect housing, consumer debt, the dollar, and Hawaii’s visitor industry. He noted that U.S. visitors account for roughly three-quarters of visitor spending in the state, making federal policy especially important. He also said deregulation could be a long-term positive but would not likely have much effect in 2025 or 2026. As an additional risk, he pointed to bird flu and its effect on livestock, poultry, and egg prices. No votes or formal actions were taken during the briefing.

Transcript Highlights:

• Once a case is several years old, absent a witness on their deathbed, making a case, Once a case is several
• We have cases where I get calls from the United States senators about the cases.
• My case is still delayed.
• management plans.
• management plans.

Keywords: 995, all

Summary: The hearing was held in Clinton Town Hall as part of the Joint Committee on Ways and Means’ budget review, with local officials welcoming legislators and noting the long agenda of many panels. The main presentation was from Secretary Terrence Reedy of the Executive Office of Public Safety and Security, who outlined the Healey-Driscoll administration’s FY26 proposal for the secretariat, including a $1.7 billion budget and a 7% increase over FY25. He described investments in emergency preparedness, hate-crime prevention, reentry programming, technology modernization, internships, and public safety training, while also noting some reductions driven by resource constraints, including cuts to certain grant programs and administrative costs. Committee members also raised concerns about federal uncertainty and how it could affect state budgets and public safety planning. A major portion of the questioning focused on the Department of Correction. Secretary Reedy and Commissioner Sean Jenkins said the biggest challenges are staffing, officer wellness, facility safety, and contraband—especially K2. They described steps taken at MCI Souza and other facilities, including reducing population at the maximum-security unit, changing management, removing metal products and free weights, improving screening and roll calls, adding a rapid response team, and increasing investigative and technological efforts to combat K2. They also discussed the closure of MCI Concord, saying it was driven by high maintenance costs and staffing needs, and explained that savings are being used to improve staffing patterns and address deferred maintenance over time rather than producing immediate large budget reductions. Members also questioned the budget’s impact on police training and community policing. The administration defended the increase in police academy tuition from $3,200 to $6,000 as reflecting true training costs and said it would still be subsidized by the state, while acknowledging the burden on small municipalities. They said the MPTC is expanding regional training and considering proposals such as Greenfield Community College’s. On community policing, officials emphasized uniform statewide training, de-escalation, and communication skills. The State Police also announced an outside review of the academy by the International Association of Chiefs of Police and said the next class will be split into two smaller groups to improve oversight and allow quicker implementation of recommendations. Other topics included ICE and federal immigration enforcement, with Reedy saying state law prohibits Massachusetts law enforcement from acting in a civil immigration capacity and that no state dollars were used in the Tufts-related ICE operation mentioned by a member. Senators and representatives also raised the upcoming FIFA World Cup, warning that it will require significant public safety resources and likely federal funding. Additional discussion covered restorative justice and juvenile diversion, health care costs in DOC, electronic health records, and the need for more diverse and culturally competent public safety staffing. No votes were taken during the hearing.

Transcript Highlights:

• action plan. action plan.
• from UKare to other health plans. from UKare to other health plans.
• And in the vast majority of cases, that is not the case.
• And in the vast majority of cases, that is not the case.
• And in the vast majority of cases, that is not the case.

Keywords: 1187, senate, all

Transcript Highlights:

• on. error code: 520 cases.
• cases.
• And if that's the case...
• We did 2019 cases and 2020 cases. Right now, we're working on 2021 cases and 2024 cases.
• Is that the case? That is.

Keywords: 1184, house, all

Transcript Highlights:

• case managers, and the general public. case managers, and the general public.
• And then directed plans of correction may be utilized in cases where a staff person is under investigation
• And then directed plans of correction may be utilized in cases where a staff person is under investigation
• plan of correction.
• Uh and a direct plan plan of correction.

