Transcript Highlights:

• Madam Chair and members, SB 1093, riot planning, participation, racketeering, expands the classification
• Madam Chair and members, SB 1093, riot planning, participation, racketeering, expands the classification

Keywords: 1182, all

Summary: The caucus reviewed a long calendar of bills spanning health care, education, tax, public safety, firearms, elections, and family law. On health and education, HB 283 would expand diabetes-related coverage for certain supplies; SB 1126 would require schools to provide records and cooperate with Department of Child Safety caseworkers; SB 1210 would require out-of-state private postsecondary institutions to register in Arizona; and SCR 1006, which would create private causes of action over restroom and pronoun policies in schools, drew strong opposition and was requested to be pulled from consent. Members also discussed HB 2308, which would bar dental insurers from owning dental practices, and SB 1049, which would cap spousal maintenance at four years and change how the marital standard of living is considered; both prompted questions and SB 1049 was pulled from consent. Several tax measures were also reviewed. SB 1293 would limit GPLET abatements by protecting school district revenue, and members noted prior opposition. SB 1294 would clarify county assessors’ authority to prorate destroyed property for tax purposes, though members said they were still researching whether it was necessary. SB 1430, the Tax Corrections Act of 2026, would make technical tax changes and remove redundant language, but members said they wanted Department of Revenue-requested corrections restored. SB 1053 would reduce concealed weapons permit fees for Arizona residents and was pulled from consent after concerns about fee impacts and unresolved amendment language. On public safety and firearms, SB 1058 would prohibit government records distinguishing firearm retailers and firearm owners and was pulled from consent after criticism and reference to a prior veto. SB 1093 would expand riot-related offenses to include property damage and add riot to conspiracy and racketeering provisions. SB 1160 would restrict drones near ticketed entertainment events, with supporters framing it as a public safety measure and clarifying that event-authorized drone use could still be exempt. SB 1211 would allow lifetime injunctions for felony aggravated harassment involving domestic violence. The caucus also considered election-related bills. SB 1006 would raise the threshold for aggregated campaign contribution reporting from under $100 to under $200, and it was pulled from consent. SB 1029 would create a process for terminating a campaign committee after a candidate’s death. SB 1038 would make cast vote records public records, SB 1057 would add fraud countermeasures for paper ballots, and SB 1237 would require consultation with county recorders and legislative leaders before the Secretary of State updates the Elections Procedures Manual. Several of these election bills were noted as having been vetoed previously, and the meeting ended by moving into closed caucus.

Transcript Highlights:

• Currently, they have four different classifications. I've actually broken it out into five.
• They have four different classifications. I've actually broken it out into five.

Bills: HB2398, HB4363, HB3557, HB3701, HB2210

Keywords: credential of value, education, workforce development, labor market, government reporting, higher education, Oklahoma State University, Board of Trustees, presidential selection, college governance, Oklahoma Agricultural Extension, local funding, financial institutions, county extension services, state funds, academic programs, low-producing programs, Oklahoma State Board of Regents, program review, curriculum quality

Transcript Highlights:

• assessment, 2359 adult incarceration contractor, 2361 employers contracts non-complete, 2362 property classification
• enforcement agencies, 2660 health boards, 2665 manslaughter online advice, 2666 sexual extortion classification

Keywords: 1182, all

Summary: The House convened with prayer and the Pledge of Allegiance, approved the prior day’s journal, and recognized the Doctor of the Day, Dr. John Lynch of Legislative District 12. Members also introduced a number of guests and visiting groups, including Arizona electric co-op representatives, March of Dimes advocates, CRNAs, AEA retirees, a University of Arizona legislative fellow, and other constituents and visitors in the gallery. The chamber then handled routine floor business: attendance was recorded at 58 present, one absent, and one excused; committee substitutions were announced; HB 2677 was removed from the Judiciary Committee and additionally referred to Public Safety and Law Enforcement; and a large slate of House bills and one concurrent resolution were first read and referred to committees. The clerk also read a lengthy list of bills on second reading, covering a wide range of topics including education, health care, housing, taxation, elections, water, labor, public safety, and other policy areas. No substantive debate or votes on legislation occurred during the floor session beyond the referral actions and procedural announcements. Members made announcements about upcoming blood donations, a Veterans Caucus coffee and donuts event, and several committee meetings scheduled for later in the day or the following day. The House then adopted a motion to adjourn until 10 a.m. on Thursday, January 22, 2026.

