Bills: HB462, HB8, HB8

Keywords: emergency medical services, military training, licensure, public health, veterans, tobacco regulation, vaping, sales restrictions, youth protection, tobacco compliance, education programs, electronic nicotine delivery systems, campus chaplain, chaplain, school chaplain, volunteer, public K-12 schools, public schools, public charter schools, education policy

Transcript Highlights:

• To be eligible to receive services, so basically it saves lives.
• What a child is seeking services… ...what a child is seeking services for and what they disclose with
• their service provider are part of confidentiality laws that this bill is in direct conflict with.
• If the… ...services as mentioned if the appropriate guardianship documents are not completed or filed
• Children deserve to be heard and seen, and have their humanity recognized.

Bills: SB58, SB101, SB102

Keywords: parental rights, minor consent, medical consent, mental health services, school counseling, student counseling, parental notification, opt-in, health records, HIPAA, vaccine consent, adolescent health, youth privacy, confidential counseling, school mental health, reproductive health, pregnancy services, sexually transmitted infections, STI treatment, substance abuse treatment

Transcript Highlights:

• SCR 160, urging the Hawaii Public Housing Authority, Department of Human Services Homeless Programs Office

Bills: SCR173, SCR78, SCR114, SCR162, SCR48, SCR160, SCR87, SCR28, SCR74, SCR20, SCR32, SCR55, SCR69

Keywords: ticket scalping, task force, consumer protection, event accessibility, local economy, menstrual health, menstrual cycle, period education, period poverty, menstrual products, menstrual dignity, health education, sexual health curriculum, DOE, Department of Education, public schools, school health, reproductive health, puberty education, hygiene education

Transcript Highlights:

• Department of Human Services in support.
• Department of Human Services offering comments. >> Thank you.
• Janette, on behalf of the Department of Human Services.
• > Services State Department of Human Services State Department of Human Services offering<01:22
• Department of Human Services >> Thank you.

Bills: HB20, HB2612, HB2404, HB2459, HB2194, HB1880, HB2284, HB1969, HB2458, HB1546, HB2161, HB1721, HB1641, HB2137, HB1782, HB2360, HB1965, HB1897, HB1513

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, mortgage, debt, secured transactions, real property, Hawaii Revised Statutes, cooperative associations, electric utility cooperatives, agricultural cooperatives, mutual help, food innovation, agribusiness, food safety, market access, branding, economic diversification

Summary: The committee heard testimony on HB 20, which would create a lava zone insurance subsidy/fund. The Insurance Division opposed the bill, arguing that lava zones 1 and 2 are the highest-risk areas, that a subsidy would not reduce the underlying risk or loss costs, that it could invite similar subsidy requests for other hazards, and that the bill may conflict with HICV by diverting funds from the CRF. Members discussed the lack of authorized homeowners insurance in those lava zones, the role of HPIA and the surplus market, and the difference between the proposed lava-zone subsidy and the Hawaii Hurricane Relief Fund. The chair noted 37 submitted testimonies in support and one in opposition, and the committee then moved on without taking a vote on HB 20 in the portion provided. The committee then took up HB 2612, relating to mortgages, which would clarify that a mortgage does not exist independently of the debt it secures and is not independently enforceable from that debt. The Hawaii Credit Union League and Hawaii Financial Services Association opposed the bill, while several individuals testified in support, arguing it would restore Hawaii’s long-standing lien-state rule and prevent so-called “zombie mortgages” after the Hawaii Supreme Court’s White decision. Supporters said the bill would protect borrowers from delayed foreclosures and predatory lending practices, while opponents and the Insurance Division emphasized that foreclosure actions still require proof of standing and possession of the note, and that lenders generally pursue foreclosure without seeking deficiency judgments. Committee members questioned the Insurance Division about how the current market works, whether lenders could wait out the statute of limitations and then foreclose only on the mortgage, and whether equitable tolling or later defaults could allow refiling. The division said it is still trying to attract authorized insurers back into the lava-zone market, but has seen little progress. No vote or final action on HB 2612 was taken in the excerpt provided.

Transcript Highlights:

• up tab 15, SB 7020, OGSR, aquaculture records held by the Department of Agriculture and Consumer Services
• shellfish facilities, and submerged land leases held by the Department of Agriculture and Consumer Services
• CS for SB 52 on security services at places of worship by Senator Gaetz.
• CS for SB 52 on security services at places of worship by Senator Gates.
• Thank you for your time and your service to this great state. Thank you for your testimony.

