Transcript Highlights:

• 55% to 65% funding rate.
• Are you saying that's not the case?
• The program's funding has been divided into two tiers known as Rate 1 and Rate 2.
• 1 and Rate 2 going back to Rate 2.
• I hope that will be the case.

Keywords: 988, house, all

Transcript Highlights:

• We calculated that rate to be $885, so again, that rate is more than what the benchmark rate would have
• We calculated that rate to be $885, so again, that rate is more than what the benchmark rate would have
• On this rate comparison chart, you can see that the biggest differences are in our case management.
• We tried to make the case management rates as equitable as we could within the confines of the budget
• rates you know each rate study for each rates you know each rate<00:52:47.200> so<00:52:47.400

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met with a quorum still coming together and first handled roll call and minutes. The main presentation came from the Department for Medicaid Services, with Commissioner Lisa Lee and CFO Steve Beckle giving an overview of Kentucky Medicaid, its federal-state financing structure, and the department’s 1915(c) home- and community-based waiver programs. They explained FMAP funding levels for traditional Medicaid, administration, IT, expansion adults, and CHIP, and noted the size of the program, including more than 600,000 Kentucky children eligible for Medicaid or CHIP, about 485,000 expansion adults, over 69,000 enrolled providers, and $18.5 billion in 2024 expenditures. A major focus was the waiver system, including the acquired brain injury waivers, model waiver, independence waiver, Michelle P. waiver, and Supports for Community Living waiver. The department said these waivers are intended to keep people with physical or developmental disabilities in home and community settings rather than facilities, and that many services are not covered by Medicare or commercial insurance. Officials described participant-directed services, interagency administration, and eligibility rules, including that some waiver programs use the child’s income only rather than family income. They also reported an unduplicated waiver wait list of 13,930 people and said the General Assembly had added waiver slots in the last budget, including 650 ABI slots and 1,275 more to be allocated July 1, 2025. The department also discussed a waiver rate study conducted by Guidehouse, explaining that CMS requires a defensible rate methodology because there is no Medicare or commercial benchmark for many waiver services. They said the study used cost and wage surveys, provider and stakeholder input, and aimed to improve transparency, provider stability, and rate parity. Officials reviewed prior COVID-era Appendix K rate increases and budget-driven increases, and said the budget ultimately funded rates at about 70% of the benchmark study, while preserving higher existing rates where needed so no provider would be cut. They highlighted larger differences in behavioral support and case management rates, and said a public report is available. Members asked several questions about the potential impact of federal FMAP changes, especially possible reductions in the enhanced match for expansion adults and Medicaid IT/admin activities. DMS said any FMAP reduction would require more state general fund dollars, estimating about $75 million for each 1% drop in the expansion match, while impacts on administrative IT funding would depend on the systems being built or implemented in a given year. Members also pressed for clarification on waiver wait-list procedures, funded versus filled slots, and what happens when someone on the wait list is later found ineligible. DMS said people on the wait list may not yet have been assessed, can be reevaluated if conditions change, and are still eligible for regular Medicaid state-plan services if they qualify, even if they are waiting for waiver services.

Transcript Highlights:

• However, we saw in the recent source rate case, right, a poorly designed one or a poorly applied one
• Um, and there's always, you know, discussions in utility rate cases about where you draw that line.
• Um, and there's always, you know, discussions in utility rate cases about where you draw that line.
• Um, and there's always, you know, discussions in utility rate cases about where you draw that line.
• We did propose we have an active rate case right now before the Public Utilities Commission.

Keywords: 1191, senate, all

Transcript Highlights:

• That will be rate cases, rate setting, earnings review for electric and gas.
• That will be rate cases, rate setting, earnings review for electric and gas and wastewater utilities.
• This included final commission votes for two electric and two water rate cases.
• The commission also processed two staff-assisted rate cases in the water utility sector.
• And so normally, that's decided during a rate case proceeding, which the company proposes a number that

