Transcript Highlights:

• Rate-making where the utility companies will need to look at and we will measure affordability and reliability

Keywords: 964, all

Transcript Highlights:

• Recent federal shutdowns and a $38 trillion federal debt show us that the federal government isn't a reliable

Bills: HB3725, HB3260, HB3660, HB3369, HB3370, HB2937, HB3419, HB3264, HB3266, HB3267, HB3268, HB3310, HB4311, HB3841, HB3024, HB3075

Keywords: labor, e-verification, immigration, employers, employment eligibility, Department of Labor, penalties, funeral licensing, continuing education, Oklahoma Funeral Directors Association, professional development, licensing requirements, HB3660, natural organic reduction, human composting, soil reduction, green burial, funeral services, cremation, burial permit

Transcript Highlights:

• This appropriation benefits everyone: community members who want reliable data, environmental groups,

Bills: SB29, SB64

Keywords: SB29, math requirements for teaching license, teacher licensure, teacher endorsement, mathematics methods, elementary education, secondary education, special education, early childhood education, reciprocity, Public Education Department, Mathematics and Science Education Act, mathematics instructional leadership framework, professional learning plan, K-3 screening, mathematics screening assessment, mathematics difficulty, support plan, multilevel support, intervention

Transcript Highlights:

• It ensures that credit transactions occur within a well-defined, reliable system, one where the benefits

Bills: S0544, S0636, S0848, S0546

Keywords: golf courses, best management practices, fertilizer regulation, Department of Agriculture, environmental protection, certification, beach management, beach erosion, beach nourishment, coastal resilience, shoreline protection, critical erosion, critically eroded beach, Florida DEP, Department of Environmental Protection, coastal flooding, compound flooding, storm surge, inlet management, coastal engineering

Summary: The Environment and Natural Resources Committee met with a quorum and took up several bills. SB 636 on beach management, by Senator Leek, would create additional pathways for counties and municipalities to obtain critically eroded beach or area of critical state concern designations, shifting the process toward a more proactive approach. Senator Smith and Senator Harrell raised concerns about local capacity and funding, and the Florida Shore and Beach Preservation Association said the bill was an alternative pathway but emphasized the need for more recurring funding. The bill was reported favorably. The committee then considered SB 544, which transfers the Golf Course Best Management Practices Certification Program from DEP to FDACS and establishes certification and training standards there. Senator Smith and Senator Harrell asked about environmental oversight, taxation, and whether the change would affect state park restrictions; the sponsor said it would not change tax treatment or park rules and that DEP would still handle enforcement if BMPs are not followed. The Florida Springs Council opposed the bill, arguing golf courses are not agriculture and warning of weaker protections for springs, while the Florida Golf Course Superintendent's Association supported the move as a continuity and participation measure. After adopting a technical amendment, the committee reported the bill favorably, with Senator Smith voting no. SB 848 on stormwater treatment, also by Senator Trunow, was amended to clarify the role of water quality enhancement areas while stormwater rules are still being finalized and to make public-land project review forward-looking. Resource Environmental Solutions supported the amendment and bill as providing a clearer market for water quality credits, and the Florida Home Builders Association supported the measure. The committee adopted the amendment and reported the bill favorably. SB 546 by Vice Chair Mayfield would require 30-day public notice before meetings reviewing the sale or exchange of state conservation lands, including at water management districts; after a technical amendment, it received support from conservation groups and was reported favorably. The committee also received a DEP presentation on the State Park Amenities Report, which said Florida’s 175 state parks drew over 28 million visitors and generated a $3.6 billion economic impact. DEP identified nearly $759 million in needed repairs and upgrades over 10 years and $1.39 billion in contemplated new construction and development in unit management plans. No votes were taken on the presentation, and the meeting adjourned after no further business.

