Transcript Highlights:

• increase, a significant increase from this revenue source for them to carry out the activities for managing
• Yeah, because as we increase the state budget, they're managing more money all the time, especially with
• how much money... ...they're managing more money all the time, especially with how much money is stranded
• So that's why we think they're adequately funded, though they think they need more to manage these funds
• This would say, you know, we're building your budget for how much management fees would cost.

Bills: SB241, SB145

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• That's the audit bill that we tabled. I'll second. That's the audit bill that we tabled. Mm-hmm.
• The audit? Mr. Chair, the audit bill, we tabled permanently. That was the motion.
• And so the bill helps the state of New Mexico doing a single audit, and it really clarifies that.
• Chair, Senator Lanier, we do continue to case-manage people. I just don't have that data here.

Bills: SB241, SB145

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• Essentially, the bill is a modernization of how we take a look at information management and hardware

Bills: SB193, SB132, SB35, SB145

Keywords: SB193, acequia, community ditch, irrigation works construction fund, water infrastructure, ditch infrastructure, irrigation, New Mexico water law, agricultural water, farmers, Rio Grande, acequia association, forest land protection revolving fund, state fund transfer, irrigation projects, SB132, DOIT, Department of Information Technology, software replacement, equipment replacement

Transcript Highlights:

• Instead of simply receiving the funds here in New Mexico to manage independently like we would in a normal
• America Healthy Again initiative, which is really focused on preventive care and chronic disease management
• You can see some funds for their website there on line 67, as well as election management system on page
• Chairman, the exec rec on line 68 had $65,000 for management, the data management system, and there's
• That's one of the trust funds managed by the department.

Bills: SB193, SB132, SB35, SB145

Keywords: SB193, acequia, community ditch, irrigation works construction fund, water infrastructure, ditch infrastructure, irrigation, New Mexico water law, agricultural water, farmers, Rio Grande, acequia association, forest land protection revolving fund, state fund transfer, irrigation projects, SB132, DOIT, Department of Information Technology, software replacement, equipment replacement

Transcript Highlights:

• Senate bill 1645 establishes parameters for the Oklahoma healthcare Authority when they're performing audits

Bills: SB206, SB904, SB933, SB1436, SB1500, SB1553, SB1557, SB1567, SB1644, SB1645, SB1651, SB1794, SB1833, SB1849, SB1984

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause

Transcript Highlights:

• HB 4 represents thoughtful fiscal management, fully leveraging these resources to sustain coverage gains
• I’m a policy manager with Both Futures, and HB 65 clearly aims to address urgent service gaps for children
• qualified land grants, which are political subdivisions of the state, if they're in compliance with the Audit

Bills: SB241, SB145, HB2

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• We've got a lake that we're not allowed to manage.
• Some of our better management is on private land.
• I believe we had County Manager Burns and, yeah, Manager Burns, go ahead. Good. H-A-F-C on hold.
• I believe we had County Manager Burns and yeah. Manager Burns, go ahead. Good, H-A-F-C on hold.
• But we are not managing our forest.

Bills: HB2, SB193, SB132, SB35, SB145

Keywords: general appropriation, budget, Medicaid, education funding, public safety, SB193, acequia, community ditch, irrigation works construction fund, water infrastructure, ditch infrastructure, irrigation, New Mexico water law, agricultural water, farmers, Rio Grande, acequia association, forest land protection revolving fund, state fund transfer, irrigation projects

Bills: HB567, HB776, HB2, HB568, HB619

Keywords: open records, public access, transparency, government accountability, public agency, dental practice, licensing, administrative regulations, dental assistants, supervision, Medicaid, community engagement, healthcare, managed care, eligibility, public assistance, insurance, public adjuster, claim process, contract requirements

Bills: HB567, HB776, HB2, HB568, HB619

Keywords: open records, public access, transparency, government accountability, public agency, dental practice, licensing, administrative regulations, dental assistants, supervision, Medicaid, community engagement, healthcare, managed care, eligibility, public assistance, insurance, public adjuster, claim process, contract requirements

Transcript Highlights:

• <00:07:48.800> care information collected from managed care information collected from managed
• Um, states are responsible for audits.
• And then in section 9, starting at 11.17, this is for our managed care contracts.
• And then in section 9, starting at 11.17, this is for our managed care contracts.
• to managed care organizations even after beneficiaries' deaths.

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.

