Transcript Highlights:

• >> S, AND FROM THE ENERGY COALITION WHICH SEEKS TO PROTECT COSTS FOR RATE PAYERS.
• WHY ARE ALL OF THE LABOR UNIONS AND THE ADVOCATES FOR RATE PAYERS OPPOSED TO THIS BILL?
• HOW -- MY POINT IS, YOU DON'T FEEL THIS IS GOING TO ENCOURAGE OUR RATE PAYERS IN ANY WAY?
• COSTING, TRILLIONS OF DOLLARS TO ALL THE RATE PAYERS.
• Won't the rest of the rate payers be paying the balance for those credits in the future?"

Keywords: 993, senate, all

Summary: The Senate convened, approved the prior journal, and then took up a series of utility and public service bills and resolutions. A resolution sponsored by Senator Scarcella-Spanton designating April 9, 2026, as Yellow Ribbon Day was adopted after remarks honoring veterans, active-duty service members, and their families. The chamber then moved through several Public Service Law measures focused on utility affordability, consumer protections, and PSC procedures, with some bills laid aside and others advanced. Among the bills passed were measures by Senators Mayer, Cleare, Hinchey, Comrie, and Parker. Debate on the Mayer bill centered on limiting utility expenses and fees recoverable in rate cases; supporters said it was part of a broader package to reform PSC practices, while opponents argued it would not lower current bills and had been softened from earlier versions. The Webb bill creating a residential utility usage monitoring program drew extended debate over whether it would meaningfully reduce costs, who would pay for the program, and whether it could lead to government monitoring of household usage; supporters said it would give consumers more control and transparency, while critics said it would not lower rates. The Gonzalez bill, which would add consumer protections during PSC investigations and delay shutoffs in certain circumstances, also passed after questions about whether it applied to rate cases, with the sponsor saying rate cases were explicitly excluded. Several members explained their votes, with supporters emphasizing affordability, transparency, and consumer protection, and opponents arguing the package would not address immediate rate relief and could burden ratepayers or encourage nonpayment. Senator Tedisco and others criticized PSC appointments and state energy policy, while Democratic sponsors argued the bills were part of a longer-term effort to reform utility regulation and address climate and affordability concerns. The chamber restored multiple bills to the non-controversial calendar before final votes, and the recorded results showed passage of the major utility bills by substantial margins, along with one amendment appeal being ruled nongermane and rejected.

Transcript Highlights:

• Delaying in posting the new rates is very inefficient for providers and payers.
• Delaying in posting the new rates is very inefficient for providers and payers.
• Delaying in posting the new rates is very inefficient for providers and payers.
• Delaying in posting the new rates is very inefficient for providers and payers.
• Um, and if we're having to payers.

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• it’s not required because we’re not intended to go work in the hospital, only in the outpatient, primary
• relieve this burden. ...which would help relieve this burden and demand and also help provide more primary
• So every university either has research centers like up in Washington, Bastyr, and then the primary care
• The second year is a little hands-on, but kind of just running things around for the primary.
• high network rate, the actual rate that we've negotiated with, I want to say at least the top 20 payers

Bills: HB946, HB1093, SB26, SB29, SB30, SB195, SB219, SB222, SB255, SB314, SCR2, SCR22

Keywords: healthcare transparency, hospital pricing, consumer protection, collection actions, fines, naturopathic medicine, Louisiana Board of Naturopathic Medicine, licensing, healthcare, prescriptive authority, natural therapies, opioid treatment, regulation, addiction recovery, state law, SB 29, Act 732, coroner, autopsy, child death

