Transcript Highlights:

• the profession, to ensure that our lawyers are practicing at the very highest levels of ethical standards
• the profession, to ensure that our lawyers are practicing at the very highest levels of ethical standards
• the profession, to ensure that our lawyers are practicing at the very highest levels of ethical standards
• It includes technology to ensure that we are practicing at the highest standards and are up to speed

Summary: The Civil Justice and Claims Subcommittee met with a quorum and took up House Bill 413, relating to attorney’s fees, suit money, and costs in family law cases. Representative Gottlieb explained that the bill and strike-all amendment were intended to promote fairness, create more uniformity across circuits, expand judicial discretion in awarding fees, and strengthen enforcement language. Members discussed how the amendment’s reference to good-faith settlement offers would apply only after trial in fee determinations, not during the trial itself. Jamie Epstein of the Florida Bar’s Family Law Section supported the measure overall, saying it would improve consistency and deter bad-faith litigation, but noted concern about one paragraph creating a presumption of entitlement to fees in contempt actions. The committee adopted the strike-all amendment and then passed HB 413 favorably as amended by a 13-0 vote. Chair Koster said the bill would provide needed clarification in family law practice and help parties litigate more professionally and amicably. After the vote, the committee heard a presentation from Florida Bar President Sayah Baker Barnes on the Florida Bar’s role and the impact of artificial intelligence on the legal profession. Baker Barnes described the Florida Bar as an arm of the Florida Supreme Court responsible for regulating lawyers, protecting the public, handling discipline, reimbursing some victims of lawyer theft through the client security fund, and providing continuing legal education. She said AI use among lawyers has grown rapidly and that the Bar has created committees, guidance, and an ethics opinion to help lawyers use AI responsibly. She emphasized that lawyers remain responsible for the accuracy of AI-generated citations and work product, noted that Florida courts have already disciplined lawyers and a pro se litigant for fake AI-generated citations, and discussed confidentiality, privilege, and deepfake concerns. Members asked about protecting client information and finding best-practice resources, and she directed them to the Bar’s LegalFuel site and AI guidance materials. The meeting then adjourned.

Transcript Highlights:

• **Madam Chair**, Colin, is that kind of a nationwide standard?
• This is my last Question, but I appreciate you answering that because I thought we were trying to standardize
• Or Medicaid, Medicare, or any other type of coverage that meets basic standards.
• That ensures that all of their eligibility and enrollment processes are meeting high federal standards

Committee: Senate Senate Health & Public Affairs

Transcript Highlights:

• We have kystandards.org, which houses all of our standards documents, professional learning resources
• houses<00:09:55.440><c> all</c><00:09:55.600><c> of</c><00:09:55.680><c> our</c><00:09:55.920><c> standards
• </c><00:09:56.320><c> documents,</c> houses all of our standards documents, houses all of our standards

Keywords: This live stream stopped early and will be uploaded as a complete video later today or tomorrow morning., 958, all

Summary: The committee first considered a pulled contract involving the Department of Education and heard from KDE staff Karen Worth, Matthew Courtney, and later Mickey Ray Marinelli. Members asked about contract 42, which related to the 21st Century Community Learning Centers program and broader federal budget uncertainty. KDE explained that the program is forward-funded, so current-year and next-school-year funding were secure, but future funding remained unclear because federal decisions were still in flux. Members asked to be kept informed of any changes and expressed support for the program. The committee then discussed contract 43, a $105,000 general fund agreement for a communications/digital media consultant. KDE said the position was created to help increase awareness of resources for district staff, administrators, and teachers, including Read to Succeed, numeracy, MTSS, website usability, standards resources, and the Kentucky Learning Hub. Members questioned why the work was being routed through the Green River Co-op, whether the role was new, how long it had been vacant, how many similar positions existed, and whether the work amounted to internal marketing. KDE said the selected employee was coming from Thomas More University, the position had existed for about one year, the vacancy had been less than six months, and the role was intended to improve communication and online resources. Some members voiced concern about growing administrative spending and whether more positions were needed. Both contracts were ultimately approved as reviewed without objection after motions, seconds, and roll-call votes. The committee then announced that the September 25 meeting would instead be held on Tuesday, September 9 at 9:00 a.m., and adjourned after a motion.