Transcript Highlights:

• actual impact of these premium changes. actual impact of these premium changes.
• show the impact of what those premium show the impact of what those premium increases<00:27:49.039
• The premium for the MEHP was $210.
• the premiums for the MEHP since 2021. the premiums for the MEHP since 2021.
• significant um increase in the premiums significant um increase in the premiums as<01:04:34.160>

Keywords: Meeting Start: 00:00:35 Attendance Roll Call: 00:00:55 Approval of Minutes: 00:02:56 Deferred Compensation Authority Update: 00:03:12 Retiree Health Update - TRS: 00:15:58 Retiree Health Update - KPPA: 00:56:13 Adjournment: 01:08:10, 958, all

Summary: The Public Pension Oversight Board met with a quorum, approved the prior minutes, and heard updates from the Kentucky Public Employees Deferred Compensation Authority and the Teachers Retirement System. The deferred compensation update highlighted continued growth in assets to about $4.787 billion and roughly 88,000 participants, strong retention from auto-enrollment, a marketing campaign tied to pay raises that generated additional participation, and a new self-directed brokerage account expected to launch July 1 of the coming year for participants with at least a $40,000 balance, allowing up to 25% of their account to be moved into the brokerage window. The director also described the free financial planning service, which has been used by about 3,500 participants with a high return rate, and said the plan is currently in a fee holiday; if fees are charged, they are capped at $237 per year for most participants. Members asked questions about who provides the CFP service, the fee structure, and the brokerage eligibility threshold. The director said the CFP service is provided through the authority’s service bundle with Nationwide, not as a separate paid service, and explained that the fee cap and current fee holiday are intended to keep the program low-cost. Board members praised the deferred compensation program’s performance and asked for a copy of the legislation referenced in the presentation. TRS then presented on retired teachers’ health insurance. Barnes first clarified how declining federal contributions for federally funded school positions affect the retirement annuity trust, explaining that if those federal dollars fall, the amounts would need to be covered through the SEEK formula and that the projection for those contributions is about $80 million over the next three years. He then reviewed TRS retiree health coverage, distinguishing between KEHP for retirees under 65 or not Medicare-eligible and MEHP for Medicare-eligible retirees, and explained that TRS recently completed RFPs for both prescription drug and medical coverage. TRS will keep Express Scripts for prescription drugs, but will move the Medicare Advantage medical plan from UnitedHealthcare to Humana on January 1, 2026, while keeping the plan design, provider access, and out-of-pocket structure largely unchanged, with a new hearing-aid benefit of $500 per ear. Barnes also reported the 2026 premium and contribution changes: the maximum TRS contribution toward KEHP will rise to $1,144.96 from $930.76, an 18% increase that he said will require roughly $15 million to $16 million more in the state budget, while the MEHP premium will drop to $200 per month from $210. He said the TRS board has statutory authority to set these amounts and that the changes will have mixed actuarial effects, with the KEHP increase being negative overall and the MEHP decrease positive.

Transcript Highlights:

• increase if upon renewal any premium increase if upon renewal premiums<00:10:33.120> are<00:10
• explanation for certain premium explanation for certain premium increases<00:10:53.360> during
• Second is that COMIC would have to pay premium taxes, which would increase the premiums otherwise charged
• <00:35:01.560> taxes comic would have to pay premium taxes comic would have to pay premium
• <00:37:44.359> are Market cycle initially the premiums are Market cycle initially the premiums

