Video & Transcript Research : 'retroactive coverage'
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CA
California 2025-2026 Regular Session
Assembly Insurance Committee Jul 9th, 2025
Transcript Highlights:
- We believe it will help mobile home park residents obtain insurance coverage for their home and their
- Replacement cost coverage gives survivors a real path to recovery and financial stability.
- This is ultimately about the contents coverage product that exists within the insurance industry.
- This is ultimately about the contents coverage product that exists within the insurance industry.
- Allow payments of contents coverage without inventory and total loss during declared emergencies.
Summary:
The Assembly Insurance Committee met to hear several bills related to insurance coverage, wildfire risk, workers’ compensation, and paid family leave. SB 8 by Senator Ashby would extend workers’ compensation and disability protections to Sacramento County park rangers, with testimony emphasizing that they perform law-enforcement-like duties and should receive the same protections as comparable officers. SB 429 by Senator Cortese would create a public wildfire catastrophe model and related wildfire safety program, with support from the Department of Insurance and consumer advocates who said public access to modeling data would improve transparency and help evaluate private insurance risk models.
The committee also heard SB 525 by Senator Jones, which would require the FAIR Plan to offer coverage options for manufactured and mobile home owners, including replacement cost coverage. Supporters said the bill would help lower-income residents obtain meaningful insurance protection, while no opposition testified. SB 495 by Senator Allen, as amended, would require insurers to provide a larger contents-coverage advance after a total loss during a declared emergency without requiring an immediate itemized inventory, extend proof-of-loss deadlines, and require insurers to provide catastrophe modeling and reinsurance data to the Department of Insurance. Several insurers withdrew opposition after amendments, and the Department of Insurance and United Policyholders supported the measure.
SB 590 by Senator Durazo would expand paid family leave to cover care for designated persons or chosen family members, with strong support from AARP, labor, civil rights, caregiving, and health organizations, and testimony from a parent describing the need to care for a non-legal family member during surgery recovery. The committee also took up consent items SB 230 and SB 854. After roll calls, SB 8, SB 429, SB 495, SB 525, and SB 590 all received do-pass votes, with SB 429 sent to the Committee on Emergency Management, SB 495 to Judiciary, and SB 525 and SB 590 to Appropriations. The consent calendar bills were also approved, and the committee adjourned.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Jun 26th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- Just know that the coverage expansion program has yet to launch.
- department to provide access to affordable healthcare coverage to New Mexicans.
- They couldn't get into Medicaid or they were unable to get coverage on BeWell.
- we may see gaps in health care coverage widen.
- Coverage will get more expensive, and I'll allude to that in just a moment.
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:
- We're responsible for that first bit of bodily injury coverage and property damage coverage, and that's
- Just curious about the coverages and how they would differ for a driver from Massachusetts.
- Right now, if I have an accident in a rental car, are the coverages comparable?
- Are the coverages comparable? Typically, yes. Two parts of the question, as I understand it.
- I'll call it insurance, but it's not technically insurance coverage. Thank you. Thank you, Mr.
Summary:
The Joint Committee on Financial Services held a public hearing on a wide range of auto insurance and vehicle-related bills. Testimony focused heavily on autonomous vehicle regulation, auto insurance rating by ZIP code, rental car liability coverage, and surcharge thresholds for minor accidents. Representative Polito supported a bill to regulate autonomous vehicle testing and deployment, arguing for school-zone restrictions, slower speeds, a remote kill switch, and minimum insurance requirements to protect the public. Representative Mendez and Senator Payano testified for legislation to reduce racial and socioeconomic inequities in auto insurance pricing by limiting the weight insurers may place on territorial loss costs, while the Mass Insurance Federation and Consumer Federation of America offered opposing and supporting views, respectively, on the fairness and actuarial impact of geographic rating. The committee also heard support for a bill to remove inspection-sticker violations from license-point calculations, and for a bill to raise the damage threshold for insurance surcharges and minor/major accident classifications.
A substantial portion of the hearing addressed House Bill 1301 on rental car liability. Enterprise Mobility, the American Car Rental Association, and a small Massachusetts rental company supported the bill, saying personal auto insurers should be primary when their insureds drive rental cars, that Massachusetts is an outlier compared with most other states, and that the change would reduce costs and simplify claims handling. The Mass Insurance Federation opposed the bill, arguing that current Massachusetts law already clearly makes the vehicle owner’s policy primary and that shifting liability would raise costs for private-passenger policyholders. Committee members asked detailed questions about how rental coverage works, whether premiums or rental rates would change, and how other states handle the issue.
