Video & Transcript Research : 'premium structure'
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AR
Arkansas 2026 1st Special Session
LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE Feb 12th, 2026
LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE
Transcript Highlights:
- We're the only state that uses premium assistance, which is how we govern and purchase and serve the
- We're the only state that uses premium assistance, which is how we govern and purchase and serve the
- We go out to the insurance marketplace and buy silver-level premium policies for the expansion program
- fee for service for our core populations, managed care for our highly complex, and then, as stated, premium
- So, as the division of human services or department, we will pay for those Part A and B premiums.
Summary:
The Medicaid Subcommittee of the Legislative Joint Auditing Committee met to receive a primer on the subcommittee’s history and on how Medicaid oversight works in Arkansas. Legislative audit staff reviewed the subcommittee’s origins in response to earlier Medicaid audit concerns and explained that Medicaid is audited every year in the statewide single audit because it is a high-risk, large federal program. Staff summarized recent audit findings, including issues with eligibility controls, data matching, contractor charging, incarcerated juveniles’ coverage handling, provider eligibility support, and the state’s Medicaid recovery audit contractor exception request. They also noted a DHS departmental audit finding involving employees who improperly received benefits, which was referred for possible prosecution.
The Department of Human Services gave an overview of the Medicaid program, describing eligibility groups, delivery systems (fee-for-service, managed care/PASSE, and premium assistance for expansion adults), the size of the program, and the agency’s budget and provider base. DHS also outlined the difference between state plan amendments and waivers and said other committee materials would be sent to members. The Office of Medicaid Inspector General described its role in detecting and preventing fraud, waste, and abuse, explaining that it investigates suspected intentional fraud, suspends providers when there is a credible allegation of fraud, recovers improper payments in mistake cases, and recommends policy changes when trends are identified.
The Attorney General’s Medicaid Fraud Control Unit explained that it prosecutes provider fraud criminally and civilly, handles neglect, abuse, and exploitation cases in long-term care settings, and works with DHS, OMIG, and federal partners. Members asked about where cases are filed, how provider suspensions work, whether beneficiary fraud is investigated, and how education is provided to providers. DHS confirmed that beneficiary fraud cases are referred to local prosecutors and said the expansion population will move toward community engagement/work requirements under federal changes, with a soft launch planned before full implementation. The meeting ended with no formal votes beyond adoption of the prior minutes and no other committee actions.
MN
Minnesota 2025-2026 Regular Session
Commerce Committee Meeting - 2025-04-10
Commerce Finance and Policy
Transcript Highlights:
- Insurance premiums, high deductibles, and high prices for care.
- The premium security plan reinsurance has a proven program that stabilizes individual market premiums
- Without this action, the premium... security plan will be depleted, and Minnesotans on the individual
- market are at significant risk of premium increases of 25% or more.
NH
Transcript Highlights:
- >> I think the structure provided by the bill specifically addresses it without saying it out loud.
- by the >> I think the structure provided by the drill<00:29:05.040>
by <00:29:05.360> - for nonprofits contracted with premiums for nonprofits contracted with DHS<01:10:47.280>
and < - And this was causing massive distortion in the life insurance market, driving up premiums.
- And this was causing massive distortion in the life insurance market, driving up premiums.
Summary:
The Judiciary Committee opened a hearing on House Bill 1067-FN, which would formalize and expand mental health courts in New Hampshire and create a grant-based funding structure for them. Representative Mark Pearson, the prime sponsor, described the bill as a bipartisan, compassionate, and cost-effective approach that would connect people with mental illness to treatment and supervision instead of incarceration, while still holding them accountable. He said the proposal was developed with input from the judicial branch, law enforcement, corrections, mental health organizations, and others, and emphasized that local courts could tailor programs to their needs.
