Transcript Highlights:

• It will also require insurance companies to report network adequacy.
• or funds their insurer owns.
• Today, health insurers; tomorrow, banks, more nonprofits, you name it.
• Pregnancy does not wait on an insurance enrollment calendar.
• Pregnancy does not wait on an insurance enrollment calendar.

Committee: Senate Health

Keywords: 987, senate, all

Transcript Highlights:

• </c><00:02:22.920><c> Chair</c> limited lines travel insurance.
• insurance insurance provisions. provisions. provisions.
• 00:09:47.800><c> health</c><00:09:48.000><c> service</c> insurers and nonprofit health service insurers
• </c><00:10:33.840><c> And</c> health insurance oversight duties.
• And health insurance oversight duties.

Keywords: 918, senate, all

Summary: The committee took up H.F. 4188, the Commerce and Consumer Protection Policy Omnibus, and moved through a series of agreed-upon motions to adopt various House and Senate language articles and sections. The adopted provisions covered a wide range of topics, including residential mortgage loan servicing standards, student loan borrower protections, rental home marketplace guarantees, group coverage cancellation, limited lines travel insurance, insurance lead generators, collection agency and credit services organization definitions, proof of identification requirements, scrap metal copper licensing, technical changes to ASTM references and report filings, securities-related provisions, unclaimed property issues involving virtual currency and funeral prepayment funds, repeal of the prescription drug affordability advisory council, reinsurance program changes, and health insurance reporting and oversight provisions. Most motions were adopted without opposition after brief staff explanations and member encouragements to vote yes. In the health-related sections, the committee adopted language requiring insurers and nonprofit health service plan corporations to notify the Commissioner of Commerce about significant enrollment increases, expanding access to all-payer claims data for oversight, and requiring the sharing of PBM annual transparency reports with the Commissioner of Health. The committee also adopted language on artificial intelligence in utilization review, initially defining AI and prohibiting exclusive reliance on AI for adverse coverage determinations. Representative Elkins then offered an amendment to remove the specific AI definition and replace it with broader language referring to automated processing, arguing that technology-neutral drafting is more durable and that a human must remain in the loop for coverage denials; the amendment was adopted. After the agreed-upon items were completed, members indicated the chairs would huddle to work on the remaining issues and return after recess. The meeting then recessed to the call of the chair.

Transcript Highlights:

• The Committee on Banking and Insurance will now come to order. Amora, please call the roll.
• Basically, what we're doing is... ...electronic insurance or eyewear insurance or both.
• We have Tim Meehan, National Association of Insurance and Financial Advisors, waving in support.
• Murphy, Board Association of Insurance Agents, waving in support.
• The bill requires families to maintain comprehensive health insurance.

Bills: S0198 , S0570 , S0772 , S0808 , S1038 , S1040 , S1286 , S1440 , S1504 , S1668

Committee: Senate Banking and Insurance

Keywords: virtual currency, kiosks, money services business, regulation, financial services, consumer protection, cryptocurrency, registration, payment scams, task force, fraud prevention, property insurance, roofing requirements, inspector, insurance policies, homeowners insurance, roof age, residential structures, insurance renewal, investment

Summary: The Committee on Banking and Insurance met with a quorum present and took up a series of bills, beginning with SB 1286 by Senator Wright. That bill expands the law enforcement recruitment bonus program to include firefighters, creates a DFS grant review panel for fire-related grants, and establishes an institute for PTSD and first-responder behavioral health. Testimony from fire chiefs and others supported the measure, and the committee reported it favorably. The committee then considered several insurance and financial regulation bills. CS/SB 198 by Senator Rousan, as amended, regulates virtual currency kiosks with transaction limits, notice and receipt requirements, and OFR enforcement authority; witnesses described it as a needed anti-fraud measure, especially for seniors, and it was reported favorably. CS/SB 772 by Senator Burgess, as amended, allows limited licenses for portable electronics and eyewear insurance, and CS/SB 1504 by Senator Claudio, as amended, creates a pathway for high school students to qualify for insurance customer representative licensure; both were reported favorably. The committee also approved two cryptocurrency reserve bills by Senator Gruters: CS/SB 1038 creates the Florida Strategic Cryptocurrency Reserve framework, and CS/SB 1040 creates the related trust fund; both received technical amendments and favorable reports. CS/SB 1440 by Senator Martin, as amended, creates public records exemptions and cybersecurity reporting provisions for financial institutions and related entities, and it was reported favorably. Finally, SB 1668 by Senator Burton, which updates the NICA program’s funding and benefit structure, and CS/SB 570 by Senator Polsky, which creates a task force on payment scams, were both heard with supportive testimony and reported favorably. Senators later recorded additional affirmative votes on selected bills before the committee adjourned.

