Video & Transcript Research : 'acquisition processes'

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OR

Oregon 2026 Regular Session

Senate Chamber Convenes 06/17/2026 11:00 AM

Oregon Senate Floor Meeting

Transcript Highlights:
  • I think it's more about this process.
  • I'm going to be a no on this due to the process as well.
  • It's about process, and my wish is to put down a marker, as my good friend Representative Paul Evans
  • I, too, am worried about the process and I'm worried about some of the boards and things as well.
  • But in this particular area, I think we should be... ...about the process, and I'm worried about some
Keywords: 907, all
AR

Arkansas 2026 1st Special Session

ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE Jun 17th, 2026

ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Transcript Highlights:
  • So how slow is it going to slow that process? Thank you. It should not slow the process down any.
  • There's an appeal process.
  • Then why would you not go through the process of RFP, get your contracts?
  • So the RFP process really wouldn't work. You would do a sole source?
  • Obviously, this is very fluid and new, and we're trying to create processes.
Summary: The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. The committee approved formulary changes for March and April that favored lower-cost generics, removed some new-to-market drugs from coverage pending more evidence, and made maintenance changes to migraine and diabetes medications. Members also approved a cell and gene therapy policy that would route those therapies through prior authorization rather than automatic coverage; officials said the process should not delay urgent cases and that no current members would be affected. The committee then reviewed a UAMS pharmacy benefit consultant contract amendment, but after extended discussion about the written scope and dollar amounts, the motion was approved with the understanding that any use of optional services would return to the committee for further review. The committee also reviewed the U.S. Able Mutual/Blue Advantage third-party administration contract and the CompSack employee assistance program contract, which officials said would reduce per-member costs and add services. The subcommittee approved proposed 2027 rates for state employees and public employees, with a 9.8% increase for state employees and a 4.9% increase for public school employees. Officials also reported that the UnitedHealthcare rebid was in its final negotiation stage and would return in August, with medical and pharmacy coverage split as previously recommended. In response to questions, the director said the division was considering broader preventive-care offerings, including weight-loss drug coverage, but would proceed cautiously and with strong utilization controls and holistic support if such a program were adopted. On the property risk side, the committee reviewed permanent rules making prior temporary rules permanent, a contingency-fee subrogation contract, and renewals for claims management, actuarial services, and investment management. Members raised concerns about Sedgwick’s claim-adjustment timeliness and communication with school districts after severe weather events; officials said performance guarantees and communication expectations had been strengthened, but the renewal was kept at three years for continuity. Finally, the committee approved 2026-27 captive insurance program rates, which included no change to minimum deductibles, a 10% overall rate reduction, and bucketed rate changes by entity type. Officials said the captive program was working as intended, with improved actuarial support and claims experience, and the meeting adjourned after the approvals.
TX

Texas 89th 2nd C.S.

Natural Resources May 7th, 2025

Natural Resources

Transcript Highlights:
  • Streamlining this process is why we're here today.
  • And that’s creating a challenge for the process.
  • It’s just delaying the process, and this is just an effort to clean that process up.
  • How long did that process initially take?
  • The new process is simple, efficient, and cost-effective.
Summary: The Committee on Natural Resources heard testimony on a series of water, utility, and groundwater-related bills. Early items included HB 5693, which would let Drainage District 7 hold board elections in November of odd-numbered years when a countywide election is occurring, and HB 5671, which would update the Johnson County Special Utility District by clarifying board eligibility, allowing bond issuance, and removing redundant TCEQ approval language to reduce costs and delays. Both bills were left pending after brief testimony from bill sponsors and local witnesses. The committee also heard SB 1504, which would update the Gulf Coast Authority to allow video-conference participation in meetings, and SB 1302, aimed at closing a TCEQ permitting loophole that allowed dischargers with prior denials or suspensions to reapply through an automated process without meaningful review. SB 2692 drew substantial discussion: it would change the signature threshold for outside-city-limits customers appealing municipal utility rates to the PUC by customer class. Valero supported the bill as a way to avoid requiring large-volume users to gather signatures from unrelated residential customers, while the City of Corpus Christi opposed it, arguing that lowering the threshold to one customer could trigger expensive appeals costing $500,000 to $1 million. A PUC witness said such cases are increasing and that the agency would need additional staff under the fiscal note. SB 790, creating a simplified PUC complaint process for small water and wastewater billing disputes, and SB 1663, expanding TCEQ notice requirements for nearby residents when groundwater contamination is discovered, were also heard and left pending. Additional bills included HB 3115, clarifying that the Cow Creek Groundwater Conservation District cannot require meters on exempt domestic or livestock wells; SB 1055, raising the Southeast Texas Groundwater Conservation District’s production fee cap from 1 cent to 7 cents per 1,000 gallons; and SB 1625, requiring private water and wastewater utilities to report cybersecurity incidents to TCEQ and DIR. The committee then took up pending business and adopted a substitute for SB 7, which made several changes to water fund use, eminent domain coordination, and EDAP-related provisions, and voted 10-0 to report it favorably. The committee also adopted a substitute for HB 2347, a county water conservation program bill, and reported it favorably 9-1. HB 5675 and SB 2476 were each reported favorably 10-0. The meeting concluded with adjournment.
AL

