Transcript Highlights:

• changes they need to to those forms on small tax conforming issues?
• Like I said, I think my preference is if it's small, we get it done.
• It minimizes the number of amended returns families and small businesses must file later.
• We are a small community, 4,800 population, in upper northern Arizona.
• We're a small community, 4,800 population, in upper northern Arizona.

Bills: HB2780, HB4029, HB4030, HCR2052

Keywords: judicial foreclosure, tax lien, redemption rights, excess proceeds, property auction, income tax, federal tax conformity, revenue analysis, legislative session, tax reporting, municipal fees, county fees, utility rates, moratorium, tax classification, local government, inflation, economic stability, tax increases, cost-of-living protection

Transcript Highlights:

• To take a deeper dive here into these programs, the inpatient program is small, five beds.
• Can we do it on just that small section of that... coming to us at Green Hill and at Echo Glan.
• Can we do it on just that small section of that Of data for JR.
• Can we do it on just that small section of that 45 years?
• Very small population, but they will reside the entire time at Echo Glen.

Summary: The committee heard testimony on the effects of H.R. 1 on Washington’s Medicaid, developmental disability, long-term care, and food assistance systems, followed by a separate discussion of juvenile rehabilitation caseloads and placement capacity. DSHS officials said HR1 could affect home equity rules, immigration-related eligibility, work requirements for some expansion-population enrollees, and provider taxes, while also creating a future opportunity for a new 1915(c) waiver. Advocates and providers warned that any state response that cuts home and community-based services would worsen already thin provider networks, increase waiting lists, push more people into hospitals or out-of-state placements, and strain families and workers. A pediatric behavioral health expert and a supported living provider said Medicaid reimbursement is already too low and further reductions would threaten outpatient, residential, and inpatient services for people with intellectual and developmental disabilities and severe behavioral needs. The committee then turned to SNAP and the state food assistance program. DSHS said HR1 would tighten work requirements and exemptions, end some immigrant eligibility for the federal program, eliminate the SNAP education program, raise state administrative costs, and eventually require Washington to share in benefit costs based on its error rate. Officials estimated large numbers of residents could lose or see reduced benefits, with significant added state costs. Anti-hunger advocates, a food bank director, and a SNAP recipient described the program as essential for low-income families, seniors, and people with disabilities, and said the changes would increase paperwork, reduce benefits, and worsen food insecurity while also harming local food economies. Testimony emphasized that food banks cannot replace SNAP and that work requirements may be difficult to meet for caregivers, people with disabilities, and those facing child care or transportation barriers. In the juvenile justice portion, the Caseload Forecast Council presented the JR forecast, which is currently mostly flat through the end of the biennium but expected to grow modestly over the longer term. Members discussed how policy choices, including the 2019 JR-25 law, have increased lengths of stay for adult-sentenced youth in JR, while diversion and other reforms have affected regular JR trends. A court researcher explained the data available to help forecast admissions and noted ongoing efforts to improve data sharing with JR, AOC, and county systems, though staffing and system-lag issues limit how quickly data can be produced. Juvenile court administrators and DCYF officials described the community-based juvenile justice continuum, rising complexity in the JR population, overcrowding at Green Hill and placement constraints at Echo Glen and Harbor Heights, and the need for more flexible community transition and mental health capacity. No votes were taken.

Transcript Highlights:

• JR is very small, and oftentimes this is... Notion that a bed is not a bed.
• Part of it is they're very small.
• And then I also had a small question about another program.
• So if you're a small county, that can be very difficult and take a long time.
• So if you're a small county, that can be very difficult to take a long time.