The committee also heard testimony on a bill to adjust surcharge rules for at-fault accidents, with sponsors arguing that repair costs and vehicle values have risen sharply and that the current thresholds are outdated. Members discussed how the point system affects drivers, whether the proposal should apply cumulatively or per incident, and how Carfax and out-of-pocket repairs factor into consumer costs. At the end of the hearing, the chair noted written testimony could still be submitted and, during a brief personal privilege, recorded support for two underinsurance bills, H. 1109 and S. 748. The committee then moved and seconded a motion to adjourn, and the hearing ended without any votes on the bills themselves.
KY
Kentucky 2025 Regular Session
House Standing Committee on Banking & Insurance (3-5-25)
Transcript Highlights:
- But he talked to me too that he'd had a couple come to his agency seeking insurance coverage, and they
- could not find insurance coverage for him, which means that they can't get their dealer license, which
- But he talked to me too that he'd had a couple come to his agency seeking insurance coverage, and they
- But he talked to me too that he'd had a couple come to his agency seeking insurance coverage, and they
- But he talked to me too that he'd had a couple come to his agency seeking insurance coverage, and they
Keywords:
Meeting Start: 00:00
Roll Call: 00:20
SB18 Discussion: 01:36
SB18 Vote: 05:07
SB24 Discussion: 06:37
SB24 Vote: 10:50
HB524 Discussion: 12:03
HB524 Vote: 13:55
HB421 Discussion: 15:13
HB421 Vote: 20:50
HB236 Discussion: 21:53
HB236 Vote: 23:34
HB210 Discussion: 25:40
HB210 Vote: 29:56, 958, all
Summary:
The committee met with a quorum and took up several insurance and health-related bills, beginning with Senate Bill 18, which was presented by Senator Girdler and insurance witness Adam Sheridan. The bill was described as addressing a shortage of garage liability insurance for used auto dealers in Kentucky, which has left many small dealers with only one or two coverage options and, in some cases, unable to obtain the insurance needed for a dealer license. The committee adopted a motion and second, then passed SB 18 unanimously and reported it favorably with the recommendation that it pass on the House floor.
The committee then considered Senate Bill 24, also presented by Senator Girdler with testimony from Eric DeCampo of the National Insurance Crime Bureau. The bill was framed as an anti-fraud measure that would expand the definition of a fraudulent insurance act to cover misrepresentations about property damage and repair costs in property insurance claims. Testimony emphasized that insurance fraud raises premiums for consumers and that the bill would help deter inflated or fabricated claims. After a brief question about whether the bill created new felonies, the committee voted to pass SB 24 unanimously and report it favorably.
House Bill 524, presented by Rep. Aaron Thompson with officials from the Office of the Controller and State Risk, would extend reinsurance requirements for the state’s fire and tornado/self-insurance fund from July 1 of this year to July 1, 2030, and rename the fund the Commonwealth’s Property and Casualty Insurance Fund. The bill was moved, seconded, and passed unanimously. House Bill 421, presented by Rep. Amy Neighbors, would require full coverage of FDA-approved bowel preps without out-of-pocket cost or prior authorization issues and update colorectal cancer screening coverage rules for high-risk patients by incorporating multisociety task force guidelines. Members discussed the bill’s personal importance and its minimal fiscal impact; it passed unanimously with a committee substitute. House Bill 236, presented by Rep. Adam Moore and Commissioner Sharon Clark, would cap annual out-of-pocket costs for epinephrine at $100. Members spoke in support, including personal remarks about the importance of access to epinephrine, and the bill passed unanimously with a favorable recommendation.
Finally, House Bill 210, presented by Rep. Michael “Sarge” Pollock and Dr. Steve Robertson of the Kentucky Dental Association, addressed dental limited benefit plans and direct payment to dentists. Members asked whether the bill also affected vision/hearing arrangements or third-party administrators; the witness said it was intended for non-ERISA dental plans in Kentucky and suggested follow-up with the commissioner for further clarification. The committee adopted the committee substitute and then passed HB 210 favorably, with 15 yes votes and no votes against. The meeting then adjourned, with a reminder about the Banking and Insurance dinner later that evening.