Alabama 2025 Regular Session

Alabama House Judiciary Committee Apr 23rd, 2025

Judiciary

Transcript Highlights:
  • So, Senator, what is the process now?
  • And that's a process that they go through. Uh, and that's a process that they go through.
  • It is a long process that they have to go through.
  • So, this process is... Registrars. So, this process is already there.
  • right. instruction to start that process right.
Bills: HB265, HB146, SB254, HB202, HB3, HB42, SB18
TX

Texas 89th Regular

Business and Commerce Mar 11th, 2025

Business & Commerce

Transcript Highlights:
  • Their permitting process takes several days and is like, $100 or so, if I remember correctly.
  • Others have put in place, maybe from a financial standpoint, a... ...more robust permitting process,
  • A better process already exists.
  • The MOUs have their own interconnection processes that are akin to the interconnection processes in Encore
  • The MOUs have their own interconnection processes that are akin to the interconnection processes in Encore
Summary: The Senate Committee on Business and Commerce met with a quorum and took up several pending bills, first reporting SB 1006 favorably after adopting a committee substitute that adds quarterly ZIP-code-level reporting to TDI on insurer declinations, cancellations, and nonrenewals. The committee also adopted substitutes and favorably reported SB 388, which adds nuclear to a credit program and excludes batteries from the dispatchable definition; SB 917; SB 504, which narrows reporting requirements for certain local entities, raises a salary threshold, and authorizes AG injunctive relief; SB 925, which clarifies that federal match dollars are included in a PLA-related prohibition; and SB 815, which removes downcoding references and focuses on AI use in prior authorization. SB 815 advanced on an 8-2 vote, while SB 388 advanced 6-3 and the others were reported 9-0 or 6-0 as noted. The committee then heard testimony on SB 378, which would prohibit aestheticians and cosmetologists from administering injections or using prescriptive medical devices unless legally authorized and would clarify TDLR disciplinary authority. The author and a retired neurosurgeon testified that unsafe, unauthorized injections pose real patient risks, and a TDLR witness said the bill addresses a long-standing regulatory gap. SB 378 was left pending after testimony. The committee also heard SB 1252, aimed at reducing municipal permitting barriers for residential backup power systems; the author and industry witnesses said city permitting is costly and inconsistent, while municipal utility representatives and advocates said the substitute preserved safety and utility oversight. That bill was also left pending. Additional bills heard but left pending included SB 1172, which would let LPs and LLCs sell their own property without a real estate license; SB 681, which would extend engineer license renewal periods and apply similar flexibility to engineering firms; SB 918, a TDLR cleanup bill for orthotics and prosthetics exemptions; SB 1343, which would require data brokers to post a clear link explaining Texans’ privacy rights and how to exercise them; SB 213, which would prohibit forced bundling of residential property and auto insurance while preserving voluntary discounts; SB 610, which would codify TDLR’s anti-trafficking unit; and SCR 8, expressing opposition to a central bank digital currency over privacy, security, and financial-stability concerns. Public testimony on SB 1343 and SB 213 was generally supportive, with consumer and advocacy groups emphasizing privacy, competition, and survivor safety, and the committee closed the day with those measures and others left pending.
HI

