Transcript Highlights:

• made on the Senate side compared to the House version, probably the biggest change is it kept the insurance
• to the House version, Section 1 from the House version is gone, and Section 3, the repeal of the insurance
• Section 1 was an amendment that was, or a modification that was specific to the insurance mandate.
• So the insurance... Based upon recommendations from the insurance commissioner.
• So that's one of the changes being made in this last section, is to remove the insurance commissioner's

Keywords: 908, all

Summary: The conference committee on HB 1248 met to review differences between the House and Senate versions of the bill, which concerns the PERS pilot program and insurance mandate process. Rebecca Frickie, executive director of PERS, explained that the Senate version removed the House provisions repealing the insurance mandate process, kept the two-year PERS pilot intact, and preserved the requirement for a report at the end of the pilot while removing language that would have required PERS to submit a bill to expand coverage to the commercial market. Members discussed the bill’s cost-benefit analysis requirements. Frickie said the current law triggers a cost-benefit analysis at the start of the pilot and again when a bill is introduced to roll coverage out commercially, but the Senate draft would change that to only one analysis at the end of the pilot if a rollout bill is introduced. Legislative Council indicated that if the committee wants that simplified approach, additional conforming changes are needed elsewhere in the code. Senators also asked about the purpose of the initial analysis and whether it is used beyond being attached to the bill packet; Frickie said PERS relies primarily on its own actuary and was not aware of broader use. The committee discussed whether the revised process would still require legislative sponsorship for any future rollout, and Frickie confirmed that a legislator or other sponsor would need to introduce such a bill. Examples mentioned included insulin caps and breast exams as possible future pilot items. The committee agreed to request Legislative Council draft the needed language changes and planned to reconvene after receiving the updated draft; no final vote was taken and the meeting was adjourned.

Transcript Highlights:

• self-insurance.
• It limits the amount that insurers to begin expressing their rates insurers to begin expressing their
• </c> limits the amount that health insurers limits the amount that health insurers can<00:15:29.600><
• ,</c> actually use their health insurance, actually use their health insurance, which<01:30:37.040><c
• This will lead their health insurance.

Keywords: 926, house, all

Transcript Highlights:

• Even though it's not insurance, or an insurance product as is defined specifically in the statute, that's
• Even though it's not insurance, or an insurance product as is defined specifically in the statute, that's
• claim, that is insurance fraud.
• Although these insurance products are already filed and approved by the Department of Insurance, there's
• ,</c> approved by the Department of Insurance, approved by the Department of Insurance, there's<00:43

Keywords: 958, all

Transcript Highlights:

• of insurance.
• needs and that are really great for the insurance companies.
• Those plans, those private insurance plans, have all of the difficulties that private insurance plans
• UnitedHealth Group is the nation's largest health insurer.
• And now, the insurance companies are telling us that.

Transcript Highlights:

• insurers. to offer it in personal home and auto coverage.
• And so what this bill would do is direct the Texas Commission on Insurance. to not allow an insurance
• to hold these insurance companies accountable for failing to provide adequate insurance for... risk assessments
• And so then the subsequent year, what does the insurance do?
• Care instead of insurance. I'm just trying to get it. Wow, this is a good bill.