Summary: The committee began with a work session on juvenile rehabilitation institution capacity, services, and staffing. DCYF Assistant Secretary Jennifer Redmond described overcrowding at Green Hill School and Echo Glen, driven by longer adult-style sentences extending past age 25, limited community placements, and small facility sizes. She said Green Hill remains above safe operating capacity, but staffing, injuries, large-scale aggression, and use-of-force incidents have improved over the past year. She also discussed Harbor Heights, a new 46-bed flex facility that had opened with 22 youth and would expand once a medical trailer arrives, as well as community transition services, vocational programming, behavior management reforms, and a request for more resources for mental health-focused facilities and staffing. Members asked about success metrics, developmental disability screening and supports, college access at Echo Glen, Mission Creek planning, and gender-responsive programming; Redmond said JR uses assessments, family involvement, and specialized living units, and that some requested funding had already been secured for returning a girls’ program at Echo Glen. The committee then heard from Team Child and the Youth Action Coalition. Greta Schultz said youth perspectives should guide system reforms and identified key concerns: overuse of sentence extensions, underuse of community transition services, continued criminal referrals from Green Hill to Lewis County, limited family contact, inadequate mental health access, and unequal education opportunities, especially for young women at Echo Glen. Justella Gonzalez, a former system-involved youth, said her time in county and state facilities was harmful, with staff mistreatment, poor education, limited therapy access, and humiliating restraint practices; she also said girls at Echo Glen lacked the same college opportunities as boys at Green Hill. Committee members asked for follow-up on county versus state experiences and on telehealth mental health services. The next presentation covered county-level services for youth involved or at risk of involvement with the justice system, led by juvenile court administrators Christine Simon-Smeyer and Judge Rachel Anderson. They outlined the juvenile court continuum from prevention and truancy work through diversion, detention alternatives, community supervision, and disposition alternatives, emphasizing evidence-based, trauma-informed, and restorative practices. Clark County was used as an example of a court that partners closely with schools and community providers, uses risk assessments and wraparound behavioral health probation, and offers detention alternatives without electronic home monitoring. They said most courts do not use detention for status offenses, but instead use court involvement to connect youth to services. They also described funding, noting that courts rely on a mix of state block grant and local dollars, and that recent cuts to early intervention funding reduced programming and staff hours. Members asked about detention for truancy, developmental disability identification, restorative justice practices, and the juvenile block grant. Finally, DCYF Assistant Secretary Nicole Rose and Katie Warren of the Washington State Association of Head Start and ECAP discussed child care and early learning impacts from recent policy and budget changes. Rose said Fair Start for Kids investments had increased child care access, provider participation, and kindergarten readiness, with more than 60,000 children in Working Connections care and rising ECAP enrollment and provider capacity. She said recent reductions will raise most family copays in 2026, delay eligibility expansions, eliminate some expanded eligibility categories, reduce ECAP slots by about 3,000, delay entitlement timelines, and cut provider supports such as rate increases for centers, complex-needs grants, trauma-informed and dual-language incentives, and infant/early childhood mental health consultation. Warren emphasized ECAP’s role in family stability, workforce participation, and reducing poverty, and noted its two-generation approach to supporting both children and parents.

Transcript Highlights:

• Tex Craft Brewers Guild is a nonprofit trade association for small and independent breweries and brewpubs
• that operate on a product scanning system, the majority of Businesses in the industry are actually small
• The fix is simple, but would relieve the stress and frustration of hundreds of small businesses around
• Two, this is reducing the burden on small business, correct? It is.
• our small businesses, this was a catastrophic, potentially a catastrophic scenario.

Transcript Highlights:

• And this industry, until last year, was about suing over small dollars in dispute.
• Small claims where the recovery...
• That has led to numerous unnecessary lawsuits against Florida small businesses.
• We are small-dollar cash lenders in this state.
• You know, this seems like a small bill, but it's really not. It's a big bill.