Keywords: 958, all

Summary: The committee met with a quorum and first heard brief presentations on Kentucky’s 2025 Preventive Health and Health Services Block Grant and Title V Maternal and Child Health Block Grant. Department for Public Health staff explained that the preventive health block grant provides about $2.3 million annually and supports programs such as accreditation and performance improvement, local health department grants, community health workers, prescription assistance, asthma and COPD programs, workforce development, and a sexual assault programs set-aside. They said the Title V block grant provides about $11.7 million, with 35% directed to children and youth with special health care needs and 65% to maternal and child health populations, largely through local health departments and a five-year needs assessment process. After no questions, a motion was made and seconded to approve both block grants. The roll call vote passed 19-0, and the two block grants were approved. The committee then approved the minutes from the prior meeting. The next item was a discussion of the child waiver created in House Bill 6. Committee members raised concerns that the proposed 1915(c) waiver did not match the legislature’s intent, which they said was to move children from the Michelle P. waiver to free slots for adults. Cabinet officials from DCBS, behavioral health, and Medicaid described the proposed “Community Health for Improved Lives and Development” waiver as a targeted home- and community-based program for children under 21 with severe behavioral health or developmental needs, including those stepping down from inpatient or residential care or at risk of out-of-home placement. They said the waiver is designed for about 100 slots, uses a standardized needs-based assessment, and includes case management, community living supports, home modifications, respite, supervised residential care, and clinical therapeutic services. Officials said the public comment period ended July 15, responses are being compiled for August submission to CMS, and the waiver is part of the broader Families First initiative.

Transcript Highlights:

• No plan for childcare. No plan for anything for those families who are moving into that community.
• Whenever they're opening their plan the next time, they incorporate this.
• We've depended on the Fair Plan to fill insurance gaps, but we also depend on the Fair Plan to be transparent
• Santa Cruz County became the test case at the intersection of a system in transition and a case that
• It is also not about one case. AB 1902 is about responsibility.

Keywords: 988, house, all

Summary: The Assembly met on May 7, 2026, after an initial delay due to lack of quorum, then proceeded through a long House of Origin deadline session focused mainly on floor votes for dozens of bills. The day opened with prayer, a moment of silence for victims of a hate-motivated shooting at an Islamic Center in San Diego, and a warning to visitors about disrupting proceedings. Leadership repeatedly urged members to be on time and at their desks as the chamber worked through a large daily file. The bills considered covered a wide range of topics, including artificial intelligence, community college trustee compensation, transit camera enforcement and privacy, taxation and excess proceeds claims, HOA rules, hepatitis C treatment access, child care planning, greenhouse energy standards, consumer lending, housing and homelessness, pet spay/neuter access, local financing for workforce housing, student financial aid, DUI penalties, senior housing, foster youth, behavioral health licensing, transit stop data, disaster response for child welfare, elections notices, safe surrender for infants, college enrollment and leave policies, insurance regulation, fair funding, school safety, environmental labeling, cash rounding, park passes through libraries, grocery access, pregnancy protections in education, swatting, domestic violence protective orders, farmworker housing, juvenile justice, cervical cancer screening, Medi-Cal transitions, disability certification, and home protection products. Most authors described their bills as cleanup measures, consumer protections, access expansions, or targeted fixes to existing law. Testimony from authors and supporters emphasized access, safety, affordability, and administrative simplification, while a few bills drew policy concerns or opposition, especially AB 1751 on townhome development and labor standards. That bill prompted extended debate over wages, prevailing wage, and stakeholder engagement, but it ultimately passed. Other notable discussion included AB 1628 to extend California’s safe surrender window for infants, AB 1902 on juvenile detention extension hearings, and AB 1925 on permanent disability certification, each framed as addressing difficult real-world gaps in current systems. The chamber took many roll-call votes, with most measures passing overwhelmingly and several by unanimous or near-unanimous margins. A few bills were temporarily passed, retained on file, or moved to the inactive file, and AB 1534 required the call to be lifted and then passed on a 54-8 vote. Overall, the session was dominated by floor action on the daily file rather than committee reports or gubernatorial messages, and the Assembly advanced a large number of bills on a deadline day.

