Transcript Highlights:

• I also founded the National Dental Advocacy Program through the Patient Advocate Program, a nonprofit
• The benefit of being able to sell the drugs on the 340B program is that it is a voluntary program for
• Clinics particularly are the primary stewards of the 340B program, and the patient gets those discounts
• This program is, this bill is not trying to eradicate the 340B program.
• the Medi-Cal program.

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• Program. Welcome, Commissioner. Thank you very much.
• for the primary residence credit program.
• And that's, I think, the challenge of this program.
• And then we have the DEQ Restoration Program, the Ag Department Pipeline Program, the Ag Department Realty
• Program, and then a few miscellaneous dollars.

Summary: The Budget Section approved the March 18 minutes and received an OMB update showing the general fund is still ahead of the budgeted starting point, but revenues through May are now about $76 million below the legislative forecast, driven mainly by individual income tax and sales tax shortfalls. OMB also reported the budget stabilization fund is above its cap, meaning a transfer to the general fund is expected, and reviewed oil price/production assumptions, noting continued volatility. Members asked about the income tax netting process, the sales tax decline, oil price discounts/premiums, natural gas taxation, and when the executive branch would present its revenue forecast. The committee then acted on several Emergency Commission requests. It approved, as a group, requests for federal mine reclamation funds for the Public Service Commission, an additional criminal investigator FTE and funding for the Attorney General’s office, and a DPI transfer for bridge software costs. It separately approved DPI request 2164 for $500,000 to support the food vendor program after debate over whether the program’s savings were known and whether the money was simply a pass-through. OMB also reported on federal grants, fiscal irregularities, tobacco settlement proceeds, budget guidelines for agencies, FTE pool usage, vacancy savings, and the DAPL settlement, noting the settlement funds had been deposited and that a deficiency appropriation may be needed later to cover remaining accrued interest. Tax Commissioner Brian Kroshus presented on the primary residence credit program, saying participation has grown sharply and that the current biennium will likely need about $431 million, roughly $22 million above the appropriation. He explained how the credit interacts with homestead and disabled veteran benefits, how the 3% property tax cap works, and why county valuations and mill rates vary. The committee also received a Legacy Fund/Budget Stabilization Fund report showing strong returns, and DOT Director Ron Henke received approval for two Flex Fund highway projects on ND 49 and ND 31. Henke also explained remaining Highway 85 funding and said the department is exploring uses for leftover state dollars. Finally, the Department of Mineral Resources reported on abandoned well plugging and site restoration, noting North Dakota remains in relatively strong shape compared with other states, and DPI began a presentation on gap funding tied to the 3% levy cap, reporting 24 districts received $1.8 million in the first year and projecting higher future needs.

Transcript Highlights:

• It modernizes the Veterans Employment Program.
• The Veterans Employment and Training Services Program becomes the Veterans Florida Opportunity Program
• It launches a grant program for job training. Thank you.
• The program becomes the Veterans Florida Opportunity Program.
• This is the public records exemption for the Veterans Florida Opportunity Program.

Summary: The Committee on Military, Veterans Affairs, Space, and Domestic Security met with a quorum present and took up three veteran-related bills. SB 78 would allow the Florida Department of Veterans’ Affairs to authorize a nonprofit retirement community serving only veterans, spouses, and surviving spouses to create veteran- and spouse-designated nursing home beds in a skilled nursing facility, including transfer of certificate-of-need beds within 100 miles. The Air Force Enlisted Village CEO testified in support, saying it would add needed skilled nursing care to their continuum; the bill was reported favorably. The committee then considered CS for SB 1280, a broad veterans bill that modernizes employment and training programs, renames the program the Veterans Florida Opportunity Program, creates a job-training grant program, adjusts reimbursement caps, expands university/agriculture training stipends for veteran spouses, provides various fee reliefs, waives a one-time state business filing fee for veterans, and expands veterans’ treatment courts. Two amendments were adopted: one changed the state flagship designation to the SS American Victory and allowed disabled veteran designation on specialty plates via a DV embossing, while removing outdated references; the second removed hunting and fishing license provisions due to funding concerns. Veterans Florida representatives waved in support, and the committee reported the bill favorably as amended. Finally, SB 1282 created a public records exemption for information submitted to the Veterans Florida Opportunity Program when veterans are developing business opportunities, protecting trade secrets and related sensitive information from disclosure. Veterans Florida supported the measure, and after brief debate the bill was reported favorably. The committee then briefly reconsidered the vote for recording purposes and adjourned without further business.