Bills: S0014, S0016, S0024, S0052, S0308, S0504, S0506, S0564, S0572, S0590, S0594, S0806, S1396, S7020, S7024, S7026

Keywords: negligence, settlement, police conduct, municipal liability, personal injury, compensation, injuries, Miami-Dade County, places of worship, house of worship, church, mosque, synagogue, religious security, armed security, volunteer security, private security, security guard licensing, licensure exemption, Florida Statutes chapter 493

Summary: The Committee on Rules met with 14 members present and considered a long agenda of bills, including several open-government sunset reauthorizations, consumer and election measures, claims bills, and policy bills on public safety, ethics, and child protection. The committee reported favorably SB 7024 and SB 7026, which extend and consolidate public-records/public-meeting exemptions for cybersecurity information and trade secrets held by agencies, and SB 7020, which reenacts the aquaculture records exemption for the Department of Agriculture and Consumer Services. It also approved SB 14 and SB 24, two uncontested Miami-Dade County claims bills, and SB 16, a claims bill for Heriberto Sanchez Mayan involving severe injuries after an unlawful arrest and transport incident in St. Petersburg. Several bills drew substantial testimony. SB 308, creating the Florida Museum of Black History Board of Directors and designating St. Johns County as the museum site, received extensive support from advocates and lawmakers who emphasized preserving the full and accurate history of Black Floridians; some speakers urged safeguards to ensure historians and community members help shape the museum’s content. The committee also favorably reported CS for SB 564, allowing registered or pre-registered high school students to volunteer at polling places for community service hours, with supporters saying it would build civic engagement and help election offices. CS for SB 52, which exempts unpaid volunteer armed security at houses of worship from Class D and G licensing requirements, was also reported favorably after testimony both supporting the need for church security and cautioning that congregations should retain control over whether weapons are allowed. The committee approved CS for SB 1396 on litigation financing and consumer protection after a lengthy debate over transparency, foreign funding, and whether the bill would chill access to courts. Supporters said it would create guardrails and disclose foreign involvement; opponents argued it could burden plaintiffs and reveal litigation strategy. The committee also reported favorably CS for SB 504 and SB 506, creating a framework and related public-records exemption for code inspector body cameras, with discussion about notice to property owners and protection of sensitive footage. Additional favorable actions included CS for SB 572, updating ethics law to reflect foster family relationships, and CS for SB 590, tolling the statute of limitations for failure-to-report child abuse offenses until the offense is known to law enforcement or another charging authority.

Transcript Highlights:

• Services and most of us.
• Wade Cannon passed away due to colorectal cancer serving Flower Mound for five years of service.
• We've lost another one this past November due to esophageal cancer, 17 years of service.
• This service—sorry, it gets a little emotional.
• Thank you for your service. Thank you for your time. Thank you for your service. Any questions?

Bills: HB198, HB303, HB1535, HB2742, HB3305, HB3348, HB3505, HB3711, HB4753, HB2715, HB21, HB30

Keywords: HB 198, Wade Cannon Act, firefighter cancer screening, occupational cancer screening, fire protection personnel, local government, political subdivision, Texas Commission on Fire Protection, National Fire Protection Association, NFPA standards, occupational medical examination, public safety, firefighter health, cancer prevention, annual health screening, confidential medical exam, pulmonary function test, electrocardiogram, chest x-ray, blood test

