Transcript Highlights:

• It's a question of when, and we need them to have insurance coverage so that they can recover.
• I believe there are some insurance coverages that maybe have to get the approval of the division before
• We still have a mechanism by which you can still access and get insurance coverage.
• And any licensed agent in the state of Missouri can help that consumer get coverage in either one of
• Obviously, all of us want people, particularly if they're driving, to have some kind of coverage.

Keywords: 959, house, all

Transcript Highlights:

• This legislation supports universities in offering affordable, tailored health care coverage that meets
• This legislation supports universities in offering affordable, tailored health care coverage that meets
• Still, quite a few do not have insurance or their coverage is minimal in Texas.
• We'd like this option for student coverage as well.
• It reduces plan expenses such as premium taxes and state-mandated coverage.

Summary: The committee heard and discussed several higher education and public school bills. Senator Burwell presented SB 1242 to remove an outdated Coordinating Board approval requirement for Texas State Technical College land and facility acquisitions, and SJR 59 to create a constitutionally dedicated endowment for TSTC capital needs; both drew strong support from industry and workforce groups and were left pending. SB 757, by Senator Middleton, would create a debt-to-earnings accountability system for public college programs, with supporters saying it would protect students from low-value degrees and opponents warning it could unfairly penalize programs with long-term value, especially graduate, medical, and public service fields; it was also left pending. SB 1241, by Senator Millington, would expand acceptable college entrance exams beyond the SAT and ACT, including the Classic Learning Test, and was left pending after testimony from CLT, homeschool, and student groups in support. SB 1085, by Senator Blanco, would let Sul Ross State University offer lower-division courses at its satellite campuses in the Middle Rio Grande region; it too was left pending. The committee then took up a series of public school and higher education measures, voting several out favorably. SB 605, as substituted, limits commissioner approval of charter school expansion amendments for schools under conservatorship or a management team and was reported favorably 9-0. SB 1871 and SB 1873, both by Senator Perry, were revised to narrow teacher immunity, clarify removal and suspension procedures, require periodic review of in-school suspension placements, and align discipline rules; both substitutes were adopted and reported favorably. SB 1872, SB 1874, SB 762, SB 1962, SB 1750, SB 2252, SB 2253, SB 2365, SB 1924, and SB 37 were also considered, with most reported favorably on party-line or near-unanimous votes. SB 1750 would replace a flat charter school facilities funding cap with an attendance-based formula; SB 2252 and SB 2253 address kindergarten readiness, early literacy/numeracy, and educator preparation; SB 2365 concerns student phone use during instructional time; SB 1924 restores local citation authority for certain school offenses and adds reporting, notice, and completion requirements; and SB 37 would expand state oversight of higher education curriculum, governance, faculty senates, and compliance with state law. Other measures heard included SB 769, which would require a Coordinating Board report on barriers faced by students with disabilities in higher education; supporters emphasized the need for better data and accessibility, while witnesses suggested broader reporting on race, disability types, and K-12-to-college transitions. SB 2231 would designate a Free College Application Week in October and was left pending. SB 1878 would modernize the Josie School statute and provide formula funding and aid eligibility for Polytechnic College. SB 1409 would authorize universities to offer self-funded student health benefit plans, with Rice University and Texas 2036 supporting the measure as a way to lower costs and expand coverage. SB 2431 would require universities to give foreign language credit for study abroad programs, SB 2314 would require schools to inform students about opting in or out of record sharing for direct admissions through My Texas Future, and SB 2138 would extend the state’s anti-ESG contracting restrictions to public higher education endowments and governing boards; these later bills were introduced and left pending.

Transcript Highlights:

• In terms of an 1115 waiver that is specific to coverage of IMD services, these can include both on...
• To coverage of IMD services.
• It's a gap in coverage that puts lives at risk.
• The Mental Health Parity and Addiction Equity Act, otherwise known as MHPAEA, requires that coverage
• And so a lot of the problems that arise with that are also having some sort of medical coverage.