Transcript Highlights:

• stakeholders and the and the programming stakeholders and the and the programming people<00:32:20.240
• So every month we're putting six to 15 specials out for them on wine that is discounted.
• But what I know is that when we discount to them, they're involved in these twofers heavily.
• Uh I don't on wine that is discounted.
• <01:29:20.239> to this year and promote a 10% discount to this year and promote a 10% discount

Keywords: 1189, house, all

Summary: The Fiscal Committee met on January 23, 2026, approved the December 19, 2025 minutes, and adopted the remaining items on the consent calendar after noting several withdrawals. The committee then took up Department of Safety item FIS 26007, which involved Homeland Security/FEMA grant funding for equipment and UAS-related activities. Senators asked whether any of the funding would support federal civil immigration enforcement or shared operations with federal agencies, and about privacy protections for drone data. The department said the grant is governed by federal parameters, that the state uses the remaining 20 percent after federally directed uses, and that privacy law in this area is evolving. The item was adopted on an 8-2 vote. The committee next considered Department of Environmental Services item 26003, which had been withdrawn by the Senate. A senator said concerns about using the funds for a different project had been resolved after speaking with the commissioner, and the item was adopted without further debate. The committee then moved to Department of Health and Human Services item 260005, a request for about $700,000 in remaining ARPA-related funds for the Hampstead children’s facility project. Commissioners explained that the project had been funded in stages because the original appropriation was based on estimates and bid assumptions, and that the remaining money would cover alternates and finish the project without using general funds. Senators raised concerns about repeated requests for additional money, the adequacy of security, site-selection costs, and why the project had not been fully funded at the outset. The department said the project had been intentionally structured to proceed in phases and that required security would be provided.

Transcript Highlights:

• Nationally, those total discount fees are between three and three and a half percent.
• So the merchant discounts vary based on the package of services.
• My company offers a training program for that.
• It will also wipe out the hospital and hospice volunteer Reiki programs.
• Our training program has been designated as one of 39 approved training programs, three of which are

Keywords: 995, all

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure and reviewed a broad agenda including credit card fees, event ticketing, music therapy licensure, senior psychologist licensure, CPA pathways, school mental health licensure, and a bill regulating alternative healing therapies. The chairs explained hearing logistics, including three-minute testimony limits and submission of written testimony, and noted that more than 70 people had signed up to testify. Legislators and advocates were heard out of order throughout the day. A major portion of the hearing focused on credit card surcharge and interchange legislation. Restaurant owners, the Massachusetts Restaurant Association, NFIB, and other small-business witnesses supported bills allowing merchants to add convenience fees and, in one proposal, preventing card companies from charging fees on tax and tip portions of transactions. They argued that swipe fees are a major and growing cost, especially for restaurants, and that Massachusetts is one of only two states that bars surcharges. Opponents from the Cooperative Credit Union Association, the Electronic Payment Coalition, and the Electronic Transactions Association warned that the proposals would create compliance burdens, fragment the payment system, raise legal preemption issues, and disrupt a system they described as efficient and secure. The committee also heard competing testimony on ticket transferability and ticket resale. Supporters, including the National Consumers League and Sports Fans Coalition, said bills on ticket transferability would protect consumers who cannot attend events and would increase competition and savings in the secondary market. Opponents, including United Musicians and Allied Workers and theater owners, argued that mandatory transferability would weaken artists’ and venues’ ability to prevent scalping and predatory resale, and that some ticket sellers should be exempt from the broader ticketing regulations. Separate testimony supported music therapy licensure, senior psychologist licensure, and new CPA education pathways, with witnesses saying these measures would expand access to care and strengthen the workforce while maintaining professional standards. The hearing also drew extensive opposition to S.261 on alternative healing therapies, with practitioners and clients arguing it would overregulate spiritual and holistic practices and was not an effective response to human trafficking concerns.

