Transcript Highlights:

• This chronic exposure to trauma is often dangerous for the mental health of firefighters.
• Employers will be... ...required to provide firefighters with mental health leave days and develop a
• mental health leave policy that lists the available mental health resources in the local area.
• Can you explain how the mental health evaluation will work in a performance review?
• is in need of help, and grant them the mental health leave that they need to manage their mental health

Bills: HB 1065, HB2929, HB2956, HB3009, HB3420, HB3626, HB3649, HB4956, HB4993, HB5293, HB5308, HB5528, HCR118, SB36, HB4023, SB 36

Keywords: employee classification, private security, misclassification, workforce regulations, Texas Workforce Commission, autism, peace officers, training program, law enforcement, intervention, communication, developmental disability, family violence, central database, criminal offense, registration, public safety, violent offenses, criminal database, Department of Public Safety

Transcript Highlights:

• I know that there is a mental health component in the training.
• It requires health, fitness, and resilience.
• Look, I believe in investing in health.
• mental health services.
• The database is a tool that can help local law enforcement...

Bills: SB 36, HB 1065, HB2929, HB2956, HB3009, HB3420, HB3626, HB3649, HB4956, HB4993, HB5293, HB5308, HB5528, HCR118, SB36, HB4023

Keywords: transportation, regional authorities, mobility, infrastructure, sales tax, employee classification, private security, misclassification, workforce regulations, Texas Workforce Commission, autism, peace officers, training program, law enforcement, intervention, communication, developmental disability, family violence, central database, criminal offense

Transcript Highlights:

• The Committee on Health Policy will now come to order.
• and residents in health care facilities.
• They're serving as an adjunct for health care.
• Our health plan has a PBM.
• CVS Health is eager to work.

Bills: S0688, S1414, S0186, S0902, S0196, S1574, S0878, S1092, S1032, S1684, S1686, S1760

Keywords: cytomegalovirus, education, maternal health, newborn care, infectious diseases, student health, epilepsy, seizure disorders, school safety, training requirements, medical marijuana, low-THC cannabis, neurofibromatosis, healthcare, state regulations, child care facilities, public safety, grant program, uterine fibroids, health database

Summary: The committee took up several health-related bills and confirmations. It first heard SB 1414 on congenital cytomegalovirus education, which would require the Department of Health to develop and distribute educational materials to expectant and new parents through maternity, prenatal, newborn, and OB-GYN settings; an amendment removed a section on required instruction for medical professionals, and the bill was reported favorably as a committee substitute. The committee then approved a block of appointees on tabs 2 through 7 and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after her testimony on Medicaid accountability, transparency, managed care oversight, rural health, behavioral health, and the state’s technology modernization efforts. Senators asked Harris about Hope Florida, Medicaid redeterminations, the CORE project, an anti-marijuana ad campaign at DCF, and compliance with a federal Medicaid-related court order; she said she would follow up on some issues. The confirmation was recommended favorably, with Senator Berman voting no. The committee next passed SB 186 on student health and safety, which expands epilepsy and seizure-disorder training requirements to more school personnel, including bus drivers and charter school staff, and requires seizure-first-aid posters and updated Department of Health education efforts. It also approved SB 902 on Department of Health issues after amendments narrowed the bill’s scope and added provisions on medical marijuana regulation, early childhood intervention, practitioner accountability, and autism workforce development; one speaker raised concerns about marijuana dispensary location restrictions and low-THC ratios. SB 196 creating a uterine fibroid research database was also reported favorably after an amendment protecting patient privacy; the bill drew emotional testimony from a patient describing severe symptoms and the need for more research. SB 688 on naturopathic medicine was approved after committee discussion about scope of practice, referral obligations, and whether naturopathic care should be adjunctive to conventional medicine; supporters described complementary care and access issues, while opponents worried about delayed treatment for serious disease. Later, the committee passed SB 1574, “Maddie’s Law,” to add biliary atresia screening to newborn screening using the same blood specimen already collected at birth and to launch an education campaign; parents of a child affected by the disease testified that earlier screening could have prevented severe harm. SB 878 on clinical laboratory personnel was reported favorably to address staffing shortages by allowing Florida to rely more directly on federal CLIA standards for qualified lab workers. SB 1092 on podiatric medicine was approved after an amendment narrowed it to cellular/tissue-based products and podiatrists’ use of certain therapies; the bill also addresses continuing education, informed consent, and advertising disclosures. SB 1032 on medical marijuana was amended and passed, aligning physician certification and card renewal timelines, setting 70-day and 35-day supply limits, and reducing the fee for honorably discharged veterans while preserving funding for FAMU; Senator Harrell opposed it, saying the longer timeframes were too much of an expansion. The committee also heard SB 1760 on Medicaid coverage transparency from Senator Brodeur, who said the bill focuses on accountability and fiscal responsibility, but the transcript cuts off before further discussion or action on that measure.

