Transcript Highlights:

• as pending business House Bill 618, by Representative... ...which relates to health benefit plan coverage
• of certain in vitro fertilization procedures for certain governmental employees and retirees.
• Coverage for those districts would resume on September 1, 2026.
• It's one of the only retiree health care funds of its kind in Texas, and it's a reason... and it's a
• This allows the retiree 30 years to make the monthly payments or a one-time lump sum payment.

Bills: HB3014, HB3109, HB3126, HB3474, HB3594

Keywords: gift card fraud, counterfeit gift card, gift card tampering, gift card theft, prepaid card, stored value card, retail fraud, financial crimes, consumer protection, organized retail crime, gift card skimming, magnetic stripe, chip card, redemption information, gift card packaging, Penal Code, felony theft, state jail felony, third-degree felony, second-degree felony

Transcript Highlights:

• It used to be Plan F that gave you international coverage. Most everyone is on Plan G.
• add to that, it is factored into your premium, but it also could be a reason that you're denied coverage
• Could be a reason that you're denied coverage.
• So people can be denied coverage if they have a pre-existing condition.
• So, Madam Chair and Senator, there are circumstances where coverage is absolutely not available to seniors

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:

• This morning, House Bill 618 requires health insurance plans for state employees. retirees, and school
• Currently the plans ensuring our public servants lack coverage for IVF treatment.
• This bill would ensure that government employees and retirees covered. under the bill are not excluded
• governmental employees and retirees.
• All state employees, university employees, retirees, teachers, look.

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

Transcript Highlights:

• To the point, not only are premiums going up, but coverage is getting worse.
• To the point, not only are premiums going up, but coverage is getting worse.
• To the point, not only are premiums going up, but coverage is getting worse.
• To the point, not only are premiums going up, but coverage is getting worse.
• <00:48:45.280> We coverage for our employees. We coverage for our employees.

Bills: HF3422, HF3461, HF2904

Keywords: state grants, grant oversight, grants management, executive agencies, Minnesota Department of Administration, commissioner of administration, fraud prevention, waste prevention, grant monitoring, financial reconciliation, grant compliance, state government, public funds, grant recipients, competitive grants, grant administration, administrative oversight, monitoring visits, grant policy, legislative leave

Transcript Highlights:

• We cater to the retirees. This is a program for the retirees. This is a program for life.
• However, how much the retiree has to pay for health insurance coverage, and the levels of coverage provided
• has to pay for their health that retiree has to pay for their health insurance<00:20:08.640> coverage
• more the cost of coverage. more the cost of coverage.
• as well in that um group of retirees. as well in that um group of retirees.

Keywords: Meeting Start: 00:00:35 Attendance Roll Call: 00:00:55 Approval of Minutes: 00:02:56 Deferred Compensation Authority Update: 00:03:12 Retiree Health Update - TRS: 00:15:58 Retiree Health Update - KPPA: 00:56:13 Adjournment: 01:20:33, 958, all

Summary: The Public Pension Oversight Board received updates from the Kentucky Public Employees Deferred Compensation Authority and the Teachers Retirement System. Chris Biddle reported that deferred compensation assets had grown to about $4.787 billion with roughly 88,000 participants, crediting auto-enrollment, targeted marketing around pay raises, and retiree-focused services. He said the board’s self-directed brokerage account, authorized by last year’s legislation, is being designed around a $40,000 account-balance threshold with up to 25% transferable into the brokerage window, tentatively for July 1 of the coming year. He also described the free financial planning program, which has been used by about 3,300 to 3,500 participants with an 87% return rate, and noted that the plan is currently in a fee holiday; members asked about the fee structure and whether the CFP service is provided through Nationwide, which Biddle confirmed. Board members praised the deferred compensation program’s growth and asked for the legislation referenced by Biddle. He said the plan’s annual fees are capped, with a $1 monthly fee plus other charges up to a $225 cap, for a maximum of $237 per year absent a managed account. He also said the program is seeking unified payroll access to expand participation, especially among teachers, and that prior lineup changes saved about $6 million annually in participant fees. Bo Barnes of TRS then addressed retired teachers’ health insurance, first clarifying a prior question about declining federal contributions to the retirement annuity trust. He explained that federally funded school positions generated contributions that rose from $72 million in 2019 to $109 million in 2022, then fell to $85 million this year, with a projection of $80 million over the next three years; if those dollars do not come from federal sources, they would have to be replaced through the SEEK formula. Barnes then reviewed TRS health coverage, explaining that the statutory contract guarantees access to group coverage but not fixed premium levels, and that TRS administers two retiree plans: KEHP for retirees under 65 or otherwise not Medicare-eligible, and MEHP for retirees 65 and older or Medicare-eligible. Barnes said TRS completed RFPs for the 2026 plan year, retaining Express Scripts for prescription drugs and switching the Medicare Advantage medical provider from UnitedHealthcare to Humana, while keeping plan design, provider access, out-of-pocket costs, and benefits materially unchanged. He noted a modest hearing-aid improvement of $500 per ear beginning in 2026. He also reported that the TRS Board approved the maximum state contribution for KEHP at $1,044.96, up from $930.76, an 18% increase that he said would require about $15 million to $16 million more annually, while the MEHP premium would drop from $210 to $200 per month because of the new contract. Using the 2024 valuation, he said the KEHP increase would slightly reduce the health trust funded ratio from 80.4% to 80.1% and raise unfunded liability from $4.036 billion to $4.051 billion. Barnes closed by reviewing the 2010 shared-responsibility reforms that shifted retiree health costs away from a pay-as-you-go model, including phased employee and district contributions and Commonwealth stabilization funding. No votes were taken beyond approval of the minutes.