Hawaii 2026 Regular Session

WAL Public Hearing - Thu Feb 5, 2026 @ 9:00 AM HST

Water & Land

Transcript Highlights:
  • Yeah, we're in the process of executing a memorandum of agreement with DHHL for the 60C review process
  • :55.679> we<01:15:55.920> actually recruitment process that we actually recruitment process
  • The last thing that process started.
  • <01:31:31.040> So um is a very complicated process. So um is a very complicated process.
  • We have um we have yet to processes.
Summary: The committee first heard HB 1527 relating to gambling. The chair outlined hearing rules, including a two-minute limit and a warning that bills not heard would die. Testimony was overwhelmingly in support from a prosecutor, Honolulu Police Department, and Stop Predatory Gambling, all arguing that casinos and sports betting increase crime, sex trafficking, harassment of athletes, and broader social harm. No opposition testimony was presented, and the committee moved on without questions or action taken on the bill. The committee then heard HB 1823 relating to coastal zone management and HB 2490 relating to coastal resilience. For HB 1823, DLNR, the Office of Planning, and Maui County testified, with Maui County supporting the measure and its proposed amendments. For HB 2490, DLNR expressed concern about exempting a proposed Mokuji Bay pilot project from permits and regulation before a long-term plan is finalized, while the County of Maui, the Mokuji Soto Zen Mission, and the Office of Planning supported the bill as a coastal resilience pilot. The mission described severe erosion, sea-level rise impacts, and years of unsuccessful efforts to stabilize the shoreline; its consultant said the study is leaning toward nature-based and hybrid solutions. In questioning, members and DLNR discussed whether the bill should say the project “shall” or “may” be exempt, and the chair indicated the language would be adjusted to preserve DLNR discretion and to change the lead agency reference to OPSD. No vote was taken in the transcript. Finally, the committee took up HB 2223 relating to historic preservation reviews. SHPD said it stood on its written comments, while OPSD and DHHL supported the bill. DHHL argued the measure would streamline reviews, improve transparency, and help address long wait times for its projects, saying it could alleviate burden on SHPD and better serve beneficiaries. Representative Shimizu questioned whether the bill would create redundancy and expand government rather than strengthen SHPD, noting a separate staffing bill already exists. SHPD responded that DHHL is uniquely subject to 6E review and that the bill would not waive federal or state historic review requirements; the discussion also touched on possible federal-style grant support and the existing memorandum of agreement between SHPD and DHHL. The transcript ends during questioning, with no final committee action shown.
CA
Transcript Highlights:
  • It does not bypass that process, I will emphasize.
  • This current process does not engage campus... ...in the selection process.
  • So there... ...have been open processes in the past.
  • All of these components are early in the search process.
  • The existing process also includes an open forum early in the search process to inform the leadership
Summary: The Assembly Higher Education Committee heard several measures focused on community college baccalaureate programs and trustee compensation. AB 2528 would raise the maximum monthly compensation cap for community college district trustees, with the author and supporters arguing the change is permissive, long overdue, and needed to make service more accessible to working people and better reflect community diversity. CSEA took a tweener position, warning about optics and asking for longer public notice before any compensation increase, while some members raised concerns about taxpayer costs and benefits. The bill was discussed but no final vote is reflected in the transcript excerpt. The committee then took up AB 2053, which would authorize Coast Community College District to offer a cybersecurity bachelor’s degree. Supporters said the bill addresses a workforce shortage, serves working adults and veterans, and includes an LAO evaluation and a sunset. CSU and its Academic Senate opposed the bill, arguing it duplicates existing CSU programs and could set a precedent for more one-off degrees. Members also raised questions about funding, Prop. 98, and whether the program would divert resources; the author said the district already has funding and that the bill is a narrow pilot. The committee voted to do pass and re-refer the bill to Appropriations, with several ayes and some no votes, and the roll left open for additional members. AB 2301, a pilot allowing up to 10 community college districts to offer nursing bachelor’s degrees, drew broad support from nursing, labor, and community college groups who said California faces a severe nursing shortage and that community colleges offer a more affordable pathway for working and rural students. CSU and other opponents argued existing ADN-to-BSN pathways are more efficient and that the bill could worsen competition for limited clinical placements and faculty. Members questioned funding and Prop. 98 impacts; the Chancellor’s Office said the pilot would not require new state funding and would rely on existing mechanisms such as Strong Workforce and nursing infrastructure grants. The committee voted to do pass and re-refer AB 2301 to Appropriations, with the roll again left open. The transcript then began AB 2694, a broader workforce-responsive baccalaureate expansion bill intended to address duplication rules and create a more flexible process for community college bachelor’s degrees, but the discussion was not completed in the excerpt.
OK
Transcript Highlights:
  • OSU has raised some questions about process, and so we're addressing the process here, which allows us
  • And there's never been a report of any impropriety or any misuse of funds in this process.
  • So I've had several conversations with the regents as far as their existing process.
  • The problem that we've run into is they are going through this process.
  • They've been very intentional about going through this process currently.
FL