Transcript Highlights:

• makes up about 12%, and then this one niche long-term care insurance is 1%.
• I will give my little pitch right now for long-term care insurance.
• The difficulty is insurance actuarial; it wasn't making sense, so most insurance companies have left
• It wasn't making sense, so most insurance companies have left the market on long-term care insurance,
• But sadly, we rely upon insurance companies to offer the policies.

Keywords: 994, senate, all

Summary: The committee met with a quorum present and heard a presentation from Marty Wright, CEO of the West Virginia Healthcare Association, on the state’s long-term care system. He described the continuum from home care to assisted living to skilled nursing facilities, emphasizing that these settings increasingly serve short-term rehab-to-home patients as well as older adults needing round-the-clock care. He also outlined the number of facilities in West Virginia, the predominance of Medicaid as the payer for long-term nursing home care, the private-pay nature of assisted living, and the role of OFAC/CMS in regulation. A major focus of the presentation was workforce shortages and turnover, especially for CNAs, LPNs, and RNs, along with declining interest in nursing careers and the impact of regulatory burden and burnout. Wright said the system is also struggling to serve younger patients with substance use disorder, mental illness, or other behavioral needs, who are often not well suited for traditional nursing home placement but have limited alternatives. Senators raised concerns about where such patients are being housed, the long-term effects of opioid and behavioral health issues, and the gap between school-age special needs populations and adult care needs. Wright said Medicaid can cover long-term nursing home care for those who meet financial and medical eligibility requirements, but affordability and spend-down requirements remain major barriers. He also warned that Medicare Advantage can create confusion and shorter covered stays for rehab patients, and he urged early planning around long-term care insurance and estate planning. No votes were taken on the presentation, and the committee adjourned after questions and discussion.

Transcript Highlights:

• There was 15 million more in lottery insurance—that's what it was, lottery insurance, thank you—yeah,
• 15 more in insurance.
• </c> need for certain types of insurance need for certain types of insurance coverages<00:42:30.800><
• Insurance Department. Okay.
• Insurance Department on row 32, administration. This is funding a position at Insurance.

Keywords: 928, house, all

Summary: The Committee of Conference on HB 1 and HB 2 was called to order, and Legislative Budget Assistant Michael Kaine reviewed the working documents before the committee. He explained the compare report, the detailed change sheet, the HB 1 index, the HB 2 side-by-side, the surplus statement, and a revenue handout, noting that the committee would vote up or down on all detail-change items and that unresolved items on hold would be removed from the final bills. He also identified staff available to answer technical questions and noted that the committee would track the dollar impact of decisions as it proceeded. Members then turned to the revenue outlook, with discussion focused on the gap between the House and Senate budget positions. House members said their budget guidance was based on revenue estimates that were significantly below the governor’s proposal, and they discussed whether additional revenue could close part of the gap. Department of Revenue Administration Commissioner Lindsey Stepp presented updated revenue estimates based on May data, explaining the methodology and the ranges for fiscal years 2025, 2026, and 2027. She said business taxes were the largest source of uncertainty, with estimates reflecting current economic conditions, recent revenue performance, and a range of possible growth rates. Committee members questioned the assumptions behind the business-tax ranges, including why the low and high scenarios were set at 2% and 8% growth. Stepp said the range was based on historical performance and current economic factors such as inflation, tariffs, and business behavior, and she noted that June is a major estimate-payment month for business taxes. Members also discussed recent revenue trends, including the effect of tariffs and the possibility of federal tax policy changes affecting repatriated profits. The commissioner and House members also discussed other revenue sources, including rooms and meals and real estate transfer taxes, with the House side arguing that lower mortgage rates and home prices could increase real estate transfer revenue. No votes were taken in the portion provided, but the committee discussed possible upward adjustments to House revenue assumptions, including increases of roughly $70 million in total based on the updated outlook and additional insurance-related revenue.

