Video & Transcript Research : 'replacement fees'

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AZ

Arizona 2026 Regular Session

01/13/2026 - House Commerce

Commerce

Transcript Highlights:
  • operators and more than $1 million in privilege fees from fantasy sports contest operators.
  • operators and more than $1 million in privilege fees from fantasy sports contest operators.
  • The operator may have underpaid its privilege fees.
  • Finding one and the recommendations are related to the concession and events fees.
  • We replaced the sport lighting.
Keywords: 1182, all
Summary: The House Commerce Committee of Reference heard sunset reviews and a performance audit presentation for the Arizona Department of Gaming, the Racing Commission, the Boxing and MMA Commission, and later the Arizona Barbering and Cosmetology Board. The Auditor General reported that the Department of Gaming and the commissions generally met some statutory duties, but identified several problems: the department did not consistently obtain and review independent audits for event wagering and fantasy sports operators; the department and commissions had gaps in conflict-of-interest disclosures; the department and Boxing and MMA Commission lacked comprehensive complaint-handling processes; the department was late distributing some compact trust fund payments; and there were additional issues involving IT security, horse-racing license checks, fee reviews, public records practices, and licensing compliance. The Auditor General said the department agreed to implement all 36 recommendations, the Racing Commission agreed to six recommendations, and the Boxing and MMA Commission agreed to 13 recommendations. The department director said many fixes were already underway, including updated guidance, complaint tracking improvements, and a historical look-back on operator reporting, and she also discussed efforts to combat illegal gambling and educate minors and families about gambling risks. Committee members questioned the department about third-party audits, penalties for underpayments, public records handling, conflict-of-interest screening, and the department’s position on prediction markets and suitability standards for licensees. The director said the department would review past reports, could assess fines if violations were found, and would generally wait for final adjudication or final action in other jurisdictions before taking Arizona licensing action. After discussion, the committee voted to recommend the Department of Gaming be continued for two years until July 1, 2028, the Racing Commission for six years until July 1, 2032, and the Boxing and MMA Commission for six years until July 1, 2032. The Department of Gaming motion passed 7-4, the Racing Commission motion passed 10-1, and the Boxing and MMA Commission motion passed unanimously. The committee then heard the Auditor General’s report on the Arizona Barbering and Cosmetology Board. The audit found the board timely processed many licenses and complaints and had adopted curriculum rules, but it inconsistently applied its disciplinary guidelines, sometimes issuing different sanctions for similar violations without documenting the reasons for deviation. The report also found problems with reciprocity education requirements, application review controls, inspections, and compliance with open meeting, public records, and conflict-of-interest requirements, and it suggested possible statutory changes on aesthetics scope of practice, cease-and-desist authority, and training standards for I-LEST technicians. The board agreed with the findings and said it had already updated disciplinary parameters and documentation policies, with more recommendations in progress; committee members asked about discretion in discipline, audit funding, and service efficiency, and the board highlighted its licensing volume, call response, inspections, and complaint handling performance.
CA
Transcript Highlights:
  • There's a specific fee on facilities in that area.
  • There's a specific fee on facilities in that area.
  • And in doing so, the administration... ...to fee-for-service as well.
  • So that should not be impacted if those providers accept fee-for-service.
  • We're going to have a fee-for-service for those emergency room visits.
Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.
MN

Minnesota 2025-2026 Regular Session

Committee on Taxes - 04/23/25

Taxes

Transcript Highlights:
  • Tax and fees.
  • Tax and fees. fees. fees.
  • If you're looking at fees, maybe health-related fees or health board-related fees or fees to implement
  • , amount of fees, amount of fees, uh,<01:32:58.400> drug<01:32:59.080> rebates,<01:
  • , other fund um tax increases and fees, other fund um tax increases and fees, just<01:42:06.480><
Keywords: 1187, senate, all
AL

Alabama 2026 1st Special Session

Alabama House County and Municipal Government Committee Mar 17th, 2026

County and Municipal Government

Transcript Highlights:
  • Replace<00:22:07.200> line<00:22:07.520> 234 Replace line 234 Replace line 234 with<00:
  • So, it's funded by the fees of the licenses.
  • And so those are different fees for different boards and different professions.
  • So, it's funded by the fees of the licenses.
  • And so those are different fees for different boards and different professions.
Keywords: 1136, house, all
VT