Transcript Highlights:

• And obviously, just generally, we like a stable, predictable, and reliable insurance market, and that

Summary: The Senate Committee on Banking and Insurance convened with a quorum present, and Commissioner Michael Yaworsky of the Office of Insurance Regulation delivered a broad update on Florida’s property insurance market. He outlined the division of responsibilities between OIR and the Department of Financial Services, then reported market indicators including 7.61 million residential policies in force, an average premium of $2,755, 1.5 million Citizens takeout approvals, and recent negative trends in homeowners rate requests. He credited recent legislative reforms, especially tort reform and the Insurer Accountability Act, with improving market stability, increasing competition, and allowing the office to conduct more examinations and investigations, recover consumer restitution, and fine insurers for misconduct tied to recent hurricanes. Yaworsky emphasized that Citizens Property Insurance has been rapidly depopulating from its 2022 peak and may fall below 300,000 policies, while cautioning that over-depopulation could create residual-market risks and assessments if a major storm hits. He also discussed the distinction between admitted and surplus lines markets, the role of reinsurance in Florida pricing, and the effect of inflation on total insured values and premiums. He said Florida has seen comparatively modest property rate increases relative to other states and noted that recent hurricanes did not produce the kind of rate spikes seen in prior years, which he attributed to a more stable market and reduced fraud and litigation pressure. In response to a question from Senator Martin, Yaworsky explained that California’s wildfire crisis and regulatory structure are not a direct one-to-one comparison for Florida, but that California’s market problems can affect global reinsurance capacity and serve as a cautionary example of regulatory missteps. He also highlighted a recent Progressive auto insurance excess-profits refund of about $1 billion to policyholders, discussed possible federal changes to the National Flood Insurance Program, and urged greater home resiliency and code-plus adoption. The commissioner closed by calling for clearer consumer disclosures and responsible oversight of AI use in insurance filings. No bills were considered and no votes were taken; Senator Hooper moved to adjourn, and the committee adjourned without objection.

Transcript Highlights:

• And that starts with securing a reliable water supply. ASR offers... ...exactly that.

Bills: HB143, HB4530, HB4931, HB5559, HB5560

Keywords: election, bonds, authorization, financial governance, public funding, HB 143, bond election, debt authorization, November uniform election date, Texas Election Code, emergency election, voter approval, municipal bonds, local government finance, public debt, school bonds, special election, uniform election date, bond issuance, water rights

Transcript Highlights:

• But this situation underscores the importance of reliable food banks.

Bills: HF2446

Keywords: agriculture finance, broadband development, Department of Agriculture, Board of Animal Health, Agricultural Utilization Research Institute, Office of Broadband Development, food safety, food handler license, cottage food, home processed food, livestock dealer, meat packing company, milk marketer, milk marketing license, grain buyer, grain storage, beginning farmer, emerging farmer, farm down payment assistance, livestock investment grant

Transcript Highlights:

• together as this bill advances to address these concerns and ensure we don't compromise a strong reliable

Bills: SB1040, SB1041, SB1095, SB1096, SB1097, SB527

Keywords: drug competition, product hopping, generic drugs, biosimilars, federal regulations, FTC Act, patent, biological products, healthcare access, affordable prescriptions, Medicare, Federal Trade Commission, sham petitions, competition, public health, unfair competition, healthcare, pharmaceutical, antitrust law, pay-for-delay

Summary: The meeting focused on addressing the high cost of prescription drugs and the abusive practices that contribute to elevated prices affecting American families. Several bills were presented, including proposals to end pay-for-delay deals and to enhance transparency in the operations of pharmacy benefit managers (PBMs). The discussion was notable for its emphasis on consumer protection and ensuring that cheaper generic drugs reach the market more effectively. Members expressed frustration over past attempts to pass similar legislation stalling in the Senate, leading to renewed efforts to push these bills forward.

Transcript Highlights:

• So when we had reliable transportation for some short period of time and the next thing you know, we're

Transcript Highlights:

• With this database, a reliable source of information will now be available where that information...

Bills: HB403, HB224

Keywords: criminal enterprise, database, law enforcement, data privacy, criminal justice, HB224, Alabama, obstructing governmental operations, first responder, emergency responder, police, firefighter, EMT, paramedic, public safety, harassment, interference with emergency personnel, crime, Class A misdemeanor, emergency scene

Transcript Highlights:

• insecurity will feel this loss immediately, and school meals will become a child's most critical and reliable
• This kind of change requires training, modernized equipment, and reliable access to fresh, high-quality
• That program gave small food producers reliable local customers and helped stabilize supply chains.