Keywords: 912, senate, all

Summary: The committee opened by outlining hearing procedures, including a two-minute limit for live testimony, a request not to repeat written testimony, and a reminder about decorum. The first bill heard was SB 697, which would create a nonrefundable individual income tax credit for expenses to retrofit residences with wind-resistive devices. The Insurance Division said it supported the concept but noted it may need an appropriation or outside expertise to develop certification standards, while the Department of Taxation said the bill should retain a third-party certification requirement if the Insurance Division cannot administer the credit. The Hawaii Insurers Council supported the bill, and the Tax Foundation suggested a subsidy-style program would be more efficient than a tax credit and criticized the bill’s 100% credit structure. A testifier in support argued the measure would help homeowners fortify houses against hurricanes and reduce shelter demand; written testimony from several others, including HIEMA, was noted as supportive. The committee then moved through SB 76, which would require the Hawaii Property Insurance Association to provide commercial property coverage after two private-market denials, and SB 83, which would require insurers to give advance written premium-change notices and explanations to common-interest community policyholders and the insurance commissioner, along with a report on premium increases. For SB 76, the State Insurance Division stood on its written comments, and testimony in support came from Michael Honda, the National Association of Mutual Insurance Companies, and Jessica Herzog. SB 83 drew more extensive discussion: the Insurance Division supported the need for better transparency, while the Hawaii Insurers Council opposed the bill, arguing that agents—not insurers—typically communicate with AOAO boards and that the measure could worsen an already difficult market. Insurance Division staff acknowledged widespread complaints from condo associations about lack of transparency and said the division had received many calls about premium increases and nonrenewals. The discussion on SB 83 expanded into broader concerns about condo insurance, nonrenewals, surplus lines, and the difficulty of getting timely explanations for large premium increases. Committee members and testifiers described older buildings struggling to fund repairs and upgrades while facing steep insurance costs, and some urged the committee to craft baseline statutory protections for unit owners. The Insurance Division said surplus lines serve a critical gap-filling role and warned against regulating that market in a way that could slow access to coverage. No votes or final committee actions were taken in the portion of the meeting provided.

Transcript Highlights:

• end<01:20:34.719> quote<01:20:35.199> such<01:20:35.360> as suspect classification
• end quote such as suspect classification end quote such as race<01:20:35.840> or<01:20:36.080
• against anyone who uh fits into a against anyone who uh fits into a suspect<01:20:53.040> classification
• <01:20:53.679> is<01:20:53.920> what<01:20:54.080> the suspect classification
• is what the suspect classification is what the courts<01:20:54.480> have<01:20:54.640> called

Keywords: 1191, senate, all

Transcript Highlights:

• > through The Medicaid premiums enacted through The Medicaid premiums enacted through House<01
• We will incur cost for premium We will incur cost for premium collection<01:20:30.480> either
• months before we can't charge premiums months before we can't charge premiums but<01:20:47.040><
• Last spring, the budget enacted premiums Last spring, the budget enacted premiums for<01:23:00.320
• <01:31:26.480> So premiums and the cost sharing. So premiums and the cost sharing.

Keywords: 1191, senate, all

Transcript Highlights:

• Subsequently, a at a reduced premium.
• This servicing mechanism will premiums?
• lines premiums?
• [Music] Uh, the low-cost premium—these are all actuarially developed premiums.
• And I know the premiums are years.

Keywords: 912, senate, all

Transcript Highlights:

• Notwithstanding the fact that some of their premiums didn't...
• Notwithstanding the fact that some of their premiums didn't...
• premium.
• premium.
• Is this program the cause of the movement in the premium, right?

