Transcript Highlights:

• There are anticipated to be coverage There are anticipated to be coverage losses<00:13:17.200>
• So for the individuals coverage sources.
• <00:15:47.120> sources transition to other coverage sources transition to other coverage sources
• <00:15:50.800> assistance and transitional medical assistance and transitional medical assistance
• adults who are receiving funded coverage adults who are receiving funded coverage uh<01:21:47.520

Bills: HF3439, HF3763

Keywords: Medical Assistance, Medicaid, MNsure, MinnesotaCare, disability determination, expedited eligibility, state medical review team, compassionate allowance, rare disease, home and community-based services, long-term care, managed care, county-based purchasing, eligibility redetermination, periodic data matching, death master file, Social Security Administration, program integrity, income eligibility, asset test

Summary: The House Health Finance and Policy Committee met on March 4, 2026, approved the minutes from its February 25 and March 2 meetings, and then heard a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid eligibility changes in the federal One Big Beautiful Bill Act (HR1/OB3). The presentation focused on provisions affecting Medicaid expansion adults ages 19 to 64, including new work and community engagement requirements, changes to retroactive eligibility, quarterly death master file checks, address verification requirements, six-month redeterminations for expansion enrollees, and new limits on some lawful permanent residents and other immigrant groups. Castanza also discussed state implementation issues, including the need for new data-sharing systems, system modernization, outreach, and options for helping people transition to other coverage if they lose eligibility. She said the work and community engagement rules take effect January 1, 2027, with states given flexibility on look-back periods, consecutive versus nonconsecutive months, and optional hardship exemptions, and noted that CMS guidance is not expected until June 2026. She also described federal support for implementation, including $200 million in grants and a 90% federal match for eligibility system work, while warning that the fast timeline could lead to coverage losses, churn, and challenges for special populations such as caregivers, people with behavioral health conditions, incarcerated individuals, and rural residents. She further explained that an erroneous payment provision could expose states to federal recoupment later if eligibility errors increase. During member questions, Representative Beerman asked about the overall size of the Medicaid cuts and the cumulative national impact; Castanza said estimates vary by state and cited KFF analysis suggesting states could lose 4% to 19% of federal Medicaid revenue, with a newer RAND analysis recently released. Beerman also asked about the history and effectiveness of state work requirements, but that discussion was not completed in the excerpt. Representative Elkins noted the presentation was not initially posted on the committee website, and the chair said it had since been posted.

Transcript Highlights:

• conjunction with DHS, will assist the petitioner in preparing applications for individual financial and medical
• applications for individual<00:01:10.720> financial<00:01:11.200> and<00:01:11.439> medical
• individual financial and medical individual financial and medical assistance<00:01:12.159> so

Bills: SB3294

Keywords: wrongful conviction, compensation, Hawaii Revised Statutes, innocence, legal process, burden of proof, case manager, medical coverage, judicial discretion, 912, senate, all

Summary: The committees first took up SB 3294, a controversial measure concerning post-release assistance for people pursuing reversals of prior court decisions where innocence is in question. Members discussed keeping the bill moving on the “human side” while a House companion addressed the legal issues. The adopted amendments removed advanced compensation language and instead required DCR, with DHS, to help petitioners prepare applications for financial and medical assistance, notify DHS upon release, assign a case manager to assist with a cell phone for one year, housing, employment, mental health counseling, and expedited benefits, and provide a state ID upon release. The measure also included technical amendments and a defective date, and it passed unanimously. The joint committees then heard SB 2237 on fire prevention, which would require state agencies to create and update hazard maps and direct DNR to adopt rules and clear brush. DLNR testified that a single lead agency should develop the maps with input from other agencies, that a five-year timeline would be more reasonable, and that assigning DNR all fuels management on state lands would create an unfunded mandate. Members discussed using the newly created fire marshal’s office as the lead, and the committees ultimately deferred the bill in favor of a broader wildfire mitigation measure already moving in another committee. The final agenda included SB 2596 on government leases, SB 30002 on the Hawaii State Planning Act and green infrastructure, and SB 3067 on records and filing requirements. SB 2596 was advanced unamended to Ways and Means. On SB 30002, OPSD explained that a 2025-2027 comprehensive review of chapter 226 is underway, with a report and draft legislation due in 2027, and members debated whether to move piecemeal changes now or wait for the broader review; the bill nevertheless passed unamended. SB 3067, which updates outdated filing formats and drawing scales, also passed unamended with DAGS supporting the measure in writing.

