Transcript Highlights:

• The Medicaid buy-in is here is also another option.
• So uh there is a bill versus Medicaid.
• I heard Medicaid, allowed him to live.
• You don't need Medicaid approval. You don't need Medicaid services in the home to live there.
• You don't need Medicaid approval. You don't need Medicaid services in the home to live there.

Bills: SB3263 , SB3261

Committee: Senate Education

Keywords: student-athletes, name image likeness, NIL, compensation, transparency, University of Hawaii, Title IX, funding, protections, athlete agents, student athletes, endorsement contracts, professional representation, registration requirements, sports law, 912, senate, all

Summary: The joint Senate Committee on Education and Committee on Health and Human Services heard testimony on several bills related to student health and safety, University of Hawaii programs, and workforce development. For SB 2969, which would appropriate funds for the University of Hawaii to expand and sustain the Maui Wildfire Exposure Study and Maui Health Registry, testimony was overwhelmingly supportive. Witnesses described the ongoing physical and mental health impacts of the August 2023 Maui fires, said the study has identified serious untreated conditions and connected participants to care, and emphasized its role in serving survivors and training students. The committee also heard support from the Department of Health, the Alzheimer’s Association, the American Lung Association, Maui residents, and study staff. No vote was taken during the hearing. The committee then heard SB 2657, which would establish an Alzheimer disease and related dementia research center at the University of Hawaii John A. Burns School of Medicine. University of Hawaii and Alzheimer’s Association representatives supported the bill, saying a local center would improve coordination of existing research, build state capacity, and help Hawaii compete for future NIH designation and federal funding. A family member affected by Alzheimer’s also testified in support, citing the disease’s impact in Hawaii. In response to questions, the university said the proposal would follow a five-year phased plan, with the first year funding used to recruit a senior neuroscientist and staff person, at an estimated cost of about $375,000, and that the effort would still strengthen Hawaii’s research infrastructure even if federal funding is not secured. For SB 2612, which clarifies immunity for Department of Education employees and agents who assist students with medication administration under certain conditions, the Department of Education said the bill is intended to protect volunteers and help ensure students can participate in school activities even when staffing is limited. The committee discussed how volunteers would be selected and whether every school would have someone available, and DOE said schools currently rely on health attendants, nurses, and trained volunteers. The committee also briefly discussed liability language and gross negligence exceptions. The hearing then moved to SB 2412, which would fund a bachelor’s degree program in sign language and sign language interpretation at UH Mānoa with a future master’s pathway. Testimony from interpreters, educators, and university officials emphasized the shortage of interpreters, the need to retain local talent, and the program’s role in building a pipeline; university representatives said the initial request would fund a faculty/staff position as a first step, with additional funding needed later. No final committee action or votes were announced in the transcript.

Transcript Highlights:

• When acupuncture is used early reforms.
• </c> congress care, doulaare to Medicaid congress care, doulaare to Medicaid recipients. recipients.
• </c> believe um doulaare was granted Medicaid believe um doulaare was granted Medicaid coverage.<01:26
• So what Medicaid cover or medical assistance coverage?
• :15.440><c> assistance</c> Medicaid cover or medical assistance Medicaid cover or medical assistance

Committee: Senate Commerce and Consumer Protection

Keywords: 1187, senate, all

Transcript Highlights:

• can agree with: the overdue need to take on fraud in the state of Minnesota, the overdue need to reform
• You know, when we look at some of the claims that were being made, we know the idea of a Medicaid cut
• So were you not concerned then that the federal government will make massive cuts in Medicaid?
• said, you know, he... government will make massive cuts in government will make massive cuts in Medicaid
• Is that something you see as Medicaid?

Keywords: 1183, house

Transcript Highlights:

• Changes to liability reform. You all may remember some of those a couple of sessions ago.
• housing, temporary housing, emergency housing, permanent supportive housing; the condo liability reforms
• we talked about; SEPA reforms; tiny homes; and then the co-living bills to allow co-living.
• They've also been able to leverage and access Medicaid dollars, Really good work on this.
• They've also been able to leverage and access Medicaid dollars to support and augment, potentially using

