Transcript Highlights:

• Yes, under federal ERISA law, the self-funded employers...

Summary: House Finance heard several bills and took no recorded votes. HB 2367 would end special tax and emissions exemptions for the Centralia coal plant by limiting its Climate Commitment Act exemption to pre-2026 emissions, removing limits on additional greenhouse gas requirements, and repealing coal sales and use tax exemptions. The sponsor, Rep. Fitzgibbon, said the bill would help keep the plant’s transition to cleaner natural gas generation on track; Climate Solutions supported it, while business and clean-energy groups raised concerns about allowance-market impacts and asked for amendments to adjust the cap-and-invest allowance budget. HB 1974 would authorize public housing authorities, public corporations, and nonprofits to operate as land banks for affordable housing, give them priority for tax-foreclosed properties, and provide property tax, leasehold excise tax, and REET exemptions for land bank transactions. Rep. Hill said the bill was narrowed to reduce fiscal impact and support existing land banking work in Spokane; supporters said it would lower land costs and speed affordable housing development, while questions focused on how public land would be used and whether affordability should be permanent rather than limited to 30 years. HB 2650, a Department of Revenue request, would standardize notice and effective dates for local REET and lodging tax changes and clarify documentation for an affordable housing sales tax deferral. DOR supported the bill as an administrative efficiency measure, and there was no opposition testimony. HB 2626 would raise the premium tax on health maintenance organizations, health care service contractors, and self-funded multiple employer welfare arrangements from 2% to 3%, remove a dentistry-related exemption, and add a new 1% tax on certain disability and group stop-loss insurers. The sponsor said the bill is intended to help fund Apple Health and subsidies amid federal funding concerns; insurers and business groups opposed it as a cost increase likely to be passed on to consumers and employers, while patient and advocacy groups supported the revenue idea but urged that funds be dedicated to subsidies or other health care supports and that pass-through to consumers be prevented.

Transcript Highlights:

• Number three, DHS, DCFS, with ERISA Health.

Committee: All ALC-REVIEW

Summary: The review subcommittee met to consider a supplemental agenda, methods of finance, an alternative delivery project, discretionary grants, and a large slate of construction, out-of-state, and in-state contracts. The supplemental item was a $2.6 million out-of-state contract with Tyler Technologies for a mobile app that would let citizens access state services through a single sign-on, initially for DFA vehicle and licensing services, with possible expansion to other agencies. Members also reviewed five methods of finance, including University of Arkansas projects for roof and cooling tower replacements, a new $100 million academic classroom building at U of A Fayetteville, a police department renovation at UA Fort Smith, and a boiler/chiller replacement at Hope-Texarkana. Questions focused on project timing, why some items were being reviewed after work had begun, and the high estimated cost of the Fayetteville classroom building; DFA explained that projects under $250,000 are not reviewed and that the larger project was still in design and would later seek a guaranteed maximum price. The committee also reviewed two DHS discretionary grants: one for targeted youth advocacy in southwest Arkansas and another adding $582,000 for family-centered treatment training and implementation. In the services contract section, members discussed construction-related contracts, including an ASMSA electrical scope increase tied to three-phase power requirements and the U of A Fayetteville architect contract for the classroom building. Out-of-state contracts included major items such as ACT Education’s $17 million amendment to provide required pre-ACT testing for 9th and 10th graders, a $12.5 million DFA contract for rural health transformation grant management, DHS’s $16.5 million EBT services contract with updated chip-card and fraud-prevention features, and ADH’s special procurement for the Behavioral Risk Factor Surveillance System survey. The committee also reviewed U of A system consulting contracts for financial advisory and sponsorship strategy work, with university officials saying the outside expertise was needed for specialized planning and revenue-generation efforts. In-state contracts covered corrections reentry services, nursing board investigations, foster care and child welfare services, DHS office janitorial work, emergency management radio system expansion, veterans’ home nursing staffing, and UAMS grants consulting. A lengthy exchange centered on the Department of Corrections’ reentry housing contract, with members pressing officials about vacant beds and urging fuller use of the program, while corrections staff said placements depend on screening and eligibility. Another discussion addressed the balance between out-of-state and in-state contracting, with a member noting the large dollar volume going to out-of-state vendors and asking whether Arkansas vendors receive any preference; State Procurement said current law does not allow an in-state preference. The committee approved the supplemental agenda, the methods of finance, the alternative delivery project, the discretionary grants, and the contract lists, and then received routine reports and an emergency action report before adjourning.

