Transcript Highlights:

• The bill regulates pharmacy benefits managers, PBMs.
• The bill regulates pharmacy benefits managers, PBMs.
• The bill does this by placing the PBM under Chapter 33, requiring a bid solicitation for a pharmacy cost
• prescribing practices, having Medicaid engage in a pilot program, restricting certain changes, requiring the PBM
• rebates to be used to reduce plan premiums, and preventing certain PBM organizational structures.

Keywords: 994, senate, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, journal approval, and numerous guest introductions, including students, coaches, visitors from West Virginia universities, and representatives of Hunger Free West Virginia and Mountaineer Food Bank. The chamber also recognized Hunger Free West Virginia Day and heard remarks highlighting food insecurity efforts and a company working on pharmaceutical manufacturing and sickle-cell treatments. Senate Resolution 60 honoring Hunger Free West Virginia Day was adopted, while Senate Resolution 61 urging reversal of Obergefell was held over and Senate Concurrent Resolution 7 on the Southern West Virginia water crisis was referred to the Rules Committee. The Senate concurred in House amendments and passed several measures, including Senate Bill 467 on enforcement of Purple Heart parking spaces and Senate Bill 712 on cattle guards on certain public roads, with both made effective from passage. The body also passed Senate Bill 844, a supplemental appropriation to the Department of Human Services, and Senate Bill 87, a supplemental appropriation to the Department of Commerce, both with immediate effectiveness. In addition, the Senate advanced a large number of House bills and committee substitutes on first or second reading, including measures on government organization, judiciary, transportation, workforce, and health-related topics. On third reading, the Senate passed a series of bills covering a wide range of policy areas. These included the Blue Envelope Program for drivers with autism, dementia, or developmental disabilities; coverage for scalp cooling systems during chemotherapy; expanded sex-offender registration for certain offenses; child welfare clothing allowances; school personnel misconduct reporting; age verification for online sexual content; free Gold Star license plates for parents; sanitarian training and licensure changes; sheriff hiring authority; organ donor registration through voter registration; a Cold Case Task Force; abandoned vehicle title procedures; continuing education in nutrition for physicians; special plate rules; gift card fraud crimes; protections for athletic officials; school personnel reassignment rules; Homeland Security administrative updates; pharmacy benefit manager regulation; the VAPE Safety Act after a strike-and-insert amendment; parole supervision fee increases; partial service credit for disabled troopers; state property valuation reporting changes; and quarterly Hope Scholarship payments. Most of these bills passed overwhelmingly, often 34-0, with a few narrower votes such as the organ donor bill passing 30-4 and the school personnel movement bill passing 33-1.

Transcript Highlights:

• able to access specialty medications without being steered to pharmacies directly associated with PBMs
• or limited from access to such medications through the PBM imposing additional barriers to access specialty
• clinic or hospital, are able to participate in pharmacy networks and are not otherwise limited by PBMs
• we've done that as far as will it increase cost it certainly doesn't have to I think we we heard a PBm

Bills: HB4322, HB4202, HB4203, HB4457, HB3983, HB3660, HB3802, HB2933, HB2955, HB2956, HB3781, HB3521, HB3794, HB3796, HB3800

Keywords: funeral services licensing, funeral director, embalmer, funeral director in charge, dual licensure, mortuary science, Oklahoma Funeral Board, funeral establishment, commercial embalming establishment, crematory, cremation, alkaline hydrolysis, apprenticeship, licensing requirements, professional regulation, undertaker, mortician, burial services, death care industry, workers' compensation

Transcript Highlights:

• good potential to fight medical inflation is if the bill we passed out of this committee, 1584, the PBM
• we're giving the insurance commissioner the oversight and the ability to regulate, look into licensed PBMs
• And so that would just be what Representative Kasper is saying on the PBM bills.
• And so that would just be what Representative Casper is saying on the PBM bills.