Summary: The State Administration Budget Subcommittee met for an introductory overview of the agencies under its jurisdiction and their current-year budgets. Chair Vicki Lopez welcomed members and staff, and each member briefly introduced themselves and identified areas of interest, with recurring themes including fiscal restraint, insurance regulation, revenue administration, condominium issues, and government efficiency. The chair then outlined the subcommittee’s overall budget, about $3.1 billion, and noted major recent policy areas affecting the budget such as condominium legislation and emergency communications funding. Agency heads then presented high-level summaries of their missions and budgets. The Department of Revenue described property tax oversight, tax administration, and child support enforcement; the Department of Management Services reviewed state purchasing, telecommunications, fleet, state insurance, retirement, and digital services; DBPR highlighted licensing, enforcement, condominiums, and building code work; DFS covered insurance consumer services, risk management, unclaimed property, fire marshal functions, and criminal investigations; the Gaming Control Commission discussed pari-mutuel and tribal gaming oversight and enforcement; OIR explained insurer solvency and rate review; the Lottery emphasized education funding and record sales; OFR described regulation of banking, securities, lending, and money services; DOAH outlined administrative and workers’ compensation adjudication; PSC covered utility rate regulation and consumer complaints; PERC described labor relations and career service appeals; and FCHR summarized discrimination complaint investigations and outreach. Several members asked questions about utility returns, insurance regulation staffing, DMS’s state employee health plan deficit and prescription drug formulary management, agency recommendations for reducing regulatory burden, and state facilities usage. Responses generally emphasized that utility rates and insurer filings are determined through evidentiary and actuarial processes, that OIR has reduced vacancies but still seeks specialized staff and a Tampa office expansion, and that DMS acknowledged rising health plan costs and said the issue likely requires broader budget-level discussion. The chair also pressed multiple presenters to stay focused on agency operations and budgets rather than broader policy issues. No votes or formal actions were taken in the meeting.

Transcript Highlights:

• . cases, as well as case-specific information in criminal cases.
• On the next page is clearance rates by trial court case type.
• Clearance rates declined in felony, misdemeanor, and justice court civil cases. slightly in fiscal year
• Our disposition rate last year was approximately... only 107% with the average age of a case being 4.3
• Our disposition rate is 96% at this point, with the average age of the case being 5.4 months.

Keywords: 1184, house, all

Transcript Highlights:

• Would that be at a lower rate than this rate?
• between the In the payment rate between this population and the usual basic care rate, Mr.
• be one of those cases.
• So whether they represent one case or whether they have 10 cases, we're paying them for their availability
• So, if... ...can dismiss the case.

Keywords: 908, all

Summary: The committee first heard Senate Bill 2271, which would formally place adult residential facilities in code and rebase their Medicaid reimbursement rates. Sponsor Chairman Ruby and HHS staff explained that these facilities, often serving people with dementia or acquired brain injury, are reimbursed at a much lower rate than skilled nursing care and help reduce bottlenecks in higher-level facilities. Members questioned how the program differs from basic care and nursing facility memory care, and the bill was referred to the HR section for deeper review before possible action on Monday. The committee then took up Senate Bill 2396, as amended, which would authorize an independent third-party performance audit of the Department of Commerce and the North Dakota Development Fund, with findings shared with the state auditor. Sponsors said the proposal was prompted by concerns raised in testimony and that a private audit could begin faster than a state audit. The committee adopted an amendment adding an emergency clause and directing the report to the Legislative Audit and Fiscal Review Committee, then passed the bill 20-0 with 3 absent. Next, Representative Clemine presented Senate Bills 2226, 2036, and 2037. SB 2226 would presume an incarcerated person indigent at initial appearance so counsel can be provided at that critical stage; the commission said the appropriation would fund contract attorney hours, and the bill was sent to HR for further review. SB 2036 would create procedures for determining juvenile fitness to proceed in delinquency cases, with a $500,000 appropriation for mental health evaluations, and SB 2037 would begin a juvenile criminal code framework and include a $300,000 appropriation for fitness-to-proceed evaluations; both were also referred to HR, with some concern raised about staffing and overlapping functions. After a short break, the committee heard education-related appropriations bills. SB 2234 would replace expired ESSER funding for Choice Ready grants, but members noted the program was not included in the K-12 budget and sent it to E&E for comparison with existing appropriations. SB 2286, a University of North Dakota request for a new nursing school facility, drew extensive discussion about the age and condition of the current building and the size and scope of the project; the committee ultimately adopted a do-not-pass motion 22-0. SB 2213, the “science of mathematics” bill modeled on the science of reading initiative, would fund math professional development and implementation; it was also referred to E&E for further review. The committee then briefly passed the Racing Commission budget, SB 2023, and began discussion of the Trust Lands budget, SB 2013, including a proposed retention increase for investment-related positions.