Bills: SJR4 , SJR40 , SJR81 , SCR37 , SCR39 , SB22 , SB32 , SB33 , SB36 , SB38 , SB95 , SB209 , SB249 , SB311 , SB326 , SB365 , SB458 , SB609 , SB660 , SB664 , SB693 , SB732 , SB745 , SB760 , SB762 , SB779 , SB783 , SB785 , SB868 , SB871 , SB883 , SB921 , SB955 , SB993 , SB996 , SB1008 , SB1057 , SB1067 , SB1151 , SB1171 , SB1210 , SB1255 , SB1265 , SB1267 , SB1271 , SB1307 , SB1313 , SB1316 , SB1318 , SB1321 , SB1332 , SB1365 , SB1426 , SB1470 , SB1484 , SB1494 , SB1559 , SB1592 , SB1596 , SB1598 , SB1637 , SB1677 , SB1706 , SB1758 , SB1762 , SB1786 , SB1809 , SB1818 , SB1822 , SB1841 , SB1871 , SB1967 , SB2064 , SB2077 , SB2112 , SB2148 , SB2320 , SB2406 , SB2407 , SJR36 , SJR81 , SJR50 , SJR4 , SJR40 , SJR27 , SCR22 , SCR12 , SCR39 , SCR38 , SCR37 , SB921 , SB609 , SB660 , SB765 , SB62 , SB666 , SB888 , SB687 , SB847 , SB1248 , SB504 , SB305 , SB296 , SB284 , SB304 , SB1023 , SB204 , SB670 , SB850 , SB854 , SB413 , SB1346 , SB1033 , SB1220 , SB1073 , SB810 , SB1539 , SB447 , SB1119 , SB1505 , SB1215 , SB1302 , SB583 , SB673 , SB681 , SB1172 , SB955 , SB957 , SB541 , SB266 , SB1415 , SB53 , SB1352 , SB785 , SB1450 , SB1502 , SB1566 , SB1062 , SB711 , SB746 , SB1404 , SB1448 , SB507 , SB1026 , SB1349 , SB1355 , SB1433 , SB1434 , SB1596 , SB1403 , SB667 , SB1059 , SB1567 , SB310 , SB311 , SB505 , SB1210 , SB1470 , SB264 , SB1358 , SB1364 , SB1569 , SB1376 , SB1228 , SB519 , SB1350 , SB462 , SB827 , SB1585 , SB1484 , SB1273 , SB927 , SB1227 , SB1229 , SB1353 , SB1464 , SB1709 , SB1729 , SB1733 , SB1744 , SB1772 , SB1841 , SB1008 , SB2016 , SB1173 , SB1163 , SB996 , SB1370 , SB1321 , SB1101 , SB860 , SB993 , SB693 , SB1537 , SB1332 , SB1307 , SB963 , SB493 , SB984 , SB619 , SB1122 , SB455 , SB522 , SB1057 , SB1239 , SB1254 , SB1255 , SB1259 , SB1341 , SB1877 , SB1277 , SB32 , SB732 , SB731 , SB268 , SB1822 , SB1589 , SB397 , SB1058 , SB1267 , SB2112 , SB1930 , SB532 , SB508 , SB292 , SB291 , SB901 , SB1333 , SB1436 , SB1494 , SB964 , SB779 , SB1378 , SB2312 , SB1719 , SB287 , SB2143 , SB1245 , SB261 , SB1247 , SB2406 , SB2407 , SB1882 , SB618 , SB38 , SB393 , SB1371 , SB1365 , SB2243 , SB2226 , SB2039 , SB1919 , SB1895 , SB1598 , SB1493 , SB1810 , SB1791 , SB1706 , SB1644 , SB1238 , SB783 , SB458 , SB22 , SB651 , SB897 , SB1809 , SB1080 , SB745 , SB826 , SB989 , SB1320 , SB1437 , SB2320 , SB2289 , SB1171 , SB664 , SB1637 , SB2064 , SB868 , SB1079 , SB1243 , SB1504 , SB1851 , SB1879 , SB2237 , SB1257 , SB2034 , SB1522 , SB883 , SB249 , SB1318 , SB1151 , SB596 , SB1191 , SB226 , SB570 , SB870 , SB991 , SB60 , SB365 , SB1067 , SB1786 , SB326 , SB1401 , SB1592 , SB1728 , SB1265 , SB586 , SB529 , SB217 , SB209 , SB1923 , SB1559 , SB1839 , SB387 , SB1874 , SB1872 , SB1873 , SB1921 , SB1883 , SB1677 , SB95 , SB1620 , SB1838 , SB2024 , SB2429 , SB1999 , SB511 , SB2309 , SB2166 , SB871 , SB510 , SB33 , SB2420 , SB1860 , SB1541 , SB1316 , SB1314 , SB1313 , SB1426 , SB1398 , SB1869 , SB1750 , SB1871 , SB36 , SB855 , SB1233 , SB760 , SB2425 , SB2037 , SB1758 , SB1759 , SB2365 , SB1924 , SB762 , SB1271 , SB1818 , SB605 , SB1405 , SB1762 , SB1968 , SB1977 , SB2077 , SB2148 , SB2321 , SB1967 , SB1662 , SB1663 , SB2124 , SB2204 , SB1855 , SB863 , SB37 , SJR39 , SCR1 , SCR27 , SCR32 , SCR42 , SCR6 , SB2232 , SB819 , SB2078 , SB2252 , SB1962 , SB2253 , SB825 , SB1577 , SB1184 , SB2018 , SB2206 , SB1901 , SB1030 , SB2368 , SB1963 , SB1960 , SB1643 , SB1625 , SB1299 , SB841 , SB668 , SB584 , SB231 , SB2411 , SB1085 , SB2431 , SB2231 , SB1490 , SB530 , SB34 , SB1261

