Transcript Highlights:

• Motion to change Trevor's name to >> Yeah. Motion to change Trevor's name to Ryan. Ryan.
• What was the biggest change you made here? What was the major change?
• >> that didn't change. >> that didn't change.
• <00:22:56.080> in change strike strike through change in change strike strike through change
• . changed. changed.

Keywords: 1191, senate, all

Transcript Highlights:

• Yeah, there's no changes to the state's drug formulary from year to year. There's zero changes.
• So there's no changes. So Mr. N. Yes. So there's no changes.
• There's zero changes. So when year. There's zero changes.
• every quarter we change the formulary. every quarter we change the formulary.
• interpreting needs are changing. interpreting needs are changing.

Keywords: 1183, house

Transcript Highlights:

• Any changes, any comments? Yes.
• > 310<00:36:54.160> and as a result of changes to RSA 310 and as a result of changes to
• law changed relatively recently. Mhm. law changed relatively recently. Mhm.
• then prompts rule changes, which prompts the policy changes.
• So that is the the changes.

Keywords: 928, house, all

Summary: The committee opened by approving the September 5, 2025 minutes, with one member asking that future minutes use honorifics such as Mr. or Ms. The agenda was then adjusted so Police Standards and Training could present first. Director John Skipa reported on the 2019 performance audit, saying 12 of 16 findings were fully resolved and the remaining items were substantially or partially resolved. He highlighted work on a job task analysis to update curriculum and develop a more realistic physical aptitude test, including possible replacement of the long-used Cooper test and a shift away from mandatory baton training toward electronic weapons training. He said stakeholder work groups would meet in October and November, with a goal of completing the work by the first quarter of 2026. On the strategic planning and performance measurement finding, Skipa said the agency had relied on the 2019 audit and the LEAC report as guides while also implementing a digital records system. He acknowledged that a formal forward-looking strategic plan with the council had not yet been completed, but said he and the council chair wanted to do so, possibly through a retreat-style planning session. Members asked how many LEAC recommendations had been fully implemented; Skipa said he did not know the exact number but believed nearly all of the 22 items assigned to his agency were complete. On the administrative rules finding, he said a part-time former director had been brought back to help revise outdated rules, the council subcommittee had finished its work, and proposed changes would be sent to the full council, then to stakeholders and the public, with a public hearing expected and implementation targeted for 2026. For the Corrections Advisory Committee finding, Skipa said the committee had been reconvened in 2020 and 2021 but had limited usefulness because the statutorily named members were mostly high-level administrators rather than line supervisors or newer corrections staff. He said some positions later went unfilled because of budget and staffing issues, and the committee had not been called back, but he was open to either informal adjustments or possible legislative changes to make the committee more useful. Committee members suggested that the statute may need to be amended to allow more appropriate designees or supervisors to participate. After Police Standards and Training concluded, the committee moved on to the Office of Professional Licensure and Certification, where the executive director said he would focus on the partially resolved items in the dental examiner audit and the National Path audit, noting that many changes were tied to recent statutory revisions.

Transcript Highlights:

• So it'll change through the end of this fiscal year.
• And it changes. Home ownership changes all the time. Home ownership changes all the time.
• Nathe: it's not going to get any cheaper to make the change.
• That has been changed since you were in high school. Mr.
• So those are some of the changes since June of 2024.

Summary: The Government Finance Committee met with new leadership, approved the December 11 minutes, and received a series of informational updates on the state’s finances and related policy issues. The Office of Management and Budget reported the general fund is tracking very close to forecast, with revenues about $2 million above forecast and an estimated ending balance of about $397 million, higher than previously expected. OMB also reviewed balances in major funds, including the budget stabilization fund, legacy fund, foundation aid stabilization fund, social services fund, and strategic investment and improvements fund, and answered questions about oil tax revenues and fund management. The Tax Department provided updates on taxable sales and purchases by county and industry, noting Cass County as the largest county by taxable sales and that retail trade remains the largest industry sector. Tax Commissioner Brian Kroshus also discussed the federal One Big Beautiful Bill Act and its estimated effects on North Dakota income tax collections, explaining that the projected revenue impacts are measured against a 2025 baseline and that some provisions are temporary while others are permanent. He also reported that primary residence tax credit applications were running ahead of last year, with more than 154,000 received so far and an expectation of roughly 160,000-plus applications. The committee also heard fee-study presentations from the Department of Transportation and the Information Technology Department. DOT explained that driver’s license fees cover only about half of program costs and that the shortfall is subsidized by the highway fund, while also noting recent changes such as the blackout plate and motor vehicle excise tax distribution changes. NDIT described its internal service fund model, current billing structure, and possible future changes to simplify invoices and billing frequency. Legislative staff also updated the committee on office space needs in Bismarck-Mandan and on legislative branch space planning, and subcommittees reported progress on fixed-route transit funding and regional jail capacity, including a visit to the Burleigh-Morton detention facility and discussion of future prison bed needs. No formal votes or legislative actions beyond approving the minutes were taken, and the committee adjourned with its next meeting set for June 25.