Vermont 2025-2026 Regular Session

Senate Session - 2026-01-21 - 1:00PM

Vermont Senate Floor Meeting

Transcript Highlights:
  • route 22A and access highway replacing route 22A and linking<00:14:29.839> Burlington,<00:14:
  • route 22A and access highway replacing route 22A and linking<00:14:49.760> Burlington,<00:14:
  • <00:15:03.920> for<00:15:04.079> non-resident fishing license fees for non-resident
  • revenue, introduced by license fee revenue, introduced by Senator<00:15:34.639> Brennan.
  • > political The new definition replaces political The new definition replaces political candidate
Keywords: 927, senate, all
CA
Transcript Highlights:
  • The backfill would allow those fee discussions to focus solely on what fee levels are required to support
  • The idea is to lower the impact of the needed fee increase.
  • So even without this litigation, the Bureau is in need of a fee increase and has been in need of a fee
  • This would allow that fee increase. In need of a fee increase for several years.
  • The goal is to replace outdated, paper-heavy Data modernization project.
Keywords: 988, house, all
Summary: The subcommittee held a May Revision budget hearing on state administration and related issues, hearing presentations from multiple departments and agencies. Early items included the Public Employment Relations Board on funding for implementation of AB 1 and a reduced request tied to AB 288, the Governor’s Office of Service and Community Engagement on a technical College Corps adjustment, and the Secretary of State on building security upgrades, election security grant matching funds, and payroll system readiness costs. The Department of Consumer Affairs presented a Board of Pharmacy modernization request and a General Fund backfill for the Bureau for Private Postsecondary Education; the LAO raised no concerns on the pharmacy item but recommended rejecting the private postsecondary backfill and questioned interest-free loan language. The Employment Development Department outlined several large workload and benefit adjustments, including EDD Next document management funding, UI loan interest, DI/PFL benefit increases, WIOA adjustments, school employee benefits, an EMT training reappropriation, and a technical reversion correction; the LAO flagged the size of the DI/PFL increase and the expansion of the document management scope, while members asked about program impacts and timelines. The California Workforce Development Board presented an April adjustment to reimbursement authority for an interagency agreement with Caltrans, which the LAO said raised no concerns. Public comment on that item and others included support for workforce and apprenticeship initiatives, including the Jails to Jobs proposal and renewal of the Apprenticeship Innovation Fund, though those were not part of the May Revision package. The Department of Industrial Relations then presented several proposals: reclassifying legal positions, continuing modernization of the workers’ compensation EAMS system, Cal/OSHA data modernization, creating a Cal/OSHA emerging technologies unit, reappropriating funds for the California Opportunity Youth Apprenticeship program, and trailer bill changes requiring electronic payment of employer assessments and adjusting the statutory treatment of the workers’ compensation administrative director’s salary. The LAO generally found the IT and salary proposals reasonable but urged close monitoring of the new emerging technologies unit. Committee members, especially Assemblymember Ortega, pressed DIR on long vacancy rates, wage theft claim delays, low collection rates for Cal/OSHA fines, and whether new resources would improve outcomes; DIR said it was pursuing recruitment, classification reviews, and process modernization, while the LAO noted that staffing alone may not explain the delays. The Workers’ Compensation Appeals Board also sought to make permanent a 2024 change to the 60-day reconsideration clock, saying it had reduced backlog and interim orders; the LAO had no concerns. Finally, the Department of Human Resources presented a statewide Employee Assistance Program contract consolidation that would lower costs compared with renewing separate contracts and requested one program manager position to oversee the contract and first responder services; the hearing continued with Finance’s response after the transcript ended.
MN