Keywords: economic stabilization fund, state finance, constitutional amendment, budget management, financial security, emergency powers, legislative authority, governor powers, disaster management, tax exemption, ad valorem, tangible personal property, income production, SCR 37, Senate Concurrent Resolution, Panama Canal, Texas ports, port infrastructure, maritime trade, shipping lanes

Transcript Highlights:

• However, in the fully insured market, around 94% of the lives covered are through a nonprofit insurer
• Market insurers on Medicare supplement Market insurers on the<00:30:30.799><c> fully</c><00:30:31.039
• fully insured Market are already the fully insured Market are already paying<00:30:32.360><c> multiple
• insurers insurers however<00:31:28.760><c> in</c><00:31:28.840><c> the</c><00:31:28.919><c> fully</c
• ><00:31:29.159><c> insured</c><00:31:29.519><c> market</c> however in the fully insured market however

Committee: House Human Services Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• The single purpose of this is to kick people off of their health insurance.
• So, do off of their health insurance.
• That means that we as people who have health insurance and pay for health insurance are going to pay
• </c> we as people who have health insurance we as people who have health insurance and<00:12:25.000><
• :26.240><c> we're</c> and pay for health insurance, we're and pay for health insurance, we're going<00

Keywords: 918, senate, all

Summary: Senate DFL senators discussed the Health and Human Services supplemental budget on the floor, framing it as a response to federal HR 1 and related Trump administration policies that they said shift costs to states, counties, hospitals, and families. Senators Liz Bolden, Lindsey Port, Erin Murphy, Alice Mann, and Rob Kupec argued the bill is needed to backfill cuts to Medicaid and SNAP, stabilize hospitals, and prevent property tax increases and service disruptions. They said the package totals about $700 million, with more than $250 million aimed at hospital support and roughly $300 million to help counties absorb food-support cost shifts. Members described the federal changes as adding red tape and work-reporting requirements that would cause eligible people to lose coverage, with estimates cited of more than 150,000 Minnesotans losing Medicaid and about 62,000 losing individual-market coverage due to higher premiums. They also said counties would face new administrative burdens and hiring needs, and that rural hospitals, safety-net providers, and EMS systems would see more uncompensated care. One senator noted Dakota County could face an additional $11 million next year and property tax increases, while another said Minnesota hospitals could see charity care rise by more than $269 million next year. The discussion also covered specific funding in the bill, including $300 million for hospital stabilization, with $150 million for HCMC, nearly $115 million for other hospital stabilization grants, almost $18 million for community safety-net providers, and $15 million for rural EMS uncompensated care. Senators said these funds are short-term measures, not long-term fixes, and that if the state did nothing, the health care system and SNAP administration could collapse. They said they do not expect Republican support in the Senate and suggested longer-term options could include federal changes after the next election or state-level tax changes on the ultra-wealthy. No vote outcome was stated in the excerpt, but the senators indicated the bill would move forward with DFL support.

Transcript Highlights:

• They do increase the premium for health insurance.
• Is this able to still be billed toward the insurance companies?
• has insurance, because if they're billing the insurance company, where then does the buck go?
• And so it's still going to be covered by insurance.
• Under the current insurance schema, particularly Medicare, Medicaid.