Keywords: 908, all

Transcript Highlights:

• People need Medicaid coverage. People need SNAP benefits.
• People need Medicaid coverage. People need SNAP benefits.
• People need Medicaid coverage. People need SNAP benefits.
• People need Medicaid coverage. People need SNAP benefits.
• People need Medicaid coverage. People need SNAP benefits.

Keywords: 1187, senate, all

Transcript Highlights:

• employees negotiate health coverage employees negotiate health coverage district<00:09:50.240>
• , demand better rates, better coverage, demand better rates, better coverage, and<00:10:06.960>
• <00:10:27.800> that experience and with health coverage that experience and with health coverage
• We are paying more for less coverage. We are paying more for less coverage.
• healthcare coverage. healthcare coverage.

Bills: HF3119

Keywords: teacher compensation, educational staff, unlicensed staff, minimum wage, inflation adjustment, education finance, 1183, house

Transcript Highlights:

• they don't have coverage for insurance they don't have coverage for insurance they only<00:10:51.720
• <00:11:17.320> per be dependent on the type of coverage per be dependent on the type of coverage
• It's just a matter of that coverage.
• Instead of mandatory coverage, we are going to amend it to be an optional coverage, similar to that of
• And for the mandatory coverage, we are going to ask for Sunrise analysis for coverage of prescription

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard testimony on several health-related measures, with most of the discussion focused on SB 1419, SB 1494, and SB 1495, which were taken out of order to accommodate ASL/Death Blind Task Force testimony. SB 1419, relating to Act 253 (Session Laws of Hawaii 2023), drew support from the Department of Human Services and the National Federation of the Blind of Hawaii, with testimony emphasizing use of the term “low vision” and support for the program timeline. The committee later recommended passage with amendments, including technical changes and updated appropriation fiscal years, and the motion was adopted unanimously by the members present. SB 1494, concerning hearing aids, drew broad support from disability advocates and others who argued that hearing aids improve health, reduce accidents, and may help reduce dementia risk. Testifiers also urged that the bill define hearing aids as prescription hearing aids rather than including over-the-counter devices, and the Department of the Auditor and Insurance Division raised cost and coverage questions. The committee recommended passage with amendments, changing the coverage approach to optional coverage similar to vision and dental and requesting a sunrise analysis for prescription hearing aids; that recommendation was adopted. SB 1495, which exempts hearing aids from the general excise tax, also received support, while the Attorney General flagged a possible single-subject issue and the Tax Department estimated a potential $1.1 million revenue impact. The committee recommended passage with amendments, including deletion of the challenged language, technical fixes, and noting the revenue estimate; that recommendation was adopted. The committee then moved through additional measures with mostly supportive testimony. SB 1421 on medical records prompted questions about what happens when a solo practitioner dies or closes practice, and the discussion centered on ensuring patients can obtain records, including a proposed amendment requiring a successor provider to send records to the patient’s last known address. SB 1422, dealing with a special fund and vital statistics funding, was supported by the Department of Health, which said the special fund did not meet criteria and that deposits should instead go to the Vital Statistics Improvement Special Fund. SB 1423 on certificate of need exemptions for Department of Health facilities drew support, with discussion of possibly extending exemptions to dialysis and behavioral health/psychiatric services; the Department indicated it would not oppose that change. SB 1424 on credentialing of health care providers also received support, and SB 1425 on the State Emergency Medical Services Committee focused on reducing quorum requirements because many members are active first responders and cannot always attend meetings. The committee also heard support for SB 1426 on emergency medical services, SB 1431 on viral hepatitis, and SB 1433 on harm reduction, with testimony on hepatitis outreach funding and syringe access best practices; for SB 1433, the Department of Health identified a blank in the bill and recommended a six-month period for the syringe-possession exception.