Transcript Highlights:

• And when we selected these cases, In eight case study jurisdictions, and those are shown there on the
• the plan.
• Is really about establishing a plan of the full suite of planned improvements that would be needed for
• In this case, programs are just continuing business as usual.
• We have a whole new plan called Fifth Avenue Forward.

Keywords: 904, all

Transcript Highlights:

• management plan. management plan.
• case database.
• that<03:43:53.480> might their case and other cases that might their case and other cases
• cases cases um Hm, probably through the news outlets.
• That's an ongoing case.

Keywords: 916, all

Transcript Highlights:

• . plans.
• action plans.
• And planning.
• plans roll up into the state flood plan.
• If you're interested in the flood plan, the regional flood plan, or the state flood plan in your area

Keywords: 1185, senate, all

Transcript Highlights:

• And when we selected these cases, In eight case study jurisdictions, and those are shown there on the
• community is going to benefit from the plan.
• community is going to benefit from the plan.
• In this case, programs are just continuing business as usual.
• We have a whole new plan called Fifth Avenue Forward.

Summary: The committee began with member introductions, then heard a presentation on a draft final report studying alternative funding mechanisms for sidewalks and related pedestrian infrastructure. Consultants said current local funding sources are insufficient, with most jurisdictions unable to complete planned sidewalk networks within 50 years. They evaluated four options: a sidewalk utility fee, a modified transportation benefit district sales tax, a new real estate excise tax option, and expanded stormwater fee use for ADA sidewalk ramps. The consultants recommended authorizing the modified TBD sales tax and new REET option, considering a sidewalk utility despite legal uncertainty, broadening any authorization to all pedestrian improvements, and not pursuing the stormwater fee option. Members asked about legal authority, fairness, revenue adequacy, and whether jurisdictions had been consulted; the presenters said state enabling legislation would likely be needed for a sidewalk utility and that fairness could be defined either by direct benefit or by need. The committee then received an update on the 2025 assessment of city transportation funding needs. The consultants reported that city transportation revenues have grown in some local and federal categories since 2019, but state revenues have remained relatively flat and smaller cities are especially affected by declining fuel tax revenues and limited tax bases. They estimated annual city transportation needs at $4.25 billion, average annual spending at $1.89 billion, and a funding gap of $2.37 billion, larger than in the prior study because of updated data, inclusion of system improvements, and higher preservation costs. Draft recommendations focused on reducing costs and improving efficiency, preserving and increasing state support, and expanding local funding options, including preservation-first spending, a permanent federal fund exchange program, streamlined review processes, better coordination with WSDOT, possible property tax flexibility, and exploration of new local tools. Members raised questions about design standards, the role of density and transit, federal compliance, and whether the report would identify specific consolidation or process changes. The committee also heard a project update on evaluating zero-emission vehicle and electrification programs funded by the Climate Commitment Act. Consultants said they had reviewed roughly 23 programs and projects across seven agencies and were now evaluating options to improve delivery, including process improvements, reorganizing programs, or consolidating governance and administrative functions. Early findings highlighted staffing shortages, duplication and variation across agencies, differing levels of risk, and the challenge of coordinating climate priorities across agencies with other core missions. Members asked about program outcomes, administrative costs, whether some programs should have exit strategies, and how to strengthen the EV Coordinating Council. Finally, WSDOT provided an implementation update on its new public-private partnership authority under SB 5801, saying work is underway to prepare governance, legal, policy, and organizational structures ahead of the January 1, 2027 effective date.

Transcript Highlights:

• The Fair Plan— The Fair Plan operates under Chapter 2211 of the Texas Insurance Code and a plan of operation
• "Not in all cases. No, not that I'm aware of." "In any cases?
• Not in all cases. No, not that I'm aware of. In any cases?
• There may be cases where we're going to ask them. that I'm aware of. In any cases?
• Not in all cases.

Keywords: 1185, senate, all

Transcript Highlights:

• We can point to numerous examples of lives saved, cases solved using ALPR.
• SB 1250 is fundamentally about planning smarter.
• rather than the Transportation Asset Management Plan, also known as TAMP.
• This is a planning bill, I want to emphasize that.
• Matthew Bakerworth, Planning and Conservation, in strong support. Thank you.