Committee: House House Health & Human Services

Keywords: 996, all

Transcript Highlights:

• California is in the midst of a homeowners' insurance affordability and availability crisis.
• AB 1620 offers tangible relief to homeowners grappling with escalating insurance expenses and a lack
• Providing deductions for insurance premiums means state taxpayers are called on to subsidize well-off
• While we understand that the insurance market has many problems, it is a problem which will have to be
• resolved in the insurance market, not by taxpayers.

Summary: The Assembly Committee on Revenue and Taxation convened with a quorum, reviewed housekeeping rules for testimony and position letters, and reminded the public that bills with revenue impacts over $150,000 would be sent to the suspense file rather than voted on immediately. The chair noted that no bills on the agenda would be eligible for a vote that day because they would automatically be referred to suspense. The committee then heard several tax-related measures, with testimony generally split between bill authors/supporters emphasizing affordability, public safety, or conservation, and opponents arguing the proposals were inefficient tax expenditures better handled through existing programs or direct budget funding. AB 1565 proposed a $5,000 tax credit for small businesses that hire formerly incarcerated people within a year of release and keep them employed for at least six months. Supporters said the bill would reduce recidivism, help small businesses manage hiring risk, and save the state money by avoiding incarceration costs; one witness described personal experience overcoming a felony record. The California Tax Reform Association opposed the measure, arguing employment tax credits are ineffective and that existing programs are more targeted. Members from both parties expressed support, but the bill was referred to suspense. The committee also heard AB 1596, which would create a five-year sales tax holiday for infant car seats; AB 1668, which would extend a welfare tax exemption for land trust-held open space; AB 1690, which would expand the Young Child Tax Credit to families with older children; AB 1698, which would create a tax credit for small restaurants that comply with food handler certification requirements; and AB 1620, which would allow a deduction for homeowners’ insurance premiums on primary residences. Supporters framed these bills as relief for families, small businesses, and land conservation efforts, while opponents repeatedly argued the tax code should not be used to subsidize these costs and that existing programs or market solutions were preferable. Each bill was ultimately referred to the suspense file, and the committee adjourned after completing the agenda.

Transcript Highlights:

• attorneys, the California Alliance, and the Department of Insurance to address the long-term insurance
• attorneys, the California Alliance, and the Department of Insurance to address the long-term insurance
• Addressing the impacts of TRS and insurance challenges is not about preserving our programs.
• Addressing the impacts of TRS and insurance challenges is not about preserving our programs.
• in terms of the volatility of the insurance market.

Keywords: 988, house, all

Transcript Highlights:

• </c><00:26:47.919><c> division</c> core mission in the insurance division core mission in the insurance
• </c> think it's really good for the insurance think it's really good for the insurance Market<00:27:19.720
• <00:40:24.280><c> issue</c> insurance issue insurance issue so<00:40:26.240><c> in</c><00:40:26.480><
• </c><00:41:09.240><c> companies</c> standards that the insurance companies standards that the insurance
• Insurance ramifications also Insurance ramifications also ramifications<01:12:13.520><c> on</c><01:12