Transcript Highlights:

• Born for the two who came to the water, paternal grandfather's clan is the Salt Clan, and maternal grandfather's

Bills: HB111, HJR1, HB61, HB8, HB30, HB43, HB156, HJM2, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM11, HM14, HM21, HM34, HM50, HB70, SB3, HJM3

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Transcript Highlights:

• These services we want to promote maternal, infant, and early childhood health, safety development, school

Transcript Highlights:

• coverage.
• and are eligible to health coverage and are eligible to continue<00:26:28.400> coverage<00:26
• continue coverage when the retiree dies. continue coverage when the retiree dies.
• before death, the spouse loses coverage. before death, the spouse loses coverage.
• would lose her coverage. would lose her coverage.

Bills: HF1151, HF1239, HF1240, HF2020, HF2514, HF2515, HF2451

Keywords: Compensation Council, salaries, state officials, judicial compensation, legislative process, public funds, misuse, law enforcement, accountability, state government, legislative auditor, compliance, transparency, retirement benefits, health insurance, dependents, state employees, Medicare, legislative studies, government oversight

Transcript Highlights:

• coverage.
• ensure these plans can fill coverage ensure these plans can fill coverage gaps<01:30:14.880>
• bill without any type of coverage. bill without any type of coverage.
• c> Comprehensive coverage remains available Comprehensive coverage remains available to<01:31:06.800>
• , said that they've gone without coverage, said that they've gone without coverage, without<01:34

Keywords: 1191, senate, all

Transcript Highlights:

• coverage from the traditional insurance marketplace, as governed by Century Code.
• We have three main coverages: liability, public assets, and auto.
• Chairman Magrum, Representative Wagner, the NADRF has picked up coverage for those claims.
• There is no coverage provided under the member... ...because of their handling of PFAS.
• There is no coverage provided under the memorandum of coverage for PFAS-related claims and those types

Summary: The committee convened, approved the prior meeting minutes, and received a memo summarizing major audit items. The State Auditor’s office and outside auditors then presented a series of audits, many of which were clean with unmodified opinions and no findings, including the Bank of North Dakota, the Guaranteed Student Loan Program, the Office of the Governor, the State Treasurer, the Office of Management and Budget, the Department of Transportation, the Department of Environmental Quality, Lake Region State College, and the Office of the Governor. The North Dakota Stockmen’s Association audit was also clean overall, but it repeated findings about limited segregation of duties and auditor assistance in preparing financial statements, which the auditor said were expected to continue because of the organization’s small size. Committee members asked about out-of-state board addresses, and the association explained those members were North Dakota residents using South Dakota mailing addresses. Several audits did include findings. The Council on the Arts audit identified two issues: payroll charged to federal awards without supporting time records, and $12,825 in Cultural Endowment Fund spending that was not allowable under state law, including staff training, retreats, and executive director candidate travel. The Department of Public Instruction audit found unsupported scholarship applications in the paraprofessional-to-teacher program, but additional testing confirmed the funds were credited properly and students completed required school district work, so no improper payments were identified. The University of North Dakota audit found a lack of documentation and transparency in School of Law admissions decisions; the auditor said the law school used a holistic process but did not keep notes or evaluation tools to show why applicants were admitted, waitlisted, or denied. UND leadership said the school is in good standing with the American Bar Association and agreed better documentation is needed, and the auditor said the issue was the missing documentation, not ABA accreditation itself. The most extensive discussion centered on the North Dakota Racing Commission audit, which found four findings: overspending the promotion fund’s 25% operating cap, grant conditions not being met, improper breeder fund awards, and improper procurement. The auditor said promotion fund spending exceeded the cap by $327,447 and the fund balance dropped sharply over the audit period. Racing Commission director Bruce Johnson said the agency had become complacent, that grant requests were treated as routine, and that controls and documentation need to be tightened. He also explained that the breeder fund overpayments involved two horses whose ownership transfers were not properly documented before racing, and that the procurement issue stemmed from an advertising contract that proceeded without proper written procurement procedures after a misunderstanding with the State Procurement Office. The auditor said the Racing Commission will now be audited every two years because of the findings. The committee also received updates on Dakota College at Bottineau’s bank reconciliations, which Minot State University said had been brought current after an 18-month backlog, with only one account still needing cleanup; members asked for a written report on the corrective actions. The North Dakota Fair Foundation was reported to have dissolved, with remaining funds transferred to another nonprofit account for continued support of the state fair. Finally, the Department of Public Instruction provided an update on school meal debt, revising the earlier estimate to about $1.1 million based on incomplete district survey responses, and said the Anti-Lunch Shaming law likely increased meal debt because schools must feed students regardless of account balance. Members discussed the need for a more accurate year-end debt figure and possible future reporting at a later committee meeting.

