Transcript Highlights:

• It also requires the governor, providing each budget, for the reappropriation of the unused balance of
• A provision has also been added that provides that proprietary information provided to the insurance
• This rule would provide regulation of mortgage lenders, brokers, and other services.
• This House bill provides a 12 million... that it do pass. Question is on the motion.
• This House bill provides a $12 million funding stream for emergency medical services providers in the

Committee: Senate Finance

Keywords: 994, senate, all

Transcript Highlights:

• </c><00:11:32.360><c> that</c> all different types of providers that all different types of providers
• </c><00:14:29.279><c> on</c> these four that we provide on these four that we provide on optional<00:
• </c><00:37:30.599><c> for</c> size because they have to provide for size because they have to provide
• </c> think part of that is because we provide think part of that is because we provide coverage<00:43
• Could you provide us with a list of the things that schools can provide services for?

Keywords: 928, house, all

Summary: The House Finance Division III held an informational hearing on Medicaid, Medicare, Choices for Independence, and related financing, while postponing nursing facility financing and the county cap discussion to a later date. DHHS officials Ann Landry, Jonathan Ballard, and Medicaid Director Henry Litman provided an overview of Medicaid’s role, noting it is a federal-state partnership with state-specific eligibility and benefits, and emphasizing that Medicaid is a major funding and programmatic support for other DHHS initiatives. They also distinguished Medicaid from Medicare and explained that Medicaid funding is not the same as grant funding, though some providers may also receive federal grants through other channels. The presentation focused on New Hampshire’s relatively small Medicaid program and why it differs from national averages. Officials said about 184,000 residents are covered, roughly one in seven Granite Staters compared with one in five nationally, and attributed the difference largely to the state’s higher per-capita income and older population. They highlighted that about 65% of Medicaid-enrolled adults in New Hampshire are working, that only 22% of births are covered by Medicaid versus 42% nationally, and that the state’s uninsured rate is lower than the national rate. Members asked about covered services, income limits, federal matching rates, and the names of optional eligibility groups; staff explained that New Hampshire offers the optional groups discussed, with matching rates varying by category, including 90% for Granite Advantage and certain other groups, and 65% for children above the required level. A substantial portion of the hearing covered eligibility rules and recent policy changes. Officials reviewed the history of Medicaid, including HCBS waivers, the CFI program, Katie Beckett, the Olmstead decision, the ACA, and the end of continuous enrollment after the public health emergency. They also discussed the 2023 legislative expansion of postpartum coverage from 60 days to 12 months and child eligibility changes. In response to questions, DHHS said it is tracking utilization and costs for the postpartum expansion and reported that many maternal deaths occur after the prior 60-day coverage period, often involving substance use disorder or suicide; they said the longer coverage is intended to improve access to treatment and prevention. The committee also walked through household-income examples, clarified that Medicaid eligibility is based on household income and categorical rules, and confirmed that Granite Advantage ends at 138% of the federal poverty level unless another categorical basis applies. No votes were taken, and the hearing remained informational.

Transcript Highlights:

• for mandatory reporting of medical information claims data; to provide for rulemaking; to provide for
• and data protections; to provide for public records exceptions; to provide definitions; to provide for
• and care provided to them.
• retaliatory actions, to provide definitions, to provide for civil remedies, and to provide for related
• Actions to provide definitions, to provide for civil remedies, and to provide for related matters.

