Transcript Highlights:

• This instrument provides relative to coverage of medically necessary treatment for persons with acquired
• It requires health insurance coverage of medically necessary treatment for persons with acquired brain
• necessary dental procedures as a result... ...for health care coverage for certain medically necessary
• Senate Bill 155 requires health care insurance provide coverage for medically necessary dental procedures
• as part of a pre-treatment... ...insurance provide coverage for medically necessary dental procedures

Committee: House Insurance

Transcript Highlights:

• I am presenting SB 950, which will ensure timely access to FDA-approved medically necessary treatments
• SB 950 reaffirms our goal to have universal and equitable access to these treatments when medically necessary
• It prohibits inappropriate rerouting of medically necessary treatment, preserves utilization management
• As the analysis notes, health plans already cover all medically necessary drugs, including anti-amyloids
• Additionally, these co-pay assistance programs help address health inequities by making necessary medications

Summary: The Assembly Health Committee heard several measures, beginning with SB 331 by Sen. Menjivar, which would require large-group health plans to cover hearing aids for children. The author and supporters described the bill as a long-running effort to address a developmental emergency and reduce out-of-pocket costs for families, while opponents were absent. Testimony from parents, advocates, medical experts, and organizations emphasized the importance of early access to hearing aids; committee members voiced strong support, and the bill was moved on a do-pass basis to Appropriations, with several members requesting to be added as coauthors. The committee then heard SB 608, also by Sen. Menjivar, to expand access to condoms in school-based health centers and related settings and to prevent barriers such as ID checks. Supporters, including students and school health advocates, argued the bill would improve sexual health and reduce stigma, while opponents from family and faith groups argued it would undermine parental authority and normalize early sexual activity. The bill was supported by committee members and moved forward on a do-pass basis to Appropriations. Next, SB 971 by Sen. Choi proposed community-based healthy aging partnerships for older adults, with testimony from the California Senior Legislature and supporters from aging and dementia organizations. The measure was described as voluntary and focused on connection, independence, and local collaboration; there was no opposition, and the committee moved it on a do-pass basis to Appropriations. The committee also heard SB 869 by Sen. Weber Pierson, which would require warning icons and statements on chain restaurant menus for beverages with very high added sugar content. Supporters framed it as a transparency and public health measure, while restaurant and beverage industry representatives opposed it unless amended, citing cost and menu-space concerns; the bill was nevertheless moved on a do-pass basis to Appropriations after a roll call vote, with some members voting no and the measure placed on call. The committee also considered SB 950 by Sen. Weber Pierson, aimed at ensuring timely coverage of FDA-approved, medically necessary treatments for early-onset Alzheimer’s disease on commercial plans. Supporters, including the Alzheimer’s Association and a patient advocate, said the bill would reduce delays and barriers to care, while health plan representatives opposed it over step therapy and utilization-management concerns. Members discussed the limited treatment window and the need for early access, and the bill was moved on a do-pass basis to Appropriations. In addition, SB 490 by Sen. Umberg would set timelines for DHCS investigations of unlicensed sober living homes and allow counties to assist if the department cannot act in time; supporters from Anaheim and a patient-brokering survivor described serious abuse and oversight gaps, while county behavioral health representatives opposed the county role as an unfunded and potentially liability-creating burden. After discussion, the bill was also moved on a do-pass basis to Appropriations. Finally, the committee began hearing SB 1037 by Sen. Weber Pierson on health insurance affordability and rate review, with supporters arguing it would tie premium increases more closely to affordability targets and public reporting; the transcript cuts off before the committee completed action on that measure.

