Transcript Highlights:

• So you're basically paying your deductible twice.
• I have a question: when you talked about the high-deductible plan, so if somebody had a low-deductible
• plan like a thousand... ...deductible plan.
• So if I have a low deductible, I receive this benefit along with people that have the high deductible
• It would be counted toward your deductible.

Bills: SB2271, HB1216

Keywords: adult residential facilities, care services, Medicaid, payment rates, elderly care, health services, North Dakota, prescription drugs, drug affordability, copay assistance, copayment accumulator, deductible accumulator, out-of-pocket maximum, health insurance, health benefit plan, self-insured health plan, self-funded plan, third-party payment, manufacturer assistance, patient assistance program

Summary: The Appropriations Committee met with a quorum and took up three bills. House Bill 1216, dealing with prescription drug expense co-pay accumulators in health plans, was presented by Rep. Karen Carl’s, who explained it would prevent insurers from refusing to count third-party assistance toward deductibles for patients using high-cost, non-generic drugs. An amendment was offered to clarify effective dates, including a delayed January 1, 2026 start for PERS coverage. PERS testified that the amendment would align with its calendar-year benefit structure and likely reduce the fiscal note. The amendment was adopted 16-0, and the bill was set aside for further discussion later. House Bill 1199, creating a criminal justice data-sharing system and missing persons/missing Indigenous people task force, was introduced with a committee amendment changing the Attorney General reference to the Attorney General or designee. The committee noted the bill includes a $250,000 general fund appropriation for ongoing costs. The amendment passed 16-0, and the amended bill received a do pass recommendation by a 15-1 vote, with one no vote from Senator Magrum. House Bill 1531, appropriating $75,000 for an irrigation expansion study by the Agriculture Commissioner, was supported as a way to update older economic-impact studies on irrigation and assess opportunities for expansion. Members discussed its relationship to broader study pauses and the history of irrigation development in the state, including Garrison Diversion and remaining authorized acres. The bill passed 16-0. The committee then discussed scheduling for the coming week, noting a heavy bill load and plans for daily morning meetings before adjourning.

Transcript Highlights:

• federal law changes that might could adjust any definitions of preventative care or co-pays or cost accumulators
• federal law changes that might could adjust any definitions of preventative care or co-pays or cost accumulators
• federal law changes that might could adjust any definitions of preventative care or co-pays or cost accumulators
• federal law changes that might could adjust any definitions of preventative care or co-pays or cost accumulators
• And this basically just removed some of the wording in the definition of HSAs. co-pays or cost accumulators

Bills: HB300, HB40, SB19, HB283, HB179, HB296, HB300, HB40, SB19, HB283, HB179, HB296

Keywords: HB300, Choctaw County, probate court, probate judge, recording fee, filing fee, deed tax, mortgage tax, deeds, mortgages, property records, recordation, county local act, local legislation, technology upgrades, digitalization of records, recordkeeping, county treasury, special fund, court administration

Bills: SB294, HB296, HB300, SB269

Keywords: public officers, bonding, risk management, notification, delinquency, consumer protection, rental home, marketplace guarantees, insurance, commissioner of insurance, healthcare, breast cancer screening, insurance coverage, deductible, copayment, emergency medical services, ambulance reimbursement, health care insurers, balance billing, provider networks

Bills: SB19

Keywords: SB19, prostate cancer, prostate cancer screening, PSA test, digital rectal exam, preventive screening, health insurance mandate, no cost sharing, copay, deductible, coinsurance, high-risk men, African American men, men over 50, men over 40, family history, genetic marker, health benefit plan, insurer coverage, Alabama insurance code

Bills: SB190, HB515, SB190

Keywords: SB190, prostate cancer, prostate screening, PSA test, digital rectal exam, preventive screening, health insurance mandate, cost-sharing, copay, deductible, coinsurance, high-risk men, African American men, family history, genetic marker, men over 50, men over 40, health benefit plan, insurance coverage, mandated benefits

Bills: SB45, SB73, SB169, HB243, SB177

Keywords: driver licenses, validation, identity, state laws, regulations, K-12 education, athletic associations, student-athlete eligibility, Alabama Administrative Procedure Act, governance, manslaughter, criminally negligent homicide, motor vehicle crimes, restitution, law enforcement, HB243, Devinee Rooney and John Wesley Safe Streets Act, DUI, drunk driving, impaired driving