Bills: SB2160

Keywords: health insurance, public employees, uniform group insurance, retirement, state employees, 908, all

Summary: The committee resumed work on Senate Bill 2160, which would move the Public Employees Retirement System health plan from grandfathered to non-grandfathered status under the Affordable Care Act. PERS officials Rebecca Frickie and Derek Holbein explained that the bill would allow more flexibility in plan design, including higher deductibles, co-pays, and out-of-pocket maximums, while also adding enhanced preventive benefits. They clarified that ACA “essential health benefits” apply to individual and small-group markets, not to PERS as a large employer, and that the bill’s projected cost increases were based on actuarial estimates and prior bid scenarios from Sanford and Blue Cross Blue Shield. Members debated whether the bill would actually save money or simply shift costs to employees. Supporters argued that non-grandfathered status would create more levers to manage medical inflation and could produce net premium savings through plan redesign, citing prior bid comparisons showing potential reductions of 1% to 8% depending on the option. Opponents, including Representative Schauer and North Dakota United president Nick Archelette, questioned how the state would pay for the estimated $25 million to $30 million in added benefits and warned that employees could face higher out-of-pocket costs amid already strained household budgets. Frickie said the legislature would control funding decisions and that current law requiring the state to pay full family premiums could be changed only by statute. The committee also discussed reserve funding, with members noting that a $4.3 million reserve draw in the bill was intended to cover the final months of the biennium and could be modified. After testimony and discussion, Vice Chair Johnson moved a do-pass recommendation and referral to Appropriations. The motion passed 10-3-1, with Representatives Ostlie, Schatz, and Schauer voting no. Representative Gump agreed to carry the bill.

Transcript Highlights:

• Um, there's a lot of interest in reevaluating the role of middlemen like PBMs.
• Um, so PBMs are pharmacy benefit managers. My apologies, madam chair.
• Um, it could prevent Medicaid from being used for gender-affirming care, um, but it could also ban PBMs
• Um, I have, I and several folks have been trying for years to get some PBM regulations passed in New
• it, it, it's, I'd love for you to join me, um, and, and I will tell you that one of the issues with PBMs

Transcript Highlights:

• That means we have five carriers with five PBMs.
• How are they being reimbursed by different types of PBMs and different types of health plans?
• So you actually provided some relief to the hospitals and health plans and introduced the PBMs as new
• So you think of your big chain pharmacy, they're likely connected to a big PBM.
• So you think of your big chain pharmacy, they're likely connected to a big PBM.

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.

Transcript Highlights:

• <00:44:03.920> often<00:44:04.240> times them because without PBMs often times them
• because without PBMs often times prohibit<00:44:06.160> access<00:44:06.480> to<00:44:
• >> Well, there are just restrictions that come into what PBMs do?
• >> Well, there are just restrictions that come into what PBMs do?
• I mean they come into what PBMs do?

Bills: HB1877, HB2006, HB2167, HB2224, HB1626, HB1690, HB2012

Keywords: LGBTQ+ rights, commission membership, representation, youth involvement, Hawaii legislation, child well-being, financial support, expectant mothers, Hawaii Rx kids program, economic stability, youth homelessness, financial assistance, housing instability, emergency services, transitioning youth, Medicaid, pharmaceutical benefits, human services, healthcare access, public funds

Summary: The committee heard testimony on HB 1877, which would expand the membership of the Hawaii State LGBTQ+ Commission and add a youth seat. The commission’s vice chair supported the bill, saying the commission started with eight members, has growing interest, and would benefit from an odd-numbered board and youth representation. Members asked about quorum, and the commission said it has generally met monthly with only one quorum issue in the past 18–19 months and would work with legislative leaders to have appointments ready if the bill passes. Written testimony included support from Kokopac and one individual in opposition. The committee then took up HB 2006, which would create a cash assistance program for pregnant women and mothers of babies. The Department of Human Services explained current TANF rules, including eligibility requirements, child support cooperation, and work-program participation, and said the state has recently raised benefit levels to the maximum allowed, with a family of three or four receiving a little over $900 per month. Supporters from the Hawaii Public Health Institute, Hawaii Children’s Action Network Speaks, and others argued the bill could reduce child poverty and improve maternal and child health, citing evidence from Michigan’s Rx Kids program and the temporary federal child tax credit expansion. A mother and Oahu Youth Action Board member testified from personal experience about the need for direct support during pregnancy. The committee also noted support from several organizations and about 26 individuals. The committee next heard HB 2167, which would direct the Office of Youth Services to run a pilot program providing financial assistance to homeless youth. The Office of the Public Defender, youth advocates, and several organizations supported the measure, saying even small amounts of help can prevent homelessness and help youth transition safely to adulthood. The Office of Youth Services said it supports the intent of the bill but requested clarification, and committee members discussed whether the program should be run directly or through contracted community agencies, how to set performance metrics, and how to structure the RFP and contract process. The chair indicated the committee wanted to work with the vice chair and OYS offline to refine the bill before moving forward. The committee then began discussion of HB 2224, relating to Medicaid pharmacy benefit management, with testimony generally supporting giving DHS flexibility to negotiate with PBMs.