Transcript Highlights:

• The second would be plan qualification and, you know, just through the general tax overview, how ERISA

Committee: Joint Select Committee on Pension Policy

Summary: The committee approved the May minutes by roll call vote and then received brief updates from the Attorney General’s office and the Office of the State Actuary. The AG’s office said it would handle legal analysis related to the committee’s work, while the actuary reported that staff were at capacity this summer due to annual valuation work, experience studies, and other retirement system projects, but would have more capacity in the fall. Members also requested access to fiscal note and actuarial materials related to the LEOFF 1 study and related legislation. The main discussion focused on the LEOFF 1 study, including actuarial funding, a proposed merger/termination/restatement approach, and the possibility of a permanent COLA for Plan 1 members. Several members supported keeping COLA recommendations in the committee’s work, while others raised concerns about whether merging or restating plans could affect benefits, legal status, or IRS tax treatment. The actuary explained that the temporary pause in certain funding rates reflected prior overfunding buffers and assumptions about future investment returns, and said future base-rate funding could still be needed depending on experience. Members also discussed constituent correspondence, which staff said largely fell into four categories: the LEOFF 1 study, Plan 1 benefits and COLAs, fossil fuel divestment, and ESSB 5357. The committee agreed that divestment concerns are more appropriately directed to the State Investment Board, not this committee. In reviewing the draft interim work plan, members added or adjusted several topics for future meetings, including a July educational briefing on LEOFF 1 history and tax/IRS issues, a September discussion of COLAs, and a December placeholder for excess compensation/pension spiking, pending coordination with the LEOFF 2 Board. The committee then approved the July agenda and adjourned.

Transcript Highlights:

• And then within that, what percentage of people may be covered by an ERISA-covered plan, which any mandate
• And then within that, what percentage of people may be covered by an ERISA-covered plan, which any mandate
• sometimes the things that we require in the commercial plans have a way of bleeding into, say, the ERISA
• commercial market, it incentivizes smaller and smaller businesses to move from the commercial market to the ERISA

Bills: HF747 , HF1014 , HF320 , HF400

Committee: House Commerce Finance and Policy

Transcript Highlights:

• Number nine is DHS with ERISA Health and amends an existing contract for board payment for children in

Committee: All JOINT BUDGET COMMITTEE

Transcript Highlights:

• Number three is DHS, DCFS, with ERISA Health.

Committee: All ALC-REVIEW

Transcript Highlights:

• is regarding Title 41, Chapter 40, which has to do with self-funded health care plans that are not ERISA

Committee: House Business

Transcript Highlights:

• Self-insured ERISA claims stay in the federal system. Thank you.

Bills: S0158 , S0314 , S0618 , S0684 , S0838 , S0990 , S1000 , S1082 , S1452 , S1494 , S1500 , S1568 , S1706