Transcript Highlights:

• The question raised is whether Florida property insurance premiums are going toward keeping insurance
• Specifically, the bill requires property insurers to submit documentation to the Office of Insurance
• Property insurers will have the responsibility to notify the Office of Insurance Regulation a minimum
• OIR may prohibit the arrangement if it is not in the best interest of the insurer.
• The funds will be paid from Miami-Dade County's self-insurance fund.

Keywords: 998, house, all

Transcript Highlights:

• Liability insurance covers various needs.
• They spoke with their insurance company, and their insurance company said they would non-renew if they
• In fact, it's just trying to get Buckner insurance. Right.
• I mean, that is what you're paying in insurance.
• We've not had much success running insurance pools.

Bills: SB397 , SB481 , SB596 , SB760 , SB855 , SB1195 , SB1196 , SB1233 , SB1257 , SB1318 , SB1368 , SB1388 , SB1398 , SB1524 , SB1558 , SB1589 , SB1677 , SB1792 , SB2034

Committee: Senate Health & Human Services

Keywords: SB 397, telemedicine, telehealth, teledentistry, remote care, virtual care, consent documentation, patient consent, data collection, data sharing, audio-only telehealth, in-person examination, irreversible medical procedure, health professional regulation, Occupations Code, Texas Health and Human Services, medical records, provider compliance, data privacy, consumer rights

Transcript Highlights:

• The transfer of the cost to the insurer, the insured is what I have a significant ... whether they are
• ,</c><00:23:36.000><c> the</c> transfer of the cost to the insurer, the transfer of the cost to the insurer
• </c> self-employed business owner, insurance self-employed business owner, insurance is<00:28:15.840>
• This has caused my insurance rates to skyrocket.
• Today my insurance is my third-highest business expense, next to labor and fuel expenses.

Bills: HB185 , HB378 , SB28 , HB400 , SB155 , HB312 , HB185 , HB378 , SB28 , HB400 , SB155 , HB312

Committee: House Ways and Means General Fund

Keywords: appropriation, transportation, judicial system, funding, state budget, Pickens County, local act, vehicle tag fee, registration fee, issuance fee, motor vehicle registration, license plate, replacement tag, transfer tag, renewal fee, county revenue, earmarked funds, ambulance service, emergency medical services, EMS

Transcript Highlights:

• , and tax authorities. to confirm liability insurance.
• I serve as the Commissioner of Insurance.
• the resources to do so effectively. insurance markets.
• Across all lines of insurance, TDI regulates more than 2,500 insurance companies and licenses more than
• Next, we have the Office of Public Insurance Counsel, LBB presentation.

Bills: SB1 , SB 1

Committee: Senate Finance

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• It seems like everything's aligning to get more revenue and Insurance anymore.
• So our health insurance system is... Our health insurance system is primarily a job-based system.
• So our health insurance system is primarily a job-based system.
• Or are you just saying, ‘I’m not going to sign up for any insurance’?
• My last question is: health insurance is offered and then the employee denies it.