Keywords: 995, all

Summary: The Joint Committee on Education held a public hearing on a large slate of bills, with the chairs emphasizing time limits, written testimony, and grouping similar measures together. Early testimony focused on opioid use disorder education in schools (S.382), with Senator Keenan arguing that students should be taught about the risks of substance use disorder and naloxone use as part of health curricula. Representative DeCost also briefly introduced H.551, a narrow bill concerning parent rights for children in third grade and younger. Several bills were then closed without testimony, including measures on type 1 diabetes informational materials and other diabetes-related proposals. A major portion of the hearing centered on school health and emergency response bills. Supporters of H.652/S.342 on diabetes management in schools described inconsistent district practices and urged clearer standards so students can receive care in classrooms rather than being sent out of instruction. Bills on epinephrine access and seizure disorders drew extensive testimony: advocates for stock epinephrine in schools argued that unassigned epinephrine can save lives and should be funded in a cost-neutral way, while a pediatrician opposed one version as an unfunded mandate. For seizure-safe schools (S.422/H.635), students, parents, educators, and advocates described missed or delayed responses to seizures, stigma, and the need for staff training, seizure action plans, and emergency medication protocols. A separate bill, H.645, allowing anti-seizure medication on school buses, was supported by a parent and student who said current law forces costly and restrictive transportation arrangements. The committee also heard testimony on youth skin health bills (S.334/H.600/H.619), which would let students carry and apply sunscreen at school and camp without a physician’s note. Supporters from melanoma prevention, dermatology, and industry groups said the bills would remove unnecessary barriers and promote sun-safe habits, while one witness cautioned about drafting details and unintended consequences. The hearing then moved to CPR/AED education for graduation (S.456), where Senator Tarr, a student advocate, and the Red Cross all supported requiring hands-on CPR certification for high school students. Finally, the committee took testimony on healthy school lunches (H.539/S.401): supporters from the Healthy School Lunch Coalition and school food directors backed stronger nutrition standards and a standing advisory council, while Consumer Brands Association witnesses opposed the bill as too vague and potentially disruptive. A nutrition scientist also warned about unintended restrictions on medically necessary or innovative foods. The chairs closed the hearing on the healthy lunch bills and then opened testimony on universal school meals for virtual schools (H.700), with Superintendent Patrick Latuka supporting access for students in Commonwealth virtual schools who currently receive no meal support.

Transcript Highlights:

• we've opted to do geothermal which is we've opted to do geothermal which is very<00:10:28.399> reliable
• <00:10:30.399> So very reliable in terms of producing.
• So very reliable in terms of producing.

Keywords: 0:00:01 Call to Order and Roll Call 0:01:19 NKU Capital Project Update 0:38:57 DJJ High Acuity Services Update 1:03:53 Adjournment, 958, all

Summary: The interim Budget Review Subcommittee for Justice and Judiciary received an update on Northern Kentucky University’s capital project to house the Northern Kentucky Medical Examiner’s Office and the Northern Kentucky Crime Lab in the former Highland Heights Civic Center building on NKU’s campus. NKU and Justice Cabinet staff described the project timeline: the building was identified in late 2022, lease terms were agreed to in early 2023, a pre-construction evaluation agreement was executed in May 2023, the General Assembly authorized $21 million in April 2024, and the lease and construction agreement were finalized in spring 2026. The project is now being prepared for bid, with construction expected to start in August and occupancy targeted for January 2028. About $1 million has been spent so far on design and related investigations. Testimony emphasized that the vacant building was structurally sound but required major upgrades, including HVAC, plumbing, electrical, roof, windows, a generator, specialized mechanical systems, security, and geothermal work to meet the needs of two separate operations sharing one facility. NKU said it is contributing $3.7 million to the project. Committee members asked about the condition of the building, the urgency of the project, and why the process took so long. Justice Cabinet and real properties officials said the medical examiner’s office had been shut down since roughly late 2017 or 2018, that the state had first sought funding in the 2022 budget for staffing, a lease, and equipment, and that it took time to find a suitable leased location because the facility has highly specialized requirements. Members also asked about operating costs, annual lease costs, and the impact of the office’s absence on families and counties in Northern Kentucky. Officials said the lease cost is based on NKU’s expected maintenance-related expenses, while utilities and staffing are covered through the Office of the State Medical Examiner or Kentucky State Police, with seven medical examiner positions funded in House Bill 500 and two additional KSP positions requested for the crime lab. They explained that, until the new facility opens, bodies from Northern Kentucky are generally transported to Louisville for autopsy, with transportation costs borne by the coroner’s office. No votes were taken, but the committee requested follow-up information, including lease cost numbers and additional details on facility usage and timing.

