Transcript Highlights:

• Massage therapy now is looking at getting paid by Medicare, Medicaid, if they—I guess I have to look
• </c> because it's not a reimburseable because it's not a reimburseable service.<01:16:20.560><c> Um</
• So, as you know, FQCs are reimbursed using a different model than traditional Medicaid.
• So, as you know, FQCs are reimbursed using a different model than traditional Medicaid.
• So, as you know, FQCs are reimbursed using a different model than traditional Medicaid.

Bills: HF362, HF2590, HF2760, HF3444

Keywords: massage therapy, Asian bodywork therapy, massage therapist, Asian bodywork therapist, licensure, professional licensing, health occupations, Department of Health, commissioner of health, advisory council, protected title, unlicensed practice, scope of practice, consumer protection, background check, professional liability insurance, continuing education, credentialing examination, state preemption, municipal regulation

Transcript Highlights:

• The bill creates a clear reimbursement formula.
• When I started at Louisiana Blue, it was half that and lower than physician reimbursement.
• It now eclipses physician reimbursement and is equal to hospital. We need some relief.
• We do agree with the reimbursing, but I do want to make clear it is contingent on our belief of reimbursing
• "And so the dispensing fees are negotiated as a part of that pharmacy reimbursement contract.

Bills: HB591, HB765, HB826, HB870, HB938, HB1151, HB1162, HB1176, HB1196, HB1236, HB1241

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs

Transcript Highlights:

• We're seeing requests now over 600% of Medicaid, Medicare reimbursement rates as requests for increased
• In designing reimbursement rates for insurers, there's even guidance from Medicare where you take the
• in terms of reimbursement.
• If reimbursement parity is mandated here, it gets mandated elsewhere.
• Lussure, so your rate reimbursement rates went down.

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

Transcript Highlights:

• a dedicated registered nurse for care management, a social worker to help navigate Medicaid and Medicare

Bills: SJR1, SM2

Keywords: school elections, partisan elections, voting rights, constitutional amendment, New Mexico, elector registration, pediatric palliative care, pediatric hospice, Medicaid, state plan amendment, Health Care Authority, children with serious illness, life-limiting conditions, complex medical conditions, curative care, concurrent care, family-centered care, hospice services, managed care, pain management

Transcript Highlights:

• next bill, House Bill 2441, expands line-of-duty-related death benefits prospectively to include Medicare
• House Bill 2441, concerning medical insurance premium reimbursements for surviving spouses.
• The plan will allow workers who sacrifice their bodies on the job to retire before they are Medicare
• At that point, the fund should be used to reimburse the general fund expenses for implementation of the

Bills: HB1069, HB2091, SB6355, HB2104, SB6003, HB2441, HB2124, HB2610, HB2338

Keywords: collective bargaining, retirement benefits, employee rights, public sector, supplemental benefits, public employers, employee information, bargaining representatives, labor relations, union representation, electric transmission, energy policies, infrastructure, regulatory framework, transmission systems, aviation, wildland fires, funding, disaster relief, emergency response

Bills: SB1684, SB1443, SB1447, SB378, SB1920

Keywords: SB1684, Oklahoma Highway Remediation and Cleanup Services Act, highway cleanup, roadway remediation, tow truck, wrecker service, liability insurance, DEQ, Department of Environmental Quality, motor vehicles, licensing, public safety, cleanup operators, roadside services, commercial towing, insurance requirement, license fee, revocation, suspension, Turnpike Authority

Summary: The committee considered several bills and moved each one forward without opposition. Senate Bill 1684, presented by Representative Bayshore, would require highway remediation companies to carry at least $3 million in liability insurance before entering roadways to protect the public; it passed 6-0 and was recommended to the next committee. Senate Bill 378, also presented by Bayshore, would modernize the multi-county bail bonds statute by adding flexibility in writing capacity and strengthening financial oversight and transparency; it passed 6-0 and was recommended for the floor. Senate Bill 1447, presented by Representative Marti, would change requirements for the RFP for the state employee prescription drug plan. Marti used the presentation to sharply criticize the State Chamber and outside messaging about the bill, arguing the legislation would not raise drug costs and that similar laws in other states have produced savings; the bill passed 6-0. Senate Bill 1920, presented by Representative Tedford, would raise the salvage title threshold for autos from 60% to 70% to align more closely with neighboring states and avoid prematurely totaling vehicles; it passed 6-0 and was sent to the next committee. After a brief suspension, the committee took up Senate Bill 1443, presented by Representative Sneed on behalf of Chairman Chad Caldwell, which concerns anesthesia services. No questions or debate were raised, and the bill passed 6-0. The meeting then adjourned.