Summary: The committee met for work sessions on land banking/shared homeownership and on maximizing existing housing stock. Members first heard an overview from Commerce on alternative homeownership models, including community land trusts, limited equity cooperatives, condominiums, accessory dwelling units, middle housing, church land for housing, and public land transfers. The discussion focused on how these models can help households build equity while keeping housing permanently affordable. Committee members asked about statewide counts of co-ops and land trusts, and Commerce said it does not track all of those entities directly. Pierce County staff then described the Pierce County Community Development Corporation’s rapid acquisition fund and its role in acquiring, holding, and transferring public land for affordable housing. They said the county used general fund and affordable housing sales tax dollars to buy properties, preserve a manufactured home park through resident ownership, and create a pipeline of sites for future development. Members asked about the advantages of a public development authority, funding sources, the use of surplus and underutilized public property, and how the model works with housing authorities. Spokane land bank staff followed with testimony that land banks can reduce blight, preserve affordability, and help nonprofits acquire land quickly, but that holding costs and taxes can make the work harder without state support. They also described brownfield assessments, donated properties, and work on Black homeownership and public surplus properties. The committee then heard from the Northwest Cooperative Development Center on limited equity cooperatives, especially in manufactured housing communities. The witness said Washington now has about 43 limited equity co-ops and that recent subsidy funding and legislation have accelerated resident purchases of manufactured home communities. Members asked how residents benefit from capped equity, how values are affected, and whether the model improves access to lending; the witness said the model stabilizes costs, allows modest equity gains, and that a recent law allowing manufactured homes in co-ops to be titled as real property should improve access to traditional financing. The committee also discussed House Bill 1974 from the prior session and possible updates to land banking legislation. In the second work session on maximizing existing housing stock, Commerce reviewed recent housing laws and implementation timelines, including ADUs, middle housing, condo liability reform, SEPA changes, tiny homes, and co-living. Members raised concerns about the long implementation horizon, vacancy data, corporate ownership of homes, and the need for better support for small landlords and first-time ADU owners. Sightline then testified on mobile dwelling units, arguing that RVs, tiny houses on wheels, and similar units are a low-cost, quick-to-install housing option that is often blocked by zoning; the witness said many Washington residents already live in these units, often informally. Finally, AARP discussed housing options for older adults, including ADUs, missing middle, manufactured home communities, co-living, universal design, and village-style support models, emphasizing aging in place and the need for more accessible, affordable housing choices.

Transcript Highlights:

• But generally, we have been on a negative glide path now following the reforms for the actual rate of
• Just a tort reforms we've seen.
• I think that the that the biggest cost driver in that space is definitely litigation reform that has
• It turns out that even the most optimistic estimates Affective tort reform would be in the auto space
• doesn't sound like a lot and a lot of ways some of the reform replace the courts.

Transcript Highlights:

• We can and should make common-sense reforms that can improve access to care.
• To find we can and should make common-sense reforms that can improve access to care.
• And just for context, there's about 4,000 dentists, but only 300 of us that see Medicaid patients at
• patients at the level where we Medicaid patients at the level where we get<01:59:07.760><c> that</c>
• at the federal uncertainty of Medicaid at the federal level<02:05:06.880><c> also</c><02:05:07.360><

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• social workers at the out-of-state hospital did not understand the state systems where we lived: Medicaid
• drafted by judges and attorneys who represent agencies and folks going through the criminal justice reform
• I think we engaged before the last session was out to reform prior authorization timelines in Arizona
• I think we engaged before the last session was out to reform prior authorization timelines in Arizona
• self-sufficiency, so it lets families thrive and has the state see a cost savings in costs like Medicaid