Summary: The State Administration Budget Subcommittee heard presentations from the Department of Financial Services on the My Safe Florida Home program, the My Safe Florida Condominium Pilot, and the Florida PALM financial system replacement project. For My Safe Florida Home, Stephen Fielder explained the wind-mitigation grant program, including its inspection-first process, two-to-one matching grants for most homeowners, low-income exemptions from the match, and eligible improvements such as roofs, clips/straps, water barriers, and opening protection. He reported roughly 109,000 initial inspections, nearly 59,000 grants approved, 31,000 final inspections, 25,000 reimbursements, and about $240 million paid out through the end of 2024. Members asked about premium savings, contractor pricing, fraud, owner-builder eligibility, reimbursement timing, and whether the program should have a dedicated funding source; Fielder said the program is currently closed, more than 40,000 people have signed up for updates, and the office has seen some price-gouging and impersonation issues but no major fraud trend. The committee also discussed the new prioritization rules that took effect July 1, 2024, which direct grant awards by age and income. Fielder said the program used a survey of existing applicants to implement the new priority groups and that the first group was over age 60 and low-income. Members raised questions about how premium reductions are measured, whether insurance company changes or rising insured values affect the data, and whether the program can track long-term outcomes after reimbursement. Fielder said the office reports raw premium changes based on declarations pages, knows the insurer for participants, and has validated results with multiple insurers, but does not track homeowners after they leave the program or enforce continued insurance coverage. For the My Safe Florida Condo Pilot, Fielder said the program is modeled on the home program but uses association-level applications, a maximum grant of $175,000 per association, and a similar two-to-one match. He said the application window opened briefly in November and was closed quickly because available funding could be exhausted and the department is prohibited from creating a waiting list. He identified several needed statutory changes, including better distinguishing condos from single-family homes, adjusting roof requirements for flat concrete roofs, and revisiting the unanimous unit-owner vote requirement, which he said has been a major obstacle. Chair Lopez noted the pilot is intended to be a learning process and thanked DFS staff for identifying implementation issues. The final presentation covered Florida PALM, the state’s effort to replace the 40-year-old FLAIR accounting system with a PeopleSoft-based financial management system. Fielder and PALM Director Jimmy Cox said the project began in 2014, the state contracted with Accenture in 2018, cash management went live in 2021, and the project was paused in 2022 for legislative review and remediation. They said the system is expected to go live in 2026, possibly in July rather than January, and that the project has spent about $225 million to date, with a current-year budget of about $60.9 million and a projected next-year request of about $64 million. Members asked about cybersecurity, cloud hosting, project scope, and whether the system is unique to Florida; staff said the system is not Florida-specific, access is credentialed through agency identity management, and the cloud host location is confidential. After the presentations, Chair Lopez assigned members to work with specific agencies on budget review meetings, asked them to discuss agency structure, priorities, staffing, waste reduction, and other budget issues, and set a deadline to report findings in the first week of regular session. The meeting then adjourned without objection.

Transcript Highlights:

• We're looking at 60,000 Minnesotans losing health care coverage just because of the increased premium
• Healthcare coverage just because of the increased premium, the loss of those tax credits.
• But right now, at this point, where the advanced premium tax credits are on the table, that's why we
• <00:03:26.800> benefits guarantees that those premium benefits guarantees that those premium
• cannot afford insurance if these premium cannot afford insurance if these premium tax<00:04:43.040

Keywords: 1187, senate, all

Transcript Highlights:

• Hospital premiums in particular have increased by 60% in the last six years.
• So typically, if you're paying a higher deductible, your premiums go down.
• But that is not the case with hospital premiums.
• The higher the premiums have to be to collect to pay those losses.
• The Free Kill Law hasn't lowered malpractice premiums.

Summary: The Civil Justice and Claims Subcommittee considered one bill, HB 603, which would repeal section 768.21(8), the Florida medical negligence wrongful death exception often referred to by supporters as the “Free Kill” law. The sponsor argued the current statute unfairly bars certain families—especially adult children or parents of unmarried adults without minor children—from recovering non-economic damages when a loved one dies from medical negligence, while such damages are available in other wrongful death cases. Supporters, including family members, AARP, and some legal advocates, testified that the law is discriminatory and denies equal access to justice for grieving families and vulnerable adults. Opponents, including physicians, hospital and insurer representatives, and business groups, argued that repeal would increase malpractice exposure, raise premiums, worsen access to care, and accelerate physician retirements or departures from Florida. Several urged that if the bill moves forward, it should be paired with caps on non-economic damages to balance the impact on the health care system. Supporters countered that negligence must still be proven, that the law creates unequal treatment, and that existing tort reforms have not lowered premiums. The sponsor closed by rejecting claims that the bill is “jackpot justice” and emphasizing that families deserve court access and accountability. After debate, the committee voted on HB 603 and passed it 16-2. The meeting then adjourned.