Summary: The committee first heard and favorably reported SB 255, which expands the educational qualifications for psychosocial rehabilitation services to include health sciences and therapeutic recreation degrees, and SB 314, which cleans up prior language on community psychiatric support and treatment services so a limited scope certified social worker license can still be issued even if the applicant is slightly late renewing. Members and witnesses said both bills were intended to improve access to behavioral health services, especially in rural areas, and there was no opposition on either measure. The committee then advanced SB 26, which repeals facility need review for opioid treatment programs to make it easier to open more OTPs in Louisiana, and SB 29, which requires child autopsy reports to include immunization records and access to the LINKS vaccine database. SB 29 drew some concern about whether singling out immunizations could imply causation, but the author and supporters said the bill is only about adding data and that the records would be part of broader medical information. Both bills were reported favorably. Members also reported favorably SB 30, as amended, to allow telehealth for obesity/weight-management treatment with synchronous interaction and other safeguards, though some providers warned the language should not unduly limit future board authority. SB 219 was approved to create an Office of Health and Nutrition within LDH, with testimony from the department, the Alzheimer’s Association, and Pennington Biomedical supporting the focus on nutrition, physical activity, and brain health. SB 222 was reported favorably with amendments to reduce duplicative behavioral health administrative requirements, streamline supervision rules, and expand telehealth for psychosocial rehabilitation. The committee also approved SB 195, the “Danny’s Dose” EMS bill, allowing EMS personnel to administer a patient’s own prescribed time-critical medication in emergencies; testimony from families with rare conditions described life-threatening delays under current rules. Finally, SCR 2 was adopted to update hospital construction standards to the most recent Facility Guidelines Institute edition, and SCR 22 was reported favorably to request a more detailed legislative auditor report on opioid settlement spending and outcomes. The committee then began hearing HB 1093 on naturopathic medicine, with the author proposing a licensing framework under the State Board of Medical Examiners and a large amendment set; members raised questions about scope, prescriptive authority, training, and whether the profession should have its own board, but no final action on the bill was taken in the portion provided.

Transcript Highlights:

• Private payers, individuals, all were spending close to $67 billion per year on health care, paying for
• <00:09:15.160> um<00:09:15.560> individuals<00:09:16.399> all private public payers
• um individuals all private public payers um individuals all were<00:09:16.839> spending<00:09
• And so that is the primary driver of the proposal to eliminate the chiropractic benefit within MA.
• chiropractic care and again the primary chiropractic care and again the primary driver<01:15:53.320

Keywords: 1183, house

Summary: The committee met for a Health and Finance Policy hearing, began with member and staff introductions, and noted that Representative Keeler was participating as a non-voting member. The chair outlined committee rules on decorum and then introduced the day’s first agency presentation from the Minnesota Department of Health (MDH), with Commissioner Cunningham appearing to present the department’s budget priorities. Commissioner Cunningham described MDH’s broad public health role and emphasized that public health is underfunded relative to health care, with significant reliance on federal dollars. The department’s main budget request was for infectious disease prevention and response to offset anticipated federal funding losses. MDH also outlined several fee increases tied to public water systems, wells, licensing and certification, assisted living and health care facilities, HMO regulation, food/pools/lodging inspections, radioactive materials, X-ray equipment, and asbestos abatement. The commissioner said these changes were needed because costs, workload, and regulatory complexity have increased, while many fees have not been updated in years. MDH also presented budget-neutral proposals, including continuing the Early Hearing Detection and Intervention Advisory Committee, converting the Maternal and Child Health Advisory Task Force into a standing advisory committee, restoring some local and tribal public health cannabis and substance misuse prevention grants, creating direct American Indian Health Special Emphasis Grants, reauthorizing the State Trauma Advisory Council, and extending firefighter PFAS biomonitoring work. The department also requested an operations adjustment for rising employee, insurance, fuel, utility, and legal costs, and referenced additional Clean Water Legacy Fund proposals. No votes or formal actions were taken in the portion provided. Representative Bierman then offered supportive comments, praising MDH’s work and backing the funding and fee proposals, especially the restoration of local public health prevention grants.

Transcript Highlights:

• such, HB 4903 establishes the Quad Agency Child Care Initiative to promote collaboration among the primary
• With the same payer, not necessarily specific to individual products within that payer's portfolio in
• Thirty-seven counties, several of which are in my district, are without primary care physicians.
• She does not have a pharmacy or a primary care physician within an hour of her community.
• She does not have a pharmacy or a primary care physician within an hour of her community.