Transcript Highlights:

• jurisdictional issues, fees for state regulation, as well as remedies for contract breaches, as well as standard
• As well as standard operating procedures. Next slide, please.
• compliance with our compact state, EQC properties are committed to going above and beyond the minimum standards
• And beyond the minimum standards. Next slide.

Summary: A joint hearing of the Senate Business, Financial Services and Trade Committee and the House State Government and Tribal Relations Committee was held on an amendment to the Puyallup Tribe of Indians Gaming Compact. The Washington State Gambling Commission and Puyallup Tribal representatives described the compact as a restatement of the tribe’s 1996 agreement, updated to reflect prior amendments and current gaming operations. Commission staff outlined several changes, including authorization for electronic table games, extension of credit with customer-protection safeguards, removal of per-facility limits, changes to wager limits, a stepped increase in the tribe’s player-terminal allocation, and new licensing/eligibility/registration and definitions appendices. They also noted added provisions on responsible gaming, non-smoking areas if smoking is offered, emergency-services access, and community commitments. Puyallup Tribal leaders gave extensive testimony on how gaming revenue has supported tribal self-governance, cultural preservation, education, housing, health care, elder services, youth programs, environmental protection, and charitable giving. They said gaming revenue has funded tribal facilities, a school, a longhouse, housing projects, a funeral home, health and behavioral health services, substance-use treatment, and donations to nonprofits and local public health efforts. Tribal economic development staff also described diversification efforts funded by gaming, including businesses in hospitality, fuel, construction, manufacturing, logistics, and a planned terminal partnership with the Northwest Seaport Alliance. The casino CEO emphasized responsible gaming, compliance, self-exclusion tools, staff training, and a problem-gambling campaign. Committee members asked about the compact negotiation process and the state’s interests. Gambling Commission staff explained that compact changes are negotiated under the Indian Gaming Regulatory Act, with the governor’s office, commissioners, and ex officio members providing policy input, and that the current hearing was required within 30 days of completion of the state process. Staff said the commission would hold a public meeting on Thursday to take comment and then vote whether to forward the restated compact to the governor or return it for further negotiation. No public testimony was signed up at the hearing, and no vote was taken by the legislative committees.

Transcript Highlights:

• are required, but this has shown over the years to be inefficient and not in line with national standards
• evaluations to two will result in better use of evaluator time and bring Nevada in line with national standards
• evaluations to two will result in better use of evaluator time and bring Nevada in line with national standards
• evaluations to two will result in better use of evaluator time and bring Nevada in line with national standards

Bills: SB60 , SB85 , SB323 , SB309 , SB465

Committee: Assembly Judiciary

Keywords: elderly, vulnerable persons, criminal penalties, theft, civil penalties, criminal justice reform, traffic stops, law enforcement, data recording, public safety, racial profiling, SB323, Nevada, Department of Corrections, offenders, inmates, incarcerated people, prison phone calls, free phone calls, family communication

Transcript Highlights:

• only jeopardizes the health and recovery of these animals, but also undermines the professional standards
• that have been established in... ...standards that have been established in the field by the International
• Is that the standard that was in the... Is that the standard that was in the regulation? 6 months?

Bills: HB448 , HB448

Committee: House Agriculture and Forestry

Keywords: wildlife rehabilitation, conservation, good samaritan, injured animals, orphaned animals, debilitated wildlife, wild birds, wild animals, Department of Conservation and Natural Resources, DCNR, permit exemption, animal rescue, animal welfare, veterinary medicine, veterinary licensing, animal cruelty, wildlife care, rehabilitation act, non-federally protected species, endangered species

Transcript Highlights:

• These improvements will ensure the facility is fully accessible and compliant with ADA standards, offering
• /c><00:04:01.360><c> ADA</c> accessible and compliant with ADA accessible and compliant with ADA standards
• offering</c><00:04:03.519><c> a</c><00:04:03.760><c> better</c><00:04:04.080><c> experience</c> standards
• , offering a better experience standards, offering a better experience for<00:04:05.120><c> all</c><00