Transcript Highlights:

• In June, we filed a rate case before the Corporation Commission to modify that data center tariff from
• For the data centers that bring their own generation, is there anything in the current rate case that
• So is that a part of the current rate case that you have?
• Okay, so that's not a part of the current rate case?
• Chairman Wilmeth, Representative Taylor, it is not a current proposal in the rate case.

Bills: HB2133, HB2592

Keywords: sexual material, consent, synthetic depiction, privacy, internet regulation, rights protection, artificial intelligence, government regulation, innovation, procurement, administrative burdens, 1182, all

Transcript Highlights:

• part of the case.
• There were A lot of those kind of cases, 10-15 years ago, cases were filed.
• But right now we're defending a case, the pet case, the pet food case, where the contention It is disproportionately
• They have to do rate filings. Those rate filings are Approved.
• But it comes out of the case law.

Keywords: 996, all

Transcript Highlights:

• I guess I do know that the consent-to-rate method is available, but that really is a kind of case-by-case
• , you know, the filed rate and then the consent to rate and the conditions, why the consent rate is being
• really is a kind of a caseby casee really is a kind of a caseby casee building<00:58:30.640>
• > um<00:59:58.240> the the the filed rate rate and then um the the the filed rate rate
• <01:00:30.799> casee have to do this kind of case-by casee have to do this kind of case-by

Keywords: 910, house, all

Summary: The committee on Consumer Protection and Commerce met on January 30, 2025, and heard testimony on several condominium-related bills, beginning with HB 70. HB 70 would require a budget summary disclosure for condominiums. Supporters, including Community Associations Institute, a real estate broker, and several condominium owners, said the bill would improve consumer protection by giving owners and buyers a clearer, more understandable snapshot of an association’s financial health and reserve compliance. One supporter noted the bill should help reduce confusion caused by lengthy reserve studies and emphasized the importance of accurate disclosure. A testifier also urged the committee to hear other condominium bills quickly, including measures related to an ombudsman, managing agents, parliamentarians, and attorney’s fees. The committee then heard HB 106, which would change the process for condominium fines and disputes. Phil Nery of CAI and other supporters said the bill would strengthen due process by requiring clearer notice, allowing an internal board appeal, and then permitting small claims court review without attorney’s fees unless the fine is upheld. They argued this would prevent fines from escalating into costly legal disputes and provide a more linear, fair process. Some supporters suggested amendments, including clarifying that the statute controls over association documents and refining refund language. During questioning, members raised concerns about small claims limits and whether associations would be represented by volunteers or attorneys. One testifier initially in support later said he would not support the bill as written after hearing HPD’s concerns. HB 224, relating to property rights, drew opposition from the Department of the Attorney General and the Honolulu Police Department. Both agencies said the bill would improperly push law enforcement into a quasi-judicial role and could short-circuit existing due process procedures for occupants of residences. A realtor who had initially been listed in support changed his position after hearing the opposition testimony. The committee also heard emotional testimony from a resident describing a long-running squatter and utility theft problem at a neighboring property, which he said took years of court action and police involvement to resolve. No votes or final committee actions were taken during the portion of the meeting reflected in the transcript.

Transcript Highlights:

• So new case...
• You can draw them, it's at the same match rate as the Medicaid match rate.
• So there's about a 23% exemption rate, 22%. 23% exemption rate, their coverage rate is about 77%.
• And if they have a complicated case like a drug-resistant... case, it takes 18 to 24 months.
• Moving next on to page 9, we look at our contract rate adjustments and case manager career ladder.

