Video & Transcript : 'covered entity' :
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ND
North Dakota 2025-2026 Regular Session
Legislative Audit and Fiscal Review Committee Mar 24th, 2026
Transcript Highlights:
- Before covering the state's financial status for fiscal year 2025, I would like to briefly cover the
- Next, I will cover the ACFR highlights. In your handout, there's...
- Next, I will cover the ACFR highlights.
- Just in regards to the entities not doing or following through or not, you know, To the entities not
- I didn't know if you were going to cover any of this.
Summary:
The committee met to receive a series of audit presentations, beginning with the statewide Annual Comprehensive Financial Report (ACFR) for fiscal year 2025. The State Auditor’s Office and OMB reported a clean, unmodified opinion for the state, with strong financial results including a $40.6 billion net position, $30.99 billion in assets, $1.81 billion in liabilities, and continued Legacy Fund growth. OMB also explained the new GASB 101 compensated-absences reporting change and discussed pension-liability fluctuations tied to discount-rate assumptions and investment performance. Members asked about how the state compares to others and about the effect of short-term commodity price swings, and OMB said the report reflects actual fiscal-year results rather than forecasts.
The committee then heard the University System audit, which also received a clean opinion but included four findings: misreporting of Strategic Investment and Improvements Fund revenue, insufficient monitoring of service organizations at CTS, NDSU, and UND, improper bank reconciliations at Dakota College of Bottineau, Dickinson State, and Williston State, and investment/cash reconciliation problems at Bismarck State College related to bond proceeds. University officials agreed with the findings and said corrective actions were underway, including internal review of bank reconciliations. Members raised questions about NDSU’s use of certificates of deposit, and university staff explained that CDs are used to earn interest on funds being accumulated for future projects.
Several other audits were presented, most with clean opinions and no findings, including the State Auditor’s Office, Workforce Safety and Insurance, Housing Finance Agency, Housing Incentive Fund, Job Service North Dakota, the Retirement and Investment Office, PERS, the Center for Distance Education, the Commission on Legal Counsel for Indigents, the Ethics Commission, and the Office of Administrative Hearings. Notable exceptions included a State Fair Association audit with an adverse opinion on the foundation component unit because its financial statements were not available for audit, and a Securities Department performance audit finding that performance-based pay increases and bonuses were issued without required evaluations. The committee also discussed the State Auditor’s future needs, including more staff capacity, data analytics, cybersecurity reviews, possible subpoena authority, independent legal counsel, and whether some audits—such as the Ethics Commission and State Fair—should be handled by independent third parties or under different statutory arrangements.
AR
Arkansas 2026 1st Special Session
LEGISLATIVE JOINT AUDITING Jun 5th, 2026
LEGISLATIVE JOINT AUDITING
Transcript Highlights:
- The 28 entities term back funds were reinstated, Delinquent private water and sewer audits.
- The 28 entities' term-back funds were reinstated after all required reports were submitted.
- Officials for 16 entities were present to address repeated findings.
- The two financial findings were previously covered by Ms. Sanders.
- So that's probably covered in your explanation.
Summary:
The committee met to adopt prior minutes and reports from its executive and standing committees, including counties and municipalities, educational institutions, and state agencies. Those reports covered routine audit activity, delinquent private water and sewer audits, municipal accounting compliance issues, education audit findings, and several state agency audit items. The committee also reviewed and adopted the State of Arkansas annual comprehensive financial report for fiscal year 2025 and the related single audit report, both presented by Legislative Audit staff.
The state financial report showed unmodified opinions on the state’s financial statements and described total assets of about $41.9 billion and liabilities of about $11.1 billion, along with retirement system assets of $39.9 billion and a net pension liability of $9 billion. Two material weaknesses were identified: insufficient internal controls at the Office of State Technology to monitor threats and unauthorized access, and a Division of Workforce Services methodology change for unemployment-related estimates that was not properly documented or approved. The single audit covered $12.4 billion in federal awards across 469 programs, with 16 major programs reviewed; it resulted in 33 findings, 14 with questioned costs totaling $16.6 million, and qualified opinions for the Summer EBT program, the Coronavirus Capital Projects Fund, and the Child Care Development Fund cluster.
