Transcript Highlights:

• No higher reimbursements for affiliates.
• The second part is the payment aspect.
• This means that your facility is operating without any reimbursement.
• This bill is about protecting effectively the floor of reimbursement.
• When reimbursement is reduced, it does not lower the cost of care.

Bills: SB1052 , SB1115 , SB1118 , SB1120 , SB1121 , SB1124 , SB1171 , SB1172 , SB1174 , SB1175 , SB1214 , SB1233 , SB1235 , SB1316 , SB1345 , SB1372 , SB1399 , SB1458 , SB1494 , SB1496 , SB1564 , SB1602 , SB1621 , SB1628 , SB1630 , SB1631 , SB1668 , SB1672 , SB1814 , SB1821

Committee: House Health & Human Services

Keywords: assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent, AHCCCS, remote work, state agency, employment, public health, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, radiation protection

Transcript Highlights:

• </c> payment reform look like? payment reform look like?
• </c> through per member per month payments through per member per month payments made<00:34:26.679><c
• Requires per person per month payment payments to all primary care practices, not just medical homes,
• </c> Requires per person per month payment Requires per person per month payment payments<00:37:30.040
• to primary care practices to payments to primary care practices to include<00:38:03.400><c> payment<

Keywords: 926, house, all

Transcript Highlights:

• for tax year 25 are $165 tax payments for tax year 25 are $165 million<00:15:00.560><c> above</c><00
• This reduction is largely driven by the implementation of new payment review processes in the medical
• </c><00:20:56.640><c> review</c> implementation of new payment review implementation of new payment review
• Medicaid reimbursements pending further information<00:29:12.080><c> from</c><00:29:12.399><c> the</
• </c><00:44:48.800><c> them</c> state you know largely we reimburse them state you know largely we reimburse

Keywords: 1183, house

Summary: Minnesota Management and Budget officials presented the February 2026 budget and economic forecast, saying the state remains in a strong financial position but faces continued structural imbalance and significant uncertainty. Commissioner Aaron Campbell said the FY 2026-27 balance is now projected at more than $3.7 billion, up about $1.3 billion from November, and the FY 2028-29 planning period is projected to end with a $377 million positive balance. He emphasized that the improvement comes largely from higher projected revenues, especially individual income and corporate franchise taxes, but warned that the state is increasingly reliant on more volatile sources such as capital gains, interest income, and corporate profits. State Economist Dr. Anthony Becker said the national outlook improved slightly, with stronger projected GDP, consumer spending, and investment, but weaker payroll growth and ongoing trade-policy uncertainty. He noted that the forecast was complicated by missing federal data because of the federal shutdown, and that tariffs, immigration policy, equity markets, and possible AI-related shifts all present risks. Revenue projections were raised for the current biennium, including individual income tax receipts, sales tax revenue, corporate franchise tax revenue, and other revenues, while Becker stressed that federal funding threats, especially involving Medicaid and other entitlement programs, could materially alter the outlook. State Budget Director Anna Mingi said general fund spending in the current biennium is projected to be $68 million lower than previously estimated, but planning-year spending is up $152 million. The biggest spending changes came from education, where special education costs rose sharply after updated local spending data, and from human services, where a new prepayment review process for certain Medicaid benefits reduced projected spending by $133 million this biennium and $105 million in the next. She also said discretionary inflation is now estimated at $1.04 billion, up $104 million from November. Campbell closed by saying the state’s reserve remains at a record $3.8 billion and that Minnesota’s AAA bond rating and reserve policy help protect against downturns. He cautioned, however, that the long-term structural imbalance remains about $3.4 billion in the planning years, or $2.3 billion excluding discretionary inflation, and urged policymakers to offset any new spending with reductions. No votes or formal actions were taken; the meeting was a presentation and question-and-answer session on the forecast.

Transcript Highlights:

• We wouldn't be reimbursed for that. And we also did have an active HPAI case at that time.
• We wouldn't be<00:05:06.320><c> reimbursed</c><00:05:06.800><c> for</c><00:05:06.960><c> that.
• And we also did be reimbursed for that.
• Coming soon, our down payment assistance grant. Many of you will remember this.
• And we're also waiting for some reimbursement there too as well from the federal government.