Committee: House Housing

Keywords: 910, house, all

Summary: The House Committee on Housing held a public hearing on a wide range of housing-related bills. HB 295 on Hawaiian homelands drew support from the Office of Hawaiian Affairs and individual testifiers who described long waits for DHHL housing, while the Department of Hawaiian Homelands offered comments noting that lowering the Native Hawaiian blood quantum from 50% to 25% would require multiple legal and federal review steps. The committee also heard testimony on several Hawaii Public Housing Authority measures, including HB 99, HB 1096, HB 1097, HB 1095, HB 1093, and HB 1094, which generally received agency support and little or no public opposition during the hearing. HB 1094 prompted questions about the handling and sale or donation of seized property, and the agency said it lacked capacity to manage that work directly and would need to consult the Attorney General on liability concerns. The committee then heard HB 1056 and HB 1467, both related to a proposed Hawaii Homes or housing resiliency program. DCCA, the Hawaii Green Infrastructure Authority, the Climate Advisory Team, and Hawaii Realtors supported HB 1056, while the Attorney General requested clarification on fund language. The Insurance Commissioner said DCCA was willing to run the program and that strengthening homes would help keep insurance available in Hawaii. For HB 1467, the Hawaii Green Infrastructure Authority and Climate Advisory Team also supported the measure, with the Attorney General raising concerns about delegation, the special fund, and extension authority. Testimony on both bills emphasized hurricane retrofits, with some witnesses urging harmonization of the two similar proposals and one witness warning that the bills could conflict with efforts to reduce building-code minimum standards. Other measures included HB 1013 on important agricultural lands, which received support from HHFDC, the Office of Planning and Sustainable Development, DBEDT, the Agri-Business Development Corporation, and Purple Maiʻa Foundation, with some agencies offering comments. HB 1294 on agricultural workforce housing drew comments from the Attorney General, who said commissions may be established by law rather than by the department itself, along with support from OHA, a council member, and the Democratic Party of Hawaii Education Caucus. HB 89 on teacher housing received support from OHA and education groups, while the Attorney General said the bill may have constitutional issues and suggested amendments to set standards for voucher applications. HB 276 on condominiums and HB 528 on residential leases also drew support, with no testimony in opposition. HB 415 on public safety and fire sprinklers generated the most clear split in testimony: the State Fire Council, a fire department representative, and an individual supported the bill, arguing sprinklers improve safety and can prevent major losses, while BIA Hawaii, Pacific Home and Appliance Distribution, NAAP Hawaii, Gentry Holmes, and DR Horton Hawaii opposed it, saying the added cost would worsen housing affordability and that existing codes already address safety. No votes or final committee actions were taken during the hearing; the chair repeatedly closed each bill after testimony and questions, and the hearing moved through the agenda without recorded committee votes.

Transcript Highlights:

• They're going to have additional costs for their insurance.
• , Social Security, PERSI, unemployment insurance, workers' compensation insurance, and sick leave.
• , those dollars for health insurance would be going into the group insurance account, as well as the
• insurance.
• insurance.

Keywords: 989, all

Summary: The committee first received a briefing on the updated “green sheet” budget materials and how to read the FY 2027 columns, along with a review of several bills with fiscal impacts, including HB 503, HB 556, HB 559, and HB 578. Staff explained where the documents could be found online and answered questions about the timing and size of the bills’ fiscal effects, including the tax conformity bill and county jail reimbursement changes. The main business was the 2026 Idaho Budget Rescissions Act. Members debated whether to adopt the governor’s 3% rescission, add an additional 1% reduction, or add an additional 2% reduction. Supporters of deeper cuts argued the state needed structural balance, a larger ending balance, and a response to revenue uncertainty and the pending tax conformity bill. Opponents said across-the-board cuts were too blunt, could harm Medicaid, education, public safety, and other programs, and should be handled agency by agency. The committee first rejected the 1% and 2% substitute motions, then approved the governor’s 3% rescission motion on a due-pass recommendation. The committee then approved a transfer of $22,366,500 from the Public School Income Fund to the General Fund, with the motion passing after a roll call vote. It next took up statewide decisions, starting with ongoing base reductions for selected state agencies. After debate over whether the reductions should be 3%, 4%, or 5%, the committee rejected the higher-cut substitutes and approved the governor’s 3% base reduction recommendation. Members emphasized that the work groups would still have flexibility to adjust individual agency budgets later. Finally, the committee considered personnel benefit cost increases for FY 2027. Staff explained the proposed health insurance and other variable-rate adjustments, and members debated whether to use the governor’s recommendation or a DOGE Working Group recommendation that slightly changed the funding mix and total. The governor’s recommendation was defended as more consistent with prior employee-benefit review practice, while supporters of the DOGE proposal said it would tighten legislative control over funding. The governor’s recommendation was ultimately rejected, and the committee moved on after the roll call votes on the competing motions.