Transcript Highlights:

• <00:05:23.680> We retirees. This is a program for life. We retirees.
• He explained that how much a retiree has to pay for health insurance coverage, and the levels of coverage
• He explained that how much a retiree has to pay for health insurance coverage, and the levels of coverage
• single coverage for 2026 is 11054. single coverage for 2026 is 11054.
• as well in that um group of retirees. as well in that um group of retirees.

Keywords: Meeting Start: 00:00:35 Attendance Roll Call: 00:00:55 Approval of Minutes: 00:02:56 Deferred Compensation Authority Update: 00:03:12 Retiree Health Update - TRS: 00:15:58 Retiree Health Update - KPPA: 00:56:13 Adjournment: 01:08:10, 958, all

Summary: The Public Pension Oversight Board met with a quorum, approved the prior minutes, and heard updates from the Kentucky Public Employees Deferred Compensation Authority and the Teachers Retirement System. The deferred compensation update highlighted continued growth in assets to about $4.787 billion and roughly 88,000 participants, strong retention from auto-enrollment, a marketing campaign tied to pay raises that generated additional participation, and a new self-directed brokerage account expected to launch July 1 of the coming year for participants with at least a $40,000 balance, allowing up to 25% of their account to be moved into the brokerage window. The director also described the free financial planning service, which has been used by about 3,500 participants with a high return rate, and said the plan is currently in a fee holiday; if fees are charged, they are capped at $237 per year for most participants. Members asked questions about who provides the CFP service, the fee structure, and the brokerage eligibility threshold. The director said the CFP service is provided through the authority’s service bundle with Nationwide, not as a separate paid service, and explained that the fee cap and current fee holiday are intended to keep the program low-cost. Board members praised the deferred compensation program’s performance and asked for a copy of the legislation referenced in the presentation. TRS then presented on retired teachers’ health insurance. Barnes first clarified how declining federal contributions for federally funded school positions affect the retirement annuity trust, explaining that if those federal dollars fall, the amounts would need to be covered through the SEEK formula and that the projection for those contributions is about $80 million over the next three years. He then reviewed TRS retiree health coverage, distinguishing between KEHP for retirees under 65 or not Medicare-eligible and MEHP for Medicare-eligible retirees, and explained that TRS recently completed RFPs for both prescription drug and medical coverage. TRS will keep Express Scripts for prescription drugs, but will move the Medicare Advantage medical plan from UnitedHealthcare to Humana on January 1, 2026, while keeping the plan design, provider access, and out-of-pocket structure largely unchanged, with a new hearing-aid benefit of $500 per ear. Barnes also reported the 2026 premium and contribution changes: the maximum TRS contribution toward KEHP will rise to $1,144.96 from $930.76, an 18% increase that he said will require roughly $15 million to $16 million more in the state budget, while the MEHP premium will drop to $200 per month from $210. He said the TRS board has statutory authority to set these amounts and that the changes will have mixed actuarial effects, with the KEHP increase being negative overall and the MEHP decrease positive.

Transcript Highlights:

• provision in current law that keeps some seniors from obtaining the needed Medicare supplemental coverage
• We support Senate Bill 21 because it gives older New Mexicans the flexibility to switch coverage that
• So now they're looking for a lower plan, but they're not going to get the same coverage.
• But what about those folks that are left in a higher cost, maybe more coverage type group?
• You know, in the last bill about the Medigap coverage, we talked a lot about increasing premiums and

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

Transcript Highlights:

• ><00:03:54.439> is for cerss career retirees uh the goal is for cerss career retirees uh the goal
• balancing the interests of retirees balancing the interests of retirees while<00:04:22.280> also
• <00:05:22.919> that for CS hazardous Duty retirees that for CS hazardous Duty retirees that
• <00:14:22.839> uh to the handful of tier 1B retirees uh to the handful of tier 1B retirees
• right so if if you have a retiree right so if if you have a rehired rehired rehired retiree<00:20:51.640