Keywords: 1183, house

Transcript Highlights:

• That avoids double payments, it avoids incomplete payments, and helps us make sure we know where these
• If we go to a monthly payment instead of an every other week payment, how will that affect your cash
• Instead of an every other week payment, how will that affect your cash flow?
• Every other... where she is in order for the payments to go forward every single day.
• you. them, send in an invoice, and if they're appropriate, we'll reimburse you.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several gallery introductions before taking up Committee Substitute for Senate Bill 168, the Tristan Murphy Act, on mental health. Senator Bradley explained that the bill is intended to divert clinically appropriate defendants with mental illness from jail to treatment, create pretrial mental health diversion programs, expand grant uses for mental health and substance abuse reinvestment, require evaluations and treatment follow-up in certain probation and prison settings, add Hillsborough County to a forensic hospital diversion pilot, and establish a Florida Behavioral Health Data Repository. Senators from both parties spoke in support, emphasizing treatment over incarceration, public safety, and the Murphy family’s role in the bill. The Senate passed the bill 37-0 and then recorded 37 co-sponsors. The chamber then moved into presentations on SB 2500, the 2025-26 General Appropriations Act. Chair Hooper said the Senate budget totals $117.4 billion, reduces overall spending from the prior year, maintains reserves, keeps employee health contributions level, and includes major investments in water quality, transportation, education infrastructure, and nearly $1 billion in education capital outlay. Committee chairs outlined their portions of the budget, including increased funding for K-12 schools and scholarships, higher education workforce programs, Medicaid and health services, corrections and courts, transportation and housing, and environmental restoration such as Everglades and water quality projects. Members then asked extensive questions, especially about education funding, school choice, AP/IB and accelerated programs, the Family Empowerment Scholarship, and the FEFP calculations. Senator Burgess repeatedly explained that scholarship funding is being moved “below the line” to improve tracking and that the Senate position is to preserve funding while giving districts more flexibility. Senators also questioned the APD wait list for disability services, opioid settlement spending, arts funding, the My Safe Florida Home condo pilot, and proposed IT and agency restructuring. Several chairs said some issues would be resolved in conference, and no final vote on the budget was taken in the portion provided.

Transcript Highlights:

• payment pathways, including payments to providers, intermediaries, and health systems.
• And also just the reimbursement. So HR 1's coming, so less resources in the system in general.
• And so we tend to deviate to the ones that are paying the higher reimbursement rate.
• What's the highest reimbursement you think you get? ...those? The wait list is long.
• What's the highest reimbursement you think you get for an individual for an hour, 50 minutes?

Summary: The Assembly Health Committee heard a long agenda of health-related bills, with most items presented for later vote once quorum was reached. Early in the hearing, the committee adopted a consent calendar of multiple bills with motions for due pass to Appropriations, and it noted that AB 2029 had been pulled from the agenda. The committee also took up AB 1973, a bill by Aguiar-Curry to expand who may provide procedural abortion care. Supporters, including physicians and certified nurse midwives, argued the bill would align law with current training and improve access, while opponents said later-term abortion procedures require physician-level surgical training and raised safety concerns. The author emphasized hands-on training, consultation, and transfer protocols, and the bill was held pending quorum with a motion and second recorded. The committee then heard AB 1558 by Arambula, which would adopt the Uniform Emergency Volunteer Health Practitioners Act to speed the use of out-of-state licensed volunteers during declared disasters. Supporters from the Uniform Law Commission and the Red Cross said the bill would reduce delays and clarify legal authority for volunteer health workers; there was no opposition testimony. AB 2282 by Alanis, a temporary rural emergency stabilization center for Patterson while a permanent hospital is built, drew support from local emergency responders and a late opposition from the California chapter of ACEP. The chair praised the bill as a creative local solution and agreed to coauthor it; a motion and second were recorded, with the vote to occur later. Several public health access bills followed. AB 1843 by El-Hawari would limit prior authorization and align hepatitis C treatment coverage with medical guidelines; supporters said it would remove barriers to a curable disease, while health plans opposed it as a mandate, citing premium impacts and the recent SB 306 prior-authorization process. AB 2247 by El-Hawari would create the THRIVE program for mental health services for youth affected by gun violence; Youth Alive and other supporters described trauma-informed, community-based care, and the chair and another member asked to be added as coauthors. AB 2138 by Krell would expand access to certified peer support specialists in enhanced care management and remove automatic disqualifications based solely on criminal history; supporters said peers are essential to engagement and recovery, and the bill was held with a motion and second. Later, AB 1682 by Hart would require coverage of scalp cooling for chemotherapy patients, with emotional testimony from cancer survivors and clinicians; insurers opposed it as another mandate, but the author stressed the modest per-member cost and the bill was moved with a motion and second. AB 1879 by Dixon would standardize data reporting for alcohol and drug treatment facilities, including private providers, to improve statewide information on outcomes and access; the bill drew broad support from recovery organizations and the prior opposition was withdrawn after amendments. AB 1906 by Aguiar-Curry would require coverage of at-home cervical cancer screening kits without cost sharing; supporters cited improved access for rural and working Californians, insurers opposed it on affordability grounds, and the bill passed on a recorded roll call after quorum was established. Finally, AB 1556 by Haney would clarify and support drug-free recovery housing and return-to-use policies; supporters said it would expand sober housing options, while opponents warned it could allow evictions after relapse and conflict with Housing First principles. The hearing ended with the bill still under discussion and opposition-unless-amended concerns noted.