Transcript Highlights:

• Without reliable nursing supervision and formal orientation, newly graduated RNs may be placed in role
• Without reliable nursing supervision and formal orientation, newly graduated RNs may be placed in role
• But, again, history has shown us that we're not always reliable in how well we do these things.

Bills: SB57, SB405, HB62, HB193, HB203, HB222, HB246, HB420, HB475, HB486, HB574, HB584, HB815, HB949, HB1092, HB1214

Keywords: SB 57, Act 735, Act 463, nutrition, public health, food additives, artificial colors, banned chemicals, ingredient labeling, food labeling, FDA, food and beverage regulation, consumer disclosure, school nutrition, Louisiana Revised Statutes Title 40, Louisiana Revised Statutes Title 17, food manufacturers, food retailers, compliance, effective date delay

Transcript Highlights:

• Not in a dramatic Broadway musical way, but in a steady, reliable, life-actually-functions way where
• Not in a dramatic Broadway musical way, but in a steady, reliable. not in a dramatic Broadway musical
• way, but in a steady, reliable, life actually functions way where you're not living every day waiting

Bills: S0042, S0688, S0762, S1168, S1296, S1298, S1300, S1318, S1332, S1376, S1548, S1570, S1574, S1632, S1634, S1750

Keywords: child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, criminal defense, legal representation, death penalty, indigent defense, regional counsel, conflict of interest, background screening, athletic coaches, youth sports, criminal history, expungement, Florida statutes

Summary: The committee first took up CS for SB 42 on specific medical diagnosis and child protective investigations. A late-file strike-all amendment was adopted that made only stylistic changes to align with the House version. Supporters said the bill would help DCF and child protective teams better identify rare medical conditions and give parents a chance to defend against mistaken abuse findings. The bill was then reported favorably. The committee also approved SB 1570, which restores a prior program to help locate missing persons with special needs through voluntary tracking devices and coordination with sheriff’s offices and CARD centers, with nonrecurring funding included. Members then advanced several education, disability, and public services measures. CS for CSSB 182 created a teacher training and mentoring program for high-performing current and retired teachers to mentor teachers in D- and F-rated schools, and CS for CSSB 794 required background screening for employees in residential and day training programs for people with developmental disabilities while directing APD to study support coordination quality, workforce issues, and service gaps. Testimony on SB 794 strongly supported better training, lower caseloads, and more consistent support coordination. The committee also favorably reported CS for CS SB 1168 on background screenings, CS for CS SB 214 to allow rural special districts to pay verified invoices directly, CS for SB 1376 to create grants for genetic counseling education, and SB 1574 (Maddie’s Law) to add newborn screening for biliary atresia; the latter drew emotional support and testimony that early screening could save lives and reduce transplant costs. The committee heard and passed a number of other policy bills, including CS for CS for SB 1510, the DEP agency package, after environmental groups warned that one provision could delay basin management protections and allow more septic systems in impaired watersheds; the bill still passed favorably. Members also approved CS for CS for SB 598 on funeral and cemetery regulation, SB 688 to license naturopathic doctors, SB 1318 on scholarship account reversion rules, CS for CS for SB 682 on domestic violence injunctions and penalties, SB 130 on workforce training for current and former inmates, and SB 1548, the latest Live Local affordable housing update. Several bills were briefly postponed or taken up later in the meeting. In the latter portion of the meeting, the committee approved CS for C.S. for SB 536 on criminal gang membership criteria, CS for C.S. SB 762 on assigning conflict capital cases across regional counsel offices, SB 1332 on career offender registration requirements, CS for CS for SB 1742 creating a new offense for indecent exposure of sexual organs to a child, and CS for SB 1750 increasing penalties for serious sex offenses and child sexual abuse material crimes. The committee also debated CS for SB 1226 on Public Employee Relations Commission procedures and union certification rules, including a late-file amendment setting a 60% threshold and 25% quorum for recertification; the discussion focused heavily on constitutional concerns, union rights, and differences between first responders and other public employees. The transcript ends while that bill’s debate is still underway, with the committee having already taken numerous favorable votes throughout the meeting.