Bills: SB43, SB50, SB145, SM2

Keywords: parole, life imprisonment, rehabilitation, criminal justice, victim rights, law enforcement, training requirements, mental health, domestic abuse, child abuse, public safety, crisis intervention, auditing, financial reporting, state auditor, public agencies, capital outlay, compliance, federal audits, pediatric palliative care

Bills: SB43, SB50, SB145, SM2

Keywords: parole, life imprisonment, rehabilitation, criminal justice, victim rights, law enforcement, training requirements, mental health, domestic abuse, child abuse, public safety, crisis intervention, auditing, financial reporting, state auditor, public agencies, capital outlay, compliance, federal audits, pediatric palliative care

Bills: SB1684, SB1443, SB1447, SB378, SB1920

Keywords: SB1684, Oklahoma Highway Remediation and Cleanup Services Act, highway cleanup, roadway remediation, tow truck, wrecker service, liability insurance, DEQ, Department of Environmental Quality, motor vehicles, licensing, public safety, cleanup operators, roadside services, commercial towing, insurance requirement, license fee, revocation, suspension, Turnpike Authority

Bills: SB279, HB478, SB279, HB478

Keywords: Alabama State House, Montgomery, Legislative Council, demolition, state capitol, state capitol building, historic preservation, state property, inventory removal, fixtures, furnishings, reuse, recycling, upcycling, surplus property, public assets, legislative chambers, desk sale, chair sale, state auditor

Bills: S0330, S0474, S0694, S1120, S1216, S1366, S1442, S7018

Keywords: firefighter disability, law enforcement disability, correctional officer disability, correctional probation officer, presumptive disability, workers' compensation, line of duty presumption, heart disease presumption, hypertension presumption, tuberculosis presumption, public safety employees, first responders, physical examination, preemployment exam, medical specialist, Medicare reimbursement, employing agency, Florida Statutes 112.18, Florida Statutes 943.13, occupational disease

Summary: The committee heard and advanced several bills, beginning with SB 694 on compensation for the descendants of the Groveland Four. Senator Bracey Davis described the wrongful accusations, convictions, deaths, and long-term harm to the families, and an amendment added a $4 million appropriation and updated the recipient for Ernest Thomas’s family. Multiple family members, advocates, clergy, and supporters testified in favor, emphasizing the decades-long delay in justice and the need for accountability and repair. Senators from both parties spoke in support, and the committee reported the bill favorably after a roll call vote. The committee then approved SB 330 on disability provisions for firefighters, law enforcement, and correctional officers; SB 474 on military affairs leave and related benefits; and SB 96 on the Veterans Dental Care Grant Program. SB 96 drew the most discussion, with Senator Sharief explaining that the bill raises eligibility to 400% of the federal poverty level and moves $500,000 in recurring funding to the General Appropriations Act. Senator Wright and Senator Harrell raised concerns about whether expanding eligibility could worsen the existing waitlist, while supporters argued the change would help more veterans access needed dental care. The bill was ultimately reported favorably. The committee also passed SB 7018 on child welfare, making the Step Into Success pilot program permanent and statewide, adjusting visitor/background-check rules for foster homes, and creating a best-practices program through the Florida Institute for Child Welfare. SB 480 on information technology was reported favorably after amendments creating a central IT governance structure under the Governor’s office, adding vendor performance metrics and a preferred vendor list, and restoring criminal justice information security provisions. SB 1066 on the Ocklawaha River and Rodman Dam also advanced after extensive testimony from supporters and historians about partial restoration, recreation, and economic benefits; the sponsor said he would continue working through permitting questions before floor consideration. Later, the committee approved SB 1216 on educator compensation, which gives districts more flexibility on cost-of-living adjustments, advanced degrees, and performance pay caps, and SB 1120 on water management district oversight and reporting. The committee also reported favorably SB 1366 on sovereign immunity and claims against government, which would raise damages caps, index them to CPI, shorten claim deadlines, and cap attorney fees at 25%. That bill drew testimony from hospitals, cities, counties, school districts, and others, with some supporting the Senate’s compromise approach and others raising concerns about impacts on self-insured law enforcement agencies and attorney incentives. The meeting concluded with the favorable report on the bill after debate continued over those issues.