Transcript Highlights:

• that expert hub for understanding the entire prescription drug sector, from the manufacturer to the PBM
• law expands this assessment structure to be able to include both pharmaceutical manufacturers and PBMs
• But it did not include leaders of pharmaceutical manufacturers or leaders of PBMs.
• Sounds like we have PBMs. You're going to have enough of that under control with the new law.
• of entities subject to the assessment were expanded, as noted earlier, to pharmacy manufacturers, PBMs

Keywords: 995, all

Summary: The committee heard budget testimony from Department of Mental Health Commissioner Brooke Doyle, who said DMH serves about 29,000 people and is facing rising demand, higher operating costs, and uncertainty about federal funding. She explained that the FY26 budget prioritizes fully funding the state-operated inpatient system, which is at 100% occupancy and often serves people transferred from Bridgewater State Hospital, while making reductions in other areas to balance the budget. Those reductions include a 50% cut to case managers, a pause on closing the Pocasset unit pending a working group on Cape access, and changes to youth and contracted services such as right-sizing IRTP and CIRT, reducing Youth PACT from seven teams to three, scaling back flex and jail diversion grants as ARPA funds wind down, and preserving the behavioral health helpline and community-based crisis services. Members from Western Massachusetts and the Cape raised concerns about access, staffing, and the impact of cuts, and Doyle said the department would continue operating IRTP services, improve the referral process, and work with stakeholders on the Pocasset review and other access issues. The committee also discussed school-based mental health, 988, loan forgiveness for workforce recruitment, and the role of co-response programs for law enforcement. Secretary Robin Lipson then testified for the Executive Office of Aging and Independence, describing a proposed FY26 budget increase of about 21% to support councils on aging, home care, elder abuse investigations, caregiver support, care transitions, and nutrition programs. She said the agency is managing rising demand, especially from the growing 80-plus population, and noted uncertainty around federal Older Americans Act funding after the federal disbursement agency was disbanded. To control costs, the office will manage intake and caseload growth in a fully state-funded home care program, but current clients will not lose services. Lipson also highlighted a new $1 million line item for local mini-grants to support age-friendly initiatives. In questions, members focused on elder scams, and Lipson said scams are increasing and the agency is working with banks, district attorneys, and public awareness campaigns. The Health Policy Commission’s Executive Director David Seltz presented the agency’s FY26 request and said the biggest challenge is health care affordability, with family premiums near $29,000 annually and many residents delaying care because of cost. He emphasized that recent legislation significantly expands HPC’s role through a new Office of Pharmaceutical Policy and Analysis, which will examine the drug supply chain and pricing, and a new Office of Health Resource Planning, which will support statewide planning around closures and access gaps. The new law also creates task forces on maternal health access and primary care, and adds transparency and oversight for private equity in health care. Members asked about pharmaceutical costs, GLP-1 weight-loss drugs, 340B, and maternal health closures; Seltz said the data show rapid growth in GLP-1 spending and that the new offices will help the state better understand cost drivers and access problems. The Center for Health Information and Analysis then began its testimony, describing its role as the state’s data hub for health care spending, utilization, quality, and affordability analysis.

