Transcript Highlights:

• And so no matter how much advanced training someone has, the reimbursement rates would be the same across
• And those reimbursement rates could be different if it were a physician, yes, it would. Okay. Okay.
• Section 2706 requires insurers to reimburse licensed providers equally for the same covered services
• Section 2706 requires insurers to reimburse licensed providers equally for the same covered services
• Is that the part where it talks about the payment?

Committee: House Insurance

Keywords: 959, house, all

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:

• 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.

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:

• So what we did is we changed the word reimbursement to payment or payment services.
• So what we did is we changed the word reimbursement to payment or payment services.
• So what we did is we changed the word reimbursement to payment or payment services.
• So what we did is we changed the word reimbursement to payment or payment services.
• So what we did is we changed the word reimbursement to payment or payment services.

Keywords: 981, all

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:

• 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:

• 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:

• They're in a similar position where they rely on timely payments from Hawaiian Electric.
• They're in a similar position where they rely on timely payments from Hawaiian Electric.
• They're in a similar position where they rely on timely payments from Hawaiian Electric.
• We would have, uh, potentially FEMA reimbursements of up to 75% of losses.
• Thank you. reimbursements um of up to 75% of of reimbursements um of up to 75% of of losses<00:44:06.359

Keywords: 910, house, all

Summary: The joint committees heard testimony on HB 982 HD1, a wildfire-related measure aimed at creating a wildfire recovery fund and a financing structure to address future catastrophic wildfire liability. The Department of Commerce and Consumer Affairs, the Division of Consumer Advocacy, and the Public Utilities Commission submitted comments and were available for questions. Supporters included IBW Local 1260, Kauai Island Utility Cooperative, Clearway Energy Group, Hawaiian Electric, Par Hawaii, and others, while Charter Communications and the Hawaii Association for Justice opposed or raised concerns. Life of the Land supported the bill but urged changes to the definition of a catastrophic wildfire and noted concerns about prudency review language. IBW Local 1260 asked to restore language from the original draft, and Charter warned the bill could impair existing contract and indemnity rights unless amended. A major focus of the hearing was Hawaiian Electric’s position on the HD1 version. Hawaiian Electric strongly supported the original bill but objected to the HD1 requirement for an additional $500 million shareholder contribution, arguing it was not feasible and could delay or prevent the fund from operating. The company said the bill would help protect customers and improve credit ratings by creating a dedicated revenue stream and a bankruptcy-remote financing structure, which it said would lower borrowing costs over time. Members questioned how the $1 billion securitization amount was chosen, whether credit rating agencies had indicated it was sufficient, and how the bill would work in bankruptcy; Hawaiian Electric said the amount was a balance among interests, not based on a specific agency directive, and that it would follow up on bankruptcy questions. Opponents and skeptics raised concerns about liability caps, the new claims process, and unclear language on damages above the fund’s limits. The Hawaii Association for Justice argued the bill limits victims’ remedies and gives too much authority to the new entity without clear guardrails. Committee members also pressed Hawaiian Electric on comparisons to California, the feasibility of the shareholder contribution, and whether alternative capital-raising or divestiture options had been considered. No vote or final action was taken in the portion of the hearing provided; testimony and questioning continued with follow-up information requested from Hawaiian Electric and others.

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:

• Eliminating this type of error could reduce our payment error rate significantly.
• instead of 50% reimbursement for their costs.
• Combined, these changes alone will reduce reimbursement by $165 million a year.
• Combined, these changes alone will reduce reimbursement by $165 million a year.
• It'll increase the acuity with no payments.

Committee: Senate Budget and Fiscal Review

Keywords: 987, senate, all

Transcript Highlights:

• So any tow company not allowing these types of payments are in violation of state consumer protection
• So it is still an ongoing card payments.
• </c> and convene a pharmacy reimbursement and convene a pharmacy reimbursement working<00:49:36.160><
• The next set are STR 70 and SR 54 relating to the pharmacy reimbursement working group.
• </c><01:00:04.799><c> The</c> reimbursement working group. The reimbursement working group.