NH
New Hampshire 2025 Regular Session
Senate Health and Human Services (01/29/2025)
Health and Human Services
Transcript Highlights:
- <00:16:47.519>
of for um requiring Medicaid coverage of for um requiring Medicaid coverage - , expanding coverage for certain areas?
- <02:33:58.520>
expanding <02:33:59.080>coverage explore um coverage expanding coverage - explore um coverage expanding coverage for<02:33:59.680>
certain <02:34:00.279>areas <02 - coverage coverage determinations<02:50:54.920>
um <02:50:55.120>and <02:50:55.359>we
HI
Transcript Highlights:
- The coverage offered would be basic property insurance, fire insurance, that includes extended coverage
- FAIR plans are generally more expensive and provide limited coverage because their intent was just to
- <00:04:21.919>
perils that includes extended coverage perils that includes extended coverage - expensive and provide limited coverage expensive and provide limited coverage because<00:05:28.280
- But in Hawaii, we've had lava zone coverage for a long time. How's that working?
NH
New Hampshire 2026 Regular Session
House Commerce and Consumer Affairs (04/15/2026)
Commerce and Consumer Affairs
Transcript Highlights:
- insurance or Medicaid coverage. insurance or Medicaid coverage.
- reflected years later when the coverage reflected years later when the coverage is<01:29:12.880>
- coverage arrangements. coverage arrangements.
- particular kind of coverage. particular kind of coverage.
- Instead, it coverage or set rates.
HI
Transcript Highlights:
- <00:14:43.440>
for mandatory health insurance coverage for mandatory health insurance coverage - Those who didn't have health care coverage, only 42% said they got screened.
- <00:26:44.240>
for mandatory health insurance coverage for mandatory health insurance coverage - <00:57:31.119>
for health insurance coverage for health insurance coverage for biomarkers. - <01:00:26.720>
for mandatory health insurance coverage for mandatory health insurance coverage
Summary:
The committee heard several health-related resolutions and received testimony on each. HCR 28/HR 27 would ask the Department of Health to reconvene a working group on water and air contamination and remediation tied to the Pu‘uloa Range training facility; supporters said nearby residents and the broader public may be exposed to lead and heavy metals, and that further testing and eventual relocation of the range are needed. HCR 35 would request an auditor’s report on the social and financial effects of mandatory insurance coverage for biomarker testing, and HCR 36 would request a similar report on colorectal cancer screening coverage. The Department of Health and cancer advocates supported both, saying biomarker testing helps match patients to the right treatment and that earlier colorectal screening improves outcomes; DOH also cited screening data showing lower screening rates among uninsured people. HCR 134, on limiting cost sharing for diagnostic and supplemental breast imaging, drew support from the Susan G. Komen Foundation and others, who said out-of-pocket costs can delay diagnosis and treatment. HCR 171, on mandatory coverage for continuous glucose monitoring, also drew support from health and disability advocates. HCR 185, on coverage for Native Hawaiian healing and cultural practitioners through federally qualified health centers, received support from Papa Ola Lōkahi and a community testifier who described the value of traditional healing and access gaps. HCR 173, urging DOH outreach and vaccination drives at schools with low vaccination rates, drew support from DOH, DOE, and public health and disability advocates, but also strong opposition from several testifiers who argued the measure was government overreach and raised concerns about vaccine safety and parental choice.
Testimony on HCR 173 was the most divided, with supporters emphasizing the need to raise immunization rates to prevent outbreaks and protect vulnerable children, while opponents argued schools should not host vaccine drives and that parents should make vaccination decisions without government involvement. The Department of Health said it is already working with schools and community partners to expand school-based immunization efforts and would prioritize schools with rates under 30%. The State Health Planning and Development Agency also supported the measure, saying rates below 50% are a serious public health concern. No votes or final committee actions were announced in the portion of the meeting provided.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Committee Jun 15th, 2026
Budget and Fiscal Review
Transcript Highlights:
- Nothing changes in coverage.
- individuals who could not afford coverage on the marketplace or through employment... ...coverage on
- the marketplace or through employer-sponsored coverage with premiums.
- The wildlife coverage...
- we have on coverage right now, who are those folks?
