Transcript Highlights:

• of government.
• of government.
• So it isn't just about government authority or government control.
• Your Florida Building Code is one of the strongest building codes in the nation.
• all said, the people closest to government are the local government?

Summary: The Intergovernmental Affairs Subcommittee held its first meeting of the 2025 session and focused on an overview of county and municipal home rule powers and state preemption. After roll call and member introductions, Chair Alex Rizzo and Vice Chair Griff Griffiths explained the constitutional and statutory basis for local self-government, the distinction between charter and non-charter counties, and how express and implied preemption limit local authority. Griffiths emphasized that home rule gives local governments broad power to address community needs, but the Legislature can override that authority through clear preemption, with courts ultimately deciding disputes. Representatives Holcomb and LaMarca added that local issues should generally be addressed locally first, but statewide standards can be appropriate when uniformity is needed or local action is ineffective. The committee then heard from a panel representing counties, cities, business, and construction interests: Ginger Delegal of the Florida Association of Counties, Carolyn Johnson of the Florida Chamber of Commerce, Rebecca O'Hara of the Florida League of Cities, and Carol Bowen of Associated Builders and Contractors of Florida. Delegal and O'Hara argued that home rule is rooted in local autonomy, policy experimentation, and accountability to voters, and warned against broad or “vacuum” preemptions that remove local authority without replacing it with state regulation. Johnson and Bowen supported preemption when local rules create a patchwork that hurts statewide competitiveness, raises costs, or complicates business operations, citing examples such as labor rules, heat safety, permitting, and procurement preferences. The panel also discussed the 2023 local ordinances law, which requires business impact estimates and provides attorney’s fees in certain challenges, as a mechanism to resolve disputes locally before resorting to preemption. Members questioned the panel about the 2024 heat-safety preemption and how to protect workers in the absence of local ordinances. Business representatives said existing OSHA duties and industry best practices already require employers to provide safe conditions, while local governments and the state should avoid inconsistent standards across jurisdictions. Another discussion centered on construction permitting, licensing, and local boards that may slow projects and increase costs; Bowen suggested eliminating redundant local fees and barriers while preserving statewide licensing and enforcement against bad actors. No votes were taken, and the meeting remained informational, with the chair inviting continued discussion on when preemption is appropriate versus when local governments should retain authority.

Transcript Highlights:

• Lindsay, Director of Code Enforcement, Department of Labor and Licensing.
• They have to meet all the International or the Arkansas Fuel Gas Code, National Electric Code, and they
• In other states, mirroring their requirements, a code cycle.
• It's eight hours of training per code cycle.
• The classes they have to attend are for code updates.

Keywords: 1204, all

Transcript Highlights:

• Current law in Texas government code requires all Texas police agencies to provide a retired police officer
• government.
• code.
• So House Bill 3138 amends Chapter 342 Local Government Code to conform to that 2021 law, uh, four years
• PC penal code 6.03C.

Transcript Highlights:

• With the language as written, does Chapter 418 of the Government Code remain the guiding statute for
• Chapter 418 of the Government Code remain the guiding statute for all disaster response and recovery
• Would you agree that, I know you talked about shared governance, that it actually changes the governance
• We as lawmakers are the governing board for the people of Texas, but we shouldn't be the governing board
• Well, I would say that this is government red tape. This is the government saying Thank you, Mr.