Transcript Highlights:

• Beginning with item number five, SB 1023, regarding health care coverage, antiretroviral drugs, drug
• .PrEP drug lenacapavir to commercially insured patients due to difficulties with medical benefit coverage
• There is ample precedent for pharmacy benefit coverage of injectable PrEP.
• In fact, some insurers already cover the drugs... ...pharmacy benefit coverage of injectable PrEP.
• These tools are especially important in prescription drug coverage given the potential for misuse and

Summary: The Assembly Health Committee heard several bills on June 9. SB 1023 by Senator Laird would require insurers that cover injectable HIV PrEP under the medical benefit to also cover it through the pharmacy benefit, with supporters saying the change would reduce reimbursement delays and expand access, while health plans opposed it as an unnecessary mandate that interferes with benefit design. SB 964 by Senator Smallwood-Quivas would limit prior authorization for certain dose or frequency adjustments to covered medications, especially for chronic complex conditions; medical supporters said it would prevent harmful delays in care, while insurers argued it weakens safety and utilization controls. SB 1323 by Senator Rubio, as amended, would strengthen protections for people in immigration custody receiving medical care by requiring hospitals and facilities to inform staff how to respond to requests and allowing patients to notify family members of their location; it passed with one no vote. SB 1099 by Senator Reyes would clarify local governments’ authority to provide state and local public benefits to all residents under federal PRWORA rules, with supporters saying it would reduce legal uncertainty for safety-net services; it passed, though one member later changed a vote to no on the add-on roll call. The committee also took up SB 895 by Senator Wiener, a proposed $12 billion science research bond for the November ballot that would create a California scientific research funding institute. Supporters from UC, UAW, hospitals, and advocacy groups said the measure would help offset federal cuts, protect research jobs, and sustain California’s leadership in biomedical and other research; there was no opposition, and the bill passed on a party-line style vote with two no votes. SB 944, also by Senator Wiener, would stabilize Medi-Cal coverage for acupuncture, which supporters described as a cost-effective, non-pharmacological treatment for pain and other conditions that has repeatedly been threatened in the budget process; it passed unanimously. The committee also approved consent items SB 918 and SB 1202, and later cleared the remaining measures on call after roll votes and add-on votes were taken.

Transcript Highlights:

• But today, more Americans are finding that that coverage is either unavoidable or unavoidable. affordable
• We've all heard the horror stories of families that have coverage, but even after they have faithfully
• In terms of mill coverage gaps, California has expanded their residual market, the Fair Plan.
• And I have heard from people that they've had their coverages dropped altogether.
• And I actually lost coverage last summer and had to work with my insurer to bring it back.

Keywords: homeowners insurance, natural disasters, insurance costs, climate change, disaster preparedness, federal policies, bipartisan solutions

Summary: The meeting reviewed critical issues surrounding the rising costs and accessibility of homeowners insurance across the United States, particularly in light of increasing natural disasters linked to climate change. Members engaged in extensive discussions regarding the implications for families and the economy, citing significant increases in premiums and decreasing availability of policies in high-risk areas. Supervisor Peysko highlighted the direct impact of federal policies on local communities, emphasizing the growing burden on homeowners as they face skyrocketing insurance costs amidst a backdrop of environmental challenges and regulatory constraints. The committee expressed a unified call to action for bipartisan solutions, focusing on improving building codes and enhancing disaster preparedness measures.

Transcript Highlights:

• House Bill 527 addresses insurance coverage for medical cannabis costs.
• We struggle to afford coverage, making it harder for employees to access employer health insurance.
• So there are precedents for states requiring coverage of things that the federal government does not.
• At this point, they are not going to get coverage from CMS for Medicaid or Medicare.
• So, how do you expect to provide, like, really coverage? Like, do you?