Transcript Highlights:

• The Appropriations Committee on Health and Human Services will now come to order.
• This is a mental health crisis.
• SB 196 is a women's health and public health data bill.
• Bell, with the Department of Health, waving in support. Thank you.
• This is not the way the Health Department should be doing public health.

Bills: S0042, S0196, S0878, S0902, S0914, S1092, S1168, S1340, S1404, S1414, S1684, S1686

Keywords: child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, uterine fibroids, health database, medical research, personal data protection, women's health, clinical laboratory, licensure, healthcare personnel, technologist, technician, medical marijuana, low-THC cannabis

Summary: The Appropriations Committee on Health and Human Services met to hear and vote on a series of health, human services, and education-related bills, along with a presentation of the committee’s proposed HHS budget. The budget was described as increasing by more than $2.1 billion over the current base, with major funding highlighted for Medicaid and KidCare, rural health, provider rate increases, child welfare, mental health and substance use, opioid treatment, Alzheimer’s initiatives, cancer research, ADAP, veterans’ services, and IT modernization. Public testimony on the budget focused heavily on AIDS Drug Assistance Program funding and concerns about Department of Health changes affecting access, premium assistance, notice, and continuity of care for people living with HIV/AIDS. Among the bills reported favorably were measures on podiatric medicine and tissue-based products (SB 1092), background screening and clearinghouse procedures (SB 1168), child protective investigations involving specific medical diagnoses and second opinions (SB 42), clinical laboratory personnel licensure standards (SB 878), uterine fibroid data tracking and research (SB 196), medical marijuana treatment center oversight and related health provisions (SB 902), dyslexia and dyscalculia screening and intervention in schools (SB 1340), memory care licensure for assisted living facilities (SB 1404), congenital CMV education materials (SB 1414), Parkinson’s disease registry and related public records exemption bills (SB 1684 and SB 1686), and occupational therapy dry needling licensure standards (SB 914). Several bills were amended before passage, including SB 1092, SB 42, SB 902, SB 1684, and SB 1404. Testimony generally came from professional associations, advocacy groups, and affected stakeholders, with support voiced for most measures. The committee adopted amendments on the floor, heard no opposition during debate on the bills described, and then voted to report each measure favorably. At the end of the meeting, senators requested to be recorded in the affirmative on selected bills, and the committee adjourned.

Transcript Highlights:

• But this board, what we're trying to do is to do the all-payers claim database.
• Use the health information exchange that's out there.
• I do appreciate that using the health exchange insurance exchange that was there.
• My name is Robert Franz, and I work for and represent Team Health.
• Health plans continue to market and sell high deductible health benefit plans to the public, which have

Bills: HB3794, HB3796, HB3928, HB2955, HB4453, HB4460

Keywords: licensure, criminal history, public safety, occupational certification, rehabilitation, state regulations, insurance, regulations, certification, long-term care, mergers, consumer protection, property safety, vision insurance, optometry, reimbursement, healthcare policy, ophthalmic materials, provider agreements, captive insurance

Transcript Highlights:

• Members, House Bill 3647 is an all-payer claims database.
• So I just didn't know who that would be, like all health insurance.
• Are we looking at page 10, line 19, which says a health benefit plan person or entity excluded?
• Representative May's point, we have met and presented to the inter tribal council in January at their health

Bills: HB4423, HB3342, HB3645, HB3647, HB3887, HB4430, HB4431, HB2964, HB3834

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Transcript Highlights:

• All right, the Health and Human Services Oversight Committee will come to order.
• Members, today, when somebody studies to be a mental health therapist, they've completed their bachelor's
• And in my country, it's even more important as mental health services are going through some trying times
• Do we know what the fiscal could possibly be to the health care authority?