Committee: Senate Commerce and Consumer Protection

Keywords: 912, senate, all

Summary: At a joint Senate hearing on SCR 198 and SR 178, the committees considered resolutions urging Hawaii insurers and the Hawaii Property Insurance Association to seek subrogation claims against polluters linked to worsening climate impacts and higher insurance costs. Testimony was overwhelmingly supportive, with 47 written testimonies in support and additional oral support from former Honolulu chief resilience officer Josh Tamro. The committees recommended passage with amendments, narrowing the language to refer specifically to polluters who knowingly engaged in misleading and deceptive practices about the connection between their products and climate change, along with technical non-substantive edits. Both committees adopted the amended resolutions by vote. At a separate joint hearing on STR 226 and SR 201, which urged changes to Medicaid 1915 home and community-based services waiver eligibility criteria, supporters argued the current rules and administrative guidance were inconsistent and left some people with intellectual and developmental disabilities, including those with mental health dual diagnoses, without proper access. The Hawaii State Council on Developmental Disabilities and Hawaii Disability Rights Center supported the intent but noted factual issues and said a memo from the department addressed only part of the problem, not the mental health-related concerns. After discussion, the chair concluded the resolution was not the best vehicle and deferred it, suggesting a more comprehensive bill would be needed. The Commerce and Consumer Protection committee also took up HB 799 HD2 SD1 on healthcare and recommended passage with amendments, including striking a written transfer-agreement requirement, shortening the sunset to June 30, 2028, removing a related timeline, and making technical corrections. In another joint hearing, SCR 222 and SR 197, which would have urged towing companies to have on-site ATMs for vehicle owners, drew opposition from the Office of Consumer Protection, which said Act 60 already requires credit and debit card acceptance and that ATMs could let companies evade the law. Members noted ongoing complaints and weak enforcement, and the chair recommended turning the issue into a task force for further study, with decision-making deferred because of quorum issues. The committee also heard several other resolutions: STR 57 and SR 41, urging Congress to create a national reinsurance program, received only supportive testimony; STR 70 and SR 54, calling for a pharmacy reimbursement working group, also drew support; and STR 123, proposing an attorney general-led landlord-tenant working group, received comments from the Attorney General’s Office suggesting a more appropriate lead agency and noting the Legislative Reference Bureau may be better suited to assist. No final adverse action was taken on those measures during the hearing segment described.

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:

• And the current level of codes, ABA reimbursement for these codes, is already too low to cover costs
• So this means that $100 an hour reimbursement is supposed to be...
• So this means that $100 an hour reimbursement is supposed to be. Your analysts.
• So this means that a $100 an hour reimbursement is supposed to cover the time for three providers.
• In addition, cuts to reimbursement for high-acuity care or outlier payments at hospitals will impact

Summary: The committee heard testimony on the effects of H.R. 1 on Washington’s Medicaid, developmental disability, long-term care, and food assistance systems, followed by a separate discussion of juvenile rehabilitation caseloads and placement capacity. DSHS officials said HR1 could affect home equity rules, immigration-related eligibility, work requirements for some expansion-population enrollees, and provider taxes, while also creating a future opportunity for a new 1915(c) waiver. Advocates and providers warned that any state response that cuts home and community-based services would worsen already thin provider networks, increase waiting lists, push more people into hospitals or out-of-state placements, and strain families and workers. A pediatric behavioral health expert and a supported living provider said Medicaid reimbursement is already too low and further reductions would threaten outpatient, residential, and inpatient services for people with intellectual and developmental disabilities and severe behavioral needs. The committee then turned to SNAP and the state food assistance program. DSHS said HR1 would tighten work requirements and exemptions, end some immigrant eligibility for the federal program, eliminate the SNAP education program, raise state administrative costs, and eventually require Washington to share in benefit costs based on its error rate. Officials estimated large numbers of residents could lose or see reduced benefits, with significant added state costs. Anti-hunger advocates, a food bank director, and a SNAP recipient described the program as essential for low-income families, seniors, and people with disabilities, and said the changes would increase paperwork, reduce benefits, and worsen food insecurity while also harming local food economies. Testimony emphasized that food banks cannot replace SNAP and that work requirements may be difficult to meet for caregivers, people with disabilities, and those facing child care or transportation barriers. In the juvenile justice portion, the Caseload Forecast Council presented the JR forecast, which is currently mostly flat through the end of the biennium but expected to grow modestly over the longer term. Members discussed how policy choices, including the 2019 JR-25 law, have increased lengths of stay for adult-sentenced youth in JR, while diversion and other reforms have affected regular JR trends. A court researcher explained the data available to help forecast admissions and noted ongoing efforts to improve data sharing with JR, AOC, and county systems, though staffing and system-lag issues limit how quickly data can be produced. Juvenile court administrators and DCYF officials described the community-based juvenile justice continuum, rising complexity in the JR population, overcrowding at Green Hill and placement constraints at Echo Glen and Harbor Heights, and the need for more flexible community transition and mental health capacity. No votes were taken.