Transcript Highlights:

• In Delaware, coverage for menopause and perimenopause varies greatly from one plan to another.
• Insurers must provide clear information on coverage to each insured individual, and this bill also provides
• It's applicable to the organization, the employer who's providing the coverage, not to the individual
• this building this year, especially at this legislative session: the number of mandatory health coverages
• other states, including our neighbors in New Jersey, in pioneering explicitly mandated menopause coverage

Summary: The committee met with roll call attendance and took up two bills. First was Senate Bill 315 with Senate Amendment 1, which would allow the Division of Small Business to add state funding to existing federal small business programs, including the Small Business Innovation Research and Small Business Technology Transfer programs. There was brief public support from one in-person commenter, no virtual comment, and the committee voted to release the bill, though it did not yet have enough signatures for immediate release and was left open for absent members to sign. The second item was Senate Substitute 1 for Senate Bill 319, a women’s health insurance mandate requiring coverage for medically necessary menopause and perimenopause diagnostic and treatment services, including FDA-approved hormone replacement therapy, pelvic floor therapy, and related care. Representative Smith presented the bill as a response to gaps in menopause care and insurance coverage, and Department of Insurance witness Kennedy Cook explained the religious exemption as applying to certain religious employers and blanket health policies. Committee members asked about the scope of that exemption, and some expressed concern about religious carveouts, while others praised the bill as important women’s health legislation. During public comment, one speaker supported the bill but warned that expanding mandatory health benefits can raise insurance costs. The Department of Insurance then testified in support, saying the bill would align Delaware with other states, many insurers already comply, and the department did not expect a meaningful premium impact. The committee voted to release Senate Substitute 1 for Senate Bill 319 from committee.

Transcript Highlights:

• And we really don't have a problem with generic coverage, right, or biosimilar coverage. 85 to 90% of
• As more and more come out, the price drops, and then we immediately start expanding coverage to those
• And we immediately start expanding coverage to those lower net cost generics.
• So if you require coverage on the formulary to be based purely on WAC, that's just the list price.
• So you have to have that second layer of insurance, stop-loss coverage, to get over there.

Summary: The Senate Committee on Insurance met on May 6, 2026, and first reported HB 1241 favorably. That bill, by Chairman Furman, requires insurers to check with DCFS before paying certain insurance settlements to determine whether the recipient owes delinquent child support, and to withhold and remit arrears if found. DCFS explained that Louisiana already has intercepts and other collection tools, but no current mechanism for insurance settlements. Senators raised concerns about notice to obligors and about liability if insurers fail to withhold, but the bill was advanced without objection. The committee then heard HB 870, which would require health insurers and PBMs to cover lower-cost generic or biosimilar drugs when available and to use utilization management no more restrictively on those drugs. Supporters said the bill would improve access and lower patient costs by using wholesale acquisition cost as the comparison point. Opponents, including Louisiana Blue and the AFL-CIO, argued that WAC ignores rebates and net cost, could force plans to cover higher-cost biosimilars first, and could increase premiums and disrupt ERISA and fully insured plan design. The committee adopted a technical amendment set and then a second amendment set that added notice and reporting requirements tied to net cost calculations, and HB 870 was reported favorably as amended. Several other bills were moved with little or no opposition. HB 1176, concerning Medicare Advantage coverage for integrative cancer treatments such as cold cap therapy, cryotherapy, and acupuncture, was amended to change the effective date and then reported favorably. HB 1196, dealing with colorectal cancer screening follow-up colonoscopies, was also amended and reported favorably. HB 1162, a consumer protection bill requiring DOI to verify that a contractor named on a first-party property damage check is licensed in Louisiana, was amended and reported favorably. HB 826, which modernizes insurance referral rules to allow referrals by email or website address, was reported favorably. The committee also heard HB 1151 on insurer investment limits and solvency protections, and HB 1236 on pharmacy reimbursement and copay maximizer programs; both drew substantial testimony and concern, especially over retroactivity, PBM cost allocation, and whether copay maximizers shift costs to patients, but the transcript cuts off before final action on HB 1236.