Transcript Highlights:

• And we know it works because there's already a similar program, or there's a program that's going on,
• And we know it works because there's already a similar program, or there's a program that's going on
• Other states have similar programs. Connecticut has a program that has been in place since 2007.
• And that's a two-year program? It's one year in the residency and one-year payback program.
• Ours is a two-year program.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket focused on primary care, workforce development, and medical debt. Chairs Cindy Friedman and John Lawn outlined hearing procedures and noted that testimony would be taken on 17 matters. The committee first heard testimony on bills to establish a community health center nurse practitioner residency program and to strengthen mental health centers. Senator Keenan, Rep. Keefe, and health center leaders described the Worcester nurse practitioner residency as a successful pipeline and retention strategy, citing workforce shortages, training needs in community health centers, and the cost of the program. Rep. O’Day also supported the mental health centers bill, saying it would raise payment rates, improve reimbursement for behavioral health services, and help clinics retain staff and expand access. The committee then took testimony on bills to address medical debt through hospital financial assistance reform. The Attorney General’s Office, Health Care for All, Health Law Advocates, the Leukemia and Lymphoma Society, and individual patients supported the measure, arguing that hospital financial assistance policies are inconsistent, hard to find, and difficult to navigate. Witnesses said the bill would standardize eligibility criteria, create a uniform application, improve notice requirements, and expand access to discounted care up to 400% of the federal poverty level. Several personal stories described medical bills being sent to collections, confusion over insurance billing, and the burden of debt on low-income and chronically ill patients. Committee members asked about hospital concerns, the role of the health safety net, and whether the bill addressed root causes of medical debt; testimony emphasized that the proposal was meant to improve transparency and access rather than replace broader insurance reforms. The hearing also focused heavily on “Primary Care for You” legislation, H. 1370 and S. 867, which would increase primary care investment and create a new payment model. Rep. Haggerty, physicians, a patient, community health center leaders, and the Massachusetts League of Community Health Centers described a primary care crisis marked by low reimbursement, staffing shortages, long waits, burnout, and difficulty recruiting clinicians. Supporters said the bills would shift spending toward preventive, team-based care, improve access and equity, and reduce long-term costs. The Massachusetts Association of Health Plans said it was directionally supportive of increased primary care investment but warned that any new spending must stay within the cost growth benchmark and preserve existing contracting structures. The hearing ended with additional testimony on a community health center workforce and loan repayment grant bill from Rep. Stanley, and with further discussion from Dr. Alan Garo about the need for payment reform in primary care.

Transcript Highlights:

• Save program.
• are running the program.
• But the PAs run the program.
• programs.
• power plant program.

Keywords: 995, all

Summary: The committee held a hearing on the value of Mass Save, with opening remarks emphasizing that despite past criticisms the program has delivered major energy, cost, climate, and equity benefits. The chair cited large avoided system costs, strong benefit-cost ratios, and recent legislative changes that set emissions goals, restricted fossil-fuel equipment incentives, and increased focus on low- and moderate-income households. Department of Energy Resources Commissioner Elizabeth Mahoney testified that Mass Save has weatherized hundreds of thousands of homes, reduced bills, avoided emissions, and that the current plan includes budget controls after the DPU ordered $500 million removed from the approved budget. She said the governor’s proposal to have only electric utilities administer the program was intended to reduce administrative costs and align with current implementation trends. Members questioned Mahoney about what counts as marketing and administration, and she said the category includes traditional advertising as well as community-based outreach, customer resource centers, and other customer engagement work, much of it in low- and moderate-income communities. She said administrative and marketing costs are under 5% of the budget, while more than 80% goes to incentives and direct program delivery. Several witnesses then focused on workforce and contractor impacts. Dave Betcher of Abode Energy Management and Rick Taglienti of Rogers Insulation said Mass Save sustains small businesses, creates careers, and supports thousands of jobs; both warned that budget cuts would reduce hiring, training, and work in homes and businesses. They also described a broad ecosystem of suppliers, trainers, and service providers that depends on stable program funding. Other witnesses addressed cost-effectiveness, affordability, and emissions. Anna Johnson of ACEEE said Massachusetts remains a national leader, with Mass Save returning about $2.80 per dollar invested, reducing peak demand, and lowering bills for participants, especially through weatherization and heat pumps. Kyle Murray of Acadia Center said the program is statutorily required to be cost-effective and has avoided billions in supply and infrastructure costs for all ratepayers, including nonparticipants, by lowering overall demand and peak prices. Amy Boyd-Rabin of the Environmental League of Massachusetts argued that efficiency is the cheapest way to meet climate targets and that cutting the budget would force more expensive power generation. The hearing also featured testimony on equity and housing: Mary Wampo described historic under-service to renter-heavy and lower-income communities and said recent reforms, including designated equity communities and performance incentives tied to equity, are helping correct that imbalance; Brian Biot and James Collins of LEAN/ABCD described low-income delivery systems and wraparound services; Barney Heath and John Nannari said Mass Save incentives are essential to affordable housing, passive house construction, and keeping projects on time and on budget. The final witnesses highlighted Connected Solutions and electrification: Sunrun’s Bronte Payne said the virtual power plant program saved more than it cost and helps avoid peaker plants and grid upgrades, and Highland Electric Fleets’ Ben Sondaga said electric school buses can provide similar grid benefits while lowering transportation costs for districts.