Summary: The subcommittee heard an overview of the Department of Health Care Services’ proposed budget, including a $229.1 billion total-funds budget and projected Medi-Cal enrollment decline as redeterminations continue. Members focused heavily on the fiscal and programmatic effects of prior budget solutions and federal changes, especially the elimination of General Fund-supported Prop. 56 dental supplemental payments beginning July 1, 2026, the hospice utilization-management change, and the impact of reduced caseloads alongside rising health care costs. DHCS said it is still completing required access and rate-reduction analyses for the dental cuts and has been engaging stakeholders, but could not yet quantify the real-world effect on utilization or provider participation. The committee also reviewed the November 2025 Medi-Cal local assistance estimate, which shows higher General Fund spending despite lower enrollment, driven by managed care rate growth, Medicare cost growth, state-only claiming, and federal policy changes. The hearing then turned to provider taxes and federal H.R. 1 constraints, with extensive discussion of the MCO tax, the hospital quality assurance fee, and other health care-related taxes. DHCS explained that H.R. 1 phases down allowable tax levels and tightens “generally redistributive” rules, making the current MCO tax structure and the proposed higher hospital fee levels difficult or impossible to renew as originally designed. Staff and the LAO described the tradeoff between preserving Medi-Cal funding and avoiding higher costs on private providers and consumers. Members asked about options for preserving revenue, including possible amendments to Prop. 35 or returning to voters, and were told the department is still evaluating approaches while federal guidance remains in flux. The committee also reviewed hospital payment increases already implemented through state-directed payments, with DHCS noting that H.R. 1 will force those payments down to Medicare levels over time. Several budget change proposals were discussed and left open, including requests tied to the managed care final rule, managed care operations, hospital value strategy, long-term care payment transparency, and interoperability requirements. The committee also heard about a one-year trailer bill extension for skilled nursing facility financing, including continuation of the SNF workforce standards program, the SNF quality assurance fee, and annual rate growth, while the department develops a longer-term financing redesign for 2027-28. Members expressed skepticism about repeated rate reform efforts and questioned whether a one-year extension of the eliminated workforce quality incentive program should be restored during the transition. Finally, Covered California presented its budget and enrollment update, reporting that the expiration of the federal enhanced premium tax credit is expected to reduce affordability significantly, with average premiums roughly doubling for many enrollees and as many as 400,000 Californians potentially losing marketplace coverage over time. The exchange said California’s $190 million subsidy program is helping lower-income enrollees, but not enough to offset the federal loss, and it is also implementing a new gender-affirming care benefit and awaiting federal action on benchmark plan changes.

Transcript Highlights:

• It requires insurers to report how often these substitutes actually reduce To report how often these
• John Winger, on behalf of America's Health Insurance Plans, apologies for not getting our letter in on
• Madam Chair, members, John Winger, on behalf of America's health insurance plans.
• I change my insurance, that perhaps my medication would have to be changed as well?
• So when you do that, does the insurance company have to okay your prescription? Yes. In 30 days?

Committee: Senate Business, Professions and Economic Development

Summary: The Senate Business, Professions and Economic Development Committee heard SB 1094 by Senator Weber Pierson, which would expand pharmacist substitution authority for biosimilars and allow health plans to require use of lower-cost generic or biosimilar alternatives when available, unless the prescriber marks “do not substitute.” The author said the bill is intended to lower prescription drug costs, improve access, and require insurers to report on whether substitutions reduce out-of-pocket costs and premium growth. Committee amendments were accepted, including changes to align definitions with federal law, require a link to the FDA Purple Book, add a 30-day advance notice requirement for plan-driven substitutions, and allow exceptions for patients or providers. Supporters included Blue Shield of California, Sharp HealthCare, health plans, CVS, the California Chamber of Commerce, and other business and health care groups, who argued the bill would increase competition, reduce costs, and remove administrative barriers to using FDA-approved biosimilars. Opponents and “opposed unless amended” witnesses, including the Biotechnology Innovation Organization, the California Rheumatology Alliance, and some physician groups, argued the bill goes beyond current FDA interchangeability standards, could undermine physician judgment, and may create patient safety concerns for some chronic-disease patients who react differently to biosimilars or experience problems with multiple switches. Committee members discussed the “do not substitute” option, patient notification, insurance approval, and whether the bill preserves physician discretion. After debate, Senator Arreguín moved the bill, and the committee voted 10-0 to pass SB 1094 as amended to the Senate Health Committee.

Transcript Highlights:

• or the employer so there is continuity of that insurance policy.
• , health insurance, for those injured workers.
• there is a continuity of that insurance policy.
• , health insurance, for those injured workers.
• So you don't trust that the worker will pay for their own health insurance?