Summary: The House convened, established a quorum, heard an invocation and pledges, and approved several routine motions, including excuses for absent members, permission for committees to meet while the House was in session, and postponements of some bills. The chamber also received a Senate message listing measures passed by the Senate and adopted a memorial resolution honoring the 21 victims of the Robb Elementary School shooting in Uvalde, with remarks entered into the House Journal after a moment of silence. The House then took up a long third-reading calendar and passed a series of Senate bills on topics including criminal justice and corrections sunset provisions (SB 2405, 2406, 2407), election equipment testing (SB 2166), electric grid reliability and attack-preparedness exercises (SB 2148), firefighter collective bargaining (SB 777), DFPS and foster care procedures (SB 1141 and SB 1398), Medicare durable medical equipment billing (SB 1330), property tax administration (SB 1453), probate cleanup and record transfers (SB 1448 and SB 1839), mental health filing procedures (SB 53), school residency for children in safety placements (SB 226), diabetes-related amputation study (SB 1677), rapid DNA analysis (SB 1723), utility rate transparency and capacity cost recovery (SB 1664 and SB 1856), community supervision eligibility (SB 552 postponed), and other measures. Several bills passed with broad support, while others drew notable opposition and narrower margins, including SB 777, SB 2137, SB 2111, SB 1677, SB 1936, SB 1453, and SB 38. Two bills drew especially extensive debate. SB 2148, dealing with electricity supply chain reliability and tabletop exercises for critical facilities, was discussed as a grid-security measure aimed at coordinating utilities, law enforcement, ERCOT, and the PUC in the event of physical attacks; it passed unanimously. SB 1936, changing how LSD is measured for criminal prosecution from dosage-based to weight-based calculations, prompted extended discussion about lab consistency, carrier mediums, and fairness in charging, with supporters saying it would help crime labs and law enforcement and opponents warning it could distort penalties depending on the medium used; it passed 108-26. The House also passed SB 36, creating a Homeland Security Division within DPS, after questions about overlap with TDEM and the cost of adding personnel. Late in the day, the House debated SB 38 on eviction procedures, with supporters saying it targeted squatters and streamlined removal of unauthorized occupants, and opponents arguing it would make evictions too easy and worsen homelessness; it passed 85-44. The chamber also began debate on SB 37, a major higher-education governance bill that would expand governing-board oversight of curriculum, hiring, and faculty senates; members raised concerns about academic freedom, faculty governance, and the impact on humanities programs, and debate was still underway at the end of the transcript.

Transcript Highlights:

• FLORIDA BUILDING CODE, NATIONAL FIRE PROTECTION CODES, FEMA REGULATIONS AND THEN WE HAVE TO TIE INTO
• TWO OF THE CODE REQUIREMENT HOURS ARE IN THE FLORIDA BUILDING CODE ADVANCED SECTION.
• A THOROUGH KNOWLEDGE OF THE CODE AND ALL THE CHANGES THAT HAPPEN WITH IT.
• FLORIDA BUILDING CODE IS A MINIMUM.
• I THINK IT IS GOOD IN GOVERNMENT EVERY NOW AND THEN TO ASK WHY? WHY DO WE DO WHAT WE DO.

Transcript Highlights:

• Can you cite those U.S. codes again? You said U.S. Code 21? Yep. U.S.
• Can you cite those U.S. codes again? You said U.S. Code 21? Yep. U.S.
• Can you cite those U.S. codes again? You said U.S. Code 21? Yep. U.S.
• Can you cite those U.S. codes again? You said U.S. Code 21? Yep. U.S.
• Can you cite those U.S. codes again? You said U.S. Code 21? Yep. U.S.