Minnesota 2025-2026 Regular Session

House Transportation Finance and Policy Committee 2/12/25

Transportation Finance and Policy

Transcript Highlights:
  • , increasing the current electric vehicle fee of $75 annually to $200, and instituting a fee at public
  • , increasing the current electric vehicle fee of $75 annually to $200, and instituting a fee at public
  • , increasing the current electric vehicle fee of $75 annually to $200, and instituting a fee at public
  • , increasing the current electric vehicle fee of $75 annually to $200, and instituting a fee at public
  • , increasing the current electric vehicle fee of $75 annually to $200, and instituting a fee at public
Keywords: 1183, house
FL

Florida 2025 Regular Session

March 6, 2025 - 01:00 PM

Transcript Highlights:
  • And further, in 2024, DBPR implemented fee holidays and waived licensure application fees for various
  • fee and pull a permit.
  • They don't necessarily get waivers of impact fees. They don't get waivers of permit fees.
  • Oh, I mean, we're talking about impact fees. We're talking about the impact fees on top of that.
  • You can talk to people out there that have to get a permit and pay a fee to replace a hot water heater
Summary: The subcommittee heard and approved four bills focused on reducing or modernizing professional regulation. HB 6015, by Rep. Oliver, repeals the word “reusable” from the wine keg statute to allow businesses more flexibility in container materials; members joked about the possibility of a Home Depot bucket, and the bill passed 16-0. HB 339, by Rep. Abbott, creates an alternative temporary licensure pathway for surveyors and mappers based on employer recommendation and exam passage, but members raised concerns about qualifications, liability, and oversight; Abbott said he was open to amendments, and the bill passed 14-1 with Rep. Overdorf dissenting. HB 139, by Rep. Lopez, allows pawnbrokers to use digital transaction forms instead of only printed forms; a technical amendment added readability and placement requirements for digital forms, and the bill passed unanimously. HB 195, by Rep. Chambliss, lets the Department of Corrections coordinate with DBPR boards so inmates who complete licensure-related classes can receive credit toward professional licensure; supporters framed it as a second-chance and workforce bill, an amendment clarified that DBPR handles professions without boards, and the bill passed favorably 15-0. The committee then received a presentation from DBPR Secretary Melanie Griffin on the department’s role overseeing more than 1.7 million businesses and professionals across over 30 fields. She highlighted enforcement and complaint data, including more than 24,000 inspections and complaints handled in the last fiscal year, a preference for education and voluntary compliance over formal discipline, and the department’s alternative dispute resolution program, which returned $2.7 million to consumers and saved $270,000 in costs. Griffin also reviewed recent deregulatory and efficiency efforts, including endorsement/reciprocity reforms, fee waivers, reduced processing times, and shorter call wait times, and said DBPR is continuing to look for ways to cut red tape while protecting public safety. Members questioned Griffin about permitting, continuing education, complaint processing, board vacancies, fraud in cosmetology and construction, coordination with other agencies, and whether schools can block students from taking state exams over unpaid tuition. DBPR staff said complaints are generally processed within 60 days, schools cannot bar graduates from taking the exam because of tuition debt, and the department works with other agencies when issues cross jurisdictional lines. The panel discussion that followed featured industry representatives from landscape architecture, building/code administration, pools, roofing, construction, HVAC/electrical, and hospitality, who generally supported reducing local permitting burdens, standardizing requirements, improving reciprocity and training pathways, and using technology and clearer scopes of work to make licensure and inspections more efficient.
CA