Transcript Highlights:

• An injured worker must seek medical care from a provider within L&I's medical provider network, except
• It allows an injured worker to receive treatment from a provider outside the medical provider network
• necessary treatment on closed claims and for medical monitoring of cancer patients.
• necessary treatment on closed claims and for medical monitoring of cancer patients.
• This bill is necessary to ensure that workers are able to get proper necessary treatment that they need

Bills: SB5944

Committee: House Labor & Workplace Standards

Keywords: language access, collective bargaining, labor relations, employment rights, worker protections

Transcript Highlights:

• Bill 11, and it was for we took away pre-authorization for medical necessity and medically necessary
• The prior authorization bill has been changed to indicate medical necessity and medically necessary,
• Medical cannabis is very good for those things.
• And a person who has a medical marijuana prescription can go get the medical marijuana, correct?
• ...in between medical cannabis and recreational.

Summary: The committee first took up Senate Bill 20, a prior-authorization measure aimed at exempting certain medications and treatments for seriously mentally ill adults from repeat insurance prior authorization, while also extending prior authorization approvals to three years for chronic maintenance drugs. The sponsor described the bill as the latest in a series of bipartisan prior-authorization reforms and accepted an amendment from the Health Care Authority and the Office of the Superintendent of Insurance to apply the bill to adults only and to cover PBMs in the interagency purchasing collaborative. Supporters, including NAMI New Mexico and state health officials, argued the bill would reduce barriers to needed care, especially for mental health treatment. Opponents from health plans, PBMs, and insurers warned the bill was too broad, lacked clear definitions for serious mental illness and chronic conditions, created patient-safety concerns, and should have a shorter reauthorization period and later implementation date. After committee discussion, the sponsor agreed to work on a committee substitute, and the bill was rolled over for a later meeting. The committee then heard Senate Bill 53, the Chispa data privacy bill, which would impose broad limits on the collection, sale, and use of personal data, require opt-in consent for many uses, strengthen rights to access, correct, and delete data, and create enforcement mechanisms including a private right of action. Supporters from advocacy, women’s, behavioral health, reproductive health, and civil rights groups said the bill was needed to protect sensitive health and location data, prevent surveillance and criminalization, and give New Mexicans real control over their information. Business, technology, insurance, and hospital representatives opposed the bill, arguing it was more restrictive than other states’ privacy laws, would burden small businesses and health-related services, create compliance uncertainty, and risk limiting digital services and innovation. After extensive questioning about data breaches, opt-in consent, nonprofit exemptions, and the bill’s impact on businesses and health care access, a motion to table failed 5-4, and the committee then passed SB 53 on a 5-4 vote. The committee next heard Senate Bill 86, which updates the state’s harassment-by-telephone law to cover electronic communications such as social media, messaging apps, and email. The sponsor and a Las Cruces police chief said the change would modernize an outdated 1967 statute and help law enforcement address harassment and domestic violence through current technology. The bill drew support from the governor’s public safety advisor and the Greater Albuquerque Chamber of Commerce, and members asked a few clarifying questions about the wording. The committee approved SB 86 unanimously, 9-0. Finally, the committee began hearing Senate Bill 96, on regulated childcare zoning requirements, using a committee substitute. The sponsor and the Early Childhood Education and Care Department said the bill would reduce confusing zoning and fire-code barriers to opening or expanding child care homes and centers, helping address a statewide shortage of child care slots and supporting working families. The discussion began with the committee substitute and an explanation that the measure is intended to streamline local requirements and expand child care supply.

Transcript Highlights:

• AB 554 would eliminate barriers to these necessary and life-saving medications.
• AB 554 would eliminate barriers to these necessary and life-saving medications.
• oral drugs directly to their patients when deemed medically necessary.
• medications.
• to medically necessary health services, how we will ensure access to medically appropriate care from