Transcript Highlights:

• THAT PURSUED BY THE FEDERAL GOVERNMENT BUT THIS BILL FOCUSES ON ALL FLORIDIANS NOT JUST GOVERNMENT PROGRAMS
• MANUFACTURERS REBATE AND DISCOUNT MEDICATIONS TO THE TUNE OF HALF OFF THE LIST COST OF MEDICINE AND THAT
• FORTH AND HIGHLIGHT, ONE IS CHAIRING THOSE REBATES TO THE PATIENT, MAKING SURE THE PATIENT GETS THE DISCOUNT
• AT A DISCOUNTED RATE OR PRICE FOR PATIENTS WHO MIGHT BE UNDERINSURED OR UNINSURED AND THAT PROGRAM HELPS
• THERE'S A LOT OF F HQ ACS IN MY DISTRICTS THAT USE THAT PRICE DIFFERENCE WHERE THEY GET IT AT A DISCOUNT

Transcript Highlights:

• and discounts.
• We also have draft amendments ready to go in Senate Rules to make sure that consumer discount programs
• and discounts.
• programs are protected.
• And I think consumers want discounts. They want loyalty programs.

Summary: The Assembly met in session, established a quorum, approved dispensing with the previous day’s journal, and then took up a long third-reading file. Early procedural actions included moving AB 1589 to the inactive file and continuing reconsideration items. The chamber then considered a series of bills largely focused on immigration enforcement, detention, worker protections, child care, voting access, and related public services. Several immigration-related measures passed, including AB 2393 on damages for false imprisonment/arrest, AB 1994 on an immigrant victims’ rights and resources card, AB 1929 on health plan investment disclosures, AB 1633 imposing a tax on for-profit detention facilities, AB 1650 requiring decals on rental vehicles used for enforcement, AB 1655 protecting CalWORKs benefits when a child is detained, and AB 1896 disqualifying people who participated in immigration enforcement from certain public employment. AB 2230, which would bar immigration enforcement near polling places and child care facilities, also passed after extensive debate. Supporters framed these bills as accountability and protection for vulnerable communities; opponents argued they targeted federal law enforcement, were unnecessary, or raised constitutional concerns. AB 1851 on statewide school mental-health guidance also passed unanimously. After the midday recess, the Assembly returned and continued with more bills tied to immigration impacts and child welfare. AB 2379 passed with urgency, requiring child care providers to be informed of constitutional rights and trained on protections when confronted by immigration enforcement. AB 2460 passed to update school behavioral-health referral protocols for students affected by immigration enforcement trauma. AB 2495 passed to expand prohibitions on employer immigration-related threats, and AB 2662 was presented as a way for California to monitor and document federal enforcement actions and report on their community impacts. Throughout the day, the floor featured repeated exchanges over whether the bills addressed real problems or were political messaging, but the measures that came to a vote generally advanced with majority support.

Transcript Highlights:

• Investment should have the same protections as market investors had under the public securities program
• And this provides an alternative to that with several discount... checks and balances to make sure that
• This bill is neutral and basically sends it over to the PUC to decide the best way to discount those
• future assumptions to try to make sure that we have... ...hurdle rates and discount factors in place
• Unlike the federal tax programs for other energy sources, 45U reduces the credits available for nuclear

Keywords: 1185, senate, all

Transcript Highlights:

• Um, this was a program, a new program, brought to us by the state finance agency.
• Um, this was a program, a new program, brought to us by the state finance agency.
• I mean, I'm supportive of the programming, right? So, I'm not questioning the program.
• , a new program, uh, this was a program, a new program, uh, brought<00:08:55.760> to<00:08:55.920
• supportive of the programming, right? supportive of the programming, right?