Committee members questioned the bill’s fiscal note, whether the legislature had previously studied the issue, how the program would be funded, and whether the bill should more explicitly address treatment, prevention, and data collection. Representative Buzz Sher, who helped develop the bill, explained how mental health courts work, including referral, clinical and public-safety assessments, case management, goal-setting, and graduation from the program. He said existing New Hampshire mental health courts are mostly partial and county-funded, and that the bill would formalize them, set standards, and allow grant funding. He also cited data from Georgia and New Hampshire suggesting significant savings from reduced incarceration and related costs.
Members also raised concerns about due process, whether people not formally charged could be swept into the system, and whether individuals with violent offenses or domestic violence histories could be diverted inappropriately. Sher responded that only people already in the criminal justice process are eligible and that courts use safety assessments to screen out most violent cases. The committee requested that Sher file supporting financial data from other jurisdictions, and he agreed to do so. No vote or final action was taken during the hearing.
LA
Louisiana 2026 Regular Session
Natural Resources and Environment May 6th, 2026
Transcript Highlights:
- This bill marks a targeted technical correction to the structural organization change last year in Senate
- That way, we could possibly have a reduction in some of these premiums for our residents, and that's
- However, the residents are still having to pay these enormous premiums for flood insurance.
- But, you know, what we're talking about here is kind of a similar structure in a sense.
- the habitat, theoretically, yes, but, you know, what we're talking about here is kind of a similar structure
Summary:
The committee first considered several local property-transfer and wildlife/fisheries bills, including SB 229 (Bojeur Parish property transfer), SB 71 (Lafayette Parish property transfer), and a series of Department of Wildlife and Fisheries measures. SB 203 simplified possession rules for fish on multi-day trips and remote camps; SB 429 created an administrative path to register “orphan” boats with lapsed registrations; SB 204 removed a residency-based restriction on certain commercial fishing gear licenses; SB 205 reduced duplicate registration requirements for federally documented boats; SB 213 clarified titling rules for vessels and outboard motors; and SB 257 removed Social Security number requirements from certain commercial fishing tags. Each of these bills was reported favorable, generally without objection, after brief explanations from sponsors and department counsel about reducing red tape, improving enforcement, or modernizing records.
The committee also heard SB 214, which would allow the Teche-Vermilion Fresh Water District to stop pumping during an imminent flood threat identified by the National Weather Service or GOSEP, addressing liability concerns and giving local officials more flexibility in emergencies. SB 274, as amended, required lead hazard risk assessments for certain child care, early learning, and pre-kindergarten facilities and required hazards found in assessments to be addressed before licensing. Both bills were reported favorable. SB 379, a technical reorganization bill for the Department of Conservation and Energy, received two amendment sets: one changing investment language and another standardizing judicial-review procedures and online notice requirements; it was reported favorable after those amendments.
The committee then adopted HCR 62, urging FEMA to review flood maps every five years instead of every ten and to better account for local flood-protection projects, with members discussing the burden of flood insurance and the need for FEMA to recognize levees, pump stations, and elevated homes. HCR 78 was also reported favorable, memorializing Congress to pass the American Seafood Competitiveness Act of 2026 in support of Louisiana’s seafood industry. HB 662, as substituted, was reported favorable after being rewritten to codify the department’s internal protocol for seized sick, injured, or orphaned wildlife, prioritizing release, rehabilitation, placement, and euthanasia as a last resort.
Finally, the committee considered two more contentious items. HR 216, which urged repudiation of the Louisiana Climate Action Plan of 2022, drew extended debate over whether the plan had been adopted without legislative input and whether it could affect permits or future policy; after discussion, the sponsor voluntarily deferred the resolution to return with a revised approach focused on a legislative hearing or review. SCR 24, dealing with chronic wasting disease rules, was introduced with amendments that would raise the prevalence threshold, cap samples, allow zone removal after three years without new detections, and lift baiting/feed prohibitions above a higher prevalence level; the transcript cuts off before final action on that measure.
CA
California 2025-2026 Regular Session
Senate Local Government Committee Apr 22nd, 2026
Local Government
Transcript Highlights:
- More than 2 million in California, California construction, one in four residents of structures in California
- Hannah-Beth Jackson bill subsequent to the Tubbs Fire, which resulted in 22 deaths and the loss of 5,500 structures
- , and the Camp Fire a year later, where 89 people died and 15,000 structures were lost.