Bills: HB163, HB216, HB721, HB2035, HB2038, HB3057, HB3153, HB3233, HB3595, HB3801, HB3812, HB4076, HB4129, HB4377, HB4535, HB4666, HB4730, HB4743, HB4903, HB5149, HB5155, HB1534

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing

Summary: The committee met without a quorum at first, then established a quorum with five members present. Members heard and left pending several House bills, including HB 4743 on allowing hospitals to license mobile stroke units under a hospital license, HB 4129 on earlier DFPS enforcement tools for single-source continuum contractors in community-based foster care, HB 4903 creating a Quad Agency Child Care Initiative to coordinate child care regulations across state agencies, HB 3812 revising the gold card/prior authorization process for physicians, HB 4535 requiring written informed consent before COVID-19 vaccination and a standardized state information sheet, and HB 4666 reducing the frequency of some HHSC reports to the legislature. The chair also noted HB 35 would be voted on later after a subcommittee back was received, and that a large number of bills would be heard the next day. Most of the testimony focused on HB 4535 and HB 4730. On HB 4535, supporters argued the bill would strengthen informed consent for COVID vaccination by requiring written consent and clearer state-level information about risks, manufacturer liability protections, and adverse-event reporting; opponents, including a pediatrician and medical groups, said existing federal and state informed-consent materials already cover these topics and warned the bill could create duplicative paperwork and penalties. On HB 3812, the Texas Medical Association supported changes that would extend the gold-card evaluation period to one year, raise transparency, and make prior authorization exemptions easier to administer, while health plans said they were neutral and viewed the bill as a balance between reducing burden and preventing fraud or unsafe care. HB 4730 drew extensive testimony from adoption professionals, birth mothers, adoptive parents, and child welfare advocates. The bill would require DFPS to create a relinquishment form, train child-placing agency staff, and extend the minimum waiting period for voluntary relinquishment from 48 hours to seven days. Supporters of the current law argued the 48-hour period aligns with hospital discharge, allows informed decisions, and helps birth parents and adoptive families begin healing and bonding without pushing children into foster care or creating legal and Medicaid complications. The author said the bill would be revised and that the seven-day provision was a work in progress. No votes were taken on the bills during the meeting; each bill was left pending after public testimony closed.

Transcript Highlights:

• Section 2 of the bill appeared to be the primary area of concern, specifically the striking of line 8
• uh if the I know the risk to rap payers uh if the Pu<00:10:15.320> is<00:10:15.440> forced
• <01:07:32.319> Advocate most as the state's rate payer Advocate most as the state's rate payer
• her job is to represent all rate payers her job is to represent all rate payers if<01:07:44.000>
• about $5.7 million for rate payers about $5.7 million for rate payers without<05:06:24.200> having

Keywords: 1189, house, all

Transcript Highlights:

• , do y'all need a resource witness, Chair: or we can talk to the agency, as we could be the second payer
• This allowed people with medical needs to access insulin during times like holidays when primary care

Bills: HB50

Keywords: constitutional amendment, ballot language, fiscal note, fiscal impact, cost estimate, savings estimate, Legislative Budget Board, LBB, secretary of state, Election Code, Government Code, voter information, ballot proposition, state budget, election administration, Texas

Transcript Highlights:

• base will will, you know, provide all of these benefits and it will lower property taxes for local payers
• and it will lower property taxes for and it will lower property taxes for local<00:43:16.560> payers
• local payers. However, just look around. local payers. However, just look around.
• Those should not be our primary considerations. Thank you, Mr.
• those should not be our primary those should not be our primary considerations.<00:47:10.160>