Members questioned agency officials in detail about the Summer EBT questioned costs, DHS unresolved findings, broadband grant documentation, cyber security controls, workers’ compensation liabilities, and child care funding and reporting. DHS explained that the Summer EBT issue involved drawing federal funds in advance rather than as benefits were redeemed, and said the process has been corrected. Broadband officials said the questioned $6.6 million reflected documentation-detail disagreements across many invoices rather than missing payments. OST officials described new logging, endpoint detection, and phishing-training efforts, and DFA and Education officials addressed specific audit findings and corrective actions. The committee ultimately moved to hold the two large statewide reports over until the August meeting for further review, with discussion continuing on whether to release some agency staff in the meantime.
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Feb 25th, 2026
Transcript Highlights:
- This amendment modifies the covered entity reporting requirements by specifying that payments made to
- It also requires covered entities to report the number of drugs administered to patients for which a
- Covered entities are required to report the number of drugs administered to patients for which a cost
- and manufacturers that would be required to report, with covered entities not paying more than 25% of
- Pool 261 by Representative Marshall prohibits a covered entity from entering into a contract with an
Summary:
The Health Care and Wellness Committee heard executive action on seven bills, with discussion focused on prior authorization, the 340B drug pricing program, biosimilars, HIV drug coverage, exchange certification criteria, and hearing/speech board authority. Members also considered several amendments, including a date change to prior authorization reporting in SB 5395, a large striking amendment and multiple policy amendments on SB 5981, and market-criteria amendments on SB 6210. Testimony and debate centered on transparency, administrative costs, rural access, patient care spending, market stability, and the balance between state authority and federal law.
SB 5395 on prior authorization received Amendment 247, which moved the carrier reporting deadline to the Office of Insurance Commissioner from January 1, 2027 to October 1, 2026, and was then reported out with a due pass recommendation. SB 5981 on 340B drug pricing adopted a striking amendment creating reporting and fee structures, but rejected amendments that would have removed filing fees, required 90% of revenues to go to direct patient care, limited additional contract pharmacies to rural or underserved areas, or delayed the bill’s effective date; the bill then passed out of committee 11-7. Supporters emphasized transparency and safety-net funding, while opponents raised concerns about federal preemption, litigation, costs, and administrative burden.
SB 5594 on biosimilar substitution, SB 5877 on certified anesthesiology assistants and the physician health program, and SB 6183 on coverage of FDA-approved HIV antiviral drugs without utilization management all advanced with broad support and due pass recommendations. SB 6210 on health benefit exchange market factor criteria adopted a striking amendment but rejected amendments that would have limited updates to every two years, narrowly defined “meaningfully different,” or changed implementation timelines; it also passed 11-7. SB 6226 on the Board of Speech and Hearing adopted Amendment 313 to expand standards-of-care authority for hearing aid fitting and dispensing, then passed 17-1 after debate about patient safety, tele-audiology, and access to care.
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Jan 22nd, 2026 at 02:01 pm
House Appropriations & Finance
Transcript Highlights:
- I think that kind of covers it for me.
- Because it does us no good to benchmark against public entities.
- This is, I hope, we are now a bit of a known entity for you.
- I will cover the specials for OSI. Good evening again. I will cover the specials for OSI.
- Nation, but it also covers a lot of the county.
Bills:
HB1
Keywords:
feed bill, legislative appropriations, legislative branch, New Mexico Legislature, general fund, legislative council service, legislative finance committee, legislative education study committee, house chief clerk, senate chief clerk, per diem, mileage, session expenses, interim committees, district staff, capitol complex, capital outlay data system, legislative processing system, redistricting, census redistricting
ND
North Dakota 2025-2026 Regular Session
Legislative Task Force on Government Efficiency Jun 30th, 2026
Transcript Highlights:
- Are they all covered by that? Mr.
- But schools are the other big places, big government entities.
- All those other public entities that kind of have freestanding boards are, they all covered by that.
- But schools are the other big places, big government entities.
- So the first bullet item is what we just covered, the concessions.
