Transcript Highlights:

• , autism services, which is a new program, with no parameters, criteria, or anything.
• Transportation, translation services, housing support services, and all of those were the same group.
• , autism services, which is a new program, with no parameters, criteria, or anything.
• Transportation, translation services, housing support services, and all of those were the same group.
• Autism services, which is a new program, with no parameters, criteria, or anything.

Keywords: 1187, senate, all

Summary: The discussion focused on fraud in Minnesota public assistance and human services programs, with an emphasis on the harm done to vulnerable recipients rather than just the dollar amounts. The senator described cases involving childcare, PCA, adult daycare, autism, housing support, and food programs, arguing that fraud and poor oversight leave children, disabled people, nursing home residents, and others in neglect or unsafe conditions. He said many of the programs are Medicaid-related or state-funded entitlements intended to address social needs, and that stolen funds directly worsen outcomes for those they are meant to help. He traced the problem to weak state oversight and agency inaction, citing the creation of the DHS Office of Inspector General after earlier childcare fraud concerns, whistleblower reports, and alleged failures by agency leadership to pursue larger, organized schemes. He pointed to the Feeding Our Future case as a major example, saying federal investigators uncovered broader fraud patterns across multiple programs and that state agencies failed to act despite warning signs. He also said recent audits, including one involving DHS Behavioral Health Administration, showed inadequate site visits and other serious deficiencies. The senator said he recently met with federal officials in Washington, D.C., because a large share of Minnesota spending includes federal dollars and federal partners have a stake in preventing misuse. He argued that federal action is necessary but not sufficient, and that Minnesota also needs stronger internal controls, standardized eligibility verification, identity and residency checks, site visits, and better use of data tools. He supported creating an independent Office of Inspector General passed last session, but said it is only a partial solution and that agencies themselves must be retrained and held accountable. No formal votes were taken in the exchange, but the senator described ongoing legislative efforts and said he was pessimistic about the governor’s willingness to act.

Transcript Highlights:

• above and beyond our existing work program, so it's new projects coming into the work program, and to
• above and beyond our existing work program, so it's new projects coming into the work program, and to
• I know the program review. Another program review.
• For program demand, ultimately, we have seen demand sort of outstrip supply for this program.
• Over 63,000 of those who completed their program of services last year are now employed.

Summary: The committee met to receive a base budget overview for agencies under its jurisdiction, which include the Division of Emergency Management, Department of Commerce, Department of State, Department of Transportation, Department of Military Affairs, and Department of Highway Safety and Motor Vehicles. Staff explained the budget format and noted that the Legislature appropriated more than $20.2 billion to these agencies in the current fiscal year, a 66.7% increase over 10 years. The Department of Transportation then presented on the Moving Florida Forward initiative, describing it as a $7 billion effort to advance 20 major congestion-relief projects statewide. Secretary Jared Perdue said the department is ahead of schedule, with 14 of 20 projects expected to be underway by the end of the calendar year. He highlighted major projects including I-4 in Polk and Osceola counties, I-75 improvements, Southwest 10th Street in Broward County, Fruitville Road, Capital Circle in Tallahassee, and I-275, and discussed innovations such as aggregate supply grants, modified phase design-build, workforce hiring events, and voluntary acceleration. Senators asked about business impacts from construction, tourism-related transit funding, aggregate sourcing, and labor shortages; the secretary said FDOT works with local businesses and that additional revenue sources for transit would require legislative action. The Department of Highway Safety and Motor Vehicles reviewed motorist services, revenue collection, licensing, vehicle titling, specialty plates, insurance compliance, driver safety, and commercial driver licensing. Officials said the department collected about $2.9 billion in revenue in fiscal year 2023-24 and described modernization efforts, including electronic verification systems, Real ID compliance, mobile licensing units, and a planned digital driver license. Members asked about the driver license backlog in Miami-Dade and Broward, and the department said service delays were driven by growth and staffing constraints but should improve with $7.5 million in recent funding and the eventual transition of services to county tax collectors. Questions also addressed temporary paper licenses and birth certificate fraud prevention. The Department of Commerce presented on the Job Growth Grant Fund and Visit Florida. Commerce said the grant fund, created in 2017, has awarded $257 million to 70 projects in 37 counties since 2019, with demand exceeding supply about four to one. Officials emphasized that the program supports targeted industries and workforce and infrastructure projects, and they highlighted examples in CDL training, semiconductors, advanced manufacturing, and health care. Senators raised concerns about small businesses affected by transportation construction, and Commerce said it has an Office of Small Business Innovation and other tools, though the grant fund is limited by statute to targeted industries. Visit Florida then described its public-private tourism marketing role, saying the state’s $80 million appropriation is matched by private investment and that the latest EDR review found a $3.30 return in tax revenue for every state dollar spent. Visit Florida reported record visitation and tourism spending, along with hurricane recovery marketing and rural promotion efforts.