Keywords: 919, house, all

Summary: The Tax Expenditure Review Commission met on June 17, 2026, approved the January 20, 2026 minutes, and then adopted updated commission procedures. The procedural changes, presented by Legislative Budget Office Director Christian Larson, required a quorum of voting members to complete evaluations before a formal recommendation vote, and allowed members to bundle or unbundle tax expenditures for voting. The commission approved the revised procedures by roll call vote, with five ayes and four excused. The commission then reviewed member evaluation summaries for tax expenditures presented in December 2025 and January 2026. It first considered the alcoholic beverage tax credits for small brewers and microdistilleries, and after discussion voted to recommend repeal of those two expenditures, while leaving the small winery credit for a later meeting because it lacked enough member responses under the new procedures. The vote on the repeal recommendation passed 4-1, with Commissioner Marquart voting no. The commission next approved the lawful gambling bundle, which included bingo, raffle, and related exemptions. Larson reported that most members recommended continuation for each item, and the commission voted to recommend continuing all six lawful gambling expenditures. It then reviewed the residential utility services bundle—residential heating fuels, residential water services, and sewer services—where members generally favored continuation but several noted possible modifications or caps for higher-income users; the commission voted to recommend continuation of the bundle. Finally, the commission reviewed the data center equipment sales tax exemption, which Larson said had an estimated annual revenue loss of $95 million and was intended to create jobs in construction and data center industries. Members raised questions about its effectiveness and whether the exemption should be modified or capped, but the commission ultimately voted to recommend continuation. The meeting concluded with these recommendations set to be included in the commission’s 2026 annual report.

Transcript Highlights:

• It's not going to be, you know, not everybody has the same contract with the payer, so there's going
• It's not going to be, you know, not everybody has the same contract with the payer, so there's going
• It's not going to be, you know, not everybody has the same contract with the payer, so there's going
• It's not going to be, you know, not everybody has the same contract with the payer, so there's going
• <00:52:30.520> but cost shifting to commercial payers but cost shifting to commercial payers

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:

• Limits access to primary care physicians as well as specialists.
• He mentioned fee schedules versus the other insurance-based payer types. >> So, if you look at Medicare
• Um I think commercial payers follow those trends. I think work comp is more.
• Um I think<00:24:10.120> commercial<00:24:10.480> payers<00:24:11.440> follow<00
• :24:11.760> those think commercial payers follow those think commercial payers follow those trends

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:11 Discussion HB 527 00:02:29 Vote HB 527 00:08:02 Discussion HB 627 00:09:09 Vote HB 627 00:24:29 Discussion HB 355 00:25:59 Vote HB 355 00:34:28 Discussion HB 568 00:35:18 Vote HB 568 01:12:10, 958, all

Summary: The committee first took up House Bill 527, a cleanup bill related to insurance matters and the Strengthen Kentucky Homes program. The committee substitute removed language that would have repealed the workers’ compensation deductible range, added a one-time grant/reimbursement provision for contractor fortified-roofing certifications, and added an emergency clause. The Department of Insurance said the bill also updates licensing language, addresses issues with unlicensed pharmacy benefit managers, and supports contractor training tied to the roof grant program. The commissioner noted the program is set to go live March 1 and asked members to inform constituents about possible roof grants of up to $10,000. House Bill 527 received a favorable report after the committee adopted the substitute and title amendment by voice vote and then approved the bill on a roll call vote. The committee then heard House Bill 627, a PIP reform bill. The sponsor and State Farm’s legislative agent said the substitute clarified language so the Attorney General can prosecute insurance fraud and reflected negotiations with hospitals, the Kentucky Hospital Association, the Kentucky Justice Association, chiropractors, and physical therapists. The bill would apply the workers’ comp fee schedule to most PIP claims, require bills within 180 days, prohibit balance billing and credit impairment, raise funeral benefits to $5,000 and weekly wage benefits to $500, require an annual fraud report, and give the Attorney General concurrent jurisdiction over insurance fraud cases. A physician testifying in opposition argued the bill would cut reimbursement for non-hospital providers, shift costs to hospitals and other payers, reduce access to care, and create an uneven playing field that favors hospitals. Committee members asked about the lack of a PIP fee schedule and the effect of the workers’ comp schedule relative to Medicare and commercial insurance. After debate, the committee adopted the substitute and then passed House Bill 627 with favorable expression on a roll call vote, with one member voting no. The committee also considered House Bill 355 on real estate appraisers. The sponsor said the bill would restore an independent board, allow evaluations under federal guidelines, and move Kentucky from a voluntary to a mandatory appraisal state. Testimony from insurance and appraisal representatives said the bill would require licensure for real property damage appraisers, exempt insurance agents and claims adjusters licensed under the insurance code, and create clearer standards and oversight. Members asked about the cost of an executive director and whether the board could sustain itself through fees; the sponsor said the board had historically been self-sustaining. The committee adopted the substitute and then gave House Bill 355 a favorable report by roll call vote. Finally, the committee began House Bill 568, which would prohibit new public adjuster licenses while allowing current licensees to renew. The sponsor said the bill responds to ongoing complaints and investigations in the industry and noted that most licensed public adjusters in Kentucky are not residents of the state. The transcript cuts off as the bill’s presentation was beginning.