Bills: HF169, HF195, HF194, HF1756, HF2133

Keywords: HF169, Minnesota insurance, health plan, summary of benefits and coverage, SBC, patient assistance program, deductible, health insurer, consumer disclosure, out-of-pocket costs, medical assistance funds, copay assistance, health coverage transparency, chapter 62Q, enrollee, HF195, Fairmont, street reconstruction, bonding bill, capital investment

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: SB45, SB73, SB169, HB243, SB177

Keywords: athlete agents, commission, state regulation, Alabama, higher education, athletics, membership diversity, catastrophe savings account, catastrophe fund, storm savings, disaster savings, hurricane, windstorm, floodwaters, hail, tornado, property insurance, homeowners insurance, insurance deductible, FORTIFIED

Transcript Highlights:

• taxpayer from obtaining a double benefit by claiming the same expenditures for another tax credit or deduction

Bills: SB2088, SB2925, SB3263, SB2047, SB2087, SB2100, SB2268, SB2353, SB2781, SB2902

Keywords: coconut trees, tax credit, natural management, Hawaii, agriculture, biosecurity, environment, coconut rhinoceros beetle, student-athletes, name image likeness, NIL, compensation, transparency, University of Hawaii, Title IX, funding, protections, pharmacy benefit managers, maximum allowable cost, drug pricing

Summary: The joint committee on Ways and Means and Consumer Protection met for decision-making only on two agendas and took action on a large number of Senate bills, with no oral testimony heard. On the 1016 agenda, the committee recommended passage of measures including SB 2088, SB 2925, SB 2781, and several others, and passed a number of bills with amendments. Notable amendments included SB 3263, which adopted AG amendments related to the name, image, and likeness endowment trust fund; SB 2047 on pharmacy benefit managers, which incorporated Hawaii Pharmacist Association changes; SB 2087 on health insurance, which added Insurance Division clarifications; SB 2100 on pesticides, which added a blank appropriation; SB 2353 on outdoor signage, which removed provisions related to the Wiki special district; and SB 2902 on renewable energy, which clarified certification standards for portable solar devices and exempted them from certain disclosure requirements. Most recommendations were adopted without objection, though a few members noted reservations on selected bills. The committee also deferred one bill on the agenda, SB 3327. The committee then moved to the 1015 agenda and acted on additional measures. SB 2003 was passed with amendments tied to Act 255, including a repeal trigger if deadlines are missed; SB 2497 on utility-related transparency drew the most discussion, with one member warning about litigation and costs while another argued it was simply about electricity-rate transparency, and it ultimately passed with PUC-related amendments and an exemption for utility cooperatives. Other measures were passed unamended or with technical or fiscal amendments, including bills affecting land planning, tax credits, conveyance tax language, shoreline maintenance, and community improvement projects. Several bills had appropriations blanked or effective dates deferred to 2050, and many were adopted with members noting reservations rather than opposition. On the 1017 agenda, the committee continued approving measures, including SB 709 on crisis intervention officers and assisted community treatment, SB 2153 on defining bona fide farmer/agriculture activity, SB 2694 on water rate adjustments, SB 3025 on income eligibility limits, and SB 3085 on the Hawaii film studio, which included a five-year repeal provision if the studio has not relocated. The committee also passed numerous other bills unamended or with technical amendments, often deferring effective dates or blanking appropriations. Across both agendas, the committee’s actions were largely consistent: bills were advanced with amendments tailored to agency requests, technical corrections, or fiscal adjustments, and votes were generally unanimous or near-unanimous with occasional reservations recorded.

Transcript Highlights:

• The deductible would still apply. Everything would still apply.
• I'm just thinking that most of us have extremely large deductibles.
• So at least they would have something go towards the deductible for the child, right?
• every year in my practice, we get really busy in the fourth quarter, regardless of how high the deductibles
• They are, but they're still subject to a deductible. But anyway, thank you.