Transcript Highlights:

• And in this market that we're in, it's very difficult to find coverage.
• And in this market that we're in, it's very difficult to find coverage.
• When a property owner hires a PA, we review the policy, all coverages.
• If adopted, Senate Bill 780 would increase the cost of disability income coverage.
• Many individual disability insurance policies with limitations on coverage for mental nervous conditions

Keywords: 995, all

Summary: The Joint Committee on Financial Services heard testimony on a wide range of insurance-related bills. Topics included public adjusters (H. 1100/S. 785), electronic cancellation notices (H. 1123/S. 701), insurance rebates and loss-mitigation devices (H. 1233), flood hazard determinations (H. 1087 and related flood bills), organ donor insurance protections (H. 1248/S. 727), mental health parity in disability policies (S. 780), motor vehicle service contracts (H. 1139/S. 812), modernization of business-to-business insurance transactions (H. 1105), and a bill changing the GIC withdrawal notice deadline (H. 1150). Committee chairs set a three-minute testimony limit and heard from legislators, industry representatives, advocates, and affected consumers. Testimony on public adjusters was sharply divided. Insurance agents and property-casualty industry representatives argued that bills barring insurers from prohibiting public adjusters would interfere with policy terms, while public adjusters and several consumers described cases where adjusters helped secure substantially higher settlements and said some surplus lines policies already contain anti-public-adjuster endorsements. On electronic notices, the insurance industry supported consumer opt-in email communications, while agents warned that email-only cancellation notices could cause consumers to miss cancellations. On rebates/loss mitigation, insurers supported allowing risk-mitigation devices outside the policy to encourage innovation, while agents opposed the bill as an improper inducement. Flood-related bills drew opposition from insurers who said flood determinations are complex and federally governed. The committee also heard strong support for organ donor protections from a kidney transplant recipient and the American Kidney Fund, who said the bill would prevent insurance discrimination against living donors and could encourage more donations. On disability parity, a disability insurance specialist opposed S. 780, arguing that mental health limitations are a consumer choice that helps keep coverage affordable, while the bill’s sponsor said it would prevent unequal limits on behavioral health claims. The committee also heard support for H. 1139/S. 812 from the service contract industry, and support for H. 1105 from APCIA as a modernization measure for specialty commercial lines. No votes were taken; after testimony concluded, the chairs closed the hearing.

Transcript Highlights:

• Coverage has begun, and people that were receiving treatments for life-saving procedures now have through
• the end of the year to continue receiving this coverage.
• receiving this coverage. receiving this coverage.
• If your coverage is ending because of federal cut, join us. We can win a Minnesota public option.
• If your coverage is ending because of federal cut, join us. We can win a Minnesota public option.

Keywords: 919, house, all

Summary: House and Senate DFL lawmakers, joined by Unidos Minnesota and other allies, held a press event responding to a budget deal they said would end MinnesotaCare coverage for roughly 20,000 undocumented adults at the end of the year while preserving coverage for children. Speakers, including Rep. Cedrick Frazier, Sen. Sandy Leafman, and Emilia Gonzalez Davalos, argued the agreement was cruel, would harm vulnerable families and essential workers, and was being justified under a false claim of fiscal responsibility. They said the affected people are Minnesota residents who work, pay taxes, and contribute to the state, and they rejected the idea that private insurance markets are a viable substitute. The speakers emphasized that many enrollees are receiving ongoing care such as cancer treatment, dialysis, insulin, and asthma medication, and warned that losing coverage would push people into emergency rooms and increase costs for hospitals and communities. They also said the deal set a dangerous precedent by using mixed-status families and undocumented workers as bargaining chips in negotiations. Several speakers framed the issue as part of broader attacks on immigrant communities at the federal and state levels. In response to questions, the lawmakers said they had not been given meaningful input on the agreement, that the DFL leadership had tried to make the “least harm” choice, and that the members speaking would vote no on the provision. They said their focus was on this specific health-care agreement rather than other budget bills, and they indicated the program’s cost was within projections, citing about 20,000 enrollees, roughly 17,000 adults, and spending under $4 million so far. The event ended with a call to continue fighting the deal and to pursue a Minnesota public option and broader long-term coverage solutions.