Committee: House Labor & Industrial Relations

Keywords: 965, house, all

Summary: The committee first took up Senate Bill 408 by Senator Myers, a workers’ compensation overhaul creating an all-claims medical database, requiring electronic reporting and billing, and setting up confidentiality, rulemaking, and penalties. Senator Myers said the bill was meant to modernize a paper-based system, speed injured workers back to care and work, reduce disputes through a more predictable fee schedule, address outliers and abuse, and generate reliable data for future fee-schedule decisions. Representative Melarine then offered a large amendment package combining portions of House Bills 780 and 1101 into SB 408, adding preliminary-determination procedures, changes to benefit durations, fraud language, and a deadline for the department to establish a fee schedule if no agreement is reached. Supporters said the package would create a more complete reform; opponents argued the additions were rushed, not germane, and would harm injured workers, especially those without lawyers, by adding technical filing burdens and stricter fraud consequences. After debate, the committee adopted the amendment package, then adopted a follow-up amendment removing the word “potential” from a fines provision and deleting the fraud section, and finally reported SB 408 with amendments on a divided vote. Testimony on SB 408 was sharply split. Proponents, including Alton Ashy and Trey Mustian, argued the bill’s transparency and data-collection provisions were the most important part, that the system needs a modern fee schedule, and that the added reforms would help control costs and speed payment. Opponents, including Shannon Lindsay and another injured-worker advocate, said the original bill was a good compromise but the added provisions changed its character and would disadvantage pro se claimants, remove materiality from fraud law, and reduce benefits for seriously injured workers. Committee members also questioned the timeline for the database and fee schedule, the effect of historical data gaps, and whether the reforms would help employers and injured workers alike. The committee ultimately agreed the bill still contained its core goals of faster care, predictable fees, anti-abuse measures, and modernization. The committee then moved to House Bill 585 by Representative Chasson, a workplace-violence/safety measure for small-box discount retailers. Chasson explained that the bill had been narrowed to require retailers to submit an existing written workforce safety plan, or develop one if they do not already have one, with no penalties attached. The committee adopted a substitute bill incorporating prior amendments. Representative Glorioso noted continuing concerns about civil-liability implications and the duty to protect against third-party criminal acts, but the bill was advanced from committee after the substitute was adopted.

Transcript Highlights:

• We are an emergency shelter provider, but as an emergency shelter provider, we're working toward the
• The place is also an access-approved behavioral health provider.
• And... approved behavioral health provider.
• So the repayment would be coming back from medical providers?
• So if there's money to be recovered, it's sitting in these health care providers.

Committee: Senate Senate Health and Human Services COR

Summary: The committee first approved the March 11 minutes and heard a presentation from Nathan Smith, CEO of Central Arizona Shelter Services, on homelessness in Maricopa County. He described rising homelessness, especially among older adults, and said CASS uses low-barrier emergency shelter, family shelter, and an older-adult shelter with case management, behavioral health services, and partnerships with outside groups for food, banking, digital access, and other supports. Members asked about collaborations with mutual aid groups and about point-in-time data, and Smith said the county data could be drilled down through AZMAG. The committee then moved to legislation. HB 2248, the Arizona Medical Freedom Act, would bar businesses, schools, and government entities from denying services or employment based on medical interventions, with an amendment allowing schools to limit access during outbreaks or for certain infections. Supporters framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would undermine employers’ ability to prevent disease spread. The committee adopted the amendment and gave the bill a due pass recommendation on a 4-3 vote. HB 2906, requiring one dental board member to be an active oral and maxillofacial surgeon, passed unanimously after testimony that the board needs surgical expertise for complex cases and anesthesia oversight. HB 2189, directing the Nursing Board to adopt rules for licensed health aides and routine ventilator care, also passed with an amendment and a 6-0 vote. HB 2403 appropriates $2.5 million in FY2027 for home and community-based services providers for elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers, whose wages have lagged for years, and argued home care is cheaper than hospitalization or institutional care; the bill passed 6-0. HB 2731 continued the Physician Assistant Board to 2030 and passed with a technical amendment, and HB 2730 continued the Occupational Therapy Board and passed as well. HB 2729 continued the Nursing Board to 2030; the board said it regulates about 150,000 licensees and handles thousands of complaints annually, and the bill passed 6-0. HB 2728 continued the Department of Economic Security and incorporated several previously vetoed policy provisions affecting SNAP, unemployment, and eligibility/redetermination rules. Speakers in opposition said it would make benefits harder to access and turn a continuation bill into a vehicle for controversial policy changes, while supporters argued it was part of the legislature’s oversight role. The bill passed 4-3. The committee also adopted a strike-everything amendment to HB 2048, which limits utilization controls on FDA-approved non-opioid pain medications relative to opioids; supporters said it would improve access to non-opioid pain treatment and reduce opioid harm, while opponents warned it would bypass clinical review and raise costs. HB 2048 passed 4-3. Finally, HCR 2058 would require a comprehensive claim-level audit of Arizona Medicaid claims and direct recovery efforts for misappropriated funds; supporters said it could recover significant overpayments, while opponents questioned its incentives and overlap with existing oversight. The resolution passed 4-3, and the committee adjourned.