Keywords: 988, house, all

Transcript Highlights:

• Got a good dad joke for the day in case Got a good dad joke for the day in case you're<00:07:27.599
• It was the question asked about why different insurance plans, who would go on what plan, and I talked
• > plan?
• >> I.<00:37:14.400> Case. >> I. Case. >> I. Case. >> No.
• Senator Steinmet signed Senator Case Senator Steinmet signed Senator Case Chairman.

Keywords: 916, all

Transcript Highlights:

• There's a question that says here: Is there a written plan of procedures to be implemented in case of
• Of 2025, what was that written plan of procedures implemented in case of a disaster?
• So you led her to believe that there was, in fact, A plan to be implemented in the case of a disaster
• Plan to be implemented in case of a disaster. What else? I'm sorry.
• This is our plan in case it floods. Our plan in case it floods? Not that I'm aware of.

Keywords: 1184, house, all

Transcript Highlights:

• it it would change every rate case. it it would change every rate case.
• So we go out on any rate case.
• case it's a public meeting in this case case it's a public meeting in this case for<01:50:27.600
• What's the plan? The plan is try to be balanced as possible. Right?
• It's this plan that they submitted, and what are they going to do in that plan?

Keywords: 912, senate, all

Summary: The Senate Commerce and Consumer Protection Committee held an informational briefing on the Public Utilities Commission’s performance-based regulation (PBR) framework and the Department of Commerce and Consumer Affairs’ whistleblower complaint process. Chair Jared Kohole opened the meeting, noted it was informational only with no public testimony, and explained that members would hear presentations and then have an opportunity for questions. The committee heard first from Ulupono Initiative, which provided background on why utilities are regulated, how Hawaii’s cost-of-service model and rate cases work, and why PBR was adopted to shift utility incentives away from a capital-investment bias and toward performance, efficiency, cost control, and policy goals such as renewable energy and reliability. Ulupono described Hawaii’s PBR structure as a five-year multi-year rate plan with annual revenue adjustments, a customer dividend, a Z factor for extraordinary exogenous events, and an exceptional project recovery mechanism for large projects. It also outlined performance incentive mechanisms tied to renewable portfolio standard progress, interconnection speed, reliability, and shared savings. The presentation said the current docket is evaluating a possible hybrid approach that would combine forward-looking forecasting with historical results, and Ulupono advocated for stronger incentives, arguing the current rewards are too small relative to utility revenues and should be more meaningful to better align utility behavior with legislative intent. The PUC then presented its own overview, emphasizing that the PBR docket is open and active and that the briefing was limited to the record to avoid ex parte concerns. The commission described the development of PBR in Hawaii through multiple phases beginning in 2018: an initial collaborative phase to set goals, a formal contested-case phase that produced the initial framework, later phases adding scorecards, reported metrics, and additional performance incentive mechanisms, and subsequent refinements including sunset of some mechanisms and adjustments after the August 2023 Maui wildfires. The PUC said the framework is intended to be customer-centric, administratively efficient, and protective of utility financial integrity, and that current work includes evaluating how to balance forward-looking and historical test-year approaches within the rebasing process. No votes or formal actions were taken at the briefing.

Transcript Highlights:

• In that case, can we proceed to have the full committee vote?
• We plan to have this in place before July of 2026.
• measures, and a communication plan.
• At the time of our study, LCB had plans to replace its data system and had a planned implementation date
• Okay, in that case, we'll turn to our third of the three and last.