Committee: House Health

Summary: The committee heard several health-related bills, with most testimony focused on access to care, patient safety, and health system costs. AB 554 (Prepare Act) would expand and clarify protections for HIV prevention medications, including PrEP and injectable PrEP, by limiting prior authorization and step therapy, extending no-cost coverage requirements, and improving reimbursement for small clinics. Supporters said the bill would protect access amid federal threats to HIV prevention, while insurers opposed it as an expensive mandate that could raise premiums and conflict with state affordability targets. The author argued the bill would prevent infections and preserve California’s existing public health protections. AB 577 would limit health plans and PBMs from restricting physicians’ ability to administer or dispense medications directly to patients when medically necessary. Supporters, including physicians and patient advocates, said the bill would improve continuity of care and prevent delays for vulnerable patients; opponents argued it was too broad, could increase drug costs, and could undermine specialty pharmacy networks. The author said amendments narrowed the bill to in-network providers, required patient consent and cost transparency, and exempted hospital outpatient facilities, but the measure still drew opposition over cost concerns. The committee also heard AB 546, which would require coverage of portable HEPA purifiers for vulnerable enrollees during wildfire emergencies, and AB 224, which would codify California’s updated essential health benefits benchmark plan to add infertility treatment, hearing aids, and expanded durable medical equipment coverage if approved by CMS. AB 1032 would require plans to reimburse additional behavioral health visits for wildfire survivors, and AB 849 would require trained chaperones for sensitive ultrasound exams after testimony about sexual abuse in a hospital setting. AB 1196 would update outdated rules requiring three surgeons for certain heart-lung bypass procedures, and AB 1113 would codify a right to wear a mask for health reasons. AB 1386 would add perinatal care as a required hospital service, but the author said the bill would be amended further to address hospital closures and workforce concerns. Several bills drew support from patient advocates, medical groups, and county officials, while insurers and hospital groups often opposed or sought amendments over staffing, cost, and implementation concerns. Some measures were held pending quorum or were scheduled for later action, and no final votes were taken on the bills discussed in the transcript excerpt.

Transcript Highlights:

• They would have to leave Massachusetts to seek the necessary medical treatment in the face of this terminal
• medical care because they don't have the means Are ultimately unable to receive necessary medical care
• I filed this bill for patients who can't travel for medical care at all.
• We would never have accepted that for any other medical treatment.
• legal risk, but rather to medical judgment.

Summary: The House first took up several local and committee-reported bills, including a Ways and Means amendment to House No. 2370, an act prioritizing patient access to care, and a Senate bill authorizing the Town of Dighton to use a portion of conservation land for public way purposes. The House suspended rules to advance both measures, adopted the Ways and Means amendment to House No. 2370, and ordered that bill to a third reading. It also passed to be enacted a group of local bills concerning Leominster police civil service exemptions, additional liquor licenses in Milton and Southborough, Carlisle town administrator powers, and Watertown tax classification, and passed to be engrossed bills involving Petersham police employment and land transfers in Weston and Marion. The House then approved Senate No. 2735, dissolving the North Carver Water District, by roll call, and House No. 5388, a Marion land transfer bill, also by roll call. The major debate centered on House No. 5595, an act prioritizing patient access to care, which would revise Massachusetts abortion law for pregnancies after 24 weeks by replacing specific statutory exceptions with reliance on the treating physician’s professional medical judgment, and clarifying that outside review boards could not override that judgment. Supporters, including the bill’s sponsors and public health leaders, argued the measure was needed to remove legal barriers, reduce trauma, and ensure patients can receive care in Massachusetts without being forced to travel out of state. They cited testimony from patients, physicians, hospitals, and advocacy groups such as Reproductive Equity Now, Planned Parenthood, the Massachusetts Health and Hospital Association, and the Massachusetts Medical Society. Opposition came from Representative Sotomayor of Bellingham, who said he supported abortion rights generally but objected to removing what he viewed as safeguards, especially reporting and parental-rights concerns, and argued the bill went too far by relying solely on physician judgment. Representative Svara of Northampton responded that the bill still leaves reporting requirements in statute and is intended to prevent patients from being forced to leave the Commonwealth for care. A proposed amendment by Representative McKenna of Sutton was ruled out of order as beyond the scope of the bill. The House then passed House No. 5595 to be engrossed by roll call, 119-33, and later adopted an order to adjourn until the next day at 11 a.m.