Transcript Highlights:

• But if you are insured, insured, insured, your<00:26:03.760><c> insurance</c><00:26:04.400><c> will</
• And I think they would insurance too.
• :10.000><c> companies</c><00:27:10.400><c> first</c> to their insurance companies first to their insurance
• Um, so exhausted all their insurance.
• </c><00:27:26.320><c> first</c> you need to go to your insurance first you need to go to your insurance

Committee: Joint Appropriations

Keywords: Appropriations - Room 216, 2 February, 2026; 1:30 PM, 925, all

Transcript Highlights:

• This includes understanding interest rates, loans and promissory notes, credit scores, insurance and
• So I'd encourage you to think about including insurance in those conversations.
• To think about including insurance in those conversations.
• So the last witness brought up insurance, and as I read the bill about or the proposal on 20, insurance
• insurance in those conversations.

Committee: House Financial Institutions

Summary: The committee first met in executive session and approved House Bill 2863 by a 14-0 vote. It then took up House Bill 2967, adopted a committee amendment that removed a fixed one-third allocation and allowed funds to be allocated by the body as needed, rolled the amendment into a substitute, and passed the House Committee Substitute for House Bill 2967 by a 15-0 vote. Members discussed how the bill related to another expungement-fund measure already passed by the House, and were told the two bills were intended to mirror each other and would not conflict. The committee then held a public hearing on House Bill 2303 and the mirrored House Bill 2867, both aimed at expanding Missouri’s personal finance education requirements. Sponsor testimony said the bills would require a half-credit in personal finance for graduation beginning in 2027-28, broaden instruction to include budgeting, credit, investing, fraud prevention, taxes, contracts, and major purchases, and create a DESE work group with industry and educator input to update standards every seven years. Sponsors and supporters said the goal was to better prepare students for real-world financial decisions, reduce debt traps, and improve workforce readiness. Witnesses from the Missouri Bankers Association, mortgage bankers, consumer credit groups, financial advisors, and individual advocates testified in support, emphasizing the need for updated, practical financial literacy instruction and regular curriculum review as financial products change. Committee members asked about the bill’s interaction with existing personal finance requirements, whether it would apply to public, private, homeschool, and GED pathways, and how early course completion waivers would work. Members also suggested adding insurance and gambling/probability topics to the curriculum discussion. No opposition testimony was offered, and House Bill 2119 was postponed to a future hearing before adjournment.

Transcript Highlights:

• For example, protections from discrimination in the provision of insurance that organizations need to
• So we ended up not being able to get our insurance from our longtime provider.
• Then we went to get additional insurance, like a carve-out just for medication abortion.
• And that health care is commercial insurance.
• So can you just tell me, your health insurance went up $960,000 to $2.1 million?

Committee: Senate Senate Committee on Steering and Policy

Keywords: 995, all

Summary: The Senate Committee on Steering and Policy held a public hearing on potential updates to Massachusetts’ 2022 Shield Law to strengthen protections for reproductive and gender-affirming health care. Chair Cindy Friedman said the hearing was prompted by escalating federal and out-of-state threats, and testimony was sought on loopholes and clarifications involving emergency abortion care, limits on cooperation with outside investigations, protection of patient data, and safeguarding licenses of providers and attorneys involved in this care. The Attorney General’s Office, ACLU of Massachusetts, GLBTQ Legal Advocates and Defenders, Reproductive Equity Now, the Massachusetts Medical Society, TransHealth, and Health Imperatives all supported strengthening the law. Witnesses urged broader bans on sharing health data with hostile states, explicit AG enforcement authority, exclusion of reproductive and gender-affirming prescriptions from the prescription monitoring program, protections for electronic medical records, and allowing clinicians to use practice names on prescription labels. Several speakers also called for protections for parents of transgender youth, attorneys, and nonprofit organizations, and some raised related concerns about insurance discrimination and the burden of post-24-week abortion restrictions. Committee members asked questions about enforcement mechanisms, data privacy, patient consent, and how to balance interoperability with privacy protections in electronic records. Witnesses said the goal was to prevent immediate harm while preserving patient control and access to care. No votes were taken during the hearing, and the chair closed by inviting written testimony and then moved to adjourn the hearing.