Bills: HB345, HB721, HB2580, SB815, HB3057, HB4603, HB3233, SB495, HB3863, HB3914, HB4570, HB5099, HB5173, SB458

Keywords: insurance, appraisal process, disputed losses, residential property, policyholder rights, insurer obligations, natural disasters, appraisal expenses, umpire selection, policyholder, insurer, umpire, claims management, health care, cost disclosure, benefit plan, administrators, traumatic brain injury, health benefit plans, insurance coverage

Transcript Highlights:

• I mean, is it the upper management?
• Managing this tedium is a very large reason that my colleagues do not accept insurance.
• CSHB 3233 prohibits PBMs, Pharmacy Benefit Managers, from storing the patient data of Texas residents
• I'm with the Pharmaceutical Care Management Association.
• It grants the Texas Department of Insurance authority to audit and inspect a utilization review agent's

Bills: HB345, HB721, HB2580, SB815, HB3057, HB4603, HB3233, SB495, HB3863, HB3914, HB4570, HB5099, HB5173, SB458

Keywords: insurance, appraisal process, disputed losses, residential property, policyholder rights, insurer obligations, natural disasters, appraisal expenses, umpire selection, policyholder, insurer, umpire, claims management, health care, cost disclosure, benefit plan, administrators, traumatic brain injury, health benefit plans, insurance coverage

Transcript Highlights:

• So there's multiple questions, and they can't manage that money coming in all at the same time.
• Yeah, I just got up to phone my county manager in Sandoval right before this hearing to see if he could
• A Medicaid pediatric palliative care benefit would help bring expert symptom management, psychosocial
• support... ...would help bring expert symptom management, psychosocial support, care coordination to
• and pain management, as well as communication and relationship building.

Bills: SJR1, SM2

Keywords: school elections, partisan elections, voting rights, constitutional amendment, New Mexico, elector registration, pediatric palliative care, pediatric hospice, Medicaid, state plan amendment, Health Care Authority, children with serious illness, life-limiting conditions, complex medical conditions, curative care, concurrent care, family-centered care, hospice services, managed care, pain management

Transcript Highlights:

• Manager, please. Thank you. Mr. Pigley, I'm sorry, I'd probably mispronounce your name.
• In fact, the last eight financial audits, they have failed six of those.
• So that's all managed by the treasurer.
• The contract with the treasurer's office has roughly a half-basis-point management fee, which is managed
• , which is managed by the trust.

Bills: HB2180, HB2184, HB2188, HB2194, HB2206, HB2321, HB2322, HB2438, HB2442, HB2448, HB2727, HB2797

Keywords: appropriation, funding, University of Arizona, education, state budget, fetal death, funeral homes, informed consent, abortion, women's rights, medical assistance, emotional support, language acquisition, early intervention, hearing impairment, grant program, deaf education, health care, insurance claims, prior authorization

Summary: The Committee on Health and Human Services opened with remarks about shortening meeting times and then heard a JLBC presentation on the effects of H.R. 1 on SNAP. JLBC staff explained that H.R. 1 expands SNAP work requirements, raises the state share of SNAP administrative costs from 50% to 75% beginning in FY 2027, and could require Arizona to pay a share of benefits if its SNAP error rate exceeds 6%. JLBC estimated the administrative cost increase at about $33 million in FY 2027 and $44 million in FY 2028, and said a 2024 error rate of 8.8% could trigger about $139 million in state benefit costs under the new federal formula. The committee then considered HB 2797, which requires DES to regularly review data from other agencies to verify SNAP eligibility, post fraud and noncompliance data, and address out-of-state EBT purchases. Supporters said it would improve program integrity and help Arizona avoid federal cost-sharing penalties; the bill passed 7-5. The committee next heard HB 2180, which appropriates $2.5 million in FY 2027 to the University of Arizona for AZ REACH, a statewide hospital transfer coordination service. Supporters from rural hospitals and the health system described it as a useful, voluntary service that speeds transfers and reduces burden on physicians, while one health system representative asked for better operational coordination. The bill passed 11-1. HB 2184, as amended, would extend fetal death certificate filing requirements to fetal deaths at or before 20 weeks if requested by the mother and require notice of the option to transfer remains to a funeral home before an abortion. Supporters, including a mortuary owner and parents who had experienced miscarriages, said it would give grieving families dignity and closure; opponents raised concerns about reproductive rights and language in the bill. The committee adopted the Bliss amendment and passed the bill 7-4-1. HB 2188, as amended, created a Language Acquisition Grant Program for services to deaf or hard-of-hearing infants and toddlers. Supporters said it would streamline funding and preserve family choice among spoken language, ASL, or both, while an opponent argued the bill should more explicitly ensure equal access to ASL and Deaf Culture services; the bill passed 12-0. The committee also considered three more H.R. 1-related SNAP bills. HB 2442 would require able-bodied adults under 60 receiving SNAP to participate in an employment and training program unless exempt; supporters said it would connect recipients to work and training, and it passed 7-5. HB 2448 would bar DES from seeking work-requirement waivers or discretionary exemptions unless authorized by law; supporters said it would prevent broad waivers and improve employment outcomes, and it also passed 7-5. Finally, HB 2206 would require DES to reduce the SNAP payment error rate to 3% by 2030, submit annual progress reports, and face corrective action if targets are missed. Supporters said it would save taxpayer money and improve accountability, while opponents argued the target was too aggressive without more staff or funding and could strain DES; the bill was still under discussion at the end of the transcript.