Transcript Highlights:

• Nothing about Gwen changed. Nothing about her medical necessity changed.
• Nothing about her medical changed. Nothing about her medical necessity<00:01:45.320> changed.
• change happened until I the coverage change happened until I told<00:03:24.760> her.
• That changed this year.
• it. bill to change it.

Keywords: 918, senate, all

Summary: The committee heard public testimony on a health insurance/home care nursing provision and on other consumer protection items. Nick Keis and Emily Walters, both parents of medically complex children, testified that commercial health plans had recently begun capping home care nursing as if it were intermittent home health visits, which they said was contrary to Minnesota law and legislative intent dating to 2010. They described severe impacts on their families, including hospitalizations, loss of nursing coverage, strain on waiver budgets, and the risk of children being forced out of the home and into institutions. Representative Bierman echoed that the bill was a straightforward clarification of existing law, not a new mandate or added cost, and a staff member later cited the statutory definition of home care nursing as ongoing, continuous nursing services that cannot be met through intermittent or visit-based care. The committee also discussed the practical difference between home health visits and private duty/home care nursing, with testimony emphasizing that the latter is medically necessary, assessed, and not unlimited in practice. Laura Sales of the Minnesota Attorney General’s Office testified on changes to the Consumer Protection Restitution Fund (CIPRA). She said the fund has begun distributing restitution, starting with consumers harmed by the closure of Woodbury Dental Arts, but that current statutory language limits the office’s flexibility to prorate payments. She asked for an amendment allowing the AGO to distribute available funds more equitably so more eligible consumers can receive some payment, rather than requiring full payment to the oldest claims first. Annette Meeks, representing Citizens Against Gambling Expansion, testified in support of banning sweepstakes gambling in the Commerce Committee omnibus report. She argued that online sweepstakes casinos are an illegal gray-market form of gambling, cited rapid growth and billions in revenue, and said other states have acted through enforcement and legislation to stop them. She urged the committee to include language from Senate File 4474 to clarify state law and prohibit sweepstakes gambling. No votes were taken in the portion of the meeting shown; members mainly asked questions and received testimony.

Transcript Highlights:

• According to HR1, we have a change in definition of lawfully present non-citizens.
• And then as we got to the fall and the beginning changes were coming.
• But looking ahead, Shirley was just forecasting the additional changes ahead.
• Not a lot of massive changes.
• That's a pretty big sprint for us to prepare for changes next year.

Summary: The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners. The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings. The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps. In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.

Transcript Highlights:

• So how does this change the price of existing structures if there's changes of building code?
• So how does this change the price of existing structures if there's changes of building code?
• But the other aspect is in terms of climate change and how we combat climate change.
• There are certain provisions that allow for changes, emergency changes, to be made midstream.
• The issues around climate change are also critical here.