Transcript Highlights:

• First up, we have DCCA Insurance Division offering comments.
• </c> the latest evidence not insurance the latest evidence not insurance companies<00:12:52.120><c> this
• </c> sector folks including our insurance sector folks including our insurance industry<01:16:00.440>
• </c> insurance um under on dcca the insurance insurance um under on dcca the insurance Division<01:24
• </c><01:26:06.280><c> and</c> serendipitously changed insurances and serendipitously changed insurances

Keywords: 910, house, all

Summary: The joint hearing covered HB 553 on biomarker testing coverage, HB 556 on colorectal cancer screening access, and later HB 712 on 340B drug pricing. For HB 553, the American Cancer Society Cancer Action Network, patient advocates Natalie Heyman and Susan Hirano, a surgical oncologist, and the American Lung Association strongly supported the bill, arguing that biomarker testing should be covered when ordered by a doctor and guided by current evidence. DHS and several insurers offered comments and requested amendments, with DHS saying it appreciated the intent but wanted changes. The committees then voted to pass HB 553 with amendments, including a House draft and a defective date of July 1, 3000; both the House Health and Human Services and Homelessness committees adopted the recommendation unanimously. For HB 556, testimony focused on closing gaps in colorectal cancer screening, especially for uninsured and underinsured patients who can get stool-based screening but then cannot access follow-up colonoscopies. Community Clinic of Maui, ACS CAN, and the American Cancer Society supported the bill, with ACS CAN urging a program similar to the breast and cervical cancer control program and offering amendments. DHS requested that the program and appropriation not conflict with executive budget priorities, and the committees noted technical amendments, a defective date, a blank appropriation amount, and corrections changing Medicare references to Medicaid. HB 556 was also passed with amendments by both committees. The hearing then moved to HB 712 on 340B drug pricing and contract pharmacies. The Department of Health and the Attorney General’s office expressed concern that the bill would require the state to regulate private commercial activity and said the department lacked the expertise and resources to implement it as written, suggesting it might belong in a different statutory section. In contrast, PhRMA opposed the bill, while Hawaii Pacific Health and Hawaii Island Community Health Center supported it, saying 340B savings are important for hospital services and patient access to low-cost medications, especially where manufacturers have restricted shipments to contract pharmacies. No vote on HB 712 was taken in the portion provided.

Transcript Highlights:

• Our insurance benefit at the time, we understood it, was that once we met our deductible, they would
• Only $2,000 of that went towards our deductible and out of pocket, and then the insurance didn't pay
• and then the insurance didn't pay anything<00:08:51.959><c> so</c><00:08:52.760><c> today</c><00:08:
• where the insurance deemed the hearing<00:09:09.000><c> aids</c><00:09:09.440><c> elective</c><00:09
• </c> managers a lot of the um insurance managers a lot of the um insurance companies<00:10:28.839><c>

Keywords: 958, all

Summary: The committee first took up Senate Bill 27, as amended by committee substitute, which would create a Kentucky Parkinson’s disease research registry. The sponsor said the substitute was developed with UK, U of L, the Michael J. Fox Foundation, and Parkinson’s in Motion to better define a movement disorder center, add Parkinson’s experts from both universities to the advisory committee, require automated reporting, and delay implementation until 2027. Testimony emphasized the need to track diagnoses and testing while protecting confidentiality and allowing people to opt out. The committee adopted the substitute and then voted unanimously to pass SB 27 with a favorable expression. The committee then heard Senate Bill 93, dealing with hearing aid coverage for children. A parent described the high cost of hearing aids for her son and the financial burden created by insurance limits, while a pediatric audiologist explained that early identification and treatment improve language outcomes and that families can spend about $30,000 on hearing aids from birth to age 18. The committee substitute removed adults from the bill and added an in-network requirement for pediatric audiologists, along with a replacement interval consistent with Medicaid guidelines and repair/loss coverage provisions. After questions about costs, replacement timing, and insurer practices, the committee voted unanimously to pass SB 93 with a favorable expression. Finally, the committee considered Senate Bill 153, a transparency and due-process bill concerning Medicaid prepayment review. The sponsor and witnesses from Addiction Recovery Care and Frontier Behavioral Health said prepayment reviews can be imposed with little notice or explanation, disrupt cash flow, and burden rural and smaller providers; they argued the bill would require clearer notice, reasons, and timelines without stopping legitimate reviews. Members asked about managed care organizations, contract issues, and whether the bill would conflict with existing agreements, and the sponsor said it would not. After discussion and an explanation of vote from Senator Douglas, the committee voted to pass SB 153 with a favorable expression.