Transcript Highlights:

• and provide these resources.
• and provide these resources.
• and provide these resources.
• Eliminating the providers.
• providers and providers healthcare providers and specifically<01:15:22.239><c> this</c><01:15:22.480

Bills: SB2275 , SB2390 , SB2540 , SB3142 , SB2414 , SB2340 , SB2848

Committee: House Health

Keywords: Medicaid, disability, buy-in program, workers with disabilities, income eligibility, premium structure, biomarker testing, health insurance, medical coverage, state law, health maintenance organization, juvenile justice, youth penalties, minors, court fees, court costs, fines, surcharges, restitution, fee waiver

Summary: The House Committee on Health heard testimony on a series of bills related to public health, pharmacy regulation, disability access, and health care infrastructure. HB 1535, creating an income tax credit for automated external defibrillator installations, drew support from the Department of Health, tax department comments, and public testimony emphasizing AED access in community and transit settings. HB 1765, requiring safety warnings for spear fishing gear, received comments from DLNR and strong support from a free-diving safety advocate who described blackout risks and argued for point-of-sale warnings. HB 1549, which would repeal the law prohibiting drug paraphernalia, drew mixed testimony: the Department of Health, the Public Defender, and harm-reduction advocates supported repeal as a public health measure, while HPD and a county prosecutor opposed it, warning it could encourage drug use and create public safety issues. The committee also heard HB 1550, which would exclude drug testing products from the definition of drug paraphernalia. The Department of Health and harm-reduction advocates supported the bill, saying drug checking tools save lives and help prevent overdoses, while one written opponent was noted. HB 1995, allowing people who are blind or deaf to receive disabled parking permits, drew opposition from the State Council on Developmental Disabilities, the Disability and Communication Access Board, and other opponents, while a few written supporters were also noted. HB 1671, allowing licensed dental hygienists to place interim therapeutic restorations in public health settings, received support from the Department of Health and several oral health organizations, with the Board of Dentistry offering comments. HB 1643, establishing a framework for pharmacy audits and record retrieval, prompted the most extended discussion. The Board of Pharmacy and independent pharmacy representatives supported the bill as a needed framework to limit burdensome audits and protect patient care, while HMSA raised concerns about possible conflicts with upcoming federal PBM reforms and potential unintended consequences. Committee members questioned both sides about timing and workload, and supporters argued the bill was needed now to protect rural and independent pharmacies. Finally, HB 1978, appropriating funds for a new outpatient care center in North Kona, received strong support from Hawaii Health Systems Corporation, Queen’s Health Systems, the Kona-Kohala Chamber, and others, who described it as a long-term investment in West Hawaii’s health care capacity and economy. No votes or final actions were taken in the portion of the hearing provided.

Transcript Highlights:

• What ODG would provide is an easier way in the office for a provider to say, okay, well, I need to do
• to paid leave for living organ donors, to provide for legislative purpose, to provide for legislative
• intent, to provide relative to eligibility, to provide for verification procedures by employers, to
• employers, to provide relative to definitions, and to provide related matters.
• for enforcement, to provide for relief and penalties, and to provide for related matters.

Summary: The House Labor and Industrial Relations Committee met on May 7, 2026, and first deferred several measures, including House Bill 460, Senate Bill 322, Senate Bill 32, Senate Bill 22, and House Bill 561. The committee then took up House Bill 819 by Chairman Cruz, which would replace Louisiana’s current workers’ compensation medical treatment schedule with the Official Disability Guidelines (ODG) by MCG as the primary guideline, while keeping the existing variance and appeal process. Cruz and MCG representative Troy Prevo argued that ODG is more comprehensive, updated more frequently, and used in many states, and said it could reduce delays, disability duration, and costs. Dr. Jason Picard, the state medical director, testified that Louisiana already uses ODG as a secondary reference in many cases because the state schedule lacks coverage for some body parts and treatments, and said the bill would not otherwise change the appeals process or care delivery. Committee members focused heavily on whether the bill would delay care or improve it. Several members questioned the private-company nature of ODG, the $400 annual subscription cost, and whether Louisiana doctors would be forced to rely on an out-of-state guideline. Rep. Glorioso and others raised concerns about preauthorization delays and proposed amendments to create tacit approval when treatment follows the schedule, require payment within 30 days, and make the carrier prove by clear and convincing evidence that care was not medically necessary to challenge it. Chairman Cruz said he was willing to work with those ideas, and the committee also discussed adding an on-ramp or legacy language so current patients would not be disrupted. Opposition testimony came from injured-worker advocates and representatives of medical and labor groups, including Joseph Jola St. and Robin Krumholt. They argued that Louisiana’s current guidelines are already working, that rates have fallen over time, and that the real problem is delay in approval rather than the content of the schedule. They said ODG is overly rigid, cost-driven, and can lead to denials that shift costs to workers, Medicaid, or private health insurance. They urged the committee to keep Louisiana’s existing system and instead adopt tacit approval under current law. The bill was still under discussion at the close of the transcript, with amendments being read and no final vote shown.