Summary: The subcommittee considered a long agenda of civil justice and claims measures. HB 1173, relating to the Florida Trust Code, was presented as a clarification of standing in trust litigation after recent case law; after questions about who may sue, an amendment was adopted clarifying that an expressly named charity retains standing, and the bill passed 14-2. HB 1437, on attorney’s fees in motor vehicle PIP disputes, drew testimony from insurers and reform groups opposing a return to fee-driven litigation and from medical groups supporting fee recovery for prevailing parties; it passed 17-0. CS/HB 147, addressing prohibited debt-collection communications during nighttime and early morning hours, was described as a clarification of an outdated statute in light of modern communications, with support from business groups and no opposition in the vote; it passed 18-0. The committee then heard several claims bills against the Department of Children and Families. HB 6511, for relief of L.P., described severe injuries to a child after DCF allegedly failed to act on warning signs; a technical amendment was adopted and the bill passed 18-0. HB 6515, for relief of Michael Barnett, involved DCF’s alleged failure to investigate domestic violence that preceded the killing of three children and injury of a fourth; members asked about the settlement amount and the case’s circumstances, and the bill also passed 18-0. HB 1517, expanding wrongful death law to allow parents of an unborn child to recover for the child’s death, generated the most extensive debate. The sponsor said it aligns civil law with existing criminal definitions and excludes claims against mothers and providers of lawful medical care, including IVF; opponents warned it could be used to target reproductive care, support networks, and domestic violence survivors, while supporters framed it as a justice measure for families. An amendment clarifying damages rules for minors and unborn children was adopted, and the bill passed 13-4. Finally, HB 947, on evidence of medical damages in personal injury and wrongful death cases, sought to allow broader evidence at trial and to change “shall” to “may”; supporters said it would improve fairness and transparency, while opponents argued it would weaken post-2023 tort reforms and reintroduce inflated medical damages. The amendment was adopted and the bill was then taken up with additional opposition testimony.

Transcript Highlights:

• In the 1990s, when I was starting my small business, I went to a bank and looked for an opportunity to
• Of over 2,000 small businesses.
• Banks spend a lot of money making SARs, and they pass that along to consumers and small businesses.
• It should be a small component of the issues you're worried about with crypto.
• And when you're on small margins of a community bank, you cannot compete with the big guys easily.

Transcript Highlights:

• Even small news markets remain volatile.
• farmer<00:48:58.000> business small and family farmer business small and family farmer
• Many small and emerging farmers access.
• <01:10:08.480> employers various bills exempting small employers various bills exempting small
• three<01:38:11.840> non-family A small business with three non-family A small business with

Keywords: 1187, senate, all

Transcript Highlights:

• laborers, the self-employed, and small laborers, the self-employed, and small business<00:48:44.000
• So it is a small amount of money. It will not plug the hole.
• So it is a small amount of money. It will not plug the hole.
• So it is a small amount of money. It will not plug the hole.
• So it is a small amount of money. It will not plug the hole.

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:02:10 3. Discussion of State-Based Marketplaces and the Federally-Facilitated Marketplace – 00:02:31 4. Discussion of the Role of Kynectors and Navigators – 00:27:29 5. Discussion of Presumptive Eligibility – 01:11:57 6. Discussion of Medicaid Eligibility, Enrollment, and Redeterminations – 01:20:09 7. Update on Rural Health Transformation Program Application Process – 01:47:35 8. Public Comment – 01:59:57 9. Adjournment – 02:06:10, 958, all