Transcript Highlights:

• Having a reliable, predictable, sustainable model that students and families can get an award that is
• Having a reliable, predictable, sustainable model that students and families can get an award that is
• Having a reliable, predictable, sustainable model that students and families can get an award that is

Keywords: 1183, house

Transcript Highlights:

• These fair market rent figures are updated annually and provide reliable, objective, and current rental
• And so reliable, affordable, and safe transportation can mean the difference between them dropping out
• We heard from disabled students without reliable, accessible transportation, from student parents juggling

Summary: The committee hearing covered several higher education bills, with extensive testimony on student aid, affordability, and institutional debt. AB 587 would add veteran representation to the California Student Aid Commission; the author said the change would bring lived experience from the veteran community to student aid policy, and members raised a concern about keeping the commission’s membership odd-numbered, which the author said would be addressed by amendment. AB 791 would standardize cost-of-attendance housing calculations using objective data and improve notice of the adjustment process; supporters said current budgets often underestimate students’ real living costs, while UC, CSU, and independent colleges opposed or had concerns about the bill’s prescribed methodology, fiscal impact, and a 14-day turnaround for adjustments. AB 850 would create a one-term grace period for students with institutional debt to re-enroll while arranging repayment, bar reporting that debt to credit agencies, and require more transparency; proponents described students being blocked from continuing school over debts, while CSU, UC, and private-college representatives said they already use holds and payment plans and worried about added liabilities and budget pressures. AB 537 would extend the California College Promise Program to part-time community college students; supporters said most community college students attend part-time and should not be excluded from fee waivers, while the committee noted fiscal concerns but ultimately advanced the bill. AB 7 would allow universities to consider whether an applicant is a descendant of American chattel slavery in admissions as a reparative measure; supporters framed it as lineage-based reparative justice, while opponents argued it would function as a racial proxy and conflict with Proposition 209 and equal-protection principles. The committee took roll-call votes on the measures, advancing AB 587, AB 791, AB 850, and AB 537 to Appropriations, with AB 850 and AB 537 receiving fewer votes and the roll left open for additional members.

Transcript Highlights:

• Qualified forensic psychologists are able to conduct valid and reliable evaluations of defendants' mental
• You would agree that the determinations or decisions you're able to make then are going to be more reliable
• deciding whether or not the defendant was competent to stand trial, that's probably a much easier, more reliable

Bills: HB 1194, HB 1221, HB1738, HB1913, HB2177, HB2178, HB2180, HB2229, HB2282, HB2448, HB2492, HB2777, HB2984, HB3357, HB3553, HB3602

Keywords: emergency protection order, protective order, magistrate, criminal procedure, victim safety, family violence, domestic violence, stalking, assault, magistrate's order, temporary protection, court order duration, defendant restrictions, Article 17.292, Texas Code of Criminal Procedure, emergency restraining order, victim protection, firearm restriction, pretrial intervention, reimbursement fee

Transcript Highlights:

• The need for permanent, reliable housing solutions for people with disabilities is pressing.
• The need for permanent, reliable housing solutions for people with disabilities is pressing.