Keywords: 1189, house, all

Summary: The Long Range Capital Planning and Utilization Committee met to approve the February 24 minutes and complete committee organization by confirming Senator Maki as vice chair. The committee then considered several Department of Safety and Department of Transportation lease requests, along with an informational report from the New Hampshire Council on Resources and Development. The Department of Safety sought approval for a 15-year lease at 17 Freetown Road in Raymond to relocate DMV operations from Epping. The department said the move was needed because the Epping site had limited parking and inadequate interior space, and that the longer lease was justified by fit-up costs and the need to ensure ADA-compliant accessibility. Members asked about fit-up costs and future DMV space needs, and the request was approved. The Department of Transportation presented a lease for JCB LLC for a private, non-commercial dock and pedestrian at-grade crossing on the Concord-to-Lincoln railroad corridor in Belmont. Members discussed the private nature of the dock, the role of DEIS approval, and the annual lease fee, which was read into the record before the request was approved. The committee then approved a bundled request covering 18 similar dock and mooring lease renewals in Belmont, Meredith, and Laconia, with discussion focused on the renewal process, waiver of administrative fees, and the standardized lease costs. The Council on Resources and Development item was informational only and required no action. The committee set its next meeting for June 30 at 9:30 a.m. and then adjourned.

Transcript Highlights:

• So in earlier this year, uh, the National Fire Protection Association Standards Council, OK, that's a
• Because Texas uses NFPA fire code standards, this mandate will most likely be adopted by all jurisdictions
• However, states have the authority to dictate which fire provision standards are adopted in their own
• HUD code compliant manufactured home, even though these homes are built to strict federal safety standards

Committee: House Land & Resource Management

Transcript Highlights:

• And also, most importantly, we're kind of aligning with the federal standard and FARA that already exists
• And the amendment seeks to align us with those standards and not inadvertently catching some operations
• It's sort of a benchmark standard that's nationally recognized. ...not inadvertently catching some operations
• And so it's sort of a benchmark standard that's nationally recognized. Okay, thank you.

Summary: The Appropriations Committee on Transportation, Tourism, and Economic Development considered a full agenda of transportation, economic development, housing, emergency services, and specialty license plate bills. Several measures were explained and advanced without opposition, including the Department of Transportation agency bill (CS/CS/SB 1662), a Purple Heart toll exemption bill (CS/SB 574), a Florida Highway Patrol specialty plate bill (CS/SB 824), a construction disruption assistance loan program for small businesses (CS/CS/SB 324), a manufactured housing assistance bill for local housing plans (CS/SB 1714), a foreign agents registration bill (CS/CS/SB 766), military academy specialty plates (CS/SB 1024), a Safe Coastal Wildlife specialty plate (CS/SB 1246), an emergency services warning-light bill (CS/SB 1644), the Florida Wildflower specialty plate (SB 1152), and a toll exemption bill for 100% disabled veterans and Purple Heart recipients (CS/SB 532). The committee adopted amendments on several bills. On CS/CS/SB 1662, Senator Collins’ strike-all amendment made a range of DOT-related changes, including the Florida Transportation Academy, seaport and airport accountability provisions, and allowing cranes to move under special blanket permits at night. On CS/CS/SB 324, the committee adopted a delete-everything amendment and a further amendment removing liability language; the bill would create a revolving loan program for small businesses harmed by public works construction, with members raising concerns about eligibility, verification of losses, and public records issues for financial documents. On CS/SB 766, an amendment clarified definitions and aligned the bill with federal FARA standards, including a 20% beneficial ownership threshold. On CS/SB 532, an amendment added Purple Heart recipients to the toll exemption. Testimony and debate were generally supportive, with several outside witnesses appearing in favor of the bills, including Florida PBA, the Florida Manufactured Homeowners Federation, the Florida Manufactured Housing Association, the Center for Security Policy, and the Florida Wildflower Foundation. Members highlighted constituent impacts and policy concerns on a few measures, especially the construction disruption loan bill and the disabled veteran toll exemption, where some senators suggested narrowing the scope or adding protections. All bills considered were reported favorably, and senators later requested to be recorded as voting in the affirmative on selected tabs before the committee adjourned.