Summary: The Medicaid Oversight Advisory Board met for its third meeting and approved the July 30 minutes. The chair outlined a full agenda covering the state-based marketplace versus the federally facilitated marketplace, connectors and navigators, presumptive eligibility, eligibility/enrollment/redetermination, and a rural health transformation update. Commissioner Lisa Lee and Assistant Director David Barry presented first on Kentucky’s state-based exchange, Connect, explaining that it is an integrated eligibility and enrollment system for Medicaid, CHIP, SNAP, TANF, child care, and qualified health plans. They reviewed Kentucky’s move from a state-based exchange to healthcare.gov in 2017 and back to a state-based marketplace in 2021, and said the system helps route applicants to the correct program and allows families to move more easily between Medicaid and exchange coverage as circumstances change. The presenters said the exchange is funded by carrier assessments on qualified health plans rather than general fund dollars, with costs allocated across programs based on use. They said Kentucky’s exchange fees are lower than the federal platform’s and that the state-based system provides local assistance through DCBS offices, connectors, and licensed agents in every county. Members asked about startup and operating costs, fee-setting, and whether any general fund dollars are used; the department said it would follow up with the CFO on fee details and said it was not aware of general fund support for exchange operations. Members also raised concerns about Medicaid eligibility verification and improper enrollment, while the department emphasized that the state system uses different questions than healthcare.gov and is designed to identify the correct coverage based on monthly Medicaid income and annual tax-credit income. The board also discussed enrollment trends, including a COVID-era spike during the public health emergency when disenrollments were largely paused, and current qualified health plan enrollment of more than 97,000 people on Connect. Commissioner Lee explained presumptive eligibility as temporary Medicaid coverage, noting it applies to pregnant women and hospital-based cases, with hospitals able to grant it and certain providers able to grant it to pregnant women. She said full eligibility is still determined within 30 days and that presumptive eligibility ends when full Medicaid eligibility is determined or at the end of the following month. The meeting then shifted to connectors, with representatives from Community Action Kentucky and the Kentucky Primary Care Association describing their statewide outreach network, local offices, and role helping residents apply for Medicaid, renew coverage, report changes, and navigate benefits; they said connectors do not determine eligibility but assist with applications, recertifications, and outreach events across the Commonwealth.

Transcript Highlights:

• a small bonus. a small bonus. the<01:08:04.079> reality.
• And then the maximum here, the highest, is IM Care, that very small 44%.
• business idea of the burgeoning small business idea of the swimblazer<02:36:06.640> industry.
• near me, from pastors, from small near me, from pastors, from small business<03:06:20.560> owners
• This is a great bill for pharmacies, especially the small independently owned pharmacies.

Keywords: 1183, house

Transcript Highlights:

• So small, in fact, that we do not get bids for it.
• So that small number of customers that are on default service, uh, it's actually too small to get bids
• So that small number of customers that are on default service, uh, it's actually too small to get bids
• <05:22:15.280> customer um and you know in the small customer um and you know in the small
• >> Small<05:31:33.040> detail. >> Small detail. >> Small detail.

Keywords: 1189, house, all

Transcript Highlights:

• Lenny Radio: Another small one, yes.
• So, yes, it's a small team with a lot of responsibility.
• This really has a very significant loss in a small office.
• This really has a very significant loss in a small office.
• you can see that we're a very small you can see that we're a very small agency<04:53:42.840>

Keywords: 928, house, all

Summary: The committee first heard the Banking Department’s fiscal year 2026-2027 budget presentation from Commissioner Amelia Galeri. She described the department as a self-funded consumer protection regulator overseeing two main areas: the Banking Trust Division, which supervises state-chartered banks, credit unions, and trust companies, and the Consumer Credit Division, which oversees more than 7,000 licensees including mortgage and money transmitter businesses. She said the department’s budget is about 86% salaries and benefits, with 53 positions all filled, and explained that the agency funds itself through fees, fines, and end-of-year assessments on regulated entities. Galeri said the department is facing workload growth from several directions: continued growth in the trust industry, increased fintech supervision, and a new requirement to regularly examine auto dealers that take finance applications, which adds about 300 exams over two fiscal years. She said the department was directed to flat-fund its budget based on 2025 levels but was allowed to increase travel and training. To stay within that limit, she said the department reduced office space, went paperless, converted administrative and licensing positions into examiner positions, and expects to defund an embedded DOJ database administrator position once a new SharePoint system is fully implemented. Members asked about how the department’s revenue and assessments work, including whether fees were increasing and how much existing banks would pay. Galeri said fees are not being raised, most banks pay little or no fines, and assessments are based largely on asset size, with trust companies paying the bulk. She also explained that fines are set by statute, generally capped at $2,500 per violation for consumer credit entities, and said she would not recommend increasing that cap. The committee then voted to accept the Banking Department’s budget proposal as presented in HQ1, with a motion and second and no discussion. The transcript then moved to the Department of Energy budget. Commissioner Jared Chakin and Chief of Operations Lenny Radio discussed federal program funding, including LIHEAP fuel assistance and weatherization. They said the apparent drop in fuel assistance funding from FY 2024 actuals to the budgeted amount is due to the loss of ARPA and CARES Act supplemental funds, while weatherization remains a federally constrained program with a waiting list and limited flexibility. Members also asked about a proposed transfer from the renewable energy fund; staff said the transfer would still allow the department to carry out its statutory duties for the year, though the committee deferred deeper discussion until House Bill 2.