Transcript Highlights:

• ... ...medical providers, how many doctors, nurse practitioners, physician assistants are providing care
• You've got your providers, but for every provider it seems like there's eight administrators, doing the
• It makes our health care providers and those that want to come into our state and provide health care
• It makes our health care providers and those that want to come into our state and provide health care
• If the only lever we have right now is provider cuts, provider rate cuts, that's the only thing we have

Summary: The committee primarily considered House Bill 440, which would move Medicaid expansion language from the Oklahoma Constitution into state statute and send the change to voters in a special election. Supporters argued this would give the Legislature flexibility to manage the program, especially if federal Medicaid matching rates were reduced, and said it would help protect the state budget and allow future adjustments such as eligibility or work requirements. Opponents said the measure would weaken voter-approved constitutional protections, create uncertainty for more than 300,000 enrollees, rural hospitals, and providers, and could allow future cuts without another vote of the people. Members also discussed the possible fiscal impact of a federal match change from 90-10 to 60-40, with supporters saying the state could face roughly a billion-dollar annual cost and would need flexibility to avoid cuts to other services. Questions also focused on the choice of an August special election rather than the November general election, and on whether tribal governments and other stakeholders had been consulted. After debate, the committee tabled an amendment and passed House Bill 440 on a 14-2 vote. The committee then took up House Joint Resolution 1087, which would change the Avalon reimbursement program so the Legislature could manage funding levels and methodologies rather than being bound to the current structure. It passed 14-2. The committee also considered House Joint Resolution 1067, a trigger measure that would only appear on the November ballot if House Bill 440 failed in August; it would relieve the state of any obligation to fund Medicaid expansion for working adults if the federal match dropped below 90%. After adopting a committee substitute and tabling an amendment, the resolution also passed 14-2. The committee then laid over H.J.R. 1089 and adjourned.

Transcript Highlights:

• </c> the last 25 plus years in providing the last 25 plus years in providing first<00:05:03.040><c> mortgage
• Thank you. more than 100 housing providers across more than 100 housing providers across the<00:14:21.199
• </c> vendors, guests, and service providers vendors, guests, and service providers who<00:26:35.760><
• </c> and social service partners providing and social service partners providing support<00:26:50.640
• </c> property means and, uh, and provides property means and, uh, and provides more<00:29:12.960><c>

Bills: HF3600 , HF3809 , HF3608

Committee: House Housing Finance and Policy

Keywords: housing, community land trusts, competitive development, development programs, Minnesota, HF3809, Minnesota eviction law, landlord-tenant, residential lease, minor child, children in eviction, eviction complaint, defendant prohibition, expedited eviction, expedited hearing, summary eviction, tenant protections, housing policy, civil penalty, nonwaivable lease terms

Transcript Highlights:

• </c><00:04:25.919><c> expenses</c> sections provide for transition expenses sections provide for transition
• And section five uh provides a year.
• </c> new language specifically providing new language specifically providing disclaimers<00:10:39.839
• Article two is all of the provided.
• ><c> if</c> information and provides requirements if information and provides requirements if bills<00

Committee: Senate Elections

Keywords: 1187, senate, all

Transcript Highlights:

• Through equipping and empowering our customers to provide goods and services to the state of Florida,
• They ensure that they manage their catalog of goods and services that provides the needs to the state
• Through equipping and empowering our customers to provide goods and services to the state of Florida,
• They ensure that they manage their catalog of goods and services that provides the needs, They ensure
• that they manage their catalog of goods and services that provides the needs to the state purchasing