Summary: The Committee on Local Government heard and discussed a series of House bills dealing with municipal structure, tax payment timing, local provider participation funds, firefighter cancer screenings, sunset review of the Trinity River Authority, replacement certificates of occupancy, and open meetings enforcement. HB 303 would remove the 501-resident floor so very small type A and B municipalities can convert to type C cities; HB 2742 would give property owners a later first split-payment deadline when tax bills are mailed after November 30; HB 3305 and HB 3348 were local provider participation fund measures with committee substitutes; HB 198 would require political subdivisions to offer occupational cancer screenings for firefighters; HB 1535 was a sunset bill for the Trinity River Authority; HB 4753 would allow a municipality-issued proof of a certificate of occupancy to substitute for a lost original; and HB 3711 would treat certain Open Meetings Act violations as offenses against public administration and require public explanation when prosecutors decline to act. Testimony was generally supportive or limited, with several witnesses and senators emphasizing practical fixes, firefighter health and cost savings, local government transparency, and administrative cleanup. For HB 198, firefighter representatives gave emotional testimony about cancer deaths and the value of early screening. On HB 3711, a witness supported the bill but urged stronger enforcement and broader application. Several senators raised policy concerns on HB 2715 about routing removal proceedings through a regional presiding judge rather than the local county, arguing it could politicize the process. The committee took no public testimony on most bills and repeatedly left them pending subject to call of the chair before later voting them out. HB 21, HB 30, HB 1535, HB 1520, HB 198, HB 303, HB 2742, and HB 4753 were reported to the full Senate, generally by unanimous or near-unanimous votes, and several were also recommended for the local and uncontested calendar. HB 30 passed on a 5-1 vote, while the other reported bills were approved unanimously or with no recorded opposition. The committee then recessed subject to the call of the chair.

Transcript Highlights:

• through the Crime Victims Compensation Program, but does not allow for tattoo removal for victims of human
• SB1804 supports the recovery of human trafficking survivors by allowing courts to order restitution to
• It has to be acknowledged that this is a human trafficking tattoo or something similar.
• Bill 535, a bill that expands Texas's rape shield law—Rule of Evidence—to better protect victims of human
• Delivery service delivering mail is increasing the criminal penalties heard in committee.

Bills: SB535, SB664, SB1019, SB1020, SB1120, SB1537, SB1804, HB3207

Keywords: SB 535, Texas criminal procedure, rape shield, victim sexual history, past sexual behavior, sexual assault evidence, trafficking of persons, continuous trafficking, indecency with a child, continuous sexual abuse, aggravated sexual assault, indecent assault, consent defense, in camera hearing, Rule 412, Rule 609, victim protection, evidence admissibility, criminal evidence, sexual offense prosecution

Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• Members, it is the tradition of the Health and Human Services Committee to have invited witnesses, then
• Health and Human Services. Before us, we have laid out Senate Bill 984 and it's yours.
• So, I think we'll close public testimony on the bills that were posted for Senate Health and Human Services
• Is there any other business to come before the committee on Health and Human Services?

Bills: SB95, SB268, SB493, SB619, SB660, SB922, SB984, SB1098, SB1188, SB1307, SB1332, SB1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit

Transcript Highlights:

• The Committee on Health and Human Services is called to order.
• Health and Human Services is usually a little more boring than this, which is nice for the morning.
• Not Indian Health Services facilities as well.
• Centers for Medicare and Medicaid Services.
• Centers for Medicare and Medicaid Services.

Bills: SB1051, SB1114, SB1115, SB1122, SB1132, SB1162, SB1169, SB1171, SB1172, SB1173, SB1174, SB1175, SB1179, SB1188, SB1233, SB1236, SB1242, SB1316, SB1368

Keywords: SB1051, Arizona hospitals, immigration status, patient intake, admission forms, registration forms, health care reporting, uncompensated care, emergency department, lawfully present, undocumented immigrants, noncitizen patients, hospital funding, Arizona Department of Health Services, ADHS, border security, health care institutions, patient privacy, medical access, immigration policy

Transcript Highlights:

• So our model is a shared services model.
• So our model is a shared services model.
• The the data remains with the services.
• <00:09:22.480> but without any loss of um of service but without any loss of um of service
• for Health and Family Services. for Health and Family Services.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• This is about<00:09:51.160> common<00:09:51.560> humanity<00:09:52.680> and<00:09
• :52.840> the<00:09:52.920> dignity<00:09:53.560> of about common humanity and the
• dignity of about common humanity and the dignity of honoring<00:09:54.280> our<00:09:54.520><
• And it will allow for maintaining service.
• Our children's education and service.

Bills: HF3455, HF3936, HF3860, HF3656, HF4060

Keywords: public television, funding, Minnesota, operations, appropriation, cybersecurity, state government, legislative commission, extension, technology, civil law enforcement, attorney general, record custody, government transparency, legal services, 1183, house

Transcript Highlights:

• In her more than two decades of service to public education, state government, behavioral health, and
• disability services.
• Member of Senate Bill 1983 directs the Department of Human Services to provide foster care data to resource
• Health and Human Services will meet 15 minutes after 208.