Transcript Highlights:

• congressional district, May Small congressional district, May Small Business<01:01:14.240> of
• What began as a small Beef Month?
• > rural<02:25:51.200> manufacturing our small and rural manufacturing our small and rural
• of small banks under the the survival of small banks under the avalanche<05:15:32.560> of<05:
• > to want these small banks to want these small banks to survive<05:15:49.680> to<05:15

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, May 20, 2025, 1012, house, all

Transcript Highlights:

• Um, the small independent districts.
• Uh a small piece in a annual basis.
• We didn't pass the amendment earlier that talked about small schools within a small district.
• small schools within a small district. small schools within a small district.
• Uh and then left the small council.

Keywords: 916, all

Transcript Highlights:

• That's very unusual to have agencies that small.
• I'm talking about a very small number.
• However, every one of those—whether it's a constable's office or a small-town chief, or a small-town
• I think it's very small, but it needs to be addressed.
• Those small numbers diminish the credibility of the others in this profession.

Keywords: 1184, house, all

Transcript Highlights:

• Three of them were individual small tax credit programs.
• Three of them were individual small tax credit programs.
• The small percent, With 10% showing no impact and 6% showing negative impact, the small percentage of
• And so we have small businesses exploding across the spectrum.
• Indianapolis, not some small little town.

Summary: The Senate Committee on Education K-16 convened with a quorum, adopted its committee rules, and heard opening remarks from members introducing staff and outlining priorities for the session. Members from both parties emphasized education as a major issue, while several Republicans framed the committee’s work around school choice and parent empowerment. Senator West and other Democrats stressed protecting public schools, listening to Texans, and considering the effects of vouchers or education savings accounts on school districts and communities. Chairman Creighton laid out Senate Bill 2, the Texas Education Freedom Act, describing it as a universal education savings account program modeled on similar programs in other states. He said the bill would provide about $200 million for a universal eligibility pool and additional funding for students with disabilities and lower-income families, with priority weighting for former public school students. He also highlighted anti-fraud measures, vendor pre-approval, criminal background checks, cybersecurity protections, annual testing requirements for participating students, and the use of the Comptroller rather than TEA to administer the program. Creighton repeatedly said the bill is not a voucher and argued it would not take money from public schools, which he said would receive separate historic funding increases. Members questioned Creighton about the 500% of federal poverty line definition, the adequacy of the $10,000 ESA amount, whether the program would favor students already in private school, how microschools and homeschool pods would fit, and whether the bill protects religious liberty and private-school autonomy. Democrats raised concerns about disability protections, 504 students, foster children, public-school funding, open records, and the historical context of vouchers. Republicans generally supported the bill as a way to expand options for parents and students, while also asking about administration, fraud prevention, and data security. After member questions, the committee began invited testimony, with EdChoice President Robert Inlow presenting in support of SB 2 and citing the growth and reported success of school choice programs nationwide.

Transcript Highlights:

• And then most importantly, the most important stakeholder are the manufacturers themselves, the small
• <00:40:14.440> and manufacturers themselves, the small and manufacturers themselves, the small
• to small and medium-sized manufacturers<01:00:37.360> throughout<01:00:37.600> the<01:
• these services, but they wouldn't small these services, but they wouldn't small there's<01:00:46.440
• of consulting work and service to small of consulting work and service to small medium<01:03:26.760

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call: 00:01:36 Homeland Security: 00:03:46 Kentucky Manufacturing Extension Partnership: 00:36:29, 958, all

Transcript Highlights:

• Just had a small change due to Act 641.
• The Board of Hearing Instrument Dispensers just had a small change due to Act 641.
• Just had a small change due to Act 6.4.
• The Board of Hearing Instrument Dispensers just had a small change due to Act 641.
• I live in a small town in Arkansas.