Keywords: 928, house, all

Summary: The Environment and Agriculture Committee opened by noting member absences and then reviewed the governor’s HB 2 trailer bill language creating a solid waste site evaluation committee. The chair explained that Finance would want the committee’s input on the proposal and also announced a temporary change to the committee’s schedule, with additional Wednesday meetings planned around school vacation. The committee then moved into a work session on several bills. On HB 150, Representative Ktoa offered a simple amendment changing food-processing language from “washed and rinsed” to “cleaned and sanitized” in the processing area. Members agreed the change better matched food safety practice, and the committee indicated support for advancing the bill. On HB 307, dealing with homestead food production areas, members discussed proposed amendment language that would add clearer sanitary requirements, including handwashing access, sanitary storage, sanitizable food-contact surfaces, and pest exclusion. The committee also discussed whether to replace “potentially hazardous food” with “time temperature control safe food,” but several members favored keeping the existing term because it is already well defined in food safety law. The bill was held for further amendment work rather than being executed immediately. The committee spent substantial time on solid waste legislation. For HB 479, members recalled a prior plan for a letter to the solid waste working group and agreed to proceed with the bill in executive session, with an offer of drafting help from Representative Bixby. For HB 77, which would require DES to establish site-specific setback distances for proposed new landfills, Representative Penza said his amendment was not ready yet but was close, and the bill was left for further discussion. The most detailed discussion was on HB 2115, which would require landfill permit applicants to submit a report on the project’s harms and benefits. Representative Germana explained an amendment that would replace section one, expand the list of benefits to include economic potential and infrastructure improvements, and set up a third-party review process in which the applicant submits a list of reviewers, DES screens the list, and the commissioner selects a reviewer if no agreement is reached within 60 days. Members asked about who could serve as contractors, whether they had to be local, and how DES would judge qualifications; the response was that environmental engineering and similar firms could be used, local or outside the community, and that the process would remain somewhat flexible. Representative H. Haskins asked whether the legislature or subcommittee would be formally notified of preliminary review problems, and the chair said no additional notification process would be built in beyond existing practice. The committee planned to continue work on the bills in upcoming executive sessions, including after school break.

Transcript Highlights:

• be reduced via a petition or election filed in compliance with chapters DRE of Chapter 42 Local Government
• Code to clarify what is a perceived inconsistency in Senate Bill 2038.
• The Texas Water Code Chapter 16, section 16.343 along with local government code chapter 2. 232 Section
• code has a number of, uh, exceptions and requirements under platting, but, uh, small tracts of land
• It's only flood insurance, fire code, building code, and, uh, you know, a couple of other cities obviously

Transcript Highlights:

• Those are the sections of code that apply directly to PBMs.
• Section 13 is removal of a section of code. It's a... ...ahead of myself here.
• Section 13 is removal of a section of code.
• It does require us to enforce chapters of the Food and Drug Code, Chapter 19.
• I know he's worked with the government of Casper for the discussion.

Keywords: 908, all

Summary: The Senate Committee on Industry and Business reconvened to work on House Bill 1584, which would create a new pharmacy benefit manager (PBM) regulatory structure within the Insurance Department. Insurance Commissioner John Godfrey and Deputy Commissioner John Arnold explained a revised set of amendments negotiated with Representative Casper and the North Dakota Pharmacists Association. They said the bill largely kept the House policy intact but added technical corrections, narrowed some references in Chapter 19-02, created a separate PBM licensing class, set a delayed effective date for licensing, and established emergency authority so the department could begin building the new division. They also described the proposal to fund the program through existing trust fund resources, PBM license fees, and a transfer of about $1.6 million from the prescription drug transparency program fund, while allowing the department flexibility to hire needed attorneys, pharmacists, and examiners. A major point of discussion was Section 10, which would have required the Attorney General to represent and bear costs for lawsuits related to the bill. Chief Deputy Attorney General Claire Ness said the language was too broad and would go beyond normal constitutional defense work, potentially obligating her office to cover all lawsuits against the commissioner or state under the section. Representative Casper said the intent was only to avoid the Insurance Department having to seek emergency funding for litigation, and both he and department officials said they were open to removing the section or narrowing it. After further discussion, the committee agreed to remove Section 10 from the amendments. The committee then voted 4-0 to adopt the amended amendment package, and then voted 4-0 to give House Bill 1584 a do pass recommendation as amended and refer it to Appropriations. Members noted the bill was still a work in progress, but said the revised version was intended to move the PBM regulation issue forward while continuing discussion in the appropriations process.

Transcript Highlights:

• <00:14:46.880> by peaceable, courage that is governed by peaceable, courage that is governed
• association code of ethics. association code of ethics.
• of ethics, what Now, as far as the code of ethics, what code<01:04:56.480> of<01:04:56.640>
• computers for all of state government computers for all of state government and<03:30:45.600>
• So these code sections are pretty. So these code sections are brought<06:42:28.160> forward.