Summary: The House Labor and Workplace Standards Committee heard public testimony on several bills. HB 2151 would update factory-built housing and commercial structure rules by directing L&I to consider newer national standards and allowing inspections by qualified third-party agencies without requiring a contract; the sponsor and L&I said it would save time and money and help lower costs for manufactured housing. HB 2372 would change workers’ compensation time-loss calculations so injured workers receive 100% of the employer’s monthly health care contribution unless the employer keeps paying it; supporters said this would better protect injured workers and their families, while a small-business representative opposed the bill and suggested direct payment to insurers instead, and L&I noted implementation costs and timing concerns. HB 2355, the Domestic Workers Bill of Rights, would create standalone protections for domestic workers covering wages, written agreements, notice before termination or severance, anti-harassment and anti-retaliation rules, and discrimination protections, while also extending minimum wage/overtime/sick leave coverage to some domestic workers; testimony from workers, advocates, Seattle officials, and the sponsor emphasized wage theft, insecurity, and the need for statewide standards, while L&I said technical clarifications and funding would be needed. HB 2409 would establish a collective bargaining framework for agricultural workers under PERC, with procedures for representation elections, mediation, and interest arbitration; supporters framed it as a long-overdue extension of bargaining rights and dignity to farmworkers, while growers and farm bureau representatives warned it could disrupt harvests, harm farms, and affect the food supply. HB 2472 would strengthen enforcement of fire sprinkler licensing and certification by allowing local fire code officials to request proof of credentials and issue stop-work orders; labor, fire marshals, and industry groups supported it as a public safety measure, while the building industry raised a drafting concern about the term “residential sprinkler.” No votes or final committee actions were taken in the hearing.

Transcript Highlights:

• New Mexico, our state insurance marketplace, offers only HMO plans.
• additional insurance options.
• So at that time, I ended up having to buy insurance in March.
• One, we are consistently approached and being told that insurance... medical malpractice insurance is
• Some people have other insurance that doesn't cover Medicaid.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• first up we have dcca insurance first up we have dcca insurance<00:15:57.880><c> division</c> Good afternoon
• Travel Insurance Association and American Property and Casualty Insurance Association on Zoom.
• </c> him my temporary disability insurance him my temporary disability insurance benefit<01:14:43.159
• </c> just pay there's there's no insurance just pay there's there's no insurance program<01:26:10.040
• Last up, we have House Bill 490, relating to insurance. House Bill 490, relating to insurance.

Committee: House Consumer Protection & Commerce

Keywords: 910, house, all

Summary: The Consumer Protection and Commerce Committee met on February 12 and heard several bills. HB 97, relating to travel insurance, drew only brief testimony: the Insurance Division stood on written testimony, one industry witness supported the bill and requested a minor amendment, and no one else testified or asked questions. HB 226, relating to window tinting, received support from the Department of Transportation, while the Honolulu Police Department offered comments on the proposed amendments, asking for clearer language on what it means to roll windows down, when the requirement applies, how it handles bad weather, and what sanctions would apply for noncompliance. No further testimony was offered on that measure. The committee also heard HB 1179, relating to rural emergency hospitals. The Department of Human Services stood on written testimony, and Maui Health Systems strongly supported the bill, saying it would help critical access hospitals better serve kūpuna and provide long-term care beds. There were no questions or additional testimony. HB 420, relating to remedies and the contractor repair act, generated extensive and sharply divided testimony. Opponents, including attorneys representing homeowners and AARP Hawaii, argued the bill was anti-consumer, would weaken homeowners’ ability to recover for construction defects, and would shift costs and risk to consumers. Supporters, including builders, realtors, the Chamber of Commerce, and D.R. Horton Hawaii, said the bill would create a more balanced and efficient process, reduce unnecessary litigation, and help builders address legitimate defects more quickly. Testimony on HB 420 focused heavily on whether the contractor repair process and class actions help or hinder repairs. Opponents said the bill would delay or limit homeowner recovery, especially for life and safety defects, while supporters said current class-action litigation can prevent direct communication with homeowners and slow repairs. Committee members asked questions about when communication with homeowners stops and whether repairs could be made before a class is certified. No votes or final committee actions were taken during the portion of the meeting provided.

Transcript Highlights:

• </c> costs against the uh insurance company. costs against the uh insurance company.
• </c> threshold might affect insurance threshold might affect insurance premiums?
• </c> awarded against the insurance company. awarded against the insurance company.
• </c> forum for the insurance companies. forum for the insurance companies.
• </c> premiums to their own insurance company. premiums to their own insurance company.

Committee: Senate Judiciary and Public Safety

Keywords: 1187, senate, all

Transcript Highlights:

• With absent these standards, inconsistent insurers, practice. absent these standards, inconsistent insurers
• wildfire-specific public health and environmental guidance applies to all small claims from that event, ending insurer-by-insurer
• It further requires insurers to pay actual cash value within 30 days.
• Yet my parents' insurance company refused to cover further remediation.
• Mark Segment with the American Property Casualty Insurance Association.