Transcript Highlights:

• The goal of Senate Bill 1330 is simply to close a loophole in the federal Medicare law that allows some
• Currently we're seeing charges as much as 800% more. more than Medicare-approved prices on some of these
• The last thing is. 7,200 folks are Texas policies for those Medicare supplement.
• The first two have to do with abuse and Medicare fraud waste. and abuse and durable medical equipment
• So we identified a number of solutions, whether it was in Medicaid, private market coverage, or Medicare

Bills: SB 53, SB53, SB125, SB315, SB379, SB457, SB541, SB599, SB896, SB921, SB963, SB1038, SB1084, SB1330, SB1461

Keywords: voter registration, election procedures, provisional ballot, change of address, residence requirements, mental health, court proceedings, notice requirements, legal filings, electronic documents, autologous blood donation, direct blood donation, blood bank, hospital, Health and Safety Code, physician order, preoperative blood donation, patient blood reserve, transfusion, surgery

Transcript Highlights:

• Medicaid and Medicare have...
• A minor clerical error will not result in the PBM taking back the reimbursement.
• There's MedSup, like we're talking about today, and Medicare Advantage.
• You see a doctor who accepts Medicare, send in your bill, and it gets paid.
• I've got Medicare and Medigap Medicare Supplement Plan G.

Bills: HB1464, HB1635, HB2516, HB3317, HB3502, HB4012, HB4268, HB4386, HB4877, SB916

Keywords: prescription drugs, drug pricing, pharmacy benefits, health insurance, health benefit plan, insurer, HMO, self-insured employer, public employer, school district, county, municipality, university system, higher education, retirees, dependent coverage, stop-loss coverage, bulk purchasing, group purchasing, purchasing pool

Transcript Highlights:

• So this is for individuals who are already insured under Medicare.
• Medicare Advantage plans, there is an open enrollment period, and your original Medicare, so if you're
• Medicare Advantage plans, there is an open enrollment period, and your original Medicare, so if you're
• Medicare is significant. So I appreciate it.
• and 150% of Medicare in the subsequent year.

Bills: SB21, SB42, SB81, SB101, SB139

Keywords: SB 21, Medicare supplement, Medigap, open enrollment, guaranteed issue, birthday month enrollment, health insurance, insurance regulation, senior health coverage, elderly, retiree, Medicare beneficiaries, preexisting conditions, underwriting restrictions, premium discrimination, New Mexico insurance law, superintendent of insurance, health care coverage, policy portability, healthcare

Transcript Highlights:

• Lower reimbursement means fewer resources for these communities, Lower reimbursement means fewer resources
• Sixty percent of those are Medicaid, 15% of those are Medicare.
• Just to show you how... 15% of those are Medicare.
• And they fixed the problem, but that was for Medicare.
• And so the reimbursement has been different.

Bills: HB288, HB403, HB420, HB783, HB815, HB915, HB927, HB933, HB944, HB962, HB971, HR74, SCR3, SCR20, SB5, SB34, SB37, SB190, SB255, SB270, SB273, SB314, SB415

Keywords: medical terminology, documentation, miscarriage, spontaneous abortion, healthcare, medical records, billing, homemade food, food safety, small business, exemption, regulation, Department of Children and Family Services, background checks, child welfare, employee screening, safety regulations, criminal history, non-lactational dairy, labeling requirements

Transcript Highlights:

• The two key ones are basic Medicare with and without a supplement, and Medicare Advantage.
• it's coming from a Medicare Advantage plan, a Medicare Supplement Plan, or in many cases Medicaid, is
• whether to choose basic Medicare with a supplement or a Medicare Advantage plan.
• </c> uninitiated I am myself a a Medicare uninitiated I am myself a a Medicare member<00:01:44.920><c
• Advantage plan a coming from a Medicare Advantage plan a Medicare<00:02:31.720><c> Supplement</c><00

Bills: HF2335, HF2400, HF2401, HF2522

Keywords: Medicare, health insurance, supplement policies, preexisting conditions, medical assistance, premium classification, real estate, appraisers, disciplinary actions, sanction matrix, Minnesota Statutes, continuing education, out-of-state, licensing, commerce, fraud prevention, automobile theft, law enforcement, insurance crimes, 1183

Bills: S0330, S0354, S0504, S0506, S0526, S0594, S0840

Keywords: firefighter disability, law enforcement disability, correctional officer disability, correctional probation officer, presumptive disability, workers' compensation, line of duty presumption, heart disease presumption, hypertension presumption, tuberculosis presumption, public safety employees, first responders, physical examination, preemployment exam, medical specialist, Medicare reimbursement, employing agency, Florida Statutes 112.18, Florida Statutes 943.13, occupational disease

Summary: The committee took up several bills related to public safety, housing, disaster recovery, construction, and land use. SB 330 clarified the heart disease presumption for firefighters, law enforcement, and correctional officers, aligned the definition of heart disease with medical practice, and allowed a transferring law enforcement officer to rely on a prior physical if the new agency does not provide one. An amendment stating the act serves an important state interest was adopted, and the bill passed unanimously after supportive testimony from law enforcement and fire groups. SB 594 expanded local housing assistance eligibility to residents of mobile home communities, including SHIP rental assistance for lot rent and rehabilitation/emergency repair programs for the home itself; it also passed unanimously after support from manufactured housing advocates. SB 840 revised the hurricane-related land use limits enacted in prior legislation by sunsetting certain temporary restrictions on June 30, 2026, narrowing the affected area from 100 miles to 50 miles from a storm track, and exempting certain planning, water, wastewater, stormwater, and flood-related decisions. The sponsor said the bill was intended to fix unintended consequences of prior hurricane recovery legislation, and the measure was reported favorably on a unanimous vote. SB 526 addressed commercial construction projects by prohibiting “no damages for delay” clauses in public construction contracts, directing the Florida Building Commission to create a uniform commercial permit application, requiring permit fee reductions when private providers are used, and adding mitigation to product approval categories; county representatives raised concerns about implementation and fees, but the bill passed favorably. The committee also approved SB 504 and SB 506, both by Senator Burgess, creating a framework for code inspector body camera use and a related public records exemption for recordings. Both were described as optional for local governments and were reported favorably without opposition. Finally, the committee considered CS/SB 354, a major “blue ribbon projects” bill creating a framework for very large developments that would reserve at least 60% of land for conservation, agriculture, recreation, utilities, and related uses in exchange for streamlined approval and state preemption over local land use controls. The bill drew extensive testimony both for and against, with supporters emphasizing housing supply and land preservation and opponents warning about local control, sprawl, infrastructure costs, and weak conservation protections. Two amendments were adopted to define reserve areas more specifically and address conservation easements, and the committee reported the bill favorably on a divided vote, with Senator Passidomo voting no.

Transcript Highlights:

• priority in the program for the review of health technology technologies that are recommended by Medicare
• beneficiaries will not experience additional costs from choosing the original Medicare program and will
• This is just a letter really to the federal government regarding Medicare, which is a federal program
• There's been some problems with Medicare Advantage, which is the private insurance piece.
• So the issue that I have with this is that right now I don't even know if Medicare is going to be around

Bills: SB5915, SB6025, SJM8002

Keywords: SB 5915, health technology assessment, HTA, clinical committee, medical technology review, coverage determination, state-purchased health care, Washington health care, RCW, evidence-based medicine, cost-effectiveness, safety and efficacy, Medicare coverage, national coverage determination, clinical guidelines, patient advocacy, public comment, medical necessity, rare disease, life-threatening disease