Keywords: MS Senate Floor - 4 February, 2026; 10:00 AM, 925, all

Summary: The Senate convened, confirmed a quorum, received an invocation from Dr. Lenon Duncan, and led the pledge of allegiance. Routine business followed, including unanimous consent to dispense with reading the journal, committee reports, and bill titles. Several guests were introduced, including a governmental affairs representative, a doctor of the day and medical student, a county leadership group, agricultural youth council participants, a former senator’s spouse, and MSMS students. The chamber then took up several appropriations and finance measures. Senate Bill 2189, the transfer bill for state funds and agency budget setup, passed by morning roll call. Senate Bill 2190 increased the Working Cash Stabilization Reserve Fund minimum balance from 10% to 15% of general fund revenue; supporters said it would strengthen the state’s fiscal position, and it passed by morning roll call after no questions. Senate Bill 2480, a capacity project bill providing $265 million from CAPEX to MDOT for highway projects in Madison and Rankin counties and initial work on Highway 90, was amended to make it effective upon passage and then passed by morning roll call. Senate Bill 2832 extended the railroad tax credit repealer to 2029, and Senate Bill 2847 required state and local tax calculations to round to the nearest nickel in response to the federal penny phaseout; both passed by morning roll call. The Senate also approved Senate Bill 2191, which expands the purposes for which municipal use tax funds may be spent to include sidewalk repair and building acquisition/rehabilitation, after questions about municipal and subdivision sidewalks. Senate Bill 2885 created the Mississippi Work and Save Program, a voluntary retirement savings option for small employers and employees, with the sponsor emphasizing that participation is optional and that the program is intended to help workers without access to retirement plans; it passed by morning roll call. Senate Bill 2834, the omnibus tag bill, and Senate Bill 2838, the omnibus qualified resort area bill, were each amended with committee substitutes and passed by morning roll call. Later, the Senate suspended the rules and took up a large block of resolutions and commemorative measures, including sympathy and congratulatory resolutions, arts awards, sports championships, and other recognitions, along with House concurrent resolutions and two House bills designating observances. The transcript ends while the clerk is reading the long list of titles in the block.

Transcript Highlights:

• We took every ZIP code in Zillow and coded it by income, and we looked at the rent changes in those ZIP
• codes in the lowest-income quarter of ZIP codes in the U.S.
• codes in the lowest-income quarter of ZIP codes in the U.S.
• codes in the lowest-income quarter of ZIP codes in the U.S.
• at the mercy of local governments at the mercy of local governments whereby<01:54:07.040> they

Keywords: 1187, senate, all

Summary: The committee on Housing and Homelessness Prevention heard informational presentations from Housing First Minnesota and the Coalition of Greater Minnesota Cities on the state of housing in Minnesota. Mark Foster of Housing First Minnesota said the state has a severe housing shortage, with demand outpacing supply since the 2007-09 housing crash, and argued that Minnesota is nearly 100,000 units short of a healthy market. He said new homes are increasingly unaffordable, citing a median new single-family price above $530,000 and declining affordability in the Twin Cities metro, and he urged lawmakers to remove exclusionary zoning and other regulatory barriers that he said make starter homes and smaller-lot housing difficult or illegal to build in many growing cities. He also highlighted the group’s Housing for Heroes projects, including transitional housing for veterans and other crisis housing projects around the state. Members asked Foster about starter-home examples and his view that the committee’s top priority should be reforming residential development approvals. He said most new housing is negotiated through planned unit developments rather than built under base zoning, which he argued adds cost and reduces supply. The committee then heard from Elizabeth Wael of the Coalition of Greater Minnesota Cities, who said housing challenges outside the metro are different but equally serious. She said many Greater Minnesota cities face a lack of developers, inadequate infrastructure such as roads and utilities, and gaps in the housing continuum, especially starter workforce housing and senior housing. She thanked the committee for 2023 housing funding and said cities are contributing their own resources, updating zoning, reducing parking requirements, allowing ADUs, and partnering with developers and nonprofits. Wael also urged faster rollout of the Greater Minnesota infrastructure grant program and said the state should consider changes to the housing tax credit and housing TIF rules to make them easier to use. In response, senators said they shared frustration with the slow implementation of the infrastructure program and emphasized the need for state investment and locally tailored zoning reforms. No bills were heard and no votes were taken; the meeting was informational and focused on stakeholder testimony and committee discussion.