- We're seeing families facing skyrocketing insurance premiums. They're losing coverage altogether.
- focus more narrowly on physical hazards without addressing how those risks translate into insurance premiums
Summary:
The committee heard several bills focused on wildfire resilience, land use, and local government transparency. SB 911 by Senator Becker would require notification to fire enforcement agencies when a home in a high fire severity zone is sold with an agreement for the buyer to bring the property into defensible-space compliance; the California Association of Realtors said it would drop opposition if the bill is amended to use the preliminary change of ownership report, and the bill passed 4-0 to Appropriations. SB 994 by Senator Cabaldon would bar local officials from signing nondisclosure agreements that prevent them from sharing information with the elected decision-makers of their jurisdiction; supporters framed it as a transparency measure, and it also passed 4-0 to Appropriations. SB 1041 by Senator Riggins would expand PACE financing for wildfire home-hardening improvements and add consumer protections, but it drew strong opposition from homeowner advocates, county treasurers, bankers, and others over predatory lending and lien concerns; it passed 3-2 and remained on call.
The committee also considered SB 1075 by Senator Reyes, which would require local governments in AB 617 communities to consider air-quality reduction measures in land-use approvals for industrial and commercial projects. Environmental justice groups supported the bill as a way to implement community air plans, while counties, cities, business groups, builders, trucking interests, and others opposed it as duplicative of CEQA and a barrier to investment and jobs. After debate over local control and environmental justice, the bill passed 3-2 and remained on call. SB 958 by Senator Cabaldon would advance the Midway Rising redevelopment project in San Diego, replacing a former arena and parking lots with housing, affordable units, parks, and a new entertainment venue; with no opposition voiced, it passed 3-0 to Appropriations.
Another wildfire-related measure, SB 1182 by Senator Allen, would require local governments to consider insurance availability in safety planning for development in high fire hazard areas and direct state technical guidance on the issue. Supporters said insurance access is now a key indicator of risk, while some members questioned whether the bill would add useful information or burden local governments; the bill received a 1-1 vote and remained on call. The committee then began hearing SB 1116 by Senator Caballero, a starter-home/infill housing bill creating a streamlined ministerial path for small projects up to 10 units, but the transcript cuts off before testimony or a vote on that measure.
TX
Transcript Highlights:
- For insurance companies to refund employers the insurance premium for a dismissed employee that can be
- Make sure that I understand the structure that you put in place here under this bill: if a magistrate
- Structuring a sentence to hopefully make it a little clearer.
- Justice system in these serious cases, I think we should absolutely be utilizing the other structure
- It strengthens our structural integrity and reliability of our grid. I do have an amendment.
Bills:
SB664, SB40, SB9, SJR1, SJR5, SB27, SB207, SB2938, SB1901, SB1227, SB1248, SB912, SB1321, SB2143, SB2145, SB1497, SB1239, SB2180, SB1388, SB1762, SB1662, SB1951, SB1537, SB493, SB378, SB1020, SB1018, SB992, SB958, SB920, SB1350, SCR25, SB687, SB1332, SB2185, SB552, SB664, SB40, SB9, SJR1, SJR5, SB458, SB482, SB927, SB984, SB651, SB1620, SB2124, SB2448, SB841, SB843, SB402, SB2662, SB2053, SB2332, SB2112, SB745, SB1247, SB1789, SB27, SB207, SB2938, SB1901, SB1227, SB1248, SB912, SB1321, SB2143, SB2145, SB1497, SB1239, SB2180, SB1388, SB1762, SB1662, SB1951, SB1537, SB493, SB378, SB1020, SB1018, SB992, SB958, SB920, SB1350, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR135, HCR141, HCR46, HCR109, HCR10, SCR25, HB2525, HB142, HB140, HB29, HB451, HB3809, HB3307, HB 1130, HJR1, HB9, SB17, SB260, SB509, SB1506, SB1637, SB2308
Keywords:
Texas courts, judicial officers, associate judge, magistrate, master, referee, hearing officer, court administration, Government Code Chapter 54, Government Code Chapter 54A, bail training, Article 17.024, Article 15.17, local administrative judge, State Commission on Judicial Conduct, Office of Court Administration, county courts, criminal justice, criminal jurisprudence, judicial qualifications
HI
Hawaii 2026 Regular Session
JHA Public Hearing - Fri Feb 13, 2026 @ 2:00 PM HST
Judiciary & Hawaiian Affairs
Transcript Highlights:
- defense creates a sustainable structure defense creates a sustainable structure that<00:50:34.480
- <01:28:26.000>
discrimination <01:28:26.960>have structural discrimination have structural - We ended up paying three times the premium for less coverage than we had before.