Transcript Highlights:

• They've managed to whittle it down to about half of what it was.
• benefits management. benefits management.
• So, we want pharmacy benefit managers.
• <00:58:05.520> system judiciary information management system judiciary information management
• <01:09:11.359> the and the way we've been uh managing the and the way we've been uh managing

Bills: HB1877, HB2006, HB2167, HB2224, HB1626, HB1690, HB2012

Keywords: LGBTQ+ rights, commission membership, representation, youth involvement, Hawaii legislation, child well-being, financial support, expectant mothers, Hawaii Rx kids program, economic stability, youth homelessness, financial assistance, housing instability, emergency services, transitioning youth, Medicaid, pharmaceutical benefits, human services, healthcare access, public funds

Summary: The committee heard testimony on HB 1877, which would expand the membership of the Hawaii State LGBTQ+ Commission and add a youth seat. The commission’s vice chair supported the bill, saying the commission started with eight members, has growing interest, and would benefit from an odd-numbered board and youth representation. Members asked about quorum, and the commission said it has generally met monthly with only one quorum issue in the past 18–19 months and would work with legislative leaders to have appointments ready if the bill passes. Written testimony included support from Kokopac and one individual in opposition. The committee then took up HB 2006, which would create a cash assistance program for pregnant women and mothers of babies. The Department of Human Services explained current TANF rules, including eligibility requirements, child support cooperation, and work-program participation, and said the state has recently raised benefit levels to the maximum allowed, with a family of three or four receiving a little over $900 per month. Supporters from the Hawaii Public Health Institute, Hawaii Children’s Action Network Speaks, and others argued the bill could reduce child poverty and improve maternal and child health, citing evidence from Michigan’s Rx Kids program and the temporary federal child tax credit expansion. A mother and Oahu Youth Action Board member testified from personal experience about the need for direct support during pregnancy. The committee also noted support from several organizations and about 26 individuals. The committee next heard HB 2167, which would direct the Office of Youth Services to run a pilot program providing financial assistance to homeless youth. The Office of the Public Defender, youth advocates, and several organizations supported the measure, saying even small amounts of help can prevent homelessness and help youth transition safely to adulthood. The Office of Youth Services said it supports the intent of the bill but requested clarification, and committee members discussed whether the program should be run directly or through contracted community agencies, how to set performance metrics, and how to structure the RFP and contract process. The chair indicated the committee wanted to work with the vice chair and OYS offline to refine the bill before moving forward. The committee then began discussion of HB 2224, relating to Medicaid pharmacy benefit management, with testimony generally supporting giving DHS flexibility to negotiate with PBMs.

Transcript Highlights:

• We've moved behavioral services into managed care.
• PCMA is the national trade association that represents pharmacy benefit managers.
• Now, this is not audits, just examinations.
• When Medicare managed care was created, I was present at the creation.
• When Medicare managed care was created, I was present at the creation.

Bills: S0688, S1414, S0186, S0902, S0196, S1574, S0878, S1092, S1032, S1684, S1686, S1760

Keywords: cytomegalovirus, education, maternal health, newborn care, infectious diseases, student health, epilepsy, seizure disorders, school safety, training requirements, medical marijuana, low-THC cannabis, neurofibromatosis, healthcare, state regulations, child care facilities, public safety, grant program, uterine fibroids, health database