Transcript Highlights:

• But certainly for people taking care of health and safety is primary importance.
• But certainly for people taking care of health and safety is primary importance.
• >> to<00:34:11.840> tax<00:34:12.080> payers.
• ><00:34:12.760> with<00:34:12.919> what<00:34:13.080> you're >> to tax payers
• I agree with what you're >> to tax payers.

Bills: SB2069, SB2177, SB2342, SB2060, SB2544, SB3011, SB2061, SB2552

Keywords: SB2069, Hawaii housing, HHFDC, Hawaii Housing Finance and Development Corporation, Dwelling Unit Revolving Fund, equity pilot program, housing affordability, homeownership, first-time homebuyer, for-sale housing, transit-oriented development, TOD, transit-oriented development zone, bus route, bus stop, critical workforce housing, health care workers, educators, law enforcement, correctional officers

Summary: The House Housing Committee opened its Friday morning hearing by noting potentially catastrophic flooding on the island and acknowledging that some members were absent helping their communities, so quorum for voting was uncertain. The committee then heard testimony on several housing-related measures, with most bills drawing support from housing agencies and community organizations and little or no opposition in the room. On SB 2069 SD2, SB 2177 SD2, and SB 2342 SD2, witnesses largely supported the measures. HHFDC supported SB 2069 and SB 2177, and HPHA supported SB 2342. For SB 2342, HHFDC raised concerns that the bill would alter the Qualified Allocation Plan outside the normal open, public process required by federal law and could exclude stakeholders; Kathy Charities echoed those concerns and also objected to changing point allocations in ways that could raise rents and weaken long-term affordability. Members questioned HHFDC about how the QAP is normally updated, the meaning of the point system, and whether a legislative working group could mandate changes; HHFDC said recommendations would still need public hearing and board approval. The committee also heard SB 2060 SD2, which would create a mixed-income subaccount in the rental housing revolving fund. HHFDC said the subaccount would likely use tier-two funds, estimated at about $100 million total, to support mixed-income projects above 60% AMI, citing Front Street Apartments as a possible example. Members asked about project selection and funding needs. On SB 2544 SD2, OHA opposed the bill’s Chapter 6E-related exemptions and mandatory review timelines, arguing that burial review protections should not be weakened and that the SPEED Task Force process was a better venue for streamlining. The sponsor later clarified that the bill was not meant to eliminate the 60-day review process but to make the deadline clearer. For SB 3011 SD1, which concerns public housing and pet ownership, HPHA and several humane organizations supported the measure, saying it would help low-income residents and seniors keep pets and benefit from animal companionship. HPHA explained its existing pet policy, including deposits, monthly fees, and restrictions, and said the requested funding would support ADA-accessible pet areas and related administration. Finally, on SB 2061 SD2, HCDA supported the bill while OHA opposed it unless protections for Hawaiian Crown and Government lands were strengthened. Committee members questioned the project’s 60/40 split between income-restricted and market-rate units, the 10-year owner-occupancy restriction, and the procurement exemption; the sponsor said the exemption was tied to a real estate transaction and that the project would still use 103D-like solicitation procedures. No votes were taken during the hearing, and several items were left for later action because quorum was uncertain.