Keywords: Meeting Start: 00:02 Attendance Roll Call: 00:49 Approval of Minutes: 01:55 CERS Retiree Health Subsidy Proposal: 02:14 SB 58: 24:05 TRS Sick/Annual Leave Proposal: 32:53 Adjournment: 48:00, 958, all

Summary: The committee first approved the prior month’s minutes after a roll call established a quorum. It then heard testimony on a draft proposal from Senator Robbie Mills to increase CERS retiree health subsidies for members retiring on or after July 1, 2003. The bill would raise the non-hazardous subsidy from $14.63 to $40 per month per year of service and the hazardous-duty subsidy from $21.94 to $50, with employee contribution rates adjusted based on the health trust’s funded status. Supporters from sheriffs, firefighters, police chiefs, and the Kentucky League of Cities said the change would improve recruitment and retention, better align the subsidy with the cost of a single health plan, and preserve the system’s financial footing through shared employer-employee costs and funding triggers. Committee members asked about the fiscal impact, the effect of funding levels above 150%, and how the subsidy would work for rehired retirees or employees who later take private-sector jobs. Mills and other witnesses said preliminary actuarial work was still forthcoming, that the bill was intended to be revenue-neutral or close to it, and that the subsidy would continue to be paid monthly; they also noted existing 2008 rules for rehired retirees and said the benefit would still be available even if a retiree later had other insurance. One member suggested looking at stable accounts as an additional option for special-needs planning in a later bill. The committee then heard Senate Bill 58 from Senator Robin Webb, which would allow state employees to designate a Special Needs Trust as a beneficiary for retirement benefits. Webb said the measure would help employees provide for disabled dependents without jeopardizing SSI or Medicaid eligibility, and that the bill follows federal special-needs trust rules. He said the proposal could be revenue neutral, but actuarial analysis was still pending and KPPA had asked for electronic rather than paper transfer provisions. Members questioned whether the authority already exists, how the trust would work, and whether stable accounts should also be considered; Webb said he would follow up with additional information.

Transcript Highlights:

• Each session, over 100 bills are filed. mandating private insurance coverage.
• Cost and Coverage Program at UT Health Science Center in Houston.
• As a new benefit coverage requirement or expands an existing coverage requirement.
• At times, it's important to ensure that coverage... is provided.
• Let's talk about where a bill might create a new coverage requirement.

Bills: HB138, HB335, HB388, HB138

Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers

Transcript Highlights:

• This also is a case when maybe you have coverage under your employer and under your spouse's employer
• This bill offers a simple solution to what has unfortunately proven to be a barrier to health care coverage
• errors can sometimes lead to these nasty surprise bills, or as I like to call it. surprise lack of coverage

Bills: HB138, HB335, HB388, HB138

Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers

Bills: SB 266, SB 1018, SB 1415, SB 1527, SB 1737, SB 1738, SJR 57

Keywords: tax collection, managed audits, taxpayer rights, dispute resolution, penalty, sales tax exemption, clothing, footwear, school items, economic relief, public retirement systems, pension funding, police benefits, firefighter pensions, municipality contributions, actuarial assumptions, amortization, administrative requirements, judicial retirement, service credit

Bills: SB 266, SB 1018, SB 1415, SB 1527, SB 1737, SB 1738, SJR 57

Keywords: tax collection, managed audits, taxpayer rights, dispute resolution, penalty, sales tax exemption, clothing, footwear, school items, economic relief, public retirement systems, pension funding, police benefits, firefighter pensions, municipality contributions, actuarial assumptions, amortization, administrative requirements, judicial retirement, service credit

Transcript Highlights:

• Simultaneously, the medical policy denies coverage, stating it's not a covered benefit.
• It makes sense to provide insurance coverage for this much-needed care.
• And that's the person that's seeking to find insurance coverage, correct? That's right.
• That makes it even harder to find coverage for those individual clients as well.
• They are not supposed to be making decisions based on policy coverages or interpretation.

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:

• . for as long as you're paying into the Metagap supplemental coverage.
• This bill basically protects existing coverage, and that's really important to remember.
• Full coverage insurance has made my life tremendously easier, but it still has limits.
• They have coverage through Medicaid, correct?
• They have coverage through Medicaid, correct?