Summary: The Administrative Rules Subcommittee met to review a long agenda of agency rule changes, beginning with housekeeping on the order of business and then taking up rules from multiple state agencies. Early items included Department of Energy and Environment rules on landfill post-closure trust fund spending thresholds and liquefied petroleum gas standards, DFA’s odometer disclosure rule allowing electronic signatures and disclosures, and several Department of Health rules covering ionizing radiation, mobile home and recreational parks, lead-based paint, counseling licensure, hearing instrument dispensers, athletic training, dental specialties and compacts, nursing, pharmacy, physician assistants, medical compacts, speech-language pathology and audiology, radiologic technology, massage therapy, community health workers, doula certification, and cosmetology/body art. Most of these were described as technical updates, conformity with recent acts, federal standards, or compact participation, and nearly all were approved without objection after brief questions and, in many cases, no public comment. The committee also reviewed Department of Labor and Licensing rules on minimum wage/independent contractor standards, boiler rules, motor vehicle commission requirements for ATV/LSV dealers, professional wrestling regulation, appraiser qualifications, and military recruiting and retention programs. Testimony generally emphasized that the rules implemented recent legislation, updated fees or licensing standards, or streamlined existing processes. Members asked a few questions about fee structures, the rationale for regulating professional wrestling, and how the National Guard’s public-private partnership and incentive programs would work; the department said the recruiting incentives would be funded from existing appropriations and were intended to improve retention and force strength. These rules were also approved without objection. The most extensive discussion came on the Department of Education’s Arkansas Children’s Educational Freedom Account Program rule. The department said the revisions, based on Act 920 of 2025, were intended to add guardrails, clarify allowable expenses, and speed approval of core educational purchases. Changes included defining core educational expenses, limiting certain sports-related spending, adding an intentional misuse standard, restricting phone purchases except for disability-related needs, setting a $1,000 threshold for additional review of technology purchases, capping carryover funds at $8,500, and creating a reconsideration process for denied expenses. Members raised concerns about safeguards, appeals, sports equipment, provider credentialing, rural vendor access, and whether the department would be flexible or overly restrictive. The department said it would review every request, provide written explanations for denials, allow appeals up to the State Board, and refer suspected fraud to prosecutors if necessary. After hearing from 13 members of the public, the committee continued to discuss the rule, but the transcript ends before any final vote on the EFA rule is shown.

Transcript Highlights:

• A lot of the small arborists don't have their own chipping, grinding equipment.
• A lot of the small arborists don't have their own chipping, grinding equipment.
• A lot of the small arborists don't have their own chipping, grinding equipment.
• A lot of the small arborists don't have their own chipping, grinding equipment.
• A lot of the small arborists don't have their own chipping, grinding equipment.

Keywords: 1187, senate, all

Transcript Highlights:

• I'm sorry if this is too small here.
• I'm sorry if this is too small here.
• We've also had students who led a small group.
• We've also had students who led a small group.
• That helps support small and rural school districts as well as colleges and universities.