Transcript Highlights:

• For example, thank you so much for your leadership and work toward supporting shifting primary payer
• Dennis Guestramaro with the California Primary Care Association advocates.

Keywords: 987, senate, all

Summary: The Senate Budget Subcommittee No. 3 on Human Services held its final hearing on the budget, with the chair framing the Senate’s plan as a counterproposal that rejected major cuts and preserved revenues. Public comment was overwhelmingly supportive of the subcommittee’s actions, with advocates, counties, providers, and community groups thanking members for rejecting or delaying proposed cuts to Medi-Cal asset limits, immigrant coverage and premiums, IHSS, PACE, APS, behavioral health advocacy and innovation grants, mobile crisis services, and certain dental and provider payment reductions. Speakers also urged additional funding or trailer bill changes for county eligibility work, public hospitals, indigent care, CalFresh outreach and food benefits, child care slots and COLAs, legal services for immigrants, and long-term services and supports. A major theme was the Senate’s “Be Home Soon” proposal, which many disability, aging, home care, and health care organizations praised as a way to shift care from institutions to home- and community-based settings. Testimony also supported restoring or maintaining funding for behavioral health programs, including 988/mobile crisis infrastructure, community advocacy contracts, and Title IV-E workforce funding. Several county and provider groups asked the committee to consider alternative proposals related to H.R. 1 impacts, Medi-Cal coverage losses, and county indigent care costs, while others requested continued work on public hospital support, CFAP expansion, and implementation details for child care and IHSS. The subcommittee then took three votes on grouped budget items. The first consent block, covering a large set of items, passed 3-0. The second block passed 2-1, with Senator Grove voting no. The final block passed 3-0. The hearing concluded with the chair stating the subcommittee had done its part and adjourning the meeting.

Transcript Highlights:

• This does not affect the attorneys being the primary lien holder.
• and bill these accounts directly or somehow negotiate this like we would any other health insurer or payer
• You may have a primary insurer and an excess insurer.
• , which would cover the negligent failure to supervise portion of that, which is generally who the payer

Bills: HB79, HB437, HB646, HB1089, HB1099, SB173, SB180, SB260, SB424, SB476

Keywords: carbon capture, damages, environmental liability, legal liability, site restoration, expert witness, expert testimony, witness fees, pecuniary interest, conflict of interest, civil procedure, evidence law, Louisiana evidence code, Louisiana civil litigation, expert report, discovery, pretrial disclosure, litigation transparency, settlement, damages award

Summary: The committee first heard Senate Bill 476, which would add clearer warning language for garnishees responding to interrogatories and create a limited procedure for a new trial when a garnishee shows it never held property of, or owed money to, the judgment debtor. After brief questioning about how garnishment works, the bill was reported favorably without objection. The committee then took up Senate Bill 260 on youth athletics, which establishes required injury-mitigation training content for youth sports coaches, including emergency preparedness, concussions, heat injuries, overuse injuries, equipment, heart defects, and sudden cardiac effects. An amendment was adopted to remove language allowing the department to spend donated funds to purchase the courses, and the bill was reported as amended. House Bill 79, which removes the damage threshold for carbon capture release, was also reported favorably after sponsor testimony that carbon capture should be treated like other industries and not receive a special liability cap. Senate Bill 424, clarifying service by mail, delivery, or electronic means by defining “counsel of record” as someone who actually represents a party, was reported favorably as well. Senate Bill 180, a constitutional amendment allowing the surviving spouse of a deceased disabled veteran to make a one-time transfer of an expanded property tax exemption to another qualifying property, received a ballot-language amendment and a 6.8A report, then was reported as amended. The committee spent the most time on House Bill 1089, which creates “care accounts” for future medical damages in delictual actions. The sponsor and supporters said the bill would ensure future medical awards are actually used for medical care, function like a money market/HSA-style account, and potentially reduce costs; opponents raised concerns about the account being owned by the judgment debtor, possible reversion of unused funds to the wrong party, unclear mechanics for payment, and the impact on survivors of trafficking and sexual abuse who may need flexible, non-billing-code-based care. Several members suggested exclusions or clarifying amendments for med-mal, intentional torts, and sexual abuse victims, and the bill was reported favorably on a 6-1 vote after amendment. Finally, House Bill 437 was taken up, which bars expert witnesses from having a pecuniary interest in the outcome of the case. An amendment excluding criminal traffic and juvenile proceedings was adopted, and members discussed that the bill would prohibit contingent-style expert fee arrangements while still allowing cross-examination about an expert’s prior testimony and payment history. The discussion emphasized that the rule would apply to both plaintiffs and defendants.