Summary: The committee heard a series of housing and wildfire-recovery bills, with members repeatedly framing the package as a response to the Los Angeles fires and the state’s broader housing affordability crisis. AB 306, by Assembly Member Schultz, would place a six-year moratorium on new residential building-code updates and local code modifications except for health-and-safety emergencies. Supporters argued it would reduce costs and provide certainty for rebuilding and new housing production, while opponents from environmental, clean-energy, and labor groups warned it would freeze beneficial code improvements, delay innovation, and limit local control. Despite those concerns, several members said they would support the bill while seeking amendments, and the committee voted it out on a due pass recommendation to Appropriations. The committee also approved AB 301, which would require state agencies to follow shot-clock style deadlines for reviewing building permits, and AB 253, which would allow licensed third-party professionals to conduct certain post-entitlement permit reviews if local departments take more than 30 days. Supporters said both bills would reduce delays, lower costs, and speed rebuilding and housing production; some members emphasized that safety reviews must remain intact. AB 301 passed on a due pass vote to Appropriations, and AB 253 passed 8-0 to Local Government. AB 462, by Assembly Member Lowenthal, would exempt accessory dwelling units in Los Angeles County’s coastal zone from coastal development permit requirements, with the goal of speeding ADU construction for disaster recovery and housing supply. Supporters said ADUs are a proven tool and that the bill would help displaced residents and future coastal disaster areas; one member of the public opposed the bill, arguing ADU proliferation can change neighborhood conditions. The committee sent AB 462 to Appropriations on an 8-0 vote. The final bill discussed, AB 299, would let disaster-displaced families stay in hotels, motels, and short-term rentals for more than 30 days without triggering landlord-tenant rules, mirroring an earlier homelessness-related law; the transcript ended as the author began presenting the bill and its support.

Transcript Highlights:

• Are there those wishing to vote or change their vote?
• Are there those wishing to vote or change their vote?
• Those wishing to vote or change their vote.
• Will there be changes?
• Will there be changes?

Bills: HB2894, HB3418, HB3415, HB3413, HB3414, HB3416, HB3417, HB3419, HB3420, HB1739, HB1752, HB1979, HB2941, HB2992, HB3075, HB3086, HB3177, HB3269, HB3278, HB3279, HB3497, HB3644, HB4432, HB3720, HB3849, HB3882, HB3919, HB3941, HB4118, HB4141, HB4268, HB4342, HB4428, HB4429, HB4434

Keywords: HB2894, Oklahoma Rural Jobs Act, rural jobs, rural investment, tax credit, capital investment tax credit, state tax credits, economic development, rural fund, rural investor, qualified investment, eligible business, Department of Commerce, rural business, investment certification, tax liability, credit cap, workforce development, small business finance, rural development

Summary: The Senate began with ceremonial recognitions for several student groups and community visitors, including Carl Albert High School’s boys and girls swim teams, the Lady Titans basketball team, and the Choctaw High School speech and debate team. Senators and coaches highlighted the teams’ state championships, academic achievements, and perseverance, and the chamber also welcomed visiting groups from Aline, Owasso, and Tulsa County. After the presentations, the Senate returned to general order and took up a series of House bills. Among the measures considered, House Bill 3720 expanded the Local Food Freedom Act by raising the gross annual sales threshold for local food establishments from under $75,000 to $250,000; it passed 39-4. House Bill 3849 updated the Oklahoma mentoring children of incarcerated parents program and passed 42-1. House Bill 3882 created a revolving fund for industrial and lake access improvement projects and passed 33-9, then also passed the emergency clause 39-4. House Bill 3919 reduced county free fair association boards from nine members to five to address quorum problems and passed 45-0. House Bill 3941 codified a pay raise for a court secretary and passed 45-0, including its emergency clause. House Bill 4118 updated the family caregiver tax credit and passed 44-1. House Bill 4141 removed the sunset on the statewide sexual assault nurse examiner coordinator position and passed 45-0. The chamber also debated several policy bills more extensively. House Bill 4268 created a growth-based teacher compensation program using Oklahoma Teacher Empowerment Funds and restored a $5,000 stipend for national board-certified teachers; it passed 45-0 and its emergency clause also passed 45-0. House Bill 4342 allowed prior instances of domestic violence or abuse to be admitted as propensity evidence in court, with supporters saying it would help interrupt the cycle of abuse and opponents raising due process concerns; it passed after debate. House Bill 4428 required public pension plans to base proxy voting decisions solely on financial considerations, and House Bill 4429 required proxy advisors to disclose when recommendations were not based on financial analysis; both passed after debate, 35-8 and 37-7 respectively. Two Rule 7-9 motions to pull House Bills 4422 and 4423 from committee and place them on general order failed by recorded vote. The Senate then announced Denim Day for domestic violence and sexual assault awareness, noted a few final reminders, and adjourned until April 29, 2026, at 9:00 a.m.

Transcript Highlights:

• changes are made here? changes are made here?
• propose making any changes to that. No. propose making any changes to that. No.
• change the age.
• The sub simply changes change the age.
• Has no changes to it. Uh last year. Has no changes to it.