Transcript Highlights:

• AB 2481, Soria, BCRFA quality incentive payments, do pass. That's out on an A roll call.
• AB 1716, Stephanie, tuition reimbursement, held in committee.
• AB 1716, Stephanie, tuition reimbursement, held in committee.
• That's out on an A roll call. reimbursement, holding committee.
• AB 1793, Ward, cash payment calculation, do pass. That's out with Republicans not voting.

Summary: The Assembly Appropriations Committee held a suspense-file hearing on May 14, 2026, reviewing hundreds of Assembly bills and a few committee bills. The chair opened by explaining the committee’s budget constraints and the factors used in suspense decisions, including fiscal impact, return on investment, effects on constituents, and protection of the state’s social safety net. The agenda was organized alphabetically by author, and the committee noted that results would be posted later that day online. The committee then acted on a very large number of measures, sending many bills to the Assembly floor on do pass or do pass as amended motions, while holding many others in committee. Topics covered a broad range of policy areas, including housing, health care, education, labor, public safety, wildfire mitigation, water, energy, transportation, cannabis, immigration, and state governance. Many bills were amended to narrow scope, make implementation contingent on appropriations or existing resources, remove provisions, or clarify agency responsibilities; several bills were held without further action. Among the notable actions, the committee advanced bills on items such as Medi-Cal services, child care, wildfire-related programs, housing financing, school and college issues, public safety and criminal justice, environmental and energy policy, and various consumer and business regulations. Some measures were sent out on A or B roll calls, with Republicans often not voting on amended bills. The hearing concluded after the committee reported that a large number of bills had been moved to the Assembly floor, either as do pass or do pass with amendments, and the committee adjourned.

Transcript Highlights:

• local health care provider participation program to provide for the authorization of assessment payments
• not last year—we passed a law that provides that each parish collects a local hospital assessment payment
• Senate Bill 221 would allow EMS providers to be reimbursed for responses to emergency calls when they
• Senate Bill 221 would allow EMS providers to be reimbursed for responses to emergency calls when they
• When payments are locked in by statute, plans have few levers left.

Bills: SCR37 , SB145 , SB237

Committee: House Health and Welfare

Keywords: informed consent, healthcare, medical procedures, patient rights, surgeon general, regulatory review, adult residential care, generators, emergency power, health safety, Louisiana Department of Health, compliance, regulations, child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews

Transcript Highlights:

• Speaking of reimbursements, grant payments are processed on a reimbursement basis.
• </c> forward with their uh reimbursement forward with their uh reimbursement situation.
• A final the final payment is made.
• </c><00:57:17.680><c> to</c> agencies from making payments to agencies from making payments to grantees
• Again, we do look at the U payments.

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• Most hospital services would be capped at no more than 250% of the Medicare reimbursement rates, while
• reimbursement at no less than— That's as fast as I could go.
• This is all due to poor reimbursement.
• We believe the bill would be greatly strengthened if it incorporates the following: linking payments
• We believe the bill would be greatly strengthened if it incorporates the following: linking payments

Bills: SB268 , SB306 , SB264 , SB312

Committee: House Administration

Keywords: federal workers, government shutdown, interest-free loans, tax deferral, public transportation, Rehoboth Beach, municipal charter, city charter amendment, commissioners, mayor, local government, election qualifications, affidavit of eligibility, domestic partner, cohabitant, conflict of interest, freeholder, leaseholder, municipal court, Alderman