Florida 2025 Regular Session

October 8, 2025 - 01:00 PM

Transcript Highlights:
  • IT IS ALREADY IN PROCESS.
  • DISPROPORTIONATE SHARE HOSPITAL PROGRAM VERY MUCH IN PROCESS.
  • MY HOPE IS THE PROCESS BECOMES LESS COMPLICATED.
  • SO THERE IS AN EXTENSIVE PROCESS THAT WE FOLLOW UP.
  • I WANT THE PROCESS FOR PEOPLE TO BE LESS COMPLICATED.
FL
Transcript Highlights:
  • OF AMENDMENTS CHAPTER 120 PREPARED BY STAFF AND SENATOR GRALL THAT WOULD TIGHTEN UP THE RULEMAKING PROCESS
  • WITH A PUBLIC HEARING, REQUESTED ADDITIONAL COMMENTS OF COURSE AND THEN WE PROVIDE IN THAT PROCESS A
  • IN THAT PROCESS WE HAVE AGAIN MADE A NUMBER OF CHANGES TO PROMOTE EFFICIENCY.
  • FROM OUTSIDE THE RATIFICATION PROCESS OUR CONCERN HAS BEEN ON THE COST ESTIMATE.
  • FIRST OF ALL WE'VE NOT GONE THROUGH THE ENTIRE PROCESS BUT AS MR.
Keywords: 999, senate, all
US
Transcript Highlights:
  • That process can be two to three years long.
  • The reconsideration process is certainly broken in the process and takes a tremendous amount of time
  • There are a lot of challenges that are in this process.
  • I'm not in the process.
  • I want you to compare the IT systems, the processing, the payment processing that you've done at Fiserv
Summary: The committee meeting focused heavily on the nomination of Frank Bisignano as the Commissioner of the Social Security Administration, with intense discussions around the current state of Social Security and its management under the current administration. Members voiced significant concerns regarding potential changes to Social Security and Medicaid, specifically addressing issues such as office closures, delays in benefit processing, and the perceived policies from Elon Musk's association with the administration. Public testimonies highlighted fears that these changes would severely impact the accessibility of benefits for seniors and vulnerable individuals, resulting in a chaotic environment at the SSA. Members expressed a unified opposition to the notion of dismantling these critical programs, emphasizing the long-term implications on their constituents' well-being.
NH

New Hampshire 2026 Regular Session

Senate Executive Departments and Administration (04/15/2026)

Executive Departments and Administration

Transcript Highlights:
  • This would be processed through the same exact system that we're processing all of our other licensed
  • This would be processed through the same exact system that we're processing all of our other licensed
  • following the same process. following the same process. >> Sure. >> Sure.
  • they were part of the process. they were part of the process.
  • local process before they come to you? local process before they come to you?
Keywords: 1191, senate, all
MN