Transcript Highlights:

• CERTIFICATE PATHWAYS, THE EFFECTIVENESS OF APPRENTICESHIP PROGRAMS ANALYZING CURRENT CERTIFICATION STANDARDS
• YOUR BILL, THE AMENDMENT EVERYTHING NOW TALKS ABOUT A STANDARD MONITORING TOOL.
• THE INTENT EVERYBODY USE IT BUT IT WASN'T CLEAR SO WE ARE MAKING IT CLEAR OUR INTENT WAS TO USE STANDARD
• I THINK HE DOESN'T REPRESENT OUR STANDARDS OF EXCELLENCE HER EDUCATION AND WHAT WE ARE TRYING TO DO OVERALL

Keywords: 999, senate, all

Transcript Highlights:

• applicants for the Kentucky Employee Child Care Assistance Program to access, view, and download the standardized
• download</c><00:01:43.600><c> the</c> to access View and download the to access View and download the standardized
• <00:01:44.439><c> agreement</c><00:01:45.200><c> required</c><00:01:45.600><c> for</c> standardized agreement
• required for standardized agreement required for participation<00:01:46.320><c> in</c><00:01:46.479>

Keywords: This meeting will take place upon Recess of the Senate Chambers. There is not an exact time for this meeting therefore a placeholder time for the live stream has been set for 1:00PM est. Roll Call - 00:03 Discussion on HB 508 – 00:34 Vote on HB 508 – 03:52 Discussion on 805 – 05:00 Vote on HB 805 -09:38, 958, all

Summary: The committee met with a quorum and first adopted a Senate committee substitute covering House Bills 718 and 194, then heard testimony on House Bill 508, House Bill 805, and the committee substitute for Senate Bill 111. HB 508 would let applicants for the Kentucky Employee Child Care Assistance Program view and download the required agreement and submit it by mail, email, or online, codifying a change the Cabinet for Health and Family Services had already agreed to make. The child-protection portion of the committee substitute would require animal control officers to receive training to identify child abuse and neglect, with the sponsor saying the training materials would be provided at no cost to local governments. For HB 805, the sponsor said the committee substitute mainly cleans up last year’s juvenile justice legislation, including changing “plaintiff” to “victim,” narrowing language on confidentiality of juvenile records when information is disclosed in a civil suit, and changing a status offender provision from mandatory to discretionary charging for escape when absent without leave from a DJJ facility. The bill also incorporates “Baby Maya’s Bill,” requiring the Cabinet to physically locate a child within a set time and, in certain cases involving prior removals, contact law enforcement if the child cannot be found. A committee member asked whether the changes would affect public access to records for juveniles transferred to circuit court on felony charges, and the sponsor said they would not. The committee then voted on HB 805 as amended by the committee substitute and passed it 7-0 with favorable expression. A title amendment was also adopted. After brief thanks and comments from members, the committee adjourned.

Transcript Highlights:

• Standard & Poor's, which was the... predominant rating agency at the time for MUDs, upgraded their entire
• infrastructure, because a mud can only reimburse a developer for a project that conforms to all applicable standards
• It does not design facilities to their own standards.
• They're building the road to the county's standards. I'll tell y'all more later.

Bills: HB23 , HB363 , HB447 , HB954 , HB23

Committee: House Land & Resource Management

Keywords: third-party review, property development, local government, permits, construction inspection, regulatory authority, land development, liability, occupancy certificate, municipal utility district, petition, county clerk, water code, Texas Commission on Environmental Quality, traffic impact studies, bonds, road projects, eminent domain, extraterritorial jurisdiction, county authority

Transcript Highlights:

• So right now, we have a standard-issued license plate, which is the typical red, white, and blue, and
• does, in an agreement with the Idaho Heritage Trust Fund, is remove that 50-cent fee that is on all standard
• The Idaho Heritage Trust Fund will have their own instead of every single user that has a standard plate