Transcript Highlights:

• Next up will be the Department of Human Services members, the Department of Human Services.
• As the director, my obligation to this program and to all the programs that we run is to make sure that
• We hired a new director over Adult family services, which administers the SNAP program for the agency
• It's a federal program.
• of the program.

Keywords: 914, all

Transcript Highlights:

• Enhancing this program could strengthen the infrastructure for veteran behavioral health services statewide
• us to build and sustain a robust outreach program that brings services directly to veterans where they
• gardening program, and a therapeutic archery program.
• Our CalTAP program has interacted with over 35,000 exiting service members since the program's inception
• Our CalTAP program has interacted with over 35,000 exiting service members since the program's inception

Summary: The joint informational hearing focused on the role of County Veterans Service Officers (CVSOs), CalVet’s support for them, and the growing problem of for-profit, unaccredited claims companies. Committee leaders and witnesses emphasized that CVSOs are often the first point of contact for veterans and their families, helping with disability claims, education benefits, survivor benefits, housing, health care, and other wraparound services. Testimony highlighted the return on investment from CVSO work, with witnesses citing hundreds of millions in new federal benefits secured for California veterans and arguing that current state funding is too low relative to the workload and need. County representatives from Nevada, Los Angeles, and San Luis Obispo described local models of service. Los Angeles County highlighted a “no wrong door” approach, peer navigators, suicide review work, justice-involved veteran services, and homelessness coordination, while San Luis Obispo described rural outreach, mental health partnerships, and high suicide rates in its county. Nevada County stressed that smaller counties can be disadvantaged by workload-based formulas and that additional funding would expand access, especially in rural areas. Several witnesses said veterans often need more than claims help and should be connected to mental health, employment, food, and family supports. Much of the discussion centered on predatory claims consultants, which witnesses said charge veterans for services that accredited CVSOs provide free. Members and witnesses described cases involving requests for VA and banking logins, misleading advertising, and contracts that can take a percentage of veterans’ benefits. Committee members expressed support for legislation to curb these practices and for increased funding for CVSOs, including the Legislature’s intent to fund 50% of county veterans’ services operations. A CalVet deputy secretary also testified that California’s accreditation and training system improves claim quality and appeal outcomes, and that CalVet works with CVSOs through training, district offices, and appeals representation.

Transcript Highlights:

• ability to maintain critical Services ability to maintain critical Services during<00:04:03.079>
• and services.
• services government stabilizes essential services and<00:18:25.880> programs<00:18:26.240>
• <00:18:50.120> and<00:18:50.320> services of these critical programs and services of
• these critical programs and services and<00:18:51.280> most<00:18:51.440> of<00:18:51.600