Keywords: 1184, house, all

Transcript Highlights:

• True cases of medical child abuse are extremely rare, estimated at between 0.5 to 2 cases per 100,000
• I had a recent case, because I mean, I have all these cases, and so a recent case where there was a pediatrician
• . represented a child or a caregiver in a legal case, an associate judge who has heard these cases, a
• To accomplish this, we also recommend permitting other nutritional support services on a case-by-case
• To accomplish this, we also recommend permitting other nutritional support services on a case-by-case

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.

Transcript Highlights:

• And there is a new docket for each utility rate case, and there's a new docket every six months for default
• He said the recent Eversource rate case involved an alternative ratemaking proposal, and that the commission
• Elliott said that, as the prime sponsor had referenced, there was a recent Eversource rate case involving
• rate case would be any other part of a rate case would be held<04:27:43.439> to.
• <04:29:39.359> return service, rate base and rate of return service, rate base and rate of

Keywords: 1189, house, all

Transcript Highlights:

• Chair, Senator Gonzales, I think that's going to be a case-by-case basis.
• That cost has gone up to, you know, $850,000 with the new insurance rates, risk rates, and everything
• Approximately $512,000 is in the 200 category for our liability rates and our health care rates.
• Is that still the case? Mr.
• I can't speak to the specifics of that case because the cases are confidential.

Transcript Highlights:

• But they're still cheaper than if you go to National Grid's standard rate in most cases.
• case.
• While utilities are required to respond to data requests during a rate case, political and extravagant
• And in a recent rate case in that state, regulators... ...for it, if not for that law.
• And in a recent rate case in that state, regulators cited that very law when they denied more than $617,000

Keywords: 995, all

Summary: The committee heard testimony on several energy-related bills, with the main focus on H. 3534/S. 2255, which would ban or sharply restrict residential third-party electric suppliers, and on related reform proposals. Supporters included the Attorney General’s office, municipal and regional planning officials, environmental justice groups, consumer advocates, and city officials from Boston and Chelsea. They argued that the residential competitive supply market has produced higher bills, deceptive sales tactics, auto-renewals into higher rates, and disproportionate harm to low-income residents, seniors, communities of color, and people with limited English. Witnesses cited AG reports estimating hundreds of millions of dollars in overcharges over time, described door-to-door and storefront marketing abuses, and said municipal aggregation programs have saved residents money while offering more stable rates. Several supporters said the Legislature should either ban residential competitive supply or adopt strong guardrails such as ending automatic renewals, banning incentive-based commissions, and capping rates relative to basic service. Opponents or industry representatives from the Retail Energy Advancement League, Vistra, and Constellation argued that the market can provide savings, longer-term price stability, and value-added products such as renewable options and time-of-use offerings. They said Massachusetts has already improved consumer protections through DPU proceedings, that complaints are relatively few compared with the size of the market, and that a ban would eliminate consumer choice. They also defended direct sales and commissions as normal features of a retail market, while saying they would support additional protections, licensing, bonding, and stronger oversight of bad actors. Committee members pressed both sides on whether the market truly saves money, whether automatic renewals should be banned, and whether the AG’s proposed reforms would be enough. The committee also heard testimony on H. 3972, a bill to extend utility shutoff protections during extreme heat, with Rep. Mindy Domb arguing that Massachusetts should treat extreme heat like extreme cold and protect customers facing financial hardship. Rep. Barrett also testified for H. 3450, a municipal broadband/right-of-way bill, arguing that communities need easier and cheaper access to utility poles and public rights of way to build municipal broadband. In addition, Senate Majority Leader Creem testified for S. 2239, which would bar utilities from recovering ratepayer funds for lobbying, promotions, trade association dues, and similar expenses. No votes were taken during the hearing.