Summary: The committee met on December 3, 2025, with a quorum present and approved the September 17 minutes. Members first voted to suspend the 2026 JLARC lodging tax expenditure report for one year, based on staff’s explanation that the report is self-reported, not verified, and less useful than State Auditor accountability audits; the motion passed. The committee also approved renaming the JLARC I-900 subcommittee to the “Committee to Hear SAO Performance Audits,” while keeping the opening script noting that the performance audit process exists under Initiative 900. The committee then heard follow-up updates on two prior performance audits. The Department of Health presented a draft strategic management plan in response to findings on hospital inspections, complaints, adverse event review, and hospital data access. JLARC staff reiterated that 72% of hospital inspections were late, that DOH did not verify third-party inspection standards or review adverse event reports, and that complaint data suggested possible language-access barriers. DOH said it concurred with the recommendations, had improved on-time inspection compliance to about 49%, planned annual updates starting in July 2026, and would work on accreditation oversight, complaint-language access, and data accessibility, though members pressed for firmer deadlines and questioned the three-year timeline for language access improvements. The Liquor and Cannabis Board also reported on its cannabis market study recommendation. JLARC staff said the agency’s data were incomplete and unreliable, limiting oversight of production, recalls, tax collection, and diversion. LCB said it had improved its current CCRS system but still relied on self-reported data, and it presented a decision package for a new traceability system estimated at about $9 million over three fiscal years. LCB described a plant-tagging and serialization approach tied to production, processing, testing, and retail, but acknowledged it did not currently have sufficient staff to fully implement the system without additional funding. The committee also received briefings on JLARC’s recommendation-tracking tools and the 2024 public records reporting summary, including a high-level review of agency response rates, request volumes, costs, and litigation. Finally, JLARC presented the proposed final report on the Office of Privacy and Data Protection, concluding that OPDP meets its statutory responsibilities and has high user satisfaction, but that its mandate should be updated to better match its current capacity and focus; the committee adopted the report for distribution. The meeting then moved into the 2025 tax preference performance reviews, where JLARC staff summarized nine reviews and noted that the Citizens Commission on Tax Preference and Performance Measurement endorsed all 17 legislative auditor recommendations, with comments on seven. Early reviews discussed included natural gas transportation fuel preferences, travel agent and tour operator B&O rates, nonprofit low-income housing development, multipurpose senior centers, disabled veteran adaptive housing, and trade convention attendance, with staff and commissioners generally recommending continuation of some preferences, modification of others, and improved objectives or performance measures where needed.

Transcript Highlights:

• Medicaid fraud is a criminal case. It's the same as every other state case.
• Those cases take a while.
• . case. case.
• state plan. state plan.
• a state plan amendment? a state plan amendment?

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.

Transcript Highlights:

• There is a Supreme Court case on point that said we cannot require self-funded plans to report this data
• oversees that plan administration. oversees that plan administration.
• <00:22:22.320> You insurance plan, right? You insurance plan, right?
• plan. It's not trivial. plan. It's not trivial.
• >> What was planned a year ago? >> What was planned a year ago?

Keywords: 928, house, all

Summary: The committee first took up an insurance-related chronic pain bill and an amendment modeled on language from Massachusetts and Maine. The sponsor explained the amendment was developed after stakeholder meetings because the original bill would have created an unaffordable insurance mandate in New Hampshire. The amendment was intended to improve access to non-opioid therapies by limiting prior authorization and step-therapy barriers so they are not more restrictive than for other treatments, including opioid therapies. After questions, the committee took a straw vote and advanced the amendment. The next item was a department-sponsored bill involving the state’s all-payer claims database. Insurance Department officials explained that the bill would encourage self-funded employer plans to opt in voluntarily by giving them aggregated, deidentified claims information in return. They said self-funded plans cannot be required to report data because of federal law, but the bill would provide an incentive while protecting employee privacy. Members asked detailed questions about who would see the data, whether individual employees could be identified, and how privacy would be enforced; the department said access would be aggregated and deidentified, and employer privacy issues would be governed by ERISA and the U.S. Department of Labor. The committee also discussed a glucose-monitoring bill. Members debated whether the bill was aimed at type 1 diabetes coverage or broader access to continuous glucose monitors, and whether it would amount to an unnecessary insurance mandate that could raise premiums. Department testimony estimated the equipment cost and said the annual impact per member would be modest, but also noted that non-insulin therapies have not consistently shown clinically significant A1C reductions. The chair and some members emphasized that the bill should be considered on its own terms as a CGM coverage issue, not as a general diabetes mandate. The committee discussed the bill’s cost implications and asked the department for any prior cost analysis.