Summary:
The Senate Budget and Fiscal Review Committee heard AB 109, the Budget Act of 2026, and related discussion of the legislative budget agreement. Committee staff and the Department of Finance described a two-year balanced plan with about $253 billion in General Fund spending, roughly $5.5 billion in higher assumed revenues than the May Revision, and about $36.5 billion in combined reserves. They said the package preserves or expands funding for schools and community colleges, child care, IHSS, Medi-Cal-related county administration, housing and homelessness programs, public hospitals, courthouse construction, and some criminal justice and prison-closure savings, while delaying or modifying several prior health care reductions and some Medi-Cal changes.
Much of the member discussion focused on Medi-Cal, H.R. 1, and the impact on low-income and immigrant Californians. Several Democrats argued the budget protects vulnerable residents by delaying some cuts, funding county eligibility work, indigent care, public hospitals, and food banks, and rejecting the Governor’s IHSS cuts and asset-limit proposal. Republicans criticized the budget for assuming future revenues, relying on new taxes, and not doing enough to address the structural deficit or improve accountability. Members also raised concerns and support around homelessness funding, Prop. 36, judgeships and courthouse funding, transit and GGRF allocations, local journalism, Caltrans fleet spending, and a proposed “fair share” revenue measure that was not yet before the committee.
Public testimony was largely supportive of the budget’s health and human services provisions, especially the rejection of IHSS cuts and the asset-limit proposal, and the inclusion of funding for child care, sickle cell centers, domestic violence services, trauma recovery centers, distressed hospitals, county eligibility work, and transit programs. Some witnesses representing hospitals and health plans cautioned about the effects of moving certain Medi-Cal populations to fee-for-service and about proposed tax changes affecting health care providers. The chair said revenue trailer bills were still being finalized and would likely come back later in the week; the committee then moved to public comment, with the chair limiting speakers to about one minute each.
NM
New Mexico 2026 Regular Session
House - Health and Human Services Jan 26th, 2026 at 09:05 am
House Health & Human Services
Transcript Highlights:
- So, Madam Chair, we've made great strides in increasing coverage over the last few years.
- Without decisive state action, the... ...for Medicaid and marketplace coverage.
- Without assistance, the cost of... ...the coverage available is simply unaffordable.
- off of BeWell and Medicaid coverage.
- off of BeWell and Medicaid coverage.
MN
Minnesota 2025-2026 Regular Session
Committee on Commerce and Consumer Protection - 03/26/26
Commerce and Consumer Protection
NH
New Hampshire 2026 Regular Session
Health and Human Services Oversight Committee (01/23/2026)
Transcript Highlights:
- uh, post delivery coverage in Medicaid. uh, post delivery coverage in Medicaid.
- , coverage, coverage, this<01:09:01.040>
map <01:09:01.359>was <01:09:01.520>not - Um that being Arkansas and coverage.
- ,<01:11:42.880>
you people who have Medicaid coverage, you people who have Medicaid coverage - I think in this insurance coverage.
Summary:
The committee met on January 23, 2026, to approve prior minutes and receive an update from the Department of Health and Human Services. The main presentation focused on “Project Compass,” an internal cross-department effort to prepare for changes to Medicaid and SNAP eligibility. Department staff said the goal is to maintain continuous coverage for eligible people, align policy, operations, communications, legal, finance, and eligibility work, and use the new integrated New HEIGHTS system to streamline implementation. They emphasized outreach to beneficiaries, providers, managed care organizations, and other partners, and said temporary manual workarounds had already been used to stay in compliance with fast-moving SNAP changes.
Members questioned how the department would avoid repeating the costly outreach effort used in a prior Medicaid work-requirement rollout. Department officials said they are focusing on ex parte processes, sharing eligibility information across programs, and using community partners to reduce duplicate contacts and paperwork. They also said the department is monitoring the SNAP error rate closely, expects automation and a planned system contract amendment to help reduce it, and noted that current error rates are trending downward and remain below the national average. Questions were also raised about possible future SNAP restrictions on certain foods; the department said it can implement whatever the legislature directs, but that defining and administering such restrictions would be complex.