Summary: The committee heard AB 1795, which would create statewide standards for testing, inspection, remediation, and insurance handling of wildfire smoke damage in homes. The author and Insurance Commissioner Ricardo Lara said the bill is needed because survivors face inconsistent claims practices and no enforceable standards for determining when homes are safe. Supporters included the City of Los Angeles and a wildfire survivor who described health problems and disputed remediation results; opponents from the insurance industry said the bill could create broad new exposure and worsen affordability, though they continued to negotiate amendments. The committee recommended the bill do pass with urgency, and it passed on a 4-0 vote, with the roll held open for additional votes. The committee also heard AB 1612, which would create a centralized process for law enforcement to transfer seized controlled substances such as fentanyl, methamphetamine, and heroin to the Department of Justice for disposal after the state’s last in-state incineration facility closed. The author said the bill would address unsafe storage and inconsistent disposal pathways. There was no opposition in the room, and the committee sent the bill to the Assembly Public Safety Committee on a do pass vote. AB 2322 would standardize the definition of commercial, industrial, or institutional sites for municipal stormwater permits by tying it to assessor land-use codes and excluding residential parcels. Supporters said the bill would reduce patchwork enforcement and improve consistency, while stormwater and city representatives asked to keep working on regional flexibility concerns. The committee approved the bill 4-1 and sent it to Appropriations. The committee then heard AB 2245, a producer responsibility bill for vehicle lubricant products and their containers, intended to expand collection and recycling using existing household hazardous waste and used oil infrastructure. Supporters said it would reduce landfill disposal and align with existing EPR frameworks, while retailers and industry groups raised concerns about overlapping obligations, unclear definitions, and compliance costs. The author said negotiations would continue, and the committee sent the bill to Natural Resources on a do pass vote. The committee also heard AB 1603, which would phase out PFAS-containing pesticides over time and require disclosure and permitting for their use. Supporters argued PFAS pesticides contaminate food and water and pose health risks; agricultural and chemical industry opponents said the bill could remove many products from the market and lead to harmful substitutions. The chair expressed support for reducing PFAS but raised concerns about replacement chemicals, and the bill was sent to Appropriations on a do pass vote. Finally, AB 2034 was introduced to increase transparency around food additives and GRAS ingredients by creating a state database of chemicals that bypass FDA premarket review; supporters said it would close a federal loophole, while consumer brands opposed a duplicative state system and warned of costs and confusion.

Transcript Highlights:

• AB 75 requires insurers to provide notice before collecting aerial images of a residential insurance
• obtain aerial images of the insured property.
• Insurance Companies, and the American Property Casualty Insurance Association.
• Insurers must inspect the properties that they insure.
• Insurers must inspect the properties that they insure.

Summary: The committee heard several bills and took up multiple votes. AB 576, dealing with updates to California’s charitable fundraising platform registry after AB 488, was presented as a technical fix to help charities and platforms more quickly update eligible listings; there was no opposition testimony, and the measure was later moved on a due pass basis. AB 1160, on law enforcement drone programs, was presented with proposed amendments requiring U.S.-based data storage and limits on sharing or selling collected data; supporters said it would protect sensitive drone-collected information while preserving affordable drone use, while there was no opposition testimony, and it was also later passed out on a due pass as amended basis. AB 75, which would require insurers to give notice before collecting aerial images of homes and provide homeowners access to those images, drew support from the Department of Insurance and consumer advocates, while insurers opposed it unless amended, arguing aerial imaging is a cost-saving inspection tool and that the bill could worsen availability and affordability; the bill was moved to Appropriations on a due pass basis, with the roll held open for absent members. The committee spent the most time on AB 325, which would address algorithmic price-fixing and collusion. The author and supporters argued that competitors using the same pricing software or algorithm to set prices can function as collusion even when the agreement is hidden behind code, and cited examples involving housing, frozen potatoes, gas pricing, and other industries. Opponents, including apartment, business, hospital, retail, chamber, and tech groups, said the bill was too broad, could sweep in lawful software and public-data market research, and might chill legitimate pricing tools, especially for small businesses and housing providers. Committee members raised concerns about clarity, intent standards, and whether the bill should focus more narrowly on nonpublic competitor data; despite those concerns, AB 325 was moved to Appropriations on a due pass basis, with the roll held open. Later, AB 1221 was presented as a workplace surveillance bill that would prohibit certain invasive or discriminatory surveillance tools, require notice to workers, limit sharing of worker data, and require corroborating evidence before discipline based on surveillance outputs. Labor and consumer groups supported the bill, saying modern surveillance technologies can track speech, movement, emotion, and other sensitive traits and can be biased or abusive. The Security Industry Association opposed it, warning that the bill’s broad definitions could restrict legitimate security systems, emergency sharing with first responders, and employer responses to misconduct or unsafe behavior. The transcript cuts off before any final vote on AB 1221 is shown.