Bills: HB1, HB198, HB11, HB32, HB33, HB34, HB56, HB68, HB72, HB101, HB102, HB110, HB154, HB166, HB168, HB274, SB114, HB1, HB198, HB11, HB32, HB33, HB34, HB56, HB68, HB72, HB101, HB102, HB110, HB154, HB166, HB168, HB274, SB114

Keywords: DUI, driving under the influence, ignition interlock, interlock device, driver license suspension, restricted license, motor vehicle, alcohol offense, first offense, repeat offender, blood alcohol concentration, BAC, license revocation, Alabama State Law Enforcement Agency, ALEA, public safety, traffic safety, chemical dependency, substance abuse, court referral program

Transcript Highlights:

• It changes this.”
• We did change it.
• is not to change just to change.
• “The world is changing, and higher ed is changing dramatically.
• How do we change that?

Keywords: 908, all

Summary: The Higher Education Funding Committee met to discuss possible changes to North Dakota’s higher education funding formula, with a particular focus on separating the UND School of Medicine and Health Sciences MD program from the general formula. Dr. Jenkins outlined several options for the MD program, including a fixed-funding model, a hybrid model, or keeping it in the formula, and emphasized the need to preserve strong support for medical education while making future funding clearer. He also discussed efforts to increase the share of North Dakota students in the MD program through ND85, expanded recruiting, early acceptance pathways, MCAT prep, a four-plus-one program, and the Primary Care Accelerated Track, along with future cost pressures such as AI licensing and residency growth. The committee then reviewed a simplified funding model from the University System Office that would base funding more heavily on student FTE, credentials awarded, and a few incentive factors such as small institution and research adjustments. Members questioned the use of placeholder numbers, the lack of a clear methodology for the small institution and research factors, and whether the model would adequately account for differences among institutions, high-cost programs, and graduate education. Several members raised concerns that arbitrary factors would be hard to defend politically and could distort funding or create competition between schools, while others said the exercise was useful as a starting point for discussion. Alex presented a second alternative that kept the current SIP-code structure but increased CTE weighting, added a progressive economic size factor, and separated out the MD program. His model also added an on-campus face-to-face headcount component and a credentials component, with the intent of rewarding in-person enrollment and completions. Members questioned the use of headcount instead of FTE, how hybrid, online, dual-credit, and off-campus students would be treated, and why face-to-face enrollment was weighted more heavily than completion. No formal votes or final actions were taken; the committee instead continued discussion and asked members to provide direction on which elements, if any, should be developed further.

Transcript Highlights:

• It truly is life-changing.
• change, or explain their vote? change, or explain their vote?
• change, or explain their vote? change, or explain their vote?
• change or explain their vote? change or explain their vote?
• change or explain their vote? change or explain their vote?

Keywords: 958, all

Transcript Highlights:

• And so that, of course, matters as there's changes in the forecast and changes in growth or decline in
• I would see that that's a notable change in November is about changes to the long-term care waivers.
• People and some other changes.
• 1% change.
• Quick changes that we have to implement.

Keywords: 1183, house

Transcript Highlights:

• We're not changing how the fees are calculated; we're changing the fee cap.
• The needs of our consumers are changing every single day.
• It is changing the words. This is changing the word.
• This is only a change of language. It's updating.
• in use, a change in ownership, or a property split.

Bills: SB1165, SB1206, SB1212, SB1291, SB1347, SB1516, SB1554, SB1649, SB1689, SB1812

Keywords: breast cancer, screening services, health insurance, cost sharing, preventive care, storm damage, catastrophic storm, hail damage, wind damage, roof repair, roof replacement, post-storm repairs, insurance claim, property and casualty insurance, adjuster, public adjuster, contractor licensing, homeowner protections, deductible waiver, insurance fraud prevention