Transcript Highlights:

• our DME coverage.
• Pete Seiple, an orthopedic surgeon and chief medical officer at Cobra Valley Regional Medical Center,
• A lot of the facilities that GAS covers are not medically directed, so even when it is medically directed
• , including whatever hospital... to provide call coverage, including whatever hospital coverage they
• They really have coverage.

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

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

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

Transcript Highlights:

• What this bill seeks to do is require coverage in those situations for children on the medical side,
• Simultaneously, the medical policy denies coverage, stating it's not a covered benefit.
• Medical insurance provides general anesthesia coverage for other medically necessary procedures, so it
• Some medical policies restrict coverage in ways that don't take these situations into account. plans
• necessary, is covered by dental insurance, there is no coverage for anesthesia on the medical side.

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

Transcript Highlights:

• We provide low-cost or free medications to our patients, and then we provide... ...a free medication
• and be adherent to their medications.
• Diabetes medications are the most commonly prescribed medications through the 340B program for community
• They're medical benefit drugs, and these are things like infusion medications for cancer treatment.
• Their pharmaceutical coverage.

Bills: HB712, HB722, HB946, HB1687, HB1809, HB1899, HB2528, HB2583, HB2741, HB2750, HB3021, HB3150, HB3265, HB3658, HB3812, HB3960, HB4392, HB4432

Keywords: prostate cancer, health benefit plans, insurance coverage, cost sharing, preventive health care, auto insurance, total loss evaluation, disclosure, insurance materials, vehicle appraisal, HB 946, Texas Insurance Code, automobile insurance claims, oral release, written release, settlement agreement, claim release, property damage, bodily injury, psychological injury

Transcript Highlights:

• So is that medical decision-making or not?
• This is a separate question from the medical board question.
• So is that medical decision-making or not?
• Is that medical decision-making?
• This can mean crushing medical debt, hard choices between rent and medication, or losing a lifetime.

Bills: HB712, HB722, HB946, HB1687, HB1809, HB1899, HB2528, HB2583, HB2741, HB2750, HB3021, HB3150, HB3265, HB3658, HB3812, HB3960, HB4392, HB4432

Keywords: prostate cancer, health benefit plans, insurance coverage, cost sharing, preventive health care, auto insurance, total loss evaluation, disclosure, insurance materials, vehicle appraisal, HB 946, Texas Insurance Code, automobile insurance claims, oral release, written release, settlement agreement, claim release, property damage, bodily injury, psychological injury

Transcript Highlights:

• It also mandates annual reporting on orthotics and prosthetics coverage and payments.
• It treats activity limbs as medical needs, not add-ons.
• .patients and medical personnel safe, and consistency.
• Gas, To follow NFPA 99, National Fire Protection Association electrical system, medical gas, and medical
• Today, I take only two prescription medications.

Bills: S0162, S0254, S0688, S0794, S1110, S1574

Keywords: surgical smoke, health standards, hospital safety, patient protection, medical regulations, nursing education, licensure, remedial courses, temporary license, graduate nursing preceptorship, Agency for Persons with Disabilities, background screening, support coordination services, developmental disabilities, Tatton-Brown-Rahman syndrome, public hearings, orthotics, prosthetics, healthcare, Medicaid