Summary: The committee first heard House Bill 2307, as amended by a strike-everything amendment, which would require the Department of Health Services to contract with an out-of-state facility when a person found dangerous and incompetent under a court commitment order cannot be placed in an Arizona secure mental health facility. Supporters, including the sponsor and Senator Angus, said the measure was a temporary stopgap to prevent dangerous individuals from being released because Arizona lacks secure behavioral health beds. Opponents raised due process, disability rights, family access, cost, and interstate-legal concerns, and DHS said it had no fiscal estimate and little experience with such contracts. The committee adopted the amendment and then passed the bill 6-5. The committee then took up House Bill 2083, which updates diabetes-related insurance coverage to include items such as continuous glucose monitors, insulin pumps, smart insulin pens, and certain injectable medications. Supporters said the bill reflects modern diabetes care and can prevent serious complications, while an insurer representative warned that putting the coverage in statute could create state-mandated costs and raised concern that the language might be read to include GLP-1 drugs. The committee adopted the amendment and passed the bill 11-1. House Bill 2673, dealing with mental illness screening and treatment for incarcerated people, would require sheriffs to ensure prisoners showing symptoms of mental disorder are examined within 24 hours and, if appropriate, referred for evaluation and treatment. Representative Hernandez said she intended to revise it into a study committee-style measure after stakeholder feedback, and a family member testified about her son’s death after untreated psychosis in jail. Opposition focused on competency and civil-commitment concerns, costs, and the burden on jails, but the committee passed the bill 12-0. House Bill 2923, which revises timelines and notice procedures for judicial review of court-ordered mental health treatment, also passed 12-0 after supporters said it would clarify outdated language and improve communication with families and guardians; opponents argued it shifted burdens onto patients and could prolong confinement. The committee next passed House Bill 2251, as amended, which expands licensed midwives’ authority to dispense certain medications and devices, adds reporting and oversight requirements, and creates an advisory committee. The sponsor said the amendment narrowed the medication list, clarified transfer-of-care triggers, strengthened oversight, and added sentinel-event reporting after stakeholder discussions with medical groups. Finally, the committee heard House Bill 2914 on electronic monitoring in resident rooms at nursing care and assisted living facilities, with the sponsor’s statement emphasizing the bill as a protection against abuse or neglect and noting similar laws in other states; the transcript cuts off before testimony or a final vote on that bill.

Transcript Highlights:

• </c><01:20:12.679><c> and</c> um you know Medicare and Medicaid and um you know Medicare and Medicaid
• We've also had a conversation with the chair about Medicaid in the state and what we can do.
• </c><01:58:14.159><c> levels</c> do something about the Medicaid levels do something about the Medicaid
• </c> like the Li your reciprocity reforms like the Li your reciprocity reforms that<03:59:16.080><c>
• I'm Alex Fel, Health Reform Instructor.

Keywords: 928, house, all

Summary: The committee heard testimony on a non-germane amendment to HB 297 that would create the Granite State Home Mitigation and Resiliency Program. Insurance Commissioner DJ Beton, joined by department staff, explained that the proposal is intended to help homeowners afford insurance by funding proactive home improvements that reduce risk and improve insurability. He said the program would be funded by the first $1 million collected annually from the insurance premium tax, with grants of up to $10,000 available on a first-come, first-served basis. Beton described the problem as rising homeowners insurance premiums, hard-market underwriting, nonrenewals, and the resulting shift to more expensive surplus lines coverage. He said eligible projects could include roof fortification, exterior improvements, flood-related foundation work, and removal of hazardous trees or limbs. He cited similar programs in other states, especially Alabama, Louisiana, and North Carolina, as evidence the model can work and noted that industry representatives were present in support. He also said the program would use means testing aligned with the Department of Energy’s weatherization program to target lower-income applicants. Members asked about the non-germane process, who would administer the program, and how the bill would prevent misuse of grant funds. The commissioner said the department would administer the program using one repurposed existing position, with Treasury handling fund flow through an MOU. Staff explained that applicants would have to show completed work through a signed contract, itemized work, and a sworn contractor affidavit, with some upfront payment allowed for materials and the remainder paid after completion. The chair and members discussed that the amendment is being attached to a different bill only to move the proposal through committee and on to House Finance for further consideration.

Transcript Highlights:

• Aligned with both the Lanterman Act and Medicaid HCBS, with the core purpose of this needs evaluation
• And I'm just one of many advocates dedicated to reforming our service system.
• Medicaid waiver, all the regional centers are using this, and it's billions of dollars.
• I would also encourage DDS to think beyond conservatorships as it looks toward reform.
• Individuals can I would also encourage DDS to think beyond conservatorships as it looks toward reform

Keywords: 988, house, all

Transcript Highlights:

• And the bill, we think, represents a narrow, targeted reform, maybe a beginning of a longer conversation
• Though this issue is severely stigmatized, reform is not only needed, it's necessary. ...and incumbent
• SB 1221 directly addresses these challenges through targeted reforms.
• As part of our responsibility to administer our state's Medicaid program, we need to look at the data
• As an autistic consumer of public programs, my survival depends on Medicaid.