The commissioner and CFO then outlined the department’s budget reduction plan. They said the department has begun implementing required “back of the budget” reductions for fiscal year 2026, using contract savings and not cutting existing services where possible. Examples included dental and home-visitation contracts, where spending was adjusted based on utilization and projected need. Officials said they had already written down a little over $15 million in prior-year encumbrances, but that this one-time source will not be available next year, making fiscal year 2027 more difficult. They also explained the difference between legally required back-of-budget cuts and lapse, and said staffing remains a major challenge because vacancies have increased and customer-facing service levels are strained.
Dr. Jonathan Ballard then began an update on opioid overdose fatalities, presenting the latest medical examiner data and describing the long-term rise in deaths after fentanyl entered the illicit drug supply, with a peak in 2017 and a later increase in 2022. The transcript cuts off before his full presentation and any further committee action beyond discussion of the minutes and receipt of the department updates.
FL
Transcript Highlights:
- start off with you introducing Senate Bill 480 regarding nonprofit agricultural organization health coverage
- This bill helps to provide affordable health coverage options for Florida Farm Bureau members, particularly
- This coverage is part of the rural renaissance of Florida's smaller and less densely populated regions
- and that such coverage is not insurance for the purpose of the Florida Insurance Code, because such
- coverage is not insurance.
Summary:
The committee heard and acted on six bills. SB 480, by Senator DeSigley, would allow a narrowly tailored nonprofit agricultural organization to offer health coverage to its members, especially farmers and ranchers, outside the Florida Insurance Code; supporters said it would improve affordable access in rural areas, while the American Cancer Society Cancer Action Network warned the plans would not have to cover preexisting conditions or comply with ACA protections. An amendment aligning the bill with the statute for nonprofit religious organizations was adopted, and the bill passed as amended. SB 1226, also by Senator DeSigley, would create a regulatory framework for pet insurance and wellness programs; it drew no opposition and was reported favorably. SB 988, by Senator Truenow, would revise securities exemption and filing requirements under Florida’s Invest Local exemption law; a strike-all amendment clarifying terms, fingerprinting, and related compliance provisions was adopted, and the bill was reported favorably with the committee substitute.
SB 944, by Senator Davis, would correct an omission in the law governing insurance overpayment claims so the 12-month limit applies to psychologists and HMO claims, with an effective date tied to January 1, 2026; the Florida Psychological Association supported the measure, and it was reported favorably with committee substitute after an amendment. SB 756, by Senator Burton, would remove the age-8 diagnosis cutoff and age cap for mandated insurance coverage for autism services, update the autism definition to the current DSM, and also repeal age caps for Down syndrome diagnosis; disability advocates and provider groups supported the bill, and it passed as amended. SB 1078, introduced on behalf of Senator McLean, would streamline permitting and inspection procedures for certain fire alarm and sprinkler projects, set deadlines for local agencies, limit extra documentation demands, and restrict enforcement of local ordinances not properly submitted; fire industry representatives supported the compromise amendment, some senators questioned local flexibility and permitting delays, and the bill was reported favorably after the amendment was adopted. The committee also approved a motion allowing staff to make technical and conforming changes and then adjourned.
KY
Transcript Highlights:
- House Bill 32, an act relating to coverage for FNF devices. Representative Moore.
- House Bill 32, an act relating to coverage for FNF devices. Representative Moore.
- act related to coverage for reproductive health<00:29:39.039>
care. - <00:30:52.640>
Representative coverage for FNF devices. - Representative coverage for FNF devices. Representative Moore. Moore. Moore.
Keywords:
Convene 00:00
Motions, Petitions, and Communications 04:28
Election and Swearing In of Constitutional Officers 04:35
Introduction of New Bills and Resolutions 06:51
HR 1 08:08
HR 2 08:40
HR 3 17:11
Impeachment Petitions reported 18:33
Introduction of New Bills and Resolutions 20:27
Stand at Ease 20:54
Introduction of New Bills and Resolutions 28:30
Adjournment 33:05, 958, all
Summary:
The Kentucky House convened for the opening of the 2026 regular session, with prayer, the Pledge of Allegiance, roll call, and a declared quorum of 100 members present. The House then excused absent members and suspended the rules to allow co-sponsorships and vote modifications to be filed. It also elected House staff constitutional officers by acclamation, including the chief clerk, deputy clerk, sergeant at arms, chief doorkeeper, enrolling clerk, cloakroom keeper, and janitor, followed by the oath of office.