Committee: Senate Governmental Oversight and Accountability

Summary: The Committee on Governmental Oversight and Accountability met with a quorum present and first took up SB 268, a public records exemption bill for public officers. Senator Brodeur explained the bill on behalf of Senator Jones, saying it would protect partial home addresses, phone numbers, and certain family information for the governor, cabinet members, and other elected officials because of threats and harassment against public servants. An amendment narrowing and clarifying the definition of public officer and the process for claiming the exemption was adopted without objection. Chair Fine and Senator Brodeur both spoke in support of the bill, citing personal experiences with threats and the need to protect officials and their families. CS for SB 268 was then reported favorably by roll call vote. The committee then heard a presentation from Brandon Spencer, Director of State Purchasing and Chief Procurement Officer at the Department of Management Services, on state agency procurement and contracting practices, including IT procurements. He described the state’s procurement structure, including state term contracts, alternate contract sources, and agency procurements, and said the division now manages more than 960 enterprise-wide agreements, with that number continuing to grow. He also highlighted that roughly 21% of purchase order spend is on IT services, discussed statutory requirements for IT procurements, and said the division is working with Florida Digital Service to improve oversight, training, vendor accountability, and procurement options. No committee action followed the presentation, and the meeting adjourned after no further business was raised.

Transcript Highlights:

• by a training provider, college, or other type of training provider, and then on-the-job training that
• by a training provider, college, or other type of training provider, and then on-the-job training that
• </c><00:08:27.120><c> technical</c> know given the name provides technical know given the name provides
• They um from... provides loan repayment for provides loan repayment for um<00:31:58.679><c> public</c
• </c><00:47:15.079><c> loan</c> program this program provides loan program this program provides loan

Committee: House Higher Education Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• </c><00:02:23.120><c> that</c> legislature's role in providing that legislature's role in providing that
• State agencies are responsible for doing that. provides early intervention programs for provides early
• </c><00:19:48.640><c> with</c> haven't necessarily been provided with haven't necessarily been provided
• </c> things but it certainly isn't provided things but it certainly isn't provided by<00:34:44.560><c
• management system we use it to provide management system we use it to provide information<00:38:44.960

Keywords: 1183, house

Transcript Highlights:

• That they cannot provide these services.
• I agree that we cannot require those providers to provide that care, or even do the referrals for that
• that providers ask for.
• The other is provider administrative burden.
• The other is provider administrative burden.

Committee: Senate Director Nominations

Keywords: 1182, all

Transcript Highlights:

• The first one is we know in underserved areas for all health care providers it's difficult.
• One is to provide that access and ensure that To do two things.
• The statute provides safeguards while preserving public access to complementary care.
• The statute provides safeguards while preserving public access to complementary.
• The statute provides safeguards while preserving public access to complementary care.

Summary: The joint sunset oversight hearing reviewed five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology, Audiology, and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each agency described its licensing, enforcement, modernization, and consumer-protection work since the last review, and committee members focused heavily on workforce access, public safety, transparency, and fee authority. For the Respiratory Care Board, the main issues were a possible move from an associate’s degree to a bachelor’s degree for licensure, fee structure changes, and ongoing work on LVNs performing respiratory tasks. Board representatives said the degree proposal was intended to strengthen competency and could be phased in without harming access, but several public commenters—especially respiratory therapists and families of medically fragile children—argued it would worsen shortages, particularly in rural and low-income areas. Other stakeholders supported clarifying LVN authority in congregate living health facilities, while the California Medical Association flagged the proposed Advanced Practice Respiratory Therapist classification as having limited current workforce impact. The interior design segment drew the most debate. CCIDC leaders defended the current voluntary certification/title-act model, saying it establishes competency, has produced minimal complaints, and that licensure would unnecessarily disrupt the workforce and create barriers without demonstrated public harm. Committee members questioned the lack of state-style enforcement authority, transparency, and Bagley-Keene compliance, and some public commenters criticized the private structure and inconsistent plan acceptance in local jurisdictions. Supporters of the current system said the certification and commercial designation help educate building officials and allow qualified designers to work safely, while opponents argued licensure would provide clearer accountability and reduce confusion. The speech-language pathology, audiology, and hearing aid dispensers board reported major modernization gains, including online licensure processing, faster turnaround times, and new continuing education audits and advertising rules. The board supported creating a licensed audiology assistant category to improve access to care, and public commenters generally backed the board while urging continued modernization. The occupational therapy board described steady growth, improved enforcement and licensing performance, and requested additional fee authority to address rising costs; the main public comment supported the sunset extension and a reduction in advanced practice hand therapy training hours. The naturopathic medicine board emphasized consumer protection, enforcement against unlicensed practice, and the need to clarify statutes; it said most licensed naturopathic doctors practice in underserved areas and welcomed legislative collaboration on scope and enforcement issues.