Minnesota 2025-2026 Regular Session

House Commerce Finance and Policy Committee 2/27/25

Commerce Finance and Policy

Transcript Highlights:
  • <00:15:25.959> was the Mandate review process was the Mandate review process was established
  • we're looking at this deferral process we're looking at this deferral process in<00:26:06.360>
  • general and then the deferral process general and then the deferral process defal<00:26:17.600><
  • > that<00:26:19.320> is defal process um and what that is defal process um and what that
  • such um so this shows our basic process such um so this shows our basic process um<00:37:50.760>
Keywords: 1183, house
LA
Transcript Highlights:
  • We're developing the pellet process right now.
  • We have the process, but we're in the process of looking at sites, and yes, we want to build two to three
  • I mean, we are going to use a chemical process in ours to... ...used.
  • There is a dispute process. It's a dispute process that goes between the Motor Vehicle Commission.
  • There is a dispute process. It's a dispute process that goes between the motor vehicle commission.
Summary: The Senate Commerce Committee met on May 13 with a quorum present and approved the prior meeting minutes. The committee then heard and advanced a series of House bills, many of them described as modernization or consumer-protection measures. HB 555, as amended, expands the definition of financial exploitation under the Protection of Eligible Adults from Financial Exploitation Act, adds training and transaction-delay provisions for financial institutions, and was reported favorably after technical and substantive amendments. HB 1166 creates a disclosure form for vacant residential property transactions and was also reported favorably. HB 267, which changes how candidates for the Louisiana Board of Home Inspectors are submitted to the governor, and HB 1195, which updates rules and penalties for athletic contests, exhibitions, and sports-agent/NIL regulation, were each moved favorably without objection. The committee also advanced several licensing and regulatory bills. HB 917 modernizes life safety and property protection licensing by reducing burdens on some employees and moving to a three-year license cycle; it was reported favorably. HB 1230 overhauls Louisiana’s money transmission laws, replacing older statutes with a new framework for digital payments and stronger consumer protections; a technical amendment was adopted and the bill was reported as amended. HB 1103, described as opening Louisiana for business in certain commerce areas, was reported favorably. HB 478 requires utility bills to clearly label and reimburse overcharges within 90 days and was reported favorably. HB 1096 gives electric cooperatives an opt-out from a prior law allowing boards to amend bylaws without member approval, and HB 921 modernizes private security licensing while restoring penalties for unlicensed activity; both were reported favorably, with HB 921 amended. HB 548 adds CPA licensure pathways to help address shortages, especially in rural areas, and was also reported favorably. Several bills drew more extensive discussion. HB 670 would promote wood pellet manufacturing and related workforce development; supporters argued it could create jobs and help manage timber waste, while an opponent warned about pollution, environmental violations, and the risks of biomass facilities. Committee members raised concerns about permitting and environmental oversight, but the bill was ultimately reported favorably, with discussion of possible follow-up with DEQ. HB 259, dealing with BEAD broadband projects, extends notice requirements before excavation, requires coordination with utility operators, and addresses damage reimbursement; an amendment was adopted and the bill was reported as amended. HB 848 clarifies repair obligations for ATV and golf cart sellers, aiming to ensure consumers have meaningful repair access and to level the playing field between small dealers and big-box retailers; it was reported favorably after questions about enforcement and service requirements. The committee also heard HB 672 and HB 670 as economic-development measures tied to brick manufacturing and wood pellets, respectively, and both were moved favorably. At the end of the meeting, the chair announced that remaining bills would be carried over to the following week, and the committee adjourned.
MN

Minnesota 2025-2026 Regular Session

Office of the Foster Youth Ombudsperson powers 3/17/26

Minnesota House Floor Meeting

Transcript Highlights:
  • <00:07:34.639> more that might help make the process more that might help make the process
  • <00:08:21.520> facilities, lives with OIG, in process facilities, lives with OIG, in process
  • <00:10:13.200> of more information on uh the process of more information on uh the process
  • Then we provide the information, but it's a multi-step process.
  • process to get that information out. process to get that information out.
Keywords: 919, house, all
Summary: House File 3901 was heard in committee and amended with the A26 amendment, which the author described as cleanup language clarifying confidential data and other wording changes. The bill concerns the Office of the Foster Youth Ombudsperson’s access to records in the Social Services Information System (SSIS) so it can investigate foster care decisions more effectively and in a timely way. Representative Johnson said the issue stems from outdated technology and interagency barriers that make it difficult to share information needed to serve foster youth and families. Misty Coons, the foster youth ombudsperson, testified that the office has struggled to obtain records from DCYF, with delays growing longer and some requests remaining unfilled. She said direct SSIS access would reduce burdens on agency staff and improve investigations, while privacy concerns could be handled through training or interagency agreements. Rebecca St. George, assistant commissioner for DCYF, acknowledged the delays but said the department is understaffed and working on software improvements; she argued that broad direct access would risk exposing privileged and protected information and could conflict with state and federal privacy laws. She also noted concerns from tribal nations about access to tribal data without request and approval. Members discussed the mechanics of data requests, redaction, and whether the bill raised data practices issues. The chair noted that a referral to Judiciary and Civil Law was automatic under chapter 13. Representative Johnson closed by emphasizing that the goal was to better serve children and foster families and said he had received a letter from White Earth Reservation expressing reservations. The committee then approved re-referral of House File 3901, as amended, to the Committee on Judiciary and Civil Law.
TX