Transcript Highlights:

• I'm the Director of Advocacy and Government Relations for the Massachusetts Medical Society.
• My name is Lida Anderson, and I'm the Director of Advocacy and Government Relations for the Massachusetts
• But what does coding have to do, or do you code these prescriptions for services, or how does that all
• But what does coding have to do, or do you code these prescriptions for services, or how does that all
• So, you know, I don't think the CPT codes are helpful for the consumer side.

Keywords: 995, all

Summary: The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization. The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation. The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.

Transcript Highlights:

• The centers must also develop partnerships with tribal governments, education agencies, schools, and
• We've identified that we want to make some amendments to code.
• We can identify that; the team can identify that by looking at the class code.
• So this... is Adopted Rule 660.11 New Mexico Administrative Code.
• . 664.10 New Mexico Administrative Code.

Keywords: 996, all

Transcript Highlights:

• And unfortunately, this education code bill compounds that issue, right?
• And you're entering into a discussion amongst divided government.
• with our divided government that we have here in Harrisburg.
• And they expect that their state government will be no different.
• When we get to the fiscal code, Mr.

Summary: The Senate opened with prayer, the Pledge of Allegiance, communications, committee reports, and leaves of absence. The journal was approved 50-0. The chamber then took up House Bill 1505, which drew extended debate over school funding and adequacy/tax equity. Senators Coleman and Keefer argued the bill continued to pour money into districts like Allentown without accountability or improved results, while Senators Costa, Miller, Haywood, and Anthony Williams defended the funding as a response to historic underfunding and the Commonwealth Court decision. A motion allowing Senator Coleman a third speaking turn was adopted 27-23, and the bill ultimately passed 45-5. The Senate then considered House Bill 2400, the General Appropriation Act. Supporters, including Senators Martin, Dush, Phillips-Hill, Costa, Ward, Street, Hughes, and Pittman, emphasized that the budget was balanced without using the rainy day fund or raising taxes, reduced the governor’s proposal, increased education and child care funding, supported nursing homes, rape crisis centers, infrastructure, and workforce programs, and shifted money from lapsed or unused accounts to current priorities. Opponents, including Senators Saval and Muth, said the budget failed to address structural deficits and omitted new revenue options, emergency services funding, and other major issues. The bill passed 44-6 with amendments and was returned to the House for concurrence. The Senate also passed a series of other bills, including House Bills 2412, 2413, 96, 858, 1042, 1286, 1646, 1851, 1862, 2017, 2024, 2401, and 2559, with varying margins, and sent them to the House, some with amendments. House Bill 1042 drew a negative recommendation from Senator Costa over a late amendment involving second-degree murder/felony language, but after reconsideration and vote changes it passed 30-20 with amendments. House Bill 1862, creating an Ignition Interlock Driver’s License, passed 45-5 after support from Senator Judy Ward. House Bill 1248 passed 43-7 and designates Pennsylvania rye whiskey as the official state spirit, with Senators Bartolotta and Robinson speaking in support. The chamber also adopted Senate Resolution 216, after defeating Senator Haywood’s amendment to narrow the scope of a proposed Legislative Budget and Finance Committee study of managed care organizations; the resolution passed 31-19. Several other bills were held over in their order, and the Senate later moved toward a condolence resolution.

Transcript Highlights:

• Medicaid is a partnership between the state and federal government.
• That includes both benefits and administration from the federal government.
• The commissioner mentioned we've got a couple CPT codes that are way out of the benchmarks. Yes.
• who are utilizing specific codes, how they're being used, doing some auditing.
• So we're constantly looking for, like, the high-use codes, which providers are billing those codes.