Transcript Highlights:

• to provide for related matters.
• , to provide for application to the department. ...to provide for certification requirements, to provide
• for application to the department, to provide for fees, to provide for penalties, and to provide for
• And the card provider often provides.” “Transaction.
• , to provide for suspension of penalties, to provide for a credit education program, to provide for license

Committee: House Commerce, Consumer Protection, and International Affairs

Summary: The House Committee on Commerce met on March 17, 2026, adopted its rules again because they had not been properly posted, and voluntarily deferred several bills before taking up the day’s agenda. The committee then moved through a series of commerce and financial services measures, with members repeatedly noting the bills had been worked on jointly by authors and stakeholders. HB 489, on transfer-on-death securities, was amended to make the transfer requirements mandatory and to remove a liability limitation for registering entities, then reported favorable. HB 545, which narrowed a consumer-loan bill to origination fees only, was amended and reported favorable. HB 555, expanding protections for eligible adults from financial exploitation, was amended with technical changes and an amendment from Rep. Boyd, then reported favorable after testimony from bankers and advocates describing scams targeting seniors and the need for delayed transactions, trusted contacts, and training. HB 797, creating the Bayou Gold Program, was amended to clarify electronic payment platforms and reported favorable after questions about state involvement, insurance, and consumer protections. HB 952, modernizing the consumer loan framework, was amended to a three-tier rate structure and to add ability-to-repay and disaster-relief provisions, then reported favorable. The committee also considered two economic development bills from Rep. Owen. HB 672 would encourage brick manufacturing in Louisiana; after an amendment changed LED’s role from directing a priority industry to allowing support through existing programs and guidance, the bill was reported favorable. Testimony emphasized Louisiana’s clay deposits, limited in-state brick production, and potential benefits for housing costs and jobs. HB 670, on wood pellet manufacturing, received a similar amendment limiting LED to support and guidance rather than mandates, and was also reported favorable. A consultant testified that a proposed North Louisiana pellet facility could generate significant payroll, local spending, and revenue from timber that is currently underused, while LED described the sector as part of the state’s agribusiness and energy strategy and discussed global demand, carbon footprint requirements, and the role of CCUS in attracting large projects. The discussion on HB 670 continued at the end of the transcript, with members probing how the industry works and how Louisiana could benefit from it.

Transcript Highlights:

• House Bill 2175 exempts providers of free durable medical equipment from retail sales and use tax for
• KC Help provides DME service at no cost to our clients.
• I can think of a few investments designed to provide a better rate of return. Thank you.
• It was just chosen that a six-month window, we would provide a six-month window to provide this existing
• , and professional learning is essential, not just optional for providing instruction.

Bills: HB2175 , HB2227 , HB2528 , HB2292 , HB2257 , HB2608

Committee: House Finance

Keywords: durable medical equipment, sales tax exemption, healthcare accessibility, cost reduction, nonprofit providers, affordable housing, real estate tax, exemption, housing policy, tax incentives, real estate excise tax, REET, growth management act, GMA, local government finance, capital facilities plan, comprehensive plan, county tax, city tax, voter approval

Transcript Highlights:

• I actually agree with much of the provider cuts.
• I think sometimes when we continue to cut from the providers, it... ...provider cuts.
• and it also will force some providers to get out.
• And I think that the... ...provider reimbursement. I agree.
• He concluded that was all he could provide on the budget.