Transcript Highlights:

• So between rate cases, utilities will have some periods where they're building more than their assets
• Depreciation doesn't get counted until your next rate case, and it reduces the value of your assets,
• If those two things are kind of cycling proportionately between rate cases, you don't have a problem.
• And the reason is our rates go down and down and down between cases because of this dynamic.
• It saves the ratepayers as well, so it really improves the efficiency of the rate-making cases, as I

Bills: HB 106, HB144, HB145, HB252, HB1732, HB2221, HB2467, HB2468, HB2517, HB2518, HB2963, HB3016, HB3689, HB3960, HB4386, HB4490, HB4751, HB5247, HJR175, HB2213

Keywords: HB 106, oil and gas, Railroad Commission of Texas, overhead electrical lines, electrical distribution system, power line maintenance, administrative penalty, Natural Resources Code, oil and gas lease, well operator, energy safety, utility infrastructure, regulatory compliance, cleanup fund, oil and gas regulation and cleanup fund, production safety, leasehold operations, electric utility, distribution poles, inspection

Summary: The committee first handled pending business, including reconsidering a failed vote on SB 715 and then reporting several measures favorably. SB 1978 was reported from committee on a committee substitute, and a series of House bills — including HB 431, HB 1522, HB 1922, HB 3228, HB 3229, HB 3803, HB 3804, HB 3805, HB 3806, HB 4219, HB 4238, HB 434, HB 1584, and HB 4739 — were moved out of committee, most to the local and uncontested calendar. The votes on these items were overwhelmingly or unanimously in favor, with committee substitutes adopted where applicable. The committee then heard HB 2963, a right-to-repair bill for consumer electronics. The author said the bill would require manufacturers to provide parts, tools, and documentation on fair and reasonable terms while preserving trade secrets and excluding certain categories such as medical devices, motor vehicles covered by an MOU, critical infrastructure, and commercial-only transactions. Supporters from the Texas Public Policy Foundation and Environment Texas argued it would strengthen property rights, help small businesses, and reduce e-waste. Opponents, including representatives of SafeLight Auto Glass and LKQ, said they supported right-to-repair in principle but objected to the bill’s automotive MOU exemption and broader scope, warning it could create uncertainty and leave some manufacturers and repair shops outside the framework. The bill was left pending after testimony. Members also heard HB 2467 on salary parity for State Fire Marshal investigators, HB 252 on allowing some state agencies to pay certain employees twice monthly, HB 2468 on public improvement district notice and a buyer’s right to terminate, HB 4386 on annuity contract exchanges and surrender timelines, HB 4751 creating a Texas Quantum Initiative and related fund, and HJR 175 proposing a constitutional amendment protecting Texans’ ability to use mutually agreed-upon mediums of exchange, including cash, bullion, and digital currency. Testimony on HB 4751 was largely supportive but included questions about whether the state needs a new coordinating structure and funding mechanism for quantum research and commercialization. HJR 175 drew discussion about barter, taxes, and concerns over central bank digital currency. Each of these items was left pending after hearing testimony. The committee also heard HB 2221, which would update insurance anti-rebating laws to allow more wellness and value-added services in life and health insurance, with supporters saying it would encourage healthier behavior without requiring data monitoring. Finally, the committee took up a package of utility and wildfire-related bills from Chairman King’s portfolio: HB 106, requiring oil and gas operators to maintain certain overhead electrical lines; HB 144, requiring utilities to submit pole inspection and management plans to the PUC; and HB 145, requiring wildfire mitigation plans and allowing utilities to self-insure under certain conditions. Utility, co-op, and insurance representatives generally supported the safety and resiliency goals of HB 144, while asking for clarifications and less frequent reporting; HB 145 was introduced as a broader wildfire-risk and liability measure. These bills were also left pending after testimony.

Transcript Highlights:

• 's House Bill 252, or increasing the tax rate, as was the case in 2021's House Bill 108, the original
• 00:50:03.920> in<00:50:04.319> 2021's<00:50:05.200> House rate as was the case in
• 2021's House rate as was the case in 2021's House Bill<00:50:05.839> 108,<00:50:06.800> the
• There were cases, for example, two cases involving bus lines.
• Senator Case.

Keywords: 916, all

Transcript Highlights:

• case processing times and the backlog of overage cases.
• Cardona said the office’s vacancy rate had been coupled with a huge increase in cases, and that the two
• to handle the backlog as cases continued coming in.
• I can tell you that, you know, as with many cases...
• what was your office’s role in that case?”