Summary: The committee took up several health-related bills and confirmations. It first heard SB 1414 on congenital cytomegalovirus education, which would require the Department of Health to develop and distribute educational materials to expectant and new parents through maternity, prenatal, newborn, and OB-GYN settings; an amendment removed a section on required instruction for medical professionals, and the bill was reported favorably as a committee substitute. The committee then approved a block of appointees on tabs 2 through 7 and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after her testimony on Medicaid accountability, transparency, managed care oversight, rural health, behavioral health, and the state’s technology modernization efforts. Senators asked Harris about Hope Florida, Medicaid redeterminations, the CORE project, an anti-marijuana ad campaign at DCF, and compliance with a federal Medicaid-related court order; she said she would follow up on some issues. The confirmation was recommended favorably, with Senator Berman voting no. The committee next passed SB 186 on student health and safety, which expands epilepsy and seizure-disorder training requirements to more school personnel, including bus drivers and charter school staff, and requires seizure-first-aid posters and updated Department of Health education efforts. It also approved SB 902 on Department of Health issues after amendments narrowed the bill’s scope and added provisions on medical marijuana regulation, early childhood intervention, practitioner accountability, and autism workforce development; one speaker raised concerns about marijuana dispensary location restrictions and low-THC ratios. SB 196 creating a uterine fibroid research database was also reported favorably after an amendment protecting patient privacy; the bill drew emotional testimony from a patient describing severe symptoms and the need for more research. SB 688 on naturopathic medicine was approved after committee discussion about scope of practice, referral obligations, and whether naturopathic care should be adjunctive to conventional medicine; supporters described complementary care and access issues, while opponents worried about delayed treatment for serious disease. Later, the committee passed SB 1574, “Maddie’s Law,” to add biliary atresia screening to newborn screening using the same blood specimen already collected at birth and to launch an education campaign; parents of a child affected by the disease testified that earlier screening could have prevented severe harm. SB 878 on clinical laboratory personnel was reported favorably to address staffing shortages by allowing Florida to rely more directly on federal CLIA standards for qualified lab workers. SB 1092 on podiatric medicine was approved after an amendment narrowed it to cellular/tissue-based products and podiatrists’ use of certain therapies; the bill also addresses continuing education, informed consent, and advertising disclosures. SB 1032 on medical marijuana was amended and passed, aligning physician certification and card renewal timelines, setting 70-day and 35-day supply limits, and reducing the fee for honorably discharged veterans while preserving funding for FAMU; Senator Harrell opposed it, saying the longer timeframes were too much of an expansion. The committee also heard SB 1760 on Medicaid coverage transparency from Senator Brodeur, who said the bill focuses on accountability and fiscal responsibility, but the transcript cuts off before further discussion or action on that measure.

Transcript Highlights:

• 2 3 The House Committee on Insurance will come to the audit. The clerk will call the roll.
• We do a lot of things to try to manage cost.
• insured Medicare Advantage plan where we work with UnitedHealthcare and then our pharmacy benefit manager
• like many others I continue to face unnecessary barriers. to accessing the medications I need to manage

Bills: HB138, HB335, HB388, HB138

Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers

Transcript Highlights:

• So, I'm not sure if the APCD has the intake ability. to access or really manage that data. but the another

Bills: HB138, HB335, HB388, HB138

Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers

Transcript Highlights:

• I went to the bank to cash a check the other day, and the bank manager mentioned to me that her child
• an attorney—but my reading of the Constitution is that the school districts cannot turn over the management
• The company said they control and manage their, you know, that school online school, and the Constitution
• It's going to the economic... well, but I think he's going to manage the money or put the money out.
• Chairman, Senator Steinborn, there will be another layer of auditing of the growth once the final bill

Bills: SB152, SB145, SB190, HB247

Keywords: telecommunications, low-income assistance, lifeline, broadband, rural broadband, universal service fund, public regulation commission, PRC, 911 surcharge, telecommunications relay service, VoIP, mobile service, internet affordability, digital equity, digital inclusion, rural internet, broadband infrastructure, eligible telecommunications carrier, ETC, tribal consent

Transcript Highlights:

• We're not performing the audit. We would create the audit, put the audit together.
• We don't audit them.
• Their audits are the only thing we require in their audits is that they have audits for capital outlay
• They still have to do their audits. And then they're compiled into one audit.
• audit findings.

Bills: SB152, SB145, SB190, HB247

Keywords: telecommunications, low-income assistance, lifeline, broadband, rural broadband, universal service fund, public regulation commission, PRC, 911 surcharge, telecommunications relay service, VoIP, mobile service, internet affordability, digital equity, digital inclusion, rural internet, broadband infrastructure, eligible telecommunications carrier, ETC, tribal consent