Transcript Highlights:

• Either through premiums, higher deductibles, or co-pays.
• They come with higher premiums.
• They come with higher premiums.
• There are no premium increases in this bill.
• The state premiums are running about $700 million.

Keywords: 908, all

Summary: The Senate reconvened and handled several House messages and conference committee appointments before taking up a series of bills. It appointed conference committees on Senate Bill 2265 and House Bills 1454, 1448, and 1524. The chamber also adopted a Senate amendment to House Bill 1216, delaying its effective date for the copay accumulator prescription drug bill to January 1, 2026, with later renewal timing for non-PERS plans. House Bill 1216 then came up for final passage. Senators debated whether allowing copay accumulator programs to count manufacturer coupons toward deductibles would help patients with expensive drugs or unfairly shift costs to insurers and other policyholders. Supporters said it would help people afford life-saving medications and that the coupon payments go to pharmacies, not insurers; opponents argued it could raise premiums and create perverse incentives for drug pricing. The bill passed 29-18. The Senate also concurred in House amendments to Senate Bill 2160, which changes health insurance benefits under the Uniform Group Insurance Program to move from a grandfathered to a non-grandfathered plan, with supporters emphasizing added benefits and flexibility and opponents warning of higher costs and irreversible changes. That bill passed concurrence 33-14 and final passage 39-8. The Senate next concurred in House amendments to Senate Bill 2339, the wildfire mitigation bill, which requires utility mitigation plans to be updated every two years, incorporate national electric standards, and creates a rebuttable presumption of reasonable care if the plan is followed. The bill then passed final passage 46-1. The chamber also adopted conference committee reports and passed House Bill 1460 on adult foster care and monitoring devices, House Bill 1440 on cigar lounge tobacco use, and Senate Bill 2374 on insurance-related provisions including property insurance arbitration, managed repair programs, and surplus lines issues; SB 2374 also added a study on towing and recovery coverage. The session ended with announcements of upcoming conference committee meetings and adjournment until April 22, 2025.

Transcript Highlights:

• Some of that is retaining the classification of data, retaining that data security, but yet allowing
• c><00:18:25.760> the uh some of that uh retaining the uh some of that uh retaining the classification
• c> of<00:18:26.720> data,<00:18:27.120> retaining<00:18:27.440> that classification
• of data, retaining that classification of data, retaining that data<00:18:28.000> security<00

Keywords: 1183, house

Summary: The committee heard House File 962, the Brady-Giglio bill, which seeks to create a more uniform statewide process for how prosecutors identify and manage law enforcement officers whose credibility may be questioned. The author explained that the bill grew out of stakeholder work over the past year, and the committee adopted the DE3 amendment, which reflected much of that negotiated language. Testifiers from the Minnesota Police and Peace Officers Association, Law Enforcement Labor Services, the Minnesota Sheriffs Association, the Minnesota Chiefs of Police Association, and the Minnesota County Attorneys Association all said the bill was moving in the right direction and emphasized the need for consistency, predictability, security, and due process in Brady-Giglio decisions. Several witnesses said the bill should prevent Brady designations from being used as the sole basis for discipline and should prohibit prosecutor-maintained do-not-call lists. County attorney and law enforcement representatives said the current draft is a major step forward but that work remains, especially on data access, data retention, sharing, and security provisions. They also noted that the language had not yet been fully approved by all stakeholder boards, though they supported continuing the process and asked the committee to advance the bill so negotiations could continue. Members raised questions about whether public defenders, defendants’ rights groups, and other public employees had been included in the discussions. The author and other supporters said the main alignment so far has been among prosecutors and law enforcement, with additional input from other groups to come later. In closing, the author described personal experiences that illustrated how an error or misunderstanding could unfairly affect an officer’s career and argued for a statewide standard. The committee then voted to re-refer House File 962, as amended, to the Judiciary Committee.