Members introduced and adopted House Resolutions 1, 2, and 3. House Resolution 1 established the 2026 House membership. House Resolution 2 adopted the House rules for the session, with changes reflecting the new temporary building, removal of COVID-related provisions, elimination of remote and alternative voting, shortening motions/petitions/communications time from 30 to 15 minutes, deleting guest introductions and gallery references, requiring only one signed jacketed bill copy, clarifying billbook co-sponsorship procedures, deleting consent orders and pairing rules, and updating chamber-access and lobbying restrictions. Some members objected that the changes reduced transparency and public access, and one member asked that the 15-minute limit be kept at 30 minutes, but the resolution was adopted. House Resolution 3 invited pastors of Frankfurt churches to open sessions with prayer; one member asked that it be broadened to include people of all faiths and beyond Franklin County, but it was also adopted.
The House then reported interim communications, including citizen impeachment petitions filed against Supreme Court Justice Pamela Goodwine and Ballard County Jailer Eric Cppus. Members were reminded of a mandatory ethics meeting the next day. The clerk reported the first batch of filed bills and resolutions, including House Bill 11 on independent school districts and House Bills 12 through 34 on topics such as legislative privacy, income tax, rural hospital funding, Medicaid and Medicaid expansion, school employee payments, firearms, reproductive health and privacy, employment schedules, cancer treatment coverage, workers’ compensation for first responders, savings accounts, education opportunity accounts, leave from employment, criminal procedure, home purchases, FNF devices, data privacy, and death benefits, along with House Resolutions 4 through 6. The House then adjourned until 2 p.m. on January 7, 2026.
TX
Transcript Highlights:
- HB 5179 by Davis, relating to health benefit plan coverage of biomarker testing, is referred to the Committee
- including the procurement of the managed care contracts under Medicaid and the Child Health Care Plan coverage
- HB 5179 by Davis, relating to health benefit plan coverage of biomarker testing, is referred to the Committee
- including the procurement of the managed care contracts under Medicaid and the Child Health Care Plan coverage
- Benefit plan coverage to certain persons in the state is referred to the Committee on Appropriations.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health May 19th, 2025
Transcript Highlights:
- These are common in the commercial coverage space.
- So for one additional year, they would have coverage. Correct. Okay.
- One additional year they would have coverage. Okay.
- We have coverage for 94% of our residents.
- at all because you have coverage, but you can't see a doctor.
Summary:
The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56.
DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement.
The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Committee Jun 17th, 2026
Budget and Fiscal Review
Transcript Highlights:
- If it doesn't have a blanket coverage reduction.
- Because they don’t have medical coverage provided.
- They’re going to be losing their medical coverage.
- I’m one of them, but I happen to have great coverage.
- Many seniors don’t, and they are now needing more coverage.
CA
California 2025-2026 Regular Session
Assembly Labor and Employment Committee Jun 24th, 2026
Labor and Employment
Transcript Highlights:
- Four in five work full-time, yet only about half have employer or union health coverage.
- These are the conditions... ...yet only about half have employer or union health coverage.
- Under existing law, large employers are already required to offer affordable coverage.
- Many essential workers do not have access to affordable medical coverage provided by their employers,
- The licensing requirements include a requirement to file workers' compensation coverage.
WA
Washington 2025-2026 Regular Session
House Consumer Protection & Business Oct 21st, 2025
Transcript Highlights:
- You're not going to have coverage.
- You're not going to have coverage for earthquake or earth movement unless you go and try to find coverage
- The coverages that you find are pretty typical to what you would expect in any property insurance coverage
- And, of course, as we know, fire and flood coverage— and we're not promoting earthquake coverage per
- It's an extended coverage.
Summary:
The committee heard a work session on earthquake insurance, beginning with background from the Office of the Insurance Commissioner. OIC staff explained that earthquake and earth movement are generally excluded from standard property policies, that earthquake coverage is usually purchased through endorsements or standalone policies with high deductibles and relatively high premiums, and that surplus lines are a limited backstop market not covered by the state guarantee fund. They also described parametric insurance and captive insurance as more specialized products generally suited to commercial or governmental buyers rather than ordinary consumers. A second panel of insurance and banking experts focused on commercial earthquake exposure, especially for older buildings, collateralized loans, and potential knock-on effects to banks and consumers if a major quake caused widespread damage. Members asked about consumer impacts, mitigation incentives, inventories of vulnerable buildings, and whether legislation such as prior work on unreinforced masonry could help reduce risk. The Washington Bankers Association said earthquake insurance is expensive and that affordability is a major concern, while also noting banks participate in disaster-recovery planning and would be affected by major regional losses. No votes or formal actions were taken.