Keywords: 1183, house

Bills: HB145, HB279, HB292, SB35, HJM1, HM7, HM4, HM22, HM23, HM24, HM26, HM32, HM51, HM1, HM39, HM29, HM43, HM30, HM52, HM64, HM65, HM66, HM11, HM14, HM21, HM34, HM50, HM17, HM46, HM13, HM20, HM54, HM31, HM35, HM36, HM59, HM2, HM16, HM47, HM53

Keywords: high-wage jobs, tax credit, job creation, New Mexico, economic development, healthcare privacy, electronic medical records, reproductive health, gender-affirming care, data protection, location tracking, confidentiality, sexual abuse, prison safety, correctional facilities, inmate rights, investigation procedures, judgeship, judiciary, court system

Transcript Highlights:

• committee on local consent, HR1469 by Hayes commends the Powerhouse Texas Energy Policy Fellowship Program
• The amendments reformatted the bill and allowed the Comptroller more time to implement the program.
• It sunsets the program in September 2031 and ensures students may only substitute.
• The last change in the Senate lifts the cap on the tier two construction reimbursement program from a
• Did that program then result in a loss for the districts?

Bills: HB149, HB2017, HB705, HB223, HB 1056, HB2854, HB4623, HB3000, HB46, HB 117, HB3619, HB4464, HB5646, HCR84, HB500, HB2963, HB5509, HB1973, HB3909, HB718, HB252, HB5666, HB 119, HB346, HB5624, HB5658, HB5677, HB1545, HB3073, HB4081, HB 121, HB4236, HB3848, HB4144, HB40, HB5682, HB3697, HB3333, HB3642, HB20, HB549, HB2731, HB4233, HB4690, HB 127, HB2525, SB1637, SB1, SB1198, SB509, SB13, SB15, SB30, SB268, SB331, SB441, SB447, SB457, SB568, SB650, SB763, SB1540, SB1610, SB1660, SB2018, SB2024, SB2217, SB2337, SB2753, SB2900, SB2972, SB3059, HB14

Keywords: artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance, intoxication manslaughter, criminal penalties, community supervision, mandatory supervision, parole eligibility, Grayson's Law, cosmetology, licensure, interstate compact, state regulations, public safety, workforce mobility, municipality, procurement

Bills: HB149, HB2017, HB705, HB223, HB 1056, HB2854, HB4623, HB3000, HB46, HB 117, HB3619, HB4464, HB5646, HCR84, HB500, HB2963, HB5509, HB1973, HB3909, HB718, HB252, HB5666, HB 119, HB346, HB5624, HB5658, HB5677, HB1545, HB3073, HB4081, HB 121, HB4236, HB3848, HB4144, HB40, HB5682, HB3697, HB3333, HB3642, HB20, HB549, HB2731, HB4233, HB4690, HB 127, HB2525, SB1637, SB1, SB1198, SB509, SB13, SB15, SB30, SB268, SB331, SB441, SB447, SB457, SB568, SB650, SB763, SB1540, SB1610, SB1660, SB2018, SB2024, SB2217, SB2337, SB2753, SB2900, SB2972, SB3059, HB14

Keywords: artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance, intoxication manslaughter, criminal penalties, community supervision, mandatory supervision, parole eligibility, Grayson's Law, cosmetology, licensure, interstate compact, state regulations, public safety, workforce mobility, municipality, procurement

Transcript Highlights:

• , 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.
• So this subsidy program is market.

Keywords: 1187, senate, all

Transcript Highlights:

• payment program, and this program allows Kentucky Medicaid to draw down additional federal funds at
• the hospital rate Improvement program the hospital rate Improvement program which<00:26:44.600><
• allows payment program and this program allows payment program and this program allows Kentucky<
• program.
• program.

Keywords: 00:00 Call to Order/Roll Call 00:16 Consideration of Referred Administrative Regulations 25:49 Discussion of Hospital Rate Improvement Plan 58:50 Adjournment, 958, all

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.

Transcript Highlights:

• thank you mr. chairman two small but significant differences one One, we added nuclear to the credit program
• aren't readily available. available, but we could not figure out how to place them into the credit program
• It defines federal match program as cooperative funding agreement where federal dollars are contingent
• Everyone knows that most. insurers offer that to give consumers discounts and we have No objections,
• They may receive a discount for bundling. that. That is a consumer choice.

Bills: SB213, SB378, SB610, SB681, SB918, SB1172, SB1252, SB1343, SCR8

Keywords: SB 213, Texas insurance, Insurance Code, Chapter 551, Chapter 541, bundling, tying arrangement, cross-selling, homeowners insurance, residential property insurance, auto insurance, personal automobile insurance, consumer protection, unfair trade practice, deceptive insurance practice, property and casualty insurer, Lloyd's plan, county mutual, reciprocal exchange, farm mutual

Transcript Highlights:

• > program<00:08:54.920> and the federal Medicare program and the federal Medicare program
• One program that we looked at was the dialysis program.
• Additionally, when Winona Health currently qualifies for the federal 340B drug discount program, which
• > us drug discount program which enables us drug discount program which enables us to<00:20:02.919
• own program.