Summary: The committee heard SB 1377, which would change California’s medical exemption process for school immunizations. The author and supporters argued the bill would restore physician discretion, reduce fear of audits and discipline, and help families with medically vulnerable children obtain exemptions. Opponents, including pediatric, medical, and public health groups, said the current system created by SB 276 and SB 277 is working, that valid exemptions are still being issued, and that loosening oversight could undermine immunization rates and public health. Members debated the data behind claims of a chilling effect, the number of exemptions reviewed or revoked, and the bill’s amendments, which narrowed the measure to current exemptions and added a small additional threshold. Because there was no quorum at the time, action on SB 1377 was delayed until a quorum could be present. The committee then heard SB 995, the Masuma Khan Justice Act, which would create a statewide inspection and enforcement framework for large voluntary residential facilities, including private immigration detention centers. The author and supporters described alleged neglect and abuse in detention facilities, including denial of medication, unsafe food and water, and inadequate oversight, and argued the state should ensure humane conditions and accountability. The California Hospital Association expressed concern about duplicative oversight and possible overlap with existing regulation, while the author said the bill was being refined to avoid constitutional problems and duplication. The committee voted to do pass and re-refer SB 995 to Judiciary, with the roll call showing five votes and the bill placed on call. SB 1089 was also heard, proposing expanded access to GLP-1 medications for state and local government employees through CalPERS and encouraging broader affordability efforts through CalRx. The author framed the bill as a response to chronic weight disease, diabetes risk, and high costs, and described his own experience obtaining and paying for GLP-1 treatment. Supporters from the American Diabetes Association and medical groups said GLP-1s are effective tools for preventing and managing type 2 diabetes and could reduce long-term health costs. No opposition was heard, and the committee voted do pass and re-refer the bill to Labor, Public Employment, and Retirement, with the vote placed on call. The committee also began SB 1221 on Murphy conservatorships, with supporters and opponents debating whether district attorneys should have a larger role in these proceedings and whether the bill would improve public safety or disrupt the civil mental health process; the transcript cuts off before final action on that bill.

Transcript Highlights:

• programs that support 14(c), or who provide supports for individuals with disabilities, either as a Medicaid
• Is it Medicaid policy? What are the barriers?
• I realize it can't fully be Medicaid policy if other states are doing it.
• Barriers—I realize it can't fully be Medicaid policy if other states are doing it—but do we need to change
• There's also some need for some Medicaid reforms. We talked about the buy-in for Medicaid.

Summary: The meeting was a 14(c) Task Force hearing focused on employment experiences of Oklahomans with disabilities and the state’s use of subminimum wage. Numerous self-advocates and workers testified about their jobs, accommodations, pay, transportation barriers, and the importance of community integration. Several speakers described positive experiences in competitive or community jobs, while others recounted being underused, fired without explanation, or paid by piece rate or minimum wage in sheltered or enclave settings. Many emphasized that fair pay, independence, ABLE accounts, and supportive employers matter to them, and several said they want future careers, promotions, or even to own businesses and help others with disabilities find work. Task force members discussed recurring themes from the testimony: transportation as a major barrier, the importance of community and self-advocacy, employer misconceptions and stigma, the need for better transition services from school to work, and the difficulty families face navigating benefits and employment systems. Members also raised concerns about people being fired without explanation and about the need for meaningful options for those not ready for competitive employment. Suggestions included more employer education, reverse job fairs, job coaching, benefits planning, better coordination between DDS and DRS, and stronger transition supports in schools and through programs like Project SEARCH. Staff then presented research on how other states have phased out or eliminated 14(c) certificates. Examples included Kansas, Illinois, Indiana, Oregon, Pennsylvania, and Washington, with common approaches such as phase-out timelines, technical assistance, provider transition plans, and support for competitive integrated employment. The presenters noted that Oklahoma still has 40 entities using 14(c), most of them DDS providers, but many providers are already moving away from it. Members discussed potential unintended consequences, the need for a clear timeline, the possibility of blending or braiding services, and whether Oklahoma should create a more one-stop, employer-friendly system. No votes were taken, and the group agreed to continue gathering information and return in June to begin shaping priorities and possible policy directions.