Transcript Highlights:

• We will take care of the appropriations as necessary and when necessary.
• If necessary. If necessary now? Okay. So it's not necessary. All right. Any more of that.
• All of these medications are medications that we would have access to if we simply cross state lines.
• And then one if necessary, so typically we don't do the if necessary. Oh, okay.
• There's an if necessary. If necessary. If necessary, Trevor Cook, that's it. Are you here?

Bills: HB2072 , HB2251 , HB2279 , HB2308 , HB2323 , HB2342 , HB2400 , HB2408 , HB2456 , HB2660 , HB2697 , HB2868 , HB2873 , HB2877 , HB2910 , HB2946 , HB2955 , HB2991 , HB4001 , HB4010

Committee: Senate Regulatory Affairs and Government Efficiency

Keywords: Cesar Chavez, public holiday, state law, holiday repeal, Arizona Revised Statutes, dental practice, business registration, registration fees, ownership interests, dental insurers, dental record management, motor vehicle warranty, warranty law, leased vehicles, lease-end buyout, lessee, lessor, used motor vehicle dealer, consumer protection, A.R.S. 44-1261

Transcript Highlights:

• As a physician, I can tell you that prior authorization is a necessary burden on medical practices and
• The desired effect was to streamline patient access to medically necessary care and reduce inefficiencies
• And there is a denial, especially if there are medically necessary things.
• We know that PAs are necessary.
• A study done by the American Medical Association showed that there is widespread and necessary care,

Bills: HB712 , HB722 , HB946 , HB1687 , HB1809 , HB1899 , HB2528 , HB2583 , HB2741 , HB2750 , HB3021 , HB3150 , HB3265 , HB3658 , HB3812 , HB3960 , HB4392 , HB4432

Committee: House Insurance

Keywords: prostate cancer, health benefit plans, insurance coverage, cost sharing, preventive health care, auto insurance, total loss evaluation, disclosure, insurance materials, vehicle appraisal, HB 946, Texas Insurance Code, automobile insurance claims, oral release, written release, settlement agreement, claim release, property damage, bodily injury, psychological injury

Transcript Highlights:

• She is present and can provide information if necessary. Ms.
• proprietary medications that are there.
• without using the $900 to $1,500 medication that could...
• But do we need a $1,000 medication or $1,500 medication when we have one that can be acquired for $150
• I don't think that's necessary. And Mr. Frank Apalca would provide information if necessary.

Committee: House Insurance

Transcript Highlights:

• necessary by the patient's primary medical provider.
• necessary by the patient's primary medical provider.
• We have Gordon EO providing comments. medically necessary by the patient's medically necessary by the
• Imaging deem medically necessary by the Imaging deem medically necessary by the patient's<00:04:18.600
• patient's primary medical provider and patient's primary medical provider and we're<00:04:21.400><c>

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.

Transcript Highlights:

• Kevin Guzman with the California Medical Association.
• AB 636 would provide medically necessary diapers through Medi-Cal to children 21 years and younger, as
• The bill would also expand the antiquated medical necessity definition in the medical provider manual
• necessary diapers they're entitled to under the federal program.
• Kevin Guzman with the California Medical Association.

Committee: House Health

Summary: The Assembly Health Committee heard and advanced a series of health-related bills. Early items included AB 583, which would allow nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery treatment facilities are licensed; and AB 280, which would require health plans to improve the accuracy of provider directories through annual verification, enforceable benchmarks, and penalties. Supporters for AB 280 described serious access problems caused by inaccurate “ghost networks,” while health plans and insurers opposed the bill as placing too much responsibility on plans without enough provider participation. AB 636, expanding Medi-Cal coverage for medically necessary diapers for children, also moved forward with support from food banks and anti-poverty advocates. AB 1041, streamlining physician credentialing with a uniform form and deadlines, and AB 787, requiring health plans to help members find in-network providers more quickly, likewise passed out of committee. The committee also approved AB 4, which would allow income-eligible Californians regardless of immigration status to buy coverage through Covered California, and AB 29, which would authorize community health workers and doulas to receive Medi-Cal reimbursement for ACEs screenings. Both bills drew broad support from immigrant-rights, health access, and community-based organizations. AB 416, allowing emergency physicians to place 5150 holds in certain circumstances, passed after supporters argued it would reduce emergency department bottlenecks and opponents warned it could increase unnecessary involuntary hospitalization and transfers to locked psychiatric facilities. Members raised questions about county oversight and training, but the bill advanced on a unanimous vote. Finally, AB 460, modernizing radiology supervision rules to allow real-time remote physician supervision for contrast administration with on-site staff available for emergencies, was approved with no opposition. Across the hearing, committee members repeatedly emphasized access to care, administrative simplification, and consumer transparency, while opponents generally raised concerns about implementation, provider participation, oversight, and unintended consequences. Most measures were reported out on party-line or near-unanimous votes and sent to Appropriations or Judiciary as noted.