Bills: HB813, HB1680, HB3569, HB4074, HB4635, HB5178, SB527, SB1307, SB1822

Keywords: autism, health insurance, coverage, medical treatment, health benefit plan, HIV prevention, prescription drug, prior authorization, health benefits, insurance coverage, insurance, contract termination, property and casualty, insurance agents, discrimination, appraiser, umpire, licensing requirements, continuing education, admin penalties

Bills: HF747, HF1014, HF320, HF400

Keywords: corporate governance, shareholder rights, beneficial ownership, defective corporate acts, Minnesota Business Corporation Act, Minnesota Insurance Guaranty Association, MIGA, insurance guaranty fund, insurer insolvency, covered claim, net worth threshold, high-net-worth insured, financial information request, insurance claims, self-insured retention, deductible, commercial insurance, insurance regulation, Minnesota Statutes 60C.09, guaranty association

Transcript Highlights:

• For high-deductible health plans, the bill applies the prohibition after meeting the deductible unless
• For high-deductible health plans, the bill applies the prohibition after meeting the deductible unless
• It's something about high-deductible plans only, or no? Mr.
• Chairman, Senator... ...high-deductible plans only, or no? Mr.
• name dated February 11, 2026, at 4:03 p.m. expands the aviation-related transaction privilege tax deduction

Bills: SB1165, SB1206, SB1212, SB1291, SB1347, SB1516, SB1554, SB1649, SB1689, SB1812

Keywords: breast cancer, screening services, health insurance, cost sharing, preventive care, storm damage, catastrophic storm, hail damage, wind damage, roof repair, roof replacement, post-storm repairs, insurance claim, property and casualty insurance, adjuster, public adjuster, contractor licensing, homeowner protections, deductible waiver, insurance fraud prevention

Transcript Highlights:

• The delta of 5 million is just accumulating. Now, you know, that's something we need to look at.

Bills: SB197, HB140, SB214, HB214, HB147, HB270, SB73

Keywords: business regulation, nonprofit entities, electronic filing, merger agreements, limited liability companies, partnerships, property transfer, termination fees, HB140, private sewer systems, wastewater utilities, Public Service Commission, PSC jurisdiction, utility regulation, rate setting, rate consolidation, affiliated systems, common ownership, private utilities, sewer rates

Transcript Highlights:

• deductible or out-of-pocket maximum.
• </c><00:43:10.319><c> and</c> care professional copay accumulator and care professional copay accumulator
• </c><00:45:06.599><c> programs</c> similar to co-pay accumulator programs similar to co-pay accumulator
• Actually, that is not the case at all. deductible of that plan member or INR a deductible of that plan
• </c><01:53:55.840><c> or</c> beneficiary deductible or beneficiary deductible or mop<01:53:57.560><c>

Keywords: 1191, senate, all

Transcript Highlights:

• So a reminder, this is the co-pay accumulator bill.
• So a reminder, this is the co-pay accumulator bill.
• Either through premiums, higher deductibles, or co-pays.
• So if you had car insurance and you had a $250 deductible, you would have to have a $250 deductible the
• So if you had car insurance and you had a $250 deductible, you would have to have a $250 deductible the

Keywords: 908, all

Summary: The Senate reconvened and handled several House messages and conference committee appointments before taking up a series of bills. It appointed conference committees on Senate Bill 2265 and House Bills 1454, 1448, and 1524. The chamber also adopted a Senate amendment to House Bill 1216, delaying its effective date for the copay accumulator prescription drug bill to January 1, 2026, with later renewal timing for non-PERS plans. House Bill 1216 then came up for final passage. Senators debated whether allowing copay accumulator programs to count manufacturer coupons toward deductibles would help patients with expensive drugs or unfairly shift costs to insurers and other policyholders. Supporters said it would help people afford life-saving medications and that the coupon payments go to pharmacies, not insurers; opponents argued it could raise premiums and create perverse incentives for drug pricing. The bill passed 29-18. The Senate also concurred in House amendments to Senate Bill 2160, which changes health insurance benefits under the Uniform Group Insurance Program to move from a grandfathered to a non-grandfathered plan, with supporters emphasizing added benefits and flexibility and opponents warning of higher costs and irreversible changes. That bill passed concurrence 33-14 and final passage 39-8. The Senate next concurred in House amendments to Senate Bill 2339, the wildfire mitigation bill, which requires utility mitigation plans to be updated every two years, incorporate national electric standards, and creates a rebuttable presumption of reasonable care if the plan is followed. The bill then passed final passage 46-1. The chamber also adopted conference committee reports and passed House Bill 1460 on adult foster care and monitoring devices, House Bill 1440 on cigar lounge tobacco use, and Senate Bill 2374 on insurance-related provisions including property insurance arbitration, managed repair programs, and surplus lines issues; SB 2374 also added a study on towing and recovery coverage. The session ended with announcements of upcoming conference committee meetings and adjournment until April 22, 2025.