Transcript Highlights:

• So we work with an insurer. We create an insurable, um, bundled service and do it that way.
• </c> be able to bill insurance for that? be able to bill insurance for that?
• . insurance. insurance.
• </c> Aziz from New Hampshire Insurance Aziz from New Hampshire Insurance Department.
• </c> billable to insurance or to Medicaid. billable to insurance or to Medicaid.

Committee: House Health, Human Services and Elderly Affairs

Keywords: 1189, house, all

Transcript Highlights:

• coverage other than flood insurance at the time, and the insurer or FEMA wholly or partially denied
• coverage other than flood insurance at the time, and the insurer or FEMA wholly or partially denied
• or NFIP flood insurance, which she described as full of loopholes.
• My son, he had insurance on his car, but the insurance for his car...
• My son had insurance on his car, but the insurance for his car does not cover replacement.

Bills: HB48 , HB66 , HB68 , HB71 , HB75 , HB164 , HB171 , HB254 , SB3 , SB18 , HB123 , HB149 , HB117

Committee: House Disaster Preparedness & Flooding, Select

Keywords: HB 48, Texas alert notification systems, emergency alerts, public warning systems, alert fatigue, notification fatigue, Texas Division of Emergency Management, Department of Public Safety, DPS alerts, emergency management, State of Texas Emergency Assistance Registry, STEAR, disaster notifications, weather alerts, Amber Alert, Silver Alert, Blue Alert, missing persons alerts, accessible alerts, hearing impaired

Summary: The committee met in special session to hear a series of flood, preparedness, and youth-camp safety bills, with members repeatedly noting that many of the measures were intended as planning, warning, or authority-clarifying bills rather than direct spending bills. House Bill 254 would expand eligibility for the Rural Infrastructure Disaster Recovery Program to include Kerr County and 18 other flood-affected counties by raising the GDP cap and lowering the poverty threshold; it drew no opposition and was left pending. House Bill 68 would direct a study of flood mitigation in flatland areas, especially in the Rio Grande Valley, to develop cost-effective drainage and infrastructure recommendations; local officials and advocates supported it, and it was also left pending. The committee then heard several youth camp bills tied to the recent Hill Country flooding. House Bill 75 would impose flood-aware building and site standards for youth camps near floodplains, and House Bill 71 would require camps and youth activity entities to submit emergency preparedness plans to TDEM, coordinate with local responders, and maintain readiness protocols; both bills were supported by safety advocates and camp representatives, and both were left pending. House Bill 171 would require campgrounds near flood-prone waters to give written flood-risk notice to campers and obtain signed acknowledgment; it was presented as informed consent and left pending. Testimony on these bills emphasized Camp Mystic and other recent flood tragedies, with some witnesses urging broader building-code and floodplain reforms. The committee also heard House Bill 117, which would let counties regulate impervious cover for flood mitigation in unincorporated areas. Supporters, including county officials, environmental groups, and residents, argued that rapid development in the Hill Country and other growing areas is worsening runoff and downstream flooding; opponents from the builders’ association said counties already have substantial authority and warned about overreach into rural property use. After extensive testimony, the bill was left pending. Senate Bill 18 would streamline permitting for certain flood control districts to repair dams and reservoirs and build small holding areas, and it was left pending after supportive testimony from Plum Creek Conservation District. Senate Bill 3 would create a state-backed outdoor flood warning siren program for identified flood-prone areas, funded through a grant program; witnesses generally supported it, though some cautioned that sirens are not sufficient by themselves and may not be heard indoors or in overnight storms. It too was left pending. The committee also began hearing House Bill 149 on public-safety radio interoperability, but the transcript cuts off before the bill’s full testimony or action is shown.

Transcript Highlights:

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Committee: Senate Labor

Keywords: 1187, senate, all