Keywords: 958, all

Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• I also worked in state government at DPH, which is how I know Barry.
• So if you could just, is everyone seeing the QR code? Fabulous.
• So if you could just, is everyone seeing the QR code? Fabulous.
• , M-E-N-T-I dot com, and to enter that code.
• So you'll be invited to scan the QR code or enter the code in a browser, and it will invite you to put

Keywords: 995, all

Summary: The Massachusetts Commission on LGBTQ Aging opened its March quarterly meeting by welcoming Alison Bauer as its first full-time director, effective March 30. Bauer briefly introduced her background in law, social work, public health, state government, philanthropy, and teaching, and said she planned to meet one-on-one with each commissioner. The commission then approved the December quarterly meeting minutes by motion and vote. The main portion of the meeting was a workshop led by Adriana Boulin on diversity, equity, inclusion, power, belonging, and intersectionality. Boulin defined key terms, guided participants through reflection exercises on personal values and conditions that support or undermine power, and discussed the history of intersectionality. Commissioners and guests shared examples of DEI work, including listening sessions, inclusive trainings, equitable hiring, LGBTQ+ aging advocacy, and community programs. Participants also reflected on how the commission has felt powerful, citing the strategic plan, the hiring of an executive director, the website, listening sessions, and passage of the LGBTQI+ and HIV long-term care bill of rights. The group then focused on how to apply an equity lens to the commission’s strategic priorities, especially improving representation and inclusion. Commissioners discussed the need for more racial, ethnic, trans, immigrant, and other marginalized representation, as well as barriers such as recruitment challenges, the size of the commission, and CORI/background-check concerns for some governor-appointed seats. They also explored whether an advisory board or expanded outreach to community organizations could help broaden participation. No formal votes or final actions were taken beyond approving the minutes, but the meeting ended with agreement to continue the equity work and with the next quarterly meeting scheduled for June.

Transcript Highlights:

• House Bill 158 by Representative Horton is in the Code of Criminal Procedure relative to probation and
• House Bill 158 by Representative Horton is an act to amend the Code of Criminal Procedure relative to
• House Bill 227 by Representative Ventrella is an act to amend the Code of Civil Procedure and the Code
• House Bill 769 by Representative Boyd is an act in the Code of Criminal Procedure relative to arrests
• training requirements for certain local government officials.

Keywords: 974, senate, all

Transcript Highlights:

• Government markets take up a good piece.
• So you can see governed by which laws.
• It's Code of Federal Regulations.
• Additionally, IHS facilities bill with a revenue code and a procedure code is not required.
• Either code or a combination of these codes will be allowed one time per quadrant every two years for

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.

Transcript Highlights:

• <00:03:30.720> So, in the state government committee.
• So, in the state government committee.
• So, um, I reached out to see what, in fact, our code of conduct looks like, and our code of conduct is
• reached out to see what in fact our code reached out to see what in fact our code of<00:10:22.160
• <00:10:24.959> of of conduct looks like, and our code of of conduct looks like, and our code

Keywords: 1183, house

Transcript Highlights:

• Because people need these services to stay on the planet. government and plays uh politics with government
• :10:33.440> out federal government pointing out federal government pointing out deficiencies<01
• and really giving the federal government and really giving the federal government what<01:23:03.240
• <01:31:21.760> and bill and and required CPT codes and bill and and required CPT codes and
• federal government. federal government.

Bills: HF3526, HF3375, HF3469

Keywords: home care, licensing, fines, advisory council, grant program, client safety, healthcare regulation, HF3375, Minnesota disability waiver, waiver rate system, human services, individualized home supports, individualized home supports with training, individualized home supports with family training, positive support services, employment support services, employment development services, employment exploration services, billing limits, service authorization year

Transcript Highlights:

• Despite statewide statutes governing 5150 holds, county training requirements remain uneven.
• , or documentation... ...demands because of minor clerical, coding, or documentation errors.
• A missing diagnostic code on prior claims.
• The only thing missing was the gestational age code.
• The only thing missing was the gestational age code.

Keywords: 988, house, all