Keywords: 995, all

Summary: The Joint Committee on Housing opened a hybrid hearing focused on housing production bills, with Chairs Julian Cyr and Rich Haggerty emphasizing Massachusetts’ housing shortage and the need to produce more than 200,000 units over the next decade. The committee then heard testimony on a wide range of proposals, including social housing, starter homes and the “missing middle,” accessory dwelling units (ADUs), single-stair residential buildings, permanent affordability homeownership, and housing for people with disabilities. Several witnesses framed the bills as tools to expand supply, lower costs, and address racial and generational wealth gaps. Representative Connolly testified for H. 1478 on the Massachusetts Social Housing Program, describing publicly owned, mixed-income housing financed through a revolving loan fund. Senator Feeney testified for S. 989 on missing middle starter homes, arguing for zoning changes, incentives, and affordability tools to support smaller starter homes and duplexes, triplexes, and fourplexes. Multiple witnesses, including housing advocates, real estate representatives, and local officials, supported the ADU trust fund bill and the single-stair study bill, saying they would reduce barriers, support homeowners, and enable more family-sized and infill housing. Some witnesses opposed bills they said would weaken ADU reforms or add new restrictions, while others urged broader deregulation to speed production. A major portion of the hearing focused on H. 1576/S. 1010, the Homes for Lasting Affordability bill, which would create a permanent affordability homeownership program for low- and moderate-income buyers and support small developments with long-term affordability restrictions. Testimony from community land trust leaders, legislators, and housing advocates emphasized that permanent affordability can preserve public investment, stabilize neighborhoods, and help families build wealth over generations. Senator Miranda and Representative Worrell tied the bill to closing the racial wealth gap and expanding access to homeownership for Black and Latino residents. The committee also heard testimony on S. 971, which would reform the Housing Development and Incentive Program to require more affordability in Gateway City projects. The committee additionally heard from Senator Kennedy and disability advocates on S. 1004, which would strengthen the Alternative Housing Voucher Program for people with disabilities by codifying project-based vouchers and aligning the program more closely with other voucher systems. Witnesses described long waitlists and the lack of accessible, affordable units as major barriers that can lead to homelessness or unnecessary institutionalization. No votes were taken during the hearing; the session was devoted to testimony and questions from committee members.

Transcript Highlights:

• Next, the Energy Cost Fairness and Reliability Act.
• It would require large load facilities to pay for grid reliability services if they benefit from such

Keywords: 907, all

Summary: The committee held a series of informational briefings on information management and technology issues. It first heard from ACLU representatives on data privacy, who argued that Oregon should strengthen protections against private data brokers, government purchases of personal data, reverse warrants, automatic license plate readers, and local police surveillance. They urged data minimization, limits on data sales and retention, and broader transparency and accountability measures. Members asked about practical uses of license plate readers, state sales of data, and how Oregon’s approach compares with other states; the presenters said similar proposals have been adopted elsewhere, including data minimization in Maryland and a state version of the Fourth Amendment Is Not for Sale Act in Montana. The committee then received a detailed update from the Department of Administrative Services and Enterprise Information Services on licensing system modernization for 14 boards and commissions with the most immediate need. DAS said it is seeking a shared procurement approach through an RFP that would create either one scalable system or two tiers of systems, depending on agency needs and security requirements, with contracts expected by September. Committee members emphasized the need for a more unified, user-friendly statewide login and service experience for businesses and residents, and raised concerns about small agencies “figuring it out on their own” without sufficient cybersecurity or technical expertise. EIS said it is overseeing the investment review, security and architecture review, and future implementation planning, and noted that multiple agency requests may still come back to the legislature in the next session. The committee also discussed a revised cybersecurity incident notification concept. Staff explained that the earlier bill had raised stakeholder concerns, so the co-chairs directed further interim work with the Oregon Cybersecurity Advisory Council and other local government and K-12 stakeholders. The goal is a narrower, voluntary “911-style” notification process that would let public bodies alert peers and potentially receive assistance after cyber incidents; a temporary voluntary process is being tested now, with a work group developing language for possible 2027 consideration. Finally, the committee heard updates from the new state chief data officer on data governance, data sharing, geospatial work, and the state transparency website, followed by a briefing on data centers from NCSL and the Technology Association of Oregon. The data officer described efforts to expand data inventories, data governance plans, data literacy, and interagency sharing, along with statewide aerial imagery, geospatial standards, and the open data portal. The data center discussion focused on national and state trends, including rapid growth in data centers, rising electricity and water demand, and legislative responses such as new rate classes, reporting requirements, and cost-allocation rules to protect ratepayers. No votes were taken; the meeting was informational only.

Transcript Highlights:

• these rapid shifts in acuity and utilization patterns make traditional rate-setting approaches less reliable
• do hope, to all of you, that the process—I understand that the rate-making right now feels less reliable

Keywords: 907, all

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.