California 2025-2026 Regular Session

Assembly Transportation Committee Aug 25th, 2025

Transcript Highlights:
  • This would replace the gas tax.
  • owners paying the annual fee.
  • owners paying the annual fee.
  • The highway use fee is a mandatory fee. Right, but this is in lieu, right?
  • The voluntary is that in lieu of paying the highway fee? It is paying it on a per-mile fee.
Summary: The Assembly Transportation Committee first took up three highway naming resolutions on its consent calendar: ACR 109, SCR 78, and SCR 90. The committee approved the consent calendar with 11 aye votes and no no votes, then adjourned the bill-hearing portion. Members also recognized committee science fellow AJ Mendeola for his service, noting his contributions to bill analysis and staff support. The committee then held an informational hearing on alternatives to the gas tax, focused on the projected decline in fuel-tax revenue and the need for a more sustainable transportation funding model. The chair and invited experts described how inflation, improved fuel efficiency, and growth in electric and other alternative-fuel vehicles are eroding gas-tax revenues. Presenters from the National Conference of State Legislatures and the University of California discussed state options such as higher or indexed gas taxes, EV registration fees, road usage charges, delivery fees, public EV charging fees, transportation network company fees, and managed lanes, emphasizing tradeoffs among revenue adequacy, fairness, administrative cost, and public acceptance. Committee members raised concerns that mileage-based fees or EV fees could function as new taxes on commuters and lower-income drivers, especially if the gas tax is not repealed. Presenters responded that road usage charges are generally intended as replacements for the gas tax, not additions, and argued that mileage-based systems better preserve the user-pays principle while being less tied to vehicle fuel efficiency. They also noted that flat EV registration fees are easy to administer but can be less equitable because they are not linked to actual road use. Officials from Hawaii, Utah, and Oregon described their state programs and policy choices. Hawaii said its new road usage charge began July 1, 2025, for EVs, offers a choice between a per-mile charge and a flat annual fee through 2028, and will transition to mandatory EV participation before expanding to all light-duty vehicles by 2033. Utah described its voluntary EV road usage charge program, quarterly reporting, privacy protections, and legislative scenarios for removing the cap or making participation mandatory. Oregon outlined its constitutional cost-responsibility framework and broader transportation funding challenges, including reliance on user fees and limited use of general-fund support.
CO

Colorado 2026 Regular Session

Colorado House 2026 Legislative Day 118 May 12th, 2026

Colorado House Floor Meeting

Transcript Highlights:
  • Fee revenue may also be used...
  • Primary funding sources: insurance fees, or insurer fees.
  • As such, the fees...
  • In addition to the annual fee...
  • after fee.
Keywords: 981, all
TX

Texas 89th 2nd C.S.

Senate Committee on Water, Agriculture, and Rural Affairs May 11th, 2026

Water, Agriculture and Rural Affairs

Transcript Highlights:
  • We want to know that the water and sewer tap fees, the sewer fees, the stormwater runoff fees, those
  • Impact fees. Wow.
  • And so they are charged—it’s called a GRP fee, a groundwater reduction program fee.
  • One's a base fee and one's a volumetric fee.
  • On the wastewater side, you see your wastewater fee, you see your surface water fee.
Keywords: 1185, senate, all
NH

New Hampshire 2026 Regular Session

House Resources, Recreation and Development (02/11/2026)

Resources, Recreation and Development

Transcript Highlights:
  • it's a total replacement. it's a total replacement. >> Correct. >> Correct.
  • review fee.
  • from reduction in a fee, the general fee from reduction in a fee, the general fee from 500<01:52
  • intentional to reduce that fee. intentional to reduce that fee.
  • Um, it is a replace-all amendment.
Keywords: 1189, house, all
NH
Transcript Highlights:
  • The sale will be administrative fee.
  • The department will assess a $1,100 administrative fee.
  • $1,100<00:15:29.040> will An administrative fee of $1,100 will An administrative fee of
  • administrative fee of $1,100. administrative fee of $1,100.
  • <00:20:33.919> The administrative fee of $1,100. The administrative fee of $1,100.
Keywords: 928, house, all
Summary: The Long Range Capital Planning and Utilization Committee met and first approved the June 30, 2025 meeting minutes. The committee then took up a series of Department of Transportation property actions, including authorization to grant an access point in Exeter, sell two small tracts in Keene, amend a prior Guilford disposal based on a revised survey and appraisal, sell 0.42 acres in Lincoln, list and sell 9.77 acres in Chesterfield, sell 0.54 acres in Fremont, and approve a permanent access easement in Belmont. The committee also approved a utility easement in Albany and a permanent access easement on Route 153 for the Bickfords. Most of these items involved direct sales or listings, administrative fees of $1,100, and conditions requiring surveys and local/state approvals; several were approved unanimously after brief or no questions. Representative Faulkner declared a conflict of interest on the Chesterfield item, and Representative Newman sat in for that matter; later, Faulkner was recused from the Belmont item as well. The committee also approved a Department of Administrative Services request to grant a perpetual utility line easement to Public Service Company of New Hampshire for a facility under construction at the Hampstead hospital property, with the administrative fee waived because the grant was in exchange for utility service. During discussion of informational item LRCP25-038, staff explained that no committee action was needed because the item was only to notify members that a parcel’s fair market value had been reduced due to a change in access. The committee received additional informational materials from the New Hampshire Council on Resources and Development, including minutes from its May 8 meeting and memorandums on surplus land review for Meredith and Hampstead. The next meeting was set for December 9 at 9:30 a.m. at Granite Place, Room 228, and the chair noted the meeting would be on a Tuesday because of building scheduling. The committee then adjourned.
MO