Transcript Highlights:

• those facilities that charge fees also turn in their information as public information to The All Payers
• All Payers Data Claim Base at the Department of Health. I would Stand for questions, Senator Block.
• Yes, but they also must live in it as their primary residence full time. Okay, Mr.
• The primary lien on the property, or would it be subservient to the other lenders? Mr.

Bills: SB273, SB37, SB100

Keywords: SB273, appropriations, general fund, hold harmless, local government finance, municipal revenue, county revenue, correctional facility, jail contract, private prison, detention facility, immigration detention, revenue bonds, clawback, child welfare, juvenile justice, protective services, school improvement, New MexiCare, aging services

Transcript Highlights:

• These include strategies to address the primary cost drivers of soaring electricity rates, including
• creation of a public. financing program, addressing project permitting delays, and evaluating rate payer
• Bill AB 825, which ironically and predictably could increase cost to rate payers.
• The changes that he's taken address some of the primary concerns that were brought to the author in our

Keywords: 988, house, all

Transcript Highlights:

• Employers or payers can file disputed claims against employees, dependents, and beneficiaries under two
• Right now, whether it's fraud or the employer or payer is appealing a decision by the medical director
• Right now, whether it's fraud or the employer or payer is appealing a decision by the medical director
• Employers or payers can file disputed claims against employees, dependents and beneficiaries under two
• Right now, whether it's fraud or the employer or payer is appealing a decision by the medical.

Keywords: 974, senate, all

Transcript Highlights:

• committed to preparing students for seamless transfer to four-year institutions while serving as a primary
• school. primary engine for workforce development in our region.
• There are third-party payers, meaning they will come in represented by a company and...
• Another main point I want to make is that this serves as a primary connector for affordable housing.
• From the three primary ponds, it goes into a secondary pond and then it's finished in the clarifying

Bills: HF2418, HF1666, HF232, HF344, HF402, HF431, HF468, HF547, HF583, HF1476, HF1711, HF2787, HF2788, HF3207

Keywords: capital investment, political subdivisions, state assistance, funding, project grants, child care, Slayton, state bonds, economic development, extended time revenue, school funding, state aid, career and technical education, CTE, STEM, secondary credit, after-school programs, summer school, learning year program, extended day

Transcript Highlights:

• they either enrolled as the primary they either enrolled as the primary parent<02:51:13.600>
• It does not receive any state funds, and it doesn't... payers and so it sets an assessment and payers
• Their primary role is negotiating a bulk rate, so their primary role really is in assessing, anticipating
• Their role is to work and negotiate with the commercial payers. so their primary role really is in so
• <04:06:47.319> care have our rural health and primary care have our rural health and primary