Bills: HB2947, HB2964, HB3143, HB3144, HB3342, HB3344, HB3519, HB3522, HB3530, HB3645, HB3647, HB3834, HB4300, HB4422, HB4423

Keywords: behavioral health, Medicaid expansion, clinical interns, mental health services, licensing requirements, medical records, patient rights, privacy, fees, healthcare access, legal claims, medical marijuana, license transfer, Oklahoma Medical Marijuana Authority, moratorium, business regulation, commercial grower licenses, licensing restrictions, agriculture, Medicaid

Transcript Highlights:

• which is leading to mental health which is leading to mental health challenges<00:56:22.880>
• Using social media without safeguards is damaging to a child's mental health.
• Thank you. child's mental health. So why aren't we child's mental health.
• and development is a mental health and development is a important<01:06:58.160> public<01:06:
• me mental health concerns of youth.<01:18:42.400> And<01:18:42.640> when<01:18:42.800>

Bills: HF3479, HF4205, HF3782, HF4081, HF4138

Keywords: foreclosure, mortgage, redemption period, homestead, Minnesota Statutes, automated license plate reader, ALPR, license plate recognition, vehicle surveillance, Bureau of Criminal Apprehension, BCA, data privacy, government data practices, law enforcement data, surveillance technology, location data, vehicle tracking, warrant requirement, probable cause, exigent circumstances

Bills: HB1329

Keywords: government spending database, public expenditure transparency, open data, government transparency, school district spending, state spending, local government finance, education finance, budget database, expenditure reporting, salary transparency, benefits data, public records, Legislative Management study, North Dakota, school board training, superintendent, principal, business manager, higher education spending

Summary: The division first discussed Senate Bill 1540 and related amendments involving implementation mechanics, procurement exemptions, and an emergency clause. Bank of North Dakota representatives explained that, based on a timeline review with DPI, the project would be very difficult to implement for the 2026-27 school year without exemptions from state purchasing and IT oversight rules and without an emergency clause; they said the normal procurement process could take about 240 days and that a 15-month implementation window would likely push the start to 2027-28 if those changes were not adopted. Members also raised a separate policy question about a criminal penalty placeholder in the bill, and the committee agreed that the sentence was unnecessary and should be removed. The committee deferred means-testing questions and fiscal-note issues to the next morning, with the understanding that the bill would be drafted in a way that made it workable if it advanced. The committee then turned to the water budget bill and reviewed the latest amended version, which included changes to the Water Topics process, Southwest Pipeline line of credit provisions, Red River supply funding, Mouse River project amounts, general water funding, studies on Missouri River intakes and water governance/finance, and a carryover/transfer adjustment. Chris Cattermas of the Department of Water Resources said most of the carryover funds were already obligated, with the largest unobligated amount in flood control. After review, Senator Thomas moved a do-pass recommendation on the bill as amended, the motion was seconded, and the committee approved it unanimously. The chair noted that other bills would be taken up the next morning, including 1013, 1014, and 1540.

Transcript Highlights:

• That was the one on the database and Senator Schaible. Yeah, Mr. Chairman.
• bill, what's suggested in the bill is they want to create a, I guess you'd call it a transparency database
• I mean, and they have a, what they get, $500,000 here to create a database and a website, I suppose,
• first of all, this would be only the amount that would be needed to develop the web base and the database
• Even the ones that do a very good job would have that, would probably have database that would have that

Bills: HB1329

Keywords: government spending database, public expenditure transparency, open data, government transparency, school district spending, state spending, local government finance, education finance, budget database, expenditure reporting, salary transparency, benefits data, public records, Legislative Management study, North Dakota, school board training, superintendent, principal, business manager, higher education spending