Transcript Highlights:

• It's not all malpractice reform; it's reimbursement, high-paying jobs, and a better education system.
• So, it's kind of a difficult time, because if Medicaid funding changes, then we may have to rethink the
• Medicaid is so interlinked with federal and state policy as well.
• With respect to the Medicaid assistance treatment in detention facilities, I want to make sure that I
• That talks about the reimbursement they're getting from Medicare and Medicaid.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• And there is no single reform that is going to solve it overnight.
• First, a large proportion of maternal deaths occur among Medicaid beneficiaries.
• And these pregnant Medicaid beneficiaries often struggle to access obstetric care.
• First is expanding Medicaid coverage to cover doulas.
• And then also on one of your slides, it talks about kind of the variable of Medicaid beneficiary, and

Keywords: 965, house, all

Summary: The committee held its inaugural meeting on March 5, 2026, with opening remarks from Chair Freiberg and Vice Chair Marcelle describing the panel’s purpose as studying issues affecting women and children, including health, education, economic opportunity, safety, and criminal justice. After roll call, the chair noted the meeting was informational only and not requiring a quorum. The committee then heard presentations and asked questions on human trafficking and child exploitation, followed by an audit report on the treatment and care of incarcerated women. Mary Kate Andrepont of the Governor’s Office of Human Trafficking Prevention presented 2025 data showing 2,963 victims identified, 15,437 service instances, and 33% of victims remaining in services at least nine months. She said 93% of reported victims were sex trafficking victims, most were under 18, and 62 of 64 parishes had trafficking reports. She explained familial trafficking, described screening and coordinated response procedures, and highlighted new tools and outreach campaigns. She also discussed two priority bills: HB 321 by Rep. LaFleur, which would create immunity from prostitution offenses for child trafficking victims under Safe Harbor principles, and SB 83 by Sen. Edmonds, which would require school board trafficking policies and expand victim advocacy services to labor trafficking victims and survivors up to age 21. Committee members asked about reporting procedures, data trends, service gaps, and the reach of the screening tools. Chris Masters of the Attorney General’s office then presented on online child exploitation and child sexual abuse material through the Louisiana ICAC Task Force. He reported 31,203 tips in 2025, 545 arrests, more than 80 children identified or rescued, over 1,500 search warrants, and more than 100 community presentations. He said the task force is expanding statewide, including an Orleans Metro unit, and asked for more analysts and outreach personnel to handle a projected rise in cyber tips. Members asked about community presentations, the scope of the investigations, sex offender social media restrictions, interstate cases, sentencing, and how online enticement and live abuse are prosecuted. The discussion emphasized parental monitoring, school outreach, and coordination with federal partners. The final item introduced an audit report on the treatment and care of incarcerated females. Legislative Auditor staff said the review, requested by a 2023 resolution, found that Louisiana’s jails and guidance documents had not fully addressed the key laws and standards governing women’s incarceration, including restraint use during pregnancy and childbirth, health care, hygiene, dignity, and reentry. They noted that local jails still house a majority of incarcerated women despite the opening of a new state facility, and that several facilities had confirmed prohibited restraint use or failed to provide required written advisements. The staff said the report included legislative considerations for improving compliance and care.

Transcript Highlights:

• It fails, absolutely fails in my view, to reform the tax system in any meaningful way.
• Number three, Senate Bill 6162, concerning property tax reform.
• There is a fiscal note written to the prior substitute, part of removing Medicaid.
• There is a fiscal note written to the prior substitute, part of removing Medicaid.
• The first little note is written. ...and outpatient Medicaid services.