Transcript Highlights:

• Now we've got<00:09:38.000><c> the</c><00:09:38.160><c> medication</c> got the medication got the medication
• We condemn the use of necessary.
• Seeking medical and treatment.
• </c><00:34:24.159><c> care,</c> uncomfortable providing medical care, uncomfortable providing medical
• Who &gt;&gt; is<00:48:35.200><c> it</c><00:48:35.440><c> necessary</c> &gt;&gt; is it necessary &gt;&

Summary: The Senate Standing Committee on Health Services met with a quorum and first moved through administrative regulations without comment. The committee then heard Senate Bill 56, sponsored by Senator Gerald Neal, which would require Medicaid and its managed care entities to treat non-opioid pain medications on equal footing with opioid analgesics by prohibiting more restrictive coverage controls, prior authorization, or step therapy for non-opioids. Neal argued the bill would improve access to safer pain treatment options and reduce the risk of opioid use disorder, and Billy O'Brien of Young People in Recovery testified in support, describing personal experiences where non-opioid options were difficult to obtain despite a desire to avoid opioids. After discussion, the bill received a motion and second and passed the committee on a 10-0 vote. The committee then took up Senate Bill 72, sponsored by Senator Don Douglas and presented with Greg Chaffin of Alliance Defending Freedom. Douglas described the bill as a provider recruitment and retention measure intended to protect health care workers from being compelled to act against their conscience and to address workforce shortages and pressure in health care settings. He said the bill would protect individual beliefs while maintaining professionalism. A large number of witnesses then testified, and the chair limited public comments to two minutes each because of the number of speakers and the controversy surrounding the bill. Most public testimony opposed SB 72. Speakers including representatives of the Kentucky Council of Churches, a psychologist, an ordained minister and nurse, a nurse practitioner, and an ACLU policy strategist argued the bill was overly broad, could allow refusals of care by a wide range of health care workers, and could delay or deny treatment, especially for vulnerable patients and in rural or emergency settings. Several cited concerns about discrimination, patient safety, and the lack of adequate protections for patients. One witness recounted the death of an 18-year-old pregnant patient as an example of the harm that can result from delayed care. The transcript ends during additional testimony on SB 72, before any committee vote or final action on that bill is shown.

Transcript Highlights:

• necessary for serious medical needs.
• necessary for serious medical needs.
• necessary for serious medical needs.
• necessary for serious medical needs.
• </c><00:55:19.520><c> medical</c> reasonable and necessary medical reasonable and necessary medical treatment