Transcript Highlights:

• It removes the residency requirement for agency heads and instead prohibits reimbursement for travel

Bills: HJR 138 , HB 42 , HB 104 , HB 129 , HB 677 , HB 426 , HB 668 , HB 1699 , HB 2017 , HB 2128 , HB 2038 , HB 3783 , HB 3717 , HB 2316 , HB 3686 , HB 2563 , HB 3883 , HB 4021 , HB 2788 , HB 2663 , HB 3305 , HB 3173 , HB 3474 , HB 1105 , HB 3531 , HB 3490 , HB 3597 , HB 1295 , HB 3512 , HB 3010 , HB 3112 , HB 4215 , HB 3223 , HB 3464 , HB 3120 , HB 4214 , HB 4511 , HB 3704 , HB 4081 , HB 4783 , HB 4063 , HB 2783 , HB 4937 , HB 5085 , HB 2510 , HB 3426 , HB 4361 , HB 1169 , HB 2516 , HB 2347 , HB 4034 , HB 4700 , HB 3560 , HB 5150 , HB 3860 , HB 3146 , HB 3924 , HCR 98 , HCR 92 , HB 1520 , HB 1545 , HB 5265 , HB 1887 , HB 1914 , HB 2402 , HB 2306 , HB 2350 , HB 3000 , HB 3237 , HB 3326 , HB 3211 , HB 1056 , HB 2081 , HB 2187 , HB 3092 , HB 3308 , HB 3526 , HB 3750 , HB 4219 , HB 4230 , HB 4290 , HB 5238 , HB 4804 , HB 4749 , HB 245 , HB 1465 , HB 294 , HB 793 , HB 809 , HB 3928 , HB 334 , HB 2037 , HB 1973 , HB 285 , HB 4341 , HB 1043 , HB 1234 , HB 1193 , HB 1729 , HB 2498 , HB 1314 , HB 1353 , HB 3960 , HB 3923 , HB 2221 , HB 2517 , HB 2518 , HB 2213 , HB 5092 , HB 3748 , HB 5246 , HB 4344 , HB 1482 , HB 4044 , HB 2702 , HB 4264 , HB 2807 , HB 2898 , HB 3181 , HB 3250 , HB 2091 , HB 2115 , HB 2542 , HB 2768 , HB 3349 , HB 4406 , HB 1593 , HB 1899 , HB 3133 , HB 3133 , HB 4960 , HB 3214 , HB 2145 , HB 1201 , HB 5061 , SB 29 , SB 879 , SB 65 , SB 1745 , SB 412 , SB 412 , SB 1746 , SB 1238 , SB 1341 , SB 522 , SB 1532 , SB 1378 , SB 1062 , SB 2066 , SB 1963 , SB 2204 , SB 1366 , SB 2077 , SB 1967 , SB 1151 , HB 1618 , HB 2156 , HB 2615 , HB 2615 , HB 2349 , HB 1926 , HB 569 , HB 1762 , HB 38 , HJR 138 , HB 42 , HB 104 , HB 104 , HB 129 , HB 677 , HB 426 , HB 668 , HB 1699 , HB 2017 , HB 2128 , HB 2038 , HB 3783 , HB 3717 , HB 2316 , HB 3686 , HB 2563 , HB 3883 , HB 4021 , HB 2788 , HB 2663 , HB 2663 , HB 3305 , HB 3173 , HB 3474 , HB 1105 , HB 3531 , HB 3531 , HB 3490 , HB 3490 , HB 3597 , HB 1295 , HB 3512 , HB 3010 , HB 3112 , HB 4215 , HB 3223 , HB 3223 , HB 3464 , HB 3120 , HB 4214 , HB 4511 , HB 3704 , HB 4081 , HB 4783 , HB 4063 , HB 2783 , HB 4937 , HB 5085 , HB 2510 , HB 3426 , HB 4361 , HB 1169 , HB 2516 , HB 2347 , HB 4034 , HB 4700 , HB 3560 , HB 5150 , HB 3860 , HB 3146 , HB 3924 , HCR 98 , HCR 92