Summary:
The task force approved the March 25, 2026 minutes as amended, striking language about contracting with a security vendor. Members then reviewed a draft bill on concessions procurement (LC 27.0161), which would raise the competitive solicitation threshold from $25,000 to $50,000, allow requests for proposals in addition to bids, update language for vending and merchandising machines, and clarify where concession proceeds are deposited. OMB explained the bill and said it was open to further changes, including language to address artificial fragmentation, clarify which government entities are covered, and possibly set contract-length limits. Members raised questions about whether the bill would apply to school districts, park districts, airports, and other political subdivisions, and about whether concession agreements could direct proceeds to nonprofits or other secondary recipients; OMB said the statute is intended to require proceeds to go to the government entity’s operating fund or general fund.
OMB also reported on other survey suggestions. It said a proposed general authority for agencies to create pre-qualified architect/engineering vendor pools would not move forward, because the existing authority is best limited to high-volume agencies. On legal notices, OMB said it had made progress with the North Dakota Newspaper Association on modernizing online notices, improving ADA compliance, and discussing rate and definition changes. On click-through agreements, OMB and the Attorney General’s office concluded no statutory change was needed after revising internal guidance; the $20,000 threshold was described as a practical cutoff for adhesive, nonnegotiable software terms. OMB also said issues raised by the Center for Distance Education on alternate procurements and food/beverage expenditures had been resolved through policy clarification.
The University System gave a brief update on its collaboration with OMB and said it was continuing to review concessions, surplus property, and capital project statutes with all institutions involved. The task force then discussed a draft bill on requirements for new or expanded spending, intended to require agencies to identify program purpose, needs, alternatives, success measures, and budget details, and to report on outcomes over time. Members and staff debated whether OMB or Legislative Council should collect and report the information, how much should be real-time versus periodic, and whether the bill should include full implementation costs for pilot programs. Legislative Council staff said the new program evaluation division is still being built out, that staffing remains limited, and that the office plans to continue working with OMB and the executive branch to refine the proposal before the next meeting. No final action was taken on the draft bills beyond directing further work and follow-up for the next meeting.
WA
Washington 2025-2026 Regular Session
JLARC – Joint Legislative Audit & Review Committee Apr 8th, 2026 at 10:00 am
Transcript Highlights:
- The fee revenue that DOH has received has not covered their costs since fiscal year 2024.
- In 2025, the legislature appropriated $268,000 to cover the program's costs.
- and regulated entities.
- In 2025, the legislature appropriated $268,000 to cover the program's costs.
- , regulated entities.
Summary:
At the April 8, 2026 JLARC meeting, members approved the January 7 minutes and recognized Marilyn Richter for more than 12 years of service to JLARC and the Citizens Commission. Staff then gave a legislative recap and work plan update, noting that JLARC staff presented to five committees during session, six bills or budget provisos implementing prior recommendations were enacted, and seven new study assignments were received. Members approved the updated 2025–2027 biennial work plan, including the new studies and the required 2027 lodging tax review.
The committee also heard a presentation on a new post-meeting member survey tied to JLARC performance measures. Members then considered the final report on ignition interlock device compliance and monitoring. Staff reported that many drivers required to install ignition interlock devices do not do so, with installation rates rising with income, and identified problems in the Department of Licensing’s financial assistance program and coordination with the State Patrol. Both agencies said they concurred with JLARC’s recommendations to clarify responsibilities, formalize coordination, and develop a plan to increase installation rates. The committee approved the final report.
Next, JLARC reviewed the final report on drug takeback fee setting and expenditures. Staff concluded that the Department of Health’s fee design limits full cost recovery and that the agency should publicly report oversight costs and activities; the legislature should revise the fee structure to better align with best practices. Members discussed whether the program should remain at DOH or be housed elsewhere, and adopted committee comments emphasizing transparency and future sunset review work before approving the final report. Finally, staff presented the scope and objectives for the Clean Buildings Performance Standard study, focusing on state-owned Tier 1 buildings and K-12 facilities in the first compliance cohort, with questions centered on compliance costs, energy savings, funding sources, fines, and possible workforce or budget impacts. The meeting ended with administrative announcements about upcoming meetings and adjournment.