Committee: Senate Banking and Insurance

Summary: The Banking and Insurance Committee heard and advanced a wide range of insurance, financial services, and probate bills. Early in the meeting, SB 1000 on trust fund interest for attorney trust accounts was explained as setting a floor and ceiling tied to the Wall Street Journal prime rate and was reported favorably. The committee then took up CS/SB 1082 on a statewide provider and health plan claim dispute resolution program for emergency out-of-network claims. After extensive discussion about the relationship between the state and federal No Surprises Act processes, an amendment was withdrawn due to concerns about clarity and scope, but the bill itself was supported by providers and insurers and was reported favorably. The committee also approved SB 684 on electronic signatures for total loss vehicles and vessels, CS/SB 158 on pet insurance consumer disclosures and agent education, SB 1494 expanding breast cancer screening coverage, CS/SB 314 on digital assets and stablecoin issuers, and CS/SB 1500 on uncontested probate procedures and small-estate administration. SB 618 on workers’ compensation insurance was amended to raise the consent-to-rate cap for workers’ compensation policies from 10% to 20% and then reported favorably, with supporters saying it would help keep higher-risk employers in the voluntary market. CS/SB 1568 creating a Florida Stablecoin Pilot Program was amended to remove authority for a Florida coin and limit the program to existing stablecoins, then passed. Later, the committee approved CS/SB 838 on electronic payment convenience fees for retail installment contracts, with the sponsor emphasizing that a fee-free payment option must still be offered. SB 1452, the Department of Financial Services agency bill, was amended and reported favorably; it covered My Safe Florida Home administration, insurance and licensing changes, unclaimed property updates, and other DFS-related provisions. The committee also passed SB 1706 on the My Safe Florida Condominium Pilot Program, targeting owner-occupied condominiums at or below 80% of area median income, and SB 990 on protected cell captive insurance companies, which supporters said would modernize Florida’s captive insurance laws and encourage more competition. The meeting ended with all listed bills reported favorably and the committee adjourned.

Transcript Highlights:

• Um, and another reason I think that a lot of the corporations have phased it out is because of ERISA,

Bills: HB188 , HB52

Committee: House Ways and Means Education

Keywords: healthcare, insurance, patient rights, medical treatment, access, affordability, income tax, CHOOSE Act, education funding, ABLE account, tax credits, poverty threshold, legislative funding

Transcript Highlights:

• I'm assuming that the 49.3% large group is the ERISA exempt, and so those mandates wouldn't apply there
• I'm assuming that the 49.3% large group is the ERISA exempt, and so those mandates wouldn't apply there
• I'm assuming that the 49.3% large group is the ERISA exempt, and so those mandates wouldn't apply there
• I'm assuming that the 49.3% large group is the ERISA exempt, and so those mandates wouldn't apply there

Committee: House Commerce Finance and Policy

Transcript Highlights:

• You were saying, so what he's proposing here in his legislation, you think a lot of these ERISA plans

Bills: HB139 , HB1818 , HB1942 , HB1959 , HB2221 , HB2254 , HB2563 , HB2067 , HB2275 , HB3211 , HB139

Committee: House Insurance

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Transcript Highlights:

• paragraph, paragraph 6, I think what this is getting at, where it’s talking about having it identified as ERISA
• or non-ERISA, I think that’s the incorrect terminology.
• And Miss Heaton mentioned it: ERISA versus non-ERISA, or, excuse me, fully funded versus partial funding
• :21:57.359><c> it</c><03:21:57.560><c> Arissa</c><03:21:58.040><c> versus</c><03:21:58.359><c> non-erisa
• </c><03:21:58.880><c> or</c> mentioned it Arissa versus non-erisa or mentioned it Arissa versus non-erisa

Committee: Senate Health and Human Services

Transcript Highlights:

• around, if you're a small employer, this is not a small employer, you're a large employer, you're an ERISA
• These are all ERISA anyway, so they're going to be—I mean, but if, like, they can be 20 employees, and
• All right, because they're in ERISA, so it's a free game what they can shop around and what they're going
• All right, because they're in ERISA, so it's a free game what they can shop around and what they're going
• All right, because they're in ERISA, so it's a free game what they can shop around and what they're going

Summary: The subcommittee first reviewed its schedule, noting that 13 bills were being executed the next day and that additional subcommittee work would be scheduled around Town Meeting Day and the following session days. The chair explained that the committee would not meet on Town Meeting Day, would handle the remaining bills on the next available subcommittee day, and would continue any unfinished items later in the month. The committee then took up House Bill 774, which concerned Medicare-related coverage issues. Members discussed the bill’s purpose and the differences between Medicare standard and Medicare Advantage, with one member saying the proposal was informative but did not offer a workable solution. The committee also moved to inexpedient to legislate on House Bill 185, and the motion passed on a 6-0 vote. House Bill 241, relating to alternatives to opioids, was retained for further work. Members said the bill raised concerns about insurers effectively practicing medicine and about the lack of evidence on the efficacy of some alternative treatments, while also noting that chiropractic coverage mandates already exist in statute. The committee voted to retain the bill, with the motion passing 6-0. The most extended discussion was on House Bill 648, which would expand insurance coverage for glucose monitoring. Testimony and committee comments focused on whether coverage should be tied to insulin use or instead to a physician’s medical judgment, the role of continuous glucose monitoring for people with type 2 diabetes who are not on insulin, and the potential cost impact. An insurance department fiscal analyst said the original $22-per-member estimate was based on the unamended bill and that the amended version would require updated analysis; members agreed to retain the bill to narrow the eligible population and revisit the language later.