Summary: The House Administration Committee met to consider a series of resolutions and bills covering arts districts, child care background checks, federal worker relief, health care reform, court transparency, school tax reassessment, municipal charter changes, constitutional amendment procedures, data center nondisclosure agreements, state employee benefits governance, and lieutenant governor vacancies. Members also noted that House Concurrent Resolution 12 had been removed from the agenda and that public comment would be limited to one minute per speaker. The committee released SCR 167 to study arts, culture, and creative districts in Delaware; HB 438 to close a loophole in the child care service letter requirement; SB 268 to provide interest-free loans, free transit, and tax deferrals for federal workers during shutdowns; SS2 for SB 1 to expand and permanently strengthen primary care investment while also addressing hospital cost growth; HCR 147 to request a Court of Chancery report on audio recordings and automated case assignment; SB 322 to replace the current post-reassessment 10% school revenue increase authority with a 2% annual increase option under safeguards; SB 306 to amend the Rehoboth Beach charter; HB 440 to require voter approval for constitutional amendments after legislative approval; SB 312 to bar nondisclosure agreements for large data center projects; SS1 for SB 289 to change State Employee Benefits Committee governance; and SB 264 to require a special election to fill a lieutenant governor vacancy. Testimony was mixed on several measures. Arts, child care, federal worker relief, primary care, court transparency, data center transparency, and the lieutenant governor vacancy bill drew mostly supportive testimony, while SB 322 and SB 306 drew both support and opposition, especially over tax impacts and the proposed spouse/partner restriction in Rehoboth Beach. HB 440 prompted debate over whether 55% voter approval was the right threshold for constitutional amendments, and SB 312 was supported as a transparency measure by residents affected by prior data center NDAs. All of the listed measures were released from committee by roll call vote, with some members voting no on HB 440, SB 306, SB 312, SS1 for SB 289, and SB 264.

Transcript Highlights:

• A licensed occupational or physical therapist may be reimbursed for treatment only...
• For background, L&I enforces related to payment of wages and other compensation types.
• It says includes payments or reimbursements for missed appointments.
• It says includes payments or reimbursement. brief summary of the bill.
• It says includes payments or reimbursements for missed. Is it someone other than the interpreter?

Summary: The Senate Labor and Commerce Committee heard testimony on several bills. SB 6152 would add physical and occupational therapists as attending providers in workers’ compensation claims. Supporters said it would reduce delays, improve access to care, and speed return to work; opponents, including the Washington State Medical Association, retail and business groups, and L&I, raised concerns about diagnosis, scope of practice, network enrollment, implementation time, and the $1.9 million fiscal note from accident and medical aid accounts. The committee also heard SB 5437, which would prohibit non-compete agreements and clarify non-solicitation rules. The sponsor and labor and physician groups supported ending non-competes as anti-competitive and harmful to worker mobility, while business, banking, and clinic representatives argued non-competes protect investments, confidential information, and patient/customer relationships and asked for narrower changes. The committee then heard SB 6058, which would give L&I discretion over whether to investigate wage complaints and would toll civil statutes of limitation when a complaint is filed. The sponsor said it would better match agency resources, and testimony was entirely supportive. SB 5944 would require language access provider compensation bargaining to include missed or canceled appointments and make CBAs prevail over conflicting agency policies; the sponsor and union representatives said it would create consistency across agencies, with no opposition testimony. SB 6039 would modernize L&I communications by allowing electronic notices while preserving a non-electronic option; supporters called it a permissive modernization, while worker advocates warned email could be missed and could burden vulnerable workers, though L&I said the bill preserves choice and has no fiscal impact. Finally, the committee heard SB 6117, which would place workers and employers not covered by the NLRA under PERC jurisdiction if federal law no longer applies, with card-check and secret-ballot procedures and interest arbitration provisions. Supporters said it would create a state backstop if federal labor enforcement fails and protect workers’ organizing rights; opponents from agriculture, business, and small business groups warned it was too broad, could sweep in agriculture and small businesses, and could weaken secret-ballot protections and disrupt harvest operations. The sponsor closed by saying the bill is intended to create a clear framework where federal jurisdiction is absent. No votes or executive actions were taken in the hearing.