Keywords: carbon tax, carbon emissions, greenhouse gas, climate policy, fuel tax, emissions tax, Texas Constitution, Article VIII, tax limitation, environmental tax, fossil fuels, energy policy, legislative taxing authority, ballot proposition, constitutional amendment, higher education, funding, financial allocation, state budget, Texas A&M University

Transcript Highlights:

• This is the bill for giving reimbursement to employees from DFPS.
• House Bill 2518 by Barry, relating to the use of installment premium payment plans on Texas Windstorm
• Members, this bill eliminates the interest on payments for TWIA policies. I move passage.
• HB3748 by Manuel, relating to reimbursing employees of the Department of.
• SB1777 by Miles relates to the prohibition on payments for group home referrals, creating a criminal

Bills: HJR138 , HB42 , HB 104 , HB 129 , HB677 , HB426 , HB668 , HB1699 , HB2017 , HB2128 , HB2038 , HB3783 , HB3717 , HB2316 , HB3686 , HB2563 , HB3883 , HB4021 , HB2788 , HB2663 , HB3305 , HB3173 , HB3474 , HB 1105 , HB3531 , HB3490 , HB3597 , HB 1295 , HB3512 , HB3010 , HB3112 , HB4215 , HB3223 , HB3464 , HB3120 , HB4214 , HB4511 , HB3704 , HB4081 , HB4783 , HB4063 , HB2783 , HB4937 , HB5085 , HB2510 , HB3426 , HB4361 , HB 1169 , HB2516 , HB2347 , HB4034 , HB4700 , HB3560 , HB5150 , HB3860 , HB3146 , HB3924 , HCR98 , HCR92 , HB1520 , HB1545 , HB5265 , HB1887 , HB1914 , HB2402 , HB2306 , HB2350 , HB3000 , HB3237 , HB3326 , HB3211 , HB 1056 , HB2081 , HB2187 , HB3092 , HB3308 , HB3526 , HB3750 , HB4219 , HB4230 , HB4290 , HB5238 , HB4804 , HB4749 , HB245 , HB1465 , HB294 , HB793 , HB809 , HB3928 , HB334 , HB2037 , HB1973 , HB285 , HB4341 , HB 1043 , HB 1234 , HB 1193 , HB1729 , HB2498 , HB1314 , HB1353 , HB3960 , HB3923 , HB2221 , HB2517 , HB2518 , HB2213 , HB5092 , HB3748 , HB5246 , HB4344 , HB1482 , HB4044 , HB2702 , HB4264 , HB2807 , HB2898 , HB3181 , HB3250 , HB2091 , HB2115 , HB2542 , HB2768 , HB3349 , HB4406 , HB1593 , HB1899 , HB3133 , HB3133 , HB4960 , HB3214 , HB2145 , HB 1201 , HB5061 , SB29 , SB879 , SB65 , SB1745 , SB412 , SB412 , SB1746 , SB1238 , SB1341 , SB522 , SB1532 , SB1378 , SB1062 , SB2066 , SB1963 , SB2204 , SB1366 , SB2077 , SB1967 , SB1151 , HB1618 , HB2156 , HB2615 , HB2615 , HB2349 , HB1926 , HB569 , HB1762 , HB38 , HJR138 , HB42 , HB 104 , HB 104 , HB 129 , HB677 , HB426 , HB668 , HB1699 , HB2017 , HB2128 , HB2038 , HB3783 , HB3717 , HB2316 , HB3686 , HB2563 , HB3883 , HB4021 , HB2788 , HB2663 , HB2663 , HB3305 , HB3173 , HB3474 , HB 1105 , HB3531 , HB3531 , HB3490 , HB3490 , HB3597 , HB 1295 , HB3512 , HB3010 , HB3112 , HB4215 , HB3223 , HB3223 , HB3464 , HB3120 , HB4214 , HB4511 , HB3704 , HB4081 , HB4783 , HB4063 , HB2783 , HB4937 , HB5085 , HB2510 , HB3426 , HB4361 , HB 1169 , HB2516 , HB2347 , HB4034 , HB4700 , HB3560 , HB5150 , HB3860 , HB3146 , HB3924 , HCR98 , HCR92