Missouri 2026 Regular Session

Ways and Means Jan 12th, 2026

Ways and Means

Transcript Highlights:
  • I know they are replacing those.
  • Yeah, on a replacement.
  • If I don't replace it in the meantime. If you don't replace it in the meantime.
  • If I don't replace it in the meantime. If I don't. If I don't replace it in the meantime.
  • If you don't replace it in the meantime.
Keywords: 959, house, all
CA
Transcript Highlights:
  • Fee revenue, UC's 2024-25 core funding is expected to increase by about 3.5 percent.
  • UC expects to achieve the 2025-2026 replacement target but is reluctant on continuing the replacement
  • Nor will the state be providing non-resident replacement funding.
  • The next recommendation concerns the non-resident replacement plan.
  • above the Budget Act target toward a future year replacement requirement.
Keywords: 988, house, all
CO

Colorado 2026 Regular Session

Colorado Senate 2026 Legislative Day 048 Mar 3rd, 2026

Colorado Senate Floor Meeting

Transcript Highlights:
  • Monetarily, it's the added fees and costs for barrel replacements, with buyers now required to be 18
  • Replacing it shouldn't require a pilgrimage to an FFL and a wallet-draining fee.
  • for barrel the added fees and costs for barrel replacements<01:06:18.319> with<01:06:18.640><
  • and a wallet draining fee. and a wallet draining fee.
  • <02:39:26.720> uh the need and the desire to replace uh the need and the desire to replace
Keywords: 981, all
Summary: The Senate opened with a quorum present, approved the February 27, 2026 journal, and then moved out of order to consider resolutions. Senate Resolution 003, designating March as Arts Education Month in Colorado, was read at length and supported by Senators Snyder and Basley, who emphasized the educational, social, and economic value of arts instruction and noted concerns about unequal access across the state. Senator Coleman and Senator Danielson also spoke in support, highlighting personal experiences with the arts and the importance of preserving arts programs in schools. The resolution passed unanimously, 35-0, and the current roll call was added as co-sponsors. The chamber then adopted House Joint Resolution 1019, recognizing Caregiving Youth Day. Senator Judah described caregiving youth as children and teens who provide substantial care for family members while balancing school and other responsibilities, citing statewide and national data on the prevalence of youth caregivers and the risks they face. Senator Gonzales also spoke in support, urging the legislature to recognize and support this often invisible work. The resolution passed 35-0, and the current roll call was added as co-sponsors. The Senate next took up third-reading consent calendar House Bill 1035, which enacts the 2025 Colorado Revised Statutes as positive and statutory law; it passed 32-3, with Senators Baisley, Lynda Zamora Wilson, and Long voting no. Senate Bill 53, expanding eligible borrowers for Colorado Housing and Finance Authority mortgages, then passed 29-6 after no-vote requests from Senators Zamora Wilson, Amabile, Sullivan, Hinrichsen, Baisley, and R. Pelton. House Bill 1064, concerning modifications to the youthful offender system, passed 23-12 after several no-vote requests, and Senate Bill 43, concerning regulation of firearm barrel transfers and related criminal penalties, was introduced for final passage with Senator Zamora Wilson delivering extended opposition focused on Second Amendment and fiscal concerns; the transcript cuts off before the vote on that bill.
ND