Transcript Highlights:

• Also, under BH Connect, we have been able to expand Medi-Cal coverage for key evidence-based practices
• , and that will take effect July 1, alongside these updates to Medi-Cal coverage.
• Coverage and then also implement statewide standards for all centers that are receiving funding.
• Those federal requirements did establish a very high bar for states to offer statewide coverage that
• Those federal requirements did establish a very high bar for states to offer statewide coverage that

Keywords: 987, senate, all

Summary: The subcommittee heard updates from the Department of State Hospitals on its proposed 2026-27 budget, including a $3.2 billion total budget, patient-driven operating cost increases, savings in the IST solutions program, and progress in meeting the Stiavedi court-ordered 28-day treatment standard. DSH reported it has met court benchmarks, reduced the IST pending placement list from a pandemic high of 1,953 to about 250, and is now averaging about five days to initiate treatment. Members asked about the effects of Proposition 36 and SB 1323 on referrals, outside hospitalization costs, Medicare coverage, and whether IST solution funds were being overbudgeted; DSH said referrals are slightly down overall, outside medical costs are rising due to inflation and an aging population, and the IST savings reflect slower-than-expected activation of community programs rather than a service gap. The department also outlined proposed funding for electrical infrastructure upgrades at Napa and Patton, a feasibility study under SB 380 for transitional housing for the CONREP SVP program, and a dental services expansion at Metropolitan and Patton. The committee held those DSH items open after discussion. The Commission for Behavioral Health presented its role in overseeing the transition from MHSA to BHSA, including data, evaluation, transparency, grantmaking, and technical assistance. It described the new Innovation Partnership Fund, a statewide innovation grant program funded at up to $20 million annually for five years, with small and large grants, and said it had received strong interest ahead of the May 8 application deadline. Members asked about what qualifies as innovation, whether grants could be renewed, and how the state would ensure the program supports service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for up to $4.062 million in remaining Alcove Youth Drop-in Center funds so sites can finish implementation and Stanford can complete the final evaluation; that item was also held open. DHCS provided an overview of behavioral health policy changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, the access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation, transitional rent, and upcoming youth-focused guidance such as high-fidelity wraparound and activity funds. On BHSA implementation, DHCS said it is not tracking specific local program cuts, but is monitoring county plans and outcomes while noting that counties must still preserve Medi-Cal specialty mental health and DMC-ODS services. The department also discussed its H.R. 1 implementation strategy, including outreach, streamlined renewals, ex parte exemptions, and proposed clinic navigator and outreach funding to reduce Medi-Cal coverage loss, especially for people with behavioral health needs. In response to questions, DHCS said it has not produced a specific H.R. 1 impact estimate for county behavioral health populations, and later explained that counties can still use BHSA and other funding streams for prevention and early intervention while the state tracks impacts through integrated plans and new performance measures. The department also reported on BH-CHIP bond spending, saying it has awarded $5.8 billion for 437 infrastructure projects creating 546 new or expanded facilities and more than 9,553 residential beds, with tribal set-asides exceeding the original allotment.

Transcript Highlights:

• for feeding and relating to coverage for feeding and eating<00:03:25.760> disorders.
• <00:03:51.800> of continues uh the insurance coverage of continues uh the insurance coverage
• And so the crux of the issue is, um, you know, we're mandated to have PIP coverage.
• There is a tremendous have PIP coverage.
• coverage that is allowed through PIP. coverage that is allowed through PIP.

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:02 Discussion HB 144 00:00:58 Vote HB 144 00:02:40 Discussion HB 169 00:03:21 Vote HB 169 00:05:02 Discussion HB 568 00:05:56 Vote HB 568 00:28:27 Discussion HB 627 00:32:26 Vote HB 627 01:00:26, 958, all