Transcript Highlights:

• And so it has to do with the data classification of investigative information pertaining to certain personnel
• 00:19:36.799> with<00:19:36.960> the<00:19:37.200> data<00:19:37.440> classification
• <00:19:38.000> of to do with the data classification of to do with the data classification

Keywords: 1187, senate, all

Transcript Highlights:

• resource allocation, or policy accumulation to achieve proportional representation of identity classification
• doesn't create DEI programs in order to eliminate perceived systemic differences between identity classifications
• It does so in order to do a better job treating people in those classifications.
• And hiring practitioners... ... who understand and share the identity classification experience helps

Bills: SB128, SB640, SB672, SB904, SB1141, SB1263, SB1525, SB1528, SB2041, SB2306, SB2308, SB2357, SB2446, SB2695, SB2857, SB2891, SB2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, SB 640, Texas Family Code, Department of Family and Protective Services, DFPS, child welfare, foster care, managing conservatorship, suicide attempt, youth suicide, mental health, child protective services, state custody, annual report, reporting requirements

Transcript Highlights:

• HP 1769 by Darby relating to the classification of certain entities as primarily engaged in retail for
• public school finance system for the Committee on Public Education HP 1940 by Dean relating to the classification
• HP 1949 by Howard relating to the public notice of a crematory compliance history, rating and classification
• Relating to the classification of certain sales of firearms as occasional sales for purposes of sales

Transcript Highlights:

• rules to Health to adopt or amend rules to establish<00:37:45.359> a<00:37:45.520> classification
• <00:37:46.280> system<00:37:46.599> for establish a classification system for establish
• a classification system for composting<00:37:47.680> facilities<00:37:48.599> for<00:37
• <00:39:26.119> system<00:39:26.480> by establish uh a classification system by establish
• uh a classification system by adopting<00:39:27.119> rules adopting rules adopting rules um<00

Keywords: 912, senate, all

Summary: The joint Housing and Health and Human Services hearing began with Senate Bill 878, which would extend the sunset date for the state rent supplement program for kupuna to June 30, 2028. Testimony was uniformly supportive, including from the Statewide Office on Homelessness and Housing Solutions, Hawaii Public Housing Authority, Executive Office on Aging, Catholic Charities Hawaii, and others. Catholic Charities described a waitlist of seniors at imminent risk of homelessness and said the program helps seniors retain housing or secure units with landlord support. Members asked whether the bill would expand the number of households served; staff said the contract allows up to 127 households and that additional pending households could be funded, but applicants must still go through the program process. Both committees voted to pass SB 878 unamended. The committees then heard Senate Bill 1610 on Ohana Zones. The Statewide Office on Homelessness and Housing Solutions supported the measure so long as it did not supplant existing funding, and described the funding as supporting homelessness services and wraparound supports. The Department of Human Services and Department of Land and Natural Resources offered comments, with DHS suggesting a definition of “kali” be added for clarity. The committee chair said the bill would receive technical amendments for clarity and consistency and accepted proposed amendments related to including “tales” in the program; the measure was advanced with amendments, with members voting in favor in both committees. In the joint Health and Human Services and Labor and Technology hearing, Senate Bill 1496 on civil rights and website accessibility drew support from disability advocates and organizations, including the Hawaii State Council on Developmental Disabilities, the National Federation of the Blind, the Deaf and Blind Task Force, and the Disability and Communication Access Board. Testimony emphasized the need for stronger state protections amid concerns about federal enforcement, while one testifier raised concerns about jurisdiction, minimum contacts, the use of WCAG 2.1 standards, and the bill’s immediate effective date. The committees decided to pass SB 1496 with technical amendments, including adding a defective date to allow further work before conference, and the recommendation was adopted in both committees. Later, the joint Health, Human Services, and Commerce and Consumer Protection hearing took up Senate Bill 404 on service animals. The Attorney General’s office raised a possible constitutional issue and the lack of an enforcement mechanism, while DHS deferred to other agencies. DCAB supported the bill but recommended amendments to identify an enforcement agency and require notices from professionals and sellers of service-animal or emotional-support-animal paraphernalia. Several advocacy and real estate-related groups testified in support. After discussion, the chair recommended deferring SB 404 for further work because of the Attorney General’s concerns, and the hearing adjourned without a vote on the measure. The final joint Transportation, Culture and the Arts, and Health and Human Services agenda heard SB 1526 on a drug and alcohol toxicology testing laboratory and SB 1492 on mobility management; both measures were advanced with amendments or as-is, with SB 1526 sent forward with technical amendments and SB 1492 moved ahead after members noted blank dollar amounts and requested the Department of Transportation provide figures.