Keywords: 912, senate, all

Summary: The committee met in decision-making only and first took up HB 300, the Senate majority budget package. The chair described the bill as a response to economic uncertainty and reduced revenue forecasts, and outlined a wide range of appropriations and staffing changes across state agencies, including agriculture, education, health, public safety, housing, labor, natural resources, and corrections. The package emphasized one-year funding for many new programs, vacancy reductions, and investments in services such as preschool, mental health, wildfire mitigation, cybersecurity, public access, and workforce development. HB 300 was recommended to pass with amendments and was adopted unanimously, with members voting yes and no reservations noted only as procedural responses. The committee then acted on HB 794 and HB 795, both recommended to pass with amendments by changing the defective date to 2050; both measures were adopted without discussion. On the 101 agenda, HB 400, the Judiciary budget bill, was recommended to pass with amendments. The bill included vacancy reductions, security funding, permanent staffing for several court and justice programs, and support for civil legal services, immigration-related services, and technology licenses. HB 400 was adopted. HB 410 was also adopted with amendments and a defective date change to 2050. On the 102 agenda, the committee passed several bills either unamended or with targeted amendments. HB 3, HB 134, HB 177, HB 237, HB 648, HB 713, HB 735, HB 1391, and HB 1462 were passed unamended. HB 214 passed with amendments expanding eligibility for retired employees to fill labor-shortage or succession-planning positions, including certain management positions excluded from collective bargaining; one member raised concerns about school resource officers and community fit, which the chair said could be addressed in the committee report. HB 441 passed with amendments to direct cigarette tax funds to the Hawaii Cancer Research Special Fund, with a discussion about whether e-cigarettes should be included. Other measures passed with amendments included HB 448, HB 667, HB 727, HB 740, HB 806, HB 1020, HB 1345, and HB 1365, generally involving date changes, blank appropriations, or technical language. HB 1391 was adopted with a reservation from Senator Kim. The meeting concluded with HB 1462 adopted unamended.

Transcript Highlights:

• and programs division, which includes the intake service centers, healthcare corrections program services
• and programs division, which includes the intake service centers, healthcare corrections program services
• and programs division, which includes the intake service centers, healthcare corrections program services
• > program<00:19:15.360> services, corrections program services, corrections program services
• And you said that that's part of the program is connecting defendants to services, career services, housing

Keywords: 910, house, all

Transcript Highlights:

• Courts must make referrals to programs that provide services at no cost to the participant and have been
• It took a while for our behavioral wellness program to put a program in place.
• lot of these residential treatment programs are 90-day programs.
• and programs.
• That's the exact same program.

Keywords: 988, house, all

Transcript Highlights:

• I am referring to the fraud that is being uncovered in the social service programs of those states.
• So as these MCOs and the program integrity unit at the Department of Health and Human Services uses their
• So as these MCOs and the program integrity unit at the Department of Health and Human Services use their
• :21.280> unit<00:20:21.760> is unit. program program integrity unit is unit. program program
• the overall program. the overall program.

Keywords: 1189, house, all

Summary: The committee chair opened by explaining that the committee has expanded from a traditional audit-follow-up role into an oversight role focused on whether audit recommendations are implemented and whether controls are in place to detect fraud. He said the committee was concerned about fraud uncovered in social service programs in other states and wanted to understand New Hampshire’s safeguards, especially around major contracts and program performance. Charles Buchanan, director of the New Hampshire Medicaid Fraud Control Unit, and investigator Tim Brackett described the unit’s structure and mission. Buchanan said the unit, housed in the Attorney General’s Criminal Justice Bureau, investigates and prosecutes fraud by health care providers serving Medicaid beneficiaries, as well as abuse, neglect, and financial exploitation of residents in health care facilities. He outlined common Medicaid fraud schemes such as billing for services not rendered, upcoding, using unqualified staff, drug substitution, kickbacks, supplemental charges, and inflated customary charges. He also described resident abuse/neglect and drug diversion in hospitals, nursing homes, and assisted living settings. Brackett said his role is financial investigator/auditor and noted the unit is grant-funded and must include a prosecutor, investigator, and auditor. The witnesses then explained how cases reach the unit and how they are handled. Most referrals come from the state Department of Health and Human Services’ program integrity unit and from managed care organizations’ special investigations units, which look for fraud, waste, and abuse and refer credible allegations. Other sources include qui tam whistleblower actions, the national Medicaid Fraud Control Units association, citizen complaints, provider referrals, adult protective services law-enforcement referrals, local law enforcement, and federal agencies. Once a referral is received, the unit can accept or deny it; accepted matters may be investigated criminally or civilly, while nonviable matters can be referred back to HHS or other agencies for administrative action, including repayment demands and reimbursement offsets. No votes or formal committee actions were taken in the portion provided.