Summary: The subcommittee met with a quorum, approved the minutes, and welcomed new members before taking up Council on Postsecondary Education regulations 13 KAR 2:120 and 13 KAR 2:130. The regulations, as amended by staff and agency amendments, update public university and KCTCS performance funding models to conform to 2024 Senate Bill 191 and the performance funding work group’s recommendations. Changes discussed included replacing the underrepresented minority metric with an underrepresented students metric defined as first-generation students, adding an adult learner metric, increasing the low-income degree premium, adjusting small-school and nonresident credit-hour weights, revising data aging and progression metrics, and adding STEM+H criteria in 13 KAR 2:120. Travis Pal of the Council on Postsecondary Education explained that the changes reflect the work group’s three-year review process and that the work group ultimately voted to define underrepresented students as first-generation students and to apply half-weighting between research and comprehensive universities for the new metric. Michael Frasier of the Kentucky Student Rights Coalition and Eastern Kentucky University student government opposed 13 KAR 2:120, arguing that the regulation improperly applies weights where the statute does not clearly authorize them and that the funding changes disadvantage comprehensive universities and vulnerable students. He asked the committee to find the regulation deficient or, alternatively, recommend legislative clarification and a revised fiscal analysis. Pal responded that weighting has been part of the model since 2017, that CPE was following the statute and work group recommendations, and that the model could be changed by future legislation. Members asked about the timing of the broader performance funding review, and Pal said the full model is reviewed every three years, with the next work group cycle beginning in 2026. No motion to find the regulation deficient was made, and the committee allowed the regulations to proceed to the committee of jurisdiction. The committee then approved a staff amendment to Teachers’ Retirement System regulations 102 KAR 1:195 and 102 KAR 1:340, which require annual reporting of accumulated sick leave, leave policies, and salary schedules to TRS and make technical changes to the final average salary calculation and related definitions.

Transcript Highlights:

• Kennedy Farm Workers Medical Plan. Thank you so much.
• Kennedy Farm Workers Medical Plan, provides medical benefits to about 6,000 farm workers and their families
• With a medical plan as basic as ours, AB 499 helps keep the RFK Farm Workers Medical Plan functioning
• In my 15 medical missions to rural Africa, In my 15 medical missions to rural Africa, I've encountered
• When a pregnant patient is in a medical crisis, almost When a pregnant patient is in a medical crisis

Summary: The Assembly Health Committee met on March 25, 2025, with Chair Mia Bonta presiding and initially operating as a subcommittee until quorum was established. The committee heard several health-related bills, including AB 73 on creating a Black Mental Health Navigator certification, AB 499 on lowering the state reimbursement trigger for the Robert F. Kennedy Farm Workers Medical Plan, AB 843 on aligning California health insurance language-access rules with federal standards, AB 257 on a specialty care network using telehealth and virtual services for Medi-Cal and underserved communities, AB 64 on allowing diacritical marks on vital records, AB 315 on the Home and Community-Based Alternatives waiver, and AB 40 on clarifying that emergency services include reproductive health services such as abortion. Testimony generally emphasized disparities in access, culturally competent care, language access, rural provider shortages, and the importance of preserving or expanding programs that help vulnerable populations. Supporters included authors, state and local health organizations, advocacy groups, and affected individuals. AB 73 was backed as a way to address stigma, mistrust, and culturally competent mental health access for Black Californians. AB 499 was described as helping keep a self-insured farmworker health plan operational while maintaining a low-cost, labor-management model. AB 843 was supported as a way to prevent children and families from having to translate sensitive medical and insurance information and to protect limited-English-proficient Californians. AB 257 drew support as a demonstration project to improve specialty care access through California-based clinicians and virtual care, with examples of reduced wait times and costs. AB 64 received emotional testimony from the author, a child and his family, and others about the importance of accurately recording names with accents and other marks. AB 315 was presented as a cost-neutral or cost-saving way to expand home- and community-based care for medically fragile people, with strong support from disability, health, and provider groups. AB 40 drew support from reproductive health and medical organizations, while one opposition witness argued it could conflict with emergency care standards and overburden emergency departments. The committee took roll-call votes and advanced AB 499, AB 73, AB 843, AB 257, AB 64, AB 315, and AB 40 to Appropriations, with AB 40 receiving some no votes. The committee also adopted its 2025-26 rules and approved a consent calendar that included AB 225, AB 304, AB 403, AB 688, and AB 951. Several measures were initially placed on call and later lifted and recorded as passing out of committee before adjournment.