Summary: The House Ways and Means Committee approved the minutes from February 25 and February 27, then considered and introduced several RS measures. Representative Manwaring presented RS-33619, a cleanup/replacement for a fast stablecoin proposal that clarifies the State Treasurer’s authority and removes references to the State Controller; it was introduced after a brief correction to the statement of purpose. Representative Skaug presented RS-33593, which would allow the attorney general or private parties to bring lawsuits over secret social transitioning of children without parental knowledge; the motion passed, with Representatives Rubel, Birch, and Church recorded as nays. Representative Raymond’s RS-33581, dealing with county fair boards and the population threshold that can make them advisory only, was also introduced. Representative Scott presented RS-3355-5, a major overhaul of Idaho custody law from the child custody task force. The proposal would establish legislative findings on parenting rights, create a presumption of substantially equal parenting time, require evidentiary hearings before restrictions in contested cases, set limits on temporary and ex parte custody orders, require restoration plans, protect parental access to records, tighten standards for supervised visitation, and limit court-ordered professionals to advisory roles. Members asked about judicial feedback and evidentiary standards; Scott said the bill had been discussed with judges, the Supreme Court, lawyers, prosecutors, parents, and law enforcement, and that some questions would be answered later. The motion to introduce passed. The committee also introduced RS 33590, a rules-related resolution for the Department of Commerce and Division of Veterans Services, and then shifted to Representative Ehlers’ measures. RS 33598 would remove a 50-cent fee from standard license plates tied to the Idaho Heritage Trust Fund and create a new America 250 specialty plate. RS 33607 would implement a task force recommendation by moving regulatory duties from agricultural commissions to the State Department of Agriculture, including the Honey Commission. Both were introduced, and the committee adjourned after noting more RS items may be coming.

Transcript Highlights:

• Boarding homes are usually regulated locally, but not all the municipalities have adopted HHSC standards
• 1681 would require local governments regulating boarding homes to report to HHEC their facility standards
• , residential accommodations, closures, municipality support, and any updates to standards, and there

Bills: SB 2041 , SB 1777 , SB 1681 , SB 2311

Committee: House Human Services

Keywords: child welfare, foster care, Department of Family and Protective Services, DFPS, Family Code, conservatorship, placement selection, contract residential care, kinship care, relative placement, designated caregiver, best interest of the child, least restrictive setting, placement stability, child protective services, residential treatment, group home, family reunification, Texas foster system, residential care

Transcript Highlights:

• SECTION 120 52 SUB 20 WHICH WOULD BE AN UNADOPTED RULE IF IT DOES RISE TO THE LEVEL OF PROVIDING STANDARD
• SENATE BILL ENSURES THAT STATE HEALTH INSURANCE PLANS COVER STANDARD FERTILITY PRESERVATION SERVICES
• AND IT MANDATES COVERAGE IN THE STATE GROUP INSURANCE FOR STANDARD FERTILITY PRESERVATION SERVICES SPECIFICALLY

Keywords: 999, senate, all

Transcript Highlights:

• requirements, establish<00:09:57.840><c> route</c><00:09:58.080><c> safety</c><00:09:58.440><c> standards
• ,</c><00:09:58.960><c> pick</c> establish route safety standards, pick establish route safety standards
• ,<00:17:30.640><c> clarifying</c><00:17:31.240><c> exemptions</c><00:17:31.920><c> from</c> standards
• , clarifying exemptions from standards, clarifying exemptions from vendor<00:17:32.360><c> criteria,<
• ,</c> with the current federal standards, with the current federal standards, revising<00:17:54.760><

Keywords: 0:06 - Roll Call 0:30 - Approval of Minutes 0:45 - OFFICE OF THE ATTORNEY GENERAL 2:08 - FINANCE AND ADMINISTRATION CABINET - OFFICE OF THE CONTROLLER 2:55 - BOARD OF DENTISTRY 5:30 - BOARD OF OPHTHALMIC DISPENSERS 7:30 - BOARD OF NURSING 8:32 - BOARD OF EMERGENCY MEDICAL SERVICES 9:30 - EDUCATION AND LABOR CABINET - DEPARTMENT OF EDUCATION, OFFICE OF DISTRICT SUPPORT SERVICES 15:35 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH 18:44 - CABINET FOR HEALTH AND FAMILY SERVICES, OFFICE OF THE INSPECTOR GENERAL, HEALTH SERVICES AND FACILITIES 23:39 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES 1:01:46 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH, OFFICE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS 1:03:46 - Next meeting/adjournment, 958, all

Summary: The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute. The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set. The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students. The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.