Summary: The committee held public hearings on Substitute Senate Bill 6183, which would require health plans, including public and school employee plans, to cover FDA-approved HIV antiviral drugs without prior authorization, step therapy, or other utilization management when therapeutic equivalents exist. The prime sponsor said the bill is part of Washington’s effort to end HIV/AIDS and argued that delaying access to needed medication is especially harmful for late-stage diagnoses. No one testified in person or remotely, and public testimony was closed. The committee then heard Substitute Senate Bill 6226, which would limit the Board of Hearing and Speech from adopting rules that prevent licensed audiologists, speech-language pathologists, and hearing aid specialists from using clinical judgment to choose telehealth or in-person care. Supporters said teleaudiology expands access, especially in rural areas and for patients with mobility barriers, while some testifiers raised patient safety concerns about first-time hearing aid fittings and asked for amendments or more time to review safeguards. One testifier said the Washington Hearing Society had moved to neutral after discussions on amendments. In executive session, the committee adopted amendments and advanced several measures. Substitute Senate Bill 5185, on international medical school graduate physician licensing, passed with a technical amendment and a do pass recommendation. Substitute Senate Bill 5845, on timing of claims payments, was amended to include tribal health care systems, shorten carrier refund-request timelines, and delay implementation to January 1, 2028, then passed 17-1. Senate Bill 5915, prioritizing certain health technology assessments, and Senate Bill 6025, modifying the definition of fetal death, both passed unanimously. Senate Joint Memorial 8002, asking the federal government to change Medicare policy, passed 15-3. The committee then adjourned.

Transcript Highlights:

• We are very disappointed by... ...to increase Medicaid reimbursement rates.
• Senate Bill 6353 requires that a provider be reimbursed for up to 15 days if attendance is between 1
• Lastly, the attendance-based reimbursement modification may have fiscal savings in the range of $600
• The savings are due to fewer non-attending days being reimbursed under that policy.
• They receive reimbursement or depreciation payments from the state for these buses.

Bills: SB5808, HB2254, HB2385, SB6006, SB6351, SB6198, SB6260, SB6353, SB5949, SB6129, SB6228, SB6231, SB6229, SB6173

Keywords: health insurance, premium assistance, funding, healthcare access, state budget, HB 2254, Washington, Health Care Authority, partnership access line, psychiatric consultation line, first approach skills training, behavioral health, mental health, assessment, administrative costs, health carriers, self-funded plans, multiple employer welfare arrangement, MEWA, employers

Summary: The committee first suspended the five-day notice rule for Senate Bills 6260 and 6353, then held public hearings on several measures. Senate Bill 5808 would require nonprofit health carriers with excess surplus to pay 10% of that surplus to the state health care affordability account for Cascade Care Savings; staff said it could raise about $330 million one time, while supporters said it would redirect unneeded reserves to premium assistance and opponents argued it would weaken nonprofit insurers’ financial stability and competitiveness. House Bill 2254 would let administrative costs for the Partnership Access Line assessment be included in the assessment itself, shifting costs off the general fund; it drew support from HCA and Seattle Children’s. House Bill 2385 would extend the deadline for the Medicaid Access Program, which cannot currently be implemented because of federal restrictions, and was supported as preserving a future path to Medicaid rate increases. Substitute Senate Bill 6286 would impose escalating fines on private detention facilities that block Department of Health inspections and place the proceeds in a community repair account; supporters framed it as accountability and repair, while the fiscal note showed implementation costs to DOH. The committee also heard tax-preference bills. Senate Bill 6006 would exempt food banks from sales tax on certain services, with supporters from Northwest Harvest, Food Lifeline, and tribal representatives saying it would free up resources for food distribution. Senate Bill 6351 would exempt K-12 schools, before- and after-school care, arts and cultural nonprofit classes, and some related activities from the new sales tax on certain services enacted last session; school districts, arts groups, and PTA representatives supported it, though some asked for clarifying language. Engrossed Substitute House Bill 1717 would let cities and counties create local sales tax remittance programs for affordable housing projects, and it drew support from builders, housing nonprofits, counties, and city officials as a local incentive to lower development costs. Senate Bill 6198, the annual accounts bill, would close obsolete accounts, adjust the abandoned recreational vehicle account’s administrative cap, and redirect certain deposits to the general fund; OFM supported it. In executive session, the committee took action on several bills. It adopted a substitute and passed Substitute Senate Bill 5949, which narrows a B&O tax exemption related to insurance premiums; a proposed amendment to remove retroactivity failed. It adopted amendments and passed Substitute Senate Bill 6129 on cigarette, tobacco, and nicotine taxes, including a change to avoid double taxation, while rejecting amendments that would have replaced the bill with studies or enforcement task forces. It passed Substitute Senate Bill 6228 repealing the preferential B&O rate for prescription drug resellers, and Substitute Senate Bill 6231 repealing data center sales tax exemptions, despite opposition that both would raise costs and harm competitiveness. It also adopted an amendment and passed Second Substitute Senate Bill 5965 on retail bags, removing the proposed ban on reusable film plastic bags and retaining a fee structure instead. The committee then began discussion of Senate Bill 6173, the Apple Health employer assessment, with a lengthy proposed substitute and multiple amendments described, but no final action on that bill was taken in the portion provided.