Summary: The Education Division met with all members present and first took up House Bill 1329, which would create a transparency database and website for school spending information. Senator Schaible offered Amendment 0204 to turn the bill into a study, citing concerns that the proposal would impose major data-collection burdens on 168 school districts, require new data standards and privacy protections, and likely cost far more than the $500,000 in the bill. Several members supported transparency but agreed the implementation costs and technical feasibility were unclear. The committee adopted the amendment 4-1, then passed HB 1329 as amended on a 5-0 vote, with Senator Shively to carry the bill. The committee then discussed House Bill 1540, the education savings account/voucher bill. Representatives from the Bank of North Dakota and the Department of Public Instruction explained that they had not been consulted on the original drafting and outlined needed administrative changes, including clarifying the Bank as administrator, using a third-party program manager, involving DPI in rulemaking, adding audit and appeal procedures, and adjusting language on eligible purchases and school disqualification. They also said the current timeline was likely too aggressive to launch by the 2026-27 school year and estimated the program would require about 15 months to implement, with a fiscal note now around $5.1 million. Members also discussed policy-related amendments on means testing and application timing. Senator Shively proposed a 300% of poverty-level means test and a sign-up period to reduce costs and limit open-ended enrollment, while Senator Axman proposed a tiered approach that would keep all students technically eligible but phase in funding levels by income, preserving access for students who qualify for other federal supports. DPI said it could not currently disaggregate some data by family income and that the appeal process and procurement timeline still needed work. The committee did not move HB 1540 out that morning and instead recessed to continue discussion later after members had time to review the administrative and fiscal issues separately from the means-testing proposals.

Transcript Highlights:

• We have 24 health care advocates.
• This is a mental health program that we work in conjunction with the Department of Health and Human Services
• Could be health care, could be...
• Mental health grants.
• My name is Catherine Longoria, and I'm here on behalf of Emergence Health Network, the local mental health

Bills: SB651, SB897, SB1814, SB1818

Keywords: SB 651, Texas Government Code, Section 434.032, veterans county service office, county veterans services, commissioners court, county executive official, county administration, local government, veterans affairs, veterans benefits, county oversight, reporting structure, public administration, large counties, population 200,000 or more, mental health, veterans, community support, grant program

Transcript Highlights:

• If we have fever ticks, the Animal Health Commission has a strategy and plan.
• A centralized database.
• We don't have the funding to create a comprehensive database.
• Health Commission, who is uniquely positioned in the house, to the house and to house a database.
• It currently manages and maintains similar database related to livestock health and disease control in

Bills: HB147, HB 1113, HB 1203, HB 1269, HB 1276, HB 1277, HB1437, HB147

Keywords: livestock, brands, marks, earmarks, tattoos, electronic registry, Texas Animal Health Commission, county clerk, Agriculture Code, cattle, hogs, sheep, goats, horses, animal identification, brand registry, livestock traceability, electronic filing, rerecording, law enforcement access

Transcript Highlights:

• Welcome to the second session of the 60th legislature for Health and Human Services.
• And in consultation with the state department of health over several years.
• In fact, the department of health worked with the hospitals association to find and try to find more
• And so, in fact, in my dealing with the department of health over several years on this, they actually
• It will be defined as the Transforming Maternal Health model.

Bills: SB1423, SB1426, SB1502, SB1377, SB1983, SB1466, SB1645, SB1647, SB1847, SB1565, SB1562, SB1329, SB1383, SB1833, SB1555, SB1344

Keywords: Oklahoma Hospital Advisory Council, hospital licensure, public health, State Department of Health, State Board of Health, hospital regulations, healthcare regulation, hospital standards, hospital construction, hospital operations, stroke care, stroke system, emergency medical services, EMS transport, psychiatric treatment, chemical dependency treatment, substance use disorder, drug storage, pharmacy, quality indicators

Transcript Highlights:

• Welcome to Senate Health and Human Services.
• issue, as the Board of Pharmacy is tasked to protect the citizens of the state of Oklahoma with their health
• But as the board, we stay focused on protecting the health and safety of our citizens of Oklahoma, and
• He has a number of years practicing and is currently the vice president of medical practice at SSM Health
• The bill creates an all-payer claims database overseen by transparency.