- We ended up paying three times the premium for less coverage than we had before.
- the the changes made to the structure the the changes made to the structure and<02:00:01.360>
Summary:
The committee heard testimony on House Bill 1768, which would prohibit state and county law enforcement agencies and officials from entering into federal immigration-enforcement agreements under 8 U.S.C. 1357(g) and from assisting in certain immigration enforcement actions except in limited circumstances. The Office of the Public Defender, Hawaii Coalition for Immigrant Rights, the Legal Clinic, and the ACLU of Hawaiʻi all testified in strong support, arguing the bill would protect due process, reduce fear in immigrant communities, preserve trust in local police, and keep local resources focused on public safety. Testifiers said cooperation with immigration enforcement can chill court attendance, crime reporting, and cooperation with police, and they emphasized that the bill would not stop federal enforcement or affect other deputization agreements for environmental or other criminal matters. Committee members asked whether any 287(g) agreements currently exist in Hawaiʻi; testifiers said they were unaware of any and believed the bill would maintain the status quo. No vote was taken in the portion provided.
The committee then took up House Bill 1548, which would reduce the maximum sentence for misdemeanors from one year to 364 days and allow people previously sentenced to one year to seek sentence modification. The Office of the Public Defender, Office of Hawaiian Affairs, the Legal Clinic, the Hawaii Coalition for Immigrant Rights, the ACLU of Hawaiʻi, and the William S. Richardson School of Law immigration clinic all supported the measure, saying the one-day change could prevent severe immigration consequences such as detention, removal, and bars to relief that can be triggered by a sentence of 365 days or more. Testifiers stressed that the bill would not change criminal liability or public safety, but would align Hawaiʻi law with similar reforms adopted in other states. Members questioned whether the change would affect citizens or create an automatic immigration process; witnesses responded that the issue is the federal immigration consequence tied to the maximum sentence, not actual time served, and that citizens would not face that consequence. The transcript ends during continued discussion of HB 1548, with no final vote shown.
TX
Texas 89th Regular
Senate Committee on Health and Human Services May 23rd, 2025
Health & Human Services
Transcript Highlights:
- For spending premiums among the employer, employee, and a third party, usually a non-profit or government
- Some programs now function solely as premium assistance. subsidizing commercial insurance costs instead
- non-profit organizations that offer district healthcare services or benefits and those that operate premium
- Without needing prior County Commissioner's Court approval, they are only offering premium assistance
Bills:
HB50
MN
Minnesota 2025-2026 Regular Session
Committee on Commerce and Consumer Protection - 04/10/25
Commerce and Consumer Protection
Transcript Highlights:
- :05:04.560>
10% <00:05:05.120>could <00:05:05.440>increase <00:05:06.160>premiums - <00:05:06.639>
up <00:05:06.800>to at the 10% could increase premiums up to at the - 10% could increase premiums up to 90%<00:05:07.520>
for <00:05:07.680>these <00:05:07.840 - <00:37:51.920>
Um lead to higher insurance premiums. - Um lead to higher insurance premiums.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Wednesday, February 25, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- They want to know what Congress is doing to lower their skyrocketing health care premiums.
- <00:27:56.559>
They skyrocketing health care premiums. - They skyrocketing health care premiums.
- They have no geopolitical premium. They have no shipping constraints.