NH
New Hampshire 2026 Regular Session
House Labor, Industrial and Rehabilitative Services (04/21/2026)
Labor, Industrial and Rehabilitative Services
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 2/10/25
Health Finance and Policy
Transcript Highlights:
- Salaries have increased, covering related benefits for employees have increased.
- Salaries have increased, covering related benefits for employees have increased.
- </c><00:37:23.200><c> opening</c> terms of uh a number of entities opening terms of uh a number of entities
- Clearly, we are in the space as many other entities are.
- </c><01:07:35.039><c> by</c> state are covered by state are covered by Medicaid<01:07:36.839><c> um</
WA
Washington 2025-2026 Regular Session
House Civil Rights & Judiciary Jan 21st, 2026
Transcript Highlights:
- Madam Chair, so I cover five states in my role and each state handles it very differently.
- Covered material changes include: one, transactions involving any entity or person that results in a
- corporation or unincorporated entity.
- As worded, there are other transactions that are covered as well under the bill.
- However, the federal rule does not cover 3D printing guns, and many states do not have laws that cover
Summary:
The committee held public hearings on House Bill 2255, House Bill 2548, and House Bill 2320. HB 2255 would regulate third-party litigation funding by requiring disclosure of funders and agreements, prohibiting funder control over litigation, capping funder recovery at 25%, and creating enforcement remedies. Supporters, including the sponsor, insurance groups, and liability reform advocates, described it as a transparency and consumer-protection measure that could improve court efficiency and reduce costs. Opponents, including the Washington State Association for Justice and the commercial litigation funding industry, argued it would burden plaintiffs, reveal protected work product, chill access to justice, and create satellite litigation. No vote was taken; the chair closed the hearing and asked testifiers to submit written comments.
HB 2548 would expand state oversight of health care market transactions by broadening the types of mergers, acquisitions, asset sales, and ownership/control changes that trigger notice to the Attorney General, pausing transactions until information requests are substantially complied with, expanding interagency data sharing, and revoking nonprofit status in certain transactions. Supporters, including patient advocates, nurses, the Office of the Insurance Commissioner, the Attorney General’s office, physicians, and individual health care workers, said private equity and consolidation are driving higher costs, reduced access, and lower quality. Opponents from the Washington State Hospital Association and MultiCare said the bill is unclear, may contain drafting errors, does not adequately target private equity structures, and could create problems around nonprofit status and charitable assets. The hearing ended with the committee moving on to the next bill.
HB 2320 would update Washington’s ghost gun laws to address 3D-printed firearms, CNC manufacturing, digital firearm manufacturing code, and the sale of machines marketed for firearm production, and would make certain violations per se Consumer Protection Act violations. The sponsor and supporters, including school officials, gun violence prevention advocates, a trauma survivor, a 3D-printing industry representative, and others, said the bill closes a public safety loophole and responds to the growing availability of untraceable weapons. Opponents, including the NRA, makerspace representatives, and some industry witnesses, argued the bill is overbroad, may sweep in lawful 3D-printing and CNC activity, raises First, Second, and Fifth Amendment concerns, and could create uncertainty through rebuttable presumptions and the CPA provisions. The transcript ends during the HB 2320 hearing, with additional testimony panels still to come and no final committee action recorded.
AR
Transcript Highlights:
- It's to distribute grants to airports and entities that develop, promote, and educate aeronautics and
- So there's a variance on what our insurance covers as far as our co-insurance. Okay.
- So for this particular entity, they...
- They're an entity, so there were other entities in the state that performed this, and so they were eligible
- I think that these entities continue to do it, with or without the grant award.
Summary:
The committee considered and approved several temporary appropriation requests in Section B, including spending authority for the Court of Appeals to pay appointed counsel in criminal appeals, Commerce/Aeronautics airport and aviation grants, and Insurance Department items for workers’ compensation benefits and premium tax refunds. It also approved ARPA-related requests in Section C to return unused federal funds from DHS aging, mental health, substance abuse, and Older Americans Act grants.