Summary: The Senate Committee on Rules first took up several governor’s appointments not required to appear, including Rick Simpson to the Commission on Teacher Credentialing and Trinidad Solis, M.D., and Gerald Talbert, M.D., to the Medical Board of California. The committee also approved reference of bills to committees and floor acknowledgments, with roll calls on each item showing unanimous support from members present and the items left open for additional votes before final tallying. The main public business was the confirmation hearing for George Cardona, J.D., for a second term as Chief Trial Counsel of the State Bar of California. Cardona described reforms made since taking office, including new conflict-of-interest and gift rules, stronger investigative requirements, efforts to reduce backlog and improve efficiency, and monitoring of discipline disparities identified in prior studies. Senators questioned him about safeguards after the Girardi matter, the John Eastman discipline case, racial and ethnic disparities in attorney discipline, unauthorized practice of law by notarios, staffing shortages, and the use of AI in filings. Public witnesses from the State Bar, SEIU Local 1000, and others spoke in support. The committee voted 3-0 to advance Cardona’s appointment to the full Senate. The committee then heard Laura Enderton Speed, J.D., for Executive Director of the State Bar. She said her priorities would be restoring public trust, improving the discipline system, addressing the February 2025 bar exam problems, and strengthening fiscal stability and internal controls. Members asked about the State Bar’s structural budget deficit, the remote administration failures in the February exam, safeguards against undisclosed gifts and conflicts, and the status of audits and investigations. Supporters from the State Bar, the civil defense bar, SEIU Local 1000, and a longtime colleague testified in favor. The committee approved her appointment 5-0 to move to the full Senate. At the end of the meeting, members also approved the remaining governor’s appointments and procedural items, and the chair thanked Senator Jones for his service on the committee before adjourning the public portion.

Transcript Highlights:

• They've actually re-ruled on one case 3 different times.
• I think that, um, the evidence that I see that the, that the rates are, the rate increases are consistent
• The market usually dictates what the rates are.
• regulation system in Texas does not allow for excessive rates.
• That's been the case forever in insurance.

Transcript Highlights:

• There's a— Free rate, a reduced rate, and then a paid rate.
• What would the participation rate be?
• Their participation rate— Their participation rate is not going to increase because they already don't
• So obviously, we're going to expect a higher participation rate.
• So obviously, we're going to expect a higher participation rate.

Summary: The Legislative Management Committee met to fill a vacancy created by Representative Jared Hagert’s resignation, and the House majority recommended Representative Berg to replace him on the committee. The motion to appoint Berg was approved unanimously. The committee then took up its assigned task of estimating the fiscal impact of Initiated Constitutional Measure No. 3, the school meals measure, which would require public schools, and optionally nonpublic and tribal schools, to provide breakfast and lunch at no cost to students and reimburse schools through state funds after federal reimbursements are maximized. Legislative Council’s Liz Fordall summarized the measure’s requirements and answered questions about implementation, including the 2027-28 start date, the measure’s interaction with the Legacy Earnings Fund, and the fact that the Legislature would still control the funding source. DPI’s Linnell Johnson then testified at length on current school meal programs, direct certification, CEP and Provision 2 participation, and likely behavioral changes if the measure passed. She estimated the biennial fiscal impact at $124 million to $134 million, with an additional roughly $300,000 in administrative costs, and explained that the estimate assumed higher participation and some schools shifting to CEP/Provision 2 to preserve federal reimbursements. She also noted that if no new applications were filed in non-CEP schools, the cost could be substantially higher. After discussion, Senator Sorvaag moved to report a fiscal impact range of $124,300,000 to $134,300,000 per biennium to the Secretary of State, and the motion carried. The committee also received an informational update from Legislative Council attorney Dustin Richard on the ongoing redistricting litigation, explaining that the U.S. Supreme Court vacated the Eighth Circuit’s prior ruling and remanded the case for further consideration in light of Louisiana v. Callais, leaving the court-imposed map in effect for now. No action was required on that item, and the meeting adjourned after a brief note that the prior minutes would be brought back at a later meeting.

Transcript Highlights:

• some of these cases.
• We review cases.
• We had 1,222 cases, maternal mortality. 2021, we had 1,222 cases, maternal mortality.
• complex dental cases; increase dental student loan reimbursement rates; reimbursement for preceptors
• dental cases, increase dental student loan reimbursement rates, reimbursement for preceptors doing student

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.