Transcript Highlights:

• writing to each insured or enrollee, and to any physician... ...or healthcare provider that the insurer
• What I call smaller insurance. I was giving Lucy a hard time.
• How much was the insurance portion of that? The insurance? What would they pay me?
• Senate Bill 1307 instructs the Texas Department of Insurance (TDI) to create a health insurance reference
• They complicate health insurance credentialing, and on and on.

Bills: SB95 , SB268 , SB493 , SB619 , SB660 , SB922 , SB984 , SB1098 , SB1188 , SB1307 , SB1332 , SB1822

Committee: Senate Health & Human Services

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit

Transcript Highlights:

• I have Director of Viaro, who is the Director of Health and Life Insurance at the OSI.
• Our private insurance companies are going to be asked to do it.
• And BRO with OSI is here again, Director of Health and Life Insurance.
• And BRO with the OSI is here, again, Director of Health and Life Insurance.
• Full coverage insurance has made my life tremendously easier, but it still has limits.

Bills: SB20 , SB21 , SB166 , SB177 , SB181 , SB189 , SM6

Committee: Senate Senate Tax, Business & Transportation

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Transcript Highlights:

• Next, if the patient is insured, then the patient pays the facility or the pharmacy in the form of a
• So again, if the patient is insured, the patient has been paying a premium, So again, if the patient
• is insured, the patient has been paying a premium to their insurer.
• But the patient, if they are insured, their insurer would be paying, reimbursing the same amount that
• There are also claims that 340B increases costs for insurers and employers. This is incorrect.

Summary: The committee first heard House Bill 2437, which would put the Department of Health’s authority to accredit opioid treatment programs into statute and allow the department to set a fee to cover the cost of those services. The prime sponsor and DOH said the bill would preserve a service that is especially important to tribal and rural providers and would be self-sustaining rather than supported by the general fund. Members asked about the relationship between DOH and HCA and whether the bill would duplicate existing authority; staff and the department said DOH already performs the accrediting role and the bill mainly formalizes that authority and fee-setting power. Public testimony on the bill was then closed. The committee then held an extensive work session on the federal 340B drug pricing program and later opened public testimony on House Bill 2145, which would prohibit manufacturers, distributors, and third-party logistics providers from restricting 340B drug acquisition or delivery and from requiring claims or utilization data as a condition of access. Committee staff and NCSL gave background on how 340B works, recent growth in the program, contract pharmacy issues, and state efforts in other jurisdictions. Testimony on HB 2145 was sharply divided: hospitals, community health centers, tribal representatives, contract pharmacies, and labor groups said the bill would protect safety-net providers, rural access, HIV and behavioral health services, and tribal programs from manufacturer restrictions; business groups, pharmaceutical companies, and employer coalitions argued the program has expanded beyond its original intent, lacks transparency, shifts costs to employers and taxpayers, and should be addressed through federal reform instead. No vote was taken in the excerpt. Finally, the committee heard House Bill 2155, which would bar non-human entities from using nursing titles such as RN, APRN, or LPN or otherwise implying they are licensed nurses. The prime sponsor said the bill is intended to protect patients from being misled by AI systems and to preserve transparency and public safety as health care technology expands. The Washington State Nurses Association testified in support, saying AI can be useful but should not replace nurses or be presented as a licensed professional. A member asked about enforcement and liability, and staff said they would follow up on those details.