Transcript Highlights:

• What that decision said was that private commercial and ERISA plans are not required to disclose their

Committee: Joint Joint Committee on Financial Services

Summary: The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization. The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation. The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.

Transcript Highlights:

• So, if legislation is drafted, understand that there's commercial insurance, there's ERISA insurance,

Committee: All TASK FORCE ON AUTISM

Summary: The meeting began with approval of the June 4 minutes and then heard an update from the Attorney General’s office on Medicaid fraud investigations, including ABA-related fraud concerns. Justin Brasher explained how the Medicaid Fraud Control Unit investigates providers using credible allegations, hotline tips, data mining, subpoenas, surveillance, and federal partnerships, and described the choice between civil and criminal cases. He cited examples such as impossible-hours billing, caregiver fraud, DME fraud, and updates on the Brian Hyatt and Joseph Schwartz cases. Members asked about ABA fraud and safeguards; Brasher said the office is aware of the federal ABA fraud toolkit and emphasized that investigations require a credible allegation so legitimate services are not disrupted. Representative Clowney clarified that the examples discussed were Medicaid fraud generally, not ABA-specific cases. The committee then heard extensive testimony from Rachel Dodson and ABA provider Jessica Linnehan about Dodson’s nine-year-old daughter, Ella Grace, who has autism and multiple medical conditions. Dodson described how ABA has helped Ella improve communication, school participation, safety, hygiene, and medication management, but said insurance denials and reduced authorization hours are now the biggest barrier to care. Linnehan explained the authorization process, saying insurers often issue unclear denials, caregivers are excluded from physician review calls, and delays or partial approvals can interrupt services. She said Ella’s current plan was reduced to 25 hours per week despite the family requesting 34 hours, and argued that children should not have to regress before receiving higher-intensity care. Dodson and Linnehan also cited CASP guidance supporting higher-intensity ABA when safety concerns are present. Representatives from DHS and Empower Healthcare Solutions responded that Medicaid ABA services are covered through the PASSEs and fee-for-service, that Empower uses InterQual medical-necessity criteria, and that care coordinators help families but do not make clinical determinations. DHS said it is working on clearer ABA-related notices and a new policy/manual that is moving toward public comment and later legislative review. Members discussed whether the issue should be added to the task force’s legislative priorities, but several said they had not yet seen the draft priorities. The committee ultimately approved a motion to have the chairs finalize the report before submission to the General Assembly, then voted to expunge that vote after members objected to voting without reviewing the document. The meeting ended with a plan to circulate the draft by email and reconvene before the report deadline later in the month.

Transcript Highlights:

• First, ERISA blocks state law from regulating self-funded plans.