Keywords: 1183, house

Summary: The Health Finance and Policy Committee heard testimony from the Minnesota Hospital Association and several hospital leaders about the financial strain facing hospitals across Minnesota. The association’s CEO said hospitals are essential 24/7 safety-net providers, but rising labor, supply, technology, and drug costs are outpacing reimbursement from Medicaid, Medicare, and commercial payers. He warned that many not-for-profit hospitals are struggling, that workforce shortages remain significant, and that the committee should consider help on Medicaid rates, discharge/boarding problems, mental health services, workforce development, protecting the 340B drug discount program, and avoiding new mandates that add costs. Relle Schultz of Winona Health described a community hospital with a 49-bed facility and long-term care services that has faced years of losses, including a $17 million loss in 2023 and $12 million in losses the following year. She said government payers now make up about 65% of the hospital’s mix, and each 1% increase in that mix costs about $1 million. She highlighted the difficulty of sustaining services such as dialysis, which was nearly closed until a local donor provided $3 million to keep it open for three years, and she emphasized the importance of 340B savings and the need for higher Medicaid payments. Carrie Mulski of Riverview Health in Crookston said critical access hospitals are also under pressure despite their federal designation. She explained that federal support has eroded, that Medicaid and other public programs do not cover full costs, and that her hospital’s 340B savings help keep the doors open. She said Riverview opened a new hospital in 2020 but was hit by the pandemic and inflation, leading to annual losses of $5 million to $6 million and a negative operating margin of 9% to 10%. She also described bond covenant problems, low cash on hand, the prior closure of the nursing home, and the need for rapid state action to stabilize rural hospitals and preserve access to care.

Transcript Highlights:

• Do you want to give discounts to loyal customers? By all means, go ahead.
• <00:08:27.640> By<00:08:27.880> all discounts to loyal customers?
• ,<00:08:30.600> specified discounts to, you know, specified discounts to, you know, specified
• So you have to have a statewide program that it's going to allow anywhere.
• You have to have a statewide program that it's going to allow anywhere.

Keywords: 1187, senate, all

Transcript Highlights:

• So, you know, if you take the discount into, if you factor...
• That was year one of the program.
• And that's, I think, the challenge of this program.
• And then we have the DEQ Restoration Program, the Ag Department Pipeline Program, the Ag Department Realty
• Program, and then a few miscellaneous dollars.

Summary: The Budget Section met to approve prior minutes and receive a series of budget, revenue, and program updates from OMB, the Tax Department, DOT, DMR, and DPI. OMB reported that general fund revenues through May were about $76 million below the legislative forecast, driven mainly by individual income tax and sales tax shortfalls, though the biennium is still projected to end with a positive balance. OMB also reviewed oil price and production assumptions, the budget stabilization fund transfer above its cap, Legacy Fund performance, federal grant applications, fiscal irregularities, tobacco settlement proceeds, budget guidelines for agencies, vacancy savings, and the DAPL settlement, noting that most of the settlement funds had been deposited but a small amount of accrued interest would require a future deficiency request. The committee then considered Emergency Commission requests. It approved requests for Public Service Commission abandoned mine lands federal authority, an Attorney General FTE and related funding for criminal investigator work tied to the Office of Guardianship and Conservatorship, and a DPI transfer for bridge software costs. After discussion, the committee also approved DPI’s request for a $500,000 transfer for the food vendor program, despite questions about the program’s savings and cash-flow structure. Later, the Tax Commissioner presented the primary residence credit program, reporting that current biennium costs are expected to exceed the appropriation by about $22 million and explaining how the credit interacts with homestead and disabled veteran credits and the 3% property tax levy cap. The Legacy and Budget Stabilization Fund Advisory Board reported strong returns for both funds, and DOT sought and received approval for two flexible fund highway projects on ND 49 and ND 31. DOT also updated members on Highway 85 construction and said remaining flex fund dollars were essentially fully allocated. DMR reported on the abandoned well plugging and site reclamation fund, noting North Dakota’s relatively small orphan well inventory, current and projected fund balances, rising remediation costs, and a possible need to adjust the fund cap in future sessions. Finally, DPI outlined the new integrated formula gap funding program, explaining that it compensates school districts that cannot reach the assumed 60-mill local contribution because of the 3% levy cap; the first year’s gap funding totaled about $1.8 million, with future costs expected to grow.