Bills: SB1323, SB1863, SB1932, SB1950, SB1956, SB1970, SB1599, SB1312, SB1776, SB1858, SB1985, SB1302, SB1809, SB1401, SB2053, SB1503, SB1553, SB1427, SB1642, SB1421, SB1837, SB1566, SB1567, SB1794, SB1484, SB1557, SB1564, SB1591, SB1395, SB1456, SB1562, SB1613, SB1983, SB1550, SB2065, SB2152, SB2159, SB2172, SB2110, SB2111, SB2114

Keywords: memorial designation, highway, Sheriff Marty Grisham, transportation, Oklahoma Statutes, memorial highway, road designation, John Skelley, motor carrier, administrative hearing, legal representation, corporate liability, aviation, aircraft, surveillance, regulations, fees, Oklahoma statutes, memorial, highway designation

Transcript Highlights:

• Keep our priorities on our services within the state. With that, I would yield for questions.
• They can still render services to any person that walks in their doors.
• It's a redirection Of our state agencies to redirect directly into services, not getting caught up in
• There again, when we're talking about autism, we're not in that session or rendering that service as
• They want us to spend it on services, but they're not.

Bills: HB3415, HB2206, HB3414, HB3265, HB3310, HB3413, HB4486, HB1219

Keywords: state government, vendor contracts, subcontracting, public database, contract assessment, transparency, retirement, law enforcement, Oklahoma Law Enforcement Retirement System, school resource officers, public safety, public finance, contract management, service-driven contracts, state accounting, intangible assets, Oklahoma Police Pension, disability benefits, mental health, retirement system

Transcript Highlights:

• um Training Services Services I guess um Training Services Services I guess um which<00:23:38.360
• the growth in these case Services the growth in these case Services expenditures<00:26:25.120>
• unit costs have grown for case Services unit costs have grown for case Services as as as well<00
• <00:56:22.119> which of individual placement Services which of individual placement Services
• good thing it is a proactive service good thing it is a proactive service that<01:12:26.400>

Bills: HF1538, HF1965, HF2251, HF2838

Keywords: teacher apprenticeship, registered apprenticeship, teacher licensure, teacher shortage, workforce development, education finance, K-12 education, higher education, Professional Educator Licensing and Standards Board, PELSB, Tier 3 license, teacher preparation, mentor teacher, school district, cooperative unit, teacher pipeline, alternative licensure, apprenticeship program, labor and industry, union representation

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=k8DT1ckEVrg, 2026-06-21T07:17:08+00:00, 2.2.24, Data collected via generic collector engine, Meeting Start: 00:00:17 Attendance Roll Call: 00:00:41 Approval of Minutes: 00:01:13 Use of AI in the Healthcare System: 00:01:38 Cody Bumgardner, Director, Center for Applied AI Use of AI by Elevance Health DBA Anthem, Inc.: 00:37:30 Hope McLaughlin, Senior Director of Government Relations, Elevance Health Anthony Rodriguez, Director, AI Strategy & Planning, Elevance Health Use of AI by the Cabinet for Health & Family Services: 01:10:06 Jennifer Harp, Executive Director, Office of Application Technology Services, Cabinet for Health & Family Services Ruth Day, Chief Information Officer, Commonwealth Office of Technology: 01:01:41 Adjournment: 01:28:23, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• I am so grateful for his service. There to defend our freedom.
• So your service offered that external insight? Yes, ma'am.
• And that is where the members, again, this governor appointed the members of the Chair of Human Services
• Chair of Health and Human Services, and there are others that can make recommendations to the governor
• They bought a ticket through a courier service. Courier services are legal; they're not legal.