Bills: HB3767, HB3934, HB4199, HB4336, HB2947, HB3834, HB4302, HB4095, HB3287, HB3649, HB4430, HB4431, HB2059, HB3647

Keywords: dentistry, licensing, dental hygiene, foreign-trained dentists, temporary license, public health, emergency response, child care, workforce, pilot program, affordable care, income eligibility, interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation

Transcript Highlights:

• , Bricklayers Health and Welfare Trust, Caesars Entertainment, Cement Masons and Plasters Health and
• -357 Health Trust, Las Vegas Firefighters, Las Vegas Metropolitan Police Department Health and Welfare
• , bricklayers, Health and Welfare Trust, Caesars Entertainment, Cement, Masons and Plasters, Health and
• , IBEW-357 health trust, trust, Las Vegas firefighters, Las Vegas Metropolitan Police Department Health
• Trust, Plumbers and Pipefitters, Local 525 Health and Welfare Fund, Resorts World Las Vegas. 501 Health

Bills: AB568, SB90, SB133, SB147, SB229, SB233, SB240, SB245, SB280, SB378, SB393, SB417, SB434, SB494, SB495

Keywords: higher education, Nevada System of Higher Education, operational expenses, instructional expenses, public funding, education funding, teacher grants, classroom supplies, instructional support, specialized personnel, civics education, Nevada Center for Civic Engagement, funding, youth programs, civic involvement, Southern Nevada, Clark County, Las Vegas Valley, regional planning, economic resiliency

Transcript Highlights:

• It also allows the commissioner of health to serve in a dual role as commissioner of health and commissioner
• of mental health during the period of that feasibility study.
• The region's commerce and health department all say they're no longer in need to yield questions.
• Alpha gal is becoming a health issue, a health problem.
• It's kind of a complicated health situation.

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Transcript Highlights:

• We are entrepreneurs, educators, health care workers, students, artists, refugees, and the citizens of
• We are entrepreneurs, educators,<00:04:02.640> health<00:04:03.040> care<00:04:03.280><
• c> workers, educators, health care workers, educators, health care workers, students,<00:04:05.000
• So, data practices requests about these requirements would go through that database rather than through
• <00:17:14.560> rather<00:17:14.800> than through that database rather than through

Bills: HF4364, HF4821, HF4543, HF3945

Keywords: Central and Eastern European Affairs, ethnic council, advisory council, Minnesota state government, immigrant communities, refugees, humanitarian parolees, Ukraine, Poland, Croatia, Hungary, Moldova, Romania, Serbia, Czech Republic, Baltic states, Slovakia, Slovenia, Kosovo, Russia

Summary: The committee first approved the April 7, 2026 minutes and then held an informal hearing on House File 4364, which would establish a Central and Eastern European Ethnic Council in Minnesota. Representative Jordan and testifiers Mykola Mager and Julia Miller described the large Central and Eastern European community in Minnesota, its contributions to the state, and the need for a formal advisory body to help address barriers to government services, support refugees, workforce development, entrepreneurship, and cultural understanding. Members expressed general support and noted the bill’s importance, but no formal action was taken on the bill during the hearing. The committee then took up House File 4543, a bill to create a centralized payroll reporting portal for prevailing wage projects. Representative Frazier said the bill would reduce administrative burden on project owners, improve transparency and accountability, and help prevent wage theft, misclassification, tax fraud, and insurance fraud. Testifiers from county, city, and contractor groups largely supported the idea of streamlining reporting, but contractor representatives raised concerns about employee data privacy, public access to sensitive payroll information, duplication of existing systems, interoperability with contractor software, and the need for stakeholder engagement. Members echoed both support and caution, and the bill was laid over as amended rather than advanced. Finally, the committee considered House File 4821, described by Chair Klevorn as addressing the “penny problem” and a related change to high-deductible insurance plans. The bill would authorize state agencies to round cash transactions because of the penny shortage and would change MMB’s obligation to offer certain high-deductible health plans from “must” to “may,” producing modest administrative savings. Members questioned the drafting of the rounding language and asked about cash transactions at state agencies and the handling of cannabis tax payments. The chair noted the bill had missed the deadline and would be caught by the chief clerk’s office; the discussion ended with the bill being laid over as amended.