In Section D, the committee reviewed and approved Infrastructure Investment and Jobs Act requests, including Agriculture grants for wildfire preparedness and forestry capacity, a large Commerce broadband BEAD request, environmental recycling-related reallocations, and Oil and Gas Commission grants for facility repairs and sample preservation. Members questioned the broadband program’s audit process and performance safeguards; the State Broadband Director said the funds are federal, subject to audits, and payments are released only after engineering certification of completed work. The committee also approved DHS reallocations in Section E, including major transfers within Medical Services from hospital medical appropriations to private and public nursing home lines, as well as transfers for children and family services, developmental disabilities, and youth services.
The committee then reviewed cash fund requests, miscellaneous federal grants, pay plan and performance fund transfers, methods of finance, and a large set of contracts. A Northwest Arkansas Community College official explained storm-damage repairs and insurance settlement issues, and DHS explained its hospital medical transfer was moving excess appropriation rather than cash. Members also questioned several UAPB tobacco prevention subgrants, especially arts-based outreach, and asked for more data on effectiveness; the committee later voted to expunge and re-refer the J-2 item for further review at a later ALC meeting. Additional discussion covered a DEQ grant to Free Geek of Arkansas for e-waste recycling, a UAPB tobacco program, and various contracts for universities, DHS services, corrections, and public safety. The meeting ended with reports filed for information and a brief member comment thanking others for concern after a tornado in Stone County; no one was injured.
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Jan 16th, 2026 at 08:00 am
Health Care & Wellness
Transcript Highlights:
- Federal law allows covered entities to charge a reasonable cost-based fee that considers the cost of
- It's curious that Medicaid is covering this treatment.
- It's curious that Medicaid is covering this treatment.
- This is... ...while paying for treatment and trying to cover her expenses.
- And I think the corporate entities, if you will, are going to be testifying.
Keywords:
patients' rights, healthcare information, medical confidentiality, health data security, healthcare access, abortion, medications, reproductive health, access, healthcare, PANDA, PANS, treatment access, mental health, legislation, preventive services, state authority, definitions clarification, public health, 904
MO
Transcript Highlights:
- Question about this bill and the regulation of compliance that your entity covers.
- The enforcement mechanism applies only to the covered entity, not to the individuals.
- The enforcement mechanism applies only to the covered entity, not to the individuals.
- If the covered entity provided the person permission to use the restroom or changing room of the opposite
- If the covered entity provided permission to use that bathroom or failed to take reasonable steps to
MN
Transcript Highlights:
- Um and so we'll cover those legislature.
- </c> or individuals or taxpaying entities. or individuals or taxpaying entities.
- Flurmont, to cover the next few slides. >> Yes. Uh, good morning.
- So we wanted to survey what other entities, either at the federal...
- So my colleague already covered this item.
MN
Minnesota 2025-2026 Regular Session
Committee on State and Local Government - 02/27/25
State and Local Government
Transcript Highlights:
- </c> the percentage of funds that are covered the percentage of funds that are covered by<00:08:59.440
- </c> current situation we'd have 321 entities current situation we'd have 321 entities that<00:09:16.959
- so a good number drop to 203 uh entities so a good number of<00:09:24.160><c> entities</c><00:09:24.880
- </c> though that's a good chunk of entities though that's a good chunk of entities that<00:09:43.560>
- </c><00:21:17.039><c> can</c> can be done so even small entities can can be done so even small entities
CA
California 2025-2026 Regular Session
Assembly Revenue and Taxation Committee Apr 13th, 2026
Revenue and Taxation
Transcript Highlights:
- So, for example, a tribe may seek to establish a tribally chartered nonprofit entity to serve as the
- And I also want to point out that in December, the IRS issued a final rule regarding entities wholly
- The IRS issued a final rule regarding entities wholly owned by Indian tribal governments.
- This regulation established that entities wholly owned by tribes and organized or incorporated under
- The tribal forms of entities that tribes do utilize today are recognized as eligible for the welfare
TX
Texas 89th Regular
Senate Committee on Water, Agriculture, and Rural Affairs (Part I) Apr 14th, 2025
Water, Agriculture and Rural Affairs
Transcript Highlights:
- It's in a very rural area, covering the corners of Newton County, Hardin County, Tyler County, and Jasper
- However, most municipal water districts set rates at a level that only covers expenses.