Bills: SB835, SB3070, SB22, SJR59, SB926, SB1494, SB251, SB456, SB500, SB1307, SB2615, SB2995, SB2321, SB973, SB974, SB865, SB506, SB781, SB1522, SB1558, SB510, SB667, SB763, SB2073, SB1858, SB1660, SB505, SB2900, SB1433, SB1540, SB1964, SB1300, SB1644, SB2217, SB2373, SB2431, SB1758, SB2480, SB3039, SB3047, SB3073, SB2920, SB2781, SB826, SB766, SB2460, SB527, SB1946, SB2885, SB1243, SB2610, SB2595, SB857, SB37, SB8, SB10, SB227, SB261, SB12, SB15, SJR27, SB552, SB835, SB3070, SB22, SJR59, SB25, SB57, SB127, SB293, SB441, SB3059, SB512, SB241, SB1718, SB140, SB2055, SB2075, SB2018, SB1534, SB1567, SB785, SB1233, SB1580, SB1663, SB413, SB447, SB519, SB467, SB1579, SB1191, SB1021, SB1838, SB2807, SB2835, SB546, SB2121, SB2167, SB2035, SB2024, SB1032, SB1049, SB1266, SB1400, SB1302, SB401, SB1596, SB1281, SB1242, SB1343, SB310, SB1346, SB2753, SB2703, SB2221, SB1719, SB2177, SB800, SB790, SB748, SB571, SB1957, SB1923, SB1896, SB1760, SB1335, SB2368, SB2477, SB2587, SB2972, SB2986, SB2965, SB1563, SB1467, SB1164, SB1137, SB614, SB705, SB961, SB918, SB955, SB869, SB850, SB863, SB1610, SB1055, SB2206, SB457, SB2337, SB1362, SB926, SB1494, SB251, SB456, SB500, SB1307, SB2615, SB2995, SB2321, SB973, SB974, SB865, SB506, SB781, SB1522, SB1558, SB510, SB667, SB763, SB2073, SB1858, SB1660, SB505, SB2900, SB1433, SB1540, SB1964, SB1300, SB1644, SB2217, SB2373, SB2431, SB1758, SB2480, SB3039, SB3047, SB3073, SB2920, SB2781, SB826, SB766, SB2460, SB527, SB1946, SB2885, SB1243, SB2610, SB2595, SB857, SCR9, HB5560, HB762, HB 107, HB 114, HB300, HB138, HB4386, HB2495, HB581, HB3348, HB5323

Keywords: sexual abuse, nondisclosure agreements, confidentiality agreements, public policy, victim rights, lottery, bingo, regulation, Texas Lottery Commission, Department of Licensing and Regulation, criminal offenses, state administration, audits, transfers, Texas, moving image industry, incentive program, film production, grant funding, job creation

Transcript Highlights:

• and help them for their service and get them back on their feet?
• I'm the CEO of Central Arizona Shelter Services, also known as CASS.
• Thank you for your service. And as you know, Mr.
• We save the government money by providing services that are free or low-cost.
• I have been a longtime home and community-based service operator.

Bills: HB2211, HB2229, HB2389, HB2403, HB2445, HB2502, HB2620, HB2813, HB2872, HB2889, HB2960, HB4028, HCR2007

Keywords: contractors, subcontractors, resident preference, public contracts, materials supply, Arizona Revised Statutes, local businesses, pregnancy resource center, pregnancy center, crisis pregnancy center, DHS, Arizona Department of Health Services, state appropriation, general fund, nonprofit grant, women's health, maternal health, reproductive health, abortion funding, pro-life

Transcript Highlights:

• The committee on Pensions, Investments, and Financial Services will come to order.
• What is a digital asset service provider?
• A digital asset service provider, I do not have the specific definition in front of me.
• We are one of the largest automotive retailers and account servicers in the country.
• House Bill 3805 seeks to clarify that this applies to money service businesses.

Bills: HB3803, HB3804, HB3805, HB3806, HB3833, HB4134, HB4233, HB4238, HB4243

Keywords: HB 3803, Texas Health and Safety Code, Chapter 712, perpetual care cemetery, perpetual care trust fund, cemetery regulation, financial confidentiality, confidential records, regulatory examination, Texas Department of Banking, commissioner disclosure, interagency information sharing, state agency enforcement, federal agency disclosure, trust fund oversight, burial services, cemetery trust, consumer protection, state banks, Texas Finance Code

Transcript Highlights:

• My colleague, Denise Cohen, Red Cross RN Health Services Director, once again faced problems with the
• <00:15:18.920> Health Denise Cohen, Red Cross RN Health Denise Cohen, Red Cross RN Health Services
• c> Director,<00:15:20.760> once<00:15:21.040> again<00:15:21.440> faced Services
• Director, once again faced Services Director, once again faced problems<00:15:22.280> with<00