The committee then received a presentation from the Washington State Institute for Public Policy on its cannabis and Initiative 502 research. WSIPP staff described the agency as a nonpartisan research institute that conducts legislative-directed studies and explained that its long-term I-502 assignment includes periodic reports leading to a final benefit-cost evaluation in 2032. Staff summarized findings from a 2023 report showing that cannabis possession convictions fell sharply after legalization, though some racial disproportionalities persisted, and that closer retail access was associated with higher reported adult cannabis use, more fatal traffic crashes involving drivers from nearby areas, and higher rates of cannabis use disorder diagnoses among Medicaid enrollees. A 2023 youth-focused report found that students attending schools near retailers were more likely to report cannabis use, had more unexcused absences, and were less likely to graduate on time. In the newest 2025 Medicaid study, staff said retail access was associated with higher probabilities of cannabis use disorder diagnoses, related hospitalizations, inpatient treatment, and co-occurring mental health diagnoses, with event-study analysis suggesting the increases appeared after retailers opened rather than before. Members asked about racial disproportionality, the meaning of cannabis use disorder diagnoses, THC and impairment, whether the findings reflected medical versus recreational use, and how the results should be interpreted in light of broader trends and data limitations. No formal committee action was taken.
HI
Hawaii 2025 Regular Session
HHS, HHS DEFER Public Hearings 01-29-2025
Transcript Highlights:
- This is relating to mandatory coverage of standard fertility preservation services.
- <00:33:00.200>
the <00:33:00.360>word coverage the word coverage the word optional<00:33 - , but we're going to require the insurance companies to provide the optional coverage.
- , but we're going to require the insurance companies to provide the optional coverage.
- provide the optional coverage.
Summary:
The Committee on Health and Human Services began by explaining strict one-minute testimony limits, reliance on written testimony, and that it had quorum and would move directly to decision making on deferred measures. It first adopted the chair’s recommendation to pass SB 8 with amendments, creating a five-year trial period for a jury-duty exemption for actively practicing APRNs, delaying implementation to January 1, 2027, and adding a defective date. It then adopted amendments to SB 189 on breast cancer screening, replacing references to “woman” with “patient,” clarifying that supplemental imaging and mammograms must be medically necessary and ordered by the patient’s provider, deleting one subsection, and adding a defective date.
The committee then heard testimony on several bills. SB 46 on insurance/mental health coverage drew support from a member of the public and others, but later the chair said it would be deferred indefinitely pending a required sunrise analysis and a concurrent resolution. SB 642 on fertility preservation services received broad support from providers, advocacy groups, and an individual who described facing cancer treatment and high out-of-pocket costs; the chair later amended it to make coverage optional, limit it to those over 26, and add a defective date. SB 49 on terminal illness had limited testimony and was later passed with amendments incorporating agency and professional association changes plus a defective date.
The committee also heard strong support for SNAP-related bills. SB 53, expanding SNAP eligibility to 300% of poverty, drew testimony about the “benefits cliff,” but the chair later deferred it indefinitely, citing uncertainty about costs and system issues. SB 58 on public assistance had no testimony. SB 960 and SB 961, both SNAP-related, drew extensive support from nonprofits, health groups, and others; DHS said its modernization work would not be ready until fall 2026 and that current systems could not automatically extend certification periods. SB 963 on SNAP also received support, including testimony from a volunteer reentry advocate and a public health advocate, but the chair later said it would be deferred indefinitely because the committee could not determine the fiscal impact and wanted to wait until next year.
Finally, the committee heard SB 798 on child welfare and SB 974 on foster care. Testimony on SB 798 included support from child welfare and advocacy organizations, but also criticism from a witness who said the bill lacked voices of those harmed by the system and another who emphasized the need for independence, implementation, and accountability. The committee then recessed to regain quorum and later returned to decision making, where it deferred SB 46 indefinitely, passed SB 642 with amendments, passed SB 49 with amendments, and deferred SB 53 indefinitely. The transcript ends while the chair is continuing through the remaining measures.