Texas 89th Regular

Senate Session (Part I) Sep 3rd, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • I'd like to point out that this bill has ample due process.
  • When a quorum is broken, that process screeches to a halt.
  • against partisan abuse of the process.
  • How does this compare with the usual process?
  • What does that process look like?
HI

Hawaii 2025 Regular Session

EEP/AEN Joint Info Briefing - Tue Jan 7, 2025 @ 9:00 AM HST

Hawaii House Floor Meeting

Transcript Highlights:
  • It begins a kind of a long process to actually open a new landfill, construct and open a new landfill
  • All those are public processes where reports will be submitted, discussions will be had, and there'll
  • <00:30:29.600> that the apparently lengthy processes that the apparently lengthy processes
  • I actually have a concern about process to start with.
  • And then is that treated— I mean, how does that process work, because there's so much toxin in it?
Keywords: 910, house, all
Summary: The informational briefing focused on the City and County of Honolulu’s effort to site a replacement landfill for Oahu before the Waimanalo Gulch landfill closes in 2028. Chair Nicole Lowen and other legislators opened the meeting by framing the issue as important statewide and encouraging recycling, composting, and proper use of the curbside bins. The city’s Department of Environmental Services, led by Director Roger Babcock and Deputy Director Mike O’Keefe, then presented the background and siting process. ENV explained the legal and technical constraints that shaped the search, including the 2019 Land Use Commission decision requiring closure of Waimanalo Gulch by March 2, 2028, and the 2020 Act 73 restrictions on landfill siting near residences, schools, hospitals, conservation districts, airports, and tsunami inundation areas. They said a landfill advisory committee reviewed six candidate sites in 2021-2022 and rejected them because they fell within the Board of Water Supply’s no-pass zone. After further evaluation and an extension of the naming deadline, the city selected a site in central Oahu near Wahiawa, on agricultural land currently used as a Dole pineapple field. City officials said the selected site was chosen as the best of the evaluated options and, in their view, could be permitted under state and federal law. They described planned environmental protections, including a modern sanitary landfill design with double liners, leachate collection systems, monitoring wells, and post-closure monitoring, and said the existing Waimanalo Gulch landfill has operated for 35 years without leachate leaks. They also emphasized that the site would still require a special use permit, Department of Health approvals, an environmental impact statement, and other public permitting processes, and that public engagement would continue over the next several years.
TX

Texas 89th Regular

S/C on Property Tax Appraisals Apr 17th, 2025

S/C on Property Tax Appraisals

Transcript Highlights:
  • We're in that process now.
  • It does not politicize the process, it democratizes it.
  • The appraisal process is a very scientific, mathematical process.
  • Tara has long maintained that elected officials have no place in the appraisal process. process due to
  • Politics in the appraisal process was one of the primary.
CA

California 2025-2026 Regular Session

Senate Housing Committee Jun 24th, 2026

Housing

Transcript Highlights:
  • There is a process called alternative methods of means, and the AMM process has been used in local jurisdictions
  • AB 2601 is a process bill.
  • This is a process bill. That's about process streamlining, and time is money.
  • This is a process bill. That's about process streamlining and time is money.
  • That's about process streamlining and time is money.
Keywords: 987, senate, all
ND

North Dakota 2026 1st Special Session

Health Care Committee Feb 12th, 2026 at 09:30 am

Transcript Highlights:
  • There is not a step therapy exception process in code.
  • That's because they have a strong vetting process for them.
  • That feeds into the PERS process. You heard from Ms.
  • We need to look at the process for sure.
  • is, and also why state employees would get Process is.
Keywords: 908, all
Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.