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

Committee: House Education Oversight

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

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

Committee: House Education Oversight

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

Summary: The committee heard and advanced a long series of education-related bills, including measures on school board nepotism rules (SB 843), preserving the Ag in the Classroom program in statute (SB 1410), shifting oversight of technology centers to the State Board of Career and Technology Education (SB 1735), teacher certification and hiring transparency (SB 346), AP exam access (SB 1975), in-state tuition alignment with federal law after a consent judgment (SB 1633), teacher professional development caps (SB 1894), portability of career teacher status between districts (SB 1317), recess requirements and discipline limits (SB 2045), expanding the Teach Forward Program (SB 710), limiting concurrent enrollment to students 21 and under (SB 1477), special education training and parent-record review rights (SB 1489), a teacher induction program for new and emergency-certified teachers (SB 1614), graduate-level teacher training requirements (SB 1726), career assessment test selection and credit transfer authority (SB 1632), OSU-Tulsa governance changes (SB 1593), virtual days for certain high school students not taking the ACT (SB 1630), R&D rebate modernization (SB 1670), AI guardrails in schools (SB 1734), and security fees for student organizations that cannot be based on viewpoint or content (SB 1725). Several bills drew brief questions, especially SB 1633, SB 1489, SB 1477, SB 1614, SB 1726, and SB 1725, but no substantive opposition was recorded beyond a few nay votes on some measures. Most bills were moved by due pass motions and approved by voice or roll-call votes, often unanimously or near-unanimously. Notable recorded opposition included SB 1633 and SB 1725, each passing with a few nays, and SB 1726 passing 7-2. SB 1338 was laid over until Wednesday. The meeting concluded with notice of another committee meeting scheduled for Wednesday at 9 a.m., and the committee adjourned.

Transcript Highlights:

• It updates dollar amounts for reimbursements and effective date reimbursement adjustments to match the
• It updates patient-driven payment models and reimbursement methodology.
• instead of a separate perdm payment instead of a separate reimbursement.<02:09:15.760><c> 907</c><02
• Updates patientdriven payment<02:09:31.119><c> models,</c><02:09:31.599><c> reimbursement</c> payment
• models, reimbursement payment models, reimbursement methodology.<02:09:33.440><c> Adds</c><02:09:33.760

Keywords: 958, all

Summary: The committee first approved the minutes and then recognized a staff member’s birthday and a guest shadowing Senator Adams. It then moved into informational review of Education and Labor Cabinet, Department of Education regulation 702 KAR 3:30, which sets insurance coverage requirements for school district buildings and structures. Department of Education officials explained that districts are expected to carry coverage at replacement cost and said they understand some districts participate in self-insurance pools with backup policies, but they deferred detailed insurance questions to the Department of Insurance. Senators raised concerns that pooled coverage could leave districts exposed if claims exceed pool limits, and the chair asked KDE to follow up with DOI to confirm districts are adequately covered, especially for bondholders. No vote was taken on the informational review. The committee then reviewed emergency ABC regulations 804 KAR 130:01 through 130:04 implementing Senate Bill 100’s new licensing requirements for tobacco, nicotine, and vapor product businesses. ABC and Public Protection Cabinet representatives outlined the emergency rules governing enforcement, license applications, denial criteria, and transitional licenses. Retail industry witnesses Shannon Stiglet and Brian Clark said they support licensure in principle but argued the rules add duplicative requirements borrowed from alcohol licensing, create confusion about transitional licenses, and may be too burdensome for the roughly 7,000 affected businesses to meet by the January 1 deadline. They also said guidance has been inconsistent and requested the agency revise the regulations, remove requirements not grounded in law, and provide clearer, separate processes for new and existing businesses. Committee members asked whether the industry had worked directly with ABC and noted the public comment period was still open. Witnesses said they had communicated with ABC and the Public Protection Cabinet, but responses had been uneven and they wanted written guidance. Members expressed concern about the short timeline and the need to avoid disruption so businesses can operate legally on January 1. Representative Marzian asked for clarification that the discussion concerned emergency regulations already in effect while ordinary regulations remain in process. No formal action was taken beyond receiving the informational testimony and discussion.

Transcript Highlights:

• Currently, alternative payment programs do the hands-on work of enrolling families, managing cases, and
• Currently, alternative payment programs do the hands-on work of enrolling families, managing cases, and
• Our organizations were called upon to swiftly deliver relief and one-time payments to providers.
• Our organizations were called upon to swiftly deliver relief and one-time payment to providers.
• Before the pandemic, California's reimbursement structure was attendance-driven and deeply unstable.