Transcript Highlights:

• Representative Woods asked whether there are difficulties with PBMs in the pharmacy area.
• Each MCO has its own PBM, but issues like price transparency are handled within the Medicaid program
• Each MCO has its own PBM, but issues around price transparency and similar matters are handled within
• Each MCO has its own PBM, but issues around price transparency and similar matters are handled within
• Each MCO has its own PBM, but issues around price transparency and similar matters are handled within

Keywords: 1189, house, all

Transcript Highlights:

• on how there to negotiate with the PBMs on how there to negotiate with the PBMs on how they do their
• have the right to negotiate with a PBM have the right to negotiate with a PBM that if I want to take
• as part of their payment with that PBM as part of their payment with that PBM as part of their payment
• in the continue the discussion in the continue the discussion in the legislative offseason with the PBM
• study legislative offseason with the PBM study legislative offseason with the PBM study group.

Bills: HB 10, HB 12, HB 147, HB 1522, HB 422, HB 675, HB 204, HB 748, HB 912

Keywords: regulatory reform, government efficiency, administrative law, rulemaking, agency deference, judicial review, de novo review, Texas Government Code, Administrative Procedure Act, state agencies, plain language, regulatory burden, regulatory reduction, cost-benefit analysis, fiscal note, public benefits and costs, contested case, rule challenge, Texas Regulatory Efficiency Office, advisory panel

Transcript Highlights:

• because their prescriptions are not covered, it's because they're not affordable due to the way the PBMs
• prescription drug coverage is made to pay more than someone without insurance simply because of the PBM
• reason a patient should be incentivized to pay more for prescription drugs, but that's exactly how the PBMs
• This bill is a step towards restoring trust, reining in harmful PBM practices, and putting patients first

Transcript Highlights:

• The flip side is that I would have to take them away from our PBM in order to do that.
• PBMs tend to act as a shell game. I rarely trust them. PBMs tend to act as a shell game.

Summary: The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. Grant Wallace presented March and April formulary changes, explaining that the updates favored lower-cost generics, re-tiered some drugs, left several new-to-market drugs uncovered pending more evidence, and added quantity limits in some cases. The committee approved those formulary recommendations. The subcommittee also approved a cell and gene therapy policy that would exclude automatic coverage of those therapies and route them through prior authorization and review, with members noting the process should not delay urgent cases and that appeals remain available. Members then discussed a UAMS professional consultant services contract amendment for pharmacy benefit consulting. The discussion focused on confusion over the dollar amount and scope, with Wallace clarifying that the committee was being asked to approve up to $2.596 million, including optional services related to coupon and rebate management that could be used later without returning for another approval. Several members raised concerns about matching the written contract to the approval amount and about the relationship to the current pharmacy benefit manager, but the committee ultimately approved the item with the understanding that any use of the optional services would return to the committee. The committee also reviewed, without objection, a Blue Cross/Blue Advantage third-party administrator contract, a CompSack employee assistance program contract, and approved proposed 2027 employee and public school health plan rates of 9.8% and 4.9% increases, respectively. Wallace also said the UnitedHealthcare rebid was in final negotiation and would return in August. On the property risk side, the committee reviewed permanent rules for the property insurance program, a contingency-fee subrogation contract with Denenberg-Tuffly, and extensions for Sedgwick Claims Management, Actuarial Advantage, and Stevens Capital Management. Members asked about claim-adjustment delays after a major winter storm, and Wallace said performance guarantees and communication requirements had been added, with claims still expected to vary by case. The committee also approved 2026-27 captive insurance program rates, which included no change to minimum deductibles, lower rates for K-12 and higher education, a higher rate for state agencies, and an overall 10% reduction. Wallace said the reductions reflected improved actuarial foundations, better claims management, and the program’s first-year performance. The meeting adjourned after approving the rate item.

Transcript Highlights:

• I'm sorry I have to go, but the PBM bill that I'm very vocal on is in the Senate IBL, and I'm ...have
• to go, but the PBM bill that I'm very vocal on is in the Senate IBL, and I'm gone.