- They have no geopolitical premium. They have no shipping constraints.
MN
Transcript Highlights:
- significant losses for carriers, fewer plan options in some counties, the insolvency of UCare, and premium
- significant losses for carriers, fewer plan options in some counties, the insolvency of UCare, and premium
- Did you refund them their money for their premiums? >> Madame Chair, thank you for the question.
- you refund them their money<00:21:39.840>
for <00:21:40.000>their <00:21:40.240>premiums - money for their premiums? money for their premiums?
FL
Transcript Highlights:
- The business community came to the legislature and said, don't increase our insurance premiums, because
- Don't increase our insurance premiums. The legislature said yes.
- The business community came to the legislature and said, don't increase our insurance premiums, because
- Don't increase our insurance premiums. The legislature said yes.
- would love to keep paying $7 a month per employee, keep those benefits the same so that insurance premiums
Summary:
The Commerce and Tourism Committee first heard SB 410, which would add current and former licensed private investigators, and their spouses and children, to the list of people whose home address, phone number, date of birth, photographs, and related family information are exempt from public records disclosure. Sponsor Senator Trunow said the exemption is meant to protect investigators who work on sensitive matters such as fraud, missing persons, human trafficking, and abuse cases and may face retaliation. After a technical amendment was adopted, the committee heard testimony from a private investigator describing threats and safety concerns, then voted to report the bill favorably as CS/SB 410.
The committee then took up SB 216 on reemployment assistance eligibility verification. Senator McClain said the bill is intended to combat unemployment fraud by requiring claimants to contact five prospective employers per week, appear for scheduled interviews, and undergo regular identity, immigration, employment, and incarceration checks, with fraud information shared among agencies and published annually. Opponents, including labor advocates and representatives of construction and rural workers, argued the bill would add barriers for legitimate claimants, worsen Florida’s already low recipiency rate, and create problems for seasonal, rural, and transportation-limited workers. Supporters said the system needs stronger fraud controls and that employers and taxpayers bear real costs from noncompliance. The committee reported SB 216 favorably after debate.
In routine open-government sunset review business, the committee approved two committee bills. SPB 7014 extends for five years a public records exemption tied to Department of Legal Affairs investigations of a social media standards law, with staff noting the exemption has not been used because of ongoing constitutional litigation. SPB 7016 preserves a public records exemption for certain financial information held by an economic development agency when administering state or federally funded small business loan programs; supporters said the exemption protects applicants from fraud and harassment, while Senator Smith said he would vote no to remain consistent with his prior opposition. Both measures were submitted as committee bills and reported favorably, and the committee adjourned.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Service Jun 21st, 2026 at 01:00 pm
Joint Committee on Public Service
Transcript Highlights:
- for my support for H-2749, ensuring that all of these employees are supported with the appropriate structure
- Instead, it updates their structure to mirror that of the public employee committees, or PECs, which
- By aligning insurance advisory committees under 32B with this proven structure, House 2888 would promote
- For these reasons, I urge... ...effectively under collective bargaining structures.
- This bill will not fix all of the structural issues of fair pay for community college educators in the
Summary:
The Joint Committee on Public Service heard testimony on a wide range of retirement, municipal workforce, and public employee labor bills. Early testimony focused on H. 2749, a Plymouth home rule petition to classify Plymouth harbormaster employees as Group 4 for retirement purposes. Supporters, including local officials and retirement board representatives, argued the employees perform law-enforcement and rescue duties comparable to police and fire personnel, that the change would be fair, and that it would have little or no fiscal impact on the town. A separate harbormaster-related bill, H. 2743, was also introduced later in the hearing.
The committee also heard testimony on provisions of the Municipal Empowerment Act (H. 56), including a temporary critical-shortage exemption allowing retired state or municipal employees to return to work in hard-to-fill positions, and a renewed OPEB commission to study retiree health care costs. Administration and municipal officials said the measures were needed to address staffing shortages and rising benefit liabilities, while emphasizing the shortage exemption would be time-limited and require proof of recruitment efforts. Related retirement bills drew support and caution: advocates for higher COLA bases and enhanced COLA benefits urged relief for retirees, but some asked the committee to wait for recommendations from the special COLA commission before acting.