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics was heard first. The bill would require coverage for medically necessary orthotics and prosthetics without lifetime or continuous-use caps, direct AHCA to seek federal approval and update contracts, and require annual reporting. Testimony from a child using prosthetic “gymnastics blades,” his mother, and another young person with a prosthetic leg emphasized the high cost of activity-specific devices and the impact on children’s mobility, sports participation, and quality of life. Senators voiced strong support, and the bill was reported favorably. The committee then approved SB 1574, “Maddie’s Law,” which adds newborn screening for biliary atresia using the existing blood specimen collected at birth. The sponsor and the child’s father described the condition as time-sensitive and potentially fatal without early detection, and argued the screening could prevent transplants and save money. The bill was reported favorably. The committee also considered CS/SB 794 on background screening for employees of residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, training, and access issues. Parents and a support coordinator testified that strong support coordination is essential for families and that the bill would help standardize expectations and improve services. An amendment aligning the bill with the House companion was adopted, and the bill was reported favorably. Members next heard SB 162, which requires hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. Supporters, including nurses and the Florida Nurses Association, described surgical smoke as a workplace hazard with toxic chemicals and potential cancer risks; hospital representatives said they support the intent but argued existing federal and state standards already regulate the issue and the bill is too prescriptive. A late-filed amendment clarifying the smoke must be “effectively captured and filtered” was adopted, and the bill passed favorably. The committee also approved CS/SB 254, a major nursing education bill that tightens oversight of low-performing nursing programs, creates a temporary provisional license and preceptorship pathway for graduates awaiting NCLEX results, requires remediation for delayed testing, and increases transparency by posting passage rates. Nursing groups supported stronger standards, while private nursing schools warned the bill could reduce capacity and discourage program directors; the amended bill was reported favorably. Finally, the committee heard SB 688, which would reestablish licensure and regulation of naturopathic doctors in Florida, create a board of naturopathic medicine, set licensure and renewal requirements, and define the scope of practice while excluding most prescription authority. Supporters said it would expand health care choices and allow naturopathic doctors to practice openly, while opponents from the medical community warned the bill could authorize diagnosis and treatment without sufficient training and rely on unproven therapies. The bill was reported favorably. The committee then adjourned after members thanked staff for their work.

Transcript Highlights:

• there in terms of them to be able to kind of go through some prior auth and kind of determine the medical
• It requires Medicaid to cover dental if it is needed for another medically covered procedure.
• That's provided for payment of extraordinary medical and dental expenses of firemen and law enforcement
• That's provided for payment of extraordinary medical and dental expenses of firemen and law enforcement
• Can hear special cases for extenuating and extraordinary medical and dental situations.

Bills: HB12, HB145, HB222, HB291, HB430, HB821, HB874, HB909, HB951, HB979, HB1193

Keywords: survivor benefits, law enforcement, reserve officer, auxiliary officer, public safety, firefighters, medical expenses, dental expenses, disability benefits, Medicaid, dental coverage, healthcare access, medical necessity, Louisiana Department of Health, health insurance, provider agreements, contracting actions, participating facilities, network status, survivors benefits

Transcript Highlights:

• insurance coverage to cover a medical insurance coverage to cover a medical diagnosis<00:05:25.440
• significant increase in medical costs. significant increase in medical costs.
• It is essential medical care.
• . coverage. coverage.
• someone could utilize this coverage. someone could utilize this coverage.

Bills: HF4609, HF4401

Keywords: infertility, fertility treatment, fertility preservation, IVF, assisted reproductive technology, ART, oocyte retrieval, embryo transfer, egg freezing, sperm freezing, reproductive health, maternity coverage, health insurance mandate, health plan benefits, Medical Assistance, Medicaid, MinnesotaCare, family planning, oncology fertility preservation, chemotherapy

Transcript Highlights:

• I'm asking you to help preserve our right to direct donors and protect our medical freedom.
• It's all about medical necessity.
• Donations that are being made where there might not be medical necessity in there.
• If the physician order was there with medical necessity, yes.
• When it comes to the physical ability of making the medical necessity determination.

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

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

Transcript Highlights:

• hoop jumping, often delaying access to prescription medications.
• Medications.
• And this discusses medical necessity terminations, and then the rest of...
• Or those opioid medications that we worry about.
• The podiatrists are covered in the Medical Practice Act.