Summary: The House Health and Welfare Committee approved the February 2, 2026 minutes and then introduced RS 33180, the Prior Authorization Reform Act, sponsored by Representative Wheeler. Wheeler said the bill would set enforceable standards for insurer prior authorization, including public disclosure of criteria, electronic processes, decision timelines, specialty-appropriate reviews, and protections against retroactive denials. Members raised questions about whether the bill’s physician language could exclude advanced practice providers, and Wheeler said that language may need to be revisited before a full hearing. The bulk of the meeting was a wide-ranging budget discussion ahead of Health and Welfare’s budget presentation. Members debated possible Medicaid and department savings, including trimming optional services, reducing provider reimbursement cuts, using reserves, delaying or renegotiating contracts, expanding audits, and improving department efficiency. Several members argued against cutting disability, home- and community-based, and other vulnerable-population services, while others supported looking at Medicaid expansion, ResHab, and administrative overhead as places to find savings. There was also discussion of hospital rate reductions, work requirements, improper payments, and the use of Millennium Fund dollars. Representative Kaler presented specific ideas for the youth safety and permanency budget, including repealing the extended foster care expansion if participation remains low, reducing FTEs, and moderating benefit increases. Other members emphasized the need for evidence-based budgeting and stronger oversight of contracts and program integrity. No budget votes were taken; the committee mainly gathered ideas and directed members to provide more detailed numbers before the Health and Welfare budget hearing the next day.

Transcript Highlights:

• Members of the public can provide testimony on a bill or provide public comment at the end of each hearing
• Yet funding was not provided to reach even half of that number.
• Yet funding was not provided to reach even half of that number.
• To provide testimony in support of Senate Bill 175, please press star 9 now to join the queue.
• To provide testimony in neutral for Senate Bill 175, please press star 9 now to join the queue.

Committee: Assembly Education

Keywords: 909, all

Transcript Highlights:

• </c><00:04:30.400><c> the</c> School staff to provide the School staff to provide the services<00:04:
• contracted service providers.
• service provider.
• service provider.
• design</c> provider to provide specially design provider to provide specially design instruction<02:

Keywords: 928, house, all

Summary: The House Education Policy and Administration Committee heard testimony on HB 222, which would repeal the requirement that a chartered public school and the resident school district sign a memorandum of understanding on how students with disabilities will receive special education services. The prime sponsor, Rep. Peggy Balboni, said the bill was requested by the New Hampshire Association of Special Education Administrators and the New Hampshire Alliance for Public Charter Schools. She argued that federal and state law already require districts to provide FAPE and that the MOU requirement has created extra work, legal costs, and delays without improving services. She said many MOUs remain unsigned, but students are still receiving services and complaint numbers have not changed. Rep. Mooney also supported repeal, calling the MOU duplicative and impractical because IEPs and 504 plans already govern services. Testimony from Jane B. Brulu of the special education administrators’ association and Beth McLure of the charter schools alliance echoed that view, saying the MOU has not helped students, has added hours of work and legal fees, and has mostly been a source of disputes over funding and service costs. McLure said her school has worked with more than 15 districts and has always been able to reach agreements, though the first year of the requirement took substantial time and money. Committee members asked about the original purpose of the law, unsigned MOUs, and whether disputes could be resolved without the requirement. A representative from the Department of Education said the MOU was originally proposed to address reports that some students were not getting services on time and to provide some oversight, but the department has no authority to order charter schools or districts to agree and no appeal process if they cannot. The department also said it does not currently audit charter school special education services because it lacks authority to monitor charter schools directly, and it urged the committee to consider some alternative oversight if the MOU requirement is repealed. The hearing on HB 222 was then closed, and the committee announced it would begin the hearing on HB 699 after a short break.

Transcript Highlights:

• </c><00:10:05.680><c> and</c> I uh have been a Medicaid provider and I uh have been a Medicaid provider
• for I'm in my 20th year as a provider for I'm in my 20th year as a Medicaid<00:10:09.920><c> provider
• Thank you very much for provider.
• All Medicaid services must be medically necessary and provided by a Medicaid-covered enrolled provider
• All Medicaid services must be medically necessary and provided by a Medicaid-covered enrolled provider

Keywords: Call to Order and Roll Call – 00:00:00 Introduction of Board Members – 00:02:04 Overview of the Purpose and Goals of the Medicaid Oversight and Advisory Board – 00:12:46 Medicaid Legislative Update - 00:20:26 Discussion of Next Steps and Future Meeting Dates – 01:04:06 Adjournment – 01:06:37, 958, all

Summary: The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do. Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board. Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.