Committee: Senate Human Services

Summary: The Senate Human Services Committee heard several bills focused on developmental disabilities, food security, veterans, aging services, child care, and elder abuse reporting. SB 969 by Senator Reyes would make remote services for people with intellectual and developmental disabilities a permanent option; supporters said virtual programming improves access, continuity, and choice, and there was no opposition. SB 1025 by Senator Hurtado would create an Office of Food Security and Affordability to coordinate state food programs, improve CalFresh enrollment, and develop a 24-hour hotline; committee members raised questions about duplication, metrics, and oversight, but the bill advanced after discussion. SB 1052 by Senator Gonzalez would allow the State Council on Developmental Disabilities to appoint contingent authorized representatives so people with disabilities are not left without support if a family member becomes unavailable; supporters described immigration enforcement, illness, and family separation as reasons for the bill, and members discussed administrative burden and renewal procedures before the bill passed. SB 1077 by Senator Gonzalez would require CDSS to prepare for future federal shutdowns by creating a communications and contingency plan for CalFresh disruptions and a state-backed emergency food assistance mechanism; members discussed how it would work with existing CalFresh administration, and the bill passed. SB 1201 by Senator McNerney would seek federal waivers to protect vulnerable veterans from new SNAP work requirements and require referrals to county veterans service officers; supporters said the federal cuts would harm homeless, newly discharged, and disabled veterans, and the bill passed. SB 1261 by Senator Laird would let aging and disability resource centers continue operating through partner transitions so services would not be interrupted; supporters emphasized continuity of care and the bill passed. SB 1110 by Senator Becker would revise child care subsidy funding and stabilization rules for alternative payment programs and community providers; supporters said the current reimbursement structure is outdated, and the bill passed after the author said a budget-related provision would be removed. The committee also later voted SB 969, SB 1052, SB 1077, SB 1201, SB 1261, and SB 1110 out of committee, with the bills kept on call for absent members, and began hearing SB 991 on elder abuse reporting, where supporters argued that licensing records should distinguish abuse from lesser resident-rights violations so families and policymakers can better understand facility conduct.

Transcript Highlights:

• We're in strong support of this measure, making sure that residents can get timely payments in the face
• We're in strong support of this measure, making sure that residents can get timely payments in the face
• </c><00:19:01.240><c> had</c><00:19:01.440><c> been</c><00:19:01.640><c> in</c> this payments had been
• in this payments had been in place<00:19:03.720><c> right</c><00:19:04.320><c> this</c><00:19:04.480
• </c><00:26:22.440><c> and</c> bill as far as individual payments and bill as far as individual payments

Committee: House Public Safety

Keywords: 910, house, all

Summary: The Committee on Public Safety heard testimony on several bills. HB 628 HD1, relating to education, would reinstate a prior law allowing veterans whose high school education was interrupted by wartime to receive a diploma. Testimony was generally supportive from the Office of Veterans Services, the Department of Education, the Hawaii Military Affairs Council, and an individual testifier, with one person in opposition. The committee later recommended passage of HB 628 HD1 as is, and the motion was adopted. The committee also heard HB 1158 HD1 and HB 1159 HD1, both relating to commercial harbors. HB 1158 HD1 concerns firefighting at commercial harbors and drew support from the Department of Transportation; the committee recommended passage as is and adopted the recommendation. HB 1159 HD1 would require masters or persons in charge of vessels to comply with a Harbor Master’s order to evacuate a commercial harbor during emergencies. Testimony included support from Hawaii Emergency Management Agency, the Department of Transportation, and comments from the Hawaii Harbor Users Group. Members raised concerns about small boat operators and safety, and the committee passed the bill with reservations. The committee then discussed HB 1262, relating to the Emergency and Budget Reserve Fund, and HB 1296, relating to the major disaster fund. Supporters of HB 1262 included the Climate Advisory Team and AARP Hawaii, while the Department of Budget and Finance cautioned about duplication of benefits with federal disaster aid and the need to preserve the fund’s primary purpose. Members questioned how the bill would interact with federal assistance and whether the fund could be used more broadly; no vote was taken, and the bill was deferred to decision-making. On HB 1296, HEMA and Budget and Finance opposed the measure, citing the need for flexibility in emergencies and concerns that added reporting requirements could hinder response efforts, while the Tax Foundation of Hawaii noted the major disaster fund is much smaller than the EBF. The committee likewise deferred HB 1296 to decision-making, and the meeting adjourned.

Transcript Highlights:

• physicians get higher weights in terms of reimbursement.
• Equalizing payment while ignoring that liability is...
• Equalizing payment while ignoring that liability is actuarially unsound.
• If reimbursement parity is mandated here, it gets mandated elsewhere.
• At the same time, while demand has risen, reimbursement has stayed effectively the same.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee heard testimony on several health-related bills. HB 2726 would require coverage for diagnosis and treatment of mild obstructive sleep apnea, including a tongue-muscle stimulation device. The sponsor and medical witnesses said the device is a less burdensome alternative to CPAP and could improve adherence and reduce long-term complications, while Access said it already covers medically necessary sleep apnea treatment but was neutral and concerned the bill could narrow review and limit cost-effectiveness analysis. The committee adopted the Bliss amendment and then gave HB 2726 a due-pass recommendation by an 8-4 vote. HB 2435, as amended, would create a provisional licensing pathway for internationally trained physicians who meet specified ECFMG-related criteria, with supervision, fees set by the Medical Board, and automatic conversion to a full license after four years if conditions are met. Supporters argued Arizona faces severe physician shortages, especially in rural and tribal areas, and that the bill would bring in experienced doctors while preserving oversight. Opponents, including the Arizona Medical Board, said current law already allows case-by-case licensure review and warned the bill could weaken safeguards and bypass existing scrutiny. After adopting the amendment, the committee approved HB 2435 on a due-pass recommendation. HB 2958 would require Access coverage for comprehensive dental care for pregnant women age 21 and older, with a $500,000 general fund appropriation for a pilot program. The sponsor and public health witnesses said dental care during pregnancy is linked to better maternal and infant outcomes and could reduce emergency room use and complications. The committee adopted the bill and sent it out with an 11-1 due-pass recommendation. HB 2176, which sets timelines and standards for health care institution complaint investigations and dispute resolution, also received broad support from hospitals and was approved unanimously on a 12-0 due-pass recommendation. The committee then heard HB 2447, which would bar insurers from reimbursing certified registered nurse anesthetists at a lower rate than anesthesiologists for the same service. Opponents argued the bill would interfere with private contracting, ignore differences in training and liability, and likely raise costs for the state and taxpayers; supporters said anesthesia demand has outpaced reimbursement and that parity is needed to protect access, especially in rural areas. The transcript ends during testimony on HB 2447, before any vote is taken.

Transcript Highlights:

• So they lose a reimbursement on average.
• </c><00:37:41.200><c> on</c> insurance, they get reimbursed on insurance, they get reimbursed on average
• </c> more and more government reimbursement more and more government reimbursement uh<00:37:52.400><c
• </c><00:40:26.160><c> the</c> reimbursement is decreasing. the reimbursement is decreasing. the solution
• </c> Department of Health but not reimbursed Department of Health but not reimbursed under<01:16:55.400

Committee: Senate Labor

Keywords: 1187, senate, all

Transcript Highlights:

• Senate Bill 191 by Senator Miller concerns Title 47, assessment payment, allocation of ad valorem taxes
• Senate Bill 238 by Senator Miller concerns assessment payment, collection of ad valorem taxes, delinquency
• Senate Bill 85 by Senator Miller, Title 13, payment of group insurance premiums for retired sheriffs
• House Bill 919 by Representative Eccles, pharmacy benefit managers, reimbursement protections, provide
• House Bill 919 by Representative Eccles, pharmacy benefit managers, reimbursement protections, provide

Bills: HR46 , HR47 , HR48 , HR49 , HR50 , HR51 , HR52 , HR53 , HR54 , HR55 , HR56 , HR57 , HCR31 , HB20 , HB21 , HB166 , HB494 , HB710 , HB795 , HB985 , HB986 , HB987 , HB988 , HB989 , HB990 , HB991 , HB992 , HB993 , HB994 , HB995 , HB996 , HB997 , HB998 , HR42 , HR43 , HR44 , HR45 , HCR22 , HCR23 , HCR24 , HCR25 , HCR26 , HCR27 , HCR28 , HCR29 , HCR30 , SCR13 , HB894 , HB983 , HB984 , SB19 , SB23 , SB26 , SB30 , SB39 , SB45 , SB46 , SB50 , SB51 , SB55 , SB69 , SB71 , SB73 , SB84 , SB85 , SB89 , SB96 , SB98 , SB101 , SB110 , SB148 , SB150 , SB160 , SB164 , SB303 , SB340 , HB28 , HB36 , HB50 , HB52 , HB56 , HB62 , HB68 , HB92 , HB110 , HB117 , HB119 , HB124 , HB140 , HB147 , HB160 , HB171 , HB174 , HB182 , HB193 , HB196 , HB198 , HB203 , HB228 , HB234 , HB237 , HB260 , HB268 , HB271 , HB285 , HB289 , HB316 , HB351 , HB393 , HB400 , HB413 , HB446 , HB469 , HB486 , HB534 , HB551 , HB552 , HB574 , HB576 , HB634 , HB649 , HB677 , HB735 , HB739 , HB779 , HB784 , HB796 , HB807 , HB842 , HB850 , HB919 , HB474 , HB487 , HB503 , HB606 , HB633 , HB707 , HB720 , HB728 , HB733 , HB846 , HB852 , HB856 , HB868 , HB875 , HB129 , HB130 , HB287 , HB489 , HB545 , HB553 , HB555 , HB570 , HB854 , HB952 , HB221 , HB148 , HB331 , HB149 , HB901