Keywords: carbon tax, carbon emissions, greenhouse gas, climate policy, fuel tax, emissions tax, Texas Constitution, Article VIII, tax limitation, environmental tax, fossil fuels, energy policy, legislative taxing authority, ballot proposition, constitutional amendment, higher education, funding, financial allocation, state budget, Texas A&M University

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.

Transcript Highlights:

• </c><00:04:52.960><c> between</c> supposed to set equal payments between supposed to set equal payments
• We going to deny payments to them?
• Are we going to deny payments to them? Well, we can't because it's not our money.
• Are we going to deny payments to them? Well, we can't because it's not our money.
• They weren't getting reimbursed.

Keywords: 00:00:00 Call to Order/Roll Call 00:01:19 Discussion of 25RS HB 785 00:30:25 Roll Call Vote on 25RS HB 785 00:32:15 Discussion of 25RS HB 61 00:36:42 Roll Call Vote on 25RS HB 61 00:38:07 Discussion of 25RS HB 788 00:51:01 Discussion of 25RS SB 14 01:11:09 Discussion of 25RS HB 685 01:44:57 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 785, as amended by a committee substitute that combined language from HB 785 and HB 787. The bill was described as addressing Medicaid managed care organization (MCO) audits, provider contract notice and amendment procedures, mental health parity compliance, and related transparency requirements. Supporters said the measure would tighten notice to providers, limit repeated contract amendments and rate reductions, require more standardized audit procedures, and add reporting on Medicaid claims, appeals, and grievances. It also includes a provision requiring coverage of at least two evaluation-and-management billable services per physician per recipient per date of service, and a section addressing narcotic/opioid treatment program licensing and reimbursement language. Testimony in support came from Representative Kim Moore, John Inman of BrightView Health, Michelle Sandborne of the Children’s Alliance, and Kelly Cormic of RYSE. They argued that MCOs often use audits and recoupments in ways that are burdensome, opaque, and financially damaging to providers, especially smaller and rural ones. They cited examples of multiple audit requests in short timeframes, large record requests with short deadlines, delayed or absent feedback, and recoupments taken before appeals are resolved. They also said parity laws are not being consistently enforced and that the bill would give the Department of Insurance authority to suspend or revoke an MCO certificate of authority for willful or repeated parity violations. Committee members generally expressed support for provider protections and transparency, while asking for clarification on the narcotic treatment and E/M billing provisions. Tom Stevens of the Kentucky Association of Health Plans testified in opposition, saying the bill is complex to implement and should be handled through the broader Medicaid oversight work of House Bill 9, the MOAB. He said the issues raised were better suited for that bipartisan stakeholder process and noted the committee substitute had not yet been fully reviewed by his group. After discussion, the committee adopted the committee substitute and then moved to a vote on the bill; the roll call began, with several members recorded as voting yes, but the transcript cuts off before the final vote result is shown.

Transcript Highlights:

• We actually have 12% federal reimburse... We have the buildings; we pay the utilities 100% federal.
• That's why it is 100% federal, and then projects 10 through 12 are all 100% federally reimbursed.
• We do require a nominal federal reimbursement.
• >> This is the payment system. >> So this would be the payment as well. Yes.
• There a requirement that that stays out for a payment system as opposed to bringing it in?

Keywords: 928, house, all