Bills: SCR7, SCR59, SCR182

Keywords: emergency care, reproductive health, abortion services, EMTALA, patient safety, hospital regulations, medical treatment, health care professionals, emergency response, licensure, disaster response, telehealth, SCR182, S.C.R. 182, Hawaii Trauma System, trauma care, trauma center, Tripler Army Medical Center, military-civilian partnership, civilian trauma patients

Summary: The Committee on Health heard testimony on three concurrent resolutions. SCR-7 would affirm that hospitals must provide life-saving emergency care to pregnant people; supporters included the Hawaii State Commission on the Status of Women, AAUW Hawaii, the Healthcare Association of Hawaii, and Hawaii Women’s Lawyers, with two individuals in opposition. A member raised a wording concern about “pregnant people” versus “pregnant women,” and the chair agreed to note the comment in the committee report. The committee then recommended passage, and the measure was adopted by vote, with Representatives Alcos voting no and Garcia not voting. SCR-59 SD1 would ask the governor to establish procedures allowing certain health care professionals to practice in Hawaii without a Hawaii-issued license during a state of emergency. The Hawaii Organization of Nurse Leaders strongly supported the resolution, citing emergency response problems during Kona low storms and the Lahaina wildfires when out-of-state licensed providers were available but could not serve. The committee recommended passage as is, and the recommendation was adopted, with Representative Garcia voting with reservations. SCR-182 would request that the governor and Department of Health work with the U.S. Department of Defense and other federal military partners to explore a military-civilian trauma partnership to strengthen Hawaii’s trauma system. The Department of Health supported the measure, and a member suggested the title should reflect “Department of War,” while another member noted the federal department name has not changed; the chair said the comments would be noted in the report. The committee recommended passage, and the resolution was adopted without objection, with Representatives Martin and Olds excused.

Transcript Highlights:

• <00:04:06.480> listed<00:04:06.799> on we provide all of the services listed on we
• provide all of the services listed on this<00:04:07.120> slide,<00:04:07.439> including
• of human trafficking and domestic<00:08:31.440> violence.
• Service, Finance and Policy.
• I'm the executive director of MAXA and the human services policy analyst for the Association of Minnesota

Bills: HF3439, HF3763

Keywords: Medical Assistance, Medicaid, MNsure, MinnesotaCare, disability determination, expedited eligibility, state medical review team, compassionate allowance, rare disease, home and community-based services, long-term care, managed care, county-based purchasing, eligibility redetermination, periodic data matching, death master file, Social Security Administration, program integrity, income eligibility, asset test

Summary: The House Health Finance and Policy Committee met on March 4, 2026, approved the minutes from its February 25 and March 2 meetings, and then heard a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid eligibility changes in the federal One Big Beautiful Bill Act (HR1/OB3). The presentation focused on provisions affecting Medicaid expansion adults ages 19 to 64, including new work and community engagement requirements, changes to retroactive eligibility, quarterly death master file checks, address verification requirements, six-month redeterminations for expansion enrollees, and new limits on some lawful permanent residents and other immigrant groups. Castanza also discussed state implementation issues, including the need for new data-sharing systems, system modernization, outreach, and options for helping people transition to other coverage if they lose eligibility. She said the work and community engagement rules take effect January 1, 2027, with states given flexibility on look-back periods, consecutive versus nonconsecutive months, and optional hardship exemptions, and noted that CMS guidance is not expected until June 2026. She also described federal support for implementation, including $200 million in grants and a 90% federal match for eligibility system work, while warning that the fast timeline could lead to coverage losses, churn, and challenges for special populations such as caregivers, people with behavioral health conditions, incarcerated individuals, and rural residents. She further explained that an erroneous payment provision could expose states to federal recoupment later if eligibility errors increase. During member questions, Representative Beerman asked about the overall size of the Medicaid cuts and the cumulative national impact; Castanza said estimates vary by state and cited KFF analysis suggesting states could lose 4% to 19% of federal Medicaid revenue, with a newer RAND analysis recently released. Beerman also asked about the history and effectiveness of state work requirements, but that discussion was not completed in the excerpt. Representative Elkins noted the presentation was not initially posted on the committee website, and the chair said it had since been posted.