Keywords: 908, all

Summary: The committee reconvened to hear a revised version of Senate Bill 2385, with Representative Casper walking through changes made in consultation with the bill sponsor and agency counsel. He explained that the amendments restored language on change of ownership and license transfer for mobile home parks, recreational vehicle parks, and campgrounds; removed a proposed $5,000 civil penalty and returned the violation penalty to an infraction; extended the correction period before disciplinary action to 30 days with possible additional time for good-faith compliance; and removed the tenant right of first refusal, leaving park sales to willing buyers and sellers. Casper said the changes simplified the bill and addressed concerns raised earlier in committee. Members asked about how licenses would work after a sale, and Casper said a transferred license would continue for the current year, but the new owner would need to reapply annually. He also said all participating parties and the Attorney General’s counsel were amenable to the amendments. The committee adopted the Casper amendments by voice vote and then moved to a do pass as amended recommendation. The first roll call on the amended bill was confusing because several members were absent, and the committee briefly discussed whether to wait for Representative Ruby and whether votes should be repeated. Members explained their earlier no votes, with Representative Koppelman saying he had intended to vote against the amendment rather than the bill, and Representative Schauer citing concerns about provisions affecting park owners and evictions. After waiting briefly, the committee retook the vote and approved SB 2385 as amended on a 7-3-4 roll call. Representative Casper was asked to carry the bill.

Transcript Highlights:

• rise to present AB 910, which strengthens state reporting on pharmacy benefit managers, also known as PBMs
• Last year, this body passed bipartisan legislation that established a regulatory scheme to rein in PBM
• This includes provisions requiring annual PBM reporting to the state.
• builds upon those efforts to ensure that the state analyzes and publicly reports on data reported by PBMs

Summary: The Assembly convened, established a quorum, offered a prayer and Pledge of Allegiance, and then took up a long third-reading file with several guest introductions and ceremonial resolutions. Early floor action included AB 713, allowing undocumented students equal access to campus jobs at UC, CSU, and community colleges, and AB 1049, streamlining California Food Assistance Program applications for low-income immigrant families; both passed. The body also defeated an amendment to AB 1421, a bill to begin studying a statewide mileage-based road user charge, before passing the measure. AB 1171, modernizing part-time community college faculty health insurance access, also passed with strong support. The Assembly then approved a series of policy bills on animals, domestic violence, telehealth for autism services, forestry, false lien filings, tianeptine restrictions, housing, common interest development fee transparency, prison sexual abuse accountability, PBM reporting, foster youth benefits protections, illegal dumping and abandoned RV removal, condo financing/liquidated damages, public contracting, pension-related study language, climate resiliency research funding, and a disposable vape reduction measure. Most passed with broad margins; AB 762 on vapor inhalation devices drew the most debate, with supporters emphasizing landfill fires and public health and opponents warning about revenue losses and illicit-market growth, but it still passed. AB 1406 on condo development financing drew extensive discussion about housing affordability and consumer protections before passing. The chamber also adopted three resolutions: ACR 120 declaring January 2026 Positive Parenting Awareness Month, ACR 121 designating January 2026 National Mentoring Month, and ACR 122 designating Anesthesiologist Week. Later, the Assembly concurred in Senate amendments on AB 1485, extending welfare-tax exemption treatment to federally recognized tribes holding land for conservation, and adopted the consent calendar, which included several additional bills and SCR 6. The session ended with adjournment until February 2, 2016, after which several members recorded vote changes from the floor.

Transcript Highlights:

• statute and have become significant revenue generators for profit-motivated hospitals, chain pharmacies, PBMs
• So, one of the persons in opposition, Madam Chair, says that PBMs—pharmacy benefit managers—are a problem
• Fix in terms of PBMs getting involved and all of the abuse of the system, but it's a federal program,
• Touched by PBM, it's been touched how many times is it going to be touched by somebody before the patient
• I don't sue the PBMs and everybody up the chain, the manufacturer, but they're not allowed to have this

Transcript Highlights:

• Chair, when we look at—and we've been teasing the insurance industry all day, so I'll pick on the PBMs
• And what the PBM is looking at is the cost of the drug, not the cost of care.
• six months is equivalent or similar to what we do for other entities such as insurance companies and PBMs
• Diane McAllister continued: “...insurance companies and PBMs when they have violations, and we also gave
• And with that...” insurance companies and PBMs when they have violations and we also gave the board a