Keywords: 928, house, all

Summary: The Finance Division III work session focused on the Department of Health and Human Services’ Division of Public Health Services budget. Department staff said Public Health has a relatively small budget compared with other DHHS divisions, is supported mostly by federal and other non-General funds, and contains nearly 100 accounting units and more than 50 federal grants. They emphasized that the governor’s budget did not include significant cuts, but that federal funding uncertainty and the winding down of pandemic-era resources were major factors affecting the division. The division also explained that some apparent budget growth reflects reorganizations, including moving the Bureau of Emergency Preparedness, Response, and Recovery and some programs from other DHHS divisions into Public Health. The presentation described Public Health’s mission as serving the entire state through food and water safety, disease surveillance, emergency response, maternal and child health, chronic disease prevention, WIC, community health center support, and public health data collection. Members asked about bird flu, and staff explained that human-health response would involve Public Health’s lab, infectious disease, and emergency preparedness units, while animal-health issues are handled with the Department of Agriculture; they also noted ongoing milk testing requested by FDA and USDA. The division said its organizational structure includes bureaus for Family Health and Nutrition, Infectious Disease Control, Public Health Protection, Emergency Preparedness, Prevention and Wellness, Statistics and Informatics, and Public Health Laboratories, with about a 15% vacancy rate. Committee members questioned whether the division’s budget and staffing had really grown since pre-COVID, and staff responded that full-time authorized staffing is about the same as in 2018, with the increase largely due to federal pandemic funding that has since receded and to program transfers between divisions. They said Public Health’s General Fund share is about $24 million out of roughly $1.1 billion in DHHS General Fund spending, or about 2.2% of the department total. Members also asked about the 3,000-position cap and unfunded positions; staff explained that the cap remains in chapter law through June 30, 2025, that 394 positions were unfunded in the governor’s budget, and that the division expects flexibility to move money from personnel lines and fill unfunded positions to manage changing needs. No votes or formal actions were taken in this portion of the work session.

Transcript Highlights:

• The purpose of the bill is to bridge the gap between substance use disorder guidelines, payer policies
• Medicaid reimbursement standard for toxicology testing, and put provider clinical judgment ahead of payer
• disorder, physicians are being limited in the amount of analytes that they can test for, which, if a payer
• But it is processed and bill only requested by Payer policy.
• policy. ...whether it's me or an out-of-state laboratory or anybody, it does not meet the payer policy

Keywords: 996, all

Transcript Highlights:

• For primary residence statements, it required inclusion of the primary residence credit amount and the
• So when you all started or passed the primary residence credit, we read the statute...
• And therefore, your primary residence credit is the remainder after that.
• But could we get rid of the discount for primary residence credit recipients?
• I benefit way more from the 5% discount than I do from the $1,600 primary residence credit.

Keywords: 908, all

Summary: The subcommittee of the Tax Reform and Relief Committee met with a quorum to begin its study of whether the content of North Dakota real estate tax statements should be revised to improve transparency. Legislative Council staff reviewed the background for the study, including House Bill 1176, current statutory requirements for tax statements, and recent changes such as separate line items for bonded debt, primary residence credit, and legacy fund-related amounts. The Tax Department then explained the current statement format and noted that the form is prescribed and approved by the tax commissioner, with changes typically driven by statute and implemented collaboratively with counties and vendors. County officials from the North Dakota Association of Counties described the full annual process for preparing budgets, setting levies, calculating taxable values, and issuing notices and tax statements. They said counties spend significant time coordinating with taxing districts, neighboring counties, and software vendors, and that the new budget hearing notices and valuation notices have not generated much public response. Members raised concerns about the usefulness and clarity of certain line items, especially the legislative tax relief calculation and the primary residence credit, and discussed whether the current statement creates confusion rather than transparency. Testimony also addressed the 3% cap, mill levy worksheets, assessment cycles, and the role of county auditors and tax directors in maintaining accurate values. The committee also heard from software vendors CPT and Tyler Technologies about how legislative changes are programmed into tax systems and how online taxpayer portals can provide more detailed breakdowns of tax bills. Vendors said changes required by law are generally absorbed in contracts rather than billed directly to counties, and they demonstrated web tools and pie-chart style breakdowns that show where tax dollars go. NDACO presented a survey of eight counties estimating tax statement preparation and mailing costs, concluding that outsourced printing tends to be cheaper on average and that total statewide tax statement costs may be roughly $600,000, though the estimate was based on limited data. No votes were taken; the meeting was informational and focused on gathering testimony and identifying issues for possible future recommendations or bill drafts.