Transcript Highlights:

• No, the next group, the next thing on the page—oh, this one: contract for program services, right?
• for program services of about $2.2 million, I think, from FY 24 to FY 25.
• for program services of about $2.2 million, I think, from FY 24 to FY 25.
• for program services of about $2.2 million, I think, from FY 24 to FY 25.
• The need for cutting critical services like our interlibrary loan program or our talking books program

Keywords: 928, house, all

Summary: The committee reviewed the Department of Corrections budget, with the chair initially noting that the overall numbers looked close to fiscal year 2024 spending, except for federal funds. Department officials explained that prior ARPA expenditures and delayed revenue recognition had distorted the comparison, and that the corrected general fund spend was about $169.7 million. Members then focused on whether the budget’s staffing assumptions were realistic, especially the shift from overtime to full-time lines and the use of vacant positions to offset overtime costs. The department said it is leaning on vacancy savings, but would return for additional appropriations if unforeseen staffing problems arise. A major portion of the discussion centered on recruitment, retention, and staffing levels. Officials reported a 42% vacancy rate in enforcement ranks, down from 51% in January 2023, with 28 new officers headed to the next academy and 33 new hires already tracked. They said overtime is more expensive than regular staffing because of benefits and that it takes about 11 months for a new hire to break even. Members also asked about the split between incarcerated and supervised populations; the department said it oversees about 1,970 inmates in facilities and just over 4,000 people in the community, with 77 positions supervising the community population and the inmate population remaining the most expensive area. The committee also discussed how sentencing and statutory changes affect incarceration levels, including misdemeanor/felony thresholds and theft thresholds, with the department agreeing that such changes can significantly affect prison and jail populations. Members asked about education and recidivism, and the department said base education is the most important foundation, followed by vocational training, while noting that many incarcerated men lack a high school diploma. The department also described a $1.3 million reduction in contracted forensic evaluation services, explaining that these evaluations are court-ordered competency assessments and are not statutorily required to be provided by DOC. Finally, members reviewed victim services funding and staffing, including VOCA-supported positions, and the department explained that a new victim witness specialist would help support survivors at parole hearings and safety planning.

Transcript Highlights:

• The SBA has long served this need through its loan guarantee programs, including the 504 CDC program.
• the 504 CDC program.
• loan programs.
• SURE THE PROGRAM STAYS STRONG.
• to strengthen program performance.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, January 20, 2026, 1012, house, all

Transcript Highlights:

• Services cost shifts.
• and other Human Services cost shifts.
• the Minnesota sex vital Services the Minnesota sex offender<00:03:32.599> program<00:03:33.159
• The cost shifts that I'm referencing involve programs through the Department of Human Services and how
• the Minnesota sex offender uh Services the Minnesota sex offender uh treatment<00:18:42.000> program

Keywords: 1187, senate, all

Transcript Highlights:

• program and the services<01:49:47.520> that<01:49:47.760> these<01:49:48.000> kiddos
• this from them, but the services that kids in the program are getting right now is decreasing because
• services curtailed through this program. services curtailed through this program.
• I would just like to share that, as a provider of family peer support services through this program,
• Through the Fast Forward program, my family received intensive wraparound services such as care coordination

Keywords: 1191, senate, all

Transcript Highlights:

• and other financial aid programs.
• program and include at least three options for restructuring the program moving forward.
• programs?
• can be enrolled in the program.
• Members, this conforming bill makes a broad range of changes to Florida's health and human services programs

Keywords: 998, house, all

Transcript Highlights:

• >> Vital Access Program.
• So the question is, is it all of the additional programs and services that New York State has added on
• It is a big program. An important program, and it helps people with their health.
• THAT PROGRAM.
• We needed to stand up a program.