Bills: SB20, SB21, SB166, SB177, SB181, SB189, SM6

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Transcript Highlights:

• stake this bill does not change coverage stake this bill does not change coverage levels<00:18:40.240
• Lifeline policy meets Minnesota coverage Lifeline policy meets Minnesota coverage requirements<01
• <01:29:49.280> a and underinsured motorist coverage a and underinsured motorist coverage a
• it is a dollar additional uh coverage it is a dollar one<01:45:58.560> coverage<01:45:59.040>
• > which coverage a motorcycle coverage which coverage a motorcycle coverage which will<01:46:34.880

Bills: HF2228, HF46, HF856, HF2149, HF2215

Keywords: homeowners insurance, property insurance, commercial property insurance, insurance affordability, insurance market stabilization, reinsurance, catastrophic reinsurance fund, self-insured pool, premium costs, coverage notice, liability reform, climate risk, climate change, housing affordability, multifamily housing, rental housing, common interest communities, cooperatives, small business insurance, Minnesota Commerce Department

Transcript Highlights:

• It is designed to make Delaware more attractive to military retirees by reducing the tax burden on their
• based on retirees getting a job when they retire.
• We were last for military retirees. Thank you, sir, for your return on investment. Thank you.
• We were last for military retirees. Thank you, sir, for your return on investment. Thank you.
• For military retirees. Thank you, sir, for your return on investment. Thank you.

Bills: SB219, SB9

Keywords: military pension, military retirement pay, veterans, retiree tax relief, income tax exemption, pension exclusion, Delaware income tax, retirement income, state tax subtraction, armed forces retirement, National Guard, Space Force, Coast Guard, NOAA, Public Health Service, taxable income, Title 30, Section 1106, wetlands protection, nontidal wetlands

Summary: The House Appropriations Committee met to hear several bills, with members repeatedly reminded to focus on fiscal impacts rather than policy merits. The committee first considered SB 9 on freshwater wetlands, which would combine tidal and non-tidal wetlands programs into one permitting framework; supporters said the bill resulted from a two-year consensus process and that the governor’s office and DENREC would absorb a significant share of the cost. Public testimony was largely supportive, emphasizing flood control and ecosystem services, though one speaker opposed the spending. The committee voted to release SB 9. The committee then heard SB 278 on child care assistance, which would preauthorize summer camp for eligible school-age children and create a separate lower co-payment for half-day care. The sponsor and the YMCA of Delaware said the change would better align family co-pays with provider reimbursement and make before- and after-school care more affordable for working families. The committee also released SB 278, SB 168 on alcohol delivery for package stores, SB 120 on health insurance coverage for certain testing and treatment, and HB 4, a pilot program for artificial intelligence and extended reality in schools; HB 4 was described as having a near-$3 million fiscal note and a one-year implementation delay because it was not funded in the budget. Later, the committee approved SB 219, which gradually increases the military pension income tax exclusion from $12,500 to $25,000 over three years and includes related joint-filing and residency changes. Supporters argued it would help attract and retain military retirees and bring federal dollars into the state. The committee also released SB 1, a major primary care reform bill that would increase primary care spending and implement hospital payment reforms, with projected long-term savings to the state employee health plan, and SB 325, which expands background checks and wrap-back monitoring for fire service personnel and adds an investigator position for the Fire Prevention Commission. In each case, public commenters and committee members generally supported the bills, and all were released from committee by recorded vote.

Transcript Highlights:

• It simplifies the post-retirement contributions by allowing retirees to pay the fund directly rather
• It also allows retirees the option to pay their remaining contributions as a one-time lump sum. adding
• the City of San Antonio and a member of the Board of Trustees. ...the San Antonio Fire and Police Retiree

Bills: SB524, SB782, HB42, HB1056, HB2894, HB3033, HB3474, HB3594, HB4738, HB5246, HB42

Keywords: SB 524, Texas franchise tax, veteran-owned business, new veteran-owned business, business tax exemption, filing fee exemption, Tax Code Chapter 171, Business Organizations Code, Comptroller, small business, veterans, entrepreneurship, tax repeal, privilege tax, beginning date, franchise tax exemption, severance tax, oil, gas, restimulation wells

Transcript Highlights:

• dollar in revenue that we have, so between commercial discounts, 340B, Medicaid, and Medicare. ...coverage
• I might, my coverage is with the state because I'm a dependent, and so the state could be losing out.
• Their pharmaceutical coverage.
• The result is coverage decisions driven by profit and not by what's best for the patient.
• Back in 2017, NAMI Texas testified before this committee on how changes in drug coverage were harmful

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:

• I'm a state retiree on a PPO plan and you know I was... ...doing pretty well until I developed a back
• They will deny that coverage if it was for weight loss versus diabetes on that care. Okay.
• heard in the past is, well, you could still go do that; it's just that we're not going to provide coverage
• It may even result in a denial or a non-renewal of coverage.
• If that group looks at a preventive service and gives it an A or a B rating, then it's required 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

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.