Transcript Highlights:

• necessary care that keeps medically complex people with high needs out of the hospital and safely in
• </c><00:01:48.240><c> necessary</c><00:01:48.880><c> on</c> service that is medically necessary on service
• that is medically necessary on an<00:01:49.360><c> ongoing</c><00:01:49.920><c> basis.
• The commercial plans, not medical assistance, would cover medically necessary home care nursing care
• necessary home care nursing medically necessary home care nursing care<00:04:48.960><c> needed</c><00

Transcript Highlights:

• This instrument provides relative to coverage of medically necessary treatment for persons with acquired
• It requires health insurance coverage of medically necessary treatment for persons with acquired brain
• Senate Bill 155 requires health care insurance provide coverage for medically necessary dental procedures
• Senate Bill 155 addresses a critical barrier to cancer care: access to medically necessary dental treatment
• Senate Bill 155 addresses a critical barrier to cancer care: access to medically necessary dental treatment

Committee: House Insurance

Summary: The House Insurance Committee met on May 19 and first took up Senate Bill 509 on bank-owned life insurance. The bill would clarify that banks retain an insurable interest in former employees for purposes of exchanging underperforming bank-owned life insurance policies for better-performing ones. Members adopted a revised amendment set after withdrawing a prior version. Testimony focused heavily on whether consent from the insured former employee is required for any transfer or exchange, with supporters saying the bill is needed to address underperforming policies and opponents warning about unclear consent standards, data-transfer concerns, litigation risk, and possible federal tax issues. After debate, the committee reported SB 509 as amended by a 7-4 vote. The committee then heard Senate Bill 295, which requires health insurance coverage for medically necessary treatment for persons with acquired brain injuries, including cognitive rehabilitation and related services. Supporters from the Brain Injury Association of Louisiana and NeuroRestorative described gaps in post-acute care, high rates of discharge to unsafe home settings or nursing homes, and improved return-to-work outcomes when patients receive appropriate rehabilitation. An amendment was adopted to clarify federal essential health benefit limits and remove certain language, reducing the fiscal note to zero. The bill was then reported as amended without objection. Next, the committee considered Senate Bill 155, which requires coverage for medically necessary dental procedures needed for cancer treatment clearance, such as exams, imaging, and extractions. Cancer advocates, oncologists, and dental representatives said untreated dental problems can delay chemotherapy or radiation and lead to worse outcomes and higher costs. Cleanup amendments were adopted, and the bill was reported as amended. The committee also advanced Senate Bill 465, which tightens prompt-payment deadlines for health insurers, adds pharmacy payment provisions, and creates a recoupment timeline for dental claims; after technical and substantive amendments, it was reported as amended. Finally, the committee approved Senate Bill 276, creating a pre-appointment affidavit process for bail bond producers to ensure prior premiums, shortages, and forfeitures are resolved before a new insurer appointment, and House Resolution 260, which urges the Department of Insurance to study how out-of-network medical billing affects auto insurance rates. Both measures were reported favorably or as amended, and the committee adjourned after a motion to do so.

Transcript Highlights:

• That continuum of care is essential and necessary to address the barriers.
• Is the current testing, typically, for whether or not a medical provider is prescribing medication or
• Madam Chair, the reimbursement of G2043, it is billable if the provider deems it medically necessary.
• However, when an insurance claim comes through, oftentimes the insurance denies it as not medically necessary
• necessary to test for more drug classes than is currently allowed.