- Water Planning Group, which I sit on, also covers Wise County.
- customer class instead of from people or entities who are categorized differently.
- So, a lot of these larger commercial or industrial entities... Which we do the same thing.
Bills:
SB1169, SB1285, SB1583, SB1611, SB1898, SB1976, SB2160, SB2161, SB2658, SB2661, SB2662, SB2692, SB1055, SB1359, SB2660
Keywords:
water service, sewer service, public utility, joint operation, infrastructure, municipality, compliance, SB 1285, bats, bat protection, wildlife protection, Texas Parks and Wildlife Code, Parks and Wildlife Code Section 63.101, hunting bats, bat possession, bat sales, bat trade, pest control, licensed pest control professional, animal control officer
NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs (04/23/2025)
Transcript Highlights:
- </c> negotiating a rate for those covered negotiating a rate for those covered people<01:50:27.280><c
- </c> specific entity. specific entity. Excuse<02:03:02.480><c> me.
- Uh uh entities that fit that bill.
- </c> cover about 72,000 distinct individuals. cover about 72,000 distinct individuals.
- </c> to make this this these entities work. to make this this these entities work.
Summary:
The committee first heard Senate Bill 47, sponsored by Sen. Regina Birdsell at the request of the Insurance Department. The bill would codify the department’s interpretation that a birth mother’s health insurance is the primary coverage for a newborn, unless the mother has no insurance or coverage under an employer-sponsored plan. Birdsell and Insurance Commissioner DJ Benton Court said the measure is a clarification of existing practice and intended to protect vulnerable newborns; a question from Rep. Miles clarified that if a young woman is on her parents’ policy, the newborn would generally be covered under that family coverage. The hearing on SB 47 was then closed.
The committee then took up Senate Bill 121, introduced by Grant Bosi for Sen. Kevin Avard, which would require insurers to notify the Insurance Department when they stop writing an entire line of business or, in some cases, Medicare Advantage plans. Commissioner Benton Court said the bill arose from disruption in the Medicare Advantage market, where consumers, brokers, and the department were confused by carriers changing or ending offerings; he said the department wanted a simple notification requirement so it could better advise consumers. Members discussed network adequacy, county-based service areas, and the fact that the bill would make notice a condition of licensure, with possible fines or license action for noncompliance. Witness Paula Rogers of AHIP said her group supported the bill if amended, and the department indicated it would support a change from a 120-day notice period to 90 days to align with state rules; the committee planned to work on an amendment in subcommittee.
Finally, the committee heard Senate Bill 247, introduced by Rep. Brian Cole, which would prohibit network exclusion of pharmacies that refuse to dispense prescriptions when PBM reimbursement is below acquisition cost. Cole argued the bill is meant to stop pharmacies from being forced to sell drugs at a loss, describing PBMs as middlemen and saying the measure is a compromise that protects local pharmacies. Members questioned whether consumers would pay more and whether pharmacies voluntarily enter PBM contracts; Cole responded that the bill would let pharmacies refuse unprofitable fills while consumers could still obtain the drug through mail order or other channels. He also said the issue has changed over time because the practice now affects a much larger share of generics and is concentrated among a few PBMs. The hearing remained open as questions continued, with no vote taken in the excerpt.
VT
Vermont 2025-2026 Regular Session
Senate Session - 2026-05-06 - 11:00AM
Vermont Senate Floor Meeting
Transcript Highlights:
- ><c> family</c> covered entity, a [clears throat] family covered entity, a [clears throat] family member
- </c> member of a customer whom a covered member of a customer whom a covered entity<02:05:55.840><c>
- <c> that</c><02:07:10.120><c> the</c> the covered entity is satisfied that the the covered entity is
- ><c> given</c> Covered entities are also given Covered entities are also given protection<02:08:54.160
- </c><02:09:25.640><c> entities</c> liberally to encourage covered entities liberally to encourage covered
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Jan 16th, 2026
Transcript Highlights:
- Federal law allows covered entities to charge a reasonable cost-based fee that considers the cost of
- Health insurers have been required to cover these services with no cost to consumers.
- These services that are covered by our health plan, but others will.
- She depleted her savings while paying for treatment and trying to cover her expenses.