Summary: The Select Committee on Youth Mental Health and Treatment Access held its third hearing to review the state of youth mental health, progress under the Children and Youth Behavioral Health Initiative (CYBHI), and remaining implementation and funding challenges. The chair emphasized that schools are often the main point where education, health care, and social services intersect for students, and that the committee’s goal is to ensure public investments translate into better access and outcomes. The hearing featured testimony from researchers, a youth advocate, state officials, and local practitioners. PPIC researcher Shalini Mostala reported that teen mental health remains a serious concern, with high rates of chronic sadness, hopelessness, and suicidal thoughts, though recent California data show some improvement since the pandemic. She noted persistent disparities by gender, race, and rural status, and said school-based health centers, wellness centers, and community schools are associated with lower suicidal thoughts. Youth advocate Ella Cruz, speaking for NAMI California, described her own mental health struggles and argued that youth voice, peer-to-peer support, and reducing stigma are essential; she also said technology and AI cannot replace trusted adults or trained professionals. Committee members asked about phone use, stigma, cultural barriers, and how to make supports more accessible and relatable to students. Dr. Sohill Sood of the California Health and Human Services Agency said statewide survey data show declining stigma, increased counseling use, and lower suicide ideation among students, and he highlighted CYBHI’s certified wellness coaches, digital tools, awareness campaigns, and the first-in-the-nation fee schedule that allows schools and colleges to bill health plans for behavioral health services. He said the program is growing quickly, with more than 230,000 claims and over $11 million in new revenue to date, while acknowledging that billing systems and coordination are still being built. Trina Frazier of Fresno County described a multi-tiered system of care supported by CYBHI, CalAIM, and other grants, serving thousands of students through school-based services, wellness centers, and mobile therapy units; she said ongoing funding and flexibility are critical. Rachel Kroberniski of El Segundo High School’s James Morehouse Project described a long-running wellness center and peer mentorship model that supports students in multiple languages, and said peer programs help students feel seen, connected, and more willing to seek help. Members broadly praised the flexibility, collaboration, and peer-based approaches described by the witnesses. Questions focused on sustaining funding after one-time grants expire, improving coordination among schools, counties, and providers, expanding the fee schedule to higher education, and ensuring continuity of care for students after high school. Officials said county offices of education, DHCS, and other partners are using communities of practice and technical assistance to spread best practices, and that CYBHI services can follow some young adults through age 25, with additional supports through community-based programs and digital platforms.

Transcript Highlights:

• So, we can't wait any longer. just like I do in my small business. just like I do in my small business
• We serve small towns, farmers, and families that all rely on us for their care.
• It helps nonprofit and rural health care systems like ours. small towns, farmers, families that all small
• So our community is small, it's remote. We are a long, long drive from any other hospital.
• , and it's community is small, it's repo, and it's remote. remote. remote.

Keywords: 919, house, all

Summary: House File 369 was the main topic, with House authors Rep. Natalie Zeleznikar, Rep. Robert Bierman, and Rep. Dave Baker arguing that the bill would give Minnesota’s 2024 340B law “teeth” by enforcing protections for nonprofit and rural hospitals’ access to the federal drug pricing program. They said the measure costs the state nothing, aligns with similar laws in more than 20 other states, and is needed before adjournment to help hospitals close funding gaps, support services like emergency care, obstetrics, behavioral health, and pharmacy access, and preserve care in remote communities. Several hospital leaders from across greater Minnesota testified that 340B revenue helps keep their facilities viable and that losing it would threaten services and, in some cases, hospital survival. Witnesses described severe financial pressure on rural hospitals, including reimbursement cuts, workforce shortages, inflation, and rising drug costs. Leaders from United Hospital District in Blue Earth, Lakewood Health System in Staples, Ely-Bloomenson Community Hospital, Northshore Health in Grand Marais, Community Memorial Hospital in Cloquet, and Cuyuna Regional Medical Center in Crosby said their hospitals serve as safety-net providers and often operate with thin or negative margins. They emphasized long travel times to other hospitals, seasonal tourism pressures in some areas, and the importance of local emergency, ambulance, inpatient, and specialty services. The Minnesota Hospital Association president also criticized pharmaceutical company messaging and said nonprofit hospitals are working around the clock to maintain access. In response to questions, Zeleznikar said she had considered other enforcement approaches but now supported using the original Senate-passed bill, citing concerns about fraud and the difficulty of alternative enforcement mechanisms. She and hospital leaders distinguished this bill from a separate hospital stabilization-grant proposal, saying both are needed but serve different purposes. No vote was taken at the meeting, and the speakers repeatedly urged House leadership to bring the bill to the floor before session ends.