A major portion of the hearing concerned labor rights at the Massachusetts Water Resources Authority and the Committee for Public Counsel Services. Union representatives and employees backed bills to extend just-cause protections, promotional rights, and collective bargaining rights to MWRA and CPCS workers, arguing they currently lack protections available to most other public employees. Testimony described unfair discipline, delayed promotions, and high turnover, and committee members indicated prior favorable action on similar MWRA bills and expressed support for addressing CPCS labor rights. The committee also heard from representatives of the Massachusetts Municipal Association and public higher education employees in support of H. 2820, which would require timely funding of ratified state employee contracts, with witnesses describing long delays in receiving negotiated raises and back pay. No votes were taken during the hearing, and the chair repeatedly invited written testimony and closed each panel after questions.
WA
Washington 2025-2026 Regular Session
Joint Legislative Executive Committee on Planning for Aging and Disability Issues Jun 18th, 2025
Joint Legislative Executive Committee on Planning for Aging and Disability Issues
Transcript Highlights:
- In 2023, premium collection began.
- The structure is very similar to how Social Security and Medicare work.
- The structure is very similar to how Social Security and Medicare work.
- Our current regulatory and payment structures don't allow for a lot of flexibility, you know, to look
- And I know that it's a distinct challenge when you own the structure, but not the land underneath.
Summary:
The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population.
On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications.
The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.
TX
Transcript Highlights:
- plans were created to make coverage more affordable for small businesses, employees by splitting premium
- Some programs now function solely as premium assistance subsidizing commercial insurance costs instead
- organizations that Senator Hinojosa: offer direct healthcare services or benefits and those that operate premium
- healthcare programs without needing prior County Commissioner's Court approval if they are only offering premium
Bills:
HB50
AL
Alabama 2025 Regular Session
Alabama House Public Safety and Homeland Security Committee Apr 9th, 2025
Public Safety and Homeland Security
Transcript Highlights:
- short-term products or for pharmacy, and you want to give people an option and say you can have a lower premium
- under this act shall be subject... ...provided under this act shall be subject to or increase in premium
- what we've said is that once you're covered on this plan, you're not going to be cancelled or your premium
- Basically, what it does is it takes the collection of the... ...of the premium tax and puts it in with
Keywords:
emergency vehicles, off-road vehicles, public safety, liability, regulations, background check, criminal history, biometric identifiers, fingerprints, iris scan, palm print, photograph, rap back, NGI Rap Back, ALEA, Alabama Law Enforcement Agency, AJIC, Alabama Justice Information Commission, employment screening, licensing
FL
Florida 2026 5th Special Session
Judiciary Jan 20th, 2026
Transcript Highlights:
- these ministries if they want to, versus getting into and actually changing what is allowed in the structure
- What is allowed in the structure of the ministries and entities and things of that nature.
- They're going to talk about coverage and deductibles and premiums, and none of that applies to health
- It is not a regulatory structure for these ministries. It's a safe harbor from regulation.
Summary:
The committee heard and advanced several bills. SB 624, by Senator Yarborough, would allow batterers intervention programs to offer optional supplemental faith-based activities, with no participant required to take part; supporters said it would expand provider options amid a shortage of certified programs, while opponents raised concerns about government speech and mixing religion with court-ordered programming. After debate, the bill was reported favorably 7-2. The committee also considered CS/SB 834, which repeals a 2022 restriction preventing licensed insurance agents from marketing or selling health care sharing ministries; supporters framed it as restoring choice and free speech, while opponents warned about consumer confusion, commissions, and lack of insurance protections. It was reported favorably 8-2.