Transcript Highlights:

• and to update the database monthly thereafter.
• There's no mandated mental health treatment.
• I go to mental health court all the time.
• I go to mental health court all the time.
• There's no mandated mental health treatment here.

Bills: S0132, S0418, S0442, S0646, S0748, S1326, S1332, S1660, S1734, S1742, S1750

Keywords: voting rights, felony conviction, database, Florida Commission on Offender Review, restoration of rights, autism spectrum disorder, law enforcement, communication, training, blue envelope, blue card, search warrant, remote appearance, drones, data privacy, drug paraphernalia, narcotic testing, fentanyl, controlled substances, civil forfeiture

Summary: The committee took up a series of criminal justice and public safety bills. SB 646, allowing the use of drug testing tools such as fentanyl test strips and reagent kits to detect dangerous adulterants, was presented as a harm-reduction measure and reported favorably after supportive testimony from advocates and criminal defense groups. SB 442, extending the return period for warrants involving digital evidence from 45 days to one year, also passed unanimously amid testimony from prosecutors and law enforcement about encryption, backlogs, and large volumes of child exploitation evidence. SB 418, creating autism-related law enforcement training and a Blue Envelope Program for traffic stops and other encounters, was reported favorably with support from police, disability advocates, and families. SB 132, creating a public database to help people determine eligibility for restoration of voting rights, and SB 748, requiring notice of voting-rights restoration information on sentencing score sheets, both passed with broad support from voting-rights and criminal defense advocates. The committee also approved SB 1734, recognizing juvenile probation and detention officers as officers under Florida law and extending related training and benefits, and SB 1660, designating June as Responsible Firearm Safety Awareness Month. SB 1742, which repealed the existing “unnatural and lascivious acts” statute and created a new offense for indecent exposure of sexual organs to a minor, was amended with a delete-all amendment and then reported favorably. SB 1750, a major overhaul of career offender registration requirements, was later reconsidered after a bill-number mix-up and then reported favorably as SB 1332, with FDLE and sheriff’s association support. The most contentious measure was SB 1326, which would eliminate the traditional insanity defense and replace it with a lack-of-culpable-mental-state defense, require malingering assessments in competency evaluations, and limit downward departures based on mental illness. Criminal defense attorneys and disability advocates argued it lacked a treatment component, raised scientific and cost concerns, and could worsen public safety by sending mentally ill defendants to prison without adequate care. Supporters, including the sponsor and the Attorney General’s office, argued it would close gaps and better protect the public. After extensive debate, the bill was reported favorably on a divided vote, with several members voting no. At the end of the meeting, members recorded additional votes on some bills, and Senator Pizzo moved for reconsideration of SB 1326 for a future meeting.

Bills: HB4248, HB3194, HB3849, HB4095, HB4302, HB3342, HB3344, HB3287, HB3645, HB3647, HB3930, HB3931, HB1818, HB4454, HB4336

Keywords: HB4248, hemp beverage, hemp drinks, THC beverage, cannabis beverage, intoxicating hemp, age restriction, under 21, minor possession, youth access, public health and safety, Title 63, Oklahoma Statutes, retail sales, alcohol-style regulation, controlled substances, beverage regulation, pregnancy centers, abortion, abortion-inducing drugs

Transcript Highlights:

• There's the possibility of implicating potential work by the various health districts on vital records
• ability of marginalized communities to influence policies that directly impact their reproductive health
• Section 2 raises the limit for the health reimbursement arrangement account.
• They feel that that portion probably could use a half an employee, but we also know that with the health
• We've had a lot of conversations with the health authority.

Bills: AB49, AB169, AB188, AB284, AB296, AB306, AB356, AB366, AB467, AB499, AB515, AB540, AB542, AB595

Keywords: educational personnel, teacher licensing, reciprocal licensure, provisional teaching, school counselors, school nurses, school social workers, state education standards, health insurance, speech-language pathology, stuttering, rehabilitative services, habilitative services, coverage requirements, health plans, retired public employees, subsidy, Medicare, health reimbursement arrangement, Public Employees' Benefits Program