Bills: HB2176, HB2333, HB2435, HB2447, HB2617, HB2683, HB2686, HB2725, HB2726, HB2906, HB2953, HB2958

Keywords: health care, licensure, complaints, investigation, safety, patient care, regulatory compliance, prosthetics, orthotics, health insurance, Medicare, medical necessity, disability rights, coverage, reimbursement, internationally trained physicians, medical board, clinical training, provisional license, healthcare workforce

Summary: The committee heard and acted on several health care bills. HB 2726 would require Access contractors to cover diagnosis and treatment of mild obstructive sleep apnea, including a new prescription tongue-stimulation device; supporters said it offers an effective, less burdensome alternative to CPAP and could improve adherence and outcomes, while Access was neutral and raised concerns about cost and bypassing its normal clinical review. The committee adopted the Bliss amendment and then approved HB 2726 as amended on an 8-4 due-pass vote. HB 2435 would create a pathway for internationally trained physicians to receive a provisional Arizona medical license, with a later amendment adding a four-year supervised rural practice requirement and automatic conversion to a full license if criteria are met. Supporters argued it would help address severe physician shortages in rural and underserved areas, especially for cardiology and other specialties, and several doctors testified about their experience and the need for more access. Opponents, including the Arizona Medical Board, said the state already has a case-by-case licensure process for foreign-trained physicians and warned the bill could weaken safeguards and allow insufficiently vetted applicants. After adopting the amendment, the committee approved HB 2435 as amended on a due-pass recommendation. HB 2958 would require Access to cover comprehensive dental care for pregnant women age 21 and older, with a $500,000 pilot program and reporting requirements. The sponsor and public health advocates said preventive dental care during pregnancy can reduce infections and improve maternal and infant outcomes, and the bill drew broad support from health and advocacy groups. The committee passed HB 2958 on an 11-1 due-pass vote. The committee also approved HB 2176, which changes criteria and timelines for health care institution licensing complaints and informal dispute resolution, with supporters saying it would improve transparency and predictability for hospitals while preserving enforcement authority. Finally, the committee heard HB 2447, which would bar insurers from paying certified registered nurse anesthetists less than physicians for the same anesthesia service; opponents argued it would interfere with contract negotiations and raise costs, while supporters said insurer reimbursement cuts are harming rural access and shifting costs to hospitals. The transcript ends during testimony on HB 2447, before any committee vote on that bill.

Transcript Highlights:

• Insurance companies utilize pharmacy benefit managers, PBMs, to oversee medication services for just
• PBMs are very powerful, for-profit companies with unlimited legal and lobby resources, and the largest—CVS
• The top three PBMs are listed in the Forbes top 50 companies in America.
• in those neighborhoods where pharmacy deserts already exist, the committee will be evaluating many PBM-related

Keywords: 995, all

Summary: The committee held an informational opening hearing for the Financial Services Committee, with Chair Murphy and Senator Feeney introducing new and returning members and explaining that no bills were being heard that day beyond brief introductory testimony. Commissioner of Banks Mary Gallagher thanked the committee for last session’s money transmission modernization law, and several members echoed appreciation for her office’s work. The hearing then featured a long series of stakeholder introductions and overviews of their priorities for the session. Testimony covered a wide range of financial, insurance, housing, health care, and consumer issues. Banking and mortgage groups discussed housing affordability, foreclosure delinquencies, flood insurance, regulatory changes, and the impact of federal policy shifts. Insurance representatives raised concerns about auto and homeowners market pressures, labor rates, tariffs, rebates, e-titling, third-party litigation funding, and public adjuster restrictions. Consumer and advocacy groups highlighted debt collection reform, earned wage access, retirement savings access, public banking, and consumer protections in financial services. Several speakers also emphasized the need for committee expertise and offered themselves as resources for future bills. Health-related organizations focused on insurance mandates, prior authorization, behavioral health access, pharmacy benefit manager reform, community health center funding, maternal health and midwifery reimbursement, and anesthesia reimbursement parity. Other groups, including credit unions, retailers, auto dealers, dental and medical associations, and behavioral health providers, described their roles in the Commonwealth and previewed legislation or policy areas they expect to follow this session. No votes were taken; the meeting was informational and ended after testimony from the sign-up list and a few late additions.