Bills: HB1946, HB1515, HB1514, HB1648, HB1644, HB1619, HB1571, HB1810, HB2475, HB1645, HB2301, HB1889, HB1840

Keywords: time shares, registration, renewal, real estate, Hawaii, Director of Commerce and Consumer Affairs, workers' compensation, functional capacity examination, occupational therapy, physical therapy, employer responsibilities, injured workers, medical stabilization, vocational rehabilitation, injury recovery, employment services, return to work, nonprescription drugs, over-the-counter medications, healthcare providers

Summary: The committee on Consumer Protection and Commerce met on February 26, 2026, and heard several bills, mostly in the areas of workers’ compensation and consumer protection. HB 1946 HD1 on timeshare registration renewal drew support from DCCA’s timeshare program and major industry groups including Hilton Grand Vacations, the American Resort Development Association, and Marriott Vacations Worldwide, with no opposition noted. HB 1515 HD1, which would allow an attending physician to request a functional capacity examination without employer permission, was supported by DLIR and the Department of Human Resources Development and had no other in-person testimony; the bill was then moved on without questions. The committee spent substantial time on HB 1514 HD1, which would streamline workers’ compensation vocational rehabilitation by clarifying provider selection and requiring vocational plans within 90 days. DLIR supported the intent but asked for amendments, saying the 90-day deadline was too rigid given case-by-case complexity, limited staffing, and the need for coordination among injured workers, employers, and counselors; members discussed possible extensions and whether a 120-day timeline or other flexibility would be better. Testimony on the bill included one individual in support and seven in opposition. HB 1648 HD1, concerning workers’ compensation and physician dispensing of non-prescription drugs, drew support from DHRD and comments from DLIR and industry witnesses. DLIR said the bill should be narrowed so it does not restrict medically necessary over-the-counter medications or oral guidance from providers, while Aloha Billing Company and Solera Integrated Medical Solutions urged tighter limits on physician dispensing and raised concerns about pricing abuse through average wholesale price. Members discussed clarifying the bill’s language so it targets written prescriptions rather than oral advice. HB 1644 HD1, requiring a standardized disclosure form for residential solar contracts, received support from the Hawaii Solar Energy Association and Kauaʻi Island Utility Cooperative, while DCCA’s Office of Consumer Protection supported the consumer-protection goal but proposed stronger remedies, including a three-day cancellation right, voidability for missing disclosures, and possible lender liability; members questioned how those remedies should apply to lenders, and no vote was taken on the measures in the portion provided.

Transcript Highlights:

• It doesn't count toward their deductible, so they forego treatment.
• It doesn't count toward their deductible, so they forego treatment.
• In 2017 is when the accumulator program sort of came into vogue.
• the deductibles.
• So we're talking about deductibles, what your deductibles, how then we heard that the PBMs could advance

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:

• It doesn't count toward their deductible, so they forego treatment.
• It doesn't count toward their deductible, so they forego treatment.
• In 2017 is when the accumulator program sort of came into vogue.
• deductibles covered.'
• So we're talking about deductibles, what your deductibles are, then we heard that the PBMs could advance

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

Transcript Highlights:

• Co-pay accumulators allow insurance and pharmacy benefit managers...
• Toward the enrollee's annual deductible and out-of-pocket limit.
• This bill would end the use of co-pay accumulators. I come today to ask for support of SB 1199.
• This bill would end the use of co-pay accumulators.
• directly support patients like Macy by removing the barrier of copay accumulators.

Keywords: 987, senate, all