- And I think the corporate entities, if you will, are going to be testifying.
Summary:
The committee heard testimony on three health care bills. HB 1496 would cap charges for electronically stored medical records at $50 for patients and certain authorized recipients, while removing a free-copy provision tied to SSI/SSDI appeals and changing attorney fee language to “prevailing patient.” Supporters, including patient advocates, attorneys, and injured workers, said current record fees can reach thousands of dollars and block access to justice; opponents, including hospitals, home care providers, and records vendors, argued the bill would not cover the labor and HIPAA compliance work involved in large third-party requests and could shift costs to providers and patients. The bill remained in hearing with testimony continuing after the committee moved through other bills.
HB 2182 would change how the Department of Corrections distributes its stockpile of mifepristone and misoprostol, removing the requirement that the medications be sold at cost plus a $5 fee and instead allowing, but not requiring, payment while directing DOC and the Department of Health to coordinate distribution to providers and facilities. The prime sponsor and supporters said the bill is needed so the state’s stockpile does not go unused or expire and to remove barriers to access for abortion and miscarriage care; opponents argued the bill subsidizes abortion, raises legal and taxpayer concerns, and should be rejected. Public testimony on HB 2182 was closed after hearing from both supporters and opponents.
HB 2196 would require certain fully insured health plans to cover IVIG for PANS and PANDAS, with initial and medically necessary follow-up courses, and would bar denials based on prior treatment, age, out-of-state care when unavailable in Washington, or treatment guidelines that only address psychiatric symptoms. The sponsor, families, and physicians described severe, sudden-onset symptoms in children and said IVIG can be life-changing after other treatments fail, while insurers warned the mandate could add to already rising premiums and noted the treatment can be very expensive. HB 2242 would shift vaccine and preventive-service recommendation authority from federal bodies to the Department of Health, while preserving no-cost coverage for preventive services and updating the reference date for protected services; the governor, insurance commissioner, public health officials, and many physicians supported it as a way to preserve access amid federal instability and rising vaccine-preventable disease, while questions focused on whether the bill would change school or daycare requirements, which staff said it would not.
NH
New Hampshire 2025 Regular Session
House Executive Departments and Administration (01/29/2025)
Transcript Highlights:
- </c> are there any other private entities are there any other private entities that<00:14:16.240><c>
- These are funds from these private entities that are then handed to the state, so it's not a public entity
- </c> thatly internal to the to the entity thatly internal to the to the entity that's<00:49:05.160><c
- </c> versus uh a representative of entities versus uh a representative of entities who<03:38:31.960><
- </c><03:40:17.239><c> like</c><03:40:17.359><c> the</c> have an entity like the have an entity like the
Summary:
The committee held a public hearing on House Bill 233, which would impose transparency and reporting requirements on the New Hampshire Vaccine Association. The prime sponsor, Representative Comto, said the bill and a proposed amendment were intended to increase public access by requiring a physical meeting location, making meetings available online, and publishing a complete list of vaccines and pharmaceutical products purchased. She argued the association should be more transparent because it is involved in vaccine purchasing and public trust is important, especially given controversy around vaccines.
Committee members questioned the sponsor about the association’s legal status, who sets vaccine requirements, whether other private entities would be covered, and whether the proposal should instead apply more broadly to all meetings or include recordings. The sponsor said the association was created by the legislature, that childhood vaccine requirements come from DHHS and CDC-related processes, and that she would be open to broader recording requirements. Some members raised concerns about misinformation and whether requiring answers to public questions could be problematic in a contentious policy area.
Patrick Miller, executive director of the Vaccine Association, and attorney Mark McHugh testified in opposition. They described the association as a not-for-profit voluntary corporation created by statute in 2002 to serve as a funding mechanism for the state’s universal childhood vaccine purchase program, with no policymaking role and no public funding. They said the association already posts notices, agendas, minutes, and allows public webinar access and comments, while also providing annual audits and reports and other statutory reporting. They argued HB 233 would impose unnecessary administrative costs on a private entity, interfere with its limited charitable purpose, and ultimately increase costs borne by insurers, employers, and consumers. No vote or final action was taken during the hearing.