Committee: House Commerce and Consumer Affairs

Summary: The committee held a public hearing on Senate Bill 562, which would create a home damage mitigation and resilience grant program aimed at helping homeowners make property improvements that could reduce insurance costs and non-renewals. Commissioner DJ Bettencourt of the New Hampshire Insurance Department explained that the program is modeled in part on Alabama’s safer homes program, but tailored for New Hampshire hazards such as floods, microbursts, heavy snow, ice, and falling trees. He said the grants would be limited to primary residences, subject to a means test, capped at $10,000, and intended to help homeowners make targeted improvements such as roof fortification or tree removal that could improve underwriting outcomes and lead to premium discounts. Bettencourt said the program would not use state taxpayer funds and would instead rely on philanthropic donations, possible federal or regional housing-bank funding, and other outside sources. He said the department would not need new staff, and that a current position could be reconfigured to help administer the program part-time. Committee members asked about the funding language, the meaning of “loans” in the bill, whether there were any other states using a similar no-state-funds model, and how many homeowners could be helped. Bettencourt said Rhode Island and Connecticut were moving forward in a similar way, and that the number of beneficiaries would depend on how much money is raised. Members also questioned how the grant program would actually lower premiums, whether savings would apply only to participants or more broadly, and how the IBHS evaluation process would work. Bettencourt and department staff said the direct benefit would be to the homeowner whose property is improved, though neighbors could also benefit in some cases. They explained that IBHS is a building-safety organization that certifies contractors and inspectors and that its standards can qualify homes for insurer discounts. Questions were also raised about confidentiality provisions, first-come-first-served grant awards, rollover of unused applications, and possible tax treatment of donations. The sponsor said those details would be addressed through rulemaking or existing tax rules, and no vote was taken during the hearing.

Transcript Highlights:

• And then finally, ERISA plans, which are federally regulated plans, and these departments have no jurisdiction

Summary: The Assembly Health Committee met on March 17 and first approved a consent calendar of several bills, then heard AB 1540 by Assemblymember Mark Gonzalez, which would restore the 988 “Press 3” LGBTQ youth crisis line. Supporters, including suicide prevention advocates, behavioral health groups, and local governments, argued the service is a vital, identity-affirming suicide prevention tool for LGBTQ youth. Opponents, including detransitioners and conservative advocacy groups, argued it would steer vulnerable youth toward organizations they viewed as harmful. The committee approved the bill on a due-pass-as-amended motion to the Communications and Conveyance Committee, with several no votes; the bill was later held on call and then advanced. The committee next heard AB 1671 by Assemblymember Tangipa, creating a Rural Medical Provider Grant Program to help providers serving rural communities with operational costs, equipment, workforce needs, and related expenses. Supporters said the bill would help retain providers and improve access in areas where patients travel long distances for care; committee members also discussed telehealth as an important rural access tool. The bill passed on a due-pass-as-amended motion to Appropriations. The committee then took up AB 1876 by Assemblymember Addis, the Fair Care for All Act, which would codify federal health care nondiscrimination protections into California law, including protections related to race, color, national origin, age, disability, sex, and gender identity. Supporters said the bill is needed because federal protections are vulnerable to rollback and because patients, especially transgender and intersex Californians, face coverage denials and care disruptions. Opponents argued the bill would force coverage of gender-affirming care and raised concerns about detransitioning. The committee approved the bill on a due-pass motion to Judiciary, with some no votes, and later held it on call before it advanced. Finally, the committee heard AB 1629 by Assemblymember Haney, which would require dental plans to honor assignment-of-benefits requests and improve reporting on network adequacy. Supporters said the bill would reduce upfront costs for patients and improve transparency, while opponents, including Delta Dental and dental plan groups, warned it could weaken networks and increase out-of-pocket costs. After discussion about network participation and patient access, the committee passed the bill on a due-pass motion to Appropriations. The committee then completed the remaining votes, including the consent items, and adjourned.

Transcript Highlights:

• And then finally, ERISA plans, which are federally regulated plans, and these departments have no jurisdiction

Committee: House Health

Transcript Highlights:

• Secondly, this proposal only applies to Washington's fully insured commercial market and not ERISA, self-funded

Bills: HB2261 , HB2283 , HB2425 , HB2110 , HB2113 , HB2122 , HB2152

Committee: House Health Care & Wellness

Keywords: healthcare, transparency, patient communication, credentials, professional standards, medical loss ratio, insurance, health plans, cost management, nursing delegation, registered nurse, RN, home care aide, nursing assistant, certified nursing assistant, CNA, medical assistant, home health, hospice, community-based care

Transcript Highlights:

• value-based payments under this framework. of Medicare, we're allowed to do them in Medicaid, it happens in ERISA

Bills: HB35 , HB138 , HB754 , HB1314 , HB1612 , HB2254 , HB2510 , HB2789 , HB3560 , HB3597 , HB4224 , HB4273 , HB4643 , HB4783 , HB138

Committee: Senate Health & Human Services