Bills: SB101, SB21, HM52, HB132, SB14, SB20

Keywords: SB 101, Health Care Delivery and Access Act, repeal of repeal, sunset repeal, delayed repeal, health care, healthcare, access to care, medical services, provider regulation, state health law, New Mexico, SB 21, Medicare supplement, Medigap, open enrollment, guaranteed issue, birthday month enrollment, health insurance, insurance regulation

Bills: SB 128, SB 640, SB 672, SB 904, SB 1141, SB 1263, SB 1525, SB 1528, SB 2041, SB 2306, SB 2308, SB 2357, SB 2446, SB 2695, SB 2857, SB 2891, SB 2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, hearing instruments, licensing, continuing education, patient protection, medical evaluations, parent-child relationship, Department of Family and Protective Services, adversary hearing, protected rights, legal custody, prescription drugs, prior authorization, neurodegenerative diseases, health benefits

Bills: SB 128, SB 640, SB 672, SB 904, SB 1141, SB 1263, SB 1525, SB 1528, SB 2041, SB 2306, SB 2308, SB 2357, SB 2446, SB 2695, SB 2857, SB 2891, SB 2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, hearing instruments, licensing, continuing education, patient protection, medical evaluations, parent-child relationship, Department of Family and Protective Services, adversary hearing, protected rights, legal custody, prescription drugs, prior authorization, neurodegenerative diseases, health benefits

Transcript Highlights:

• And that patients have access to needed medication.
• Potentially cause them to lose their coverage?
• Most of the people, there's medications that need to be cooled, insulin, there's other types of medications
• These medications get the oxygen that was needed.
• They set me up with $5,000. of medical bills.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• Thank you all for the continued support of emergency medical services. ...in Texas.
• Receiving medications directly from medically integrated dispensing pharmacies can lead to improved adherence
• We got a fiscal note for what it would cost to apply to your own coverage and the coverage of state employees
• That was how much the PBM paid its own pharmacy to dispense the... medication.
• In our Basley survey, 40% of Texans responded that they are delaying medical care or medication. due

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• Receiving medications directly from medically integrated dispensing pharmacies can lead to improved adherence
• What it would cost to apply to your own coverage and the coverage of state employees through ERS and
• the coverage for state teachers.
• That was how much the PBM paid its own pharmacy to dispense this medication.
• In our Basley survey, 40% of Texans responded, delaying medical care or medication due to the cost.

Bills: SB 502, SB 513, SB 622, SB 670, SB 731, SB 732, SB 916, SB 961, SB 1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• Over the last five years, we have both had major medical challenges.
• We have both had major medical challenges.
• Could be a reason that you're denied coverage.
• I’m the CEO of Holy Cross Medical Center in Taos. I’m the CEO of Holy Cross Medical Center in Taos.
• But you mentioned medical malpractice. What were you talking about?

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:

• everything in order. ...together and on the same page so that we can continue to provide proper coverage
• Thank you. to medical equipment manufacturing.
• That's exactly what House Bill 4144 addresses with the addition of post-retirement coverage.
• as well as medical coverage.
• Coverage stops upon separation of service and is not commensurate with the time of service.

Bills: HB1654, HB1691, HB2545, HB2652, HB3799, HB4144, HB5008

Keywords: peace officers, firefighters, employment protection, worker's compensation, job security, maximum medical improvement, government employment, firefighter cancer benefits, emergency medical technicians, compensation claims, cancer exposures, firefighting hazards, workforce training, rural development, grant program, job-specific training, Texas Workforce Commission, child care, single-parent, subsidized

Transcript Highlights:

• Currently the plans ensuring our public servants lack coverage for IVF treatment.
• In support of HB 618, presented by Representative Wally, which expands insurance. coverage for in vitro
• the cause of the infertility is related to maybe another medical condition the mother might have.
• This is pro-teacher, a teacher wants to have a family, this coverage, this. option for them, for that
• People have less, you know, less physical health issues and. when they actually get the coverage they

Bills: HB201, HB272, HB618, HB 1094, HB 1142, HB201, HB272

Keywords: financial crime, card fraud, motor fuel theft, law enforcement, criminal activity, skimmers, prevention, training, credit card fraud, debit card fraud, prosecution, illegal possession, state law, HB 618, Texas insurance code, IVF, in vitro fertilization, fertility treatment, infertility coverage, government employee health benefits