Summary: The Senate Finance Committee approved committee amendments and then heard a series of bills covering consumer lending, health insurance, chiropractic practice, breast cancer screening, insurance claim practices, digital assets, vaccination-based reimbursement, agricultural property inspections, and aviation tax exemptions. Testimony generally split between sponsors and industry or advocacy supporters emphasizing modernization, consumer access, or fairness, and opponents raising concerns about higher costs, tax breaks for wealthy interests, or unclear policy changes. Several bills drew detailed debate over whether they would help consumers or shift costs, and multiple witnesses described personal or industry experiences in support of the health-related measures. SB 1689, which would raise consumer loan thresholds and change interest-rate tiers, was amended but failed on a tied vote after Senator Epstein opposed it as shifting costs to smaller borrowers. SB 1347, requiring coverage for fertility preservation for cancer patients, was amended and passed 4-2 after testimony from the sponsor, a nonprofit representative, and two cancer survivors. SB 1165, eliminating cost-sharing for diagnostic and supplemental breast exams, was amended and passed 5-1. SB 1206, updating rules for public adjusters and contractors after loss events, was amended and passed 5-1. SB 1649, creating a digital assets strategic reserve fund, passed 4-2 despite criticism that it was unnecessary and pro-crypto. SB 1212, barring different reimbursement rates based on vaccination status, passed 4-2. SB 1291, limiting county assessors’ ability to reclassify or inspect agricultural property for four years after a successful appeal, was amended to allow inspections if taxable improvements are made and passed 5-1 over assessor opposition. SB 1516, expanding aviation-related tax exemptions to more aircraft maintenance and repair property, passed 4-1 after supporters framed it as economic development and opponents called it a tax break for private jets. SB 1554, updating chiropractic language from “x-ray” to “diagnostic imaging,” initially failed, was reconsidered after additional questioning, and then passed 3-2 after members said the change mainly codified current practice and reduced liability concerns.

Transcript Highlights:

• <00:10:45.040> within about the miscellaneous changes within about the miscellaneous changes
• c> when<00:36:14.400> we<00:36:14.560> say changes, for example, when we say changes
• program uh is administered, that change program uh is administered, that change is<00:36:24.160>
• <00:50:00.640> The Care program, there's a change. The Care program, there's a change.
• It does not change the bill, just a very simple change making it clear that if a bank or credit union

Keywords: 919, house, all

Summary: The House began with a point of personal privilege honoring Master Sergeant Nicole M. Amimer of White Bear Lake, including a House resolution recognizing her military service and sacrifice and a moment of silence. Members then took up House File 4987, which would rename a highway in White Bear Lake as the Master Sergeant Nicole M. Amimer Memorial Highway. The motion to suspend rules and advance the bill prevailed, and the bill later passed 126-0 after supportive remarks from Representatives Olsen and Curran about honoring Amimer and her family. The chamber then considered Senate File 476, the human services policy bill. Representative Noor described it as a broad package covering direct care and treatment, Department of Health policy, aging and disability services, behavioral health, vulnerable adult maltreatment, continuity of care, and miscellaneous policy changes. Representative Schumacher said the bill reflected stakeholder work and added guardrails, especially around fraud and provider processes. Several amendments were offered and adopted, including a technical A13 amendment; an A8 amendment was withdrawn; and an A1 amendment on individualized home supports was also withdrawn. The bill passed 93-39. Finally, the House took up House File 4546, the forecast adjustment bill for the Department of Human Services and the Department of Children, Youth, and Families. Representative Noor said it was a routine biennial adjustment to align spending with the February forecast. Representative Johnson W offered an amendment on foster family information-sharing but withdrew it after concluding it was not germane. Debate focused heavily on the size of the forecast increases, especially in medical assistance and housing supports, with Representative Schultz arguing the bill reflected large cost growth and urging a no vote. Noor responded that the increases were driven by forecasted utilization, eligibility, rate changes, and program integrity changes. The bill passed as amended 93-39.

Transcript Highlights:

• If the numbers were changed by the appropriators, that $7,000 is what would change.
• we change Tier 2?
• We can change it.
• Changes. Any of Becky?
• make that change.

Keywords: 908, all

Transcript Highlights:

• <00:19:20.919> in<00:19:21.080> the generate large changes in the generate large changes
• inflation line so all of those changes inflation line so all of those changes then<00:27:19.120>
• there were Medicare changes there were Medicare changes that<00:51:57.400> resulted<00:51
• <00:59:31.200> the administration changed the administration changed the definition<00:59:
• recession so the definition was changed recession so the definition was changed by<00:59:48.079>

Keywords: 1187, senate, all

Transcript Highlights:

• So that's the reason for the name change.
• I think that's the argument for the name change. Thank you.
• . ...to be changed.
• need to be made for the sake of change.
• Let me hit the highlights of the policy changes.