Keywords: 993, senate, all

Summary: The Senate opened with the Pledge of Allegiance and an invocation, then approved the prior day’s Journal and moved into motions, resolutions, and budget-related business. Senator Gianaris called up Senate Print 5898A for reconsideration; the Senate voted 59 ayes to restore the bill to the third reading calendar. Several amendments were also received on third-reading bills, and the Finance Committee was called into session while the chamber proceeded with resolutions. The Senate adopted Resolution J.2106 recognizing Second Chance Month and the mental health impacts of incarceration, with Senator Brisport speaking in support and a guest from the community recognized in the chamber. The body also adopted Resolution J.1492 designating May 27, 2026, as Taiwan Heritage Day, with remarks from Senators Sepúlveda, Stavisky, and Liu highlighting Taiwanese contributions to New York and expressing support for Taiwan amid current geopolitical tensions. The Finance Committee then reported several budget bills, including Senate Prints 9003D, 9004D, 9007C, and 9009C, which were moved to third reading. The remainder of the session focused on the supplemental and controversial budget calendars, especially tax and spending provisions. Senators debated the “Protecting Our Wallets” energy rebate, with supporters describing it as a one-time check for eligible taxpayers and critics arguing it was too small and not tied directly to utility bills; the chamber accepted the message of necessity and laid the bills aside. Members also debated extensions and changes to tax provisions affecting corporations, alternative fuel exemptions, Broadway and theatrical production tax credits, charitable deductions for certain 501(c)(3)s, nicotine pouch taxes, a new New York City pied-à-terre tax, and a standardbred horse-racing testing fee. Several senators criticized the budget as raising costs or favoring certain industries, while supporters defended the measures as revenue-raising, affordability, or public-health policies. No final votes on the controversial budget bills are shown in the excerpt beyond procedural rulings, adoption of the resolution calendar, and acceptance of committee reports.

Transcript Highlights:

• And 83% of what fire service agencies do now is respond to EMS, emergency medical calls for service.
• Program.
• Participants also cannot currently have another service obligation from a loan repayment program.
• Then the federal program is the National Health Service Corps, which is available through HRSA, the Health
• able to say that in human services, you know, that money could go to these programs and we really should

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• education through Equitable service education through Equitable service requirements<00:19:09.280
• district and that would be programming district and that would be programming that<00:21:25.159>
• And then there was over $82 million in services for nonpublic schools through the E program.
• And then there was over $82 million in services for nonpublic schools through the E program.
• And then there was over $82 million in services for nonpublic schools through the E program.

Keywords: 1187, senate, all

Summary: The committee met to hear a Minnesota Department of Education presentation on federal education funding and the potential effects of federal actions on those dollars. Chair Kunesh framed the discussion around concerns about threats to the U.S. Department of Education and noted that federal funds make up about 10% of Minnesota’s education budget, or roughly $1.4 billion. Senator Lang pushed back, emphasizing that 90% of school funding comes from state and local sources and urging the committee to focus on state mandates and how to pay for them. New member Senator Clark introduced himself and said he would teach ethics or running if he were a teacher. Department staff explained that federal education dollars are divided between entitlement/formula funds and competitive/discretionary grants. They said Minnesota receives federal money through established systems and that the department is seeking clarity about how federal changes might affect the flow of funds, oversight, and program administration. They also outlined Minnesota’s legislative review process for federal funds, which includes several pathways such as the governor’s biennial budget, supplemental budget submissions, legislative advisory committee review, and expedited review processes when needed. The presentation then focused on ESEA Title funding, especially Title I. Staff said Title I is one of the largest federal education programs in Minnesota, with about $200 million in current funding, and supports 476 local education agencies. They described how funds are allocated through Minnesota’s North Star accountability system and Compass support structure, based on measures such as poverty, graduation rates, and state assessment performance. Examples of allowable supports included professional development, attendance initiatives, reading curriculum, training, and peer coaching. Senators asked whether executive action could affect these funds and whether the money flows directly to districts or through the state; staff responded that they would avoid speculation and would continue explaining the different funding streams and oversight structure.