Keywords: HR 46, House Resolution 46, water well drillers, water wells, well drilling, driller licensure, licensing requirements, Department of Conservation and Energy, R.S. 38:3098.1, LAC 46.LXXXIX.507, professional references, two years drilling experience, workforce development, barriers to entry, water infrastructure, natural resources, groundwater, public health, state water resources, occupational licensing

Summary: The House convened with prayer, the pledge, leave granted for one member, and several ceremonial recognitions, including Women Shaping Industry Day, Louisiana Agriculture Week, and CODOFIL Day at the Capitol. The chamber also received Senate messages concurring in several House concurrent resolutions and adopting SCRs 14 and 15, which designated Flood Awareness Month and recognized the bond between Quebec and Louisiana. Numerous resolutions and bills were introduced and referred, including measures on retirement systems, juvenile justice districts, carbon sequestration in St. Helena Parish, tax administration, election procedures, education, criminal justice, and state property transfers. The House adopted several resolutions without objection, including commendations for Thrive Academy, Bishop Lonnie Welder, Pastor Aaron Holloway, World Down Syndrome Day, and others. Members also heard committee reports on a wide range of bills, with many reported favorably or with amendments. In morning hour, the House discharged and withdrew two bills from committee, and later returned some bills to the calendar with notice to call them on later dates. The chamber then took up a series of floor bills, passing HB 474 to create an income tax checkoff for the Grambling State University National Alumni Association, HB 487 on penalties for unsafe red-light passing maneuvers, HB 503 on utility terrain vehicles in Golden Meadow, HB 606 on personal delivery devices, HB 633 on estimated income tax filing timing, HB 707 on the Liquefied Petroleum Gas Commission Advisory Board, HB 970 on tacit dedication of public roadways, HB 728 on out-of-state tow truck requirements, HB 846 on license plate coverings, HB 852 on a domestic violence donation checkoff, HB 856 on DOTD indefinite delivery/indefinite quantity construction contracts, HB 221 naming the proposed Mississippi River bridge the President Donald J. Trump Expressway, HB 148 designating a highway memorial, and HB 331 creating a Louisiana GOP specialty plate. Most of these bills passed with little or no opposition, though HB 221 drew debate and passed 68-26. The House adjourned after announcing committee meetings for the following day.

Transcript Highlights:

• Also, what are we being reimbursed at? NADAC.
• This makes Pharmacy A, Pharmacy Z; they will be reimbursed at the same amount.
• But it puts every drug that customer is on at the same reimbursement rate.
• Pharmacy A to Z is treated the same as far as reimbursement.
• Pharmacy A to Z is treated the same as far as reimbursement.

Committee: House Insurance

Summary: The House Insurance Committee met on April 1 with a quorum present and first took up House Bill 938 by Rep. Turner, which would overhaul pharmacy benefit manager (PBM) regulation by setting a flat administration fee, requiring dispensing fees and NADAC-based reimbursement, mandating rebate pass-through, giving the Department of Insurance access to PBM data, and creating a reverse-auction process for PBM procurement. Turner said the bill is intended to level the playing field for independent pharmacies, improve transparency, and reduce hidden PBM practices. The committee adopted amendment set 1444 without objection, and Turner said additional conceptual amendments were still being worked on. Supporters included independent pharmacies and the PBM Accountability Project; opponents included union plan representatives, benefits consultants, and PBM/insurance industry witnesses who warned of higher costs, ERISA preemption problems, and likely litigation. After extended questioning on cost, preemption, and vertical integration, the committee reported HB 938 with amendments. The committee then considered House Bill 870, also by Rep. Turner, dealing with formulary placement and cost-sharing for generic drugs and biosimilars and limiting certain utilization management practices. Amendment set 1540 was adopted, revising and tightening technical definitions. Turner and a representative of the Association for Accessible Medicines argued the bill would help lower-cost generics and biosimilars gain market share and reduce patient costs, citing examples such as insulin and Humira biosimilars. Opponents from Louisiana Blue said the bill would force coverage based on wholesale acquisition cost rather than net cost, would raise premiums for fully insured members, and would mandate coverage of drugs that are not always the lowest net-cost option. Rep. Jordan again raised ERISA and preemption concerns, and committee members discussed whether the bill would interfere with tiering and plan design. After closing comments and a motion by Rep. Glorioso, HB 870 was reported with amendments, and the committee adjourned.