Transcript Highlights:

• So, we have the New Mexico Premium Assistance, the Native American Premium Assistance, which is limited
• Carriers raise their premiums as a result.
• Let me ask you, what is the federal premium tax credit? What's the premium based on?
• Yes, because we also have the Native American Premium Assistance and the Medicaid Transition Premium
• Premium or what's subsidized? Their net premium. Okay, I would have to get back to you on that, Mr.

Transcript Highlights:

• I think they add a premium to it.
• So homeowners is as interesting as In premium.
• So it's not just that you pay a lower premium.
• new home, just in the premiums that we have to pay out.
• new home, just in the premiums that we have to pay out.

Keywords: 1185, senate, all

Transcript Highlights:

• states currently that have uh premiums states currently that have uh premiums with<01:18:38.560>
• <01:26:06.360> of premium of premium of $283<01:26:08.199> 15<01:26:09.000> a<01
• It's a premium we have to pay.
• that go to them as an insurance premium that go to them as an insurance premium if<02:17:49.840>
• <03:46:30.399> and something similar around premiums and something similar around premiums

Keywords: 928, house, all

Summary: The House Finance Division Three work session on February 21, 2025 focused on the Division of Medicaid Services budget. The chair opened with procedural guidance, noting the division’s role is to make recommendations to the full Finance Committee, that the budget must be balanced, and that members should track possible amendments ahead of a March 26 target for House Bills 1 and 2. Members also discussed the importance of using official budget documents and online resources, and the chair said no motions would be taken at this session. A major early topic was concern over a five-point Medicaid policy document and the timing of House Bill 2. Representative Tarki objected that the document appeared to be an unofficial draft and argued that significant Medicaid policy changes should have been transmitted by February 15 under state law. He said the lack of an official, posted document raised transparency concerns because the changes could affect tens of thousands of residents. Committee leadership responded that the five-point document was a working document, that it would be posted online within minutes, and that House Bill 2 is often delayed while the Office of Legislative Services finalizes and formats the governor’s proposed trailer bill. DHHS Chief Financial Officer Nathan White and Medicaid Director Henry Litman then began the budget presentation. White said the committee would use the PowerPoint as the document of record, starting with the governor’s operating budget pages 885-893, and noted that Medicaid is the largest accounting area in the state budget. He said the governor’s budget reflects about $60 million in reductions within the Medicaid area, with Granite Advantage handled off-budget and another $10 million in reductions there, for roughly a $70 million difference overall. Members asked whether the comparison was being made against an efficiency budget or a prioritized-needs budget, and White said the department could look at it different ways. The presentation then outlined Medicaid’s role in New Hampshire: it provides health coverage, serves as the state’s direct interface with the federal Centers for Medicare & Medicaid Services, and helps finance related services such as long-term supports, school-based services, adult dental coverage, and re-entry programs for people leaving correctional settings. White also reviewed enrollment and program context, saying New Hampshire has about one in seven residents enrolled in Medicaid, making it the fourth smallest Medicaid program in the country by enrollment, and described recent efforts such as youth re-entry and the Medicaid unwind after the end of the federal continuous coverage period. He said the state had to process more than 238,000 redeterminations after the public health emergency and that the department tried to avoid unnecessary coverage loss during that transition.