Transcript Highlights:

• align them with the children and family services, or the child welfare program.
• Then no direct services would be remaining within the program support budget.
• We're requesting simply a title change for our budget program 20, from Field Services to Veteran Services
• Our budget program 20 from Field Services to Veteran Services and Counseling and Wellness.
• We've always referred to this program as Veteran Services and Counseling and Wellness.

Summary: The committee met with a quorum, approved the June 18, 2025 minutes, and heard four proposed budget format changes. Washington State Parks requested a structural change to separate and better track its Stewardship Services Division, including cultural and natural resources, environmental planning, and Climate Commitment Act investments. DCYF proposed moving direct service functions now housed in program support into the child welfare program so operational costs and direct services would be reported separately; members asked how this would help avoid across-the-board reductions affecting direct services, and the agency said the change would improve transparency and prevent that problem. The Department of Transportation sought to create a new Ferries Program Support sub-program to consolidate four related projects and two existing sub-programs into one administrative/project support structure, while the Department of Veterans Affairs requested only a title change for Program 20 from Field Services to Veteran Services and Counseling and Wellness. The committee voted unanimously to approve all four changes. Kevin Feltis then gave an interim work plan and staffing update for LEAP. He said the office is continuing work on the rewritten capital budget application (BuildSUM), updating the transportation bond model, completing carry-forward levels for the 2027-29 biennium, publishing 2026 legislative budget notes, updating 2025 salary data, and participating in a LegiTech AI pilot for system development within the legislative network. He also noted LEAP’s role in supporting the new Joint Legislative Executive Committee on Budget Transparency and Fiscal Sustainability. Staffing remained steady at 11 FTEs, with no retirements or staffing changes in the past year, though one vacancy may be filled later and two retirements are anticipated over the next four to five years. The committee also discussed updates to the fiscal.wa.gov website. Planned work includes streamlining how budget data is updated when budgets are released, converting more than 100 reports from Microsoft Reporting Services to Power BI because support is ending, and evaluating whether the site’s search tool should be improved or replaced. Senators and representatives raised concerns about the number of clicks needed to reach capital and transportation project maps and about making public-facing budget information easier to find and understand. Staff said the website redesign was based on prior user testing and that they would look at ways to make maps and other top-level information more accessible. Finally, the committee elected new officers under its alternating-chair rule. Representative Gregerson was nominated and elected chair, and Senator King was nominated and elected vice chair. The meeting then adjourned.

Transcript Highlights:

• ambulance services.
• ambulance services.
• such a program.
• getting the money I know one Services getting the money I know one service<01:05:05.720> in service
• That's why our service and several other services will do fundraisers.

Keywords: 1183, house

Transcript Highlights:

• for traditional landline service but some of traditional landline service but some of the<00:18:38.480
• , the overall size of the program is less than the overall size of the reinsurance program.
• program. So this isn't completely new. program. So this isn't completely new.
• program and the current<01:10:55.360> reinsurance<01:10:56.040> program.
• reinsurance program to the individual. reinsurance program to the individual.

Keywords: 1187, senate, all

Transcript Highlights:

• Those categories are ambulatory patient services, emergency services, hospitalization, maternity and
• The operative language is coverage of services or payment for specified providers of services.
• Our interpretation of coverage of services or payment for specified providers of services really comes
• that used vision services in light blue, and the percentage that used dental services in dark blue,
• For dental services, American Indians had the highest percent of members who received a dental service

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.