Summary: The House Health and Human Services Committee first heard House Bill 256, which would require school cardiac emergency response plans to address sudden cardiac arrest at school athletic activities and ensure AEDs are clearly marked and accessible at those events. The sponsor and an American Heart Association representative said the bill builds on last year’s law and is meant to improve implementation, not add new equipment costs. Members asked about funding, were told the AEDs are already in place, and the bill received a due pass with no opposition. The committee then took up House Bill 278 on Medicaid reimbursement for toxicology testing in substance use disorder treatment. The sponsor and Southwest Labs argued that current payer policies limit providers’ clinical judgment, that a new flat-rate code for unlimited analytes would improve care, keep Medicaid dollars in New Mexico, and support local laboratories. Several members raised concerns about whether the bill effectively rewrites bundled G-codes, whether it mainly benefits one company, how it affects MCO contracts, GRT/tax issues, and whether the fiscal estimates were realistic. After extensive questioning and conflicting views, a due-pass motion was made but the vote ended in a tie, so the bill did not advance. Finally, the committee considered House Bill 287 to create a permanent, full-time Health and Human Services Committee with a director and expanded membership, similar to other permanent legislative committees. Supporters from advocacy and policy groups said health care is too large and complex to be handled by a part-time interim committee and that year-round staffing would improve oversight and policymaking. Members discussed committee composition, staffing, subpoena power, and the proposed appropriation, and the sponsor said the bill is a starting point that could be refined later. The committee approved HB 287 on a do-pass motion and then adjourned until Monday morning.

Transcript Highlights:

• Home care nursing is continuous, medically necessary care that keeps medically complex children and people
• Ten days for a service that is medically necessary on an ongoing basis.
• Medically necessary to maintain, stabilize, or restore the recipient's health due to medical complexity
• Medically<00:22:25.640><c> necessary</c><00:22:26.200><c> to</c><00:22:26.320><c> maintain,</c> Medically
• necessary to maintain, Medically necessary to maintain, stabilize,<00:22:27.520><c> or</c><00:22:27.600

Summary: The committee heard public testimony on a health insurance/home care nursing provision and on other consumer protection items. Nick Keis and Emily Walters, both parents of medically complex children, testified that commercial health plans had recently begun capping home care nursing as if it were intermittent home health visits, which they said was contrary to Minnesota law and legislative intent dating to 2010. They described severe impacts on their families, including hospitalizations, loss of nursing coverage, strain on waiver budgets, and the risk of children being forced out of the home and into institutions. Representative Bierman echoed that the bill was a straightforward clarification of existing law, not a new mandate or added cost, and a staff member later cited the statutory definition of home care nursing as ongoing, continuous nursing services that cannot be met through intermittent or visit-based care. The committee also discussed the practical difference between home health visits and private duty/home care nursing, with testimony emphasizing that the latter is medically necessary, assessed, and not unlimited in practice. Laura Sales of the Minnesota Attorney General’s Office testified on changes to the Consumer Protection Restitution Fund (CIPRA). She said the fund has begun distributing restitution, starting with consumers harmed by the closure of Woodbury Dental Arts, but that current statutory language limits the office’s flexibility to prorate payments. She asked for an amendment allowing the AGO to distribute available funds more equitably so more eligible consumers can receive some payment, rather than requiring full payment to the oldest claims first. Annette Meeks, representing Citizens Against Gambling Expansion, testified in support of banning sweepstakes gambling in the Commerce Committee omnibus report. She argued that online sweepstakes casinos are an illegal gray-market form of gambling, cited rapid growth and billions in revenue, and said other states have acted through enforcement and legislation to stop them. She urged the committee to include language from Senate File 4474 to clarify state law and prohibit sweepstakes gambling. No votes were taken in the portion of the meeting shown; members mainly asked questions and received testimony.

Transcript Highlights:

• </c> Between not medically necessary and elective, do I understand correctly that not medically necessary
• > know</c> it's medically necessary I don't know it's medically necessary I don't know how<04:21:25.279
• to</c> medically necessary and pursu to medically necessary and pursu to recently<04:34:58.359><c> pass
• indicated and medically necessary in order to get paid.
• indicated and medically be medically indicated and medically necessary<04:48:46.040><c> in</c><04:48

Committee: House Health, Human Services & Elderly Affairs

Transcript Highlights:

• medical care in a timely manner.
• And most importantly, it helps to ensure that women in Texas can receive timely, medically necessary
• . keeping your medical license.
• medical care and emergencies.
• medical advice.

Bills: HB44 , HB2200 , HB1612 , HB2747 , HB2038 , HB3717 , HB1431 , HB3800 , HB3801 , HB3560 , HB3246 , HB44

Committee: House Public Health

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care