Transcript Highlights:

• the governor's proposal targets in part, and also pharmaceutical manufacturers and distributors and PBMs
• the governor's proposal targets in part, and also pharmaceutical manufacturers and distributors and PBMs
• Minnesotans if they would rather pay for the individual market through those sources or by a tax on PBMs
• the governor's proposal targets in part, and also pharmaceutical manufacturers and distributors and PBMs
• Minnesotans if they would rather pay for the individual market through those sources or by a tax on PBMs

Keywords: 1187, senate, all

Summary: The committee heard a reinsurance overview from Deputy Commissioner Julia Dryer of the Minnesota Department of Commerce on the Minnesota Premium Security Plan. She explained that reinsurance helps stabilize premiums in the individual market by reimbursing insurers for high-cost claims, and said Minnesota’s program has lowered premiums, preserved carrier participation, and helped maintain consumer choice. She warned that without continued funding, the program would be depleted and individual-market premiums could rise by about 25%, with potential losses in coverage and access to care. She also described the program’s structure under a federal 1332 waiver, the role of MCHA in administering the program, and the state’s receipt of more than $650 million in federal pass-through funds to date. Dryer said the current program is funded through the end of 2025, though the federal waiver authority runs through 2027. The governor’s proposal would create a new assessment on insurers, estimated at roughly 2% to 3%, to fund the state share of the program and avoid another full waiver submission. She noted that the proposal assumes MinnesotaCare funding would be held harmless and that the program would be reduced if federal basic health plan funding were negatively affected. She also said projected costs changed because individual-market enrollment has grown and enhanced federal subsidies were removed from the estimate. Members raised concerns about the proposal’s impact on premiums and the history of the fund. Senator Rasmusson argued the new assessment amounts to a large tax increase on health insurance and questioned who would be assessed and whether the surcharge would be capped. Dryer responded that the assessment would be based on annual claims experience and market conditions, with final amounts determined at the end of each year, not monthly. Senator Duckworth and Senator Frentz supported reinsurance as a way to keep premiums lower, while also questioning how the program should be financed. Senator Green asked about the mechanics of the assessment and the role of the department in setting it, and Senator H questioned why the fiscal note assumed 12% annual growth for program costs when general premium growth was lower. No vote or formal action was taken in the meeting.

Transcript Highlights:

• The OSI came forward with language that said, our PBMs that are related to the Iback, the interagency
• But OSI said, you know, our PBMs, our pharmacy benefit managers in the IEBM...

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

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:

• Express Scripts determined that it would be a net cost increase because they, who are both the PBM and
• So having the fiscal note state that the reason there is a fiscal note is because the PBM won't get the
• So otherwise you have Medicare Part D that does have, you know, works with PBMs and does all of that.
• So just a piece of clarification: the rebate we're talking about, it's not the PBM getting the rebate
• Thorley. some bills that we passed out, including one from Senator Scheibel, around creating a single PBM

Bills: AB6, AB102, AB131, AB212, AB213, AB220, AB259, AB282, AB376, AB396, AB479, AB503, AB570, AB572, AB574, AB576, AB593, SB185, SB207, SB507, AB6

Keywords: fetal alcohol spectrum disorder, FASD, prenatal alcohol exposure, children's health, developmental disability, early intervention, treatment assistance, Aging and Disability Services Division, Department of Health and Human Services, Autism Treatment Assistance Program, public health, parent education, evidence-based treatment, Nevada NRS 427A, disability services, behavioral health, emergency medical services, ambulance, licensing, health district

Transcript Highlights:

• Even with PBMs, it will raise premiums. Right.
• There's always, oh, are, PBMs, right?
• we're going to do something on PBMs. we're going to do something on PBMs.
• Let's tinker let's tinker with PBMs.
• Even with PBMs, it will raise Even Yes. Even with PBMs, it will raise premiums. premiums. premiums.

Keywords: U.S. House of Representatives Floor Proceedings on Friday, December 12, 2025, 1012, house, all