The committee next approved CS/SB 502, via a strike-all amendment, to give Florida concurrent jurisdiction over certain juvenile offenses on military installations so juveniles can be handled in state juvenile court rather than federal court; the amendment and bill both passed unanimously. CS/SB 52 also passed unanimously after testimony from church leaders and security personnel supporting an exemption from Class D/G licensing for unpaid armed security volunteers at places of worship. Supporters said the bill would clarify legal gray areas and help churches afford security, while members noted the broader concern that houses of worship need armed protection at all.
Finally, the committee reported favorably SB 840, which revises last year’s emergency/local planning law by narrowing its application after storms from 100 miles to 50 miles of the storm track and exempting certain water, flood, and state/federal planning matters; local government representatives supported the clarification, and the bill passed 9-0. CS/SB 758, as amended, updated the membership of the Justice Administration Commission to better reflect the entities it oversees, and it also passed 9-0. The meeting ended with a recorded affirmative vote from Senator DeSigley on SB 624.
TX
Texas 89th 2nd C.S.
Appropriations - S/C on Articles I, IV, & V Feb 27th, 2025
Appropriations - S/C on Articles I, IV, & V
Transcript Highlights:
- of appeals justices are tied to the base salary of a district judge under the tiered tenure-based structure
- Number 1, the structural revenue shortfall in the Fair defense account, which is our GRD account, the
- Recommendations include $200,000 for increased benefits premiums provided by Walker County to the unit
- tied to that of a district judge with the same tenure as part of the tiered judicial compensation structure
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am
Joint Committee on Financial Services
Transcript Highlights:
- Massachusetts health plans are highly regulated, spending 88% of every premium dollar on medical care
- , so when drug costs spike, so do premiums, jeopardizing affordability and access.
- And because premiums directly reflect the cost of care, increases in drug prices, especially for brand
- Massachusetts health plans are highly regulated, spending 88% of every premium dollar on medical care
- , so when drug costs spike, so do premiums, jeopardizing affordability and access.
Summary:
The committee held a lengthy hearing on a large docket of pharmacy and drug-pricing bills, with most testimony focused on PBM reform, 340B drug discount program protections, specialty medication access, and medication adherence. Chair James Murphy and Senator Paul Feeney opened the hearing and took testimony from legislators, patient advocates, pharmacists, health center leaders, industry representatives, and policy groups. Several speakers described delays, denials, high out-of-pocket costs, and pharmacy closures tied to PBM practices, while others emphasized the importance of community health centers and independent pharmacies in serving patients.
On the 340B program, supporters including Senator Eldridge, Senator Payano, Community Care Cooperative, Fenway Health, the Massachusetts League of Community Health Centers, and several community health center leaders argued that bills such as H. 1107 and S. 819 would stop discriminatory PBM and manufacturer practices, preserve contract pharmacy access, and protect safety-net providers that say they reinvest savings into care, pharmacy expansion, interpreter services, behavioral health, and other services. Opponents including PhRMA, the Community Liver Alliance, and a public policy analyst argued the program lacks transparency and accountability, has grown beyond its original purpose, and may benefit large hospitals and for-profit entities more than low-income patients. They urged more reporting and oversight rather than expanding protections.
On PBM reform, testimony supported bills including H. 1157, H. 1234, S. 724, S. 831, and related measures that would require rebate pass-through, ban spread pricing, limit steering to PBM-owned pharmacies, and improve reimbursement for community pharmacies. Independent pharmacists and patients said current PBM practices raise costs, create administrative burdens, and threaten access to local pharmacies. PCMA, representing PBMs, opposed the reforms, arguing PBMs lower costs, that plan sponsors choose to contract with them, and that the Health Policy Commission and CHIA should complete their ongoing study before new mandates are adopted. The committee also heard support for H. 1322 and S. 734 on specialty medications, and for H. 781 and H. 1305 on medication synchronization to improve adherence. No votes or formal actions were taken during the hearing.
MN
Transcript Highlights:
- And we knew and we have a structure in Minnesota that allows for-profit nonprofits.
- <01:14:29.679>
in knew and we have a structure in knew and we have a structure in Minnesota - And and that's the ownership structure.
- care professionals to try to offset the premium costs.
- Um that try to offset the premium costs.