Summary: The Ways and Means Committee met in executive session on February 9, 2026, first hearing a staff briefing on Senate Bill 6346, which would impose a tax on individuals earning over $1 million. Staff described the bill’s revenue and spending impacts and reviewed a proposed substitute and 11 amendments addressing items such as public defense funding, charitable deductions, out-of-state tax credits, small business credits, diapers, constitutional issues, and a contingent constitutional amendment. The committee later took up the bill and rejected all of the offered amendments, then advanced the substitute bill with a due pass recommendation to the Rules Committee. Members supporting the bill argued it would help address tax fairness and fund public services, while opponents raised concerns about constitutionality, economic harm, and the effect on businesses and charitable giving. The committee also acted on a series of policy bills. It advanced a substitute bill on grocery store closures in food deserts after adopting a narrower substitute, despite concerns from some members about burdening grocers. It approved a substitute bill expanding voting access for military, overseas, Native American, and disabled voters, adopting a second substitute that removed a cybersecurity review requirement. The committee also advanced bills on tort claim arbitration against governments, victim and witness protections in sexual assault and domestic violence cases, JLARC review of student aid fraud, agricultural collective bargaining, labor relations if federal preemption ends, a cost-of-living adjustment for Plan 1 retirees, workers’ compensation and medical care access, line-of-duty death reimbursements, law enforcement background checks and eligibility, veterans’ discharge definitions, and extraordinary medical placement. Several of these bills had amendments adopted, including changes to tort claim oversight, victim-requested standby counsel, agricultural labor definitions, workers’ compensation penalties, law enforcement volunteer support, and extraordinary medical placement criteria. In the second group of bills, staff briefed measures affecting property taxes, housing, cannabis, disaster-related tax relief, technical tax code changes, aircraft fuel tax revenues, the estate tax, and a pesticide tax exemption. The committee heard that a substitute for the fire protection district bill would alter how city or town levy capacity is reduced and include consultation requirements and board-creation provisions. It also heard that the property tax relief expansion for seniors and disabled retirees needed a substitute to make the consolidated school levy revenue-neutral. Other bills would expand tax exemptions for low-income housing and nonprofit homeownership, authorize local cannabis excise taxes, extend disaster repair tax relief, expand housing-related local sales tax uses, make technical tax code changes, redirect aircraft fuel tax revenues to aeronautics, reduce the estate tax rate, and extend a pesticide tax exemption. The transcript ends during the committee’s consideration of Senate Bill 6346, with the committee debating and rejecting amendments before moving the bill forward.

Transcript Highlights:

• I often hear some lawmakers taking a victory lap when discussing the 2023 tax reform effort, but in reality
• As a standalone reform, we find the revenue cap provision does not cause any net annual reductions in
• I'm proud to say that we'll be celebrating the 20th anniversary of the Massachusetts health care reform
• billion cut in the annual state budget, on top of the multi-billion-dollar Trump administration's Medicaid
• We should be discussing what reforms are needed at the state and local levels to address the fiscal crisis

Keywords: 995, all

Summary: The Special Joint Committee on Initiative Petitions held a public hearing on two proposed ballot initiatives: one to reduce the state personal income tax rate from 5% to 4% over three years, and another to revise the state’s tax collection cap/62F process so it would be based on prior-year collections plus wage growth and include surtax revenue. The committee chair and House co-chair outlined the hearing process, and the first witness was Doug Howgate of the Massachusetts Taxpayer Foundation, who testified as the committee’s subject-matter expert on both measures. He said the income tax proposal would lower taxes broadly but would reduce state revenue by about $5.4 billion when fully implemented, with an estimated $800 million hit in FY27, and he discussed possible effects on competitiveness, taxpayer savings, and public finances. On the 62F proposal, he said the revised cap would make refunds more likely, could have produced several large refunds in recent years, and would reduce stabilization fund deposits and constrain recovery after recessions. Committee members questioned Howgate about competitiveness, outmigration, prior tax ballot measures, spending growth, MassHealth, and the interaction between the income tax and surtax. He emphasized that taxes are only one part of the state’s overall competitiveness and that housing, public services, and other factors also matter. He also noted that the surtax is constitutionally restricted but can still support ongoing spending choices. After his testimony, the committee moved to the proponents’ panel. Proponents of both initiatives, including representatives from Taxpayers for an Affordable Massachusetts, the National Federation of Independent Business, Pioneer Institute, and the Mass Opportunity Alliance, argued that the measures would improve affordability, help retain residents and businesses, and support job growth. They cited polling support, outmigration, small-business reinvestment, and comparisons to lower-tax states such as North Carolina. Their economist, Rebecca Paxton, said her model showed smaller revenue losses than critics claim and projected that the revised revenue cap would not create additional annual revenue losses while producing more regular taxpayer refunds. Committee members pressed the panel on competitiveness, prior ballot initiative implementation, and whether the measures would actually address broader affordability pressures; the hearing ended with the committee continuing to take questions from the proponents.

Transcript Highlights:

• I want to recognize and share our gratitude for the passage of the Behavioral Health Reform and Investment
• for The investments that were just recently made by the legislature to create the Behavioral Health Reform
• While there may be some changes to that, the state support of Medicaid cannot be underemphasized in its
• So you can see on that first line where CBO is projecting Medicaid over a 10-year period.
• spending. starts in 2030, so it's time for states to make adjustments to how they work with their Medicaid

Transcript Highlights:

• This is a modest, targeted reform that asks the very highest-income households to contribute a little
• If my mom loses her Medicaid... If my mom loses her Medicaid, it will be a slow death.
• impact of higher health care costs in my work, and I’m very concerned about the federal cuts to Medicaid
• You all are aware of our ongoing budget priorities: increasing investments in the state’s Medicaid system
• Patient co-pays have gone. federal cuts to Medicaid and health care coming our way.