Transcript Highlights:

• This gives us uniform standards across the state. It's a positive bill.
• It's something that we should all support to help our small businesses, to bring uniform standards forward
• This gives us uniform standards across the state. It's a positive bill.
• Senate Bill 573, establishing certification standards for certified public safety comfort dogs.
• operational standards for the recovery operational standards for the recovery residences. residences.

Keywords: 1191, senate, all

Transcript Highlights:

• It standardizes the timeline for citizenship verification to determine Medicaid eligibility.
• So how exactly do we hold people to that standard when we have ICE agents that's waiting for them at
• So how exactly do we hold people to that standard when we have ICE agents that's waiting for them at
• Federal standards.
• As it relates to the bill itself, we have taken many aspects from federal standards and from other states

Committee: House Health and Welfare

Summary: The committee first heard SB 145, which would require adult residential care providers, especially assisted living centers, to have generators or other backup power arrangements and to submit preparedness plans to LDH. After technical amendments and testimony from the sponsor, LDH, and the assisted living industry clarifying the bill’s scope and cost concerns, the committee adopted the amendments and reported the bill favorably. It then took up SB 433, which would require Medicaid coverage of medically necessary FDA-approved weight loss drugs, including GLP-1 medications, subject to appropriations and fiscally sustainable coverage criteria; the bill was reported favorably after discussion of current Medicaid coverage and costs. The committee also approved SB 52, which requires better coordination between DCFS and LDH so SNAP and Medicaid benefits can follow children more quickly when they are removed from or returned to a home. Technical amendments changed reporting deadlines and required written notice, and the bill was reported favorably. SB 4 on public water fluoridation was amended to allow local governments or voters to opt out through a petition and election process, with support from the Louisiana Dental Association and others after compromise language was adopted; it was reported favorably with amendments. SB 152, which would prohibit the sale of cultured or lab-grown food products for human consumption, was also reported favorably with amendments after brief testimony in support and opposition. The committee next approved SCR 37, which asks the Surgeon General to review Louisiana’s informed consent laws and report back on any gaps, after discussion that the existing medical disclosure panel had not met since 2018. It then considered SB 194, a public assistance bill aligning Louisiana Medicaid and SNAP rules with recent federal changes on non-citizen eligibility and tightening Medicaid’s reasonable opportunity period for citizenship verification. After extensive debate over immigration, emergency care, and whether the bill could harm eligible applicants or rural hospitals, the committee adopted an amendment allowing LDH discretion for emergency health care services and reported the bill favorably by an 8-3 vote. Finally, HCR 113 created a task force to study gestational carrier agreements and assisted reproductive regulation; after debate over surrogacy, ethics, and referral to Civil Law, the committee rejected the referral motion and then reported the resolution favorably, and the meeting moved on to SB 333 on child-in-need-of-care proceedings and legal representation funding.

Transcript Highlights:

• Our 2025 session, we passed Senate Bill 202 and set a national standard in state-level regulation of
• Our 2025 session, we passed Senate Bill 202 and set a national standard in state-level regulation of
• The provisional license is similar to a standard concealed carry license.
• </c><01:05:56.640><c> The</c> standard concealed carry license.
• The standard concealed carry license.

Keywords: 958, all

Transcript Highlights:

• Regular review ensures mandates align with current evidence-based standards of care.
• We use standards from specialty organizations, and then we use current medical literature as well.
• Things that were problematic that are in the mandates that are not necessarily aligned with standards
• And review of proposals and establishing the standards for those actuarial reports.
• The first one is: are there fundamental standards you think our health care system needs to have, our

Keywords: 908, all

Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.