Keywords: 985, all

Transcript Highlights:

• So they had to change to climate change. You keep moving the goal post on us.
• You blame it all on climate change.
• So they had to change to climate change. You keep moving the goal post on us.
• You blame it all on climate change.
• And in terms of the environment, we have to have a debate on how it is changing and when it is changing

Keywords: 993, senate, all

Summary: The Senate opened with the Pledge of Allegiance, a moment of silent reflection, approval of the prior journal, and several ceremonial introductions. Senator Mayer welcomed students and alumni from the New York Alliance for Early College Pathways, highlighting early college opportunities for high school students. Senator Zellner introduced members of the Buffalo Professional Firefighters Union Local 282 and honored fallen Buffalo firefighter Jayson Arno, with remarks praising firefighters’ service and sacrifice. The chamber then took up Senate Resolution 1489, commemorating the 182nd anniversary of Dominican Republic independence. Senator Sepúlveda presented the resolution and spoke about Dominican history, sovereignty, the Dominican diaspora in New York, and the role of Consul General Jesús Vásquez Martínez. Senators Jackson, Weber, Bailey, and others spoke in support, emphasizing the contributions of Dominican New Yorkers. The resolution was adopted and opened for co-sponsorship. The Senate next moved through the calendar, passing a series of bills on insurance, public health, education, social services, tax, penal law, and workers’ compensation. Several bills were approved by wide margins, including measures related to vaccination policy and education law; Senator Weik opposed the public health/vaccination bill, while Senator Mayer defended it as science-based. Senator Fernandez explained and secured passage of a workers’ compensation bill that would raise a pre-authorization threshold, clarify medical treatment guidelines, and restore access to out-of-network providers for injured workers. The only contentious item was Calendar 117, a bill amending the Executive Law related to climate resilience and the Office of Resilience. Senator Walczyk offered an amendment to repeal the statewide cap-and-invest program, but the chair ruled it nongermane; the Senate upheld that ruling on a 21-aye vote. Senators Harckham, Borrello, Krueger, Lanza, Martins, and Gianaris spoke at length on climate policy, energy costs, and the bill’s merits. The bill ultimately passed 51-9. The Senate then adjourned until Thursday, March 5 at 11:00 a.m.

Transcript Highlights:

• Uh, yeah, change that on my end.
• changes to provider taxes.
• <00:08:22.400> to government because of the changes to government because of the changes to
• <00:08:53.360> changes<00:08:53.920> and significant component. changes and significant
• Changes to provider taxes, those.

Keywords: 958, all

Summary: At its second meeting on July 30, 2025, the Medicaid Oversight and Advisory Board approved the minutes from its June 25 meeting and received housekeeping materials, including follow-up information on provider taxes, mandatory and optional Medicaid services, and the 1115 community engagement waiver. The chair noted that members should hold general questions until the end of the meeting. The main presentation came from Katherine Castanza of the National Conference of State Legislators, who gave a nonpartisan overview of Medicaid provisions in HR1. She explained that the bill contains more than 20 Medicaid-related provisions, with major changes affecting provider taxes, state-directed payments, eligibility and enrollment rules, work or community engagement requirements, and the frequency of eligibility redeterminations for expansion populations. She emphasized that five provisions account for most of the federal savings, that the fiscal effects are backloaded into the final years of the 10-year window, and that expansion states and provider payment changes make up a large share of the impact. Castanza also highlighted that the Medicaid provisions would take effect either upon enactment or before October 1, 2029, creating roughly a five-year implementation period. She noted that some states may not realize the same savings as the federal government because of financing changes and implementation responsibilities, and she cited estimates that the enacted Senate provisions could reduce hospital payments by 18.2%, or more than $660 billion over 10 years. The transcript provided does not show any votes or final actions beyond adoption of the minutes.

Transcript Highlights:

• The board's budget is 90% changes.
• contact and get those changes put in. contact and get those changes put in.
• um because of the the just the changes um because of the the just the changes in<00:10:49.360>
• of it is it was the personnel changes of it is it was the personnel changes that<00:12:10.880>
• Um so that could change. agency anymore. Um so that could change.

Keywords: 1191, senate, all