Committee: House Finance

Keywords: 904, all

Transcript Highlights:

• with Medicaid that one of my colleagues will address in detail later on in the presentation.
• I'm going to begin with our current Medicaid application process within the DOCR.
• So either their Medicaid is reactivated at that point, or if there's additional information requests,
• If they're already a Medicaid member, they can suspend their Medicaid eligibility, and then when they're
• So that is an update on the data connectivity between the DOCR and HHS regarding Medicaid.

Committee: Joint Judiciary Committee

Summary: The committee opened with a moment of silence honoring a deceased member, then approved the April minutes. The first major presentation was from Chelsea Florey of Child and Family Services on the Diversion Task Force and related grant programs created with one-time funding from HB 1012. She reported that five of six proposals were funded, with youth diversion services operating in Bismarck, Fargo, Grand Forks, Minot, and a Red River Children’s Advocacy Center program focused on problematic sexualized behavior. Members discussed barriers such as staffing shortages, voluntary family engagement, service fatigue, and the need for better coordination, broader outreach, and possible changes to diversion eligibility rules so low-level cases can remain in diversion longer. Several legislators pressed for more practical system changes and clearer service navigation, while Florey said the task force is trying to build a service array or hub and is leaning on the Children’s Cabinet for broader recommendations. The committee then heard from North Dakota Lottery Director Thomas Lawler, who gave an operational overview and biennium report. He described the lottery’s history, games, retailer commissions, Pick and Click subscriptions, Players Club membership, and revenue distribution. For the 2023-25 biennium, about $67 million in tickets were purchased, with roughly $16.2 million transferred overall, including money for the general fund, drug task force grants, and compulsive gambling prevention and treatment. Members asked about the compulsive gambling allocation and whether the amount is set by statute. A lengthy presentation followed from the Department of Corrections and Rehabilitation on criminal justice data connectivity and reentry. Adam Anderson explained that North Dakota’s jail, court, HHS, and correctional systems use multiple separate databases that do not communicate in real time, requiring manual cross-checks and staff communication. He said the department is exploring a centralized hub or other integration approach, but noted challenges with identifiers, vendor contracts, confidentiality, and cost. Robin Schmolenberger then updated the committee on a Medicaid data-sharing project with HHS, saying monthly application assistance is now occurring in correctional facilities and that automated bi-directional data exchange is expected in late 2026 to help suspend and reactivate Medicaid coverage and identify former foster care youth. Members also discussed parole, probation, transitional housing, and the need for better real-time notifications and clearer data definitions. The committee also received an update from county representatives on the 24/7 sobriety program, including a recent attorney general opinion that if a court waives 24/7 fees, sheriffs may use the cheaper twice-daily breath test or urine testing instead of SCRAM bracelets or drug patches. Finally, Bruce Johnson of the Racing Commission presented on an audit report, acknowledging serious findings involving overspending from the promotion fund, grant documentation failures, a breeders fund eligibility reversal, and repeated procurement violations. He said the commission has already changed its procedures by tracking fund limits monthly, requiring grant applications and itemized reports, enforcing breeders fund rules as written, and routing purchases through procurement with written contracts. The committee asked follow-up questions throughout but took no formal votes on these presentations.

Transcript Highlights:

• And cutting SNAP, Medicaid, and ACA subsidies.
• They're worried about the uninsured in that community who are covered by Medicaid.
• NOW THANKS TO THE PENDING MEDICAID CUTS, THEY DON'T KNOW WHAT THEY'RE GOING TO DO.
• And Medicaid or the Affordable Care Act is their only option.
• AND MEDICAID OR THE AFFORDABLE CARE ACT IS THEIR ONLY OPTION.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, November 17, 2025, 1012, house, all

Transcript Highlights:

• And to confirm, I am responsible as Medicaid director for the Medicaid benefits that we're discussing
• </c> providing Medicaid services. providing Medicaid services.
• </c> Medicaid.
• Again, as the Medicaid Medicaid.
• </c> investigations in the Medicaid program. investigations in the Medicaid program.

Committee: House Fraud Prevention and State Agency Oversight Policy

Keywords: 1183, house