North Dakota 2026 1st Special Session

Administrative Rules Committee Jun 11th, 2026 at 10:00 am

Administrative Rules Committee

Transcript Highlights:
  • A few big ones that we're waiting for are the fees.
  • The fee for the newspaper publication was $2,046.65.
  • The other fees associated with this were, with their lawyer fee, $1,250.85.
  • And then the fee for the newspaper publication was $2,046.65. The other fees are was $2,046.65.
  • The other fees associated with this was, with our lawyer fee, was $1,250.85.
Keywords: 908, all
ND

North Dakota 2026 1st Special Session

Health Care Committee Jul 15th, 2026

Health Care Committee

Transcript Highlights:
  • We then collect a fee, and that fee is currently set and is placed into the insurance regulatory fund
  • We then collect a fee, and that fee is currently set and is placed into the insurance regulatory fund
  • So think knee replacement, hip replacement, hysterectomy, cancer-related procedure, other general surgery
  • Knee replacement, hip replacement, hysterectomy, cancer-related procedure, other general surgeries—the
  • . knee replacement, hip replacement, hysterectomy, cancer-related procedure, other general surgeries,
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.
MN

Minnesota 2025-2026 Regular Session

Committee on Finance - Part 1 - 04/22/26

Finance

Transcript Highlights:
  • plate fees later in the spreadsheet. plate fees later in the spreadsheet.
  • a small design charge um for plate fees a small design charge um for plate fees coming<00:18:34.000
  • <01:25:59.520> the you don't only have to replace the you don't only have to replace the wetland
  • <01:26:09.000> it<01:26:09.200> two-to-one replace it two-to-one replace it two-to-one
  • Okay. >> It's now replaced with the 834 amendment as amended as adopted. Okay.
Keywords: 1187, senate, all
ND

North Dakota 2025-2026 Regular Session

Water Topics Overview Committee Mar 26th, 2026

Transcript Highlights:
  • Next, on new construction versus replacement.
  • Are you setting aside for replacements?
  • And this segment really needs to be replaced.
  • Or are you going to have to replace?
  • But I just was hands-on last Tuesday, replacing... ...stuff, but I just was hands-on last Tuesday replacing
Summary: The Water Topics Overview Committee met with a quorum and received updates from the Department of Water Resources and the State Water Commission, followed by presentations from Deloitte on two legislative studies required by House Bill 1020. Director Reese Haas reviewed major project and budget updates, including the Northwest Area Water Supply and Southwest Pipeline projects, Resources Trust Fund balances, carryover spending, project prioritization, bid conditions, regional water system coverage, and department process improvements. Members also discussed how the commission prioritizes projects, maintenance expectations, and the impact of limited municipal water supply funding. No formal committee action was taken during the DWR update; the commission’s municipal funding decisions were described as pending its April 8 meeting. Deloitte then presented the cost-share policy study, which found that under current policy and forecasted revenues, North Dakota faces an estimated $1.3 billion shortfall over 14 years, with a near-term gap of about $1.8 billion through 2031. The firm outlined seven recommended options, including tighter definitions and a 25% cost share for eligible replacement projects, caps and financing strategies for the Mouse River and Red River Valley projects, aligning cost share with commission priority guidance, delaying lower-priority projects, using available lines of credit, and adjusting reimbursement timing for revolving loan funds. Committee members questioned inflation assumptions, affordability, user fees, and the use of legacy fund earnings for bonding, but no decisions were made. In the governance and finance study, Deloitte said final recommendations are still being refined, with a final report due May 29. The study examined the Southwest Pipeline, NAWS, and Red River Valley systems using governance and finance criteria such as decision authority, transparency, affordability, risk, and access to funding. For Southwest, Deloitte outlined options ranging from improved state-authority coordination to transferring ownership to the Southwest Water Authority; for NAWS, options focused on strengthening the authority’s role and potentially transitioning operations and maintenance; and for Red River, options ranged from enhanced facilitation to formal state oversight or state ownership. Members asked follow-up questions about ownership transfer, capital repayment streams, and why NAWS was not considered for transfer, and Deloitte said NAWS’s limited organizational maturity made that option less viable in the near term.