Transcript Highlights:

• to Medicare privatization.
• original Medicare.
• And they said, preserve Medicare.
• and Medicare Advantage.
• There's Medicare Advantage and traditional Medicare.

Bills: SB5915, SB5988, SB6025, SJM8002

Keywords: SB 5915, health technology assessment, HTA, clinical committee, medical technology review, coverage determination, state-purchased health care, Washington health care, RCW, evidence-based medicine, cost-effectiveness, safety and efficacy, Medicare coverage, national coverage determination, clinical guidelines, patient advocacy, public comment, medical necessity, rare disease, life-threatening disease

Summary: The House Health Care and Wellness Committee held public hearings on several Senate bills and one joint memorial. SB 5915 would update the Health Technology Assessment Program by adding Medicare-recommended or guideline-recommended technologies to the review priority list, requiring broader evidence review for rare or life-threatening diseases, and setting posting and decision deadlines; supporters from rare disease families and clinicians said the current process is outdated and too rigid, while the sponsor said the bill reflects needed modernization. SJM 8002 urges the federal government to oppose Medicare privatization and make changes to original Medicare and Medicare Advantage, including eliminating the 20% coinsurance in original Medicare, adding dental/vision/hearing benefits, reducing Medicare Advantage overpayments, and recouping fraud and abuse funds; labor, senior, and retiree advocates supported it as a way to protect beneficiaries and the Medicare trust fund. The committee also heard SB 5395 on prior authorization, which would require more transparency in denial notices, limit denial decisions to licensed clinicians, restrict AI from being the sole basis for denials or delays, and address retrospective denials; providers, hospitals, and patient advocates supported the bill as a compromise to reduce delays and inappropriate denials, while insurers were generally neutral but sought a narrow amendment. SB 5845 would tighten payment timelines for clean claims, require faster notice and information requests for non-clean claims, and authorize penalties for chronic noncompliance; hospitals and physicians said predictable payment is essential for financial stability, while insurers were neutral and requested a limited amendment. SB 6025 would change the fetal death definition to use the best clinically accurate gestational age rather than the last menstrual period; OB-GYNs, nurses, and medical groups supported it as a medically accurate update, while one opponent objected on moral grounds. The committee also heard SB 5988, which would authorize the Department of Health to continue accrediting opioid treatment programs and set fees to cover the program’s costs; the sponsor and DOH said it is needed to maintain a patient-centered accreditation option after budget cuts, and the bill was described as a companion to House legislation. Finally, SB 5917 would change how the Department of Corrections coordinates distribution of state-purchased abortion medications, remove the current cost-plus-fee requirement, and broaden the definition of abortion medication; supporters said it would allow the stockpiled medication to be distributed to providers and patients, while opponents argued it promotes abortion and misuses public funds. The transcript ends with the committee closing public testimony and adjourning, with no votes taken in the hearing.